Lawrence Memorial Hospital — Pricing
803 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 803 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
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.
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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 |
No procedures match that keyword.