Gadsden Regional Medical Center — 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
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,052 – $26,149 · median $16,905 29 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,052 – $13,284 · median $8,084 29 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,052 – $12,340 · median $7,437 29 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,052 – $18,719 · median $11,811 29 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,052 – $13,806 · median $8,442 29 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,052 – $12,349 · median $7,443 29 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,052 – $13,390 · median $8,156 28 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,052 – $14,269 · median $8,760 28 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,052 – $12,733 · median $7,706 28 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,052 – $12,334 · median $7,432 28 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,052 – $13,460 · median $8,204 28 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,052 – $10,460 · median $6,148 28 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,052 – $9,725 · median $5,643 27 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $1,052 – $265,613 · median $65,330 26 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 26 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 26 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,052 – $208,474 · median $51,580 26 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 26 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 26 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 26 plans
276 NON-MALIGANT BREAST DISORDERS — 26 plans
277 CELLULITIS AGE >17 W CC — 26 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 26 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — 26 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 26 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 26 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,052 – $45,880 · median $12,451 26 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $23,347 · median $7,029 26 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,052 – $16,083 · median $9,118 26 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 26 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 26 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,052 – $32,559 · median $9,246 26 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,052 – $576,285 · median $140,525 25 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,052 – $376,079 · median $92,192 25 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 25 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 25 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 25 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 25 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 25 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 25 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 25 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 25 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 25 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 25 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 25 plans
028 SPINAL PROCEDURES WITH MCC — 25 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 25 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC — 25 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 25 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 25 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 25 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 25 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 25 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 25 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 25 plans
038 EXTRACRANIAL PROCEDURES WITH CC — 25 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,052 – $31,916 · median $9,105 25 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 25 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — 25 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 25 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC — 25 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,052 – $13,097 · median $7,723 25 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,052 – $20,422 · median $11,255 25 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,052 – $13,637 · median $7,983 25 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,052 – $31,071 · median $16,231 25 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,052 – $17,329 · median $9,668 25 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,052 – $22,865 · median $12,433 25 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,052 – $16,597 · median $9,411 25 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,052 – $12,302 · median $7,340 25 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 25 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC — 25 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,052 – $18,776 · median $10,461 25 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 25 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,052 – $13,513 · median $7,923 25 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,052 – $9,819 · median $5,765 25 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,052 – $19,644 · median $10,880 25 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,052 – $11,561 · median $6,982 25 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,052 – $10,874 · median $6,559 25 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,052 – $22,267 · median $12,145 25 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,052 – $13,723 · median $8,025 25 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,052 – $10,481 · median $6,285 25 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,052 – $21,458 · median $11,755 25 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,052 – $13,787 · median $8,056 25 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,052 – $25,647 · median $13,775 25 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,052 – $11,117 · median $6,730 25 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 25 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,052 – $11,979 · median $7,114 25 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC — 25 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,052 – $18,669 · median $10,410 25 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,052 – $12,784 · median $7,572 25 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 25 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,052 – $17,424 · median $9,809 25 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,052 – $12,234 · median $7,307 25 plans
088 CONCUSSION WITH MCC $1,052 – $18,080 · median $10,126 25 plans
089 CONCUSSION WITH CC $1,052 – $14,694 · median $8,493 25 plans
090 CONCUSSION WITHOUT CC/MCC $1,052 – $11,099 · median $6,717 25 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,052 – $23,489 · median $12,734 25 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,052 – $13,683 · median $8,005 25 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,052 – $10,851 · median $6,543 25 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,052 – $47,072 · median $24,107 25 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 25 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 25 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,052 – $48,308 · median $24,703 25 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC — 25 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,052 – $18,222 · median $10,194 25 plans
100 SEIZURES WITH MCC $1,052 – $25,905 · median $13,899 25 plans
101 SEIZURES WITHOUT MCC $1,052 – $12,072 · median $7,229 25 plans
102 HEADACHES WITH MCC $1,052 – $14,992 · median $8,637 25 plans
103 HEADACHES WITHOUT MCC $1,052 – $11,220 · median $6,801 25 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 25 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,052 – $36,735 · median $10,269 25 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,052 – $41,674 · median $11,461 25 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC — 25 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,052 – $29,456 · median $8,512 25 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,052 – $15,559 · median $8,910 25 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,052 – $10,754 · median $6,475 25 plans
123 NEUROLOGICAL EYE DISORDERS $1,052 – $10,872 · median $6,558 25 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,052 – $17,696 · median $9,941 25 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,052 – $10,588 · median $6,359 25 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 25 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,052 – $27,566 · median $8,055 25 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,052 – $40,542 · median $11,188 25 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,052 – $24,061 · median $7,209 25 plans
139 SALIVARY GLAND PROCEDURES $1,052 – $33,550 · median $9,500 25 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,052 – $115,807 · median $29,358 25 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC — 25 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC — 25 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,052 – $101,724 · median $25,958 25 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — 25 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $32,644 · median $9,281 25 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 25 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,052 – $17,006 · median $9,608 25 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,052 – $10,858 · median $6,548 25 plans
149 DYSEQUILIBRIUM $1,052 – $10,438 · median $6,255 25 plans
150 EPISTAXIS WITH MCC $1,052 – $17,809 · median $9,995 25 plans
151 EPISTAXIS WITHOUT MCC $1,052 – $10,276 · median $6,131 25 plans
152 OTITIS MEDIA AND URI WITH MCC $1,052 – $15,812 · median $9,032 25 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,052 – $10,315 · median $6,166 25 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,052 – $20,912 · median $11,492 25 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,052 – $12,258 · median $7,318 25 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,052 – $9,880 · median $5,807 25 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,052 – $22,962 · median $12,480 25 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,052 – $12,169 · median $7,275 25 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,052 – $10,041 · median $5,919 25 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 25 plans
164 MAJOR CHEST PROCEDURES WITH CC — 25 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 25 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 25 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 25 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $37,099 · median $10,357 25 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 25 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,052 – $18,372 · median $10,267 25 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,052 – $10,931 · median $6,599 25 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,052 – $20,901 · median $11,486 25 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,052 – $13,054 · median $7,702 25 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,052 – $10,470 · median $6,277 25 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,052 – $23,620 · median $12,798 25 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,052 – $14,325 · median $8,315 25 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,052 – $10,459 · median $6,269 25 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,052 – $20,462 · median $11,275 25 plans
184 MAJOR CHEST TRAUMA WITH CC $1,052 – $14,232 · median $8,270 25 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,052 – $10,760 · median $6,480 25 plans
186 PLEURAL EFFUSION WITH MCC $1,052 – $20,845 · median $11,459 25 plans
187 PLEURAL EFFUSION WITH CC $1,052 – $13,229 · median $7,787 25 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,052 – $10,121 · median $5,991 25 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,052 – $16,523 · median $9,375 25 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,052 – $14,815 · median $8,552 25 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,052 – $11,281 · median $6,844 25 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,052 – $9,428 · median $5,494 25 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,052 – $17,580 · median $9,885 25 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,052 – $10,939 · median $6,605 25 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,052 – $9,303 · median $5,408 25 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,052 – $25,241 · median $13,579 25 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,052 – $12,694 · median $7,529 25 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,052 – $10,112 · median $5,982 25 plans
199 PNEUMOTHORAX WITH MCC $1,052 – $23,595 · median $12,785 25 plans
200 PNEUMOTHORAX WITH CC $1,052 – $14,703 · median $8,497 25 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,052 – $10,102 · median $5,973 25 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,052 – $12,990 · median $7,671 25 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,052 – $9,686 · median $5,673 25 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,052 – $10,953 · median $6,615 25 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,052 – $24,490 · median $13,217 25 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,052 – $12,587 · median $7,477 25 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,052 – $86,064 · median $42,910 25 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,052 – $36,764 · median $19,136 25 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $1,052 – $295,243 · median $72,677 25 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,052 – $270,343 · median $66,665 25 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 25 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 25 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,052 – $228,880 · median $56,656 25 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 25 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,052 – $207,575 · median $51,512 25 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $1,052 – $148,318 · median $37,207 25 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 25 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 25 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 25 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 25 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,052 – $37,588 · median $10,475 25 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 25 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC — 25 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC — 25 plans
245 AICD GENERATOR PROCEDURES — 25 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC — 25 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $1,052 – $40,577 · median $11,196 25 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 25 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 25 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 25 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 25 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC — 25 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,052 – $29,654 · median $8,559 25 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 25 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 25 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — 25 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — 25 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,052 – $44,253 · median $12,084 25 plans
263 VEIN LIGATION AND STRIPPING — 25 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 25 plans
265 AICD LEAD PROCEDURES — 25 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 25 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,052 – $129,260 · median $32,606 25 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,052 – $186,742 · median $46,483 25 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,052 – $114,664 · median $29,082 25 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,052 – $143,257 · median $35,985 25 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $1,052 – $96,557 · median $24,711 25 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 25 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 25 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 25 plans
278 CELLULITIS AGE >17 W/O CC — 25 plans
279 CELLULITIS AGE 0-17 — 25 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,052 – $21,455 · median $11,753 25 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,052 – $12,293 · median $7,335 25 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,052 – $10,176 · median $6,040 25 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,052 – $26,493 · median $14,183 25 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,052 – $9,891 · median $5,815 25 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,052 – $9,030 · median $5,219 25 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 25 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,052 – $14,313 · median $8,309 25 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 25 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,052 – $22,830 · median $12,416 25 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,052 – $12,435 · median $7,404 25 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,052 – $17,171 · median $9,687 25 plans
292 HEART FAILURE AND SHOCK WITH CC $1,052 – $11,355 · median $6,883 25 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,052 – $8,727 · median $5,009 25 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,052 – $20,890 · median $11,481 25 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,052 – $9,354 · median $5,443 25 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,052 – $7,704 · median $4,300 25 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,052 – $21,837 · median $11,938 25 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,052 – $14,278 · median $8,292 25 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,052 – $10,144 · median $6,012 25 plans
302 ATHEROSCLEROSIS WITH MCC $1,052 – $16,005 · median $9,125 25 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,052 – $9,715 · median $5,693 25 plans
304 HYPERTENSION WITH MCC $1,052 – $15,916 · median $9,082 25 plans
305 HYPERTENSION WITHOUT MCC $1,052 – $10,471 · median $6,277 25 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,052 – $21,076 · median $11,571 25 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,052 – $12,214 · median $7,297 25 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,052 – $16,104 · median $9,173 25 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,052 – $10,292 · median $6,145 25 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,052 – $8,728 · median $5,009 25 plans
311 ANGINA PECTORIS $1,052 – $9,980 · median $5,876 25 plans
312 SYNCOPE AND COLLAPSE $1,052 – $11,658 · median $7,029 25 plans
313 CHEST PAIN $1,052 – $10,147 · median $6,014 25 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,052 – $27,890 · median $14,856 25 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,052 – $12,884 · median $7,620 25 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $9,797 · median $5,750 25 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 25 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 25 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 25 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 — 25 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 25 plans
324 URINARY STONES W/O CC — 25 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 25 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $1,052 – $135,413 · median $34,091 25 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 25 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — 25 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 25 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 25 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — 25 plans
332 RECTAL RESECTION WITH MCC — 25 plans
333 RECTAL RESECTION WITH CC — 25 plans
334 RECTAL RESECTION WITHOUT CC/MCC — 25 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 25 plans
336 PERITONEAL ADHESIOLYSIS WITH CC — 25 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,052 – $41,677 · median $11,462 25 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 25 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,052 – $40,854 · median $11,263 25 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,052 – $32,207 · median $9,176 25 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC — 25 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,052 – $35,535 · median $9,979 25 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,052 – $23,638 · median $7,107 25 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 25 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,052 – $41,392 · median $11,393 25 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,052 – $31,707 · median $9,055 25 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 25 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC — 25 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,052 – $36,518 · median $10,216 25 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $1,052 – $119,269 · median $30,194 25 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 25 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $37,954 · median $10,563 25 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,052 – $21,292 · median $11,675 25 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,052 – $13,378 · median $7,858 25 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,052 – $9,970 · median $5,869 25 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,052 – $23,715 · median $12,843 25 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,052 – $13,656 · median $7,992 25 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,052 – $10,215 · median $6,076 25 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 25 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,052 – $16,178 · median $9,209 25 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,052 – $12,363 · median $7,369 25 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,052 – $24,450 · median $13,198 25 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,052 – $13,117 · median $7,733 25 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,052 – $9,321 · median $5,420 25 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 25 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,052 – $14,492 · median $8,396 25 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,052 – $10,890 · median $6,571 25 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,052 – $18,467 · median $10,312 25 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,052 – $11,433 · median $6,920 25 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,052 – $21,163 · median $11,613 25 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,052 – $13,058 · median $7,704 25 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,052 – $9,790 · median $5,745 25 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,052 – $19,752 · median $10,932 25 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,052 – $10,791 · median $6,501 25 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,052 – $8,524 · median $4,868 25 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,052 – $16,964 · median $9,588 25 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,052 – $10,697 · median $6,435 25 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,052 – $21,391 · median $11,722 25 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,052 – $12,515 · median $7,442 25 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $9,492 · median $5,539 25 plans
397 COAGULATION DISORDERS — 25 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC — 25 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $1,052 – $31,080 · median $8,904 25 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,052 – $148,530 · median $37,258 25 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 25 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 25 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 25 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 25 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — 25 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 25 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 25 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — 25 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 25 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 25 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,052 – $37,015 · median $10,336 25 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 25 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,052 – $45,929 · median $12,488 25 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,052 – $37,083 · median $10,353 25 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,052 – $92,506 · median $23,733 25 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC — 25 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,052 – $37,998 · median $10,574 25 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 25 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — 25 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $40,735 · median $11,234 25 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 25 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,052 – $14,127 · median $8,219 25 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,052 – $10,078 · median $5,952 25 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,052 – $24,566 · median $13,254 25 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,052 – $15,128 · median $8,703 25 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,052 – $11,413 · median $6,911 25 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,052 – $21,804 · median $11,922 25 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,052 – $11,265 · median $6,833 25 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,052 – $9,238 · median $5,362 25 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,052 – $24,004 · median $12,983 25 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,052 – $12,911 · median $7,633 25 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,052 – $9,960 · median $5,862 25 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,052 – $22,348 · median $12,184 25 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,052 – $14,638 · median $8,466 25 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,052 – $11,137 · median $6,743 25 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 25 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 25 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 25 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 25 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 25 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,052 – $154,747 · median $38,759 25 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 25 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 25 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 25 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 25 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 25 plans
471 CERVICAL SPINAL FUSION WITH MCC — 25 plans
472 CERVICAL SPINAL FUSION WITH CC — 25 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 25 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 25 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC — 25 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,052 – $32,044 · median $9,136 25 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 25 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 25 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 25 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 25 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — 25 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — 25 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES — 25 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 25 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC — 25 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 25 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC — 25 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,052 – $30,322 · median $8,721 25 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 25 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 25 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — 25 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 25 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — 25 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,052 – $32,807 · median $9,320 25 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 25 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,052 – $54,704 · median $14,607 25 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 25 plans
501 SOFT TISSUE PROCEDURES WITH CC — 25 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,052 – $36,543 · median $10,222 25 plans
503 FOOT PROCEDURES WITH MCC — 25 plans
504 FOOT PROCEDURES WITH CC — 25 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 25 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,052 – $36,632 · median $10,244 25 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 25 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,052 – $41,117 · median $11,327 25 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 25 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 25 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC — 25 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,052 – $42,744 · median $11,719 25 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,052 – $27,756 · median $8,101 25 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 25 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 25 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — 25 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 25 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 25 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,052 – $40,561 · median $11,192 25 plans
533 FRACTURES OF FEMUR WITH MCC $1,052 – $20,968 · median $11,519 25 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,052 – $10,941 · median $6,606 25 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,052 – $17,147 · median $9,676 25 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,052 – $10,955 · median $6,616 25 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,052 – $12,764 · median $7,562 25 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,052 – $10,150 · median $6,017 25 plans
539 OSTEOMYELITIS WITH MCC — 25 plans
540 OSTEOMYELITIS WITH CC $1,052 – $17,338 · median $9,768 25 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,052 – $10,769 · median $6,486 25 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,052 – $23,627 · median $12,801 25 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,052 – $13,750 · median $8,038 25 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,052 – $10,466 · median $6,274 25 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 25 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,052 – $15,427 · median $8,846 25 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,052 – $11,219 · median $6,801 25 plans
548 SEPTIC ARTHRITIS WITH MCC — 25 plans
549 SEPTIC ARTHRITIS WITH CC $1,052 – $16,146 · median $9,193 25 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,052 – $11,691 · median $7,045 25 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,052 – $22,418 · median $12,218 25 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,052 – $12,857 · median $7,607 25 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,052 – $17,338 · median $9,768 25 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,052 – $11,162 · median $6,761 25 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,052 – $17,679 · median $9,933 25 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,052 – $11,167 · median $6,764 25 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,052 – $19,887 · median $10,997 25 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,052 – $11,947 · median $7,168 25 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 25 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,052 – $15,062 · median $8,670 25 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,052 – $10,921 · median $6,592 25 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,052 – $19,057 · median $10,597 25 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,052 – $11,977 · median $7,183 25 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,052 – $20,646 · median $11,363 25 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,052 – $13,033 · median $7,692 25 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,052 – $10,417 · median $6,240 25 plans
570 SKIN DEBRIDEMENT WITH MCC — 25 plans
571 SKIN DEBRIDEMENT WITH CC — 25 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,052 – $31,123 · median $8,914 25 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 25 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 25 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 25 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,052 – $133,072 · median $33,526 25 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 25 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 25 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — 25 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — 25 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,052 – $39,182 · median $10,859 25 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 25 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 25 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 25 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 25 plans
592 SKIN ULCERS WITH MCC — 25 plans
593 SKIN ULCERS WITH CC $1,052 – $15,867 · median $9,059 25 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,052 – $11,593 · median $6,998 25 plans
595 MAJOR SKIN DISORDERS WITH MCC — 25 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,052 – $14,478 · median $8,389 25 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,052 – $22,297 · median $12,160 25 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,052 – $15,131 · median $8,704 25 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,052 – $10,602 · median $6,370 25 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,052 – $13,931 · median $8,125 25 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,052 – $9,086 · median $5,258 25 plans
602 CELLULITIS WITH MCC $1,052 – $19,010 · median $10,574 25 plans
603 CELLULITIS WITHOUT MCC $1,052 – $11,648 · median $7,024 25 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,052 – $19,689 · median $10,902 25 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,052 – $12,252 · median $7,315 25 plans
606 MINOR SKIN DISORDERS WITH MCC $1,052 – $20,239 · median $11,167 25 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,052 – $12,123 · median $7,253 25 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 25 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,052 – $37,992 · median $10,572 25 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 25 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 25 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,052 – $38,508 · median $10,697 25 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 25 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC — 25 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC — 25 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 25 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 25 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,052 – $33,990 · median $9,606 25 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 25 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,052 – $40,710 · median $11,228 25 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,052 – $36,065 · median $10,107 25 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 25 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 25 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $39,627 · median $10,967 25 plans
637 DIABETES WITH MCC $1,052 – $19,216 · median $10,674 25 plans
638 DIABETES WITH CC $1,052 – $11,987 · median $7,188 25 plans
639 DIABETES WITHOUT CC/MCC $1,052 – $9,236 · median $5,361 25 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,052 – $17,864 · median $10,022 25 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,052 – $10,684 · median $6,426 25 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,052 – $19,021 · median $10,580 25 plans
643 ENDOCRINE DISORDERS WITH MCC $1,052 – $22,017 · median $12,024 25 plans
644 ENDOCRINE DISORDERS WITH CC $1,052 – $13,709 · median $8,018 25 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,052 – $10,592 · median $6,363 25 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 25 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 25 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 25 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 25 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 25 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,052 – $42,133 · median $11,572 25 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 25 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,052 – $35,885 · median $10,064 25 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,052 – $28,112 · median $8,187 25 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 25 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,052 – $41,275 · median $11,365 25 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,052 – $28,424 · median $8,262 25 plans
665 PROSTATECTOMY WITH MCC — 25 plans
666 PROSTATECTOMY WITH CC — 25 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,052 – $30,034 · median $8,651 25 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 25 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,052 – $42,138 · median $11,573 25 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,052 – $26,535 · median $7,806 25 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 25 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,052 – $29,310 · median $8,476 25 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 25 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 25 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — 25 plans
682 RENAL FAILURE WITH MCC $1,052 – $19,808 · median $10,959 25 plans
683 RENAL FAILURE WITH CC $1,052 – $11,714 · median $7,056 25 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,052 – $9,043 · median $5,228 25 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC — 25 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,052 – $14,014 · median $8,165 25 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,052 – $10,795 · median $6,504 25 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,052 – $15,519 · median $8,891 25 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,052 – $10,972 · median $6,628 25 plans
693 URINARY STONES WITH MCC $1,052 – $17,983 · median $10,079 25 plans
694 URINARY STONES WITHOUT MCC $1,052 – $10,716 · median $6,449 25 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,052 – $15,298 · median $8,784 25 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,052 – $9,861 · median $5,794 25 plans
697 URETHRAL STRICTURE $1,052 – $14,416 · median $8,359 25 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,052 – $22,128 · median $12,078 25 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,052 – $13,576 · median $7,954 25 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,052 – $9,869 · median $5,800 25 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 25 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,052 – $41,655 · median $11,457 25 plans
709 PENIS PROCEDURES WITH CC/MCC — 25 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,052 – $38,044 · median $10,585 25 plans
711 TESTES PROCEDURES WITH CC/MCC — 25 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,052 – $29,858 · median $8,609 25 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,052 – $40,819 · median $11,255 25 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,052 – $28,709 · median $8,331 25 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 25 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,052 – $39,939 · median $11,042 25 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — 25 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,052 – $36,467 · median $10,204 25 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $24,205 · median $13,080 25 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $15,284 · median $8,777 25 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $9,554 · median $5,581 25 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,052 – $15,651 · median $8,955 25 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,052 – $10,165 · median $6,031 25 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $19,834 · median $10,972 25 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,052 – $10,988 · median $6,639 25 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,052 – $14,160 · median $8,236 25 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $9,704 · median $5,685 25 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 25 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,052 – $36,532 · median $10,220 25 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 25 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 25 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,052 – $39,871 · median $11,026 25 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 25 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC — 25 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,052 – $38,720 · median $10,748 25 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 25 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,052 – $33,686 · median $9,533 25 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC — 25 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,052 – $30,884 · median $8,856 25 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,052 – $47,164 · median $12,787 25 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,052 – $23,342 · median $7,035 25 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,052 – $37,667 · median $10,494 25 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 25 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $40,069 · median $11,074 25 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $24,633 · median $13,286 25 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $14,549 · median $8,423 25 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $12,847 · median $7,602 25 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $19,152 · median $10,643 25 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $13,094 · median $7,722 25 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $9,627 · median $5,632 25 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,052 – $13,475 · median $7,905 25 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,052 – $8,768 · median $5,037 25 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,052 – $27,224 · median $7,973 25 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,052 – $9,545 · median $5,575 25 plans
779 ABORTION WITHOUT D&C $1,052 – $11,266 · median $6,833 25 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,052 – $24,104 · median $13,031 25 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,052 – $79,494 · median $39,742 25 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,052 – $54,289 · median $27,587 25 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,052 – $32,758 · median $17,204 25 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,052 – $55,768 · median $28,301 25 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,052 – $19,740 · median $10,927 25 plans
795 NORMAL NEWBORN $1,052 – $5,349 · median $2,670 25 plans
799 SPLENECTOMY WITH MCC — 25 plans
800 SPLENECTOMY WITH CC — 25 plans
801 SPLENECTOMY WITHOUT CC/MCC — 25 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 25 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 25 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,052 – $36,817 · median $10,289 25 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 25 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,052 – $16,931 · median $9,572 25 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,052 – $13,998 · median $8,158 25 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,052 – $18,783 · median $10,465 25 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,052 – $12,281 · median $7,329 25 plans
813 COAGULATION DISORDERS $1,052 – $20,401 · median $11,245 25 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 25 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,052 – $13,562 · median $7,947 25 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,052 – $9,335 · median $5,430 25 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,052 – $61,948 · median $16,356 25 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,052 – $31,473 · median $8,999 25 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 25 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 25 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $32,690 · median $9,292 25 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 25 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 25 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,052 – $36,638 · median $10,245 25 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 25 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 25 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 25 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 25 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,052 – $40,862 · median $11,265 25 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,052 – $10,162 · median $6,028 25 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $8,329 · median $4,733 25 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,052 – $73,427 · median $36,816 25 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 25 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $16,311 · median $9,273 25 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,052 – $64,258 · median $32,394 25 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 25 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,052 – $19,312 · median $10,720 25 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,052 – $43,267 · median $22,272 25 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,052 – $21,820 · median $11,929 25 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,052 – $13,514 · median $7,924 25 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 25 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,052 – $16,283 · median $9,259 25 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,052 – $11,390 · median $6,900 25 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,052 – $34,675 · median $18,128 25 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,052 – $17,497 · median $9,845 25 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,052 – $11,361 · median $6,886 25 plans
849 RADIOTHERAPY $1,052 – $36,240 · median $18,883 25 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,052 – $134,088 · median $33,771 25 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 25 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $40,650 · median $11,214 25 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 25 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC — 25 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $37,819 · median $10,530 25 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,052 – $24,392 · median $13,170 25 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,052 – $13,347 · median $7,843 25 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,052 – $11,873 · median $7,133 25 plans
865 VIRAL ILLNESS WITH MCC $1,052 – $20,040 · median $11,071 25 plans
866 VIRAL ILLNESS WITHOUT MCC $1,052 – $11,631 · median $7,016 25 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 25 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,052 – $13,791 · median $8,058 25 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,052 – $10,236 · median $6,095 25 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,052 – $92,445 · median $45,988 25 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC — 25 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,052 – $13,687 · median $8,007 25 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,052 – $104,936 · median $26,734 25 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,052 – $12,843 · median $7,526 25 plans
881 DEPRESSIVE NEUROSES $1,052 – $12,585 · median $7,403 25 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,052 – $14,362 · median $8,252 25 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,052 – $26,299 · median $13,952 25 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,052 – $21,519 · median $11,669 25 plans
885 PSYCHOSES $1,052 – $18,682 · median $10,315 25 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,052 – $27,757 · median $14,648 25 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,052 – $14,323 · median $8,233 25 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,000 – $9,196 · median $5,281 25 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,017 – $18,934 · median $10,435 25 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,052 – $23,341 · median $12,539 25 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,052 – $11,807 · median $7,032 25 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 25 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 25 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,052 – $31,756 · median $9,067 25 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,052 – $99,728 · median $25,476 25 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC — 25 plans
906 HAND PROCEDURES FOR INJURIES — 25 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 25 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC — 25 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,052 – $35,641 · median $10,005 25 plans
913 TRAUMATIC INJURY WITH MCC $1,052 – $21,863 · median $11,950 25 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,052 – $11,844 · median $7,119 25 plans
915 ALLERGIC REACTIONS WITH MCC $1,052 – $22,491 · median $12,253 25 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,052 – $9,652 · median $5,649 25 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,052 – $20,977 · median $11,410 25 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,052 – $11,464 · median $6,868 25 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,052 – $24,487 · median $13,216 25 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,052 – $13,406 · median $7,872 25 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,052 – $9,855 · median $5,790 25 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,052 – $23,398 · median $12,691 25 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,052 – $13,612 · median $7,971 25 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,052 – $579,687 · median $141,346 25 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 25 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 25 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 25 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,052 – $29,567 · median $15,665 25 plans
935 NON-EXTENSIVE BURNS $1,052 – $27,553 · median $14,694 25 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 25 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 25 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 25 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,052 – $16,978 · median $9,501 25 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,052 – $10,889 · median $6,506 25 plans
949 AFTERCARE WITH CC/MCC $1,052 – $15,912 · median $9,081 25 plans
950 AFTERCARE WITHOUT CC/MCC $1,052 – $9,296 · median $5,403 25 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,052 – $8,634 · median $4,945 25 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 25 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 25 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 25 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 25 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 25 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 25 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,052 – $20,499 · median $11,292 25 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,052 – $12,579 · median $7,473 25 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 25 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 25 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 25 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,052 – $17,321 · median $9,760 25 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,052 – $12,074 · median $7,229 25 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,052 – $17,357 · median $9,777 25 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 25 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 25 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 25 plans
945 REHABILITATION WITH CC/MCC $1,052 – $20,713 · median $11,507 23 plans
946 REHABILITATION WITHOUT CC/MCC $1,052 – $15,338 · median $8,890 23 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 22 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 21 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $1,052 – $17,768 · median $11,381 21 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,052 – $12,710 · median $7,843 21 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,052 – $9,655 · median $5,707 21 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,052 – $14,832 · median $9,328 21 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,052 – $10,791 · median $6,501 21 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $1,052 – $85,233 · median $58,562 21 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $1,052 – $59,915 · median $40,857 21 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $1,052 – $45,983 · median $31,113 21 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $1,052 – $64,674 · median $44,185 21 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 21 plans
509 ARTHROSCOPY — 21 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 21 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 21 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 20 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 20 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 20 plans
006 LIVER TRANSPLANT WITHOUT MCC — 20 plans
007 LUNG TRANSPLANT — 20 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 20 plans
010 PANCREAS TRANSPLANT — 20 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 20 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 20 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 20 plans
652 KIDNEY TRANSPLANT — 20 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,052 – $5,689 · median $2,235 10 plans
999 UNGROUPABLE $1,052 – $10,883 · median $2,199 9 plans
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