Kahuku Medical Center — Pricing
784 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 784 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 784 procedures
Procedures with negotiated rates only
These 784 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 | $4,619 – $190,604 · median $97,612 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $4,619 – $190,604 · median $97,612 | 2 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $4,619 – $329,489 · median $167,054 | 2 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $4,619 – $285,575 · median $145,097 | 2 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $4,619 – $253,122 · median $128,871 | 2 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $4,619 – $253,122 · median $128,871 | 2 plans |
| 007 | Lung transplant | $4,619 – $204,228 · median $104,424 | 2 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $4,619 – $491,871 · median $248,245 | 2 plans |
| 010 | Pancreas transplant | $4,619 – $69,376 · median $36,997 | 2 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $4,619 – $58,672 · median $31,645 | 2 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $4,619 – $58,672 · median $31,645 | 2 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $4,619 – $58,672 · median $31,645 | 2 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $4,619 – $161,614 · median $83,116 | 2 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $4,619 – $161,614 · median $83,116 | 2 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $4,619 – $161,614 · median $83,116 | 2 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $4,619 – $173,131 · median $88,875 | 2 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $4,619 – $173,131 · median $88,875 | 2 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $4,619 – $173,131 · median $88,875 | 2 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $4,619 – $74,021 · median $39,320 | 2 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $4,619 – $70,528 · median $37,573 | 2 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $4,619 – $62,889 · median $33,754 | 2 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $4,619 – $62,889 · median $33,754 | 2 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,619 – $54,102 · median $29,360 | 2 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $4,619 – $60,731 · median $32,675 | 2 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $4,619 – $50,246 · median $27,433 | 2 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $4,619 – $33,307 · median $18,963 | 2 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $4,619 – $37,988 · median $21,304 | 2 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $4,619 – $37,988 · median $21,304 | 2 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $4,619 – $26,393 · median $15,506 | 2 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $4,619 – $66,910 · median $35,764 | 2 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $4,619 – $38,208 · median $21,413 | 2 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $4,619 – $31,464 · median $18,042 | 2 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $4,619 – $45,908 · median $25,264 | 2 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $4,619 – $38,215 · median $21,417 | 2 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,619 – $29,752 · median $17,186 | 2 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $4,619 – $46,622 · median $25,621 | 2 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $4,619 – $40,997 · median $22,808 | 2 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $4,619 – $35,372 · median $19,996 | 2 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $3,602 – $24,403 · median $14,002 | 2 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,602 – $24,403 · median $14,002 | 2 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $3,602 – $16,886 · median $10,244 | 2 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,602 – $16,707 · median $10,155 | 2 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $3,602 – $18,233 · median $10,918 | 2 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $3,602 – $18,233 · median $10,918 | 2 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,602 – $14,240 · median $8,921 | 2 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,602 – $14,240 · median $8,921 | 2 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,602 – $14,240 · median $8,921 | 2 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $3,602 – $35,868 · median $19,735 | 2 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $3,602 – $35,868 · median $19,735 | 2 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $3,602 – $35,868 · median $19,735 | 2 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $3,602 – $24,287 · median $13,945 | 2 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,602 – $24,287 · median $13,945 | 2 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,602 – $24,287 · median $13,945 | 2 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $3,602 – $14,411 · median $9,007 | 2 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,602 – $14,411 · median $9,007 | 2 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,602 – $12,326 · median $7,964 | 2 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $3,602 – $19,744 · median $11,673 | 2 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,602 – $18,527 · median $11,065 | 2 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,602 – $11,463 · median $7,533 | 2 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $3,602 – $17,304 · median $10,453 | 2 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,602 – $15,761 · median $9,682 | 2 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,602 – $9,954 · median $6,778 | 2 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,602 – $9,954 · median $6,778 | 2 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $3,602 – $13,985 · median $8,794 | 2 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,602 – $13,985 · median $8,794 | 2 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,602 – $13,985 · median $8,794 | 2 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,602 – $22,986 · median $13,294 | 2 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,602 – $22,986 · median $13,294 | 2 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $3,602 – $26,643 · median $15,123 | 2 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $3,602 – $26,643 · median $15,123 | 2 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,602 – $26,643 · median $15,123 | 2 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $3,602 – $41,112 · median $22,357 | 2 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $3,602 – $11,795 · median $7,698 | 2 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,602 – $10,736 · median $7,169 | 2 plans |
| 088 | CONCUSSION WITH MCC | $3,602 – $15,871 · median $9,737 | 2 plans |
| 089 | CONCUSSION WITH CC | $3,602 – $15,871 · median $9,737 | 2 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,602 – $11,840 · median $7,721 | 2 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $3,602 – $17,622 · median $10,612 | 2 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,602 – $14,747 · median $9,174 | 2 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,602 – $12,220 · median $7,911 | 2 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $3,602 – $36,229 · median $19,915 | 2 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $3,602 – $36,229 · median $19,915 | 2 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,602 – $36,229 · median $19,915 | 2 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $3,602 – $26,509 · median $15,055 | 2 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $3,602 – $26,509 · median $15,055 | 2 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,602 – $26,509 · median $15,055 | 2 plans |
| 100 | SEIZURES WITH MCC | $3,602 – $16,043 · median $9,823 | 2 plans |
| 101 | SEIZURES WITHOUT MCC | $3,602 – $13,850 · median $8,726 | 2 plans |
| 102 | HEADACHES WITH MCC | $3,602 – $11,060 · median $7,331 | 2 plans |
| 103 | HEADACHES WITHOUT MCC | $3,602 – $11,060 · median $7,331 | 2 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $4,619 – $13,478 · median $9,049 | 2 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,619 – $13,478 · median $9,049 | 2 plans |
| 115 | Extraocular procedures except orbit | $4,619 – $12,566 · median $8,593 | 2 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $4,619 – $13,065 · median $8,842 | 2 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,619 – $12,951 · median $8,785 | 2 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,602 – $6,441 · median $5,022 | 2 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,602 – $6,441 · median $5,022 | 2 plans |
| 123 | Neurological eye disorders | $3,602 – $11,740 · median $7,671 | 2 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $3,602 – $11,232 · median $7,417 | 2 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,602 – $5,678 · median $4,640 | 2 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $4,619 – $18,273 · median $11,446 | 2 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,619 – $18,273 · median $11,446 | 2 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $4,619 – $42,194 · median $23,406 | 2 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,619 – $22,411 · median $13,515 | 2 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,619 – $15,354 · median $9,987 | 2 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $3,602 – $24,956 · median $14,279 | 2 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,602 – $24,956 · median $14,279 | 2 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,602 – $24,956 · median $14,279 | 2 plans |
| 149 | Dysequilibrium | $3,602 – $8,982 · median $6,292 | 2 plans |
| 150 | EPISTAXIS WITH MCC | $3,602 – $7,338 · median $5,470 | 2 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,602 – $7,338 · median $5,470 | 2 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,602 – $8,592 · median $6,097 | 2 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,602 – $7,448 · median $5,525 | 2 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $3,602 – $10,456 · median $7,029 | 2 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,602 – $10,456 · median $7,029 | 2 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,602 – $10,456 · median $7,029 | 2 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $3,602 – $14,067 · median $8,834 | 2 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,602 – $14,067 · median $8,834 | 2 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,602 – $14,067 · median $8,834 | 2 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $4,619 – $44,784 · median $24,701 | 2 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $4,619 – $44,617 · median $24,618 | 2 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $4,619 – $32,078 · median $18,349 | 2 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $4,619 – $44,822 · median $24,721 | 2 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $4,619 – $42,708 · median $23,664 | 2 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $30,513 · median $17,566 | 2 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $3,602 – $21,849 · median $12,725 | 2 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,602 – $21,849 · median $12,725 | 2 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $3,602 – $29,745 · median $16,673 | 2 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $3,602 – $29,745 · median $16,673 | 2 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,602 – $23,494 · median $13,548 | 2 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $3,602 – $25,366 · median $14,484 | 2 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,602 – $25,366 · median $14,484 | 2 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,602 – $25,366 · median $14,484 | 2 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,602 – $15,192 · median $9,397 | 2 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,602 – $13,949 · median $8,776 | 2 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,602 – $13,328 · median $8,465 | 2 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $3,602 – $19,903 · median $11,752 | 2 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,602 – $19,457 · median $11,530 | 2 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,602 – $15,892 · median $9,747 | 2 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $3,602 – $32,192 · median $17,897 | 2 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,602 – $13,048 · median $8,325 | 2 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,602 – $13,048 · median $8,325 | 2 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,602 – $13,048 · median $8,325 | 2 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $3,602 – $17,384 · median $10,493 | 2 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,602 – $16,791 · median $10,197 | 2 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,602 – $13,366 · median $8,484 | 2 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $3,602 – $24,282 · median $13,942 | 2 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,602 – $24,282 · median $13,942 | 2 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,602 – $24,282 · median $13,942 | 2 plans |
| 199 | PNEUMOTHORAX WITH MCC | $3,602 – $12,938 · median $8,270 | 2 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,602 – $12,256 · median $7,929 | 2 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,602 – $9,717 · median $6,660 | 2 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $3,602 – $12,564 · median $8,083 | 2 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,602 – $9,552 · median $6,577 | 2 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,602 – $9,526 · median $6,564 | 2 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $3,602 – $14,433 · median $9,017 | 2 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,602 – $12,448 · median $8,025 | 2 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $3,602 – $130,748 · median $67,175 | 2 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $3,602 – $49,552 · median $26,577 | 2 plans |
| 215 | Other heart assist system implant | $4,619 – $120,434 · median $62,527 | 2 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $4,619 – $136,491 · median $70,555 | 2 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $4,619 – $136,491 · median $70,555 | 2 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $4,619 – $136,491 · median $70,555 | 2 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $4,619 – $90,020 · median $47,320 | 2 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $4,619 – $90,020 · median $47,320 | 2 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $4,619 – $90,020 · median $47,320 | 2 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $4,619 – $139,909 · median $72,264 | 2 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $4,619 – $139,909 · median $72,264 | 2 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $4,619 – $92,753 · median $48,686 | 2 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $4,619 – $92,753 · median $48,686 | 2 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $4,619 – $72,707 · median $38,663 | 2 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $4,619 – $72,707 · median $38,663 | 2 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $4,619 – $79,531 · median $42,075 | 2 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $4,619 – $79,531 · median $42,075 | 2 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $4,619 – $99,171 · median $51,895 | 2 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $4,619 – $99,171 · median $51,895 | 2 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $4,619 – $89,876 · median $47,247 | 2 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,619 – $78,886 · median $41,753 | 2 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $4,619 – $68,610 · median $36,615 | 2 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $4,619 – $63,791 · median $34,205 | 2 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $4,619 – $57,035 · median $30,827 | 2 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $4,619 – $57,035 · median $30,827 | 2 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $4,619 – $57,035 · median $30,827 | 2 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $4,619 – $50,526 · median $27,572 | 2 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $4,619 – $37,776 · median $21,198 | 2 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $4,619 – $31,027 · median $17,823 | 2 plans |
| 245 | AICD generator procedures | $4,619 – $54,568 · median $29,594 | 2 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $4,619 – $40,269 · median $22,444 | 2 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $4,619 – $28,572 · median $16,596 | 2 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $4,619 – $32,631 · median $18,625 | 2 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $4,619 – $23,883 · median $14,251 | 2 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $4,619 – $33,883 · median $19,251 | 2 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $4,619 – $26,904 · median $15,761 | 2 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $4,619 – $50,757 · median $27,688 | 2 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $4,619 – $47,676 · median $26,147 | 2 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $4,619 – $34,468 · median $19,543 | 2 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,619 – $25,858 · median $15,239 | 2 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $4,619 – $25,858 · median $15,239 | 2 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,619 – $25,858 · median $15,239 | 2 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $4,619 – $16,303 · median $10,461 | 2 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $4,619 – $16,303 · median $10,461 | 2 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $4,619 – $22,007 · median $13,313 | 2 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $4,619 – $22,007 · median $13,313 | 2 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $4,619 – $22,007 · median $13,313 | 2 plans |
| 263 | VEIN LIGATION AND STRIPPING | $4,619 – $23,217 · median $13,918 | 2 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $4,619 – $114,163 · median $59,391 | 2 plans |
| 265 | AICD lead procedures | $4,619 – $54,568 · median $29,594 | 2 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $4,619 – $65,205 · median $34,912 | 2 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $4,619 – $56,785 · median $30,702 | 2 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $4,619 – $78,551 · median $41,585 | 2 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $4,619 – $67,789 · median $36,204 | 2 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $4,619 – $78,551 · median $41,585 | 2 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $4,619 – $67,789 · median $36,204 | 2 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $4,619 – $67,789 · median $36,204 | 2 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $4,619 – $37,697 · median $21,158 | 2 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $4,619 – $26,541 · median $15,580 | 2 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $3,602 – $23,618 · median $13,610 | 2 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,602 – $20,420 · median $12,011 | 2 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,602 – $17,883 · median $10,742 | 2 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,602 – $39,462 · median $21,532 | 2 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,602 – $39,462 · median $21,532 | 2 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,602 – $39,462 · median $21,532 | 2 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,602 – $24,091 · median $13,847 | 2 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,602 – $21,211 · median $12,406 | 2 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $3,602 – $33,882 · median $18,742 | 2 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $3,602 – $33,882 · median $18,742 | 2 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,602 – $33,882 · median $18,742 | 2 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,602 – $20,128 · median $11,865 | 2 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,602 – $20,128 · median $11,865 | 2 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,602 – $20,128 · median $11,865 | 2 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $3,602 – $18,172 · median $10,887 | 2 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,602 – $18,172 · median $10,887 | 2 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $3,602 – $31,543 · median $17,573 | 2 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,602 – $31,543 · median $17,573 | 2 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,602 – $31,543 · median $17,573 | 2 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $3,602 – $18,373 · median $10,987 | 2 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,602 – $17,312 · median $10,457 | 2 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,602 – $12,744 · median $8,173 | 2 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,602 – $10,015 · median $6,808 | 2 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,602 – $9,940 · median $6,771 | 2 plans |
| 304 | HYPERTENSION WITH MCC | $3,602 – $9,663 · median $6,633 | 2 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,602 – $9,663 · median $6,633 | 2 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $3,602 – $9,862 · median $6,732 | 2 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,602 – $9,094 · median $6,348 | 2 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $3,602 – $14,903 · median $9,253 | 2 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,602 – $13,986 · median $8,794 | 2 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,602 – $10,720 · median $7,161 | 2 plans |
| 311 | Angina pectoris | $3,602 – $8,970 · median $6,286 | 2 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,602 – $9,883 · median $6,743 | 2 plans |
| 313 | Chest pain | $3,602 – $8,080 · median $5,841 | 2 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $3,602 – $28,035 · median $15,819 | 2 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $3,602 – $18,805 · median $11,203 | 2 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,602 – $12,002 · median $7,802 | 2 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $4,619 – $93,289 · median $48,954 | 2 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $4,619 – $93,289 · median $48,954 | 2 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $4,619 – $89,386 · median $47,002 | 2 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $4,619 – $63,266 · median $33,943 | 2 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $4,619 – $27,083 · median $15,851 | 2 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,619 – $56,867 · median $30,743 | 2 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,619 – $46,036 · median $25,327 | 2 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,619 – $25,785 · median $15,202 | 2 plans |
| 332 | RECTAL RESECTION WITH MCC | $4,619 – $50,267 · median $27,443 | 2 plans |
| 333 | RECTAL RESECTION WITH CC | $4,619 – $50,267 · median $27,443 | 2 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $4,619 – $24,065 · median $14,342 | 2 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $4,619 – $42,649 · median $23,634 | 2 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $4,619 – $37,701 · median $21,160 | 2 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $4,619 – $23,140 · median $13,879 | 2 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $4,619 – $24,224 · median $14,422 | 2 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $4,619 – $24,224 · median $14,422 | 2 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,619 – $17,795 · median $11,207 | 2 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $4,619 – $17,256 · median $10,938 | 2 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $4,619 – $16,466 · median $10,543 | 2 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,619 – $12,749 · median $8,684 | 2 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,619 – $25,615 · median $15,117 | 2 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,619 – $22,902 · median $13,760 | 2 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,619 – $18,832 · median $11,726 | 2 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,619 – $20,129 · median $12,374 | 2 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,619 – $16,139 · median $10,379 | 2 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,619 – $10,021 · median $7,320 | 2 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $4,619 – $26,199 · median $15,409 | 2 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $4,619 – $21,104 · median $12,862 | 2 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,619 – $10,913 · median $7,766 | 2 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $4,619 – $29,232 · median $16,926 | 2 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $4,619 – $22,550 · median $13,585 | 2 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,619 – $16,667 · median $10,643 | 2 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $4,619 – $44,486 · median $24,553 | 2 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $4,619 – $40,962 · median $22,790 | 2 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $22,900 · median $13,760 | 2 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $3,602 – $13,651 · median $8,626 | 2 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,602 – $13,651 · median $8,626 | 2 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,602 – $13,651 · median $8,626 | 2 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $3,602 – $15,524 · median $9,563 | 2 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,602 – $15,524 · median $9,563 | 2 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,602 – $15,524 · median $9,563 | 2 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $3,602 – $39,485 · median $21,544 | 2 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $3,602 – $38,563 · median $21,082 | 2 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,602 – $20,103 · median $11,852 | 2 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $3,602 – $15,074 · median $9,338 | 2 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,602 – $15,074 · median $9,338 | 2 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,602 – $11,559 · median $7,581 | 2 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,602 – $16,802 · median $10,202 | 2 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,602 – $16,802 · median $10,202 | 2 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,602 – $16,802 · median $10,202 | 2 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,602 – $13,850 · median $8,726 | 2 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,602 – $13,850 · median $8,726 | 2 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,602 – $13,715 · median $8,658 | 2 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,602 – $13,715 · median $8,658 | 2 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,602 – $13,715 · median $8,658 | 2 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $3,602 – $13,243 · median $8,423 | 2 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,602 – $11,765 · median $7,683 | 2 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,602 – $9,370 · median $6,486 | 2 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,602 – $11,938 · median $7,770 | 2 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,602 – $10,275 · median $6,938 | 2 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $3,602 – $17,842 · median $10,722 | 2 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,602 – $12,929 · median $8,265 | 2 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,602 – $11,781 · median $7,692 | 2 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $4,619 – $65,942 · median $35,280 | 2 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $4,619 – $36,462 · median $20,541 | 2 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $4,619 – $26,127 · median $15,373 | 2 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $4,619 – $32,640 · median $18,629 | 2 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $4,619 – $32,640 · median $18,629 | 2 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $4,619 – $31,930 · median $18,274 | 2 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,619 – $35,346 · median $19,983 | 2 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $4,619 – $29,569 · median $17,094 | 2 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $4,619 – $23,791 · median $14,205 | 2 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $4,619 – $29,248 · median $16,933 | 2 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $4,619 – $27,224 · median $15,921 | 2 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,619 – $18,898 · median $11,759 | 2 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $4,619 – $20,891 · median $12,755 | 2 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $4,619 – $19,048 · median $11,833 | 2 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,619 – $12,322 · median $8,470 | 2 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $4,619 – $46,210 · median $25,414 | 2 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $4,619 – $46,210 · median $25,414 | 2 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,619 – $41,006 · median $22,812 | 2 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $4,619 – $68,336 · median $36,477 | 2 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $4,619 – $68,336 · median $36,477 | 2 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $68,336 · median $36,477 | 2 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $3,602 – $29,172 · median $16,387 | 2 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,602 – $29,172 · median $16,387 | 2 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,602 – $29,172 · median $16,387 | 2 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $3,602 – $27,266 · median $15,434 | 2 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,602 – $27,266 · median $15,434 | 2 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,602 – $27,266 · median $15,434 | 2 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $3,602 – $17,621 · median $10,612 | 2 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,602 – $17,621 · median $10,612 | 2 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,602 – $17,621 · median $10,612 | 2 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $3,602 – $22,532 · median $13,067 | 2 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $3,602 – $22,532 · median $13,067 | 2 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,602 – $16,293 · median $9,948 | 2 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $3,602 – $18,096 · median $10,849 | 2 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,602 – $17,733 · median $10,667 | 2 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,602 – $11,687 · median $7,644 | 2 plans |
| 453 | Combined anterior/posterior spinal fusion w MCC | $4,619 – $81,595 · median $43,107 | 2 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $4,619 – $81,595 · median $43,107 | 2 plans |
| 455 | Combined anterior/posterior spinal fusion w/o CC/MCC | $4,619 – $81,595 · median $43,107 | 2 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $4,619 – $96,900 · median $50,760 | 2 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $4,619 – $96,900 · median $50,760 | 2 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $4,619 – $96,900 · median $50,760 | 2 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $4,619 – $59,469 · median $32,044 | 2 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $4,619 – $55,959 · median $30,289 | 2 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $4,619 – $46,806 · median $25,713 | 2 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $4,619 – $46,806 · median $25,713 | 2 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,619 – $71,380 · median $37,999 | 2 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,619 – $71,380 · median $37,999 | 2 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,619 – $71,380 · median $37,999 | 2 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $4,619 – $39,932 · median $22,276 | 2 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $4,619 – $39,932 · median $22,276 | 2 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $4,619 – $39,932 · median $22,276 | 2 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $4,619 – $28,911 · median $16,765 | 2 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $4,619 – $19,629 · median $12,124 | 2 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $4,619 – $43,702 · median $24,161 | 2 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $4,619 – $35,382 · median $20,001 | 2 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $4,619 – $32,470 · median $18,545 | 2 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,619 – $28,726 · median $16,672 | 2 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,619 – $28,726 · median $16,672 | 2 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,619 – $28,726 · median $16,672 | 2 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,619 – $33,758 · median $19,188 | 2 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,619 – $33,758 · median $19,188 | 2 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,619 – $33,758 · median $19,188 | 2 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $4,619 – $35,121 · median $19,870 | 2 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $4,619 – $34,251 · median $19,435 | 2 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $4,619 – $24,682 · median $14,651 | 2 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $4,619 – $26,035 · median $15,327 | 2 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $4,619 – $31,168 · median $17,894 | 2 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $4,619 – $31,168 · median $17,894 | 2 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,619 – $22,266 · median $13,442 | 2 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $4,619 – $17,600 · median $11,109 | 2 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,619 – $17,600 · median $11,109 | 2 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $4,619 – $38,653 · median $21,636 | 2 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $4,619 – $38,653 · median $21,636 | 2 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $4,619 – $22,824 · median $13,722 | 2 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $4,619 – $27,025 · median $15,822 | 2 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $4,619 – $25,102 · median $14,861 | 2 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $4,619 – $17,410 · median $11,014 | 2 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $4,619 – $30,336 · median $17,478 | 2 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,619 – $30,336 · median $17,478 | 2 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $4,619 – $32,762 · median $18,691 | 2 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $4,619 – $32,762 · median $18,691 | 2 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,619 – $16,162 · median $10,390 | 2 plans |
| 503 | FOOT PROCEDURES WITH MCC | $4,619 – $16,388 · median $10,504 | 2 plans |
| 504 | FOOT PROCEDURES WITH CC | $4,619 – $16,388 · median $10,504 | 2 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $4,619 – $16,388 · median $10,504 | 2 plans |
| 506 | Major thumb or joint procedures | $4,619 – $24,617 · median $14,618 | 2 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $4,619 – $16,355 · median $10,487 | 2 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $4,619 – $16,355 · median $10,487 | 2 plans |
| 509 | Arthroscopy | $4,619 – $10,218 · median $7,418 | 2 plans |
| 510 | SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC | $4,619 – $16,355 · median $10,487 | 2 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $4,619 – $16,355 · median $10,487 | 2 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $4,619 – $15,370 · median $9,994 | 2 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,619 – $18,810 · median $11,715 | 2 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,619 – $13,003 · median $8,811 | 2 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $4,619 – $43,366 · median $23,992 | 2 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $4,619 – $43,366 · median $23,992 | 2 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $24,051 · median $14,335 | 2 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $4,619 – $32,728 · median $18,674 | 2 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $4,619 – $32,728 · median $18,674 | 2 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,619 – $21,107 · median $12,863 | 2 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $3,602 – $8,607 · median $6,105 | 2 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,602 – $8,607 · median $6,105 | 2 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,602 – $12,319 · median $7,961 | 2 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,602 – $12,319 · median $7,961 | 2 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,602 – $17,584 · median $10,593 | 2 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,602 – $17,584 · median $10,593 | 2 plans |
| 539 | OSTEOMYELITIS WITH MCC | $3,602 – $27,535 · median $15,569 | 2 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,602 – $27,535 · median $15,569 | 2 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,602 – $27,535 · median $15,569 | 2 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $3,602 – $23,211 · median $13,407 | 2 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,602 – $23,211 · median $13,407 | 2 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,602 – $23,211 · median $13,407 | 2 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $3,602 – $28,262 · median $15,932 | 2 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $3,602 – $24,467 · median $14,035 | 2 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,602 – $20,672 · median $12,137 | 2 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $3,602 – $17,263 · median $10,433 | 2 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,602 – $17,263 · median $10,433 | 2 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,602 – $17,263 · median $10,433 | 2 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $3,602 – $10,336 · median $6,969 | 2 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,602 – $10,336 · median $6,969 | 2 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $3,602 – $8,823 · median $6,213 | 2 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,602 – $8,748 · median $6,175 | 2 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,602 – $7,409 · median $5,505 | 2 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,602 – $7,409 · median $5,505 | 2 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $3,602 – $13,953 · median $8,777 | 2 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,602 – $13,953 · median $8,777 | 2 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,602 – $11,700 · median $7,651 | 2 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,602 – $11,700 · median $7,651 | 2 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,602 – $11,700 · median $7,651 | 2 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $3,602 – $9,285 · median $6,444 | 2 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $3,602 – $9,285 · median $6,444 | 2 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $3,602 – $11,772 · median $7,687 | 2 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,602 – $11,772 · median $7,687 | 2 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,602 – $11,772 · median $7,687 | 2 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $4,619 – $42,915 · median $23,767 | 2 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $4,619 – $40,910 · median $22,765 | 2 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,619 – $21,168 · median $12,894 | 2 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,619 – $42,974 · median $23,796 | 2 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,619 – $40,758 · median $22,689 | 2 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,619 – $24,699 · median $14,659 | 2 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,619 – $42,275 · median $23,447 | 2 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,619 – $42,275 · median $23,447 | 2 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,619 – $9,988 · median $7,304 | 2 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $4,619 – $33,049 · median $18,834 | 2 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $4,619 – $20,676 · median $12,648 | 2 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,619 – $16,977 · median $10,798 | 2 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $4,619 – $17,673 · median $11,146 | 2 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $4,619 – $16,120 · median $10,370 | 2 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $4,619 – $17,761 · median $11,190 | 2 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $4,619 – $17,203 · median $10,911 | 2 plans |
| 592 | SKIN ULCERS WITH MCC | $3,602 – $16,257 · median $9,929 | 2 plans |
| 593 | SKIN ULCERS WITH CC | $3,602 – $16,257 · median $9,929 | 2 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,602 – $16,257 · median $9,929 | 2 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $3,602 – $28,591 · median $16,096 | 2 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,602 – $22,933 · median $13,268 | 2 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $3,602 – $36,697 · median $20,149 | 2 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,602 – $36,697 · median $20,149 | 2 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,236 – $3,602 · median $2,419 | 2 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,602 – $11,296 · median $7,449 | 2 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,602 – $11,296 · median $7,449 | 2 plans |
| 602 | CELLULITIS WITH MCC | $3,602 – $16,938 · median $10,270 | 2 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,602 – $11,400 · median $7,501 | 2 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $3,602 – $12,640 · median $8,121 | 2 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,602 – $10,393 · median $6,998 | 2 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $3,602 – $9,818 · median $6,710 | 2 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,602 – $8,858 · median $6,230 | 2 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $4,619 – $40,267 · median $22,443 | 2 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $4,619 – $40,267 · median $22,443 | 2 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,619 – $50,541 · median $27,580 | 2 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,619 – $50,541 · median $27,580 | 2 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,619 – $50,541 · median $27,580 | 2 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $4,619 – $36,507 · median $20,563 | 2 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $4,619 – $36,507 · median $20,563 | 2 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $4,619 – $36,348 · median $20,484 | 2 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,619 – $32,524 · median $18,571 | 2 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,619 – $32,524 · median $18,571 | 2 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,619 – $32,524 · median $18,571 | 2 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $4,619 – $14,854 · median $9,737 | 2 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $4,619 – $14,854 · median $9,737 | 2 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $4,619 – $14,854 · median $9,737 | 2 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $4,619 – $27,667 · median $16,143 | 2 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $4,619 – $19,662 · median $12,140 | 2 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $18,705 · median $11,662 | 2 plans |
| 637 | DIABETES WITH MCC | $3,602 – $10,647 · median $7,125 | 2 plans |
| 638 | DIABETES WITH CC | $3,602 – $10,539 · median $7,071 | 2 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,602 – $10,460 · median $7,031 | 2 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $3,602 – $14,275 · median $8,939 | 2 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $3,602 – $11,113 · median $7,358 | 2 plans |
| 642 | Inborn errors of metabolism | $3,602 – $60,230 · median $31,916 | 2 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $3,602 – $13,691 · median $8,646 | 2 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,602 – $13,691 · median $8,646 | 2 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,602 – $11,850 · median $7,726 | 2 plans |
| 652 | Kidney transplant | $4,619 – $109,216 · median $56,918 | 2 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $4,619 – $32,329 · median $18,474 | 2 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $4,619 – $32,329 · median $18,474 | 2 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,619 – $32,329 · median $18,474 | 2 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $4,619 – $30,550 · median $17,584 | 2 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $4,619 – $30,550 · median $17,584 | 2 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $4,619 – $30,550 · median $17,584 | 2 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $4,619 – $33,711 · median $19,165 | 2 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $4,619 – $32,500 · median $18,560 | 2 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,619 – $21,989 · median $13,304 | 2 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $4,619 – $23,167 · median $13,893 | 2 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,619 – $17,193 · median $10,906 | 2 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,619 – $13,526 · median $9,072 | 2 plans |
| 665 | PROSTATECTOMY WITH MCC | $4,619 – $15,927 · median $10,273 | 2 plans |
| 666 | PROSTATECTOMY WITH CC | $4,619 – $15,927 · median $10,273 | 2 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,619 – $11,249 · median $7,934 | 2 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $4,619 – $14,941 · median $9,780 | 2 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $4,619 – $14,941 · median $9,780 | 2 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,619 – $13,252 · median $8,936 | 2 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $4,619 – $25,056 · median $14,838 | 2 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,619 – $25,056 · median $14,838 | 2 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $4,619 – $38,813 · median $21,716 | 2 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $4,619 – $38,813 · median $21,716 | 2 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $4,619 – $38,813 · median $21,716 | 2 plans |
| 682 | RENAL FAILURE WITH MCC | $3,602 – $21,176 · median $12,389 | 2 plans |
| 683 | RENAL FAILURE WITH CC | $3,602 – $21,176 · median $12,389 | 2 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,602 – $21,176 · median $12,389 | 2 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $3,602 – $21,832 · median $12,717 | 2 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,602 – $21,832 · median $12,717 | 2 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,602 – $21,832 · median $12,717 | 2 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,602 – $12,381 · median $7,991 | 2 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,602 – $10,571 · median $7,086 | 2 plans |
| 693 | URINARY STONES WITH MCC | $3,602 – $8,850 · median $6,226 | 2 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,602 – $8,273 · median $5,937 | 2 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,602 – $14,489 · median $9,046 | 2 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,602 – $14,489 · median $9,046 | 2 plans |
| 697 | Urethral stricture | $3,602 – $3,660 · median $3,631 | 2 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $3,602 – $15,465 · median $9,533 | 2 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,602 – $15,439 · median $9,521 | 2 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,602 – $12,106 · median $7,854 | 2 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $4,619 – $21,852 · median $13,236 | 2 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $4,619 – $19,862 · median $12,241 | 2 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $4,619 – $17,609 · median $11,114 | 2 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $4,619 – $17,609 · median $11,114 | 2 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $4,619 – $36,629 · median $20,624 | 2 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,619 – $25,910 · median $15,264 | 2 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,619 – $12,481 · median $8,550 | 2 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,619 – $9,890 · median $7,255 | 2 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $4,619 – $29,366 · median $16,992 | 2 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $4,619 – $29,366 · median $16,992 | 2 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $4,619 – $18,614 · median $11,616 | 2 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,619 – $18,614 · median $11,616 | 2 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,602 – $30,605 · median $17,104 | 2 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,602 – $30,605 · median $17,104 | 2 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,602 – $21,288 · median $12,445 | 2 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $3,602 – $17,645 · median $10,624 | 2 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,602 – $17,645 · median $10,624 | 2 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $3,602 – $9,308 · median $6,455 | 2 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,602 – $9,308 · median $6,455 | 2 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,602 – $9,422 · median $6,512 | 2 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,602 – $9,422 · median $6,512 | 2 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $4,619 – $27,864 · median $16,242 | 2 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,619 – $27,864 · median $16,242 | 2 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $4,619 – $32,200 · median $18,409 | 2 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $4,619 – $32,200 · median $18,409 | 2 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,619 – $32,200 · median $18,409 | 2 plans |
| 739 | UTERINE,ADNEXA PROC FOR NON-OVARIADNEXAL MALIG W MCC | $4,619 – $26,465 · median $15,542 | 2 plans |
| 740 | Uterine,adnexa proc for non-ovariadnexal malig w CC | $4,619 – $25,468 · median $15,043 | 2 plans |
| 741 | Uterine,adnexa proc for non-ovariadnexal malig w/o CC/MCC | $4,619 – $18,236 · median $11,428 | 2 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $4,619 – $15,729 · median $10,174 | 2 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,619 – $14,136 · median $9,377 | 2 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $4,619 – $11,046 · median $7,832 | 2 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,619 – $11,046 · median $7,832 | 2 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,619 – $18,667 · median $11,643 | 2 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,619 – $18,667 · median $11,643 | 2 plans |
| 748 | Female reproductive system reconstructive procedures | $4,619 – $12,841 · median $8,730 | 2 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $4,619 – $23,330 · median $13,975 | 2 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $23,330 · median $13,975 | 2 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,602 – $40,501 · median $22,051 | 2 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,602 – $40,501 · median $22,051 | 2 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,602 – $15,210 · median $9,406 | 2 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,602 – $9,633 · median $6,618 | 2 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,602 – $9,633 · median $6,618 | 2 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,602 – $9,633 · median $6,618 | 2 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,602 – $8,467 · median $6,035 | 2 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,602 – $8,467 · median $6,035 | 2 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,681 – $8,818 · median $6,249 | 2 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,619 – $17,731 · median $11,175 | 2 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,619 – $7,591 · median $6,105 | 2 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,602 – $6,775 · median $5,188 | 2 plans |
| 779 | ABORTION WITHOUT D&C | $3,602 – $5,190 · median $4,396 | 2 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,681 – $13,487 · median $8,584 | 2 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,681 – $13,487 · median $8,584 | 2 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,681 – $11,950 · median $7,815 | 2 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,681 – $13,487 · median $8,584 | 2 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,681 – $13,487 · median $8,584 | 2 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,681 – $11,950 · median $7,815 | 2 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,681 – $10,374 · median $7,027 | 2 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,681 – $10,374 · median $7,027 | 2 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,681 – $10,374 · median $7,027 | 2 plans |
| 799 | SPLENECTOMY WITH MCC | $4,619 – $30,864 · median $17,741 | 2 plans |
| 800 | SPLENECTOMY WITH CC | $4,619 – $30,864 · median $17,741 | 2 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $4,619 – $30,864 · median $17,741 | 2 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $4,619 – $29,836 · median $17,227 | 2 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $4,619 – $29,836 · median $17,227 | 2 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,619 – $29,836 · median $17,227 | 2 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,681 – $7,148 · median $5,414 | 2 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,681 – $7,148 · median $5,414 | 2 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,681 – $6,433 · median $5,057 | 2 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $3,602 – $24,637 · median $14,120 | 2 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,602 – $24,637 · median $14,120 | 2 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,602 – $24,637 · median $14,120 | 2 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,602 – $21,912 · median $12,757 | 2 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,602 – $11,740 · median $7,671 | 2 plans |
| 813 | Coagulation disorders | $3,602 – $22,776 · median $13,189 | 2 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $3,602 – $11,268 · median $7,435 | 2 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,602 – $11,268 · median $7,435 | 2 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,602 – $8,243 · median $5,923 | 2 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $4,619 – $7,493 · median $6,056 | 2 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,619 – $7,493 · median $6,056 | 2 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $7,299 · median $5,959 | 2 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $4,619 – $54,007 · median $29,313 | 2 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $4,619 – $54,007 · median $29,313 | 2 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $21,630 · median $13,124 | 2 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $4,619 – $65,310 · median $34,964 | 2 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $4,619 – $65,310 · median $34,964 | 2 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,619 – $17,691 · median $11,155 | 2 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $4,619 – $51,840 · median $28,229 | 2 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $4,619 – $51,840 · median $28,229 | 2 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $26,160 · median $15,390 | 2 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $4,619 – $33,041 · median $18,830 | 2 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,619 – $33,041 · median $18,830 | 2 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,602 – $6,581 · median $5,092 | 2 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,602 – $6,581 · median $5,092 | 2 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,602 – $6,470 · median $5,036 | 2 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $3,602 – $98,611 · median $51,106 | 2 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $3,602 – $98,611 · median $51,106 | 2 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,602 – $98,611 · median $51,106 | 2 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $3,602 – $40,919 · median $22,261 | 2 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $3,602 – $40,919 · median $22,261 | 2 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,602 – $40,919 · median $22,261 | 2 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $3,602 – $58,080 · median $30,841 | 2 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $3,602 – $54,863 · median $29,232 | 2 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,602 – $36,023 · median $19,812 | 2 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $3,602 – $32,511 · median $18,057 | 2 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,602 – $29,383 · median $16,492 | 2 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,602 – $29,383 · median $16,492 | 2 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $3,602 – $13,061 · median $8,331 | 2 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,602 – $13,061 · median $8,331 | 2 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,602 – $13,061 · median $8,331 | 2 plans |
| 849 | RADIOTHERAPY | $3,602 – $12,257 · median $7,930 | 2 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $4,619 – $108,731 · median $56,675 | 2 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $4,619 – $108,731 · median $56,675 | 2 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $108,731 · median $56,675 | 2 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $4,619 – $26,752 · median $15,685 | 2 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $4,619 – $26,752 · median $15,685 | 2 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,619 – $26,752 · median $15,685 | 2 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $3,602 – $15,206 · median $9,404 | 2 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,602 – $15,206 · median $9,404 | 2 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,602 – $15,926 · median $9,764 | 2 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,602 – $17,183 · median $10,392 | 2 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,602 – $16,115 · median $9,859 | 2 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $3,602 – $40,366 · median $21,984 | 2 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,602 – $40,366 · median $21,984 | 2 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,602 – $40,366 · median $21,984 | 2 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,602 – $128,948 · median $66,275 | 2 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $3,602 – $28,814 · median $16,208 | 2 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $3,602 – $28,798 · median $16,200 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $4,619 – $60,696 · median $32,657 | 2 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $3,602 – $5,979 · median $4,790 | 2 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $3,602 – $15,950 · median $9,776 | 2 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $3,602 – $15,950 · median $9,776 | 2 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $3,602 – $10,174 · median $6,888 | 2 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $4,619 – $19,825 · median $12,222 | 2 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $4,619 – $19,825 · median $12,222 | 2 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,619 – $19,825 · median $12,222 | 2 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $4,619 – $45,924 · median $25,272 | 2 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $4,619 – $45,924 · median $25,272 | 2 plans |
| 906 | Hand procedures for injuries | $4,619 – $15,647 · median $10,133 | 2 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $4,619 – $33,518 · median $19,068 | 2 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $4,619 – $31,323 · median $17,971 | 2 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,619 – $16,233 · median $10,426 | 2 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $3,602 – $10,490 · median $7,046 | 2 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,602 – $10,490 · median $7,046 | 2 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $3,602 – $9,274 · median $6,438 | 2 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,602 – $9,274 · median $6,438 | 2 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $3,602 – $14,541 · median $9,072 | 2 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,602 – $11,097 · median $7,350 | 2 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $3,602 – $19,641 · median $11,622 | 2 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,602 – $19,641 · median $11,622 | 2 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,602 – $11,128 · median $7,365 | 2 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,602 – $27,963 · median $15,782 | 2 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,602 – $12,372 · median $7,987 | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $4,619 – $269,991 · median $137,305 | 2 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $4,619 – $103,580 · median $54,100 | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $4,619 – $49,166 · median $26,893 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $3,602 – $43,491 · median $23,546 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,602 – $31,385 · median $17,494 | 2 plans |
| 935 | Non-extensive burns | $3,602 – $33,863 · median $18,733 | 2 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $4,619 – $27,245 · median $15,932 | 2 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $4,619 – $27,245 · median $15,932 | 2 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $4,619 – $27,245 · median $15,932 | 2 plans |
| 945 | REHABILITATION WITH CC/MCC | $3,602 – $6,889 · median $5,245 | 2 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $3,602 – $6,889 · median $5,245 | 2 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,602 – $10,157 · median $6,879 | 2 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,602 – $9,650 · median $6,626 | 2 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,602 – $12,435 · median $8,019 | 2 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,602 – $3,687 · median $3,644 | 2 plans |
| 951 | Other factors influencing health status | $3,602 – $8,064 · median $5,833 | 2 plans |
| 955 | Craniotomy for multiple significant trauma | $4,619 – $158,716 · median $81,667 | 2 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $4,619 – $151,214 · median $77,917 | 2 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,619 – $107,826 · median $56,222 | 2 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,619 – $107,826 · median $56,222 | 2 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,619 – $107,826 · median $56,222 | 2 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,602 – $29,602 · median $16,602 | 2 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,602 – $29,602 · median $16,602 | 2 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,602 – $29,602 · median $16,602 | 2 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $4,619 – $69,937 · median $37,278 | 2 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $4,619 – $69,937 · median $37,278 | 2 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $3,602 – $40,683 · median $22,142 | 2 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $3,602 – $40,683 · median $22,142 | 2 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,602 – $40,683 · median $22,142 | 2 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,602 – $29,247 · median $16,424 | 2 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $4,619 – $54,000 · median $29,310 | 2 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,619 – $32,218 · median $18,419 | 2 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,619 – $21,378 · median $12,999 | 2 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $4,619 – $26,839 · median $15,729 | 2 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,619 – $26,839 · median $15,729 | 2 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,619 – $26,839 · median $15,729 | 2 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $604,709 – $604,709 · median $604,709 | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $119,362 – $119,362 · median $119,362 | 1 plans |
| 129 | Major head & neck procedures w CC/MCC or major device | $4,619 – $4,619 · median $4,619 | 1 plans |
| 130 | Major head & neck procedures w/o CC/MCC | $4,619 – $4,619 · median $4,619 | 1 plans |
| 131 | Cranial/facial procedures w CC/MCC | $4,619 – $4,619 · median $4,619 | 1 plans |
| 132 | Cranial/facial procedures w/o CC/MCC | $4,619 – $4,619 · median $4,619 | 1 plans |
| 133 | Other ear, nose, mouth & throat O.R. procedures w CC/MCC | $4,619 – $4,619 · median $4,619 | 1 plans |
| 134 | Other ear, nose, mouth & throat O.R. procedures w/o CC/MCC | $4,619 – $4,619 · median $4,619 | 1 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $43,306 – $43,306 · median $43,306 | 1 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $35,574 – $35,574 · median $35,574 | 1 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $19,827 – $19,827 · median $19,827 | 1 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $71,139 – $71,139 · median $71,139 | 1 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $24,369 – $24,369 · median $24,369 | 1 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $15,705 – $15,705 · median $15,705 | 1 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $35,705 – $35,705 · median $35,705 | 1 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $26,038 – $26,038 · median $26,038 | 1 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $109,216 – $109,216 · median $109,216 | 1 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $109,216 – $109,216 · median $109,216 | 1 plans |
| 685 | Admit for renal dialysis | $3,602 – $3,602 · median $3,602 | 1 plans |
| 691 | Urinary stones w esw lithotripsy w CC/MCC | $3,602 – $3,602 · median $3,602 | 1 plans |
| 692 | Urinary stones w esw lithotripsy w/o CC/MCC | $3,602 – $3,602 · median $3,602 | 1 plans |
| 765 | Cesarean section w CC/MCC | $3,681 – $3,681 · median $3,681 | 1 plans |
| 766 | Cesarean section w/o CC/MCC | $3,681 – $3,681 · median $3,681 | 1 plans |
| 767 | Vaginal delivery w sterilization &/or D&C | $3,681 – $3,681 · median $3,681 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $3,681 – $3,681 · median $3,681 | 1 plans |
| 775 | Vaginal delivery w/o complicating diagnoses | $3,681 – $3,681 · median $3,681 | 1 plans |
| 777 | Ectopic pregnancy | $3,602 – $3,602 · median $3,602 | 1 plans |
| 778 | THREATENED ABORTION | $3,602 – $3,602 · median $3,602 | 1 plans |
| 780 | False labor | $3,602 – $3,602 · median $3,602 | 1 plans |
| 781 | Other antepartum diagnoses w medical complications | $3,602 – $3,602 · median $3,602 | 1 plans |
| 782 | Other antepartum diagnoses w/o medical complications | $3,602 – $3,602 · median $3,602 | 1 plans |
| 789 | Neonates, died or transferred to another acute care facility | $45,470 – $45,470 · median $45,470 | 1 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $191,975 – $191,975 · median $191,975 | 1 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $43,459 – $43,459 · median $43,459 | 1 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $8,693 – $8,693 · median $8,693 | 1 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $13,403 – $13,403 · median $13,403 | 1 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,839 – $2,839 · median $2,839 | 1 plans |
| 795 | Normal newborn | $1,896 – $1,896 · median $1,896 | 1 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,230 – $8,230 · median $8,230 | 1 plans |
| 881 | Depressive neuroses | $7,067 – $7,067 · median $7,067 | 1 plans |
| 882 | Neuroses except depressive | $6,724 – $6,724 · median $6,724 | 1 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,907 – $14,907 · median $14,907 | 1 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,126 – $18,126 · median $18,126 | 1 plans |
| 885 | Psychoses | $11,126 – $11,126 · median $11,126 | 1 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $9,965 – $9,965 · median $9,965 | 1 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $25,740 – $25,740 · median $25,740 | 1 plans |
No procedures match that keyword.