Procedures published 803
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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 803 procedures

Procedures with negotiated rates only

These 803 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $13,867 – $208,291 · median $111,079 2 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $9,764 – $81,491 · median $45,627 2 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $11,262 – $158,476 · median $84,869 2 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $6,853 – $104,485 · median $55,669 2 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $6,367 – $78,746 · median $42,557 2 plans
006 LIVER TRANSPLANT WITHOUT MCC $4,354 – $35,858 · median $20,106 2 plans
007 LUNG TRANSPLANT $5,040 – $96,637 · median $50,839 2 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT 2 plans
010 PANCREAS TRANSPLANT $2,334 – $58,957 · median $30,646 2 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $2,489 – $39,900 · median $21,195 2 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $1,948 – $30,345 · median $16,146 2 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC 2 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $4,624 – $59,607 · median $32,116 2 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $4,021 – $40,874 · median $22,448 2 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $3,365 – $26,107 · median $14,736 2 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $2,822 – $42,186 · median $22,504 2 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC 2 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC 2 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC 2 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC 2 plans
028 SPINAL PROCEDURES WITH MCC 2 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS 2 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC 2 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC 2 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC 2 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC 2 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC 2 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC 2 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC 2 plans
037 EXTRACRANIAL PROCEDURES WITH MCC 2 plans
038 EXTRACRANIAL PROCEDURES WITH CC 2 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC 2 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC 2 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR 2 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC 2 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC 2 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC 2 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC 2 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC 2 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $769 – $18,517 · median $9,643 2 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC 2 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC 2 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC 2 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC 2 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC 2 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $1,253 – $13,169 · median $7,211 2 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,119 – $10,388 · median $5,753 2 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC 2 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 2 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $618 – $5,090 · median $2,854 2 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC 2 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC 2 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC 2 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC 2 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC 2 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC 2 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC 2 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC 2 plans
075 VIRAL MENINGITIS WITH CC/MCC 2 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $686 – $6,780 · median $3,733 2 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC 2 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC 2 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $590 – $4,930 · median $2,760 2 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC 2 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC 2 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC 2 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC 2 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC 2 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC 2 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC 2 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC 2 plans
088 CONCUSSION WITH MCC 2 plans
089 CONCUSSION WITH CC 2 plans
090 CONCUSSION WITHOUT CC/MCC 2 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC 2 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC 2 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC 2 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,890 – $26,980 · median $14,435 2 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $1,541 – $17,726 · median $9,633 2 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC 2 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,600 – $26,510 · median $14,055 2 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,234 – $16,040 · median $8,637 2 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,091 – $10,303 · median $5,697 2 plans
100 SEIZURES WITH MCC 2 plans
101 SEIZURES WITHOUT MCC 2 plans
102 HEADACHES WITH MCC 2 plans
103 HEADACHES WITHOUT MCC 2 plans
113 ORBITAL PROCEDURES WITH CC/MCC 2 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC 2 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT 2 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC 2 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC 2 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC 2 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC 2 plans
123 NEUROLOGICAL EYE DISORDERS 2 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT 2 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC 2 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC 2 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC 2 plans
137 MOUTH PROCEDURES WITH CC/MCC 2 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC 2 plans
139 SALIVARY GLAND PROCEDURES 2 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC 2 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC 2 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC 2 plans
149 DYSEQUILIBRIUM 2 plans
150 EPISTAXIS WITH MCC 2 plans
151 EPISTAXIS WITHOUT MCC 2 plans
152 OTITIS MEDIA AND URI WITH MCC 2 plans
153 OTITIS MEDIA AND URI WITHOUT MCC 2 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC 2 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC 2 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC 2 plans
157 DENTAL AND ORAL DISEASES WITH MCC 2 plans
158 DENTAL AND ORAL DISEASES WITH CC 2 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC 2 plans
163 MAJOR CHEST PROCEDURES WITH MCC $2,427 – $34,083 · median $18,255 2 plans
164 MAJOR CHEST PROCEDURES WITH CC $1,685 – $18,612 · median $10,148 2 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $1,446 – $13,784 · median $7,615 2 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $1,961 – $28,478 · median $15,220 2 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $1,449 – $13,511 · median $7,480 2 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,091 – $10,011 · median $5,551 2 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE 2 plans
176 PULMONARY EMBOLISM WITHOUT MCC $695 – $6,023 · median $3,359 2 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,107 – $11,954 · median $6,531 2 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $938 – $7,337 · median $4,137 2 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $765 – $5,692 · median $3,228 2 plans
180 RESPIRATORY NEOPLASMS WITH MCC 2 plans
181 RESPIRATORY NEOPLASMS WITH CC $788 – $8,210 · median $4,499 2 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $687 – $6,193 · median $3,440 2 plans
183 MAJOR CHEST TRAUMA WITH MCC 2 plans
184 MAJOR CHEST TRAUMA WITH CC 2 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC 2 plans
186 PLEURAL EFFUSION WITH MCC 2 plans
187 PLEURAL EFFUSION WITH CC 2 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $585 – $5,429 · median $3,007 2 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 2 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 2 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC 2 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC 2 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC 2 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC 2 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC 2 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC 2 plans
197 INTERSTITIAL LUNG DISEASE WITH CC 2 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $579 – $5,179 · median $2,879 2 plans
199 PNEUMOTHORAX WITH MCC 2 plans
200 PNEUMOTHORAX WITH CC 2 plans
201 PNEUMOTHORAX WITHOUT CC/MCC 2 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC 2 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC 2 plans
204 RESPIRATORY SIGNS AND SYMPTOMS 2 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC 2 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC 2 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $3,074 – $47,829 · median $25,451 2 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,348 – $19,849 · median $10,598 2 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $7,201 – $78,344 · median $42,773 2 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $5,582 – $71,365 · median $38,473 2 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $4,549 – $47,752 · median $26,151 2 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $4,116 – $43,994 · median $24,055 2 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $4,324 – $57,215 · median $30,770 2 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $3,437 – $39,166 · median $21,302 2 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $3,148 – $33,960 · median $18,554 2 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $4,044 – $36,849 · median $20,446 2 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $3,191 – $22,970 · median $13,080 2 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $4,380 – $62,661 · median $33,520 2 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $3,717 – $45,171 · median $24,444 2 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $3,870 – $57,798 · median $30,834 2 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,953 – $39,341 · median $21,147 2 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,083 – $43,511 · median $23,297 2 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC 2 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $2,367 – $37,245 · median $19,806 2 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $1,799 – $21,534 · median $11,667 2 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,483 – $11,165 · median $6,324 2 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $1,955 – $25,084 · median $13,519 2 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $1,529 – $16,659 · median $9,094 2 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC 2 plans
245 AICD GENERATOR PROCEDURES 2 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $1,492 – $17,102 · median $9,297 2 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC 2 plans
252 OTHER VASCULAR PROCEDURES WITH MCC 2 plans
253 OTHER VASCULAR PROCEDURES WITH CC 2 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC 2 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC 2 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC 2 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $839 – $6,596 · median $3,717 2 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC 2 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC 2 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC 2 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC 2 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC 2 plans
263 VEIN LIGATION AND STRIPPING 2 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 2 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,043 – $12,139 · median $6,591 2 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $788 – $6,817 · median $3,802 2 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $637 – $5,362 · median $3,000 2 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC 2 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $724 – $5,479 · median $3,101 2 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $625 – $4,151 · median $2,388 2 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC 2 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC 2 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $1,749 – $20,198 · median $10,973 2 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,385 – $11,659 · median $6,522 2 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,184 – $7,240 · median $4,212 2 plans
291 HEART FAILURE AND SHOCK WITH MCC 2 plans
292 HEART FAILURE AND SHOCK WITH CC 2 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $526 – $4,060 · median $2,293 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC 2 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC 2 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC 2 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $432 – $3,266 · median $1,849 2 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC 2 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC 2 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC 2 plans
302 ATHEROSCLEROSIS WITH MCC 2 plans
303 ATHEROSCLEROSIS WITHOUT MCC 2 plans
304 HYPERTENSION WITH MCC 2 plans
305 HYPERTENSION WITHOUT MCC 2 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC 2 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC 2 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC 2 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC 2 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC 2 plans
311 ANGINA PECTORIS 2 plans
312 SYNCOPE AND COLLAPSE 2 plans
313 CHEST PAIN 2 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC 2 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC 2 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC 2 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $3,100 – $37,557 · median $20,328 2 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $1,976 – $17,956 · median $9,966 2 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC 2 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,704 – $33,956 · median $18,330 2 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,736 – $17,480 · median $9,608 2 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC 2 plans
332 RECTAL RESECTION WITH MCC $2,228 – $25,650 · median $13,939 2 plans
333 RECTAL RESECTION WITH CC $1,547 – $15,715 · median $8,631 2 plans
334 RECTAL RESECTION WITHOUT CC/MCC 2 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $2,087 – $26,799 · median $14,443 2 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $1,487 – $15,621 · median $8,554 2 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC 2 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC 2 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC 2 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC 2 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC 2 plans
348 ANAL AND STOMAL PROCEDURES WITH CC 2 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC 2 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC 2 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC 2 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC 2 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC 2 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC 2 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC 2 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $2,027 – $31,543 · median $16,785 2 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $1,497 – $16,653 · median $9,075 2 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,040 – $10,020 · median $5,530 2 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC 2 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC 2 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $573 – $5,161 · median $2,867 2 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC 2 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $784 – $7,612 · median $4,198 2 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $667 – $5,364 · median $3,015 2 plans
374 DIGESTIVE MALIGNANCY WITH MCC 2 plans
375 DIGESTIVE MALIGNANCY WITH CC 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC 2 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC 2 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC 2 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $509 – $4,708 · median $2,608 2 plans
380 COMPLICATED PEPTIC ULCER WITH MCC 2 plans
381 COMPLICATED PEPTIC ULCER WITH CC 2 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC 2 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC 2 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC 2 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC 2 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC 2 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $569 – $4,957 · median $2,763 2 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC 2 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC 2 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC 2 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC 2 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 2 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC 2 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC 2 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC 2 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $2,896 – $40,143 · median $21,520 2 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $1,989 – $20,767 · median $11,378 2 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC 2 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $2,312 – $25,891 · median $14,101 2 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $1,748 – $15,502 · median $8,625 2 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $1,248 – $11,470 · median $6,359 2 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $2,048 – $20,236 · median $11,142 2 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $1,583 – $15,762 · median $8,673 2 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $1,165 – $12,293 · median $6,729 2 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $1,857 – $25,909 · median $13,883 2 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $1,365 – $14,627 · median $7,996 2 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC 2 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC 2 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC 2 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC 2 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $2,091 – $26,098 · median $14,095 2 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $1,353 – $12,109 · median $6,731 2 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,166 – $10,865 · median $6,016 2 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $2,376 – $30,076 · median $16,226 2 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $1,806 – $16,884 · median $9,345 2 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,549 – $11,430 · median $6,490 2 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC 2 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC 2 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $607 – $5,150 · median $2,878 2 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC 2 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC 2 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $703 – $5,806 · median $3,254 2 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC 2 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC 2 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $535 – $4,549 · median $2,542 2 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC 2 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC 2 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC 2 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC 2 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC 2 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC 2 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $4,060 – $62,625 · median $33,343 2 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $3,279 – $42,440 · median $22,859 2 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $2,966 – $31,929 · median $17,448 2 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC 2 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $1,860 – $21,176 · median $11,518 2 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,377 – $39,938 · median $21,158 2 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC 2 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,405 – $12,837 · median $7,121 2 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC 2 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC 2 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC 2 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT 2 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC 2 plans
471 CERVICAL SPINAL FUSION WITH MCC 2 plans
472 CERVICAL SPINAL FUSION WITH CC 2 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC 2 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC 2 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC 2 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,008 – $8,600 · median $4,804 2 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,593 – $25,430 · median $13,511 2 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC 2 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC 2 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC 2 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC 2 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC 2 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES 2 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC 2 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC 2 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC 2 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC 2 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC 2 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC 2 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC 2 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC 2 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC 2 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC 2 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC 2 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC 2 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC 2 plans
500 SOFT TISSUE PROCEDURES WITH MCC 2 plans
501 SOFT TISSUE PROCEDURES WITH CC 2 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC 2 plans
503 FOOT PROCEDURES WITH MCC 2 plans
504 FOOT PROCEDURES WITH CC 2 plans
505 FOOT PROCEDURES WITHOUT CC/MCC 2 plans
506 MAJOR THUMB OR JOINT PROCEDURES 2 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC 2 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC 2 plans
509 ARTHROSCOPY 2 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC 2 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC 2 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC 2 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC 2 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC 2 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC 2 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC 2 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC 2 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR 2 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $1,383 – $14,581 · median $7,982 2 plans
533 FRACTURES OF FEMUR WITH MCC 2 plans
534 FRACTURES OF FEMUR WITHOUT MCC 2 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC 2 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC 2 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC 2 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC 2 plans
539 OSTEOMYELITIS WITH MCC 2 plans
540 OSTEOMYELITIS WITH CC 2 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $726 – $6,469 · median $3,598 2 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC 2 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC 2 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC 2 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC 2 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC 2 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC 2 plans
548 SEPTIC ARTHRITIS WITH MCC 2 plans
549 SEPTIC ARTHRITIS WITH CC 2 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC 2 plans
551 MEDICAL BACK PROBLEMS WITH MCC 2 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC 2 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC 2 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC 2 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC 2 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC 2 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC 2 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC 2 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC 2 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC 2 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC 2 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC 2 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC 2 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC 2 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC 2 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC 2 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC 2 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC 2 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC 2 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,486 – $39,895 · median $20,691 2 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC 2 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC 2 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC 2 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC 2 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC 2 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC 2 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC 2 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC 2 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC 2 plans
592 SKIN ULCERS WITH MCC 2 plans
593 SKIN ULCERS WITH CC 2 plans
594 SKIN ULCERS WITHOUT CC/MCC 2 plans
595 MAJOR SKIN DISORDERS WITH MCC 2 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC 2 plans
597 MALIGNANT BREAST DISORDERS WITH MCC 2 plans
598 MALIGNANT BREAST DISORDERS WITH CC 2 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC 2 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC 2 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC 2 plans
602 CELLULITIS WITH MCC 2 plans
603 CELLULITIS WITHOUT MCC 2 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC 2 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC 2 plans
606 MINOR SKIN DISORDERS WITH MCC 2 plans
607 MINOR SKIN DISORDERS WITHOUT MCC 2 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC 2 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC 2 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $1,887 – $28,581 · median $15,234 2 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,324 – $14,289 · median $7,806 2 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,053 – $9,207 · median $5,130 2 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC 2 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC 2 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC 2 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC 2 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC 2 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $963 – $7,418 · median $4,190 2 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC 2 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC 2 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC 2 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $1,836 – $29,183 · median $15,509 2 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $1,484 – $16,639 · median $9,062 2 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,066 – $10,362 · median $5,714 2 plans
637 DIABETES WITH MCC 2 plans
638 DIABETES WITH CC 2 plans
639 DIABETES WITHOUT CC/MCC 2 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC 2 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC 2 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM 2 plans
643 ENDOCRINE DISORDERS WITH MCC 2 plans
644 ENDOCRINE DISORDERS WITH CC 2 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC 2 plans
652 KIDNEY TRANSPLANT 2 plans
653 MAJOR BLADDER PROCEDURES WITH MCC 2 plans
654 MAJOR BLADDER PROCEDURES WITH CC $1,912 – $20,868 · median $11,390 2 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $1,624 – $15,361 · median $8,492 2 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC 2 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC 2 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC 2 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $1,687 – $19,110 · median $10,399 2 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,236 – $9,909 · median $5,572 2 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $840 – $7,592 · median $4,216 2 plans
662 MINOR BLADDER PROCEDURES WITH MCC 2 plans
663 MINOR BLADDER PROCEDURES WITH CC 2 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC 2 plans
665 PROSTATECTOMY WITH MCC 2 plans
666 PROSTATECTOMY WITH CC 2 plans
667 PROSTATECTOMY WITHOUT CC/MCC 2 plans
668 TRANSURETHRAL PROCEDURES WITH MCC 2 plans
669 TRANSURETHRAL PROCEDURES WITH CC 2 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC 2 plans
671 URETHRAL PROCEDURES WITH CC/MCC 2 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC 2 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC 2 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC 2 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC 2 plans
682 RENAL FAILURE WITH MCC 2 plans
683 RENAL FAILURE WITH CC $717 – $6,573 · median $3,645 2 plans
684 RENAL FAILURE WITHOUT CC/MCC $590 – $4,492 · median $2,541 2 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC 2 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC 2 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC 2 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC 2 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 2 plans
693 URINARY STONES WITH MCC 2 plans
694 URINARY STONES WITHOUT MCC 2 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC 2 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC 2 plans
697 URETHRAL STRICTURE 2 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC 2 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC 2 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC 2 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC 2 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC 2 plans
709 PENIS PROCEDURES WITH CC/MCC 2 plans
710 PENIS PROCEDURES WITHOUT CC/MCC 2 plans
711 TESTES PROCEDURES WITH CC/MCC 2 plans
712 TESTES PROCEDURES WITHOUT CC/MCC 2 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC 2 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC 2 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC 2 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC 2 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC 2 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC 2 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC 2 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC 2 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC 2 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC 2 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC 2 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC 2 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC 2 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC 2 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC 2 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC 2 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC 2 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC 2 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC 2 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC 2 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC 2 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC 2 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC 2 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC 2 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC 2 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC 2 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC 2 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC 2 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC 2 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 2 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC 2 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC 2 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC 2 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC 2 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC 2 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC 2 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC 2 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $577 – $4,732 · median $2,655 2 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC 2 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC 2 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,041 – $8,107 · median $4,574 2 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,147 – $10,275 · median $5,711 2 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 2 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES 2 plans
779 ABORTION WITHOUT D&C 2 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $855 – $13,331 · median $7,093 2 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,819 – $43,963 · median $23,391 2 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,926 – $30,024 · median $15,975 2 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,162 – $18,116 · median $9,639 2 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,978 – $30,842 · median $16,410 2 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $700 – $10,917 · median $5,808 2 plans
795 NORMAL NEWBORN 2 plans
799 SPLENIC PROCEDURES WITH MCC $2,371 – $35,160 · median $18,765 2 plans
800 SPLENIC PROCEDURES WITH CC $1,657 – $21,546 · median $11,602 2 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $1,395 – $12,140 · median $6,768 2 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC 2 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC 2 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $885 – $8,175 · median $4,530 2 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC 2 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC 2 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC 2 plans
811 RED BLOOD CELL DISORDERS WITH MCC 2 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC 2 plans
813 COAGULATION DISORDERS 2 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC 2 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC 2 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC 2 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $2,698 – $43,053 · median $22,875 2 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $1,611 – $16,507 · median $9,059 2 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $959 – $8,457 · median $4,708 2 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC 2 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $1,510 – $16,264 · median $8,887 2 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $972 – $9,101 · median $5,037 2 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC 2 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC 2 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC 2 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC 2 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC 2 plans
834 ACUTE LEUKEMIA WITH MCC $2,182 – $40,871 · median $21,527 2 plans
835 ACUTE LEUKEMIA WITH CC $1,538 – $15,794 · median $8,666 2 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $1,307 – $9,397 · median $5,352 2 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $2,867 – $37,025 · median $19,946 2 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $1,795 – $14,998 · median $8,396 2 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,439 – $10,133 · median $5,786 2 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,287 – $23,586 · median $12,436 2 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC 2 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC 2 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC 2 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC 2 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $991 – $18,884 · median $9,937 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC 2 plans
849 RADIOTHERAPY 2 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $3,110 – $36,986 · median $20,048 2 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $2,357 – $14,777 · median $8,567 2 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,020 – $12,021 · median $7,020 2 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $2,355 – $33,361 · median $17,858 2 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $1,495 – $16,113 · median $8,804 2 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,260 – $9,528 · median $5,394 2 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC 2 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC 2 plans
864 FEVER AND INFLAMMATORY CONDITIONS 2 plans
865 VIRAL ILLNESS WITH MCC 2 plans
866 VIRAL ILLNESS WITHOUT MCC 2 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC 2 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $915 – $7,765 · median $4,340 2 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $817 – $5,321 · median $3,069 2 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $3,455 – $51,443 · median $27,449 2 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 2 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $827 – $7,624 · median $4,226 2 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,478 – $29,058 · median $15,268 2 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $365 – $7,089 · median $3,727 2 plans
881 DEPRESSIVE NEUROSES $312 – $6,760 · median $3,536 2 plans
882 NEUROSES EXCEPT DEPRESSIVE $341 – $7,113 · median $3,727 2 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $540 – $13,728 · median $7,134 2 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $506 – $12,350 · median $6,428 2 plans
885 PSYCHOSES $467 – $10,423 · median $5,445 2 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $419 – $13,284 · median $6,852 2 plans
887 OTHER MENTAL DISORDER DIAGNOSES $500 – $8,795 · median $4,647 2 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $214 – $4,615 · median $2,415 2 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $453 – $10,707 · median $5,580 2 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $625 – $13,169 · median $6,897 2 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $369 – $6,524 · median $3,446 2 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC 2 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC 2 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC 2 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,515 – $28,551 · median $15,033 2 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC 2 plans
906 HAND PROCEDURES FOR INJURIES 2 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC 2 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $1,312 – $14,916 · median $8,114 2 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC 2 plans
913 TRAUMATIC INJURY WITH MCC 2 plans
914 TRAUMATIC INJURY WITHOUT MCC 2 plans
915 ALLERGIC REACTIONS WITH MCC 2 plans
916 ALLERGIC REACTIONS WITHOUT MCC 2 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC 2 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC 2 plans
919 COMPLICATIONS OF TREATMENT WITH MCC 2 plans
920 COMPLICATIONS OF TREATMENT WITH CC 2 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC 2 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC 2 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC 2 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $7,383 – $175,430 · median $91,407 2 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $2,637 – $49,388 · median $26,012 2 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC 2 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT 2 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $825 – $15,867 · median $8,346 2 plans
935 NON-EXTENSIVE BURNS 2 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC 2 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC 2 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC 2 plans
945 REHABILITATION WITH CC/MCC $660 – $11,288 · median $5,974 2 plans
946 REHABILITATION WITHOUT CC/MCC $609 – $8,256 · median $4,432 2 plans
947 SIGNS AND SYMPTOMS WITH MCC 2 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC 2 plans
949 AFTERCARE WITH CC/MCC 2 plans
950 AFTERCARE WITHOUT CC/MCC 2 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS 2 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $3,062 – $50,492 · median $26,777 2 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,478 – $55,194 · median $29,336 2 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,687 – $30,390 · median $16,538 2 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,219 – $19,550 · median $10,885 2 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC 2 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC 2 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $846 – $6,748 · median $3,797 2 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $3,084 – $46,765 · median $24,925 2 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $2,211 – $19,620 · median $10,916 2 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC 2 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $955 – $10,511 · median $5,733 2 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $801 – $7,416 · median $4,109 2 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION 2 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,710 – $35,158 · median $18,934 2 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,125 – $18,107 · median $10,116 2 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,784 – $12,336 · median $7,060 2 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $1,710 – $25,905 · median $13,807 2 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,208 – $12,690 · median $6,949 2 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $979 – $8,544 · median $4,762 2 plans
009 DRG $3,891 – $3,891 · median $3,891 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $96,881 – $96,881 · median $96,881 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $44,633 – $44,633 · median $44,633 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $44,633 – $44,633 · median $44,633 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $278,867 – $278,867 · median $278,867 1 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $58,618 – $58,618 · median $58,618 1 plans
130 DRG 1 plans
133 DRG 1 plans
134 DRG 1 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $31,273 – $31,273 · median $31,273 1 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,887 – $15,887 · median $15,887 1 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,627 – $11,627 · median $11,627 1 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $24,416 – $24,416 · median $24,416 1 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,990 – $12,990 · median $12,990 1 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,761 – $8,761 · median $8,761 1 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $22,691 – $22,691 · median $22,691 1 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $80,554 – $80,554 · median $80,554 1 plans
222 DRG 1 plans
223 DRG $4,129 – $4,129 · median $4,129 1 plans
224 DRG $4,391 – $4,391 · median $4,391 1 plans
225 DRG $3,777 – $3,777 · median $3,777 1 plans
226 DRG $3,547 – $3,547 · median $3,547 1 plans
227 DRG $3,025 – $3,025 · median $3,025 1 plans
230 DRG $2,871 – $2,871 · median $2,871 1 plans
237 DRG $2,697 – $2,697 · median $2,697 1 plans
238 DRG $1,913 – $1,913 · median $1,913 1 plans
247 DRG 1 plans
248 DRG 1 plans
249 DRG 1 plans
265 AICD LEAD PROCEDURES $26,377 – $26,377 · median $26,377 1 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $44,299 – $44,299 · median $44,299 1 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,789 – $34,789 · median $34,789 1 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $49,304 – $49,304 · median $49,304 1 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,766 – $30,766 · median $30,766 1 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $37,957 – $37,957 · median $37,957 1 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $25,471 – $25,471 · median $25,471 1 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,502 – $18,502 · median $18,502 1 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $28,914 – $28,914 · median $28,914 1 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,078 – $23,078 · median $23,078 1 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $52,257 – $52,257 · median $52,257 1 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $45,805 – $45,805 · median $45,805 1 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $34,403 – $34,403 · median $34,403 1 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $36,996 – $36,996 · median $36,996 1 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $23,695 – $23,695 · median $23,695 1 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $45,745 – $45,745 · median $45,745 1 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $32,483 – $32,483 · median $32,483 1 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,116 – $17,116 · median $17,116 1 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $21,051 – $21,051 · median $21,051 1 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,378 – $13,378 · median $13,378 1 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $31,497 – $31,497 · median $31,497 1 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,627 – $23,627 · median $23,627 1 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $21,164 – $21,164 · median $21,164 1 plans
338 DRG 1 plans
341 DRG 1 plans
397 APPENDIX PROCEDURES WITH MCC $18,322 – $18,322 · median $18,322 1 plans
398 APPENDIX PROCEDURES WITH CC $11,191 – $11,191 · median $11,191 1 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,313 – $8,313 · median $8,313 1 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $29,056 – $29,056 · median $29,056 1 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $77,511 – $77,511 · median $77,511 1 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $52,495 – $52,495 · median $52,495 1 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $40,711 – $40,711 · median $40,711 1 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $61,674 – $61,674 · median $61,674 1 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $40,451 – $40,451 · median $40,451 1 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $49,578 – $49,578 · median $49,578 1 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,195 – $30,195 · median $30,195 1 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $38,082 – $38,082 · median $38,082 1 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,819 – $22,819 · median $22,819 1 plans
453 DRG 1 plans
454 DRG 1 plans
455 DRG 1 plans
459 DRG 1 plans
484 DRG 1 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,598 – $10,598 · median $10,598 1 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,553 – $21,553 · median $21,553 1 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,590 – $15,590 · median $15,590 1 plans
570 SKIN DEBRIDEMENT WITH MCC $22,262 – $22,262 · median $22,262 1 plans
571 SKIN DEBRIDEMENT WITH CC $12,385 – $12,385 · median $12,385 1 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,448 – $8,448 · median $8,448 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $34,069 – $34,069 · median $34,069 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $25,677 – $25,677 · median $25,677 1 plans
685 DRG 1 plans
765 DRG 1 plans
767 DRG $435 – $435 1 plans
774 DRG $355 – $355 · median $355 1 plans
775 DRG 1 plans
778 DRG 1 plans
781 DRG 1 plans
782 DRG 1 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,622 – $13,622 · median $13,622 1 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,009 – $8,009 · median $8,009 1 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,470 – $6,470 · median $6,470 1 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,949 – $11,949 · median $11,949 1 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,852 – $7,852 · median $7,852 1 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,692 – $6,692 · median $6,692 1 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $9,440 – $9,440 · median $9,440 1 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,160 – $7,160 · median $7,160 1 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,160 – $7,160 · median $7,160 1 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,379 – $7,379 · median $7,379 1 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,350 – $5,350 · median $5,350 1 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,712 – $4,712 · median $4,712 1 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $18,747 – $18,747 · median $18,747 1 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,525 – $9,525 · median $9,525 1 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,038 – $6,038 · median $6,038 1 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,511 – $8,511 · median $8,511 1 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,526 – $5,526 · median $5,526 1 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,844 – $3,844 · median $3,844 1 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $68,118 – $68,118 · median $68,118 1 plans
986 DRG 1 plans