Medical Center Enterprise — 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
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,052 – $13,652 · median $7,757 25 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,052 – $28,891 · median $16,376 25 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,052 – $13,526 · median $7,685 25 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,052 – $12,399 · median $7,048 25 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,052 – $20,018 · median $11,357 25 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,052 – $14,150 · median $8,038 25 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,052 – $12,410 · median $7,054 25 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,052 – $14,703 · median $8,351 25 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,052 – $12,868 · median $7,313 25 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,052 – $12,391 · median $7,043 25 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,052 – $12,142 · median $7,765 24 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,052 – $9,413 · median $5,741 24 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,052 – $8,743 · median $5,255 24 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 23 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — 23 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 23 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 23 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,052 – $259,287 · median $135,299 22 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,052 – $169,209 · median $88,670 22 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 22 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 22 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 22 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 22 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 22 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 22 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 22 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 22 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 22 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 22 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 22 plans
028 SPINAL PROCEDURES WITH MCC — 22 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 22 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC — 22 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 22 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 22 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 22 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 22 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 22 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 22 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 22 plans
038 EXTRACRANIAL PROCEDURES WITH CC — 22 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,052 – $14,797 · median $8,513 22 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 22 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — 22 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 22 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 22 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,052 – $16,752 · median $9,636 22 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,052 – $18,756 · median $10,786 22 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC — 22 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,052 – $13,799 · median $7,940 22 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 22 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,052 – $13,032 · median $7,500 22 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,052 – $18,296 · median $10,523 22 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,052 – $11,610 · median $6,684 22 plans
139 SALIVARY GLAND PROCEDURES $1,052 – $15,460 · median $8,894 22 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,052 – $52,105 · median $28,054 22 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC — 22 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC — 22 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,052 – $45,768 · median $24,774 22 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — 22 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $15,092 · median $8,683 22 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 22 plans
164 MAJOR CHEST PROCEDURES WITH CC — 22 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 22 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 22 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 22 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $16,900 · median $9,721 22 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 22 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $1,052 – $132,838 · median $69,846 22 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,052 – $121,635 · median $64,048 22 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $1,052 – $119,507 · median $62,947 22 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 22 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 22 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,052 – $93,798 · median $49,639 22 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 22 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 22 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 22 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 22 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,052 – $102,980 · median $54,392 22 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 22 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,052 – $93,394 · median $49,429 22 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $1,052 – $66,732 · median $35,627 22 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 22 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 22 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 22 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 22 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,052 – $17,098 · median $9,834 22 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 22 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC — 22 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC — 22 plans
245 AICD GENERATOR PROCEDURES — 22 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC — 22 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $1,052 – $18,311 · median $10,531 22 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 22 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 22 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 22 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 22 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC — 22 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,052 – $13,879 · median $7,987 22 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 22 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 22 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — 22 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — 22 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,052 – $19,911 · median $11,387 22 plans
263 VEIN LIGATION AND STRIPPING — 22 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 22 plans
265 AICD LEAD PROCEDURES — 22 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 22 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,052 – $58,158 · median $31,188 22 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,052 – $84,020 · median $44,577 22 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,052 – $51,591 · median $27,788 22 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,052 – $64,455 · median $34,448 22 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $1,052 – $43,444 · median $23,570 22 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 22 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 22 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 22 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 22 plans
276 NON-MALIGANT BREAST DISORDERS — 22 plans
277 CELLULITIS AGE >17 W CC — 22 plans
278 CELLULITIS AGE >17 W/O CC — 22 plans
279 CELLULITIS AGE 0-17 — 22 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 22 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 22 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 22 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 — 22 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 22 plans
324 URINARY STONES W/O CC — 22 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 22 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $1,052 – $60,926 · median $32,621 22 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 22 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — 22 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 22 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 22 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — 22 plans
332 RECTAL RESECTION WITH MCC — 22 plans
333 RECTAL RESECTION WITH CC — 22 plans
334 RECTAL RESECTION WITHOUT CC/MCC — 22 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 22 plans
336 PERITONEAL ADHESIOLYSIS WITH CC — 22 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,052 – $18,757 · median $10,787 22 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 22 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,052 – $18,423 · median $10,595 22 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,052 – $14,915 · median $8,581 22 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC — 22 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,052 – $16,265 · median $9,356 22 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,052 – $11,439 · median $6,585 22 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 22 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,052 – $18,641 · median $10,720 22 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,052 – $14,712 · median $8,465 22 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 22 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC — 22 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,052 – $16,664 · median $9,585 22 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $1,052 – $53,662 · median $28,860 22 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 22 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $17,247 · median $9,920 22 plans
397 COAGULATION DISORDERS — 22 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC — 22 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $1,052 – $14,458 · median $8,319 22 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,052 – $66,828 · median $35,676 22 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 22 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 22 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 22 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 22 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — 22 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 22 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 22 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — 22 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 22 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 22 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,052 – $16,865 · median $9,701 22 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 22 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,052 – $20,665 · median $11,777 22 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,052 – $16,893 · median $9,717 22 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,052 – $41,621 · median $22,627 22 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC — 22 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,052 – $17,264 · median $9,930 22 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 22 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — 22 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $18,374 · median $10,567 22 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 22 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 22 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 22 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 22 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 22 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,052 – $69,625 · median $37,124 22 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 22 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 22 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 22 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 22 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 22 plans
471 CERVICAL SPINAL FUSION WITH MCC — 22 plans
472 CERVICAL SPINAL FUSION WITH CC — 22 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 22 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 22 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC — 22 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,052 – $14,849 · median $8,543 22 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 22 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 22 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 22 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 22 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — 22 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — 22 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES — 22 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 22 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC — 22 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 22 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC — 22 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,052 – $14,150 · median $8,142 22 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 22 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 22 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — 22 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 22 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — 22 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,052 – $15,158 · median $8,721 22 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 22 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,052 – $24,613 · median $13,821 22 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 22 plans
501 SOFT TISSUE PROCEDURES WITH CC — 22 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,052 – $16,674 · median $9,591 22 plans
503 FOOT PROCEDURES WITH MCC — 22 plans
504 FOOT PROCEDURES WITH CC — 22 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 22 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,052 – $16,710 · median $9,612 22 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 22 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,052 – $18,530 · median $10,657 22 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 22 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 22 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC — 22 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,052 – $19,232 · median $11,035 22 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,052 – $13,109 · median $7,544 22 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 22 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 22 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — 22 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 22 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 22 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,052 – $18,304 · median $10,527 22 plans
570 SKIN DEBRIDEMENT WITH MCC — 22 plans
571 SKIN DEBRIDEMENT WITH CC — 22 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,052 – $14,475 · median $8,329 22 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 22 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 22 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 22 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,052 – $59,873 · median $32,076 22 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 22 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 22 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — 22 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — 22 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,052 – $17,744 · median $10,206 22 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 22 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 22 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 22 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 22 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 22 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,052 – $17,262 · median $9,929 22 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 22 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 22 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,052 – $17,471 · median $10,049 22 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 22 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC — 22 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC — 22 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 22 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 22 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,052 – $15,638 · median $8,996 22 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 22 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,052 – $18,365 · median $10,562 22 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,052 – $16,480 · median $9,480 22 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 22 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 22 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $17,925 · median $10,309 22 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 22 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 22 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 22 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 22 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 22 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,052 – $18,957 · median $10,893 22 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 22 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,052 – $16,407 · median $9,438 22 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,052 – $13,254 · median $7,627 22 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 22 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,052 – $18,594 · median $10,693 22 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,052 – $13,380 · median $7,700 22 plans
665 PROSTATECTOMY WITH MCC — 22 plans
666 PROSTATECTOMY WITH CC — 22 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,052 – $14,034 · median $8,075 22 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 22 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,052 – $18,959 · median $10,894 22 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,052 – $12,614 · median $7,260 22 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 22 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,052 – $13,739 · median $7,906 22 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 22 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 22 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — 22 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 22 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,052 – $18,748 · median $10,782 22 plans
709 PENIS PROCEDURES WITH CC/MCC — 22 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,052 – $17,283 · median $9,941 22 plans
711 TESTES PROCEDURES WITH CC/MCC — 22 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,052 – $13,962 · median $8,034 22 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,052 – $18,409 · median $10,587 22 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,052 – $13,496 · median $7,766 22 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 22 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,052 – $18,052 · median $10,382 22 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — 22 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,052 – $16,643 · median $9,573 22 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 22 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,052 – $16,669 · median $9,588 22 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 22 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 22 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,052 – $18,024 · median $10,366 22 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 22 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC — 22 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,052 – $17,557 · median $10,098 22 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 22 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,052 – $15,515 · median $8,926 22 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC — 22 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,052 – $14,378 · median $8,273 22 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,052 – $21,220 · median $12,065 22 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,052 – $11,318 · median $6,516 22 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,052 – $17,130 · median $9,853 22 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 22 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $18,105 · median $10,412 22 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,052 – $20,643 · median $11,766 22 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,052 – $12,894 · median $7,420 22 plans
799 SPLENECTOMY WITH MCC — 22 plans
800 SPLENECTOMY WITH CC — 22 plans
801 SPLENECTOMY WITHOUT CC/MCC — 22 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 22 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 22 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,052 – $16,785 · median $9,655 22 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,052 – $27,872 · median $15,509 22 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,052 – $14,617 · median $8,410 22 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $11,321 · median $6,517 22 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 22 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 22 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $15,111 · median $8,694 22 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 22 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 22 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,052 – $16,712 · median $9,613 22 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 22 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 22 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 22 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 22 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,052 – $18,426 · median $10,597 22 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,052 – $60,330 · median $32,312 22 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 22 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $18,340 · median $10,548 22 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 22 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC — 22 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $17,191 · median $9,888 22 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 22 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 22 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,052 – $14,732 · median $8,476 22 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,052 – $44,871 · median $24,309 22 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC — 22 plans
906 HAND PROCEDURES FOR INJURIES — 22 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 22 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC — 22 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,052 – $16,308 · median $9,381 22 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,052 – $260,818 · median $136,092 22 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 22 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 22 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 22 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 22 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 22 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 22 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 22 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 22 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 22 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 22 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 22 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 22 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 22 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 22 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 22 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 22 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 22 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,052 – $15,058 · median $8,663 22 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC — 21 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,052 – $11,302 · median $7,220 21 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,052 – $15,899 · median $10,667 21 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,052 – $11,641 · median $7,474 21 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,052 – $22,580 · median $15,678 21 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,052 – $13,958 · median $9,211 21 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,052 – $17,431 · median $11,816 21 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,052 – $13,499 · median $8,867 21 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,052 – $10,804 · median $6,846 21 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 21 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC — 21 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,052 – $14,866 · median $9,892 21 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 21 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,052 – $11,563 · median $7,416 21 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,052 – $8,828 · median $5,364 21 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,052 – $15,410 · median $10,301 21 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,052 – $10,339 · median $6,497 21 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,052 – $9,789 · median $6,084 21 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,052 – $17,056 · median $11,535 21 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,052 – $11,695 · median $7,514 21 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,052 – $9,431 · median $5,792 21 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,052 – $16,548 · median $11,154 21 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,052 – $11,735 · median $7,545 21 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,052 – $19,177 · median $13,126 21 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,052 – $10,010 · median $6,251 21 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 21 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,052 – $10,601 · median $6,694 21 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC — 21 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,052 – $14,799 · median $9,842 21 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,052 – $11,106 · median $7,073 21 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 21 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,052 – $14,017 · median $9,256 21 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,052 – $10,761 · median $6,814 21 plans
088 CONCUSSION WITH MCC $1,052 – $14,429 · median $9,565 21 plans
089 CONCUSSION WITH CC $1,052 – $12,304 · median $7,971 21 plans
090 CONCUSSION WITHOUT CC/MCC $1,052 – $9,993 · median $6,238 21 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,052 – $17,823 · median $12,110 21 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,052 – $11,670 · median $7,496 21 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,052 – $9,768 · median $6,069 21 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,052 – $32,620 · median $23,208 21 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 21 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 21 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,052 – $33,395 · median $23,790 21 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC — 21 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,052 – $14,518 · median $9,632 21 plans
100 SEIZURES WITH MCC $1,052 – $19,339 · median $13,247 21 plans
101 SEIZURES WITHOUT MCC $1,052 – $10,660 · median $6,738 21 plans
102 HEADACHES WITH MCC $1,052 – $12,492 · median $8,112 21 plans
103 HEADACHES WITHOUT MCC $1,052 – $10,103 · median $6,320 21 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,052 – $12,847 · median $8,379 21 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,052 – $9,679 · median $6,003 21 plans
123 NEUROLOGICAL EYE DISORDERS $1,052 – $9,787 · median $6,083 21 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,052 – $14,188 · median $9,384 21 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,052 – $9,528 · median $5,867 21 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 21 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,052 – $13,755 · median $9,060 21 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,052 – $9,774 · median $6,074 21 plans
149 DYSEQUILIBRIUM $1,052 – $9,392 · median $5,763 21 plans
150 EPISTAXIS WITH MCC $1,052 – $14,259 · median $9,437 21 plans
151 EPISTAXIS WITHOUT MCC $1,052 – $9,245 · median $5,653 21 plans
152 OTITIS MEDIA AND URI WITH MCC $1,052 – $13,006 · median $8,498 21 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,052 – $9,280 · median $5,680 21 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,052 – $16,206 · median $10,897 21 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,052 – $10,776 · median $6,825 21 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,052 – $8,885 · median $5,407 21 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,052 – $17,492 · median $11,862 21 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,052 – $10,720 · median $6,783 21 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,052 – $9,031 · median $5,516 21 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,052 – $14,612 · median $9,702 21 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,052 – $9,841 · median $6,123 21 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,052 – $16,199 · median $10,892 21 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,052 – $11,276 · median $7,200 21 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,052 – $9,421 · median $5,784 21 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,052 – $17,905 · median $12,172 21 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,052 – $12,073 · median $7,798 21 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,052 – $9,411 · median $5,777 21 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,052 – $15,924 · median $10,686 21 plans
184 MAJOR CHEST TRAUMA WITH CC $1,052 – $12,015 · median $7,754 21 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,052 – $9,685 · median $6,007 21 plans
186 PLEURAL EFFUSION WITH MCC $1,052 – $16,164 · median $10,866 21 plans
187 PLEURAL EFFUSION WITH CC $1,052 – $11,386 · median $7,282 21 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,052 – $9,104 · median $5,571 21 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,052 – $13,452 · median $8,832 21 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,052 – $12,381 · median $8,029 21 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,052 – $10,159 · median $6,363 21 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,052 – $8,473 · median $5,097 21 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,052 – $14,115 · median $9,330 21 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,052 – $9,848 · median $6,129 21 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,052 – $8,359 · median $5,013 21 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,052 – $18,922 · median $12,935 21 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,052 – $11,050 · median $7,030 21 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,052 – $9,095 · median $5,565 21 plans
199 PNEUMOTHORAX WITH MCC $1,052 – $17,889 · median $12,160 21 plans
200 PNEUMOTHORAX WITH CC $1,052 – $12,310 · median $7,976 21 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,052 – $9,086 · median $5,558 21 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,052 – $11,235 · median $7,169 21 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,052 – $8,708 · median $5,274 21 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,052 – $9,861 · median $6,139 21 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,052 – $18,451 · median $12,581 21 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,052 – $10,983 · median $6,980 21 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,052 – $59,111 · median $41,557 21 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,052 – $26,152 · median $18,357 21 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,052 – $16,547 · median $11,153 21 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,052 – $10,798 · median $6,842 21 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,052 – $9,153 · median $5,608 21 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,052 – $19,708 · median $13,524 21 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,052 – $8,894 · median $5,413 21 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,052 – $8,111 · median $4,826 21 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 21 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,052 – $12,065 · median $7,792 21 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 21 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,052 – $17,409 · median $11,800 21 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,052 – $10,887 · median $6,908 21 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,052 – $13,859 · median $9,137 21 plans
292 HEART FAILURE AND SHOCK WITH CC $1,052 – $10,210 · median $6,400 21 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,052 – $7,835 · median $4,619 21 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,052 – $16,192 · median $10,887 21 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,052 – $8,406 · median $5,047 21 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,052 – $6,904 · median $3,921 21 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,052 – $16,787 · median $11,333 21 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,052 – $12,043 · median $7,776 21 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,052 – $9,125 · median $5,587 21 plans
302 ATHEROSCLEROSIS WITH MCC $1,052 – $13,127 · median $8,588 21 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,052 – $8,734 · median $5,294 21 plans
304 HYPERTENSION WITH MCC $1,052 – $13,071 · median $8,547 21 plans
305 HYPERTENSION WITHOUT MCC $1,052 – $9,422 · median $5,785 21 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,052 – $16,309 · median $10,975 21 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,052 – $10,749 · median $6,804 21 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,052 – $13,189 · median $8,635 21 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,052 – $9,259 · median $5,664 21 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,052 – $7,836 · median $4,620 21 plans
311 ANGINA PECTORIS $1,052 – $8,975 · median $5,475 21 plans
312 SYNCOPE AND COLLAPSE $1,052 – $10,399 · median $6,543 21 plans
313 CHEST PAIN $1,052 – $9,127 · median $5,588 21 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,052 – $20,584 · median $14,181 21 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,052 – $11,169 · median $7,120 21 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $8,809 · median $5,350 21 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,052 – $16,444 · median $11,076 21 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,052 – $11,479 · median $7,352 21 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,052 – $8,966 · median $5,468 21 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,052 – $17,965 · median $12,217 21 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,052 – $11,653 · median $7,483 21 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,052 – $9,189 · median $5,615 21 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 21 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,052 – $13,236 · median $8,670 21 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,052 – $10,842 · median $6,874 21 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,052 – $18,426 · median $12,562 21 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,052 – $11,315 · median $7,229 21 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,052 – $8,375 · median $5,024 21 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 21 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,052 – $12,178 · median $7,876 21 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,052 – $9,804 · median $6,096 21 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,052 – $14,672 · median $9,747 21 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,052 – $10,258 · median $6,437 21 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,052 – $16,364 · median $11,016 21 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,052 – $11,278 · median $7,202 21 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,052 – $8,802 · median $5,345 21 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,052 – $15,478 · median $10,352 21 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,052 – $9,713 · median $6,028 21 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,052 – $7,650 · median $4,481 21 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,052 – $13,729 · median $9,039 21 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,052 – $9,627 · median $5,957 21 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,052 – $16,506 · median $11,123 21 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,052 – $10,937 · median $6,946 21 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $8,531 · median $5,142 21 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 21 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,052 – $11,949 · median $7,705 21 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,052 – $9,064 · median $5,541 21 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,052 – $18,499 · median $12,617 21 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,052 – $12,577 · median $8,176 21 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,052 – $10,246 · median $6,427 21 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,052 – $16,766 · median $11,317 21 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,052 – $10,144 · median $6,351 21 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,052 – $8,300 · median $4,968 21 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,052 – $18,146 · median $12,353 21 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,052 – $11,186 · median $7,132 21 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,052 – $8,957 · median $5,461 21 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,052 – $17,107 · median $11,573 21 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,052 – $12,269 · median $7,945 21 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,052 – $10,028 · median $6,264 21 plans
533 FRACTURES OF FEMUR WITH MCC $1,052 – $16,241 · median $10,924 21 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,052 – $9,850 · median $6,130 21 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,052 – $13,844 · median $9,126 21 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,052 – $9,862 · median $6,140 21 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,052 – $11,093 · median $7,063 21 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,052 – $9,130 · median $5,590 21 plans
539 OSTEOMYELITIS WITH MCC — 21 plans
540 OSTEOMYELITIS WITH CC $1,052 – $13,964 · median $9,216 21 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,052 – $9,693 · median $6,013 21 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,052 – $17,909 · median $12,175 21 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,052 – $11,712 · median $7,527 21 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,052 – $9,418 · median $5,782 21 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 21 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,052 – $12,764 · median $8,316 21 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,052 – $10,102 · median $6,320 21 plans
548 SEPTIC ARTHRITIS WITH MCC — 21 plans
549 SEPTIC ARTHRITIS WITH CC $1,052 – $13,216 · median $8,655 21 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,052 – $10,420 · median $6,558 21 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,052 – $17,151 · median $11,606 21 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,052 – $11,152 · median $7,107 21 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,052 – $13,964 · median $9,216 21 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,052 – $10,051 · median $6,281 21 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,052 – $14,178 · median $9,376 21 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,052 – $10,055 · median $6,285 21 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,052 – $15,563 · median $10,415 21 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,052 – $10,581 · median $6,679 21 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 21 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,052 – $12,535 · median $8,144 21 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,052 – $9,831 · median $6,117 21 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,052 – $15,042 · median $10,024 21 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,052 – $10,600 · median $6,693 21 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,052 – $16,039 · median $10,772 21 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,052 – $11,262 · median $7,190 21 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,052 – $9,373 · median $5,749 21 plans
592 SKIN ULCERS WITH MCC — 21 plans
593 SKIN ULCERS WITH CC $1,052 – $13,040 · median $8,523 21 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,052 – $10,359 · median $6,512 21 plans
595 MAJOR SKIN DISORDERS WITH MCC — 21 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,052 – $12,169 · median $7,870 21 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,052 – $17,075 · median $11,550 21 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,052 – $12,579 · median $8,177 21 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,052 – $9,542 · median $5,879 21 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,052 – $11,826 · median $7,613 21 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,052 – $8,162 · median $4,865 21 plans
602 CELLULITIS WITH MCC $1,052 – $15,013 · median $10,002 21 plans
603 CELLULITIS WITHOUT MCC $1,052 – $10,394 · median $6,538 21 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,052 – $15,439 · median $10,322 21 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,052 – $10,772 · median $6,822 21 plans
606 MINOR SKIN DISORDERS WITH MCC $1,052 – $15,784 · median $10,581 21 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,052 – $10,692 · median $6,762 21 plans
637 DIABETES WITH MCC $1,052 – $15,142 · median $10,099 21 plans
638 DIABETES WITH CC $1,052 – $10,606 · median $6,697 21 plans
639 DIABETES WITHOUT CC/MCC $1,052 – $8,298 · median $4,967 21 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,052 – $14,293 · median $9,463 21 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,052 – $9,616 · median $5,946 21 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,052 – $15,019 · median $10,007 21 plans
643 ENDOCRINE DISORDERS WITH MCC $1,052 – $16,899 · median $11,417 21 plans
644 ENDOCRINE DISORDERS WITH CC $1,052 – $11,687 · median $7,508 21 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,052 – $9,533 · median $5,871 21 plans
682 RENAL FAILURE WITH MCC $1,052 – $15,514 · median $10,378 21 plans
683 RENAL FAILURE WITH CC $1,052 – $10,435 · median $6,569 21 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,052 – $8,123 · median $4,835 21 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC — 21 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,052 – $11,878 · median $7,652 21 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,052 – $9,717 · median $6,031 21 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,052 – $12,822 · median $8,360 21 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,052 – $9,878 · median $6,152 21 plans
693 URINARY STONES WITH MCC $1,052 – $14,368 · median $9,519 21 plans
694 URINARY STONES WITHOUT MCC $1,052 – $9,645 · median $5,973 21 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,052 – $12,684 · median $8,256 21 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,052 – $8,867 · median $5,393 21 plans
697 URETHRAL STRICTURE $1,052 – $12,130 · median $7,840 21 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,052 – $16,969 · median $11,470 21 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,052 – $11,603 · median $7,445 21 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,052 – $8,875 · median $5,399 21 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $18,272 · median $12,447 21 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $12,675 · median $8,249 21 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $8,588 · median $5,184 21 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,052 – $12,905 · median $8,422 21 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,052 – $9,144 · median $5,601 21 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $15,530 · median $10,390 21 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,052 – $9,893 · median $6,162 21 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,052 – $11,970 · median $7,720 21 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,052 – $8,724 · median $5,286 21 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $18,541 · median $12,648 21 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $12,214 · median $7,903 21 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $11,146 · median $7,102 21 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,052 – $15,102 · median $10,069 21 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,052 – $11,301 · median $7,219 21 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,052 – $8,654 · median $5,233 21 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,052 – $11,540 · median $7,398 21 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,052 – $7,873 · median $4,647 21 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,052 – $8,579 · median $5,177 21 plans
779 ABORTION WITHOUT D&C $1,052 – $10,145 · median $6,352 21 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,052 – $18,209 · median $12,400 21 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,052 – $54,599 · median $38,465 21 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,052 – $37,287 · median $26,604 21 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,052 – $23,639 · median $16,472 21 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,052 – $38,303 · median $27,300 21 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,052 – $15,471 · median $10,346 21 plans
795 NORMAL NEWBORN $1,052 – $5,615 · median $2,337 21 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 21 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,052 – $13,708 · median $9,024 21 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,052 – $11,868 · median $7,644 21 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,052 – $14,870 · median $9,895 21 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,052 – $10,791 · median $6,836 21 plans
813 COAGULATION DISORDERS $1,052 – $15,885 · median $10,657 21 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 21 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,052 – $11,594 · median $7,439 21 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,052 – $8,389 · median $5,035 21 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,052 – $13,176 · median $8,625 21 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,052 – $9,141 · median $5,599 21 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $7,473 · median $4,348 21 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,052 – $50,432 · median $35,610 21 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 21 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,052 – $13,319 · median $8,732 21 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,052 – $44,134 · median $31,295 21 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 21 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,052 – $15,202 · median $10,145 21 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,052 – $30,232 · median $21,417 21 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,052 – $16,776 · median $11,325 21 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,052 – $11,564 · median $7,416 21 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 21 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,052 – $13,301 · median $8,719 21 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,052 – $10,232 · median $6,417 21 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,052 – $24,841 · median $17,374 21 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,052 – $14,063 · median $9,291 21 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,052 – $10,213 · median $6,403 21 plans
849 RADIOTHERAPY $1,052 – $25,823 · median $18,110 21 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,052 – $18,390 · median $12,535 21 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,052 – $11,459 · median $7,338 21 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,052 – $10,535 · median $6,644 21 plans
865 VIRAL ILLNESS WITH MCC $1,052 – $15,659 · median $10,487 21 plans
866 VIRAL ILLNESS WITHOUT MCC $1,052 – $10,383 · median $6,530 21 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 21 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,052 – $11,738 · median $7,547 21 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,052 – $9,209 · median $5,627 21 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,052 – $63,494 · median $44,560 21 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC — 21 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,052 – $11,673 · median $7,497 21 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,052 – $47,214 · median $25,636 21 plans
913 TRAUMATIC INJURY WITH MCC $1,052 – $16,803 · median $11,345 21 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,052 – $10,516 · median $6,630 21 plans
915 ALLERGIC REACTIONS WITH MCC $1,052 – $17,197 · median $11,641 21 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,052 – $8,677 · median $5,250 21 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,052 – $16,247 · median $10,928 21 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,052 – $10,278 · median $6,451 21 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,052 – $18,449 · median $12,580 21 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,052 – $11,496 · median $7,365 21 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,052 – $8,862 · median $5,390 21 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,052 – $17,766 · median $12,068 21 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,052 – $11,626 · median $7,462 21 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 21 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,052 – $21,636 · median $14,970 21 plans
935 NON-EXTENSIVE BURNS $1,052 – $20,373 · median $14,022 21 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,052 – $13,738 · median $9,046 21 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,052 – $9,803 · median $6,095 21 plans
949 AFTERCARE WITH CC/MCC $1,052 – $13,069 · median $8,545 21 plans
950 AFTERCARE WITHOUT CC/MCC $1,052 – $8,353 · median $5,008 21 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,052 – $7,751 · median $4,556 21 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 21 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,052 – $15,947 · median $10,703 21 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,052 – $10,978 · median $6,976 21 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 21 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,052 – $13,953 · median $9,208 21 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,052 – $10,660 · median $6,738 21 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,052 – $13,975 · median $9,224 21 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,052 – $11,143 · median $7,116 20 plans
881 DEPRESSIVE NEUROSES $1,052 – $10,981 · median $6,995 20 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,052 – $12,096 · median $7,831 20 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,052 – $19,586 · median $13,447 20 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,052 – $16,587 · median $11,198 20 plans
885 PSYCHOSES $1,052 – $14,807 · median $9,864 20 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,052 – $20,501 · median $14,133 20 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,052 – $12,072 · median $7,813 20 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,052 – $8,262 · median $4,956 20 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,052 – $14,965 · median $9,982 20 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,052 – $17,730 · median $12,055 20 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,052 – $10,493 · median $6,629 20 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $1,052 – $18,881 · median $10,820 19 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,052 – $12,841 · median $7,369 19 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,052 – $9,193 · median $5,286 19 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,052 – $15,375 · median $8,817 19 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,052 – $10,549 · median $6,060 19 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $1,052 – $99,454 · median $56,843 19 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $1,052 – $69,218 · median $39,572 19 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $1,052 – $52,578 · median $30,067 19 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $1,052 – $74,901 · median $42,818 19 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 19 plans
509 ARTHROSCOPY — 19 plans
945 REHABILITATION WITH CC/MCC $1,052 – $16,081 · median $10,834 19 plans
946 REHABILITATION WITHOUT CC/MCC $1,052 – $12,709 · median $8,306 19 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 18 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 18 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 18 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 18 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 17 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 17 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 16 plans
006 LIVER TRANSPLANT WITHOUT MCC — 16 plans
007 LUNG TRANSPLANT — 16 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 16 plans
010 PANCREAS TRANSPLANT — 16 plans
652 KIDNEY TRANSPLANT — 16 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 15 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 15 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 15 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,052 – $5,689 · median $2,392 5 plans
999 UNGROUPABLE $1,052 – $10,883 · median $2,392 5 plans
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