Essentia Health-Deer River — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 772
Lowest published price —
Average published price —
Highest published price —
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 772 procedures
Procedures with negotiated rates only
These 772 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 | $8,607 – $357,605 · median $8,607 | 23 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $8,607 – $144,602 · median $8,607 | 23 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $8,607 – $270,848 · median $8,607 | 23 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $8,607 – $176,754 · median $8,607 | 23 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $8,607 – $131,569 · median $8,607 | 23 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $8,607 – $59,171 · median $8,607 | 23 plans |
| 007 | LUNG TRANSPLANT | $8,607 – $165,254 · median $8,607 | 23 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $8,607 – $71,519 · median $8,607 | 23 plans |
| 010 | PANCREAS TRANSPLANT | $8,607 – $91,567 · median $8,607 | 23 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $8,607 – $69,598 · median $8,607 | 23 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $8,607 – $53,799 · median $8,607 | 23 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $8,607 – $36,774 · median $8,607 | 23 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $8,607 – $153,357 · median $8,607 | 23 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $8,607 – $75,667 · median $8,607 | 23 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $8,607 – $69,320 · median $8,607 | 23 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $8,607 – $551,043 · median $8,607 | 23 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $8,607 – $91,042 · median $8,607 | 23 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $8,607 – $100,411 · median $8,607 | 23 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $8,607 – $67,553 · median $8,607 | 23 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $8,607 – $40,546 · median $8,607 | 23 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $8,607 – $73,123 · median $8,607 | 23 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $8,607 – $49,919 · median $8,607 | 23 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $8,607 – $58,019 · median $8,607 | 23 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $8,607 – $39,676 · median $8,607 | 23 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,607 – $32,194 · median $8,607 | 23 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $8,607 – $76,670 · median $8,607 | 23 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $8,607 – $43,534 · median $8,607 | 23 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $8,607 – $28,012 · median $8,607 | 23 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $8,607 – $57,174 · median $8,607 | 23 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $8,607 – $27,193 · median $8,607 | 23 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,607 – $21,220 · median $8,607 | 23 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $8,607 – $49,393 · median $8,607 | 23 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $8,607 – $30,504 · median $8,607 | 23 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $8,607 – $24,791 · median $8,607 | 23 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $8,607 – $42,010 · median $8,607 | 23 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,607 – $20,706 · median $8,607 | 23 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,607 – $15,000 · median $8,607 | 23 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $8,607 – $49,272 · median $8,607 | 23 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $8,607 – $28,057 · median $8,607 | 23 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $8,607 – $22,047 · median $8,607 | 23 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $8,607 – $23,113 · median $8,607 | 23 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,607 – $12,495 · median $8,607 | 23 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,607 – $19,484 · median $8,607 | 23 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,607 – $13,011 · median $8,607 | 23 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $8,607 – $29,644 · median $8,607 | 23 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,607 – $16,533 · median $8,607 | 23 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $8,607 – $21,814 · median $8,607 | 23 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,607 – $15,835 · median $8,607 | 23 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,607 – $11,737 · median $8,607 | 23 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $8,607 – $35,183 · median $8,607 | 23 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $8,607 – $22,423 · median $8,607 | 23 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,607 – $17,913 · median $8,607 | 23 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $8,607 – $25,662 · median $8,607 | 23 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,607 – $12,892 · median $8,607 | 23 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,607 – $8,733 · median $8,607 | 23 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,607 – $18,742 · median $8,607 | 23 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,607 – $11,030 · median $8,607 | 23 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,607 – $10,193 · median $8,607 | 23 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $8,607 – $21,244 · median $8,607 | 23 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,607 – $13,092 · median $8,607 | 23 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,607 – $9,650 · median $8,607 | 23 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,607 – $20,472 · median $8,607 | 23 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,607 – $13,154 · median $8,607 | 23 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $8,607 – $24,469 · median $8,607 | 23 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,607 – $10,530 · median $8,607 | 23 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $8,607 – $23,097 · median $8,607 | 23 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,607 – $11,428 · median $8,607 | 23 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $8,607 – $29,166 · median $8,607 | 23 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,607 – $17,811 · median $8,607 | 23 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,607 – $12,197 · median $8,607 | 23 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $8,607 – $28,991 · median $8,607 | 23 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,607 – $16,623 · median $8,607 | 23 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,607 – $11,672 · median $8,607 | 23 plans |
| 088 | CONCUSSION WITH MCC | $8,607 – $17,250 · median $8,607 | 23 plans |
| 089 | CONCUSSION WITH CC | $8,607 – $14,019 · median $8,607 | 23 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,607 – $10,505 · median $8,607 | 23 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $8,607 – $22,410 · median $8,607 | 23 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,607 – $13,054 · median $8,607 | 23 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,607 – $10,161 · median $8,607 | 23 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $8,607 – $44,910 · median $8,607 | 23 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $8,607 – $32,912 · median $8,607 | 23 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,607 – $32,912 · median $8,607 | 23 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $8,607 – $46,089 · median $8,607 | 23 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $8,607 – $29,285 · median $8,607 | 23 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,607 – $17,385 · median $8,607 | 23 plans |
| 100 | SEIZURES WITH MCC | $8,607 – $24,715 · median $8,607 | 23 plans |
| 101 | SEIZURES WITHOUT MCC | $8,607 – $11,518 · median $8,607 | 23 plans |
| 102 | HEADACHES WITH MCC | $8,607 – $14,303 · median $8,607 | 23 plans |
| 103 | HEADACHES WITHOUT MCC | $8,607 – $10,672 · median $8,607 | 23 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $8,607 – $30,002 · median $8,607 | 23 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,607 – $17,265 · median $8,607 | 23 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,607 – $19,586 · median $8,607 | 23 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $8,607 – $23,073 · median $8,607 | 23 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,607 – $13,844 · median $8,607 | 23 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,607 – $14,845 · median $8,607 | 23 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,607 – $10,027 · median $8,607 | 23 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,607 – $10,191 · median $8,607 | 23 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,607 – $16,884 · median $8,607 | 23 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,607 – $9,798 · median $8,607 | 23 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $8,607 – $27,691 · median $8,607 | 23 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,607 – $12,956 · median $8,607 | 23 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,607 – $19,054 · median $8,607 | 23 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,607 – $11,309 · median $8,607 | 23 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,607 – $15,768 · median $8,607 | 23 plans |
| 140 | SIMPLE PNEUMONIA AND PLEURISY AGE 0-17 | $8,607 – $54,428 · median $8,607 | 23 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $8,607 – $27,832 · median $8,607 | 23 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,607 – $20,371 · median $8,607 | 23 plans |
| 143 | STOMACH ESOPHAGEAL AND DUODENAL PROC AGE 0-17 | $8,607 – $47,809 · median $8,607 | 23 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,607 – $22,113 · median $8,607 | 23 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $15,342 · median $8,607 | 23 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $8,607 – $27,020 · median $8,607 | 23 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $8,607 – $16,225 · median $8,607 | 23 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,607 – $10,172 · median $8,607 | 23 plans |
| 149 | DYSEQUILIBRIUM | $8,607 – $9,591 · median $8,607 | 23 plans |
| 150 | EPISTAXIS WITH MCC | $8,607 – $16,991 · median $8,607 | 23 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,607 – $9,366 · median $8,607 | 23 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,607 – $15,086 · median $8,607 | 23 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,607 – $9,420 · median $8,607 | 23 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $8,607 – $19,951 · median $8,607 | 23 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $8,607 – $11,695 · median $8,607 | 23 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,607 – $8,819 · median $8,607 | 23 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,607 – $21,908 · median $8,607 | 23 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,607 – $11,610 · median $8,607 | 23 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,607 – $9,041 · median $8,607 | 23 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $8,607 – $57,191 · median $8,607 | 23 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $8,607 – $32,208 · median $8,607 | 23 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $8,607 – $24,427 · median $8,607 | 23 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $8,607 – $47,696 · median $8,607 | 23 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,607 – $23,013 · median $8,607 | 23 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $17,436 · median $8,607 | 23 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $8,607 – $37,981 · median $8,607 | 23 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,607 – $17,528 · median $8,607 | 23 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,607 – $10,272 · median $8,607 | 23 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,607 – $19,941 · median $8,607 | 23 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,607 – $12,454 · median $8,607 | 23 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,607 – $9,634 · median $8,607 | 23 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,607 – $22,535 · median $8,607 | 23 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,607 – $13,667 · median $8,607 | 23 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,607 – $9,619 · median $8,607 | 23 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,607 – $19,523 · median $8,607 | 23 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,607 – $13,579 · median $8,607 | 23 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,607 – $10,036 · median $8,607 | 23 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,607 – $19,888 · median $8,607 | 23 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,607 – $12,622 · median $8,607 | 23 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,607 – $9,152 · median $8,607 | 23 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,607 – $15,765 · median $8,607 | 23 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,607 – $14,135 · median $8,607 | 23 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,607 – $10,757 · median $8,607 | 23 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,192 – $8,607 · median $8,607 | 23 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,607 – $16,773 · median $8,607 | 23 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,607 – $10,284 · median $8,607 | 23 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $8,020 – $8,607 · median $8,607 | 23 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $8,607 – $24,082 · median $8,607 | 23 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,607 – $12,111 · median $8,607 | 23 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,607 – $9,139 · median $8,607 | 23 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,607 – $22,511 · median $8,607 | 23 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,607 – $14,028 · median $8,607 | 23 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,607 – $9,125 · median $8,607 | 23 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,607 – $12,393 · median $8,607 | 23 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,550 – $8,607 · median $8,607 | 23 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,607 – $10,303 · median $8,607 | 23 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $8,607 – $23,365 · median $8,607 | 23 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,607 – $12,009 · median $8,607 | 23 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $8,607 – $82,111 · median $8,607 | 23 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $8,607 – $35,075 · median $8,607 | 23 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | $8,607 – $144,436 · median $8,607 | 23 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $8,607 – $138,761 · median $8,607 | 23 plans |
| 213 | SPLENIC PROCEDURES AGE 0-17 | $8,607 – $72,824 · median $8,607 | 23 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $8,607 – $127,058 · median $8,607 | 23 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $8,607 – $124,835 · median $8,607 | 23 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $8,607 – $83,905 · median $8,607 | 23 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $8,607 – $83,905 · median $8,607 | 23 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $8,607 – $97,980 · median $8,607 | 23 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $8,607 – $68,050 · median $8,607 | 23 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $8,607 – $64,316 · median $8,607 | 23 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $8,607 – $63,132 · median $8,607 | 23 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $8,607 – $40,190 · median $8,607 | 23 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $8,607 – $107,571 · median $8,607 | 23 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $8,607 – $77,363 · median $8,607 | 23 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $8,607 – $97,558 · median $8,607 | 23 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,607 – $69,708 · median $8,607 | 23 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $8,607 – $74,887 · median $8,607 | 23 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $8,607 – $53,452 · median $8,607 | 23 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $8,607 – $62,804 · median $8,607 | 23 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $8,607 – $36,374 · median $8,607 | 23 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,607 – $17,666 · median $8,607 | 23 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $8,607 – $40,742 · median $8,607 | 23 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $8,607 – $27,192 · median $8,607 | 23 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $8,607 – $23,065 · median $8,607 | 23 plans |
| 245 | AICD GENERATOR PROCEDURES | $8,607 – $58,219 · median $8,607 | 23 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $8,607 – $27,850 · median $8,607 | 23 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $8,607 – $19,071 · median $8,607 | 23 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $8,607 – $44,513 · median $8,607 | 23 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $8,607 – $33,122 · median $8,607 | 23 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $8,607 – $22,736 · median $8,607 | 23 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $8,607 – $34,421 · median $8,607 | 23 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,607 – $21,666 · median $8,607 | 23 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,607 – $13,937 · median $8,607 | 23 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $8,607 – $40,095 · median $8,607 | 23 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,607 – $25,803 · median $8,607 | 23 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $8,607 – $41,508 · median $8,607 | 23 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,607 – $24,124 · median $8,607 | 23 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,607 – $20,799 · median $8,607 | 23 plans |
| 263 | VEIN LIGATION AND STRIPPING | $8,607 – $39,015 · median $8,607 | 23 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $8,607 – $42,628 · median $8,607 | 23 plans |
| 265 | AICD LEAD PROCEDURES | $8,607 – $46,171 · median $8,607 | 23 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $8,607 – $78,203 · median $8,607 | 23 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $8,607 – $60,751 · median $8,607 | 23 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $8,607 – $87,767 · median $8,607 | 23 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $8,607 – $53,891 · median $8,607 | 23 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $8,607 – $67,329 · median $8,607 | 23 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $8,607 – $45,381 · median $8,607 | 23 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $8,607 – $32,578 · median $8,607 | 23 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $8,607 – $52,644 · median $8,607 | 23 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $8,607 – $42,004 · median $8,607 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $8,607 – $90,989 · median $8,607 | 23 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $8,607 – $76,648 · median $8,607 | 23 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $8,607 – $58,935 · median $8,607 | 23 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $8,607 – $71,029 · median $8,607 | 23 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $8,607 – $46,020 · median $8,607 | 23 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $8,607 – $20,469 · median $8,607 | 23 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $8,607 – $11,728 · median $8,607 | 23 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $8,607 – $9,227 · median $8,607 | 23 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $8,607 – $25,276 · median $8,607 | 23 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $8,607 – $8,833 · median $8,607 | 23 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $7,642 – $8,607 · median $8,607 | 23 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $8,607 – $28,237 · median $8,607 | 23 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,607 – $13,655 · median $8,607 | 23 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $8,607 – $34,533 · median $8,607 | 23 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,607 – $21,781 · median $8,607 | 23 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,607 – $11,864 · median $8,607 | 23 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,607 – $16,382 · median $8,607 | 23 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,607 – $10,834 · median $8,607 | 23 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,223 – $8,607 · median $8,607 | 23 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $8,607 – $19,931 · median $8,607 | 23 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $8,090 – $8,607 · median $8,607 | 23 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $5,807 – $8,607 · median $8,607 | 23 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,607 – $20,834 · median $8,607 | 23 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,607 – $13,622 · median $8,607 | 23 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,607 – $9,184 · median $8,607 | 23 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,607 – $15,269 · median $8,607 | 23 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,591 – $8,607 · median $8,607 | 23 plans |
| 304 | HYPERTENSION WITH MCC | $8,607 – $15,185 · median $8,607 | 23 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,607 – $9,636 · median $8,607 | 23 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,607 – $20,108 · median $8,607 | 23 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,607 – $11,653 · median $8,607 | 23 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,607 – $15,364 · median $8,607 | 23 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,607 – $9,388 · median $8,607 | 23 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,224 – $8,607 · median $8,607 | 23 plans |
| 311 | ANGINA PECTORIS | $8,607 – $8,957 · median $8,607 | 23 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,607 – $11,122 · median $8,607 | 23 plans |
| 313 | CHEST PAIN | $8,607 – $9,188 · median $8,607 | 23 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $8,607 – $26,609 · median $8,607 | 23 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,607 – $12,292 · median $8,607 | 23 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,607 – $8,704 · median $8,607 | 23 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC | $8,607 – $85,324 · median $8,607 | 23 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $8,607 – $30,909 · median $8,607 | 23 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $8,607 – $56,950 · median $8,607 | 23 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $8,607 – $30,693 · median $8,607 | 23 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $8,607 – $34,719 · median $8,607 | 23 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,607 – $22,497 · median $8,607 | 23 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $8,607 – $55,221 · median $8,607 | 23 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,607 – $40,209 · median $8,607 | 23 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $8,607 – $40,967 · median $8,607 | 23 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $8,607 – $63,643 · median $8,607 | 23 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $8,607 – $31,190 · median $8,607 | 23 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,607 – $20,446 · median $8,607 | 23 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $8,607 – $58,655 · median $8,607 | 23 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,607 – $30,590 · median $8,607 | 23 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,607 – $21,475 · median $8,607 | 23 plans |
| 332 | RECTAL RESECTION WITH MCC | $8,607 – $46,203 · median $8,607 | 23 plans |
| 333 | RECTAL RESECTION WITH CC | $8,607 – $29,888 · median $8,607 | 23 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,607 – $20,901 · median $8,607 | 23 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $8,607 – $45,567 · median $8,607 | 23 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $8,607 – $26,908 · median $8,607 | 23 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,607 – $19,588 · median $8,607 | 23 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $8,607 – $32,958 · median $8,607 | 23 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,607 – $19,201 · median $8,607 | 23 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,607 – $15,137 · median $8,607 | 23 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $8,607 – $29,293 · median $8,607 | 23 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,607 – $16,701 · median $8,607 | 23 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,607 – $11,109 · median $8,607 | 23 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $8,607 – $31,798 · median $8,607 | 23 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,607 – $19,454 · median $8,607 | 23 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,607 – $14,902 · median $8,607 | 23 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $8,607 – $37,032 · median $8,607 | 23 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $8,607 – $21,469 · median $8,607 | 23 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,607 – $17,163 · median $8,607 | 23 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $8,607 – $56,055 · median $8,607 | 23 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $8,607 – $29,675 · median $8,607 | 23 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $17,838 · median $8,607 | 23 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $8,607 – $43,879 · median $8,607 | 23 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,607 – $30,808 · median $8,607 | 23 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,607 – $20,314 · median $8,607 | 23 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,607 – $12,763 · median $8,607 | 23 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,607 – $8,943 · median $8,607 | 23 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $8,607 – $22,626 · median $8,607 | 23 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,607 – $13,029 · median $8,607 | 23 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,607 – $9,282 · median $8,607 | 23 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,607 – $27,291 · median $8,607 | 23 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,607 – $15,435 · median $8,607 | 23 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,607 – $11,795 · median $8,607 | 23 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,607 – $23,327 · median $8,607 | 23 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,607 – $12,514 · median $8,607 | 23 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $8,044 – $8,607 · median $8,607 | 23 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,607 – $25,039 · median $8,607 | 23 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,607 – $13,826 · median $8,607 | 23 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,607 – $10,216 · median $8,607 | 23 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,607 – $17,619 · median $8,607 | 23 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,607 – $10,908 · median $8,607 | 23 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,607 – $20,191 · median $8,607 | 23 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,607 – $12,458 · median $8,607 | 23 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,607 – $8,694 · median $8,607 | 23 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,607 – $18,845 · median $8,607 | 23 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,607 – $10,078 · median $8,607 | 23 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,942 – $8,607 · median $8,607 | 23 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,607 – $16,184 · median $8,607 | 23 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,607 – $9,948 · median $8,607 | 23 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,607 – $20,408 · median $8,607 | 23 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,607 – $11,940 · median $8,607 | 23 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,282 – $8,607 · median $8,607 | 23 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $8,607 – $30,561 · median $8,607 | 23 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,607 – $19,315 · median $8,607 | 23 plans |
| 399 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $8,607 – $14,607 · median $8,607 | 23 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $8,607 – $51,304 · median $8,607 | 23 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $8,607 – $69,807 · median $8,607 | 23 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $8,607 – $37,009 · median $8,607 | 23 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $8,607 – $28,324 · median $8,607 | 23 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $8,607 – $45,500 · median $8,607 | 23 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $8,607 – $27,784 · median $8,607 | 23 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,607 – $20,260 · median $8,607 | 23 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $8,607 – $42,152 · median $8,607 | 23 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $8,607 – $26,829 · median $8,607 | 23 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,607 – $21,189 · median $8,607 | 23 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $8,607 – $45,461 · median $8,607 | 23 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $8,607 – $26,373 · median $8,607 | 23 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,607 – $17,397 · median $8,607 | 23 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $8,607 – $30,452 · median $8,607 | 23 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,607 – $21,586 · median $8,607 | 23 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,607 – $17,429 · median $8,607 | 23 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $8,607 – $43,477 · median $8,607 | 23 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,607 – $22,172 · median $8,607 | 23 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,607 – $17,859 · median $8,607 | 23 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $8,607 – $52,995 · median $8,607 | 23 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $8,607 – $27,919 · median $8,607 | 23 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $19,145 · median $8,607 | 23 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $8,607 – $140,638 · median $8,607 | 23 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $8,607 – $92,114 · median $8,607 | 23 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $8,607 – $71,741 · median $8,607 | 23 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $8,607 – $114,969 · median $8,607 | 23 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $8,607 – $73,592 · median $8,607 | 23 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $8,607 – $25,116 · median $8,607 | 23 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,607 – $13,478 · median $8,607 | 23 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,607 – $9,092 · median $8,607 | 23 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,607 – $23,438 · median $8,607 | 23 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,607 – $14,434 · median $8,607 | 23 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,607 – $10,889 · median $8,607 | 23 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,607 – $20,802 · median $8,607 | 23 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,607 – $10,734 · median $8,607 | 23 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,930 – $8,607 · median $8,607 | 23 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $8,607 – $22,902 · median $8,607 | 23 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,607 – $12,318 · median $8,607 | 23 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,607 – $8,929 · median $8,607 | 23 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,607 – $21,322 · median $8,607 | 23 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,607 – $13,965 · median $8,607 | 23 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,607 – $10,557 · median $8,607 | 23 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $8,607 – $85,262 · median $8,607 | 23 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $8,607 – $54,116 · median $8,607 | 23 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $8,607 – $68,009 · median $8,607 | 23 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $8,607 – $41,222 · median $8,607 | 23 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $8,607 – $107,233 · median $8,607 | 23 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $8,607 – $76,093 · median $8,607 | 23 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $8,607 – $53,245 · median $8,607 | 23 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $8,607 – $70,477 · median $8,607 | 23 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $8,607 – $33,943 · median $8,607 | 23 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $8,607 – $72,730 · median $8,607 | 23 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $8,607 – $39,746 · median $8,607 | 23 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,607 – $23,272 · median $8,607 | 23 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $8,607 – $66,425 · median $8,607 | 23 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $8,607 – $45,002 · median $8,607 | 23 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $8,607 – $35,066 · median $8,607 | 23 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $8,607 – $38,706 · median $8,607 | 23 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $8,607 – $24,614 · median $8,607 | 23 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $8,607 – $61,618 · median $8,607 | 23 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $8,607 – $37,594 · median $8,607 | 23 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $8,607 – $31,153 · median $8,607 | 23 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $8,607 – $54,780 · median $8,607 | 23 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $8,607 – $29,040 · median $8,607 | 23 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,607 – $15,060 · median $8,607 | 23 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,607 – $44,083 · median $8,607 | 23 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,607 – $31,381 · median $8,607 | 23 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,607 – $23,721 · median $8,607 | 23 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $8,607 – $37,163 · median $8,607 | 23 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $8,607 – $26,727 · median $8,607 | 23 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,607 – $20,813 · median $8,607 | 23 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $8,607 – $35,371 · median $8,607 | 23 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $8,607 – $41,180 · median $8,607 | 23 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $8,607 – $26,684 · median $8,607 | 23 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,607 – $19,986 · median $8,607 | 23 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,607 – $22,572 · median $8,607 | 23 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,607 – $14,251 · median $8,607 | 23 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $8,607 – $46,852 · median $8,607 | 23 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $8,607 – $32,362 · median $8,607 | 23 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $8,607 – $25,604 · median $8,607 | 23 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $8,607 – $46,266 · median $8,607 | 23 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $8,607 – $23,019 · median $8,607 | 23 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,607 – $15,419 · median $8,607 | 23 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $8,607 – $38,496 · median $8,607 | 23 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,607 – $25,710 · median $8,607 | 23 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $8,607 – $40,385 · median $8,607 | 23 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,607 – $22,307 · median $8,607 | 23 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,607 – $17,175 · median $8,607 | 23 plans |
| 503 | FOOT PROCEDURES WITH MCC | $8,607 – $35,616 · median $8,607 | 23 plans |
| 504 | FOOT PROCEDURES WITH CC | $8,607 – $23,852 · median $8,607 | 23 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,607 – $22,877 · median $8,607 | 23 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,607 – $17,217 · median $8,607 | 23 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,607 – $23,051 · median $8,607 | 23 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,607 – $19,325 · median $8,607 | 23 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $8,607 – $38,544 · median $8,607 | 23 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $8,607 – $26,535 · median $8,607 | 23 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $8,607 – $21,124 · median $8,607 | 23 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,607 – $20,089 · median $8,607 | 23 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,607 – $13,045 · median $8,607 | 23 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $8,607 – $40,667 · median $8,607 | 23 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $8,607 – $26,518 · median $8,607 | 23 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $19,609 · median $8,607 | 23 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $8,607 – $47,691 · median $8,607 | 23 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,607 – $25,524 · median $8,607 | 23 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,607 – $19,063 · median $8,607 | 23 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $8,607 – $36,626 · median $8,607 | 23 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $8,607 – $27,023 · median $8,607 | 23 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,607 – $20,005 · median $8,607 | 23 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,607 – $10,286 · median $8,607 | 23 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,607 – $16,359 · median $8,607 | 23 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,607 – $10,306 · median $8,607 | 23 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $8,607 – $12,178 · median $8,607 | 23 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $8,607 – $9,192 · median $8,607 | 23 plans |
| 539 | OSTEOMYELITIS WITH MCC | $8,607 – $25,135 · median $8,607 | 23 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,607 – $16,542 · median $8,607 | 23 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,607 – $10,048 · median $8,607 | 23 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,607 – $22,542 · median $8,607 | 23 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,607 – $13,118 · median $8,607 | 23 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,607 – $9,629 · median $8,607 | 23 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $8,607 – $31,668 · median $8,607 | 23 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,607 – $14,718 · median $8,607 | 23 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,607 – $10,671 · median $8,607 | 23 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $8,607 – $24,640 · median $8,607 | 23 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,607 – $15,405 · median $8,607 | 23 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,607 – $11,154 · median $8,607 | 23 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,607 – $21,388 · median $8,607 | 23 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,607 – $12,267 · median $8,607 | 23 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,607 – $16,542 · median $8,607 | 23 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,607 – $10,593 · median $8,607 | 23 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,607 – $16,867 · median $8,607 | 23 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,607 – $10,599 · median $8,607 | 23 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $8,607 – $18,974 · median $8,607 | 23 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $8,607 – $11,398 · median $8,607 | 23 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,607 – $23,797 · median $8,607 | 23 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,607 – $14,370 · median $8,607 | 23 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,607 – $10,258 · median $8,607 | 23 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $8,607 – $18,181 · median $8,607 | 23 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $8,607 – $11,427 · median $8,607 | 23 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,607 – $19,697 · median $8,607 | 23 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,607 – $12,434 · median $8,607 | 23 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,607 – $9,562 · median $8,607 | 23 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $8,607 – $37,530 · median $8,607 | 23 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,607 – $21,559 · median $8,607 | 23 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,607 – $14,628 · median $8,607 | 23 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $8,607 – $83,600 · median $8,607 | 23 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $8,607 – $44,297 · median $8,607 | 23 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,607 – $22,931 · median $8,607 | 23 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $8,607 – $62,543 · median $8,607 | 23 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $8,607 – $33,825 · median $8,607 | 23 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,607 – $20,499 · median $8,607 | 23 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $8,607 – $41,326 · median $8,607 | 23 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $8,607 – $22,050 · median $8,607 | 23 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,607 – $18,415 · median $8,607 | 23 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,607 – $24,585 · median $8,607 | 23 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,607 – $22,005 · median $8,607 | 23 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $8,607 – $27,317 · median $8,607 | 23 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,607 – $24,617 · median $8,607 | 23 plans |
| 592 | SKIN ULCERS WITH MCC | $8,607 – $24,696 · median $8,607 | 23 plans |
| 593 | SKIN ULCERS WITH CC | $8,607 – $15,138 · median $8,607 | 23 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,607 – $11,061 · median $8,607 | 23 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $8,607 – $27,062 · median $8,607 | 23 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,607 – $13,813 · median $8,607 | 23 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,607 – $21,273 · median $8,607 | 23 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,607 – $14,436 · median $8,607 | 23 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,607 – $9,818 · median $8,607 | 23 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,607 – $13,292 · median $8,607 | 23 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,720 – $8,607 · median $8,607 | 23 plans |
| 602 | CELLULITIS WITH MCC | $8,607 – $18,137 · median $8,607 | 23 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,607 – $11,113 · median $8,607 | 23 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,607 – $18,785 · median $8,607 | 23 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,607 – $11,689 · median $8,607 | 23 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,607 – $19,309 · median $8,607 | 23 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,607 – $11,566 · median $8,607 | 23 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $8,607 – $27,969 · median $8,607 | 23 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,607 – $17,856 · median $8,607 | 23 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $8,607 – $44,502 · median $8,607 | 23 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,607 – $23,866 · median $8,607 | 23 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,607 – $18,099 · median $8,607 | 23 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $8,607 – $36,845 · median $8,607 | 23 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,607 – $20,421 · median $8,607 | 23 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,607 – $19,248 · median $8,607 | 23 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $8,607 – $45,418 · median $8,607 | 23 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,607 – $22,891 · median $8,607 | 23 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,607 – $15,975 · median $8,607 | 23 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $8,607 – $38,539 · median $8,607 | 23 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,607 – $19,133 · median $8,607 | 23 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,607 – $16,950 · median $8,607 | 23 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $8,607 – $47,557 · median $8,607 | 23 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $8,607 – $27,803 · median $8,607 | 23 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $18,624 · median $8,607 | 23 plans |
| 637 | DIABETES WITH MCC | $8,607 – $18,333 · median $8,607 | 23 plans |
| 638 | DIABETES WITH CC | $8,607 – $11,436 · median $8,607 | 23 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,927 – $8,607 · median $8,607 | 23 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $8,607 – $17,043 · median $8,607 | 23 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,607 – $9,930 · median $8,607 | 23 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,607 – $18,147 · median $8,607 | 23 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,607 – $21,005 · median $8,607 | 23 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,607 – $13,080 · median $8,607 | 23 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,607 – $9,804 · median $8,607 | 23 plans |
| 650 | NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH OTHER PROB | $8,607 – $59,993 · median $8,607 | 23 plans |
| 651 | NEONATE BIRTHWT 2000-2499G WITH SIGNIF O.R. PROC WITH MULT MAJOR PROB | $8,607 – $47,289 · median $8,607 | 23 plans |
| 652 | KIDNEY TRANSPLANT | $8,607 – $41,211 · median $8,607 | 23 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $8,607 – $66,310 · median $8,607 | 23 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $8,607 – $35,721 · median $8,607 | 23 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,607 – $27,009 · median $8,607 | 23 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $8,607 – $40,628 · median $8,607 | 23 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $8,607 – $23,352 · median $8,607 | 23 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,607 – $19,802 · median $8,607 | 23 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $8,607 – $32,424 · median $8,607 | 23 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,607 – $16,866 · median $8,607 | 23 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,607 – $13,212 · median $8,607 | 23 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $8,607 – $39,067 · median $8,607 | 23 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,607 – $19,399 · median $8,607 | 23 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,607 – $13,359 · median $8,607 | 23 plans |
| 665 | PROSTATECTOMY WITH MCC | $8,607 – $39,829 · median $8,607 | 23 plans |
| 666 | PROSTATECTOMY WITH CC | $8,607 – $22,322 · median $8,607 | 23 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,607 – $14,116 · median $8,607 | 23 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $8,607 – $37,261 · median $8,607 | 23 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,607 – $19,805 · median $8,607 | 23 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,607 – $12,471 · median $8,607 | 23 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,607 – $22,905 · median $8,607 | 23 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,607 – $13,775 · median $8,607 | 23 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $8,607 – $53,615 · median $8,607 | 23 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $8,607 – $29,842 · median $8,607 | 23 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $8,607 – $20,945 · median $8,607 | 23 plans |
| 682 | RENAL FAILURE WITH MCC | $8,607 – $18,899 · median $8,607 | 23 plans |
| 683 | RENAL FAILURE WITH CC | $8,607 – $11,176 · median $8,607 | 23 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,660 – $8,607 · median $8,607 | 23 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $8,607 – $23,016 · median $8,607 | 23 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,607 – $13,371 · median $8,607 | 23 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,607 – $10,085 · median $8,607 | 23 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,607 – $14,806 · median $8,607 | 23 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,607 – $10,330 · median $8,607 | 23 plans |
| 693 | URINARY STONES WITH MCC | $8,607 – $17,157 · median $8,607 | 23 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,607 – $9,975 · median $8,607 | 23 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,607 – $14,596 · median $8,607 | 23 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,607 – $8,792 · median $8,607 | 23 plans |
| 697 | URETHRAL STRICTURE | $8,607 – $13,753 · median $8,607 | 23 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,607 – $21,111 · median $8,607 | 23 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,607 – $12,952 · median $8,607 | 23 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,607 – $8,804 · median $8,607 | 23 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $8,607 – $25,525 · median $8,607 | 23 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,607 – $19,577 · median $8,607 | 23 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $8,607 – $29,695 · median $8,607 | 23 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,607 – $17,880 · median $8,607 | 23 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $8,607 – $26,591 · median $8,607 | 23 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,607 – $14,033 · median $8,607 | 23 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,607 – $19,184 · median $8,607 | 23 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,607 – $13,493 · median $8,607 | 23 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $8,607 – $28,550 · median $8,607 | 23 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,607 – $18,771 · median $8,607 | 23 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $8,607 – $24,124 · median $8,607 | 23 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,607 – $17,139 · median $8,607 | 23 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $8,607 – $23,093 · median $8,607 | 23 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $8,607 – $14,582 · median $8,607 | 23 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,367 – $8,607 · median $8,607 | 23 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,607 – $14,933 · median $8,607 | 23 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,607 – $9,213 · median $8,607 | 23 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,607 – $18,923 · median $8,607 | 23 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,607 – $10,351 · median $8,607 | 23 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,607 – $13,510 · median $8,607 | 23 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,575 – $8,607 · median $8,607 | 23 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $8,607 – $27,180 · median $8,607 | 23 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,607 – $17,170 · median $8,607 | 23 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $8,607 – $45,613 · median $8,607 | 23 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $8,607 – $26,295 · median $8,607 | 23 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,607 – $18,739 · median $8,607 | 23 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $8,607 – $45,719 · median $8,607 | 23 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $8,607 – $23,092 · median $8,607 | 23 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $8,607 – $18,198 · median $8,607 | 23 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $8,607 – $23,413 · median $8,607 | 23 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,607 – $15,832 · median $8,607 | 23 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $8,607 – $26,148 · median $8,607 | 23 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,607 – $14,515 · median $8,607 | 23 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,607 – $22,167 · median $8,607 | 23 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,607 – $10,970 · median $8,607 | 23 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,607 – $17,703 · median $8,607 | 23 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $8,607 – $32,764 · median $8,607 | 23 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $18,832 · median $8,607 | 23 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,607 – $23,501 · median $8,607 | 23 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,607 – $13,881 · median $8,607 | 23 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,607 – $12,257 · median $8,607 | 23 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,607 – $18,272 · median $8,607 | 23 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,607 – $12,493 · median $8,607 | 23 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,468 – $8,607 · median $8,607 | 23 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,607 – $12,856 · median $8,607 | 23 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,280 – $8,607 · median $8,607 | 23 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,607 – $13,674 · median $8,607 | 23 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,607 – $21,563 · median $8,607 | 23 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,607 – $12,795 · median $8,607 | 23 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,354 – $8,607 · median $8,607 | 23 plans |
| 779 | ABORTION WITHOUT D&C | $8,607 – $10,736 · median $8,607 | 23 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,607 – $31,329 · median $8,607 | 23 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,607 – $13,528 · median $8,607 | 23 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,607 – $12,222 · median $8,607 | 23 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,607 – $21,049 · median $8,607 | 23 plans |
| 787 | NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB | $8,607 – $14,251 · median $8,607 | 23 plans |
| 788 | NEONATE BIRTHWT >2499G W MINOR ABDOM PROCEDURE | $8,607 – $12,235 · median $8,607 | 23 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $8,607 – $22,997 · median $8,607 | 23 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $8,607 – $75,843 · median $8,607 | 23 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,607 – $51,796 · median $8,607 | 23 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $8,607 – $31,254 · median $8,607 | 23 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,607 – $53,207 · median $8,607 | 23 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $8,607 – $18,834 · median $8,607 | 23 plans |
| 795 | NORMAL NEWBORN | $2,550 – $8,607 · median $8,607 | 23 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,607 – $14,892 · median $8,607 | 23 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,607 – $12,766 · median $8,607 | 23 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,607 – $12,213 · median $8,607 | 23 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $8,607 – $57,792 · median $8,607 | 23 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $8,607 – $35,850 · median $8,607 | 23 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,607 – $24,359 · median $8,607 | 23 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $8,607 – $50,840 · median $8,607 | 23 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $8,607 – $23,721 · median $8,607 | 23 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,607 – $17,304 · median $8,607 | 23 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,607 – $13,771 · median $8,607 | 23 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $8,607 – $9,622 · median $8,607 | 23 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,603 – $8,607 · median $8,607 | 23 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $8,607 – $28,174 · median $8,607 | 23 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,607 – $16,154 · median $8,607 | 23 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,607 – $13,355 · median $8,607 | 23 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,607 – $17,920 · median $8,607 | 23 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,607 – $11,717 · median $8,607 | 23 plans |
| 813 | COAGULATION DISORDERS | $8,607 – $19,464 · median $8,607 | 23 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,607 – $27,138 · median $8,607 | 23 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,607 – $12,939 · median $8,607 | 23 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,065 – $8,607 · median $8,607 | 23 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $8,607 – $29,115 · median $8,607 | 23 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,607 – $14,792 · median $8,607 | 23 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $10,973 · median $8,607 | 23 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $8,607 – $74,839 · median $8,607 | 23 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $8,607 – $28,566 · median $8,607 | 23 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $15,364 · median $8,607 | 23 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $8,607 – $58,505 · median $8,607 | 23 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $8,607 – $28,911 · median $8,607 | 23 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,607 – $17,219 · median $8,607 | 23 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $8,607 – $59,692 · median $8,607 | 23 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $8,607 – $29,493 · median $8,607 | 23 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $21,742 · median $8,607 | 23 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $8,607 – $40,324 · median $8,607 | 23 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,607 – $19,205 · median $8,607 | 23 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,607 – $15,345 · median $8,607 | 23 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,607 – $9,208 · median $8,607 | 23 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,673 – $8,607 · median $8,607 | 23 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $8,607 – $70,055 · median $8,607 | 23 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $8,607 – $26,616 · median $8,607 | 23 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $15,562 · median $8,607 | 23 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $8,607 – $61,306 · median $8,607 | 23 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $8,607 – $26,637 · median $8,607 | 23 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,607 – $18,425 · median $8,607 | 23 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $8,607 – $41,280 · median $8,607 | 23 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,607 – $20,818 · median $8,607 | 23 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,607 – $12,893 · median $8,607 | 23 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $8,607 – $25,455 · median $8,607 | 23 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,607 – $15,535 · median $8,607 | 23 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,607 – $10,867 · median $8,607 | 23 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $8,607 – $33,082 · median $8,607 | 23 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,607 – $16,694 · median $8,607 | 23 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,607 – $10,839 · median $8,607 | 23 plans |
| 849 | RADIOTHERAPY | $8,607 – $34,575 · median $8,607 | 23 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $8,607 – $110,501 · median $8,607 | 23 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $8,607 – $63,020 · median $8,607 | 23 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $8,607 – $25,497 · median $8,607 | 23 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $19,105 · median $8,607 | 23 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $8,607 – $58,045 · median $8,607 | 23 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $8,607 – $27,327 · median $8,607 | 23 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $17,774 · median $8,607 | 23 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $8,607 – $23,272 · median $8,607 | 23 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,607 – $12,734 · median $8,607 | 23 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,607 – $11,328 · median $8,607 | 23 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,607 – $19,119 · median $8,607 | 23 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,607 – $11,097 · median $8,607 | 23 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $8,607 – $26,711 · median $8,607 | 23 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,607 – $13,158 · median $8,607 | 23 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,607 – $9,311 · median $8,607 | 23 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $8,607 – $88,199 · median $8,607 | 23 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $8,607 – $24,788 · median $8,607 | 23 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,607 – $13,058 · median $8,607 | 23 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $8,607 – $49,319 · median $8,607 | 23 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,607 – $12,253 · median $8,607 | 23 plans |
| 881 | DEPRESSIVE NEUROSES | $8,607 – $12,007 · median $8,607 | 23 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,607 – $13,702 · median $8,607 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $8,607 – $25,091 · median $8,607 | 23 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,607 – $20,531 · median $8,607 | 23 plans |
| 885 | PSYCHOSES | $8,607 – $17,824 · median $8,607 | 23 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $8,607 – $26,482 · median $8,607 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,607 – $13,665 · median $8,607 | 23 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $7,872 – $8,607 · median $8,607 | 23 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $8,607 – $18,064 · median $8,607 | 23 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $8,607 – $22,269 · median $8,607 | 23 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $8,607 – $11,265 · median $8,607 | 23 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $8,607 – $53,552 · median $8,607 | 23 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $8,607 – $24,430 · median $8,607 | 23 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,607 – $14,925 · median $8,607 | 23 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $8,607 – $46,871 · median $8,607 | 23 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,607 – $18,929 · median $8,607 | 23 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,607 – $25,066 · median $8,607 | 23 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $8,607 – $48,992 · median $8,607 | 23 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,607 – $25,460 · median $8,607 | 23 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,607 – $16,751 · median $8,607 | 23 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,607 – $20,859 · median $8,607 | 23 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,607 – $11,300 · median $8,607 | 23 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,607 – $21,458 · median $8,607 | 23 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,502 – $8,607 · median $8,607 | 23 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,607 – $20,014 · median $8,607 | 23 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,607 – $10,937 · median $8,607 | 23 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $8,607 – $23,362 · median $8,607 | 23 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,607 – $12,790 · median $8,607 | 23 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,607 – $8,784 · median $8,607 | 23 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $8,607 – $22,324 · median $8,607 | 23 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,607 – $12,987 · median $8,607 | 23 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $8,607 – $272,447 · median $8,607 | 23 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $8,607 – $91,529 · median $8,607 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $8,607 – $41,100 · median $8,607 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $8,607 – $49,693 · median $8,607 | 23 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $8,607 – $28,209 · median $8,607 | 23 plans |
| 935 | NON-EXTENSIVE BURNS | $8,607 – $26,287 · median $8,607 | 23 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $8,607 – $46,302 · median $8,607 | 23 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $8,607 – $29,820 · median $8,607 | 23 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $8,607 – $25,875 · median $8,607 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,607 – $19,761 · median $8,607 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,607 – $14,634 · median $8,607 | 23 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,607 – $16,198 · median $8,607 | 23 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,607 – $10,215 · median $8,607 | 23 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,607 – $15,181 · median $8,607 | 23 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $8,010 – $8,607 · median $8,607 | 23 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,095 – $8,607 · median $8,607 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $8,607 – $85,894 · median $8,607 | 23 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $8,607 – $48,019 · median $8,607 | 23 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $8,607 – $97,235 · median $8,607 | 23 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,607 – $53,772 · median $8,607 | 23 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,607 – $37,569 · median $8,607 | 23 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $8,607 – $34,885 · median $8,607 | 23 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,607 – $19,557 · median $8,607 | 23 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,607 – $12,001 · median $8,607 | 23 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $8,607 – $78,112 · median $8,607 | 23 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $8,607 – $33,655 · median $8,607 | 23 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $8,607 – $36,827 · median $8,607 | 23 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,607 – $16,525 · median $8,607 | 23 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,607 – $11,519 · median $8,607 | 23 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,607 – $16,560 · median $8,607 | 23 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $8,607 – $59,871 · median $8,607 | 23 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,607 – $31,372 · median $8,607 | 23 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,607 – $21,872 · median $8,607 | 23 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $8,607 – $43,749 · median $8,607 | 23 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,607 – $20,973 · median $8,607 | 23 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,607 – $15,303 · median $8,607 | 23 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $8,607 – $8,607 · median $8,607 | 21 plans |
| 999 | UNGROUPABLE | $8,607 – $8,607 · median $8,607 | 21 plans |
No procedures match that keyword.