Flushing Hospital Medical Center — Pricing
781 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 781 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 781
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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 781 procedures
Procedures with negotiated rates only
These 781 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 |
|---|---|---|---|
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | — | 29 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | — | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | — | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | — | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | — | 29 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY | — | 29 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | — | 29 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | — | 29 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY | — | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | — | 29 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | — | 29 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | — | 29 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | — | 29 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | — | 29 plans |
| 139 | SALIVARY GLAND PROCEDURES | — | 29 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $500 – $113,008 · median $57,891 | 29 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | — | 29 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | — | 29 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | — | 29 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | — | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | — | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | — | 29 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | — | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $500 – $17,294 · median $9,883 | 29 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | — | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | — | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | — | 29 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | — | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | — | 29 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $500 – $18,614 · median $10,340 | 29 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | — | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | — | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $500 – $172,810 · median $86,554 | 29 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | — | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | — | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | — | 29 plans |
| 245 | AICD GENERATOR PROCEDURES | — | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | — | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | — | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | — | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | — | 29 plans |
| 263 | VEIN LIGATION AND STRIPPING | — | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | — | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | — | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | — | 29 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | — | 29 plans |
| 313 | CHEST PAIN | — | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | — | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | — | 29 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | — | 29 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | — | 29 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | — | 29 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | — | 29 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | — | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | — | 29 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | — | 29 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | — | 29 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION | — | 29 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | — | 29 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | — | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | — | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | — | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | — | 29 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | — | 29 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | — | 29 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | — | 29 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | — | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | — | 29 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | — | 29 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | — | 29 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | — | 29 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | — | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | — | 29 plans |
| 722 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY | — | 29 plans |
| 723 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION | — | 29 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | — | 29 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | — | 29 plans |
| 813 | COAGULATION DISORDERS | — | 29 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $500 – $17,620 · median $9,887 | 29 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $500 – $16,677 · median $9,609 | 29 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $500 – $15,151 · median $8,883 | 29 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | 28 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 28 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $500 – $572,674 · median $287,097 | 28 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $500 – $377,568 · median $192,934 | 28 plans |
| 005 | LIVER TRANSPLANT WITH COMORBITY OR INTESTINAL TRANSPLANT | — | 28 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 28 plans |
| 007 | LUNG TRANSPLANT | — | 28 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 28 plans |
| 010 | PANCREAS TRANSPLANT | — | 28 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | — | 28 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | — | 28 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | — | 28 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 28 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 28 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | — | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 28 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | — | 28 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | — | 28 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | — | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | — | 28 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | — | 28 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | — | 28 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | — | 28 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | — | 28 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 028 | SPINAL PROCEDURES WITH MCC | — | 28 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | — | 28 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | — | 28 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | — | 28 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | — | 28 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION | — | 28 plans |
| 036 | CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | — | 28 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | — | 28 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | — | 28 plans |
| 041 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM | — | 28 plans |
| 042 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $500 – $66,912 · median $33,695 | 28 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | — | 28 plans |
| 060 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | — | 28 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | — | 28 plans |
| 063 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | — | 28 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | — | 28 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | — | 28 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | — | 28 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | — | 28 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | — | 28 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | — | 28 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | — | 28 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | — | 28 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | — | 28 plans |
| 080 | NONTRAUMATIC STUPOR & COMA WITH COMORBITY | — | 28 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | — | 28 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | — | 28 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | — | 28 plans |
| 085 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY | — | 28 plans |
| 086 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION | — | 28 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | — | 28 plans |
| 088 | CONCUSSION WITH MCC | — | 28 plans |
| 089 | CONCUSSION WITH CC | — | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | — | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | — | 28 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | — | 28 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | — | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | — | 28 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | — | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | — | 28 plans |
| 100 | SEIZURES WITH COMORBITY | — | 28 plans |
| 101 | SEIZURES WITHOUT COMORBITY | — | 28 plans |
| 102 | HEADACHES WITH MCC | — | 28 plans |
| 103 | HEADACHES WITHOUT MCC | — | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | — | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | — | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | — | 28 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | — | 28 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | — | 28 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | — | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | — | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | — | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 146 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY | — | 28 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | — | 28 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | — | 28 plans |
| 149 | DYSEQUILIBRIUM | — | 28 plans |
| 150 | EPISTAXIS WITH MCC | — | 28 plans |
| 151 | EPISTAXIS WITHOUT COMORBITY | — | 28 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | — | 28 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $500 – $19,017 · median $10,931 | 28 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | — | 28 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | — | 28 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $500 – $17,967 · median $10,328 | 28 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | — | 28 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | — | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | — | 28 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | — | 28 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | — | 28 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | — | 28 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION | — | 28 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | — | 28 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | — | 28 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | — | 28 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | — | 28 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | — | 28 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | — | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | — | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | — | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | — | 28 plans |
| 186 | PLEURAL EFFUSION WITH MCC | — | 28 plans |
| 187 | PLEURAL EFFUSION WITH CC | — | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | — | 28 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | — | 28 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | — | 28 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $500 – $16,639 · median $9,527 | 28 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | — | 28 plans |
| 200 | PNEUMOTHORAX WITH CC | — | 28 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | — | 28 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | — | 28 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | — | 28 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $500 – $291,096 · median $151,809 | 28 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | — | 28 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $500 – $257,887 · median $136,735 | 28 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | — | 28 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | — | 28 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | — | 28 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | — | 28 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | — | 28 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | — | 28 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | — | 28 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | — | 28 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | — | 28 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $500 – $208,862 · median $107,209 | 28 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | — | 28 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | — | 28 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | — | 28 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | — | 28 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | — | 28 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | — | 28 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | — | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | — | 28 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | — | 28 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | — | 28 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | — | 28 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | — | 28 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | — | 28 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | — | 28 plans |
| 265 | AICD LEAD PROCEDURES | — | 28 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | — | 28 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | — | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY | — | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | — | 28 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $500 – $137,159 · median $73,694 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | — | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | — | 28 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | — | 28 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | — | 28 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | — | 28 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | — | 28 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | — | 28 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | — | 28 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | — | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $500 – $15,001 · median $9,023 | 28 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | — | 28 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | — | 28 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | — | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | — | 28 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | — | 28 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | — | 28 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | — | 28 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $500 – $14,662 · median $8,728 | 28 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | — | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | — | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $500 – $11,803 · median $7,206 | 28 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | — | 28 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | — | 28 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | — | 28 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $500 – $17,967 · median $10,268 | 28 plans |
| 304 | HYPERTENSION WITH COMORBITY | — | 28 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | — | 28 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | — | 28 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | — | 28 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | — | 28 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | — | 28 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $500 – $14,950 · median $8,729 | 28 plans |
| 311 | ANGINA PECTORIS | — | 28 plans |
| 312 | SYNCOPE & COLLAPSE | — | 28 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | — | 28 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | — | 28 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | — | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | — | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | — | 28 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | — | 28 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | — | 28 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | — | 28 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | — | 28 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | — | 28 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | — | 28 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | — | 28 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | — | 28 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | — | 28 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | — | 28 plans |
| 333 | RECTAL RESECTION WITH CC | — | 28 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | — | 28 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | — | 28 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | — | 28 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | — | 28 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | — | 28 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | — | 28 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | — | 28 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | — | 28 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | — | 28 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | — | 28 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | — | 28 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | — | 28 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | — | 28 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | — | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | — | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | — | 28 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | — | 28 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | — | 28 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | — | 28 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | — | 28 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | — | 28 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | — | 28 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $500 – $17,013 · median $9,722 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | — | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | — | 28 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | — | 28 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | — | 28 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | — | 28 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | — | 28 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $500 – $14,622 · median $8,446 | 28 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | — | 28 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | — | 28 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | — | 28 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | — | 28 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $500 – $17,005 · median $9,790 | 28 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | — | 28 plans |
| 398 | APPENDIX PROCEDURES WITH CC | — | 28 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | — | 28 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | — | 28 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | — | 28 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | — | 28 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | — | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | — | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | — | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | — | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | — | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | — | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | — | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | — | 28 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | — | 28 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | — | 28 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION | — | 28 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | — | 28 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 28 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | — | 28 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | — | 28 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | — | 28 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | — | 28 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | — | 28 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | — | 28 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | — | 28 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | — | 28 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | — | 28 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | — | 28 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | — | 28 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | — | 28 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $500 – $16,436 · median $9,437 | 28 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | — | 28 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | — | 28 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | — | 28 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | — | 28 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 28 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 28 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 28 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 28 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | — | 28 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | — | 28 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | — | 28 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY | — | 28 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | — | 28 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | — | 28 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | — | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 28 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | — | 28 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | — | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | — | 28 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | — | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | — | 28 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | — | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | — | 28 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | — | 28 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | — | 28 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | — | 28 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | — | 28 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | — | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | — | 28 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | — | 28 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | — | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | — | 28 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | — | 28 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | — | 28 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | — | 28 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | — | 28 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | — | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | — | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | — | 28 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | — | 28 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 503 | FOOT PROCEDURES WITH MCC | — | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | — | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | — | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | — | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | — | 28 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | — | 28 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | — | 28 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | — | 28 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | — | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | — | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | — | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | — | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | — | 28 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | — | 28 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | — | 28 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | — | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | — | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | — | 28 plans |
| 539 | OSTEOMYELITIS WITH MCC | — | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | — | 28 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | — | 28 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | — | 28 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | — | 28 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | — | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | — | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | — | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | — | 28 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | — | 28 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | — | 28 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | — | 28 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | — | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | — | 28 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | — | 28 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | — | 28 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | — | 28 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | — | 28 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | — | 28 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | — | 28 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | — | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | — | 28 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | — | 28 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | — | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH COMORBITY | — | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | — | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | — | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | — | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION | — | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | — | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | — | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | — | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | — | 28 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | — | 28 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | — | 28 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | — | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | — | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | — | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 592 | SKIN ULCERS WITH MCC | — | 28 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | — | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | — | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | — | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | — | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH COMORBITY | — | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH COMPLICATION | — | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY | — | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $500 – $16,019 · median $9,227 | 28 plans |
| 602 | CELLULITIS WITH COMORBITY | — | 28 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | — | 28 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | — | 28 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | — | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | — | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | — | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | — | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | — | 28 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | — | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | — | 28 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | — | 28 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | — | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | — | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | — | 28 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | — | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | — | 28 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | — | 28 plans |
| 630 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 637 | DIABETES WITH COMORBITY | — | 28 plans |
| 638 | DIABETES WITH COMPLICATION | — | 28 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $500 – $16,743 · median $9,568 | 28 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | — | 28 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | — | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | — | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | — | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | — | 28 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | — | 28 plans |
| 652 | KIDNEY TRANSPLANT | — | 28 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH COMORBITY | — | 28 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | — | 28 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | — | 28 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | — | 28 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | — | 28 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | — | 28 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | — | 28 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | — | 28 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | — | 28 plans |
| 666 | PROSTATECTOMY WITH CC | — | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | — | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | — | 28 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | — | 28 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | — | 28 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | — | 28 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | — | 28 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 682 | RENAL FAILURE WITH COMORBITY | — | 28 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | — | 28 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $500 – $16,230 · median $9,275 | 28 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | — | 28 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION | — | 28 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | — | 28 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | — | 28 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | — | 28 plans |
| 693 | URINARY STONES WITH MCC | — | 28 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | — | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | — | 28 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $500 – $18,486 · median $10,564 | 28 plans |
| 697 | URETHRAL STRICTURE | — | 28 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | — | 28 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | — | 28 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | — | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | — | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | — | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | — | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | — | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | — | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | — | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | — | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | — | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | — | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY | — | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | — | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | — | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | — | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | — | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $500 – $16,217 · median $9,942 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | — | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | — | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | — | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | — | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | — | 28 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | — | 28 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | — | 28 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | — | 28 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | — | 28 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | — | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | — | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | — | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | — | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | — | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | — | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | — | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | — | 28 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | — | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | — | 28 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $500 – $17,101 · median $9,976 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | — | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $500 – $16,938 · median $9,239 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | — | 28 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | — | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $500 – $19,065 · median $10,372 | 28 plans |
| 779 | ABORTION WITHOUT D&C | — | 28 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $500 – $48,167 · median $25,809 | 28 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $500 – $158,851 · median $81,520 | 28 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $500 – $108,485 · median $56,168 | 28 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $500 – $65,458 · median $33,896 | 28 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $500 – $111,440 · median $57,656 | 28 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $500 – $39,446 · median $21,194 | 28 plans |
| 795 | NORMAL NEWBORN | $500 – $5,339 · median $3,854 | 28 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | — | 28 plans |
| 800 | SPLENIC PROCEDURES WITH CC | — | 28 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | — | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | — | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | — | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | — | 28 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | — | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | — | 28 plans |
| 814 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY | — | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | — | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | — | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | — | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | — | 28 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | — | 28 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 823 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY | — | 28 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | — | 28 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | — | 28 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | — | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | — | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | — | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $500 – $19,971 · median $11,094 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $500 – $13,890 · median $8,177 | 28 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $500 – $147,695 · median $77,438 | 28 plans |
| 835 | ACUTE LEUKEMIA WITH CC | — | 28 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | — | 28 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | — | 28 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | — | 28 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | — | 28 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | — | 28 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | — | 28 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | — | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | — | 28 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | — | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | — | 28 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | — | 28 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | — | 28 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | — | 28 plans |
| 849 | RADIOTHERAPY | — | 28 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | — | 28 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | — | 28 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | — | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | — | 28 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | — | 28 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | — | 28 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | — | 28 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | — | 28 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | — | 28 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | — | 28 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | — | 28 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | — | 28 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | — | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | — | 28 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $500 – $185,885 · median $97,078 | 28 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | — | 28 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | — | 28 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $500 – $105,003 · median $53,079 | 28 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $500 – $25,615 · median $13,997 | 28 plans |
| 881 | DEPRESSIVE NEUROSES | $500 – $24,426 · median $13,741 | 28 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $500 – $25,706 · median $15,116 | 28 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $500 – $49,538 · median $27,078 | 28 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $500 – $44,629 · median $23,001 | 28 plans |
| 885 | PSYCHOSES | $500 – $37,666 · median $20,115 | 28 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $500 – $48,004 · median $27,837 | 28 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $500 – $31,782 · median $15,828 | 28 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $500 – $38,689 · median $20,698 | 28 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $500 – $47,585 · median $25,304 | 28 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $500 – $23,573 · median $13,148 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | — | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | — | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | — | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | — | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | — | 28 plans |
| 906 | HAND PROCEDURES FOR INJURIES | — | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | — | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | — | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | — | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | — | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | — | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | — | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $500 – $17,745 · median $10,141 | 28 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | — | 28 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | — | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | — | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | — | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $500 – $18,376 · median $10,501 | 28 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | — | 28 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | — | 28 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $500 – $633,897 · median $296,518 | 28 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | — | 28 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | — | 28 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | — | 28 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | — | 28 plans |
| 935 | NON-EXTENSIVE BURNS | — | 28 plans |
| 939 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMORBITY | — | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | — | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | — | 28 plans |
| 945 | REHABILITATION WITH CC/MCC | $500 – $40,790 · median $22,397 | 28 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $500 – $29,834 · median $16,688 | 28 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | — | 28 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | — | 28 plans |
| 949 | AFTERCARE WITH COMPLICATION/COMORBITY | — | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $500 – $15,661 · median $9,420 | 28 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | — | 28 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | — | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | — | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | — | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | — | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | — | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | — | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | — | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | — | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | — | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | — | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | — | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | — | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | — | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | — | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | — | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | — | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | — | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | — | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $500 – $29,294 · median $15,860 | 27 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $500 – $49,223 · median $31,426 | 27 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | — | 27 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | — | 27 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $500 – $43,178 · median $22,894 | 27 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | — | 27 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | — | 27 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $500 – $34,112 · median $17,495 | 27 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $500 – $25,871 · median $14,563 | 27 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $500 – $25,871 · median $14,277 | 27 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $500 – $26,668 · median $14,946 | 27 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $500 – $19,335 · median $11,054 | 27 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $500 – $17,029 · median $10,278 | 27 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | — | 22 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | — | 22 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | — | 22 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | — | 22 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | — | 22 plans |
| 047 | TRANSIENT ISCHEMIA | $500 – $13,699 · median $8,891 | 3 plans |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS | $500 – $13,699 · median $8,891 | 3 plans |
| 721 | POST-OPERATIVE; POST-TRAUMATIC; OTHER DEVICE INFECTIONS | — | 3 plans |
| 775 | ALCOHOL ABUSE AND DEPENDENCE | $500 – $11,850 · median $1,912 | 3 plans |
| 861 | SIGNS; SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS | $500 – $13,699 · median $8,891 | 3 plans |
| 171 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI; HEART FAILURE OR SHOCK | — | 2 plans |
| 224 | CARDIAC DEFIB IMPLANT WITH CARDIAC CATH WITHOUT AMI/HF/SHOCK WITH COMORBITY | — | 2 plans |
| 773 | OPIOID ABUSE AND DEPENDENCE | — | 2 plans |
| 774 | COCAINE ABUSE AND DEPENDENCE | $500 – $1,912 · median $1,206 | 2 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $500 – $1,912 · median $1,206 | 2 plans |
| 999 | UNGROUPABLE | $500 – $1,912 · median $1,206 | 2 plans |
No procedures match that keyword.