Faith Community Hospital — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766
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 766 procedures
Procedures with negotiated rates only
These 766 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 | $1,300 – $395,971 · median $395,971 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $1,300 – $205,018 · median $205,018 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,300 – $261,653 · median $261,653 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $1,300 – $163,280 · median $163,280 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $1,300 – $140,170 · median $140,170 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $1,300 – $64,318 · median $64,318 | 3 plans |
| 007 | LUNG TRANSPLANT | $1,300 – $158,590 · median $158,590 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $1,300 – $74,410 · median $74,410 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $1,300 – $49,576 · median $49,576 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $1,300 – $68,769 · median $68,769 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $1,300 – $52,491 · median $52,491 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $1,300 – $37,303 · median $37,303 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $1,300 – $146,223 · median $146,223 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $1,300 – $92,255 · median $92,255 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $1,300 – $66,500 · median $66,500 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $1,300 – $512,885 · median $512,885 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $1,300 – $91,479 · median $91,479 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $1,300 – $141,567 · median $141,567 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $1,300 – $103,309 · median $103,309 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $1,300 – $66,323 · median $66,323 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $1,300 – $77,678 · median $77,678 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $1,300 – $53,945 · median $53,945 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $1,300 – $61,593 · median $61,593 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $1,300 – $41,935 · median $41,935 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,300 – $34,434 · median $34,434 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $1,300 – $79,748 · median $79,748 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $1,300 – $45,150 · median $45,150 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $1,300 – $32,277 · median $32,277 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $1,300 – $59,871 · median $59,871 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $1,300 – $30,355 · median $30,355 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $1,300 – $23,586 · median $23,586 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $1,300 – $54,481 · median $54,481 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $1,300 – $32,043 · median $32,043 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $1,300 – $25,368 · median $25,368 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $1,300 – $44,887 · median $44,887 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $1,300 – $22,718 · median $22,718 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,300 – $15,600 · median $15,600 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $1,300 – $52,929 · median $52,929 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $1,300 – $32,179 · median $32,179 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $1,300 – $26,037 · median $26,037 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $1,300 – $25,384 · median $25,384 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,300 – $15,563 · median $15,563 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $1,300 – $18,739 · median $18,739 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $1,300 – $14,306 · median $14,306 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,300 – $30,065 · median $30,065 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,300 – $17,359 · median $17,359 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $1,300 – $23,799 · median $23,799 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $1,300 – $15,439 · median $15,439 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,300 – $12,568 · median $12,568 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $1,300 – $39,595 · median $39,595 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $1,300 – $27,230 · median $27,230 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $1,300 – $23,415 · median $23,415 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $1,300 – $26,280 · median $26,280 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $1,300 – $13,969 · median $13,969 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,300 – $9,745 · median $9,745 | 3 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $1,300 – $19,527 · median $19,527 | 3 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $1,300 – $12,174 · median $12,174 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,300 – $10,779 · median $10,779 | 3 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $1,300 – $23,002 · median $23,002 | 3 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $1,300 – $13,857 · median $13,857 | 3 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,300 – $10,569 · median $10,569 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $1,300 – $19,898 · median $19,898 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,300 – $13,955 · median $13,955 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $1,300 – $22,282 · median $22,282 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,300 – $13,488 · median $13,488 | 3 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $1,300 – $20,993 · median $20,993 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $1,300 – $13,009 · median $13,009 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $1,300 – $9,981 · median $9,981 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,300 – $28,697 · median $28,697 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,300 – $10,589 · median $10,589 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $1,300 – $31,004 · median $31,004 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $1,300 – $18,406 · median $18,406 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $1,300 – $12,402 · median $12,402 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $1,300 – $31,659 · median $31,659 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $1,300 – $17,454 · median $17,454 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $1,300 – $11,827 · median $11,827 | 3 plans |
| 088 | CONCUSSION WITH MCC | $1,300 – $19,929 · median $19,929 | 3 plans |
| 089 | CONCUSSION WITH CC | $1,300 – $14,565 · median $14,565 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,300 – $11,704 · median $11,704 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,300 – $22,608 · median $22,608 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,300 – $13,543 · median $13,543 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,300 – $10,712 · median $10,712 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $1,300 – $49,822 · median $49,822 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $1,300 – $34,338 · median $34,338 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,300 – $31,947 · median $31,947 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $1,300 – $51,499 · median $51,499 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $1,300 – $28,931 · median $28,931 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $1,300 – $19,199 · median $19,199 | 3 plans |
| 100 | SEIZURES WITH MCC | $1,300 – $25,698 · median $25,698 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $1,300 – $12,167 · median $12,167 | 3 plans |
| 102 | HEADACHES WITH MCC | $1,300 – $15,792 · median $15,792 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $1,300 – $11,360 · median $11,360 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $1,300 – $30,053 · median $30,053 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $1,300 – $19,825 · median $19,825 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $1,300 – $19,948 · median $19,948 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $1,300 – $25,784 · median $25,784 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $1,300 – $14,259 · median $14,259 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,300 – $16,305 · median $16,305 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,300 – $8,840 · median $8,840 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,300 – $10,501 · median $10,501 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $1,300 – $19,201 · median $19,201 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,300 – $11,463 · median $11,463 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $1,300 – $29,356 · median $29,356 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $1,300 – $17,194 · median $17,194 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $1,300 – $20,676 · median $20,676 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $1,300 – $11,730 · median $11,730 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $1,300 – $16,901 · median $16,901 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $1,300 – $54,478 · median $54,478 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $1,300 – $30,213 · median $30,213 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $1,300 – $21,982 · median $21,982 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $1,300 – $40,809 · median $40,809 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $1,300 – $24,124 · median $24,124 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $16,771 · median $16,771 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $1,300 – $27,953 · median $27,953 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $1,300 – $17,819 · median $17,819 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,300 – $10,778 · median $10,778 | 3 plans |
| 149 | DYSEQUILIBRIUM | $1,300 – $10,093 · median $10,093 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $1,300 – $18,180 · median $18,180 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,300 – $10,113 · median $10,113 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $1,300 – $14,798 · median $14,798 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,300 – $9,767 · median $9,767 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $1,300 – $21,184 · median $21,184 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $1,300 – $12,456 · median $12,456 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,300 – $9,017 · median $9,017 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $1,300 – $21,586 · median $21,586 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,300 – $12,328 · median $12,328 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,300 – $9,081 · median $9,081 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $1,300 – $68,569 · median $68,569 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $1,300 – $36,369 · median $36,369 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $1,300 – $26,248 · median $26,248 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,300 – $50,994 · median $50,994 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $1,300 – $24,907 · median $24,907 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $18,549 · median $18,549 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $1,300 – $21,173 · median $21,173 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,300 – $12,159 · median $12,159 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,300 – $25,324 · median $25,324 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,300 – $16,541 · median $16,541 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $1,300 – $11,952 · median $11,952 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $1,300 – $23,828 · median $23,828 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,300 – $15,340 · median $15,340 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,300 – $10,847 · median $10,847 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $1,300 – $21,349 · median $21,349 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,300 – $14,255 · median $14,255 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,300 – $10,612 · median $10,612 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $1,300 – $21,143 · median $21,143 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,300 – $14,146 · median $14,146 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,300 – $9,991 · median $9,991 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $1,300 – $16,792 · median $16,792 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,300 – $15,408 · median $15,408 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,300 – $12,111 · median $12,111 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,300 – $9,526 · median $9,526 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,300 – $17,968 · median $17,968 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,300 – $11,831 · median $11,831 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,300 – $9,118 · median $9,118 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $1,300 – $23,810 · median $23,810 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,300 – $13,791 · median $13,791 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,300 – $10,181 · median $10,181 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $1,300 – $24,514 · median $24,514 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,300 – $14,743 · median $14,743 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,300 – $9,718 · median $9,718 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,300 – $13,243 · median $13,243 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,300 – $9,682 · median $9,682 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,300 – $10,868 · median $10,868 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,300 – $23,074 · median $23,074 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,300 – $12,134 · median $12,134 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,300 – $78,557 · median $78,557 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $1,300 – $34,851 · median $34,851 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $1,300 – $144,599 · median $144,599 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $1,300 – $137,490 · median $137,490 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $1,300 – $88,793 · median $88,793 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,300 – $83,668 · median $83,668 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,300 – $110,350 · median $110,350 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $1,300 – $74,026 · median $74,026 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,300 – $62,722 · median $62,722 | 3 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $1,300 – $108,890 · median $108,890 | 3 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $1,300 – $79,413 · median $79,413 | 3 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $1,300 – $102,975 · median $102,975 | 3 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $1,300 – $76,937 · median $76,937 | 3 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,300 – $89,909 · median $89,909 | 3 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $1,300 – $71,380 · median $71,380 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $1,300 – $72,999 · median $72,999 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $1,300 – $47,128 · median $47,128 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $1,300 – $119,366 · median $119,366 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $1,300 – $81,538 · median $81,538 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $1,300 – $108,497 · median $108,497 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $1,300 – $73,077 · median $73,077 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,300 – $83,597 · median $83,597 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $1,300 – $56,109 · median $56,109 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $1,300 – $65,956 · median $65,956 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $1,300 – $38,193 · median $38,193 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $1,300 – $21,808 · median $21,808 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $1,300 – $51,050 · median $51,050 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $1,300 – $34,491 · median $34,491 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $1,300 – $28,257 · median $28,257 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $1,300 – $74,198 · median $74,198 | 3 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $1,300 – $42,788 · median $42,788 | 3 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $1,300 – $27,023 · median $27,023 | 3 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $1,300 – $43,307 · median $43,307 | 3 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $1,300 – $25,661 · median $25,661 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $1,300 – $34,536 · median $34,536 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $1,300 – $22,712 · median $22,712 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $1,300 – $45,546 · median $45,546 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $1,300 – $36,341 · median $36,341 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $1,300 – $24,869 · median $24,869 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $1,300 – $34,721 · median $34,721 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $1,300 – $22,518 · median $22,518 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $1,300 – $15,958 · median $15,958 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $1,300 – $43,388 · median $43,388 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $1,300 – $28,612 · median $28,612 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $1,300 – $48,855 · median $48,855 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $1,300 – $27,307 · median $27,307 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $1,300 – $23,367 · median $23,367 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $1,300 – $31,680 · median $31,680 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $1,300 – $44,559 · median $44,559 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $1,300 – $46,091 · median $46,091 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $1,300 – $96,522 · median $96,522 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $1,300 – $76,665 · median $76,665 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $1,300 – $95,363 · median $95,363 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $1,300 – $59,096 · median $59,096 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $1,300 – $71,037 · median $71,037 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $1,300 – $48,829 · median $48,829 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $1,300 – $36,817 · median $36,817 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $1,300 – $52,407 · median $52,407 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $1,300 – $45,010 · median $45,010 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $1,300 – $22,007 · median $22,007 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $1,300 – $12,745 · median $12,745 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $1,300 – $9,944 · median $9,944 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $1,300 – $25,537 · median $25,537 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $1,300 – $9,907 · median $9,907 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,300 – $6,775 · median $6,775 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $1,300 – $29,257 · median $29,257 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,300 – $15,271 · median $15,271 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $1,300 – $36,777 · median $36,777 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,300 – $22,509 · median $22,509 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,300 – $14,064 · median $14,064 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $1,300 – $17,370 · median $17,370 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,300 – $11,826 · median $11,826 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,300 – $8,079 · median $8,079 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $1,300 – $17,568 · median $17,568 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,300 – $13,477 · median $13,477 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $1,300 – $21,847 · median $21,847 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,300 – $9,682 · median $9,682 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,300 – $6,694 · median $6,694 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $1,300 – $20,989 · median $20,989 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,300 – $14,295 · median $14,295 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,300 – $10,177 · median $10,177 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,300 – $9,280 · median $9,280 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $1,300 – $15,024 · median $15,024 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,300 – $10,133 · median $10,133 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,300 – $20,644 · median $20,644 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $1,300 – $11,920 · median $11,920 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $1,300 – $16,447 · median $16,447 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $1,300 – $10,278 · median $10,278 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,300 – $7,658 · median $7,658 | 3 plans |
| 311 | ANGINA PECTORIS | $1,300 – $9,566 · median $9,566 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,300 – $11,486 · median $11,486 | 3 plans |
| 313 | CHEST PAIN | $1,300 – $9,880 · median $9,880 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $1,300 – $28,550 · median $28,550 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,300 – $13,331 · median $13,331 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,300 – $9,907 · median $9,907 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $1,300 – $59,134 · median $59,134 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $1,300 – $32,945 · median $32,945 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $1,300 – $72,808 · median $72,808 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $1,300 – $35,124 · median $35,124 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $1,300 – $22,828 · median $22,828 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,300 – $66,917 · median $66,917 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,300 – $34,913 · median $34,913 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,300 – $23,426 · median $23,426 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $1,300 – $56,992 · median $56,992 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $1,300 – $29,325 · median $29,325 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $1,300 – $22,030 · median $22,030 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $1,300 – $53,596 · median $53,596 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $1,300 – $31,380 · median $31,380 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $1,300 – $22,423 · median $22,423 | 3 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $1,300 – $38,309 · median $38,309 | 3 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $1,300 – $23,246 · median $23,246 | 3 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,300 – $16,822 · median $16,822 | 3 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $1,300 – $31,806 · median $31,806 | 3 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $1,300 – $19,624 · median $19,624 | 3 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,300 – $15,182 · median $15,182 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,300 – $38,598 · median $38,598 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,300 – $21,622 · median $21,622 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,300 – $17,467 · median $17,467 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $1,300 – $33,754 · median $33,754 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $1,300 – $18,462 · median $18,462 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $1,300 – $13,412 · median $13,412 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $1,300 – $33,619 · median $33,619 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $1,300 – $20,443 · median $20,443 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $1,300 – $15,125 · median $15,125 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $1,300 – $41,426 · median $41,426 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $1,300 – $24,443 · median $24,443 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $1,300 – $18,628 · median $18,628 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $1,300 – $58,996 · median $58,996 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $1,300 – $31,067 · median $31,067 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $18,476 · median $18,476 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $1,300 – $26,693 · median $26,693 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,300 – $14,752 · median $14,752 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,300 – $10,245 · median $10,245 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $1,300 – $23,709 · median $23,709 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $1,300 – $14,096 · median $14,096 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $1,300 – $10,197 · median $10,197 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $1,300 – $28,400 · median $28,400 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $1,300 – $16,538 · median $16,538 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,300 – $12,311 · median $12,311 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $1,300 – $24,668 · median $24,668 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,300 – $13,606 · median $13,606 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,300 – $8,727 · median $8,727 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $1,300 – $25,837 · median $25,837 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,300 – $14,507 · median $14,507 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,300 – $10,526 · median $10,526 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $1,300 – $17,976 · median $17,976 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,300 – $12,227 · median $12,227 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,300 – $22,218 · median $22,218 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,300 – $13,628 · median $13,628 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,300 – $9,788 · median $9,788 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,300 – $7,986 · median $7,986 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $1,300 – $17,108 · median $17,108 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,300 – $10,488 · median $10,488 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $1,300 – $22,750 · median $22,750 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,300 – $12,886 · median $12,886 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,300 – $8,922 · median $8,922 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $1,300 – $78,577 · median $78,577 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $1,300 – $39,454 · median $39,454 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $1,300 – $29,006 · median $29,006 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $1,300 – $51,397 · median $51,397 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $1,300 – $28,984 · median $28,984 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $1,300 – $21,478 · median $21,478 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $1,300 – $51,405 · median $51,405 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $1,300 – $31,191 · median $31,191 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $1,300 – $23,705 · median $23,705 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $1,300 – $49,690 · median $49,690 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $1,300 – $27,824 · median $27,824 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $1,300 – $19,479 · median $19,479 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $1,300 – $33,201 · median $33,201 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $1,300 – $23,131 · median $23,131 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $1,300 – $18,013 · median $18,013 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $1,300 – $48,159 · median $48,159 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $1,300 – $26,124 · median $26,124 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $1,300 – $19,907 · median $19,907 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $1,300 – $57,327 · median $57,327 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $1,300 – $31,281 · median $31,281 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $21,128 · median $21,128 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $1,300 – $25,758 · median $25,758 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,300 – $14,105 · median $14,105 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,300 – $8,501 · median $8,501 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $1,300 – $24,013 · median $24,013 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $1,300 – $15,359 · median $15,359 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $1,300 – $12,269 · median $12,269 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,300 – $21,882 · median $21,882 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,300 – $11,575 · median $11,575 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,300 – $8,303 · median $8,303 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $1,300 – $25,740 · median $25,740 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,300 – $12,736 · median $12,736 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,300 – $9,083 · median $9,083 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $1,300 – $22,893 · median $22,893 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,300 – $14,757 · median $14,757 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,300 – $11,183 · median $11,183 | 3 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $1,300 – $125,831 · median $125,831 | 3 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $1,300 – $83,446 · median $83,446 | 3 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $1,300 – $65,481 · median $65,481 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $1,300 – $117,778 · median $117,778 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $1,300 – $88,962 · median $88,962 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $1,300 – $68,580 · median $68,580 | 3 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $1,300 – $92,216 · median $92,216 | 3 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $1,300 – $53,832 · median $53,832 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $1,300 – $83,290 · median $83,290 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $1,300 – $43,022 · median $43,022 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,300 – $73,547 · median $73,547 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,300 – $40,755 · median $40,755 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,300 – $25,255 · median $25,255 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $1,300 – $73,210 · median $73,210 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $1,300 – $48,994 · median $48,994 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $1,300 – $38,379 · median $38,379 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $1,300 – $42,262 · median $42,262 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $1,300 – $26,025 · median $26,025 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $1,300 – $68,746 · median $68,746 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $1,300 – $41,821 · median $41,821 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $1,300 – $34,772 · median $34,772 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,300 – $55,823 · median $55,823 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,300 – $30,079 · median $30,079 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,300 – $15,890 · median $15,890 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,300 – $46,001 · median $46,001 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,300 – $32,299 · median $32,299 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,300 – $24,781 · median $24,781 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $1,300 – $22,539 · median $22,539 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $1,300 – $32,673 · median $32,673 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $1,300 – $46,695 · median $46,695 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $1,300 – $29,436 · median $29,436 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,300 – $22,463 · median $22,463 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $1,300 – $27,058 · median $27,058 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,300 – $17,779 · median $17,779 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $1,300 – $47,522 · median $47,522 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $1,300 – $31,852 · median $31,852 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $1,300 – $25,359 · median $25,359 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $1,300 – $27,204 · median $27,204 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $1,300 – $19,879 · median $19,879 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $1,300 – $35,384 · median $35,384 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $1,300 – $16,420 · median $16,420 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $1,300 – $43,681 · median $43,681 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $1,300 – $24,023 · median $24,023 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $1,300 – $18,253 · median $18,253 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $1,300 – $36,163 · median $36,163 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $1,300 – $24,309 · median $24,309 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $1,300 – $24,309 · median $24,309 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $1,300 – $20,318 · median $20,318 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $1,300 – $28,224 · median $28,224 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $1,300 – $19,306 · median $19,306 | 3 plans |
| 509 | ARTHROSCOPY | $1,300 – $23,097 · median $23,097 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $1,300 – $37,575 · median $37,575 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $1,300 – $26,944 · median $26,944 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $1,300 – $21,289 · median $21,289 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $1,300 – $21,529 · median $21,529 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $1,300 – $13,683 · median $13,683 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $1,300 – $43,011 · median $43,011 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $1,300 – $26,881 · median $26,881 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $19,149 · median $19,149 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $1,300 – $49,123 · median $49,123 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $1,300 – $26,842 · median $26,842 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $1,300 – $19,424 · median $19,424 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $1,300 – $41,992 · median $41,992 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $1,300 – $29,984 · median $29,984 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $1,300 – $19,395 · median $19,395 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,300 – $10,822 · median $10,822 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $1,300 – $16,883 · median $16,883 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,300 – $10,569 · median $10,569 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $1,300 – $12,810 · median $12,810 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $1,300 – $9,904 · median $9,904 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,300 – $26,674 · median $26,674 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $1,300 – $17,826 · median $17,826 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,300 – $11,548 · median $11,548 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $1,300 – $24,777 · median $24,777 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $1,300 – $14,314 · median $14,314 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,300 – $10,651 · median $10,651 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $1,300 – $34,280 · median $34,280 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,300 – $16,544 · median $16,544 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,300 – $11,416 · median $11,416 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,300 – $28,086 · median $28,086 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,300 – $17,118 · median $17,118 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,300 – $12,037 · median $12,037 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,300 – $22,287 · median $22,287 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,300 – $12,920 · median $12,920 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $1,300 – $17,413 · median $17,413 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,300 – $10,853 · median $10,853 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,300 – $18,742 · median $18,742 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,300 – $11,075 · median $11,075 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $1,300 – $19,161 · median $19,161 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,300 – $11,797 · median $11,797 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,300 – $25,546 · median $25,546 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,300 – $14,736 · median $14,736 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,300 – $10,852 · median $10,852 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $1,300 – $19,335 · median $19,335 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $1,300 – $11,945 · median $11,945 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $1,300 – $20,866 · median $20,866 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $1,300 – $13,823 · median $13,823 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,300 – $10,297 · median $10,297 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $1,300 – $38,918 · median $38,918 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $1,300 – $22,397 · median $22,397 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $1,300 – $15,125 · median $15,125 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,300 – $75,859 · median $75,859 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,300 – $44,461 · median $44,461 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,300 – $24,147 · median $24,147 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,300 – $69,348 · median $69,348 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,300 – $34,917 · median $34,917 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,300 – $21,847 · median $21,847 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $1,300 – $43,070 · median $43,070 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $1,300 – $23,676 · median $23,676 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $1,300 – $18,855 · median $18,855 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $1,300 – $22,503 · median $22,503 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $1,300 – $21,111 · median $21,111 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $1,300 – $25,154 · median $25,154 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $1,300 – $23,824 · median $23,824 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $1,300 – $23,204 · median $23,204 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $1,300 – $15,621 · median $15,621 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,300 – $11,175 · median $11,175 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,300 – $27,616 · median $27,616 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,300 – $13,623 · median $13,623 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $1,300 – $22,515 · median $22,515 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $1,300 – $15,241 · median $15,241 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,300 – $9,195 · median $9,195 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,300 – $13,653 · median $13,653 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,300 – $9,406 · median $9,406 | 3 plans |
| 602 | CELLULITIS WITH MCC | $1,300 – $19,858 · median $19,858 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,300 – $11,690 · median $11,690 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $1,300 – $20,240 · median $20,240 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,300 – $12,379 · median $12,379 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $1,300 – $20,708 · median $20,708 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,300 – $11,342 · median $11,342 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $1,300 – $32,727 · median $32,727 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $1,300 – $21,570 · median $21,570 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,300 – $54,318 · median $54,318 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,300 – $27,798 · median $27,798 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,300 – $17,848 · median $17,848 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $1,300 – $41,930 · median $41,930 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $1,300 – $24,140 · median $24,140 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $1,300 – $21,873 · median $21,873 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,300 – $49,507 · median $49,507 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,300 – $25,630 · median $25,630 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,300 – $15,050 · median $15,050 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $1,300 – $38,897 · median $38,897 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $1,300 – $22,637 · median $22,637 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $1,300 – $16,199 · median $16,199 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $1,300 – $50,390 · median $50,390 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $1,300 – $32,119 · median $32,119 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $19,301 · median $19,301 | 3 plans |
| 637 | DIABETES WITH MCC | $1,300 – $18,853 · median $18,853 | 3 plans |
| 638 | DIABETES WITH CC | $1,300 – $12,044 · median $12,044 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,300 – $8,349 · median $8,349 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $1,300 – $16,856 · median $16,856 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,300 – $10,329 · median $10,329 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,300 – $17,664 · median $17,664 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $1,300 – $22,839 · median $22,839 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,300 – $13,966 · median $13,966 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,300 – $10,526 · median $10,526 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $1,300 – $61,912 · median $61,912 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $1,300 – $50,650 · median $50,650 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $1,300 – $43,620 · median $43,620 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $1,300 – $74,765 · median $74,765 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $1,300 – $39,754 · median $39,754 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,300 – $28,490 · median $28,490 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $1,300 – $44,989 · median $44,989 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $1,300 – $26,496 · median $26,496 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $1,300 – $21,610 · median $21,610 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $1,300 – $36,517 · median $36,517 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $1,300 – $19,763 · median $19,763 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $1,300 – $14,568 · median $14,568 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $1,300 – $40,227 · median $40,227 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $1,300 – $21,905 · median $21,905 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,300 – $16,212 · median $16,212 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $1,300 – $41,657 · median $41,657 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $1,300 – $23,825 · median $23,825 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $1,300 – $13,661 · median $13,661 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $1,300 – $38,433 · median $38,433 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $1,300 – $21,412 · median $21,412 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $1,300 – $13,401 · median $13,401 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $1,300 – $24,395 · median $24,395 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,300 – $15,755 · median $15,755 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $1,300 – $47,499 · median $47,499 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $1,300 – $32,638 · median $32,638 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $1,300 – $24,031 · median $24,031 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $1,300 – $20,169 · median $20,169 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $1,300 – $12,042 · median $12,042 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,300 – $8,325 · median $8,325 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $1,300 – $25,683 · median $25,683 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,300 – $14,381 · median $14,381 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,300 – $9,392 · median $9,392 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,300 – $15,259 · median $15,259 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,300 – $10,874 · median $10,874 | 3 plans |
| 693 | URINARY STONES WITH MCC | $1,300 – $18,290 · median $18,290 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,300 – $10,562 · median $10,562 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $1,300 – $15,581 · median $15,581 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,300 – $9,476 · median $9,476 | 3 plans |
| 697 | URETHRAL STRICTURE | $1,300 – $13,686 · median $13,686 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,300 – $22,057 · median $22,057 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,300 – $14,065 · median $14,065 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,300 – $10,223 · median $10,223 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $1,300 – $26,325 · median $26,325 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $1,300 – $20,422 · median $20,422 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,300 – $31,717 · median $31,717 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $1,300 – $21,934 · median $21,934 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $1,300 – $29,193 · median $29,193 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $1,300 – $14,517 · median $14,517 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $1,300 – $20,452 · median $20,452 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $1,300 – $12,720 · median $12,720 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $1,300 – $27,686 · median $27,686 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $1,300 – $17,472 · median $17,472 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $1,300 – $24,659 · median $24,659 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,300 – $16,908 · median $16,908 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $1,300 – $23,454 · median $23,454 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $1,300 – $14,954 · median $14,954 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,300 – $8,876 · median $8,876 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,300 – $17,605 · median $17,605 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,300 – $10,199 · median $10,199 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $1,300 – $19,461 · median $19,461 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,300 – $11,034 · median $11,034 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,300 – $13,798 · median $13,798 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,300 – $7,791 · median $7,791 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $1,300 – $30,462 · median $30,462 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $1,300 – $19,359 · median $19,359 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $1,300 – $58,351 · median $58,351 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $1,300 – $28,186 · median $28,186 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,300 – $20,213 · median $20,213 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $1,300 – $52,370 · median $52,370 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $1,300 – $24,673 · median $24,673 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,300 – $17,528 · median $17,528 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $1,300 – $23,530 · median $23,530 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $1,300 – $15,514 · median $15,514 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $1,300 – $24,588 · median $24,588 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $1,300 – $16,023 · median $16,023 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $1,300 – $22,070 · median $22,070 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $1,300 – $12,861 · median $12,861 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $1,300 – $18,456 · median $18,456 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $1,300 – $37,166 · median $37,166 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $20,047 · median $20,047 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,300 – $25,010 · median $25,010 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,300 – $15,466 · median $15,466 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,300 – $12,578 · median $12,578 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,300 – $20,881 · median $20,881 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,300 – $13,280 · median $13,280 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,300 – $9,359 · median $9,359 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $1,300 – $12,601 · median $12,601 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,300 – $8,091 · median $8,091 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,300 – $16,018 · median $16,018 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $1,300 – $22,153 · median $22,153 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $1,300 – $12,186 · median $12,186 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,300 – $10,607 · median $10,607 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $1,300 – $14,503 · median $14,503 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,300 – $25,677 · median $25,677 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,300 – $15,009 · median $15,009 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,300 – $12,556 · median $12,556 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,300 – $21,836 · median $21,836 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,300 – $14,577 · median $14,577 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,300 – $12,153 · median $12,153 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,300 – $23,556 · median $23,556 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,300 – $77,680 · median $77,680 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,300 – $53,052 · median $53,052 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,300 – $32,011 · median $32,011 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,300 – $54,496 · median $54,496 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,300 – $19,288 · median $19,288 | 3 plans |
| 795 | NORMAL NEWBORN | $1,300 – $2,612 · median $2,612 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,300 – $14,665 · median $14,665 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,300 – $12,591 · median $12,591 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,300 – $11,333 · median $11,333 | 3 plans |
| 799 | SPLENECTOMY WITH MCC | $1,300 – $70,494 · median $70,494 | 3 plans |
| 800 | SPLENECTOMY WITH CC | $1,300 – $40,454 · median $40,454 | 3 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $1,300 – $23,063 · median $23,063 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $1,300 – $50,832 · median $50,832 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $1,300 – $25,836 · median $25,836 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $1,300 – $18,706 · median $18,706 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,300 – $14,105 · median $14,105 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,300 – $10,060 · median $10,060 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,300 – $8,796 · median $8,796 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $1,300 – $29,935 · median $29,935 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $1,300 – $16,755 · median $16,755 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $1,300 – $13,171 · median $13,171 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $1,300 – $18,890 · median $18,890 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,300 – $12,056 · median $12,056 | 3 plans |
| 813 | COAGULATION DISORDERS | $1,300 – $21,160 · median $21,160 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $1,300 – $25,907 · median $25,907 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,300 – $13,605 · median $13,605 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,300 – $9,054 · median $9,054 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $1,300 – $31,592 · median $31,592 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $1,300 – $18,623 · median $18,623 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $13,520 · median $13,520 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $1,300 – $77,949 · median $77,949 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $1,300 – $29,516 · median $29,516 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $17,139 · median $17,139 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $1,300 – $61,653 · median $61,653 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $1,300 – $32,381 · median $32,381 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,300 – $19,194 · median $19,194 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $1,300 – $69,085 · median $69,085 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $1,300 – $34,246 · median $34,246 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $22,926 · median $22,926 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $1,300 – $43,940 · median $43,940 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,300 – $20,296 · median $20,296 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $1,300 – $15,363 · median $15,363 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,300 – $10,659 · median $10,659 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $7,354 · median $7,354 | 3 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $1,300 – $82,886 · median $82,886 | 3 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $1,300 – $28,947 · median $28,947 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $16,071 · median $16,071 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $1,300 – $78,053 · median $78,053 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $1,300 – $30,954 · median $30,954 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,300 – $20,367 · median $20,367 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,300 – $44,105 · median $44,105 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $1,300 – $22,208 · median $22,208 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,300 – $15,024 · median $15,024 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $1,300 – $26,125 · median $26,125 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,300 – $16,218 · median $16,218 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,300 – $11,626 · median $11,626 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $1,300 – $36,606 · median $36,606 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $1,300 – $18,298 · median $18,298 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,300 – $14,138 · median $14,138 | 3 plans |
| 849 | RADIOTHERAPY | $1,300 – $34,150 · median $34,150 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $1,300 – $68,035 · median $68,035 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $1,300 – $29,064 · median $29,064 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $20,814 · median $20,814 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $1,300 – $63,873 · median $63,873 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $1,300 – $28,793 · median $28,793 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,300 – $18,620 · median $18,620 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $1,300 – $25,976 · median $25,976 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $1,300 – $13,851 · median $13,851 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,300 – $12,004 · median $12,004 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $1,300 – $20,239 · median $20,239 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,300 – $11,490 · median $11,490 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $1,300 – $30,637 · median $30,637 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,300 – $14,599 · median $14,599 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,300 – $9,977 · median $9,977 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,300 – $88,183 · median $88,183 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $1,300 – $25,640 · median $25,640 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,300 – $14,055 · median $14,055 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,300 – $44,756 · median $44,756 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,300 – $11,839 · median $11,839 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $1,300 – $10,984 · median $10,984 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,300 – $11,279 · median $11,279 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,300 – $21,663 · median $21,663 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,300 – $19,821 · median $19,821 | 3 plans |
| 885 | PSYCHOSES | $1,300 – $16,974 · median $16,974 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,300 – $16,759 · median $16,759 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,300 – $14,788 · median $14,788 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,300 – $7,519 · median $7,519 | 3 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,300 – $21,901 · median $21,901 | 3 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,300 – $24,381 · median $24,381 | 3 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,300 – $11,326 · median $11,326 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $1,300 – $58,460 · median $58,460 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $1,300 – $26,901 · median $26,901 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $1,300 – $15,548 · median $15,548 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $1,300 – $51,042 · median $51,042 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $1,300 – $22,597 · median $22,597 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $1,300 – $24,703 · median $24,703 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $1,300 – $54,071 · median $54,071 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $1,300 – $28,081 · median $28,081 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $1,300 – $18,776 · median $18,776 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,300 – $22,441 · median $22,441 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,300 – $12,146 · median $12,146 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $1,300 – $23,275 · median $23,275 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,300 – $9,017 · median $9,017 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,300 – $20,248 · median $20,248 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,300 – $10,841 · median $10,841 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $1,300 – $25,255 · median $25,255 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,300 – $14,032 · median $14,032 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,300 – $9,558 · median $9,558 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $1,300 – $21,751 · median $21,751 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,300 – $12,871 · median $12,871 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $1,300 – $288,849 · median $288,849 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $1,300 – $89,451 · median $89,451 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $1,300 – $41,276 · median $41,276 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $1,300 – $30,991 · median $30,991 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,300 – $26,581 · median $26,581 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $1,300 – $26,471 · median $26,471 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $1,300 – $46,216 · median $46,216 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $1,300 – $30,416 · median $30,416 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $1,300 – $26,337 · median $26,337 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,300 – $20,295 · median $20,295 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,300 – $15,423 · median $15,423 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,300 – $16,352 · median $16,352 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,300 – $10,779 · median $10,779 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,300 – $15,200 · median $15,200 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,300 – $10,137 · median $10,137 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,300 – $7,664 · median $7,664 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $1,300 – $86,133 · median $86,133 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $1,300 – $52,726 · median $52,726 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,300 – $101,630 · median $101,630 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,300 – $57,598 · median $57,598 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,300 – $37,471 · median $37,471 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,300 – $37,386 · median $37,386 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,300 – $20,430 · median $20,430 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,300 – $12,497 · median $12,497 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $1,300 – $80,143 · median $80,143 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $1,300 – $40,931 · median $40,931 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $1,300 – $36,847 · median $36,847 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $1,300 – $17,559 · median $17,559 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,300 – $13,005 · median $13,005 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,300 – $18,136 · median $18,136 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,300 – $63,196 · median $63,196 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,300 – $34,739 · median $34,739 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,300 – $22,629 · median $22,629 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,300 – $44,864 · median $44,864 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,300 – $23,369 · median $23,369 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,300 – $15,388 · median $15,388 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,993 – $14,993 · median $14,993 | 2 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $20,743 – $20,743 · median $20,743 | 2 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $1,300 – $28,706 · median $15,003 | 2 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $1,300 – $49,876 · median $25,588 | 2 plans |
| 009 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $1,300 – $1,300 · median $1,300 | 1 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,300 – $1,300 · median $1,300 | 1 plans |
| 999 | UNGROUPABLE | $1,300 – $1,300 · median $1,300 | 1 plans |
No procedures match that keyword.