AllianceHealth Madill — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
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 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $2,600 – $274,442 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $2,600 – $179,099 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $2,600 – $70,522 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $2,600 – $54,513 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $2,600 – $37,262 · median $3,430 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $2,600 – $107,540 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $2,600 – $81,053 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $2,600 – $61,487 · median $3,430 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $2,600 – $74,093 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $2,600 – $50,581 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $2,600 – $58,789 | 17 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $2,600 – $40,202 · median $3,430 | 17 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,600 – $32,621 · median $3,430 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $2,600 – $77,687 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $2,600 – $44,112 · median $3,430 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $2,600 – $28,384 · median $3,430 | 17 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $2,600 – $57,933 | 17 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $2,600 – $27,554 · median $3,430 | 17 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,600 – $21,501 · median $3,430 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $2,600 – $50,048 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $2,600 – $30,909 · median $3,430 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $2,600 – $25,120 · median $3,430 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $2,600 – $42,567 · median $3,430 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $2,600 – $20,980 · median $3,430 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,600 – $15,199 · median $3,430 | 17 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $2,600 – $49,925 | 17 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $2,600 – $28,429 · median $3,430 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $2,600 – $22,339 · median $3,430 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $2,600 – $23,026 · median $3,430 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,600 – $12,661 · median $3,430 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,600 – $19,743 · median $3,430 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,600 – $13,183 · median $3,430 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,600 – $30,038 · median $3,430 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,600 – $16,752 · median $3,430 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,600 – $22,104 · median $3,430 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,600 – $16,045 · median $3,430 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,600 – $11,893 · median $3,430 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $2,600 – $35,649 · median $3,430 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,600 – $22,721 · median $3,430 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $2,600 – $18,151 · median $3,430 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $2,600 – $26,002 · median $3,430 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $2,600 – $13,063 · median $3,430 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,600 – $8,849 · median $3,430 | 17 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $2,600 – $18,990 · median $3,430 | 17 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,600 – $11,177 · median $3,430 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,600 – $10,328 · median $3,430 | 17 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,600 – $21,526 · median $3,430 | 17 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $2,600 – $13,266 · median $3,430 | 17 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,600 – $9,778 · median $3,430 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $2,600 – $20,744 · median $3,430 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,600 – $13,328 · median $3,430 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $2,600 – $24,793 · median $3,430 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,600 – $10,341 · median $3,430 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $2,600 – $23,403 · median $3,430 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,600 – $11,580 · median $3,430 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $2,600 – $29,553 · median $3,430 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,600 – $18,048 · median $3,430 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $2,600 – $12,358 · median $3,430 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $2,600 – $29,376 · median $3,430 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $2,600 – $16,844 · median $3,430 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,600 – $11,827 · median $3,430 | 17 plans |
| 088 | CONCUSSION WITH MCC | $2,600 – $17,479 · median $3,430 | 17 plans |
| 089 | CONCUSSION WITH CC | $2,600 – $14,205 · median $3,430 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,600 – $10,644 · median $3,430 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $2,600 – $22,708 · median $3,430 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,600 – $13,227 · median $3,430 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,600 – $10,296 · median $3,430 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $2,600 – $45,506 · median $3,430 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $2,600 – $33,349 · median $3,430 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,600 – $33,349 · median $3,430 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $2,600 – $46,701 · median $3,430 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,600 – $29,673 · median $3,430 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,600 – $17,616 · median $3,430 | 17 plans |
| 100 | SEIZURES WITH MCC | $2,600 – $25,043 · median $3,430 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $2,600 – $11,671 · median $3,430 | 17 plans |
| 102 | HEADACHES WITH MCC | $2,600 – $14,493 · median $3,430 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $2,600 – $10,813 · median $3,430 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $2,600 – $30,400 · median $3,430 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,600 – $17,494 · median $3,430 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,600 – $19,846 · median $3,430 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $2,600 – $23,379 · median $3,430 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $2,600 – $14,028 · median $3,430 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,600 – $15,041 · median $3,430 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,600 – $10,160 · median $3,430 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,600 – $10,326 · median $3,430 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $2,600 – $17,108 · median $3,430 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,600 – $9,928 · median $3,430 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,600 – $27,350 · median $3,430 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,600 – $13,969 · median $3,430 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,600 – $19,307 · median $3,430 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,600 – $11,459 · median $3,430 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,600 – $15,627 · median $3,430 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $2,600 – $55,150 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $2,600 – $28,202 · median $3,430 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $2,600 – $20,641 · median $3,430 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $2,600 – $48,444 · median $3,430 | 17 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $2,600 – $22,406 · median $3,430 | 17 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $15,546 · median $3,430 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $2,600 – $27,378 · median $3,430 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $2,600 – $16,440 · median $3,430 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,600 – $10,307 · median $3,430 | 17 plans |
| 149 | DYSEQUILIBRIUM | $2,600 – $9,718 · median $3,430 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $2,600 – $17,216 · median $3,430 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,600 – $9,491 · median $3,430 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $2,600 – $15,286 · median $3,430 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,600 – $9,545 · median $3,430 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $2,600 – $20,216 · median $3,430 | 17 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,600 – $11,850 · median $3,430 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,600 – $8,936 · median $3,430 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $2,600 – $22,198 · median $3,430 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,600 – $11,764 · median $3,430 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,600 – $9,161 · median $3,430 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $2,600 – $57,950 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $2,600 – $32,635 · median $3,430 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,600 – $24,751 · median $3,430 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $2,600 – $48,328 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $2,600 – $23,318 · median $3,430 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $17,668 · median $3,430 | 17 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $2,600 – $38,485 · median $3,430 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $2,600 – $17,761 · median $3,430 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,600 – $10,409 · median $3,430 | 17 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,600 – $20,206 · median $3,430 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,600 – $13,930 · median $3,430 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,600 – $10,002 · median $3,430 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,600 – $22,834 · median $3,430 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,600 – $13,848 · median $3,430 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,600 – $9,620 · median $3,430 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $2,600 – $19,782 · median $3,430 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $2,600 – $13,759 · median $3,430 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,600 – $10,169 · median $3,430 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $2,600 – $20,151 · median $3,430 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $2,600 – $12,789 · median $3,430 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,600 – $9,273 · median $3,430 | 17 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,600 – $15,974 · median $3,430 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,600 – $14,323 · median $3,430 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,600 – $10,900 · median $3,430 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,600 – $8,301 · median $3,430 | 17 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,600 – $16,995 · median $3,430 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,600 – $10,420 · median $3,430 | 17 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,600 – $8,127 · median $3,430 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $2,600 – $24,401 · median $3,430 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,600 – $12,272 · median $3,430 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,600 – $9,260 · median $3,430 | 17 plans |
| 199 | PNEUMOTHORAX WITH MCC | $2,600 – $22,810 · median $3,430 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,600 – $14,214 · median $3,430 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,600 – $9,246 · median $3,430 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,600 – $12,558 · median $3,430 | 17 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,600 – $8,663 · median $3,430 | 17 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,600 – $10,440 · median $3,430 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,600 – $23,675 · median $3,430 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,600 – $12,168 · median $3,430 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,600 – $83,201 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $2,600 – $35,541 · median $3,430 | 17 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $2,600 – $140,602 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,600 – $138,590 · median $48,050 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,600 – $126,492 · median $48,050 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,600 – $85,019 · median $41,344 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,600 – $85,019 · median $40,919 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,600 – $99,280 · median $48,050 | 17 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,600 – $68,953 · median $33,531 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,600 – $65,170 · median $31,691 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $2,600 – $70,944 · median $31,108 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,600 – $49,303 · median $19,803 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,600 – $108,999 · median $48,050 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,600 – $78,389 · median $38,120 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,600 – $98,852 · median $48,050 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,600 – $70,633 · median $34,348 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,600 – $75,881 · median $36,900 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,600 – $54,161 · median $26,338 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $2,600 – $63,638 | 17 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $2,600 – $36,857 · median $3,430 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,600 – $17,900 · median $3,430 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,600 – $41,283 · median $20,075 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,600 – $28,058 · median $13,398 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,600 – $24,300 · median $11,365 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $2,600 – $58,992 · median $24,300 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $2,600 – $28,220 · median $13,723 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $2,600 – $24,300 · median $9,397 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $2,600 – $45,104 · median $3,430 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $2,600 – $33,561 · median $3,430 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $2,600 – $23,037 · median $3,430 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $2,600 – $34,877 · median $3,430 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $2,600 – $21,954 · median $3,430 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $2,600 – $14,122 · median $3,430 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $2,600 – $48,050 · median $19,757 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $2,600 – $48,050 · median $12,714 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $2,600 – $48,050 · median $20,453 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $2,600 – $45,245 · median $11,887 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,600 – $48,050 · median $10,248 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $2,600 – $39,532 · median $3,430 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $2,600 – $43,194 · median $3,430 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $2,600 – $46,783 · median $3,430 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $2,600 – $83,378 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $2,600 – $65,676 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $2,600 – $88,931 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $2,600 – $54,606 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $2,600 – $68,223 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $2,600 – $45,983 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $2,600 – $33,010 · median $3,430 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $2,600 – $53,343 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $2,600 – $42,562 · median $3,430 | 17 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $2,600 – $92,196 | 17 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $2,600 – $77,665 | 17 plans |
| 277 | CELLULITIS AGE >17 W CC | — | 17 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $2,600 – $71,971 | 17 plans |
| 279 | CELLULITIS AGE 0-17 | $2,600 – $46,631 · median $3,430 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $2,600 – $20,741 · median $3,430 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $2,600 – $11,884 · median $3,430 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,600 – $9,350 · median $3,430 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $2,600 – $25,612 · median $3,430 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,600 – $8,950 · median $3,430 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,600 – $7,744 · median $3,430 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,600 – $28,612 · median $3,430 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,600 – $13,836 · median $3,430 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $2,600 – $34,991 · median $3,430 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $2,600 – $22,070 · median $3,430 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $2,600 – $12,021 · median $3,430 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $2,600 – $16,600 · median $3,430 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,600 – $10,978 · median $3,430 | 17 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,600 – $7,318 · median $3,430 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $2,600 – $20,195 · median $3,430 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,600 – $8,062 · median $3,430 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,600 – $5,884 · median $2,862 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $2,600 – $21,111 · median $3,430 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $2,600 – $13,803 · median $3,430 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,600 – $9,306 · median $3,430 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $2,600 – $15,472 · median $3,430 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,600 – $8,704 · median $3,430 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $2,600 – $15,387 · median $3,430 | 17 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,600 – $9,763 · median $3,430 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,600 – $20,375 · median $3,430 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,600 – $11,808 · median $3,430 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,600 – $15,568 · median $3,430 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,600 – $9,513 · median $3,430 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,600 – $7,320 · median $3,430 | 17 plans |
| 311 | ANGINA PECTORIS | $2,600 – $9,076 · median $3,430 | 17 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,600 – $11,270 · median $3,430 | 17 plans |
| 313 | CHEST PAIN | $2,600 – $9,310 · median $3,430 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $2,600 – $26,962 · median $3,430 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,600 – $12,455 · median $3,430 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,600 – $8,820 · median $3,430 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $2,600 – $57,705 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $2,600 – $31,101 · median $3,430 | 17 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $2,600 – $35,180 · median $3,430 | 17 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $2,600 – $55,953 | 17 plans |
| 324 | URINARY STONES W/O CC | $2,600 – $40,742 · median $3,430 | 17 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $2,600 – $41,510 · median $3,430 | 17 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,600 – $64,487 | 17 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $2,600 – $31,604 · median $3,430 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,600 – $20,718 · median $3,430 | 17 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,600 – $59,433 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,600 – $30,996 · median $3,430 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,600 – $21,760 · median $3,430 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $2,600 – $46,816 · median $3,430 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $2,600 – $30,285 · median $3,430 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,600 – $21,178 · median $3,430 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $2,600 – $46,172 · median $3,430 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $2,600 – $27,265 · median $3,430 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,600 – $19,848 · median $3,430 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,600 – $33,396 · median $3,430 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,600 – $19,456 · median $3,430 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,600 – $15,338 · median $3,430 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $2,600 – $29,682 · median $3,430 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,600 – $16,923 · median $3,430 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,600 – $11,257 · median $3,430 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $2,600 – $32,220 · median $3,430 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,600 – $19,712 · median $3,430 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,600 – $15,100 · median $3,430 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $2,600 – $37,523 · median $3,430 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,600 – $21,753 · median $3,430 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,600 – $17,391 · median $3,430 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $2,600 – $56,799 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $2,600 – $30,069 · median $3,430 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $18,075 · median $3,430 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $2,600 – $20,583 · median $3,430 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,600 – $12,933 · median $3,430 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,600 – $9,061 · median $3,430 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $2,600 – $22,926 · median $3,430 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,600 – $13,202 · median $3,430 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,600 – $9,405 · median $3,430 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,600 – $27,653 · median $3,430 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,600 – $15,640 · median $3,430 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,600 – $11,951 · median $3,430 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $2,600 – $23,636 · median $3,430 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,600 – $12,680 · median $3,430 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,600 – $8,151 · median $3,430 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,600 – $25,371 · median $3,430 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $2,600 – $14,010 · median $3,430 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,600 – $10,352 · median $3,430 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,600 – $17,852 · median $3,430 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,600 – $11,053 · median $3,430 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $2,600 – $20,459 · median $3,430 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,600 – $12,624 · median $3,430 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,600 – $8,809 · median $3,430 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,600 – $19,095 · median $3,430 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,600 – $10,212 · median $3,430 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,600 – $7,034 · median $3,421 | 17 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,600 – $16,399 · median $3,430 | 17 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,600 – $10,080 · median $3,430 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,600 – $20,679 · median $3,430 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $2,600 – $12,099 · median $3,430 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,600 – $8,392 · median $3,430 | 17 plans |
| 397 | COAGULATION DISORDERS | $2,600 – $30,966 · median $3,430 | 17 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $2,600 – $19,571 · median $3,430 | 17 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $2,600 – $14,801 · median $3,430 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $2,600 – $70,734 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $2,600 – $37,500 · median $3,430 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $2,600 – $28,699 · median $3,430 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $2,600 – $46,103 · median $3,430 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $2,600 – $28,152 · median $3,430 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,600 – $20,529 · median $3,430 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $2,600 – $42,712 · median $3,430 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $2,600 – $27,185 · median $3,430 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,600 – $21,470 · median $3,430 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $2,600 – $46,064 · median $3,430 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $2,600 – $26,722 · median $3,430 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,600 – $17,627 · median $3,430 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,600 – $30,856 · median $3,430 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,600 – $21,872 · median $3,430 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,600 – $17,660 · median $3,430 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $2,600 – $44,054 · median $3,430 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $2,600 – $22,466 · median $3,430 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,600 – $18,096 · median $3,430 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $2,600 – $53,698 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $2,600 – $28,290 · median $3,430 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $19,399 · median $3,430 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $2,600 – $25,449 · median $3,430 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,600 – $13,657 · median $3,430 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,600 – $9,213 · median $3,430 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $2,600 – $23,749 · median $3,430 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,600 – $14,625 · median $3,430 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,600 – $11,033 · median $3,430 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,600 – $21,078 · median $3,430 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,600 – $10,877 · median $3,430 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,600 – $8,035 · median $3,430 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $2,600 – $23,205 · median $3,430 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,600 – $12,481 · median $3,430 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,600 – $9,047 · median $3,430 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $2,600 – $21,605 · median $3,430 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $2,600 – $14,151 · median $3,430 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,600 – $10,697 · median $3,430 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $2,600 – $108,656 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | — | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | — | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $2,600 – $69,313 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $2,600 – $35,104 · median $3,430 | 17 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,600 – $73,695 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,600 – $40,273 · median $3,430 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,600 – $23,580 · median $3,430 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $2,600 – $67,306 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $2,600 – $45,599 · median $3,430 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $2,600 – $35,532 · median $3,430 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $2,600 – $39,219 · median $3,430 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $2,600 – $24,941 · median $3,430 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $2,600 – $38,093 · median $3,430 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $2,600 – $31,566 · median $3,430 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,600 – $55,507 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,600 – $29,425 · median $3,430 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,600 – $15,260 · median $3,430 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,600 – $44,668 · median $3,430 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,600 – $31,797 · median $3,430 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,600 – $24,036 · median $3,430 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $2,600 – $37,656 · median $3,430 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $2,600 – $27,082 · median $3,430 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,600 – $21,089 · median $3,430 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $2,600 – $35,841 · median $3,430 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $2,600 – $41,726 · median $3,430 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $2,600 – $27,038 · median $3,430 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,600 – $20,251 · median $3,430 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $2,600 – $21,472 · median $3,430 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,600 – $14,440 · median $3,430 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $2,600 – $47,474 · median $3,430 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $2,600 – $32,792 · median $3,430 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $2,600 – $25,944 · median $3,430 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $2,600 – $46,880 · median $3,430 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $2,600 – $23,324 · median $3,430 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,600 – $14,921 · median $3,430 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $2,600 – $39,007 · median $3,430 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $2,600 – $26,051 · median $3,430 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,600 – $40,921 · median $3,430 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $2,600 – $22,603 · median $3,430 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,600 – $17,402 · median $3,430 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $2,600 – $36,089 · median $3,430 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $2,600 – $24,169 · median $3,430 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $2,600 – $23,181 · median $3,430 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,600 – $15,511 · median $3,430 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $2,600 – $23,357 · median $3,430 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,600 – $19,581 · median $3,430 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $2,600 – $39,055 · median $3,430 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $2,600 – $26,887 · median $3,430 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $2,600 – $21,404 · median $3,430 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,600 – $20,356 · median $3,430 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $2,600 – $13,218 · median $3,430 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $2,600 – $41,207 · median $3,430 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $2,600 – $26,870 · median $3,430 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $19,870 · median $3,430 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $2,600 – $48,323 · median $3,430 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $2,600 – $25,863 · median $3,430 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $2,600 – $19,316 · median $3,430 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $2,600 – $37,112 · median $3,430 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $2,600 – $27,382 · median $3,430 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $2,600 – $20,270 · median $3,430 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,600 – $10,423 · median $3,430 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,600 – $16,576 · median $3,430 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,600 – $10,442 · median $3,430 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $2,600 – $12,339 · median $3,430 | 17 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,600 – $9,313 · median $3,430 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,600 – $25,468 · median $3,430 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $2,600 – $16,761 · median $3,430 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,600 – $10,165 · median $3,430 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $2,600 – $22,841 · median $3,430 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,600 – $13,292 · median $3,430 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,600 – $9,757 · median $3,430 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $2,600 – $32,088 · median $3,430 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,600 – $14,913 · median $3,430 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,600 – $10,812 · median $3,430 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $2,600 – $24,967 · median $3,430 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,600 – $15,609 · median $3,430 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,600 – $11,302 · median $3,430 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,600 – $21,672 · median $3,430 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,600 – $12,430 · median $3,430 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $2,600 – $16,761 · median $3,430 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,600 – $10,733 · median $3,430 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,600 – $17,091 · median $3,430 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,600 – $10,740 · median $3,430 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,600 – $19,226 · median $3,430 | 17 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,600 – $11,549 · median $3,430 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,600 – $24,113 · median $3,430 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,600 – $14,560 · median $3,430 | 17 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,600 – $10,394 · median $3,430 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $2,600 – $18,423 · median $3,430 | 17 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $2,600 – $11,579 · median $3,430 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,600 – $19,959 · median $3,430 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $2,600 – $12,599 · median $3,430 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,226 – $9,688 · median $2,677 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $2,600 – $38,028 · median $3,430 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $2,600 – $21,845 · median $3,430 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,600 – $14,822 · median $3,430 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,600 – $84,710 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,600 – $44,885 · median $3,430 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,600 – $21,122 · median $3,430 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,600 – $63,373 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,600 – $34,274 · median $3,430 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,600 – $20,771 · median $3,430 | 17 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $2,600 – $41,874 · median $3,430 | 17 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $2,600 – $22,343 · median $3,430 | 17 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,600 – $18,659 · median $3,430 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $2,600 – $24,911 · median $3,430 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $2,600 – $22,296 · median $3,430 | 17 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $2,600 – $27,679 · median $3,430 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $2,600 – $24,943 · median $3,430 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $2,600 – $25,023 · median $3,430 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $2,600 – $15,339 · median $3,430 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,600 – $11,208 · median $3,430 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $2,600 – $27,421 · median $3,430 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,600 – $13,997 · median $3,430 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $2,600 – $21,556 · median $3,430 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,600 – $14,628 · median $3,430 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,600 – $9,480 · median $3,430 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $2,600 – $13,468 · median $3,430 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,600 – $7,823 · median $3,430 | 17 plans |
| 602 | CELLULITIS WITH MCC | $2,600 – $18,377 · median $3,430 | 17 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,600 – $11,261 · median $3,430 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $2,600 – $19,034 · median $3,430 | 17 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,600 – $11,844 · median $3,430 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,600 – $19,566 · median $3,430 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,600 – $11,720 · median $3,430 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,600 – $28,340 · median $3,430 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,600 – $18,093 · median $3,430 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,600 – $45,092 · median $3,430 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,600 – $24,183 · median $3,430 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,600 – $18,339 · median $3,430 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,600 – $46,020 · median $3,430 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,600 – $23,195 · median $3,430 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,600 – $16,187 · median $3,430 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $2,600 – $39,050 · median $3,430 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,600 – $19,387 · median $3,430 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,600 – $17,175 · median $3,430 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $2,600 – $48,188 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $2,600 – $28,172 · median $3,430 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $18,871 · median $3,430 | 17 plans |
| 637 | DIABETES WITH MCC | $2,600 – $18,577 · median $3,430 | 17 plans |
| 638 | DIABETES WITH CC | $2,600 – $11,588 · median $3,430 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,600 – $8,032 · median $3,430 | 17 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,600 – $17,269 · median $3,430 | 17 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,600 – $10,062 · median $3,430 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,600 – $18,388 · median $3,430 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $2,600 – $21,284 · median $3,430 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $2,600 – $13,253 · median $3,430 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,600 – $9,934 · median $3,430 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $2,600 – $67,189 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $2,600 – $36,195 · median $3,430 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,600 – $27,368 · median $3,430 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $2,600 – $41,167 · median $3,430 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $2,600 – $23,662 · median $3,430 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,600 – $20,065 · median $3,430 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $2,600 – $36,706 · median $3,430 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,600 – $19,283 · median $3,430 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $2,600 – $15,638 · median $3,430 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $2,600 – $39,585 · median $3,430 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,600 – $19,656 · median $3,430 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,600 – $13,838 · median $3,430 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $2,600 – $40,357 · median $3,430 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $2,600 – $22,618 · median $3,430 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,600 – $14,303 · median $3,430 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $2,600 – $37,756 · median $3,430 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,600 – $20,067 · median $3,430 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,600 – $12,636 · median $3,430 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $2,600 – $23,209 · median $3,430 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $2,600 – $13,958 · median $3,430 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $2,600 – $54,327 | 17 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $2,600 – $30,238 · median $3,430 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,600 – $21,223 · median $3,430 | 17 plans |
| 682 | RENAL FAILURE WITH MCC | $2,600 – $19,149 · median $3,430 | 17 plans |
| 683 | RENAL FAILURE WITH CC | $2,600 – $11,324 · median $3,430 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,600 – $7,762 · median $3,430 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $2,600 – $23,322 · median $3,430 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $2,600 – $13,548 · median $3,430 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,600 – $10,219 · median $3,430 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,600 – $15,003 · median $3,430 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,600 – $10,467 · median $3,430 | 17 plans |
| 693 | URINARY STONES WITH MCC | $2,600 – $17,384 · median $3,430 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,600 – $10,107 · median $3,430 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,600 – $14,789 · median $3,430 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,600 – $8,909 · median $3,430 | 17 plans |
| 697 | URETHRAL STRICTURE | $2,600 – $13,936 · median $3,430 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $2,600 – $21,391 · median $3,430 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $2,600 – $13,124 · median $3,430 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,600 – $8,920 · median $3,430 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,600 – $25,864 · median $3,430 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,600 – $19,837 · median $3,430 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $2,600 – $30,089 · median $3,430 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,600 – $18,118 · median $3,430 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $2,600 – $26,944 · median $3,430 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $2,600 – $14,219 · median $3,430 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,600 – $19,439 · median $3,430 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,600 – $13,672 · median $3,430 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $2,600 – $28,928 · median $3,430 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,600 – $19,020 · median $3,430 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $2,600 – $24,444 · median $3,430 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,600 – $17,366 · median $3,430 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $2,600 – $23,399 · median $3,430 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $2,600 – $14,775 · median $3,430 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,600 – $8,150 · median $3,430 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $2,600 – $15,131 · median $3,430 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,600 – $9,335 · median $3,430 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,600 – $19,174 · median $3,430 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,600 – $10,489 · median $3,430 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $2,600 – $13,689 · median $3,430 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,600 – $8,689 · median $3,430 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,600 – $27,541 · median $3,430 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,600 – $17,397 · median $3,430 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $2,600 – $46,218 · median $3,430 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $2,600 – $26,644 · median $3,430 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,600 – $18,988 · median $3,430 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $2,600 – $45,595 | 17 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,600 – $23,398 · median $3,430 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,600 – $18,439 · median $3,430 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,600 – $23,724 · median $3,430 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,600 – $16,042 · median $3,430 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,600 – $26,495 · median $3,430 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,600 – $14,708 · median $3,430 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,600 – $22,461 · median $3,430 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,600 – $10,855 · median $3,430 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,600 – $17,938 · median $3,430 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,600 – $33,199 · median $3,430 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $19,082 · median $3,430 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,600 – $23,813 · median $3,430 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,600 – $14,065 · median $3,430 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,600 – $12,419 · median $3,430 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,600 – $18,514 · median $3,430 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,600 – $12,658 · median $3,430 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,600 – $8,580 · median $3,430 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,600 – $13,027 · median $3,430 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,600 – $7,365 · median $3,430 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,600 – $13,856 · median $4,491 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,600 – $21,849 · median $3,430 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,600 – $8,683 · median $3,430 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,600 – $31,744 · median $6,630 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,600 – $13,707 · median $6,630 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,600 – $12,384 · median $6,022 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,600 – $21,328 · median $6,630 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,600 – $14,440 · median $6,630 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,600 – $12,397 · median $6,029 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,118 – $23,302 · median $2,677 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,600 – $76,849 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,600 – $52,483 · median $3,430 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,600 – $31,668 · median $3,430 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,600 – $53,913 · median $3,430 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,600 – $19,083 · median $3,430 | 17 plans |
| 795 | NORMAL NEWBORN | $1,256 – $3,430 · median $2,600 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,600 – $15,790 · median $4,491 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,600 – $12,935 · median $4,491 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,600 – $12,375 · median $4,491 | 17 plans |
| 799 | SPLENECTOMY WITH MCC | $2,600 – $58,559 | 17 plans |
| 800 | SPLENECTOMY WITH CC | $2,600 – $36,326 · median $3,430 | 17 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $2,600 – $24,682 · median $3,430 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,600 – $51,514 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,600 – $24,036 · median $3,430 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,600 – $17,533 · median $3,430 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,600 – $13,954 · median $4,491 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,600 – $9,749 · median $4,491 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,600 – $8,717 · median $4,239 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $2,600 – $28,548 · median $3,430 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,600 – $16,368 · median $3,430 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,600 – $13,533 · median $3,430 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,600 – $18,158 · median $3,430 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,600 – $11,872 · median $3,430 | 17 plans |
| 813 | COAGULATION DISORDERS | $2,600 – $19,722 · median $3,430 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $2,600 – $27,498 · median $3,430 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,600 – $13,111 · median $3,430 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,600 – $8,172 · median $3,430 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,600 – $27,228 · median $3,430 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,600 – $14,611 · median $3,430 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $11,119 · median $3,430 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $2,600 – $75,832 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,600 – $28,945 · median $3,430 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $15,568 · median $3,430 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $2,600 – $59,281 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,600 – $29,294 · median $3,430 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,600 – $17,448 · median $3,430 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $2,600 – $60,484 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,600 – $29,884 · median $3,430 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $22,030 · median $3,430 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,600 – $40,859 · median $3,430 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,600 – $19,460 · median $3,430 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,600 – $15,548 · median $3,430 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,600 – $9,330 · median $3,430 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $6,761 · median $3,288 | 17 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $2,600 – $70,984 | 17 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $2,600 – $26,969 · median $3,430 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $15,768 · median $3,430 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,600 – $62,120 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,600 – $26,990 · median $3,430 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,600 – $18,670 · median $3,430 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,600 – $41,827 · median $3,430 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,600 – $21,094 · median $3,430 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,600 – $13,064 · median $3,430 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,600 – $25,793 · median $3,430 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,943 – $15,741 · median $2,677 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,600 – $11,011 · median $3,430 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,600 – $33,521 · median $3,430 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,600 – $16,915 · median $3,430 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,600 – $10,983 · median $3,430 | 17 plans |
| 849 | RADIOTHERAPY | $2,600 – $35,034 · median $3,430 | 17 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,600 – $63,856 | 17 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,600 – $25,835 · median $3,430 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $19,359 · median $3,430 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,600 – $58,815 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,600 – $27,690 · median $3,430 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,600 – $18,010 · median $3,430 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $2,600 – $23,580 · median $3,430 | 17 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,600 – $12,903 · median $3,430 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,600 – $11,478 · median $3,430 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,600 – $19,373 · median $3,430 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,600 – $11,244 · median $3,430 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $2,600 – $27,065 · median $3,430 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,600 – $13,332 · median $3,430 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,600 – $9,435 · median $3,430 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $2,600 – $89,370 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $2,600 – $25,117 · median $3,430 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,600 – $13,231 · median $3,430 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $665 – $25,424 · median $2,677 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $665 – $18,304 · median $2,677 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $2,600 – $54,262 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $2,600 – $24,754 · median $3,430 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,600 – $15,123 · median $3,430 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $2,600 – $47,493 · median $3,430 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,600 – $18,513 · median $3,430 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $2,600 – $22,788 · median $3,430 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $2,600 – $49,642 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $2,600 – $25,798 · median $3,430 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,600 – $16,973 · median $3,430 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $2,600 – $21,135 · median $3,430 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,600 – $11,450 · median $3,430 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,600 – $21,743 · median $3,430 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,600 – $8,615 · median $3,430 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,600 – $20,279 · median $3,430 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,600 – $11,082 · median $3,430 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $2,600 – $23,672 · median $3,430 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,600 – $12,960 · median $3,430 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,600 – $8,901 · median $3,430 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $2,600 – $22,620 · median $3,430 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,600 – $13,159 · median $2,843 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,600 – $46,917 · median $3,430 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $2,600 – $30,216 · median $3,430 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $2,600 – $26,218 · median $3,430 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,600 – $16,413 · median $3,430 | 17 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,600 – $10,350 · median $3,430 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,600 – $15,383 · median $3,430 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,600 – $8,651 · median $3,430 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,600 – $8,525 · median $3,430 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,600 – $87,033 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $2,600 – $48,656 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,600 – $98,525 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,600 – $54,486 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,600 – $38,067 · median $3,430 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,600 – $35,348 · median $3,430 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,600 – $19,817 · median $3,430 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,600 – $12,161 · median $3,430 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $2,600 – $79,148 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $2,600 – $34,102 · median $3,430 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $2,600 – $37,316 · median $3,430 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,600 – $16,744 · median $3,430 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,600 – $11,566 · median $3,430 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $2,600 – $16,390 · median $3,430 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,600 – $60,665 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,600 – $31,788 · median $3,430 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,600 – $22,162 · median $3,430 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,600 – $44,329 · median $3,430 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,600 – $21,252 · median $3,430 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,600 – $15,506 · median $3,430 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | — | 16 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $2,600 – $22,796 · median $6,881 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $2,600 – $33,522 · median $3,054 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,600 – $19,740 · median $3,054 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,600 – $17,021 · median $3,054 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | — | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $2,600 – $47,916 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,600 – $10,288 · median $3,054 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $2,600 – $8,632 · median $3,054 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $665 – $49,973 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $665 – $12,415 · median $2,648 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $665 – $12,166 · median $2,648 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $665 – $13,884 · median $2,648 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $665 – $20,803 · median $2,648 | 16 plans |
| 885 | PSYCHOSES | $665 – $18,061 · median $2,648 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $665 – $26,834 · median $2,648 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $665 – $13,847 · median $2,648 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $665 – $7,977 · median $2,648 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $665 – $22,564 · median $2,648 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $665 – $11,415 · median $2,648 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,600 – $238,302 · median $62,306 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,600 – $92,743 · median $21,868 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,600 – $41,645 · median $10,823 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $2,600 – $49,350 · median $13,058 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $2,600 – $28,583 · median $7,613 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $2,600 – $26,636 · median $7,414 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $2,600 – $62,559 | 15 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $2,600 – $362,349 · median $89,442 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $2,600 – $133,315 · median $33,753 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 12 plans |
| 007 | LUNG TRANSPLANT | — | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 12 plans |
| 010 | PANCREAS TRANSPLANT | $2,600 – $47,023 · median $17,076 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $2,600 – $41,757 · median $11,492 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,575 – $20,023 · median $2,609 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,575 – $14,828 · median $2,609 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $2,600 – $15,617 · median $2,609 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,600 – $6,932 · median $2,609 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,600 – $6,780 · median $2,609 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $2,600 – $8,990 · median $2,609 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,600 – $4,934 · median $2,609 | 10 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $2,600 – $136,828 | 10 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $2,600 – $44,798 | 10 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $2,600 – $73,079 | 10 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $2,600 – $88,487 | 10 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $2,600 – $39,864 | 10 plans |
| 509 | ARTHROSCOPY | $2,600 – $68,126 · median $2,609 | 10 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $2,600 – $5,689 · median $2,609 | 10 plans |
| 999 | UNGROUPABLE | $2,600 – $10,883 · median $2,609 | 10 plans |
No procedures match that keyword.