HCA Florida Northwest Hospital — Pricing

800 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 800 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 800
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 800 procedures

Procedures with negotiated rates only

These 800 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
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL — 19 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 19 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY — 19 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 19 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,175 – $40,595 · median $20,973 19 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $1,175 – $40,171 · median $15,602 19 plans
471 CERVICAL SPINAL FUSION WITH MCC — 18 plans
472 CERVICAL SPINAL FUSION WITH CC — 18 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 18 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $5,500 – $18,979 · median $14,444 18 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,500 – $18,979 · median $14,444 18 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,500 – $18,979 · median $13,289 18 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,980 – $18,979 · median $14,444 18 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,980 – $18,979 · median $14,444 18 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,980 – $18,979 · median $13,289 18 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,800 – $15,982 · median $11,222 18 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,800 – $15,982 · median $11,222 18 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,800 – $15,982 · median $10,849 18 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,175 – $44,978 · median $17,118 18 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,175 – $44,978 · median $17,118 18 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,175 – $33,600 · median $10,400 17 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,175 – $33,600 · median $10,400 17 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,175 – $33,600 · median $10,400 17 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 17 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,175 – $23,134 · median $11,864 17 plans
313 CHEST PAIN $1,175 – $27,203 · median $10,299 17 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 17 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,175 – $29,773 · median $10,400 17 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL — 17 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,175 – $22,489 · median $14,406 17 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT — 17 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT — 17 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC — 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $11,098 – $55,865 · median $37,351 17 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,098 – $55,865 · median $41,767 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $11,098 – $51,534 · median $38,977 17 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $11,098 – $50,248 · median $36,758 17 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,175 – $66,991 · median $20,573 17 plans
603 CELLULITIS WITHOUT MCC $1,175 – $29,773 · median $10,400 17 plans
683 RENAL FAILURE WITH CC $1,175 – $29,773 · median $10,400 17 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,175 – $33,600 · median $10,400 17 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,175 – $29,773 · median $10,400 17 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 17 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,175 – $40,171 · median $15,753 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,175 – $44,978 · median $16,949 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX — 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 16 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,400 – $15,982 · median $8,924 16 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $1,175 – $216,068 · median $81,059 15 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA — 15 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA — 15 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $1,175 – $131,079 · median $70,430 15 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER — 15 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER — 15 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 15 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,175 – $105,437 · median $76,162 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC — 15 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 15 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 15 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC — 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $1,175 – $59,589 · median $33,522 15 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $11,098 – $87,302 · median $50,710 15 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 15 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,350 – $15,982 · median $8,454 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,350 – $15,982 · median $8,454 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,350 – $15,982 · median $8,454 15 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 14 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 14 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,098 – $66,991 · median $44,264 14 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 14 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 14 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 14 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 14 plans
038 EXTRACRANIAL PROCEDURES WITH CC — 14 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,175 – $66,991 · median $32,392 14 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 14 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE — 14 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 14 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 14 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,175 – $66,991 · median $20,878 14 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,175 – $66,991 · median $20,878 14 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,175 – $66,991 · median $21,254 14 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,175 – $66,991 · median $21,254 14 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,175 – $66,991 · median $18,262 14 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 14 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 14 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 14 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 14 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,175 – $186,902 · median $78,611 14 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,175 – $141,966 · median $66,809 14 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,175 – $88,249 · median $61,877 14 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,175 – $107,025 · median $63,928 14 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — 14 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 14 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR — 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC — 14 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,175 – $34,088 · median $17,471 14 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,175 – $34,088 · median $17,471 14 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,175 – $34,088 · median $15,371 14 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 14 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,175 – $32,223 · median $14,812 14 plans
292 HEART FAILURE AND SHOCK WITH CC $1,175 – $32,223 · median $11,159 14 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,175 – $32,223 · median $11,159 14 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,175 – $41,198 · median $23,587 14 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,175 – $41,198 · median $23,587 14 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,175 – $41,198 · median $23,587 14 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,175 – $12,990 · median $9,408 14 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION — 14 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 14 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 14 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A — 14 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 14 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,175 – $41,312 · median $13,864 14 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 14 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,175 – $22,489 · median $14,150 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT — 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC — 14 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,175 – $23,213 · median $9,878 14 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,175 – $16,942 · median $9,878 14 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,175 – $14,923 · median $9,878 14 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $11,098 – $55,865 · median $34,380 14 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $11,098 – $50,248 · median $29,002 14 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $11,098 – $50,248 · median $29,002 14 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST — 14 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 14 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,175 – $38,006 · median $15,010 14 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,175 – $332,036 · median $92,172 13 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,175 – $129,391 · median $81,877 13 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 13 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,900 – $69,881 · median $33,839 13 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,900 – $69,881 · median $33,839 13 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX — 13 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX — 13 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,098 – $50,248 · median $29,738 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $6,700 – $52,878 · median $29,604 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $6,700 – $52,878 · median $29,604 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $6,700 – $52,878 · median $29,604 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ — 12 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI — 12 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI — 12 plans
028 SPINAL PROCEDURES WITH MCC $11,098 – $66,991 · median $35,815 12 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $11,098 – $66,991 · median $35,815 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,098 – $66,991 · median $32,283 12 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $11,098 – $87,302 · median $43,889 12 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $1,175 – $222,680 11 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $1,175 – $133,650 11 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 11 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 11 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 11 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 11 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 11 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 11 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,175 – $15,817 · median $9,359 11 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,175 – $15,817 · median $9,359 11 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,175 – $12,580 · median $9,359 11 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,175 – $11,098 · median $9,359 11 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,175 – $11,112 · median $9,359 11 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,175 – $11,112 · median $9,359 11 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,175 – $11,098 · median $9,359 11 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,175 – $11,098 · median $9,359 11 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A — 11 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A — 11 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $1,175 – $24,970 · median $9,359 11 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,175 – $11,098 · median $9,359 11 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,175 – $11,098 · median $9,359 11 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,175 – $11,098 · median $7,558 11 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,175 – $11,098 · median $8,407 11 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,175 – $14,603 · median $9,359 11 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,175 – $14,603 · median $9,359 11 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $1,175 – $11,098 · median $7,873 11 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,175 – $11,098 · median $7,873 11 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,175 – $11,098 · median $7,873 11 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 11 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,175 – $12,488 · median $9,359 11 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC — 11 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,175 – $17,383 · median $9,359 11 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,175 – $17,383 · median $9,359 11 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 11 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,175 – $11,098 · median $9,359 11 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
088 CONCUSSION WITH MCC $1,175 – $11,098 · median $7,491 11 plans
089 CONCUSSION WITH CC $1,175 – $11,098 · median $7,491 11 plans
090 CONCUSSION WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,175 – $11,098 · median $9,359 11 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,175 – $11,098 · median $9,359 11 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,175 – $11,098 · median $8,203 11 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC — 11 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 11 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 11 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,175 – $15,652 · median $9,359 11 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC — 11 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,175 – $15,652 · median $9,359 11 plans
100 SEIZURES WITH MCC $1,175 – $11,098 · median $8,491 11 plans
101 SEIZURES WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
102 HEADACHES WITH MCC $1,175 – $11,098 · median $7,491 11 plans
103 HEADACHES WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 11 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,175 – $16,184 · median $11,098 11 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $1,175 – $16,184 · median $11,098 11 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,175 – $11,098 · median $7,491 11 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
123 NEUROLOGICAL EYE DISORDERS $1,175 – $11,098 · median $7,491 11 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $1,175 – $11,098 · median $7,491 11 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 11 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,175 – $16,184 · median $11,098 11 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
139 SALIVARY GLAND PROCEDURES $1,175 – $16,184 · median $11,098 11 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,175 – $31,935 · median $11,768 11 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC — 11 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $1,175 – $31,935 · median $11,768 11 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 11 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,175 – $11,098 · median $9,359 11 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
149 DYSEQUILIBRIUM $1,175 – $11,098 · median $7,491 11 plans
150 EPISTAXIS WITH MCC $1,175 – $11,098 · median $7,491 11 plans
151 EPISTAXIS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
152 OTITIS MEDIA AND URI WITH MCC $1,175 – $11,098 · median $9,359 11 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,175 – $11,098 · median $7,491 11 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,175 – $11,098 · median $7,491 11 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,175 – $11,098 · median $7,941 11 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,175 – $11,098 · median $7,941 11 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 11 plans
164 MAJOR CHEST PROCEDURES WITH CC — 11 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 11 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 11 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 11 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $18,593 · median $11,768 11 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY — 11 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,175 – $16,442 · median $9,359 11 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,175 – $16,442 · median $9,359 11 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,175 – $21,493 · median $9,359 11 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,175 – $21,493 · median $9,359 11 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,175 – $15,985 · median $9,359 11 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,175 – $12,509 · median $9,359 11 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,175 – $12,509 · median $9,359 11 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,175 – $12,509 · median $9,359 11 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,175 – $11,098 · median $9,330 11 plans
184 MAJOR CHEST TRAUMA WITH CC $1,175 – $11,098 · median $9,330 11 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
186 PLEURAL EFFUSION WITH MCC $1,175 – $12,440 · median $9,359 11 plans
187 PLEURAL EFFUSION WITH CC $1,175 – $12,440 · median $9,359 11 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,175 – $20,084 · median $9,359 11 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,175 – $11,964 · median $9,359 11 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,175 – $11,964 · median $9,359 11 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,175 – $11,964 · median $9,359 11 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,175 – $12,350 · median $9,359 11 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,175 – $12,350 · median $9,359 11 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
199 PNEUMOTHORAX WITH MCC $1,175 – $14,493 · median $9,359 11 plans
200 PNEUMOTHORAX WITH CC $1,175 – $14,493 · median $9,359 11 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,175 – $11,098 · median $9,359 11 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,175 – $11,098 · median $8,001 11 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,175 – $11,098 · median $8,969 11 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,175 – $11,098 · median $9,359 11 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,175 – $11,098 · median $7,601 11 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,175 – $35,285 · median $9,359 11 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,175 – $35,285 · median $9,359 11 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 11 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 11 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $1,175 – $28,161 · median $11,768 11 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 11 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $1,175 – $21,020 · median $11,768 11 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,175 – $21,020 · median $11,768 11 plans
263 VEIN LIGATION AND STRIPPING — 11 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 11 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC — 11 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,175 – $17,853 · median $9,457 11 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,175 – $17,853 · median $9,457 11 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 11 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,175 – $33,151 · median $9,457 11 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,175 – $33,151 · median $9,457 11 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,175 – $11,098 · median $9,359 11 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,175 – $19,110 · median $9,359 11 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,175 – $19,110 · median $9,359 11 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,175 – $19,110 · median $9,359 11 plans
302 ATHEROSCLEROSIS WITH MCC $1,175 – $11,098 · median $8,930 11 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,175 – $11,098 · median $7,832 11 plans
304 HYPERTENSION WITH MCC $1,175 – $11,098 · median $7,491 11 plans
305 HYPERTENSION WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,175 – $11,098 · median $9,359 11 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,175 – $11,098 · median $8,361 11 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,175 – $11,098 · median $9,040 11 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,175 – $11,098 · median $9,040 11 plans
311 ANGINA PECTORIS $1,175 – $11,098 · median $7,660 11 plans
312 SYNCOPE AND COLLAPSE $1,175 – $11,098 · median $7,491 11 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC — 11 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,175 – $12,400 · median $9,359 11 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC — 11 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC — 11 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC — 11 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC — 11 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 11 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $1,175 – $19,891 · median $11,768 11 plans
332 RECTAL RESECTION WITH MCC — 11 plans
333 RECTAL RESECTION WITH CC — 11 plans
334 RECTAL RESECTION WITHOUT CC/MCC $1,175 – $25,261 · median $11,768 11 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 11 plans
336 PERITONEAL ADHESIOLYSIS WITH CC — 11 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,175 – $17,666 · median $11,768 11 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 11 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,175 – $16,184 · median $11,768 11 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,768 11 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC — 11 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,175 – $16,184 · median $11,098 11 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 11 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,175 – $16,184 · median $11,098 11 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 11 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $1,175 – $16,184 · median $11,108 11 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — 11 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 11 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $25,883 · median $11,768 11 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,175 – $12,362 · median $9,359 11 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,175 – $12,362 · median $9,359 11 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,175 – $12,362 · median $9,359 11 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,175 – $14,864 · median $9,359 11 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,175 – $14,864 · median $9,359 11 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,175 – $14,864 · median $9,359 11 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 11 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,175 – $11,942 · median $9,359 11 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,175 – $11,098 · median $9,359 11 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,175 – $11,098 · median $9,359 11 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,175 – $11,098 · median $7,852 11 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 11 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,175 – $11,098 · median $9,359 11 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,175 – $11,098 · median $7,491 11 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,175 – $11,098 · median $9,359 11 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,175 – $11,098 · median $9,359 11 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,175 – $11,098 · median $8,425 11 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,175 – $11,098 · median $8,425 11 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,175 – $11,098 · median $7,491 11 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,175 – $11,098 · median $9,359 11 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,175 – $11,098 · median $9,359 11 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,175 – $11,098 · median $7,968 11 plans
397 APPENDIX PROCEDURES WITH MCC — 11 plans
398 APPENDIX PROCEDURES WITH CC $1,175 – $16,814 · median $11,768 11 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,768 11 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,175 – $49,558 · median $11,768 11 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 11 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 11 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH — 11 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH — 11 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $1,175 – $23,560 · median $11,768 11 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 11 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 11 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $1,175 – $17,749 · median $11,768 11 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 11 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 11 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,175 – $16,184 · median $11,768 11 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,175 – $29,201 · median $11,768 11 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $1,175 – $29,201 · median $11,768 11 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,175 – $25,976 · median $11,768 11 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 11 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — 11 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $30,139 · median $11,768 11 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 11 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,175 – $12,961 · median $9,359 11 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,175 – $12,961 · median $9,359 11 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,175 – $11,487 · median $9,359 11 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,175 – $11,487 · median $9,359 11 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,175 – $11,487 · median $9,359 11 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,175 – $11,909 · median $9,359 11 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,175 – $11,909 · median $9,359 11 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $1,175 – $11,098 · median $8,594 11 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,175 – $11,098 · median $8,639 11 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,175 – $11,098 · median $8,639 11 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE — 11 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE — 11 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE — 11 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 11 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC — 11 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $1,175 – $21,944 · median $11,768 11 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 11 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 11 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 11 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $5,605 – $50,248 · median $17,369 11 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 11 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 11 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 11 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — 11 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT — 11 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT — 11 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $1,175 – $18,342 · median $12,867 11 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC — 11 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $1,175 – $16,184 · median $11,284 11 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 11 plans
501 SOFT TISSUE PROCEDURES WITH CC — 11 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
503 FOOT PROCEDURES WITH MCC — 11 plans
504 FOOT PROCEDURES WITH CC — 11 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 11 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,175 – $16,184 · median $11,098 11 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 11 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,175 – $26,192 · median $13,625 11 plans
509 ARTHROSCOPY — 11 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,175 – $16,184 · median $11,098 11 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
533 FRACTURES OF FEMUR WITH MCC $1,175 – $15,707 · median $9,359 11 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,175 – $15,707 · median $9,359 11 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,175 – $11,902 · median $9,359 11 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,175 – $11,902 · median $9,359 11 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,175 – $11,098 · median $7,491 11 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
539 OSTEOMYELITIS WITH MCC — 11 plans
540 OSTEOMYELITIS WITH CC $1,175 – $18,301 · median $9,359 11 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,175 – $18,301 · median $9,359 11 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $1,175 – $11,098 · median $9,359 11 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $1,175 – $11,098 · median $9,359 11 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $1,175 – $11,098 · median $9,359 11 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 11 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,175 – $11,098 · median $9,359 11 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,175 – $11,098 · median $8,292 11 plans
548 SEPTIC ARTHRITIS WITH MCC — 11 plans
549 SEPTIC ARTHRITIS WITH CC $1,175 – $16,180 · median $9,359 11 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,175 – $16,180 · median $9,359 11 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,175 – $11,098 · median $7,600 11 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,175 – $11,098 · median $7,600 11 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,175 – $11,098 · median $7,491 11 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,175 – $11,098 · median $7,491 11 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,175 – $11,098 · median $7,491 11 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,175 – $11,098 · median $8,750 11 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,175 – $11,098 · median $8,750 11 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,175 – $11,098 · median $8,750 11 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $1,175 – $11,098 · median $7,491 11 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $1,175 – $11,098 · median $7,491 11 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,175 – $11,098 · median $7,768 11 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,175 – $11,098 · median $7,768 11 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,175 – $11,098 · median $7,768 11 plans
570 SKIN DEBRIDEMENT WITH MCC — 11 plans
571 SKIN DEBRIDEMENT WITH CC $1,175 – $26,859 · median $11,768 11 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,175 – $24,220 · median $11,768 11 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 11 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 11 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 11 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,175 – $16,184 · median $11,768 11 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 11 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — 11 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $1,175 – $16,184 · median $11,768 11 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 11 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 11 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 11 plans
592 SKIN ULCERS WITH MCC $1,175 – $14,013 · median $9,359 11 plans
593 SKIN ULCERS WITH CC $1,175 – $14,013 · median $9,359 11 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,175 – $14,013 · median $9,359 11 plans
595 MAJOR SKIN DISORDERS WITH MCC — 11 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,175 – $11,098 · median $8,857 11 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,175 – $11,519 · median $9,359 11 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,175 – $11,519 · median $9,359 11 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,175 – $11,098 · median $7,491 11 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
602 CELLULITIS WITH MCC $1,175 – $11,098 · median $9,359 11 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,175 – $11,098 · median $7,491 11 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
606 MINOR SKIN DISORDERS WITH MCC $1,175 – $11,098 · median $7,491 11 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 11 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,175 – $29,696 · median $11,768 11 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH — 11 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH — 11 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $1,175 – $36,354 · median $11,768 11 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR — 11 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR — 11 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $1,175 – $26,418 · median $11,768 11 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 11 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,175 – $16,184 · median $11,768 11 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 11 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 11 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $19,955 · median $11,768 11 plans
637 DIABETES WITH MCC $1,175 – $11,098 · median $8,762 11 plans
638 DIABETES WITH CC $1,175 – $11,098 · median $8,762 11 plans
639 DIABETES WITHOUT CC/MCC $1,175 – $11,098 · median $8,282 11 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $1,175 – $11,098 · median $9,190 11 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $1,175 – $11,098 · median $8,003 11 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,175 – $11,098 · median $8,934 11 plans
643 ENDOCRINE DISORDERS WITH MCC $1,175 – $11,098 · median $9,359 11 plans
644 ENDOCRINE DISORDERS WITH CC $1,175 – $11,098 · median $9,359 11 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,175 – $11,098 · median $7,647 11 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 11 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 11 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 11 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 11 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 11 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,175 – $30,673 · median $14,860 11 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 11 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,175 – $56,219 · median $14,860 11 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,175 – $16,548 · median $12,867 11 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 11 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,175 – $16,184 · median $11,768 11 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
665 PROSTATECTOMY WITH MCC — 11 plans
666 PROSTATECTOMY WITH CC $1,175 – $16,184 · median $11,768 11 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 11 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,175 – $16,184 · median $11,098 11 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 11 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 11 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 11 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $1,175 – $30,817 · median $11,768 11 plans
682 RENAL FAILURE WITH MCC $1,175 – $14,678 · median $9,359 11 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,175 – $14,678 · median $9,359 11 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $1,175 – $11,098 · median $9,359 11 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,175 – $11,098 · median $9,359 11 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,175 – $11,098 · median $8,239 11 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,175 – $11,098 · median $7,491 11 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
697 URETHRAL STRICTURE $1,175 – $11,098 · median $7,491 11 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,175 – $11,098 · median $9,254 11 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,175 – $11,098 · median $9,254 11 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,175 – $11,098 · median $8,791 11 plans
709 PENIS PROCEDURES WITH CC/MCC — 11 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
711 TESTES PROCEDURES WITH CC/MCC — 11 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,175 – $16,184 · median $11,098 11 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 11 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,175 – $16,184 · median $11,768 11 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — 11 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,175 – $11,098 · median $9,359 11 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,175 – $11,098 · median $9,359 11 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,175 – $11,098 · median $7,491 11 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,175 – $11,098 · median $7,491 11 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,175 – $11,098 · median $7,491 11 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 11 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,175 – $26,541 · median $11,768 11 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 11 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 11 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,175 – $23,448 · median $11,768 11 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC — 11 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC — 11 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC — 11 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,175 – $16,184 · median $11,098 11 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,098 11 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 11 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $21,205 · median $11,768 11 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,175 – $11,098 · median $9,359 11 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,175 – $11,098 · median $9,359 11 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,175 – $11,098 · median $8,455 11 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,175 – $11,098 · median $8,455 11 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,175 – $11,098 · median $8,455 11 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,175 – $11,098 · median $7,491 11 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,175 – $16,184 · median $11,098 11 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,175 – $16,184 · median $11,098 11 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,175 – $11,098 · median $7,491 11 plans
779 ABORTION WITHOUT D&C $1,175 – $11,098 · median $7,491 11 plans
799 SPLENIC PROCEDURES WITH MCC — 11 plans
800 SPLENIC PROCEDURES WITH CC — 11 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC — 11 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 11 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 11 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,175 – $16,184 · median $11,768 11 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO — 11 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $1,175 – $14,109 · median $9,359 11 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $1,175 – $14,109 · median $9,359 11 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,175 – $11,098 · median $7,948 11 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
813 COAGULATION DISORDERS $1,175 – $11,098 · median $9,359 11 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 11 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,175 – $11,098 · median $9,359 11 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,175 – $11,098 · median $8,052 11 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 11 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 11 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,768 11 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 11 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 11 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,682 11 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. — 11 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. — 11 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $1,175 – $19,026 · median $11,768 11 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE — 11 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $1,175 – $16,184 · median $11,667 11 plans
834 ACUTE LEUKEMIA WITH MCC $1,175 – $25,861 · median $9,359 11 plans
835 ACUTE LEUKEMIA WITH CC — 11 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $1,175 – $11,563 · median $9,359 11 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $1,175 – $28,595 · median $9,359 11 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE — 11 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,175 – $28,595 · median $9,359 11 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,175 – $14,992 · median $9,359 11 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,175 – $14,992 · median $9,359 11 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,175 – $11,098 · median $9,359 11 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $1,175 – $11,617 · median $9,359 11 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $1,175 – $11,617 · median $9,359 11 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $1,175 – $11,098 · median $9,359 11 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,175 – $11,098 · median $7,491 11 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,175 – $11,098 · median $7,491 11 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
849 RADIOTHERAPY $1,175 – $11,098 · median $9,359 11 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 11 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC — 11 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 11 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $36,985 · median $11,768 11 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 11 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC — 11 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $36,985 · median $11,768 11 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,175 – $11,135 · median $9,359 11 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,175 – $11,135 · median $9,359 11 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,175 – $11,098 · median $9,359 11 plans
865 VIRAL ILLNESS WITH MCC $1,175 – $11,098 · median $7,491 11 plans
866 VIRAL ILLNESS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 11 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,175 – $14,672 · median $9,359 11 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,175 – $14,672 · median $9,359 11 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 11 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 11 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,175 – $22,690 · median $11,768 11 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC — 11 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $1,175 – $18,339 · median $11,768 11 plans
906 HAND PROCEDURES FOR INJURIES — 11 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 11 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC — 11 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,175 – $16,490 · median $11,768 11 plans
913 TRAUMATIC INJURY WITH MCC $1,175 – $11,098 · median $7,858 11 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
915 ALLERGIC REACTIONS WITH MCC $1,175 – $11,098 · median $7,491 11 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,175 – $11,098 · median $7,723 11 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,175 – $11,098 · median $8,977 11 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,175 – $11,098 · median $8,977 11 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,175 – $11,098 · median $8,298 11 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,175 – $11,098 · median $8,999 11 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,175 – $11,098 · median $7,491 11 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,175 – $156,835 11 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 11 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 11 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 11 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,175 – $15,753 · median $9,359 11 plans
935 NON-EXTENSIVE BURNS $1,175 – $12,922 · median $9,359 11 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 11 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 11 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ — 11 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,175 – $11,098 · median $8,832 11 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,175 – $11,098 · median $7,724 11 plans
949 AFTERCARE WITH CC/MCC $1,175 – $11,098 · median $7,491 11 plans
950 AFTERCARE WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 11 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,175 – $11,098 · median $8,013 11 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 11 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 11 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 11 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 11 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 11 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 11 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,175 – $20,360 · median $9,359 11 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,175 – $20,360 · median $9,359 11 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 11 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 11 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 11 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,175 – $22,971 · median $9,359 11 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,175 – $22,971 · median $9,359 11 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,175 – $13,120 · median $9,359 11 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 11 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 11 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,175 – $40,224 · median $11,768 11 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 11 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,175 – $19,401 · median $11,768 11 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,175 – $19,401 · median $11,768 11 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,900 – $69,881 · median $21,183 10 plans
245 AICD GENERATOR PROCEDURES $2,900 – $69,881 · median $25,055 10 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,900 – $33,839 · median $20,198 10 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,900 – $33,839 · median $20,198 10 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,900 – $33,839 · median $13,650 10 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,900 – $33,839 · median $13,650 10 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,900 – $33,839 · median $13,650 10 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 9 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 9 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 9 plans
006 LIVER TRANSPLANT WITHOUT MCC — 9 plans
007 LUNG TRANSPLANT — 9 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 9 plans
010 PANCREAS TRANSPLANT — 9 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 9 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 9 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 9 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 9 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 9 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — 9 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $1,175 – $32,371 · median $12,867 9 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $32,371 · median $11,098 9 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $1,175 – $119,673 · median $11,098 9 plans
265 AICD LEAD PROCEDURES — 9 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 9 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES — 9 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES — 9 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 9 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC — 9 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,175 – $41,896 · median $14,860 9 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC — 9 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,175 – $20,976 · median $13,755 9 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 9 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 9 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $1,175 – $50,248 · median $21,462 9 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $8,000 – $51,511 · median $22,877 9 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $8,000 – $51,511 · median $22,877 9 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $10,574 – $51,511 · median $22,877 9 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 9 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 9 plans
652 KIDNEY TRANSPLANT — 9 plans
693 URINARY STONES WITH MCC $1,175 – $15,416 · median $11,098 9 plans
694 URINARY STONES WITHOUT MCC $1,175 – $15,416 · median $11,098 9 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,175 – $16,184 · median $11,768 9 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,175 – $16,184 · median $11,768 9 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $16,184 · median $11,768 9 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,175 – $11,098 · median $7,491 9 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,175 – $11,098 · median $7,491 9 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,175 – $11,098 · median $7,491 9 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,175 – $11,098 · median $7,531 8 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,175 – $11,098 · median $8,815 8 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,175 – $11,098 · median $7,531 8 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,175 – $11,098 · median $7,531 8 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,227 – $9,450 · median $7,375 7 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,345 – $42,039 · median $25,224 7 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,945 – $42,039 · median $25,224 7 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,420 – $7,654 · median $7,375 7 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,075 – $42,039 · median $25,224 7 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,110 – $7,654 · median $7,375 7 plans
795 NORMAL NEWBORN $1,370 – $3,403 · median $1,844 7 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $21,000 – $94,194 · median $62,585 5 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK $21,000 – $94,194 · median $62,585 5 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $21,000 – $92,544 · median $62,585 5 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH $21,000 – $92,544 · median $62,585 5 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $19,000 – $92,544 · median $61,121 5 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $19,000 – $92,544 · median $61,121 5 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,175 – $24,570 · median $10,520 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,175 – $11,098 · median $6,767 5 plans
881 DEPRESSIVE NEUROSES $1,175 – $11,098 · median $9,258 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,175 – $11,098 · median $7,798 5 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,175 – $11,098 · median $9,459 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,175 – $11,098 · median $9,354 5 plans
885 PSYCHOSES $1,175 – $11,955 · median $10,400 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,175 – $11,098 · median $9,437 5 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,175 – $11,098 · median $7,742 5 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $6,300 – $51,722 · median $41,738 4 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $6,300 – $51,722 · median $41,738 4 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $6,300 – $51,638 · median $38,075 4 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $6,300 – $51,638 · median $38,075 4 plans
945 REHABILITATION WITH CC/MCC $1,175 – $23,782 · median $11,098 3 plans
946 REHABILITATION WITHOUT CC/MCC $1,175 – $23,782 · median $11,098 3 plans
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $21,761 – $26,027 · median $23,894 2 plans
237 MAJOR CARDIOVASC PROCEDURES W MCC $19,000 – $26,200 · median $22,600 2 plans
238 MAJOR CARDIOVASC PROCEDURES W/O MCC $19,000 – $26,200 · median $22,600 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $53,498 – $62,413 · median $57,956 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $35,664 – $41,013 · median $38,339 2 plans
230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC $25,000 – $25,000 · median $25,000 1 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $13,300 – $13,300 · median $13,300 1 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $13,300 – $13,300 · median $13,300 1 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $13,300 – $13,300 · median $13,300 1 plans
484 MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC $9,000 – $9,000 · median $9,000 1 plans
490 BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM $9,000 – $9,000 · median $9,000 1 plans
491 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC $9,000 – $9,000 · median $9,000 1 plans
765 CESAREAN SECTION W CC/MCC $4,900 – $4,900 · median $4,900 1 plans
766 CESAREAN SECTION W/O CC/MCC $4,900 – $4,900 · median $4,900 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $3,800 – $3,800 · median $3,800 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $3,400 – $3,400 · median $3,400 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $3,400 – $3,400 · median $3,400 1 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $11,111 – $11,111 · median $11,111 1 plans
999 UNGROUPABLE $11,111 – $11,111 · median $11,111 1 plans
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