Mount Sinai Medical Center of Florida, Inc — 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.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 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 |
|---|---|---|---|
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,055 – $51,160 · median $17,627 | 48 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,055 – $25,186 · median $9,470 | 48 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $2,055 – $63,021 · median $22,077 | 48 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,055 – $36,912 · median $14,296 | 48 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,055 – $33,787 · median $13,198 | 48 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,055 – $25,341 · median $9,622 | 48 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,055 – $42,578 · median $15,023 | 48 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,055 – $25,034 · median $9,613 | 48 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,055 – $20,223 · median $7,997 | 48 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,055 – $37,349 · median $13,393 | 48 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,055 – $24,544 · median $9,450 | 48 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,055 – $20,919 · median $8,238 | 48 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,055 – $29,509 · median $10,786 | 48 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,055 – $22,380 · median $8,644 | 48 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,055 – $22,380 · median $8,644 | 48 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,055 – $23,066 · median $8,871 | 48 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,055 – $17,136 · median $6,841 | 48 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,055 – $15,461 · median $6,216 | 48 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,055 – $244,885 · median $79,795 | 47 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,055 – $223,069 · median $73,664 | 47 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,055 – $149,263 · median $51,075 | 47 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,055 – $137,513 · median $47,152 | 47 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,055 – $178,841 · median $60,946 | 47 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,055 – $122,424 · median $42,117 | 47 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | — | 47 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,055 – $195,863 · median $65,345 | 47 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,055 – $141,193 · median $48,381 | 47 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,055 – $180,662 · median $61,554 | 47 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,055 – $122,969 · median $42,299 | 47 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,055 – $136,004 · median $46,649 | 47 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | — | 47 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,055 – $78,406 · median $26,370 | 47 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,055 – $52,071 · median $18,637 | 47 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,055 – $41,716 · median $15,180 | 47 plans |
| 245 | AICD GENERATOR PROCEDURES | — | 47 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $2,055 – $53,458 · median $18,731 | 47 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $2,055 – $36,117 · median $13,313 | 47 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $2,055 – $37,943 · median $13,385 | 47 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $2,055 – $21,307 · median $8,370 | 47 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,055 – $17,165 · median $6,852 | 47 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | — | 46 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,055 – $71,798 · median $26,191 | 46 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | — | 46 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $2,055 – $66,192 · median $23,350 | 46 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $2,055 – $75,551 · median $25,710 | 46 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $2,055 – $43,583 · median $15,804 | 46 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $2,055 – $67,981 · median $23,255 | 46 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $2,055 – $47,961 · median $17,099 | 46 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $2,055 – $82,840 · median $28,072 | 46 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $2,055 – $45,576 · median $16,312 | 46 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $2,055 – $33,126 · median $12,196 | 46 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $2,055 – $251,794 · median $83,654 | 45 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $2,055 – $64,847 · median $22,460 | 45 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $2,055 – $40,627 · median $14,818 | 45 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $2,055 – $78,748 · median $27,005 | 45 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $2,055 – $43,858 · median $15,897 | 45 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,055 – $35,082 · median $12,967 | 45 plans |
| 265 | AICD LEAD PROCEDURES | — | 45 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $2,055 – $154,112 · median $52,693 | 45 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $2,055 – $96,168 · median $33,354 | 45 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $2,055 – $118,645 · median $40,855 | 45 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $2,055 – $79,617 · median $28,202 | 45 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $2,055 – $57,834 · median $21,154 | 45 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | — | 45 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $2,055 – $72,137 · median $24,847 | 45 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | — | 45 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $2,055 – $143,174 · median $49,042 | 45 plans |
| 277 | CELLULITIS AGE >17 W CC | — | 45 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $2,055 – $65,801 · median $22,772 | 45 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $2,055 – $41,817 · median $15,215 | 45 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | — | 45 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | — | 45 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | — | 45 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | — | 45 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | — | 45 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $2,055 – $60,635 · median $21,495 | 45 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 45 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $2,055 – $66,964 · median $23,154 | 45 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $2,055 – $54,718 · median $19,521 | 45 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,055 – $36,670 · median $13,496 | 45 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | — | 45 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $2,055 – $55,499 · median $19,780 | 45 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $2,055 – $43,583 · median $16,015 | 45 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $2,055 – $75,302 · median $26,391 | 45 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $2,055 – $42,254 · median $15,804 | 45 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,055 – $34,763 · median $13,232 | 45 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $2,055 – $59,734 · median $21,194 | 45 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,055 – $30,972 · median $11,930 | 45 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $2,055 – $30,709 · median $9,443 | 45 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $2,055 – $72,105 · median $25,323 | 45 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,055 – $35,304 · median $13,417 | 45 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,055 – $30,709 · median $9,865 | 45 plans |
| 665 | PROSTATECTOMY WITH MCC | $2,055 – $79,363 · median $27,746 | 45 plans |
| 666 | PROSTATECTOMY WITH CC | $2,055 – $38,075 · median $14,369 | 45 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,055 – $30,709 · median $9,452 | 45 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,055 – $44,855 · median $16,446 | 45 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,055 – $34,266 · median $13,061 | 45 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,055 – $33,422 · median $12,771 | 45 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,055 – $30,709 · median $8,753 | 45 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,055 – $48,604 · median $17,480 | 45 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,055 – $28,057 · median $10,929 | 45 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | — | 45 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $2,055 – $46,191 · median $16,674 | 45 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,055 – $35,061 · median $13,134 | 45 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | — | 45 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,055 – $42,028 · median $15,285 | 45 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,055 – $31,748 · median $12,197 | 45 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,055 – $42,222 · median $15,350 | 45 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,055 – $27,706 · median $10,809 | 45 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,055 – $59,831 · median $21,227 | 45 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | — | 44 plans |
| 324 | URINARY STONES W/O CC | $2,055 – $73,852 · median $25,657 | 44 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $2,055 – $66,155 · median $23,113 | 44 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $2,055 – $176,974 · median $51,916 | 44 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 44 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | — | 44 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $2,055 – $65,228 · median $23,183 | 44 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,055 – $48,014 · median $17,648 | 44 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $2,055 – $67,406 · median $23,914 | 44 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,055 – $35,770 · median $13,475 | 44 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,055 – $30,709 · median $8,813 | 44 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $2,055 – $39,841 · median $14,863 | 44 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $2,055 – $30,709 · median $9,906 | 44 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | — | 44 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $2,055 – $53,356 · median $19,194 | 44 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,055 – $36,180 · median $13,615 | 44 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $29,807 · median $11,443 | 44 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | — | 43 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $2,055 – $59,010 · median $20,953 | 43 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $2,055 – $40,435 · median $14,754 | 43 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $2,055 – $108,742 · median $37,551 | 43 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $2,055 – $53,502 · median $19,115 | 43 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $2,055 – $273,656 · median $69,616 | 43 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $2,055 – $121,835 · median $48,440 | 43 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $2,055 – $146,158 · median $36,786 | 43 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $2,055 – $52,198 · median $18,679 | 43 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,055 – $32,805 · median $12,371 | 43 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,055 – $57,880 · median $19,784 | 42 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,796 – $30,852 · median $11,108 | 42 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,796 – $45,948 · median $15,954 | 42 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,621 – $20,914 · median $7,922 | 42 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | — | 42 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | — | 42 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,055 – $17,635 · median $7,086 | 42 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,055 – $26,883 · median $10,300 | 42 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,055 – $73,240 · median $25,702 | 42 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $2,055 – $67,371 · median $23,743 | 42 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $2,055 – $48,731 · median $17,638 | 42 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,055 – $18,940 · median $7,608 | 42 plans |
| 693 | URINARY STONES WITH MCC | $2,055 – $33,986 · median $12,601 | 42 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,055 – $18,258 · median $7,335 | 42 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $2,055 – $51,939 · median $18,616 | 42 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,055 – $34,703 · median $12,927 | 42 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $2,055 – $44,164 · median $16,104 | 42 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $2,055 – $24,724 · median $9,573 | 42 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $2,055 – $42,888 · median $15,677 | 42 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,055 – $28,473 · median $10,834 | 42 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $2,055 – $127,754 · median $43,896 | 42 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $2,055 – $49,369 · median $17,854 | 42 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $38,901 · median $11,135 | 42 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,055 – $115,732 · median $39,884 | 42 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,055 – $46,880 · median $17,018 | 42 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,055 – $38,901 · median $11,909 | 42 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,055 – $59,026 · median $20,959 | 42 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,055 – $29,370 · median $11,061 | 42 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,055 – $18,986 · median $7,627 | 42 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,954 – $90,828 · median $30,357 | 42 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,604 – $22,158 · median $8,321 | 42 plans |
| 881 | DEPRESSIVE NEUROSES | $1,574 – $21,129 · median $7,991 | 42 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,545 – $22,234 · median $8,346 | 42 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,807 – $42,911 · median $14,961 | 42 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,604 – $38,604 · median $13,599 | 42 plans |
| 885 | PSYCHOSES | $1,574 – $32,581 · median $11,666 | 42 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,589 – $41,524 · median $14,536 | 42 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,559 – $27,491 · median $10,033 | 42 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,302 – $14,426 · median $5,840 | 42 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,055 – $76,291 · median $13,154 | 42 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,055 – $41,163 · median $14,996 | 42 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,613 – $20,392 · median $7,754 | 42 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,984 – $37,899 · median $13,373 | 42 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,813 – $20,443 · median $7,772 | 42 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,993 – $29,728 · median $10,751 | 42 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,796 – $18,365 · median $7,103 | 42 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,055 – $109,896 · median $37,930 | 42 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,055 – $38,558 · median $14,222 | 42 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | 41 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 41 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $2,055 – $495,359 · median $166,582 | 41 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $2,055 – $326,594 · median $110,257 | 41 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $2,055 – $124,719 · median $42,883 | 41 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $2,055 – $94,850 · median $32,915 | 41 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $2,055 – $61,250 · median $21,701 | 41 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 41 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 41 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | — | 41 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 41 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | — | 41 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | — | 41 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | — | 41 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | — | 41 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | — | 41 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | — | 41 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | — | 41 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $2,055 – $70,695 · median $24,853 | 41 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,055 – $57,039 · median $20,295 | 41 plans |
| 028 | SPINAL PROCEDURES WITH MCC | — | 41 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $2,055 – $77,586 · median $27,152 | 41 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $2,055 – $51,436 · median $18,426 | 41 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | — | 41 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $2,055 – $49,362 · median $17,733 | 41 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,055 – $36,878 · median $13,566 | 41 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | — | 41 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $2,055 – $52,577 · median $18,807 | 41 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $2,055 – $42,370 · median $15,399 | 41 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $2,055 – $76,758 · median $26,876 | 41 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $2,055 – $37,241 · median $13,688 | 41 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,055 – $26,309 · median $10,039 | 41 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | — | 41 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $2,055 – $52,208 · median $18,679 | 41 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $2,055 – $40,625 · median $14,817 | 41 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $2,055 – $46,517 · median $16,783 | 41 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,055 – $21,296 · median $8,366 | 41 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,055 – $34,652 · median $12,823 | 41 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,055 – $25,216 · median $9,675 | 41 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,055 – $42,663 · median $15,498 | 41 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,055 – $28,281 · median $10,698 | 41 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,055 – $20,628 · median $8,143 | 41 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $2,055 – $62,484 · median $22,113 | 41 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,055 – $41,163 · median $14,997 | 41 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $2,055 – $32,470 · median $12,095 | 41 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $2,055 – $45,978 · median $16,603 | 41 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $2,055 – $23,508 · median $9,103 | 41 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,055 – $16,451 · median $6,568 | 41 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $2,055 – $33,651 · median $12,482 | 41 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,055 – $20,378 · median $8,059 | 41 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,055 – $18,621 · median $7,431 | 41 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,055 – $40,190 · median $14,672 | 41 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $2,055 – $24,359 · median $9,389 | 41 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,055 – $17,652 · median $7,046 | 41 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $2,055 – $35,724 · median $13,182 | 41 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,055 – $24,095 · median $9,300 | 41 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $2,055 – $39,813 · median $14,545 | 41 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,055 – $21,194 · median $8,332 | 41 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $2,055 – $35,740 · median $13,187 | 41 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,055 – $23,064 · median $8,957 | 41 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,055 – $16,031 · median $6,488 | 41 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $2,055 – $53,629 · median $19,157 | 41 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,055 – $32,137 · median $11,984 | 41 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $2,055 – $22,098 · median $8,634 | 41 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $2,055 – $52,376 · median $18,739 | 41 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $2,055 – $30,318 · median $11,376 | 41 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,055 – $20,434 · median $8,078 | 41 plans |
| 088 | CONCUSSION WITH MCC | $2,055 – $32,606 · median $12,141 | 41 plans |
| 089 | CONCUSSION WITH CC | $2,055 – $24,782 · median $9,529 | 41 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,055 – $19,814 · median $7,872 | 41 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $2,055 – $42,134 · median $15,321 | 41 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,055 – $24,474 · median $9,426 | 41 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,055 – $18,412 · median $7,347 | 41 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $2,055 – $84,333 · median $29,405 | 41 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $2,055 – $55,407 · median $19,751 | 41 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,055 – $55,407 · median $19,751 | 41 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $2,055 – $82,863 · median $28,910 | 41 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,055 – $50,139 · median $17,993 | 41 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,055 – $32,204 · median $12,007 | 41 plans |
| 100 | SEIZURES WITH MCC | $2,055 – $45,888 · median $16,573 | 41 plans |
| 101 | SEIZURES WITHOUT MCC | $2,055 – $21,303 · median $8,369 | 41 plans |
| 102 | HEADACHES WITH MCC | $2,055 – $26,800 · median $10,203 | 41 plans |
| 103 | HEADACHES WITHOUT MCC | $2,055 – $19,652 · median $7,817 | 41 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $2,055 – $52,161 · median $18,666 | 41 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,055 – $27,324 · median $10,378 | 41 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,055 – $35,387 · median $13,069 | 41 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $2,055 – $38,567 · median $14,130 | 41 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $2,055 – $24,932 · median $9,579 | 41 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,055 – $26,885 · median $10,232 | 41 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,055 – $16,257 · median $6,510 | 41 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,055 – $18,681 · median $7,455 | 41 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $2,055 – $30,137 · median $11,317 | 41 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,055 – $19,118 · median $7,628 | 41 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,055 – $55,728 · median $19,858 | 41 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,055 – $22,611 · median $8,805 | 41 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,055 – $32,326 · median $12,048 | 41 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,055 – $18,881 · median $7,534 | 41 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,055 – $31,735 · median $11,850 | 41 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $2,055 – $97,753 · median $33,883 | 41 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $2,055 – $49,658 · median $17,832 | 41 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $2,055 – $36,344 · median $13,388 | 41 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $2,055 – $76,319 · median $26,730 | 41 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $2,055 – $40,604 · median $14,810 | 41 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $27,384 · median $10,398 | 41 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $2,055 – $53,024 · median $18,955 | 41 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $2,055 – $28,771 · median $10,861 | 41 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,055 – $18,633 · median $7,435 | 41 plans |
| 149 | DYSEQUILIBRIUM | $2,055 – $17,600 · median $7,025 | 41 plans |
| 150 | EPISTAXIS WITH MCC | $2,055 – $31,947 · median $11,921 | 41 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,055 – $17,804 · median $7,106 | 41 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $2,055 – $26,229 · median $10,013 | 41 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,055 – $16,905 · median $6,749 | 41 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $2,055 – $37,590 · median $13,804 | 41 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,055 – $21,580 · median $8,461 | 41 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,055 – $16,142 · median $6,510 | 41 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $2,055 – $37,849 · median $13,890 | 41 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,055 – $21,740 · median $8,515 | 41 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,055 – $15,894 · median $6,432 | 41 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | — | 41 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $2,055 – $58,176 · median $20,675 | 41 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,055 – $43,084 · median $15,638 | 41 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $2,055 – $89,016 · median $30,960 | 41 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $2,055 – $42,233 · median $15,354 | 41 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $31,293 · median $11,703 | 41 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $2,055 – $70,926 · median $24,930 | 41 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $2,055 – $32,571 · median $12,129 | 41 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,055 – $18,901 · median $7,542 | 41 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,055 – $37,365 · median $13,728 | 41 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,055 – $22,932 · median $8,912 | 41 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,055 – $18,031 · median $7,196 | 41 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,055 – $40,398 · median $14,741 | 41 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,055 – $25,662 · median $9,824 | 41 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,055 – $19,359 · median $7,719 | 41 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $2,055 – $36,688 · median $13,503 | 41 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,055 – $24,687 · median $9,498 | 41 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,055 – $18,186 · median $7,258 | 41 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $2,055 – $36,522 · median $13,447 | 41 plans |
| 187 | PLEURAL EFFUSION WITH CC | $2,055 – $23,205 · median $9,004 | 41 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,055 – $17,342 · median $6,922 | 41 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,055 – $28,605 · median $10,804 | 41 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,055 – $25,965 · median $9,922 | 41 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,055 – $19,858 · median $7,886 | 41 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,055 – $15,653 · median $6,335 | 41 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,055 – $30,461 · median $11,424 | 41 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,055 – $19,008 · median $7,584 | 41 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,055 – $15,177 · median $6,144 | 41 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $2,055 – $43,553 · median $15,793 | 41 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,055 – $22,882 · median $8,896 | 41 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,055 – $16,686 · median $6,662 | 41 plans |
| 199 | PNEUMOTHORAX WITH MCC | $2,055 – $40,803 · median $14,876 | 41 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,055 – $25,598 · median $9,802 | 41 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,055 – $16,233 · median $6,510 | 41 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,055 – $22,345 · median $8,716 | 41 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,055 – $16,612 · median $6,632 | 41 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,055 – $18,833 · median $7,515 | 41 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,055 – $43,634 · median $15,821 | 41 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,055 – $20,938 · median $8,246 | 41 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,055 – $149,501 · median $51,147 | 41 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $2,055 – $62,043 · median $21,962 | 41 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $2,055 – $116,419 · median $40,113 | 41 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $2,055 – $67,311 · median $23,723 | 41 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,055 – $34,899 · median $12,906 | 41 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $2,055 – $60,476 · median $21,442 | 41 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $2,055 – $39,148 · median $14,324 | 41 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $2,055 – $20,616 · median $8,139 | 41 plans |
| 263 | VEIN LIGATION AND STRIPPING | $2,055 – $61,992 · median $21,949 | 41 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $2,055 – $80,785 · median $28,220 | 41 plans |
| 278 | CELLULITIS AGE >17 W/O CC | — | 41 plans |
| 279 | CELLULITIS AGE 0-17 | — | 41 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $2,055 – $45,199 · median $16,343 | 41 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,055 – $17,474 · median $6,975 | 41 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,055 – $13,987 · median $5,664 | 41 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $2,055 – $63,134 · median $22,330 | 41 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $2,055 – $36,443 · median $13,421 | 41 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $2,055 – $22,630 · median $8,811 | 41 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $2,055 – $30,163 · median $11,324 | 41 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,055 – $19,909 · median $7,902 | 41 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,055 – $13,740 · median $5,565 | 41 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $2,055 – $28,383 · median $10,732 | 41 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,055 – $18,421 · median $7,351 | 41 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $2,055 – $37,869 · median $13,897 | 41 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,055 – $16,763 · median $6,693 | 41 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,055 – $11,663 · median $4,729 | 41 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $2,055 – $37,393 · median $13,737 | 41 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $2,055 – $24,745 · median $9,517 | 41 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,055 – $16,938 · median $6,762 | 41 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $2,055 – $26,887 · median $10,232 | 41 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,055 – $16,142 · median $6,510 | 41 plans |
| 304 | HYPERTENSION WITH MCC | $2,055 – $27,156 · median $10,321 | 41 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,055 – $17,662 · median $7,050 | 41 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,055 – $34,612 · median $12,810 | 41 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,055 – $21,411 · median $8,405 | 41 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,055 – $27,877 · median $10,561 | 41 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,055 – $17,441 · median $6,962 | 41 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,055 – $13,950 · median $5,650 | 41 plans |
| 311 | ANGINA PECTORIS | $2,055 – $16,645 · median $6,645 | 41 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,055 – $20,140 · median $7,980 | 41 plans |
| 313 | CHEST PAIN | $2,055 – $16,938 · median $6,762 | 41 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $2,055 – $49,776 · median $17,871 | 41 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,055 – $22,244 · median $8,682 | 41 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,055 – $16,342 · median $6,525 | 41 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,055 – $117,394 · median $40,438 | 41 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $2,055 – $56,126 · median $19,989 | 41 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,055 – $36,831 · median $13,551 | 41 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,055 – $106,137 · median $36,681 | 41 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,055 – $54,637 · median $19,492 | 41 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,055 – $38,163 · median $13,995 | 41 plans |
| 332 | RECTAL RESECTION WITH MCC | $2,055 – $80,174 · median $28,016 | 41 plans |
| 333 | RECTAL RESECTION WITH CC | $2,055 – $49,122 · median $17,653 | 41 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,055 – $38,334 · median $14,053 | 41 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $2,055 – $83,766 · median $29,210 | 41 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $2,055 – $48,828 · median $17,553 | 41 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,055 – $35,482 · median $13,101 | 41 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,055 – $62,281 · median $22,044 | 41 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,055 – $34,423 · median $12,743 | 41 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,055 – $28,783 · median $10,865 | 41 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $2,055 – $54,704 · median $19,516 | 41 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,055 – $29,097 · median $10,970 | 41 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,055 – $20,362 · median $8,054 | 41 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $2,055 – $55,934 · median $19,917 | 41 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,055 – $34,781 · median $12,864 | 41 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,055 – $25,484 · median $9,764 | 41 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $2,055 – $67,792 · median $23,884 | 41 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,055 – $39,321 · median $14,381 | 41 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,055 – $30,815 · median $11,543 | 41 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $2,055 – $98,595 · median $34,164 | 41 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $2,055 – $52,053 · median $18,631 | 41 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $31,321 · median $11,712 | 41 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $2,055 – $38,600 · median $14,141 | 41 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,055 – $23,522 · median $9,109 | 41 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,055 – $16,639 · median $6,643 | 41 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $2,055 – $40,412 · median $14,743 | 41 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,055 – $23,792 · median $9,199 | 41 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,055 – $17,171 · median $6,855 | 41 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,055 – $48,807 · median $17,546 | 41 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,055 – $28,401 · median $10,737 | 41 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,055 – $20,408 · median $8,070 | 41 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $2,055 – $42,025 · median $15,284 | 41 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,055 – $22,789 · median $8,864 | 41 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,055 – $15,449 · median $6,253 | 41 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,055 – $44,480 · median $16,103 | 41 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $2,055 – $25,175 · median $9,660 | 41 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,055 – $29,222 · median $11,011 | 41 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,055 – $20,101 · median $7,967 | 41 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $2,055 – $37,555 · median $13,792 | 41 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,055 – $22,939 · median $8,915 | 41 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,055 – $16,101 · median $6,510 | 41 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,055 – $33,979 · median $12,598 | 41 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,055 – $18,650 · median $7,442 | 41 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,055 – $13,711 · median $5,553 | 41 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,055 – $29,700 · median $11,167 | 41 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,055 – $18,237 · median $7,278 | 41 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,055 – $38,276 · median $14,033 | 41 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $2,055 – $21,758 · median $8,520 | 41 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,055 – $15,443 · median $6,251 | 41 plans |
| 397 | COAGULATION DISORDERS | $2,055 – $57,270 · median $20,373 | 41 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $2,055 – $34,980 · median $12,932 | 41 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $2,055 – $25,984 · median $9,928 | 41 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $2,055 – $125,477 · median $43,136 | 41 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $2,055 – $64,912 · median $22,923 | 41 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $2,055 – $49,364 · median $17,734 | 41 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $2,055 – $80,928 · median $28,268 | 41 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $2,055 – $48,456 · median $17,431 | 41 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,055 – $35,851 · median $13,224 | 41 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $2,055 – $63,252 · median $22,367 | 41 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $2,055 – $49,270 · median $17,702 | 41 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,055 – $38,426 · median $14,083 | 41 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $2,055 – $80,986 · median $28,287 | 41 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $2,055 – $45,721 · median $16,518 | 41 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,055 – $31,672 · median $11,829 | 41 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,055 – $54,933 · median $19,591 | 41 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,055 – $38,336 · median $14,052 | 41 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,055 – $30,456 · median $11,423 | 41 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $2,055 – $81,577 · median $28,485 | 41 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $2,055 – $37,851 · median $13,891 | 41 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,055 – $33,963 · median $12,594 | 41 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $2,055 – $94,011 · median $32,635 | 41 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $2,055 – $52,774 · median $18,872 | 41 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $35,729 · median $13,183 | 41 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $2,055 – $45,285 · median $16,371 | 41 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,055 – $24,726 · median $9,511 | 41 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,055 – $16,610 · median $6,632 | 41 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $2,055 – $42,173 · median $15,334 | 41 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,055 – $26,064 · median $9,958 | 41 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,055 – $18,332 · median $7,316 | 41 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,055 – $38,459 · median $14,093 | 41 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,055 – $19,884 · median $7,894 | 41 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,055 – $15,030 · median $6,084 | 41 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $2,055 – $43,694 · median $15,841 | 41 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,055 – $22,334 · median $8,712 | 41 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,055 – $16,730 · median $6,679 | 41 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $2,055 – $38,937 · median $14,252 | 41 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $2,055 – $25,066 · median $9,625 | 41 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,055 – $18,567 · median $7,409 | 41 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,055 – $124,837 · median $42,922 | 41 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,055 – $68,157 · median $24,004 | 41 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,055 – $40,125 · median $14,651 | 41 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,055 – $103,657 · median $35,854 | 41 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,055 – $49,861 · median $17,900 | 41 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,055 – $79,488 · median $27,787 | 41 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,055 – $54,052 · median $19,299 | 41 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,055 – $41,045 · median $14,957 | 41 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $2,055 – $58,899 · median $20,916 | 41 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $2,055 – $74,514 · median $26,092 | 41 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $2,055 – $49,020 · median $17,619 | 41 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,055 – $36,524 · median $13,448 | 41 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $2,055 – $45,428 · median $16,420 | 41 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,055 – $28,630 · median $10,812 | 41 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | — | 41 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $2,055 – $45,604 · median $16,478 | 41 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,055 – $31,043 · median $11,616 | 41 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $2,055 – $58,358 · median $20,736 | 41 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $2,055 – $26,832 · median $10,213 | 41 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $2,055 – $41,258 · median $15,026 | 41 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,055 – $32,294 · median $12,037 | 41 plans |
| 503 | FOOT PROCEDURES WITH MCC | $2,055 – $61,174 · median $21,675 | 41 plans |
| 504 | FOOT PROCEDURES WITH CC | $2,055 – $40,581 · median $14,797 | 41 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $2,055 – $40,581 · median $14,797 | 41 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,055 – $34,649 · median $12,823 | 41 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $2,055 – $44,799 · median $16,210 | 41 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,055 – $29,832 · median $11,214 | 41 plans |
| 509 | ARTHROSCOPY | $2,055 – $40,602 · median $14,810 | 41 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $2,055 – $66,063 · median $23,306 | 41 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $2,055 – $45,338 · median $16,387 | 41 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $2,055 – $37,162 · median $13,661 | 41 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,055 – $34,800 · median $12,873 | 41 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $2,055 – $23,568 · median $9,124 | 41 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | — | 41 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $2,055 – $46,498 · median $16,777 | 41 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $34,501 · median $12,773 | 41 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $2,055 – $35,246 · median $13,022 | 41 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,055 – $18,891 · median $7,538 | 41 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,055 – $30,741 · median $11,518 | 41 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,055 – $18,831 · median $7,514 | 41 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $2,055 – $21,240 · median $8,348 | 41 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,055 – $16,125 · median $6,510 | 41 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,055 – $46,755 · median $16,860 | 41 plans |
| 540 | OSTEOMYELITIS WITH CC | $2,055 – $29,920 · median $11,241 | 41 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,055 – $20,221 · median $8,008 | 41 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $2,055 – $43,107 · median $15,646 | 41 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,055 – $24,520 · median $9,443 | 41 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,055 – $17,759 · median $7,088 | 41 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $2,055 – $58,405 · median $20,751 | 41 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,055 – $26,760 · median $10,189 | 41 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,055 – $17,575 · median $7,015 | 41 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $2,055 – $46,565 · median $16,799 | 41 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,055 – $27,854 · median $10,555 | 41 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,055 – $19,927 · median $7,909 | 41 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,055 – $39,441 · median $14,422 | 41 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,055 – $22,278 · median $8,694 | 41 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $2,055 – $30,195 · median $11,333 | 41 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,055 – $19,292 · median $7,697 | 41 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,055 – $31,124 · median $11,646 | 41 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,055 – $35,821 · median $13,213 | 41 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,055 – $19,967 · median $7,922 | 41 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,055 – $42,904 · median $15,578 | 41 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,055 – $26,323 · median $10,043 | 41 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,055 – $18,961 · median $7,566 | 41 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $2,055 – $33,833 · median $12,548 | 41 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $2,055 – $20,658 · median $8,154 | 41 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,055 – $36,272 · median $13,364 | 41 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $2,055 – $23,568 · median $9,125 | 41 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,055 – $17,612 · median $7,030 | 41 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $2,055 – $101,834 · median $42,356 | 41 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $2,055 – $38,713 · median $14,174 | 41 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,055 – $26,407 · median $10,071 | 41 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,055 – $142,338 · median $48,763 | 41 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,055 – $80,087 · median $27,987 | 41 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,055 – $46,149 · median $16,661 | 41 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,055 – $124,703 · median $42,878 | 41 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,055 – $61,546 · median $21,800 | 41 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,055 – $39,071 · median $14,299 | 41 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $2,055 – $75,334 · median $26,402 | 41 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $2,055 – $40,981 · median $14,936 | 41 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,055 – $33,265 · median $12,361 | 41 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $2,055 – $40,477 · median $14,768 | 41 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $2,055 – $37,966 · median $13,931 | 41 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $2,055 – $47,323 · median $17,052 | 41 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $2,055 – $45,883 · median $16,572 | 41 plans |
| 592 | SKIN ULCERS WITH MCC | $2,055 – $47,529 · median $17,121 | 41 plans |
| 593 | SKIN ULCERS WITH CC | $2,055 – $28,260 · median $10,691 | 41 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,055 – $19,615 · median $7,806 | 41 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $2,055 – $48,888 · median $17,575 | 41 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,055 – $24,987 · median $9,598 | 41 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $2,055 – $40,602 · median $14,810 | 41 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,055 – $24,939 · median $9,581 | 41 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,055 – $19,761 · median $7,853 | 41 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $2,055 – $22,126 · median $8,638 | 41 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,055 – $14,727 · median $5,962 | 41 plans |
| 602 | CELLULITIS WITH MCC | $2,055 – $33,965 · median $12,592 | 41 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,055 – $20,362 · median $8,053 | 41 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $2,055 – $34,342 · median $12,719 | 41 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,055 – $21,351 · median $8,384 | 41 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,055 – $37,217 · median $13,681 | 41 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,055 – $19,978 · median $7,925 | 41 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,055 – $52,674 · median $18,839 | 41 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,055 – $33,121 · median $12,313 | 41 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,055 – $89,337 · median $31,073 | 41 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,055 – $44,663 · median $16,159 | 41 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,055 – $28,778 · median $10,863 | 41 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,055 – $86,543 · median $30,125 | 41 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,055 – $44,242 · median $16,014 | 41 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,055 – $23,187 · median $8,997 | 41 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $2,055 – $66,268 · median $23,376 | 41 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,055 – $34,885 · median $12,902 | 41 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,055 – $29,282 · median $11,032 | 41 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $2,055 – $91,219 · median $31,696 | 41 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $2,055 – $52,011 · median $18,608 | 41 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $32,389 · median $12,068 | 41 plans |
| 637 | DIABETES WITH MCC | $2,055 – $33,662 · median $12,493 | 41 plans |
| 638 | DIABETES WITH CC | $2,055 – $21,201 · median $8,334 | 41 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,055 – $15,253 · median $6,174 | 41 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,055 – $30,699 · median $11,503 | 41 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,055 – $18,258 · median $7,287 | 41 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,055 – $28,688 · median $10,833 | 41 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $2,055 – $38,308 · median $14,043 | 41 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $2,055 – $23,889 · median $9,230 | 41 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,055 – $18,206 · median $7,266 | 41 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | — | 41 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | — | 41 plans |
| 682 | RENAL FAILURE WITH MCC | $2,055 – $34,719 · median $12,844 | 41 plans |
| 683 | RENAL FAILURE WITH CC | $2,055 – $20,547 · median $8,116 | 41 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,055 – $14,880 · median $6,024 | 41 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $2,055 – $43,586 · median $15,805 | 41 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $2,055 – $24,331 · median $9,379 | 41 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,055 – $17,148 · median $6,845 | 41 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,055 – $27,054 · median $10,286 | 41 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,055 – $18,670 · median $7,450 | 41 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,055 – $26,067 · median $9,959 | 41 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,055 – $16,519 · median $6,595 | 41 plans |
| 697 | URETHRAL STRICTURE | $2,055 – $23,157 · median $8,987 | 41 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $2,055 – $38,854 · median $14,225 | 41 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $2,055 – $23,573 · median $9,126 | 41 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,055 – $16,565 · median $6,614 | 41 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $2,055 – $39,961 · median $14,596 | 41 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $2,055 – $25,956 · median $9,921 | 41 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,055 – $17,233 · median $6,879 | 41 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $2,055 – $29,197 · median $10,998 | 41 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,055 – $17,540 · median $7,001 | 41 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,055 – $33,963 · median $12,594 | 41 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,055 – $18,951 · median $7,562 | 41 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $2,055 – $25,445 · median $9,751 | 41 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,055 – $14,870 · median $6,020 | 41 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,055 – $45,164 · median $16,332 | 41 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,055 – $23,688 · median $9,164 | 41 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,055 – $38,706 · median $14,177 | 41 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,055 – $22,077 · median $8,627 | 41 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,055 – $31,487 · median $11,768 | 41 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,055 – $41,820 · median $15,216 | 41 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,055 – $25,660 · median $9,822 | 41 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,055 – $22,073 · median $8,626 | 41 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,055 – $32,712 · median $12,176 | 41 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,055 – $23,561 · median $9,122 | 41 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,055 – $15,513 · median $6,279 | 41 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,055 – $22,780 · median $8,862 | 41 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,055 – $15,395 · median $6,231 | 41 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,055 – $32,118 · median $11,977 | 41 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,055 – $24,869 · median $9,559 | 41 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,055 – $16,940 · median $6,763 | 41 plans |
| 779 | ABORTION WITHOUT D&C | $2,055 – $21,606 · median $8,470 | 41 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,055 – $41,669 · median $15,164 | 41 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,055 – $137,419 · median $47,117 | 41 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,055 – $93,849 · median $32,577 | 41 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,055 – $56,627 · median $20,156 | 41 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,055 – $96,403 · median $33,430 | 41 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,055 – $34,122 · median $12,646 | 41 plans |
| 795 | NORMAL NEWBORN | $2,055 – $6,967 · median $2,800 | 41 plans |
| 799 | SPLENECTOMY WITH MCC | — | 41 plans |
| 800 | SPLENECTOMY WITH CC | $2,055 – $67,348 · median $23,736 | 41 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $2,055 – $37,948 · median $13,923 | 41 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,055 – $82,858 · median $28,912 | 41 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,055 – $41,142 · median $14,990 | 41 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,055 – $25,554 · median $9,787 | 41 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $2,055 – $52,943 · median $18,926 | 41 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,055 – $28,628 · median $10,813 | 41 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,055 – $21,999 · median $8,601 | 41 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,055 – $32,518 · median $12,112 | 41 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,055 – $21,333 · median $8,378 | 41 plans |
| 813 | COAGULATION DISORDERS | $2,055 – $35,780 · median $13,200 | 41 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $2,055 – $48,317 · median $17,385 | 41 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,055 – $23,487 · median $9,097 | 41 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,055 – $15,890 · median $6,431 | 41 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,055 – $58,599 · median $20,815 | 41 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,055 – $29,772 · median $11,194 | 41 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $18,940 · median $7,557 | 41 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | — | 41 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,055 – $51,597 · median $18,480 | 41 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $26,434 · median $10,081 | 41 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | — | 41 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,055 – $50,837 · median $18,225 | 41 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,055 – $28,448 · median $10,753 | 41 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | — | 41 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,055 – $54,544 · median $19,463 | 41 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $37,049 · median $13,624 | 41 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,055 – $71,277 · median $25,047 | 41 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,055 – $33,803 · median $12,541 | 41 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,055 – $26,603 · median $10,138 | 41 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,055 – $17,598 · median $7,024 | 41 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $13,179 · median $5,339 | 41 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,055 – $73,723 · median $25,859 | 41 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,055 – $36,242 · median $13,354 | 41 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,055 – $24,312 · median $9,373 | 41 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,055 – $43,759 · median $15,864 | 41 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,055 – $27,625 · median $10,479 | 41 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,055 – $19,340 · median $7,714 | 41 plans |
| 849 | RADIOTHERAPY | $2,055 – $61,738 · median $21,864 | 41 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,055 – $115,610 · median $39,839 | 41 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,055 – $46,188 · median $16,672 | 41 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $37,573 · median $13,799 | 41 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,055 – $104,279 · median $36,061 | 41 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,055 – $50,365 · median $18,067 | 41 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,055 – $29,781 · median $11,198 | 41 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $2,055 – $42,499 · median $15,443 | 41 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,055 – $23,113 · median $8,972 | 41 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,055 – $20,755 · median $8,186 | 41 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,055 – $34,115 · median $12,644 | 41 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,055 – $20,450 · median $8,084 | 41 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $2,055 – $49,563 · median $17,800 | 41 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,055 – $24,271 · median $9,359 | 41 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,055 – $17,058 · median $6,810 | 41 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $2,055 – $160,800 · median $54,921 | 41 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $2,055 – $45,359 · median $16,394 | 41 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,055 – $23,832 · median $9,212 | 41 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | — | 41 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $2,055 – $43,858 · median $15,897 | 41 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,055 – $28,177 · median $10,663 | 41 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $2,055 – $89,245 · median $31,043 | 41 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,055 – $38,096 · median $13,973 | 41 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $2,055 – $50,446 · median $18,095 | 41 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | — | 41 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $2,055 – $46,623 · median $16,819 | 41 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,055 – $29,314 · median $11,042 | 41 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $2,055 – $37,405 · median $13,742 | 41 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,055 – $21,180 · median $8,328 | 41 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,055 – $40,169 · median $14,665 | 41 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,055 – $15,981 · median $6,467 | 41 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $2,055 – $42,148 · median $15,326 | 41 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,055 – $23,480 · median $9,095 | 41 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,055 – $16,439 · median $6,564 | 41 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $2,055 – $39,046 · median $14,291 | 41 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,055 – $23,573 · median $9,126 | 41 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,055 – $548,353 · median $184,256 | 41 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,055 – $154,374 · median $52,780 | 41 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,055 – $73,510 · median $25,792 | 41 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $2,055 – $100,012 · median $34,636 | 41 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $2,055 – $49,598 · median $17,811 | 41 plans |
| 935 | NON-EXTENSIVE BURNS | $2,055 – $50,767 · median $18,202 | 41 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,055 – $73,362 · median $25,743 | 41 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $2,055 – $48,803 · median $17,546 | 41 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $2,055 – $45,171 · median $16,334 | 41 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,055 – $24,939 · median $9,582 | 41 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,055 – $14,467 · median $5,857 | 41 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,055 – $14,096 · median $5,708 | 41 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,055 – $157,827 · median $53,932 | 41 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | — | 41 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,055 – $172,523 · median $58,838 | 41 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | — | 41 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,055 – $61,109 · median $21,654 | 41 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,055 – $62,794 · median $22,215 | 41 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,055 – $34,677 · median $12,831 | 41 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,055 – $21,092 · median $8,299 | 41 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | — | 41 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $2,055 – $61,329 · median $21,726 | 41 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $2,055 – $69,021 · median $24,294 | 41 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,055 – $32,853 · median $12,223 | 41 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,055 – $23,182 · median $8,996 | 41 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $2,055 – $33,327 · median $12,382 | 41 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,055 – $56,597 · median $20,145 | 41 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,055 – $80,972 · median $28,279 | 41 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,055 – $39,665 · median $14,496 | 41 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,055 – $26,707 · median $10,172 | 41 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 40 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 40 plans |
| 007 | LUNG TRANSPLANT | — | 40 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 40 plans |
| 010 | PANCREAS TRANSPLANT | $2,055 – $184,287 · median $63,183 | 40 plans |
| 652 | KIDNEY TRANSPLANT | — | 40 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,055 – $32,724 · median $12,784 | 35 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,055 – $24,764 · median $9,682 | 35 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $296 – $11,378 · median $6,510 | 11 plans |
| 999 | UNGROUPABLE | $296 – $21,765 · median $10,883 | 11 plans |
No procedures match that keyword.