Memorial Hospital and Manor — Pricing

773 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 773 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 773
Lowest published price —
Average published price —
Highest published price —

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

Showing all 773 procedures

Procedures with negotiated rates only

These 773 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
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $107,393 – $919,546 · median $325,683 12 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $35,855 – $1,332,013 · median $150,430 12 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $81,709 – $844,637 · median $257,511 12 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $53,871 – $613,234 · median $179,405 12 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $40,601 – $682,002 · median $128,084 12 plans
006 LIVER TRANSPLANT WITHOUT MCC — 12 plans
007 LUNG TRANSPLANT $49,826 – $883,612 · median $150,693 12 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $20,745 – $858,615 · median $68,052 12 plans
010 PANCREAS TRANSPLANT $30,398 – $740,175 · median $62,766 12 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $20,572 – $700,950 · median $66,809 12 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $15,646 – $600,858 · median $53,225 12 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 12 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $49,951 – $651,433 · median $141,190 12 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $23,012 – $455,889 · median $78,851 12 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $23,012 – $554,954 · median $78,851 12 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $143,782 – $3,247,726 · median $440,643 12 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $30,223 – $913,076 · median $100,282 12 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $30,733 – $938,286 · median $105,696 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $20,363 – $1,056,860 · median $78,431 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 12 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $21,751 – $758,738 · median $72,855 12 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 12 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 12 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 12 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 12 plans
028 SPINAL PROCEDURES WITH MCC $23,178 – $829,864 · median $77,071 12 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 12 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC — 12 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $15,977 – $505,353 · median $54,543 12 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 12 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 12 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 12 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 12 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 12 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 12 plans
038 EXTRACRANIAL PROCEDURES WITH CC — 12 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC — 12 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $14,381 – $629,751 · median $51,403 12 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — 12 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 12 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $7,673 – $185,263 · median $28,916 12 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC — 12 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC — 12 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC — 12 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $9,547 – $243,198 · median $34,219 12 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC — 12 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $7,038 – $312,488 · median $26,361 12 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC — 12 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC — 12 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 12 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC — 12 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC — 12 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 12 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS — 12 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC — 12 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC — 12 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC — 12 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC — 12 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC — 12 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC — 12 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC — 12 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC — 12 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC — 12 plans
075 VIRAL MENINGITIS WITH CC/MCC — 12 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC — 12 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC — 12 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC — 12 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC — 12 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 12 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC — 12 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC — 12 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC — 12 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC — 12 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 12 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC — 12 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC — 12 plans
088 CONCUSSION WITH MCC — 12 plans
089 CONCUSSION WITH CC — 12 plans
090 CONCUSSION WITHOUT CC/MCC — 12 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC — 12 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC — 12 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC — 12 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $13,911 – $406,480 · median $48,716 12 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 12 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 12 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $13,667 – $443,432 · median $48,883 12 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC — 12 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC — 12 plans
100 SEIZURES WITH MCC — 12 plans
101 SEIZURES WITHOUT MCC — 12 plans
102 HEADACHES WITH MCC — 12 plans
103 HEADACHES WITHOUT MCC — 12 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 12 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC — 12 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT — 12 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC — 12 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC — 12 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,435 – $215,265 · median $21,091 12 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC — 12 plans
123 NEUROLOGICAL EYE DISORDERS — 12 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT — 12 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC — 12 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 12 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC — 12 plans
137 MOUTH PROCEDURES WITH CC/MCC — 12 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC — 12 plans
139 SALIVARY GLAND PROCEDURES — 12 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $16,124 – $273,627 · median $50,549 12 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $8,191 – $257,823 · median $30,417 12 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC — 12 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $12,589 – $494,377 · median $45,210 12 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — 12 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $8,746 – $392,238 · median $30,881 12 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC — 12 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC — 12 plans
149 DYSEQUILIBRIUM — 12 plans
150 EPISTAXIS WITH MCC — 12 plans
151 EPISTAXIS WITHOUT MCC — 12 plans
152 OTITIS MEDIA AND URI WITH MCC — 12 plans
153 OTITIS MEDIA AND URI WITHOUT MCC — 12 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC — 12 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC — 12 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC — 12 plans
157 DENTAL AND ORAL DISEASES WITH MCC — 12 plans
158 DENTAL AND ORAL DISEASES WITH CC — 12 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC — 12 plans
163 MAJOR CHEST PROCEDURES WITH MCC $17,573 – $699,583 · median $61,586 12 plans
164 MAJOR CHEST PROCEDURES WITH CC — 12 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 12 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $14,680 – $617,627 · median $53,849 12 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 12 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 12 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE — 12 plans
176 PULMONARY EMBOLISM WITHOUT MCC — 12 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC — 12 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC — 12 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC — 12 plans
180 RESPIRATORY NEOPLASMS WITH MCC — 12 plans
181 RESPIRATORY NEOPLASMS WITH CC — 12 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC — 12 plans
183 MAJOR CHEST TRAUMA WITH MCC — 12 plans
184 MAJOR CHEST TRAUMA WITH CC — 12 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC — 12 plans
186 PLEURAL EFFUSION WITH MCC — 12 plans
187 PLEURAL EFFUSION WITH CC — 12 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC — 12 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE — 12 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC — 12 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC — 12 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC — 12 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC — 12 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC — 12 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC — 12 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC — 12 plans
197 INTERSTITIAL LUNG DISEASE WITH CC — 12 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC — 12 plans
199 PNEUMOTHORAX WITH MCC — 12 plans
200 PNEUMOTHORAX WITH CC — 12 plans
201 PNEUMOTHORAX WITHOUT CC/MCC — 12 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC — 12 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC — 12 plans
204 RESPIRATORY SIGNS AND SYMPTOMS — 12 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC — 12 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC — 12 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $24,657 – $526,095 · median $87,475 12 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS — 12 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $41,534 – $661,067 · median $133,047 12 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $40,393 – $1,357,731 · median $126,489 12 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $36,795 – $876,183 · median $120,478 12 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $24,621 – $1,239,365 · median $81,073 12 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 12 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $29,500 – $1,197,318 · median $96,951 12 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 12 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 12 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 12 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 12 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $32,307 – $1,081,476 · median $101,718 12 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 12 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $29,800 – $1,084,979 · median $97,994 12 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC — 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 12 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 12 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $19,203 – $475,179 · median $62,685 12 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $11,103 – $448,871 · median $39,118 12 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC — 12 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 12 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC — 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC — 12 plans
245 AICD GENERATOR PROCEDURES — 12 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC — 12 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC — 12 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 12 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 12 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 12 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $9,976 – $482,810 · median $38,389 12 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC — 12 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC — 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 12 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $12,986 – $582,810 · median $45,088 12 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC — 12 plans
263 VEIN LIGATION AND STRIPPING — 12 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $13,325 – $590,130 · median $44,507 12 plans
265 AICD LEAD PROCEDURES — 12 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $22,840 – $540,358 · median $79,666 12 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $17,937 – $268,409 · median $63,551 12 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $25,421 – $393,265 · median $86,846 12 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $15,863 – $326,247 · median $55,038 12 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $19,570 – $325,815 · median $65,636 12 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $13,132 – $258,134 · median $46,751 12 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 12 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 12 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 12 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $26,943 – $915,900 · median $88,983 12 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR — 12 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $17,736 – $847,692 · median $62,398 12 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC — 12 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC — 12 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC — 12 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC — 12 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC — 12 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC — 12 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC — 12 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC — 12 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 12 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC — 12 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $10,414 – $418,852 · median $36,567 12 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC — 12 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC — 12 plans
291 HEART FAILURE AND SHOCK WITH MCC — 12 plans
292 HEART FAILURE AND SHOCK WITH CC — 12 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC — 12 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC — 12 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC — 12 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC — 12 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC — 12 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC — 12 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC — 12 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC — 12 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC — 12 plans
302 ATHEROSCLEROSIS WITH MCC — 12 plans
303 ATHEROSCLEROSIS WITHOUT MCC — 12 plans
304 HYPERTENSION WITH MCC — 12 plans
305 HYPERTENSION WITHOUT MCC — 12 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,709 – $276,532 · median $24,106 12 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC — 12 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC — 12 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC — 12 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC — 12 plans
311 ANGINA PECTORIS — 12 plans
312 SYNCOPE AND COLLAPSE — 12 plans
313 CHEST PAIN — 12 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $8,210 – $381,046 · median $30,674 12 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC — 12 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC — 12 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $16,748 – $670,716 · median $57,437 12 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 12 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES — 12 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC — 12 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC — 12 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC — 12 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 12 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $19,364 – $657,565 · median $65,897 12 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 12 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — 12 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,507 – $528,424 · median $59,264 12 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 12 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — 12 plans
332 RECTAL RESECTION WITH MCC $13,225 – $649,325 · median $49,088 12 plans
333 RECTAL RESECTION WITH CC — 12 plans
334 RECTAL RESECTION WITHOUT CC/MCC — 12 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $13,814 – $490,568 · median $48,153 12 plans
336 PERITONEAL ADHESIOLYSIS WITH CC — 12 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC — 12 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 12 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 12 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — 12 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $9,024 – $389,401 · median $36,049 12 plans
348 ANAL AND STOMAL PROCEDURES WITH CC — 12 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC — 12 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 12 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC — 12 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC — 12 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 12 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC — 12 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC — 12 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $16,263 – $582,565 · median $56,455 12 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 12 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC — 12 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC — 12 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC — 12 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $6,664 – $304,609 · median $26,594 12 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC — 12 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC — 12 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 12 plans
375 DIGESTIVE MALIGNANCY WITH CC — 12 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC — 12 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC — 12 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC — 12 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC — 12 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 12 plans
381 COMPLICATED PEPTIC ULCER WITH CC — 12 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC — 12 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC — 12 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC — 12 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $6,195 – $297,496 · median $24,461 12 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC — 12 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC — 12 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC — 12 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC — 12 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC — 12 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC — 12 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC — 12 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC — 12 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC — 12 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC — 12 plans
397 APPENDIX PROCEDURES WITH MCC — 12 plans
398 APPENDIX PROCEDURES WITH CC — 12 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC — 12 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $20,697 – $653,154 · median $70,925 12 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 12 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 12 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 12 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 12 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — 12 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 12 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 12 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — 12 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $13,358 – $569,441 · median $47,565 12 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 12 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC — 12 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 12 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC — 12 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC — 12 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $13,456 – $525,365 · median $43,738 12 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC — 12 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC — 12 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 12 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — 12 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 12 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC — 12 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC — 12 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC — 12 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC — 12 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC — 12 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC — 12 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC — 12 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC — 12 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC — 12 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC — 12 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC — 12 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC — 12 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC — 12 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC — 12 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $32,289 – $1,013,543 · median $105,425 12 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 12 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 12 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $22,840 – $1,028,675 · median $86,419 12 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 12 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $20,592 – $676,539 · median $72,795 12 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 12 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 12 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 12 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 12 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 12 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 12 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — 12 plans
471 CERVICAL SPINAL FUSION WITH MCC $18,519 – $897,257 · median $64,009 12 plans
472 CERVICAL SPINAL FUSION WITH CC — 12 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 12 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $17,098 – $525,263 · median $56,739 12 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $8,225 – $366,337 · median $31,278 12 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 12 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,111 – $465,754 · median $45,722 12 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 12 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 12 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $11,213 – $528,582 · median $40,766 12 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — 12 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — 12 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES — 12 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $12,274 – $521,549 · median $44,838 12 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC — 12 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 12 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC — 12 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 12 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $13,539 – $490,738 · median $46,821 12 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 12 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — 12 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $13,423 – $545,423 · median $48,226 12 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — 12 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — 12 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 12 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC — 12 plans
500 SOFT TISSUE PROCEDURES WITH MCC $12,081 – $423,214 · median $44,233 12 plans
501 SOFT TISSUE PROCEDURES WITH CC — 12 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC — 12 plans
503 FOOT PROCEDURES WITH MCC $10,090 – $471,300 · median $37,616 12 plans
504 FOOT PROCEDURES WITH CC — 12 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 12 plans
506 MAJOR THUMB OR JOINT PROCEDURES — 12 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 12 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC — 12 plans
509 ARTHROSCOPY — 12 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 12 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 12 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC — 12 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC — 12 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC — 12 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 12 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 12 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 12 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 12 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC — 12 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 12 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 12 plans
533 FRACTURES OF FEMUR WITH MCC — 12 plans
534 FRACTURES OF FEMUR WITHOUT MCC — 12 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC — 12 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC — 12 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC — 12 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC — 12 plans
539 OSTEOMYELITIS WITH MCC $7,711 – $291,772 · median $29,387 12 plans
540 OSTEOMYELITIS WITH CC — 12 plans
541 OSTEOMYELITIS WITHOUT CC/MCC — 12 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC — 12 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC — 12 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC — 12 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 12 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC — 12 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 12 plans
548 SEPTIC ARTHRITIS WITH MCC — 12 plans
549 SEPTIC ARTHRITIS WITH CC — 12 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC — 12 plans
551 MEDICAL BACK PROBLEMS WITH MCC — 12 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC — 12 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC — 12 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC — 12 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 12 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC — 12 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,908 – $248,189 · median $24,342 12 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC — 12 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,077 – $249,060 · median $27,807 12 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 12 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 12 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $5,580 – $227,458 · median $23,916 12 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC — 12 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC — 12 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC — 12 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC — 12 plans
570 SKIN DEBRIDEMENT WITH MCC $11,477 – $436,735 · median $40,451 12 plans
571 SKIN DEBRIDEMENT WITH CC — 12 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC — 12 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $23,479 – $564,993 · median $79,336 12 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $13,210 – $315,327 · median $46,157 12 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 12 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $20,570 – $618,248 · median $73,024 12 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 12 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 12 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $12,427 – $499,504 · median $45,406 12 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — 12 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC — 12 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 12 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 12 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 12 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 12 plans
592 SKIN ULCERS WITH MCC — 12 plans
593 SKIN ULCERS WITH CC — 12 plans
594 SKIN ULCERS WITHOUT CC/MCC — 12 plans
595 MAJOR SKIN DISORDERS WITH MCC — 12 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC — 12 plans
597 MALIGNANT BREAST DISORDERS WITH MCC — 12 plans
598 MALIGNANT BREAST DISORDERS WITH CC — 12 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC — 12 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC — 12 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC — 12 plans
602 CELLULITIS WITH MCC $5,601 – $263,775 · median $23,525 12 plans
603 CELLULITIS WITHOUT MCC — 12 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC — 12 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC — 12 plans
606 MINOR SKIN DISORDERS WITH MCC $6,139 – $282,702 · median $24,684 12 plans
607 MINOR SKIN DISORDERS WITHOUT MCC — 12 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 12 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC — 12 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $14,736 – $352,959 · median $52,668 12 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 12 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC — 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 12 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC — 12 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC — 12 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $14,267 – $477,953 · median $51,109 12 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 12 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC — 12 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 12 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC — 12 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC — 12 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $15,043 – $530,572 · median $53,338 12 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 12 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
637 DIABETES WITH MCC — 12 plans
638 DIABETES WITH CC — 12 plans
639 DIABETES WITHOUT CC/MCC — 12 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC — 12 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC — 12 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM — 12 plans
643 ENDOCRINE DISORDERS WITH MCC — 12 plans
644 ENDOCRINE DISORDERS WITH CC — 12 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC — 12 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $17,566 – $228,069 · median $59,036 12 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $13,239 – $483,419 · median $46,777 12 plans
652 KIDNEY TRANSPLANT — 12 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $21,254 – $650,927 · median $69,844 12 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 12 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 12 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 12 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 12 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC — 12 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 12 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC — 12 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC — 12 plans
662 MINOR BLADDER PROCEDURES WITH MCC $11,894 – $479,221 · median $41,330 12 plans
663 MINOR BLADDER PROCEDURES WITH CC — 12 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC — 12 plans
665 PROSTATECTOMY WITH MCC $13,091 – $466,040 · median $42,420 12 plans
666 PROSTATECTOMY WITH CC — 12 plans
667 PROSTATECTOMY WITHOUT CC/MCC — 12 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $11,119 – $459,849 · median $39,222 12 plans
669 TRANSURETHRAL PROCEDURES WITH CC — 12 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC — 12 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 12 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC — 12 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $15,973 – $444,153 · median $49,604 12 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 12 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — 12 plans
682 RENAL FAILURE WITH MCC — 12 plans
683 RENAL FAILURE WITH CC — 12 plans
684 RENAL FAILURE WITHOUT CC/MCC — 12 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC — 12 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC — 12 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC — 12 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC — 12 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC — 12 plans
693 URINARY STONES WITH MCC — 12 plans
694 URINARY STONES WITHOUT MCC — 12 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC — 12 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC — 12 plans
697 URETHRAL STRICTURE — 12 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC — 12 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC — 12 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC — 12 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 12 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC — 12 plans
709 PENIS PROCEDURES WITH CC/MCC — 12 plans
710 PENIS PROCEDURES WITHOUT CC/MCC — 12 plans
711 TESTES PROCEDURES WITH CC/MCC — 12 plans
712 TESTES PROCEDURES WITHOUT CC/MCC — 12 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC — 12 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC — 12 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 12 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC — 12 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — 12 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC — 12 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC — 12 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC — 12 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 12 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC — 12 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC — 12 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC — 12 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC — 12 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC — 12 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC — 12 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 12 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC — 12 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $15,012 – $603,529 · median $51,836 12 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 12 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC — 12 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $15,177 – $642,569 · median $48,640 12 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC — 12 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC — 12 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 12 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC — 12 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC — 12 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC — 12 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC — 12 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC — 12 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES — 12 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 12 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,898 – $305,235 · median $27,831 12 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC — 12 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 12 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 12 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC — 12 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 12 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC — 12 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC — 12 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C — 12 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES — 12 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY — 12 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES — 12 plans
779 ABORTION WITHOUT D&C — 12 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC — 12 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC — 12 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC — 12 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC — 12 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC — 12 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC — 12 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY — 12 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $22,665 – $251,115 · median $76,764 12 plans
791 PREMATURITY WITH MAJOR PROBLEMS $15,479 – $167,565 · median $54,320 12 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $9,340 – $141,257 · median $35,146 12 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS — 12 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS — 12 plans
795 NORMAL NEWBORN — 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC — 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC — 12 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC — 12 plans
799 SPLENIC PROCEDURES WITH MCC — 12 plans
800 SPLENIC PROCEDURES WITH CC — 12 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC — 12 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 12 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 12 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC — 12 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC — 12 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC — 12 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC — 12 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 12 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC — 12 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC — 12 plans
811 RED BLOOD CELL DISORDERS WITH MCC — 12 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC — 12 plans
813 COAGULATION DISORDERS — 12 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 12 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC — 12 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC — 12 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC — 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC — 12 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $22,198 – $700,316 · median $77,314 12 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 12 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $17,841 – $477,948 · median $59,088 12 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 12 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC — 12 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $18,207 – $611,992 · median $60,572 12 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 12 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $11,757 – $548,969 · median $43,183 12 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC — 12 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC — 12 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC — 12 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
834 ACUTE LEUKEMIA WITH MCC $21,073 – $521,633 · median $72,032 12 plans
835 ACUTE LEUKEMIA WITH CC $8,143 – $341,241 · median $32,349 12 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC — 12 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $19,090 – $456,417 · median $63,124 12 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $7,733 – $357,925 · median $29,591 12 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC — 12 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $12,158 – $481,356 · median $42,846 12 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC — 12 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC — 12 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 12 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC — 12 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC — 12 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $9,737 – $424,110 · median $34,809 12 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC — 12 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC — 12 plans
849 RADIOTHERAPY $10,184 – $413,856 · median $37,728 12 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $19,068 – $574,303 · median $64,957 12 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 12 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $17,201 – $486,237 · median $58,221 12 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC — 12 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC — 12 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC — 12 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC — 12 plans
864 FEVER AND INFLAMMATORY CONDITIONS — 12 plans
865 VIRAL ILLNESS WITH MCC — 12 plans
866 VIRAL ILLNESS WITHOUT MCC — 12 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 12 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC — 12 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC — 12 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $26,522 – $651,311 · median $88,147 12 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC — 12 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC — 12 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS — 12 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION — 12 plans
881 DEPRESSIVE NEUROSES $3,485 – $125,313 · median $16,670 12 plans
882 NEUROSES EXCEPT DEPRESSIVE $3,668 – $116,306 · median $17,057 12 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $7,068 – $123,112 · median $28,101 12 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,368 – $161,974 · median $26,703 12 plans
885 PSYCHOSES $5,374 – $119,770 · median $22,096 12 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $6,849 – $133,685 · median $25,816 12 plans
887 OTHER MENTAL DISORDER DIAGNOSES $4,535 – $113,891 · median $21,261 12 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA — 12 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,350 – $98,892 · median $24,956 12 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC — 12 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $16,892 – $470,816 · median $57,034 12 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 12 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC — 12 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $14,721 – $586,919 · median $44,392 12 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC — 12 plans
906 HAND PROCEDURES FOR INJURIES — 12 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $15,188 – $546,055 · median $49,858 12 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC — 12 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — 12 plans
913 TRAUMATIC INJURY WITH MCC — 12 plans
914 TRAUMATIC INJURY WITHOUT MCC — 12 plans
915 ALLERGIC REACTIONS WITH MCC — 12 plans
916 ALLERGIC REACTIONS WITHOUT MCC — 12 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC — 12 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC — 12 plans
919 COMPLICATIONS OF TREATMENT WITH MCC — 12 plans
920 COMPLICATIONS OF TREATMENT WITH CC — 12 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC — 12 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC — 12 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC — 12 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $76,679 – $1,170,899 · median $316,954 12 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $25,464 – $564,291 · median $87,613 12 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $12,125 – $379,061 · median $43,911 12 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 12 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY — 12 plans
935 NON-EXTENSIVE BURNS — 12 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $12,101 – $547,007 · median $43,909 12 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 12 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 12 plans
945 REHABILITATION WITH CC/MCC — 12 plans
946 REHABILITATION WITHOUT CC/MCC — 12 plans
947 SIGNS AND SYMPTOMS WITH MCC — 12 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC — 12 plans
949 AFTERCARE WITH CC/MCC $4,114 – $179,702 · median $18,632 12 plans
950 AFTERCARE WITHOUT CC/MCC $2,235 – $125,676 · median $13,509 12 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS — 12 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $26,033 – $668,693 · median $77,827 12 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 12 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $28,458 – $851,455 · median $91,304 12 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 12 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 12 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 12 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC — 12 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 12 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $24,112 – $544,086 · median $87,058 12 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 12 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $11,385 – $423,077 · median $40,384 12 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC — 12 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC — 12 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION — 12 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $18,125 – $503,685 · median $61,902 12 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 12 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 12 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,354 – $424,271 · median $45,813 12 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 12 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 12 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,363 – $25,711 · median $16,069 11 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $5,975 – $9,560 · median $5,975 7 plans
999 UNGROUPABLE $5,975 – $9,560 · median $5,975 7 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION — 5 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL — 5 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $39,938 – $591,662 · median $39,938 5 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $27,079 – $638,537 · median $27,079 5 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $20,985 – $833,519 · median $20,985 5 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $31,799 – $33,389 · median $31,799 4 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $20,857 – $21,899 · median $20,857 4 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $25,562 – $26,840 · median $25,562 4 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $15,569 – $16,347 · median $15,569 4 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $19,635 – $20,617 · median $19,635 4 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $11,766 – $12,354 · median $11,766 4 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $35,121 – $36,877 · median $35,121 4 plans
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