University Hospitals Samaritan Medical Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 | $223,688 – $402,639 · median $223,688 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $90,602 – $163,084 · median $90,602 | 17 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $169,482 – $305,068 · median $169,482 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $110,691 – $199,244 · median $110,691 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $82,460 – $148,427 · median $82,460 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,225 – $67,005 · median $37,225 | 17 plans |
| 007 | LUNG TRANSPLANT | $103,506 – $186,311 · median $103,506 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,940 – $80,891 · median $44,940 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $57,466 – $103,439 · median $57,466 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,740 – $78,731 · median $43,740 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,868 – $60,963 · median $33,868 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,231 – $41,815 · median $23,231 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $96,073 – $172,931 · median $96,073 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $47,532 – $85,557 · median $47,532 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $43,566 – $78,419 · median $43,566 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $344,550 – $620,190 · median $344,550 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $57,138 – $102,849 · median $57,138 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $62,992 – $113,386 · median $62,992 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,462 – $76,431 · median $42,462 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,588 – $46,058 · median $25,588 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,942 – $82,695 · median $45,942 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,444 – $56,599 · median $31,444 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,505 – $65,709 · median $36,505 | 17 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,044 – $45,079 · median $25,044 | 17 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,369 – $36,665 · median $20,369 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $48,158 – $86,685 · median $48,158 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,455 – $49,419 · median $27,455 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,757 – $31,962 · median $17,757 | 17 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,977 – $64,759 · median $35,977 | 17 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,245 – $31,040 · median $17,245 | 17 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,513 – $24,323 · median $13,513 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,115 – $56,007 · median $31,115 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,314 – $34,765 · median $19,314 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,744 – $28,339 · median $15,744 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,502 – $47,704 · median $26,502 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,191 – $23,744 · median $13,191 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,626 – $17,328 · median $9,626 | 17 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,040 – $55,871 · median $31,040 | 17 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,784 – $32,012 · median $17,784 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,029 – $25,252 · median $14,029 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,696 – $26,452 · median $14,696 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,061 – $14,511 · median $8,061 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,428 – $22,371 · median $12,428 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,383 – $15,090 · median $8,383 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,776 – $33,797 · median $18,776 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,584 – $19,051 · median $10,584 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,884 – $24,991 · median $13,884 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,148 – $18,266 · median $10,148 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,588 – $13,658 · median $7,588 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,237 – $40,026 · median $22,237 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,264 – $25,676 · median $14,264 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,447 – $20,604 · median $11,447 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,288 – $29,318 · median $16,288 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,309 – $14,957 · median $8,309 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,758 – $10,364 · median $5,758 | 17 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,964 – $21,535 · median $11,964 | 17 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,146 – $12,863 · median $7,146 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,623 – $11,922 · median $6,623 | 17 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,528 – $24,350 · median $13,528 | 17 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,435 – $15,182 · median $8,435 | 17 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,283 – $11,310 · median $6,283 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,045 – $23,482 · median $13,045 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,473 – $15,251 · median $8,473 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,542 – $27,976 · median $15,542 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,834 – $12,300 · median $6,834 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,685 – $26,434 · median $14,685 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,395 – $13,311 · median $7,395 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,477 – $33,259 · median $18,477 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,383 – $20,489 · median $11,383 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,875 – $14,175 · median $7,875 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,368 – $33,062 · median $18,368 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,641 – $19,153 · median $10,641 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,547 – $13,585 · median $7,547 | 17 plans |
| 088 | CONCUSSION WITH MCC | $11,032 – $19,858 · median $11,032 | 17 plans |
| 089 | CONCUSSION WITH CC | $9,013 – $16,224 · median $9,013 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,818 – $12,272 · median $6,818 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,256 – $25,661 · median $14,256 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,411 – $15,139 · median $8,411 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,603 – $11,886 · median $6,603 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,314 – $50,966 · median $28,314 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,818 – $37,473 · median $20,818 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,818 – $37,473 · median $20,818 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,051 – $52,292 · median $29,051 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,551 – $33,393 · median $18,551 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,117 – $20,010 · median $11,117 | 17 plans |
| 100 | SEIZURES WITH MCC | $15,696 – $28,253 · median $15,696 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $7,451 – $13,411 · median $7,451 | 17 plans |
| 102 | HEADACHES WITH MCC | $9,191 – $16,544 · median $9,191 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $6,922 – $12,460 · median $6,922 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,000 – $34,199 · median $19,000 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,042 – $19,875 · median $11,042 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,492 – $22,486 · median $12,492 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,670 – $26,406 · median $14,670 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,904 – $16,027 · median $8,904 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,529 – $17,153 · median $9,529 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,519 – $11,735 · median $6,519 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,621 – $11,919 · median $6,621 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $10,803 – $19,446 · median $10,803 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,376 – $11,477 · median $6,376 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,556 – $31,600 · median $17,556 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,349 – $15,029 · median $8,349 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,160 – $21,887 · median $12,160 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,320 – $13,176 · median $7,320 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,106 – $18,192 · median $10,106 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $34,261 – $61,671 · median $34,261 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,644 – $31,759 · median $17,644 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,982 – $23,368 · median $12,982 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $30,126 – $54,226 · median $30,126 | 17 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,071 – $25,327 · median $14,071 | 17 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,840 – $17,712 · median $9,840 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,136 – $30,845 · median $17,136 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,392 – $18,705 · median $10,392 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,610 – $11,897 · median $6,610 | 17 plans |
| 149 | DYSEQUILIBRIUM | $6,247 – $11,244 · median $6,247 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $10,870 – $19,567 · median $10,870 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,106 – $10,992 · median $6,106 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,680 – $17,424 · median $9,680 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,140 – $11,052 · median $6,140 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,720 – $22,896 · median $12,720 | 17 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,561 – $13,611 · median $7,561 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,804 – $10,448 · median $5,804 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,942 – $25,096 · median $13,942 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,508 – $13,515 · median $7,508 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,925 – $10,665 · median $5,925 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,988 – $64,778 · median $35,988 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,378 – $36,681 · median $20,378 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,516 – $27,929 · median $15,516 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,055 – $54,099 · median $30,055 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,633 – $26,339 · median $14,633 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,149 – $20,067 · median $11,149 | 17 plans |
| 173 | DRG | $23,985 – $43,173 · median $23,985 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,206 – $20,171 · median $11,206 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,672 – $12,010 · median $6,672 | 17 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,714 – $22,885 · median $12,714 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,036 – $14,465 · median $8,036 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,274 – $11,293 · median $6,274 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,335 – $25,802 · median $14,335 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,793 – $15,828 · median $8,793 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,264 – $11,276 · median $6,264 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,452 – $22,414 · median $12,452 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,738 – $15,729 · median $8,738 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,525 – $11,745 · median $6,525 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,680 – $22,824 · median $12,680 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,140 – $14,653 · median $8,140 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,985 – $10,773 · median $5,985 | 17 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,104 – $18,187 · median $10,104 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,086 – $16,355 · median $9,086 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,975 – $12,556 · median $6,975 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,464 – $9,835 · median $5,464 | 17 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,734 – $19,321 · median $10,734 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,680 – $12,023 · median $6,680 | 17 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,371 – $9,667 · median $5,371 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,301 – $27,542 · median $15,301 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,821 – $14,079 · median $7,821 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,978 – $10,761 · median $5,978 | 17 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,319 – $25,775 · median $14,319 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,019 – $16,234 · median $9,019 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,970 – $10,747 · median $5,970 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,998 – $14,396 · median $7,998 | 17 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,658 – $10,184 · median $5,658 | 17 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,692 – $12,045 · median $6,692 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,853 – $26,735 · median $14,853 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,758 – $13,964 · median $7,758 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $51,558 – $92,804 · median $51,558 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,170 – $39,905 · median $22,170 | 17 plans |
| 209 | DRG | $90,499 – $162,898 · median $90,499 | 17 plans |
| 212 | DRG | $86,953 – $156,516 · median $86,953 | 17 plans |
| 213 | DRG | $45,755 – $82,359 · median $45,755 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $79,641 – $143,354 · median $79,641 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $78,252 – $140,854 · median $78,252 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $52,679 – $94,822 · median $52,679 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $52,679 – $94,822 · median $52,679 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,473 – $110,652 · median $61,473 | 17 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $42,773 – $76,991 · median $42,773 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,440 – $72,791 · median $40,440 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,700 – $71,460 · median $39,700 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,365 – $45,657 · median $25,365 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $67,466 – $121,438 · median $67,466 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $48,591 – $87,464 · median $48,591 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $61,209 – $110,177 · median $61,209 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $43,808 – $78,855 · median $43,808 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,044 – $84,680 · median $47,044 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,651 – $60,573 · median $33,651 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,495 – $71,091 · median $39,495 | 17 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,981 – $41,366 · median $22,981 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,292 – $20,326 · median $11,292 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,710 – $46,279 · median $25,710 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,244 – $31,039 · median $17,244 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,665 – $26,398 · median $14,665 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,630 – $65,934 · median $36,630 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $17,655 – $31,780 · median $17,655 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $12,170 – $21,906 · median $12,170 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,066 – $50,520 · median $28,066 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,949 – $37,708 · median $20,949 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,460 – $26,027 · median $14,460 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,761 – $39,169 · median $21,761 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,792 – $24,825 · median $13,792 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,962 – $16,132 · median $8,962 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $25,306 – $45,551 · median $25,306 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,376 – $29,478 · median $16,376 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,189 – $47,140 · median $26,189 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,327 – $27,589 · median $15,327 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,249 – $23,849 · median $13,249 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,631 – $44,336 · median $24,631 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,889 – $48,400 · median $26,889 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $29,102 – $52,384 · median $29,102 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,116 – $88,409 · median $49,116 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,212 – $68,782 · median $38,212 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $55,092 – $99,165 · median $55,092 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,926 – $61,066 · median $33,926 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,322 – $76,180 · median $42,322 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,609 – $51,495 · median $28,609 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,609 – $37,097 · median $20,609 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $33,147 – $59,664 · median $33,147 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,499 – $47,698 · median $26,499 | 17 plans |
| 275 | DRG | $57,105 – $102,789 · median $57,105 | 17 plans |
| 276 | DRG | $48,145 – $86,661 · median $48,145 | 17 plans |
| 277 | DRG | $37,077 – $66,739 · median $37,077 | 17 plans |
| 278 | DRG | $44,633 – $80,340 · median $44,633 | 17 plans |
| 279 | DRG | $29,008 – $52,214 · median $29,008 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,044 – $23,479 · median $13,044 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,582 – $13,648 · median $7,582 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,026 – $10,847 · median $6,026 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,047 – $28,885 · median $16,047 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,812 – $10,461 · median $5,812 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,166 – $9,298 · median $5,166 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,897 – $32,214 · median $17,897 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,786 – $15,815 · median $8,786 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,831 – $39,295 · median $21,831 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,863 – $24,954 · median $13,863 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,667 – $13,800 · median $7,667 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,490 – $18,882 · median $10,490 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,023 – $12,642 · median $7,023 | 17 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,938 – $8,888 · median $4,938 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,707 – $22,873 · median $12,707 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,409 – $9,736 · median $5,409 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,169 – $7,505 · median $4,169 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,272 – $23,889 · median $13,272 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,765 – $15,778 · median $8,765 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,002 – $10,804 · median $6,002 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,795 – $17,631 · median $9,795 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,680 – $10,224 · median $5,680 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $9,742 – $17,536 · median $9,742 | 17 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,275 – $11,294 · median $6,275 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,818 – $23,073 · median $12,818 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,535 – $13,563 · median $7,535 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,854 – $17,737 · median $9,854 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,120 – $11,016 · median $6,120 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,938 – $8,889 · median $4,938 | 17 plans |
| 311 | ANGINA PECTORIS | $5,879 – $10,582 · median $5,879 | 17 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,204 – $12,966 · median $7,204 | 17 plans |
| 313 | CHEST PAIN | $6,004 – $10,808 · median $6,004 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,880 – $30,383 · median $16,880 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,935 – $14,282 · median $7,935 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,742 – $10,335 · median $5,742 | 17 plans |
| 317 | DRG | $53,566 – $96,418 · median $53,566 | 17 plans |
| 318 | DRG | $19,566 – $35,220 · median $19,566 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,837 – $64,506 · median $35,837 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,432 – $34,977 · median $19,432 | 17 plans |
| 321 | DRG | $21,947 – $39,505 · median $21,947 | 17 plans |
| 322 | DRG | $14,311 – $25,759 · median $14,311 | 17 plans |
| 323 | DRG | $34,757 – $62,562 · median $34,757 | 17 plans |
| 324 | DRG | $25,377 – $45,679 · median $25,377 | 17 plans |
| 325 | DRG | $25,851 – $46,531 · median $25,851 | 17 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $40,019 – $72,034 · median $40,019 | 17 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,742 – $35,535 · median $19,742 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,029 – $23,453 · median $13,029 | 17 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,902 – $66,424 · median $36,902 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,367 – $34,861 · median $19,367 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,672 – $24,610 · median $13,672 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $29,122 – $52,420 · median $29,122 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $18,929 – $34,071 · median $18,929 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,313 – $23,964 · median $13,313 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,725 – $51,705 · median $28,725 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,067 – $30,720 · median $17,067 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,493 – $22,487 · median $12,493 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,847 – $37,524 · median $20,847 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,251 – $22,052 · median $12,251 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,712 – $17,481 · median $9,712 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,557 – $33,403 · median $18,557 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,689 – $19,241 · median $10,689 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,196 – $12,952 · median $7,196 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,122 – $36,220 · median $20,122 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,409 – $22,336 · median $12,409 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,565 – $17,217 · median $9,565 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,392 – $42,105 · median $23,392 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,668 – $24,602 · median $13,668 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,978 – $19,760 · median $10,978 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,278 – $63,500 · median $35,278 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,795 – $33,832 · median $18,795 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,400 – $20,519 · median $11,400 | 17 plans |
| 359 | DRG | $27,670 – $49,806 · median $27,670 | 17 plans |
| 360 | DRG | $19,503 – $35,106 · median $19,503 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,946 – $23,304 · median $12,946 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,229 – $14,812 · median $8,229 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,871 – $10,568 · median $5,871 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,391 – $25,904 · median $14,391 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,395 – $15,110 · median $8,395 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,056 – $10,900 · median $6,056 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,306 – $31,151 · median $17,306 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,898 – $17,817 · median $9,898 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,624 – $13,723 · median $7,624 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,829 – $26,692 · median $14,829 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,073 – $14,532 · median $8,073 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,384 – $9,691 · median $5,384 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,899 – $28,618 · median $15,899 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,893 – $16,007 · median $8,893 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,637 – $11,947 · median $6,637 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,263 – $20,273 · median $11,263 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,070 – $12,725 · median $7,070 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,870 – $23,166 · median $12,870 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,038 – $14,469 · median $8,038 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,736 – $10,325 · median $5,736 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,029 – $21,652 · median $12,029 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,551 – $11,792 · median $6,551 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,785 – $8,613 · median $4,785 | 17 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,366 – $18,659 · median $10,366 | 17 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,470 – $11,646 · median $6,470 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,005 – $23,410 · median $13,005 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,715 – $13,886 · median $7,715 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,513 – $9,923 · median $5,513 | 17 plans |
| 397 | DRG | $19,349 – $34,828 · median $19,349 | 17 plans |
| 398 | DRG | $12,322 – $22,180 · median $12,322 | 17 plans |
| 399 | DRG | $9,381 – $16,886 · median $9,381 | 17 plans |
| 402 | DRG | $32,310 – $58,157 · median $32,310 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $43,870 – $78,967 · median $43,870 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,377 – $42,079 · median $23,377 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,951 – $32,312 · median $17,951 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,683 – $51,629 · median $28,683 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,614 – $31,705 · median $17,614 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,913 – $23,243 · median $12,913 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,591 – $47,865 · median $26,591 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,017 – $30,631 · median $17,017 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,493 – $24,288 · median $13,493 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,659 – $51,586 · median $28,659 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,732 – $30,118 · median $16,732 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,124 – $20,023 · median $11,124 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,281 – $34,706 · median $19,281 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,741 – $24,734 · median $13,741 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,144 – $20,059 · median $11,144 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,419 – $49,354 · median $27,419 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,107 – $25,393 · median $14,107 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,412 – $20,542 · median $11,412 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,366 – $60,059 · median $33,366 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,698 – $31,857 · median $17,698 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,216 – $21,989 · median $12,216 | 17 plans |
| 426 | DRG | $88,126 – $158,627 · median $88,126 | 17 plans |
| 427 | DRG | $57,808 – $104,054 · median $57,808 | 17 plans |
| 428 | DRG | $45,078 – $81,141 · median $45,078 | 17 plans |
| 429 | DRG | $72,088 – $129,758 · median $72,088 | 17 plans |
| 430 | DRG | $46,235 – $83,223 · median $46,235 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,947 – $28,704 · median $15,947 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,675 – $15,616 · median $8,675 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,952 – $10,714 · median $5,952 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,898 – $26,817 · median $14,898 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,272 – $16,690 · median $9,272 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,058 – $12,704 · median $7,058 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,252 – $23,853 · median $13,252 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,961 – $12,530 · median $6,961 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,321 – $9,579 · median $5,321 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,563 – $26,214 · median $14,563 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,951 – $14,311 · median $7,951 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,864 – $10,555 · median $5,864 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,576 – $24,437 · median $13,576 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,980 – $16,164 · median $8,980 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,850 – $12,331 · median $6,850 | 17 plans |
| 447 | DRG | $53,527 – $96,348 · median $53,527 | 17 plans |
| 448 | DRG | $34,066 – $61,319 · median $34,066 | 17 plans |
| 450 | DRG | $42,747 – $76,945 · median $42,747 | 17 plans |
| 451 | DRG | $26,010 – $46,818 · median $26,010 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $67,254 – $121,058 · median $67,254 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $47,798 – $86,036 · median $47,798 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,522 – $60,340 · median $33,522 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,289 – $79,720 · median $44,289 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,462 – $38,632 · median $21,462 | 17 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,696 – $82,253 · median $45,696 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,088 – $45,158 · median $25,088 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,795 – $26,630 · median $14,795 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $41,757 – $75,162 · median $41,757 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,372 – $51,069 · median $28,372 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,164 – $39,895 · median $22,164 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,438 – $43,988 · median $24,438 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,633 – $28,140 · median $15,633 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,753 – $69,756 · median $38,753 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,743 – $42,738 · median $23,743 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,719 – $35,494 · median $19,719 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,481 – $62,067 · median $34,481 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,398 – $33,117 · median $18,398 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,664 – $17,395 · median $9,664 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,798 – $50,036 · median $27,798 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,861 – $35,751 · median $19,861 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,075 – $27,135 · median $15,075 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,474 – $42,253 · median $23,474 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,954 – $30,517 · median $16,954 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,258 – $23,865 · median $13,258 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,355 – $40,238 · median $22,355 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,984 – $46,771 · median $25,984 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,927 – $30,468 · median $16,927 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,742 – $22,935 · median $12,742 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,358 – $25,844 · median $14,358 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,158 – $16,485 · median $9,158 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,528 – $53,150 · median $29,528 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,475 – $36,854 · median $20,475 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,252 – $29,254 · median $16,252 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,162 – $52,491 · median $29,162 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,637 – $26,346 · median $14,637 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,888 – $17,798 · median $9,888 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,307 – $43,753 · median $24,307 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $16,318 – $29,373 · median $16,318 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,487 – $45,877 · median $25,487 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,192 – $25,545 · median $14,192 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,985 – $19,773 · median $10,985 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,508 – $40,514 · median $22,508 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,157 – $27,283 · median $15,157 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,548 – $26,187 · median $14,548 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,011 – $19,821 · median $11,011 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,657 – $26,382 · median $14,657 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,329 – $22,191 · median $12,329 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,337 – $43,806 · median $24,337 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,833 – $30,300 · median $16,833 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,453 – $24,215 · median $13,453 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,806 – $23,051 · median $12,806 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,405 – $15,129 · median $8,405 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,663 – $46,194 · median $25,663 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,823 – $30,281 · median $16,823 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,506 – $22,511 · median $12,506 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,052 – $54,093 · median $30,052 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,202 – $29,163 · median $16,202 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,165 – $21,897 · median $12,165 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,138 – $41,649 · median $23,138 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,139 – $30,850 · median $17,139 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,753 – $22,956 · median $12,753 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,681 – $12,026 · median $6,681 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,476 – $18,856 · median $10,476 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,693 – $12,048 · median $6,693 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,863 – $14,153 · median $7,863 | 17 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,006 – $10,812 · median $6,006 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,959 – $28,726 · median $15,959 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,590 – $19,061 · median $10,590 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,532 – $11,758 · median $6,532 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,339 – $25,809 · median $14,339 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,450 – $15,211 · median $8,450 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,271 – $11,287 · median $6,271 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,041 – $36,073 · median $20,041 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,450 – $17,010 · median $9,450 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,921 – $12,458 · median $6,921 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,649 – $28,169 · median $15,649 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,879 – $17,783 · median $9,879 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,223 – $13,002 · median $7,223 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,618 – $24,512 · median $13,618 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,919 – $14,254 · median $7,919 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,590 – $19,061 · median $10,590 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,873 – $12,371 · median $6,873 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,793 – $19,427 · median $10,793 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,877 – $12,378 · median $6,877 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,109 – $21,797 · median $12,109 | 17 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,376 – $13,276 · median $7,376 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,123 – $27,222 · median $15,123 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,233 – $16,619 · median $9,233 | 17 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,664 – $11,995 · median $6,664 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,614 – $20,905 · median $11,614 | 17 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,394 – $13,309 · median $7,394 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,561 – $22,610 · median $12,561 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,023 – $14,442 · median $8,023 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,228 – $11,211 · median $6,228 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,704 – $42,666 · median $23,704 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,725 – $24,704 · median $13,725 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,394 – $16,909 · median $9,394 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $52,488 – $94,479 · median $52,488 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,932 – $50,277 · median $27,932 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,582 – $26,247 · median $14,582 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,331 – $70,797 · median $39,331 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,388 – $38,499 · median $21,388 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,062 – $23,512 · median $13,062 | 17 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,075 – $46,935 · median $26,075 | 17 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,032 – $25,257 · median $14,032 | 17 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,760 – $21,168 · median $11,760 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,615 – $28,107 · median $15,615 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,003 – $25,205 · median $14,003 | 17 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,322 – $31,180 · median $17,322 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,635 – $28,143 · median $15,635 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $15,684 – $28,232 · median $15,684 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $9,713 – $17,483 · median $9,713 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,165 – $12,897 · median $7,165 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,163 – $30,893 · median $17,163 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,885 – $15,993 · median $8,885 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,546 – $24,383 · median $13,546 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,274 – $16,693 · median $9,274 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,389 – $11,500 · median $6,389 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,559 – $15,406 · median $8,559 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,208 – $9,374 · median $5,208 | 17 plans |
| 602 | CELLULITIS WITH MCC | $11,586 – $20,855 · median $11,586 | 17 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,198 – $12,956 · median $7,198 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,991 – $21,584 · median $11,991 | 17 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,557 – $13,603 · median $7,557 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,319 – $22,174 · median $12,319 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,481 – $13,466 · median $7,481 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,729 – $31,913 · median $17,729 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,411 – $20,540 · median $11,411 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,059 – $50,507 · median $28,059 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,166 – $27,299 · median $15,166 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,562 – $20,812 · median $11,562 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,275 – $41,896 · median $23,275 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,013 – $23,424 · median $13,013 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,281 – $22,105 · median $12,281 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,632 – $51,537 · median $28,632 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,557 – $26,203 · median $14,557 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,236 – $18,424 · median $10,236 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,333 – $43,800 · median $24,333 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,209 – $21,976 · median $12,209 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,845 – $19,521 · median $10,845 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,968 – $53,942 · median $29,968 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,626 – $31,726 · median $17,626 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,891 – $21,403 · median $11,891 | 17 plans |
| 637 | DIABETES WITH MCC | $11,709 – $21,076 · median $11,709 | 17 plans |
| 638 | DIABETES WITH CC | $7,400 – $13,319 · median $7,400 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,320 – $9,576 · median $5,320 | 17 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,903 – $19,625 · median $10,903 | 17 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,459 – $11,626 · median $6,459 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,593 – $20,867 · median $11,593 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,379 – $24,081 · median $13,379 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,427 – $15,168 · median $8,427 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,380 – $11,484 · median $6,380 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $37,738 – $67,929 · median $37,738 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,801 – $53,641 · median $29,801 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $26,003 – $46,805 · median $26,003 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,685 – $75,033 · median $41,685 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,573 – $40,631 · median $22,573 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,130 – $30,834 · median $17,130 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,639 – $46,150 · median $25,639 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,845 – $26,721 · median $14,845 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,627 – $22,728 · median $12,627 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,513 – $36,923 · median $20,513 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,792 – $19,426 · median $10,792 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,509 – $15,317 · median $8,509 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,664 – $44,394 · median $24,664 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,375 – $22,275 · median $12,375 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,601 – $15,482 · median $8,601 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,140 – $45,251 · median $25,140 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $14,201 – $25,563 · median $14,201 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,074 – $16,333 · median $9,074 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,535 – $42,364 · median $23,535 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,628 – $22,731 · median $12,628 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,046 – $14,483 · median $8,046 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,566 – $26,218 · median $14,566 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,861 – $15,950 · median $8,861 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $33,754 – $60,756 · median $33,754 | 17 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,900 – $34,020 · median $18,900 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,341 – $24,014 · median $13,341 | 17 plans |
| 682 | RENAL FAILURE WITH MCC | $12,062 – $21,712 · median $12,062 | 17 plans |
| 683 | RENAL FAILURE WITH CC | $7,237 – $13,027 · median $7,237 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,175 – $9,315 · median $5,175 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,635 – $26,343 · median $14,635 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,608 – $15,495 · median $8,608 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,555 – $11,800 · median $6,555 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,505 – $17,110 · median $9,505 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,708 – $12,075 · median $6,708 | 17 plans |
| 693 | URINARY STONES WITH MCC | $10,974 – $19,753 · median $10,974 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,487 – $11,676 · median $6,487 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,374 – $16,873 · median $9,374 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,790 – $10,421 · median $5,790 | 17 plans |
| 697 | URETHRAL STRICTURE | $8,848 – $15,926 · median $8,848 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,445 – $24,201 · median $13,445 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,347 – $15,024 · median $8,347 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,796 – $10,433 · median $5,796 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,203 – $29,165 · median $16,203 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,486 – $22,476 · median $12,486 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,808 – $33,855 · median $18,808 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,426 – $20,567 · median $11,426 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,868 – $30,363 · median $16,868 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,022 – $16,240 · median $9,022 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,241 – $22,033 · median $12,241 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,685 – $15,633 · median $8,685 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,092 – $32,566 · median $18,092 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,983 – $21,569 · median $11,983 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,327 – $27,589 · median $15,327 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,963 – $19,733 · median $10,963 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,683 – $26,429 · median $14,683 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,365 – $16,857 · median $9,365 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,559 – $10,006 · median $5,559 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,584 – $17,252 · median $9,584 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,018 – $10,833 · median $6,018 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,077 – $21,739 · median $12,077 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,722 – $12,099 · median $6,722 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,695 – $15,651 · median $8,695 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,672 – $10,209 · median $5,672 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,237 – $31,026 · median $17,237 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,982 – $19,767 · median $10,982 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,754 – $51,757 · median $28,754 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,683 – $30,030 · median $16,683 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,963 – $21,533 · median $11,963 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,820 – $51,876 · median $28,820 | 17 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,682 – $26,428 · median $14,682 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,625 – $20,924 · median $11,625 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,883 – $26,790 · median $14,883 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,146 – $18,263 · median $10,146 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,592 – $29,865 · median $16,592 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,324 – $16,782 · median $9,324 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,104 – $25,387 · median $14,104 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,109 – $12,796 · median $7,109 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,315 – $20,367 · median $11,315 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,726 – $37,306 · median $20,726 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,021 – $21,637 · median $12,021 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,938 – $26,889 · median $14,938 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,927 – $16,069 · median $8,927 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,912 – $14,242 · median $7,912 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,671 – $21,007 · median $11,671 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,060 – $14,508 · median $8,060 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,614 – $10,105 · median $5,614 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,287 – $14,917 · median $8,287 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,969 – $8,944 · median $4,969 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,368 – $15,837 · median $8,798 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,727 – $24,709 · median $13,727 | 17 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,249 – $14,848 · median $8,249 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,552 – $9,994 · median $5,552 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $6,962 – $12,531 · median $6,962 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $10,426 – $35,692 · median $19,829 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,706 – $15,672 · median $8,706 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,891 – $14,203 · median $7,891 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,426 – $24,130 · median $13,406 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,158 – $16,485 · median $9,158 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,899 – $14,218 · median $7,899 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,623 – $26,322 · median $14,623 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $47,642 – $85,755 · median $47,642 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $32,617 – $58,710 · median $32,617 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,782 – $35,607 · median $19,782 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,498 – $60,297 · median $33,498 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,022 – $21,639 · median $12,022 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,368 – $17,206 · median $9,559 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,368 – $14,815 · median $8,230 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,368 – $14,193 · median $7,885 | 17 plans |
| 799 | SPLENECTOMY WITH MCC | $36,363 – $65,454 · median $36,363 | 17 plans |
| 800 | SPLENECTOMY WITH CC | $22,654 – $40,776 · median $22,654 | 17 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $15,474 – $27,853 · median $15,474 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,019 – $57,635 · median $32,019 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,075 – $27,135 · median $15,075 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,066 – $19,918 · median $11,066 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,368 – $15,946 · median $8,859 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,368 – $11,279 · median $6,266 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,368 – $10,237 · median $5,687 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,858 – $32,144 · median $17,858 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,347 – $18,625 · median $10,347 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,599 – $15,478 · median $8,599 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,451 – $20,611 · median $11,451 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,575 – $13,635 · median $7,575 | 17 plans |
| 813 | COAGULATION DISORDERS | $12,415 – $22,348 · median $12,415 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,210 – $30,979 · median $17,210 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,339 – $15,010 · median $8,339 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,395 – $9,711 · median $5,395 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,445 – $33,202 · median $18,445 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,497 – $17,094 · median $9,497 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,110 – $12,798 · median $7,110 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $47,014 – $84,626 · median $47,014 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,103 – $32,585 · median $18,103 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,854 – $17,737 · median $9,854 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,809 – $66,256 · median $36,809 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,318 – $32,972 · median $18,318 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,013 – $19,823 · median $11,013 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,550 – $67,590 · median $37,550 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,681 – $33,627 · median $18,681 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,839 – $24,909 · median $13,839 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,449 – $45,808 · median $25,449 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,254 – $22,056 · median $12,254 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,842 – $17,715 · median $9,842 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,015 – $10,828 · median $6,015 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,639 – $8,350 · median $4,639 | 17 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $44,025 – $79,245 · median $44,025 | 17 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,884 – $30,392 · median $16,884 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,977 – $17,959 · median $9,977 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,559 – $69,406 · median $38,559 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,897 – $30,415 · median $16,897 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,766 – $21,180 · median $11,766 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,046 – $46,883 · median $26,046 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,261 – $23,870 · median $13,261 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,310 – $14,958 · median $8,310 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,159 – $29,086 · median $16,159 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,961 – $17,929 · median $9,961 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,044 – $12,679 · median $7,044 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,924 – $37,664 · median $20,924 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,685 – $19,232 · median $10,685 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,026 – $12,648 · median $7,026 | 17 plans |
| 849 | RADIOTHERAPY | $21,857 – $39,343 · median $21,857 | 17 plans |
| 850 | DRG | $69,296 – $124,733 · median $69,296 | 17 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,630 – $71,333 · median $39,630 | 17 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,185 – $29,133 · median $16,185 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,191 – $21,945 · median $12,191 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,521 – $65,738 · median $36,521 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,328 – $31,191 · median $17,328 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,360 – $20,448 · median $11,360 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,795 – $26,630 · median $14,795 | 17 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,210 – $14,779 · median $8,210 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,332 – $13,197 · median $7,332 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,200 – $21,960 · median $12,200 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,188 – $12,938 · median $7,188 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,943 – $30,498 · median $16,943 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,475 – $15,255 · median $8,475 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,072 – $10,930 · median $6,072 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $55,362 – $99,651 · median $55,362 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,742 – $28,335 · median $15,742 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,413 – $15,143 · median $8,413 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,714 – $60,685 · median $33,714 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,519 – $27,933 · median $15,519 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,579 – $17,243 · median $9,579 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,540 – $53,172 · median $29,540 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,081 – $21,746 · median $12,081 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,916 – $28,648 · median $15,916 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,865 – $55,557 · median $30,865 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,162 – $29,091 · median $16,162 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,720 – $19,297 · median $10,720 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,287 – $23,916 · median $13,287 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,314 – $13,166 · median $7,314 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,662 – $24,591 · median $13,662 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,632 – $10,138 · median $5,632 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,759 – $22,966 · median $12,759 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,088 – $12,758 · median $7,088 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,851 – $26,732 · median $14,851 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,246 – $14,842 · median $8,246 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,785 – $10,414 · median $5,785 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,202 – $25,564 · median $14,202 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,368 – $15,063 · median $8,368 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $170,481 – $306,866 · median $170,481 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $57,442 – $103,396 · median $57,442 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,934 – $46,681 · median $25,934 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,303 – $56,345 · median $31,303 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,879 – $32,183 · median $17,879 | 17 plans |
| 935 | NON-EXTENSIVE BURNS | $16,679 – $30,021 · median $16,679 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $29,184 – $52,532 · median $29,184 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,886 – $33,995 · median $18,886 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,421 – $29,558 · median $16,421 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,601 – $22,682 · median $12,601 | 17 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,398 – $16,916 · median $9,398 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,375 – $18,675 · median $10,375 | 17 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,637 – $11,946 · median $6,637 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,740 – $17,531 · median $9,740 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,365 – $9,657 · median $5,365 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,868 – $8,763 · median $4,868 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $53,921 – $97,058 · median $53,921 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,257 – $54,462 · median $30,257 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $61,008 – $109,814 · median $61,008 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,852 – $60,933 · median $33,852 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,728 – $42,710 · median $23,728 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,051 – $39,691 · median $22,051 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,474 – $22,453 · median $12,474 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,753 – $13,955 · median $7,753 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $49,059 – $88,307 · median $49,059 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,282 – $38,308 · median $21,282 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,264 – $41,876 · median $23,264 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,579 – $19,043 · median $10,579 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,451 – $13,413 · median $7,451 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,601 – $19,081 · median $10,601 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,662 – $67,791 · median $37,662 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,856 – $35,740 · median $19,856 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,920 – $25,056 · median $13,920 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,589 – $49,660 · median $27,589 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,359 – $24,046 · median $13,359 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,815 – $17,668 · median $9,815 | 17 plans |
| 795 | NORMAL NEWBORN | $2,401 – $4,322 · median $2,401 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $31,069 – $55,924 · median $31,069 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,910 – $14,238 · median $7,910 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $7,756 – $13,961 · median $7,756 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,816 – $15,868 · median $8,816 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,932 – $28,677 · median $15,932 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,082 – $23,548 · median $13,082 | 16 plans |
| 885 | PSYCHOSES | $11,391 – $20,504 · median $11,391 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,801 – $30,241 · median $16,801 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,793 – $15,827 · median $8,793 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,290 – $9,522 · median $5,290 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,541 – $20,773 · median $11,541 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,168 – $25,502 · median $14,168 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,293 – $13,127 · median $7,293 | 16 plans |
No procedures match that keyword.