Uhhs Memorial Hospital of Geneva — Pricing
788 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 788 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 788 procedures
Procedures with negotiated rates only
These 788 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $10,978 – $597,108 · median $344,554 | 20 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $10,978 – $242,199 · median $139,324 | 20 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $10,978 – $452,553 · median $260,964 | 20 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $10,978 – $295,771 · median $170,303 | 20 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $10,978 – $220,484 · median $126,768 | 20 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $10,978 – $99,853 · median $57,138 | 20 plans |
| 007 | LUNG TRANSPLANT | $10,978 – $276,609 · median $159,223 | 20 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $10,978 – $120,427 · median $68,911 | 20 plans |
| 010 | PANCREAS TRANSPLANT | $10,978 – $153,831 · median $88,225 | 20 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $10,978 – $117,227 · median $67,080 | 20 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $10,978 – $90,902 · median $52,016 | 20 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $10,978 – $62,534 · median $35,783 | 20 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $10,978 – $256,787 · median $147,760 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $10,978 – $127,339 · median $72,906 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $10,978 – $116,763 · median $66,814 | 20 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $10,978 – $919,418 · median $530,933 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $10,978 – $152,958 · median $87,720 | 20 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $10,978 – $168,568 · median $96,747 | 20 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $10,978 – $113,818 · median $65,129 | 20 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $10,978 – $68,819 · median $39,380 | 20 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $10,978 – $123,099 · median $70,454 | 20 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $10,978 – $84,436 · median $48,316 | 20 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $10,978 – $97,933 · median $56,040 | 20 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $10,978 – $67,369 · median $38,550 | 20 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,978 – $54,903 · median $31,417 | 20 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $10,978 – $129,010 · median $73,872 | 20 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $10,978 – $73,799 · median $42,229 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $10,978 – $47,935 · median $27,376 | 20 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $10,978 – $96,526 · median $55,234 | 20 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,978 – $46,570 · median $26,576 | 20 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,393 – $36,618 · median $20,738 | 20 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $10,978 – $83,560 · median $47,815 | 20 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $10,978 – $52,088 · median $29,806 | 20 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $10,978 – $42,569 · median $24,229 | 20 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $10,978 – $71,258 · median $40,775 | 20 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,141 – $35,761 · median $20,235 | 20 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,347 – $26,255 · median $14,660 | 20 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $10,978 – $83,358 · median $47,699 | 20 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $10,978 – $48,010 · median $27,420 | 20 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,798 – $37,995 · median $21,546 | 20 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,978 – $39,773 · median $22,589 | 20 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,120 – $22,081 · median $12,267 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,543 – $33,726 · median $19,042 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,373 – $22,940 · median $12,744 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $10,978 – $50,655 · median $28,971 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,098 – $28,808 · median $16,157 | 20 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,684 – $37,609 · median $21,319 | 20 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,756 – $27,645 · median $15,475 | 20 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,749 – $20,818 · median $11,565 | 20 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $10,978 – $59,883 · median $34,266 | 20 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,978 – $38,623 · median $21,914 | 20 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,774 – $31,109 · median $17,507 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,978 – $44,019 · median $25,079 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,314 – $22,742 · median $12,634 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,278 – $15,813 · median $8,812 | 20 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,179 – $32,489 · median $18,316 | 20 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,403 – $19,640 · median $10,978 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,993 – $18,245 · median $10,285 | 20 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,405 – $36,658 · median $20,762 | 20 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,413 – $23,076 · median $12,820 | 20 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,726 – $17,339 · median $9,736 | 20 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,027 – $35,372 · median $20,007 | 20 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,443 – $23,178 · median $12,877 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,978 – $42,031 · median $23,913 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,158 – $18,806 · median $10,624 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,978 – $39,745 · median $22,573 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,598 – $20,303 · median $11,280 | 20 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $10,978 – $49,858 · median $28,504 | 20 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,724 – $30,939 · median $17,407 | 20 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,974 – $21,583 · median $11,991 | 20 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $10,978 – $49,566 · median $28,333 | 20 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,142 – $28,959 · median $16,246 | 20 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,717 – $20,709 · median $11,505 | 20 plans |
| 088 | CONCUSSION WITH MCC | $8,449 – $30,003 · median $16,858 | 20 plans |
| 089 | CONCUSSION WITH CC | $6,866 – $24,619 · median $13,701 | 20 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,145 – $18,764 · median $10,599 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,976 – $38,601 · median $21,902 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,394 – $23,012 · median $12,784 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,977 – $18,192 · median $10,252 | 20 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $10,978 – $76,091 · median $43,541 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $10,978 – $56,100 · median $32,102 | 20 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $10,978 – $56,100 · median $32,102 | 20 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $10,978 – $78,055 · median $44,665 | 20 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $10,978 – $50,055 · median $28,620 | 20 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,515 – $30,228 · median $16,990 | 20 plans |
| 100 | SEIZURES WITH MCC | $10,978 – $42,441 · median $24,154 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $5,641 – $20,452 · median $11,362 | 20 plans |
| 102 | HEADACHES WITH MCC | $7,006 – $25,094 · median $13,979 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $5,227 – $19,042 · median $10,767 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,978 – $51,250 · median $29,321 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,456 – $30,029 · median $16,873 | 20 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,593 – $33,896 · median $19,142 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,978 – $39,705 · median $22,549 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,781 – $24,328 · median $13,530 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,271 – $25,995 · median $14,508 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,911 – $17,969 · median $10,117 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,991 – $18,241 · median $10,282 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,269 – $29,393 · median $16,500 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,799 – $17,586 · median $9,885 | 20 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,978 – $47,400 · median $27,062 | 20 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,346 – $22,848 · median $12,694 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,333 – $33,009 · median $18,622 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,539 – $20,103 · median $11,169 | 20 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,723 – $27,534 · median $15,410 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $10,978 – $91,950 · median $52,616 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,978 – $47,636 · median $27,201 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,978 – $35,204 · median $19,909 | 20 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $10,978 – $80,922 · median $46,305 | 20 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,831 – $38,106 · median $21,611 | 20 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,514 – $26,824 · median $14,994 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $10,978 – $46,281 · median $26,406 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,947 – $28,296 · median $15,857 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,982 – $18,209 · median $10,263 | 20 plans |
| 149 | DYSEQUILIBRIUM | $4,698 – $17,242 · median $9,677 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $8,322 – $29,571 · median $16,605 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,588 – $16,867 · median $9,450 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,389 – $26,397 · median $14,743 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,614 – $16,957 · median $9,504 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,772 – $34,504 · median $19,498 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,728 – $20,748 · median $11,526 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,319 – $15,955 · median $8,898 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,730 – $37,764 · median $21,410 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,686 – $20,605 · median $11,447 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,428 – $16,325 · median $9,122 | 20 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $10,978 – $96,553 · median $55,250 | 20 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $10,978 – $54,926 · median $31,430 | 20 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,978 – $41,961 · median $23,872 | 20 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $10,978 – $80,732 · median $46,197 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,978 – $39,605 · median $22,490 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,540 – $30,313 · median $17,040 | 20 plans |
| 173 | DRG | $10,978 – $64,545 · median $36,934 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,585 – $30,467 · median $17,130 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,031 – $18,377 · median $10,364 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,767 – $34,487 · median $19,488 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,100 – $22,013 · median $12,229 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,719 – $17,314 · median $9,721 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,978 – $38,810 · median $22,024 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,694 – $24,033 · median $13,356 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,711 – $17,288 · median $9,705 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,562 – $33,790 · median $19,079 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,651 – $23,886 · median $13,270 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,916 – $17,984 · median $10,126 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,741 – $34,398 · median $19,436 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,182 – $22,291 · median $12,384 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,483 – $16,510 · median $9,234 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,721 – $27,528 · median $15,407 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,923 – $24,813 · median $13,814 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,269 – $19,185 · median $10,756 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,013 – $14,911 · median $8,284 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,215 – $29,208 · median $16,392 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,037 – $18,396 · median $10,376 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,928 – $14,624 · median $8,125 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,978 – $41,387 · median $23,535 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,932 – $21,441 · median $11,912 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,476 – $16,489 · median $9,221 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,978 – $38,769 · median $22,000 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,871 – $24,634 · median $13,709 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,469 – $16,465 · median $9,207 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,070 – $21,911 · median $12,173 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,188 – $15,507 · median $8,626 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,046 – $18,428 · median $10,395 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,978 – $40,192 · median $22,834 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,882 – $21,271 · median $11,817 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $10,978 – $138,076 · median $79,115 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $10,978 – $59,704 · median $34,164 | 20 plans |
| 209 | DRG | $10,978 – $241,923 · median $139,165 | 20 plans |
| 212 | DRG | $10,978 – $232,467 · median $133,697 | 20 plans |
| 213 | DRG | $10,978 – $122,602 · median $70,166 | 20 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $10,978 – $244,201 · median $124,174 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $10,978 – $209,264 · median $122,001 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $10,978 – $169,934 · median $82,001 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $10,978 – $169,934 · median $82,001 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $10,978 – $164,518 · median $95,756 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $10,978 – $124,379 · median $66,505 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $10,978 – $124,379 · median $62,856 | 20 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $10,978 – $110,999 · median $61,699 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $10,978 – $110,999 · median $39,277 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $10,978 – $180,498 · median $105,129 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $10,978 – $156,852 · median $75,607 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $10,978 – $163,814 · median $95,343 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $10,978 – $117,409 · median $68,125 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $10,978 – $126,040 · median $73,187 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $10,978 – $90,324 · median $52,239 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $10,978 – $105,907 · median $60,602 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $10,978 – $61,869 · median $35,403 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,978 – $39,100 · median $17,565 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $10,978 – $81,264 · median $39,817 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $10,978 – $57,406 · median $27,165 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,978 – $60,251 · median $23,154 | 20 plans |
| 245 | AICD GENERATOR PROCEDURES | $10,978 – $98,267 · median $56,231 | 20 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $10,978 – $51,666 · median $27,805 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,978 – $42,562 · median $19,242 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $10,978 – $75,430 · median $43,503 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $10,978 – $56,449 · median $32,370 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,978 – $39,144 · median $22,399 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $10,978 – $58,613 · median $33,540 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,612 – $37,362 · median $21,175 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,826 – $24,483 · median $13,621 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $10,978 – $68,069 · median $38,632 | 20 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,978 – $44,255 · median $25,324 | 20 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $10,978 – $70,422 · median $39,993 | 20 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,978 – $41,457 · median $23,576 | 20 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,187 – $35,916 · median $20,326 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,978 – $66,268 · median $37,920 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $10,978 – $72,289 · median $41,365 | 20 plans |
| 265 | AICD LEAD PROCEDURES | $10,978 – $78,191 · median $44,743 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $10,978 – $131,564 · median $75,349 | 20 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $10,978 – $102,486 · median $58,645 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $10,978 – $147,500 · median $85,774 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $10,978 – $91,055 · median $52,668 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $10,978 – $113,446 · median $65,801 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $10,978 – $76,875 · median $44,351 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $10,978 – $55,543 · median $31,838 | 20 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $10,978 – $88,978 · median $51,449 | 20 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $10,978 – $71,249 · median $41,051 | 20 plans |
| 275 | DRG | $10,978 – $152,868 · median $87,668 | 20 plans |
| 276 | DRG | $10,978 – $128,974 · median $73,851 | 20 plans |
| 277 | DRG | $10,978 – $99,460 · median $56,913 | 20 plans |
| 278 | DRG | $10,978 – $119,610 · median $68,444 | 20 plans |
| 279 | DRG | $10,978 – $77,941 · median $44,599 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,026 – $35,367 · median $20,238 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,744 – $30,552 · median $11,833 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,519 – $25,662 · median $9,519 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,978 – $43,377 · median $24,821 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,326 – $33,106 · median $9,143 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,743 – $33,106 · median $8,008 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $10,978 – $48,310 · median $27,644 | 20 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,688 – $37,910 · median $13,741 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $10,978 – $58,800 · median $33,749 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,668 – $55,930 · median $21,489 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,811 – $55,930 · median $11,970 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,024 – $28,557 · median $16,010 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,306 – $19,312 · median $10,931 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,538 – $13,295 · median $7,386 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,762 – $34,470 · median $19,478 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,963 – $14,741 · median $8,190 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,844 – $10,978 · median $6,076 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,204 – $35,976 · median $20,361 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,672 – $23,958 · median $13,313 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,498 – $16,563 · median $9,266 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,479 – $26,703 · median $14,923 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,208 – $15,575 · median $8,667 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $7,438 – $26,563 · median $14,840 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,719 – $17,316 · median $9,722 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,849 – $34,766 · median $19,652 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,708 – $20,677 · median $11,487 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,525 – $26,861 · median $15,015 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,598 – $16,903 · median $9,472 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,538 – $13,297 · median $7,387 | 20 plans |
| 311 | ANGINA PECTORIS | $4,387 – $16,185 · median $9,037 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,448 – $19,793 · median $10,996 | 20 plans |
| 313 | CHEST PAIN | $4,500 – $16,570 · median $9,270 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $10,978 – $45,597 · median $26,005 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,021 – $21,743 · median $12,079 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,263 – $15,764 · median $8,782 | 20 plans |
| 317 | DRG | $10,978 – $143,430 · median $82,211 | 20 plans |
| 318 | DRG | $10,978 – $52,762 · median $30,192 | 20 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $10,978 – $96,152 · median $55,020 | 20 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $10,978 – $52,403 · median $29,986 | 20 plans |
| 321 | DRG | $10,978 – $59,111 · median $33,825 | 20 plans |
| 322 | DRG | $10,978 – $38,746 · median $21,986 | 20 plans |
| 323 | DRG | $10,978 – $93,271 · median $53,205 | 20 plans |
| 324 | DRG | $10,978 – $68,258 · median $38,742 | 20 plans |
| 325 | DRG | $10,978 – $69,521 · median $39,781 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $10,978 – $107,304 · median $61,401 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $10,978 – $53,230 · median $30,459 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,014 – $35,329 · median $19,982 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,978 – $98,992 · median $56,646 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,978 – $52,230 · median $29,887 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,518 – $37,043 · median $20,987 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $10,978 – $78,245 · median $44,773 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $10,978 – $51,061 · median $29,210 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,237 – $36,086 · median $20,426 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $10,978 – $77,186 · median $44,167 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,978 – $46,096 · median $26,298 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,594 – $33,898 · median $19,143 | 20 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,978 – $56,177 · median $32,146 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,404 – $33,254 · median $18,765 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,414 – $26,482 · median $14,793 | 20 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $10,978 – $50,070 · median $28,628 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,180 – $29,089 · median $16,322 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,441 – $19,772 · median $10,984 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,978 – $54,244 · median $31,040 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,528 – $33,675 · median $19,012 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,299 – $26,091 · median $14,564 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $10,978 – $62,964 · median $36,029 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,515 – $37,032 · median $20,981 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,406 – $29,858 · median $16,774 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $10,978 – $94,661 · median $54,167 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $10,978 – $50,706 · median $29,001 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,737 – $30,983 · median $17,433 | 20 plans |
| 359 | DRG | $10,978 – $74,373 · median $42,558 | 20 plans |
| 360 | DRG | $10,978 – $52,594 · median $30,095 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,949 – $35,108 · median $19,853 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,251 – $22,527 · median $12,515 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,380 – $16,161 · median $9,023 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,978 – $38,961 · median $22,112 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,381 – $22,969 · median $12,761 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,546 – $16,727 · median $9,365 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,978 – $46,734 · median $26,672 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,560 – $26,980 · median $15,085 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,777 – $20,913 · median $11,619 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,978 – $40,128 · median $22,797 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,129 – $22,113 · median $12,285 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,940 – $14,665 · median $8,147 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,978 – $42,981 · median $24,471 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,772 – $24,298 · median $13,512 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,004 – $18,283 · median $10,308 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,629 – $30,618 · median $17,219 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,343 – $19,436 · median $10,978 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,889 – $34,904 · median $19,733 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,102 – $22,019 · median $12,233 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,258 – $15,747 · median $8,772 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,230 – $32,661 · median $18,417 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,936 – $18,054 · median $10,169 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,400 – $12,828 · median $7,126 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,927 – $28,228 · median $15,817 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,873 – $17,837 · median $10,037 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,996 – $35,265 · median $19,945 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,848 – $21,156 · median $11,753 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,056 – $15,060 · median $8,367 | 20 plans |
| 397 | DRG | $10,978 – $52,182 · median $29,859 | 20 plans |
| 398 | DRG | $9,460 – $33,443 · median $18,876 | 20 plans |
| 399 | DRG | $7,154 – $25,600 · median $14,276 | 20 plans |
| 402 | DRG | $10,978 – $86,745 · median $49,638 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $10,978 – $117,575 · median $67,279 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $10,978 – $62,925 · median $36,007 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,978 – $48,454 · median $27,681 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $10,978 – $77,073 · median $44,103 | 20 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $10,978 – $47,555 · median $27,153 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,923 – $35,019 · median $19,800 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $10,978 – $71,496 · median $40,912 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,978 – $45,964 · median $26,220 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,378 – $36,567 · median $20,708 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $10,978 – $77,009 · median $44,066 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,978 – $45,203 · median $25,774 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,521 – $30,248 · median $17,002 | 20 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $10,978 – $52,001 · median $29,756 | 20 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,573 – $37,228 · median $21,096 | 20 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,536 – $30,301 · median $17,033 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $10,978 – $73,703 · median $42,175 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,859 – $38,204 · median $21,668 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,747 – $31,017 · median $17,453 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $10,978 – $89,562 · median $51,250 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $10,978 – $47,780 · median $27,285 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,377 – $33,160 · median $18,710 | 20 plans |
| 426 | DRG | $10,978 – $235,595 · median $135,506 | 20 plans |
| 427 | DRG | $10,978 – $154,744 · median $88,753 | 20 plans |
| 428 | DRG | $10,978 – $120,797 · median $69,122 | 20 plans |
| 429 | DRG | $10,978 – $192,824 · median $110,773 | 20 plans |
| 430 | DRG | $10,978 – $123,882 · median $70,906 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,978 – $43,109 · median $24,545 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,601 – $23,718 · median $13,177 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,453 – $16,410 · median $9,173 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,978 – $40,313 · median $22,905 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,069 – $25,310 · median $14,106 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,333 – $19,404 · median $10,978 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,189 – $35,922 · median $20,330 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,258 – $19,147 · median $10,830 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,884 – $14,473 · median $8,041 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,978 – $39,420 · median $22,382 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,033 – $21,785 · median $12,103 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,373 – $16,138 · median $9,009 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,443 – $36,788 · median $20,838 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,840 – $24,530 · median $13,648 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,171 – $18,851 · median $10,651 | 20 plans |
| 447 | DRG | $10,978 – $143,326 · median $82,150 | 20 plans |
| 448 | DRG | $10,978 – $91,429 · median $52,318 | 20 plans |
| 450 | DRG | $10,978 – $114,579 · median $65,565 | 20 plans |
| 451 | DRG | $10,978 – $69,946 · median $40,025 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $10,978 – $179,935 · median $102,963 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $10,978 – $128,049 · median $73,316 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $10,978 – $89,979 · median $52,488 | 20 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $10,978 – $118,692 · median $67,905 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $10,978 – $65,527 · median $33,727 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $10,978 – $122,444 · median $70,075 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,978 – $67,486 · median $38,617 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,978 – $40,037 · median $22,743 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $10,978 – $111,939 · median $64,000 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $10,978 – $76,244 · median $43,360 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $10,978 – $59,689 · median $34,819 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $10,978 – $65,753 · median $37,827 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,978 – $42,995 · median $24,659 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $10,978 – $103,929 · median $59,369 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $10,978 – $63,901 · median $36,741 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $10,978 – $53,168 · median $30,424 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $10,978 – $92,537 · median $52,952 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,978 – $49,647 · median $28,380 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,376 – $26,354 · median $14,718 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,978 – $74,713 · median $42,752 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,978 – $53,549 · median $30,642 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,978 – $40,785 · median $23,182 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $10,978 – $63,183 · median $36,154 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $10,978 – $45,794 · median $26,713 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,978 – $43,352 · median $20,965 | 20 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $10,978 – $60,197 · median $34,568 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $10,978 – $69,876 · median $40,245 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $10,978 – $45,722 · median $26,163 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,978 – $43,352 · median $19,777 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,978 – $43,352 · median $22,243 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,587 – $43,352 · median $14,309 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $10,978 – $79,327 · median $45,393 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $10,978 – $55,184 · median $31,577 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $10,978 – $43,923 · median $25,023 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $10,978 – $78,351 · median $44,834 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,978 – $39,616 · median $22,496 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,552 – $26,952 · median $15,069 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $10,978 – $65,404 · median $37,426 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,978 – $44,100 · median $25,127 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $10,978 – $68,551 · median $39,227 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,926 – $38,429 · median $21,801 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,412 – $29,878 · median $16,785 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $10,978 – $60,606 · median $34,680 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,978 – $41,004 · median $23,311 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,978 – $39,380 · median $22,358 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,433 – $29,948 · median $16,826 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,978 – $39,669 · median $22,528 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,465 – $33,460 · median $18,886 | 20 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $10,978 – $65,483 · median $37,471 | 20 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,978 – $45,473 · median $25,932 | 20 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,346 – $36,458 · median $20,644 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,839 – $34,734 · median $19,633 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,389 – $22,997 · median $12,776 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $10,978 – $69,021 · median $39,495 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,978 – $45,446 · median $25,916 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,604 – $33,934 · median $19,164 | 20 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $10,978 – $80,724 · median $46,192 | 20 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,978 – $43,789 · median $24,944 | 20 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,337 – $33,024 · median $18,630 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $10,978 – $62,287 · median $35,642 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,978 – $46,288 · median $26,410 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,798 – $34,594 · median $19,551 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,038 – $18,400 · median $10,379 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,013 – $28,519 · median $15,988 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,048 – $18,432 · median $10,398 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,964 – $21,551 · median $11,973 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,502 – $16,576 · median $9,274 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,978 – $43,141 · median $24,564 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,102 – $28,823 · median $16,166 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,921 – $18,003 · median $10,138 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,978 – $38,820 · median $22,030 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,425 – $23,118 · median $12,844 | 20 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,716 – $17,305 · median $9,715 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $10,978 – $54,027 · median $30,916 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,209 – $25,785 · median $14,384 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,226 – $19,040 · median $10,766 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,978 – $42,316 · median $24,080 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,545 – $26,929 · median $15,055 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,463 – $19,846 · median $11,026 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,476 – $36,898 · median $20,903 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,008 – $21,700 · median $12,056 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,102 – $28,823 · median $16,166 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,188 – $18,911 · median $10,688 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,261 – $29,365 · median $16,484 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,191 – $18,921 · median $10,694 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,293 – $32,876 · median $18,543 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,583 – $20,252 · median $11,251 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,978 – $40,913 · median $23,257 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,038 – $25,204 · median $14,044 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,024 – $18,354 · median $10,350 | 20 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,905 – $31,555 · median $17,769 | 20 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,597 – $20,301 · median $11,278 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,648 – $34,081 · median $19,250 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,090 – $21,979 · median $12,210 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,683 – $17,193 · median $9,647 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,978 – $63,795 · median $36,505 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,559 – $37,183 · median $21,070 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,164 – $25,634 · median $14,296 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,978 – $140,558 · median $80,549 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,978 – $75,070 · median $42,957 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,978 – $39,469 · median $22,410 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,978 – $105,471 · median $60,353 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,978 – $57,620 · median $32,972 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,040 – $35,416 · median $20,033 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,978 – $70,118 · median $40,123 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,800 – $38,002 · median $21,550 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,019 – $31,944 · median $17,997 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,978 – $42,224 · median $24,027 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,778 – $37,925 · median $21,505 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,978 – $46,777 · median $26,697 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,978 – $42,278 · median $24,058 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $10,978 – $42,409 · median $24,135 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $7,414 – $26,484 · median $14,794 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,418 – $19,691 · median $10,978 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,978 – $46,351 · median $26,447 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,766 – $24,277 · median $13,500 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,419 – $36,707 · median $20,790 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,071 – $25,315 · median $14,108 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,809 – $17,620 · median $9,906 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,510 – $23,408 · median $13,004 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,781 – $14,124 · median $7,847 | 20 plans |
| 602 | CELLULITIS WITH MCC | $8,883 – $31,481 · median $17,725 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,443 – $19,778 · median $10,988 | 20 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,201 – $32,561 · median $18,359 | 20 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,725 – $20,737 · median $11,521 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,458 – $33,435 · median $18,871 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,665 – $20,533 · median $11,407 | 20 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $10,978 – $47,863 · median $27,334 | 20 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,746 – $31,013 · median $17,451 | 20 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $10,978 – $75,410 · median $43,152 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,978 – $41,027 · median $23,325 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,864 – $31,417 · median $17,688 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,333 – $62,653 · median $34,807 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,171 – $35,287 · median $21,333 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,300 – $33,333 · median $20,401 | 20 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $10,978 – $76,937 · median $44,025 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,978 – $39,403 · median $22,372 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,824 – $27,879 · median $15,612 | 20 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $10,978 – $65,475 · median $37,466 | 20 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,371 – $33,141 · median $18,699 | 20 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,302 – $29,503 · median $16,565 | 20 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $10,978 – $80,501 · median $46,064 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $10,978 – $47,587 · median $27,172 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,122 – $32,293 · median $18,201 | 20 plans |
| 637 | DIABETES WITH MCC | $8,979 – $31,808 · median $17,917 | 20 plans |
| 638 | DIABETES WITH CC | $5,601 – $20,316 · median $11,287 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,883 – $14,469 · median $8,038 | 20 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,348 – $29,659 · median $16,656 | 20 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,864 – $17,807 · median $10,019 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,888 – $31,498 · median $17,735 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,288 – $36,260 · median $20,529 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,406 – $23,055 · median $12,808 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,802 – $17,597 · median $9,892 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $10,978 – $101,223 · median $57,922 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $10,978 – $80,054 · median $45,809 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $10,978 – $69,927 · median $40,014 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $10,978 – $111,747 · median $63,944 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,978 – $60,780 · median $34,780 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,978 – $46,264 · median $26,396 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $10,978 – $68,955 · median $39,458 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,978 – $40,171 · median $22,822 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,699 – $34,255 · median $19,353 | 20 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $10,978 – $55,286 · median $31,636 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,261 – $29,363 · median $16,483 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,471 – $23,276 · median $12,931 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $10,978 – $66,355 · median $37,970 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,501 – $33,584 · median $18,958 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,543 – $23,520 · median $13,067 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $10,978 – $67,624 · median $38,696 | 20 plans |
| 666 | PROSTATECTOMY WITH CC | $10,933 – $38,455 · median $21,816 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,914 – $24,781 · median $13,795 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $10,978 – $63,346 · median $36,248 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,700 – $34,260 · median $19,355 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,108 – $22,040 · median $12,245 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,978 – $39,426 · median $22,385 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,747 – $24,213 · median $13,462 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $10,978 – $90,596 · median $51,841 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $10,978 – $50,984 · median $29,165 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,259 – $36,161 · median $20,470 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $9,256 – $32,750 · median $18,470 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $5,474 – $19,882 · median $11,046 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,752 – $14,025 · median $7,791 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,978 – $39,611 · median $22,494 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,549 – $23,539 · median $13,077 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,939 – $18,064 · median $10,175 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,252 – $25,931 · median $14,470 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,059 – $18,473 · median $10,422 | 20 plans |
| 693 | URINARY STONES WITH MCC | $8,403 – $29,848 · median $16,767 | 20 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,886 – $17,881 · median $10,064 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,149 – $25,581 · median $14,264 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,306 – $15,910 · median $8,871 | 20 plans |
| 697 | URETHRAL STRICTURE | $6,736 – $24,177 · median $13,441 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,340 – $36,437 · median $20,632 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,344 – $22,842 · median $12,690 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,312 – $15,930 · median $8,882 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,978 – $43,792 · median $24,946 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,589 – $33,881 · median $19,133 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $10,978 – $50,740 · median $29,021 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,758 – $31,053 · median $17,474 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,978 – $45,567 · median $25,987 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,873 – $24,643 · median $13,714 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,396 – $33,226 · median $18,749 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,609 – $23,743 · median $13,191 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,978 – $48,831 · median $27,901 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,194 – $32,537 · median $18,345 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,978 – $41,457 · median $23,576 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,394 – $29,818 · median $16,750 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,978 – $39,739 · median $22,569 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,142 – $25,557 · median $14,251 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,098 – $15,202 · median $8,446 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,314 – $26,142 · median $14,594 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,513 – $16,612 · median $9,296 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,268 – $32,790 · median $18,493 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,070 – $18,509 · median $10,444 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,617 – $23,771 · median $13,206 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,200 – $15,549 · median $8,652 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $10,978 – $46,549 · median $26,563 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,409 – $29,869 · median $16,780 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $10,978 – $77,262 · median $44,211 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,978 – $45,074 · median $25,698 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,178 – $32,484 · median $18,055 | 20 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $10,978 – $77,439 · median $44,312 | 20 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,978 – $39,737 · median $22,568 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,913 – $31,583 · median $17,785 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,978 – $40,273 · median $22,559 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,754 – $27,641 · median $15,473 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,978 – $44,829 · median $25,554 | 20 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,109 – $25,447 · median $14,186 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,857 – $38,195 · median $21,663 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,373 – $19,540 · median $10,978 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,671 – $30,758 · median $17,301 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $10,978 – $55,853 · median $31,961 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,224 – $32,640 · median $18,405 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,978 – $40,419 · median $22,968 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,799 – $24,390 · median $13,566 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,003 – $21,683 · median $12,046 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,949 – $31,706 · median $17,857 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,119 – $22,077 · median $12,265 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,148 – $15,370 · median $8,544 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,297 – $22,682 · median $12,601 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,566 – $13,391 · median $7,439 | 20 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,368 – $24,045 · median $13,267 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,561 – $37,190 · median $21,074 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,267 – $22,580 · median $12,545 | 20 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,092 – $15,181 · median $8,434 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $5,258 – $19,149 · median $10,832 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,783 – $53,462 · median $29,943 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,783 – $23,801 · median $13,127 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,783 – $21,626 · median $11,980 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,783 – $36,333 · median $20,233 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,783 – $25,006 · median $13,812 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,783 – $21,647 · median $11,992 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,978 – $39,579 · median $22,562 | 20 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $10,978 – $127,632 · median $73,598 | 20 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $10,978 – $87,564 · median $50,363 | 20 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $10,978 – $53,336 · median $30,532 | 20 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $10,978 – $89,915 · median $51,725 | 20 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,978 – $32,642 · median $18,542 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,368 – $26,074 · median $14,417 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,368 – $22,532 · median $12,388 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,368 – $21,611 · median $11,852 | 20 plans |
| 799 | SPLENECTOMY WITH MCC | $10,978 – $97,555 · median $55,823 | 20 plans |
| 800 | SPLENECTOMY WITH CC | $10,978 – $60,995 · median $34,903 | 20 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $10,978 – $41,848 · median $23,806 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $10,978 – $85,971 · median $49,195 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,978 – $40,785 · median $23,182 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,475 – $30,092 · median $16,911 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,368 – $24,207 · median $13,359 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,368 – $17,293 · median $9,337 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,368 – $15,596 · median $8,349 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $10,978 – $48,206 · median $27,535 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,912 – $28,177 · median $15,787 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,541 – $23,514 · median $13,063 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,777 – $31,119 · median $17,513 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,739 – $20,784 · median $11,547 | 20 plans |
| 813 | COAGULATION DISORDERS | $9,533 – $33,692 · median $19,022 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,978 – $46,479 · median $26,522 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,338 – $22,821 · median $12,678 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,950 – $14,699 · median $8,166 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,978 – $49,773 · median $28,454 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,245 – $25,908 · median $14,456 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,374 – $19,544 · median $10,978 | 20 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $10,978 – $125,959 · median $72,108 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $10,978 – $48,858 · median $27,918 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,525 – $26,861 · median $15,015 | 20 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $10,978 – $98,743 · median $56,503 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $10,978 – $49,432 · median $28,254 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,434 – $29,952 · median $16,828 | 20 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $10,978 – $100,721 · median $57,635 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $10,978 – $50,402 · median $28,823 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,649 – $37,487 · median $21,248 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $10,978 – $68,449 · median $39,168 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,406 – $33,260 · median $18,769 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,516 – $26,829 · median $14,996 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,510 – $16,604 · median $9,291 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,268 – $12,379 · median $6,877 | 20 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $10,978 – $117,988 · median $67,515 | 20 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $10,978 – $45,609 · median $26,012 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,622 – $27,190 · median $15,208 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $10,978 – $103,410 · median $59,174 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,978 – $45,643 · median $26,032 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,024 – $31,961 · median $18,007 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $10,978 – $70,042 · median $40,079 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,196 – $35,948 · median $20,345 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,315 – $22,744 · median $12,636 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,978 – $43,675 · median $24,877 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,609 – $27,145 · median $15,182 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,323 – $19,368 · median $10,964 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $10,978 – $56,383 · median $32,264 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,176 – $29,076 · median $16,315 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,309 – $19,321 · median $10,936 | 20 plans |
| 849 | RADIOTHERAPY | $10,978 – $58,871 · median $33,687 | 20 plans |
| 850 | DRG | $10,978 – $185,380 · median $106,469 | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $10,978 – $106,266 · median $60,808 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,978 – $43,745 · median $24,918 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,358 – $33,095 · median $18,672 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $10,978 – $97,976 · median $56,064 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,978 – $46,794 · median $26,707 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,706 – $30,877 · median $17,371 | 20 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,978 – $40,037 · median $22,743 | 20 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,237 – $22,478 · median $12,488 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,548 – $20,135 · median $11,186 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,364 – $33,118 · median $18,685 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,435 – $19,750 · median $10,978 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $10,978 – $45,767 · median $26,104 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,444 – $23,184 · median $12,880 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,561 – $16,776 · median $9,395 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $10,978 – $148,220 · median $84,981 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $10,978 – $42,563 · median $24,225 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,396 – $23,018 · median $12,788 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $10,978 – $90,489 · median $51,780 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,978 – $41,967 · median $23,876 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,310 – $26,129 · median $14,586 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $10,978 – $79,359 · median $45,411 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,271 – $32,801 · median $18,499 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,978 – $43,026 · median $24,497 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $10,978 – $82,893 · median $47,433 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,978 – $43,683 · median $24,882 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,204 – $29,172 · median $16,371 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,216 – $36,016 · median $20,385 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,534 – $20,089 · median $11,160 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,510 – $37,015 · median $20,971 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,164 – $15,428 · median $8,579 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,803 – $34,608 · median $19,560 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,357 – $19,485 · median $10,978 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,978 – $40,188 · median $22,832 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,264 – $22,572 · median $12,540 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,303 – $15,898 · median $8,863 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,934 – $38,457 · median $21,817 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,361 – $22,899 · median $12,722 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $10,978 – $455,218 · median $262,504 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $10,978 – $153,768 · median $88,188 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $10,978 – $69,742 · median $39,908 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $10,978 – $84,060 · median $48,101 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $10,978 – $48,263 · median $27,568 | 20 plans |
| 935 | NON-EXTENSIVE BURNS | $10,978 – $45,061 · median $25,690 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $10,978 – $78,410 · median $44,868 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,978 – $50,948 · median $29,143 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,978 – $44,374 · median $25,287 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,978 – $34,187 · median $19,438 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,872 – $25,644 · median $14,488 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,934 – $28,251 · median $15,831 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,003 – $18,281 · median $10,306 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,436 – $26,556 · median $14,837 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,923 – $14,607 · median $8,115 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,475 – $13,083 · median $7,268 | 20 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $10,978 – $144,378 · median $82,759 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $10,978 – $81,270 · median $46,505 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $10,978 – $163,276 · median $93,687 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,978 – $90,857 · median $51,991 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,978 – $63,859 · median $36,541 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $10,978 – $59,387 · median $33,983 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,579 – $33,847 · median $19,113 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,878 – $21,258 · median $11,810 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $10,978 – $131,413 · median $75,261 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $10,978 – $57,338 · median $32,810 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $10,978 – $62,623 · median $35,834 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,094 – $28,795 · median $16,150 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,642 – $20,454 · median $11,363 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,111 – $28,853 · median $16,184 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,978 – $101,018 · median $57,805 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,978 – $53,534 · median $30,633 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,713 – $37,704 · median $21,375 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,978 – $74,156 · median $42,434 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,273 – $36,207 · median $20,497 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,495 – $26,758 · median $14,955 | 20 plans |
| 795 | NORMAL NEWBORN | $1,918 – $10,978 · median $2,702 | 19 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $37,103 – $83,437 · median $48,435 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,218 – $21,677 · median $12,383 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $9,033 – $21,266 · median $12,142 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,308 – $24,092 · median $13,806 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $18,876 – $43,069 · median $24,884 | 17 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,445 – $35,470 · median $20,493 | 17 plans |
| 885 | PSYCHOSES | $13,409 – $30,960 · median $17,850 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $19,923 – $45,386 · median $26,223 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,281 – $24,030 · median $13,769 | 17 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,922 – $14,378 · median $8,227 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,590 – $31,360 · median $18,226 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,753 – $38,365 · median $22,380 | 17 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,475 – $20,031 · median $11,462 | 17 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $61,901 – $68,779 · median $63,366 | 2 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $50,554 – $56,171 · median $52,504 | 2 plans |
| 490 | DRG Carveouts | $28,773 – $48,884 · median $31,970 | 2 plans |
| 491 | DRG Carveouts | $13,577 – $28,943 · median $26,049 | 2 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $148,721 – $165,246 · median $156,984 | 1 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $148,721 – $165,246 · median $156,984 | 1 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $120,598 – $133,998 · median $127,298 | 1 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $120,598 – $133,998 · median $127,298 | 1 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $104,991 – $116,657 · median $110,824 | 1 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $104,991 – $116,657 · median $110,824 | 1 plans |
| 230 | DRG Carveouts | $99,899 – $110,999 · median $105,449 | 1 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $54,031 – $60,034 · median $57,033 | 1 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $49,551 – $55,057 · median $52,304 | 1 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $49,667 – $55,186 · median $52,427 | 1 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $45,552 – $50,613 · median $48,083 | 1 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $112,205 – $124,672 · median $118,439 | 1 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $112,205 – $124,672 · median $118,439 | 1 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $112,205 – $124,672 · median $118,439 | 1 plans |
No procedures match that keyword.