Marinhealth Medical Center — Pricing
806 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 806 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 806 procedures
Procedures with negotiated rates only
These 806 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 | — | 18 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 18 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $3,070 – $706,064 · median $567,726 | 18 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $3,070 – $461,213 · median $370,848 | 18 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $3,070 – $182,376 · median $142,255 | 18 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $3,070 – $141,264 · median $110,345 | 18 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $3,070 – $96,961 · median $74,832 | 18 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 18 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY | $3,070 – $262,557 · median $211,115 | 18 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION | — | 18 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $3,070 – $106,777 · median $85,856 | 18 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $3,070 – $191,547 · median $153,040 | 18 plans |
| 024 | CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY | $3,070 – $131,166 · median $103,463 | 18 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY | $3,070 – $152,245 · median $120,353 | 18 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION | $3,070 – $104,512 · median $81,495 | 18 plans |
| 027 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $85,044 · median $66,743 | 18 plans |
| 028 | SPINAL PROCEDURES WITH COMORBITY | $3,070 – $200,778 · median $161,440 | 18 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $3,070 – $114,553 · median $92,070 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $74,162 · median $59,632 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH COMORBITY | $3,070 – $150,047 · median $115,236 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION | $3,070 – $72,030 · median $57,866 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $56,487 · median $44,431 | 18 plans |
| 034 | CAROTID ARTERY STENT PROCEDURE WITH COMORBITY | $3,070 – $129,798 · median $104,367 | 18 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION | $3,070 – $80,647 · median $63,183 | 18 plans |
| 036 | CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY | $3,070 – $65,781 · median $50,570 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $3,070 – $110,585 · median $88,918 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $3,070 – $55,148 · median $43,600 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $40,302 · median $31,458 | 18 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $3,070 – $129,483 · median $103,717 | 18 plans |
| 041 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM | $3,070 – $74,278 · median $59,725 | 18 plans |
| 042 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY | $3,070 – $58,638 · median $46,913 | 18 plans |
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $3,070 – $61,414 · median $49,382 | 18 plans |
| 053 | SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY | $3,070 – $33,784 · median $26,762 | 18 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $3,070 – $51,971 · median $40,597 | 18 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $3,070 – $35,126 · median $28,243 | 18 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $3,070 – $78,409 · median $63,046 | 18 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $3,070 – $44,290 · median $35,613 | 18 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY | $3,070 – $58,034 · median $46,516 | 18 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,070 – $42,474 · median $32,934 | 18 plans |
| 060 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY | $3,070 – $31,812 · median $24,785 | 18 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $3,070 – $92,820 · median $74,634 | 18 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $3,070 – $59,618 · median $47,937 | 18 plans |
| 063 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY | $3,070 – $47,883 · median $38,501 | 18 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $3,070 – $68,046 · median $54,211 | 18 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $3,070 – $34,817 · median $27,617 | 18 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $3,070 – $23,995 · median $18,847 | 18 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY | $3,070 – $50,038 · median $39,062 | 18 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $3,070 – $29,972 · median $23,717 | 18 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,070 – $27,794 · median $21,864 | 18 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $3,070 – $56,550 · median $45,470 | 18 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $3,070 – $35,338 · median $28,414 | 18 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,070 – $26,379 · median $21,109 | 18 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $3,070 – $54,541 · median $42,126 | 18 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $3,070 – $35,497 · median $28,012 | 18 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,070 – $64,941 · median $51,769 | 18 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,070 – $28,670 · median $23,053 | 18 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,070 – $63,343 · median $49,347 | 18 plans |
| 081 | NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY | $3,070 – $31,008 · median $24,657 | 18 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $3,070 – $77,164 · median $61,575 | 18 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | $3,070 – $47,617 · median $37,287 | 18 plans |
| 084 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY | $3,070 – $33,007 · median $25,552 | 18 plans |
| 085 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY | $3,070 – $76,709 · median $61,325 | 18 plans |
| 086 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION | $3,070 – $44,526 · median $35,566 | 18 plans |
| 087 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY | $3,070 – $31,642 · median $24,561 | 18 plans |
| 088 | CONCUSSION WITH MCC | $3,070 – $46,156 · median $37,113 | 18 plans |
| 089 | CONCUSSION WITH COMPLICATION | $3,070 – $37,749 · median $30,353 | 18 plans |
| 090 | CONCUSSION WITHOUT COMPLICATION/COMORBITY | $3,070 – $28,604 · median $23,000 | 18 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $3,070 – $59,585 · median $47,910 | 18 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $3,070 – $35,238 · median $27,914 | 18 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $3,070 – $27,711 · median $21,485 | 18 plans |
| 094 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY | $3,070 – $118,133 · median $94,987 | 18 plans |
| 095 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION | $3,070 – $86,913 · median $66,745 | 18 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,070 – $86,913 · median $63,813 | 18 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY | $3,070 – $121,201 · median $97,454 | 18 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $3,070 – $77,473 · median $59,915 | 18 plans |
| 099 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY | $3,070 – $46,508 · median $36,353 | 18 plans |
| 100 | SEIZURES WITH COMORBITY | $3,070 – $65,582 · median $52,732 | 18 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $3,070 – $31,240 · median $24,746 | 18 plans |
| 102 | HEADACHES WITH COMORBITY | $3,070 – $38,489 · median $30,948 | 18 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $3,070 – $29,039 · median $22,957 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY | $3,070 – $79,339 · median $63,794 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $46,196 · median $34,968 | 18 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $3,070 – $52,236 · median $42,000 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $3,070 – $61,308 · median $49,218 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,070 – $37,294 · median $29,987 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY | $3,070 – $39,897 · median $32,080 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,070 – $27,362 · median $20,925 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,070 – $27,787 · median $21,938 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH COMORBITY | $3,070 – $45,203 · median $35,888 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | $3,070 – $26,764 · median $21,461 | 18 plans |
| 135 | SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY | $3,070 – $76,060 · median $58,959 | 18 plans |
| 136 | SINUS & MASTOID PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $34,983 · median $26,571 | 18 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $3,070 – $50,852 · median $40,625 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $30,696 · median $23,912 | 18 plans |
| 139 | SALIVARY GLAND PROCEDURES | $3,070 – $42,301 · median $32,877 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $3,070 – $142,901 · median $107,706 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,070 – $73,694 · median $57,312 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $3,070 – $54,279 · median $42,487 | 18 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $3,070 – $125,677 · median $94,765 | 18 plans |
| 144 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC | $3,070 – $58,811 · median $46,845 | 18 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,070 – $41,192 · median $32,940 | 18 plans |
| 146 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY | $3,070 – $71,579 · median $57,084 | 18 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,070 – $43,490 · median $34,012 | 18 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,070 – $27,737 · median $22,303 | 18 plans |
| 149 | DYSEQUILIBRIUM | $3,070 – $26,226 · median $20,503 | 18 plans |
| 150 | EPISTAXIS WITH COMORBITY | $3,070 – $45,482 · median $35,887 | 18 plans |
| 151 | EPISTAXIS WITHOUT COMORBITY | $3,070 – $25,642 · median $20,618 | 18 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | $3,070 – $40,525 · median $32,218 | 18 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $3,070 – $25,781 · median $20,194 | 18 plans |
| 154 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY | $3,070 – $53,186 · median $41,980 | 18 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $3,070 – $31,702 · median $25,449 | 18 plans |
| 156 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,070 – $24,218 · median $18,471 | 18 plans |
| 157 | DENTAL & ORAL DISEASES WITH COMORBITY | $3,070 – $58,276 · median $46,307 | 18 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $3,070 – $31,480 · median $25,250 | 18 plans |
| 159 | DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY | $3,070 – $24,795 · median $18,970 | 18 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $3,070 – $150,090 · median $120,683 | 18 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $3,070 – $85,080 · median $68,410 | 18 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $64,831 · median $51,192 | 18 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $3,070 – $125,382 · median $100,816 | 18 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION | $3,070 – $61,152 · median $49,002 | 18 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,070 – $46,641 · median $36,912 | 18 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $3,070 – $100,102 · median $80,489 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $3,070 – $46,880 · median $37,679 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $3,070 – $28,000 · median $22,184 | 18 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $3,070 – $53,160 · median $42,744 | 18 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $3,070 – $33,678 · median $26,764 | 18 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $3,070 – $26,339 · median $20,812 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $3,070 – $59,910 · median $47,367 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $3,070 – $36,832 · median $29,586 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY | $3,070 – $26,299 · median $20,735 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $3,070 – $52,070 · median $41,868 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $3,070 – $36,603 · median $28,795 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY | $3,070 – $27,385 · median $21,095 | 18 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $3,070 – $53,020 · median $42,117 | 18 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $3,070 – $34,113 · median $27,065 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,070 – $25,084 · median $20,101 | 18 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $3,070 – $42,291 · median $33,508 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $3,070 – $38,051 · median $30,056 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $3,070 – $29,261 · median $23,135 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $3,070 – $22,587 · median $17,664 | 18 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $3,070 – $44,915 · median $35,847 | 18 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $3,070 – $28,030 · median $22,290 | 18 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $3,070 – $22,139 · median $17,264 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $3,070 – $63,935 · median $51,129 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $3,070 – $32,785 · median $26,361 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY | $3,070 – $25,051 · median $20,143 | 18 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $3,070 – $59,847 · median $47,858 | 18 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $3,070 – $37,772 · median $29,593 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $3,070 – $25,014 · median $19,495 | 18 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $3,070 – $33,518 · median $26,286 | 18 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $3,070 – $23,517 · median $18,774 | 18 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $3,070 – $28,079 · median $22,318 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $3,070 – $62,069 · median $49,209 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $3,070 – $32,519 · median $25,280 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $3,070 – $214,937 · median $172,825 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $3,070 – $92,541 · median $73,436 | 18 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $3,070 – $362,350 · median $290,180 | 18 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $3,070 – $331,897 · median $266,869 | 18 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $3,070 – $326,113 · median $261,329 | 18 plans |
| 217 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION | $3,070 – $219,606 · median $173,538 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,070 – $219,606 · median $163,951 | 18 plans |
| 219 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY | $3,070 – $256,232 · median $206,029 | 18 plans |
| 220 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION | $3,070 – $178,348 · median $142,013 | 18 plans |
| 221 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY | $3,070 – $168,632 · median $129,827 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $3,070 – $165,550 · median $133,114 | 18 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $3,070 – $105,850 · median $85,111 | 18 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH COMORBITY | $3,070 – $281,189 · median $221,699 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT COMORBITY | $3,070 – $202,581 · median $161,185 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY | $3,070 – $255,132 · median $205,145 | 18 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY | $3,070 – $182,661 · median $142,959 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY | $3,070 – $196,139 · median $157,710 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY | $3,070 – $140,361 · median $110,527 | 18 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $3,070 – $164,697 · median $130,621 | 18 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $3,070 – $95,922 · median $76,214 | 18 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $3,070 – $47,239 · median $37,624 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $3,070 – $107,288 · median $86,267 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $3,070 – $72,027 · median $57,915 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $3,070 – $61,288 · median $49,192 | 18 plans |
| 245 | AICD GENERATOR PROCEDURES | $3,070 – $152,766 · median $122,203 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $3,070 – $73,740 · median $59,292 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $3,070 – $50,895 · median $40,923 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $3,070 – $117,100 · median $91,957 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $3,070 – $87,458 · median $69,342 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $60,432 · median $47,518 | 18 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $3,070 – $90,838 · median $73,040 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $3,070 – $57,649 · median $45,107 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,070 – $37,536 · median $28,271 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $3,070 – $105,604 · median $78,399 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $3,070 – $68,414 · median $52,394 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY | $3,070 – $109,280 · median $87,869 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION | $3,070 – $64,044 · median $50,975 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $3,070 – $55,391 · median $44,342 | 18 plans |
| 263 | VEIN LIGATION & STRIPPING | $3,070 – $102,792 · median $79,017 | 18 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $3,070 – $112,196 · median $88,861 | 18 plans |
| 265 | AICD LEAD PROCEDURES | $3,070 – $121,414 · median $96,158 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY | — | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY | $3,070 – $159,354 · median $128,132 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY | $3,070 – $229,654 · median $184,320 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $3,070 – $141,503 · median $112,638 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $3,070 – $176,472 · median $138,618 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $3,070 – $119,358 · median $94,271 | 18 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $86,043 · median $67,212 | 18 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY | $3,070 – $138,259 · median $107,672 | 18 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY | $3,070 – $110,572 · median $87,891 | 18 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $3,070 – $238,038 · median $190,057 | 18 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $3,070 – $200,722 · median $161,395 | 18 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $3,070 – $154,629 · median $124,333 | 18 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $3,070 – $186,098 · median $133,671 | 18 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $3,070 – $121,022 · median $91,229 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $3,070 – $54,534 · median $43,178 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $3,070 – $31,788 · median $25,000 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $3,070 – $25,280 · median $19,767 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $3,070 – $67,043 · median $53,383 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | $3,070 – $24,254 · median $19,502 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITHOUT COMPLICATION/COMORBITY | $3,070 – $21,156 · median $14,933 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $3,070 – $74,746 · median $58,910 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $3,070 – $36,802 · median $29,296 | 18 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY | $3,070 – $91,130 · median $71,319 | 18 plans |
| 289 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMPLICATION | $3,070 – $57,948 · median $42,896 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,070 – $32,140 · median $25,843 | 18 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $3,070 – $43,898 · median $34,855 | 18 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $3,070 – $29,461 · median $23,318 | 18 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $3,070 – $20,063 · median $15,567 | 18 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $3,070 – $53,133 · median $42,723 | 18 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,070 – $22,321 · median $17,948 | 18 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,070 – $16,381 · median $12,430 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $3,070 – $55,484 · median $43,386 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $3,070 – $36,716 · median $29,054 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,070 – $25,167 · median $19,606 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,070 – $41,003 · median $31,435 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $3,070 – $23,623 · median $18,286 | 18 plans |
| 304 | HYPERTENSION WITH COMORBITY | $3,070 – $40,784 · median $31,753 | 18 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $3,070 – $26,343 · median $20,673 | 18 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $3,070 – $53,594 · median $42,113 | 18 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY | $3,070 – $31,592 · median $25,351 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $3,070 – $41,249 · median $32,690 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $3,070 – $25,698 · median $20,305 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,070 – $20,067 · median $15,447 | 18 plans |
| 311 | ANGINA PECTORIS | $3,070 – $24,576 · median $19,216 | 18 plans |
| 312 | SYNCOPE & COLLAPSE | $3,070 – $30,211 · median $23,699 | 18 plans |
| 313 | CHEST PAIN | $3,070 – $25,177 · median $19,807 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $3,070 – $70,509 · median $56,432 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $3,070 – $33,256 · median $26,328 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,070 – $23,919 · median $18,893 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH COMORBITY | $3,070 – $149,462 · median $118,535 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $3,070 – $81,139 · median $62,314 | 18 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $3,070 – $91,615 · median $73,665 | 18 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $3,070 – $59,811 · median $48,092 | 18 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $3,070 – $144,963 · median $113,668 | 18 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $3,070 – $105,900 · median $82,238 | 18 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $3,070 – $107,872 · median $78,326 | 18 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $3,070 – $166,879 · median $134,182 | 18 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $3,070 – $82,430 · median $66,280 | 18 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $3,070 – $54,474 · median $43,310 | 18 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $3,070 – $153,899 · median $122,418 | 18 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $3,070 – $80,870 · median $64,308 | 18 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $57,151 · median $45,384 | 18 plans |
| 332 | RECTAL RESECTION WITH COMORBITY | $3,070 – $121,497 · median $97,530 | 18 plans |
| 333 | RECTAL RESECTION WITH COMPLICATION | $3,070 – $79,043 · median $59,428 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $3,070 – $55,657 · median $43,865 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $3,070 – $119,843 · median $96,156 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $3,070 – $71,290 · median $56,894 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $3,070 – $52,240 · median $41,026 | 18 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $3,070 – $87,033 · median $69,980 | 18 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $3,070 – $51,234 · median $41,195 | 18 plans |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $40,658 · median $32,692 | 18 plans |
| 347 | ANAL & STOMAL PROCEDURES WITH COMORBITY | $3,070 – $77,496 · median $62,312 | 18 plans |
| 348 | ANAL & STOMAL PROCEDURES WITH COMPLICATION | $3,070 – $44,729 · median $35,416 | 18 plans |
| 349 | ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $30,178 · median $24,265 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $3,070 – $84,014 · median $65,886 | 18 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $3,070 – $51,891 · median $40,311 | 18 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $40,047 · median $30,904 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY | $3,070 – $97,632 · median $78,503 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $3,070 – $57,134 · median $45,940 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $3,070 – $45,931 · median $36,744 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $3,070 – $147,135 · median $116,470 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $3,070 – $78,489 · median $60,902 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,070 – $47,687 · median $36,234 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $3,070 – $54,129 · median $43,524 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $3,070 – $34,481 · median $27,088 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,070 – $24,540 · median $19,732 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $3,070 – $60,146 · median $47,591 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $3,070 – $35,172 · median $28,121 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $3,070 – $25,423 · median $19,797 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $3,070 – $72,286 · median $57,176 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $3,070 – $41,435 · median $32,704 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,070 – $31,961 · median $24,755 | 18 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $3,070 – $61,969 · median $48,885 | 18 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $3,070 – $33,834 · median $26,781 | 18 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $3,070 – $22,202 · median $17,396 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $3,070 – $66,425 · median $52,823 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $3,070 – $37,247 · median $29,339 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY | $3,070 – $27,854 · median $21,290 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $3,070 – $47,116 · median $37,699 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $3,070 – $29,653 · median $23,665 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $3,070 – $53,810 · median $42,626 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $3,070 – $33,688 · median $26,551 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $3,070 – $23,892 · median $18,759 | 18 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $3,070 – $50,307 · median $39,687 | 18 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $3,070 – $27,495 · median $21,719 | 18 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $3,070 – $19,333 · median $15,258 | 18 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $3,070 – $43,384 · median $34,544 | 18 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $3,070 – $27,156 · median $21,438 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $3,070 – $54,375 · median $43,593 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $3,070 – $32,340 · median $25,549 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,070 – $22,820 · median $17,833 | 18 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $3,070 – $80,793 · median $62,480 | 18 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $3,070 – $51,529 · median $41,002 | 18 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $3,070 – $39,280 · median $30,675 | 18 plans |
| 405 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY | $3,070 – $182,920 · median $147,081 | 18 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $3,070 – $97,572 · median $77,954 | 18 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $3,070 – $74,972 · median $58,928 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $3,070 – $119,667 · median $96,221 | 18 plans |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION | $3,070 – $73,568 · median $55,625 | 18 plans |
| 410 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $3,070 – $53,990 · median $42,668 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $3,070 – $110,957 · median $82,869 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $3,070 – $71,084 · median $55,959 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $3,070 – $56,407 · median $42,777 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $3,070 – $119,567 · median $95,339 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION | $3,070 – $69,895 · median $54,514 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $3,070 – $46,538 · median $36,636 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $3,070 – $80,511 · median $63,395 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $3,070 – $57,440 · median $44,957 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $3,070 – $46,621 · median $36,295 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $3,070 – $114,404 · median $88,753 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $3,070 – $58,964 · median $46,602 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $47,740 · median $38,116 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $3,070 – $139,172 · median $108,213 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION | $3,070 – $73,920 · median $57,621 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $51,087 · median $41,078 | 18 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $3,070 – $66,624 · median $52,431 | 18 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $3,070 – $36,341 · median $28,397 | 18 plans |
| 434 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITHOUT COMPLICATION/COMORBITY | $3,070 – $24,928 · median $18,938 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $3,070 – $62,258 · median $48,557 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $3,070 – $38,828 · median $30,328 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY | $3,070 – $29,603 · median $23,007 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $3,070 – $55,401 · median $44,546 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $3,070 – $29,202 · median $23,202 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $3,070 – $21,903 · median $17,032 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $3,070 – $60,863 · median $48,938 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $3,070 – $33,322 · median $26,126 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $3,070 – $24,503 · median $19,427 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $3,070 – $56,752 · median $44,678 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $3,070 – $37,609 · median $29,672 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $3,070 – $28,740 · median $22,259 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $3,070 – $280,309 · median $225,388 | 18 plans |
| 457 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION | $3,070 – $199,277 · median $160,233 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $3,070 – $139,823 · median $112,428 | 18 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $3,070 – $195,548 · median $148,483 | 18 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY | $3,070 – $89,596 · median $72,042 | 18 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $3,070 – $190,524 · median $152,584 | 18 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $3,070 – $104,695 · median $82,256 | 18 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $3,070 – $61,826 · median $49,713 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $3,070 – $174,117 · median $139,596 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $3,070 – $118,372 · median $94,333 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $3,070 – $92,518 · median $72,937 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $3,070 – $101,988 · median $82,006 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $3,070 – $65,319 · median $51,451 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH COMORBITY | $3,070 – $161,609 · median $129,945 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $3,070 – $99,096 · median $79,500 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $3,070 – $82,334 · median $66,125 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $3,070 – $143,817 · median $115,573 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,070 – $76,835 · median $59,536 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITHOUT COMPLICATION/COMORBITY | $3,070 – $40,458 · median $32,032 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,070 – $115,981 · median $91,755 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $3,070 – $82,928 · median $65,245 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $3,070 – $62,995 · median $50,326 | 18 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $3,070 – $97,974 · median $78,778 | 18 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $3,070 – $70,818 · median $56,281 | 18 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $3,070 – $55,427 · median $43,540 | 18 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $3,070 – $93,312 · median $70,576 | 18 plans |
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY | $3,070 – $108,427 · median $87,183 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $3,070 – $70,705 · median $55,284 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,070 – $53,276 · median $42,110 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $3,070 – $60,415 · median $48,250 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,070 – $38,353 · median $30,839 | 18 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $3,070 – $123,187 · median $95,790 | 18 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $3,070 – $85,482 · median $66,460 | 18 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $3,070 – $67,896 · median $52,237 | 18 plans |
| 495 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY | $3,070 – $121,663 · median $96,927 | 18 plans |
| 496 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION | $3,070 – $61,169 · median $49,184 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $3,070 – $41,391 · median $33,282 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $3,070 – $101,444 · median $75,441 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $3,070 – $68,172 · median $44,032 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH COMORBITY | $3,070 – $106,358 · median $85,520 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $3,070 – $59,316 · median $47,108 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $45,961 · median $36,956 | 18 plans |
| 503 | FOOT PROCEDURES WITH COMORBITY | $3,070 – $93,949 · median $73,650 | 18 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $3,070 – $63,337 · median $48,491 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,070 – $60,800 · median $47,234 | 18 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $3,070 – $46,070 · median $37,044 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $3,070 – $61,252 · median $49,251 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $3,070 – $51,556 · median $39,875 | 18 plans |
| 510 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY | $3,070 – $101,567 · median $77,058 | 18 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $3,070 – $70,317 · median $54,930 | 18 plans |
| 512 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $3,070 – $56,238 · median $44,207 | 18 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $3,070 – $53,545 · median $43,054 | 18 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,070 – $35,215 · median $28,126 | 18 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | $3,070 – $107,092 · median $85,450 | 18 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $3,070 – $70,274 · median $55,588 | 18 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $3,070 – $52,296 · median $41,019 | 18 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $3,070 – $125,368 · median $99,327 | 18 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $3,070 – $67,687 · median $53,584 | 18 plans |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $3,070 – $50,875 · median $39,584 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $3,070 – $96,576 · median $77,654 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $3,070 – $71,589 · median $57,104 | 18 plans |
| 533 | FRACTURES OF FEMUR WITH COMORBITY | $3,070 – $53,326 · median $42,878 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $3,070 – $28,036 · median $22,117 | 18 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $3,070 – $43,839 · median $35,016 | 18 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $3,070 – $28,086 · median $21,807 | 18 plans |
| 537 | SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITH COMPLICATION/COMORBITY | $3,070 – $32,957 · median $26,212 | 18 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,070 – $25,187 · median $19,603 | 18 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $3,070 – $66,674 · median $53,431 | 18 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $3,070 – $44,314 · median $35,215 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $3,070 – $27,415 · median $22,044 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $3,070 – $59,927 · median $48,185 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $3,070 – $35,405 · median $28,468 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY | $3,070 – $26,326 · median $20,867 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $3,070 – $83,675 · median $67,095 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | $3,070 – $39,568 · median $31,816 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,070 – $29,036 · median $22,540 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $3,070 – $65,386 · median $52,452 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $3,070 – $41,355 · median $32,788 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,070 – $30,294 · median $24,359 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $3,070 – $56,925 · median $45,728 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $3,070 – $33,190 · median $26,289 | 18 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $3,070 – $44,314 · median $35,631 | 18 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $3,070 – $28,833 · median $22,585 | 18 plans |
| 555 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY | $3,070 – $45,160 · median $36,312 | 18 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $3,070 – $28,850 · median $22,628 | 18 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $3,070 – $50,642 · median $40,720 | 18 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $3,070 – $30,928 · median $24,181 | 18 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $3,070 – $63,194 · median $50,207 | 18 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $3,070 – $38,662 · median $30,716 | 18 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $3,070 – $27,963 · median $21,662 | 18 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $3,070 – $48,580 · median $39,062 | 18 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $3,070 – $31,005 · median $24,457 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $3,070 – $52,525 · median $42,072 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $3,070 – $33,625 · median $26,926 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,070 – $26,150 · median $20,557 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $3,070 – $98,930 · median $78,961 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $3,070 – $57,370 · median $45,751 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $3,070 – $39,333 · median $31,075 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,070 – $218,812 · median $171,130 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,070 – $116,539 · median $92,492 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,070 – $60,940 · median $49,000 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,070 – $164,016 · median $131,881 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,070 – $89,287 · median $71,433 | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,070 – $54,611 · median $43,550 | 18 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $3,070 – $108,805 · median $87,487 | 18 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $3,070 – $58,648 · median $47,015 | 18 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $3,070 – $49,188 · median $37,737 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $3,070 – $65,243 · median $48,345 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $3,070 – $58,529 · median $43,748 | 18 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $3,070 – $72,352 · median $55,188 | 18 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $3,070 – $65,326 · median $48,618 | 18 plans |
| 592 | SKIN ULCERS WITH COMORBITY | $3,070 – $65,532 · median $52,692 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $3,070 – $40,661 · median $32,581 | 18 plans |
| 594 | SKIN ULCERS WITHOUT COMPLICATION/COMORBITY | $3,070 – $30,052 · median $22,548 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $3,070 – $71,688 · median $57,642 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | $3,070 – $37,214 · median $28,409 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $3,070 – $56,626 · median $44,162 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,070 – $38,835 · median $31,226 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,070 – $26,818 · median $18,956 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY | $3,070 – $35,856 · median $28,137 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,070 – $21,358 · median $16,928 | 18 plans |
| 602 | CELLULITIS WITH COMORBITY | $3,070 – $48,464 · median $38,969 | 18 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $3,070 – $30,188 · median $23,994 | 18 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $3,070 – $50,151 · median $40,325 | 18 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $3,070 – $31,685 · median $24,901 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH COMORBITY | $3,070 – $51,516 · median $41,422 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $3,070 – $31,367 · median $24,562 | 18 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY | $3,070 – $74,049 · median $59,541 | 18 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $3,070 – $47,734 · median $38,381 | 18 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $3,070 – $117,070 · median $94,133 | 18 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $3,070 – $63,374 · median $50,957 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,070 – $48,365 · median $34,772 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $3,070 – $97,147 · median $73,508 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $3,070 – $54,408 · median $43,642 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $3,070 – $51,356 · median $40,995 | 18 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $3,070 – $119,454 · median $96,050 | 18 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $3,070 – $60,837 · median $48,917 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,070 – $42,839 · median $32,029 | 18 plans |
| 625 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY | $3,070 – $101,553 · median $79,930 | 18 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $3,070 – $51,058 · median $40,519 | 18 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $45,376 · median $34,721 | 18 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $3,070 – $125,020 · median $100,525 | 18 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $3,070 – $73,617 · median $59,194 | 18 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $3,070 – $49,733 · median $38,652 | 18 plans |
| 637 | DIABETES WITH COMORBITY | $3,070 – $48,976 · median $39,128 | 18 plans |
| 638 | DIABETES WITH COMPLICATION | $3,070 – $31,028 · median $24,520 | 18 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $3,070 – $21,896 · median $17,129 | 18 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $3,070 – $45,619 · median $35,948 | 18 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $3,070 – $27,110 · median $21,360 | 18 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $3,070 – $48,491 · median $36,853 | 18 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $3,070 – $55,929 · median $44,540 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $3,070 – $35,305 · median $28,388 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,070 – $26,781 · median $20,943 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $3,070 – $157,382 · median $123,446 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $3,070 – $124,322 · median $96,162 | 18 plans |
| 652 | KIDNEY TRANSPLANT | $3,070 – $108,507 · median $83,727 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH COMORBITY | $3,070 – $173,819 · median $139,763 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $3,070 – $94,221 · median $74,549 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $71,552 · median $57,028 | 18 plans |
| 656 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY | $3,070 – $106,989 · median $85,069 | 18 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $3,070 – $62,035 · median $49,683 | 18 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $3,070 – $52,798 · median $41,006 | 18 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $3,070 – $85,641 · median $68,862 | 18 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $3,070 – $45,157 · median $36,215 | 18 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $3,070 – $35,650 · median $28,388 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH COMORBITY | $3,070 – $102,928 · median $81,527 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $3,070 – $51,748 · median $40,306 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,070 – $36,032 · median $28,720 | 18 plans |
| 665 | PROSTATECTOMY WITH COMORBITY | $3,070 – $104,910 · median $83,595 | 18 plans |
| 666 | PROSTATECTOMY WITH COMPLICATION | $3,070 – $59,356 · median $46,861 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY | $3,070 – $38,001 · median $29,286 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $3,070 – $98,229 · median $77,205 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $3,070 – $52,804 · median $41,785 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,070 – $33,721 · median $26,435 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $3,070 – $60,873 · median $47,350 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,070 – $37,115 · median $27,134 | 18 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $3,070 – $140,786 · median $105,765 | 18 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $3,070 – $78,924 · median $63,460 | 18 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $3,070 – $55,773 · median $43,642 | 18 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $3,070 – $50,447 · median $40,418 | 18 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $3,070 – $30,351 · median $24,286 | 18 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $3,070 – $21,202 · median $16,668 | 18 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $3,070 – $61,162 · median $49,179 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,070 – $36,062 · median $28,498 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,070 – $27,512 · median $21,503 | 18 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $3,070 – $39,798 · median $31,748 | 18 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $3,070 – $28,149 · median $22,115 | 18 plans |
| 693 | URINARY STONES WITH COMORBITY | $3,070 – $45,914 · median $36,918 | 18 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $3,070 – $27,226 · median $21,422 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,070 – $39,250 · median $31,560 | 18 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $3,070 – $24,148 · median $18,970 | 18 plans |
| 697 | URETHRAL STRICTURE | $3,070 – $37,058 · median $29,797 | 18 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $3,070 – $56,204 · median $44,777 | 18 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $3,070 – $34,973 · median $27,738 | 18 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,070 – $24,178 · median $19,213 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $3,070 – $67,690 · median $53,489 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $52,213 · median $40,473 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $3,070 – $78,542 · median $59,821 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $47,797 · median $35,604 | 18 plans |
| 711 | TESTES PROCEDURES WITH COMPLICATION/COMORBITY | $3,070 – $70,463 · median $56,657 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,070 – $37,785 · median $30,382 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $3,070 – $51,190 · median $39,978 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY | $3,070 – $36,381 · median $27,372 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $3,070 – $75,560 · median $59,959 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $3,070 – $50,115 · median $39,166 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $3,070 – $64,044 · median $49,998 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,070 – $45,868 · median $34,042 | 18 plans |
| 722 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $3,070 – $61,361 · median $49,339 | 18 plans |
| 723 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $3,070 – $39,213 · median $30,667 | 18 plans |
| 724 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $3,070 – $23,216 · median $18,527 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY | $3,070 – $40,126 · median $32,264 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $3,070 – $25,244 · median $19,937 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $3,070 – $50,510 · median $40,613 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $3,070 – $28,205 · median $22,039 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION/COMORBITY | $3,070 – $36,424 · median $28,040 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,070 – $23,583 · median $17,748 | 18 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $3,070 – $71,997 · median $57,891 | 18 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $3,070 – $45,947 · median $35,282 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $3,070 – $119,962 · median $96,458 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $3,070 – $69,693 · median $54,410 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,070 – $50,032 · median $38,309 | 18 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $3,070 – $120,238 · median $96,680 | 18 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $3,070 – $61,358 · median $48,609 | 18 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,070 – $48,624 · median $36,845 | 18 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $3,070 – $62,195 · median $48,849 | 18 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $3,070 – $42,467 · median $32,570 | 18 plans |
| 744 | D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY | $3,070 – $69,311 · median $52,956 | 18 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,070 – $39,040 · median $29,479 | 18 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $3,070 – $58,951 · median $46,117 | 18 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,070 – $29,816 · median $23,891 | 18 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $3,070 – $47,335 · median $37,877 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY | $3,070 – $86,528 · median $68,508 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $50,274 · median $38,334 | 18 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $3,070 – $62,424 · median $49,947 | 18 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $3,070 – $37,390 · median $29,560 | 18 plans |
| 756 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $3,070 – $33,163 · median $26,614 | 18 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $3,070 – $48,816 · median $39,252 | 18 plans |
| 758 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $3,070 – $33,777 · median $26,886 | 18 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,070 – $23,304 · median $17,996 | 18 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $3,070 – $34,724 · median $27,281 | 18 plans |
| 761 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,070 – $20,213 · median $16,253 | 18 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | $3,070 – $57,380 · median $43,633 | 18 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,070 – $34,564 · median $24,401 | 18 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $3,070 – $23,009 · median $18,501 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $3,070 – $29,205 · median $23,483 | 18 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,070 – $61,112 · median $48,981 | 18 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE | $3,070 – $198,626 · median $159,710 | 18 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,070 – $136,051 · median $109,394 | 18 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,070 – $82,596 · median $66,394 | 18 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,070 – $139,723 · median $112,347 | 18 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,070 – $50,277 · median $40,198 | 18 plans |
| 799 | SPLENECTOMY WITH COMORBITY | $3,070 – $151,654 · median $121,941 | 18 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $3,070 – $94,557 · median $75,825 | 18 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $3,070 – $64,655 · median $49,883 | 18 plans |
| 802 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY | $3,070 – $133,563 · median $98,647 | 18 plans |
| 803 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION | $3,070 – $62,995 · median $50,243 | 18 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $3,070 – $46,296 · median $34,699 | 18 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $3,070 – $74,584 · median $59,343 | 18 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $3,070 – $43,304 · median $33,492 | 18 plans |
| 810 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY | $3,070 – $36,022 · median $27,898 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $3,070 – $47,900 · median $38,070 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $3,070 – $31,758 · median $24,812 | 18 plans |
| 813 | COAGULATION DISORDERS | $3,070 – $51,918 · median $41,745 | 18 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $3,070 – $71,887 · median $57,444 | 18 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $3,070 – $34,940 · median $27,344 | 18 plans |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,070 – $22,255 · median $17,895 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $3,070 – $77,031 · median $61,191 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMPLICATION | $3,070 – $39,761 · median $31,716 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,070 – $29,823 · median $23,980 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $3,070 – $196,013 · median $157,609 | 18 plans |
| 821 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION | $3,070 – $75,603 · median $60,328 | 18 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,070 – $41,249 · median $33,167 | 18 plans |
| 823 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY | $3,070 – $153,510 · median $122,059 | 18 plans |
| 824 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION | $3,070 – $76,500 · median $60,675 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,070 – $46,077 · median $35,778 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $3,070 – $156,598 · median $121,594 | 18 plans |
| 827 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION | $3,070 – $78,014 · median $62,451 | 18 plans |
| 828 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY | $3,070 – $57,845 · median $45,191 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $3,070 – $106,199 · median $85,005 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,070 – $51,244 · median $41,203 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $3,070 – $41,199 · median $29,913 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $3,070 – $25,230 · median $20,029 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $3,070 – $18,632 · median $14,318 | 18 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY | $3,070 – $183,564 · median $147,599 | 18 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION | $3,070 – $70,529 · median $56,711 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $3,070 – $41,763 · median $32,813 | 18 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $3,070 – $160,799 · median $128,441 | 18 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $3,070 – $70,582 · median $54,436 | 18 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,070 – $49,215 · median $37,121 | 18 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $3,070 – $108,686 · median $85,527 | 18 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $3,070 – $55,441 · median $43,331 | 18 plans |
| 842 | LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY | $3,070 – $34,820 · median $27,998 | 18 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY | $3,070 – $67,508 · median $51,968 | 18 plans |
| 844 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION | $3,070 – $41,694 · median $32,212 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,070 – $29,547 · median $23,470 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY | $3,070 – $87,355 · median $67,768 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,070 – $44,709 · median $34,136 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,070 – $29,474 · median $21,932 | 18 plans |
| 849 | RADIOTHERAPY | $3,070 – $91,240 · median $72,771 | 18 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $3,070 – $165,258 · median $132,879 | 18 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $3,070 – $67,617 · median $54,369 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,070 – $50,985 · median $40,995 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $3,070 – $152,311 · median $120,556 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $3,070 – $72,379 · median $57,737 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,070 – $47,521 · median $36,204 | 18 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $3,070 – $61,826 · median $49,573 | 18 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $3,070 – $34,405 · median $27,306 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,070 – $30,746 · median $24,176 | 18 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $3,070 – $51,021 · median $41,025 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $3,070 – $30,145 · median $24,238 | 18 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $3,070 – $70,775 · median $56,514 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,070 – $35,507 · median $28,550 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,070 – $25,499 · median $19,456 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,070 – $230,779 · median $185,563 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $3,070 – $65,771 · median $52,885 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $3,070 – $35,248 · median $27,972 | 18 plans |
| 876 | O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | $3,070 – $129,605 · median $102,057 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $3,070 – $33,153 · median $26,107 | 18 plans |
| 881 | DEPRESSIVE NEUROSES | $3,070 – $32,512 · median $25,178 | 18 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,070 – $36,925 · median $27,301 | 18 plans |
| 883 | DISORDERS OF PERSONALITY & IMPULSE CONTROL | $3,070 – $66,561 · median $51,826 | 18 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $3,070 – $54,694 · median $43,978 | 18 plans |
| 885 | PSYCHOSES | $3,070 – $47,651 · median $37,443 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $3,070 – $70,181 · median $50,404 | 18 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $3,070 – $37,157 · median $29,613 | 18 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $3,070 – $21,754 · median $16,387 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $3,070 – $48,275 · median $38,817 | 18 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $3,070 – $59,216 · median $47,614 | 18 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $3,070 – $30,583 · median $23,725 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $3,070 – $140,620 · median $113,068 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $3,070 – $64,841 · median $51,315 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $3,070 – $40,106 · median $32,248 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $3,070 – $123,237 · median $92,856 | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $3,070 – $50,526 · median $40,627 | 18 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $3,070 – $66,495 · median $51,890 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $3,070 – $128,755 · median $101,567 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $3,070 – $67,521 · median $54,031 | 18 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $3,070 – $44,858 · median $36,069 | 18 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $3,070 – $55,547 · median $42,238 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $3,070 – $30,673 · median $24,506 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $3,070 – $57,108 · median $45,919 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $3,070 – $23,394 · median $18,210 | 18 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $3,070 – $53,349 · median $42,868 | 18 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $3,070 – $29,730 · median $23,481 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $3,070 – $62,062 · median $49,413 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $3,070 – $34,551 · median $27,767 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $3,070 – $24,128 · median $19,044 | 18 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $3,070 – $59,359 · median $47,256 | 18 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,070 – $35,062 · median $27,637 | 18 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $3,070 – $755,941 · median $571,072 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $3,070 – $239,443 · median $188,919 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $3,070 – $108,218 · median $86,646 | 18 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $3,070 – $130,578 · median $92,391 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,070 – $74,673 · median $57,978 | 18 plans |
| 935 | NON-EXTENSIVE BURNS | $3,070 – $69,673 · median $55,367 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $3,070 – $121,756 · median $91,715 | 18 plans |
| 940 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION | $3,070 – $78,867 · median $60,611 | 18 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $3,070 – $68,600 · median $52,311 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $3,070 – $52,691 · median $41,383 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $3,070 – $39,349 · median $29,262 | 18 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $3,070 – $43,420 · median $34,212 | 18 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $3,070 – $27,850 · median $21,918 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,070 – $40,774 · median $30,131 | 18 plans |
| 950 | AFTERCARE WITHOUT COMPLICATION/COMORBITY | $3,070 – $22,112 · median $17,291 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,070 – $19,731 · median $15,852 | 18 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $3,070 – $224,779 · median $171,531 | 18 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $3,070 – $126,222 · median $101,491 | 18 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $3,070 – $254,292 · median $198,967 | 18 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $3,070 – $141,194 · median $110,891 | 18 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,070 – $99,030 · median $73,409 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $3,070 – $92,047 · median $73,688 | 18 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $3,070 – $52,160 · median $41,062 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY | $3,070 – $32,499 · median $25,881 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $3,070 – $204,530 · median $164,457 | 18 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $3,070 – $88,846 · median $67,759 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $3,070 – $97,100 · median $78,076 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION | $3,070 – $44,270 · median $35,597 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,070 – $31,244 · median $23,825 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,070 – $44,360 · median $35,669 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $3,070 – $157,063 · median $126,290 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $3,070 – $82,905 · median $66,662 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $3,070 – $58,184 · median $45,243 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $3,070 – $115,111 · median $91,540 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $3,070 – $55,846 · median $44,904 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,070 – $41,089 · median $30,883 | 18 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $3,070 – $155,243 · median $116,306 | 17 plans |
| 007 | LUNG TRANSPLANT | — | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 17 plans |
| 010 | PANCREAS TRANSPLANT | $3,070 – $239,542 · median $179,462 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $3,070 – $181,652 · median $136,091 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $3,070 – $238,178 · median $178,439 | 17 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | — | 17 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | — | 17 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | — | 17 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $3,070 – $81,700 · median $61,208 | 17 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $3,070 – $115,450 · median $86,493 | 17 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,070 – $81,437 · median $61,012 | 17 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $3,070 – $134,772 · median $100,969 | 17 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $3,070 – $367,235 · median $275,127 | 17 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $3,070 – $240,967 · median $180,529 | 17 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | — | 17 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | — | 17 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | — | 17 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 17 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 17 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 17 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,070 – $108,536 · median $81,314 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $12,004 – $36,852 · median $31,655 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH COMORBITY | $24,150 – $82,792 · median $50,813 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $11,880 – $36,470 · median $29,370 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $10,773 – $33,073 · median $24,845 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $18,255 – $56,042 · median $48,137 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $12,493 – $38,353 · median $30,145 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $10,784 – $33,107 · median $24,521 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY | $13,036 – $40,678 · median $34,375 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION | $11,234 – $34,488 · median $28,561 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $10,766 – $33,050 · median $24,150 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $12,086 – $37,105 · median $28,914 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $8,569 – $26,306 · median $22,707 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $7,706 – $24,150 · median $20,420 | 17 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | — | 17 plans |
| 795 | NORMAL NEWBORN | $2,574 – $7,904 · median $6,355 | 16 plans |
| 043 | MULTIPLE SCLEROSIS; OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES | $3,070 – $3,070 · median $3,070 | 2 plans |
| 044 | INTRACRANIAL HEMORRHAGE | $3,070 – $3,070 · median $3,070 | 2 plans |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION | $3,070 – $3,070 · median $3,070 | 2 plans |
| 047 | TRANSIENT ISCHEMIA | $3,070 – $3,070 · median $3,070 | 2 plans |
| 048 | PERIPHERAL; CRANIAL AND AUTONOMIC NERVE DISORDERS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 133 | OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITH COMPLICATION/COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 134 | OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 169 | MAJOR ABDOMINAL VASCULAR PROCEDURES | $3,070 – $3,070 · median $3,070 | 2 plans |
| 171 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI; HEART FAILURE OR SHOCK | $3,070 – $3,070 · median $3,070 | 2 plans |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI | $3,070 – $3,070 · median $3,070 | 2 plans |
| 223 | CARDIAC DEFIB IMPLANT WITH CARDIAC CATH WITH AMI/HF/SHOCK WITHOUT COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 230 | MAJOR SMALL BOWEL PROCEDURES | $3,070 – $3,070 · median $3,070 | 2 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH COMORBITY OR 4+ ARTERIES OR STENTS | — | 2 plans |
| 247 | PERCUTANEOUS CARDIOVASC PROC WITH DRUG-ELUTING STENT WITHOUT COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH COMORBITY OR 4+ ARTERIES OR STENTS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 249 | PERCUTANEOUS CARDIOVASC PROC WITH NON-DRUG-ELUTING STENT WITHOUT COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAG WITHOUT COMPLICATION/COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITH COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITH COMPLICATION | $3,070 – $3,070 · median $3,070 | 2 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITHOUT COMPLICATION/COMORBITY | $3,070 – $3,070 · median $3,070 | 2 plans |
| 364 | OTHER SKIN; SUBCUTANEOUS TISSUE AND RELATED PROCEDURES | $3,070 – $3,070 · median $3,070 | 2 plans |
| 531 | FEMALE REPRODUCTIVE SYSTEM INFECTIONS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 634 | NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION | $3,070 – $3,070 · median $3,070 | 2 plans |
| 636 | NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION | $3,070 – $3,070 · median $3,070 | 2 plans |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 721 | POST-OPERATIVE; POST-TRAUMATIC; OTHER DEVICE INFECTIONS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 751 | MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES | $3,070 – $3,070 · median $3,070 | 2 plans |
| 753 | BIPOLAR DISORDERS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 773 | OPIOID ABUSE AND DEPENDENCE | $3,070 – $3,070 · median $3,070 | 2 plans |
| 775 | ALCOHOL ABUSE AND DEPENDENCE | $3,070 – $3,070 · median $3,070 | 2 plans |
| 861 | SIGNS; SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 890 | HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 892 | HIV WITH MAJOR HIV RELATED CONDITION | $3,070 – $3,070 · median $3,070 | 2 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $3,070 – $3,070 · median $3,070 | 2 plans |
| 999 | UNGROUPABLE | $3,070 – $3,070 · median $3,070 | 2 plans |
No procedures match that keyword.