Fort Sanders Regional Medical Center — Pricing
794 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 794 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 794 procedures
Procedures with negotiated rates only
These 794 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,182 – $21,057 · median $5,299 | 24 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,182 – $23,152 · median $7,443 | 24 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,182 – $14,618 · median $7,443 | 24 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,182 – $11,215 · median $7,443 | 24 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,182 – $20,623 · median $7,443 | 24 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,182 – $14,340 · median $7,443 | 24 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,182 – $11,947 · median $7,443 | 24 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,182 – $19,474 · median $5,095 | 24 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,182 – $11,233 · median $4,385 | 24 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,182 – $11,233 · median $5,095 | 24 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,182 – $13,572 · median $5,095 | 24 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,182 – $9,383 · median $5,095 | 24 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,182 – $8,144 · median $5,095 | 24 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $2,463 – $42,010 · median $18,748 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,463 – $26,509 · median $17,454 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,463 – $22,865 · median $15,976 | 21 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $810 – $60,547 · median $7,592 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $810 – $14,770 · median $3,205 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $810 – $14,084 · median $3,205 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $810 – $14,823 · median $3,205 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $810 – $28,565 · median $3,616 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $810 – $25,734 · median $3,217 | 16 plans |
| 885 | PSYCHOSES | $810 – $21,719 · median $3,248 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $810 – $27,680 · median $3,205 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $810 – $18,326 · median $3,760 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $2,549 – $330,218 · median $77,754 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $2,549 – $217,715 · median $50,532 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $2,549 – $83,140 · median $19,497 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $2,549 – $63,230 · median $14,888 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $2,549 – $40,831 · median $9,614 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $2,294 – $581,079 · median $136,822 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $2,549 – $124,205 · median $29,246 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $2,549 – $88,897 · median $20,053 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $2,549 – $74,391 · median $12,808 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $2,549 – $95,647 · median $20,698 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $2,549 – $59,291 · median $13,793 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $2,549 – $68,909 · median $16,226 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $2,549 – $47,127 · median $11,097 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,549 – $38,024 · median $8,953 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $2,549 – $93,673 · median $14,559 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $2,549 – $51,720 · median $12,178 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $2,549 – $34,289 · median $8,074 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $2,549 – $96,717 · median $15,204 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $2,549 – $41,930 · median $7,748 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,549 – $30,883 · median $5,788 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $2,549 – $59,917 · median $11,956 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $2,549 – $35,050 · median $8,253 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $2,549 – $28,244 · median $6,650 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $2,549 – $51,168 · median $10,617 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $2,549 – $24,827 · median $5,846 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,549 – $17,537 · median $4,129 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $2,549 – $61,569 · median $13,685 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $2,549 – $34,794 · median $8,193 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $2,549 – $27,081 · median $6,377 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $2,294 – $31,009 · median $7,301 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,294 – $14,197 · median $3,426 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,294 – $23,098 · median $5,439 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,294 – $19,534 · median $3,958 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,294 – $38,583 · median $5,025 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,294 – $20,560 · median $3,749 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,294 – $28,442 · median $5,054 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,294 – $18,853 · median $3,664 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,294 – $13,750 · median $3,238 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $2,294 – $41,654 · median $9,808 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,294 – $27,703 · median $6,461 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $2,294 – $24,727 · median $5,097 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $2,294 – $30,650 · median $7,217 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $2,294 – $15,668 · median $3,689 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,294 – $10,605 · median $3,319 | 15 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $2,294 – $23,675 · median $5,278 | 15 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,294 – $13,582 · median $3,426 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,294 – $12,328 · median $3,205 | 15 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,294 – $26,791 · median $4,407 | 15 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $2,294 – $16,238 · median $3,824 | 15 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,294 – $11,559 · median $3,254 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $2,294 – $23,815 · median $5,607 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,294 – $16,061 · median $3,426 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $2,294 – $26,539 · median $3,426 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,148 – $14,128 · median $3,327 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $2,294 – $23,825 · median $5,610 | 15 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,294 – $15,376 · median $3,523 | 15 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,294 – $10,273 · median $3,205 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $2,294 – $30,628 · median $3,956 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,234 – $13,941 · median $3,283 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $2,294 – $35,750 · median $8,418 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,294 – $21,423 · median $5,044 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $2,294 – $14,732 · median $3,469 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $2,294 – $34,915 · median $8,221 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $2,294 – $20,209 · median $4,758 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,294 – $13,621 · median $3,207 | 15 plans |
| 088 | CONCUSSION WITH MCC | $2,294 – $21,736 · median $5,118 | 15 plans |
| 089 | CONCUSSION WITH CC | $2,294 – $16,519 · median $3,702 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,294 – $13,209 · median $3,205 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $2,294 – $28,087 · median $6,613 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,294 – $16,312 · median $3,841 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,294 – $12,162 · median $3,426 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $2,294 – $56,219 · median $13,237 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $2,294 – $36,936 · median $8,697 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,294 – $36,936 · median $5,939 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $2,294 – $55,232 · median $10,448 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,294 – $33,425 · median $6,378 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,294 – $21,468 · median $3,426 | 15 plans |
| 100 | SEIZURES WITH MCC | $2,294 – $30,590 · median $4,562 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $2,294 – $14,202 · median $3,344 | 15 plans |
| 102 | HEADACHES WITH MCC | $2,294 – $17,866 · median $3,593 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $2,294 – $13,100 · median $3,205 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $2,549 – $34,770 · median $6,646 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,549 – $18,214 · median $4,289 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,549 – $23,590 · median $5,452 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $2,549 – $49,188 · median $6,054 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $2,549 – $16,619 · median $3,913 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,258 – $17,923 · median $3,426 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,789 – $10,451 · median $3,205 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,294 – $12,376 · median $3,205 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $2,294 – $20,090 · median $3,662 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,159 – $12,722 · median $3,205 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,549 – $37,150 · median $5,436 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,549 – $15,072 · median $3,825 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,549 – $21,550 · median $5,074 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,549 – $16,750 · median $3,825 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,549 – $21,155 · median $4,981 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $2,549 – $65,164 · median $15,344 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $2,549 – $33,104 · median $7,795 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $2,549 – $24,228 · median $5,705 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $2,549 – $50,876 · median $11,979 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $2,549 – $27,067 · median $6,373 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $18,255 · median $4,298 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $2,294 – $41,301 · median $8,323 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $2,294 – $19,180 · median $4,516 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,294 – $12,337 · median $3,426 | 15 plans |
| 149 | DYSEQUILIBRIUM | $2,062 – $11,517 · median $3,205 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $2,294 – $21,297 · median $4,856 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,064 – $11,679 · median $3,205 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $2,294 – $17,485 · median $3,693 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,557 – $10,966 · median $3,205 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $2,294 – $25,058 · median $5,175 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,294 – $14,385 · median $3,426 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,294 – $10,360 · median $3,205 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $2,294 – $25,231 · median $5,941 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,294 – $14,493 · median $3,426 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,294 – $10,163 · median $3,378 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $2,549 – $71,019 · median $16,722 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $2,549 – $38,782 · median $9,132 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,549 – $28,721 · median $6,763 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $2,549 – $59,325 · median $13,969 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $2,549 – $28,154 · median $6,629 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $20,861 · median $4,912 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $2,294 – $21,711 · median $5,112 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,294 – $12,550 · median $3,426 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,294 – $24,907 · median $5,865 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,294 – $15,286 · median $3,599 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,294 – $11,860 · median $3,365 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,294 – $26,930 · median $6,341 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,294 – $17,108 · median $4,028 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,294 – $14,199 · median $3,426 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $2,294 – $24,457 · median $4,212 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,294 – $16,457 · median $3,426 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,044 – $11,983 · median $3,205 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $2,294 – $24,345 · median $5,732 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $2,294 – $15,470 · median $3,643 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,294 – $11,313 · median $3,316 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,294 – $19,066 · median $4,489 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,294 – $17,303 · median $4,074 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,294 – $13,237 · median $3,205 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,271 – $9,972 · median $3,205 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,294 – $20,303 · median $4,781 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,294 – $12,635 · median $3,205 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,021 – $9,595 · median $3,205 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $2,294 – $29,030 · median $6,313 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,294 – $15,254 · median $3,592 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,294 – $11,646 · median $3,426 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $2,294 – $27,200 · median $5,747 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,294 – $17,064 · median $3,519 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,294 – $10,433 · median $3,205 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,294 – $14,895 · median $3,426 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,577 – $10,733 · median $3,205 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,210 – $12,496 · median $3,205 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,294 – $29,087 · median $4,582 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,294 – $13,957 · median $3,286 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,294 – $99,647 · median $23,463 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $2,294 – $41,352 · median $9,737 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,549 – $163,245 · median $40,769 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,920 – $148,704 · median $37,137 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,920 – $99,503 · median $24,850 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,920 – $91,667 · median $22,893 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,920 – $144,306 · median $29,774 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,920 – $81,612 · median $20,382 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,920 – $70,763 · median $17,672 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $2,920 – $97,130 · median $19,176 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,920 – $63,932 · median $11,953 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,920 – $130,566 · median $28,546 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,920 – $94,123 · median $21,467 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,920 – $120,435 · median $24,518 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,920 – $81,974 · median $16,621 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,920 – $90,664 · median $22,510 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,920 – $63,359 · median $15,049 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $2,549 – $92,763 · median $18,274 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $2,549 – $44,871 · median $10,565 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,549 – $32,774 · median $5,478 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,920 – $66,575 · median $13,052 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,920 – $54,392 · median $8,669 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,920 – $35,941 · median $6,944 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $2,920 – $75,296 · median $18,804 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $2,920 – $63,547 · median $8,899 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $2,920 – $34,058 · median $6,349 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $2,549 – $58,604 · median $12,445 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $2,549 – $39,337 · median $9,262 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $2,549 – $26,955 · median $6,347 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $2,549 – $61,102 · median $9,493 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $2,549 – $37,493 · median $6,145 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $2,549 – $27,277 · median $3,825 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $2,549 – $43,227 · median $10,775 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $2,549 – $27,083 · median $6,764 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $2,549 – $74,130 · median $13,107 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $2,549 – $48,265 · median $7,302 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,549 – $39,521 · median $5,840 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $2,549 – $41,326 · median $9,731 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $2,549 – $53,853 · median $12,680 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $2,920 – $54,963 · median $10,384 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $2,549 – $119,270 · median $23,053 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $2,549 – $89,555 · median $18,104 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $2,549 – $102,734 · median $25,657 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $2,549 – $64,108 · median $16,010 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $2,920 – $79,089 · median $19,752 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $2,920 – $53,071 · median $13,254 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $2,549 – $38,554 · median $9,628 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $2,920 – $60,250 · median $15,047 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $2,549 – $48,088 · median $11,373 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $2,294 – $26,032 · median $5,955 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $2,294 – $19,730 · median $3,426 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,294 – $19,076 · median $3,426 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $2,294 – $30,129 · median $7,071 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,294 – $11,417 · median $3,205 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,037 – $8,650 · median $3,205 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,628 – $34,103 · median $8,030 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,628 – $16,790 · median $6,349 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $2,294 – $42,087 · median $9,910 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $2,294 – $24,294 · median $5,720 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $2,294 – $15,084 · median $3,552 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $2,294 – $20,104 · median $4,734 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,294 – $13,269 · median $3,205 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,991 – $8,454 · median $3,205 | 15 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $2,294 – $18,921 · median $4,455 | 15 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,832 – $12,169 · median $3,205 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $2,294 – $25,244 · median $4,499 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,294 – $10,853 · median $3,426 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,602 – $9,559 · median $3,205 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $2,294 – $24,924 · median $5,869 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $2,294 – $16,496 · median $3,884 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,294 – $13,428 · median $3,426 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $2,294 – $26,317 · median $4,220 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,294 – $16,928 · median $3,426 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $2,294 – $18,101 · median $4,262 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,951 – $11,567 · median $3,205 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,294 – $46,021 · median $5,433 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,294 – $37,874 · median $3,426 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,294 – $18,581 · median $4,375 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,294 – $11,391 · median $3,426 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,030 – $8,621 · median $3,205 | 15 plans |
| 311 | ANGINA PECTORIS | $1,683 – $10,759 · median $3,205 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,294 – $13,425 · median $3,205 | 15 plans |
| 313 | CHEST PAIN | $2,010 – $10,992 · median $3,205 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $2,294 – $33,181 · median $6,549 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,294 – $14,827 · median $3,491 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,294 – $10,879 · median $3,426 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $2,549 – $67,684 · median $15,937 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $2,549 – $35,666 · median $8,398 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,549 – $78,257 · median $18,427 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $2,549 – $37,412 · median $8,809 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,549 – $24,553 · median $5,781 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,549 – $70,752 · median $16,659 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,549 – $36,420 · median $8,576 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,549 – $25,439 · median $5,990 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $2,549 – $53,446 · median $12,584 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $2,549 – $32,747 · median $7,711 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,549 – $25,556 · median $6,017 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $2,549 – $55,829 · median $13,146 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $2,549 – $32,546 · median $7,663 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,549 – $23,653 · median $5,569 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,549 – $49,759 · median $9,776 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,549 – $22,938 · median $5,401 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,549 – $19,188 · median $4,518 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $2,549 – $36,468 · median $8,587 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,549 – $19,397 · median $4,567 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,549 – $13,573 · median $3,825 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $2,549 – $37,267 · median $8,775 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,549 – $23,181 · median $5,458 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,549 – $16,989 · median $4,000 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $2,549 – $45,192 · median $10,641 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,549 – $26,211 · median $6,172 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,549 – $20,542 · median $4,837 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $2,549 – $65,726 · median $15,476 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $2,549 – $34,699 · median $8,170 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $20,879 · median $4,916 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $2,294 – $25,731 · median $5,880 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,294 – $15,679 · median $3,435 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,286 – $10,755 · median $3,205 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $2,294 – $26,933 · median $6,342 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,294 – $15,859 · median $3,734 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,294 – $11,177 · median $3,426 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,294 – $32,532 · median $7,660 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,294 – $18,932 · median $4,458 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,294 – $15,865 · median $3,426 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $2,294 – $28,015 · median $5,343 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,294 – $15,191 · median $3,426 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,294 – $9,810 · median $3,205 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,294 – $29,650 · median $6,981 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $2,294 – $16,781 · median $3,951 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,294 – $11,545 · median $3,205 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,294 – $19,479 · median $4,587 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,293 – $13,399 · median $3,205 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $2,294 – $25,035 · median $5,244 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,294 – $15,292 · median $3,469 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,294 – $10,328 · median $3,205 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,294 – $22,648 · median $5,333 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,294 – $12,351 · median $3,293 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,985 – $8,431 · median $3,205 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,294 – $19,792 · median $3,437 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,139 – $12,023 · median $3,205 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,294 – $25,516 · median $6,008 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $2,294 – $14,504 · median $3,426 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,294 – $9,806 · median $3,316 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $2,549 – $83,645 · median $14,194 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $2,549 – $43,272 · median $10,167 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $2,549 – $32,908 · median $7,749 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $2,549 – $108,047 · median $12,703 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $2,549 – $34,167 · median $7,606 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,549 – $23,899 · median $5,627 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $2,549 – $45,267 · median $9,928 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $2,549 – $34,993 · median $7,733 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,549 – $25,748 · median $6,032 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $2,549 – $72,776 · median $12,712 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $2,549 – $30,479 · median $7,177 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,549 – $24,134 · median $4,971 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,549 – $36,617 · median $8,622 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,549 – $25,553 · median $6,017 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,549 – $20,302 · median $4,780 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $2,549 – $54,383 · median $6,758 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $2,549 – $25,232 · median $5,896 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,549 – $22,641 · median $4,404 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $2,549 – $62,671 · median $14,270 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $2,549 – $35,181 · median $6,748 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $23,818 · median $4,559 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $2,294 – $30,186 · median $5,132 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,294 – $16,483 · median $3,426 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,145 – $10,732 · median $3,205 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $2,294 – $28,113 · median $6,013 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,294 – $17,376 · median $4,091 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,294 – $12,098 · median $3,426 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,294 – $25,634 · median $6,025 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,294 – $13,254 · median $3,426 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,232 – $9,477 · median $3,205 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $2,294 – $29,127 · median $5,169 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,294 – $14,887 · median $3,426 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,180 – $10,827 · median $3,205 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $2,294 – $25,953 · median $5,704 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $2,294 – $16,710 · median $3,935 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,294 – $12,285 · median $3,426 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $2,549 – $163,996 · median $30,726 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $2,549 – $102,795 · median $20,823 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $2,549 – $86,189 · median $15,666 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $2,549 – $94,554 · median $18,022 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $2,549 – $44,125 · median $10,390 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,549 – $83,219 · median $19,595 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,549 – $45,432 · median $10,698 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,549 – $29,693 · median $6,299 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $2,549 – $78,498 · median $16,642 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $2,549 – $52,775 · median $12,427 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $2,549 – $40,420 · median $9,517 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $2,549 – $50,364 · median $11,859 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $2,549 – $35,465 · median $6,841 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $2,549 – $80,608 · median $17,622 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $2,549 – $48,845 · median $10,511 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $2,549 – $36,477 · median $8,589 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,549 – $70,237 · median $16,270 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,549 – $42,490 · median $7,827 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,549 – $22,282 · median $4,220 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,549 – $56,357 · median $12,477 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,549 – $42,097 · median $8,484 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,549 – $27,362 · median $6,443 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $2,549 – $45,315 · median $10,670 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $2,549 – $32,448 · median $7,528 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,549 – $24,522 · median $5,755 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $2,549 – $39,263 · median $9,245 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $2,549 – $49,603 · median $11,680 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $2,549 – $32,679 · median $6,846 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,549 – $24,348 · median $5,400 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $2,549 – $30,283 · median $7,130 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,549 – $19,081 · median $4,493 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $2,549 – $54,717 · median $12,884 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $2,549 – $36,995 · median $8,711 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $2,549 – $29,050 · median $6,675 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $2,549 – $54,973 · median $12,773 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $2,549 – $30,400 · median $7,158 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,549 – $26,139 · median $4,871 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $2,549 – $38,904 · median $9,160 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $2,549 – $23,812 · median $4,211 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,549 – $48,823 · median $11,496 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $2,549 – $27,499 · median $6,475 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,549 – $21,528 · median $5,069 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $2,549 – $40,779 · median $8,723 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $2,549 – $27,041 · median $6,367 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $2,549 – $27,041 · median $4,313 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,549 – $23,098 · median $5,439 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $2,549 – $29,864 · median $7,032 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,549 – $19,886 · median $4,682 | 15 plans |
| 509 | ARTHROSCOPY | $2,549 – $27,067 · median $5,965 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $2,549 – $44,038 · median $7,215 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $2,549 – $30,218 · median $5,433 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $2,549 – $24,773 · median $4,829 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,549 – $23,198 · median $5,351 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $2,549 – $15,710 · median $3,825 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $2,549 – $62,284 · median $11,219 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $2,549 – $30,996 · median $7,298 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $23,000 · median $5,416 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $2,549 – $55,222 · median $13,003 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $2,549 – $30,383 · median $7,154 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $2,549 – $22,083 · median $5,200 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $2,294 – $34,181 · median $5,532 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,294 – $16,305 · median $3,426 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,294 – $26,649 · median $4,825 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,294 – $16,457 · median $3,426 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $2,294 – $14,160 · median $3,426 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,056 – $10,346 · median $3,205 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,294 – $31,161 · median $6,716 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $2,294 – $19,939 · median $4,606 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,294 – $13,480 · median $3,205 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $2,294 – $28,832 · median $6,767 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,294 – $16,346 · median $3,849 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,294 – $11,644 · median $3,426 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $2,294 – $38,934 · median $8,113 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,294 – $17,838 · median $4,200 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,294 – $11,497 · median $3,426 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $2,294 – $31,041 · median $6,547 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,294 – $18,568 · median $3,927 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,294 – $13,283 · median $3,230 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,294 – $26,292 · median $6,191 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,294 – $14,850 · median $3,497 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $2,294 – $31,818 · median $4,738 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,294 – $23,501 · median $3,426 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,294 – $20,748 · median $4,710 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,138 – $12,581 · median $3,205 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,294 – $23,878 · median $5,054 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,294 – $13,309 · median $3,205 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,294 – $31,160 · median $6,735 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,294 – $27,832 · median $4,131 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,294 – $21,982 · median $3,426 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $2,294 – $22,550 · median $5,310 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $2,294 – $13,772 · median $3,426 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,294 – $25,741 · median $5,693 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $2,294 – $15,712 · median $3,699 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,294 – $12,874 · median $3,426 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $2,549 – $46,381 · median $10,921 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $2,549 – $25,798 · median $6,074 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,549 – $17,602 · median $4,145 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,549 – $94,886 · median $21,419 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,549 – $53,387 · median $7,276 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,549 – $30,765 · median $6,043 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,549 – $83,131 · median $11,640 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,549 – $41,028 · median $8,834 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,549 – $26,046 · median $4,382 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $2,549 – $50,221 · median $11,825 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $2,549 – $27,318 · median $5,203 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,549 – $22,175 · median $4,509 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $2,549 – $26,982 · median $5,458 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $2,549 – $25,311 · median $5,196 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $2,549 – $31,546 · median $7,068 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $2,549 – $30,586 · median $5,507 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $2,294 – $31,683 · median $4,984 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $2,294 – $18,839 · median $3,426 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,294 – $13,077 · median $3,205 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $2,294 – $32,589 · median $6,728 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,281 – $16,658 · median $3,426 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $2,294 – $27,067 · median $5,088 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,294 – $16,624 · median $3,426 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,294 – $13,172 · median $3,205 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $2,294 – $14,739 · median $3,471 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,175 – $9,237 · median $3,205 | 15 plans |
| 602 | CELLULITIS WITH MCC | $2,294 – $22,637 · median $4,242 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,194 – $13,571 · median $3,205 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $2,294 – $22,892 · median $5,390 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,294 – $14,232 · median $3,351 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,294 – $24,812 · median $3,426 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,132 – $13,316 · median $3,205 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,549 – $35,115 · median $8,268 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,549 – $22,080 · median $5,199 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,549 – $59,552 · median $14,022 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,549 – $29,762 · median $7,008 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,549 – $23,284 · median $4,517 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,549 – $71,997 · median $13,576 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,549 – $29,472 · median $6,940 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,549 – $21,297 · median $3,825 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $2,549 – $44,176 · median $10,402 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,549 – $23,255 · median $5,476 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,549 – $19,520 · median $3,825 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $2,549 – $76,650 · median $14,315 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $2,549 – $34,654 · median $8,160 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $21,591 · median $5,084 | 15 plans |
| 637 | DIABETES WITH MCC | $2,294 – $22,439 · median $4,084 | 15 plans |
| 638 | DIABETES WITH CC | $2,294 – $14,132 · median $3,328 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,905 – $9,655 · median $3,205 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,294 – $20,462 · median $3,448 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,133 – $12,040 · median $3,205 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,294 – $19,123 · median $3,426 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $2,294 – $25,536 · median $5,595 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $2,294 – $15,923 · median $3,749 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,294 – $11,998 · median $3,245 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $2,549 – $85,893 · median $20,225 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $2,549 – $43,483 · median $10,239 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,549 – $32,007 · median $7,536 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $2,549 – $56,733 · median $11,820 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $2,549 – $28,167 · median $6,632 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,549 – $23,211 · median $5,457 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $2,549 – $40,527 · median $9,376 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,549 – $20,647 · median $4,862 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $2,549 – $15,818 · median $3,825 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $2,549 – $48,067 · median $9,576 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,549 – $23,534 · median $5,541 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,549 – $16,638 · median $3,918 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $2,549 – $52,905 · median $10,055 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $2,549 – $25,382 · median $5,976 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,549 – $15,836 · median $3,729 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $2,549 – $44,934 · median $10,580 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,549 – $23,844 · median $5,614 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,549 – $14,725 · median $3,606 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $2,549 – $26,559 · median $5,379 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $2,549 – $16,863 · median $3,970 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $2,549 – $64,553 · median $15,200 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $2,549 – $35,568 · median $7,944 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,549 – $24,118 · median $5,679 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $2,294 – $23,141 · median $5,449 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $2,294 – $13,696 · median $3,426 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,204 – $9,359 · median $3,205 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $2,294 – $29,055 · median $6,841 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $2,294 – $16,220 · median $3,819 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,294 – $13,024 · median $3,426 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,294 – $18,032 · median $3,426 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,019 – $12,366 · median $3,205 | 15 plans |
| 693 | URINARY STONES WITH MCC | $2,294 – $22,656 · median $5,043 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,294 – $12,040 · median $3,205 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,294 – $18,783 · median $4,092 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,294 – $10,659 · median $3,205 | 15 plans |
| 697 | URETHRAL STRICTURE | $2,294 – $15,436 · median $3,426 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $2,294 – $25,899 · median $5,222 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $2,294 – $15,715 · median $3,700 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,294 – $10,696 · median $3,426 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,549 – $29,901 · median $5,513 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,549 – $22,842 · median $4,935 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $2,549 – $34,623 · median $7,583 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,549 – $23,134 · median $5,447 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $2,549 – $29,439 · median $6,932 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $2,549 – $16,480 · median $3,825 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,549 – $22,280 · median $4,630 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,549 – $14,479 · median $3,606 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $2,549 – $34,796 · median $6,348 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,549 – $21,869 · median $5,038 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $2,549 – $28,590 · median $6,732 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,549 – $18,981 · median $3,825 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $2,294 – $26,639 · median $6,272 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $2,294 – $19,173 · median $4,074 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,294 – $13,842 · median $3,426 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $2,294 – $19,454 · median $4,581 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,294 – $11,470 · median $3,205 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,294 – $22,641 · median $3,426 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,064 – $12,590 · median $3,205 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $2,294 – $16,963 · median $3,495 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,202 – $9,858 · median $3,426 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,549 – $32,400 · median $7,199 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,549 – $18,704 · median $4,404 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $2,549 – $60,671 · median $11,093 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $2,549 – $30,791 · median $6,654 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,549 – $23,372 · median $4,339 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $2,549 – $61,338 · median $7,011 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,549 – $28,016 · median $4,528 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,549 – $21,164 · median $3,825 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,549 – $28,146 · median $4,261 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,549 – $18,470 · median $3,825 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,549 – $30,107 · median $4,762 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,549 – $15,790 · median $3,718 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,549 – $25,802 · median $4,781 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,549 – $14,718 · median $3,825 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,549 – $20,990 · median $3,966 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,549 – $39,885 · median $5,401 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $19,869 · median $3,825 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,294 – $27,878 · median $6,564 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,294 – $17,104 · median $4,027 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,294 – $15,408 · median $3,426 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,294 – $21,807 · median $5,135 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,294 – $15,705 · median $3,426 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,144 – $9,861 · median $3,205 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,294 – $15,186 · median $3,426 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,294 – $15,408 · median $3,426 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,549 – $15,677 · median $3,825 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,549 – $15,408 · median $3,628 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,767 – $15,408 · median $3,426 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $1,930 – $15,408 · median $3,426 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,145 – $12,244 · median $2,628 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,236 – $42,282 · median $2,724 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $705 – $29,839 · median $1,447 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,145 – $16,638 · median $2,076 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,180 – $28,326 · median $2,214 | 15 plans |
| 795 | NORMAL NEWBORN | $515 – $1,540 · median $829 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $2,549 – $52,410 · median $3,825 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $2,549 – $36,631 · median $3,825 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $2,549 – $30,841 · median $3,825 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,549 – $55,235 · median $13,006 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,549 – $27,426 · median $5,814 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,549 – $17,035 · median $4,011 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $2,294 – $35,289 · median $6,818 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,294 – $19,083 · median $4,153 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,294 – $14,665 · median $3,426 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,294 – $21,678 · median $3,705 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,294 – $14,220 · median $3,348 | 15 plans |
| 813 | COAGULATION DISORDERS | $2,294 – $23,852 · median $3,969 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $2,294 – $32,210 · median $6,057 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,294 – $15,656 · median $3,686 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,294 – $10,160 · median $3,205 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,549 – $39,061 · median $9,197 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,549 – $19,846 · median $4,673 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $12,581 · median $3,825 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $2,549 – $89,710 · median $21,123 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,549 – $34,397 · median $8,099 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $21,208 · median $4,149 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $2,549 – $73,988 · median $16,977 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,549 – $33,888 · median $7,979 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,549 – $18,964 · median $4,465 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $2,549 – $92,811 · median $17,326 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,549 – $36,361 · median $8,562 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $24,697 · median $5,667 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,549 – $47,515 · median $10,504 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,549 – $22,534 · median $4,710 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,294 – $17,735 · median $4,176 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,294 – $11,516 · median $3,378 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,886 – $8,009 · median $3,205 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $2,294 – $85,165 · median $20,053 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $2,294 – $46,981 · median $7,749 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $2,294 – $19,579 · median $4,095 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,294 – $89,109 · median $18,166 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,294 – $31,251 · median $7,358 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,294 – $21,115 · median $3,479 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,294 – $49,136 · median $10,401 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,294 – $24,160 · median $5,689 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,294 – $16,208 · median $3,816 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,294 – $29,172 · median $6,869 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,294 – $18,416 · median $4,099 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,294 – $12,893 · median $3,398 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,294 – $39,349 · median $9,265 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,294 – $19,579 · median $4,610 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,294 – $12,618 · median $3,426 | 15 plans |
| 849 | RADIOTHERAPY | $2,294 – $41,156 · median $4,178 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,549 – $77,060 · median $18,145 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,549 – $52,670 · median $7,249 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $44,649 · median $5,898 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,549 – $69,515 · median $16,368 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,549 – $33,572 · median $7,300 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,549 – $19,852 · median $4,674 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $2,294 – $28,331 · median $6,352 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,294 – $15,406 · median $3,426 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,131 – $13,836 · median $3,258 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,294 – $22,741 · median $3,426 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,673 – $13,633 · median $3,210 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $2,294 – $33,039 · median $7,780 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,294 – $16,180 · median $3,519 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,980 – $11,088 · median $3,205 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $2,294 – $107,186 · median $25,238 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $2,294 – $30,232 · median $6,392 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,294 – $15,886 · median $3,426 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $2,549 – $68,265 · median $13,411 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $2,549 – $29,238 · median $6,884 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,549 – $18,784 · median $4,423 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $2,549 – $59,492 · median $10,067 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,549 – $25,395 · median $5,303 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $2,549 – $33,628 · median $7,615 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $2,549 – $61,381 · median $12,741 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $2,549 – $31,079 · median $7,318 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,549 – $19,542 · median $4,601 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $2,294 – $24,935 · median $4,781 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,294 – $14,120 · median $3,325 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,294 – $26,778 · median $3,426 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,473 – $10,232 · median $3,205 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,294 – $25,265 · median $4,790 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,759 – $13,630 · median $3,209 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $2,294 – $28,098 · median $5,896 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,294 – $15,653 · median $3,452 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,294 – $10,596 · median $3,205 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $2,294 – $26,030 · median $3,982 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,133 – $15,715 · median $3,426 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,549 – $365,521 · median $40,959 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,549 – $102,908 · median $18,836 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,549 – $19,458 · median $3,848 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $2,294 – $20,772 · median $3,848 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $2,294 – $33,062 · median $6,917 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $2,294 – $33,842 · median $3,426 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,549 – $48,905 · median $10,186 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $2,549 – $32,532 · median $7,484 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $2,549 – $30,112 · median $4,574 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $700 – $8,856 · median $1,857 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $700 – $6,007 · median $1,857 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,294 – $19,818 · median $3,426 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,132 – $12,242 · median $3,205 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,294 – $16,625 · median $3,426 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,126 – $9,031 · median $3,205 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,057 – $8,736 · median $3,205 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,549 – $105,210 · median $26,275 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $2,549 – $112,960 · median $14,709 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,549 – $115,008 · median $28,722 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,549 – $63,324 · median $15,815 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,549 – $40,737 · median $10,174 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,294 – $48,410 · median $10,454 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,294 – $23,114 · median $5,772 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,294 – $17,250 · median $3,512 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $2,549 – $97,445 · median $24,156 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $2,549 – $48,877 · median $10,210 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $2,294 – $46,011 · median $10,115 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,294 – $21,901 · median $5,306 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,294 – $15,454 · median $3,860 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $2,294 – $22,217 · median $4,079 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,549 – $73,248 · median $17,247 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,549 – $37,723 · median $8,449 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,549 – $25,704 · median $5,162 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,549 – $53,970 · median $11,584 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,549 – $26,440 · median $6,226 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,549 – $17,804 · median $4,192 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $2,549 – $47,281 · median $7,479 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $2,549 – $167,853 · median $21,674 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $2,549 – $108,888 · median $14,732 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $2,549 – $95,443 · median $13,149 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $2,549 – $71,676 · median $10,351 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $2,549 – $77,091 · median $10,988 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $2,549 – $49,373 · median $7,725 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $2,549 – $95,320 · median $13,135 | 14 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $2,549 – $43,863 · median $7,077 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $2,549 – $27,876 · median $5,194 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $2,549 – $65,629 · median $9,639 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $2,549 – $49,230 · median $7,708 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $2,549 – $44,099 · median $7,104 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $2,549 – $38,178 · median $6,407 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $2,549 – $23,315 · median $4,657 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $2,549 – $17,316 · median $3,951 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $2,549 – $60,279 · median $9,009 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $2,549 – $161,405 · median $20,915 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $2,549 – $109,438 · median $14,797 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $2,549 – $84,807 · median $11,897 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $2,549 – $128,512 · median $17,042 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $2,549 – $84,289 · median $11,836 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $2,549 – $103,306 · median $14,075 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $2,549 – $62,919 · median $9,320 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $2,549 – $79,353 · median $11,255 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $2,549 – $47,549 · median $7,511 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $2,549 – $44,910 · median $7,200 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $2,549 – $32,482 · median $5,737 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $2,549 – $70,989 · median $12,518 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $2,549 – $53,504 · median $10,592 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $2,549 – $141,937 · median $18,623 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $2,549 – $122,144 · median $3,825 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $745 – $10,026 · median $1,456 | 10 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $810 – $9,616 · median $2,771 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $810 – $22,309 · median $9,430 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $810 – $27,439 · median $11,075 | 10 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $810 – $13,593 · median $5,440 | 10 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $2,920 – $434,017 · median $270,352 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $2,920 – $302,676 · median $120,434 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $2,920 – $47,324 · median $33,567 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $2,920 – $164,086 · median $68,219 | 7 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $2,920 – $74,716 · median $32,228 | 7 plans |
| 007 | LUNG TRANSPLANT | $2,920 – $201,364 · median $71,351 | 7 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $2,920 – $83,836 · median $37,151 | 7 plans |
| 010 | PANCREAS TRANSPLANT | $2,920 – $122,848 · median $26,302 | 7 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $2,628 – $201,873 · median $84,373 | 7 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $2,628 – $93,001 · median $45,546 | 7 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $2,628 – $93,001 · median $29,420 | 7 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC | $43,634 – $43,634 · median $43,634 | 1 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC | $31,389 – $31,389 · median $31,389 | 1 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC | $38,675 – $38,675 · median $38,675 | 1 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC | $29,538 – $29,538 · median $29,538 | 1 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC | $34,970 – $34,970 · median $34,970 | 1 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC | $27,343 – $27,343 · median $27,343 | 1 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $16,591 – $16,591 · median $16,591 | 1 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC | $10,639 – $10,639 · median $10,639 | 1 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $16,192 – $16,192 · median $16,192 | 1 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC | $10,022 – $10,022 · median $10,022 | 1 plans |
| 338 | Appendectomy With Complicated Principal Diagnosis With MCC | $17,723 – $17,723 · median $17,723 | 1 plans |
| 339 | Appendectomy With Complicated Principal Diagnosis With CC | $10,451 – $10,451 · median $10,451 | 1 plans |
| 340 | Appendectomy With Complicated Principal Diagnosis Without CC/MCC | $7,536 – $7,536 · median $7,536 | 1 plans |
| 341 | Appendectomy Without Complicated Principal Diagnosis With MCC | $15,579 – $15,579 · median $15,579 | 1 plans |
| 342 | Appendectomy Without Complicated Principal Diagnosis With CC | $9,807 – $9,807 · median $9,807 | 1 plans |
| 343 | Appendectomy Without Complicated Principal Diagnosis Without CC/MCC | $7,013 – $7,013 · median $7,013 | 1 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With MCC | $62,227 – $62,227 · median $62,227 | 1 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With CC | $40,517 – $40,517 · median $40,517 | 1 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without CC/MCC | $29,313 – $29,313 · median $29,313 | 1 plans |
| 459 | Spinal Fusion Except Cervical With MCC | $45,326 – $45,326 · median $45,326 | 1 plans |
| 460 | Spinal Fusion Except Cervical Without MCC | $24,119 – $24,119 · median $24,119 | 1 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $3,825 – $3,825 · median $3,825 | 1 plans |
| 999 | UNGROUPABLE | $3,825 – $3,825 · median $3,825 | 1 plans |
No procedures match that keyword.