San Gabriel Valley Medical Center — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 766
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 766 procedures

Procedures with negotiated rates only

These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC — 67 plans
231 CORONARY BYPASS WITH PTCA WITH MCC — 67 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC — 67 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC — 67 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 67 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $416 – $34,218 · median $11,495 67 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $416 – $76,445 · median $25,638 67 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC — 67 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC — 67 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC — 67 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC — 67 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC — 67 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $416 – $37,130 · median $12,470 67 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $416 – $32,045 · median $10,767 67 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC — 67 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $416 – $34,450 · median $11,573 67 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC — 67 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 66 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC — 66 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 66 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 66 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 66 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 66 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 66 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC — 66 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 64 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $416 – $162,555 · median $54,479 64 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT — 63 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 63 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 62 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 62 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC — 62 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC — 62 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC — 62 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 62 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 62 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC — 62 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC — 62 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 62 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC — 62 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC — 62 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $416 – $22,088 · median $7,433 62 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 61 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC — 61 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC — 61 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC — 61 plans
471 CERVICAL SPINAL FUSION WITH MCC — 61 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 61 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 61 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 61 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 61 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES — 60 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 59 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 59 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 58 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 58 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — 58 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — 58 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 58 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC — 58 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC — 58 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — 58 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 58 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 58 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 58 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC — 58 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC — 58 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 57 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 57 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 56 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 56 plans
245 AICD GENERATOR PROCEDURES — 56 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC — 56 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC — 56 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC — 56 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC — 56 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $416 – $653,176 · median $218,802 56 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $416 – $649,352 · median $217,521 55 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 55 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC — 55 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC — 55 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 55 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC — 55 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 55 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 55 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 55 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 55 plans
276 NON-MALIGANT BREAST DISORDERS — 55 plans
277 CELLULITIS AGE >17 W CC — 55 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC — 55 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 55 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 — 55 plans
332 RECTAL RESECTION WITH MCC — 55 plans
336 PERITONEAL ADHESIOLYSIS WITH CC — 55 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 55 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC — 55 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 55 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 55 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — 55 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 55 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC — 55 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC — 55 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 55 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — 55 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC — 55 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 55 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 55 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 55 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 55 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC — 55 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 55 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 55 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC — 55 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC — 55 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC — 55 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC — 55 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC — 55 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 55 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $416 – $20,339 · median $1,808 55 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $416 – $44,717 · median $26,690 55 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $416 – $54,774 · median $9,599 55 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $416 – $28,455 · median $2,000 55 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 55 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC — 55 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC — 55 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC — 55 plans
947 SIGNS AND SYMPTOMS WITH MCC — 55 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC — 55 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 54 plans
548 SEPTIC ARTHRITIS WITH MCC — 54 plans
549 SEPTIC ARTHRITIS WITH CC — 54 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC — 54 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 54 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $416 – $424,286 · median $142,140 53 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 53 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 53 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 53 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 53 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC — 53 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC — 53 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC — 53 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC — 53 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC — 53 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC — 53 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC — 53 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 53 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC — 53 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC — 53 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 53 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS — 53 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC — 53 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC — 53 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC — 53 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC — 53 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC — 53 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC — 53 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC — 53 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC — 53 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC — 53 plans
075 VIRAL MENINGITIS WITH CC/MCC — 53 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC — 53 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC — 53 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC — 53 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC — 53 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 53 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC — 53 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC — 53 plans
088 CONCUSSION WITH MCC — 53 plans
089 CONCUSSION WITH CC — 53 plans
090 CONCUSSION WITHOUT CC/MCC — 53 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC — 53 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC — 53 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC — 53 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC — 53 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 53 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 53 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC — 53 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC — 53 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC — 53 plans
100 SEIZURES WITH MCC — 53 plans
101 SEIZURES WITHOUT MCC — 53 plans
102 HEADACHES WITH MCC — 53 plans
103 HEADACHES WITHOUT MCC — 53 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 53 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC — 53 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT — 53 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC — 53 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC — 53 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC — 53 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC — 53 plans
123 NEUROLOGICAL EYE DISORDERS — 53 plans
124 OTHER DISORDERS OF THE EYE WITH MCC — 53 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC — 53 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 53 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC — 53 plans
137 MOUTH PROCEDURES WITH CC/MCC — 53 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC — 53 plans
139 SALIVARY GLAND PROCEDURES — 53 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $416 – $131,697 · median $44,144 53 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC — 53 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC — 53 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — 53 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — 53 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 53 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC — 53 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC — 53 plans
149 DYSEQUILIBRIUM — 53 plans
150 EPISTAXIS WITH MCC — 53 plans
151 EPISTAXIS WITHOUT MCC — 53 plans
152 OTITIS MEDIA AND URI WITH MCC — 53 plans
153 OTITIS MEDIA AND URI WITHOUT MCC — 53 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC — 53 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC — 53 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC — 53 plans
157 DENTAL AND ORAL DISEASES WITH MCC — 53 plans
158 DENTAL AND ORAL DISEASES WITH CC — 53 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC — 53 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 53 plans
164 MAJOR CHEST PROCEDURES WITH CC — 53 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 53 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 53 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 53 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE — 53 plans
176 PULMONARY EMBOLISM WITHOUT MCC — 53 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC — 53 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC — 53 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC — 53 plans
180 RESPIRATORY NEOPLASMS WITH MCC — 53 plans
181 RESPIRATORY NEOPLASMS WITH CC — 53 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC — 53 plans
183 MAJOR CHEST TRAUMA WITH MCC — 53 plans
184 MAJOR CHEST TRAUMA WITH CC — 53 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC — 53 plans
186 PLEURAL EFFUSION WITH MCC — 53 plans
187 PLEURAL EFFUSION WITH CC — 53 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC — 53 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE — 53 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC — 53 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC — 53 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC — 53 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC — 53 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC — 53 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC — 53 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC — 53 plans
197 INTERSTITIAL LUNG DISEASE WITH CC — 53 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC — 53 plans
199 PNEUMOTHORAX WITH MCC — 53 plans
200 PNEUMOTHORAX WITH CC — 53 plans
201 PNEUMOTHORAX WITHOUT CC/MCC — 53 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC — 53 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC — 53 plans
204 RESPIRATORY SIGNS AND SYMPTOMS — 53 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC — 53 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC — 53 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $416 – $197,912 · median $66,321 53 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS — 53 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $416 – $333,412 · median $111,704 53 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 53 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 53 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC — 53 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 53 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 53 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC — 53 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC — 53 plans
263 VEIN LIGATION AND STRIPPING — 53 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 53 plans
265 AICD LEAD PROCEDURES — 53 plans
278 CELLULITIS AGE >17 W/O CC — 53 plans
279 CELLULITIS AGE 0-17 — 53 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC — 53 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC — 53 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC — 53 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC — 53 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 53 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC — 53 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC — 53 plans
291 HEART FAILURE AND SHOCK WITH MCC — 53 plans
292 HEART FAILURE AND SHOCK WITH CC — 53 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC — 53 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC — 53 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC — 53 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $416 – $15,401 · median $5,193 53 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC — 53 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC — 53 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC — 53 plans
302 ATHEROSCLEROSIS WITH MCC — 53 plans
303 ATHEROSCLEROSIS WITHOUT MCC — 53 plans
304 HYPERTENSION WITH MCC — 53 plans
305 HYPERTENSION WITHOUT MCC — 53 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC — 53 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC — 53 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC — 53 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC — 53 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC — 53 plans
311 ANGINA PECTORIS — 53 plans
312 SYNCOPE AND COLLAPSE — 53 plans
313 CHEST PAIN — 53 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC — 53 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC — 53 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC — 53 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 53 plans
324 URINARY STONES W/O CC — 53 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 53 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — 53 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 53 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 53 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — 53 plans
333 RECTAL RESECTION WITH CC — 53 plans
334 RECTAL RESECTION WITHOUT CC/MCC — 53 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 53 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC — 53 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 53 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 53 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — 53 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC — 53 plans
348 ANAL AND STOMAL PROCEDURES WITH CC — 53 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC — 53 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 53 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC — 53 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC — 53 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC — 53 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — 53 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC — 53 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC — 53 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC — 53 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC — 53 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC — 53 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC — 53 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 53 plans
375 DIGESTIVE MALIGNANCY WITH CC — 53 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC — 53 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC — 53 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC — 53 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC — 53 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 53 plans
381 COMPLICATED PEPTIC ULCER WITH CC — 53 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC — 53 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC — 53 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC — 53 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC — 53 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC — 53 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC — 53 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC — 53 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC — 53 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC — 53 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC — 53 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC — 53 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC — 53 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC — 53 plans
397 COAGULATION DISORDERS — 53 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC — 53 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC — 53 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 53 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 53 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 53 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 53 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — 53 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 53 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 53 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC — 53 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC — 53 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC — 53 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC — 53 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — 53 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 53 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC — 53 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC — 53 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC — 53 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC — 53 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC — 53 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC — 53 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC — 53 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC — 53 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC — 53 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC — 53 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC — 53 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC — 53 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC — 53 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC — 53 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 53 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 53 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 53 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 53 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 53 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC — 53 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 53 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 53 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 53 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 53 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 53 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 53 plans
472 CERVICAL SPINAL FUSION WITH CC — 53 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 53 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 53 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC — 53 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 53 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 53 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 53 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 53 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — 53 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — 53 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES — 53 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 53 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC — 53 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 53 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC — 53 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 53 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 53 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 53 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — 53 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 53 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — 53 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — 53 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 53 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC — 53 plans
501 SOFT TISSUE PROCEDURES WITH CC — 53 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC — 53 plans
503 FOOT PROCEDURES WITH MCC — 53 plans
504 FOOT PROCEDURES WITH CC — 53 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 53 plans
506 MAJOR THUMB OR JOINT PROCEDURES — 53 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 53 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC — 53 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 53 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 53 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC — 53 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC — 53 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC — 53 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 53 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 53 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 53 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 53 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC — 53 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 53 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 53 plans
533 FRACTURES OF FEMUR WITH MCC — 53 plans
534 FRACTURES OF FEMUR WITHOUT MCC — 53 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC — 53 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC — 53 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC — 53 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC — 53 plans
539 OSTEOMYELITIS WITH MCC — 53 plans
540 OSTEOMYELITIS WITH CC — 53 plans
541 OSTEOMYELITIS WITHOUT CC/MCC — 53 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC — 53 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC — 53 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC — 53 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 53 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC — 53 plans
551 MEDICAL BACK PROBLEMS WITH MCC — 53 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC — 53 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC — 53 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC — 53 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 53 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC — 53 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC — 53 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 53 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 53 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 53 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC — 53 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC — 53 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC — 53 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC — 53 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC — 53 plans
570 SKIN DEBRIDEMENT WITH MCC — 53 plans
571 SKIN DEBRIDEMENT WITH CC — 53 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC — 53 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 53 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 53 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 53 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC — 53 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 53 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 53 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — 53 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — 53 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC — 53 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 53 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 53 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 53 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 53 plans
592 SKIN ULCERS WITH MCC — 53 plans
593 SKIN ULCERS WITH CC — 53 plans
594 SKIN ULCERS WITHOUT CC/MCC — 53 plans
595 MAJOR SKIN DISORDERS WITH MCC — 53 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC — 53 plans
597 MALIGNANT BREAST DISORDERS WITH MCC — 53 plans
598 MALIGNANT BREAST DISORDERS WITH CC — 53 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC — 53 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC — 53 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC — 53 plans
602 CELLULITIS WITH MCC — 53 plans
603 CELLULITIS WITHOUT MCC — 53 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC — 53 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC — 53 plans
606 MINOR SKIN DISORDERS WITH MCC — 53 plans
607 MINOR SKIN DISORDERS WITHOUT MCC — 53 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 53 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 53 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 53 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC — 53 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 53 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 53 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC — 53 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 53 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC — 53 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC — 53 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 53 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
637 DIABETES WITH MCC — 53 plans
638 DIABETES WITH CC — 53 plans
639 DIABETES WITHOUT CC/MCC — 53 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC — 53 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC — 53 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM — 53 plans
643 ENDOCRINE DISORDERS WITH MCC — 53 plans
644 ENDOCRINE DISORDERS WITH CC — 53 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC — 53 plans
652 KIDNEY TRANSPLANT — 53 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 53 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 53 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 53 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC — 53 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC — 53 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 53 plans
663 MINOR BLADDER PROCEDURES WITH CC — 53 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC — 53 plans
665 PROSTATECTOMY WITH MCC — 53 plans
666 PROSTATECTOMY WITH CC — 53 plans
667 PROSTATECTOMY WITHOUT CC/MCC — 53 plans
669 TRANSURETHRAL PROCEDURES WITH CC — 53 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC — 53 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 53 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC — 53 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 53 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 53 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — 53 plans
682 RENAL FAILURE WITH MCC — 53 plans
683 RENAL FAILURE WITH CC — 53 plans
684 RENAL FAILURE WITHOUT CC/MCC — 53 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC — 53 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC — 53 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC — 53 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC — 53 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC — 53 plans
693 URINARY STONES WITH MCC — 53 plans
694 URINARY STONES WITHOUT MCC — 53 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC — 53 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC — 53 plans
697 URETHRAL STRICTURE — 53 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC — 53 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC — 53 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC — 53 plans
709 PENIS PROCEDURES WITH CC/MCC — 53 plans
710 PENIS PROCEDURES WITHOUT CC/MCC — 53 plans
711 TESTES PROCEDURES WITH CC/MCC — 53 plans
712 TESTES PROCEDURES WITHOUT CC/MCC — 53 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC — 53 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC — 53 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 53 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — 53 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC — 53 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC — 53 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 53 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC — 53 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC — 53 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC — 53 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC — 53 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC — 53 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC — 53 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 53 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 53 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 53 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC — 53 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 53 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC — 53 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC — 53 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 53 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC — 53 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC — 53 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC — 53 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC — 53 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES — 53 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 53 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 53 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC — 53 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 53 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 53 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC — 53 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 53 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC — 53 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC — 53 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY — 53 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES — 53 plans
779 ABORTION WITHOUT D&C — 53 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $416 – $56,517 · median $18,964 53 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $416 – $182,919 · median $61,300 53 plans
791 PREMATURITY WITH MAJOR PROBLEMS $416 – $125,400 · median $42,035 53 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $416 – $76,265 · median $25,578 53 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $416 – $128,776 · median $43,165 53 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $416 – $46,558 · median $15,628 53 plans
795 NORMAL NEWBORN $416 – $7,608 · median $2,583 53 plans
799 SPLENECTOMY WITH MCC — 53 plans
800 SPLENECTOMY WITH CC — 53 plans
801 SPLENECTOMY WITHOUT CC/MCC — 53 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 53 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 53 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC — 53 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 53 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC — 53 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC — 53 plans
811 RED BLOOD CELL DISORDERS WITH MCC — 53 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC — 53 plans
813 COAGULATION DISORDERS — 53 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 53 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC — 53 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC — 53 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC — 53 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 53 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 53 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 53 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 53 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC — 53 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 53 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 53 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 53 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC — 53 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC — 53 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $416 – $17,470 · median $5,886 53 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $416 – $169,074 · median $56,662 53 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 53 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC — 53 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 53 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC — 53 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC — 53 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC — 53 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC — 53 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 53 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC — 53 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC — 53 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC — 53 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC — 53 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC — 53 plans
849 RADIOTHERAPY — 53 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC — 53 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 53 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 53 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC — 53 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC — 53 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC — 53 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC — 53 plans
864 FEVER AND INFLAMMATORY CONDITIONS — 53 plans
865 VIRAL ILLNESS WITH MCC — 53 plans
866 VIRAL ILLNESS WITHOUT MCC — 53 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 53 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC — 53 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC — 53 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $416 – $212,474 · median $71,198 53 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC — 53 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC — 53 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $416 – $119,476 53 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $416 – $30,818 · median $2,153 53 plans
881 DEPRESSIVE NEUROSES $416 – $30,228 · median $1,945 53 plans
882 NEUROSES EXCEPT DEPRESSIVE $416 – $34,285 · median $1,909 53 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $416 – $61,526 · median $2,233 53 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $416 – $50,617 · median $1,982 53 plans
885 PSYCHOSES $416 – $44,144 · median $1,945 53 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $416 – $64,853 · median $1,963 53 plans
887 OTHER MENTAL DISORDER DIAGNOSES $416 – $34,196 · median $1,927 53 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 53 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 53 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC — 53 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC — 53 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC — 53 plans
906 HAND PROCEDURES FOR INJURIES — 53 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC — 53 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — 53 plans
913 TRAUMATIC INJURY WITH MCC — 53 plans
914 TRAUMATIC INJURY WITHOUT MCC — 53 plans
915 ALLERGIC REACTIONS WITH MCC — 53 plans
916 ALLERGIC REACTIONS WITHOUT MCC — 53 plans
919 COMPLICATIONS OF TREATMENT WITH MCC — 53 plans
920 COMPLICATIONS OF TREATMENT WITH CC — 53 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC — 53 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC — 53 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 53 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 53 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 53 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY — 53 plans
935 NON-EXTENSIVE BURNS — 53 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 53 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 53 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 53 plans
949 AFTERCARE WITH CC/MCC — 53 plans
950 AFTERCARE WITHOUT CC/MCC — 53 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $416 – $18,480 · median $6,224 53 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 53 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 53 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 53 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 53 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 53 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 53 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC — 53 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 53 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 53 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 53 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 53 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC — 53 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC — 53 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION — 53 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 53 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 53 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 52 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 52 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 52 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 52 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 52 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 52 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 52 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 52 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 52 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 52 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 52 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 52 plans
028 SPINAL PROCEDURES WITH MCC — 52 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 52 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC — 52 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 52 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 52 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 52 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 52 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 52 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 52 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 52 plans
038 EXTRACRANIAL PROCEDURES WITH CC — 52 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC — 52 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — 52 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 52 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC — 52 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC — 52 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC — 52 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC — 52 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC — 52 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $416 – $271,980 · median $91,129 52 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC — 52 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC — 52 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC — 52 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 52 plans
509 ARTHROSCOPY — 52 plans
945 REHABILITATION WITH CC/MCC $416 – $48,777 · median $16,371 52 plans
946 REHABILITATION WITHOUT CC/MCC $416 – $36,513 · median $12,264 52 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 51 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 50 plans
006 LIVER TRANSPLANT WITHOUT MCC — 50 plans
007 LUNG TRANSPLANT — 50 plans
010 PANCREAS TRANSPLANT — 50 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $416 – $4,767 · median $3,500 15 plans
999 UNGROUPABLE $416 – $8,730 · median $3,500 10 plans
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