UPMC Somerset — Pricing
861 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 861 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 861 procedures
Procedures with negotiated rates only
These 861 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 | $7,906 – $304,432 · median $226,901 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $7,906 – $123,101 · median $91,750 | 9 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $7,906 – $230,576 · median $187,784 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $7,906 – $150,472 · median $122,546 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $7,264 – $60,375 · median $48,254 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $7,906 – $49,089 · median $37,300 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $7,338 – $31,306 · median $25,496 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $8,571 – $469,107 · median $365,843 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $5,565 – $71,993 · median $60,444 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $7,906 – $111,011 · median $69,617 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $7,906 – $83,945 · median $46,835 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $7,331 – $59,060 · median $28,111 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $7,517 – $62,250 · median $50,697 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $7,906 – $43,959 · median $34,609 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $5,180 – $49,392 · median $40,226 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $5,889 – $33,776 · median $27,508 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,906 – $27,407 · median $22,321 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $7,906 – $65,270 · median $53,157 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $5,823 – $37,061 · median $30,183 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,463 – $23,847 · median $17,921 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $7,163 – $48,673 · median $36,277 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $4,353 – $23,150 · median $18,853 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,403 – $18,065 · median $14,750 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $7,906 – $56,662 · median $34,245 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $5,509 – $26,561 · median $21,149 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $5,625 – $21,105 · median $17,188 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $7,597 – $40,881 · median $29,126 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,762 – $22,023 · median $14,411 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,748 – $14,668 · median $10,649 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $5,862 – $41,945 · median $33,655 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,578 – $26,373 · median $19,452 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $5,341 – $18,769 · median $15,237 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $7,906 – $27,500 · median $16,025 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,549 – $14,379 · median $8,998 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,740 – $16,587 · median $12,451 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,063 – $11,076 · median $9,338 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $7,217 – $25,237 · median $20,553 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,906 – $16,026 · median $11,660 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,031 – $23,772 · median $15,142 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,322 – $13,480 · median $11,200 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,558 – $11,040 · median $8,498 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $7,906 – $33,482 · median $24,393 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $3,021 – $24,899 · median $15,546 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,906 – $23,338 · median $12,570 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $7,906 – $21,846 · median $17,792 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,759 – $12,746 · median $9,260 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,767 – $9,957 · median $6,579 | 9 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,872 – $20,650 · median $13,116 | 9 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,668 – $10,983 · median $8,032 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,821 – $9,884 · median $7,679 | 9 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $5,459 – $22,514 · median $14,766 | 9 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,112 – $12,370 · median $9,392 | 9 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,786 – $9,566 · median $7,269 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,153 – $17,644 · median $14,257 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,354 – $11,431 · median $9,432 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $7,906 – $28,694 · median $16,517 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,462 – $23,599 · median $7,906 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $7,906 – $30,144 · median $16,013 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,959 – $13,452 · median $8,600 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $7,906 – $25,260 · median $20,221 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,906 – $15,867 · median $12,503 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,692 – $10,383 · median $8,801 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $7,906 – $24,680 · median $18,444 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,342 – $14,152 · median $11,454 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,094 – $12,497 · median $8,280 | 9 plans |
| 088 | CONCUSSION WITH MCC | $7,906 – $18,598 · median $12,133 | 9 plans |
| 089 | CONCUSSION WITH CC | $7,906 – $11,934 · median $10,002 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,448 – $8,943 · median $7,710 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $6,419 – $19,078 · median $15,537 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,858 – $12,991 · median $9,834 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,258 – $9,928 · median $7,654 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $7,906 – $41,113 · median $31,137 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $5,772 – $31,994 · median $22,819 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,906 – $29,451 · median $22,819 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $5,750 – $44,624 · median $31,954 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $5,030 – $24,930 · median $20,303 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,592 – $14,800 · median $12,148 | 9 plans |
| 100 | SEIZURES WITH MCC | $4,744 – $21,040 · median $16,088 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $7,009 – $9,805 · median $7,906 | 9 plans |
| 102 | HEADACHES WITH MCC | $5,014 – $12,962 · median $10,190 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $6,541 – $127,258 · median $8,039 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $7,906 – $33,757 · median $22,600 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,906 – $18,237 · median $13,006 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,906 – $33,751 · median $14,754 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,906 – $26,098 · median $17,380 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,906 – $15,896 · median $10,429 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,906 – $15,332 · median $11,182 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,184 – $10,606 · median $7,906 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,274 – $13,418 · median $7,906 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $7,906 – $19,436 · median $11,891 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,057 – $8,396 · median $7,605 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,906 – $35,607 · median $19,198 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,260 – $15,694 · median $9,302 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,178 – $16,221 · median $11,416 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,893 – $9,627 · median $7,906 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,639 – $18,092 · median $11,156 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $5,878 – $57,803 · median $37,736 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $6,598 – $26,691 · median $19,297 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $4,859 – $22,731 · median $14,190 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $4,855 – $40,700 · median $31,482 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,906 – $18,825 · median $15,339 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,781 – $13,061 · median $10,875 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $7,906 – $30,578 · median $20,354 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,906 – $17,558 · median $12,222 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,264 – $30,261 · median $7,906 | 9 plans |
| 149 | DYSEQUILIBRIUM | $5,943 – $14,109 · median $7,632 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $7,906 – $24,093 · median $12,799 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,819 – $11,096 · median $7,671 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,906 – $16,745 · median $10,706 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,158 – $10,473 · median $6,971 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $7,906 – $39,203 · median $15,029 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,107 – $13,053 · median $8,471 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,516 – $8,201 · median $6,643 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $7,906 – $20,101 · median $15,203 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,114 – $9,883 · median $8,077 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,639 – $10,393 · median $6,810 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $6,833 – $48,687 · median $39,651 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $7,906 – $28,757 · median $22,330 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $7,906 – $20,824 · median $16,935 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $7,906 – $40,604 · median $33,068 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,352 – $19,769 · median $15,955 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $15,274 · median $12,255 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $5,881 – $38,425 · median $26,333 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,033 – $14,922 · median $12,316 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,320 – $9,802 · median $7,906 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,572 – $16,976 · median $13,907 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,454 – $10,766 · median $8,971 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,967 – $10,466 · median $7,304 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,906 – $19,205 · median $15,624 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,673 – $13,280 · median $9,770 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,958 – $11,402 · median $7,218 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,030 – $16,620 · median $13,631 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,982 – $11,560 · median $9,712 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,189 – $8,642 · median $7,807 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $4,022 – $16,930 · median $13,745 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,964 – $11,084 · median $9,081 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,700 – $9,581 · median $7,613 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,721 – $13,421 · median $11,153 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,299 – $12,033 · median $9,817 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,588 – $41,491 · median $8,273 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,169 – $16,539 · median $6,456 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,915 – $29,582 · median $12,130 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,326 – $15,555 · median $7,872 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,074 – $23,082 · median $6,045 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,958 – $20,501 · median $17,419 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,337 – $19,532 · median $9,599 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,693 – $10,266 · median $7,244 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,094 – $22,168 · median $15,376 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,906 – $27,893 · median $10,008 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,685 – $30,357 · median $6,776 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,493 – $12,291 · median $8,931 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,367 – $11,631 · median $6,397 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,337 – $10,684 · median $7,761 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,906 – $19,891 · median $14,825 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,842 – $10,223 · median $8,286 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $7,906 – $81,734 · median $56,929 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $5,317 – $29,860 · median $24,318 | 9 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $7,906 – $122,959 · median $91,645 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $7,906 – $156,097 · median $96,205 | 9 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $7,906 – $61,996 · median $46,207 | 9 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $10,310 – $108,166 · median $80,619 | 9 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $19,767 – $106,273 · median $86,551 | 9 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $28,255 – $71,429 · median $58,660 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $13,175 – $71,429 · median $58,173 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $8,577 – $83,412 · median $62,169 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $9,041 – $57,932 · median $47,180 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,822 – $54,753 · median $42,619 | 9 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $7,898 – $74,031 · median $43,771 | 9 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $5,601 – $40,289 · median $30,275 | 9 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $10,590 – $102,340 · median $74,581 | 9 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $10,857 – $68,930 · median $54,628 | 9 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $17,893 – $83,052 · median $64,011 | 9 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $8,950 – $59,343 · median $48,330 | 9 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $8,419 – $63,752 · median $48,918 | 9 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $7,300 – $45,504 · median $37,059 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $7,906 – $53,466 · median $41,745 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $7,906 – $30,966 · median $25,219 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $5,480 – $21,474 · median $12,407 | 9 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $10,745 – $38,107 · median $28,247 | 9 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $6,689 – $28,165 · median $19,737 | 9 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $6,899 – $24,624 · median $17,159 | 9 plans |
| 245 | AICD GENERATOR PROCEDURES | $4,520 – $69,581 · median $40,365 | 9 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $6,528 – $26,358 · median $19,309 | 9 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $4,236 – $21,373 · median $14,366 | 9 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,421 – $42,615 · median $30,862 | 9 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $7,154 – $30,318 · median $22,964 | 9 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $4,061 – $20,983 · median $15,763 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,537 – $29,303 · median $23,864 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $6,008 – $18,445 · median $13,768 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,906 – $11,865 · median $9,582 | 9 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $6,564 – $41,069 · median $27,799 | 9 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,787 – $27,543 · median $17,890 | 9 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $5,485 – $41,821 · median $28,778 | 9 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $6,980 – $22,196 · median $16,726 | 9 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,096 – $19,725 · median $14,472 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $7,906 – $38,815 · median $27,049 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $7,906 – $36,290 · median $26,633 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $7,906 – $50,188 · median $32,011 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $6,911 – $73,245 · median $58,238 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $6,513 – $57,904 · median $45,763 | 9 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $7,848 – $79,581 · median $60,850 | 9 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $15,990 – $45,878 · median $37,364 | 9 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $6,208 – $57,318 · median $46,588 | 9 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $10,653 – $41,734 · median $31,463 | 9 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $9,460 – $30,390 · median $22,587 | 9 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $5,954 – $52,991 · median $36,499 | 9 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $10,410 – $36,907 · median $29,122 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $4,820 – $89,479 · median $63,084 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $5,764 – $77,109 · median $53,142 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $8,269 – $59,508 · median $40,861 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $5,494 – $66,416 · median $49,245 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $6,300 – $46,271 · median $31,907 | 9 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $6,320 – $17,426 · median $14,255 | 9 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,080 – $10,925 · median $8,835 | 9 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,349 – $9,855 · median $6,951 | 9 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $6,720 – $22,485 · median $17,525 | 9 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,078 – $11,397 · median $6,654 | 9 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,865 – $23,734 · median $6,357 | 9 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $9,786 – $24,038 · median $19,577 | 9 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,191 – $19,756 · median $10,286 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,873 – $30,520 · median $23,942 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,451 – $20,023 · median $15,043 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,200 – $20,161 · median $8,937 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,792 – $13,946 · median $11,087 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,630 – $25,544 · median $7,906 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,633 – $10,899 · median $6,008 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,906 – $21,488 · median $13,900 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,983 – $10,116 · median $6,094 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,850 – $7,906 · median $4,831 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,625 – $17,736 · median $12,717 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,906 – $11,597 · median $9,741 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,638 – $7,906 · median $6,833 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,906 – $38,878 · median $11,502 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,389 – $24,174 · median $6,519 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $7,906 – $21,896 · median $10,771 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,967 – $10,675 · median $7,540 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,906 – $20,910 · median $14,017 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,217 – $12,890 · median $8,443 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,906 – $13,586 · median $10,889 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,831 – $7,992 · median $7,072 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,633 – $8,602 · median $5,523 | 9 plans |
| 311 | ANGINA PECTORIS | $5,067 – $7,906 · median $6,665 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,790 – $9,468 · median $8,093 | 9 plans |
| 313 | CHEST PAIN | $4,484 – $7,906 · median $6,734 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $4,229 – $22,652 · median $18,448 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,437 – $19,088 · median $9,260 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,452 – $12,059 · median $7,241 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $4,836 – $89,393 · median $59,157 | 9 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $7,906 – $26,313 · median $19,612 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $5,194 – $62,731 · median $39,484 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $8,876 – $33,627 · median $21,280 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $5,738 – $35,650 · median $24,071 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $5,132 – $26,445 · median $16,947 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $6,782 – $56,416 · median $38,285 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,637 – $43,699 · median $27,878 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $6,082 – $39,003 · median $28,403 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $3,932 – $54,180 · median $44,125 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $6,783 – $28,511 · median $21,624 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $6,323 – $17,673 · median $14,240 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,030 – $49,933 · median $37,700 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,727 – $26,041 · median $21,209 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,906 – $19,234 · median $14,918 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $5,653 – $54,321 · median $32,033 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $7,906 – $30,361 · median $20,722 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $7,906 – $17,919 · median $15,744 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $7,906 – $38,792 · median $29,440 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $7,906 – $22,907 · median $18,656 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,757 – $16,675 · median $13,674 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,906 – $39,378 · median $22,851 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,064 – $16,459 · median $13,419 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,906 – $13,945 · median $10,739 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,601 – $35,982 · median $20,310 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,315 – $14,218 · median $11,771 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,845 – $10,592 · median $8,084 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $6,374 – $34,783 · median $22,046 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,261 – $20,737 · median $13,585 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,454 – $12,686 · median $10,585 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $7,906 – $32,861 · median $25,675 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,906 – $18,276 · median $14,914 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,906 – $14,812 · median $12,075 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $6,727 – $47,720 · median $36,535 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $7,906 – $25,263 · median $20,477 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $15,186 · median $12,520 | 9 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $7,501 – $37,355 · median $27,841 | 9 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,688 – $26,227 · median $19,548 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $7,906 – $17,543 · median $14,152 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,785 – $11,633 · median $9,175 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,584 – $9,942 · median $7,439 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,955 – $19,262 · median $15,687 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,604 – $11,091 · median $9,350 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,181 – $7,906 · median $6,977 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,778 – $23,233 · median $18,922 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,669 – $13,140 · median $10,936 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,299 – $10,824 · median $8,536 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $7,906 – $19,858 · median $16,173 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,623 – $11,127 · median $9,011 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,009 – $7,906 · median $6,064 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,269 – $21,316 · median $17,360 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,816 – $11,770 · median $9,875 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,743 – $8,697 · median $7,696 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,813 – $19,407 · median $12,376 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,732 – $9,286 · median $7,951 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,906 – $17,189 · median $13,915 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,529 – $35,689 · median $9,385 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,447 – $17,871 · median $6,977 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,906 – $16,043 · median $12,066 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,212 – $12,183 · median $7,428 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,477 – $7,906 · median $5,262 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,171 – $13,778 · median $11,430 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,140 – $30,074 · median $7,494 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,906 – $17,803 · median $14,876 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,242 – $14,758 · median $8,666 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,219 – $7,906 · median $6,889 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $7,906 – $26,016 · median $19,391 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $7,906 – $17,861 · median $13,494 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,314 – $12,832 · median $10,390 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $7,906 – $43,676 · median $34,506 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $7,906 – $62,615 · median $48,399 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $7,906 – $32,803 · median $25,659 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,906 – $24,971 · median $19,637 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $7,906 – $49,162 · median $31,546 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $7,906 – $25,462 · median $19,263 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $6,339 – $21,257 · median $14,117 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,204 – $45,722 · median $29,225 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $4,241 – $31,358 · median $18,601 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,906 – $23,222 · median $14,729 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $6,296 – $44,826 · median $31,519 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $7,906 – $33,000 · median $19,866 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,906 – $16,734 · median $13,105 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $7,906 – $25,924 · median $20,512 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,906 – $18,439 · median $14,991 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,906 – $15,332 · median $12,250 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $5,981 – $48,295 · median $30,143 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,450 – $24,277 · median $15,377 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $5,503 – $20,578 · median $12,534 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $7,906 – $50,592 · median $36,742 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,906 – $30,708 · median $21,031 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $6,649 – $22,298 · median $13,382 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $5,598 – $119,726 · median $82,633 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $5,606 – $78,418 · median $58,179 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $7,064 – $61,073 · median $46,352 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $7,906 – $120,520 · median $79,710 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $7,906 – $62,650 · median $49,180 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $7,080 – $21,381 · median $17,413 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,152 – $11,517 · median $9,646 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,667 – $9,740 · median $6,849 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $4,106 – $19,953 · median $16,250 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,906 – $12,287 · median $10,276 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,661 – $11,474 · median $8,202 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,575 – $12,487 · median $8,086 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,024 – $16,431 · median $6,152 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $7,363 – $21,893 · median $15,878 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,451 – $18,911 · median $9,279 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,576 – $9,277 · median $7,088 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $6,949 – $18,151 · median $14,817 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,358 – $11,980 · median $9,967 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,691 – $10,173 · median $7,906 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,394 – $46,069 · median $34,820 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $3,915 – $57,897 · median $46,470 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $7,906 – $35,093 · median $26,717 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $7,906 – $98,497 · median $74,347 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $7,906 – $71,633 · median $52,757 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $7,906 – $64,754 · median $36,916 | 9 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $7,906 – $92,312 · median $48,863 | 9 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $7,906 – $28,896 · median $23,534 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $6,734 – $61,915 · median $47,766 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,452 – $33,836 · median $27,556 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,193 – $20,116 · median $16,135 | 9 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $4,996 – $56,548 · median $42,190 | 9 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $3,496 – $38,310 · median $28,554 | 9 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $7,906 – $33,595 · median $24,312 | 9 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $7,906 – $52,456 · median $39,166 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $7,906 – $109,300 · median $26,065 | 9 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $7,906 – $33,924 · median $21,599 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,906 – $34,755 · median $20,447 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,906 – $20,970 · median $11,345 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,906 – $37,528 · median $30,564 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,906 – $26,715 · median $21,219 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,906 – $20,194 · median $16,402 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $7,906 – $171,482 · median $27,995 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $7,906 – $143,770 · median $20,133 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,906 – $34,497 · median $15,678 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $7,906 – $158,512 · median $22,443 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $7,906 – $47,442 · median $29,623 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $7,906 – $46,504 · median $18,500 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,906 – $18,161 · median $13,936 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,906 – $41,188 · median $15,650 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,906 – $17,054 · median $10,735 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $7,906 – $39,886 · median $32,483 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $7,906 – $27,550 · median $22,437 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,906 – $21,797 · median $17,397 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $7,906 – $120,544 · median $34,852 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $14,653 – $112,006 · median $87,350 | 8 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $5,954 – $50,373 · median $39,284 | 8 plans |
| 007 | LUNG TRANSPLANT | $23,485 – $140,682 · median $109,714 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $8,627 – $60,884 · median $47,482 | 8 plans |
| 010 | PANCREAS TRANSPLANT | $11,851 – $63,485 · median $43,306 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $11,229 – $130,554 · median $101,815 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $9,850 – $64,416 · median $50,236 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $5,818 – $52,560 · median $45,246 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,906 – $19,985 · median $15,072 | 8 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $7,906 – $32,951 · median $27,954 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $7,906 – $20,954 · median $16,426 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,906 – $46,635 · median $37,703 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $7,906 – $19,596 · median $16,650 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,906 – $15,303 · median $10,998 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $7,906 – $37,008 · median $27,845 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,906 – $21,887 · median $17,069 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $7,906 – $34,380 · median $27,967 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,906 – $18,990 · median $16,135 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,906 – $14,621 · median $12,397 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $7,906 – $34,855 · median $25,762 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,906 – $20,306 · median $16,306 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,906 – $19,476 · median $15,418 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,906 – $21,026 · median $11,821 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $7,906 – $29,118 · median $16,673 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,906 – $20,289 · median $14,029 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $7,906 – $40,289 · median $27,879 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $7,906 – $22,589 · median $18,931 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $7,906 – $17,983 · median $14,458 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,906 – $17,102 · median $13,149 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,853 – $11,106 · median $9,452 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $7,906 – $36,488 · median $29,415 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $7,906 – $23,945 · median $19,181 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $16,694 · median $13,723 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $7,906 – $40,599 · median $30,368 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $7,906 – $21,729 · median $17,854 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,906 – $16,229 · median $12,823 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $7,906 – $38,613 · median $26,492 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $7,906 – $23,931 · median $19,546 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,906 – $22,081 · median $14,509 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,327 – $10,246 · median $7,827 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,906 – $16,662 · median $11,934 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,338 – $8,773 · median $7,815 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,373 – $13,786 · median $8,981 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,722 – $10,116 · median $7,285 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $7,906 – $21,397 · median $16,457 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,906 – $14,082 · median $11,039 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,195 – $8,381 · median $7,400 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $7,906 – $21,907 · median $16,305 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,894 – $13,801 · median $9,645 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,964 – $11,098 · median $7,580 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $7,906 – $34,523 · median $22,906 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,906 – $14,133 · median $10,775 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,540 – $11,792 · median $7,972 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $7,906 – $27,615 · median $17,822 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,906 – $13,114 · median $11,260 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,807 – $11,113 · median $8,258 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,906 – $18,208 · median $15,481 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,423 – $10,443 · median $8,560 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,906 – $19,089 · median $12,063 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,497 – $9,018 · median $7,919 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,906 – $19,725 · median $12,293 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,500 – $9,538 · median $7,945 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,906 – $16,153 · median $12,957 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,061 – $9,703 · median $7,739 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,906 – $20,433 · median $17,213 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,906 – $12,233 · median $10,504 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,312 – $9,581 · median $7,817 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,906 – $17,182 · median $13,221 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,958 – $9,728 · median $8,153 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,906 – $20,737 · median $14,292 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,515 – $10,636 · median $9,162 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,927 – $9,350 · median $7,554 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $7,906 – $31,950 · median $25,845 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $7,906 – $18,354 · median $14,142 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,906 – $12,514 · median $10,711 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,906 – $84,624 · median $60,469 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,906 – $47,037 · median $32,041 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,906 – $27,182 · median $15,801 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,906 – $79,089 · median $45,237 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,906 – $33,670 · median $24,466 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,906 – $23,497 · median $14,858 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $7,906 – $35,181 · median $26,348 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,906 – $19,321 · median $15,954 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,906 – $16,199 · median $13,386 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,906 – $30,376 · median $17,782 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,906 – $27,428 · median $15,921 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,906 – $33,092 · median $19,758 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $7,906 – $28,858 · median $17,805 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $7,906 – $21,024 · median $15,927 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $7,906 – $12,887 · median $9,857 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,087 – $9,416 · median $7,638 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $7,906 – $30,708 · median $19,574 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,906 – $11,760 · median $9,053 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,906 – $23,858 · median $15,405 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,906 – $12,341 · median $10,576 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,068 – $10,636 · median $7,508 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,906 – $11,315 · median $8,960 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,647 – $7,906 · median $5,585 | 8 plans |
| 602 | CELLULITIS WITH MCC | $7,906 – $15,578 · median $13,190 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,440 – $9,461 · median $7,653 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,906 – $21,156 · median $13,648 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,103 – $9,951 · median $8,186 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,906 – $20,592 · median $14,018 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,872 – $9,846 · median $7,790 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $7,906 – $26,662 · median $20,230 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,906 – $19,798 · median $12,991 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,906 – $37,885 · median $30,396 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,906 – $20,318 · median $15,859 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,906 – $15,407 · median $11,186 | 8 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $7,906 – $31,618 · median $26,650 | 8 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $7,906 – $18,454 · median $14,803 | 8 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,906 – $16,386 · median $13,473 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,906 – $38,665 · median $28,925 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,906 – $19,488 · median $15,403 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,906 – $13,600 · median $11,334 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $7,906 – $41,676 · median $27,875 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,906 – $19,061 · median $13,894 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,906 – $14,430 · median $12,179 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $7,906 – $40,485 · median $31,573 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,906 – $23,669 · median $18,365 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $15,855 · median $12,166 | 8 plans |
| 637 | DIABETES WITH MCC | $7,906 – $15,607 · median $12,287 | 8 plans |
| 638 | DIABETES WITH CC | $6,963 – $9,736 · median $7,913 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,022 – $7,906 · median $5,979 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,906 – $14,509 · median $12,321 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,130 – $8,454 · median $7,394 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,906 – $15,449 · median $11,393 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,906 – $17,882 · median $14,975 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,872 – $11,135 · median $9,123 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,061 – $8,346 · median $6,964 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,897 – $51,073 · median $41,594 | 8 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,507 – $40,257 · median $32,786 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $7,906 – $79,161 · median $47,962 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $7,906 – $31,084 · median $25,837 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,906 – $25,592 · median $19,536 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $7,906 – $34,942 · median $29,386 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $7,906 – $20,665 · median $16,891 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,906 – $17,818 · median $14,366 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $7,906 – $27,603 · median $21,647 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,906 – $14,358 · median $11,712 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,906 – $11,248 · median $9,461 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $7,906 – $43,815 · median $28,257 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,906 – $21,879 · median $14,081 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,906 – $15,910 · median $9,815 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $7,906 – $45,693 · median $28,808 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $7,906 – $24,653 · median $16,146 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,906 – $14,769 · median $10,350 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $7,906 – $36,185 · median $26,951 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,906 – $16,860 · median $13,408 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,536 – $11,676 · median $9,188 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $7,906 – $25,260 · median $16,568 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,906 – $14,899 · median $10,109 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $7,906 – $45,643 · median $34,538 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,906 – $25,405 · median $20,843 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,906 – $21,532 · median $15,173 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $7,906 – $16,089 · median $12,472 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $6,663 – $9,514 · median $7,672 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,875 – $7,906 · median $5,624 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $7,906 – $22,211 · median $16,648 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,906 – $11,618 · median $9,824 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,216 – $8,931 · median $7,751 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,906 – $13,179 · median $10,837 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,351 – $8,794 · median $7,391 | 8 plans |
| 693 | URINARY STONES WITH MCC | $7,906 – $20,390 · median $12,498 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,155 – $8,492 · median $7,086 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,906 – $16,777 · median $10,689 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,501 – $7,906 · median $6,590 | 8 plans |
| 697 | URETHRAL STRICTURE | $7,906 – $15,029 · median $10,094 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,906 – $17,972 · median $15,272 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,802 – $11,026 · median $9,297 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,507 – $9,046 · median $6,978 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $7,906 – $21,730 · median $18,404 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,906 – $19,494 · median $14,207 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $7,906 – $32,659 · median $21,479 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,906 – $20,679 · median $13,009 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,906 – $29,725 · median $19,233 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,906 – $16,532 · median $10,291 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,906 – $17,240 · median $13,930 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,906 – $12,052 · median $9,910 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $7,906 – $31,748 · median $20,650 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,906 – $19,957 · median $13,638 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,906 – $20,537 · median $15,941 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,906 – $14,590 · median $11,082 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $7,906 – $25,665 · median $16,703 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,906 – $16,185 · median $10,679 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,266 – $10,867 · median $6,385 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,906 – $18,150 · median $10,927 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,734 – $10,766 · median $7,302 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,906 – $21,835 · median $13,745 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,363 – $8,812 · median $7,691 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,906 – $15,116 · median $9,922 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,381 – $8,931 · median $6,797 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,906 – $23,139 · median $19,083 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,906 – $17,182 · median $12,507 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $7,906 – $58,251 · median $32,992 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,906 – $22,385 · median $19,019 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,906 – $15,953 · median $13,615 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $7,906 – $54,797 · median $32,797 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $7,906 – $21,402 · median $16,702 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,906 – $15,492 · median $13,173 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $7,906 – $19,932 · median $16,285 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,906 – $13,478 · median $11,313 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $7,906 – $22,260 · median $15,977 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,906 – $12,357 · median $9,640 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,906 – $18,871 · median $14,513 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,706 – $10,665 · median $8,031 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,906 – $19,480 · median $12,883 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $7,906 – $27,893 · median $22,151 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $19,711 · median $13,681 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,906 – $20,007 · median $16,551 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,906 – $11,817 · median $10,002 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,417 – $10,434 · median $8,864 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,906 – $20,997 · median $13,285 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,548 – $10,635 · median $8,615 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,322 – $7,906 · median $6,397 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,749 – $10,945 · median $8,547 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,665 – $7,906 · median $5,699 | 8 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,386 – $11,641 · median $8,615 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,906 – $18,357 · median $14,472 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,304 – $10,893 · median $8,240 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,503 – $7,906 · median $6,002 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $4,804 – $7,906 · median $7,014 | 8 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,906 – $26,670 · median $19,143 | 8 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,906 – $11,516 · median $9,598 | 8 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,398 – $10,405 · median $8,421 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,906 – $17,919 · median $12,900 | 8 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,906 – $12,132 · median $9,803 | 8 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,405 – $10,416 · median $8,417 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,903 – $19,578 · median $15,434 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,903 – $94,291 · median $54,858 | 8 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,903 – $44,094 · median $31,649 | 8 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,903 – $26,606 · median $19,097 | 8 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,903 – $45,296 · median $32,511 | 8 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,971 – $16,033 · median $11,613 | 8 plans |
| 795 | NORMAL NEWBORN | $1,624 – $2,441 · median $2,095 | 8 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,906 – $16,907 · median $10,898 | 8 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,699 – $11,142 · median $9,396 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,393 – $10,397 · median $8,700 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $7,906 – $49,199 · median $39,807 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $7,906 – $32,095 · median $25,930 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,906 – $23,237 · median $17,619 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $7,906 – $51,589 · median $36,773 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,906 – $22,413 · median $17,157 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,906 – $15,231 · median $12,601 | 8 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,715 – $11,724 · median $8,671 | 8 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,960 – $8,191 · median $6,926 | 8 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,210 – $7,906 · median $6,159 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $7,906 – $23,985 · median $20,363 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,906 – $13,752 · median $11,393 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,906 – $11,370 · median $9,488 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,906 – $15,255 · median $13,029 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,119 – $10,318 · median $8,656 | 8 plans |
| 813 | COAGULATION DISORDERS | $7,906 – $19,783 · median $14,127 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $7,906 – $23,103 · median $18,342 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,795 – $11,015 · median $9,519 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,099 – $8,121 · median $6,393 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $7,906 – $20,186 · median $17,144 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,906 – $11,532 · median $10,290 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,707 – $9,341 · median $7,819 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $7,906 – $68,786 · median $54,131 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $7,906 – $30,072 · median $20,662 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $17,153 · median $11,231 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $7,906 – $51,792 · median $42,317 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,906 – $28,959 · median $20,911 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,906 – $17,616 · median $12,542 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $7,906 – $69,812 · median $43,176 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $7,906 – $30,289 · median $21,332 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $20,188 · median $15,736 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $7,906 – $34,328 · median $24,639 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,906 – $19,725 · median $13,944 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,906 – $13,063 · median $9,586 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,302 – $7,906 · median $6,541 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,770 – $7,906 · median $4,874 | 8 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $7,906 – $98,395 · median $50,671 | 8 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $7,906 – $37,630 · median $19,252 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,906 – $23,208 · median $11,371 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $7,906 – $52,191 · median $41,896 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $7,906 – $22,676 · median $16,276 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,906 – $15,686 · median $12,026 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $7,906 – $45,245 · median $29,858 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,906 – $22,731 · median $15,083 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,769 – $15,491 · median $9,486 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $7,906 – $25,607 · median $18,412 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,906 – $14,509 · median $11,352 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,649 – $12,327 · median $8,055 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $7,906 – $28,163 · median $21,492 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,906 – $14,211 · median $10,752 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,231 – $9,227 · median $7,571 | 8 plans |
| 849 | RADIOTHERAPY | $7,906 – $36,994 · median $25,008 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $7,906 – $133,106 · median $79,926 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $7,906 – $53,649 · median $44,047 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $7,906 – $21,706 · median $17,943 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $16,265 · median $13,874 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $7,906 – $49,414 · median $38,248 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $7,906 – $23,264 · median $17,976 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,906 – $15,131 · median $12,228 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $7,906 – $19,811 · median $14,594 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,681 – $10,840 · median $8,767 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,903 – $9,643 · median $8,244 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,906 – $16,276 · median $12,913 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,776 – $9,447 · median $7,826 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,906 – $23,873 · median $19,320 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,906 – $11,201 · median $9,673 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,788 – $8,829 · median $7,380 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $7,906 – $75,144 · median $63,795 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $7,906 – $21,102 · median $17,769 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,860 – $11,116 · median $9,371 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $7,906 – $52,095 · median $35,673 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,415 – $10,431 · median $8,293 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $4,791 – $10,221 · median $7,923 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,686 – $11,665 · median $8,631 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $7,906 – $21,360 · median $15,332 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,906 – $17,478 · median $12,599 | 8 plans |
| 885 | PSYCHOSES | $7,029 – $15,174 · median $11,026 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,906 – $22,545 · median $17,296 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,906 – $14,913 · median $10,032 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,464 – $7,906 · median $5,688 | 8 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,906 – $21,589 · median $13,138 | 8 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $7,906 – $18,958 · median $15,156 | 8 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,506 – $9,590 · median $7,699 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $7,906 – $46,344 · median $38,734 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,906 – $20,798 · median $16,277 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,906 – $12,706 · median $10,516 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $7,906 – $42,225 · median $33,902 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,906 – $23,222 · median $13,501 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,906 – $19,145 · median $16,933 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $7,906 – $41,707 · median $34,963 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $7,906 – $21,674 · median $18,041 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,906 – $14,260 · median $12,172 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $7,906 – $22,355 · median $15,112 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,888 – $9,619 · median $8,058 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,906 – $18,268 · median $14,300 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,341 – $7,906 · median $6,385 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,906 – $17,038 · median $13,470 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,453 – $9,311 · median $7,600 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $7,906 – $19,889 · median $15,425 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,712 – $10,888 · median $9,060 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,497 – $7,906 · median $6,584 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,906 – $21,488 · median $16,147 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,265 – $11,056 · median $8,276 | 8 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $7,906 – $313,524 · median $183,027 | 8 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $7,906 – $77,919 · median $55,927 | 8 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $7,906 – $34,988 · median $25,113 | 8 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $7,906 – $46,965 · median $35,571 | 8 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $7,906 – $29,176 · median $20,404 | 8 plans |
| 935 | NON-EXTENSIVE BURNS | $7,906 – $22,378 · median $16,062 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $7,906 – $46,517 · median $33,491 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $7,906 – $25,386 · median $21,556 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $7,906 – $22,027 · median $16,504 | 8 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,568 – $21,748 · median $14,886 | 8 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,732 – $15,549 · median $11,024 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,906 – $13,790 · median $11,558 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,288 – $8,757 · median $7,800 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,906 – $15,087 · median $11,102 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,068 – $9,436 · median $6,352 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,398 – $7,906 · median $5,161 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $7,906 – $86,445 · median $62,127 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $7,906 – $68,757 · median $34,732 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,906 – $82,904 · median $70,331 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,906 – $47,904 · median $38,894 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,906 – $37,529 · median $27,174 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,906 – $34,783 · median $25,233 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,906 – $16,649 · median $14,026 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,276 – $10,925 · median $8,856 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $7,906 – $95,476 · median $56,499 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $7,906 – $40,939 · median $24,343 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $7,906 – $37,124 · median $26,637 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,906 – $19,480 · median $12,051 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,009 – $13,165 · median $8,476 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,906 – $19,913 · median $11,931 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,906 – $56,647 · median $43,305 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,906 – $28,511 · median $22,692 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,906 – $18,620 · median $15,614 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,906 – $37,326 · median $31,644 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,906 – $17,855 · median $15,181 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,906 – $13,410 · median $11,188 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $23,971 – $35,083 · median $28,572 | 7 plans |
| 009 | DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES | $11,790 – $11,790 · median $11,790 | 1 plans |
| 015 | DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK & | $6,489 – $6,489 · median $6,489 | 1 plans |
| 043 | DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA | $3,193 – $3,193 · median $3,193 | 1 plans |
| 044 | DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS | $5,405 – $5,405 · median $5,405 | 1 plans |
| 045 | DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS | $5,833 – $5,833 · median $5,833 | 1 plans |
| 046 | DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17 | $7,094 – $7,094 · median $7,094 | 1 plans |
| 047 | DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17 | $4,068 – $4,068 · median $4,068 | 1 plans |
| 048 | DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0- | $3,932 – $3,932 · median $3,932 | 1 plans |
| 049 | DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES | $16,066 – $16,066 · median $16,066 | 1 plans |
| 050 | DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY | $6,698 – $6,698 · median $6,698 | 1 plans |
| 051 | DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT | $6,422 – $6,422 · median $6,422 | 1 plans |
| 077 | DRG Grouper 12 (10/1/1994): DRG 77: OTHER RESP SYSTEM O.R. PROCEDURES | $9,984 – $9,984 · median $9,984 | 1 plans |
| 078 | DRG Grouper 12 (10/1/1994): DRG 78: PULMONARY EMBOLISM | $13,347 – $13,347 · median $13,347 | 1 plans |
| 079 | DRG Grouper 12 (10/1/1994): DRG 79: RESPIRATORY INFECTIONS & | $15,924 – $15,924 · median $15,924 | 1 plans |
| 104 | DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC | $71,451 – $71,451 · median $71,451 | 1 plans |
| 105 | DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O | $54,151 – $54,151 · median $54,151 | 1 plans |
| 106 | DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH | $53,237 – $53,237 · median $53,237 | 1 plans |
| 107 | DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH | $39,422 – $39,422 · median $39,422 | 1 plans |
| 108 | DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES | $57,368 – $57,368 · median $57,368 | 1 plans |
| 110 | DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W | $38,316 – $38,316 · median $38,316 | 1 plans |
| 111 | DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/ | $21,624 – $21,624 · median $21,624 | 1 plans |
| 112 | DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR | $18,672 – $18,672 · median $18,672 | 1 plans |
| 118 | DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE | $14,635 – $14,635 · median $14,635 | 1 plans |
| 119 | DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING | $9,344 – $9,344 · median $9,344 | 1 plans |
| 120 | DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R. | $18,424 – $18,424 · median $18,424 | 1 plans |
| 126 | DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS | $26,039 – $26,039 · median $26,039 | 1 plans |
| 127 | DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK | $9,617 – $9,617 · median $9,617 | 1 plans |
| 128 | DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS | $7,345 – $7,345 · median $7,345 | 1 plans |
| 129 | DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED | $10,621 – $10,621 · median $10,621 | 1 plans |
| 130 | DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC | $8,619 – $8,619 · median $8,619 | 1 plans |
| 131 | DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O | $5,531 – $5,531 · median $5,531 | 1 plans |
| 132 | DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC | $6,852 – $6,852 · median $6,852 | 1 plans |
| 133 | DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC | $5,023 – $5,023 · median $5,023 | 1 plans |
| 134 | DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION | $5,411 – $5,411 · median $5,411 | 1 plans |
| 160 | DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL | $6,174 – $6,174 · median $6,174 | 1 plans |
| 161 | DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA | $8,503 – $8,503 · median $8,503 | 1 plans |
| 162 | DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA | $4,843 – $4,843 · median $4,843 | 1 plans |
| 169 | DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC | $5,775 – $5,775 · median $5,775 | 1 plans |
| 170 | DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R. | $26,122 – $26,122 · median $26,122 | 1 plans |
| 171 | DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R. | $9,991 – $9,991 · median $9,991 | 1 plans |
| 172 | DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC | $12,200 – $12,200 · median $12,200 | 1 plans |
| 174 | DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC | $9,135 – $9,135 · median $9,135 | 1 plans |
| 210 | DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT | $17,307 – $17,307 · median $17,307 | 1 plans |
| 211 | DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT | $12,200 – $12,200 · median $12,200 | 1 plans |
| 214 | DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC | $18,068 – $18,068 · median $18,068 | 1 plans |
| 222 | DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC | $9,253 – $9,253 · median $9,253 | 1 plans |
| 223 | DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR | $7,666 – $7,666 · median $7,666 | 1 plans |
| 224 | DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC, | $6,511 – $6,511 · median $6,511 | 1 plans |
| 225 | DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES | $8,459 – $8,459 · median $8,459 | 1 plans |
| 226 | DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC | $12,568 – $12,568 · median $12,568 | 1 plans |
| 227 | DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC | $6,574 – $6,574 · median $6,574 | 1 plans |
| 230 | DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT | $8,589 – $8,589 · median $8,589 | 1 plans |
| 237 | DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS | $5,199 – $5,199 · median $5,199 | 1 plans |
| 238 | DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS | $14,031 – $14,031 · median $14,031 | 1 plans |
| 246 | DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES | $5,193 – $5,193 · median $5,193 | 1 plans |
| 247 | DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF | $5,196 – $5,196 · median $5,196 | 1 plans |
| 248 | DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS | $6,684 – $6,684 · median $6,684 | 1 plans |
| 249 | DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM | $6,092 – $6,092 · median $6,092 | 1 plans |
| 294 | DRG Grouper 12 (10/1/1994): DRG 294: DIABETES AGE >35 | $7,009 – $7,009 · median $7,009 | 1 plans |
| 295 | DRG Grouper 12 (10/1/1994): DRG 295: DIABETES AGE 0-35 | $6,981 – $6,981 · median $6,981 | 1 plans |
| 338 | DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY | $9,146 – $9,146 · median $9,146 | 1 plans |
| 339 | DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY | $7,763 – $7,763 · median $7,763 | 1 plans |
| 340 | DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY | $4,241 – $4,241 · median $4,241 | 1 plans |
| 341 | DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES | $9,572 – $9,572 · median $9,572 | 1 plans |
| 342 | DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17 | $6,282 – $6,282 · median $6,282 | 1 plans |
| 343 | DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17 | $3,705 – $3,705 · median $3,705 | 1 plans |
| 361 | DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL | $10,375 – $10,375 · median $10,375 | 1 plans |
| 362 | DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION | $4,874 – $4,874 · median $4,874 | 1 plans |
| 363 | DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT, | $6,077 – $6,077 · median $6,077 | 1 plans |
| 364 | DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR | $5,860 – $5,860 · median $5,860 | 1 plans |
| 365 | DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM | $16,086 – $16,086 · median $16,086 | 1 plans |
| 366 | DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE | $11,375 – $11,375 · median $11,375 | 1 plans |
| 367 | DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE | $4,213 – $4,213 · median $4,213 | 1 plans |
| 396 | DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17 | $2,685 – $2,685 · median $2,685 | 1 plans |
| 400 | DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R. | $24,113 – $24,113 · median $24,113 | 1 plans |
| 401 | DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W | $22,581 – $22,581 · median $22,581 | 1 plans |
| 403 | DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC | $15,925 – $15,925 · median $15,925 | 1 plans |
| 404 | DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O | $7,111 – $7,111 · median $7,111 | 1 plans |
| 431 | DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS | $5,932 – $5,932 · median $5,932 | 1 plans |
| 449 | DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS | $7,327 – $7,327 · median $7,327 | 1 plans |
| 452 | DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC | $8,056 – $8,056 · median $8,056 | 1 plans |
| 453 | DRG Grouper 12 (10/1/1994): DRG 453: COMPLICATIONS OF TREATMENT W/O CC | — | 1 plans |
| 454 | DRG Grouper 12 (10/1/1994): DRG 454: OTHER INJURY, POISONING & TOXIC | — | 1 plans |
| 455 | DRG Grouper 12 (10/1/1994): DRG 455: OTHER INJURY, POISONING & TOXIC | — | 1 plans |
| 459 | DRG Grouper 12 (10/1/1994): DRG 459: NON-EXTENSIVE BURNS W WOUND | $16,477 – $16,477 · median $16,477 | 1 plans |
| 460 | DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R. | $9,414 – $9,414 · median $9,414 | 1 plans |
| 484 | DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE | $56,171 – $56,171 · median $56,171 | 1 plans |
| 490 | DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED | $9,984 – $9,984 · median $9,984 | 1 plans |
| 491 | DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT | $15,248 – $15,248 · median $15,248 | 1 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $7,906 – $7,906 · median $7,906 | 1 plans |
| 999 | UNGROUPABLE | $7,906 – $7,906 · median $7,906 | 1 plans |
No procedures match that keyword.