Mercy Health - St. Vincent Medical Center — Pricing
672 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 672 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 672 procedures
Procedures with negotiated rates only
These 672 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 |
|---|---|---|---|
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,897 – $72,263 · median $25,545 | 50 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,312 – $62,877 · median $21,191 | 50 plans |
| 041 | NERVOUS SYSTEM MALIGNANCY,MODERATE | $6,300 – $62,977 · median $16,991 | 50 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $8,481 – $49,487 · median $13,515 | 50 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $5,190 – $51,881 · median $14,132 | 50 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,691 – $29,204 · median $12,266 | 50 plans |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM,MINOR | $6,993 – $48,965 · median $13,380 | 50 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,994 – $29,302 · median $10,757 | 50 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,731 – $43,964 · median $12,092 | 50 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,990 – $33,320 · median $15,888 | 50 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,447 – $42,770 · median $11,784 | 50 plans |
| 143 | OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MODERATE | $5,748 – $107,314 · median $28,414 | 50 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,190 – $34,437 · median $9,637 | 50 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $26,934 – $128,372 · median $33,840 | 50 plans |
| 165 | CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,EXTREME | $14,318 – $54,828 · median $25,775 | 50 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,149 – $107,059 · median $28,348 | 50 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,532 – $51,655 · median $20,742 | 50 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,482 – $39,344 · median $13,023 | 50 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,824 – $44,760 · median $21,147 | 50 plans |
| 180 | OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES,EXTREME | $13,267 – $50,584 · median $23,824 | 50 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,335 – $42,442 · median $14,672 | 50 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,290 – $22,015 · median $8,530 | 50 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,917 – $37,648 · median $10,464 | 50 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,074 – $23,083 · median $6,712 | 50 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $6,877 – $54,055 · median $15,439 | 50 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,570 – $20,483 · median $6,633 | 50 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,126 – $26,956 · median $8,496 | 50 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $5,718 – $141,708 · median $37,276 | 50 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $9,750 – $81,647 · median $21,801 | 50 plans |
| 241 | PEPTIC ULCER AND GASTRITIS,MAJOR | $4,534 – $39,653 · median $11,588 | 50 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $5,204 – $91,451 · median $24,327 | 50 plans |
| 243 | OTHER ESOPHAGEAL DISORDERS,MAJOR | $9,364 – $61,035 · median $16,490 | 50 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,866 – $51,772 · median $14,103 | 50 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $6,142 – $51,033 · median $18,182 | 50 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $11,089 – $95,685 · median $25,418 | 50 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,095 – $45,946 · median $16,293 | 50 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,251 – $26,326 · median $9,559 | 50 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,446 – $56,736 · median $15,382 | 50 plans |
| 304 | HYPERTENSION WITH MCC | $9,179 – $34,085 · median $16,239 | 50 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,278 – $34,486 · median $13,523 | 50 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,920 – $24,965 · median $11,343 | 50 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,080 – $59,726 · median $17,928 | 50 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $14,816 – $77,932 · median $20,844 | 50 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $5,872 – $73,979 · median $19,825 | 50 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $5,417 – $65,753 · median $17,706 | 50 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,760 – $24,937 · median $7,189 | 50 plans |
| 382 | MALIGNANT BREAST DISORDERS,MAJOR | $5,975 – $22,932 · median $7,878 | 50 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,861 – $24,484 · median $8,245 | 50 plans |
| 385 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MODERATE | $5,417 – $45,322 · median $12,441 | 50 plans |
| 422 | HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MAJOR | $4,868 – $40,086 · median $11,092 | 50 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $10,264 – $62,668 · median $16,911 | 50 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,981 – $52,236 · median $14,223 | 50 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,131 – $79,396 · median $21,221 | 50 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $6,530 – $57,292 · median $15,526 | 50 plans |
| 539 | CESAREAN SECTION WITH STERILIZATION,MODERATE | $6,082 – $56,418 · median $15,300 | 50 plans |
| 542 | VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MODERATE | $5,630 – $50,598 · median $13,801 | 50 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,173 – $29,445 · median $8,351 | 50 plans |
| 548 | POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,MODERATE | $3,472 – $55,307 · median $15,014 | 50 plans |
| 560 | VAGINAL DELIVERY,MAJOR | $4,942 – $32,255 · median $9,075 | 50 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,323 – $23,026 · median $6,697 | 50 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,678 – $44,213 · median $12,156 | 50 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,476 – $21,462 · median $6,294 | 50 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,288 – $62,780 · median $20,185 | 50 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $6,130 – $43,205 · median $13,173 | 50 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,205 – $42,947 · median $11,830 | 50 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,143 – $17,793 · median $6,872 | 50 plans |
| 640 | NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM,MODERATE | $1,703 – $38,256 · median $10,621 | 50 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,114 – $37,857 · median $12,192 | 50 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,390 – $43,543 · median $11,983 | 50 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,479 – $76,197 · median $11,229 | 50 plans |
| 711 | POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MODERATE | $8,474 – $59,686 · median $16,143 | 50 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,288 – $28,720 · median $8,164 | 50 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,381 – $18,753 · median $9,190 | 50 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,800 – $47,000 · median $18,115 | 50 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,061 – $56,799 · median $30,195 | 50 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,167 – $18,102 · median $5,428 | 50 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $6,608 – $65,352 · median $17,602 | 50 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,854 – $34,870 · median $9,749 | 50 plans |
| 862 | OTHER AFTERCARE AND CONVALESCENCE,MAJOR | $13,676 – $52,236 · median $17,975 | 50 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,680 – $18,289 · median $7,711 | 50 plans |
| 024 | OPEN EXTRACRANIAL VASCULAR PROCEDURES,MINOR | $7,120 – $112,049 · median $29,349 | 49 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $4,290 – $74,346 · median $19,728 | 49 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $10,812 – $142,854 · median $37,210 | 49 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,757 – $56,203 · median $15,392 | 49 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,880 – $163,251 · median $42,415 | 49 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $3,510 – $86,880 · median $22,927 | 49 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,186 – $17,670 · median $5,522 | 49 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $4,714 – $65,466 · median $18,642 | 48 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,009 – $50,303 · median $14,498 | 48 plans |
| 144 | RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MAJOR | $4,111 – $49,635 · median $13,553 | 48 plans |
| 040 | SPINAL DISORDERS AND INJURIES,MODERATE | $13,920 – $110,596 · median $28,697 | 47 plans |
| 054 | MIGRAINE AND OTHER HEADACHES,MINOR | $4,490 – $43,735 · median $13,259 | 47 plans |
| 263 | VEIN LIGATION AND STRIPPING | $6,932 – $87,573 · median $22,879 | 47 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $13,209 – $123,950 · median $32,071 | 47 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $3,850 – $149,098 · median $38,426 | 47 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,800 – $20,105 · median $11,208 | 47 plans |
| 053 | SEIZURE,MODERATE | $5,164 – $28,047 · median $8,417 | 46 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,374 – $31,487 · median $9,800 | 46 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,813 – $23,126 · median $7,394 | 46 plans |
| 207 | OTHER CIRCULATORY SYSTEM DIAGNOSES,MINOR | $3,885 – $184,309 · median $47,324 | 46 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,049 – $22,390 · median $6,596 | 45 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $13,938 – $91,010 · median $23,515 | 44 plans |
| 141 | ASTHMA,MODERATE | $4,805 – $62,473 · median $16,374 | 44 plans |
| 199 | HYPERTENSION,MODERATE | $3,510 – $50,529 · median $13,386 | 44 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,585 – $27,649 · median $11,603 | 44 plans |
| 813 | OTHER COMPLICATIONS OF TREATMENT,MINOR | $4,874 – $43,689 · median $11,674 | 44 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,652 – $120,759 · median $48,430 | 43 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $12,799 – $164,133 · median $41,398 | 43 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,798 – $89,057 · median $36,021 | 43 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,944 – $97,718 · median $39,411 | 43 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,857 – $61,038 · median $24,952 | 43 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,535 – $47,630 · median $19,471 | 43 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,202 – $110,868 · median $44,559 | 43 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,698 – $68,471 · median $27,963 | 43 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,521 – $55,648 · median $22,748 | 43 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,096 – $94,296 · median $38,072 | 43 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,249 – $46,476 · median $18,999 | 43 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,076 – $33,670 · median $13,764 | 43 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,284 – $66,541 · median $17,736 | 43 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,284 – $37,110 · median $10,226 | 43 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,540 – $35,543 · median $14,530 | 43 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,262 – $26,346 · median $10,770 | 43 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,300 – $78,972 · median $32,073 | 43 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,204 – $50,331 · median $20,575 | 43 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,696 – $40,209 · median $16,437 | 43 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,005 – $57,601 · median $23,547 | 43 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,904 – $28,938 · median $11,830 | 43 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,157 – $42,068 · median $17,197 | 43 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,548 – $47,685 · median $19,493 | 43 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,015 – $29,388 · median $12,013 | 43 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,049 – $29,525 · median $12,070 | 43 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,342 – $54,923 · median $22,452 | 43 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,308 – $25,653 · median $8,162 | 43 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,640 – $39,980 · median $16,343 | 43 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,979 – $37,313 · median $15,253 | 43 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,385 – $22,808 · median $9,324 | 43 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,709 – $100,806 · median $40,620 | 43 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,037 – $73,876 · median $30,079 | 43 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,037 – $73,876 · median $30,079 | 43 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,365 – $103,453 · median $41,656 | 43 plans |
| 100 | SEIZURES WITH MCC | $14,479 – $55,476 · median $22,678 | 43 plans |
| 102 | HEADACHES WITH MCC | $8,689 – $32,106 · median $13,125 | 43 plans |
| 103 | HEADACHES WITHOUT MCC | $6,669 – $23,954 · median $9,792 | 43 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,124 – $37,898 · median $15,492 | 43 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,183 – $21,992 · median $8,990 | 43 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,760 – $60,649 · median $24,793 | 43 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,757 – $36,420 · median $14,888 | 43 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,391 – $22,831 · median $9,333 | 43 plans |
| 149 | DYSEQUILIBRIUM | $6,068 – $21,528 · median $8,800 | 43 plans |
| 150 | EPISTAXIS WITH MCC | $10,183 – $38,138 · median $15,591 | 43 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,124 – $33,862 · median $13,842 | 43 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,830 – $44,783 · median $18,307 | 43 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,238 – $26,251 · median $10,731 | 43 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,917 – $49,174 · median $20,102 | 43 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,191 – $26,059 · median $10,653 | 43 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,645 – $72,295 · median $29,460 | 43 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,431 – $39,138 · median $15,999 | 43 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,661 – $27,956 · median $11,428 | 43 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,591 – $43,821 · median $17,914 | 43 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,316 – $22,528 · median $9,209 | 43 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,794 – $44,640 · median $18,248 | 43 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,754 – $28,331 · median $11,581 | 43 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,501 – $35,386 · median $14,465 | 43 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,728 – $52,445 · median $21,439 | 43 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,240 – $78,731 · median $31,979 | 43 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $41,232 – $163,463 · median $65,146 | 43 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,222 – $62,513 · median $25,555 | 43 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,783 – $48,633 · median $19,881 | 43 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,817 – $93,170 · median $37,631 | 43 plans |
| 265 | AICD LEAD PROCEDURES | $26,410 – $103,636 · median $41,728 | 43 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,010 – $118,167 · median $47,416 | 43 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,093 – $94,284 · median $38,067 | 43 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,437 – $63,381 · median $25,910 | 43 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,328 – $30,651 · median $12,530 | 43 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,938 – $77,514 · median $31,503 | 43 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,845 – $36,772 · median $15,032 | 43 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,759 – $24,318 · median $9,941 | 43 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,321 – $46,765 · median $19,117 | 43 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,842 – $20,614 · median $8,427 | 43 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,226 – $34,274 · median $14,011 | 43 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,215 – $26,157 · median $10,693 | 43 plans |
| 311 | ANGINA PECTORIS | $5,716 – $20,105 · median $8,219 | 43 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,358 – $91,517 · median $23,785 | 43 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,105 – $45,895 · median $18,761 | 43 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,677 – $48,203 · median $19,705 | 43 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,074 – $102,281 · median $41,198 | 43 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,698 – $60,399 · median $24,691 | 43 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,627 – $43,967 · median $17,973 | 43 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,412 – $43,099 · median $17,619 | 43 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,022 – $33,449 · median $13,674 | 43 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,328 – $83,122 · median $33,698 | 43 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,673 – $48,189 · median $19,699 | 43 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,237 – $66,609 · median $27,229 | 43 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,654 – $40,040 · median $16,368 | 43 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,136 – $98,492 · median $39,714 | 43 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,867 – $69,153 · median $28,230 | 43 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,031 – $45,597 · median $18,640 | 43 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,832 – $28,649 · median $11,711 | 43 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,317 – $50,787 · median $20,761 | 43 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,980 – $29,245 · median $11,955 | 43 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,896 – $20,835 · median $8,517 | 43 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,318 – $34,647 · median $14,163 | 43 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,706 – $52,359 · median $21,404 | 43 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,694 – $28,090 · median $11,483 | 43 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,208 – $18,057 · median $7,381 | 43 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,569 – $19,514 · median $7,977 | 43 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,214 – $42,300 · median $17,292 | 43 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,339 – $22,622 · median $9,248 | 43 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,595 – $15,582 · median $6,370 | 43 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,735 – $36,328 · median $14,851 | 43 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,267 – $22,330 · median $9,128 | 43 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,084 – $45,809 · median $18,726 | 43 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,375 – $26,801 · median $10,956 | 43 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,475 – $43,354 · median $17,723 | 43 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,265 – $115,159 · median $45,000 | 43 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,315 – $83,070 · median $33,678 | 43 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,485 – $63,576 · median $25,989 | 43 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,400 – $59,196 · median $24,199 | 43 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,669 – $68,354 · median $27,917 | 43 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,739 – $48,453 · median $19,807 | 43 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,064 – $49,767 · median $20,344 | 43 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,205 – $118,954 · median $47,724 | 43 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,701 – $56,375 · median $23,046 | 43 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,768 – $52,609 · median $21,506 | 43 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,303 – $46,694 · median $19,088 | 43 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,144 – $17,799 · median $7,276 | 43 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,501 – $31,347 · median $12,814 | 43 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,605 – $23,696 · median $9,687 | 43 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,658 – $92,528 · median $36,500 | 43 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,837 – $89,214 · median $36,083 | 43 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,760 – $101,012 · median $40,701 | 43 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,235 – $78,711 · median $31,971 | 43 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,641 – $84,385 · median $28,966 | 43 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,059 – $69,926 · median $28,533 | 43 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,198 – $122,962 · median $49,293 | 43 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,249 – $98,950 · median $39,894 | 43 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,186 – $70,439 · median $28,733 | 43 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,598 – $59,993 · median $24,525 | 43 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,573 – $59,895 · median $24,485 | 43 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,789 – $105,166 · median $42,327 | 43 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,535 – $51,669 · median $21,122 | 43 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,142 – $86,410 · median $34,985 | 43 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,193 – $90,649 · median $36,644 | 43 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,139 – $50,071 · median $20,469 | 43 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,285 – $38,551 · median $15,759 | 43 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,541 – $79,945 · median $32,454 | 43 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,309 – $38,645 · median $15,798 | 43 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,169 – $86,516 · median $35,026 | 43 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,490 – $59,560 · median $24,348 | 43 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,482 – $47,416 · median $19,383 | 43 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,906 – $45,093 · median $18,433 | 43 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,349 – $91,282 · median $36,892 | 43 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,481 – $59,523 · median $24,332 | 43 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,639 – $44,016 · median $17,993 | 43 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,255 – $107,047 · median $43,063 | 43 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,102 – $82,211 · median $33,341 | 43 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,762 – $60,657 · median $24,796 | 43 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,859 – $44,904 · median $18,356 | 43 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,832 – $36,720 · median $15,011 | 43 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,322 – $22,554 · median $9,220 | 43 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,919 – $33,037 · median $13,505 | 43 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,301 – $34,578 · median $14,135 | 43 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,937 – $25,037 · median $10,235 | 43 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,629 – $48,009 · median $19,625 | 43 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,625 – $23,777 · median $9,720 | 43 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,286 – $42,589 · median $17,410 | 43 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,073 – $25,584 · median $10,458 | 43 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,649 – $27,910 · median $11,409 | 43 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,605 – $84,242 · median $34,136 | 43 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,724 – $48,392 · median $19,782 | 43 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,869 – $32,833 · median $13,422 | 43 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,514 – $140,385 · median $56,113 | 43 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,544 – $75,924 · median $30,880 | 43 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,716 – $92,760 · median $37,471 | 43 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,997 – $49,495 · median $20,233 | 43 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,975 – $41,335 · median $16,897 | 43 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,416 – $31,006 · median $12,675 | 43 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,565 – $47,751 · median $19,520 | 43 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,763 – $32,404 · median $13,246 | 43 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,126 – $29,835 · median $12,196 | 43 plans |
| 602 | CELLULITIS WITH MCC | $10,820 – $40,710 · median $16,642 | 43 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,915 – $24,945 · median $10,197 | 43 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,181 – $42,165 · median $17,237 | 43 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,235 – $26,237 · median $10,725 | 43 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,473 – $43,343 · median $17,718 | 43 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,167 – $25,962 · median $10,613 | 43 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,664 – $40,080 · median $16,384 | 43 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,482 – $99,890 · median $40,261 | 43 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,007 – $53,571 · median $21,899 | 43 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,224 – $82,704 · median $24,663 | 43 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,091 – $45,837 · median $18,738 | 43 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,465 – $51,383 · median $21,005 | 43 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,181 – $106,747 · median $42,945 | 43 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,196 – $62,407 · median $25,512 | 43 plans |
| 637 | DIABETES WITH MCC | $10,930 – $41,151 · median $16,822 | 43 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,257 – $22,290 · median $9,112 | 43 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,826 – $40,733 · median $16,651 | 43 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,416 – $47,149 · median $19,274 | 43 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,008 – $29,359 · median $12,002 | 43 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,187 – $22,006 · median $8,996 | 43 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,754 – $60,626 · median $24,783 | 43 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,721 – $52,417 · median $21,427 | 43 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,747 – $44,448 · median $18,170 | 43 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,765 – $72,779 · median $29,649 | 43 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,082 – $29,657 · median $12,124 | 43 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,164 – $29,986 · median $12,258 | 43 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,883 – $89,401 · median $36,156 | 43 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,455 – $83,638 · median $33,900 | 43 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,748 – $44,454 · median $18,172 | 43 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,550 – $120,346 · median $48,269 | 43 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,330 – $66,985 · median $27,381 | 43 plans |
| 682 | RENAL FAILURE WITH MCC | $11,244 – $42,420 · median $17,341 | 43 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,995 – $17,194 · median $7,029 | 43 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,534 – $51,663 · median $21,120 | 43 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,170 – $30,012 · median $12,269 | 43 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,968 – $33,234 · median $13,586 | 43 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,851 – $32,762 · median $13,393 | 43 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,624 – $19,735 · median $8,068 | 43 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,475 – $47,387 · median $19,371 | 43 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,630 – $19,761 · median $8,078 | 43 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,622 – $43,944 · median $17,964 | 43 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,150 – $54,150 · median $22,136 | 43 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,266 – $38,470 · median $15,726 | 43 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,577 – $51,835 · median $21,190 | 43 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,258 – $42,475 · median $17,363 | 43 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,247 – $30,324 · median $12,396 | 43 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,850 – $61,010 · median $24,940 | 43 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,357 – $59,022 · median $24,128 | 43 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,155 – $42,062 · median $17,195 | 43 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,159 – $102,622 · median $41,331 | 43 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,576 – $51,832 · median $21,189 | 43 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,755 – $52,554 · median $21,484 | 43 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,539 – $35,537 · median $14,527 | 43 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,275 – $58,692 · median $23,993 | 43 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,061 – $49,756 · median $20,340 | 43 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,804 – $52,752 · median $21,564 | 43 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,896 – $41,014 · median $16,766 | 43 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,682 – $28,042 · median $11,463 | 43 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,884 – $28,858 · median $11,797 | 43 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,783 – $16,341 · median $6,680 | 43 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,786 – $26,683 · median $8,733 | 43 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,726 – $48,401 · median $19,786 | 43 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,786 – $61,132 · median $18,156 | 43 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,800 – $34,584 · median $13,523 | 43 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,061 – $55,292 · median $29,538 | 43 plans |
| 795 | NORMAL NEWBORN | $1,200 – $3,939 · median $2,323 | 43 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,786 – $26,872 · median $8,733 | 43 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,402 – $63,241 · median $25,852 | 43 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,718 – $36,259 · median $14,822 | 43 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,961 – $33,203 · median $13,573 | 43 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,352 – $167,985 · median $66,917 | 43 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,278 – $34,486 · median $14,098 | 43 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,269 – $131,322 · median $52,565 | 43 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,268 – $34,443 · median $14,080 | 43 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,536 – $59,744 · median $24,423 | 43 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,690 – $92,657 · median $37,430 | 43 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,311 – $46,728 · median $19,102 | 43 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,132 – $74,257 · median $30,228 | 43 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,018 – $37,471 · median $15,318 | 43 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,914 – $57,232 · median $23,396 | 43 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,359 – $42,884 · median $17,531 | 43 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,013 – $130,288 · median $52,161 | 43 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,931 – $61,339 · median $25,075 | 43 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,619 – $39,897 · median $16,309 | 43 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,816 – $28,583 · median $11,684 | 43 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,034 – $25,426 · median $10,394 | 43 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,367 – $42,916 · median $17,544 | 43 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,906 – $24,908 · median $10,182 | 43 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,588 – $59,956 · median $24,509 | 43 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,052 – $29,534 · median $12,073 | 43 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,519 – $55,639 · median $22,745 | 43 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,996 – $29,310 · median $11,982 | 43 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,247 – $30,757 · median $8,355 | 43 plans |
| 885 | PSYCHOSES | $1,223 – $40,009 · median $10,647 | 43 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,211 – $59,443 · median $15,461 | 43 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,076 – $49,985 · median $13,118 | 43 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,076 – $25,286 · median $6,999 | 43 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,514 – $120,203 · median $48,213 | 43 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,320 – $54,837 · median $22,417 | 43 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,034 – $33,501 · median $13,695 | 43 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,800 – $105,209 · median $42,343 | 43 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,979 – $109,969 · median $44,207 | 43 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,893 – $57,149 · median $23,362 | 43 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,050 – $37,600 · median $15,370 | 43 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,018 – $25,363 · median $10,368 | 43 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,668 – $48,166 · median $19,690 | 43 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $3,318 – $44,924 · median $12,458 | 43 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,847 – $28,709 · median $11,736 | 43 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,956 – $29,150 · median $11,916 | 43 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,590 – $92,253 · median $37,272 | 43 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,421 – $63,318 · median $25,884 | 43 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,318 – $66,936 · median $27,362 | 43 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,318 – $36,359 · median $10,230 | 43 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,318 – $22,929 · median $6,736 | 43 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,610 – $43,898 · median $17,945 | 43 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,214 – $82,664 · median $33,518 | 43 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,924 – $37,093 · median $15,163 | 43 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,943 – $37,170 · median $15,195 | 43 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,181 – $70,419 · median $28,725 | 43 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,063 – $98,200 · median $39,600 | 43 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,371 – $172,096 · median $59,522 | 42 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $10,871 – $103,222 · median $39,541 | 42 plans |
| 233 | APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MINOR | $9,657 – $147,980 · median $54,986 | 42 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,660 – $140,972 · median $48,929 | 42 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,518 – $136,364 · median $47,361 | 42 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,703 – $120,965 · median $42,120 | 42 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,851 – $73,126 · median $25,839 | 42 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,MAJOR | $5,363 – $69,805 · median $26,326 | 42 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $6,874 – $129,424 · median $48,183 | 42 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,746 – $68,663 · median $24,320 | 42 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,729 – $68,597 · median $24,297 | 42 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,828 – $121,469 · median $40,888 | 42 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,554 – $152,656 · median $45,398 | 42 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,883 – $65,183 · median $26,661 | 42 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,401 – $83,417 · median $29,341 | 42 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,731 – $72,642 · median $25,724 | 42 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,017 – $37,130 · median $10,132 | 42 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,599 – $80,180 · median $28,240 | 42 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,330 – $26,300 · median $9,426 | 42 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,812 – $64,894 · median $23,020 | 42 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,438 – $107,784 · median $37,634 | 42 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,028 – $134,387 · median $46,688 | 42 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $39,438 – $156,222 · median $45,699 | 40 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,999 – $130,231 · median $38,219 | 40 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,900 – $34,422 · median $11,060 | 40 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,541 – $197,004 · median $57,436 | 40 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $38,176 – $151,129 · median $44,233 | 40 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,971 – $101,863 · median $30,055 | 40 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,333 – $204,236 · median $59,518 | 40 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $40,233 – $159,433 · median $46,623 | 40 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,907 – $125,823 · median $36,950 | 40 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,959 – $206,762 · median $60,245 | 40 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,367 – $240,699 · median $70,012 | 40 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,327 – $91,194 · median $26,984 | 40 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,633 – $205,448 · median $59,866 | 40 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,609 – $148,840 · median $43,358 | 39 plans |
| 779 | ABORTION WITHOUT D&C | $6,705 – $24,097 · median $9,851 | 39 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,692 – $157,247 · median $45,765 | 39 plans |
| 313 | CHEST PAIN | $5,844 – $28,420 · median $10,050 | 38 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,289 – $36,165 · median $14,731 | 38 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,444 – $19,007 · median $6,209 | 38 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,284 – $27,457 · median $7,217 | 38 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,167 – $19,022 · median $6,881 | 38 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,226 – $26,200 · median $7,587 | 37 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,856 – $65,074 · median $17,699 | 37 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,226 – $26,200 · median $7,587 | 37 plans |
| 089 | CONCUSSION WITH CC | $8,531 – $31,467 · median $16,555 | 37 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,286 – $30,479 · median $8,700 | 37 plans |
| 197 | PERIPHERAL AND OTHER VASCULAR DISORDERS,MODERATE | $5,086 – $27,185 · median $11,113 | 37 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $5,661 – $105,736 · median $40,289 | 37 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,148 – $191,381 · median $50,556 | 37 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,309 – $46,717 · median $12,924 | 37 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,287 – $50,667 · median $13,951 | 37 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,089 – $21,614 · median $6,394 | 37 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,089 – $25,650 · median $7,444 | 37 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,089 – $25,650 · median $7,444 | 37 plans |
| 811 | ALLERGIC REACTIONS,MODERATE | $3,262 – $40,298 · median $12,017 | 37 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,149 – $50,108 · median $13,806 | 37 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,369 – $111,542 · median $29,787 | 37 plans |
| 935 | NON-EXTENSIVE BURNS | $15,353 – $59,005 · median $16,120 | 37 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,637 – $120,699 · median $32,169 | 37 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,134 – $78,304 · median $21,141 | 37 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,398 – $47,078 · median $13,018 | 37 plans |
| 999 | UNGROUPABLE | $9,832 – $36,720 · median $10,324 | 37 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $14,081 – $152,308 · median $56,573 | 36 plans |
| 310 | VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,MINOR | $4,752 – $16,215 · median $7,755 | 36 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,301 – $19,555 · median $6,198 | 36 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,022 – $37,488 · median $17,205 | 36 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,700 – $20,042 · median $9,271 | 36 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,403 – $43,062 · median $17,810 | 36 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,786 – $14,617 · median $8,464 | 36 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,786 – $14,196 · median $7,720 | 36 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,786 – $22,470 · median $12,440 | 36 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,786 – $15,338 · median $8,733 | 36 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,786 – $14,196 · median $7,727 | 36 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,786 – $13,858 · median $8,030 | 36 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,786 – $13,307 · median $7,715 | 36 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,085 – $10,920 · median $6,329 | 36 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,519 – $10,920 · median $5,740 | 36 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $6,786 – $14,196 · median $7,727 | 36 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,085 – $10,920 · median $6,329 | 36 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $199,597 – $542,431 · median $205,584 | 35 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,403 – $22,880 · median $6,595 | 35 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,101 – $21,660 · median $9,639 | 35 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,481 – $45,038 · median $18,140 | 35 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,215 – $19,191 · median $5,599 | 35 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $71,391 – $192,728 · median $73,533 | 35 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,394 – $127,272 · median $48,816 | 35 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,221 – $148,621 · median $56,878 | 35 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,555 – $163,169 · median $62,371 | 35 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,379 – $113,593 · median $43,651 | 35 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,459 – $81,078 · median $31,373 | 35 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $44,223 – $118,621 · median $45,549 | 35 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,871 – $133,244 · median $54,469 | 35 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,554 – $105,887 · median $40,741 | 35 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,050 – $115,422 · median $44,341 | 35 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,000 – $72,764 · median $36,050 | 35 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,784 – $41,048 · median $16,257 | 35 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,100 – $69,188 · median $26,883 | 35 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,955 – $73,544 · median $29,949 | 35 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,780 – $95,592 · median $36,853 | 35 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,259 – $47,840 · median $12,160 | 35 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,318 – $25,338 · median $7,009 | 35 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,402 – $22,874 · median $10,339 | 34 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $4,018 – $37,213 · median $11,623 | 34 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,352 – $131,658 · median $38,630 | 34 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,668 – $135,766 · median $67,255 | 34 plans |
| 547 | ANTEPARTUM WITH O.R. PROCEDURE,MAJOR | $5,294 – $23,951 · median $10,089 | 34 plans |
| 593 | SKIN ULCERS WITH CC | $9,153 – $33,979 · median $12,230 | 34 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,782 – $133,785 · median $51,026 | 34 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,726 – $52,440 · median $15,831 | 34 plans |
| 101 | SEIZURES WITHOUT MCC | $7,140 – $25,853 · median $10,569 | 33 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,330 – $32,189 · median $14,905 | 33 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,246 – $27,606 · median $11,285 | 33 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,629 – $23,791 · median $9,726 | 33 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,991 – $68,892 · median $26,771 | 33 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,740 – $29,239 · median $13,794 | 33 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,314 – $19,698 · median $8,052 | 33 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,898 – $49,094 · median $21,451 | 33 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,191 – $23,330 · median $10,055 | 32 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $7,496 – $90,211 · median $23,084 | 32 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,245 – $50,498 · median $21,481 | 32 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,340 – $18,589 · median $8,018 | 32 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,704 – $24,094 · median $9,391 | 32 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,206 – $48,246 · median $15,926 | 32 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,491 – $23,235 · median $7,426 | 32 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,125 – $30,674 · median $8,542 | 32 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,807 – $114,824 · median $55,903 | 32 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,409 – $26,939 · median $11,912 | 32 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,244 – $34,349 · median $9,476 | 32 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,869 – $24,759 · median $7,212 | 31 plans |
| 282 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MINOR | $3,882 – $20,712 · median $5,866 | 31 plans |
| 305 | AMPUTATION OF LOWER LIMB EXCEPT TOES,MINOR | $5,856 – $21,583 · median $8,932 | 31 plans |
| 625 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,MINOR | $10,728 – $82,122 · median $20,384 | 31 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $44,172 – $92,242 · median $45,056 | 31 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,370 – $19,692 · median $8,482 | 30 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,880 – $17,836 · median $6,470 | 30 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,751 – $16,212 · median $5,808 | 30 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,330 – $27,592 · median $10,023 | 30 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,457 – $51,351 · median $18,293 | 30 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,933 – $37,130 · median $17,639 | 30 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,368 – $67,192 · median $27,542 | 30 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,283 – $38,539 · median $13,822 | 30 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,926 – $53,244 · median $18,312 | 30 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,855 – $20,669 · median $8,151 | 30 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,791 – $20,408 · median $9,540 | 29 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,481 – $43,377 · median $20,629 | 29 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,466 – $23,132 · median $6,789 | 29 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,503 – $19,248 · median $8,695 | 29 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,014 – $59,878 · median $23,722 | 29 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,153 – $14,889 · median $6,885 | 29 plans |
| 021 | OPEN CRANIOTOMY EXCEPT TRAUMA,MAJOR | $15,930 – $151,630 · median $44,378 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,943 – $21,024 · median $9,195 | 28 plans |
| 190 | ACUTE MYOCARDIAL INFARCTION,MODERATE | $4,450 – $32,166 · median $8,324 | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,336 – $42,790 · median $20,241 | 28 plans |
| 683 | RENAL FAILURE WITH CC | $6,705 – $25,461 · median $9,104 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,454 – $31,158 · median $11,245 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,576 – $23,579 · median $10,391 | 27 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,611 – $62,135 · median $25,400 | 27 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,403 – $39,023 · median $16,436 | 27 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,762 – $20,294 · median $9,105 | 27 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,671 – $31,575 · median $11,141 | 27 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,422 – $28,428 · median $8,558 | 27 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,999 – $53,540 · median $21,886 | 27 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,641 – $37,216 · median $15,214 | 27 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,155 – $189,356 · median $81,383 | 26 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,150 – $54,150 · median $16,323 | 26 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,512 – $19,282 · median $8,296 | 26 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,294 – $26,475 · median $9,920 | 26 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $5,357 – $54,006 · median $13,656 | 26 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,973 – $21,144 · median $9,845 | 25 plans |
| 191 | CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,MINOR | $5,299 – $24,146 · median $6,717 | 25 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $9,941 – $98,257 · median $24,386 | 25 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,358 – $172,047 · median $70,331 | 25 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,987 – $30,665 · median $8,227 | 25 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,917 – $45,136 · median $19,807 | 25 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,631 – $54,147 · median $22,902 | 25 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,517 – $53,540 · median $22,668 | 25 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,248 – $48,418 · median $19,351 | 25 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,929 – $57,295 · median $15,377 | 25 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $32,872 – $129,721 · median $51,939 | 25 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,837 – $24,630 · median $10,069 | 25 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,283 – $38,485 · median $14,724 | 24 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,274 – $27,689 · median $7,936 | 24 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,028 – $30,734 · median $12,983 | 24 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,357 – $32,301 · median $11,425 | 24 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,345 – $71,083 · median $25,075 | 24 plans |
| 638 | DIABETES WITH CC | $6,930 – $26,271 · median $7,559 | 24 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,357 – $38,840 · median $17,371 | 24 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,670 – $37,740 · median $16,208 | 23 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,349 – $69,548 · median $32,000 | 22 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,500 – $101,431 · median $49,470 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,929 – $90,544 · median $35,286 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,911 – $61,259 · median $32,228 | 19 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,956 – $30,642 · median $8,354 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,579 – $35,034 · median $13,579 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $99,026 – $268,108 · median $159,324 | 16 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS,EXTREME | $3,650 – $166,078 · median $43,274 | 14 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,671 – $80,470 · median $42,335 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $4,106 – $65,948 · median $6,580 | 11 plans |
| 009 | EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),EXTREME | $109,774 – $113,486 · median $111,365 | 7 plans |
| 044 | INTRACRANIAL HEMORRHAGE,MAJOR | $12,702 – $19,570 · median $12,944 | 7 plans |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MODERATE | $6,709 – $6,936 · median $6,806 | 7 plans |
| 046 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,MODERATE | $5,195 – $5,527 · median $5,474 | 7 plans |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE | $4,359 – $8,685 · median $8,442 | 7 plans |
| 049 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,MAJOR | $15,922 – $16,461 · median $16,153 | 7 plans |
| 051 | VIRAL MENINGITIS,MODERATE | $5,526 – $5,713 · median $5,606 | 7 plans |
| 111 | VERTIGO AND OTHER LABYRINTH DISORDERS,MINOR | $4,187 – $4,441 · median $4,316 | 7 plans |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE | $3,424 – $6,731 · median $4,565 | 7 plans |
| 130 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,EXTREME | $44,784 – $46,299 · median $45,434 | 7 plans |
| 133 | RESPIRATORY FAILURE,MAJOR | $6,182 – $9,528 · median $9,350 | 7 plans |
| 134 | PULMONARY EMBOLISM,MAJOR | $3,726 – $13,640 · median $8,031 | 7 plans |
| 135 | MAJOR CHEST AND RESPIRATORY TRAUMA,MODERATE | $3,799 – $10,936 · median $3,854 | 7 plans |
| 136 | RESPIRATORY MALIGNANCY,MODERATE | $6,366 – $14,817 · median $9,195 | 7 plans |
| 139 | OTHER PNEUMONIA,MAJOR | $3,803 – $10,640 · median $6,435 | 7 plans |
| 140 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MINOR | $4,170 – $8,494 · median $8,336 | 7 plans |
| 162 | CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MAJOR | $46,736 – $48,316 · median $47,413 | 7 plans |
| 169 | MAJOR ABDOMINAL VASCULAR PROCEDURES,MINOR | $17,359 – $42,931 · median $42,317 | 7 plans |
| 171 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK,MAJOR | $17,823 – $18,426 · median $18,082 | 7 plans |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,EXTREME | $11,277 – $21,947 · median $14,022 | 7 plans |
| 182 | OTHER UPPER VASCULAR PROCEDURES,MINOR | $13,725 – $15,527 · median $13,924 | 7 plans |
| 222 | OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MAJOR | $14,543 – $15,035 · median $14,754 | 7 plans |
| 224 | PERITONEAL ADHESIOLYSIS,MODERATE | $9,192 – $18,161 · median $11,773 | 7 plans |
| 226 | ANAL AND PERINEAL PROCEDURES,EXTREME | $14,637 – $15,132 · median $14,849 | 7 plans |
| 227 | HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MODERATE | $10,858 – $11,225 · median $11,016 | 7 plans |
| 230 | MAJOR SMALL BOWEL PROCEDURES,MAJOR | $10,135 – $44,079 · median $22,245 | 7 plans |
| 245 | INFLAMMATORY BOWEL DISEASE,MODERATE | $4,583 – $9,393 · median $6,265 | 7 plans |
| 246 | GASTROINTESTINAL VASCULAR INSUFFICIENCY,MAJOR | $16,765 – $17,332 · median $17,008 | 7 plans |
| 247 | INTESTINAL OBSTRUCTION,MAJOR | $3,772 – $8,428 · median $5,425 | 7 plans |
| 248 | MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MODERATE | $4,764 – $5,988 · median $5,988 | 7 plans |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MAJOR | $4,248 – $15,710 · median $5,213 | 7 plans |
| 284 | DISORDERS OF GALLBLADDER AND BILIARY TRACT,MINOR | $4,321 – $8,602 · median $5,934 | 7 plans |
| 320 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MINOR | $8,527 – $11,434 · median $8,650 | 7 plans |
| 341 | FRACTURE OF PELVIS OR DISLOCATION OF HIP,MODERATE | $4,518 – $5,690 · median $4,584 | 7 plans |
| 342 | FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MAJOR | $3,691 – $7,263 · median $7,194 | 7 plans |
| 346 | CONNECTIVE TISSUE DISORDERS,MAJOR | $9,136 – $14,430 · median $14,430 | 7 plans |
| 351 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,MAJOR | $4,444 – $8,962 · median $8,668 | 7 plans |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MODERATE | $5,396 – $11,931 · median $7,077 | 7 plans |
| 383 | CELLULITIS AND OTHER SKIN INFECTIONS,MAJOR | $5,065 – $7,569 · median $7,321 | 7 plans |
| 403 | PROCEDURES FOR OBESITY,MINOR | $9,728 – $10,057 · median $9,869 | 7 plans |
| 425 | OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MODERATE | $3,267 – $4,621 · median $3,315 | 7 plans |
| 462 | NEPHRITIS AND NEPHROSIS,MAJOR | $14,583 – $15,076 · median $14,794 | 7 plans |
| 531 | FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MODERATE | $3,745 – $4,836 · median $4,746 | 7 plans |
| 589 | NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION,MAJOR | $75,690 – $78,250 · median $76,787 | 7 plans |
| 633 | NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MODERATE | $2,566 – $34,312 · median $10,492 | 7 plans |
| 634 | NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR | $6,771 – $14,274 · median $7,000 | 7 plans |
| 650 | SPLENIC PROCEDURES,MODERATE | $13,137 – $13,581 · median $13,327 | 7 plans |
| 662 | SICKLE CELL ANEMIA CRISIS,MINOR | $6,072 – $8,182 · median $7,952 | 7 plans |
| 681 | OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS,EXTREME | $66,125 – $68,361 · median $67,083 | 7 plans |
| 691 | LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA,MODERATE | $10,271 – $10,618 · median $10,420 | 7 plans |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE | $9,651 – $39,207 · median $16,526 | 7 plans |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS,MAJOR | $4,134 – $17,393 · median $5,388 | 7 plans |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MODERATE | $5,363 – $20,662 · median $6,556 | 7 plans |
| 723 | VIRAL ILLNESS,MODERATE | $5,197 – $5,373 · median $5,272 | 7 plans |
| 756 | ACUTE ANXIETY AND STRESS SYNDROMES,MODERATE | $7,362 – $8,455 · median $8,334 | 7 plans |
| 773 | OPIOID ABUSE AND DEPENDENCE,MODERATE | $5,468 – $5,653 · median $5,547 | 7 plans |
| 774 | COCAINE ABUSE AND DEPENDENCE,EXTREME | $9,294 – $17,863 · median $9,609 | 7 plans |
| 775 | ALCOHOL ABUSE AND DEPENDENCE,MAJOR | $5,368 – $23,224 · median $10,825 | 7 plans |
| 815 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES,MODERATE | $6,984 – $14,284 · median $7,051 | 7 plans |
| 842 | BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,MAJOR | $24,843 – $44,770 · median $25,203 | 7 plans |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MAJOR | $4,758 – $9,602 · median $6,050 | 7 plans |
| 890 | HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,MODERATE | $6,083 – $6,289 · median $6,171 | 7 plans |
| 891 | HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITIONS,MAJOR | $8,962 – $9,265 · median $9,091 | 7 plans |
| 911 | EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,EXTREME | $16,485 – $46,742 · median $16,961 | 7 plans |
| 912 | MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,MAJOR | $14,059 – $23,609 · median $14,263 | 7 plans |
| 930 | MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,MINOR | $3,191 – $5,550 · median $5,446 | 7 plans |
| 950 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MODERATE | $16,468 – $60,969 · median $24,960 | 7 plans |
| 952 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MINOR | $7,755 – $15,894 · median $8,018 | 7 plans |
| 198 | ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,MODERATE | $3,300 – $5,983 · median $5,912 | 6 plans |
| 843 | EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,MODERATE | $7,825 – $8,090 · median $7,939 | 5 plans |
| 114 | DENTAL DISEASES AND DISORDERS,MODERATE | $7,754 – $7,902 · median $7,754 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $151,352 – $151,352 · median $151,352 | 1 plans |
No procedures match that keyword.