East Georgia Regional 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.
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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,850 – $17,102 · median $10,000 | 25 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,250 – $37,961 · median $17,208 | 25 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,250 – $17,102 · median $10,667 | 25 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,250 – $17,102 · median $8,604 | 25 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,250 – $25,505 · median $12,292 | 25 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,250 – $17,268 · median $10,459 | 25 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,250 – $17,102 · median $8,911 | 25 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,850 – $18,044 · median $10,000 | 25 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,850 – $17,102 · median $9,537 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,850 – $17,102 · median $9,537 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,850 – $17,102 · median $9,830 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,850 – $17,102 · median $7,127 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,850 – $17,102 · median $6,277 | 25 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $3,116 – $393,133 · median $142,895 | 23 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $3,116 – $256,556 · median $110,456 | 23 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $3,116 – $101,021 · median $37,915 | 23 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $3,116 – $78,089 · median $29,674 | 23 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $3,116 – $53,377 · median $20,793 | 23 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $3,116 – $145,746 · median $53,988 | 23 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $3,116 – $98,052 · median $36,848 | 23 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $3,116 – $58,852 · median $22,760 | 23 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $3,116 – $106,137 · median $39,754 | 23 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $3,116 – $72,456 · median $27,649 | 23 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $3,116 – $84,214 · median $31,875 | 23 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $3,116 – $57,589 · median $22,306 | 23 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,116 – $46,729 · median $18,404 | 23 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $3,116 – $111,286 · median $41,604 | 23 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $3,116 – $63,190 · median $24,319 | 23 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,116 – $40,659 · median $16,222 | 23 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $3,116 – $82,988 · median $31,434 | 23 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $3,116 – $39,470 · median $15,795 | 23 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $3,116 – $30,800 · median $12,679 | 23 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $3,116 – $71,693 · median $27,375 | 23 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $3,116 – $44,277 · median $17,522 | 23 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $3,116 – $35,985 · median $14,542 | 23 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $3,116 – $60,976 · median $23,524 | 23 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,116 – $30,054 · median $12,411 | 23 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,116 – $21,773 · median $9,515 | 23 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $3,116 – $71,517 · median $27,312 | 23 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,116 – $40,724 · median $16,246 | 23 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $3,116 – $32,000 · median $13,110 | 23 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $3,116 – $33,549 · median $13,667 | 23 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,116 – $18,137 · median $8,203 | 23 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $3,116 – $28,281 · median $11,774 | 23 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,116 – $18,885 · median $8,473 | 23 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $3,116 – $43,028 · median $17,074 | 23 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $3,116 – $23,997 · median $10,318 | 23 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,116 – $31,663 · median $12,989 | 23 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,116 – $22,984 · median $9,952 | 23 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,116 – $17,037 · median $7,806 | 23 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $3,116 – $51,067 · median $19,963 | 23 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $3,116 – $32,547 · median $13,307 | 23 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $3,116 – $26,001 · median $10,954 | 23 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $3,116 – $37,248 · median $14,996 | 23 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,116 – $18,713 · median $8,411 | 23 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,116 – $12,676 · median $6,780 | 23 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $3,116 – $27,203 · median $11,386 | 23 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,116 – $16,010 · median $7,553 | 23 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,116 – $14,795 · median $7,553 | 23 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $3,116 – $30,835 · median $12,692 | 23 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,116 – $19,004 · median $8,516 | 23 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,116 – $14,006 · median $7,389 | 23 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $3,116 – $29,715 · median $12,289 | 23 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,116 – $19,092 · median $8,548 | 23 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,116 – $35,516 · median $14,374 | 23 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,116 – $15,284 · median $7,553 | 23 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,116 – $33,525 · median $13,658 | 23 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,116 – $16,588 · median $7,644 | 23 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $3,116 – $42,334 · median $16,824 | 23 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $3,116 – $25,853 · median $10,901 | 23 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,116 – $17,703 · median $8,047 | 23 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $3,116 – $42,080 · median $16,733 | 23 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $3,116 – $24,129 · median $10,365 | 23 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,116 – $16,942 · median $7,772 | 23 plans |
| 088 | CONCUSSION WITH MCC | $3,116 – $25,038 · median $10,693 | 23 plans |
| 089 | CONCUSSION WITH CC | $3,116 – $20,348 · median $9,001 | 23 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,116 – $15,247 · median $7,553 | 23 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $3,116 – $32,528 · median $13,300 | 23 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,116 – $18,948 · median $8,496 | 23 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,116 – $14,749 · median $7,553 | 23 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $3,116 – $65,186 · median $25,037 | 23 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $3,116 – $47,772 · median $18,778 | 23 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,116 – $47,772 · median $18,778 | 23 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $3,116 – $66,898 · median $25,652 | 23 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $3,116 – $42,506 · median $16,886 | 23 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,116 – $25,234 · median $10,764 | 23 plans |
| 100 | SEIZURES WITH MCC | $3,116 – $35,873 · median $14,502 | 23 plans |
| 101 | SEIZURES WITHOUT MCC | $3,116 – $16,718 · median $7,691 | 23 plans |
| 102 | HEADACHES WITH MCC | $3,116 – $20,761 · median $9,150 | 23 plans |
| 103 | HEADACHES WITHOUT MCC | $3,116 – $15,490 · median $7,553 | 23 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $3,116 – $43,547 · median $17,260 | 23 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $3,116 – $25,060 · median $10,701 | 23 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $3,116 – $28,429 · median $11,827 | 23 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $3,116 – $33,490 · median $13,646 | 23 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,116 – $20,095 · median $8,909 | 23 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,116 – $21,547 · median $9,433 | 23 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,116 – $14,555 · median $6,752 | 23 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,116 – $14,792 · median $7,553 | 23 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $3,116 – $24,506 · median $10,501 | 23 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,116 – $14,221 · median $7,553 | 23 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $3,116 – $40,193 · median $16,054 | 23 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,116 – $18,805 · median $8,444 | 23 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $3,116 – $27,657 · median $11,549 | 23 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,116 – $16,414 · median $7,582 | 23 plans |
| 139 | SALIVARY GLAND PROCEDURES | $3,116 – $22,888 · median $9,917 | 23 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $3,116 – $79,002 · median $30,002 | 23 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,116 – $40,398 · median $16,128 | 23 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $3,116 – $29,569 · median $12,236 | 23 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $3,116 – $69,395 · median $26,549 | 23 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $3,116 – $32,097 · median $13,145 | 23 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $22,269 · median $9,694 | 23 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $3,116 – $39,218 · median $15,704 | 23 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,116 – $23,551 · median $10,157 | 23 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,116 – $14,764 · median $7,553 | 23 plans |
| 149 | DYSEQUILIBRIUM | $3,116 – $13,921 · median $7,363 | 23 plans |
| 150 | EPISTAXIS WITH MCC | $3,116 – $24,662 · median $10,558 | 23 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,116 – $13,595 · median $7,466 | 23 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,116 – $21,897 · median $9,560 | 23 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,116 – $13,673 · median $7,010 | 23 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $3,116 – $28,959 · median $12,017 | 23 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,116 – $16,975 · median $7,711 | 23 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,116 – $12,801 · median $6,623 | 23 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $3,116 – $31,799 · median $13,038 | 23 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,116 – $16,851 · median $7,739 | 23 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,116 – $13,123 · median $6,497 | 23 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $3,116 – $83,012 · median $36,107 | 23 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $3,116 – $46,750 · median $18,411 | 23 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $3,116 – $35,455 · median $14,352 | 23 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $3,116 – $69,230 · median $26,490 | 23 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $3,116 – $33,403 · median $13,614 | 23 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $25,308 · median $10,768 | 23 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $3,116 – $55,129 · median $21,422 | 23 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $3,116 – $25,442 · median $10,768 | 23 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,116 – $14,910 · median $7,553 | 23 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $3,116 – $28,944 · median $12,012 | 23 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $3,116 – $18,077 · median $8,182 | 23 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,116 – $13,984 · median $7,553 | 23 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $3,116 – $32,710 · median $13,365 | 23 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,116 – $19,837 · median $8,817 | 23 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,116 – $13,962 · median $7,553 | 23 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,116 – $28,337 · median $11,794 | 23 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,116 – $19,709 · median $8,770 | 23 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,116 – $14,568 · median $7,553 | 23 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $3,116 – $28,867 · median $11,984 | 23 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,116 – $18,320 · median $8,269 | 23 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,116 – $13,284 · median $7,232 | 23 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $3,116 – $22,882 · median $9,915 | 23 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,116 – $20,517 · median $9,062 | 23 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,116 – $15,614 · median $7,553 | 23 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,116 – $11,891 · median $6,375 | 23 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $3,116 – $24,345 · median $10,443 | 23 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,116 – $14,927 · median $7,553 | 23 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,116 – $11,641 · median $6,134 | 23 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $3,116 – $34,955 · median $14,172 | 23 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,116 – $19,928 · median $10,459 | 23 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,116 – $13,265 · median $6,899 | 23 plans |
| 199 | PNEUMOTHORAX WITH MCC | $3,116 – $32,675 · median $13,353 | 23 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,116 – $20,361 · median $9,006 | 23 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,116 – $13,245 · median $6,669 | 23 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $3,116 – $17,989 · median $8,150 | 23 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,116 – $12,410 · median $6,861 | 23 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,116 – $14,955 · median $7,553 | 23 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $3,116 – $33,914 · median $13,798 | 23 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,116 – $17,431 · median $7,948 | 23 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $3,116 – $119,184 · median $51,096 | 23 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $3,116 – $50,911 · median $19,907 | 23 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $3,116 – $201,410 · median $73,993 | 23 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $3,116 – $184,424 · median $67,889 | 23 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $3,116 – $181,197 · median $66,729 | 23 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $3,116 – $121,788 · median $45,378 | 23 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,116 – $121,788 · median $45,378 | 23 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,116 – $142,217 · median $52,720 | 23 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $3,116 – $98,774 · median $37,108 | 23 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,116 – $93,355 · median $35,160 | 23 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $3,116 – $91,636 · median $34,542 | 23 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $3,116 – $58,335 · median $22,575 | 23 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $3,116 – $156,139 · median $57,723 | 23 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $3,116 – $112,291 · median $41,966 | 23 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $3,116 – $141,604 · median $52,500 | 23 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $3,116 – $101,180 · median $37,972 | 23 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,116 – $108,698 · median $40,674 | 23 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $3,116 – $77,585 · median $29,493 | 23 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $3,116 – $91,160 · median $34,371 | 23 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $3,116 – $52,797 · median $20,584 | 23 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $3,116 – $25,642 · median $10,825 | 23 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $3,116 – $59,137 · median $22,863 | 23 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $3,116 – $39,469 · median $15,794 | 23 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,116 – $33,479 · median $13,642 | 23 plans |
| 245 | AICD GENERATOR PROCEDURES | $3,116 – $84,505 · median $31,979 | 23 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $3,116 – $40,424 · median $16,138 | 23 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $3,116 – $27,681 · median $11,558 | 23 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,116 – $64,610 · median $24,830 | 23 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $3,116 – $48,076 · median $18,888 | 23 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,116 – $33,001 · median $13,470 | 23 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $3,116 – $49,961 · median $19,565 | 23 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $3,116 – $31,449 · median $12,912 | 23 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,116 – $20,230 · median $8,785 | 23 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $3,116 – $58,198 · median $22,525 | 23 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $3,116 – $37,453 · median $15,070 | 23 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $3,116 – $60,248 · median $23,262 | 23 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $3,116 – $35,016 · median $14,194 | 23 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $3,116 – $30,189 · median $12,459 | 23 plans |
| 263 | VEIN LIGATION AND STRIPPING | $3,116 – $56,629 · median $21,961 | 23 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $3,116 – $61,875 · median $23,847 | 23 plans |
| 265 | AICD LEAD PROCEDURES | $3,116 – $67,016 · median $25,694 | 23 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | — | 23 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $3,116 – $88,180 · median $33,300 | 23 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $3,116 – $127,392 · median $49,474 | 23 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,116 – $78,222 · median $29,722 | 23 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,116 – $97,728 · median $36,732 | 23 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $3,116 – $65,870 · median $25,282 | 23 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $3,116 – $47,287 · median $18,604 | 23 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $3,116 – $76,413 · median $29,071 | 23 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $3,116 – $60,969 · median $23,521 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $3,116 – $132,069 · median $49,073 | 23 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $3,116 – $111,254 · median $41,593 | 23 plans |
| 277 | CELLULITIS AGE >17 W CC | $3,116 – $85,544 · median $32,353 | 23 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $3,116 – $103,097 · median $38,661 | 23 plans |
| 279 | CELLULITIS AGE 0-17 | $3,116 – $66,798 · median $25,616 | 23 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $3,116 – $29,711 · median $12,288 | 23 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,116 – $17,024 · median $7,801 | 23 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,116 – $13,393 · median $7,142 | 23 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,116 – $36,688 · median $14,795 | 23 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,116 – $12,821 · median $7,299 | 23 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,116 – $11,093 · median $5,530 | 23 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,116 – $40,985 · median $16,339 | 23 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,116 – $19,820 · median $8,811 | 23 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $3,116 – $50,124 · median $19,624 | 23 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $3,116 – $31,615 · median $12,972 | 23 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,116 – $17,220 · median $7,872 | 23 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,116 – $23,779 · median $10,239 | 23 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,116 – $15,725 · median $7,553 | 23 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,116 – $10,768 · median $5,405 | 23 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $3,116 – $28,930 · median $12,007 | 23 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,116 – $11,743 · median $6,938 | 23 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,116 – $10,768 · median $4,639 | 23 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $3,116 – $30,241 · median $12,478 | 23 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,116 – $19,772 · median $8,793 | 23 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,116 – $13,330 · median $7,027 | 23 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,116 – $22,163 · median $9,656 | 23 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,116 – $12,469 · median $6,623 | 23 plans |
| 304 | HYPERTENSION WITH MCC | $3,116 – $22,041 · median $9,612 | 23 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,116 – $13,986 · median $7,394 | 23 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $3,116 – $29,187 · median $12,099 | 23 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,116 – $16,914 · median $7,762 | 23 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $3,116 – $22,300 · median $9,705 | 23 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,116 – $13,627 · median $7,282 | 23 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,116 – $10,485 · median $5,511 | 23 plans |
| 311 | ANGINA PECTORIS | $3,116 – $13,001 · median $6,878 | 23 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,116 – $16,144 · median $7,553 | 23 plans |
| 313 | CHEST PAIN | $3,116 – $13,336 · median $7,027 | 23 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $3,116 – $38,622 · median $15,490 | 23 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $3,116 – $17,842 · median $8,097 | 23 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,116 – $12,634 · median $6,725 | 23 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $3,116 – $82,662 · median $31,317 | 23 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $3,116 – $44,551 · median $17,621 | 23 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $3,116 – $50,395 · median $19,721 | 23 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $3,116 – $32,654 · median $13,345 | 23 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $3,116 – $80,152 · median $30,415 | 23 plans |
| 324 | URINARY STONES W/O CC | $3,116 – $58,363 · median $22,585 | 23 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $3,116 – $59,463 · median $22,980 | 23 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $3,116 – $92,377 · median $34,808 | 23 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $3,116 – $45,271 · median $17,880 | 23 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $3,116 – $29,678 · median $12,276 | 23 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,116 – $85,136 · median $32,206 | 23 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,116 – $44,401 · median $17,567 | 23 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,116 – $31,171 · median $12,812 | 23 plans |
| 332 | RECTAL RESECTION WITH MCC | $3,116 – $67,063 · median $25,711 | 23 plans |
| 333 | RECTAL RESECTION WITH CC | $3,116 – $43,382 · median $17,201 | 23 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $3,116 – $30,337 · median $12,513 | 23 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $3,116 – $66,140 · median $25,380 | 23 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $3,116 – $39,057 · median $15,646 | 23 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $3,116 – $28,431 · median $11,828 | 23 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,116 – $47,839 · median $18,802 | 23 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,116 – $27,870 · median $11,626 | 23 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,116 – $21,971 · median $9,586 | 23 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $3,116 – $42,519 · median $16,891 | 23 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $3,116 – $24,242 · median $10,322 | 23 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,116 – $16,125 · median $7,553 | 23 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $3,116 – $46,155 · median $18,197 | 23 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,116 – $28,237 · median $11,758 | 23 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,116 – $21,630 · median $9,464 | 23 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $3,116 – $53,751 · median $20,927 | 23 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $3,116 – $31,161 · median $12,809 | 23 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $3,116 – $24,912 · median $10,648 | 23 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $3,116 – $81,363 · median $30,851 | 23 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $3,116 – $43,073 · median $17,090 | 23 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $25,892 · median $10,915 | 23 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $3,116 – $29,485 · median $12,206 | 23 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,116 – $18,526 · median $8,343 | 23 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,116 – $12,980 · median $6,875 | 23 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $3,116 – $32,841 · median $13,413 | 23 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,116 – $18,911 · median $8,482 | 23 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,116 – $13,473 · median $7,145 | 23 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $3,116 – $39,613 · median $15,846 | 23 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $3,116 – $22,404 · median $9,743 | 23 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,116 – $17,120 · median $7,836 | 23 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $3,116 – $33,858 · median $13,778 | 23 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,116 – $18,165 · median $8,213 | 23 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,116 – $11,676 · median $6,271 | 23 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,116 – $36,344 · median $14,671 | 23 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,116 – $20,069 · median $8,900 | 23 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,116 – $14,829 · median $7,381 | 23 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,116 – $25,573 · median $10,801 | 23 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,116 – $15,833 · median $7,553 | 23 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,116 – $29,307 · median $12,143 | 23 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,116 – $18,083 · median $8,184 | 23 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,116 – $12,619 · median $6,602 | 23 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $3,116 – $27,353 · median $11,440 | 23 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,116 – $14,629 · median $7,553 | 23 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,116 – $10,768 · median $5,390 | 23 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,116 – $23,491 · median $10,135 | 23 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,116 – $14,440 · median $7,553 | 23 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $3,116 – $29,622 · median $12,256 | 23 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,116 – $17,331 · median $7,912 | 23 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,116 – $12,021 · median $6,268 | 23 plans |
| 397 | COAGULATION DISORDERS | $3,116 – $44,358 · median $17,552 | 23 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $3,116 – $28,035 · median $11,685 | 23 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $3,116 – $21,202 · median $9,309 | 23 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $3,116 – $101,325 · median $38,024 | 23 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $3,116 – $53,718 · median $20,915 | 23 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $3,116 – $41,111 · median $16,385 | 23 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $3,116 – $66,042 · median $25,344 | 23 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $3,116 – $40,328 · median $16,103 | 23 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $3,116 – $29,407 · median $12,178 | 23 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $3,116 – $61,184 · median $23,598 | 23 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $3,116 – $38,943 · median $15,605 | 23 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $3,116 – $30,756 · median $12,663 | 23 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $3,116 – $65,986 · median $25,324 | 23 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $3,116 – $38,279 · median $15,367 | 23 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $3,116 – $25,251 · median $10,768 | 23 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,116 – $44,201 · median $17,495 | 23 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,116 – $31,332 · median $12,870 | 23 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,116 – $25,297 · median $10,768 | 23 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $3,116 – $63,106 · median $24,289 | 23 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $3,116 – $32,182 · median $13,176 | 23 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $3,116 – $25,922 · median $10,926 | 23 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $3,116 – $76,922 · median $29,254 | 23 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $3,116 – $40,524 · median $16,174 | 23 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $27,789 · median $11,597 | 23 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $3,116 – $36,455 · median $14,711 | 23 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,116 – $19,563 · median $8,718 | 23 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,116 – $13,197 · median $6,860 | 23 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $3,116 – $34,019 · median $13,836 | 23 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,116 – $20,950 · median $9,218 | 23 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,116 – $15,805 · median $7,553 | 23 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $3,116 – $30,195 · median $12,461 | 23 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,116 – $15,581 · median $7,553 | 23 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,116 – $11,510 · median $6,059 | 23 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $3,116 – $33,241 · median $13,556 | 23 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $3,116 – $17,879 · median $8,110 | 23 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,116 – $12,960 · median $6,922 | 23 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $3,116 – $30,948 · median $12,732 | 23 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,116 – $20,270 · median $8,973 | 23 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,116 – $15,323 · median $7,553 | 23 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $3,116 – $155,648 · median $57,547 | 23 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $3,116 – $110,449 · median $41,303 | 23 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $3,116 – $77,285 · median $29,385 | 23 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $3,116 – $102,297 · median $38,374 | 23 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $3,116 – $49,269 · median $19,316 | 23 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,116 – $105,566 · median $39,549 | 23 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,116 – $57,690 · median $22,343 | 23 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,116 – $33,779 · median $13,749 | 23 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $3,116 – $96,414 · median $36,260 | 23 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $3,116 – $65,320 · median $25,085 | 23 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $3,116 – $50,898 · median $19,902 | 23 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $3,116 – $56,181 · median $21,800 | 23 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $3,116 – $35,727 · median $14,450 | 23 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $3,116 – $89,437 · median $33,752 | 23 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $3,116 – $54,568 · median $21,221 | 23 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $3,116 – $45,218 · median $17,860 | 23 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,116 – $79,513 · median $30,186 | 23 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,116 – $42,151 · median $16,758 | 23 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,116 – $21,860 · median $9,546 | 23 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,116 – $63,986 · median $24,605 | 23 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,116 – $45,549 · median $17,980 | 23 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,116 – $34,431 · median $13,984 | 23 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $3,116 – $53,942 · median $20,996 | 23 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $3,116 – $38,794 · median $15,552 | 23 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $3,116 – $30,209 · median $12,467 | 23 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $3,116 – $51,341 · median $20,061 | 23 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $3,116 – $59,772 · median $23,091 | 23 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $3,116 – $38,731 · median $15,529 | 23 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,116 – $29,009 · median $12,035 | 23 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $3,116 – $32,764 · median $13,385 | 23 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,116 – $20,685 · median $9,123 | 23 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $3,116 – $68,005 · median $26,050 | 23 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $3,116 – $46,974 · median $18,491 | 23 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $3,116 – $37,164 · median $14,966 | 23 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $3,116 – $67,155 · median $25,744 | 23 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $3,116 – $33,412 · median $13,618 | 23 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $3,116 – $22,380 · median $9,734 | 23 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $3,116 – $55,877 · median $21,691 | 23 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $3,116 – $37,318 · median $14,406 | 23 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $3,116 – $58,618 · median $22,676 | 23 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $3,116 – $32,378 · median $13,246 | 23 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $3,116 – $24,929 · median $10,654 | 23 plans |
| 503 | FOOT PROCEDURES WITH MCC | $3,116 – $51,697 · median $20,189 | 23 plans |
| 504 | FOOT PROCEDURES WITH CC | $3,116 – $34,621 · median $14,052 | 23 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,116 – $33,206 · median $13,544 | 23 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $3,116 – $24,990 · median $10,676 | 23 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $3,116 – $33,458 · median $13,634 | 23 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $3,116 – $28,050 · median $11,691 | 23 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $3,116 – $55,946 · median $21,716 | 23 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $3,116 – $38,515 · median $15,451 | 23 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $3,116 – $30,661 · median $12,629 | 23 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $3,116 – $29,159 · median $12,089 | 23 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,116 – $18,935 · median $8,491 | 23 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $3,116 – $59,028 · median $22,823 | 23 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $3,116 – $38,491 · median $15,443 | 23 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $28,463 · median $11,839 | 23 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $3,116 – $69,222 · median $26,487 | 23 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $3,116 – $37,048 · median $14,924 | 23 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $3,116 – $27,670 · median $11,554 | 23 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $3,116 – $53,162 · median $20,715 | 23 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $3,116 – $39,224 · median $15,706 | 23 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $3,116 – $29,037 · median $12,045 | 23 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,116 – $14,931 · median $7,553 | 23 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,116 – $23,745 · median $10,227 | 23 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,116 – $14,958 · median $7,553 | 23 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,116 – $17,676 · median $8,037 | 23 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,116 – $13,341 · median $6,614 | 23 plans |
| 539 | OSTEOMYELITIS WITH MCC | $3,116 – $36,483 · median $14,721 | 23 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,116 – $24,010 · median $10,322 | 23 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,116 – $14,584 · median $7,553 | 23 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $3,116 – $32,719 · median $13,369 | 23 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,116 – $19,041 · median $8,529 | 23 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,116 – $13,977 · median $7,444 | 23 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $3,116 – $45,966 · median $18,129 | 23 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $3,116 – $21,363 · median $9,367 | 23 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,116 – $15,488 · median $7,350 | 23 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $3,116 – $35,764 · median $14,463 | 23 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,116 – $22,360 · median $9,727 | 23 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,116 – $16,190 · median $7,501 | 23 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $3,116 – $31,045 · median $12,767 | 23 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,116 – $17,805 · median $8,083 | 23 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $3,116 – $24,010 · median $10,322 | 23 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,116 – $15,375 · median $7,553 | 23 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,116 – $24,482 · median $10,493 | 23 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,116 – $15,384 · median $7,553 | 23 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $3,116 – $27,540 · median $11,507 | 23 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,116 – $16,544 · median $7,628 | 23 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,116 – $34,542 · median $14,024 | 23 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,116 – $20,858 · median $9,185 | 23 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,116 – $14,890 · median $7,553 | 23 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $3,116 – $26,390 · median $11,094 | 23 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,116 – $16,586 · median $7,644 | 23 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $3,116 – $28,591 · median $11,885 | 23 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,116 – $18,048 · median $8,171 | 23 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $13,879 · median $6,752 | 23 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $3,116 – $87,690 · median $45,175 | 23 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $3,116 – $31,293 · median $12,856 | 23 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $3,116 – $21,232 · median $9,320 | 23 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,116 – $121,345 · median $45,219 | 23 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,116 – $64,297 · median $24,717 | 23 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,116 – $33,284 · median $13,572 | 23 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,116 – $90,780 · median $34,235 | 23 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,116 – $49,096 · median $19,254 | 23 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,116 – $29,754 · median $12,303 | 23 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $3,116 – $59,984 · median $23,167 | 23 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $3,116 – $32,006 · median $13,112 | 23 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,116 – $26,729 · median $11,216 | 23 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $3,116 – $35,684 · median $14,434 | 23 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $3,116 – $31,939 · median $13,088 | 23 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $3,116 – $39,650 · median $15,859 | 23 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $3,116 – $35,731 · median $14,451 | 23 plans |
| 592 | SKIN ULCERS WITH MCC | $3,116 – $35,846 · median $14,492 | 23 plans |
| 593 | SKIN ULCERS WITH CC | $3,116 – $21,973 · median $9,587 | 23 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,116 – $16,055 · median $7,553 | 23 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $3,116 – $39,280 · median $15,726 | 23 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,116 – $20,050 · median $8,816 | 23 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $3,116 – $30,878 · median $12,707 | 23 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,116 – $20,954 · median $9,220 | 23 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,116 – $14,251 · median $7,553 | 23 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,116 – $19,293 · median $8,620 | 23 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,116 – $11,206 · median $5,905 | 23 plans |
| 602 | CELLULITIS WITH MCC | $3,116 – $26,325 · median $11,071 | 23 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,116 – $16,131 · median $7,553 | 23 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $3,116 – $27,266 · median $11,409 | 23 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,116 – $16,966 · median $7,781 | 23 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $3,116 – $28,027 · median $11,683 | 23 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,116 – $16,788 · median $7,643 | 23 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $3,116 – $40,597 · median $16,200 | 23 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $3,116 – $25,918 · median $10,924 | 23 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,116 – $64,594 · median $24,824 | 23 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,116 – $34,642 · median $14,060 | 23 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,116 – $26,270 · median $11,051 | 23 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $3,116 – $53,480 · median $20,830 | 23 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $3,116 – $29,641 · median $12,262 | 23 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $3,116 – $27,939 · median $11,651 | 23 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,116 – $65,924 · median $25,302 | 23 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,116 – $33,227 · median $13,551 | 23 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,116 – $23,188 · median $9,880 | 23 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $3,116 – $55,938 · median $21,713 | 23 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $3,116 – $27,772 · median $11,591 | 23 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,116 – $24,603 · median $10,536 | 23 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $3,116 – $69,028 · median $26,417 | 23 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $3,116 – $40,356 · median $16,113 | 23 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $27,033 · median $11,325 | 23 plans |
| 637 | DIABETES WITH MCC | $3,116 – $26,611 · median $11,173 | 23 plans |
| 638 | DIABETES WITH CC | $3,116 – $16,599 · median $7,648 | 23 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,116 – $11,506 · median $6,172 | 23 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $3,116 – $24,738 · median $10,500 | 23 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,116 – $14,414 · median $7,553 | 23 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $3,116 – $26,340 · median $11,076 | 23 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $3,116 – $30,489 · median $12,567 | 23 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,116 – $18,985 · median $8,509 | 23 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,116 – $14,230 · median $7,553 | 23 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $3,116 – $96,248 · median $36,200 | 23 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $3,116 – $51,849 · median $20,243 | 23 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,116 – $39,204 · median $15,699 | 23 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $3,116 – $58,970 · median $22,803 | 23 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $3,116 – $33,895 · median $13,791 | 23 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $3,116 – $28,742 · median $11,939 | 23 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $3,116 – $47,063 · median $18,523 | 23 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $3,116 – $24,481 · median $10,492 | 23 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,116 – $19,178 · median $8,579 | 23 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $3,116 – $56,705 · median $21,989 | 23 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $3,116 – $28,157 · median $11,729 | 23 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,116 – $19,391 · median $8,656 | 23 plans |
| 665 | PROSTATECTOMY WITH MCC | $3,116 – $57,811 · median $22,386 | 23 plans |
| 666 | PROSTATECTOMY WITH CC | $3,116 – $32,401 · median $13,254 | 23 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $3,116 – $20,489 · median $9,052 | 23 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $3,116 – $54,084 · median $21,047 | 23 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $3,116 – $28,746 · median $11,941 | 23 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,116 – $18,102 · median $8,190 | 23 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $3,116 – $33,247 · median $13,558 | 23 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,116 – $19,995 · median $8,873 | 23 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $3,116 – $77,822 · median $29,578 | 23 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $3,116 – $43,316 · median $17,177 | 23 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $3,116 – $30,402 · median $12,536 | 23 plans |
| 682 | RENAL FAILURE WITH MCC | $3,116 – $27,431 · median $11,468 | 23 plans |
| 683 | RENAL FAILURE WITH CC | $3,116 – $16,222 · median $7,553 | 23 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,116 – $11,119 · median $5,983 | 23 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $3,116 – $33,408 · median $13,616 | 23 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,116 – $19,407 · median $8,662 | 23 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,116 – $14,638 · median $7,133 | 23 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,116 – $21,491 · median $9,413 | 23 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,116 – $14,994 · median $7,553 | 23 plans |
| 693 | URINARY STONES WITH MCC | $3,116 – $24,903 · median $10,644 | 23 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,116 – $14,479 · median $7,553 | 23 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,116 – $21,185 · median $9,224 | 23 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,116 – $12,762 · median $6,752 | 23 plans |
| 697 | URETHRAL STRICTURE | $3,116 – $19,963 · median $8,862 | 23 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $3,116 – $30,643 · median $12,622 | 23 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,116 – $18,800 · median $8,442 | 23 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,116 – $12,778 · median $6,752 | 23 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $3,116 – $37,050 · median $14,925 | 23 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $3,116 – $28,416 · median $11,822 | 23 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $3,116 – $43,103 · median $17,100 | 23 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $3,116 – $25,953 · median $10,937 | 23 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $3,116 – $38,596 · median $15,481 | 23 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,116 – $20,369 · median $9,008 | 23 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $3,116 – $27,846 · median $11,617 | 23 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,116 – $19,585 · median $8,726 | 23 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $3,116 – $41,439 · median $16,502 | 23 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $3,116 – $27,246 · median $11,402 | 23 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $3,116 – $35,016 · median $14,194 | 23 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,116 – $24,877 · median $10,635 | 23 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,116 – $33,519 · median $13,656 | 23 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,116 – $21,165 · median $9,296 | 23 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,116 – $12,145 · median $7,177 | 23 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $3,116 – $21,674 · median $9,480 | 23 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,116 – $13,373 · median $7,332 | 23 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $3,116 – $27,466 · median $11,481 | 23 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,116 – $15,025 · median $7,553 | 23 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,116 – $19,609 · median $8,734 | 23 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,116 – $12,447 · median $6,083 | 23 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $3,116 – $39,452 · median $15,788 | 23 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $3,116 – $24,921 · median $10,651 | 23 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $3,116 – $66,207 · median $25,404 | 23 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $3,116 – $38,166 · median $15,326 | 23 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,116 – $27,200 · median $11,385 | 23 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $3,116 – $66,361 · median $25,459 | 23 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $3,116 – $33,517 · median $13,656 | 23 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,116 – $26,414 · median $11,103 | 23 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $3,116 – $33,984 · median $13,823 | 23 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,116 – $22,980 · median $9,951 | 23 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,116 – $37,953 · median $15,250 | 23 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,116 – $21,069 · median $9,261 | 23 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $3,116 – $32,175 · median $13,173 | 23 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,116 – $15,923 · median $7,553 | 23 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $3,116 – $25,696 · median $10,844 | 23 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $3,116 – $47,557 · median $18,701 | 23 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $27,335 · median $11,434 | 23 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,116 – $34,112 · median $13,869 | 23 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,116 – $20,148 · median $8,929 | 23 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,116 – $17,790 · median $8,003 | 23 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,116 – $26,522 · median $11,141 | 23 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,116 – $18,133 · median $8,202 | 23 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,116 – $12,291 · median $6,304 | 23 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,116 – $18,661 · median $8,392 | 23 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,116 – $10,768 · median $6,244 | 23 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $3,116 – $31,298 · median $12,858 | 23 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,116 – $18,572 · median $8,360 | 23 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,116 – $12,126 · median $7,028 | 23 plans |
| 779 | ABORTION WITHOUT D&C | $3,116 – $15,583 · median $7,553 | 23 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $33,380 · median $13,606 | 23 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,116 – $110,086 · median $41,173 | 23 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,116 – $75,181 · median $28,629 | 23 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,116 – $45,364 · median $17,913 | 23 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,116 – $77,229 · median $29,365 | 23 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,116 – $27,337 · median $11,434 | 23 plans |
| 799 | SPLENECTOMY WITH MCC | $3,116 – $83,884 · median $31,757 | 23 plans |
| 800 | SPLENECTOMY WITH CC | $3,116 – $52,036 · median $20,311 | 23 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $3,116 – $35,357 · median $14,317 | 23 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $3,116 – $73,794 · median $28,130 | 23 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $3,116 – $34,431 · median $13,984 | 23 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $3,116 – $25,116 · median $10,721 | 23 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $3,116 – $40,895 · median $16,307 | 23 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,116 – $23,447 · median $10,119 | 23 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,116 – $19,385 · median $8,654 | 23 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,116 – $26,010 · median $10,958 | 23 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,116 – $17,007 · median $7,795 | 23 plans |
| 813 | COAGULATION DISORDERS | $3,116 – $28,252 · median $11,763 | 23 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $3,116 – $39,391 · median $15,766 | 23 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,116 – $18,781 · median $8,436 | 23 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,116 – $11,706 · median $6,495 | 23 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $3,116 – $42,260 · median $16,797 | 23 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,116 – $21,471 · median $9,406 | 23 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $15,927 · median $7,553 | 23 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $3,116 – $108,628 · median $40,649 | 23 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $3,116 – $41,463 · median $16,511 | 23 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $22,300 · median $9,705 | 23 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $3,116 – $84,920 · median $32,129 | 23 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $3,116 – $41,963 · median $16,691 | 23 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,116 – $24,994 · median $10,677 | 23 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $3,116 – $86,642 · median $32,748 | 23 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $3,116 – $42,808 · median $16,994 | 23 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $31,558 · median $12,951 | 23 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $3,116 – $58,530 · median $22,644 | 23 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,116 – $27,876 · median $11,628 | 23 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,116 – $22,273 · median $9,695 | 23 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,116 – $13,365 · median $7,362 | 23 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $9,685 · median $5,120 | 23 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $3,116 – $101,684 · median $38,153 | 23 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $3,116 – $38,633 · median $15,494 | 23 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $22,588 · median $9,809 | 23 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $3,116 – $88,985 · median $37,580 | 23 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $3,116 – $38,663 · median $15,505 | 23 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,116 – $26,744 · median $11,221 | 23 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $3,116 – $59,917 · median $23,143 | 23 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $3,116 – $30,217 · median $12,469 | 23 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,116 – $18,715 · median $8,412 | 23 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $3,116 – $36,948 · median $14,888 | 23 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $22,549 · median $9,714 | 23 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,116 – $15,773 · median $7,553 | 23 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $3,116 – $48,018 · median $18,867 | 23 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,116 – $24,230 · median $10,402 | 23 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,116 – $15,733 · median $7,336 | 23 plans |
| 849 | RADIOTHERAPY | $3,116 – $50,185 · median $19,646 | 23 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $3,116 – $91,473 · median $34,484 | 23 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $3,116 – $37,009 · median $14,910 | 23 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $27,731 · median $11,576 | 23 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $3,116 – $84,251 · median $31,888 | 23 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $3,116 – $39,665 · median $15,865 | 23 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,116 – $25,799 · median $10,882 | 23 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $3,116 – $33,779 · median $13,749 | 23 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,116 – $18,483 · median $8,328 | 23 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,116 – $16,442 · median $7,592 | 23 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,116 – $27,752 · median $11,583 | 23 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,116 – $16,107 · median $7,553 | 23 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $3,116 – $38,770 · median $15,543 | 23 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,116 – $19,098 · median $8,550 | 23 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,116 – $13,516 · median $7,088 | 23 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,116 – $128,020 · median $47,618 | 23 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $3,116 – $35,979 · median $14,540 | 23 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $3,116 – $18,954 · median $8,498 | 23 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $3,116 – $71,586 · median $27,337 | 23 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,116 – $17,785 · median $8,076 | 23 plans |
| 881 | DEPRESSIVE NEUROSES | $3,116 – $17,427 · median $7,947 | 23 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,116 – $19,889 · median $8,758 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $3,116 – $36,420 · median $14,699 | 23 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $3,116 – $29,800 · median $12,320 | 23 plans |
| 885 | PSYCHOSES | $3,116 – $25,872 · median $10,908 | 23 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $3,116 – $38,439 · median $15,424 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $3,116 – $19,835 · median $8,816 | 23 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,116 – $11,426 · median $6,147 | 23 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $3,116 – $26,220 · median $11,033 | 23 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $3,116 – $32,323 · median $13,226 | 23 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,116 – $16,351 · median $7,559 | 23 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $3,116 – $77,729 · median $29,545 | 23 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $3,116 – $35,460 · median $14,354 | 23 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $3,116 – $21,663 · median $9,476 | 23 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $3,116 – $68,033 · median $26,060 | 23 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $3,116 – $27,476 · median $11,484 | 23 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $3,116 – $36,383 · median $14,685 | 23 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $3,116 – $71,112 · median $27,166 | 23 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $3,116 – $36,955 · median $14,891 | 23 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $3,116 – $24,314 · median $10,432 | 23 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $3,116 – $30,276 · median $12,491 | 23 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,116 – $16,401 · median $7,577 | 23 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $3,116 – $31,147 · median $12,803 | 23 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,116 – $12,341 · median $6,541 | 23 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $3,116 – $29,050 · median $12,050 | 23 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,116 – $15,875 · median $7,387 | 23 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $3,116 – $33,910 · median $13,797 | 23 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,116 – $18,565 · median $8,282 | 23 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,116 – $12,751 · median $6,752 | 23 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,116 – $32,402 · median $13,255 | 23 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,116 – $18,850 · median $8,384 | 23 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $3,116 – $395,454 · median $143,729 | 23 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $3,116 – $132,853 · median $49,355 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $3,116 – $59,656 · median $23,049 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $3,116 – $72,128 · median $27,532 | 23 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,116 – $40,945 · median $16,325 | 23 plans |
| 935 | NON-EXTENSIVE BURNS | $3,116 – $42,620 · median $15,322 | 23 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $3,116 – $67,207 · median $25,763 | 23 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $3,116 – $43,284 · median $17,165 | 23 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $3,116 – $37,557 · median $15,107 | 23 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,116 – $23,512 · median $10,143 | 23 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,116 – $14,827 · median $7,553 | 23 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,116 – $22,036 · median $9,529 | 23 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,116 – $11,626 · median $5,788 | 23 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,116 – $10,298 · median $5,585 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $3,116 – $124,673 · median $46,415 | 23 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $3,116 – $69,698 · median $26,658 | 23 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,116 – $141,136 · median $52,332 | 23 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,116 – $78,050 · median $29,660 | 23 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,116 – $54,531 · median $21,207 | 23 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,116 – $50,635 · median $19,807 | 23 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,116 – $28,387 · median $11,812 | 23 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,116 – $17,420 · median $7,944 | 23 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $3,116 – $137,796 · median $70,922 | 23 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $3,116 – $48,850 · median $19,166 | 23 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $3,116 – $53,454 · median $20,821 | 23 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $3,116 – $23,986 · median $10,314 | 23 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,116 – $16,720 · median $7,692 | 23 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,116 – $24,036 · median $10,332 | 23 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,116 – $86,902 · median $32,841 | 23 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,116 – $45,536 · median $17,975 | 23 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,116 – $31,747 · median $13,019 | 23 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,116 – $63,501 · median $24,431 | 23 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,116 – $30,443 · median $12,551 | 23 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,116 – $22,212 · median $9,673 | 23 plans |
| 795 | NORMAL NEWBORN | $1,968 – $8,131 · median $2,908 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $3,116 – $43,356 · median $11,963 | 22 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $3,116 – $32,107 · median $9,283 | 22 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 20 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $3,116 – $22,172 · median $11,621 | 19 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,116 – $15,372 · median $8,060 | 19 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,116 – $11,266 · median $6,115 | 19 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $3,116 – $18,225 · median $9,554 | 19 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,116 – $12,792 · median $6,867 | 19 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $3,116 – $170,296 · median $59,132 | 19 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $3,116 – $78,837 · median $41,303 | 19 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $3,116 – $90,954 · median $31,491 | 19 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $3,116 – $110,131 · median $44,654 | 19 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,116 – $49,615 · median $25,336 | 19 plans |
| 509 | ARTHROSCOPY | $3,116 – $24,781 · median $12,988 | 19 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | 18 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $3,116 – $110,315 · median $49,221 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $3,116 – $72,693 · median $32,992 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $3,116 – $57,299 · median $26,352 | 18 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $3,116 – $98,441 · median $53,489 | 17 plans |
| 007 | LUNG TRANSPLANT | — | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 17 plans |
| 010 | PANCREAS TRANSPLANT | $3,116 – $110,951 · median $49,615 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $3,116 – $83,994 · median $37,964 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $3,116 – $49,935 · median $23,242 | 17 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $10,768 · median $7,080 | 9 plans |
| 999 | UNGROUPABLE | $1,676 – $13,545 · median $7,553 | 9 plans |
No procedures match that keyword.