Hill Hospital of Sumter County — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 100 | SEIZURES WITH MCC | $1,736 – $13,903 · median $13,903 | 7 plans |
| 101 | SEIZURES WITHOUT MCC | $1,736 – $7,337 · median $7,337 | 7 plans |
| 102 | HEADACHES WITH MCC | $1,736 – $8,805 · median $8,805 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $1,736 – $6,896 · median $6,896 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $1,736 – $15,578 · median $15,578 | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $1,736 – $8,945 · median $8,945 | 7 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $1,736 – $11,098 · median $11,098 | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $1,736 – $11,948 · median $11,948 | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $1,736 – $8,306 · median $8,306 | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,736 – $8,828 · median $8,828 | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,736 – $5,834 · median $5,834 | 7 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,736 – $6,605 · median $6,605 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $1,736 – $9,697 · median $9,697 | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,736 – $6,744 · median $6,744 | 7 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $1,736 – $16,532 · median $16,532 | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $1,736 – $7,686 · median $7,686 | 7 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $1,736 – $10,281 · median $10,281 | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $1,736 – $6,669 · median $6,669 | 7 plans |
| 139 | SALIVARY GLAND PROCEDURES | $1,736 – $10,123 · median $10,123 | 7 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $1,736 – $27,756 · median $27,756 | 7 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $1,736 – $14,911 · median $14,911 | 7 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $1,736 – $11,354 · median $11,354 | 7 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $1,736 – $22,031 · median $22,031 | 7 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $1,736 – $12,492 · median $12,492 | 7 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $8,961 · median $8,961 | 7 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $1,736 – $15,809 · median $15,809 | 7 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $1,736 – $9,332 · median $9,332 | 7 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,736 – $6,590 · median $6,590 | 7 plans |
| 149 | DYSEQUILIBRIUM | $1,736 – $6,262 · median $6,262 | 7 plans |
| 150 | EPISTAXIS WITH MCC | $1,736 – $10,180 · median $10,180 | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,736 – $6,326 · median $6,326 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $1,736 – $8,653 · median $8,653 | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,736 – $6,041 · median $6,041 | 7 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $1,736 – $11,687 · median $11,687 | 7 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $1,736 – $7,410 · median $7,410 | 7 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,736 – $5,798 · median $5,798 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $1,736 – $11,756 · median $11,756 | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,736 – $7,454 · median $7,454 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,736 – $5,719 · median $5,719 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $1,736 – $30,102 · median $30,102 | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $1,736 – $17,186 · median $17,186 | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $1,736 – $13,154 · median $13,154 | 7 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,736 – $25,417 · median $25,417 | 7 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $1,736 – $12,927 · median $12,927 | 7 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $10,005 · median $10,005 | 7 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $1,736 – $20,591 · median $20,591 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $1,736 – $10,346 · median $10,346 | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,736 – $6,675 · median $6,675 | 7 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,736 – $11,626 · median $11,626 | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,736 – $7,772 · median $7,772 | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $1,736 – $6,399 · median $6,399 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $1,736 – $12,437 · median $12,437 | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,736 – $8,501 · median $8,501 | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,736 – $6,817 · median $6,817 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $1,736 – $11,446 · median $11,446 | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,736 – $8,241 · median $8,241 | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,736 – $6,448 · median $6,448 | 7 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $1,736 – $11,401 · median $11,401 | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,736 – $7,845 · median $7,845 | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,736 – $6,179 · median $6,179 | 7 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $1,736 – $9,286 · median $9,286 | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,736 – $8,580 · median $8,580 | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,736 – $6,951 · median $6,951 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,736 – $5,642 · median $5,642 | 7 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,736 – $9,782 · median $9,782 | 7 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,736 – $6,709 · median $6,709 | 7 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,736 – $5,491 · median $5,491 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $1,736 – $13,278 · median $13,278 | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,736 – $7,759 · median $7,759 | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,736 – $5,971 · median $5,971 | 7 plans |
| 199 | PNEUMOTHORAX WITH MCC | $1,736 – $12,545 · median $12,545 | 7 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,736 – $8,484 · median $8,484 | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,736 – $5,827 · median $5,827 | 7 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,736 – $7,615 · median $7,615 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,736 – $5,947 · median $5,947 | 7 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,736 – $6,654 · median $6,654 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,736 – $13,301 · median $13,301 | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,736 – $7,239 · median $7,239 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,736 – $41,572 · median $41,572 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $1,736 – $18,215 · median $18,215 | 7 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $1,736 – $68,900 · median $68,900 | 7 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $1,736 – $67,054 · median $67,054 | 7 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $1,736 – $61,228 · median $61,228 | 7 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $1,736 – $41,515 · median $41,515 | 7 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,736 – $38,375 · median $38,375 | 7 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,736 – $49,414 · median $49,414 | 7 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $1,736 – $34,346 · median $34,346 | 7 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,736 – $29,999 · median $29,999 | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $1,736 – $32,411 · median $32,411 | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $1,736 – $20,824 · median $20,824 | 7 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $1,736 – $53,960 · median $53,960 | 7 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $1,736 – $39,359 · median $39,359 | 7 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $1,736 – $49,901 · median $49,901 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $1,736 – $34,491 · median $34,491 | 7 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,736 – $37,973 · median $37,973 | 7 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $1,736 – $27,033 · median $27,033 | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $1,736 – $32,742 · median $32,742 | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $1,736 – $19,625 · median $19,625 | 7 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $1,736 – $10,968 · median $10,968 | 7 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $1,736 – $22,587 · median $22,587 | 7 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $1,736 – $15,555 · median $15,555 | 7 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $1,736 – $12,788 · median $12,788 | 7 plans |
| 245 | AICD GENERATOR PROCEDURES | $1,736 – $31,815 · median $31,815 | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $1,736 – $15,924 · median $15,924 | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $1,736 – $11,294 · median $11,294 | 7 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $1,736 – $22,824 · median $22,824 | 7 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $1,736 – $17,408 · median $17,408 | 7 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $1,736 – $12,447 · median $12,447 | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $1,736 – $17,800 · median $17,800 | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $1,736 – $12,103 · median $12,103 | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $1,736 – $7,153 · median $7,153 | 7 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $1,736 – $18,967 · median $18,967 | 7 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $1,736 – $12,498 · median $12,498 | 7 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $1,736 – $22,675 · median $22,675 | 7 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $1,736 – $13,362 · median $13,362 | 7 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $1,736 – $11,017 · median $11,017 | 7 plans |
| 263 | VEIN LIGATION AND STRIPPING | $1,736 – $18,205 · median $18,205 | 7 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $1,736 – $23,224 · median $23,224 | 7 plans |
| 265 | AICD LEAD PROCEDURES | $1,736 – $23,669 · median $23,669 | 7 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $1,736 – $38,631 · median $38,631 | 7 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $1,736 – $30,691 · median $30,691 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $1,736 – $42,809 · median $42,809 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $1,736 – $27,333 · median $27,333 | 7 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $1,736 – $33,335 · median $33,335 | 7 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $1,736 – $22,911 · median $22,911 | 7 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $1,736 – $17,094 · median $17,094 | 7 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $1,736 – $25,787 · median $25,787 | 7 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $1,736 – $20,914 · median $20,914 | 7 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $1,736 – $45,275 · median $45,275 | 7 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $1,736 – $39,888 · median $39,888 | 7 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $1,736 – $30,365 · median $30,365 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $1,736 – $32,535 · median $32,535 | 7 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $1,736 – $21,429 · median $21,429 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $1,736 – $11,780 · median $11,780 | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $1,736 – $7,338 · median $7,338 | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $1,736 – $6,123 · median $6,123 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $1,736 – $13,719 · median $13,719 | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $1,736 – $6,221 · median $6,221 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,736 – $5,113 · median $5,113 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $1,736 – $15,311 · median $15,311 | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,736 – $8,374 · median $8,374 | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $1,736 – $18,510 · median $18,510 | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,736 – $11,381 · median $11,381 | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,736 – $7,691 · median $7,691 | 7 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $1,736 – $9,702 · median $9,702 | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,736 – $6,963 · median $6,963 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,736 – $5,034 · median $5,034 | 7 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $1,736 – $11,762 · median $11,762 | 7 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,736 – $5,995 · median $5,995 | 7 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,736 – $4,374 · median $4,374 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $1,736 – $11,633 · median $11,633 | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,736 – $8,256 · median $8,256 | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,736 – $6,051 · median $6,051 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $1,736 – $8,829 · median $8,829 | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,736 – $5,798 · median $5,798 | 7 plans |
| 304 | HYPERTENSION WITH MCC | $1,736 – $8,900 · median $8,900 | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,736 – $6,281 · median $6,281 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,736 – $10,891 · median $10,891 | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $1,736 – $7,366 · median $7,366 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $1,736 – $9,091 · median $9,091 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $1,736 – $6,211 · median $6,211 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,736 – $5,101 · median $5,101 | 7 plans |
| 311 | ANGINA PECTORIS | $1,736 – $5,958 · median $5,958 | 7 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,736 – $7,026 · median $7,026 | 7 plans |
| 313 | CHEST PAIN | $1,736 – $6,051 · median $6,051 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $1,736 – $14,941 · median $14,941 | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,736 – $7,588 · median $7,588 | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,736 – $5,862 · median $5,862 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $1,736 – $39,839 · median $39,839 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $1,736 – $28,766 · median $28,766 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $1,736 – $15,937 · median $15,937 | 7 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $1,736 – $19,222 · median $19,222 | 7 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $1,736 – $12,816 · median $12,816 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $1,736 – $27,942 · median $27,942 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $1,736 – $21,372 · median $21,372 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $1,736 – $19,316 · median $19,316 | 7 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $1,736 – $33,002 · median $33,002 | 7 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $1,736 – $16,637 · median $16,637 | 7 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $1,736 – $11,484 · median $11,484 | 7 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,736 – $29,995 · median $29,995 | 7 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,736 – $16,239 · median $16,239 | 7 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,736 – $11,839 · median $11,839 | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | $1,736 – $23,061 · median $23,061 | 7 plans |
| 333 | RECTAL RESECTION WITH CC | $1,736 – $14,767 · median $14,767 | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $1,736 – $11,886 · median $11,886 | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $1,736 – $24,016 · median $24,016 | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $1,736 – $14,687 · median $14,687 | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $1,736 – $11,124 · median $11,124 | 7 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,736 – $18,281 · median $18,281 | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,736 – $10,837 · median $10,837 | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,736 – $9,335 · median $9,335 | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $1,736 – $16,258 · median $16,258 | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $1,736 – $9,419 · median $9,419 | 7 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $1,736 – $7,085 · median $7,085 | 7 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $1,736 – $16,579 · median $16,579 | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $1,736 – $10,935 · median $10,935 | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $1,736 – $8,454 · median $8,454 | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $1,736 – $19,754 · median $19,754 | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $1,736 – $12,149 · median $12,149 | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $1,736 – $9,877 · median $9,877 | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $1,736 – $27,981 · median $27,981 | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $1,736 – $15,550 · median $15,550 | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $10,013 · median $10,013 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $1,736 – $11,957 · median $11,957 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,736 – $7,929 · median $7,929 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,736 – $5,956 · median $5,956 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $1,736 – $12,438 · median $12,438 | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $1,736 – $8,001 · median $8,001 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $1,736 – $6,125 · median $6,125 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $1,736 – $14,682 · median $14,682 | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $1,736 – $9,232 · median $9,232 | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,736 – $7,098 · median $7,098 | 7 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $1,736 – $12,872 · median $12,872 | 7 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,736 – $7,733 · median $7,733 | 7 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,736 – $5,578 · median $5,578 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $1,736 – $13,527 · median $13,527 | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,736 – $8,370 · median $8,370 | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,736 – $6,273 · median $6,273 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $1,736 – $9,451 · median $9,451 | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,736 – $7,015 · median $7,015 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,736 – $11,678 · median $11,678 | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,736 – $7,774 · median $7,774 | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,736 – $5,785 · median $5,785 | 7 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $1,736 – $10,721 · median $10,721 | 7 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $1,736 – $6,596 · median $6,596 | 7 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,736 – $5,025 · median $5,025 | 7 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $1,736 – $9,577 · median $9,577 | 7 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,736 – $6,464 · median $6,464 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $1,736 – $11,870 · median $11,870 | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,736 – $7,458 · median $7,458 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,736 – $5,576 · median $5,576 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $1,736 – $16,944 · median $16,944 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $1,736 – $10,989 · median $10,989 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $1,736 – $8,585 · median $8,585 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $1,736 – $25,799 · median $25,799 | 7 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $1,736 – $35,161 · median $35,161 | 7 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $1,736 – $18,985 · median $18,985 | 7 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $1,736 – $14,832 · median $14,832 | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $1,736 – $23,262 · median $23,262 | 7 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $1,736 – $14,590 · median $14,590 | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $1,736 – $11,223 · median $11,223 | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $1,736 – $18,540 · median $18,540 | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $1,736 – $14,806 · median $14,806 | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $1,736 – $11,910 · median $11,910 | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $1,736 – $23,278 · median $23,278 | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $1,736 – $13,859 · median $13,859 | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $1,736 – $10,106 · median $10,106 | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $1,736 – $16,318 · median $16,318 | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $1,736 – $11,885 · median $11,885 | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $1,736 – $9,781 · median $9,781 | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $1,736 – $23,436 · median $23,436 | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $1,736 – $11,757 · median $11,757 | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $1,736 – $10,718 · median $10,718 | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $1,736 – $26,757 · median $26,757 | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $1,736 – $15,743 · median $15,743 | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $11,190 · median $11,190 | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $1,736 – $66,317 · median $66,317 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $1,736 – $45,495 · median $45,495 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $1,736 – $35,626 · median $35,626 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $1,736 – $53,137 · median $53,137 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $1,736 – $35,419 · median $35,419 | 7 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $1,736 – $13,741 · median $13,741 | 7 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,736 – $8,251 · median $8,251 | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,736 – $5,947 · median $5,947 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $1,736 – $12,911 · median $12,911 | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $1,736 – $8,609 · median $8,609 | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $1,736 – $6,494 · median $6,494 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,736 – $11,918 · median $11,918 | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,736 – $6,957 · median $6,957 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,736 – $5,444 · median $5,444 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $1,736 – $13,317 · median $13,317 | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,736 – $7,612 · median $7,612 | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,736 – $5,985 · median $5,985 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $1,736 – $12,046 · median $12,046 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,736 – $8,342 · median $8,342 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,736 – $6,569 · median $6,569 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $1,736 – $43,038 · median $43,038 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $1,736 – $26,856 · median $26,856 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $1,736 – $33,441 · median $33,441 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $1,736 – $20,698 · median $20,698 | 7 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $1,736 – $53,931 · median $53,931 | 7 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $1,736 – $37,079 · median $37,079 | 7 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $1,736 – $28,304 · median $28,304 | 7 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $1,736 – $39,532 · median $39,532 | 7 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $1,736 – $19,327 · median $19,327 | 7 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,736 – $34,990 · median $34,990 | 7 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,736 – $19,850 · median $19,850 | 7 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,736 – $12,365 · median $12,365 | 7 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $1,736 – $33,098 · median $33,098 | 7 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $1,736 – $22,792 · median $22,792 | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $1,736 – $17,842 · median $17,842 | 7 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $1,736 – $21,826 · median $21,826 | 7 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $1,736 – $13,287 · median $13,287 | 7 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $1,736 – $31,633 · median $31,633 | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $1,736 – $19,533 · median $19,533 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $1,736 – $16,262 · median $16,262 | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,736 – $29,333 · median $29,333 | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,736 – $14,965 · median $14,965 | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,736 – $8,827 · median $8,827 | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,736 – $22,878 · median $22,878 | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,736 – $16,084 · median $16,084 | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,736 – $12,610 · median $12,610 | 7 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $1,736 – $19,803 · median $19,803 | 7 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $1,736 – $14,456 · median $14,456 | 7 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $1,736 – $11,441 · median $11,441 | 7 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $1,736 – $17,378 · median $17,378 | 7 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $1,736 – $21,521 · median $21,521 | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $1,736 – $14,740 · median $14,740 | 7 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,736 – $11,402 · median $11,402 | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $1,736 – $13,780 · median $13,780 | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,736 – $9,292 · median $9,292 | 7 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $1,736 – $23,570 · median $23,570 | 7 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $1,736 – $16,469 · median $16,469 | 7 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $1,736 – $13,286 · median $13,286 | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $1,736 – $23,381 · median $23,381 | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $1,736 – $13,827 · median $13,827 | 7 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $1,736 – $9,935 · median $9,935 | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $1,736 – $17,234 · median $17,234 | 7 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $1,736 – $8,813 · median $8,813 | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $1,736 – $21,209 · median $21,209 | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $1,736 – $12,665 · median $12,665 | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $1,736 – $10,272 · median $10,272 | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | $1,736 – $17,986 · median $17,986 | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | $1,736 – $12,481 · median $12,481 | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $1,736 – $12,481 · median $12,481 | 7 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $1,736 – $10,902 · median $10,902 | 7 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $1,736 – $13,612 · median $13,612 | 7 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $1,736 – $9,614 · median $9,614 | 7 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $1,736 – $19,291 · median $19,291 | 7 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $1,736 – $13,754 · median $13,754 | 7 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $1,736 – $11,573 · median $11,573 | 7 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $1,736 – $10,942 · median $10,942 | 7 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $1,736 – $7,941 · median $7,941 | 7 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $1,736 – $20,738 · median $20,738 | 7 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $1,736 – $14,066 · median $14,066 | 7 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $10,862 · median $10,862 | 7 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $1,736 – $23,773 · median $23,773 | 7 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $1,736 – $13,820 · median $13,820 | 7 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $1,736 – $10,495 · median $10,495 | 7 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $1,736 – $19,641 · median $19,641 | 7 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $1,736 – $14,661 · median $14,661 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $1,736 – $11,061 · median $11,061 | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,736 – $6,672 · median $6,672 | 7 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $1,736 – $9,857 · median $9,857 | 7 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,736 – $6,653 · median $6,653 | 7 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $1,736 – $7,320 · median $7,320 | 7 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $1,736 – $5,792 · median $5,792 | 7 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,736 – $14,132 · median $14,132 | 7 plans |
| 540 | OSTEOMYELITIS WITH CC | $1,736 – $9,636 · median $9,636 | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,736 – $7,048 · median $7,048 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $1,736 – $13,161 · median $13,161 | 7 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $1,736 – $8,196 · median $8,196 | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,736 – $6,312 · median $6,312 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $1,736 – $17,247 · median $17,247 | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,736 – $8,794 · median $8,794 | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,736 – $6,254 · median $6,254 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,736 – $14,084 · median $14,084 | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,736 – $9,087 · median $9,087 | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,736 – $6,969 · median $6,969 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,736 – $12,181 · median $12,181 | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,736 – $7,597 · median $7,597 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $1,736 – $9,709 · median $9,709 | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,736 – $6,799 · median $6,799 | 7 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,736 – $9,960 · median $9,960 | 7 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,736 – $6,688 · median $6,688 | 7 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $1,736 – $11,214 · median $11,214 | 7 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,736 – $6,980 · median $6,980 | 7 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,736 – $13,107 · median $13,107 | 7 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,736 – $8,677 · median $8,677 | 7 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,736 – $6,694 · median $6,694 | 7 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $1,736 – $10,682 · median $10,682 | 7 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $1,736 – $7,165 · median $7,165 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $1,736 – $11,334 · median $11,334 | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $1,736 – $7,942 · median $7,942 | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,736 – $6,265 · median $6,265 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $1,736 – $20,230 · median $20,230 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $1,736 – $11,983 · median $11,983 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $1,736 – $8,699 · median $8,699 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,736 – $39,664 · median $39,664 | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,736 – $23,037 · median $23,037 | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,736 – $13,973 · median $13,973 | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,736 – $34,955 · median $34,955 | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,736 – $18,086 · median $18,086 | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,736 – $12,083 · median $12,083 | 7 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $1,736 – $21,769 · median $21,769 | 7 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $1,736 – $12,592 · median $12,592 | 7 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $1,736 – $10,532 · median $10,532 | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $1,736 – $12,458 · median $12,458 | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $1,736 – $11,788 · median $11,788 | 7 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $1,736 – $14,286 · median $14,286 | 7 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $1,736 – $13,902 · median $13,902 | 7 plans |
| 592 | SKIN ULCERS WITH MCC | $1,736 – $14,341 · median $14,341 | 7 plans |
| 593 | SKIN ULCERS WITH CC | $1,736 – $9,195 · median $9,195 | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,736 – $6,886 · median $6,886 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,736 – $14,704 · median $14,704 | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,736 – $8,321 · median $8,321 | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $1,736 – $12,492 · median $12,492 | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $1,736 – $8,307 · median $8,307 | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,736 – $6,925 · median $6,925 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,736 – $7,552 · median $7,552 | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,736 – $5,348 · median $5,348 | 7 plans |
| 602 | CELLULITIS WITH MCC | $1,736 – $10,717 · median $10,717 | 7 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,736 – $7,084 · median $7,084 | 7 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $1,736 – $10,819 · median $10,819 | 7 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,736 – $7,349 · median $7,349 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $1,736 – $11,588 · median $11,588 | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,736 – $6,982 · median $6,982 | 7 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $1,736 – $15,716 · median $15,716 | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $1,736 – $10,493 · median $10,493 | 7 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,736 – $25,507 · median $25,507 | 7 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,736 – $13,572 · median $13,572 | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,736 – $9,334 · median $9,334 | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $1,736 – $18,479 · median $18,479 | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $1,736 – $11,506 · median $11,506 | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $1,736 – $10,671 · median $10,671 | 7 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,736 – $24,748 · median $24,748 | 7 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,736 – $13,456 · median $13,456 | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,736 – $7,840 · median $7,840 | 7 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $1,736 – $19,347 · median $19,347 | 7 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $1,736 – $10,965 · median $10,965 | 7 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $1,736 – $9,468 · median $9,468 | 7 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $1,736 – $26,006 · median $26,006 | 7 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $1,736 – $15,532 · median $15,532 | 7 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $10,298 · median $10,298 | 7 plans |
| 637 | DIABETES WITH MCC | $1,736 – $10,637 · median $10,637 | 7 plans |
| 638 | DIABETES WITH CC | $1,736 – $7,309 · median $7,309 | 7 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,736 – $5,515 · median $5,515 | 7 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $1,736 – $9,845 · median $9,845 | 7 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,736 – $6,471 · median $6,471 | 7 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,736 – $9,309 · median $9,309 | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $1,736 – $11,878 · median $11,878 | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,736 – $8,027 · median $8,027 | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,736 – $6,454 · median $6,454 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $1,736 – $30,090 · median $30,090 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $1,736 – $23,084 · median $23,084 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $1,736 – $20,608 · median $20,608 | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $1,736 – $36,062 · median $36,062 | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $1,736 – $19,069 · median $19,069 | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,736 – $14,471 · median $14,471 | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $1,736 – $21,760 · median $21,760 | 7 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $1,736 – $12,933 · median $12,933 | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $1,736 – $10,932 · median $10,932 | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $1,736 – $17,601 · median $17,601 | 7 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $1,736 – $9,919 · median $9,919 | 7 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $1,736 – $7,985 · median $7,985 | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $1,736 – $20,906 · median $20,906 | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $1,736 – $11,076 · median $11,076 | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,736 – $8,313 · median $8,313 | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | $1,736 – $22,844 · median $22,844 | 7 plans |
| 666 | PROSTATECTOMY WITH CC | $1,736 – $11,816 · median $11,816 | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $1,736 – $7,992 · median $7,992 | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $1,736 – $19,651 · median $19,651 | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $1,736 – $11,200 · median $11,200 | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $1,736 – $7,547 · median $7,547 | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $1,736 – $12,288 · median $12,288 | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,736 – $8,403 · median $8,403 | 7 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $1,736 – $27,511 · median $27,511 | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $1,736 – $15,898 · median $15,898 | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $1,736 – $11,310 · median $11,310 | 7 plans |
| 682 | RENAL FAILURE WITH MCC | $1,736 – $10,919 · median $10,919 | 7 plans |
| 683 | RENAL FAILURE WITH CC | $1,736 – $7,135 · median $7,135 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,736 – $5,397 · median $5,397 | 7 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $1,736 – $13,288 · median $13,288 | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,736 – $8,146 · median $8,146 | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,736 – $6,118 · median $6,118 | 7 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,736 – $8,872 · median $8,872 | 7 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,736 – $6,602 · median $6,602 | 7 plans |
| 693 | URINARY STONES WITH MCC | $1,736 – $10,724 · median $10,724 | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,736 – $6,471 · median $6,471 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $1,736 – $8,609 · median $8,609 | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,736 – $5,918 · median $5,918 | 7 plans |
| 697 | URETHRAL STRICTURE | $1,736 – $7,831 · median $7,831 | 7 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,736 – $12,024 · median $12,024 | 7 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,736 – $7,943 · median $7,943 | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,736 – $5,933 · median $5,933 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $1,736 – $13,627 · median $13,627 | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $1,736 – $10,799 · median $10,799 | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,736 – $15,519 · median $15,519 | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $1,736 – $10,916 · median $10,916 | 7 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $1,736 – $13,442 · median $13,442 | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $1,736 – $8,250 · median $8,250 | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $1,736 – $10,574 · median $10,574 | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $1,736 – $7,448 · median $7,448 | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $1,736 – $15,588 · median $15,588 | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $1,736 – $10,409 · median $10,409 | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $1,736 – $13,102 · median $13,102 | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,736 – $9,252 · median $9,252 | 7 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $1,736 – $12,320 · median $12,320 | 7 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $1,736 – $8,579 · median $8,579 | 7 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,736 – $6,145 · median $6,145 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,736 – $9,442 · median $9,442 | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,736 – $6,242 · median $6,242 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $1,736 – $10,718 · median $10,718 | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,736 – $6,691 · median $6,691 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,736 – $8,443 · median $8,443 | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,736 – $5,394 · median $5,394 | 7 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $1,736 – $14,628 · median $14,628 | 7 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $1,736 – $9,141 · median $9,141 | 7 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $1,736 – $25,956 · median $25,956 | 7 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $1,736 – $13,984 · median $13,984 | 7 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,736 – $11,011 · median $11,011 | 7 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $1,736 – $26,223 · median $26,223 | 7 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $1,736 – $12,872 · median $12,872 | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,736 – $10,127 · median $10,127 | 7 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $1,736 – $12,924 · median $12,924 | 7 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $1,736 – $9,047 · median $9,047 | 7 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $1,736 – $13,710 · median $13,710 | 7 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $1,736 – $7,973 · median $7,973 | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $1,736 – $11,985 · median $11,985 | 7 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $1,736 – $7,544 · median $7,544 | 7 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $1,736 – $10,057 · median $10,057 | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $1,736 – $17,628 · median $17,628 | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $9,608 · median $9,608 | 7 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,736 – $12,817 · median $12,817 | 7 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,736 – $8,500 · median $8,500 | 7 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,736 – $7,543 · median $7,543 | 7 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,736 – $10,384 · median $10,384 | 7 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,736 – $7,940 · median $7,940 | 7 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,736 – $5,598 · median $5,598 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $1,736 – $7,731 · median $7,731 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,736 – $5,560 · median $5,560 | 7 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,736 – $8,415 · median $8,415 | 7 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $1,736 – $10,225 · median $10,225 | 7 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $1,736 – $8,290 · median $8,290 | 7 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,736 – $6,052 · median $6,052 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $1,736 – $7,418 · median $7,418 | 7 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,736 – $13,019 · median $13,019 | 7 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,736 – $8,333 · median $8,333 | 7 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,736 – $7,039 · median $7,039 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,736 – $11,623 · median $11,623 | 7 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,736 – $8,202 · median $8,202 | 7 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,736 – $7,232 · median $7,232 | 7 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,736 – $12,775 · median $12,775 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,736 – $38,347 · median $38,347 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,736 – $26,711 · median $26,711 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,736 – $16,770 · median $16,770 | 7 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,736 – $27,393 · median $27,393 | 7 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,736 – $10,760 · median $10,760 | 7 plans |
| 795 | NORMAL NEWBORN | $1,736 – $2,880 · median $2,880 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,736 – $9,528 · median $9,528 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,736 – $7,624 · median $7,624 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,736 – $7,624 · median $7,624 | 7 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $1,736 – $31,001 · median $31,001 | 7 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $1,736 – $19,635 · median $19,635 | 7 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $1,736 – $11,782 · median $11,782 | 7 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $1,736 – $23,778 · median $23,778 | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $1,736 – $12,636 · median $12,636 | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $1,736 – $8,472 · median $8,472 | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,736 – $7,808 · median $7,808 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,736 – $6,114 · median $6,114 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,736 – $5,581 · median $5,581 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $1,736 – $15,786 · median $15,786 | 7 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $1,736 – $9,293 · median $9,293 | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $1,736 – $7,523 · median $7,523 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $1,736 – $10,332 · median $10,332 | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,736 – $7,344 · median $7,344 | 7 plans |
| 813 | COAGULATION DISORDERS | $1,736 – $11,203 · median $11,203 | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $1,736 – $14,553 · median $14,553 | 7 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,736 – $7,920 · median $7,920 | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,736 – $5,718 · median $5,718 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $1,736 – $17,297 · median $17,297 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $1,736 – $9,598 · median $9,598 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $6,688 · median $6,688 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $1,736 – $37,591 · median $37,591 | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $1,736 – $15,429 · median $15,429 | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $8,708 · median $8,708 | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $1,736 – $30,536 · median $30,536 | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $1,736 – $15,225 · median $15,225 | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,736 – $9,245 · median $9,245 | 7 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $1,736 – $31,128 · median $31,128 | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $1,736 – $16,216 · median $16,216 | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $11,542 · median $11,542 | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $1,736 – $20,685 · median $20,685 | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,736 – $10,676 · median $10,676 | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $1,736 – $8,753 · median $8,753 | 7 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,736 – $6,261 · median $6,261 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $4,856 · median $4,856 | 7 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $1,736 – $35,770 · median $35,770 | 7 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $1,736 – $14,833 · median $14,833 | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $9,492 · median $9,492 | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $1,736 – $32,559 · median $32,559 | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $1,736 – $14,168 · median $14,168 | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,736 – $10,107 · median $10,107 | 7 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,736 – $21,334 · median $21,334 | 7 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $1,736 – $11,327 · median $11,327 | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,736 – $8,141 · median $8,141 | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $1,736 – $13,335 · median $13,335 | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,736 – $9,025 · median $9,025 | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,736 – $6,813 · median $6,813 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $1,736 – $17,413 · median $17,413 | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $1,736 – $9,492 · median $9,492 | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,736 – $6,702 · median $6,702 | 7 plans |
| 849 | RADIOTHERAPY | $1,736 – $18,137 · median $18,137 | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $1,736 – $58,516 · median $58,516 | 7 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $1,736 – $32,522 · median $32,522 | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $1,736 – $13,982 · median $13,982 | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $11,683 · median $11,683 | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $1,736 – $29,499 · median $29,499 | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $1,736 – $15,098 · median $15,098 | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,736 – $9,601 · median $9,601 | 7 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $1,736 – $12,998 · median $12,998 | 7 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $1,736 – $7,820 · median $7,820 | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,736 – $7,191 · median $7,191 | 7 plans |
| 865 | VIRAL ILLNESS WITH MCC | $1,736 – $10,758 · median $10,758 | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,736 – $7,109 · median $7,109 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $1,736 – $14,885 · median $14,885 | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,736 – $8,130 · median $8,130 | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,736 – $6,089 · median $6,089 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,736 – $44,593 · median $44,593 | 7 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $1,736 – $13,760 · median $13,760 | 7 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,736 – $8,012 · median $8,012 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,736 – $25,906 · median $25,906 | 7 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,736 – $7,565 · median $7,565 | 7 plans |
| 881 | DEPRESSIVE NEUROSES | $1,736 – $7,290 · median $7,290 | 7 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,736 – $7,586 · median $7,586 | 7 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,736 – $13,092 · median $13,092 | 7 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,736 – $11,958 · median $11,958 | 7 plans |
| 885 | PSYCHOSES | $1,736 – $10,349 · median $10,349 | 7 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $850 – $12,738 · median $12,738 | 7 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,736 – $8,990 · median $8,990 | 7 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,736 – $5,500 · median $5,500 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,736 – $10,585 · median $10,585 | 7 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,736 – $12,641 · median $12,641 | 7 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,736 – $7,093 · median $7,093 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $1,736 – $28,999 · median $28,999 | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $1,736 – $13,362 · median $13,362 | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $1,736 – $9,173 · median $9,173 | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $1,736 – $25,483 · median $25,483 | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $1,736 – $11,822 · median $11,822 | 7 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $1,736 – $15,121 · median $15,121 | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $1,736 – $26,240 · median $26,240 | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $1,736 – $14,099 · median $14,099 | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $1,736 – $9,477 · median $9,477 | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,736 – $11,637 · median $11,637 | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,736 – $7,304 · median $7,304 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $1,736 – $12,376 · median $12,376 | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,736 – $5,747 · median $5,747 | 7 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,736 – $11,770 · median $11,770 | 7 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,736 – $7,108 · median $7,108 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $1,736 – $12,905 · median $12,905 | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,736 – $7,919 · median $7,919 | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,736 – $5,892 · median $5,892 | 7 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $1,736 – $12,076 · median $12,076 | 7 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,736 – $7,943 · median $7,943 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $1,736 – $148,099 · median $148,099 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $1,736 – $42,879 · median $42,879 | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $1,736 – $21,281 · median $21,281 | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $1,736 – $28,359 · median $28,359 | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,736 – $14,894 · median $14,894 | 7 plans |
| 935 | NON-EXTENSIVE BURNS | $1,736 – $15,206 · median $15,206 | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $1,736 – $21,242 · median $21,242 | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $1,736 – $14,682 · median $14,682 | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $1,736 – $13,712 · median $13,712 | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,736 – $11,071 · median $11,071 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,736 – $8,540 · median $8,540 | 7 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,736 – $9,587 · median $9,587 | 7 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,736 – $6,552 · median $6,552 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,736 – $8,308 · median $8,308 | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,736 – $5,265 · median $5,265 | 7 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,736 – $5,147 · median $5,147 | 7 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $1,736 – $43,801 · median $43,801 | 7 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $1,736 – $25,244 · median $25,244 | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,736 – $47,727 · median $47,727 | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,736 – $27,019 · median $27,019 | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,736 – $17,969 · median $17,969 | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,736 – $18,418 · median $18,418 | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,736 – $10,908 · median $10,908 | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,736 – $7,281 · median $7,281 | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $1,736 – $40,690 · median $40,690 | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $1,736 – $18,027 · median $18,027 | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $1,736 – $20,082 · median $20,082 | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $1,736 – $10,422 · median $10,422 | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,736 – $7,839 · median $7,839 | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,736 – $10,548 · median $10,548 | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,736 – $30,995 · median $30,995 | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,736 – $16,761 · median $16,761 | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,736 – $11,946 · median $11,946 | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,736 – $23,271 · median $23,271 | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,736 – $12,241 · median $12,241 | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,736 – $7,042 · median $7,042 | 7 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $175,543 – $175,543 · median $175,543 | 6 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $69,677 – $69,677 · median $69,677 | 6 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $133,955 – $133,955 · median $133,955 | 6 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $88,878 – $88,878 · median $88,878 | 6 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $67,391 – $67,391 · median $67,391 | 6 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,583 – $31,583 · median $31,583 | 6 plans |
| 007 | LUNG TRANSPLANT | $82,327 – $82,327 · median $82,327 | 6 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $35,237 – $35,237 · median $35,237 | 6 plans |
| 010 | PANCREAS TRANSPLANT | $50,868 – $50,868 · median $50,868 | 6 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,958 – $34,958 · median $34,958 | 6 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,981 – $26,981 · median $26,981 | 6 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,007 – $18,007 · median $18,007 | 6 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $82,531 – $82,531 · median $82,531 | 6 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,909 – $38,909 · median $38,909 | 6 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,909 – $38,909 · median $38,909 | 6 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $234,466 – $234,466 · median $234,466 | 6 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,586 – $50,586 · median $50,586 | 6 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,412 – $51,412 · median $51,412 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,770 – $35,770 · median $35,770 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,442 – $23,442 · median $23,442 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,867 – $36,867 · median $36,867 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,117 – $25,117 · median $25,117 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,257 – $29,257 · median $29,257 | 6 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,529 – $20,529 · median $20,529 | 6 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,882 – $16,882 · median $16,882 | 6 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $39,179 – $39,179 · median $39,179 | 6 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,369 – $22,369 · median $22,369 | 6 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,385 – $15,385 · median $15,385 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $27,517 – $27,517 · median $27,517 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,831 – $14,831 · median $14,831 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,497 – $11,497 · median $11,497 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $25,654 – $25,654 · median $25,654 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,690 – $15,690 · median $15,690 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,964 – $12,964 · median $12,964 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,148 – $22,148 · median $22,148 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,594 – $11,594 · median $11,594 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,674 – $8,674 · median $8,674 | 6 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,934 – $24,934 · median $24,934 | 6 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,588 – $15,588 · median $15,588 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,497 – $12,497 · median $12,497 | 6 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,071 – $14,071 · median $14,071 | 6 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,335 – $7,335 · median $7,335 | 6 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,902 – $10,902 · median $10,902 | 6 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,382 – $8,382 · median $8,382 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,106 – $17,106 · median $17,106 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,885 – $9,885 · median $9,885 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,043 – $13,043 · median $13,043 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,201 – $9,201 · median $9,201 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,156 – $7,156 · median $7,156 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,336 – $18,336 · median $18,336 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,641 – $12,641 · median $12,641 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,319 – $10,319 · median $10,319 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,927 – $13,927 · median $13,927 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,925 – $7,925 · median $7,925 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,896 – $5,896 · median $5,896 | 6 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,629 – $10,629 · median $10,629 | 6 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,089 – $7,089 · median $7,089 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,586 – $6,586 · median $6,586 | 6 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,381 – $12,381 · median $12,381 | 6 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,153 – $8,153 · median $8,153 | 6 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,278 – $6,278 · median $6,278 | 6 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,189 – $11,189 · median $11,189 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,082 – $8,082 · median $8,082 | 6 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,280 – $12,280 · median $12,280 | 6 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,307 – $7,307 · median $7,307 | 6 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,919 – $13,919 · median $13,919 | 6 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,233 – $7,233 · median $7,233 | 6 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,971 – $15,971 · median $15,971 | 6 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,231 – $10,231 · median $10,231 | 6 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,549 – $7,549 · median $7,549 | 6 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,636 – $15,636 · median $15,636 | 6 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,744 – $9,744 · median $9,744 | 6 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,104 – $7,104 · median $7,104 | 6 plans |
| 088 | CONCUSSION WITH MCC | $10,356 – $10,356 · median $10,356 | 6 plans |
| 089 | CONCUSSION WITH CC | $8,265 – $8,265 · median $8,265 | 6 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,939 – $6,939 · median $6,939 | 6 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,901 – $12,901 · median $12,901 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,183 – $8,183 · median $8,183 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,520 – $6,520 · median $6,520 | 6 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,172 – $24,172 · median $24,172 | 6 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,446 – $16,446 · median $16,446 | 6 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,446 – $16,446 · median $16,446 | 6 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,776 – $23,776 · median $23,776 | 6 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,039 – $15,039 · median $15,039 | 6 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,248 – $10,248 · median $10,248 | 6 plans |
| 209 | Complex Aortic Arch Procedures | $1,736 – $1,736 · median $1,736 | 1 plans |
| 213 | Endovascular Abdominal Aorta & Iliac Branch Procedures | $1,736 – $1,736 · median $1,736 | 1 plans |
| 318 | Percutaneous Coronary Atherectomy without Intralumincal Device | $1,736 – $1,736 · median $1,736 | 1 plans |
| 359 | Percutaneous Coronary Aherectomy with Intraluminal Device with MCC | $1,736 – $1,736 · median $1,736 | 1 plans |
| 360 | Percutaneous Coronary Atherectomy with Intraluminal Device without MCC | $1,736 – $1,736 · median $1,736 | 1 plans |
No procedures match that keyword.