Decatur Memorial Hospital (Acute Care) — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 766
Lowest published price —
Average published price —
Highest published price —

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

Showing all 766 procedures

Procedures with negotiated rates only

These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,433 – $459,101 · median $165,993 30 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,433 – $299,606 · median $176,948 30 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 30 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 30 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 30 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 30 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 30 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 30 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 30 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 30 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $1,433 – $46,094 · median $17,088 30 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 30 plans
038 EXTRACRANIAL PROCEDURES WITH CC $1,433 – $35,097 · median $13,142 30 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,433 – $25,426 · median $9,671 30 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 30 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $1,433 – $47,558 · median $17,613 30 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $1,433 – $37,370 · median $13,957 30 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,433 – $33,027 · median $12,399 30 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,433 – $22,054 · median $8,461 30 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,433 – $50,249 · median $15,444 30 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,433 – $28,024 · median $9,894 30 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,433 – $26,841 · median $10,179 30 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,433 – $19,895 · median $7,687 30 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $1,433 – $43,498 · median $16,156 30 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,433 – $21,853 · median $8,389 30 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,433 – $15,417 · median $5,818 30 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,433 – $31,768 · median $11,947 30 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,433 – $18,697 · median $7,249 30 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,433 – $17,278 · median $6,720 30 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,433 – $16,357 · median $6,376 30 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,433 – $34,701 · median $13,000 30 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,433 – $22,296 · median $8,548 30 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,433 – $41,476 · median $15,292 30 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,433 – $17,849 · median $6,933 30 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,275 – $19,372 · median $6,844 30 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,433 – $30,191 · median $11,381 30 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,433 – $20,674 · median $7,966 30 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $1,433 – $52,164 · median $18,181 30 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,433 – $28,177 · median $10,659 30 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,433 – $19,785 · median $7,647 30 plans
089 CONCUSSION WITH CC $1,433 – $23,763 · median $9,075 30 plans
090 CONCUSSION WITHOUT CC/MCC $1,433 – $17,806 · median $6,917 30 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,433 – $37,987 · median $14,179 30 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,433 – $22,127 · median $8,488 30 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,433 – $17,224 · median $6,700 30 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,433 – $76,125 · median $27,864 30 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $1,433 – $55,788 · median $20,566 30 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,433 – $55,788 · median $20,376 30 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,433 – $78,123 · median $28,581 30 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,433 – $49,639 · median $18,360 30 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,433 – $29,469 · median $11,122 30 plans
100 SEIZURES WITH MCC $1,433 – $41,893 · median $15,580 30 plans
101 SEIZURES WITHOUT MCC $1,433 – $19,523 · median $7,553 30 plans
102 HEADACHES WITH MCC $1,433 – $24,245 · median $9,248 30 plans
103 HEADACHES WITHOUT MCC $1,433 – $18,089 · median $7,022 30 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,433 – $16,997 · median $6,615 30 plans
123 NEUROLOGICAL EYE DISORDERS $1,433 – $17,274 · median $6,718 30 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,433 – $16,608 · median $6,470 30 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,433 – $32,298 · median $12,032 30 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,433 – $19,169 · median $7,425 30 plans
139 SALIVARY GLAND PROCEDURES $1,433 – $26,728 · median $10,139 30 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,433 – $27,503 · median $10,417 30 plans
149 DYSEQUILIBRIUM $1,433 – $16,257 · median $6,339 30 plans
151 EPISTAXIS WITHOUT MCC $1,433 – $15,876 · median $6,199 30 plans
152 OTITIS MEDIA AND URI WITH MCC $1,433 – $25,571 · median $9,643 30 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,433 – $15,967 · median $6,232 30 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,433 – $19,824 · median $7,661 30 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,433 – $14,948 · median $5,870 30 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,433 – $19,679 · median $7,609 30 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,433 – $15,325 · median $6,003 30 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 30 plans
164 MAJOR CHEST PROCEDURES WITH CC — 30 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $1,433 – $41,404 · median $15,405 30 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $1,433 – $80,846 · median $29,558 30 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $1,433 – $40,126 · median $14,545 30 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $29,555 · median $11,153 30 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,433 – $29,711 · median $11,209 30 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,433 – $17,412 · median $6,770 30 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,433 – $36,125 · median $12,677 30 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,433 – $21,493 · median $8,213 30 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,433 – $16,331 · median $6,367 30 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,433 – $38,199 · median $14,255 30 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,433 – $23,166 · median $8,860 30 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,433 – $16,305 · median $6,357 30 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,433 – $33,092 · median $12,422 30 plans
184 MAJOR CHEST TRAUMA WITH CC $1,433 – $23,016 · median $8,807 30 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,433 – $17,012 · median $6,621 30 plans
186 PLEURAL EFFUSION WITH MCC $1,433 – $37,817 · median $12,644 30 plans
187 PLEURAL EFFUSION WITH CC $1,433 – $21,394 · median $8,225 30 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,433 – $15,513 · median $6,070 30 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,433 – $26,722 · median $10,136 30 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,433 – $23,960 · median $9,145 30 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,433 – $18,234 · median $7,076 30 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,433 – $13,886 · median $5,492 30 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,433 – $28,430 · median $10,750 30 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,433 – $17,432 · median $6,777 30 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,433 – $13,594 · median $5,389 30 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,433 – $40,820 · median $15,195 30 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,433 – $29,146 · median $20,574 30 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,433 – $15,491 · median $6,062 30 plans
199 PNEUMOTHORAX WITH MCC $1,433 – $38,157 · median $14,240 30 plans
200 PNEUMOTHORAX WITH CC $1,433 – $23,778 · median $9,080 30 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,433 – $15,468 · median $6,054 30 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,433 – $21,007 · median $8,022 30 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,433 – $14,492 · median $5,708 30 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,433 – $17,464 · median $6,789 30 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,433 – $39,605 · median $14,759 30 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,433 – $20,356 · median $7,852 30 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,433 – $139,183 · median $84,737 30 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,433 – $59,454 · median $21,882 30 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 30 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 30 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 30 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 30 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 30 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $1,433 – $106,456 · median $38,748 30 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $1,433 – $61,656 · median $22,672 30 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,433 – $29,945 · median $11,293 30 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $1,433 – $46,091 · median $17,087 30 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $1,433 – $32,326 · median $12,147 30 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 30 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $1,433 – $36,726 · median $13,726 30 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,433 – $35,255 · median $13,083 30 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 30 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,433 – $34,880 · median $12,998 30 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,433 – $25,842 · median $7,681 30 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,433 – $23,665 · median $6,116 30 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,433 – $42,845 · median $15,922 30 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,433 – $29,881 · median $5,878 30 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,433 – $21,271 · median $5,161 30 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $1,433 – $47,863 · median $17,722 30 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,433 – $23,667 · median $8,853 30 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 30 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,433 – $27,769 · median $10,512 30 plans
292 HEART FAILURE AND SHOCK WITH CC $1,433 – $18,364 · median $7,125 30 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,433 – $12,243 · median $4,909 30 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,433 – $35,315 · median $13,220 30 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,433 – $23,090 · median $8,833 30 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,433 – $15,567 · median $6,089 30 plans
302 ATHEROSCLEROSIS WITH MCC $1,433 – $25,882 · median $9,835 30 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,433 – $14,561 · median $5,732 30 plans
305 HYPERTENSION WITHOUT MCC $1,433 – $16,333 · median $6,368 30 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,433 – $19,753 · median $7,636 30 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,433 – $26,043 · median $9,893 30 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,433 – $15,913 · median $6,212 30 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,433 – $12,245 · median $4,909 30 plans
311 ANGINA PECTORIS $1,433 – $15,182 · median $5,953 30 plans
312 SYNCOPE AND COLLAPSE $1,433 – $18,853 · median $7,307 30 plans
313 CHEST PAIN $1,433 – $15,574 · median $6,092 30 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,433 – $45,103 · median $16,732 30 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,433 – $20,836 · median $8,024 30 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,433 – $14,754 · median $5,801 30 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $1,433 – $107,877 · median $51,393 30 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 30 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $1,433 – $34,658 · median $12,984 30 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $1,433 – $99,422 · median $36,224 30 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,433 – $51,851 · median $19,154 30 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,433 – $36,401 · median $13,610 30 plans
333 RECTAL RESECTION WITH CC $1,433 – $50,662 · median $18,727 30 plans
334 RECTAL RESECTION WITHOUT CC/MCC $1,433 – $35,428 · median $13,260 30 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 30 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $1,433 – $45,611 · median $16,915 30 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,433 – $33,202 · median $12,462 30 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,433 – $32,547 · median $12,227 30 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,433 – $25,658 · median $9,755 30 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,433 – $28,309 · median $10,706 30 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,433 – $18,831 · median $7,299 30 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,433 – $32,975 · median $12,380 30 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,433 – $25,260 · median $9,612 30 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 30 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $1,433 – $36,390 · median $13,606 30 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,433 – $29,092 · median $10,987 30 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $1,433 – $95,016 · median $40,455 30 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $1,433 – $50,301 · median $18,597 30 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $30,237 · median $11,398 30 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,433 – $21,634 · median $8,311 30 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,433 – $15,158 · median $5,944 30 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,433 – $38,352 · median $14,310 30 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,433 – $22,084 · median $8,472 30 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,433 – $15,734 · median $6,149 30 plans
374 DIGESTIVE MALIGNANCY WITH MCC $1,433 – $46,260 · median $17,147 30 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,433 – $26,164 · median $9,936 30 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,433 – $19,993 · median $7,722 30 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,433 – $39,540 · median $14,736 30 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,433 – $21,213 · median $8,160 30 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,433 – $13,636 · median $5,403 30 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,433 – $23,436 · median $8,957 30 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,433 – $17,317 · median $6,734 30 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,433 – $18,489 · median $7,171 30 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,433 – $34,225 · median $12,829 30 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,433 – $21,117 · median $8,125 30 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,433 – $14,737 · median $5,794 30 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,433 – $31,943 · median $12,010 30 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,433 – $17,083 · median $6,647 30 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,433 – $11,767 · median $4,739 30 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,433 – $27,433 · median $10,392 30 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,433 – $16,863 · median $6,565 30 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,433 – $34,593 · median $12,961 30 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,433 – $20,239 · median $7,810 30 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,433 – $14,038 · median $5,546 30 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,433 – $118,327 · median $43,007 30 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 30 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $1,433 – $48,010 · median $17,775 30 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 30 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $1,433 – $45,477 · median $16,866 30 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $1,433 – $35,917 · median $13,436 30 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 30 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $1,433 – $44,703 · median $16,589 30 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,433 – $29,488 · median $11,129 30 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $1,433 – $51,618 · median $19,070 30 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,433 – $36,589 · median $13,677 30 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,433 – $29,542 · median $11,148 30 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $1,433 – $42,572 · median $18,329 30 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,433 – $22,846 · median $8,746 30 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,433 – $15,411 · median $6,034 30 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,433 – $39,728 · median $14,803 30 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,433 – $24,466 · median $9,327 30 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,433 – $18,457 · median $7,159 30 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,433 – $35,261 · median $13,201 30 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,433 – $18,195 · median $7,062 30 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,433 – $13,441 · median $5,334 30 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,433 – $38,819 · median $14,477 30 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,433 – $20,879 · median $8,040 30 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,433 – $15,135 · median $5,936 30 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,433 – $36,142 · median $13,517 30 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,433 – $23,672 · median $9,042 30 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,433 – $17,895 · median $6,950 30 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 30 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 30 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,433 – $123,280 · median $44,784 30 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 30 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,433 – $39,447 · median $14,702 30 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 30 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 30 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 30 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $1,433 – $49,223 · median $18,211 30 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,433 – $25,528 · median $9,708 30 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,433 – $53,193 · median $19,635 30 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,433 – $40,208 · median $14,976 30 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 30 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $1,433 – $45,304 · median $16,804 30 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $1,433 – $35,279 · median $13,207 30 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES — 30 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $1,433 – $45,230 · median $16,778 30 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,433 – $33,877 · median $12,704 30 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $1,433 – $38,261 · median $14,277 30 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,433 – $24,156 · median $9,216 30 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 30 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 30 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $1,433 – $43,401 · median $15,976 30 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $1,433 – $39,018 · median $14,549 30 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,433 – $26,136 · median $9,926 30 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,433 – $43,580 · median $16,040 30 plans
501 SOFT TISSUE PROCEDURES WITH CC $1,433 – $37,811 · median $14,116 30 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,433 – $29,112 · median $10,994 30 plans
504 FOOT PROCEDURES WITH CC $1,433 – $40,431 · median $15,056 30 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $1,433 – $38,778 · median $14,334 30 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,433 – $29,183 · median $11,020 30 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $1,433 – $39,072 · median $14,439 30 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,433 – $32,756 · median $12,195 30 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $1,433 – $44,977 · median $16,536 30 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $1,433 – $35,806 · median $13,278 30 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,433 – $34,052 · median $12,767 30 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,433 – $22,112 · median $8,482 30 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $1,433 – $44,949 · median $16,677 30 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $33,239 · median $12,475 30 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,433 – $17,436 · median $6,779 30 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,433 – $17,468 · median $6,791 30 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,433 – $15,580 · median $6,094 30 plans
540 OSTEOMYELITIS WITH CC $1,433 – $28,039 · median $10,609 30 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,433 – $17,031 · median $6,628 30 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,433 – $46,793 · median $14,259 30 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,433 – $22,236 · median $8,527 30 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,433 – $16,322 · median $6,364 30 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $1,433 – $53,679 · median $19,810 30 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,433 – $24,948 · median $9,500 30 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,433 – $18,087 · median $7,021 30 plans
549 SEPTIC ARTHRITIS WITH CC $1,433 – $26,112 · median $9,835 30 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,433 – $18,907 · median $7,327 30 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,433 – $36,254 · median $13,557 30 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,433 – $20,793 · median $8,009 30 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,433 – $17,955 · median $6,972 30 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,433 – $17,966 · median $6,976 30 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,433 – $32,162 · median $12,088 30 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,433 – $19,320 · median $7,480 30 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,433 – $24,358 · median $9,288 30 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,433 – $17,388 · median $6,761 30 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,433 – $30,818 · median $11,606 30 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,433 – $19,370 · median $7,498 30 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,433 – $21,076 · median $8,111 30 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,433 – $16,207 · median $6,321 30 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,433 – $141,707 · median $50,895 30 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $1,433 – $75,086 · median $27,231 30 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,433 – $38,869 · median $14,495 30 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 30 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,433 – $34,746 · median $13,016 30 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $1,433 – $70,049 · median $25,683 30 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $1,433 – $37,377 · median $13,836 30 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,433 – $31,214 · median $11,744 30 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $1,433 – $41,672 · median $15,362 30 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $1,433 – $37,299 · median $13,809 30 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $1,433 – $46,303 · median $17,163 30 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $1,433 – $41,726 · median $15,381 30 plans
593 SKIN ULCERS WITH CC $1,433 – $25,660 · median $9,674 30 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,433 – $23,414 · median $8,901 30 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,433 – $24,470 · median $9,328 30 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,433 – $13,086 · median $5,208 30 plans
602 CELLULITIS WITH MCC $1,433 – $30,743 · median $11,579 30 plans
603 CELLULITIS WITHOUT MCC $1,433 – $18,838 · median $7,301 30 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,433 – $19,813 · median $7,657 30 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,433 – $19,605 · median $7,524 30 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,433 – $35,292 · median $11,409 30 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,433 – $40,455 · median $15,064 30 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 30 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $1,433 – $34,614 · median $12,969 30 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $1,433 – $32,627 · median $12,255 30 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,433 – $38,802 · median $14,471 30 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,433 – $32,432 · median $12,185 30 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,433 – $28,731 · median $10,857 30 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $1,433 – $48,836 · median $17,459 30 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $54,131 · median $11,876 30 plans
637 DIABETES WITH MCC $1,433 – $31,076 · median $11,699 30 plans
638 DIABETES WITH CC $1,433 – $19,385 · median $7,504 30 plans
639 DIABETES WITHOUT CC/MCC $1,433 – $13,437 · median $5,333 30 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,433 – $28,889 · median $10,914 30 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,433 – $16,832 · median $6,554 30 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,433 – $30,760 · median $11,486 30 plans
644 ENDOCRINE DISORDERS WITH CC $1,433 – $22,171 · median $8,503 30 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,433 – $16,618 · median $6,474 30 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 30 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $1,433 – $39,583 · median $14,751 30 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,433 – $33,565 · median $12,592 30 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,433 – $28,588 · median $10,806 30 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,433 – $22,396 · median $8,584 30 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,433 – $32,882 · median $12,240 30 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,433 – $22,644 · median $8,673 30 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $1,433 – $63,160 · median $23,211 30 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,433 – $33,570 · median $12,484 30 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,433 – $21,139 · median $8,133 30 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 30 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $1,433 – $50,584 · median $18,699 30 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $1,433 – $35,503 · median $13,288 30 plans
682 RENAL FAILURE WITH MCC $1,433 – $32,034 · median $12,043 30 plans
683 RENAL FAILURE WITH CC $1,433 – $18,944 · median $7,341 30 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,433 – $13,035 · median $5,172 30 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,433 – $22,664 · median $8,680 30 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,433 – $17,094 · median $6,651 30 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,433 – $25,097 · median $9,554 30 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,433 – $17,509 · median $6,806 30 plans
693 URINARY STONES WITH MCC $1,433 – $29,082 · median $10,983 30 plans
694 URINARY STONES WITHOUT MCC $1,433 – $16,908 · median $6,582 30 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,433 – $14,903 · median $5,854 30 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,433 – $35,785 · median $13,388 30 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,433 – $21,954 · median $8,426 30 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,433 – $14,923 · median $5,860 30 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $1,433 – $43,266 · median $16,073 30 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,433 – $33,185 · median $12,456 30 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,433 – $30,308 · median $11,423 30 plans
711 TESTES PROCEDURES WITH CC/MCC $1,433 – $71,102 · median $16,721 30 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,433 – $23,787 · median $9,083 30 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,433 – $32,519 · median $12,111 30 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,433 – $22,872 · median $8,755 30 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,433 – $24,717 · median $9,339 30 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,433 – $14,704 · median $5,598 30 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,433 – $17,546 · median $6,820 30 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,433 – $14,535 · median $5,723 30 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $1,433 – $44,571 · median $16,541 30 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,433 – $31,764 · median $11,946 30 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $1,433 – $39,142 · median $14,593 30 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,433 – $30,847 · median $11,612 30 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $1,433 – $39,687 · median $14,772 30 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,433 – $26,836 · median $10,178 30 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $1,433 – $44,322 · median $16,303 30 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,433 – $24,604 · median $11,862 30 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,433 – $37,573 · median $14,030 30 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,433 – $18,595 · median $7,211 30 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,433 – $30,007 · median $11,219 30 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 30 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $31,922 · median $12,002 30 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,433 – $23,529 · median $8,991 30 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,433 – $20,776 · median $8,003 30 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,433 – $21,176 · median $8,146 30 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,433 – $14,354 · median $5,658 30 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,433 – $21,792 · median $8,368 30 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,433 – $12,340 · median $4,943 30 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,433 – $14,788 · median $8,793 30 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,433 – $36,550 · median $13,663 30 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,433 – $21,688 · median $8,330 30 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,433 – $14,161 · median $5,590 30 plans
779 ABORTION WITHOUT D&C $1,433 – $18,197 · median $7,024 30 plans
800 SPLENECTOMY WITH CC — 30 plans
801 SPLENECTOMY WITHOUT CC/MCC $1,433 – $41,290 · median $15,364 30 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,433 – $29,330 · median $11,072 30 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,433 – $27,381 · median $10,373 30 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,433 – $22,638 · median $8,671 30 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,433 – $30,375 · median $11,447 30 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,433 – $19,861 · median $7,674 30 plans
813 COAGULATION DISORDERS $1,433 – $32,992 · median $12,279 30 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,433 – $21,933 · median $8,418 30 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,433 – $13,670 · median $5,416 30 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $1,433 – $139,767 · median $46,067 30 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $1,433 – $48,421 · median $17,923 30 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $27,359 · median $9,893 30 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $1,433 – $49,005 · median $18,132 30 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,433 – $29,188 · median $11,021 30 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 30 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $36,939 · median $13,772 30 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,433 – $173,874 · median $43,158 30 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $1,433 – $100,662 · median $16,737 30 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $26,378 · median $10,013 30 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,433 – $69,971 · median $25,655 30 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,433 – $35,287 · median $13,210 30 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,433 – $21,855 · median $8,390 30 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,433 – $26,332 · median $9,997 30 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,433 – $18,420 · median $7,146 30 plans
849 RADIOTHERAPY $1,433 – $58,606 · median $24,108 30 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,433 – $106,822 · median $38,879 30 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $1,433 – $43,219 · median $16,056 30 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $32,384 · median $12,168 30 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $1,433 – $105,299 · median $35,853 30 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $1,433 – $46,321 · median $17,169 30 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $30,128 · median $11,359 30 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,433 – $59,788 · median $14,702 30 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,433 – $21,585 · median $8,293 30 plans
865 VIRAL ILLNESS WITH MCC $1,433 – $32,408 · median $12,177 30 plans
866 VIRAL ILLNESS WITHOUT MCC $1,433 – $18,809 · median $7,241 30 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $1,433 – $45,276 · median $16,794 30 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,433 – $23,712 · median $8,551 30 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,433 – $15,783 · median $6,166 30 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,433 – $42,016 · median $15,625 30 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,433 – $22,134 · median $8,490 30 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,433 – $42,531 · median $12,101 30 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,433 – $55,276 · median $14,894 30 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $1,433 – $41,411 · median $15,407 30 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,433 – $25,298 · median $9,626 30 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $1,433 – $32,086 · median $12,061 30 plans
906 HAND PROCEDURES FOR INJURIES $1,433 – $42,488 · median $15,652 30 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 30 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $1,433 – $43,156 · median $16,034 30 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,433 – $28,394 · median $10,736 30 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,433 – $19,153 · median $7,419 30 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,433 – $14,412 · median $5,670 30 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,433 – $33,924 · median $11,973 30 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,433 – $18,539 · median $5,858 30 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,433 – $39,600 · median $14,758 30 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,433 – $21,680 · median $8,327 30 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,433 – $14,890 · median $5,849 30 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,433 – $22,013 · median $8,379 30 plans
935 NON-EXTENSIVE BURNS $1,433 – $44,558 · median $16,387 30 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $1,433 – $50,547 · median $18,686 30 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $1,433 – $43,859 · median $16,286 30 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,433 – $17,315 · median $6,119 30 plans
949 AFTERCARE WITH CC/MCC $1,433 – $25,733 · median $9,782 30 plans
950 AFTERCARE WITHOUT CC/MCC $1,433 – $13,577 · median $5,358 30 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,433 – $13,669 · median $4,832 30 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 30 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 30 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 30 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 30 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 30 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 30 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,433 – $33,150 · median $12,443 30 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,433 – $20,343 · median $7,848 30 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $1,433 – $82,353 · median $22,948 30 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,433 – $34,408 · median $10,599 30 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,433 – $23,455 · median $7,554 30 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,433 – $30,122 · median $10,620 30 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 30 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,433 – $53,177 · median $19,629 30 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,433 – $37,074 · median $13,851 30 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 30 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,433 – $35,551 · median $13,305 30 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,433 – $25,939 · median $9,855 30 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $13,171 – $47,482 · median $17,746 29 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 29 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $1,433 – $235,207 · median $84,106 29 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $58,697 – $211,602 · median $77,232 29 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $46,070 – $166,082 · median $60,733 29 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $45,871 – $165,366 · median $60,473 29 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $32,776 – $118,158 · median $43,363 29 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $35,212 – $126,938 · median $46,545 29 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $25,133 – $90,604 · median $33,376 29 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $19,157 – $69,060 · median $25,567 29 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $10,845 – $39,096 · median $14,706 29 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $20,930 – $75,452 · median $27,884 29 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $10,690 – $38,538 · median $14,504 29 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $1,433 – $154,231 · median $56,437 29 plans
276 NON-MALIGANT BREAST DISORDERS — 29 plans
277 CELLULITIS AGE >17 W CC — 29 plans
278 CELLULITIS AGE >17 W/O CC — 29 plans
279 CELLULITIS AGE 0-17 — 29 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 29 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $1,433 – $38,134 · median $14,105 29 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 29 plans
324 URINARY STONES W/O CC — 29 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 29 plans
397 COAGULATION DISORDERS — 29 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $1,433 – $43,867 · median $12,402 29 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $1,433 – $95,964 · median $9,510 29 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $1,433 – $41,722 · median $15,658 29 plans
472 CERVICAL SPINAL FUSION WITH CC $17,677 – $63,724 · median $23,633 29 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $14,648 – $52,805 · median $19,510 29 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,433 – $38,982 · median $14,406 29 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,433 – $128,558 · median $47,132 29 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,433 – $87,796 · median $31,745 29 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,433 – $52,976 · median $19,377 29 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,433 – $90,188 · median $32,595 29 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,433 – $31,924 · median $11,899 29 plans
795 NORMAL NEWBORN $800 – $4,322 · median $1,934 29 plans
945 REHABILITATION WITH CC/MCC $1,433 – $33,496 · median $12,458 29 plans
946 REHABILITATION WITHOUT CC/MCC $1,433 – $24,805 · median $9,371 29 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,433 – $83,598 · median $23,959 28 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,299 – $20,769 · median $7,372 28 plans
881 DEPRESSIVE NEUROSES $1,275 – $20,352 · median $6,779 28 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,251 – $23,226 · median $7,694 28 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,299 – $34,801 · median $10,225 28 plans
885 PSYCHOSES $1,275 – $30,213 · median $9,002 28 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,287 – $44,889 · median $12,567 28 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,263 – $23,164 · median $6,986 28 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,086 – $13,344 · median $4,910 28 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,433 – $37,747 · median $14,533 28 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,268 – $19,095 · median $6,993 28 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 27 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 27 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 27 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 27 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 27 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $1,433 – $35,969 · median $13,336 27 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 27 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 27 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $1,433 – $42,023 · median $15,487 27 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,433 – $39,178 · median $14,476 27 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,433 – $21,180 · median $8,083 27 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,433 – $36,976 · median $13,694 27 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $1,433 – $59,636 · median $21,743 27 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $1,433 – $38,008 · median $14,061 27 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,433 – $30,364 · median $11,345 27 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,433 – $36,010 · median $13,351 27 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,433 – $22,192 · median $8,443 27 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,433 – $39,150 · median $13,555 27 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $1,433 – $49,438 · median $18,120 27 plans
088 CONCUSSION WITH MCC $1,433 – $29,239 · median $10,946 27 plans
113 ORBITAL PROCEDURES WITH CC/MCC $1,433 – $50,854 · median $18,624 27 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,433 – $29,265 · median $10,955 27 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,433 – $33,200 · median $12,353 27 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $1,433 – $39,109 · median $14,452 27 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,433 – $23,466 · median $8,895 27 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,433 – $25,162 · median $9,498 27 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,433 – $28,619 · median $10,725 27 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $1,433 – $46,937 · median $17,232 27 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,433 – $21,961 · median $8,361 27 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $1,433 – $45,799 · median $16,828 27 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,433 – $17,241 · median $6,684 27 plans
150 EPISTAXIS WITH MCC $1,433 – $28,800 · median $10,790 27 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,433 – $33,819 · median $12,572 27 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,433 – $37,134 · median $13,750 27 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 27 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $1,433 – $131,134 · median $47,139 27 plans
245 AICD GENERATOR PROCEDURES $1,433 – $98,685 · median $35,613 27 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 27 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,433 – $23,624 · median $8,951 27 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $1,433 – $43,738 · median $16,096 27 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $1,433 – $40,892 · median $15,085 27 plans
263 VEIN LIGATION AND STRIPPING $1,433 – $66,132 · median $24,050 27 plans
265 AICD LEAD PROCEDURES — 27 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 27 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,433 – $102,976 · median $37,138 27 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,433 – $148,769 · median $83,561 27 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,433 – $91,348 · median $33,007 27 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,433 – $114,126 · median $41,098 27 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $1,433 – $76,923 · median $27,883 27 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 27 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 27 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 27 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,433 – $36,920 · median $13,674 27 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,433 – $20,109 · median $7,703 27 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,433 – $33,784 · median $12,560 27 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,433 – $13,713 · median $5,431 27 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,433 – $9,844 · median $4,056 27 plans
304 HYPERTENSION WITH MCC $1,433 – $25,740 · median $9,703 27 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,433 – $34,085 · median $12,667 27 plans
332 RECTAL RESECTION WITH MCC — 27 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 27 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $1,433 – $49,654 · median $28,935 27 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $1,433 – $53,900 · median $19,705 27 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,433 – $34,433 · median $12,791 27 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $1,433 – $42,442 · median $15,636 27 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,433 – $29,865 · median $11,168 27 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $1,433 – $47,095 · median $17,288 27 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $1,433 – $34,342 · median $12,758 27 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 27 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,433 – $73,696 · median $26,737 27 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $1,433 – $37,582 · median $13,909 27 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,433 – $30,271 · median $11,312 27 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 27 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $1,433 – $47,324 · median $17,370 27 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $32,451 · median $12,087 27 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 27 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 27 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 27 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 27 plans
471 CERVICAL SPINAL FUSION WITH MCC — 27 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,433 – $92,855 · median $33,543 27 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 27 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 27 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 27 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 27 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 27 plans
503 FOOT PROCEDURES WITH MCC — 27 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 27 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 27 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 27 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $1,433 – $43,264 · median $15,928 27 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,433 – $32,313 · median $12,038 27 plans
533 FRACTURES OF FEMUR WITH MCC $1,433 – $33,909 · median $12,605 27 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,433 – $27,730 · median $10,410 27 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,433 – $20,642 · median $7,892 27 plans
539 OSTEOMYELITIS WITH MCC $1,433 – $42,605 · median $15,693 27 plans
548 SEPTIC ARTHRITIS WITH MCC $1,433 – $41,765 · median $15,395 27 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,433 – $28,039 · median $10,519 27 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,433 – $28,591 · median $10,715 27 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,433 – $40,338 · median $14,888 27 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,433 – $33,388 · median $12,419 27 plans
570 SKIN DEBRIDEMENT WITH MCC $1,433 – $87,526 · median $40,587 27 plans
571 SKIN DEBRIDEMENT WITH CC $1,433 – $36,544 · median $13,540 27 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,433 – $24,794 · median $9,367 27 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,433 – $106,013 · median $38,216 27 plans
592 SKIN ULCERS WITH MCC $1,433 – $41,861 · median $15,429 27 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,433 – $18,749 · median $7,220 27 plans
595 MAJOR SKIN DISORDERS WITH MCC $1,433 – $45,871 · median $16,853 27 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,433 – $36,059 · median $13,368 27 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,433 – $16,642 · median $6,471 27 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,433 – $22,530 · median $8,563 27 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,433 – $31,842 · median $11,870 27 plans
606 MINOR SKIN DISORDERS WITH MCC $1,433 – $32,731 · median $12,186 27 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $1,433 – $47,409 · median $17,400 27 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $1,433 – $75,432 · median $27,354 27 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,433 – $30,678 · median $11,457 27 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 27 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,433 – $27,079 · median $10,178 27 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 27 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 27 plans
643 ENDOCRINE DISORDERS WITH MCC $1,433 – $35,605 · median $13,207 27 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 27 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $1,433 – $45,782 · median $16,822 27 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 27 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 27 plans
662 MINOR BLADDER PROCEDURES WITH MCC $1,433 – $66,220 · median $24,082 27 plans
665 PROSTATECTOMY WITH MCC — 27 plans
666 PROSTATECTOMY WITH CC $1,433 – $37,837 · median $14,000 27 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,433 – $23,927 · median $9,059 27 plans
671 URETHRAL PROCEDURES WITH CC/MCC $1,433 – $38,826 · median $14,351 27 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,433 – $23,350 · median $8,854 27 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $1,433 – $39,014 · median $14,418 27 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,433 – $24,740 · median $9,348 27 plans
697 URETHRAL STRICTURE $1,433 – $23,313 · median $8,841 27 plans
709 PENIS PROCEDURES WITH CC/MCC $1,433 – $50,335 · median $18,439 27 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $1,433 – $48,393 · median $17,749 27 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,433 – $31,818 · median $11,862 27 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $1,433 – $40,892 · median $15,085 27 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,433 – $29,051 · median $10,879 27 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,433 – $39,144 · median $14,464 27 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,433 – $25,311 · median $9,551 27 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,433 – $15,617 · median $6,107 27 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,433 – $32,075 · median $11,953 27 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,433 – $22,900 · median $8,694 27 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $1,433 – $46,072 · median $16,925 27 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,433 – $29,103 · median $10,897 27 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 27 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 27 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,433 – $39,836 · median $14,710 27 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,433 – $30,972 · median $11,561 27 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,433 – $33,880 · median $19,423 27 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,433 – $14,629 · median $8,705 27 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,433 – $13,218 · median $7,919 27 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,433 – $16,105 · median $9,526 27 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,433 – $13,806 · median $8,246 27 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,433 – $13,208 · median $7,913 27 plans
799 SPLENECTOMY WITH MCC $1,433 – $97,960 · median $35,356 27 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $1,433 – $86,176 · median $31,170 27 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $1,433 – $40,208 · median $14,842 27 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $1,433 – $47,757 · median $17,523 27 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $1,433 – $46,001 · median $16,899 27 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,433 – $49,351 · median $18,090 27 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,433 – $25,074 · median $9,466 27 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $18,600 · median $7,167 27 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 27 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 27 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 27 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,433 – $32,553 · median $12,123 27 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,433 – $26,010 · median $9,799 27 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,433 – $15,608 · median $6,104 27 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $11,310 · median $4,577 27 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,433 – $103,917 · median $66,299 27 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $1,433 – $45,150 · median $16,598 27 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,433 – $31,232 · median $11,653 27 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $1,433 – $43,148 · median $15,886 27 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,433 – $56,076 · median $20,478 27 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,433 – $28,296 · median $10,611 27 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,433 – $18,373 · median $7,086 27 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,433 – $19,201 · median $7,380 27 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,433 – $149,502 · median $53,664 27 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 27 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,433 – $79,449 · median $28,781 27 plans
913 TRAUMATIC INJURY WITH MCC $1,433 – $35,356 · median $13,119 27 plans
915 ALLERGIC REACTIONS WITH MCC $1,433 – $36,373 · median $13,480 27 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,433 – $37,840 · median $14,001 27 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,433 – $461,811 · median $166,021 27 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $1,433 – $155,146 · median $55,668 27 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 27 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 27 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,433 – $47,815 · median $17,544 27 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $1,433 – $78,484 · median $28,438 27 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,433 – $27,457 · median $8,717 27 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 27 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 27 plans
028 SPINAL PROCEDURES WITH MCC $34,861 – $129,960 · median $46,722 26 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,433 – $92,258 · median $33,331 26 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $1,433 – $47,177 · median $17,317 26 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $1,433 – $34,530 · median $12,825 26 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,433 – $81,039 · median $29,345 26 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $1,433 – $37,483 · median $13,874 26 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,433 – $26,006 · median $9,797 26 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $59,742 – $215,370 · median $78,012 26 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $50,579 – $182,339 · median $65,439 26 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $13,095 – $47,207 · median $17,328 26 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,600 – $67,964 · median $24,701 26 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $19,517 – $70,358 · median $25,551 26 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 26 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 26 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 26 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,433 – $22,763 · median $13,233 26 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,433 – $15,412 · median $9,140 26 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,433 – $13,231 · median $7,926 26 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,433 – $14,893 · median $8,851 26 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,433 – $10,405 · median $6,353 26 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,433 – $9,304 · median $5,740 26 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 25 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 25 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 25 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $1,433 – $45,806 · median $16,830 25 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 24 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 24 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 24 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 24 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,433 – $386,730 · median $217,914 23 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 23 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $1,433 – $142,285 · median $80,174 23 plans
006 LIVER TRANSPLANT WITHOUT MCC — 23 plans
007 LUNG TRANSPLANT — 23 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 23 plans
010 PANCREAS TRANSPLANT — 23 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,433 – $17,980 · median $10,163 23 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,433 – $9,868 · median $6,628 23 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $1,433 – $89,597 · median $48,487 23 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $1,433 – $146,158 · median $36,643 23 plans
509 ARTHROSCOPY $1,433 – $136,253 · median $14,057 23 plans
652 KIDNEY TRANSPLANT — 23 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $1,665 – $176,974 · median $52,725 22 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $1,665 – $79,729 · median $28,818 22 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $1,433 – $31,235 · median $12,440 20 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,433 – $13,864 · median $8,227 20 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,433 – $13,561 · median $5,682 20 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $1,665 – $273,656 · median $68,643 19 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,433 – $11,378 · median $6,724 10 plans
999 UNGROUPABLE $1,433 – $21,765 · median $12,863 10 plans
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