Angel Medical Center — Pricing

780 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 780 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 780
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 780 procedures

Procedures with negotiated rates only

These 780 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 19 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 19 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $2,208 – $218,812 19 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $2,208 – $194,894 19 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 19 plans
006 LIVER TRANSPLANT WITHOUT MCC — 19 plans
007 LUNG TRANSPLANT — 19 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 19 plans
010 PANCREAS TRANSPLANT $2,208 – $95,143 19 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $2,208 – $49,671 19 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $2,208 – $36,778 19 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,208 – $24,330 19 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 19 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 19 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 19 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 19 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 19 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 19 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 19 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $2,208 – $35,289 19 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI — 19 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI — 19 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 19 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $2,208 – $30,275 19 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,208 – $23,966 19 plans
028 SPINAL PROCEDURES WITH MCC — 19 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $2,208 – $23,104 19 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $2,208 – $14,251 · median $2,440 19 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 19 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $2,208 – $14,108 · median $2,440 19 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $2,208 – $14,079 · median $2,440 19 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 19 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $2,208 – $28,214 · median $2,440 19 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $2,208 – $16,627 · median $2,440 19 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $2,208 – $69,267 19 plans
038 EXTRACRANIAL PROCEDURES WITH CC $2,208 – $20,815 · median $2,440 19 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,208 – $12,403 · median $2,440 19 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 19 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $2,208 – $17,194 · median $2,440 19 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $2,208 – $14,220 · median $2,440 19 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $2,208 – $31,996 · median $2,440 19 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $2,208 – $11,590 · median $2,440 19 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $2,208 – $14,751 · median $2,440 19 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $2,208 – $10,053 · median $2,440 19 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,208 – $36,283 · median $2,440 19 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,208 – $25,399 · median $2,440 19 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,208 – $12,489 · median $2,440 19 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,208 – $11,438 · median $2,440 19 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,208 – $8,961 · median $2,440 19 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $2,208 – $23,218 19 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $2,208 – $18,086 · median $2,440 19 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $2,208 – $17,928 · median $2,440 19 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $2,208 – $35,491 · median $2,440 19 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $2,208 – $14,542 · median $2,440 19 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,208 – $8,557 · median $2,440 19 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $2,208 – $10,272 · median $2,440 19 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,208 – $7,943 · median $2,440 19 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $2,208 – $7,812 · median $2,440 19 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $2,208 – $22,927 · median $2,440 19 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $2,208 – $12,801 · median $2,440 19 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,208 – $7,181 · median $2,440 19 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $2,208 – $10,938 · median $2,440 19 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,208 – $10,938 · median $2,440 19 plans
075 VIRAL MENINGITIS WITH CC/MCC $2,208 – $9,189 · median $2,440 19 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $2,208 – $6,783 · median $2,440 19 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $2,208 – $12,482 · median $2,440 19 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,208 – $7,138 · median $2,440 19 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $2,208 – $23,883 · median $2,440 19 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $2,208 – $16,491 · median $2,440 19 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,208 – $8,491 · median $2,440 19 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $2,208 – $15,225 · median $2,440 19 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $2,208 – $10,399 · median $2,440 19 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,208 – $4,749 · median $2,440 19 plans
088 CONCUSSION WITH MCC $2,208 – $12,263 · median $2,440 19 plans
089 CONCUSSION WITH CC $2,208 – $9,133 · median $2,440 19 plans
090 CONCUSSION WITHOUT CC/MCC $2,208 – $7,797 · median $2,440 19 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $2,208 – $23,732 · median $2,440 19 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,208 – $14,808 · median $2,440 19 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,208 – $8,842 · median $2,440 19 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $2,208 – $42,614 19 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $2,208 – $23,600 19 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,208 – $23,600 · median $2,440 19 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $2,208 – $29,070 19 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $2,208 – $17,524 · median $2,440 19 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $2,208 – $11,681 · median $2,440 19 plans
100 SEIZURES WITH MCC $2,208 – $18,972 · median $2,440 19 plans
101 SEIZURES WITHOUT MCC $2,208 – $7,392 · median $2,440 19 plans
102 HEADACHES WITH MCC $2,208 – $9,912 · median $2,440 19 plans
103 HEADACHES WITHOUT MCC $2,208 – $7,950 · median $2,440 19 plans
113 ORBITAL PROCEDURES WITH CC/MCC $2,208 – $22,819 · median $2,440 19 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,208 – $11,254 · median $2,440 19 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,208 – $12,821 · median $2,440 19 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $2,208 – $18,141 · median $2,440 19 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,208 – $10,960 · median $2,440 19 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,208 – $6,801 · median $2,440 19 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $2,208 – $6,683 · median $2,440 19 plans
123 NEUROLOGICAL EYE DISORDERS $2,208 – $10,472 · median $2,440 19 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $2,208 – $12,692 · median $2,440 19 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,208 – $6,555 · median $2,440 19 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,208 – $17,544 · median $2,440 19 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,208 – $11,674 · median $2,440 19 plans
137 MOUTH PROCEDURES WITH CC/MCC $2,208 – $10,016 · median $2,440 19 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $2,208 – $5,860 · median $2,440 19 plans
139 SALIVARY GLAND PROCEDURES $2,208 – $11,777 · median $2,440 19 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $2,208 – $34,774 19 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,208 – $21,221 · median $2,440 19 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $2,208 – $17,675 · median $2,440 19 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $2,208 – $25,465 19 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $2,208 – $15,302 · median $2,440 19 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $8,898 · median $2,440 19 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $2,208 – $18,104 · median $2,440 19 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $2,208 – $8,751 · median $2,440 19 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $2,208 – $7,213 · median $2,440 19 plans
149 DYSEQUILIBRIUM $2,208 – $9,829 · median $2,440 19 plans
150 EPISTAXIS WITH MCC $2,208 – $16,494 · median $2,440 19 plans
151 EPISTAXIS WITHOUT MCC $2,208 – $6,113 · median $2,440 19 plans
152 OTITIS MEDIA AND URI WITH MCC $2,208 – $7,360 · median $2,440 19 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $2,208 – $5,077 · median $2,440 19 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $2,208 – $13,595 · median $2,440 19 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $2,208 – $9,013 · median $2,440 19 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,208 – $5,139 · median $2,406 19 plans
157 DENTAL AND ORAL DISEASES WITH MCC $2,208 – $12,549 · median $2,440 19 plans
158 DENTAL AND ORAL DISEASES WITH CC $2,208 – $8,383 · median $2,440 19 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,208 – $6,331 · median $2,440 19 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 19 plans
164 MAJOR CHEST PROCEDURES WITH CC $2,208 – $23,490 19 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,208 – $20,171 · median $2,440 19 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $2,208 – $33,198 19 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $2,208 – $18,516 · median $2,440 19 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $17,358 · median $2,440 19 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $2,208 – $24,738 19 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $2,208 – $17,751 · median $2,440 19 plans
176 PULMONARY EMBOLISM WITHOUT MCC $2,208 – $9,227 · median $2,440 19 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $2,208 – $16,708 · median $2,440 19 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $2,208 – $11,295 · median $2,440 19 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $2,208 – $5,911 · median $2,440 19 plans
180 RESPIRATORY NEOPLASMS WITH MCC $2,208 – $21,164 · median $2,440 19 plans
181 RESPIRATORY NEOPLASMS WITH CC $2,208 – $8,932 · median $2,440 19 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,208 – $6,001 · median $2,440 19 plans
183 MAJOR CHEST TRAUMA WITH MCC $2,208 – $12,105 · median $2,440 19 plans
184 MAJOR CHEST TRAUMA WITH CC $2,208 – $9,092 · median $2,440 19 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,208 – $6,244 · median $2,440 19 plans
186 PLEURAL EFFUSION WITH MCC $2,208 – $18,424 · median $2,440 19 plans
187 PLEURAL EFFUSION WITH CC $2,208 – $9,576 · median $2,440 19 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $2,208 – $7,394 · median $2,440 19 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,208 – $12,652 · median $2,440 19 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,208 – $11,377 · median $2,440 19 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,208 – $9,526 · median $2,440 19 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,208 – $7,192 · median $2,381 19 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $2,208 – $12,555 · median $2,440 19 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,208 – $8,558 · median $2,440 19 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,208 – $5,213 · median $2,351 19 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $2,208 – $11,774 · median $2,440 19 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $2,208 – $7,913 · median $2,440 19 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $2,208 – $6,603 · median $2,440 19 plans
199 PNEUMOTHORAX WITH MCC $2,208 – $17,771 · median $2,440 19 plans
200 PNEUMOTHORAX WITH CC $2,208 – $9,386 · median $2,440 19 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $2,208 – $6,415 · median $2,440 19 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $2,208 – $8,631 · median $2,440 19 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,208 – $5,101 · median $2,440 19 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,208 – $7,112 · median $2,440 19 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $2,208 – $12,226 · median $2,440 19 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,208 – $8,715 · median $2,440 19 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $2,208 – $67,532 19 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $2,208 – $24,246 19 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $2,208 – $91,265 19 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $2,208 – $77,626 19 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $2,208 – $36,301 19 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $2,208 – $76,515 19 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $2,208 – $53,985 19 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,208 – $70,158 19 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,208 – $53,523 19 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,208 – $50,347 19 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 19 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $2,208 – $44,828 19 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $2,208 – $31,714 19 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $2,208 – $11,974 · median $2,440 19 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,208 – $27,026 19 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,208 – $23,798 · median $2,440 19 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,208 – $18,564 · median $2,440 19 plans
245 AICD GENERATOR PROCEDURES — 19 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $2,208 – $16,499 · median $2,440 19 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $2,208 – $15,818 · median $2,440 19 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $2,208 – $41,156 19 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,208 – $27,059 19 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,208 – $18,412 · median $2,440 19 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $2,208 – $15,721 19 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $2,208 – $10,225 · median $2,440 19 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,208 – $10,225 · median $2,440 19 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,208 – $31,610 19 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,208 – $19,676 · median $2,440 19 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,208 – $25,969 19 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,208 – $20,607 · median $2,440 19 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,208 – $12,704 · median $2,440 19 plans
263 VEIN LIGATION AND STRIPPING $2,208 – $32,005 19 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $2,208 – $46,092 19 plans
265 AICD LEAD PROCEDURES $2,208 – $30,494 19 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $2,208 – $55,964 19 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $2,208 – $31,966 19 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,208 – $60,321 19 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,208 – $37,588 19 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $2,208 – $29,601 19 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $2,208 – $75,298 19 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $2,208 – $56,814 19 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC — 19 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $2,208 – $41,238 19 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $2,208 – $31,257 19 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,208 – $17,038 · median $2,440 19 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $2,208 – $10,953 · median $2,440 19 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,208 – $8,526 · median $2,440 19 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,208 – $13,676 · median $2,440 19 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $2,208 – $6,527 · median $2,440 19 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,827 – $6,527 · median $2,341 19 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $2,208 – $27,294 · median $2,440 19 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $2,208 – $12,372 · median $2,440 19 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $2,208 – $20,602 19 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $2,208 – $15,334 · median $2,440 19 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $2,208 – $11,683 · median $2,440 19 plans
291 HEART FAILURE AND SHOCK WITH MCC $2,208 – $14,722 · median $2,440 19 plans
292 HEART FAILURE AND SHOCK WITH CC $2,208 – $12,330 · median $2,440 19 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,099 – $4,515 · median $2,341 19 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $2,208 – $18,060 · median $2,440 19 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $2,208 – $8,406 · median $2,440 19 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,641 – $5,270 · median $2,341 19 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $2,208 – $12,472 · median $2,440 19 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $2,208 – $12,472 · median $2,440 19 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,208 – $6,957 · median $2,440 19 plans
302 ATHEROSCLEROSIS WITH MCC $2,208 – $7,761 · median $2,440 19 plans
303 ATHEROSCLEROSIS WITHOUT MCC $2,208 – $6,814 · median $2,411 19 plans
304 HYPERTENSION WITH MCC $2,208 – $13,821 · median $2,440 19 plans
305 HYPERTENSION WITHOUT MCC $2,208 – $8,679 · median $2,440 19 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $2,208 – $11,929 · median $2,440 19 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $2,208 – $6,417 · median $2,440 19 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,208 – $18,408 · median $2,440 19 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,208 – $9,120 · median $2,440 19 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,067 – $6,113 · median $2,341 19 plans
311 ANGINA PECTORIS $2,208 – $5,627 · median $2,440 19 plans
312 SYNCOPE AND COLLAPSE $2,208 – $8,735 · median $2,440 19 plans
313 CHEST PAIN $2,208 – $8,261 · median $2,440 19 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $2,208 – $26,348 · median $2,440 19 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,208 – $14,906 · median $2,440 19 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,208 – $8,270 · median $2,440 19 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $2,208 – $30,578 19 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $2,208 – $18,372 · median $2,440 19 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC — 19 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $2,208 – $34,682 19 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $2,208 – $28,622 19 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $2,208 – $45,626 19 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $2,208 – $21,279 19 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $2,208 – $10,302 · median $2,440 19 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,208 – $52,505 19 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,208 – $23,087 19 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,208 – $15,926 · median $2,440 19 plans
332 RECTAL RESECTION WITH MCC $2,208 – $41,392 19 plans
333 RECTAL RESECTION WITH CC $2,208 – $20,176 · median $2,440 19 plans
334 RECTAL RESECTION WITHOUT CC/MCC $2,208 – $20,176 · median $2,440 19 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $2,208 – $24,936 19 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $2,208 – $21,229 · median $2,440 19 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $2,208 – $12,834 · median $2,440 19 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,208 – $18,723 19 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,208 – $14,305 · median $2,440 19 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,208 – $14,305 · median $2,440 19 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $2,208 – $18,250 · median $2,440 19 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $2,208 – $10,165 · median $2,440 19 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,208 – $8,416 · median $2,440 19 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $2,208 – $19,282 · median $2,440 19 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $2,208 – $13,247 · median $2,440 19 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $2,208 – $8,240 · median $2,440 19 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $2,208 – $20,930 19 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $2,208 – $13,089 · median $2,440 19 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $2,208 – $13,089 · median $2,440 19 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $2,208 – $49,149 19 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $2,208 – $20,417 · median $2,440 19 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $11,616 · median $2,440 19 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $2,208 – $18,547 · median $2,440 19 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $2,208 – $7,927 · median $2,440 19 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $2,208 – $6,391 · median $2,440 19 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $2,208 – $15,670 · median $2,440 19 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $2,208 – $10,187 · median $2,440 19 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,208 – $6,957 · median $2,440 19 plans
374 DIGESTIVE MALIGNANCY WITH MCC $2,208 – $23,997 · median $2,440 19 plans
375 DIGESTIVE MALIGNANCY WITH CC $2,208 – $12,265 · median $2,440 19 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,208 – $8,198 · median $2,440 19 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $2,208 – $19,809 · median $2,440 19 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $2,208 – $11,478 · median $2,440 19 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,208 – $7,856 · median $2,365 19 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $2,208 – $12,855 · median $2,440 19 plans
381 COMPLICATED PEPTIC ULCER WITH CC $2,208 – $12,192 · median $2,440 19 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,208 – $6,430 · median $2,440 19 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,208 – $9,061 · median $2,440 19 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $2,208 – $7,540 · median $2,440 19 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $2,208 – $15,248 · median $2,440 19 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,208 – $9,427 · median $2,440 19 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,208 – $8,551 · median $2,440 19 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $2,208 – $14,833 · median $2,440 19 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $2,208 – $6,894 · median $2,440 19 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,089 – $5,762 · median $2,341 19 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,208 – $12,955 · median $2,440 19 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,208 – $7,616 · median $2,440 19 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $2,208 – $11,464 · median $2,440 19 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,208 – $10,883 · median $2,440 19 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,208 – $6,385 · median $2,392 19 plans
397 APPENDIX PROCEDURES WITH MCC $2,208 – $16,245 · median $2,440 19 plans
398 APPENDIX PROCEDURES WITH CC $2,208 – $15,241 · median $2,440 19 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $2,208 – $10,233 · median $2,440 19 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $2,208 – $43,043 19 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,208 – $28,188 19 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $2,208 – $23,855 · median $2,440 19 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $2,208 – $28,991 19 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $2,208 – $19,506 · median $2,440 19 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $2,208 – $19,506 · median $2,440 19 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $2,208 – $31,450 19 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $2,208 – $19,267 · median $2,440 19 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,208 – $19,267 · median $2,440 19 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $2,208 – $25,184 19 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $2,208 – $19,069 · median $2,440 19 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $2,208 – $12,279 · median $2,440 19 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $2,208 – $21,105 · median $2,440 19 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $2,208 – $15,177 · median $2,440 19 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,208 – $13,407 · median $2,440 19 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $2,208 – $23,556 19 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,208 – $14,733 · median $2,440 19 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $2,208 – $11,393 · median $2,440 19 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $2,208 – $31,606 19 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $2,208 – $18,208 · median $2,440 19 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $18,208 · median $2,440 19 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $2,208 – $22,746 · median $2,440 19 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,208 – $11,017 · median $2,440 19 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,208 – $5,631 · median $2,433 19 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,208 – $18,968 · median $2,440 19 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,208 – $9,050 · median $2,440 19 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,208 – $8,846 · median $2,440 19 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $2,208 – $17,038 · median $2,440 19 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $2,208 – $8,992 · median $2,440 19 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,208 – $7,204 · median $2,341 19 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $2,208 – $21,115 · median $2,440 19 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,208 – $10,826 · median $2,440 19 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $2,208 – $8,026 · median $2,440 19 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $2,208 – $17,362 · median $2,440 19 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,208 – $11,899 · median $2,440 19 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,208 – $7,297 · median $2,440 19 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX — 19 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX — 19 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX — 19 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 19 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $2,208 – $50,154 19 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $2,208 – $27,853 19 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $2,208 – $17,865 · median $2,440 19 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 19 plans
471 CERVICAL SPINAL FUSION WITH MCC — 19 plans
472 CERVICAL SPINAL FUSION WITH CC $2,208 – $29,091 19 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $2,208 – $23,701 19 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,208 – $24,127 19 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $2,208 – $20,660 · median $2,440 19 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $2,208 – $12,802 · median $2,440 19 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,208 – $22,071 19 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,208 – $16,784 · median $2,440 19 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,208 – $12,655 · median $2,440 19 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $2,208 – $27,923 19 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $2,208 – $26,321 19 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $2,208 – $25,437 · median $2,440 19 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,208 – $12,492 · median $2,440 19 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $2,208 – $21,925 19 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $2,208 – $14,526 · median $2,440 19 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $2,208 – $27,256 19 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $2,208 – $16,304 · median $2,440 19 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $2,208 – $13,627 · median $2,440 19 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $2,208 – $16,800 19 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $2,208 – $12,563 · median $2,440 19 plans
500 SOFT TISSUE PROCEDURES WITH MCC $2,208 – $24,692 19 plans
501 SOFT TISSUE PROCEDURES WITH CC $2,208 – $16,628 · median $2,440 19 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $2,208 – $9,770 · median $2,440 19 plans
503 FOOT PROCEDURES WITH MCC $2,208 – $22,140 19 plans
504 FOOT PROCEDURES WITH CC $2,208 – $18,576 · median $2,440 19 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $2,208 – $14,396 · median $2,440 19 plans
506 MAJOR THUMB OR JOINT PROCEDURES $2,208 – $12,022 · median $2,440 19 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $2,208 – $15,019 · median $2,440 19 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $2,208 – $12,121 · median $2,440 19 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $2,208 – $27,175 19 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $2,208 – $19,438 · median $2,440 19 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $2,208 – $11,823 · median $2,440 19 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $2,208 – $16,752 · median $2,440 19 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $2,208 – $16,752 · median $2,440 19 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $2,208 – $29,842 19 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $2,208 – $23,136 · median $2,440 19 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $2,208 – $17,444 · median $2,440 19 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $2,208 – $31,722 19 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $2,208 – $21,498 · median $2,440 19 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $2,208 – $14,317 · median $2,440 19 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $2,208 – $25,026 19 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $2,208 – $25,026 · median $2,440 19 plans
533 FRACTURES OF FEMUR WITH MCC $2,208 – $10,451 · median $2,440 19 plans
534 FRACTURES OF FEMUR WITHOUT MCC $2,208 – $4,538 · median $2,440 19 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $2,208 – $9,358 · median $2,440 19 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,208 – $9,358 · median $2,440 19 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $2,208 – $7,183 · median $2,440 19 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $2,208 – $7,183 · median $2,440 19 plans
539 OSTEOMYELITIS WITH MCC $2,208 – $16,661 · median $2,440 19 plans
540 OSTEOMYELITIS WITH CC $2,208 – $14,432 · median $2,440 19 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $2,208 – $9,339 · median $2,440 19 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,208 – $21,459 · median $2,440 19 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,208 – $11,963 · median $2,440 19 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,208 – $6,296 · median $2,440 19 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $2,208 – $28,644 · median $2,440 19 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,208 – $14,526 · median $2,440 19 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,208 – $9,961 · median $2,440 19 plans
548 SEPTIC ARTHRITIS WITH MCC $2,208 – $16,865 · median $2,440 19 plans
549 SEPTIC ARTHRITIS WITH CC $2,208 – $10,075 · median $2,440 19 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,208 – $7,094 · median $2,440 19 plans
551 MEDICAL BACK PROBLEMS WITH MCC $2,208 – $12,670 · median $2,440 19 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $2,208 – $11,602 · median $2,440 19 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $2,208 – $11,183 · median $2,440 19 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $2,208 – $11,183 · median $2,440 19 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,208 – $10,334 · median $2,440 19 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,208 – $9,824 · median $2,440 19 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,208 – $10,396 · median $2,440 19 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,208 – $9,229 · median $2,440 19 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,208 – $28,136 · median $2,440 19 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,208 – $22,601 · median $2,440 19 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,208 – $19,410 · median $2,440 19 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $2,208 – $10,205 · median $2,440 19 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $2,208 – $6,796 · median $2,440 19 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,208 – $12,111 · median $2,440 19 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $2,208 – $12,111 · median $2,440 19 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,208 – $6,610 · median $2,440 19 plans
570 SKIN DEBRIDEMENT WITH MCC $2,208 – $25,112 19 plans
571 SKIN DEBRIDEMENT WITH CC $2,208 – $19,538 · median $2,440 19 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,208 – $12,247 · median $2,440 19 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,208 – $32,905 19 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $2,208 – $24,011 19 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,208 – $23,826 · median $2,440 19 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,208 – $64,382 19 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $2,208 – $26,288 19 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,208 – $15,651 · median $2,440 19 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $2,208 – $23,018 19 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $2,208 – $18,302 · median $2,440 19 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,208 – $11,456 · median $2,440 19 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $2,208 – $24,839 · median $2,440 19 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $2,208 – $24,839 · median $2,440 19 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $2,208 – $23,378 · median $2,440 19 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $2,208 – $23,378 · median $2,440 19 plans
592 SKIN ULCERS WITH MCC $2,208 – $13,855 · median $2,440 19 plans
593 SKIN ULCERS WITH CC $2,208 – $8,917 · median $2,440 19 plans
594 SKIN ULCERS WITHOUT CC/MCC $2,208 – $8,917 · median $2,440 19 plans
595 MAJOR SKIN DISORDERS WITH MCC $2,208 – $13,134 · median $2,440 19 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,208 – $6,942 · median $2,440 19 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $2,208 – $12,973 · median $2,440 19 plans
598 MALIGNANT BREAST DISORDERS WITH CC $2,208 – $8,759 · median $2,440 19 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,208 – $8,759 · median $2,343 19 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $2,208 – $5,608 · median $2,440 19 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,208 – $5,506 · median $2,345 19 plans
602 CELLULITIS WITH MCC $2,208 – $13,336 · median $2,440 19 plans
603 CELLULITIS WITHOUT MCC $2,208 – $8,195 · median $2,440 19 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $2,208 – $10,991 · median $2,440 19 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $2,208 – $8,064 · median $2,440 19 plans
606 MINOR SKIN DISORDERS WITH MCC $2,208 – $9,132 · median $2,440 19 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $2,208 – $8,322 · median $2,440 19 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,208 – $21,562 · median $2,440 19 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $2,208 – $18,457 · median $2,440 19 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $2,208 – $25,549 19 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $2,208 – $21,004 · median $2,440 19 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $2,208 – $14,858 · median $2,440 19 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $2,208 – $20,468 19 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $2,208 – $17,454 · median $2,440 19 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $2,208 – $14,235 · median $2,440 19 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $2,208 – $22,904 19 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $2,208 – $21,759 · median $2,440 19 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $2,208 – $11,970 · median $2,440 19 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $2,208 – $20,925 19 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,208 – $16,318 · median $2,440 19 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $2,208 – $10,619 · median $2,440 19 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $2,208 – $28,123 19 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $2,208 – $21,419 · median $2,440 19 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $16,722 · median $2,440 19 plans
637 DIABETES WITH MCC $2,208 – $15,156 · median $2,440 19 plans
638 DIABETES WITH CC $2,208 – $8,639 · median $2,440 19 plans
639 DIABETES WITHOUT CC/MCC $2,208 – $6,316 · median $2,345 19 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $2,208 – $15,790 · median $2,440 19 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $2,208 – $8,112 · median $2,440 19 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $2,208 – $13,709 · median $2,440 19 plans
643 ENDOCRINE DISORDERS WITH MCC $2,208 – $17,979 · median $2,440 19 plans
644 ENDOCRINE DISORDERS WITH CC $2,208 – $9,166 · median $2,440 19 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,208 – $6,553 · median $2,440 19 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 19 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 19 plans
652 KIDNEY TRANSPLANT $2,208 – $132,821 19 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 19 plans
654 MAJOR BLADDER PROCEDURES WITH CC $2,208 – $20,587 19 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $2,208 – $20,587 · median $2,440 19 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $2,208 – $27,152 19 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,208 – $19,347 · median $2,440 19 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,208 – $14,755 · median $2,440 19 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $2,208 – $18,819 19 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $2,208 – $12,268 · median $2,440 19 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $2,208 – $9,898 · median $2,440 19 plans
662 MINOR BLADDER PROCEDURES WITH MCC $2,208 – $19,162 19 plans
663 MINOR BLADDER PROCEDURES WITH CC $2,208 – $12,200 · median $2,440 19 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,208 – $8,172 · median $2,440 19 plans
665 PROSTATECTOMY WITH MCC $2,208 – $40,973 19 plans
666 PROSTATECTOMY WITH CC $2,208 – $11,483 · median $2,440 19 plans
667 PROSTATECTOMY WITHOUT CC/MCC $2,208 – $11,483 · median $2,440 19 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $2,208 – $20,041 19 plans
669 TRANSURETHRAL PROCEDURES WITH CC $2,208 – $13,469 · median $2,440 19 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $2,208 – $9,381 · median $2,440 19 plans
671 URETHRAL PROCEDURES WITH CC/MCC $2,208 – $19,252 · median $2,440 19 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $2,208 – $13,059 · median $2,440 19 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $2,208 – $44,841 19 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $2,208 – $23,922 · median $2,440 19 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $2,208 – $17,723 · median $2,440 19 plans
682 RENAL FAILURE WITH MCC $2,208 – $20,351 · median $2,440 19 plans
683 RENAL FAILURE WITH CC $2,208 – $9,758 · median $2,440 19 plans
684 RENAL FAILURE WITHOUT CC/MCC $2,208 – $6,643 · median $2,363 19 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $2,208 – $12,472 · median $2,440 19 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $2,208 – $8,286 · median $2,440 19 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,208 – $8,286 · median $2,440 19 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,208 – $12,156 · median $2,440 19 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $2,208 – $7,254 · median $2,440 19 plans
693 URINARY STONES WITH MCC $2,208 – $9,629 · median $2,440 19 plans
694 URINARY STONES WITHOUT MCC $2,208 – $6,868 · median $2,440 19 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $2,208 – $6,153 · median $2,440 19 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,208 – $4,749 · median $2,440 19 plans
697 URETHRAL STRICTURE $2,208 – $11,955 · median $2,440 19 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $2,208 – $20,359 · median $2,440 19 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,208 – $11,682 · median $2,440 19 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,208 – $6,597 · median $2,440 19 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,208 – $15,992 · median $2,440 19 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,208 – $14,536 · median $2,440 19 plans
709 PENIS PROCEDURES WITH CC/MCC $2,208 – $26,816 · median $2,440 19 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $2,208 – $17,916 · median $2,440 19 plans
711 TESTES PROCEDURES WITH CC/MCC $2,208 – $16,291 · median $2,440 19 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $2,208 – $7,974 · median $2,440 19 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $2,208 – $11,286 · median $2,440 19 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $2,208 – $8,351 · median $2,440 19 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $2,208 – $13,892 · median $2,440 19 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $2,208 – $13,892 · median $2,440 19 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $2,208 – $12,323 · median $2,440 19 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $2,208 – $8,507 · median $2,440 19 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $2,208 – $10,343 · median $2,440 19 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $2,208 – $8,713 · median $2,440 19 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,208 – $8,695 · median $2,440 19 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $2,208 – $8,414 · median $2,440 19 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,208 – $5,673 · median $2,440 19 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $2,208 – $11,463 · median $2,440 19 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $2,208 – $8,129 · median $2,440 19 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,208 – $6,274 · median $2,440 19 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,208 – $6,274 · median $2,343 19 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $2,208 – $16,400 · median $2,440 19 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $2,208 – $12,258 · median $2,440 19 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 19 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $2,208 – $18,177 · median $2,440 19 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,208 – $13,470 · median $2,440 19 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $2,208 – $26,936 19 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,208 – $17,895 · median $2,440 19 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $2,208 – $15,089 · median $2,440 19 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $2,208 – $15,815 · median $2,440 19 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,208 – $9,992 · median $2,440 19 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,208 – $12,721 · median $2,440 19 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $2,208 – $8,577 · median $2,440 19 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $2,208 – $11,904 · median $2,440 19 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $2,208 – $8,544 · median $2,440 19 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,208 – $10,892 · median $2,440 19 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $2,208 – $19,369 · median $2,440 19 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $12,548 · median $2,440 19 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,208 – $12,364 · median $2,440 19 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,208 – $8,348 · median $2,440 19 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,208 – $8,348 · median $2,440 19 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,208 – $11,933 · median $2,440 19 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,208 – $6,702 · median $2,440 19 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,208 – $5,829 · median $2,389 19 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,208 – $9,969 · median $2,440 19 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,208 – $6,398 · median $2,341 19 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,208 – $8,589 · median $2,440 19 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $2,208 – $11,780 · median $2,440 19 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,208 – $8,122 · median $2,440 19 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $2,208 – $5,544 · median $2,440 19 plans
779 ABORTION WITHOUT D&C $2,208 – $5,397 · median $2,440 19 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,208 – $11,469 · median $2,440 19 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,208 – $9,178 · median $2,440 19 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,208 – $8,137 · median $2,440 19 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,208 – $12,171 · median $2,440 19 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,208 – $10,064 · median $2,440 19 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,208 – $8,951 · median $2,440 19 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,208 – $21,325 · median $2,440 19 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,208 – $84,462 19 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,208 – $26,221 19 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,208 – $9,293 · median $2,440 19 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,208 – $15,734 19 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,208 – $5,569 · median $2,440 19 plans
795 NORMAL NEWBORN $754 – $2,517 · median $2,300 19 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,208 – $12,552 · median $2,440 19 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,208 – $9,061 · median $2,440 19 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,208 – $8,810 · median $2,440 19 plans
799 SPLENIC PROCEDURES WITH MCC $2,208 – $34,912 19 plans
800 SPLENIC PROCEDURES WITH CC $2,208 – $16,786 19 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $2,208 – $11,855 · median $2,440 19 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,208 – $42,778 19 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,208 – $15,689 · median $2,440 19 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,208 – $14,868 · median $2,440 19 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,208 – $8,212 · median $2,440 19 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,208 – $7,290 · median $2,440 19 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,208 – $6,653 · median $2,404 19 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $2,208 – $19,333 · median $2,440 19 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $2,208 – $11,348 · median $2,440 19 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $2,208 – $8,431 · median $2,440 19 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,208 – $15,787 · median $2,440 19 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $2,208 – $9,040 · median $2,440 19 plans
813 COAGULATION DISORDERS $2,208 – $19,138 · median $2,440 19 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $2,208 – $16,189 · median $2,440 19 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $2,208 – $8,788 · median $2,440 19 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,208 – $5,295 · median $2,440 19 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,208 – $12,954 · median $2,440 19 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,208 – $10,904 · median $2,440 19 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $7,725 · median $2,440 19 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 19 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,208 – $20,830 · median $2,440 19 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $11,569 · median $2,440 19 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 19 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $2,208 – $22,668 · median $2,440 19 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $2,208 – $16,349 · median $2,440 19 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. — 19 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $2,208 – $23,826 · median $2,440 19 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $2,208 – $16,868 · median $2,440 19 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $2,208 – $26,859 19 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $2,208 – $14,213 · median $2,440 19 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,208 – $8,671 · median $2,440 19 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,208 – $6,004 · median $2,440 19 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,913 – $5,450 · median $2,341 19 plans
834 ACUTE LEUKEMIA WITH MCC $2,208 – $92,895 19 plans
835 ACUTE LEUKEMIA WITH CC $2,208 – $31,537 · median $2,440 19 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $2,208 – $15,164 · median $2,440 19 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $2,208 – $41,309 19 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $2,208 – $13,570 · median $2,440 19 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,208 – $9,181 · median $2,440 19 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $2,208 – $25,056 19 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $2,208 – $16,760 · median $2,440 19 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,208 – $10,003 · median $2,440 19 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $2,208 – $14,661 · median $2,440 19 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $2,208 – $8,297 · median $2,440 19 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $2,208 – $8,297 · median $2,440 19 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $2,208 – $11,280 · median $2,440 19 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $2,208 – $11,280 · median $2,440 19 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,208 – $4,500 · median $2,440 19 plans
849 RADIOTHERAPY $2,208 – $31,874 19 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $2,208 – $60,967 19 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $2,208 – $21,403 · median $2,440 19 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $13,605 · median $2,440 19 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $2,208 – $42,353 19 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $2,208 – $18,874 · median $2,440 19 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,208 – $9,956 · median $2,440 19 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $2,208 – $13,910 · median $2,440 19 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $2,208 – $10,120 · median $2,440 19 plans
864 FEVER AND INFLAMMATORY CONDITIONS $2,208 – $7,576 · median $2,440 19 plans
865 VIRAL ILLNESS WITH MCC $2,208 – $11,573 · median $2,440 19 plans
866 VIRAL ILLNESS WITHOUT MCC $2,208 – $5,406 · median $2,440 19 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $2,208 – $17,062 · median $2,440 19 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $2,208 – $8,215 · median $2,440 19 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,208 – $8,215 · median $2,440 19 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $2,208 – $72,623 19 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $2,208 – $20,878 · median $2,440 19 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,208 – $9,715 · median $2,440 19 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 19 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,208 – $14,910 · median $2,440 19 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $2,208 – $8,825 · median $2,440 19 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $2,208 – $35,601 19 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $2,208 – $11,354 · median $2,440 19 plans
906 HAND PROCEDURES FOR INJURIES $2,208 – $12,321 · median $2,440 19 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $2,208 – $41,144 19 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $2,208 – $18,947 · median $2,440 19 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $2,208 – $11,868 · median $2,440 19 plans
913 TRAUMATIC INJURY WITH MCC $2,208 – $9,638 · median $2,440 19 plans
914 TRAUMATIC INJURY WITHOUT MCC $2,208 – $7,351 · median $2,440 19 plans
915 ALLERGIC REACTIONS WITH MCC $2,208 – $12,637 · median $2,440 19 plans
916 ALLERGIC REACTIONS WITHOUT MCC $2,208 – $7,107 · median $2,413 19 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $2,208 – $16,507 · median $2,440 19 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,208 – $7,596 · median $2,440 19 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $2,208 – $14,664 · median $2,440 19 plans
920 COMPLICATIONS OF TREATMENT WITH CC $2,208 – $12,459 · median $2,440 19 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $2,208 – $6,945 · median $2,440 19 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $2,208 – $14,479 · median $2,440 19 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,208 – $8,757 · median $2,440 19 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $2,208 – $124,292 19 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $2,208 – $48,353 19 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $2,208 – $17,852 19 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $2,208 – $51,634 19 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $2,208 – $7,821 · median $2,440 19 plans
935 NON-EXTENSIVE BURNS $2,208 – $11,992 · median $2,440 19 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,208 – $34,989 19 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $2,208 – $18,209 · median $2,440 19 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $2,208 – $15,290 · median $2,440 19 plans
947 SIGNS AND SYMPTOMS WITH MCC $2,208 – $18,598 · median $2,440 19 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $2,208 – $10,188 · median $2,440 19 plans
949 AFTERCARE WITH CC/MCC $2,208 – $44,391 · median $2,440 19 plans
950 AFTERCARE WITHOUT CC/MCC $2,208 – $16,761 · median $2,355 19 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,205 – $6,891 · median $2,341 19 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $2,208 – $78,800 19 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 19 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,208 – $74,937 19 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 19 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,208 – $19,358 19 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,208 – $21,551 19 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,208 – $13,856 · median $2,440 19 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,208 – $9,418 · median $2,440 19 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 19 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $2,208 – $31,663 19 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $2,208 – $40,529 19 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $2,208 – $13,023 · median $2,440 19 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,208 – $6,471 · median $2,440 19 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $2,208 – $15,926 · median $2,440 19 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,208 – $63,380 19 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,208 – $19,415 19 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,208 – $13,527 · median $2,440 19 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,208 – $44,054 19 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,208 – $18,984 · median $2,440 19 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,208 – $10,003 · median $2,440 19 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $2,208 – $79,436 18 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $2,208 – $114,622 18 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $2,208 – $57,009 18 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $2,208 – $57,009 18 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $2,208 – $68,640 18 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $2,208 – $46,945 18 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER — 18 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 18 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,208 – $44,350 18 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 18 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $2,208 – $30,525 18 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION — 18 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 18 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $2,208 – $27,621 · median $2,440 18 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL — 18 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT — 18 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT — 18 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT — 18 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC — 18 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC — 18 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL — 18 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 18 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY — 18 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 18 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $2,208 – $32,937 18 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 18 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $2,208 – $31,950 18 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $2,208 – $33,921 18 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $2,208 – $21,611 · median $2,440 18 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $2,208 – $20,434 · median $2,440 18 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $2,208 – $14,669 · median $2,440 18 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $2,208 – $25,916 18 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,208 – $13,875 · median $2,440 18 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $2,208 – $18,333 · median $2,440 18 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $2,208 – $27,952 18 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 18 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,208 – $13,948 14 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,208 – $3,568 · median $2,308 14 plans
881 DEPRESSIVE NEUROSES $2,208 – $3,388 · median $2,308 14 plans
882 NEUROSES EXCEPT DEPRESSIVE $2,208 – $3,511 · median $2,308 14 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,208 – $7,010 · median $2,308 14 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,208 – $6,567 · median $2,308 14 plans
885 PSYCHOSES $2,208 – $5,107 · median $2,308 14 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,208 – $6,286 · median $2,308 14 plans
887 OTHER MENTAL DISORDER DIAGNOSES $2,208 – $4,843 · median $2,308 14 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,147 – $2,517 · median $2,286 14 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,208 – $6,013 · median $2,308 14 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,208 – $6,646 · median $2,308 14 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,208 – $3,198 · median $2,308 14 plans
945 REHABILITATION WITH CC/MCC $2,208 – $5,642 · median $2,308 14 plans
946 REHABILITATION WITHOUT CC/MCC $2,208 – $3,785 · median $2,308 14 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE — 13 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC — 13 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $2,208 – $2,517 · median $2,297 13 plans
999 UNGROUPABLE $2,208 – $2,517 · median $2,297 13 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,647 – $11,798 · median $11,574 6 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,801 – $8,122 · median $7,967 6 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,769 – $5,347 · median $5,245 6 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $4,088 – $14,653 · median $14,374 6 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $2,360 – $9,425 · median $9,246 6 plans
509 ARTHROSCOPY $4,957 – $20,961 · median $20,562 6 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $33,122 – $33,122 · median $33,122 1 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $22,862 – $22,862 · median $22,862 1 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $17,215 – $17,215 · median $17,215 1 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $24,790 – $24,790 · median $24,790 1 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $13,673 – $13,673 · median $13,673 1 plans
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