Abbeville General Hospital — Pricing

765 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 765 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 765
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 765 procedures

Procedures with negotiated rates only

These 765 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
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $3,400 – $119,754 · median $93,623 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $3,400 – $34,805 · median $12,016 16 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $3,400 – $40,254 · median $14,398 16 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $2,550 – $27,914 · median $5,550 16 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 16 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $2,550 – $34,451 · median $15,779 16 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 16 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $1,700 – $17,901 · median $5,080 16 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 16 plans
038 EXTRACRANIAL PROCEDURES WITH CC $2,550 – $15,153 · median $10,216 16 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,137 – $11,315 · median $2,269 16 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $2,550 – $20,098 · median $3,528 16 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $4,250 – $135,199 · median $100,505 16 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $4,250 – $59,222 · median $43,640 16 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 16 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $4,250 – $130,851 · median $99,912 16 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $4,250 – $47,002 · median $22,459 16 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $4,250 – $44,490 · median $30,274 16 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $4,250 – $44,808 · median $17,879 16 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $4,250 – $35,362 · median $14,218 16 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $4,250 – $137,188 · median $104,048 16 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $4,250 – $74,326 · median $55,906 16 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $4,250 – $87,593 · median $64,593 16 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $4,250 – $51,982 · median $38,431 16 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $4,250 – $51,601 · median $26,334 16 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $3,400 – $37,182 · median $17,728 16 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,550 – $55,001 · median $44,178 16 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC — 16 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,550 – $16,740 · median $5,165 16 plans
245 AICD GENERATOR PROCEDURES $2,550 – $40,389 · median $16,778 16 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $2,550 – $32,833 · median $27,440 16 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $3,400 – $15,646 · median $14,333 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $2,550 – $34,586 · median $26,997 16 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,550 – $30,558 · median $24,965 16 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 16 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,550 – $28,196 · median $3,932 16 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 16 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,550 – $29,147 · median $22,541 16 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — 16 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,550 – $15,215 · median $3,573 16 plans
263 VEIN LIGATION AND STRIPPING $1,700 – $29,583 · median $23,520 16 plans
265 AICD LEAD PROCEDURES $2,550 – $32,283 · median $16,470 16 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,194 – $14,994 16 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,158 – $9,114 · median $1,429 16 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,273 – $7,431 · median $1,487 16 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,388 – $18,228 16 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,250 – $8,027 · median $1,475 16 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,179 – $6,928 · median $1,864 16 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $1,700 – $20,219 · median $12,691 16 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,226 – $10,410 · median $1,888 16 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $3,400 – $55,003 · median $40,903 16 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,550 – $36,964 · median $29,801 16 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $2,550 – $20,556 · median $17,294 16 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $4,250 – $118,624 · median $88,202 16 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $4,250 – $53,728 · median $13,550 16 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $4,250 – $47,913 · median $37,015 16 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $4,250 – $143,568 · median $109,315 16 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $4,250 – $52,413 · median $6,986 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $4,250 – $37,043 · median $20,837 16 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $4,250 – $66,742 · median $48,884 16 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,400 – $32,624 · median $9,448 16 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $3,400 – $162,620 · median $129,058 16 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $2,550 – $24,058 · median $8,112 16 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $3,400 – $45,908 · median $5,720 16 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $2,550 – $31,497 16 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $2,550 – $29,506 · median $23,885 16 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,550 – $27,262 · median $13,231 16 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — 16 plans
471 CERVICAL SPINAL FUSION WITH MCC $3,400 – $169,034 · median $135,291 16 plans
472 CERVICAL SPINAL FUSION WITH CC $2,550 – $26,514 · median $5,451 16 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 16 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $2,550 – $25,019 · median $4,540 16 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $2,550 – $89,069 · median $72,040 16 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $2,550 – $19,174 · median $5,735 16 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 16 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $1,700 – $16,409 16 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,158 – $10,811 · median $1,854 16 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $2,550 – $32,742 · median $4,357 16 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 16 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — 16 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 16 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 16 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 16 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $2,550 – $14,961 · median $10,136 16 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $1,160 – $14,172 · median $2,280 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $1,700 – $18,395 · median $4,144 16 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,106 – $14,394 · median $1,828 16 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $1,043 – $10,423 · median $1,122 16 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,200 – $16,342 · median $14,585 15 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,750 – $64,095 · median $52,629 15 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,043 – $10,324 15 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,043 – $9,446 · median $1,043 15 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,750 – $31,086 · median $26,726 15 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,043 – $10,811 15 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,043 – $9,454 · median $1,043 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,043 – $11,242 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,043 – $9,812 · median $1,043 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,043 – $9,440 · median $1,043 15 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,043 – $10,488 · median $1,043 15 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,043 – $7,696 · median $1,043 15 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 15 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 15 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,043 – $11,518 15 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC — 14 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,020 – $15,689 · median $7,722 14 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $995 – $2,212 · median $1,106 14 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,043 – $8,606 · median $1,043 14 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,137 – $11,546 14 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,550 – $24,431 · median $12,006 14 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,020 – $4,105 · median $2,046 14 plans
881 DEPRESSIVE NEUROSES $1,020 – $3,650 · median $1,823 14 plans
882 NEUROSES EXCEPT DEPRESSIVE $977 – $2,171 · median $1,085 14 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL — 14 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY — 14 plans
885 PSYCHOSES — 14 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,020 – $21,478 · median $10,559 14 plans
887 OTHER MENTAL DISORDER DIAGNOSES $986 – $2,191 14 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $848 – $1,884 · median $942 14 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,020 – $156,736 · median $76,835 14 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,020 – $98,698 · median $48,397 14 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $990 – $2,200 · median $1,100 14 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,700 – $4,193 · median $2,089 14 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,167 – $2,594 · median $1,297 14 plans
945 REHABILITATION WITH CC/MCC $1,020 – $14,518 · median $7,035 14 plans
946 REHABILITATION WITHOUT CC/MCC $1,020 – $11,068 · median $1,251 14 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,020 – $2,802 · median $1,401 14 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,020 – $2,525 · median $1,262 14 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $4,250 – $436,447 · median $327,903 13 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 13 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $4,250 – $324,570 · median $244,244 13 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $4,250 – $462,713 · median $370,489 13 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $4,250 – $220,397 · median $172,981 13 plans
006 LIVER TRANSPLANT WITHOUT MCC $4,250 – $279,747 · median $230,838 13 plans
007 LUNG TRANSPLANT — 13 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $4,250 – $270,974 · median $222,119 13 plans
010 PANCREAS TRANSPLANT $3,400 – $160,497 · median $127,417 13 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,400 – $88,606 · median $69,841 13 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $2,550 – $59,128 · median $47,027 13 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,550 – $36,467 · median $29,964 13 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 13 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $4,250 – $65,505 · median $49,896 13 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $4,250 – $173,260 · median $137,139 13 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $4,250 – $159,968 · median $129,730 13 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $4,250 – $150,404 · median $124,818 13 plans
028 SPINAL PROCEDURES WITH MCC $3,400 – $52,801 · median $8,307 13 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $1,817 – $20,068 13 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $2,550 – $39,686 · median $27,535 13 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $2,550 – $19,517 · median $6,860 13 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $1,251 – $15,499 13 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $2,550 – $77,784 · median $63,129 13 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $2,550 – $21,580 · median $19,191 13 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,700 – $21,424 · median $18,924 13 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,158 – $9,630 · median $1,158 13 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,020 – $14,331 13 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,285 – $9,976 · median $1,285 13 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC — 13 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,020 – $11,876 13 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,020 – $9,120 · median $1,106 13 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $2,550 – $24,892 · median $9,587 13 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $1,226 – $16,308 13 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,194 – $13,274 13 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $1,273 – $18,487 13 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,273 – $9,897 · median $1,273 13 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,179 – $7,099 · median $1,179 13 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,020 – $13,832 · median $1,769 13 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,226 – $8,644 · median $1,226 13 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,457 – $8,081 · median $1,457 13 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,700 – $56,276 · median $48,298 13 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,700 – $10,031 · median $5,123 13 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,273 – $7,715 · median $1,273 13 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC — 13 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,392 – $10,073 · median $1,392 13 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,700 – $17,684 · median $5,271 13 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,285 – $8,308 · median $1,285 13 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $1,338 – $14,498 13 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,179 – $9,790 · median $1,179 13 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,137 – $6,947 · median $1,137 13 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $1,700 – $28,058 · median $23,785 13 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,179 – $13,206 13 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,313 – $9,429 · median $1,313 13 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $1,700 – $20,726 · median $8,893 13 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,106 – $12,407 13 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,137 – $9,076 · median $1,137 13 plans
088 CONCUSSION WITH MCC $1,273 – $12,828 13 plans
089 CONCUSSION WITH CC $1,250 – $10,655 · median $1,250 13 plans
090 CONCUSSION WITHOUT CC/MCC $1,158 – $8,290 · median $1,158 13 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,262 – $16,300 13 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,700 – $10,006 · median $5,408 13 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,064 – $8,060 · median $1,064 13 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $2,550 – $31,435 · median $19,897 13 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $2,550 – $23,364 · median $4,208 13 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 13 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $2,550 – $32,228 · median $6,498 13 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC — 13 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,700 – $23,801 · median $21,566 13 plans
100 SEIZURES WITH MCC $1,020 – $17,850 13 plans
101 SEIZURES WITHOUT MCC $1,043 – $8,972 · median $1,043 13 plans
102 HEADACHES WITH MCC $1,020 – $10,846 · median $3,569 13 plans
113 ORBITAL PROCEDURES WITH CC/MCC $1,700 – $21,406 13 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,550 – $37,174 · median $32,759 13 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,179 – $14,400 13 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $1,700 – $16,745 · median $14,075 13 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,179 – $10,537 · median $1,179 13 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,020 – $11,210 · median $1,179 13 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $1,020 – $7,969 · median $1,106 13 plans
123 NEUROLOGICAL EYE DISORDERS $1,273 – $8,079 · median $1,273 13 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,020 – $12,582 13 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,020 – $7,815 · median $1,179 13 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $1,419 – $19,852 13 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,550 – $9,940 · median $4,149 13 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,226 – $14,042 13 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,106 – $8,831 · median $1,106 13 plans
139 SALIVARY GLAND PROCEDURES $1,262 – $11,832 13 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 13 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,273 – $12,139 · median $1,273 13 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,700 – $8,066 · median $6,171 13 plans
149 DYSEQUILIBRIUM $1,363 – $7,676 · median $1,363 13 plans
150 EPISTAXIS WITH MCC $1,020 – $12,654 13 plans
151 EPISTAXIS WITHOUT MCC $1,285 – $7,525 · median $1,285 13 plans
152 OTITIS MEDIA AND URI WITH MCC $1,020 – $11,372 · median $1,462 13 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,020 – $7,561 · median $1,043 13 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC — 13 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,020 – $9,091 · median $1,179 13 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,179 – $7,157 · median $1,179 13 plans
157 DENTAL AND ORAL DISEASES WITH MCC — 13 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,020 – $9,034 · median $1,106 13 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,043 – $7,306 · median $1,043 13 plans
163 MAJOR CHEST PROCEDURES WITH MCC $3,400 – $203,515 · median $167,370 13 plans
164 MAJOR CHEST PROCEDURES WITH CC — 13 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 13 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $2,550 – $33,309 · median $7,410 13 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $1,273 – $16,705 13 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,158 – $12,953 13 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,020 – $13,015 · median $5,826 13 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,285 – $8,134 · median $1,285 13 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,020 – $20,637 · median $18,684 13 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,700 – $14,924 · median $14,656 13 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,179 – $7,705 · median $1,179 13 plans
180 RESPIRATORY NEOPLASMS WITH MCC — 13 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,300 – $10,418 · median $1,300 13 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,158 – $7,695 · median $1,158 13 plans
183 MAJOR CHEST TRAUMA WITH MCC — 13 plans
184 MAJOR CHEST TRAUMA WITH CC $1,251 – $10,358 · median $1,251 13 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,179 – $7,975 · median $1,179 13 plans
186 PLEURAL EFFUSION WITH MCC — 13 plans
187 PLEURAL EFFUSION WITH CC $1,179 – $9,715 · median $1,179 13 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,158 – $7,381 · median $1,158 13 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,238 – $11,829 13 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,020 – $10,733 · median $1,285 13 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,020 – $8,460 · median $1,262 13 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,158 – $6,735 · median $1,158 13 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,020 – $12,507 13 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,020 – $8,142 · median $1,226 13 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $1,273 – $6,619 · median $1,273 13 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC — 13 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,700 – $116,021 · median $99,338 13 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,700 – $42,487 · median $38,156 13 plans
199 PNEUMOTHORAX WITH MCC — 13 plans
200 PNEUMOTHORAX WITH CC $1,363 – $10,661 · median $1,363 13 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,700 – $7,363 · median $6,546 13 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,020 – $9,561 · median $1,365 13 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,020 – $6,975 · median $1,043 13 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,285 – $8,155 · median $1,285 13 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC — 13 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,262 – $9,303 · median $1,262 13 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $4,250 – $255,559 · median $208,018 13 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $2,550 – $24,819 · median $5,011 13 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $4,250 – $151,052 · median $115,495 13 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $3,400 – $73,171 · median $57,707 13 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 13 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,550 – $13,108 · median $4,720 13 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 13 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $1,300 – $15,799 13 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,106 – $10,600 · median $1,106 13 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 13 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $2,550 – $65,241 · median $54,283 13 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $2,550 – $15,876 · median $4,000 13 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,043 – $9,205 13 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,020 – $12,244 · median $1,471 13 plans
292 HEART FAILURE AND SHOCK WITH CC $1,240 – $8,512 · median $1,240 13 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,095 – $6,083 · median $1,095 13 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,020 – $11,765 13 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $1,020 – $8,004 · median $1,106 13 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,273 – $14,632 13 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,179 – $6,666 · median $1,179 13 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,550 – $7,938 · median $7,814 13 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC — 13 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,020 – $10,388 · median $1,350 13 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,020 – $7,402 · median $1,106 13 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,700 – $11,328 · median $11,136 13 plans
304 HYPERTENSION WITH MCC $1,020 – $11,439 · median $1,289 13 plans
305 HYPERTENSION WITHOUT MCC $1,137 – $7,706 · median $1,137 13 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,020 – $14,751 13 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,251 – $9,063 · median $1,251 13 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,020 – $11,559 13 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,238 – $7,539 · median $1,238 13 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,106 – $6,083 · median $1,106 13 plans
311 ANGINA PECTORIS $1,388 – $7,249 · median $1,388 13 plans
312 SYNCOPE AND COLLAPSE $1,417 – $8,706 · median $1,417 13 plans
313 CHEST PAIN $1,095 – $7,405 · median $1,095 13 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,700 – $68,028 · median $57,596 13 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,158 – $9,493 · median $1,158 13 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,251 – $7,079 · median $1,251 13 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $4,250 – $165,213 · median $134,622 13 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $2,550 – $78,529 · median $65,754 13 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $1,158 – $14,978 13 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,400 – $55,796 · median $43,645 13 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,550 – $21,802 · median $5,834 13 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,179 – $15,670 13 plans
332 RECTAL RESECTION WITH MCC $3,400 – $32,305 · median $17,440 13 plans
333 RECTAL RESECTION WITH CC $2,550 – $78,962 · median $66,284 13 plans
334 RECTAL RESECTION WITHOUT CC/MCC $1,273 – $15,284 13 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $3,400 – $31,877 · median $14,373 13 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $2,550 – $19,326 · median $12,612 13 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,179 – $14,401 13 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,550 – $23,395 · median $12,856 13 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,285 – $14,141 13 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,700 – $11,407 · median $2,621 13 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $1,700 – $117,783 · median $98,886 13 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,064 – $12,459 13 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,064 – $8,697 · median $1,064 13 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 13 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,273 – $14,311 13 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,158 – $11,249 13 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $2,550 – $26,135 · median $4,238 13 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $1,251 – $15,666 13 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,095 – $12,770 13 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $2,550 – $138,984 · median $113,536 13 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $2,550 – $22,313 · median $18,951 13 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,137 – $13,224 13 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,179 – $14,889 13 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,158 – $9,810 · median $1,158 13 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,064 – $7,240 · median $1,064 13 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC — 13 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,020 – $9,988 · median $1,350 13 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,064 – $7,468 · median $1,064 13 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 13 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,337 – $11,607 · median $1,337 13 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,158 – $9,158 · median $1,158 13 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,194 – $16,916 13 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,158 – $9,643 · median $1,158 13 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,179 – $6,635 · median $1,179 13 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 13 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,251 – $10,525 · median $1,251 13 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,179 – $8,096 · median $1,179 13 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,020 – $13,076 · median $5,195 13 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,350 – $8,562 · median $1,350 13 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC — 13 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,020 – $9,605 · median $1,158 13 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,289 – $7,072 · median $1,289 13 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,020 – $13,901 13 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,020 – $8,004 · median $1,204 13 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,216 – $5,894 · median $1,216 13 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,020 – $12,111 13 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,020 – $7,916 · median $1,238 13 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC — 13 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,700 – $9,256 · median $2,003 13 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,179 – $6,795 · median $1,179 13 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 13 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 13 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $1,297 – $14,853 13 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $2,550 – $29,580 · median $5,965 13 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $2,550 – $19,272 · median $14,412 13 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,550 – $15,478 · median $7,636 13 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $2,092 – $31,806 13 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 13 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,700 – $19,048 · median $17,604 13 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 13 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,273 – $15,745 13 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,240 – $12,948 13 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,179 – $30,471 13 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,550 – $16,139 · median $12,379 13 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,179 – $13,238 13 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $3,400 – $38,814 · median $30,131 13 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $2,550 – $36,319 · median $30,886 13 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,095 – $14,103 13 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $1,700 – $89,781 · median $75,873 13 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,094 – $10,291 13 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,251 – $7,340 · median $1,251 13 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,179 – $16,991 13 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,326 – $10,934 · median $1,326 13 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,179 – $8,549 · median $1,179 13 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC — 13 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,020 – $8,445 · median $1,273 13 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,106 – $6,558 · median $1,106 13 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC — 13 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,095 – $9,510 · median $1,095 13 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,064 – $7,230 · median $1,064 13 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,700 – $20,004 · median $17,985 13 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,179 – $10,619 · median $1,179 13 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,137 – $8,326 · median $1,137 13 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,400 – $50,150 · median $28,928 13 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 13 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,262 – $16,879 13 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,550 – $38,075 · median $4,358 13 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $2,550 – $20,759 · median $6,369 13 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,700 – $11,355 · median $8,083 13 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,550 – $30,879 · median $13,484 13 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 13 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,400 – $17,181 · median $10,829 13 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $1,273 – $15,225 13 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $1,700 – $16,709 · median $14,829 13 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,064 – $11,596 13 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 13 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $2,550 – $35,836 · median $30,676 13 plans
500 SOFT TISSUE PROCEDURES WITH MCC $2,550 – $60,686 · median $49,847 13 plans
501 SOFT TISSUE PROCEDURES WITH CC $1,700 – $16,230 · median $2,510 13 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,158 – $12,777 13 plans
503 FOOT PROCEDURES WITH MCC — 13 plans
504 FOOT PROCEDURES WITH CC $1,700 – $17,270 · median $4,614 13 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 13 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,336 – $12,806 13 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $1,700 – $16,731 · median $2,735 13 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,043 – $14,224 13 plans
509 ARTHROSCOPY $2,550 – $38,034 · median $32,890 13 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 13 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 13 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,043 – $10,000 13 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 13 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 13 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $1,158 – $14,415 13 plans
533 FRACTURES OF FEMUR WITH MCC — 13 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,020 – $8,144 · median $1,351 13 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,020 – $12,229 13 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,020 – $8,157 · median $1,179 13 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,020 – $9,416 · median $1,226 13 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,020 – $7,407 · median $1,179 13 plans
539 OSTEOMYELITIS WITH MCC — 13 plans
540 OSTEOMYELITIS WITH CC $1,020 – $12,352 13 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,064 – $7,983 · median $1,064 13 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC — 13 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,020 – $10,049 13 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,064 – $7,702 · median $1,064 13 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 13 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,325 – $11,125 · median $1,325 13 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,043 – $8,402 · median $1,043 13 plans
548 SEPTIC ARTHRITIS WITH MCC — 13 plans
549 SEPTIC ARTHRITIS WITH CC $1,020 – $11,587 13 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,273 – $8,727 · median $1,273 13 plans
551 MEDICAL BACK PROBLEMS WITH MCC — 13 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,020 – $9,476 · median $1,273 13 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,020 – $12,352 13 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,020 – $8,350 · median $1,285 13 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,020 – $12,571 · median $8,272 13 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,020 – $8,354 · median $1,158 13 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,020 – $13,988 13 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,020 – $8,891 · median $1,158 13 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 13 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,020 – $10,891 · median $1,363 13 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,179 – $8,125 · median $1,179 13 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,020 – $13,455 13 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,020 – $8,911 · median $1,106 13 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,020 – $14,475 13 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,020 – $9,588 · median $2,305 13 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,179 – $7,656 · median $1,179 13 plans
570 SKIN DEBRIDEMENT WITH MCC $2,550 – $251,356 · median $209,625 13 plans
571 SKIN DEBRIDEMENT WITH CC — 13 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,020 – $11,064 13 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 13 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $2,550 – $31,023 13 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,700 – $16,650 · median $3,906 13 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,205 – $43,297 13 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 13 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,700 – $15,014 · median $9,458 13 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $2,550 – $29,024 · median $4,076 13 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $1,194 – $16,058 13 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,700 – $13,612 · median $8,045 13 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $1,700 – $19,600 · median $4,285 13 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 13 plans
592 SKIN ULCERS WITH MCC — 13 plans
593 SKIN ULCERS WITH CC $1,020 – $11,407 · median $1,471 13 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,020 – $8,665 · median $1,179 13 plans
595 MAJOR SKIN DISORDERS WITH MCC — 13 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,020 – $10,516 · median $1,250 13 plans
597 MALIGNANT BREAST DISORDERS WITH MCC — 13 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,020 – $59,209 · median $51,513 13 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,020 – $23,604 · median $22,265 13 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,020 – $10,165 · median $1,285 13 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,020 – $6,417 · median $1,106 13 plans
602 CELLULITIS WITH MCC $1,020 – $13,425 13 plans
603 CELLULITIS WITHOUT MCC $1,020 – $8,700 · median $1,226 13 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC — 13 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,020 – $9,087 · median $3,559 13 plans
606 MINOR SKIN DISORDERS WITH MCC $1,020 – $14,214 13 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,020 – $9,005 · median $1,228 13 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,550 – $20,039 · median $6,501 13 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,158 – $13,236 13 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,550 – $37,317 · median $29,823 13 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,337 – $17,279 13 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,700 – $30,308 · median $26,956 13 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 13 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,781 – $16,623 13 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,700 – $25,245 · median $22,930 13 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 13 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,363 – $14,095 13 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,064 – $12,626 13 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 13 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 13 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,700 – $43,399 · median $37,820 13 plans
637 DIABETES WITH MCC $1,020 – $13,557 13 plans
638 DIABETES WITH CC $1,020 – $8,917 · median $1,250 13 plans
639 DIABETES WITHOUT CC/MCC $1,064 – $6,556 · median $1,064 13 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,020 – $12,689 13 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,020 – $7,904 · median $1,158 13 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,106 – $13,432 13 plans
643 ENDOCRINE DISORDERS WITH MCC — 13 plans
644 ENDOCRINE DISORDERS WITH CC $1,020 – $10,023 · median $1,158 13 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,179 – $7,819 · median $1,179 13 plans
652 KIDNEY TRANSPLANT $2,550 – $60,898 · median $49,907 13 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $3,400 – $191,168 · median $155,998 13 plans
654 MAJOR BLADDER PROCEDURES WITH CC $2,550 – $25,254 · median $10,245 13 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $2,550 – $19,393 · median $6,811 13 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $2,550 – $38,235 · median $31,003 13 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,186 – $16,933 · median $2,195 13 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,550 – $14,545 · median $7,952 13 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 13 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,350 – $12,570 13 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,158 – $10,112 · median $1,158 13 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 13 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,158 – $14,274 13 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,550 – $13,830 · median $13,584 13 plans
665 PROSTATECTOMY WITH MCC $2,550 – $30,857 · median $24,962 13 plans
666 PROSTATECTOMY WITH CC $1,273 – $16,240 13 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,179 – $10,720 · median $1,179 13 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 13 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,700 – $14,547 · median $5,086 13 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,262 – $9,613 · median $1,262 13 plans
671 URETHRAL PROCEDURES WITH CC/MCC $1,350 – $16,633 13 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,700 – $11,082 · median $10,895 13 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $2,550 – $61,378 · median $48,893 13 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 13 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,400 – $37,844 · median $32,899 13 plans
682 RENAL FAILURE WITH MCC $1,020 – $25,449 · median $22,813 13 plans
683 RENAL FAILURE WITH CC $1,362 – $8,742 · median $1,362 13 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,273 – $6,377 · median $1,273 13 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC — 13 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,289 – $10,219 · median $1,289 13 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,700 – $12,103 · median $11,895 13 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,020 – $11,184 · median $1,363 13 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,020 – $8,173 · median $1,179 13 plans
693 URINARY STONES WITH MCC $1,393 – $12,765 13 plans
694 URINARY STONES WITHOUT MCC $1,137 – $7,934 · median $1,137 13 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,020 – $11,043 · median $1,179 13 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,020 – $7,138 · median $1,230 13 plans
697 URETHRAL STRICTURE $1,336 – $10,476 · median $1,336 13 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC — 13 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,179 – $9,937 · median $1,179 13 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,179 – $7,146 · median $1,179 13 plans
709 PENIS PROCEDURES WITH CC/MCC $1,700 – $21,200 · median $5,194 13 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,043 – $13,252 13 plans
711 TESTES PROCEDURES WITH CC/MCC — 13 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,158 – $10,664 · median $1,158 13 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,285 – $14,129 13 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,158 – $10,301 · median $1,158 13 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 13 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,158 – $13,851 13 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $1,471 – $17,452 13 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,179 – $12,753 13 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC — 13 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,020 – $11,033 · median $1,273 13 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,700 – $9,159 · median $9,011 13 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,020 – $11,269 · median $1,393 13 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,020 – $7,422 · median $1,158 13 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,020 – $13,954 13 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,020 – $8,187 · median $1,095 13 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,020 – $10,312 · median $1,106 13 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,273 – $6,993 · median $1,273 13 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 13 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,158 – $12,774 13 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $2,550 – $41,685 · median $33,382 13 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 13 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,158 – $13,830 13 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $2,550 – $31,980 · median $19,888 13 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $1,700 – $16,758 · median $12,138 13 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,700 – $42,385 · median $37,010 13 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 13 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,064 – $11,874 13 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $1,700 – $18,814 · median $5,411 13 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,700 – $90,069 · median $77,319 13 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,250 – $16,136 13 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,158 – $8,604 · median $1,158 13 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,158 – $13,133 13 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 13 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,550 – $13,893 · median $3,311 13 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 13 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,273 – $10,562 · median $1,273 13 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,158 – $9,469 · median $1,158 13 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,020 – $13,516 · median $7,688 13 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,020 – $9,628 · median $1,239 13 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,043 – $6,920 · median $1,043 13 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,020 – $9,873 · median $1,095 13 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,158 – $6,121 · median $1,158 13 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,043 – $9,831 13 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,020 – $6,844 · median $1,043 13 plans
779 ABORTION WITHOUT D&C $1,043 – $8,446 · median $1,043 13 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,043 – $16,694 13 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,043 – $52,244 13 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,043 – $36,067 13 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,043 – $22,248 13 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,043 – $37,017 13 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,043 – $13,893 13 plans
795 NORMAL NEWBORN $1,020 – $2,939 · median $1,043 13 plans
799 SPLENECTOMY WITH MCC $3,400 – $40,101 · median $18,505 13 plans
800 SPLENECTOMY WITH CC $2,550 – $43,337 · median $35,792 13 plans
801 SPLENECTOMY WITHOUT CC/MCC — 13 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,550 – $88,530 · median $71,955 13 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 13 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,043 – $12,864 13 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,043 – $7,011 · median $1,043 13 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 13 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,700 – $40,466 · median $35,662 13 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,179 – $10,208 · median $1,179 13 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,020 – $13,279 13 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,228 – $9,106 · median $1,228 13 plans
813 COAGULATION DISORDERS $1,339 – $14,317 13 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 13 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,251 – $9,928 · median $1,251 13 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,158 – $6,649 · median $1,158 13 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $3,400 – $56,801 · median $42,665 13 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,550 – $20,441 · median $3,927 13 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,179 – $11,559 13 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $3,400 – $59,927 · median $47,137 13 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 13 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,137 – $12,808 13 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $3,400 – $49,924 · median $38,615 13 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $2,550 – $21,064 · median $10,250 13 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 13 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 13 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $2,550 – $26,204 · median $23,376 13 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,158 – $48,351 13 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 13 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,137 – $11,692 13 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $3,400 – $208,201 · median $170,820 13 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 13 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,158 – $13,619 13 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,216 – $28,993 13 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,700 – $68,726 · median $58,789 13 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,158 – $9,897 · median $1,158 13 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 13 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,137 – $11,674 13 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,179 – $8,534 · median $1,179 13 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,020 – $23,479 13 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,251 – $12,454 13 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,668 – $8,515 · median $1,668 13 plans
849 RADIOTHERAPY $1,700 – $104,163 · median $86,986 13 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $4,250 – $43,618 · median $11,502 13 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 13 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC — 13 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,400 – $40,271 13 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $1,363 – $19,607 13 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,158 – $13,181 13 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC — 13 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,251 – $9,790 · median $1,251 13 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,106 – $8,844 · median $1,106 13 plans
865 VIRAL ILLNESS WITH MCC $1,020 – $14,086 · median $2,438 13 plans
866 VIRAL ILLNESS WITHOUT MCC $1,043 – $8,689 · median $1,043 13 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $2,550 – $52,559 · median $44,577 13 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,179 – $10,075 · median $1,179 13 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $1,158 – $7,488 · median $1,158 13 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $4,250 – $81,316 · median $61,621 13 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,700 – $17,899 · median $2,473 13 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,250 – $10,008 · median $1,250 13 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $2,550 – $37,249 · median $13,551 13 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 13 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,158 – $11,264 13 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $2,550 – $37,370 · median $29,585 13 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $1,700 – $29,537 · median $26,219 13 plans
906 HAND PROCEDURES FOR INJURIES — 13 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $2,550 – $34,181 · median $7,938 13 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $2,550 – $69,612 · median $58,970 13 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,095 – $12,492 13 plans
913 TRAUMATIC INJURY WITH MCC — 13 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,095 – $8,825 · median $1,095 13 plans
915 ALLERGIC REACTIONS WITH MCC — 13 plans
916 ALLERGIC REACTIONS WITHOUT MCC $1,179 – $6,944 · median $1,179 13 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,228 – $16,940 13 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,179 – $9,828 · median $1,179 13 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,043 – $7,133 · median $1,043 13 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC — 13 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,375 – $9,960 · median $1,375 13 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $4,250 – $242,104 · median $169,747 13 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 13 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $2,550 – $56,434 · median $43,623 13 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $2,550 – $43,680 · median $33,683 13 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,043 – $20,200 13 plans
935 NON-EXTENSIVE BURNS $1,388 – $18,907 13 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,550 – $42,556 · median $34,056 13 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 13 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 13 plans
949 AFTERCARE WITH CC/MCC $1,020 – $11,437 · median $1,337 13 plans
950 AFTERCARE WITHOUT CC/MCC $1,020 – $22,171 · median $21,322 13 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,020 – $5,997 · median $1,273 13 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $4,250 – $80,023 · median $60,783 13 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $3,400 – $33,526 · median $19,357 13 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,250 – $69,699 · median $50,878 13 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,400 – $37,397 · median $6,690 13 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,400 – $70,303 · median $58,157 13 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,550 – $34,579 · median $28,652 13 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,095 – $14,380 13 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,285 – $9,297 · median $1,285 13 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $4,250 – $345,822 · median $283,938 13 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,400 – $116,059 · median $96,896 13 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 13 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,273 – $12,341 13 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,700 – $13,316 · median $13,085 13 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,020 – $12,364 13 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,400 – $41,499 · median $13,040 13 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,400 – $28,509 · median $23,944 13 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,550 – $15,937 · median $10,284 13 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $1,140,690 – $1,462,489 · median $1,163,934 12 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 12 plans
103 HEADACHES WITHOUT MCC $1,043 – $8,403 · median $1,043 12 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $51,947 – $66,416 · median $52,972 12 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $5,434 – $19,947 · median $5,509 12 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $1,262 – $14,928 12 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $26,178 – $33,994 · median $26,677 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 $6,921 – $11,545 · median $7,027 12 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 12 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $37,400 – $94,570 · median $38,128 12 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $53,076 – $71,033 · median $54,123 12 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $44,706 – $58,389 · median $45,583 12 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $196,927 – $247,778 · median $200,910 12 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $61,897 – $78,456 · median $63,125 12 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $16,669 – $46,517 · median $16,974 12 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $29,590 – $37,869 · median $30,158 12 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,460 – $23,140 · median $17,781 12 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $24,602 – $36,638 · median $25,068 12 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $6,686 – $29,481 · median $6,787 12 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $37,518 – $62,433 · median $38,248 12 plans
276 NON-MALIGANT BREAST DISORDERS $5,438 – $52,786 12 plans
277 CELLULITIS AGE >17 W CC $71,666 – $91,007 · median $73,093 12 plans
278 CELLULITIS AGE >17 W/O CC — 12 plans
279 CELLULITIS AGE 0-17 — 12 plans
302 ATHEROSCLEROSIS WITH MCC $1,020 – $11,496 12 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $27,355 – $39,535 · median $27,878 12 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $7,038 – $21,872 · median $7,146 12 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 12 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 — 12 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 12 plans
324 URINARY STONES W/O CC — 12 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $2,494 – $28,783 12 plans
397 COAGULATION DISORDERS — 12 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $10,377 – $14,217 · median $10,554 12 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $50,223 – $58,877 · median $51,213 12 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $2,550 – $26,224 · median $6,260 12 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $1,700 – $19,204 · median $11,919 12 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $2,550 – $36,763 · median $28,873 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 $1,319 – $14,738 12 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $16,664 – $33,306 · median $16,968 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 $1,251 – $14,048 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 $8,820 – $19,403 · median $8,965 12 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $73,133 – $93,006 · median $74,590 12 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $66,052 – $82,583 · median $67,364 12 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,043 – $20,810 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,043 – $11,175 12 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,043 – $7,418 · median $1,043 12 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,043 – $5,713 · median $1,043 12 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,043 – $2,150 · median $1,043 10 plans
999 UNGROUPABLE $1,043 – $1,043 · median $1,043 8 plans
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