Mercy Regional Medical Center (Acute Care) — Pricing
823 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 823 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 823
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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.
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Showing all 823 procedures
Procedures with negotiated rates only
These 823 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $652 – $519,007 · median $254,785 | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | — | 7 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA | $652 – $393,094 · median $192,973 | 7 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO | $652 – $256,530 · median $125,933 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 7 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 7 plans |
| 007 | LUNG TRANSPLANT | — | 7 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 7 plans |
| 010 | PANCREAS TRANSPLANT | — | 7 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 7 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 7 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 7 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $64,749 – $222,573 · median $111,287 | 7 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $31,947 – $109,819 · median $54,909 | 7 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $29,267 – $100,607 · median $50,303 | 7 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I | $232,655 – $799,752 · median $399,876 | 7 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H | $38,439 – $132,134 · median $66,067 | 7 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 7 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 7 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 7 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | — | 7 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | — | 7 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 7 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 7 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 7 plans |
| 028 | SPINAL PROCEDURES WITH MCC | — | 7 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO | — | 7 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | — | 7 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | — | 7 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | — | 7 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | — | 7 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | — | 7 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | — | 7 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 7 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 7 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 7 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | — | 7 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | — | 7 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | — | 7 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | — | 7 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $730 – $43,024 · median $21,121 | 7 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | — | 7 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | — | 7 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | — | 7 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C | $652 – $17,035 · median $8,363 | 7 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 7 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 7 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 7 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | — | 7 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | — | 7 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $652 – $12,675 · median $6,222 | 7 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | — | 7 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT M | $652 – $16,009 · median $7,859 | 7 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $652 – $14,794 · median $7,262 | 7 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | — | 7 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | — | 7 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $652 – $14,005 · median $6,875 | 7 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | — | 7 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | — | 7 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | — | 7 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $652 – $15,283 · median $7,502 | 7 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | — | 7 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | — | 7 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $652 – $12,347 · median $6,061 | 7 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | — | 7 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $698 – $16,587 · median $8,143 | 7 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | — | 7 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | — | 7 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | — | 7 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | — | 7 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | — | 7 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | — | 7 plans |
| 088 | CONCUSSION WITH MCC | — | 7 plans |
| 089 | CONCUSSION WITH CC | — | 7 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $652 – $15,246 · median $7,484 | 7 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | — | 7 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | — | 7 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $652 – $14,748 · median $7,240 | 7 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 7 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 7 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 7 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $652 – $66,891 · median $32,837 | 7 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | — | 7 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | — | 7 plans |
| 100 | SEIZURES WITH MCC | — | 7 plans |
| 101 | SEIZURES WITHOUT MCC | $652 – $16,716 · median $8,206 | 7 plans |
| 102 | HEADACHES WITH MCC | — | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $652 – $15,488 · median $7,603 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | — | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | — | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | — | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | — | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $652 – $14,553 · median $7,144 | 7 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $652 – $14,790 · median $7,261 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI | — | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $652 – $14,220 · median $6,981 | 7 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | — | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | — | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $652 – $16,413 · median $8,057 | 7 plans |
| 139 | SALIVARY GLAND PROCEDURES | — | 7 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,980 – $78,994 · median $39,497 | 7 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,751 – $40,394 · median $20,197 | 7 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,601 – $29,566 · median $14,783 | 7 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $20,185 – $69,388 · median $34,694 | 7 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $9,336 – $32,094 · median $16,047 | 7 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $6,478 – $22,267 · median $11,133 | 7 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | — | 7 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | — | 7 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ | $652 – $14,762 · median $7,247 | 7 plans |
| 149 | DYSEQUILIBRIUM | $652 – $13,920 · median $6,833 | 7 plans |
| 150 | EPISTAXIS WITH MCC | — | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $652 – $13,594 · median $6,673 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | — | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $652 – $13,672 · median $6,711 | 7 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M | — | 7 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C | $652 – $16,974 · median $8,333 | 7 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU | $652 – $12,799 · median $6,283 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | — | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $652 – $16,850 · median $8,272 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $652 – $13,122 · median $6,441 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | — | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | — | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | — | 7 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | — | 7 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C | — | 7 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH | $16,036 – $55,123 · median $27,562 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | — | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $652 – $14,909 · median $7,319 | 7 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | — | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | — | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C | $652 – $13,983 · median $6,864 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | — | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | — | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $652 – $13,960 · median $6,853 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | — | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | — | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $652 – $14,566 · median $7,151 | 7 plans |
| 186 | PLEURAL EFFUSION WITH MCC | — | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | — | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $652 – $13,283 · median $6,521 | 7 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | — | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | — | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $652 – $15,612 · median $7,664 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M | $652 – $11,890 · median $5,837 | 7 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | — | 7 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $652 – $14,925 · median $7,327 | 7 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $652 – $11,640 · median $5,714 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | — | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | — | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $652 – $13,264 · median $6,511 | 7 plans |
| 199 | PNEUMOTHORAX WITH MCC | — | 7 plans |
| 200 | PNEUMOTHORAX WITH CC | — | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $652 – $13,244 · median $6,501 | 7 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $652 – $17,987 · median $8,830 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $652 – $12,408 · median $6,091 | 7 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $652 – $14,953 · median $7,341 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | — | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $652 – $17,429 · median $8,556 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $652 – $119,172 · median $58,502 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | — | 7 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $58,586 – $201,390 · median $100,695 | 7 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $652 – $184,405 · median $90,526 | 7 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $652 – $181,179 · median $88,942 | 7 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | — | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | — | 7 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | — | 7 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | — | 7 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $652 – $141,590 · median $69,508 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | — | 7 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | — | 7 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | — | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 7 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 7 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | — | 7 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | — | 7 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | — | 7 plans |
| 245 | AICD GENERATOR PROCEDURES | — | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | — | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | — | 7 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | — | 7 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | — | 7 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | — | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | — | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | — | 7 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | — | 7 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | — | 7 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 7 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 7 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 7 plans |
| 263 | VEIN LIGATION AND STRIPPING | — | 7 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | — | 7 plans |
| 265 | AICD LEAD PROCEDURES | — | 7 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $33,018 – $113,499 · median $56,749 | 7 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $25,650 – $88,171 · median $44,085 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $37,056 – $127,380 · median $63,690 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $22,753 – $78,214 · median $39,107 | 7 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $28,427 – $97,718 · median $48,859 | 7 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $19,160 – $65,863 · median $32,932 | 7 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M | $13,755 – $47,282 · median $23,641 | 7 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $22,227 – $76,405 · median $38,202 | 7 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $17,735 – $60,963 · median $30,481 | 7 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $38,416 – $132,056 · median $66,028 | 7 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID | $32,362 – $111,243 · median $55,622 | 7 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $24,883 – $85,535 · median $42,768 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $29,989 – $103,087 · median $51,543 | 7 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $19,430 – $66,791 · median $33,396 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | — | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | — | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $652 – $13,392 · median $6,574 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | — | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $652 – $12,820 · median $6,293 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC | $652 – $11,092 · median $5,445 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | — | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | — | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | — | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | — | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | — | 7 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | — | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $652 – $15,724 · median $7,719 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $652 – $10,482 · median $5,146 | 7 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | — | 7 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $652 – $14,627 · median $7,181 | 7 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | — | 7 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $652 – $11,742 · median $5,764 | 7 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $652 – $8,429 · median $4,138 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | — | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | — | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $652 – $13,329 · median $6,543 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | — | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $652 – $12,468 · median $6,121 | 7 plans |
| 304 | HYPERTENSION WITH MCC | — | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $652 – $13,985 · median $6,865 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | — | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT | $652 – $16,913 · median $8,303 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M | — | 7 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C | $652 – $13,625 · median $6,689 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU | $652 – $10,484 · median $5,147 | 7 plans |
| 311 | ANGINA PECTORIS | $652 – $12,999 · median $6,381 | 7 plans |
| 312 | SYNCOPE AND COLLAPSE | $652 – $16,142 · median $7,924 | 7 plans |
| 313 | CHEST PAIN | $652 – $13,335 · median $6,546 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | — | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | — | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $652 – $12,633 · median $6,201 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARD | $36,025 – $123,835 · median $61,917 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M | $24,045 – $82,654 · median $41,327 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU | $12,959 – $44,547 · median $22,273 | 7 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $14,659 – $50,390 · median $25,195 | 7 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $9,498 – $32,651 · median $16,325 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $23,315 – $80,144 · median $40,072 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $16,977 – $58,357 · median $29,178 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU | $17,297 – $59,457 · median $29,729 | 7 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M | $652 – $92,367 · median $45,344 | 7 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C | — | 7 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU | — | 7 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | — | 7 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | — | 7 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | — | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | — | 7 plans |
| 333 | RECTAL RESECTION WITH CC | — | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | — | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | — | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | — | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | — | 7 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | — | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | — | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | — | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | — | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | — | 7 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | — | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | — | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ | — | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | — | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | — | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ | — | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | — | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | — | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $652 – $12,979 · median $6,371 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | — | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | — | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $652 – $13,472 · median $6,613 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | — | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | — | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $652 – $17,118 · median $8,403 | 7 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | — | 7 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | — | 7 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $652 – $11,675 · median $5,731 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | — | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | — | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $652 – $14,827 · median $7,279 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | — | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $652 – $15,831 · median $7,772 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | — | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | — | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $652 – $12,618 · median $6,194 | 7 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | — | 7 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $652 – $14,627 · median $7,181 | 7 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $652 – $10,075 · median $4,946 | 7 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | — | 7 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $652 – $14,438 · median $7,088 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | — | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $652 – $17,329 · median $8,507 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $652 – $12,020 · median $5,901 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $12,903 – $44,354 · median $22,177 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,155 – $28,032 · median $14,016 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,167 – $21,200 · median $10,600 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINA | $21,661 – $74,460 · median $37,230 | 7 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | — | 7 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | — | 7 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC | — | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 7 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | — | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | — | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | — | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M | — | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C | — | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU | — | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | — | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | — | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $59,379 – $204,114 · median $102,057 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $38,892 – $133,690 · median $66,845 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $30,290 – $104,120 · median $52,060 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $48,541 – $166,859 · median $83,430 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $31,071 – $106,808 · median $53,404 | 7 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | — | 7 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | — | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $652 – $13,196 · median $6,478 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | — | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | — | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $652 – $15,803 · median $7,758 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | — | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $652 – $15,579 · median $7,648 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC | $652 – $11,508 · median $5,650 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | — | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | — | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $652 – $12,959 · median $6,361 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | — | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | — | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $652 – $15,322 · median $7,522 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH | $35,998 – $123,744 · median $61,872 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHO | $22,848 – $78,540 · median $39,270 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MC | $28,714 – $98,705 · median $49,352 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT | $17,404 – $59,827 · median $29,914 | 7 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 7 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 7 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 7 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | — | 7 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | — | 7 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $652 – $105,556 · median $51,818 | 7 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | — | 7 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | — | 7 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | — | 7 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | — | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | — | 7 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | — | 7 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | — | 7 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | — | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | — | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | — | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | — | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | — | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 7 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M | — | 7 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C | — | 7 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU | — | 7 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP | — | 7 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 7 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | — | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | — | 7 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 7 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 7 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | — | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | — | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | — | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | — | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | — | 7 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M | — | 7 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C | — | 7 plans |
| 509 | ARTHROSCOPY | — | 7 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 7 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 7 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 7 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | — | 7 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | — | 7 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $20,135 – $69,215 · median $34,608 | 7 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $10,776 – $37,044 · median $18,522 | 7 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $8,049 – $27,667 · median $13,834 | 7 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $15,464 – $53,157 · median $26,578 | 7 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $11,409 – $39,220 · median $19,610 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | — | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $652 – $14,929 · median $7,329 | 7 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | — | 7 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $652 – $14,957 · median $7,342 | 7 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | — | 7 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $652 – $13,340 · median $6,549 | 7 plans |
| 539 | OSTEOMYELITIS WITH MCC | — | 7 plans |
| 540 | OSTEOMYELITIS WITH CC | — | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $652 – $14,583 · median $7,159 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | — | 7 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | — | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $652 – $13,975 · median $6,861 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | — | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | — | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $652 – $15,487 · median $7,602 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | — | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | — | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $652 – $16,188 · median $7,947 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | — | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $652 – $17,803 · median $8,740 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | — | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $652 – $15,374 · median $7,547 | 7 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | — | 7 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $652 – $15,383 · median $7,552 | 7 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | — | 7 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $652 – $16,542 · median $8,121 | 7 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | — | 7 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | — | 7 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $652 – $14,888 · median $7,309 | 7 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | — | 7 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $652 – $16,585 · median $8,142 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $652 – $13,877 · median $6,812 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,846 – $54,470 · median $27,235 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,102 – $31,290 · median $15,645 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,176 – $21,230 · median $10,615 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | — | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | — | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC | — | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 7 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 7 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 7 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | — | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | — | 7 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | — | 7 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | — | 7 plans |
| 592 | SKIN ULCERS WITH MCC | — | 7 plans |
| 593 | SKIN ULCERS WITH CC | — | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $652 – $16,053 · median $7,881 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | — | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | — | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | — | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | — | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $652 – $14,249 · median $6,995 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | — | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $652 – $11,205 · median $5,500 | 7 plans |
| 602 | CELLULITIS WITH MCC | — | 7 plans |
| 603 | CELLULITIS WITHOUT MCC | $652 – $16,129 · median $7,918 | 7 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | — | 7 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $652 – $16,964 · median $8,328 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | — | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $652 – $16,787 · median $8,241 | 7 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | — | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | — | 7 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | — | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | — | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | — | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | — | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | — | 7 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | — | 7 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | — | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | — | 7 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 7 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 7 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 7 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 7 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 7 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 7 plans |
| 637 | DIABETES WITH MCC | — | 7 plans |
| 638 | DIABETES WITH CC | $652 – $16,598 · median $8,148 | 7 plans |
| 639 | DIABETES WITHOUT CC/MCC | $652 – $11,505 · median $5,648 | 7 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | — | 7 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $652 – $14,412 · median $7,075 | 7 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | — | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | — | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | — | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $652 – $14,229 · median $6,985 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $25,330 – $87,071 · median $43,535 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $19,966 – $68,632 · median $34,316 | 7 plans |
| 652 | KIDNEY TRANSPLANT | — | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | — | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | — | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | — | 7 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | — | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT | — | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | — | 7 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | — | 7 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | — | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | — | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | — | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | — | 7 plans |
| 666 | PROSTATECTOMY WITH CC | — | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | — | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | — | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | — | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | — | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | — | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | — | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT | — | 7 plans |
| 682 | RENAL FAILURE WITH MCC | — | 7 plans |
| 683 | RENAL FAILURE WITH CC | $652 – $16,220 · median $7,963 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $652 – $11,118 · median $5,458 | 7 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | — | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | — | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $652 – $14,636 · median $7,185 | 7 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | — | 7 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $652 – $14,992 · median $7,360 | 7 plans |
| 693 | URINARY STONES WITH MCC | — | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $652 – $14,477 · median $7,107 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M | — | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU | $652 – $12,760 · median $6,264 | 7 plans |
| 697 | URETHRAL STRICTURE | — | 7 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | — | 7 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | — | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C | $652 – $12,777 · median $6,272 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | — | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | — | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | — | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | — | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | — | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | — | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | — | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | — | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | — | 7 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | — | 7 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | — | 7 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC | $652 – $12,144 · median $5,961 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | — | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $652 – $13,372 · median $6,564 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH | — | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO | $652 – $15,024 · median $7,375 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M | — | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C | $652 – $12,446 · median $6,110 | 7 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | — | 7 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | — | 7 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 7 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 7 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 7 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 7 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 7 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | — | 7 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | — | 7 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | — | 7 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | — | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | — | 7 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR | — | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | — | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | — | 7 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | — | 7 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | — | 7 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | — | 7 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | — | 7 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | — | 7 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $652 – $12,290 · median $6,033 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $652 – $18,659 · median $9,160 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $652 – $10,566 · median $5,187 | 7 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI | $652 – $19,846 · median $9,743 | 7 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P | — | 7 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO | $652 – $18,570 · median $9,116 | 7 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R | $652 – $12,125 · median $5,952 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $652 – $15,581 · median $7,649 | 7 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,227 – $45,469 · median $22,437 | 7 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,711 – $19,633 · median $9,817 | 7 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,160 – $17,739 · median $8,869 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,887 – $30,549 · median $15,274 | 7 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,017 – $20,683 · median $10,342 | 7 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ | $5,166 – $17,757 · median $8,879 | 7 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR | $652 – $33,377 · median $16,385 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM | $652 – $110,074 · median $54,037 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $652 – $75,173 · median $36,903 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $652 – $45,360 · median $22,267 | 7 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $652 – $77,222 · median $37,909 | 7 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $652 – $27,334 · median $13,418 | 7 plans |
| 795 | NORMAL NEWBORN | $652 – $3,700 · median $1,817 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $6,287 – $21,613 · median $10,806 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $5,390 – $18,528 · median $9,264 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $5,157 – $17,726 · median $8,863 | 7 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | — | 7 plans |
| 800 | SPLENIC PROCEDURES WITH CC | — | 7 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | — | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | — | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | — | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $5,814 – $19,987 · median $9,993 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $4,062 – $13,964 · median $6,982 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $3,632 – $12,486 · median $6,243 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | — | 7 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | — | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | — | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | — | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $652 – $17,005 · median $8,348 | 7 plans |
| 813 | COAGULATION DISORDERS | — | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC | — | 7 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | — | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT | $652 – $11,705 · median $5,746 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $12,293 – $42,256 · median $21,128 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $6,245 – $21,469 · median $10,734 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $4,633 – $15,925 · median $7,963 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | — | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | — | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | — | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 7 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $6,479 – $22,270 · median $11,135 | 7 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $3,888 – $13,364 · median $6,682 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $2,817 – $9,684 · median $4,842 | 7 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $652 – $101,674 · median $49,913 | 7 plans |
| 835 | ACUTE LEUKEMIA WITH CC | — | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | — | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 7 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | — | 7 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | — | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | — | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | — | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | — | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $652 – $15,772 · median $7,742 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | — | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | — | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $652 – $15,731 · median $7,722 | 7 plans |
| 849 | RADIOTHERAPY | — | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $46,655 – $160,375 · median $80,188 | 7 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 7 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M | — | 7 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU | — | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $652 – $16,440 · median $8,071 | 7 plans |
| 865 | VIRAL ILLNESS WITH MCC | — | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $652 – $16,105 · median $7,906 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | — | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | — | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $652 – $13,514 · median $6,634 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $652 – $128,008 · median $62,840 | 7 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | — | 7 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | — | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL | $841 – $71,579 · median $35,139 | 7 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC | $704 – $17,783 · median $8,730 | 7 plans |
| 881 | DEPRESSIVE NEUROSES | $691 – $17,426 · median $8,554 | 7 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $665 – $19,887 · median $9,763 | 7 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $763 – $36,416 · median $17,877 | 7 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $704 – $29,797 · median $14,628 | 7 plans |
| 885 | PSYCHOSES | $652 – $25,869 · median $12,699 | 7 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $698 – $38,435 · median $18,868 | 7 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $652 – $19,833 · median $9,736 | 7 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $561 – $11,425 · median $5,609 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT | $587 – $26,217 · median $12,870 | 7 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $652 – $32,320 · median $15,866 | 7 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $619 – $16,350 · median $8,026 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | — | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | — | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | — | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | — | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | — | 7 plans |
| 906 | HAND PROCEDURES FOR INJURIES | — | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | — | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | — | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | — | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | — | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $652 – $16,400 · median $8,051 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | — | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $652 – $12,340 · median $6,058 | 7 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | — | 7 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $730 – $15,874 · median $7,792 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | — | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | — | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $652 – $12,749 · median $6,259 | 7 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | — | 7 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $652 – $18,848 · median $9,253 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $652 – $395,414 · median $194,113 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | — | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | — | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | — | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI | $652 – $40,941 · median $20,098 | 7 plans |
| 935 | NON-EXTENSIVE BURNS | — | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $652 – $28,680 · median $14,079 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $652 – $21,239 · median $10,426 | 7 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | — | 7 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $711 – $14,825 · median $7,278 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | — | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $652 – $11,625 · median $5,707 | 7 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $652 – $10,297 · median $5,055 | 7 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | — | 7 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU | — | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | — | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | — | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | — | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | — | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | — | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | — | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | — | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | — | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | — | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | — | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | — | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | — | 7 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV | — | 6 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | — | 6 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | — | 6 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | — | 6 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W | $652 – $39,761 · median $16,989 | 6 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ | $652 – $22,393 · median $9,568 | 6 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $60,982 – $209,626 · median $102,907 | 6 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PRO | $30,747 – $105,693 · median $51,885 | 6 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $652 – $141,801 · median $60,588 | 6 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | — | 6 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $652 – $131,293 · median $56,098 | 6 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | — | 6 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | — | 6 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | — | 6 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $652 – $79,670 · median $34,041 | 6 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | — | 6 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | — | 6 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | — | 6 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $652 – $33,646 · median $14,376 | 6 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUM | $13,050 – $44,859 · median $22,022 | 6 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 6 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 6 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 6 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | — | 6 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | — | 6 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | — | 6 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $18,526 – $63,683 · median $31,263 | 6 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $13,007 – $44,713 · median $21,950 | 6 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $652 – $164,114 · median $70,122 | 6 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $652 – $113,275 · median $48,399 | 6 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $652 – $85,296 · median $36,445 | 6 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | — | 6 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 6 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $652 – $19,539 · median $8,348 | 6 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | — | 6 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | — | 6 plans |
| 765 | CESAREAN SECTION W CC/MCC | $652 – $21,798 · median $9,314 | 6 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $652 – $15,503 · median $6,624 | 6 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $652 – $17,244 · median $7,368 | 6 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $652 – $15,379 · median $6,571 | 6 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $652 – $11,953 · median $5,107 | 6 plans |
| 777 | ECTOPIC PREGNANCY | — | 6 plans |
| 778 | THREATENED ABORTION | $652 – $11,271 · median $4,816 | 6 plans |
| 780 | FALSE LABOR | $652 – $9,036 · median $3,861 | 6 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $652 – $15,955 · median $6,817 | 6 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO | $652 – $11,325 · median $4,839 | 6 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | — | 6 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | — | 6 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $652 – $20,609 · median $8,806 | 6 plans |
| 009 | BONE MARROW TRANSPLANT | $652 – $652 · median $652 | 1 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC OR THORACIC AORT | $652 – $652 · median $652 | 1 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W/O MCC | — | 1 plans |
No procedures match that keyword.