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 |
|---|---|---|---|
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $10,978 – $265,338 · median $111,623 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $10,978 – $184,641 · median $109,670 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $10,978 – $184,641 · median $73,712 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $10,978 – $184,641 · median $73,712 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $10,978 – $135,147 · median $86,078 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $10,978 – $135,147 · median $59,783 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $10,978 – $135,147 · median $56,503 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $10,978 – $120,608 · median $55,463 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $10,978 – $120,608 · median $35,307 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $10,978 – $170,429 · median $94,503 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $10,978 – $170,429 · median $67,965 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $10,978 – $125,350 · median $85,707 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $10,978 – $125,350 · median $61,240 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $10,978 – $92,023 · median $65,790 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $10,978 – $92,023 · median $46,959 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $10,978 – $81,264 · median $35,793 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $10,978 – $57,406 · median $23,888 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,978 – $60,251 · median $20,263 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $10,978 – $64,533 · median $51,147 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $10,978 – $56,137 · median $24,467 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,978 – $46,247 · median $16,754 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $10,978 – $55,351 · median $39,106 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $10,978 – $54,978 · median $29,098 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,978 – $40,592 · median $19,974 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $10,978 – $43,270 · median $35,170 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,978 – $39,076 · median $22,669 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $10,978 – $44,794 · median $31,963 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,978 – $31,560 · median $20,590 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,978 – $31,560 · median $16,043 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $10,978 – $123,887 · median $77,105 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $10,978 – $77,006 · median $47,344 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $10,978 – $93,396 · median $59,150 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $10,978 – $61,986 · median $39,868 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $10,978 – $44,396 · median $28,620 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $10,978 – $82,613 · median $46,249 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $10,978 – $56,309 · median $36,902 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,978 – $37,896 · median $17,983 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,230 – $33,199 · median $11,648 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,475 – $27,882 · median $9,543 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,978 – $35,972 · median $22,206 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,198 – $35,972 · median $9,135 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,363 – $35,972 · median $7,904 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $10,978 – $46,518 · median $24,807 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,582 – $41,189 · median $12,673 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $10,978 – $60,771 · median $30,338 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,978 – $60,771 · median $19,135 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,325 – $60,771 · median $11,782 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $10,978 – $115,723 · median $81,639 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $10,978 – $82,118 · median $66,849 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $10,978 – $74,644 · median $46,777 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $10,978 – $74,671 · median $50,608 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $10,978 – $71,201 · median $35,105 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $10,978 – $71,684 · median $48,032 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $10,978 – $47,680 · median $35,894 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $10,978 – $46,716 · median $34,308 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $10,978 – $46,716 · median $33,291 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,978 – $46,716 · median $24,445 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $10,978 – $66,496 · median $50,905 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $10,978 – $49,153 · median $29,799 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $10,978 – $40,289 · median $26,547 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $10,978 – $41,678 · median $32,648 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $10,978 – $42,790 · median $23,480 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,978 – $28,733 · median $18,284 | 10 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $10,978 – $385,917 · median $278,838 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $10,978 – $156,050 · median $112,751 | 9 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $10,978 – $292,292 · median $211,191 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $10,978 – $190,748 · median $137,821 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $10,978 – $141,986 · median $102,589 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $10,978 – $63,856 · median $46,138 | 9 plans |
| 007 | LUNG TRANSPLANT | $10,978 – $178,337 · median $128,854 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $10,978 – $77,181 · median $55,766 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $10,978 – $98,817 · median $71,398 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $10,978 – $75,108 · median $54,268 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $10,978 – $58,059 · median $41,949 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $10,978 – $39,685 · median $28,674 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $10,978 – $165,499 · median $119,578 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $10,978 – $81,658 · median $59,001 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $10,978 – $74,808 · median $54,051 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $10,978 – $594,670 · median $429,669 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $10,978 – $98,251 · median $70,989 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $10,978 – $108,361 · median $78,295 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $10,978 – $72,901 · median $52,673 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $10,978 – $43,756 · median $31,615 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $10,978 – $78,912 · median $57,016 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $10,978 – $53,871 · median $38,923 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $10,978 – $73,515 · median $43,103 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $10,978 – $44,177 · median $29,475 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,978 – $34,110 · median $26,218 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $10,978 – $82,740 · median $59,783 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $10,978 – $46,981 · median $33,945 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $10,978 – $30,230 · median $21,842 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $10,978 – $61,701 · median $44,581 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,978 – $29,346 · median $21,203 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,978 – $22,900 · median $16,546 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $10,978 – $53,303 · median $38,513 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $10,978 – $32,920 · median $23,785 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $10,978 – $26,754 · median $19,331 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $10,978 – $45,336 · median $32,756 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,978 – $22,345 · median $16,145 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,525 – $16,188 · median $12,000 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $10,978 – $53,173 · median $38,419 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $10,978 – $30,278 · median $21,877 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,978 – $23,792 · median $17,191 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,978 – $24,943 · median $18,022 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,768 – $13,485 · median $12,000 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,978 – $21,027 · median $15,193 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,130 – $14,041 · median $12,000 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $10,978 – $31,991 · median $23,115 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,978 – $17,842 · median $12,891 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,978 – $23,542 · median $17,010 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,978 – $17,088 · median $12,347 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,236 – $12,667 · median $11,471 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $10,978 – $37,968 · median $27,433 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,978 – $24,198 · median $17,484 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,978 – $19,332 · median $13,968 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,978 – $27,693 · median $20,009 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,046 – $13,913 · median $12,000 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,128 – $12,000 · median $8,812 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,978 – $20,225 · median $14,614 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,740 – $12,000 · median $10,978 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,152 – $12,000 · median $10,285 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,978 – $22,926 · median $16,565 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,187 – $14,129 · median $12,000 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,771 – $12,000 · median $9,736 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,978 – $22,093 · median $15,963 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,230 – $14,195 · median $12,000 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,978 – $26,406 · median $19,079 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,389 – $12,000 · median $10,624 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,978 – $24,926 · median $18,010 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,019 – $12,333 · median $11,169 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $10,978 – $31,475 · median $22,742 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,978 – $19,222 · median $13,888 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,558 – $13,162 · median $11,920 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $10,978 – $31,286 · median $22,605 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,978 – $17,939 · median $12,962 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,190 – $12,596 · median $11,407 | 9 plans |
| 088 | CONCUSSION WITH MCC | $10,978 – $18,616 · median $13,450 | 9 plans |
| 089 | CONCUSSION WITH CC | $9,837 – $15,129 · median $12,000 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,371 – $12,000 · median $10,599 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,978 – $24,185 · median $17,474 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,160 – $14,088 · median $12,000 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,130 – $12,000 · median $10,252 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $10,978 – $48,466 · median $35,018 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $10,978 – $35,518 · median $25,663 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $10,978 – $35,518 · median $25,663 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $10,978 – $49,738 · median $35,937 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $10,978 – $31,603 · median $22,834 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,978 – $18,762 · median $13,556 | 9 plans |
| 100 | SEIZURES WITH MCC | $10,978 – $26,672 · median $19,271 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $8,082 – $12,430 · median $11,256 | 9 plans |
| 102 | HEADACHES WITH MCC | $10,037 – $15,436 · median $12,000 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $7,488 – $12,000 · median $10,767 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,978 – $32,377 · median $23,393 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,978 – $18,632 · median $13,462 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,978 – $21,137 · median $15,272 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,978 – $24,899 · median $17,991 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,714 – $14,940 · median $12,000 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,416 – $16,020 · median $12,000 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,036 – $12,000 · median $10,117 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,151 – $12,000 · median $10,282 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $10,978 – $18,220 · median $13,165 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,875 – $12,000 · median $9,885 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,978 – $29,883 · median $21,592 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,091 – $13,982 · median $12,000 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,978 – $20,563 · median $14,857 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,935 – $12,204 · median $11,052 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,978 – $17,017 · median $12,295 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $10,978 – $58,737 · median $42,440 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,978 – $30,036 · median $21,702 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,978 – $21,984 · median $15,884 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $10,978 – $51,594 · median $37,279 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,978 – $23,864 · median $17,242 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,765 – $16,557 · median $12,000 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $10,978 – $29,159 · median $21,068 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,978 – $17,510 · median $12,651 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,137 – $12,000 · median $10,263 | 9 plans |
| 149 | DYSEQUILIBRIUM | $6,730 – $12,000 · median $9,677 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $10,978 – $18,336 · median $13,248 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,572 – $12,000 · median $9,450 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,585 – $16,280 · median $12,000 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,610 – $12,000 · median $9,504 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,978 – $21,531 · median $15,557 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,206 – $12,621 · median $11,430 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,188 – $12,000 · median $8,898 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,978 – $23,642 · median $17,082 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,146 – $12,529 · median $11,346 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,344 – $12,000 · median $9,122 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $10,978 – $61,719 · median $44,594 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $10,978 – $34,758 · median $25,114 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,978 – $26,360 · median $19,046 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $10,978 – $51,472 · median $37,190 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,978 – $24,835 · median $17,944 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $18,817 · median $13,596 | 9 plans |
| 173 | DRG | $10,978 – $40,988 · median $29,615 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,978 – $18,916 · median $13,667 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,208 – $12,000 · median $10,364 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,978 – $21,520 · median $15,549 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,739 – $13,441 · median $12,000 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,760 – $12,000 · median $9,721 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,978 – $24,320 · median $17,572 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,590 – $14,749 · median $12,000 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,750 – $12,000 · median $9,705 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,978 – $21,068 · median $15,223 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,528 – $14,654 · median $12,000 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,042 – $12,000 · median $10,126 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,978 – $21,462 · median $15,507 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,856 – $13,621 · median $12,000 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,422 – $12,000 · median $9,234 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,978 – $17,013 · median $12,292 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,918 – $15,254 · median $12,000 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,548 – $12,000 · median $10,854 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,748 – $12,000 · median $8,266 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,978 – $18,101 · median $13,078 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,216 – $12,000 · median $10,376 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,628 – $12,000 · median $8,092 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,978 – $25,989 · median $18,778 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,498 – $13,070 · median $11,836 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,413 – $12,000 · median $9,221 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,978 – $24,293 · median $17,553 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,843 – $15,138 · median $12,000 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,403 – $12,000 · median $9,207 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,696 – $13,374 · median $12,000 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,999 – $12,000 · median $8,626 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,229 – $12,000 · median $10,395 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,978 – $25,215 · median $18,218 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,427 – $12,960 · median $11,736 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $10,978 – $88,612 · median $64,025 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $10,978 – $37,852 · median $27,350 | 9 plans |
| 209 | DRG | $10,978 – $155,871 · median $112,622 | 9 plans |
| 212 | DRG | $10,978 – $149,747 · median $108,197 | 9 plans |
| 213 | DRG | $10,978 – $78,590 · median $56,784 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $10,978 – $67,777 · median $48,971 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $10,978 – $39,254 · median $28,362 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,978 – $19,065 · median $13,775 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $10,978 – $37,146 · median $26,839 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,978 – $23,382 · median $16,894 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,780 – $15,041 · median $12,000 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,978 – $42,103 · median $30,421 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $10,978 – $46,003 · median $33,239 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $10,978 – $49,826 · median $36,001 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $10,978 – $84,394 · median $60,978 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $10,978 – $65,561 · median $47,370 | 9 plans |
| 275 | DRG | $10,978 – $129,286 · median $70,947 | 9 plans |
| 276 | DRG | $10,978 – $82,717 · median $59,766 | 9 plans |
| 277 | DRG | $10,978 – $94,841 · median $45,954 | 9 plans |
| 278 | DRG | $10,978 – $76,652 · median $55,384 | 9 plans |
| 279 | DRG | $10,978 – $49,664 · median $35,884 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,978 – $17,679 · median $12,774 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,602 – $12,000 · median $10,931 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,068 – $12,000 · median $7,287 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,978 – $21,509 · median $15,541 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,677 – $12,000 · median $8,163 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,075 – $12,000 · median $5,859 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,978 – $22,484 · median $16,245 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,558 – $14,701 · median $12,000 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,444 – $12,000 · median $9,266 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,714 – $16,478 · median $12,000 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,028 – $12,000 · median $8,667 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $10,655 – $16,387 · median $12,000 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,761 – $12,000 · median $9,722 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,978 – $21,700 · median $15,679 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,177 – $12,576 · median $11,389 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,781 – $16,580 · median $12,000 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,587 – $12,000 · median $9,472 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,069 – $12,000 · median $7,289 | 9 plans |
| 311 | ANGINA PECTORIS | $6,285 – $12,000 · median $9,037 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,804 – $12,003 · median $10,978 | 9 plans |
| 313 | CHEST PAIN | $6,447 – $12,000 · median $9,270 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $10,978 – $28,715 · median $20,748 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,625 – $13,266 · median $12,000 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,108 – $12,000 · median $8,782 | 9 plans |
| 317 | DRG | $10,978 – $92,080 · median $66,531 | 9 plans |
| 318 | DRG | $10,978 – $33,356 · median $24,101 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $10,978 – $61,459 · median $44,406 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $10,978 – $33,123 · median $23,933 | 9 plans |
| 321 | DRG | $10,978 – $42,673 · median $33,499 | 9 plans |
| 322 | DRG | $10,978 – $27,395 · median $22,699 | 9 plans |
| 323 | DRG | $10,978 – $58,506 · median $42,673 | 9 plans |
| 324 | DRG | $10,978 – $42,602 · median $29,871 | 9 plans |
| 325 | DRG | $10,978 – $44,210 · median $31,943 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $10,978 – $68,681 · median $49,625 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $10,978 – $33,659 · median $24,320 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,978 – $22,065 · median $15,943 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,978 – $63,298 · median $45,735 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,978 – $33,012 · median $23,852 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,978 – $23,175 · median $16,745 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $10,978 – $49,861 · median $36,026 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $10,978 – $32,254 · median $23,305 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,978 – $22,556 · median $16,297 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $10,978 – $49,175 · median $35,530 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,978 – $29,039 · median $20,982 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,978 – $21,138 · median $15,273 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,978 – $35,568 · median $25,699 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,978 – $20,721 · median $14,972 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,621 – $16,335 · median $12,000 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $10,978 – $31,613 · median $22,841 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,978 – $18,023 · median $13,023 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,795 – $12,000 · median $10,978 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,978 – $34,316 · median $24,794 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,978 – $20,994 · median $15,169 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,456 – $16,082 · median $12,000 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $10,978 – $39,963 · median $28,875 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,978 – $23,168 · median $16,740 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,978 – $18,522 · median $13,383 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $10,978 – $60,493 · median $43,708 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $10,978 – $32,024 · median $23,139 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $19,250 · median $13,909 | 9 plans |
| 359 | DRG | $10,978 – $47,353 · median $34,214 | 9 plans |
| 360 | DRG | $10,978 – $33,247 · median $24,022 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,978 – $21,922 · median $15,839 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,956 – $13,774 · median $12,000 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,275 – $12,000 · median $9,023 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,978 – $24,417 · median $17,642 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,142 – $14,060 · median $12,000 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,513 – $12,000 · median $9,365 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,978 – $29,452 · median $21,280 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,831 – $16,657 · median $12,036 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,276 – $12,729 · median $11,527 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,978 – $25,173 · median $18,189 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,781 – $13,505 · median $12,000 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,645 – $12,000 · median $8,116 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,978 – $27,021 · median $19,524 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,702 – $14,921 · median $12,000 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,169 – $12,000 · median $10,308 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,978 – $19,014 · median $13,738 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,654 – $12,000 · median $10,978 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,978 – $21,790 · median $15,744 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,742 – $13,445 · median $12,000 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,100 – $12,000 · median $8,772 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,978 – $20,337 · median $14,694 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,072 – $12,000 · median $10,169 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,871 – $12,000 · median $7,004 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,978 – $17,466 · median $12,620 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,981 – $12,000 · median $10,037 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,978 – $22,024 · median $15,913 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,378 – $12,886 · median $11,669 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,811 – $12,000 · median $8,356 | 9 plans |
| 397 | DRG | $10,978 – $32,980 · median $23,829 | 9 plans |
| 398 | DRG | $10,978 – $20,844 · median $15,060 | 9 plans |
| 399 | DRG | $10,250 – $15,764 · median $12,000 | 9 plans |
| 402 | DRG | $10,978 – $55,366 · median $40,004 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $10,978 – $75,334 · median $54,431 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $10,978 – $39,939 · median $28,857 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,978 – $30,566 · median $22,085 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $10,978 – $49,102 · median $35,478 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $10,978 – $29,984 · median $21,664 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,978 – $21,864 · median $15,798 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $10,978 – $45,490 · median $32,868 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,978 – $28,954 · median $20,920 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,978 – $22,867 · median $16,522 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $10,978 – $49,061 · median $35,448 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,978 – $28,461 · median $20,564 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,978 – $18,774 · median $13,565 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $10,978 – $32,863 · median $23,745 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,978 – $23,295 · median $16,831 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,978 – $18,808 · median $13,590 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $10,978 – $46,919 · median $33,901 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,978 – $23,927 · median $17,288 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,978 – $19,273 · median $13,925 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $10,978 – $57,191 · median $41,322 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $10,978 – $30,130 · median $21,770 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $20,661 · median $14,928 | 9 plans |
| 426 | DRG | $10,978 – $151,773 · median $109,661 | 9 plans |
| 427 | DRG | $10,978 – $99,407 · median $71,825 | 9 plans |
| 428 | DRG | $10,978 – $77,421 · median $55,939 | 9 plans |
| 429 | DRG | $10,978 – $124,071 · median $89,646 | 9 plans |
| 430 | DRG | $10,978 – $79,419 · median $57,383 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,978 – $27,104 · median $19,584 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,457 – $14,545 · median $12,000 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,380 – $12,000 · median $9,173 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,978 – $25,293 · median $18,275 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,128 – $15,576 · median $12,000 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,640 – $12,000 · median $10,978 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,978 – $22,449 · median $16,220 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,532 – $12,000 · median $10,830 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,564 – $12,000 · median $8,001 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,978 – $24,715 · median $17,857 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,643 – $13,293 · median $12,000 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,265 – $12,000 · median $9,009 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,978 – $23,010 · median $16,625 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,799 – $15,071 · median $12,000 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,408 – $12,000 · median $10,651 | 9 plans |
| 447 | DRG | $10,978 – $92,012 · median $66,482 | 9 plans |
| 448 | DRG | $10,978 – $58,400 · median $42,196 | 9 plans |
| 450 | DRG | $10,978 – $73,394 · median $53,030 | 9 plans |
| 451 | DRG | $10,978 – $46,372 · median $41,591 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $10,978 – $78,488 · median $56,710 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,978 – $42,893 · median $30,991 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,978 – $25,114 · median $18,146 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $10,978 – $59,118 · median $42,714 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,978 – $31,339 · median $22,643 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,568 – $16,253 · median $12,000 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,978 – $47,573 · median $34,373 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,978 – $33,866 · median $24,469 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,978 – $25,599 · median $18,496 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $10,978 – $38,172 · median $27,580 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $10,978 – $44,440 · median $32,110 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $10,978 – $28,797 · median $20,806 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,978 – $21,568 · median $15,584 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,978 – $24,360 · median $17,601 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,000 – $15,379 · median $12,000 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $10,978 – $50,562 · median $36,532 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $10,978 – $34,925 · median $25,234 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $10,978 – $27,632 · median $19,965 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $10,978 – $49,930 · median $36,076 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,978 – $24,842 · median $17,949 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,819 – $16,640 · median $12,023 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $10,978 – $41,544 · median $30,017 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,978 – $27,746 · median $20,047 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $10,978 – $43,582 · median $31,490 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,978 – $24,073 · median $17,394 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,978 – $18,534 · median $13,392 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $10,978 – $38,436 · median $27,771 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,978 – $25,741 · median $18,599 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,978 – $24,689 · median $17,838 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,978 – $18,580 · median $13,425 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,978 – $24,876 · median $17,974 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,978 – $20,855 · median $15,068 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $10,978 – $41,595 · median $30,054 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,978 – $28,635 · median $20,690 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,978 – $22,797 · median $16,471 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,978 – $21,680 · median $15,664 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,154 – $14,078 · median $12,000 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $10,978 – $43,887 · median $31,710 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,978 – $28,618 · median $20,677 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $21,162 · median $15,290 | 9 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $10,978 – $51,466 · median $37,186 | 9 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,978 – $27,545 · median $19,902 | 9 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,978 – $20,573 · median $14,864 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $10,978 – $39,526 · median $28,558 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,978 – $29,163 · median $21,071 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,978 – $21,589 · median $15,599 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,218 – $12,000 · median $10,379 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,978 – $17,654 · median $12,756 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,231 – $12,000 · median $10,398 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,545 – $13,142 · median $11,901 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,450 – $12,000 · median $9,274 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,978 – $27,125 · median $19,599 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,978 – $17,851 · median $12,898 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,050 – $12,000 · median $10,138 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,978 – $24,326 · median $17,577 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,205 – $14,157 · median $12,000 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,757 – $12,000 · median $9,715 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $10,978 – $34,175 · median $24,693 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,328 – $15,883 · median $12,000 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,487 – $12,000 · median $10,766 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,978 – $26,590 · median $19,212 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,809 – $16,624 · median $12,012 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,827 – $12,037 · median $10,978 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,978 – $23,082 · median $16,677 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,607 – $13,238 · median $11,988 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,978 – $17,851 · median $12,898 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,433 – $12,000 · median $10,688 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,978 – $18,203 · median $13,152 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,437 – $12,000 · median $10,694 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,978 – $20,476 · median $14,795 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,998 – $12,300 · median $11,139 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,978 – $25,682 · median $18,556 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,083 – $15,508 · median $12,000 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,198 – $12,000 · median $10,350 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,978 – $19,621 · median $14,177 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,018 – $12,332 · median $11,168 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,978 – $21,257 · median $15,359 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,725 – $13,418 · median $12,000 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,709 – $12,000 · median $9,647 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,978 – $40,502 · median $29,264 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,978 – $23,266 · median $16,811 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,264 – $15,786 · median $12,000 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,978 – $90,219 · median $65,186 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,978 – $47,805 · median $34,540 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,978 – $24,746 · median $17,880 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,978 – $67,494 · median $48,767 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,978 – $36,503 · median $26,374 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,978 – $22,122 · median $15,984 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,978 – $44,597 · median $32,223 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,978 – $23,796 · median $17,194 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,978 – $19,873 · median $14,359 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,978 – $26,531 · median $19,170 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,978 – $23,747 · median $17,158 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,978 – $29,480 · median $21,300 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,978 – $26,566 · median $19,195 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $10,978 – $26,651 · median $19,256 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $10,622 – $16,337 · median $12,000 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,761 – $12,000 · median $10,978 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,978 – $29,204 · median $21,101 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,693 – $14,907 · median $12,000 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,978 – $22,958 · median $16,588 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,130 – $15,579 · median $12,000 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,889 – $12,000 · median $9,906 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,326 – $14,344 · median $12,000 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,417 – $12,000 · median $7,789 | 9 plans |
| 602 | CELLULITIS WITH MCC | $10,978 – $19,573 · median $14,142 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,798 – $12,000 · median $10,978 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,978 – $20,272 · median $14,647 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,202 – $12,614 · median $11,423 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,978 – $20,838 · median $15,056 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,116 – $12,482 · median $11,304 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $10,978 – $30,183 · median $21,808 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,978 – $19,270 · median $13,923 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $10,978 – $48,025 · median $34,700 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,978 – $25,756 · median $18,609 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,978 – $19,531 · median $14,112 | 9 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,233 – $39,762 · median $27,383 | 9 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,329 – $27,383 · median $20,604 | 9 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,506 – $27,383 · median $19,421 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $10,978 – $49,014 · median $35,414 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,978 – $24,704 · median $17,849 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,978 – $17,240 · median $12,456 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $10,978 – $41,590 · median $30,050 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,978 – $20,648 · median $14,919 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,978 – $18,292 · median $13,217 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $10,978 – $51,322 · median $37,082 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $10,978 – $30,004 · median $21,679 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $20,099 · median $14,522 | 9 plans |
| 637 | DIABETES WITH MCC | $10,978 – $19,785 · median $14,295 | 9 plans |
| 638 | DIABETES WITH CC | $8,025 – $12,342 · median $11,177 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,562 – $12,000 · median $7,998 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,978 – $18,393 · median $13,289 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,968 – $12,000 · median $10,019 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,978 – $19,584 · median $14,150 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,978 – $22,668 · median $16,379 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,178 – $14,115 · median $12,000 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,879 – $12,000 · median $9,892 | 9 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $10,978 – $64,743 · median $46,779 | 9 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $10,978 – $51,033 · median $36,873 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $10,978 – $44,473 · median $32,134 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $10,978 – $71,560 · median $51,704 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,978 – $38,549 · median $27,853 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,978 – $29,148 · median $21,060 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $10,978 – $43,844 · median $31,679 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,978 – $25,201 · median $18,209 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,978 – $21,370 · median $15,440 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $10,978 – $34,991 · median $25,282 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,978 – $18,201 · median $13,151 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,271 – $14,258 · median $12,000 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $10,978 – $42,160 · median $30,462 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,978 – $20,935 · median $15,126 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,374 – $14,417 · median $12,000 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $10,978 – $42,982 · median $31,056 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $10,978 – $24,090 · median $17,406 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,905 – $15,233 · median $12,000 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $10,978 – $40,211 · median $29,054 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,978 – $21,373 · median $15,442 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,751 – $13,458 · median $12,000 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,978 – $24,719 · median $17,860 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,666 – $14,866 · median $12,000 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $10,978 – $57,860 · median $41,806 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $10,978 – $32,205 · median $23,269 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,978 – $22,604 · median $16,332 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $10,978 – $20,395 · median $14,736 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $7,842 – $12,061 · median $10,978 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,375 – $12,000 · median $7,729 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,978 – $24,839 · median $17,947 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,382 – $14,429 · median $12,000 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,076 – $12,000 · median $10,175 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,389 – $15,978 · median $12,000 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,248 – $12,000 · median $10,422 | 9 plans |
| 693 | URINARY STONES WITH MCC | $10,978 – $18,515 · median $13,378 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,999 – $12,000 · median $10,064 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,242 – $15,751 · median $12,000 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,169 – $12,000 · median $8,871 | 9 plans |
| 697 | URETHRAL STRICTURE | $9,651 – $14,842 · median $12,000 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,978 – $22,783 · median $16,461 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,088 – $13,978 · median $12,000 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,177 – $12,000 · median $8,882 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,978 – $27,546 · median $19,903 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,978 – $21,127 · median $15,265 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $10,978 – $32,046 · median $23,155 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,978 – $19,296 · median $13,942 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,978 – $28,696 · median $20,734 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,847 – $15,144 · median $12,000 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,978 – $20,703 · median $14,959 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,468 – $14,561 · median $12,000 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,978 – $30,810 · median $22,261 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,978 – $20,257 · median $14,636 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,978 – $26,034 · median $18,810 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,978 – $18,496 · median $13,364 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,978 – $24,921 · median $18,007 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,232 – $15,736 · median $12,000 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,871 – $12,000 · median $8,442 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,478 – $16,115 · median $12,000 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,465 – $12,000 · median $9,296 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,978 – $20,421 · median $14,755 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,263 – $12,000 · median $10,444 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,480 – $14,579 · median $12,000 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,017 – $12,000 · median $8,652 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $10,978 – $29,332 · median $21,194 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,978 – $18,529 · median $13,388 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $10,978 – $49,224 · median $35,566 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,978 – $27,859 · median $19,534 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,978 – $20,547 · median $14,612 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $10,978 – $49,339 · median $35,649 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,978 – $24,920 · median $18,006 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,978 – $19,639 · median $14,190 | 9 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,978 – $25,267 · median $18,256 | 9 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,978 – $17,086 · median $12,345 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,978 – $28,218 · median $20,389 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,185 – $15,665 · median $12,000 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,978 – $23,922 · median $17,284 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,698 – $12,000 · median $10,978 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,978 – $19,105 · median $13,804 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $10,978 – $35,358 · median $25,548 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $20,323 · median $14,684 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,978 – $25,362 · median $18,325 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,740 – $14,980 · median $12,000 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,600 – $13,227 · median $11,978 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,978 – $19,719 · median $14,247 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,766 – $13,482 · median $12,000 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,942 – $12,000 · median $8,544 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,021 – $13,874 · median $12,000 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,108 – $12,000 · median $7,345 | 9 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,368 – $14,488 · median $10,662 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,978 – $23,270 · median $16,814 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,978 – $13,808 · median $12,000 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,862 – $12,000 · median $8,429 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $7,533 – $12,000 · median $10,832 | 9 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,783 – $33,193 · median $21,983 | 9 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,783 – $14,333 · median $12,000 | 9 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,783 – $12,949 · median $11,945 | 9 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,783 – $22,301 · median $14,770 | 9 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,783 – $15,099 · median $12,000 | 9 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,783 – $12,963 · median $11,957 | 9 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,978 – $24,818 · median $17,932 | 9 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $10,978 – $81,848 · median $59,138 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $10,978 – $55,896 · median $40,387 | 9 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $10,978 – $33,728 · median $24,370 | 9 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $10,978 – $57,420 · median $41,488 | 9 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,978 – $20,325 · median $14,685 | 9 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,368 – $15,778 · median $11,612 | 9 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,368 – $13,525 · median $9,954 | 9 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,368 – $12,940 · median $9,523 | 9 plans |
| 799 | SPLENECTOMY WITH MCC | $10,978 – $62,367 · median $45,063 | 9 plans |
| 800 | SPLENECTOMY WITH CC | $10,978 – $38,688 · median $27,954 | 9 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $10,978 – $26,287 · median $18,994 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $10,978 – $54,865 · median $39,642 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,978 – $25,599 · median $18,496 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,978 – $18,673 · median $13,492 | 9 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,368 – $14,591 · median $10,738 | 9 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,368 – $12,000 · median $8,218 | 9 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,368 – $12,000 · median $8,218 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $10,978 – $30,405 · median $21,969 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,978 – $17,433 · median $12,596 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,371 – $14,413 · median $12,000 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,978 – $19,339 · median $13,973 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,222 – $12,645 · median $11,451 | 9 plans |
| 813 | COAGULATION DISORDERS | $10,978 – $21,005 · median $15,177 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,978 – $29,287 · median $21,161 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,079 – $13,964 · median $12,000 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,659 – $12,000 · median $8,137 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,978 – $31,420 · median $22,702 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,379 – $15,963 · median $12,000 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,700 – $12,000 · median $10,978 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $10,978 – $80,764 · median $58,355 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $10,978 – $30,828 · median $22,274 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,781 – $16,580 · median $12,000 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $10,978 – $63,137 · median $45,619 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $10,978 – $31,200 · median $22,543 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,978 – $18,583 · median $13,427 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $10,978 – $64,418 · median $46,544 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $10,978 – $31,828 · median $22,996 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $23,463 · median $16,953 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $10,978 – $43,516 · median $31,442 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,978 – $20,725 · median $14,975 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,767 – $16,560 · median $12,000 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,461 – $12,000 · median $9,291 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,682 – $12,000 · median $6,732 | 9 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $10,978 – $75,601 · median $54,625 | 9 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $10,978 – $28,724 · median $20,754 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,919 – $16,794 · median $12,134 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $10,978 – $66,160 · median $47,803 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,978 – $28,746 · median $20,770 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,978 – $19,884 · median $14,367 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $10,978 – $44,548 · median $32,187 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,978 – $22,466 · median $16,232 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,047 – $13,914 · median $12,000 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,978 – $27,470 · median $19,848 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,901 – $16,765 · median $12,113 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,625 – $12,000 · median $10,964 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $10,978 – $35,701 · median $25,795 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,978 – $18,015 · median $13,017 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,606 – $12,000 · median $10,936 | 9 plans |
| 849 | RADIOTHERAPY | $10,978 – $37,313 · median $26,960 | 9 plans |
| 850 | DRG | $10,978 – $119,250 · median $86,162 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $10,978 – $68,009 · median $49,139 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,978 – $27,516 · median $19,881 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $20,618 · median $14,897 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $10,978 – $62,640 · median $45,260 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,978 – $29,491 · median $21,308 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $19,182 · median $13,859 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,978 – $25,114 · median $18,146 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,935 – $13,742 · median $12,000 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,948 – $12,225 · median $11,071 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,978 – $20,633 · median $14,908 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,786 – $12,000 · median $10,978 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $10,978 – $28,825 · median $20,827 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,232 – $14,199 · median $12,000 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,534 – $12,000 · median $9,395 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $10,978 – $95,182 · median $68,772 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $10,978 – $26,750 · median $19,328 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,163 – $14,092 · median $12,000 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $10,978 – $57,791 · median $41,756 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,978 – $26,365 · median $19,049 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,473 – $16,107 · median $12,000 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $10,978 – $50,582 · median $36,547 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,978 – $20,428 · median $14,760 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,978 – $27,050 · median $19,545 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $10,978 – $52,871 · median $38,201 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,978 – $27,476 · median $19,852 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,978 – $18,077 · median $13,061 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,978 – $22,510 · median $16,264 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,929 – $12,194 · median $11,043 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,978 – $23,157 · median $16,732 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,966 – $12,000 · median $8,579 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,978 – $21,598 · median $15,606 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,674 – $12,000 · median $10,978 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,978 – $25,212 · median $18,216 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,975 – $13,803 · median $12,000 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,164 – $12,000 · median $8,863 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,978 – $24,091 · median $17,407 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,112 – $14,015 · median $12,000 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $10,978 – $294,018 · median $212,437 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $10,978 – $98,775 · median $71,368 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $10,978 – $44,354 · median $32,047 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $10,978 – $53,627 · median $38,747 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $10,978 – $30,442 · median $21,995 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $10,978 – $28,368 · median $20,497 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $10,978 – $49,968 · median $36,104 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,978 – $32,181 · median $23,252 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,978 – $27,923 · median $20,176 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,978 – $17,481 · median $12,631 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,168 – $12,000 · median $10,306 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,653 – $16,383 · median $12,000 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,620 – $12,000 · median $8,082 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,978 – $12,000 · median $7,159 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $10,978 – $92,694 · median $66,974 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $10,978 – $51,820 · median $37,442 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $10,978 – $104,934 · median $75,818 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,978 – $58,030 · median $41,928 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,978 – $40,543 · median $29,294 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $10,978 – $37,647 · median $27,201 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,978 – $21,105 · median $15,249 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,421 – $12,952 · median $11,729 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $10,978 – $84,296 · median $60,907 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $10,978 – $36,320 · median $26,242 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $10,978 – $39,743 · median $28,716 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,978 – $17,833 · median $12,885 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,083 – $12,431 · median $11,258 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,978 – $17,871 · median $12,912 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,978 – $64,611 · median $46,683 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,978 – $33,856 · median $24,462 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,978 – $23,603 · median $17,054 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,978 – $47,213 · median $34,113 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,978 – $22,634 · median $16,354 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,738 – $16,514 · median $12,000 | 9 plans |
| 795 | NORMAL NEWBORN | $1,789 – $12,000 · median $2,637 | 8 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,978 – $20,937 · median $15,045 | 8 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,268 – $15,505 · median $11,705 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,524 – $12,000 · median $7,943 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,000 – $19,494 · median $17,654 | 7 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,000 – $24,032 · median $21,763 | 7 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,905 – $12,157 · median $11,366 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $12,000 – $52,253 · median $43,327 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,598 – $12,982 · median $11,987 | 6 plans |
| 881 | DEPRESSIVE NEUROSES | $8,425 – $12,721 · median $11,867 | 6 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,615 – $14,518 · median $12,696 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,000 – $26,584 · median $22,043 | 6 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,000 – $21,752 · median $18,037 | 6 plans |
| 885 | PSYCHOSES | $12,000 – $18,885 · median $15,659 | 6 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,000 – $28,058 · median $23,265 | 6 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,589 – $14,479 · median $12,678 | 6 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $179,549 – $179,549 · median $179,549 | 1 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $179,549 – $179,549 · median $179,549 | 1 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $145,597 – $145,597 · median $145,597 | 1 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $145,597 – $145,597 · median $145,597 | 1 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $126,756 – $126,756 · median $126,756 | 1 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $126,756 – $126,756 · median $126,756 | 1 plans |
| 230 | DRG Carveouts | $120,608 – $120,608 · median $120,608 | 1 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $65,228 – $65,228 · median $65,228 | 1 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $59,823 – $59,823 · median $59,823 | 1 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $59,963 – $59,963 · median $59,963 | 1 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $54,995 – $54,995 · median $54,995 | 1 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $135,462 – $135,462 · median $135,462 | 1 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $135,462 – $135,462 · median $135,462 | 1 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $135,462 – $135,462 · median $135,462 | 1 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $74,731 – $74,731 · median $74,731 | 1 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $61,032 – $61,032 · median $61,032 | 1 plans |
| 490 | DRG Carveouts | $34,739 – $34,739 · median $34,739 | 1 plans |
| 491 | DRG Carveouts | $31,447 – $31,447 · median $31,447 | 1 plans |
No procedures match that keyword.