Lower Keys 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,112 – $656,436 · median $229,074 20 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,112 – $393,985 · median $163,506 20 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 20 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 20 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 20 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 20 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 20 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 20 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 20 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 20 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 20 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 20 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 20 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 20 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 20 plans
028 SPINAL PROCEDURES WITH MCC — 20 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 20 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC — 20 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 20 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 20 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 20 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 20 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 20 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 20 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 20 plans
038 EXTRACRANIAL PROCEDURES WITH CC $1,112 – $54,627 · median $17,528 20 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,112 – $35,204 · median $12,703 20 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 20 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — 20 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 20 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,112 – $46,625 · median $19,564 20 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,112 – $46,625 · median $10,949 20 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,112 – $37,084 · median $16,495 20 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,112 – $30,586 · median $11,283 20 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,112 – $40,586 · median $23,115 20 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,112 – $32,757 · median $13,999 20 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,112 – $32,066 · median $18,220 20 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,112 – $32,066 · median $13,409 20 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,112 – $32,066 · median $10,458 20 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 20 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $1,112 – $73,608 · median $18,981 20 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,112 – $73,608 · median $15,167 20 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 20 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,112 – $43,049 · median $11,206 20 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,112 – $43,049 · median $8,512 20 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,112 – $23,698 · median $14,758 20 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,112 – $20,442 · median $10,000 20 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,112 – $23,707 · median $9,458 20 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,112 – $29,616 · median $17,184 20 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,112 – $29,616 · median $11,336 20 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,112 – $22,279 · median $9,106 20 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,112 – $26,378 · median $16,119 20 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,112 – $21,451 · median $11,376 20 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,112 – $43,049 · median $20,710 20 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,112 – $43,049 · median $9,676 20 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,112 – $36,812 · median $19,550 20 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,112 – $36,812 · median $10,258 20 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC — 20 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,112 – $51,244 · median $15,080 20 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,112 – $51,244 · median $10,756 20 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 20 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,112 – $30,861 · median $14,076 20 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,112 – $21,166 · median $10,416 20 plans
088 CONCUSSION WITH MCC $1,112 – $21,388 · median $13,465 20 plans
089 CONCUSSION WITH CC $1,112 – $22,394 · median $11,102 20 plans
090 CONCUSSION WITHOUT CC/MCC $1,112 – $18,116 · median $8,985 20 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,112 – $31,971 · median $18,436 20 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,112 – $31,971 · median $11,311 20 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,112 – $24,182 · median $9,437 20 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,112 – $64,231 · median $35,000 20 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 20 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 20 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,112 – $66,057 · median $35,918 20 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,112 – $46,141 · median $24,783 20 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,112 – $46,141 · median $14,720 20 plans
100 SEIZURES WITH MCC $1,112 – $32,950 · median $19,277 20 plans
101 SEIZURES WITHOUT MCC $1,112 – $20,488 · median $10,316 20 plans
102 HEADACHES WITH MCC $1,112 – $22,740 · median $11,800 20 plans
103 HEADACHES WITHOUT MCC $1,112 – $18,320 · median $9,768 20 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 20 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,112 – $21,903 · median $13,685 20 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,112 – $25,007 · median $15,284 20 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $1,112 – $30,406 · median $17,998 20 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,112 – $22,181 · median $11,823 20 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,112 – $20,946 · median $12,132 20 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,112 – $20,946 · median $9,351 20 plans
123 NEUROLOGICAL EYE DISORDERS $1,112 – $17,734 · median $9,456 20 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,112 – $20,820 · median $13,297 20 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,112 – $17,256 · median $8,589 20 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 20 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,112 – $21,100 · median $11,248 20 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,112 – $30,075 · median $16,132 20 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,112 – $21,552 · median $10,181 20 plans
139 SALIVARY GLAND PROCEDURES $1,112 – $23,036 · median $13,134 20 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,112 – $94,142 · median $46,047 20 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC — 20 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $1,112 – $94,142 · median $17,245 20 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,112 – $68,721 · median $37,257 20 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $1,112 – $38,054 · median $18,718 20 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $25,276 · median $12,992 20 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 20 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,112 – $31,997 · median $13,739 20 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,112 – $31,997 · median $9,444 20 plans
149 DYSEQUILIBRIUM $1,112 – $17,004 · median $8,605 20 plans
150 EPISTAXIS WITH MCC $1,112 – $20,986 · median $13,263 20 plans
151 EPISTAXIS WITHOUT MCC $1,112 – $16,731 · median $8,414 20 plans
152 OTITIS MEDIA AND URI WITH MCC $1,112 – $30,668 · median $12,775 20 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,112 – $21,559 · median $8,957 20 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,112 – $25,572 · median $15,568 20 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,112 – $19,800 · median $10,431 20 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,112 – $17,084 · median $8,568 20 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,112 – $28,602 · median $17,231 20 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,112 – $23,409 · median $10,376 20 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,112 – $16,335 · median $8,249 20 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 20 plans
164 MAJOR CHEST PROCEDURES WITH CC — 20 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 20 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 20 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 20 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $54,811 · median $14,763 20 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 20 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,112 – $48,469 · median $14,841 20 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,112 – $48,469 · median $9,509 20 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,112 – $63,359 · median $16,882 20 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,112 – $63,359 · median $10,923 20 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,112 – $47,123 · median $9,096 20 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,112 – $36,874 · median $19,076 20 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,112 – $36,874 · median $11,708 20 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,112 – $36,874 · median $9,086 20 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,112 – $27,504 · median $15,930 20 plans
184 MAJOR CHEST TRAUMA WITH CC $1,112 – $27,504 · median $11,651 20 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,112 – $19,390 · median $9,356 20 plans
186 PLEURAL EFFUSION WITH MCC $1,112 – $36,671 · median $16,836 20 plans
187 PLEURAL EFFUSION WITH CC $1,112 – $36,671 · median $11,031 20 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,112 – $31,971 · median $8,783 20 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,112 – $59,206 · median $13,349 20 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,112 – $35,270 · median $12,012 20 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,112 – $35,270 · median $9,823 20 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,112 – $35,270 · median $8,162 20 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,112 – $38,181 · median $14,202 20 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,112 – $38,181 · median $9,517 20 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,112 – $28,961 · median $8,050 20 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,112 – $36,406 · median $20,383 20 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,112 – $40,239 · median $20,912 20 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,112 – $28,303 · median $8,775 20 plans
199 PNEUMOTHORAX WITH MCC $1,112 – $42,724 · median $19,055 20 plans
200 PNEUMOTHORAX WITH CC $1,112 – $42,724 · median $11,942 20 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,112 – $28,810 · median $8,766 20 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,112 – $27,664 · median $10,883 20 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,112 – $23,586 · median $8,393 20 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,112 – $26,439 · median $9,529 20 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,112 – $30,859 · median $18,394 20 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,112 – $22,407 · median $10,634 20 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,112 – $148,253 · median $73,402 20 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,112 – $104,017 · median $29,681 20 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $1,112 – $352,784 · median $117,368 20 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,112 – $381,515 · median $107,470 20 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $1,112 – $239,599 · median $105,591 20 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 20 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 20 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,112 – $207,621 · median $82,879 20 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 20 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 20 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 20 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 20 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,112 – $241,364 · median $90,990 20 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 20 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,112 – $202,904 · median $82,522 20 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $1,112 – $154,592 · median $58,969 20 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 20 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 20 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 20 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 20 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,112 – $83,015 · median $14,957 20 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 20 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC — 20 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC — 20 plans
245 AICD GENERATOR PROCEDURES — 20 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $1,112 – $55,646 · median $16,146 20 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 20 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 20 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 20 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 20 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $1,112 – $61,964 · median $18,341 20 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,112 – $61,964 · median $11,883 20 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 20 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 20 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — 20 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — 20 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,112 – $42,544 · median $17,607 20 plans
263 VEIN LIGATION AND STRIPPING — 20 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 20 plans
265 AICD LEAD PROCEDURES — 20 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 20 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,112 – $221,145 · median $51,395 20 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,112 – $80,408 · median $45,331 20 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,112 – $108,475 · median $56,958 20 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $1,112 – $108,475 · median $38,396 20 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 20 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 20 plans
276 NON-MALIGANT BREAST DISORDERS — 20 plans
277 CELLULITIS AGE >17 W CC — 20 plans
278 CELLULITIS AGE >17 W/O CC — 20 plans
279 CELLULITIS AGE 0-17 — 20 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,112 – $57,932 · median $17,328 20 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,112 – $57,932 · median $10,452 20 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,112 – $43,455 · median $8,832 20 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,112 – $44,886 · median $21,394 20 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,112 – $44,886 · median $8,577 20 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,112 – $44,886 · median $7,806 20 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 20 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,112 – $97,725 · median $18,438 20 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,112 – $97,725 · median $10,540 20 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,112 – $33,075 · median $13,872 20 plans
292 HEART FAILURE AND SHOCK WITH CC $1,112 – $33,075 · median $9,873 20 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,112 – $33,075 · median $7,534 20 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,112 – $56,334 · median $16,873 20 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,112 – $56,334 · median $8,096 20 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,112 – $56,334 · median $6,617 20 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,112 – $27,025 · median $16,700 20 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,112 – $27,025 · median $11,679 20 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,112 – $21,962 · median $8,804 20 plans
302 ATHEROSCLEROSIS WITH MCC $1,112 – $26,324 · median $12,931 20 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,112 – $23,088 · median $8,420 20 plans
304 HYPERTENSION WITH MCC $1,112 – $20,841 · median $12,188 20 plans
305 HYPERTENSION WITHOUT MCC $1,112 – $20,841 · median $9,097 20 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,112 – $29,272 · median $16,714 20 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,112 – $24,647 · median $10,404 20 plans
311 ANGINA PECTORIS $1,112 – $22,581 · median $8,657 20 plans
312 SYNCOPE AND COLLAPSE $1,112 – $20,265 · median $10,060 20 plans
313 CHEST PAIN $1,112 – $19,302 · median $8,807 20 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,112 – $36,553 · median $21,367 20 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,112 – $36,553 · median $10,818 20 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,112 – $27,759 · median $8,493 20 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 20 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 20 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 20 plans
324 URINARY STONES W/O CC — 20 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 20 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $1,112 – $93,246 · median $51,280 20 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 20 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $1,112 – $58,636 · median $17,309 20 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 20 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 20 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,112 – $69,009 · median $18,179 20 plans
332 RECTAL RESECTION WITH MCC — 20 plans
333 RECTAL RESECTION WITH CC — 20 plans
334 RECTAL RESECTION WITHOUT CC/MCC $1,112 – $74,466 · median $17,693 20 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 20 plans
336 PERITONEAL ADHESIOLYSIS WITH CC — 20 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,112 – $52,079 · median $16,583 20 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 20 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,112 – $46,049 · median $16,256 20 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,112 – $36,003 · median $12,819 20 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC — 20 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,112 – $23,917 · median $13,770 20 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,112 – $18,852 · median $10,052 20 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 20 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,112 – $31,598 · median $16,469 20 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,112 – $21,408 · median $12,308 20 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 20 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $1,112 – $32,744 · median $18,173 20 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,112 – $24,425 · median $14,106 20 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $1,112 – $90,437 · median $47,423 20 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 20 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $76,300 · median $15,103 20 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,112 – $36,442 · median $17,197 20 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,112 – $36,442 · median $11,123 20 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,112 – $36,442 · median $8,648 20 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,112 – $43,818 · median $19,152 20 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,112 – $43,818 · median $11,295 20 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,112 – $43,818 · median $8,868 20 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 20 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,112 – $35,204 · median $13,071 20 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,112 – $31,450 · median $10,495 20 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,112 – $30,800 · median $18,529 20 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,112 – $29,718 · median $10,962 20 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,112 – $23,147 · median $8,066 20 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $1,112 – $33,452 · median $19,711 20 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,112 – $30,514 · median $11,812 20 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,112 – $30,514 · median $9,473 20 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,112 – $21,959 · median $13,875 20 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,112 – $18,607 · median $9,921 20 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,112 – $32,345 · median $17,093 20 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,112 – $32,345 · median $10,925 20 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,112 – $32,345 · median $8,487 20 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,112 – $24,837 · median $15,121 20 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,112 – $24,837 · median $9,384 20 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,112 – $19,086 · median $7,352 20 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,112 – $19,757 · median $12,747 20 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,112 – $17,439 · median $9,299 20 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,112 – $30,062 · median $17,065 20 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,112 – $30,062 · median $10,590 20 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,112 – $23,488 · median $8,220 20 plans
397 COAGULATION DISORDERS — 20 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $1,112 – $49,567 · median $16,352 20 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $1,112 – $36,458 · median $12,371 20 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,112 – $146,093 · median $59,053 20 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 20 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 20 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 20 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 20 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $1,112 – $69,452 · median $17,151 20 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 20 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 20 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — 20 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 20 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 20 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,112 – $37,336 · median $14,730 20 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 20 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,112 – $50,009 · median $18,273 20 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,112 – $26,966 · median $14,757 20 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,112 – $86,081 · median $36,786 20 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC — 20 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,112 – $76,576 · median $15,120 20 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 20 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — 20 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $88,845 · median $16,208 20 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 20 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,112 – $38,208 · median $11,586 20 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,112 – $38,208 · median $8,745 20 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,112 – $33,861 · median $19,404 20 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,112 – $33,861 · median $12,224 20 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,112 – $33,861 · median $9,909 20 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,112 – $31,765 · median $17,610 20 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,112 – $31,765 · median $9,809 20 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,112 – $31,765 · median $7,992 20 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,112 – $35,106 · median $19,385 20 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,112 – $35,106 · median $10,834 20 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,112 – $25,335 · median $8,639 20 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,112 – $27,695 · median $16,787 20 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,112 – $25,466 · median $11,902 20 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,112 – $18,974 · median $9,694 20 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 20 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 20 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 20 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 20 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,112 – $107,321 · median $56,660 20 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 20 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 20 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 20 plans
472 CERVICAL SPINAL FUSION WITH CC — 20 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 20 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 20 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC — 20 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,112 – $64,689 · median $12,754 20 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 20 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 20 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 20 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 20 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — 20 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $1,112 – $58,518 · median $17,619 20 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES — 20 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 20 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC — 20 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,112 – $52,420 · median $16,919 20 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC — 20 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,112 – $40,549 · median $12,087 20 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 20 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 20 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — 20 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 20 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — 20 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,112 – $32,489 · median $13,057 20 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 20 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,112 – $34,492 · median $20,582 20 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 20 plans
501 SOFT TISSUE PROCEDURES WITH CC $1,112 – $29,221 · median $17,828 20 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,112 – $21,529 · median $13,533 20 plans
503 FOOT PROCEDURES WITH MCC — 20 plans
504 FOOT PROCEDURES WITH CC — 20 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $1,112 – $30,104 · median $17,846 20 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,112 – $26,793 · median $14,578 20 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 20 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,112 – $40,166 · median $16,360 20 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 20 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 20 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $1,112 – $27,388 · median $16,618 20 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,112 – $25,785 · median $15,675 20 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,112 – $21,209 · median $10,516 20 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 20 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 20 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $31,172 · median $16,601 20 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 20 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 20 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,112 – $37,326 · median $16,139 20 plans
533 FRACTURES OF FEMUR WITH MCC $1,112 – $46,301 · median $16,936 20 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,112 – $46,301 · median $9,518 20 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,112 – $35,086 · median $13,852 20 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,112 – $35,086 · median $9,531 20 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,112 – $20,152 · median $10,743 20 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,112 – $19,813 · median $8,809 20 plans
539 OSTEOMYELITIS WITH MCC $1,112 – $53,949 · median $21,274 20 plans
540 OSTEOMYELITIS WITH CC $1,112 – $53,949 · median $14,007 20 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,112 – $53,949 · median $9,364 20 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,112 – $30,356 · median $18,088 20 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,112 – $30,356 · median $11,353 20 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,112 – $30,356 · median $9,093 20 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $1,112 – $43,720 · median $24,691 20 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,112 – $29,633 · median $12,465 20 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,112 – $24,444 · median $9,767 20 plans
548 SEPTIC ARTHRITIS WITH MCC — 20 plans
549 SEPTIC ARTHRITIS WITH CC $1,112 – $47,696 · median $13,045 20 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,112 – $47,696 · median $10,080 20 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,112 – $27,797 · median $16,687 20 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,112 – $22,404 · median $10,801 20 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,112 – $22,083 · median $13,273 20 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,112 – $20,963 · median $9,717 20 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,112 – $20,795 · median $13,284 20 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,112 – $18,974 · median $9,721 20 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,112 – $24,058 · median $14,807 20 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,112 – $19,299 · median $10,238 20 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,112 – $31,529 · median $18,734 20 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,112 – $25,794 · median $12,170 20 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,112 – $25,794 · median $9,500 20 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,112 – $22,830 · median $14,317 20 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,112 – $19,239 · median $9,799 20 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,112 – $25,179 · median $15,510 20 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,112 – $22,898 · median $10,910 20 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,112 – $22,898 · median $9,049 20 plans
570 SKIN DEBRIDEMENT WITH MCC — 20 plans
571 SKIN DEBRIDEMENT WITH CC $1,112 – $79,176 · median $18,250 20 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,112 – $71,397 · median $12,388 20 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,112 – $124,159 · median $65,123 20 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 20 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 20 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,112 – $91,542 · median $48,728 20 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 20 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,112 – $26,420 · median $16,140 20 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — 20 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $1,112 – $37,123 · median $18,665 20 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,112 – $24,965 · median $14,776 20 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 20 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 20 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 20 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 20 plans
592 SKIN ULCERS WITH MCC $1,112 – $41,309 · median $20,903 20 plans
593 SKIN ULCERS WITH CC $1,112 – $41,309 · median $12,820 20 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,112 – $41,309 · median $10,020 20 plans
595 MAJOR SKIN DISORDERS WITH MCC — 20 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,112 – $26,108 · median $11,803 20 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,112 – $33,956 · median $18,008 20 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,112 – $33,956 · median $12,226 20 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,112 – $32,361 · median $9,215 20 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,112 – $21,508 · median $10,870 20 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,112 – $18,594 · median $7,856 20 plans
602 CELLULITIS WITH MCC $1,112 – $29,023 · median $15,356 20 plans
603 CELLULITIS WITHOUT MCC $1,112 – $24,834 · median $10,054 20 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,112 – $23,765 · median $14,660 20 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,112 – $19,558 · median $9,698 20 plans
606 MINOR SKIN DISORDERS WITH MCC $1,112 – $24,578 · median $15,205 20 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,112 – $19,408 · median $9,853 20 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 20 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,112 – $87,542 · median $15,118 20 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 20 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 20 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,112 – $107,168 · median $15,323 20 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 20 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC — 20 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $1,112 – $69,203 · median $16,296 20 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 20 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 20 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,112 – $77,876 · median $13,527 20 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 20 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,112 – $43,576 · median $16,198 20 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,112 – $28,041 · median $14,352 20 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 20 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 20 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $58,826 · median $15,768 20 plans
637 DIABETES WITH MCC $1,112 – $25,830 · median $14,961 20 plans
638 DIABETES WITH CC $1,112 – $25,830 · median $10,263 20 plans
639 DIABETES WITHOUT CC/MCC $1,112 – $24,415 · median $7,990 20 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,112 – $27,091 · median $14,431 20 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,112 – $23,593 · median $9,288 20 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,112 – $26,337 · median $15,062 20 plans
643 ENDOCRINE DISORDERS WITH MCC $1,112 – $30,618 · median $17,470 20 plans
644 ENDOCRINE DISORDERS WITH CC $1,112 – $30,618 · median $11,328 20 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,112 – $22,541 · median $9,206 20 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 20 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 20 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 20 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 20 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 20 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 20 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 20 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,112 – $90,421 · median $16,764 20 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 20 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,112 – $66,563 · median $14,281 20 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,112 – $48,781 · median $11,414 20 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 20 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,112 – $37,625 · median $16,423 20 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,112 – $28,313 · median $11,509 20 plans
665 PROSTATECTOMY WITH MCC — 20 plans
666 PROSTATECTOMY WITH CC — 20 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,112 – $31,395 · median $11,999 20 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 20 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,112 – $25,345 · median $15,594 20 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,112 – $20,510 · median $10,555 20 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 20 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,112 – $22,097 · median $11,159 20 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 20 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 20 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $1,112 – $90,847 · median $17,731 20 plans
682 RENAL FAILURE WITH MCC $1,112 – $43,268 · median $16,000 20 plans
683 RENAL FAILURE WITH CC $1,112 – $43,268 · median $10,095 20 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,112 – $43,268 · median $7,817 20 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $1,112 – $30,319 · median $18,468 20 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,112 – $30,186 · median $11,516 20 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,112 – $24,287 · median $9,388 20 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,112 – $28,254 · median $12,539 20 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,112 – $22,915 · median $9,546 20 plans
693 URINARY STONES WITH MCC $1,112 – $21,243 · median $13,392 20 plans
694 URINARY STONES WITHOUT MCC $1,112 – $17,472 · median $8,666 20 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,112 – $21,300 · median $12,152 20 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,112 – $18,051 · median $8,550 20 plans
697 URETHRAL STRICTURE $1,112 – $22,071 · median $11,267 20 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,112 – $27,369 · median $16,890 20 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,112 – $27,281 · median $11,245 20 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,112 – $25,915 · median $8,558 20 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 20 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,112 – $47,962 · median $16,574 20 plans
709 PENIS PROCEDURES WITH CC/MCC — 20 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,112 – $32,656 · median $15,139 20 plans
711 TESTES PROCEDURES WITH CC/MCC — 20 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,112 – $22,411 · median $11,317 20 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,112 – $32,325 · median $16,242 20 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,112 – $25,509 · median $11,596 20 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 20 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,112 – $36,730 · median $15,892 20 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — 20 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,112 – $26,770 · median $14,512 20 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,112 – $30,438 · median $18,180 20 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,112 – $28,064 · median $12,349 20 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,112 – $21,097 · median $8,275 20 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,112 – $20,494 · median $11,985 20 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,112 – $16,545 · median $8,823 20 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,112 – $23,979 · median $14,900 20 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,112 – $20,537 · median $9,561 20 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,112 – $21,774 · median $10,910 20 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,112 – $15,768 · median $7,823 20 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 20 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,112 – $78,239 · median $14,538 20 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 20 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 20 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,112 – $69,121 · median $15,865 20 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 20 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC — 20 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,112 – $33,930 · median $15,407 20 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 20 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,112 – $30,992 · median $13,407 20 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC — 20 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,112 – $20,163 · median $11,720 20 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,112 – $29,003 · median $17,293 20 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,112 – $20,759 · median $9,961 20 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,112 – $27,743 · median $14,989 20 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 20 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $62,511 · median $15,944 20 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,112 – $31,071 · median $18,501 20 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,112 – $28,247 · median $11,847 20 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,112 – $20,249 · median $10,241 20 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,112 – $24,926 · median $14,662 20 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,112 – $24,926 · median $10,948 20 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,112 – $24,926 · median $8,340 20 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,112 – $20,979 · median $10,594 20 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,112 – $18,002 · median $7,571 20 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,112 – $41,758 · median $11,713 20 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,112 – $28,068 · median $16,823 20 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,112 – $20,904 · median $10,278 20 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,112 – $15,499 · median $8,031 20 plans
779 ABORTION WITHOUT D&C $1,112 – $18,397 · median $9,049 20 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,112 – $43,194 · median $24,658 20 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,112 – $35,427 · median $11,618 20 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,112 – $25,515 · median $10,772 20 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,112 – $27,272 · median $16,423 20 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,112 – $22,676 · median $11,242 20 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,112 – $20,222 · median $10,282 20 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,112 – $58,253 · median $19,466 20 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,112 – $181,912 · median $64,158 20 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,112 – $80,054 · median $43,821 20 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,112 – $43,078 · median $24,368 20 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,112 – $18,378 · median $11,730 20 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,112 – $20,868 · median $10,645 20 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,112 – $20,196 · median $10,535 20 plans
799 SPLENECTOMY WITH MCC $1,112 – $106,411 · median $48,892 20 plans
800 SPLENECTOMY WITH CC — 20 plans
801 SPLENECTOMY WITHOUT CC/MCC — 20 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 20 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 20 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,112 – $35,666 · median $14,651 20 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,112 – $22,092 · median $10,860 20 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,112 – $17,042 · median $8,385 20 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,112 – $15,802 · median $7,778 20 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 20 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,112 – $41,591 · median $13,679 20 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,112 – $41,591 · median $11,506 20 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,112 – $23,429 · median $14,379 20 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,112 – $19,592 · median $9,635 20 plans
813 COAGULATION DISORDERS $1,112 – $32,652 · median $16,478 20 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 20 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,112 – $31,942 · median $11,237 20 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,112 – $23,737 · median $8,079 20 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,112 – $39,765 · median $22,703 20 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,112 – $17,581 · median $11,551 20 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $18,686 · median $9,191 20 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 20 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 20 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $42,223 · median $13,011 20 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 20 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 20 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,112 – $34,438 · median $14,580 20 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 20 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 20 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $56,088 · median $18,404 20 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 20 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,112 – $34,392 · median $16,259 20 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,112 – $18,437 · median $11,982 20 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,112 – $16,538 · median $8,204 20 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $13,452 · median $6,676 20 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,112 – $103,178 · median $55,116 20 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 20 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $34,087 · median $13,178 20 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,112 – $112,053 · median $55,484 20 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 20 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,112 – $84,296 · median $15,600 20 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,112 – $58,607 · median $32,484 20 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,112 – $44,195 · median $17,623 20 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,112 – $29,809 · median $11,207 20 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $1,112 – $34,244 · median $20,425 20 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,112 – $34,244 · median $13,155 20 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,112 – $29,423 · median $9,895 20 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,112 – $45,910 · median $25,791 20 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,112 – $20,526 · median $13,032 20 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,112 – $18,523 · median $9,186 20 plans
849 RADIOTHERAPY $1,112 – $48,223 · median $26,954 20 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,112 – $109,028 · median $53,313 20 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 20 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $109,028 · median $16,175 20 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 20 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC — 20 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,112 – $109,028 · median $15,049 20 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,112 – $32,826 · median $19,013 20 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,112 – $32,826 · median $11,104 20 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,112 – $30,478 · median $10,193 20 plans
865 VIRAL ILLNESS WITH MCC $1,112 – $24,283 · median $15,055 20 plans
866 VIRAL ILLNESS WITHOUT MCC $1,112 – $18,837 · median $10,043 20 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 20 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,112 – $43,252 · median $11,378 20 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,112 – $43,252 · median $8,887 20 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,112 – $131,282 · median $68,704 20 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,112 – $53,003 · median $20,980 20 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,112 – $53,003 · median $11,314 20 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,112 – $72,429 · median $41,152 20 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,112 – $20,244 · median $10,792 20 plans
881 DEPRESSIVE NEUROSES $1,112 – $27,291 · median $10,633 20 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,112 – $22,987 · median $11,731 20 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,112 – $33,533 · median $19,570 20 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,112 – $27,576 · median $16,311 20 plans
885 PSYCHOSES $1,112 – $35,243 · median $15,091 20 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,112 – $35,688 · median $20,653 20 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,112 – $22,823 · median $11,707 20 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,112 – $14,912 · median $7,456 20 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,112 – $38,707 · median $14,577 20 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,112 – $29,161 · median $17,372 20 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,112 – $19,042 · median $9,365 20 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 20 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 20 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,112 – $66,887 · median $12,639 20 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,112 – $67,268 · median $36,882 20 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $1,112 – $54,060 · median $16,026 20 plans
906 HAND PROCEDURES FOR INJURIES — 20 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 20 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC — 20 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,112 – $48,610 · median $14,184 20 plans
913 TRAUMATIC INJURY WITH MCC $1,112 – $26,977 · median $16,423 20 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,112 – $19,698 · median $10,175 20 plans
915 ALLERGIC REACTIONS WITH MCC $1,112 – $27,906 · median $16,742 20 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,112 – $15,679 · median $7,779 20 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,112 – $25,669 · median $15,617 20 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,112 – $18,643 · median $9,940 20 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,112 – $30,855 · median $18,392 20 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,112 – $26,462 · median $11,140 20 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,112 – $24,461 · median $8,545 20 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,112 – $29,246 · median $17,575 20 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,112 – $21,137 · median $11,148 20 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,112 – $462,333 · median $230,426 20 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 20 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 20 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 20 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,112 – $46,439 · median $23,874 20 plans
935 NON-EXTENSIVE BURNS $1,112 – $38,093 · median $21,794 20 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 20 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 20 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 20 plans
945 REHABILITATION WITH CC/MCC $1,112 – $70,107 · median $16,729 20 plans
946 REHABILITATION WITHOUT CC/MCC $1,112 – $70,107 · median $12,393 20 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,112 – $26,036 · median $13,716 20 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,112 – $22,771 · median $9,472 20 plans
949 AFTERCARE WITH CC/MCC $1,112 – $18,184 · median $11,854 20 plans
950 AFTERCARE WITHOUT CC/MCC $1,112 – $15,080 · median $7,424 20 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,112 – $23,622 · median $7,451 20 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 20 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 20 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 20 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 20 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 20 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 20 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,112 – $60,018 · median $16,557 20 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,112 – $60,018 · median $10,629 20 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 20 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 20 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 20 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,112 – $67,716 · median $13,993 20 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,112 – $67,716 · median $10,317 20 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,112 – $38,676 · median $14,022 20 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 20 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 20 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,112 – $118,576 · median $18,514 20 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 20 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,112 – $57,192 · median $17,755 20 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,112 – $57,192 · median $12,959 20 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 19 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 19 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 19 plans
006 LIVER TRANSPLANT WITHOUT MCC — 19 plans
007 LUNG TRANSPLANT — 19 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 19 plans
010 PANCREAS TRANSPLANT — 19 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 19 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 19 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 19 plans
652 KIDNEY TRANSPLANT — 19 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $1,112 – $25,232 · median $15,676 13 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,112 – $20,830 · median $10,415 13 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,112 – $15,686 · median $7,843 13 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC — 13 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,112 – $140,894 · median $74,868 13 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 13 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 13 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,112 – $21,951 · median $10,975 13 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,112 – $18,941 · median $12,449 13 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,112 – $17,598 · median $8,799 13 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,112 – $18,466 · median $12,206 13 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,112 – $16,757 · median $8,379 13 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,112 – $14,123 · median $7,062 13 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 13 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 — 13 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $1,112 – $169,816 · median $89,835 13 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $1,112 – $115,559 · median $62,006 13 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $1,112 – $85,700 · median $46,691 13 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $1,112 – $125,758 · median $67,237 13 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 13 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 13 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 13 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 13 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 13 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — 13 plans
471 CERVICAL SPINAL FUSION WITH MCC — 13 plans
509 ARTHROSCOPY — 13 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 13 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 13 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,112 – $77,082 · median $42,271 13 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,112 – $23,840 · median $14,962 13 plans
795 NORMAL NEWBORN $1,112 – $8,434 · median $4,217 13 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,112 – $1,676 · median $1,394 2 plans
999 UNGROUPABLE $1,112 – $1,676 · median $1,394 2 plans
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