Mercy Regional Medical Center (Acute Care) — Pricing
498 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 498 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 498 procedures
Procedures with negotiated rates only
These 498 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 |
|---|---|---|---|
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,453 – $73,977 · median $42,273 | 49 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $3,837 – $27,203 · median $11,512 | 49 plans |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM,MODERATE | $6,851 – $30,456 · median $12,905 | 49 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,901 – $20,725 · median $14,732 | 49 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,225 – $18,089 · median $9,743 | 49 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $6,934 – $31,463 · median $13,170 | 49 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,268 – $19,081 · median $13,063 | 49 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,764 – $19,735 · median $8,605 | 49 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,534 – $15,019 · median $6,702 | 49 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,322 – $11,438 · median $5,588 | 49 plans |
| 194 | HEART FAILURE,MAJOR | $3,637 – $14,358 · median $6,512 | 49 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,876 – $12,740 · median $5,882 | 49 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,074 – $11,937 · median $5,569 | 49 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $6,504 – $50,785 · median $20,690 | 49 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,630 – $32,202 · median $13,458 | 49 plans |
| 252 | MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MODERATE | $3,917 – $62,148 · median $25,113 | 49 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,276 – $31,743 · median $13,279 | 49 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $3,350 – $28,579 · median $12,047 | 49 plans |
| 281 | MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,MINOR | $3,286 – $16,375 · median $7,297 | 49 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,628 – $12,883 · median $5,938 | 49 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $2,298 – $35,290 · median $14,514 | 49 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,515 – $21,450 · median $9,640 | 49 plans |
| 313 | CHEST PAIN | $5,858 – $12,828 · median $9,118 | 49 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $6,070 – $37,150 · median $15,383 | 49 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,595 – $48,474 · median $28,274 | 49 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,244 – $56,138 · median $22,774 | 49 plans |
| 466 | MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,EXTREME | $3,424 – $92,739 · median $37,021 | 49 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $2,434 – $51,834 · median $21,957 | 49 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $3,574 – $37,881 · median $14,299 | 49 plans |
| 501 | MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,MODERATE | $3,478 – $31,144 · median $13,046 | 49 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,368 – $28,048 · median $11,840 | 49 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $5,486 – $35,636 · median $14,794 | 49 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,198 – $35,092 · median $14,582 | 49 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,862 – $23,095 · median $9,913 | 49 plans |
| 543 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY,MODERATE | $2,812 – $18,315 · median $8,052 | 49 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,557 – $14,898 · median $6,988 | 49 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $2,316 – $34,401 · median $14,313 | 49 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,453 – $43,470 · median $24,840 | 49 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,453 – $26,230 · median $14,989 | 49 plans |
| 564 | ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY,MODERATE | $1,796 – $27,501 · median $11,628 | 49 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,271 – $26,874 · median $12,570 | 49 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $1,131 – $23,795 · median $10,185 | 49 plans |
| 761 | SCHIZOAFFECTIVE DISORDERS,MODERATE | $4,831 – $12,624 · median $7,584 | 49 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,237 – $17,864 · median $7,877 | 49 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $726 – $25,090 · median $11,048 | 49 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,718 – $25,019 · median $10,662 | 49 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,137 – $16,359 · median $7,218 | 49 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,897 – $11,260 · median $5,306 | 49 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $8,400 – $32,491 · median $13,570 | 49 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,237 – $39,110 · median $16,146 | 47 plans |
| 197 | PERIPHERAL AND OTHER VASCULAR DISORDERS,MINOR | $2,847 – $16,909 · median $7,505 | 47 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $3,466 – $114,641 · median $45,095 | 47 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $4,852 – $26,626 · median $11,287 | 47 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,124 – $29,088 · median $18,830 | 47 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $3,701 – $66,584 · median $26,840 | 47 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,948 – $11,664 · median $5,463 | 47 plans |
| 813 | COAGULATION DISORDERS | $3,252 – $27,175 · median $11,501 | 47 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,258 – $102,091 · median $52,940 | 42 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,132 – $81,004 · median $42,253 | 42 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,262 – $55,394 · median $29,274 | 42 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,338 – $60,781 · median $32,005 | 42 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,490 – $68,960 · median $36,150 | 42 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,327 – $42,589 · median $22,785 | 42 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,253 – $34,613 · median $18,743 | 42 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,518 – $58,652 · median $30,926 | 42 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,055 – $28,908 · median $15,852 | 42 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,985 – $20,943 · median $11,815 | 42 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,010 – $39,172 · median $21,054 | 42 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,776 – $30,781 · median $16,801 | 42 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,915 – $18,165 · median $10,408 | 42 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $912 – $41,388 · median $16,864 | 42 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,453 – $47,445 · median $27,111 | 42 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,434 – $22,108 · median $12,406 | 42 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,453 – $45,201 · median $25,829 | 42 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,844 – $49,120 · median $26,095 | 42 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,979 – $31,306 · median $17,067 | 42 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,553 – $25,010 · median $13,877 | 42 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,722 – $35,828 · median $19,359 | 42 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,851 – $18,000 · median $10,324 | 42 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,613 – $12,193 · median $6,229 | 42 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $1,453 – $44,598 · median $25,484 | 42 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $1,453 – $32,917 · median $18,810 | 42 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,106 – $13,472 · median $7,994 | 42 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $1,453 – $42,573 · median $24,328 | 42 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,338 – $32,247 · median $13,475 | 42 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,338 – $15,956 · median $7,099 | 42 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $6,564 – $40,720 · median $17,188 | 42 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,477 – $17,029 · median $9,832 | 42 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,513 – $40,476 · median $21,715 | 42 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,858 – $23,209 · median $12,964 | 42 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,194 – $16,296 · median $9,461 | 42 plans |
| 089 | CONCUSSION WITH CC | $8,457 – $19,573 · median $11,121 | 42 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,453 – $53,844 · median $30,768 | 42 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,453 – $35,798 · median $20,456 | 42 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,453 – $28,939 · median $16,536 | 42 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,623 – $45,951 · median $24,489 | 42 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,623 – $45,951 · median $24,489 | 42 plans |
| 100 | SEIZURES WITH MCC | $1,453 – $57,166 · median $32,666 | 42 plans |
| 101 | SEIZURES WITHOUT MCC | $7,111 – $16,081 · median $9,351 | 42 plans |
| 103 | HEADACHES WITHOUT MCC | $6,564 – $14,900 · median $6,889 | 42 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,397 – $14,228 · median $8,412 | 42 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,186 – $13,679 · median $6,530 | 42 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,031 – $21,062 · median $11,876 | 42 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,983 – $13,152 · median $7,815 | 42 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,649 – $27,855 · median $15,319 | 42 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,659 – $12,313 · median $7,347 | 42 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,686 – $79,848 · median $41,667 | 42 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,244 – $44,968 · median $23,991 | 42 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,057 – $34,103 · median $18,485 | 42 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,577 – $66,591 · median $34,949 | 42 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,296 – $32,129 · median $17,485 | 42 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,296 – $24,344 · median $13,539 | 42 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,441 – $14,342 · median $8,470 | 42 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,644 – $27,841 · median $15,311 | 42 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,098 – $13,451 · median $7,982 | 42 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,418 – $27,257 · median $15,015 | 42 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,314 – $14,012 · median $6,597 | 42 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,705 – $17,622 · median $10,132 | 42 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,396 – $22,010 · median $12,356 | 42 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,939 – $23,417 · median $13,069 | 42 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,872 – $33,622 · median $18,241 | 42 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,462 – $19,585 · median $11,127 | 42 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,582 – $17,303 · median $9,971 | 42 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,458 – $14,385 · median $8,492 | 42 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $6,564 – $32,621 · median $13,958 | 42 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,376 – $16,767 · median $9,699 | 42 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,787 – $48,971 · median $26,019 | 42 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,706 – $87,685 · median $45,639 | 42 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,836 – $56,883 · median $30,029 | 42 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,545 – $37,964 · median $20,441 | 42 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,899 – $38,883 · median $20,907 | 42 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,735 – $46,243 · median $24,637 | 42 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,894 – $33,681 · median $18,271 | 42 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,851 – $59,516 · median $31,364 | 42 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,141 – $94,003 · median $48,840 | 42 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,332 – $63,359 · median $33,311 | 42 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,443 – $45,484 · median $24,252 | 42 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,261 – $19,065 · median $10,864 | 42 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,495 – $48,214 · median $25,636 | 42 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,729 – $22,872 · median $12,793 | 42 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,743 – $15,126 · median $8,867 | 42 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,800 – $10,084 · median $6,104 | 42 plans |
| 304 | HYPERTENSION WITH MCC | $9,085 – $21,201 · median $11,946 | 42 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,965 – $13,107 · median $7,790 | 42 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,898 – $15,528 · median $9,072 | 42 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,528 – $17,162 · median $9,899 | 42 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,019 – $31,410 · median $17,120 | 42 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,626 – $77,097 · median $40,273 | 42 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,157 – $88,856 · median $46,232 | 42 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,696 – $43,546 · median $23,270 | 42 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,915 – $28,547 · median $15,669 | 42 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,474 – $81,891 · median $42,703 | 42 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,373 – $42,709 · median $22,846 | 42 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,469 – $29,983 · median $16,397 | 42 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,774 – $64,506 · median $33,892 | 42 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,160 – $29,181 · median $15,990 | 42 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,432 – $63,619 · median $33,443 | 42 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,392 – $37,569 · median $20,241 | 42 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,453 – $27,348 · median $15,061 | 42 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,245 – $26,808 · median $14,788 | 42 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,900 – $23,318 · median $13,019 | 42 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,932 – $20,806 · median $11,746 | 42 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,465 – $29,974 · median $16,392 | 42 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,149 – $23,963 · median $13,346 | 42 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,881 – $41,431 · median $22,198 | 42 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,491 – $43,013 · median $23,000 | 42 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,781 – $17,820 · median $10,233 | 42 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $1,453 – $23,427 · median $13,088 | 42 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,924 – $18,190 · median $10,420 | 42 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,908 – $12,959 · median $7,708 | 42 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,219 – $21,550 · median $12,123 | 42 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,465 – $32,568 · median $17,707 | 42 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,648 – $17,472 · median $10,057 | 42 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,242 – $11,231 · median $6,744 | 42 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,353 – $19,304 · median $10,985 | 42 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,778 – $28,190 · median $15,488 | 42 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,617 – $17,394 · median $10,017 | 42 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,054 – $26,311 · median $14,536 | 42 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,622 – $22,596 · median $12,653 | 42 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,267 – $13,889 · median $6,572 | 42 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,895 – $28,493 · median $15,642 | 42 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,339 – $16,670 · median $9,650 | 42 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,370 – $11,563 · median $6,929 | 42 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,519 – $71,643 · median $37,472 | 42 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,595 – $58,852 · median $31,027 | 42 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,350 – $37,458 · median $20,185 | 42 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,315 – $29,583 · median $16,194 | 42 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,104 – $36,820 · median $19,862 | 42 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,275 – $24,289 · median $13,511 | 42 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,299 – $42,516 · median $22,748 | 42 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,529 – $30,138 · median $16,475 | 42 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,515 – $100,162 · median $43,245 | 42 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,428 – $35,065 · median $18,972 | 42 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,166 – $18,817 · median $10,738 | 42 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,525 – $32,723 · median $17,785 | 42 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,680 – $20,152 · median $11,414 | 42 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,107 – $29,044 · median $15,921 | 42 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,181 – $11,071 · median $6,655 | 42 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,453 – $35,163 · median $20,093 | 42 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,718 – $12,466 · median $7,433 | 42 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,428 – $19,498 · median $11,083 | 42 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,564 – $14,739 · median $6,825 | 42 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,031 – $75,554 · median $34,016 | 42 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,094 – $57,553 · median $30,369 | 42 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,563 – $74,339 · median $38,875 | 42 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,300 – $55,492 · median $29,324 | 42 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,128 – $62,830 · median $33,043 | 42 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,782 – $48,958 · median $26,013 | 42 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,142 – $53,733 · median $25,583 | 42 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,676 – $53,733 · median $23,244 | 42 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,799 – $43,813 · median $23,406 | 42 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,910 – $51,886 · median $27,497 | 42 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,295 – $37,316 · median $20,113 | 42 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,113 – $29,058 · median $15,928 | 42 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,946 – $49,384 · median $26,229 | 42 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,272 – $37,255 · median $20,082 | 42 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,123 – $65,413 · median $34,352 | 42 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,327 – $45,183 · median $24,100 | 42 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,691 – $35,748 · median $19,318 | 42 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,300 – $32,138 · median $17,489 | 42 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,155 – $23,979 · median $13,354 | 42 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,191 – $37,047 · median $19,976 | 42 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,280 – $29,493 · median $16,148 | 42 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,795 – $56,778 · median $29,976 | 42 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $1,453 – $36,719 · median $20,982 | 42 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,465 – $27,378 · median $15,077 | 42 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,621 – $51,135 · median $27,116 | 42 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,454 – $37,729 · median $20,322 | 42 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,716 – $22,840 · median $12,777 | 42 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,459 – $14,388 · median $8,494 | 42 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,466 – $17,002 · median $9,818 | 42 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,833 – $20,549 · median $11,616 | 42 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,203 – $21,507 · median $12,102 | 42 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,453 – $63,424 · median $36,242 | 42 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,564 – $17,127 · median $7,777 | 42 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,814 – $23,095 · median $12,906 | 42 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,990 – $23,549 · median $13,136 | 42 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,617 – $14,798 · median $8,701 | 42 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,123 – $26,491 · median $14,627 | 42 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,453 – $45,491 · median $25,995 | 42 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,697 – $25,384 · median $14,066 | 42 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,604 – $17,360 · median $10,000 | 42 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,108 – $52,399 · median $27,757 | 42 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,514 – $30,100 · median $16,456 | 42 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,785 – $20,422 · median $11,552 | 42 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,150 – $57,697 · median $30,442 | 42 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,779 – $30,786 · median $16,804 | 42 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,822 – $25,710 · median $14,231 | 42 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,360 – $29,701 · median $16,254 | 42 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,894 – $15,516 · median $9,065 | 42 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,022 – $26,227 · median $14,493 | 42 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,203 – $16,319 · median $9,472 | 42 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,756 – $33,321 · median $18,089 | 42 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,902 – $28,511 · median $15,651 | 42 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,351 – $63,411 · median $33,337 | 42 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,231 – $31,960 · median $17,399 | 42 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,510 – $22,304 · median $12,505 | 42 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,874 – $38,818 · median $20,874 | 42 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,935 – $26,002 · median $14,380 | 42 plans |
| 637 | DIABETES WITH MCC | $10,778 – $25,596 · median $14,174 | 42 plans |
| 638 | DIABETES WITH CC | $7,067 – $15,967 · median $9,294 | 42 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,179 – $11,067 · median $6,001 | 42 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,678 – $25,336 · median $14,042 | 42 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,216 – $29,327 · median $16,064 | 42 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,453 – $43,470 · median $24,840 | 42 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,189 – $13,688 · median $8,114 | 42 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,360 – $45,269 · median $24,143 | 42 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,989 – $23,547 · median $13,135 | 42 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,762 – $74,856 · median $39,137 | 42 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,971 – $41,665 · median $22,317 | 42 plans |
| 682 | RENAL FAILURE WITH MCC | $11,083 – $26,386 · median $14,574 | 42 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,564 – $18,668 · median $8,392 | 42 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,881 – $20,672 · median $11,678 | 42 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,472 – $14,422 · median $8,511 | 42 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,927 – $15,603 · median $9,109 | 42 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,645 – $12,275 · median $7,326 | 42 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,883 – $18,083 · median $10,366 | 42 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,894 – $33,681 · median $18,271 | 42 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,136 – $23,929 · median $13,329 | 42 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,484 – $14,452 · median $8,526 | 42 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,512 – $32,689 · median $17,768 | 42 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,383 – $19,380 · median $11,024 | 42 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,636 – $17,442 · median $10,041 | 42 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,470 – $11,823 · median $6,154 | 42 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,393 – $18,217 · median $8,561 | 42 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,516 – $30,105 · median $16,459 | 42 plans |
| 779 | ABORTION WITHOUT D&C | $6,564 – $14,989 · median $6,925 | 42 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,393 – $16,283 · median $7,753 | 42 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,393 – $18,986 · median $8,775 | 42 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $726 – $30,637 · median $13,288 | 42 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $726 – $41,636 · median $17,730 | 42 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $726 – $70,883 · median $29,542 | 42 plans |
| 795 | NORMAL NEWBORN | $1,170 – $4,059 · median $2,286 | 42 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,393 – $16,271 · median $7,748 | 42 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,393 – $18,346 · median $8,615 | 42 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,091 – $12,818 · median $6,394 | 42 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,543 – $11,461 · median $6,107 | 42 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,606 – $22,553 · median $12,632 | 42 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,100 – $18,646 · median $10,652 | 42 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,873 – $20,652 · median $11,668 | 42 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,284 – $39,883 · median $21,414 | 42 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,783 – $41,176 · median $22,069 | 42 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,504 – $9,316 · median $5,647 | 42 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $6,564 – $37,161 · median $15,768 | 42 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,125 – $57,633 · median $30,409 | 42 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,115 – $29,065 · median $15,932 | 42 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $6,564 – $35,539 · median $15,122 | 42 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,273 – $21,689 · median $12,194 | 42 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,822 – $87,986 · median $45,791 | 42 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,633 – $35,598 · median $19,242 | 42 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,145 – $81,040 · median $42,271 | 42 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,618 – $38,153 · median $20,537 | 42 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,478 – $24,816 · median $13,778 | 42 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,766 – $17,779 · median $10,212 | 42 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,251 – $34,608 · median $18,740 | 42 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,940 – $18,231 · median $10,441 | 42 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | — | 42 plans |
| 885 | PSYCHOSES | — | 42 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,059 – $34,109 · median $18,488 | 42 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,613 – $35,546 · median $19,216 | 42 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,927 – $23,387 · median $13,054 | 42 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $6,564 – $29,959 · median $12,896 | 42 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,489 – $11,871 · median $6,164 | 42 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $969 – $27,943 · median $15,363 | 42 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $912 – $15,270 · median $8,941 | 42 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $6,564 – $32,618 · median $13,956 | 42 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,796 – $17,857 · median $10,252 | 42 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,925 – $31,167 · median $16,997 | 42 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $1,453 – $53,287 · median $30,449 | 42 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,959 – $41,634 · median $22,301 | 42 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,453 – $32,670 · median $18,669 | 42 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,453 – $36,719 · median $20,982 | 42 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,453 – $38,013 · median $21,722 | 42 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,453 – $9,327 · median $5,224 | 42 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,751 – $67,042 · median $35,177 | 42 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,684 – $48,705 · median $25,885 | 42 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,437 – $27,305 · median $15,040 | 42 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,729 – $51,417 · median $27,259 | 42 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,128 – $83,589 · median $43,563 | 42 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,794 – $43,801 · median $23,399 | 42 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,682 – $30,537 · median $16,677 | 42 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,199 – $29,282 · median $16,042 | 42 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,080 – $34,162 · median $14,784 | 41 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,910 – $75,241 · median $31,406 | 41 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,453 – $33,952 · median $19,401 | 41 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,502 – $66,397 · median $27,827 | 41 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $880 – $16,409 · median $7,507 | 41 plans |
| 881 | DEPRESSIVE NEUROSES | — | 41 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | — | 41 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $880 – $27,494 · median $11,961 | 41 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $815 – $31,091 · median $12,896 | 41 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,796 – $21,108 · median $8,584 | 40 plans |
| 175 | PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE | $6,564 – $24,472 · median $11,463 | 40 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,023 – $15,913 · median $7,117 | 40 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,023 – $12,856 · median $5,927 | 40 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $48,370 – $123,141 · median $50,063 | 40 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $40,098 – $101,674 · median $40,899 | 39 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $69,279 – $177,394 · median $70,664 | 39 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,871 – $127,035 · median $50,869 | 39 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,564 – $20,097 · median $14,280 | 39 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,075 – $78,262 · median $31,696 | 39 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $50,477 – $128,607 · median $51,486 | 39 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,739 – $51,442 · median $21,154 | 39 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,264 – $12,252 · median $6,564 | 39 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,774 – $20,394 · median $13,880 | 38 plans |
| 750 | SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,MINOR | $7,070 – $22,974 · median $10,550 | 38 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $701 – $10,542 · median $5,150 | 38 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,357 – $42,668 · median $18,225 | 37 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,306 – $26,966 · median $17,864 | 37 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,649 – $9,692 · median $7,083 | 36 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,036 – $10,695 · median $7,083 | 36 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,393 – $14,650 · median $8,234 | 36 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,393 – $21,905 · median $12,240 | 36 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,393 – $13,403 · median $7,535 | 36 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,393 – $13,915 · median $7,822 | 36 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $5,543 – $9,950 · median $5,599 | 36 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,170 – $40,886 · median $16,671 | 35 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,832 – $17,950 · median $12,402 | 35 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,453 – $61,080 · median $24,698 | 35 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,133 – $11,979 · median $8,118 | 34 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,257 – $13,864 · median $6,476 | 34 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,729 – $34,959 · median $14,387 | 33 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,806 – $12,694 · median $5,864 | 33 plans |
| 683 | RENAL FAILURE WITH CC | $6,607 – $15,837 · median $10,361 | 33 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,733 – $13,505 · median $6,292 | 32 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,856 – $12,822 · median $9,258 | 32 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,681 – $13,374 · median $6,820 | 32 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,990 – $14,281 · median $6,170 | 32 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 32 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,564 – $15,400 · median $10,842 | 31 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,243 – $15,493 · median $6,475 | 31 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,034 – $15,587 · median $6,477 | 31 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,023 – $18,447 · median $8,184 | 31 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $774 – $15,728 · median $6,975 | 31 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,399 – $14,231 · median $8,414 | 30 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,838 – $12,778 · median $9,231 | 30 plans |
| 198 | ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,MINOR | $2,129 – $12,478 · median $5,319 | 30 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,184 – $16,270 · median $11,374 | 30 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,801 – $10,086 · median $7,377 | 30 plans |
| 311 | ANGINA PECTORIS | $5,733 – $12,505 · median $6,206 | 30 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,564 – $16,209 · median $7,519 | 29 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,107 – $39,423 · median $25,544 | 29 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,690 – $14,987 · median $10,589 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,245 – $14,869 · median $6,557 | 29 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,625 – $21,356 · median $9,057 | 29 plans |
| 593 | SKIN ULCERS WITH CC | $8,785 – $21,784 · median $13,926 | 28 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,165 – $20,006 · median $8,288 | 28 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,564 – $17,388 · median $7,691 | 27 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,220 – $18,958 · median $13,019 | 27 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,982 – $22,186 · median $9,072 | 27 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,236 – $31,974 · median $13,369 | 27 plans |
| 602 | CELLULITIS WITH MCC | $10,673 – $25,322 · median $19,013 | 27 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $67,816 – $246,777 · median $96,017 | 26 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,597 – $12,152 · median $5,597 | 26 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,564 – $15,954 · median $7,063 | 26 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,897 – $29,947 · median $12,313 | 26 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,818 – $15,320 · median $10,783 | 26 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,435 – $15,728 · median $6,531 | 26 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,889 – $22,063 · median $16,238 | 24 plans |
| 149 | DYSEQUILIBRIUM | $6,075 – $13,391 · median $9,518 | 23 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,292 – $24,333 · median $16,261 | 23 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,275 – $68,401 · median $48,862 | 23 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,588 – $18,571 · median $13,577 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,564 – $24,868 · median $10,708 | 19 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,229 – $11,197 · median $5,334 | 19 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $146,646 – $378,148 · median $190,476 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,598 – $38,103 · median $31,662 | 14 plans |
| 020 | OPEN CRANIOTOMY FOR TRAUMA,EXTREME | $28,904 – $30,049 · median $30,049 | 7 plans |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MINOR | $2,885 – $4,653 · median $4,653 | 7 plans |
| 046 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,MODERATE | $3,634 – $3,778 · median $3,778 | 7 plans |
| 047 | TRANSIENT ISCHEMIA,MINOR | $2,241 – $2,997 · median $2,940 | 7 plans |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE | $3,807 – $3,958 · median $3,958 | 7 plans |
| 052 | ALTERATION IN CONSCIOUSNESS,MODERATE | $3,531 – $5,809 · median $5,809 | 7 plans |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE | $2,341 – $4,343 · median $3,151 | 7 plans |
| 120 | MAJOR RESPIRATORY AND CHEST PROCEDURES,MINOR | $9,277 – $9,644 · median $9,644 | 7 plans |
| 130 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,EXTREME | $29,874 – $31,058 · median $31,058 | 7 plans |
| 133 | RESPIRATORY FAILURE,MODERATE | $4,019 – $6,391 · median $4,226 | 7 plans |
| 134 | PULMONARY EMBOLISM,MINOR | $2,450 – $9,150 · median $9,150 | 7 plans |
| 138 | BRONCHIOLITIS AND RSV PNEUMONIA,MODERATE | $3,610 – $3,753 · median $3,753 | 7 plans |
| 139 | OTHER PNEUMONIA,MODERATE | $2,551 – $4,399 · median $4,232 | 7 plans |
| 140 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE,EXTREME | — | 7 plans |
| 141 | ASTHMA,MODERATE | $2,702 – $4,220 · median $2,702 | 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 | $9,700 – $10,084 · median $10,084 | 7 plans |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,EXTREME | $7,033 – $14,722 · median $9,585 | 7 plans |
| 182 | OTHER UPPER VASCULAR PROCEDURES,MINOR | $9,156 – $10,614 · median $9,518 | 7 plans |
| 199 | HYPERTENSION,MODERATE | $3,083 – $4,477 · median $3,143 | 7 plans |
| 220 | MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MINOR | $7,252 – $33,208 · median $7,539 | 7 plans |
| 224 | PERITONEAL ADHESIOLYSIS,MINOR | $6,223 – $7,898 · median $6,344 | 7 plans |
| 226 | ANAL AND PERINEAL PROCEDURES,MINOR | $4,153 – $4,318 · median $4,318 | 7 plans |
| 229 | OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,MODERATE | $6,973 – $7,249 · median $7,249 | 7 plans |
| 230 | MAJOR SMALL BOWEL PROCEDURES,MAJOR | $14,627 – $15,206 · median $15,206 | 7 plans |
| 231 | MAJOR LARGE BOWEL PROCEDURES,MODERATE | $7,797 – $21,234 · median $9,402 | 7 plans |
| 234 | APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,MAJOR | — | 7 plans |
| 241 | PEPTIC ULCER AND GASTRITIS,MODERATE | $3,129 – $3,830 · median $3,757 | 7 plans |
| 246 | GASTROINTESTINAL VASCULAR INSUFFICIENCY,MINOR | $2,985 – $3,104 · median $3,104 | 7 plans |
| 247 | INTESTINAL OBSTRUCTION,MODERATE | $2,616 – $3,744 · median $3,601 | 7 plans |
| 263 | CHOLECYSTECTOMY,MAJOR | $6,102 – $7,728 · median $7,728 | 7 plans |
| 320 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MODERATE | $7,518 – $7,816 · median $7,816 | 7 plans |
| 325 | NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MINOR | $11,641 – $12,102 · median $12,102 | 7 plans |
| 340 | FRACTURE OF FEMUR,MINOR | $2,089 – $2,172 · median $2,172 | 7 plans |
| 344 | OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS,MODERATE | — | 7 plans |
| 347 | OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES,MODERATE | — | 7 plans |
| 351 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,MINOR | $3,038 – $3,436 · median $3,305 | 7 plans |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MINOR | $3,548 – $3,688 · median $3,688 | 7 plans |
| 383 | CELLULITIS AND OTHER SKIN INFECTIONS,MODERATE | $2,609 – $3,462 · median $3,462 | 7 plans |
| 403 | PROCEDURES FOR OBESITY,MODERATE | $7,180 – $7,465 · median $7,465 | 7 plans |
| 405 | OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS,MINOR | — | 7 plans |
| 420 | DIABETES,EXTREME | $2,923 – $8,469 · median $8,469 | 7 plans |
| 422 | HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MINOR | $2,496 – $3,360 · median $2,595 | 7 plans |
| 425 | OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MAJOR | $4,493 – $4,671 · median $4,671 | 7 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS,EXTREME | — | 7 plans |
| 463 | KIDNEY AND URINARY TRACT INFECTIONS,MAJOR | — | 7 plans |
| 531 | FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR | $2,498 – $2,597 · median $2,597 | 7 plans |
| 542 | VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MINOR | $3,367 – $3,885 · median $3,432 | 7 plans |
| 566 | ANTEPARTUM WITHOUT O.R. PROCEDURE,MINOR | $1,791 – $2,920 · median $1,862 | 7 plans |
| 614 | NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,MINOR | $8,522 – $8,859 · median $8,859 | 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,MINOR | $1,687 – $1,754 · median $1,754 | 7 plans |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,EXTREME | $4,245 – $26,801 · median $6,598 | 7 plans |
| 711 | POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MODERATE | $5,682 – $7,711 · median $5,792 | 7 plans |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS,MAJOR | $2,744 – $5,854 · median $3,683 | 7 plans |
| 751 | DEPRESSIVE DISORDERS,MINOR | $4,214 – $7,633 · median $4,585 | 7 plans |
| 752 | PERSONALITY DISORDERS,MINOR | $5,901 – $6,135 · median $6,135 | 7 plans |
| 753 | BIPOLAR DISORDERS,MAJOR | $4,583 – $19,544 · median $7,655 | 7 plans |
| 756 | ACUTE ANXIETY AND STRESS SYNDROMES,MINOR | $4,841 – $5,032 · median $5,032 | 7 plans |
| 774 | COCAINE ABUSE AND DEPENDENCE,MODERATE | $3,920 – $6,445 · median $3,996 | 7 plans |
| 890 | HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,MAJOR | $7,194 – $7,479 · median $7,479 | 7 plans |
| 951 | MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MINOR | $5,166 – $5,371 · median $5,371 | 7 plans |
| 952 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MODERATE | $5,715 – $5,941 · median $5,941 | 7 plans |
| 233 | APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MINOR | — | 6 plans |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MINOR | $2,876 – $3,563 · median $2,932 | 6 plans |
| 349 | MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE,MAJOR | $5,750 – $5,861 · median $5,861 | 6 plans |
| 111 | VERTIGO AND OTHER LABYRINTH DISORDERS,MODERATE | $2,979 – $2,979 · median $2,979 | 5 plans |
| 135 | MAJOR CHEST AND RESPIRATORY TRAUMA,MODERATE | — | 5 plans |
| 465 | URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,MINOR | — | 5 plans |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE | $3,904 – $4,058 · median $4,020 | 4 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,060 – $9,923 · median $9,923 | 3 plans |
No procedures match that keyword.