Glenwood Regional Medical Center — Pricing

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

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
215 OTHER HEART ASSIST SYSTEM IMPLANT — 18 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $900 – $160,641 · median $75,113 18 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 18 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 18 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 18 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 18 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $900 – $15,261 · median $7,235 18 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $900 – $93,148 · median $12,237 18 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $900 – $16,164 · median $7,751 18 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $900 – $12,159 · median $6,789 18 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $900 – $61,317 · median $10,759 18 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $900 – $14,780 · median $7,675 18 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $900 – $12,593 · median $6,901 18 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $900 – $19,065 · median $8,542 18 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $900 – $13,477 · median $6,577 18 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $900 – $13,477 · median $6,577 18 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $900 – $20,507 · median $6,774 18 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $900 – $10,073 · median $5,422 18 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC — 17 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 17 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 17 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 17 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 17 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $900 – $141,099 · median $70,833 17 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 17 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $900 – $130,184 · median $65,353 17 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC — 17 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC — 17 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC — 17 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC — 17 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC — 17 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 17 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 17 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — 17 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — 17 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC — 17 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $900 – $270,377 · median $57,239 17 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC — 17 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $900 – $85,639 · median $42,991 17 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — 17 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 17 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 17 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 17 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 17 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $900 – $18,518 · median $8,090 17 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES — 17 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $900 – $11,008 · median $5,169 17 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $900 – $13,188 · median $7,020 17 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $900 – $16,022 · median $8,494 17 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 17 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 17 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $900 – $16,085 · median $8,526 17 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $900 – $356,202 · median $191,577 16 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $900 – $248,028 · median $124,947 16 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 16 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 16 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 16 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 16 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 16 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 16 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 16 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 16 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 16 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 16 plans
028 SPINAL PROCEDURES WITH MCC — 16 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 16 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC — 16 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 16 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 16 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 16 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 16 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 16 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 16 plans
038 EXTRACRANIAL PROCEDURES WITH CC — 16 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC — 16 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 16 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — 16 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 16 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC — 16 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $900 – $15,724 · median $7,369 16 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC — 16 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $900 – $18,540 · median $8,685 16 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $900 – $41,998 · median $4,208 16 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $900 – $22,580 · median $3,754 16 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC — 16 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $900 – $20,741 · median $9,714 16 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $900 – $15,243 · median $7,144 16 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 16 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC — 16 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC — 16 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 16 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $900 – $17,310 · median $8,110 16 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $900 – $11,855 · median $5,560 16 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC — 16 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $900 – $15,062 · median $7,059 16 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $900 – $13,711 · median $6,427 16 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC — 16 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $900 – $17,924 · median $8,397 16 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $900 – $12,882 · median $6,040 16 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC — 16 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $900 – $17,733 · median $8,308 16 plans
075 VIRAL MENINGITIS WITH CC/MCC — 16 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $900 – $15,650 · median $7,334 16 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC — 16 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $900 – $16,994 · median $7,962 16 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $900 – $11,496 · median $5,392 16 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 16 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $900 – $15,449 · median $3,615 16 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC — 16 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC — 16 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $900 – $16,300 · median $7,638 16 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 16 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC — 16 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $900 – $15,104 · median $7,078 16 plans
088 CONCUSSION WITH MCC — 16 plans
089 CONCUSSION WITH CC $900 – $18,226 · median $8,538 16 plans
090 CONCUSSION WITHOUT CC/MCC $900 – $14,660 · median $6,871 16 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC — 16 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $900 – $18,004 · median $8,434 16 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $900 – $13,532 · median $6,344 16 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC — 16 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 16 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 16 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $900 – $59,935 · median $28,036 16 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC — 16 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC — 16 plans
100 SEIZURES WITH MCC — 16 plans
101 SEIZURES WITHOUT MCC $900 – $15,729 · median $7,371 16 plans
102 HEADACHES WITH MCC $900 – $19,677 · median $9,216 16 plans
103 HEADACHES WITHOUT MCC $900 – $14,543 · median $6,816 16 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 16 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC — 16 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT — 16 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC — 16 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $900 – $18,334 · median $8,769 16 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $900 – $19,738 · median $9,245 16 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $900 – $11,689 · median $5,482 16 plans
123 NEUROLOGICAL EYE DISORDERS $900 – $13,762 · median $6,451 16 plans
124 OTHER DISORDERS OF THE EYE WITH MCC — 16 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $900 – $14,136 · median $6,626 16 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 16 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $900 – $16,772 · median $8,970 16 plans
137 MOUTH PROCEDURES WITH CC/MCC — 16 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $900 – $13,933 · median $7,498 16 plans
139 SALIVARY GLAND PROCEDURES — 16 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $900 – $92,310 · median $38,013 16 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC — 16 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC — 16 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — 16 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — 16 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $900 – $36,958 · median $10,815 16 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 16 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $900 – $21,093 · median $9,878 16 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $900 – $13,721 · median $6,432 16 plans
149 DYSEQUILIBRIUM $900 – $12,838 · median $6,019 16 plans
150 EPISTAXIS WITH MCC — 16 plans
151 EPISTAXIS WITHOUT MCC $900 – $13,012 · median $6,101 16 plans
152 OTITIS MEDIA AND URI WITH MCC $900 – $19,267 · median $9,025 16 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $900 – $12,243 · median $5,741 16 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC — 16 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $900 – $15,927 · median $7,463 16 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $900 – $11,591 · median $5,436 16 plans
157 DENTAL AND ORAL DISEASES WITH MCC — 16 plans
158 DENTAL AND ORAL DISEASES WITH CC $900 – $16,043 · median $7,518 16 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $900 – $11,378 · median $5,337 16 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 16 plans
164 MAJOR CHEST PROCEDURES WITH CC — 16 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 16 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 16 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 16 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 16 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE — 16 plans
176 PULMONARY EMBOLISM WITHOUT MCC $900 – $13,950 · median $6,539 16 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC — 16 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $900 – $16,898 · median $7,917 16 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $900 – $13,206 · median $6,191 16 plans
180 RESPIRATORY NEOPLASMS WITH MCC — 16 plans
181 RESPIRATORY NEOPLASMS WITH CC $900 – $18,860 · median $8,835 16 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $900 – $14,332 · median $6,718 16 plans
183 MAJOR CHEST TRAUMA WITH MCC — 16 plans
184 MAJOR CHEST TRAUMA WITH CC $900 – $18,160 · median $8,507 16 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $900 – $13,339 · median $6,254 16 plans
186 PLEURAL EFFUSION WITH MCC — 16 plans
187 PLEURAL EFFUSION WITH CC $900 – $17,096 · median $8,010 16 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $900 – $12,617 · median $5,916 16 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $900 – $20,970 · median $9,821 16 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $900 – $19,071 · median $8,933 16 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $900 – $14,690 · median $6,885 16 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $900 – $11,173 · median $5,241 16 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $900 – $22,303 · median $10,444 16 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $900 – $14,041 · median $6,582 16 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $900 – $10,766 · median $5,051 16 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC — 16 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $900 – $16,863 · median $7,901 16 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $900 – $12,056 · median $5,654 16 plans
199 PNEUMOTHORAX WITH MCC — 16 plans
200 PNEUMOTHORAX WITH CC $900 – $18,814 · median $8,813 16 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $900 – $11,669 · median $5,473 16 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $900 – $16,476 · median $7,720 16 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $900 – $11,993 · median $5,624 16 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $900 – $13,892 · median $6,512 16 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC — 16 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $900 – $15,465 · median $7,248 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $900 – $111,501 · median $52,141 16 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $900 – $44,981 · median $21,045 16 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $900 – $181,272 · median $78,514 16 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 16 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 16 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 16 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC — 16 plans
245 AICD GENERATOR PROCEDURES — 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 16 plans
253 OTHER VASCULAR PROCEDURES WITH CC — 16 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — 16 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 16 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC — 16 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $900 – $15,566 · median $8,199 16 plans
263 VEIN LIGATION AND STRIPPING — 16 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 16 plans
265 AICD LEAD PROCEDURES — 16 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 16 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC — 16 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 16 plans
276 NON-MALIGANT BREAST DISORDERS — 16 plans
277 CELLULITIS AGE >17 W CC — 16 plans
278 CELLULITIS AGE >17 W/O CC — 16 plans
279 CELLULITIS AGE 0-17 — 16 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC — 16 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $900 – $15,731 · median $7,372 16 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $900 – $12,466 · median $5,845 16 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC — 16 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $900 – $12,730 · median $5,969 16 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $900 – $9,748 · median $4,777 16 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 16 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC — 16 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $900 – $16,681 · median $7,816 16 plans
291 HEART FAILURE AND SHOCK WITH MCC — 16 plans
292 HEART FAILURE AND SHOCK WITH CC $900 – $14,725 · median $6,902 16 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $900 – $9,538 · median $4,724 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $900 – $20,814 · median $9,748 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $900 – $13,540 · median $6,347 16 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC — 16 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $900 – $12,122 · median $5,685 16 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $900 – $7,761 · median $4,177 16 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC — 16 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $900 – $18,201 · median $8,526 16 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $900 – $12,272 · median $5,755 16 plans
302 ATHEROSCLEROSIS WITH MCC $900 – $19,740 · median $9,246 16 plans
303 ATHEROSCLEROSIS WITHOUT MCC $900 – $11,591 · median $5,436 16 plans
304 HYPERTENSION WITH MCC $900 – $19,931 · median $9,335 16 plans
305 HYPERTENSION WITHOUT MCC $900 – $12,891 · median $6,044 16 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC — 16 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $900 – $15,807 · median $7,407 16 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $900 – $20,447 · median $9,576 16 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $900 – $12,702 · median $5,956 16 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $900 – $9,717 · median $4,769 16 plans
311 ANGINA PECTORIS $900 – $12,021 · median $5,619 16 plans
312 SYNCOPE AND COLLAPSE $900 – $14,893 · median $6,980 16 plans
313 CHEST PAIN $900 – $12,272 · median $5,755 16 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC — 16 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $900 – $16,403 · median $7,686 16 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $900 – $11,762 · median $5,516 16 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 16 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 16 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 16 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 — 16 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 16 plans
324 URINARY STONES W/O CC — 16 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 16 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC — 16 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — 16 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — 16 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 16 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 16 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — 16 plans
332 RECTAL RESECTION WITH MCC — 16 plans
333 RECTAL RESECTION WITH CC — 16 plans
334 RECTAL RESECTION WITHOUT CC/MCC — 16 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 16 plans
336 PERITONEAL ADHESIOLYSIS WITH CC — 16 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC — 16 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 16 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — 16 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $900 – $21,101 · median $11,356 16 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC — 16 plans
348 ANAL AND STOMAL PROCEDURES WITH CC — 16 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $900 – $15,052 · median $8,100 16 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 16 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC — 16 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $900 – $18,732 · median $9,911 16 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 16 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC — 16 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC — 16 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — 16 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 16 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC — 16 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $900 – $17,321 · median $8,115 16 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $900 – $12,016 · median $5,635 16 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC — 16 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $900 – $17,516 · median $8,206 16 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $900 – $12,471 · median $5,848 16 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 16 plans
375 DIGESTIVE MALIGNANCY WITH CC $900 – $20,826 · median $9,753 16 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $900 – $15,087 · median $7,071 16 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC — 16 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $900 – $16,795 · median $7,869 16 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $900 – $10,998 · median $5,159 16 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 16 plans
381 COMPLICATED PEPTIC ULCER WITH CC $900 – $18,508 · median $8,670 16 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $900 – $12,868 · median $6,033 16 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC — 16 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $900 – $14,865 · median $6,967 16 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC — 16 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $900 – $16,905 · median $7,920 16 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $900 – $11,556 · median $5,420 16 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC — 16 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $900 – $13,736 · median $6,439 16 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $900 – $9,513 · median $4,718 16 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $900 – $21,752 · median $10,186 16 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $900 – $13,382 · median $6,274 16 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC — 16 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $900 – $16,055 · median $7,523 16 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $900 – $10,993 · median $5,157 16 plans
397 COAGULATION DISORDERS — 16 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC — 16 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $900 – $90,191 · median $10,270 16 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC — 16 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 16 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 16 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 16 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 16 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — 16 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 16 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 16 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — 16 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 16 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC — 16 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC — 16 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 16 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC — 16 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC — 16 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC — 16 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC — 16 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC — 16 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 16 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — 16 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 16 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $900 – $18,188 · median $8,520 16 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $900 – $11,991 · median $5,623 16 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC — 16 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $900 – $19,149 · median $8,970 16 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $900 – $13,464 · median $6,312 16 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC — 16 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $900 – $14,709 · median $6,894 16 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $900 – $10,640 · median $5,001 16 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC — 16 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $900 – $16,468 · median $7,716 16 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $900 – $12,094 · median $5,672 16 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC — 16 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $900 – $18,432 · median $8,634 16 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $900 – $13,664 · median $6,406 16 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 16 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 16 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 16 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 16 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC — 16 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — 16 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 16 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 16 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 16 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 16 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 16 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — 16 plans
471 CERVICAL SPINAL FUSION WITH MCC — 16 plans
472 CERVICAL SPINAL FUSION WITH CC — 16 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 16 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 16 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC — 16 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $900 – $19,737 · median $10,621 16 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 16 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 16 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 16 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 16 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — 16 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — 16 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES — 16 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 16 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC — 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 — 16 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 16 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 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
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 16 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — 16 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — 16 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 16 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC — 16 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 16 plans
501 SOFT TISSUE PROCEDURES WITH CC — 16 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC — 16 plans
503 FOOT PROCEDURES WITH MCC — 16 plans
504 FOOT PROCEDURES WITH CC — 16 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 16 plans
506 MAJOR THUMB OR JOINT PROCEDURES — 16 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 16 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC — 16 plans
509 ARTHROSCOPY — 16 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 16 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 16 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC — 16 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC — 16 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $900 – $17,355 · median $9,339 16 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 16 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 16 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 16 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 16 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC — 16 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 16 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 16 plans
533 FRACTURES OF FEMUR WITH MCC — 16 plans
534 FRACTURES OF FEMUR WITHOUT MCC $900 – $13,942 · median $6,535 16 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $900 – $22,506 · median $10,539 16 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $900 – $13,890 · median $6,511 16 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $900 – $15,685 · median $7,350 16 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $900 – $11,576 · median $5,429 16 plans
539 OSTEOMYELITIS WITH MCC — 16 plans
540 OSTEOMYELITIS WITH CC — 16 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $900 – $14,953 · median $7,008 16 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC — 16 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $900 – $18,040 · median $8,451 16 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $900 – $12,974 · median $6,083 16 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 16 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $900 – $19,647 · median $9,202 16 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $900 – $12,816 · median $6,009 16 plans
548 SEPTIC ARTHRITIS WITH MCC — 16 plans
549 SEPTIC ARTHRITIS WITH CC $900 – $20,434 · median $9,570 16 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $900 – $14,740 · median $6,908 16 plans
551 MEDICAL BACK PROBLEMS WITH MCC — 16 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $900 – $16,428 · median $7,698 16 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC — 16 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $900 – $14,284 · median $6,695 16 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 16 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $900 – $13,983 · median $6,555 16 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC — 16 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $900 – $14,768 · median $6,922 16 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 16 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $900 – $19,332 · median $9,055 16 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $900 – $14,001 · median $6,563 16 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC — 16 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $900 – $15,266 · median $7,155 16 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC — 16 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $900 – $17,356 · median $8,131 16 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $900 – $12,848 · median $6,024 16 plans
570 SKIN DEBRIDEMENT WITH MCC — 16 plans
571 SKIN DEBRIDEMENT WITH CC — 16 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $900 – $19,393 · median $10,436 16 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 16 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 16 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 16 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC — 16 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 16 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 16 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — 16 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — 16 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC — 16 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 16 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 16 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 16 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 16 plans
592 SKIN ULCERS WITH MCC — 16 plans
593 SKIN ULCERS WITH CC $900 – $20,726 · median $9,707 16 plans
594 SKIN ULCERS WITHOUT CC/MCC $900 – $14,518 · median $6,805 16 plans
595 MAJOR SKIN DISORDERS WITH MCC — 16 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $900 – $18,376 · median $8,608 16 plans
597 MALIGNANT BREAST DISORDERS WITH MCC — 16 plans
598 MALIGNANT BREAST DISORDERS WITH CC $900 – $18,339 · median $8,591 16 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $900 – $14,621 · median $6,853 16 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $900 – $16,309 · median $7,642 16 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $900 – $10,381 · median $4,936 16 plans
602 CELLULITIS WITH MCC — 16 plans
603 CELLULITIS WITHOUT MCC $900 – $15,051 · median $7,054 16 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC — 16 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $900 – $15,763 · median $7,387 16 plans
606 MINOR SKIN DISORDERS WITH MCC — 16 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $900 – $14,775 · median $6,925 16 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 16 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC — 16 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 16 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 16 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC — 16 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 16 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC — 16 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC — 16 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 16 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 16 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $900 – $17,081 · median $9,192 16 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 16 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC — 16 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC — 16 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 16 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 16 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
637 DIABETES WITH MCC — 16 plans
638 DIABETES WITH CC $900 – $15,655 · median $7,336 16 plans
639 DIABETES WITHOUT CC/MCC $900 – $10,831 · median $5,081 16 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $900 – $22,474 · median $10,524 16 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $900 – $13,400 · median $6,282 16 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $900 – $21,032 · median $9,850 16 plans
643 ENDOCRINE DISORDERS WITH MCC — 16 plans
644 ENDOCRINE DISORDERS WITH CC $900 – $17,584 · median $8,238 16 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $900 – $13,356 · median $6,261 16 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 16 plans
654 MAJOR BLADDER PROCEDURES WITH CC — 16 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 16 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 16 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 16 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC — 16 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — 16 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC — 16 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $900 – $17,471 · median $9,402 16 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 16 plans
663 MINOR BLADDER PROCEDURES WITH CC — 16 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $900 – $18,354 · median $9,877 16 plans
665 PROSTATECTOMY WITH MCC — 16 plans
666 PROSTATECTOMY WITH CC — 16 plans
667 PROSTATECTOMY WITHOUT CC/MCC $900 – $17,491 · median $9,413 16 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 16 plans
669 TRANSURETHRAL PROCEDURES WITH CC — 16 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $900 – $16,294 · median $8,769 16 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 16 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $900 – $18,596 · median $9,497 16 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 16 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 16 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — 16 plans
682 RENAL FAILURE WITH MCC — 16 plans
683 RENAL FAILURE WITH CC $900 – $15,185 · median $7,116 16 plans
684 RENAL FAILURE WITHOUT CC/MCC $900 – $10,512 · median $4,969 16 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC — 16 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $900 – $17,904 · median $8,388 16 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $900 – $12,451 · median $5,838 16 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $900 – $19,856 · median $9,300 16 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $900 – $13,752 · median $6,447 16 plans
693 URINARY STONES WITH MCC — 16 plans
694 URINARY STONES WITHOUT MCC $900 – $13,400 · median $6,282 16 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $900 – $19,151 · median $8,970 16 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $900 – $11,913 · median $5,587 16 plans
697 URETHRAL STRICTURE $900 – $17,059 · median $7,993 16 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC — 16 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $900 – $17,360 · median $8,133 16 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $900 – $11,953 · median $5,606 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 16 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC — 16 plans
709 PENIS PROCEDURES WITH CC/MCC — 16 plans
710 PENIS PROCEDURES WITHOUT CC/MCC — 16 plans
711 TESTES PROCEDURES WITH CC/MCC — 16 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $900 – $18,185 · median $9,413 16 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC — 16 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $900 – $16,028 · median $8,046 16 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 16 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC — 16 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — 16 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC — 16 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC — 16 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $900 – $19,069 · median $8,932 16 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $900 – $12,524 · median $5,873 16 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $900 – $21,389 · median $10,016 16 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $900 – $12,786 · median $5,995 16 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC — 16 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $900 – $13,993 · median $6,559 16 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $900 – $18,704 · median $8,762 16 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $900 – $10,504 · median $4,967 16 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 16 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC — 16 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 16 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 16 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC — 16 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 16 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC — 16 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC — 16 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 16 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $900 – $20,328 · median $10,663 16 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC — 16 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $900 – $17,441 · median $9,049 16 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC — 16 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $900 – $16,286 · median $8,764 16 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES — 16 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 16 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 16 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $900 – $18,857 · median $8,833 16 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $900 – $16,282 · median $7,085 16 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 16 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $900 – $17,350 · median $8,128 16 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $900 – $11,053 · median $5,185 16 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $900 – $16,790 · median $7,867 16 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $900 – $10,952 · median $5,138 16 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $900 – $18,291 · median $8,568 16 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $900 – $12,273 · median $5,755 16 plans
779 ABORTION WITHOUT D&C $900 – $15,947 · median $6,940 16 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $900 – $30,353 · median $14,207 16 plans
799 SPLENECTOMY WITH MCC — 16 plans
800 SPLENECTOMY WITH CC — 16 plans
801 SPLENECTOMY WITHOUT CC/MCC — 16 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 16 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 16 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $900 – $18,782 · median $10,108 16 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 16 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $900 – $20,988 · median $9,829 16 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $900 – $16,229 · median $7,605 16 plans
811 RED BLOOD CELL DISORDERS WITH MCC — 16 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $900 – $15,749 · median $7,380 16 plans
813 COAGULATION DISORDERS — 16 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 16 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $900 – $17,296 · median $8,104 16 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $900 – $11,375 · median $5,335 16 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $900 – $42,513 · median $22,878 16 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $900 – $21,810 · median $11,737 16 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 16 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 16 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 16 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 16 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC — 16 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 16 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 16 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC — 16 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC — 16 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $900 – $12,836 · median $6,018 16 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $900 – $9,058 · median $4,252 16 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $900 – $92,184 · median $43,111 16 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 16 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $900 – $21,523 · median $10,079 16 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC — 16 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 16 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC — 16 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC — 16 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC — 16 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $900 – $17,891 · median $8,381 16 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 16 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $900 – $20,270 · median $9,493 16 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $900 – $14,320 · median $6,712 16 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC — 16 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $900 – $21,523 · median $10,079 16 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $900 – $14,023 · median $6,573 16 plans
849 RADIOTHERAPY — 16 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC — 16 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 16 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 16 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC — 16 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC — 16 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC — 16 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $900 – $17,028 · median $7,978 16 plans
864 FEVER AND INFLAMMATORY CONDITIONS $900 – $15,336 · median $7,187 16 plans
865 VIRAL ILLNESS WITH MCC — 16 plans
866 VIRAL ILLNESS WITHOUT MCC $900 – $15,117 · median $7,085 16 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 16 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $900 – $17,861 · median $8,367 16 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $900 – $12,375 · median $5,803 16 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $900 – $115,909 · median $54,202 16 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC — 16 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $900 – $17,544 · median $8,219 16 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 16 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 16 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC — 16 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC — 16 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC — 16 plans
906 HAND PROCEDURES FOR INJURIES — 16 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 16 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC — 16 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — 16 plans
913 TRAUMATIC INJURY WITH MCC — 16 plans
914 TRAUMATIC INJURY WITHOUT MCC $900 – $15,641 · median $7,330 16 plans
915 ALLERGIC REACTIONS WITH MCC — 16 plans
916 ALLERGIC REACTIONS WITHOUT MCC $900 – $11,453 · median $5,372 16 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $900 – $27,649 · median $3,903 16 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $900 – $15,114 · median $3,767 16 plans
919 COMPLICATIONS OF TREATMENT WITH MCC — 16 plans
920 COMPLICATIONS OF TREATMENT WITH CC $900 – $17,293 · median $8,102 16 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $900 – $11,845 · median $5,555 16 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC — 16 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $900 – $17,360 · median $7,551 16 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $900 – $394,236 · median $193,438 16 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 16 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 16 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 16 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $900 – $36,050 · median $16,533 16 plans
935 NON-EXTENSIVE BURNS — 16 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 16 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC — 16 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 16 plans
945 REHABILITATION WITH CC/MCC $900 – $25,769 · median $12,064 16 plans
946 REHABILITATION WITHOUT CC/MCC $900 – $18,963 · median $8,883 16 plans
947 SIGNS AND SYMPTOMS WITH MCC $900 – $21,780 · median $3,911 16 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $900 – $13,618 · median $3,754 16 plans
949 AFTERCARE WITH CC/MCC $900 – $18,341 · median $8,592 16 plans
950 AFTERCARE WITHOUT CC/MCC $900 – $10,158 · median $4,880 16 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $900 – $9,841 · median $4,801 16 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 16 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 16 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 16 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 16 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 16 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 16 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC — 16 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $900 – $15,578 · median $7,300 16 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 16 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 16 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 16 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC — 16 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $900 – $17,079 · median $8,002 16 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION — 16 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 16 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC — 16 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 16 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 15 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 15 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $900 – $147,532 · median $63,907 15 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC — 15 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC — 15 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC — 15 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 15 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 15 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 15 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $900 – $82,752 · median $42,946 15 plans
791 PREMATURITY WITH MAJOR PROBLEMS $900 – $56,514 · median $29,399 15 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $900 – $34,100 · median $17,827 15 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $900 – $58,053 · median $30,194 15 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $900 – $20,549 · median $10,831 15 plans
795 NORMAL NEWBORN $900 – $4,661 · median $1,768 14 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $900 – $65,662 14 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $900 – $16,342 · median $2,358 14 plans
881 DEPRESSIVE NEUROSES $900 – $15,603 · median $2,314 14 plans
882 NEUROSES EXCEPT DEPRESSIVE $900 – $16,398 · median $2,271 14 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $900 – $31,204 · median $2,656 14 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $900 – $28,155 · median $2,358 14 plans
885 PSYCHOSES $900 – $23,829 · median $2,314 14 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $900 – $30,251 · median $2,336 14 plans
887 OTHER MENTAL DISORDER DIAGNOSES $900 – $20,173 · median $2,292 14 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $900 – $10,789 · median $1,915 14 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $900 – $92,903 · median $34,653 14 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $900 – $51,835 · median $25,480 14 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $900 – $15,074 · median $2,371 14 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 13 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 13 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 13 plans
006 LIVER TRANSPLANT WITHOUT MCC — 13 plans
007 LUNG TRANSPLANT — 13 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 13 plans
010 PANCREAS TRANSPLANT — 13 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 13 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 13 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 13 plans
652 KIDNEY TRANSPLANT — 13 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $900 – $7,100 · median $4,505 6 plans
999 UNGROUPABLE $900 – $10,883 · median $5,941 4 plans
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