Baldwin Health — 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
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 30 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — 30 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 30 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 30 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,052 – $13,921 · median $8,161 30 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,052 – $28,140 · median $17,482 30 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,052 – $13,803 · median $8,083 30 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,052 – $12,752 · median $7,431 30 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,052 – $19,861 · median $12,054 30 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,052 – $14,386 · median $8,465 30 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,052 – $12,762 · median $7,438 30 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,052 – $14,902 · median $8,804 30 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,052 – $13,190 · median $7,681 30 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,052 – $12,745 · median $7,389 30 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,052 – $14,000 · median $8,212 30 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,052 – $10,657 · median $6,021 30 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,052 – $9,837 · median $5,483 30 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,052 – $542,304 · median $148,267 29 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,052 – $353,903 · median $97,094 29 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 29 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 29 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 29 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 29 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 29 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 29 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 29 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 29 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 29 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 29 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 29 plans
028 SPINAL PROCEDURES WITH MCC — 29 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 29 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC — 29 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 29 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 29 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 29 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 29 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 29 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 29 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 29 plans
038 EXTRACRANIAL PROCEDURES WITH CC — 29 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,052 – $30,034 · median $8,949 29 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 29 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — 29 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 29 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC — 29 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,052 – $12,972 · median $7,538 29 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,052 – $18,601 · median $11,228 29 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,052 – $13,387 · median $7,810 29 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,052 – $26,783 · median $16,710 29 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,052 – $16,223 · median $9,670 29 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,052 – $20,477 · median $12,459 29 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,052 – $15,661 · median $9,301 29 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,052 – $12,361 · median $7,138 29 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 29 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC — 29 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,052 – $17,335 · median $10,399 29 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 29 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,052 – $13,291 · median $7,748 29 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,052 – $9,942 · median $5,552 29 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,052 – $18,002 · median $10,836 29 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,052 – $11,792 · median $6,765 29 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,052 – $11,118 · median $6,323 29 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,052 – $20,018 · median $12,158 29 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,052 – $13,453 · median $7,854 29 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,052 – $10,680 · median $6,036 29 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,052 – $19,396 · median $11,750 29 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,052 – $13,502 · median $7,886 29 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,052 – $22,615 · median $13,860 29 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,052 – $11,389 · median $6,501 29 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 29 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,052 – $12,113 · median $6,975 29 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC — 29 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,052 – $17,253 · median $10,345 29 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,052 – $12,731 · median $7,381 29 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 29 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,052 – $16,296 · median $9,718 29 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,052 – $12,309 · median $7,104 29 plans
088 CONCUSSION WITH MCC $1,052 – $16,801 · median $10,049 29 plans
089 CONCUSSION WITH CC $1,052 – $14,199 · median $8,343 29 plans
090 CONCUSSION WITHOUT CC/MCC $1,052 – $11,369 · median $6,487 29 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,052 – $20,957 · median $12,773 29 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,052 – $13,422 · median $7,833 29 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,052 – $11,092 · median $6,306 29 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,052 – $39,078 · median $24,900 29 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 29 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 29 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,052 – $40,027 · median $25,528 29 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC — 29 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,052 – $16,910 · median $10,120 29 plans
100 SEIZURES WITH MCC $1,052 – $22,813 · median $13,990 29 plans
101 SEIZURES WITHOUT MCC $1,052 – $12,185 · median $7,022 29 plans
102 HEADACHES WITH MCC $1,052 – $14,428 · median $8,493 29 plans
103 HEADACHES WITHOUT MCC $1,052 – $11,503 · median $6,575 29 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 29 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,052 – $34,569 · median $10,157 29 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,052 – $39,217 · median $11,395 29 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC — 29 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,052 – $27,719 · median $8,333 29 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,052 – $14,864 · median $8,779 29 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,052 – $10,984 · median $6,235 29 plans
123 NEUROLOGICAL EYE DISORDERS $1,052 – $11,116 · median $6,321 29 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,052 – $16,506 · median $9,855 29 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,052 – $10,799 · median $6,114 29 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 29 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,052 – $25,941 · median $7,859 29 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,052 – $38,151 · median $11,111 29 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,052 – $22,642 · median $6,980 29 plans
139 SALIVARY GLAND PROCEDURES $1,052 – $31,572 · median $9,359 29 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,052 – $108,978 · median $30,568 29 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC — 29 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC — 29 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,052 – $95,726 · median $26,949 29 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — 29 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $30,719 · median $9,131 29 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 29 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,052 – $15,976 · median $9,508 29 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,052 – $11,100 · median $6,311 29 plans
149 DYSEQUILIBRIUM $1,052 – $10,633 · median $6,005 29 plans
150 EPISTAXIS WITH MCC $1,052 – $16,592 · median $9,912 29 plans
151 EPISTAXIS WITHOUT MCC $1,052 – $10,452 · median $5,886 29 plans
152 OTITIS MEDIA AND URI WITH MCC $1,052 – $15,058 · median $8,906 29 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,052 – $10,495 · median $5,914 29 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,052 – $18,977 · median $11,475 29 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,052 – $12,327 · median $7,116 29 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,052 – $10,011 · median $5,597 29 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,052 – $20,552 · median $12,508 29 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,052 – $12,259 · median $7,071 29 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,052 – $10,190 · median $5,714 29 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 29 plans
164 MAJOR CHEST PROCEDURES WITH CC — 29 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 29 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 29 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 29 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $34,912 · median $10,248 29 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 29 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,052 – $17,025 · median $10,196 29 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,052 – $11,182 · median $6,365 29 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,052 – $18,968 · median $11,470 29 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,052 – $12,939 · median $7,517 29 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,052 – $10,668 · median $6,028 29 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,052 – $21,058 · median $12,839 29 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,052 – $13,915 · median $8,157 29 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,052 – $10,655 · median $6,020 29 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,052 – $18,631 · median $11,249 29 plans
184 MAJOR CHEST TRAUMA WITH CC $1,052 – $13,844 · median $8,110 29 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,052 – $10,991 · median $6,240 29 plans
186 PLEURAL EFFUSION WITH MCC $1,052 – $18,925 · median $11,441 29 plans
187 PLEURAL EFFUSION WITH CC $1,052 – $13,074 · median $7,605 29 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,052 – $10,279 · median $5,773 29 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,052 – $15,605 · median $9,264 29 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,052 – $14,292 · median $8,404 29 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,052 – $11,572 · median $6,621 29 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,052 – $9,506 · median $5,266 29 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,052 – $16,417 · median $9,797 29 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,052 – $11,191 · median $6,371 29 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,052 – $9,368 · median $5,175 29 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,052 – $22,303 · median $13,656 29 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,052 – $12,662 · median $7,335 29 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,052 – $10,269 · median $5,766 29 plans
199 PNEUMOTHORAX WITH MCC $1,052 – $21,038 · median $12,827 29 plans
200 PNEUMOTHORAX WITH CC $1,052 – $14,206 · median $8,347 29 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,052 – $10,258 · median $5,759 29 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,052 – $12,890 · median $7,484 29 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,052 – $9,794 · median $5,455 29 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,052 – $11,206 · median $6,381 29 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,052 – $21,726 · median $13,277 29 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,052 – $12,580 · median $7,281 29 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,052 – $69,038 · median $44,738 29 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,052 – $31,157 · median $19,655 29 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $1,052 – $277,833 · median $76,432 29 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,052 – $254,401 · median $70,068 29 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $1,052 – $249,951 · median $68,859 29 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 29 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 29 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,052 – $196,181 · median $54,254 29 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 29 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 29 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 29 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 29 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,052 – $215,384 · median $59,470 29 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 29 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,052 – $195,335 · median $54,024 29 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $1,052 – $139,572 · median $38,878 29 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 29 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 29 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 29 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 29 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,052 – $35,371 · median $10,371 29 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 29 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC — 29 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC — 29 plans
245 AICD GENERATOR PROCEDURES — 29 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC — 29 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $1,052 – $38,184 · median $11,120 29 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 29 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 29 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 29 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 29 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC — 29 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,052 – $27,906 · median $8,382 29 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 29 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 29 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — 29 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — 29 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,052 – $41,644 · median $12,041 29 plans
263 VEIN LIGATION AND STRIPPING — 29 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 29 plans
265 AICD LEAD PROCEDURES — 29 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 29 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,052 – $121,638 · median $34,007 29 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,052 – $175,730 · median $48,699 29 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,052 – $107,903 · median $30,276 29 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,052 – $134,809 · median $37,584 29 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $1,052 – $90,863 · median $25,580 29 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 29 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 29 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 29 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 29 plans
276 NON-MALIGANT BREAST DISORDERS — 29 plans
277 CELLULITIS AGE >17 W CC — 29 plans
278 CELLULITIS AGE >17 W/O CC — 29 plans
279 CELLULITIS AGE 0-17 — 29 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,052 – $19,394 · median $11,749 29 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,052 – $12,354 · median $7,133 29 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,052 – $10,340 · median $5,813 29 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,052 – $23,265 · median $14,287 29 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,052 – $10,022 · median $5,604 29 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,052 – $9,063 · median $4,976 29 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 29 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,052 – $13,906 · median $8,151 29 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 29 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,052 – $20,450 · median $12,441 29 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,052 – $12,463 · median $7,205 29 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,052 – $16,102 · median $9,591 29 plans
292 HEART FAILURE AND SHOCK WITH CC $1,052 – $11,634 · median $6,661 29 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,052 – $8,725 · median $4,754 29 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,052 – $18,960 · median $11,464 29 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,052 – $9,424 · median $5,212 29 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,052 – $7,586 · median $4,047 29 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,052 – $19,688 · median $11,941 29 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,052 – $13,879 · median $8,133 29 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,052 – $10,305 · median $5,790 29 plans
302 ATHEROSCLEROSIS WITH MCC $1,052 – $15,206 · median $9,003 29 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,052 – $9,827 · median $5,476 29 plans
304 HYPERTENSION WITH MCC $1,052 – $15,138 · median $8,959 29 plans
305 HYPERTENSION WITHOUT MCC $1,052 – $10,669 · median $6,028 29 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,052 – $19,103 · median $11,558 29 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,052 – $12,294 · median $7,094 29 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,052 – $15,282 · median $9,053 29 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,052 – $10,469 · median $5,898 29 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,052 – $8,726 · median $4,755 29 plans
311 ANGINA PECTORIS $1,052 – $10,122 · median $5,670 29 plans
312 SYNCOPE AND COLLAPSE $1,052 – $11,866 · median $6,813 29 plans
313 CHEST PAIN $1,052 – $10,308 · median $5,792 29 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,052 – $24,338 · median $14,999 29 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,052 – $12,808 · median $7,431 29 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $9,919 · median $5,536 29 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 29 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 29 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 29 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 — 29 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 29 plans
324 URINARY STONES W/O CC — 29 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 29 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $1,052 – $127,428 · median $35,580 29 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 29 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — 29 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 29 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 29 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — 29 plans
332 RECTAL RESECTION WITH MCC — 29 plans
333 RECTAL RESECTION WITH CC — 29 plans
334 RECTAL RESECTION WITHOUT CC/MCC — 29 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 29 plans
336 PERITONEAL ADHESIOLYSIS WITH CC — 29 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,052 – $39,219 · median $11,396 29 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 29 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,052 – $38,445 · median $11,189 29 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,052 – $30,307 · median $9,022 29 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC — 29 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,052 – $33,440 · median $9,856 29 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,052 – $22,244 · median $6,874 29 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 29 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,052 – $38,951 · median $11,324 29 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,052 – $29,837 · median $8,897 29 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 29 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC — 29 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,052 – $34,365 · median $10,103 29 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $1,052 – $112,236 · median $31,453 29 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 29 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $35,716 · median $10,463 29 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,052 – $19,269 · median $11,666 29 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,052 – $13,188 · median $7,680 29 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,052 – $10,111 · median $5,662 29 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,052 – $21,131 · median $12,887 29 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,052 – $13,401 · median $7,820 29 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,052 – $10,384 · median $5,842 29 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 29 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,052 – $15,340 · median $9,091 29 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,052 – $12,408 · median $7,168 29 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,052 – $21,695 · median $13,257 29 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,052 – $12,987 · median $7,548 29 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,052 – $9,387 · median $5,188 29 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 29 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,052 – $14,044 · median $8,241 29 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,052 – $11,136 · median $6,335 29 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,052 – $17,098 · median $10,243 29 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,052 – $11,693 · median $6,700 29 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,052 – $19,170 · median $11,602 29 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,052 – $12,942 · median $7,519 29 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,052 – $9,910 · median $5,531 29 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,052 – $18,086 · median $10,891 29 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,052 – $11,025 · median $6,262 29 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,052 – $8,499 · median $4,606 29 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,052 – $15,943 · median $9,486 29 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,052 – $10,921 · median $6,193 29 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,052 – $19,345 · median $11,716 29 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,052 – $12,525 · median $7,245 29 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $9,578 · median $5,313 29 plans
397 COAGULATION DISORDERS — 29 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC — 29 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $1,052 – $29,247 · median $8,739 29 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,052 – $139,771 · median $38,932 29 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 29 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 29 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 29 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 29 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — 29 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 29 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 29 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — 29 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 29 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 29 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,052 – $34,832 · median $10,227 29 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 29 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,052 – $43,220 · median $12,476 29 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,052 – $34,896 · median $10,244 29 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,052 – $87,051 · median $24,507 29 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC — 29 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,052 – $35,757 · median $10,473 29 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 29 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — 29 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $38,333 · median $11,159 29 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 29 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,052 – $13,763 · median $8,057 29 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,052 – $10,231 · median $5,741 29 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,052 – $21,784 · median $13,316 29 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,052 – $14,533 · median $8,562 29 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,052 – $11,678 · median $6,690 29 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,052 – $19,662 · median $11,924 29 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,052 – $11,554 · median $6,608 29 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,052 – $9,295 · median $5,127 29 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,052 – $21,353 · median $13,033 29 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,052 – $12,829 · median $7,445 29 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,052 – $10,099 · median $5,655 29 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,052 – $20,080 · median $12,199 29 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,052 – $14,156 · median $8,314 29 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,052 – $11,411 · median $6,515 29 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 29 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 29 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 29 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 29 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 29 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,052 – $145,622 · median $40,521 29 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 29 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 29 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 29 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 29 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 29 plans
471 CERVICAL SPINAL FUSION WITH MCC — 29 plans
472 CERVICAL SPINAL FUSION WITH CC — 29 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 29 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 29 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC — 29 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,052 – $30,154 · median $8,981 29 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 29 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 29 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 29 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 29 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — 29 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — 29 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES — 29 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 29 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC — 29 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 29 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC — 29 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,052 – $28,534 · median $8,550 29 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 29 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 29 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — 29 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 29 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — 29 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,052 – $30,872 · median $9,172 29 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 29 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,052 – $51,478 · median $14,805 29 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 29 plans
501 SOFT TISSUE PROCEDURES WITH CC — 29 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,052 – $34,388 · median $10,109 29 plans
503 FOOT PROCEDURES WITH MCC — 29 plans
504 FOOT PROCEDURES WITH CC — 29 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 29 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,052 – $34,472 · median $10,131 29 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 29 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,052 – $38,693 · median $11,255 29 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 29 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 29 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC — 29 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,052 – $40,223 · median $11,663 29 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,052 – $26,120 · median $7,907 29 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 29 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 29 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — 29 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 29 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 29 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,052 – $38,169 · median $11,116 29 plans
533 FRACTURES OF FEMUR WITH MCC $1,052 – $19,020 · median $11,503 29 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,052 – $11,193 · median $6,372 29 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,052 – $16,084 · median $9,578 29 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,052 – $11,208 · median $6,382 29 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,052 – $12,716 · median $7,370 29 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,052 – $10,311 · median $5,794 29 plans
539 OSTEOMYELITIS WITH MCC — 29 plans
540 OSTEOMYELITIS WITH CC $1,052 – $16,231 · median $9,675 29 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,052 – $11,001 · median $6,246 29 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,052 – $21,063 · median $12,843 29 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,052 – $13,473 · median $7,867 29 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,052 – $10,664 · median $6,025 29 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 29 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,052 – $14,762 · median $8,712 29 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,052 – $11,502 · median $6,575 29 plans
548 SEPTIC ARTHRITIS WITH MCC — 29 plans
549 SEPTIC ARTHRITIS WITH CC $1,052 – $15,315 · median $9,074 29 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,052 – $11,892 · median $6,830 29 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,052 – $20,134 · median $12,234 29 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,052 – $12,788 · median $7,418 29 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,052 – $16,231 · median $9,675 29 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,052 – $11,440 · median $6,534 29 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,052 – $16,493 · median $9,847 29 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,052 – $11,445 · median $6,537 29 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,052 – $18,190 · median $10,959 29 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,052 – $12,088 · median $6,959 29 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 29 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,052 – $14,482 · median $8,528 29 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,052 – $11,170 · median $6,357 29 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,052 – $17,551 · median $10,541 29 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,052 – $12,112 · median $6,974 29 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,052 – $18,772 · median $11,341 29 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,052 – $12,923 · median $7,506 29 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,052 – $10,609 · median $5,989 29 plans
570 SKIN DEBRIDEMENT WITH MCC — 29 plans
571 SKIN DEBRIDEMENT WITH CC — 29 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,052 – $29,288 · median $8,750 29 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 29 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 29 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 29 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,052 – $125,226 · median $34,981 29 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 29 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 29 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — 29 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — 29 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,052 – $36,871 · median $10,770 29 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 29 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 29 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 29 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 29 plans
592 SKIN ULCERS WITH MCC — 29 plans
593 SKIN ULCERS WITH CC $1,052 – $15,100 · median $8,934 29 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,052 – $11,817 · median $6,781 29 plans
595 MAJOR SKIN DISORDERS WITH MCC — 29 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,052 – $14,033 · median $8,234 29 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,052 – $20,041 · median $12,173 29 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,052 – $14,535 · median $8,563 29 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,052 – $10,816 · median $6,125 29 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,052 – $13,613 · median $7,959 29 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,052 – $9,126 · median $5,017 29 plans
602 CELLULITIS WITH MCC $1,052 – $17,515 · median $10,517 29 plans
603 CELLULITIS WITHOUT MCC $1,052 – $11,859 · median $6,809 29 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,052 – $18,037 · median $10,859 29 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,052 – $12,322 · median $7,112 29 plans
606 MINOR SKIN DISORDERS WITH MCC $1,052 – $18,460 · median $11,136 29 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,052 – $12,224 · median $7,048 29 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 29 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,052 – $35,752 · median $10,472 29 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 29 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 29 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,052 – $36,238 · median $10,601 29 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 29 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC — 29 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC — 29 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 29 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 29 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,052 – $31,986 · median $9,469 29 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 29 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,052 – $38,310 · median $11,153 29 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,052 – $33,938 · median $9,989 29 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 29 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 29 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $37,290 · median $10,882 29 plans
637 DIABETES WITH MCC $1,052 – $17,674 · median $10,621 29 plans
638 DIABETES WITH CC $1,052 – $12,119 · median $6,979 29 plans
639 DIABETES WITHOUT CC/MCC $1,052 – $9,293 · median $5,126 29 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,052 – $16,635 · median $9,940 29 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,052 – $10,906 · median $6,184 29 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,052 – $17,524 · median $10,522 29 plans
643 ENDOCRINE DISORDERS WITH MCC $1,052 – $19,826 · median $12,032 29 plans
644 ENDOCRINE DISORDERS WITH CC $1,052 – $13,443 · median $7,847 29 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,052 – $10,804 · median $6,117 29 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 29 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 29 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 29 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 29 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 29 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,052 – $39,648 · median $11,510 29 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 29 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,052 – $33,769 · median $9,944 29 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,052 – $26,454 · median $7,996 29 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 29 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,052 – $38,841 · median $11,295 29 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,052 – $26,748 · median $8,074 29 plans
665 PROSTATECTOMY WITH MCC — 29 plans
666 PROSTATECTOMY WITH CC — 29 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,052 – $28,263 · median $8,477 29 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 29 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,052 – $39,654 · median $11,511 29 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,052 – $24,970 · median $7,600 29 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 29 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,052 – $27,581 · median $8,296 29 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 29 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 29 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — 29 plans
682 RENAL FAILURE WITH MCC $1,052 – $18,129 · median $10,919 29 plans
683 RENAL FAILURE WITH CC $1,052 – $11,909 · median $6,842 29 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,052 – $9,078 · median $4,985 29 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC — 29 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,052 – $13,677 · median $8,000 29 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,052 – $11,031 · median $6,265 29 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,052 – $14,833 · median $8,758 29 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,052 – $11,228 · median $6,395 29 plans
693 URINARY STONES WITH MCC $1,052 – $16,726 · median $9,999 29 plans
694 URINARY STONES WITHOUT MCC $1,052 – $10,942 · median $6,208 29 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,052 – $14,663 · median $8,647 29 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,052 – $9,989 · median $5,583 29 plans
697 URETHRAL STRICTURE $1,052 – $13,985 · median $8,203 29 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,052 – $19,911 · median $12,088 29 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,052 – $13,340 · median $7,779 29 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,052 – $9,999 · median $5,589 29 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 29 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,052 – $39,199 · median $11,390 29 plans
709 PENIS PROCEDURES WITH CC/MCC — 29 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,052 – $35,801 · median $10,485 29 plans
711 TESTES PROCEDURES WITH CC/MCC — 29 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,052 – $28,097 · median $8,433 29 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,052 – $38,412 · median $11,180 29 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,052 – $27,017 · median $8,145 29 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 29 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,052 – $37,584 · median $10,960 29 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — 29 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,052 – $34,316 · median $10,090 29 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $21,507 · median $13,134 29 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $14,652 · median $8,640 29 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $9,647 · median $5,359 29 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,052 – $14,935 · median $8,825 29 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,052 – $10,329 · median $5,805 29 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $18,148 · median $10,932 29 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,052 – $11,245 · median $6,406 29 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,052 – $13,789 · median $8,074 29 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $9,815 · median $5,468 29 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 29 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,052 – $34,378 · median $10,106 29 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 29 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 29 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,052 – $37,520 · median $10,943 29 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 29 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC — 29 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,052 – $36,437 · median $10,654 29 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 29 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,052 – $31,700 · median $9,393 29 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC — 29 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,052 – $29,063 · median $8,691 29 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,052 – $44,383 · median $12,811 29 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,052 – $21,965 · median $6,800 29 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,052 – $35,446 · median $10,390 29 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 29 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $37,707 · median $10,993 29 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $21,836 · median $13,349 29 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $14,088 · median $8,270 29 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $12,780 · median $7,412 29 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $17,624 · median $10,588 29 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $12,970 · median $7,537 29 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $9,728 · median $5,412 29 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,052 – $13,263 · median $7,729 29 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,052 – $8,772 · median $4,785 29 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,052 – $43,174 · median $12,462 29 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,052 – $25,619 · median $7,773 29 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,052 – $9,637 · median $5,352 29 plans
779 ABORTION WITHOUT D&C $1,052 – $11,555 · median $6,609 29 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,052 – $21,430 · median $13,083 29 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,052 – $63,990 · median $41,396 29 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,052 – $44,623 · median $28,572 29 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,052 – $28,079 · median $17,617 29 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,052 – $45,760 · median $29,324 29 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,052 – $18,076 · median $10,885 29 plans
795 NORMAL NEWBORN $1,052 – $4,962 · median $2,287 29 plans
799 SPLENECTOMY WITH MCC — 29 plans
800 SPLENECTOMY WITH CC — 29 plans
801 SPLENECTOMY WITHOUT CC/MCC — 29 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 29 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 29 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,052 – $34,646 · median $10,177 29 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 29 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,052 – $15,918 · median $9,470 29 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,052 – $13,665 · median $7,992 29 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,052 – $17,341 · median $10,402 29 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,052 – $12,345 · median $7,127 29 plans
813 COAGULATION DISORDERS $1,052 – $18,584 · median $11,218 29 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 29 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,052 – $13,329 · median $7,773 29 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,052 – $9,404 · median $5,199 29 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,052 – $58,295 · median $16,639 29 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,052 – $29,618 · median $8,838 29 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $21,970 · median $6,801 29 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 29 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 29 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $30,762 · median $9,143 29 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 29 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 29 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,052 – $34,477 · median $10,132 29 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 29 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 29 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 29 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 29 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,052 – $38,453 · median $11,191 29 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,052 – $15,267 · median $9,043 29 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,052 – $10,324 · median $5,803 29 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $8,282 · median $4,464 29 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,052 – $59,328 · median $38,309 29 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 29 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $15,441 · median $9,157 29 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,052 – $52,283 · median $33,643 29 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 29 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,052 – $17,748 · median $10,669 29 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,052 – $36,154 · median $22,963 29 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,052 – $19,675 · median $11,933 29 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,052 – $13,292 · median $7,748 29 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 29 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,052 – $15,420 · median $9,143 29 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,052 – $11,660 · median $6,678 29 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,052 – $29,552 · median $18,592 29 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,052 – $16,353 · median $9,755 29 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,052 – $11,638 · median $6,664 29 plans
849 RADIOTHERAPY $1,052 – $30,754 · median $19,388 29 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,052 – $126,181 · median $35,241 29 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 29 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $38,253 · median $11,138 29 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 29 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC — 29 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $35,589 · median $10,429 29 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,052 – $21,651 · median $13,228 29 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,052 – $13,164 · median $7,664 29 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,052 – $12,031 · median $6,922 29 plans
865 VIRAL ILLNESS WITH MCC $1,052 – $18,307 · median $11,036 29 plans
866 VIRAL ILLNESS WITHOUT MCC $1,052 – $11,845 · median $6,800 29 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 29 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,052 – $13,505 · median $7,888 29 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,052 – $10,408 · median $5,857 29 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,052 – $73,941 · median $47,985 29 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC — 29 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,052 – $13,425 · median $7,835 29 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,052 – $98,748 · median $27,790 29 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,052 – $12,777 · median $7,410 29 plans
881 DEPRESSIVE NEUROSES $1,052 – $12,578 · median $7,280 29 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,052 – $13,944 · median $8,176 29 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,052 – $23,116 · median $14,189 29 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,052 – $19,443 · median $11,781 29 plans
885 PSYCHOSES $1,052 – $17,264 · median $10,352 29 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,052 – $24,237 · median $14,928 29 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,052 – $13,914 · median $8,156 29 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,052 – $9,248 · median $5,097 29 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,052 – $17,457 · median $10,479 29 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,052 – $20,843 · median $12,699 29 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,052 – $11,981 · median $6,889 29 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 29 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 29 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,052 – $29,883 · median $8,909 29 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,052 – $93,848 · median $26,421 29 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC — 29 plans
906 HAND PROCEDURES FOR INJURIES — 29 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 29 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC — 29 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,052 – $33,539 · median $9,883 29 plans
913 TRAUMATIC INJURY WITH MCC $1,052 – $19,707 · median $11,954 29 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,052 – $12,009 · median $6,907 29 plans
915 ALLERGIC REACTIONS WITH MCC $1,052 – $20,190 · median $12,271 29 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,052 – $9,756 · median $5,430 29 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,052 – $19,027 · median $11,508 29 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,052 – $11,717 · median $6,716 29 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,052 – $21,724 · median $13,276 29 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,052 – $13,209 · median $7,694 29 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,052 – $9,983 · median $5,579 29 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,052 – $20,887 · median $12,728 29 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,052 – $13,368 · median $7,798 29 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,052 – $545,505 · median $149,137 29 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 29 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 29 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 29 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,052 – $25,627 · median $15,901 29 plans
935 NON-EXTENSIVE BURNS $1,052 – $24,079 · median $14,820 29 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 29 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 29 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 29 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,052 – $15,954 · median $9,494 29 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,052 – $11,135 · median $6,334 29 plans
949 AFTERCARE WITH CC/MCC $1,052 – $15,135 · median $8,956 29 plans
950 AFTERCARE WITHOUT CC/MCC $1,052 – $9,359 · median $5,170 29 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,052 – $8,623 · median $4,687 29 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 29 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 29 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 29 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 29 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 29 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 29 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,052 – $18,659 · median $11,267 29 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,052 – $12,574 · median $7,277 29 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 29 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 29 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 29 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,052 – $16,217 · median $9,666 29 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,052 – $12,186 · median $7,023 29 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,052 – $16,245 · median $9,684 29 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 29 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 29 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 29 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 29 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 29 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,052 – $30,640 · median $9,110 29 plans
945 REHABILITATION WITH CC/MCC $1,052 – $18,824 · median $11,488 27 plans
946 REHABILITATION WITHOUT CC/MCC $1,052 – $14,694 · median $8,754 27 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 25 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 25 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 25 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 25 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $1,052 – $18,800 · median $11,416 24 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,052 – $13,164 · median $7,702 24 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,052 – $9,760 · median $5,460 24 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,052 – $15,529 · median $9,260 24 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,052 – $11,025 · median $6,293 24 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $1,052 – $93,978 · median $60,949 24 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $1,052 – $65,766 · median $42,361 24 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $1,052 – $50,241 · median $32,132 24 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $1,052 – $71,069 · median $45,855 24 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 24 plans
509 ARTHROSCOPY — 24 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 23 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 23 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 23 plans
006 LIVER TRANSPLANT WITHOUT MCC — 23 plans
007 LUNG TRANSPLANT — 23 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 23 plans
010 PANCREAS TRANSPLANT — 23 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 23 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 23 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 23 plans
652 KIDNEY TRANSPLANT — 23 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,052 – $10,240 · median $1,444 11 plans
999 UNGROUPABLE $1,052 – $19,589 · median $1,444 11 plans
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