Affiliate of Vitruvian Health — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 766
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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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,521 – $23,679 · median $8,724 | 40 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,521 – $30,765 · median $12,326 | 39 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,521 – $18,662 · median $7,484 | 39 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,521 – $16,107 · median $6,462 | 39 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,521 – $30,404 · median $12,181 | 39 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,521 – $19,099 · median $7,659 | 39 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,521 – $15,924 · median $6,389 | 39 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,521 – $25,044 · median $10,037 | 39 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,521 – $18,205 · median $7,269 | 39 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,521 – $15,602 · median $6,260 | 39 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,521 – $18,404 · median $7,381 | 39 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,521 – $14,171 · median $5,688 | 39 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,521 – $12,675 · median $5,090 | 39 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,521 – $347,207 · median $138,902 | 36 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $1,521 – $240,041 · median $96,036 | 36 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | — | 36 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $1,521 – $66,913 · median $26,785 | 36 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | — | 36 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | — | 36 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | — | 36 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | — | 36 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | — | 36 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | — | 36 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | — | 36 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | — | 36 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | — | 36 plans |
| 028 | SPINAL PROCEDURES WITH MCC | — | 36 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | — | 36 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $1,521 – $39,623 · median $15,869 | 36 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | — | 36 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $1,521 – $47,152 · median $14,799 | 36 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $1,521 – $34,729 · median $11,361 | 36 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | — | 36 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | — | 36 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $1,521 – $31,354 · median $12,561 | 36 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | — | 36 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $1,521 – $27,982 · median $11,213 | 36 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,521 – $20,554 · median $8,241 | 36 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | — | 36 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $1,521 – $38,193 · median $15,297 | 36 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $1,521 – $30,247 · median $12,118 | 36 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $1,521 – $33,561 · median $13,444 | 36 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,521 – $18,009 · median $7,223 | 36 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $1,521 – $25,936 · median $10,394 | 36 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $1,521 – $21,967 · median $7,802 | 36 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $1,521 – $30,054 · median $12,041 | 36 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $1,521 – $21,302 · median $8,540 | 36 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,521 – $16,611 · median $6,664 | 36 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | — | 36 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $1,521 – $32,382 · median $12,972 | 36 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $1,521 – $27,806 · median $10,480 | 36 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $1,521 – $34,507 · median $13,823 | 36 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $1,521 – $18,537 · median $7,434 | 36 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,521 – $13,213 · median $5,305 | 36 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $1,521 – $26,624 · median $10,028 | 36 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $1,521 – $16,183 · median $6,493 | 36 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,521 – $15,013 · median $6,025 | 36 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $1,521 – $31,051 · median $12,424 | 36 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $1,521 – $19,272 · median $7,728 | 36 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,521 – $14,759 · median $5,923 | 36 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $1,521 – $26,576 · median $10,650 | 36 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,521 – $18,696 · median $7,484 | 36 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $1,521 – $33,064 · median $12,929 | 36 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,397 – $17,017 · median $6,805 | 36 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $1,521 – $26,542 · median $10,636 | 36 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $1,521 – $18,545 · median $7,438 | 36 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $1,521 – $14,076 · median $5,650 | 36 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,521 – $37,837 · median $14,858 | 36 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,453 – $16,806 · median $6,726 | 36 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $1,521 – $38,964 · median $15,605 | 36 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $1,521 – $24,041 · median $9,636 | 36 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $1,521 – $16,972 · median $6,808 | 36 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $1,521 – $38,875 · median $15,570 | 36 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $1,521 – $23,404 · median $9,381 | 36 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $1,521 – $16,429 · median $6,591 | 36 plans |
| 088 | CONCUSSION WITH MCC | $1,521 – $26,912 · median $10,784 | 36 plans |
| 089 | CONCUSSION WITH CC | $1,521 – $20,698 · median $8,299 | 36 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,521 – $17,216 · median $6,890 | 36 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,521 – $31,047 · median $12,438 | 36 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,521 – $18,694 · median $7,497 | 36 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,521 – $14,619 · median $5,867 | 36 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $1,521 – $60,817 · median $24,310 | 36 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $1,521 – $40,678 · median $16,291 | 36 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,521 – $37,368 · median $14,950 | 36 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $1,521 – $60,956 · median $24,402 | 36 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $1,521 – $36,960 · median $14,804 | 36 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $1,521 – $23,455 · median $9,385 | 36 plans |
| 100 | SEIZURES WITH MCC | $1,521 – $34,176 · median $13,674 | 36 plans |
| 101 | SEIZURES WITHOUT MCC | $1,521 – $16,808 · median $6,726 | 36 plans |
| 102 | HEADACHES WITH MCC | $1,521 – $21,616 · median $8,666 | 36 plans |
| 103 | HEADACHES WITHOUT MCC | $1,521 – $15,720 · median $6,291 | 36 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $1,521 – $42,671 · median $17,072 | 36 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $1,521 – $22,024 · median $8,829 | 36 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $1,521 – $27,408 · median $10,983 | 36 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $1,521 – $55,314 · median $12,708 | 36 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $1,521 – $21,483 · median $8,613 | 36 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,469 – $22,823 · median $8,791 | 36 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,164 – $14,135 · median $5,657 | 36 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,521 – $15,099 · median $6,059 | 36 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $1,521 – $23,482 · median $9,396 | 36 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,404 – $14,993 · median $6,001 | 36 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $1,521 – $45,015 · median $17,758 | 36 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $1,521 – $18,988 · median $7,615 | 36 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $1,521 – $26,441 · median $10,596 | 36 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $1,521 – $18,836 · median $6,459 | 36 plans |
| 139 | SALIVARY GLAND PROCEDURES | $1,521 – $21,310 · median $8,544 | 36 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $1,521 – $63,242 · median $25,316 | 36 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $1,521 – $35,620 · median $14,267 | 36 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $1,521 – $27,094 · median $10,857 | 36 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $1,521 – $55,917 · median $22,386 | 36 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $1,521 – $30,096 · median $12,058 | 36 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $21,850 · median $8,760 | 36 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $1,521 – $46,445 · median $14,522 | 36 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $1,521 – $22,088 · median $8,855 | 36 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,521 – $16,486 · median $6,614 | 36 plans |
| 149 | DYSEQUILIBRIUM | $1,341 – $14,139 · median $5,659 | 36 plans |
| 150 | EPISTAXIS WITH MCC | $1,521 – $23,362 · median $9,365 | 36 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,342 – $14,560 · median $5,827 | 36 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $1,521 – $21,318 · median $8,547 | 36 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,012 – $13,978 · median $5,259 | 36 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $1,521 – $26,984 · median $10,813 | 36 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $1,521 – $17,407 · median $6,982 | 36 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,521 – $12,695 · median $5,098 | 36 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $1,521 – $29,716 · median $11,906 | 36 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,521 – $17,276 · median $6,930 | 36 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,521 – $13,014 · median $5,225 | 36 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | — | 36 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | — | 36 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $1,521 – $32,458 · median $13,003 | 36 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,521 – $67,770 · median $27,127 | 36 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $1,521 – $31,542 · median $12,636 | 36 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $24,029 · median $9,631 | 36 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $1,521 – $24,795 · median $9,938 | 36 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,521 – $15,286 · median $6,134 | 36 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,521 – $29,544 · median $11,837 | 36 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,521 – $18,056 · median $7,242 | 36 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $1,521 – $14,440 · median $5,796 | 36 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $1,521 – $30,221 · median $12,108 | 36 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,521 – $19,908 · median $7,983 | 36 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,521 – $15,968 · median $6,025 | 36 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $1,521 – $27,571 · median $11,032 | 36 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,521 – $19,112 · median $7,664 | 36 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,329 – $14,317 · median $5,730 | 36 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $1,521 – $27,208 · median $10,903 | 36 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,521 – $18,211 · median $7,304 | 36 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,521 – $14,168 · median $5,687 | 36 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $1,521 – $22,027 · median $8,830 | 36 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,521 – $19,922 · median $7,989 | 36 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,521 – $15,827 · median $6,350 | 36 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,477 – $12,473 · median $5,009 | 36 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,521 – $23,558 · median $9,443 | 36 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,521 – $15,393 · median $6,177 | 36 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,315 – $12,211 · median $4,904 | 36 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $1,521 – $32,766 · median $13,126 | 36 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,521 – $18,231 · median $7,312 | 36 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,521 – $14,681 · median $5,892 | 36 plans |
| 199 | PNEUMOTHORAX WITH MCC | $1,521 – $30,802 · median $12,340 | 36 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,521 – $19,518 · median $7,827 | 36 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,521 – $13,514 · median $5,425 | 36 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,516 – $17,583 · median $7,037 | 36 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,026 – $13,333 · median $5,163 | 36 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,437 – $15,405 · median $6,165 | 36 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,521 – $31,388 · median $12,559 | 36 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,521 – $16,871 · median $6,768 | 36 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,521 – $113,907 · median $45,582 | 36 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $1,521 – $45,852 · median $18,360 | 36 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $1,521 – $179,016 · median $66,994 | 36 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $1,521 – $159,189 · median $63,695 | 36 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $1,521 – $105,122 · median $42,069 | 36 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | — | 36 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,521 – $162,279 · median $50,783 | 36 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | — | 36 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | — | 36 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | — | 36 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | — | 36 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $1,521 – $133,449 · median $53,399 | 36 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | — | 36 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $1,521 – $128,340 · median $51,356 | 36 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | — | 36 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | — | 36 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | — | 36 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | — | 36 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $1,521 – $47,558 · median $19,043 | 36 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $1,521 – $36,856 · median $9,879 | 36 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | — | 36 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $1,521 – $61,166 · median $15,601 | 36 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $1,521 – $40,418 · median $12,699 | 36 plans |
| 245 | AICD GENERATOR PROCEDURES | — | 36 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $1,521 – $71,461 · median $16,075 | 36 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $1,521 – $38,300 · median $11,128 | 36 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | — | 36 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | — | 36 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $1,521 – $30,171 · median $12,088 | 36 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | — | 36 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $1,521 – $42,163 · median $11,470 | 36 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $1,521 – $30,675 · median $7,270 | 36 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | — | 36 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $1,521 – $32,299 · median $12,939 | 36 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | — | 36 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $1,521 – $54,276 · median $13,038 | 36 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $1,521 – $44,444 · median $11,506 | 36 plans |
| 263 | VEIN LIGATION AND STRIPPING | — | 36 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | — | 36 plans |
| 265 | AICD LEAD PROCEDURES | — | 36 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | — | 36 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $1,521 – $100,708 · median $32,452 | 36 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $1,521 – $113,045 · median $45,237 | 36 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $1,521 – $69,401 · median $27,780 | 36 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $1,521 – $83,943 · median $33,597 | 36 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $1,521 – $58,031 · median $23,232 | 36 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | — | 36 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | — | 36 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | — | 36 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $1,521 – $29,274 · median $11,126 | 36 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $1,521 – $22,188 · median $6,765 | 36 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $1,521 – $21,452 · median $5,503 | 36 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $1,521 – $33,996 · median $13,618 | 36 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $1,521 – $14,058 · median $5,643 | 36 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,521 – $9,995 · median $4,017 | 36 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $1,521 – $36,978 · median $14,811 | 36 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,521 – $19,592 · median $7,857 | 36 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | — | 36 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,521 – $26,004 · median $10,421 | 36 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,521 – $19,649 · median $7,879 | 36 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $1,521 – $22,867 · median $9,166 | 36 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,521 – $15,948 · median $6,399 | 36 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,521 – $11,173 · median $4,489 | 36 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $1,521 – $19,788 · median $7,935 | 36 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,192 – $14,987 · median $5,898 | 36 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $1,521 – $28,036 · median $11,218 | 36 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,521 – $13,878 · median $5,571 | 36 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,521 – $10,750 · median $3,700 | 36 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $1,521 – $27,599 · median $11,059 | 36 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,521 – $19,356 · median $7,762 | 36 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,521 – $15,101 · median $5,449 | 36 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $1,521 – $29,595 · median $8,112 | 36 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,521 – $19,036 · median $5,114 | 36 plans |
| 304 | HYPERTENSION WITH MCC | $1,521 – $20,683 · median $8,293 | 36 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,269 – $14,281 · median $5,716 | 36 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,521 – $51,753 · median $10,898 | 36 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $1,521 – $42,591 · median $7,080 | 36 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $1,521 – $21,545 · median $8,637 | 36 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $1,521 – $14,139 · median $5,675 | 36 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,521 – $11,036 · median $4,434 | 36 plans |
| 311 | ANGINA PECTORIS | $1,094 – $13,384 · median $5,340 | 36 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,521 – $16,062 · median $6,428 | 36 plans |
| 313 | CHEST PAIN | $1,307 – $13,797 · median $5,522 | 36 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $1,521 – $35,972 · median $14,409 | 36 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,521 – $17,742 · median $7,116 | 36 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,521 – $13,297 · median $5,338 | 36 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | — | 36 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | — | 36 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $1,521 – $84,300 · median $33,740 | 36 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | — | 36 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $1,521 – $27,940 · median $11,196 | 36 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,521 – $75,200 · median $30,099 | 36 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,521 – $40,482 · median $16,213 | 36 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,521 – $29,149 · median $11,679 | 36 plans |
| 332 | RECTAL RESECTION WITH MCC | — | 36 plans |
| 333 | RECTAL RESECTION WITH CC | $1,521 – $35,746 · median $14,318 | 36 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $1,521 – $28,066 · median $11,246 | 36 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | — | 36 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $1,521 – $36,163 · median $14,485 | 36 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $1,521 – $26,307 · median $10,542 | 36 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | — | 36 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,521 – $27,022 · median $10,829 | 36 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,521 – $22,930 · median $9,192 | 36 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $1,521 – $43,347 · median $17,359 | 36 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $1,521 – $23,150 · median $9,280 | 36 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $1,521 – $17,880 · median $7,171 | 36 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $1,521 – $40,934 · median $16,393 | 36 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $1,521 – $25,646 · median $10,278 | 36 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $1,521 – $20,036 · median $8,034 | 36 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | — | 36 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $1,521 – $29,891 · median $11,976 | 36 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $1,521 – $24,141 · median $9,676 | 36 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $1,521 – $71,345 · median $28,558 | 36 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $1,521 – $37,645 · median $15,077 | 36 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $22,822 · median $9,148 | 36 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $1,521 – $28,826 · median $11,550 | 36 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,521 – $18,082 · median $7,252 | 36 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,487 – $14,123 · median $5,652 | 36 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $1,521 – $30,375 · median $12,170 | 36 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $1,521 – $18,956 · median $7,602 | 36 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $1,521 – $13,682 · median $5,492 | 36 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $1,521 – $36,061 · median $14,444 | 36 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $1,521 – $21,481 · median $8,612 | 36 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,521 – $17,841 · median $6,625 | 36 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $1,521 – $31,064 · median $12,445 | 36 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,521 – $18,009 · median $7,223 | 36 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,521 – $12,334 · median $4,953 | 36 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $1,521 – $33,625 · median $13,470 | 36 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,521 – $19,453 · median $7,801 | 36 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,521 – $14,339 · median $5,755 | 36 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $1,521 – $24,717 · median $9,906 | 36 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,491 – $16,259 · median $6,507 | 36 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,521 – $27,448 · median $10,999 | 36 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,521 – $17,812 · median $7,144 | 36 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,521 – $13,158 · median $5,283 | 36 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $1,521 – $25,612 · median $10,265 | 36 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $1,521 – $14,976 · median $6,010 | 36 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,473 – $11,133 · median $4,473 | 36 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $1,521 – $22,734 · median $9,097 | 36 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,391 – $14,801 · median $5,924 | 36 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $1,521 – $28,301 · median $11,340 | 36 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,521 – $17,250 · median $6,920 | 36 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,521 – $12,565 · median $5,046 | 36 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $1,521 – $91,199 · median $36,483 | 36 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | — | 36 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $1,521 – $36,903 · median $14,781 | 36 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | — | 36 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $1,521 – $38,422 · median $13,527 | 36 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $1,521 – $27,421 · median $10,988 | 36 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | — | 36 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $1,521 – $39,351 · median $14,231 | 36 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $1,521 – $28,955 · median $10,628 | 36 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | — | 36 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $1,521 – $34,067 · median $13,646 | 36 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $1,521 – $27,140 · median $9,524 | 36 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $1,521 – $39,603 · median $15,861 | 36 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $1,521 – $28,546 · median $11,438 | 36 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $1,521 – $23,341 · median $9,356 | 36 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $1,521 – $53,897 · median $21,496 | 36 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $1,521 – $29,758 · median $11,923 | 36 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $1,521 – $24,924 · median $9,989 | 36 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | — | 36 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $1,521 – $36,591 · median $14,656 | 36 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $28,015 · median $11,214 | 36 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $1,521 – $33,099 · median $13,243 | 36 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,521 – $18,773 · median $7,529 | 36 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,395 – $12,921 · median $5,188 | 36 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $1,521 – $30,572 · median $12,249 | 36 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $1,521 – $19,901 · median $7,980 | 36 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $1,521 – $15,537 · median $6,235 | 36 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,521 – $29,098 · median $11,659 | 36 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,521 – $15,927 · median $6,391 | 36 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,495 – $12,049 · median $4,839 | 36 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $1,521 – $31,678 · median $12,691 | 36 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,521 – $17,486 · median $7,014 | 36 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,418 – $13,653 · median $5,464 | 36 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $1,521 – $28,521 · median $11,428 | 36 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,521 – $19,676 · median $7,890 | 36 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,521 – $15,058 · median $6,043 | 36 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $1,521 – $145,528 · median $58,231 | 36 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $1,521 – $101,092 · median $40,456 | 36 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | — | 36 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | — | 36 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | — | 36 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | — | 36 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $1,521 – $155,006 · median $43,797 | 36 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 36 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | — | 36 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | — | 36 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | — | 36 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | — | 36 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,521 – $33,391 · median $12,967 | 36 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | — | 36 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | — | 36 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | — | 36 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | — | 36 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $1,521 – $39,882 · median $13,037 | 36 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 36 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | — | 36 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | — | 36 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | — | 36 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,521 – $47,782 · median $14,740 | 36 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,521 – $25,057 · median $8,474 | 36 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,521 – $63,377 · median $22,667 | 36 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,521 – $47,340 · median $16,288 | 36 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,521 – $32,257 · median $12,923 | 36 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | — | 36 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $1,521 – $36,489 · median $14,288 | 36 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $1,521 – $27,796 · median $11,138 | 36 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | — | 36 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | — | 36 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $1,521 – $34,593 · median $13,857 | 36 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,521 – $27,092 · median $10,856 | 36 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $1,521 – $36,185 · median $14,493 | 36 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,521 – $22,119 · median $8,867 | 36 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | — | 36 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | — | 36 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $1,521 – $32,342 · median $12,956 | 36 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | — | 36 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $1,521 – $34,257 · median $13,722 | 36 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $1,521 – $29,395 · median $10,096 | 36 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | — | 36 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $1,521 – $26,777 · median $9,205 | 36 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | — | 36 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $1,521 – $30,181 · median $12,092 | 36 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $1,521 – $24,466 · median $9,806 | 36 plans |
| 503 | FOOT PROCEDURES WITH MCC | — | 36 plans |
| 504 | FOOT PROCEDURES WITH CC | $1,521 – $30,041 · median $12,036 | 36 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $1,521 – $29,695 · median $11,881 | 36 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $1,521 – $25,760 · median $10,323 | 36 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $1,521 – $36,591 · median $14,656 | 36 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $1,521 – $25,297 · median $10,138 | 36 plans |
| 509 | ARTHROSCOPY | $1,521 – $24,198 · median $9,699 | 36 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | — | 36 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $1,521 – $34,359 · median $13,747 | 36 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $1,521 – $28,207 · median $11,302 | 36 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $1,521 – $28,324 · median $11,349 | 36 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $1,521 – $18,943 · median $7,597 | 36 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | — | 36 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $1,521 – $35,119 · median $14,067 | 36 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $26,274 · median $10,529 | 36 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | — | 36 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $1,521 – $33,951 · median $13,600 | 36 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $1,521 – $25,256 · median $10,122 | 36 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | — | 36 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $1,521 – $36,275 · median $14,530 | 36 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $1,521 – $38,439 · median $11,416 | 36 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,521 – $18,336 · median $6,098 | 36 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $1,521 – $29,968 · median $9,249 | 36 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,521 – $18,506 · median $5,950 | 36 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $1,521 – $17,737 · median $7,114 | 36 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $1,337 – $13,562 · median $5,428 | 36 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,521 – $34,206 · median $13,702 | 36 plans |
| 540 | OSTEOMYELITIS WITH CC | $1,521 – $23,099 · median $9,259 | 36 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,521 – $15,971 · median $6,408 | 36 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $1,521 – $32,423 · median $12,662 | 36 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $1,521 – $19,740 · median $7,915 | 36 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,521 – $14,508 · median $5,823 | 36 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $1,521 – $42,443 · median $16,997 | 36 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,521 – $21,498 · median $8,619 | 36 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,521 – $15,411 · median $6,184 | 36 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,521 – $33,646 · median $13,478 | 36 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,521 – $21,609 · median $8,663 | 36 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,521 – $17,357 · median $6,962 | 36 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,521 – $29,633 · median $11,873 | 36 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,521 – $17,726 · median $7,110 | 36 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $1,521 – $35,781 · median $9,604 | 36 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,521 – $26,428 · median $6,174 | 36 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,521 – $24,730 · median $9,912 | 36 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,391 – $15,429 · median $6,175 | 36 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $1,521 – $27,285 · median $10,933 | 36 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,521 – $16,303 · median $6,541 | 36 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,521 – $35,041 · median $12,835 | 36 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,521 – $31,298 · median $8,183 | 36 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,521 – $24,720 · median $5,905 | 36 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $1,521 – $26,700 · median $10,700 | 36 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $1,521 – $16,581 · median $6,652 | 36 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $1,521 – $28,947 · median $10,966 | 36 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $1,521 – $18,262 · median $7,324 | 36 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,521 – $14,477 · median $5,713 | 36 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | — | 36 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $1,521 – $29,472 · median $11,808 | 36 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $1,521 – $20,531 · median $8,232 | 36 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | — | 36 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,521 – $57,215 · median $22,889 | 36 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,521 – $35,204 · median $14,101 | 36 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,521 – $94,079 · median $37,584 | 36 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | — | 36 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,521 – $28,154 · median $11,265 | 36 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $1,521 – $56,186 · median $22,494 | 36 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $1,521 – $30,357 · median $12,162 | 36 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $1,521 – $23,884 · median $9,573 | 36 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $1,521 – $30,271 · median $12,128 | 36 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $1,521 – $26,720 · median $10,707 | 36 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $1,521 – $33,789 · median $13,535 | 36 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $1,521 – $29,344 · median $11,757 | 36 plans |
| 592 | SKIN ULCERS WITH MCC | $1,521 – $35,917 · median $14,370 | 36 plans |
| 593 | SKIN ULCERS WITH CC | $1,521 – $21,669 · median $8,671 | 36 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,521 – $14,830 · median $5,952 | 36 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,521 – $37,292 · median $14,936 | 36 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,484 – $18,417 · median $7,297 | 36 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $1,521 – $27,992 · median $11,216 | 36 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $1,521 – $21,489 · median $8,599 | 36 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,521 – $12,975 · median $5,210 | 36 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,521 – $18,684 · median $7,493 | 36 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,521 – $12,339 · median $4,955 | 36 plans |
| 602 | CELLULITIS WITH MCC | $1,521 – $26,163 · median $10,468 | 36 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,427 – $16,405 · median $6,565 | 36 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $1,521 – $26,466 · median $10,606 | 36 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,495 – $16,795 · median $6,721 | 36 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $1,521 – $27,754 · median $10,783 | 36 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,387 – $16,547 · median $6,622 | 36 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $1,521 – $38,545 · median $15,437 | 36 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $1,521 – $25,897 · median $10,379 | 36 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,521 – $66,149 · median $26,479 | 36 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,521 – $34,208 · median $13,703 | 36 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,521 – $26,184 · median $8,374 | 36 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | — | 36 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $1,521 – $29,811 · median $11,357 | 36 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $1,521 – $26,645 · median $10,678 | 36 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | — | 36 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,521 – $32,215 · median $12,906 | 36 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,521 – $23,949 · median $8,070 | 36 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | — | 36 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $1,521 – $26,234 · median $10,513 | 36 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $1,521 – $22,092 · median $8,840 | 36 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | — | 36 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $1,521 – $38,713 · median $15,505 | 36 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $24,686 · median $9,894 | 36 plans |
| 637 | DIABETES WITH MCC | $1,521 – $25,544 · median $10,221 | 36 plans |
| 638 | DIABETES WITH CC | $1,521 – $16,643 · median $6,677 | 36 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,239 – $12,161 · median $4,868 | 36 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $1,521 – $23,374 · median $9,353 | 36 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,387 – $14,733 · median $5,896 | 36 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,521 – $23,181 · median $9,086 | 36 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $1,521 – $28,714 · median $11,505 | 36 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,521 – $19,270 · median $7,728 | 36 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,521 – $14,401 · median $5,780 | 36 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | — | 36 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | — | 36 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,521 – $36,204 · median $14,501 | 36 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | — | 36 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $1,521 – $31,937 · median $12,794 | 36 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $1,521 – $26,102 · median $10,439 | 36 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | — | 36 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $1,521 – $23,871 · median $9,568 | 36 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $1,521 – $19,055 · median $7,642 | 36 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | — | 36 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $1,521 – $25,701 · median $10,300 | 36 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,521 – $19,269 · median $7,727 | 36 plans |
| 665 | PROSTATECTOMY WITH MCC | — | 36 plans |
| 666 | PROSTATECTOMY WITH CC | $1,521 – $29,884 · median $11,973 | 36 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $1,521 – $19,074 · median $7,633 | 36 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $1,521 – $47,700 · median $19,100 | 36 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $1,521 – $26,925 · median $10,790 | 36 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $1,521 – $17,666 · median $7,086 | 36 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $1,521 – $29,795 · median $11,938 | 36 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,521 – $17,260 · median $6,923 | 36 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | — | 36 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | — | 36 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $1,521 – $27,765 · median $11,126 | 36 plans |
| 682 | RENAL FAILURE WITH MCC | $1,521 – $26,378 · median $10,571 | 36 plans |
| 683 | RENAL FAILURE WITH CC | $1,521 – $16,666 · median $6,686 | 36 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,521 – $11,934 · median $4,793 | 36 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $1,521 – $31,859 · median $12,763 | 36 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,521 – $19,005 · median $7,621 | 36 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,521 – $14,725 · median $5,909 | 36 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,521 – $21,095 · median $8,441 | 36 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,313 – $15,146 · median $6,061 | 36 plans |
| 693 | URINARY STONES WITH MCC | $1,521 – $25,010 · median $10,024 | 36 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,521 – $14,754 · median $5,921 | 36 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $1,521 – $21,444 · median $8,597 | 36 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,521 – $13,287 · median $5,334 | 36 plans |
| 697 | URETHRAL STRICTURE | $1,521 – $20,102 · median $8,044 | 36 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,521 – $28,864 · median $11,565 | 36 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,521 – $18,608 · median $7,463 | 36 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,521 – $13,549 · median $5,439 | 36 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $1,521 – $33,842 · median $13,551 | 36 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $1,521 – $25,693 · median $10,297 | 36 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,521 – $37,224 · median $14,909 | 36 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $1,521 – $23,084 · median $9,253 | 36 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $1,521 – $36,448 · median $14,599 | 36 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $1,521 – $21,321 · median $8,532 | 36 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $1,521 – $25,567 · median $10,246 | 36 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $1,521 – $17,600 · median $7,059 | 36 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $1,521 – $37,818 · median $15,147 | 36 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $1,521 – $25,106 · median $10,062 | 36 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $1,521 – $31,443 · median $12,597 | 36 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,521 – $21,117 · median $8,450 | 36 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $1,521 – $32,432 · median $12,992 | 36 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $1,521 – $21,561 · median $8,068 | 36 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,521 – $15,566 · median $6,095 | 36 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,521 – $22,171 · median $8,888 | 36 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,521 – $13,915 · median $5,586 | 36 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $1,521 – $28,324 · median $11,013 | 36 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,343 – $15,035 · median $6,017 | 36 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,521 – $18,335 · median $7,353 | 36 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,521 – $12,146 · median $4,878 | 36 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $1,521 – $37,269 · median $14,927 | 36 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $1,521 – $22,483 · median $9,013 | 36 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | — | 36 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $1,521 – $34,035 · median $13,634 | 36 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,521 – $24,173 · median $9,689 | 36 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | — | 36 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $1,521 – $31,011 · median $12,408 | 36 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,521 – $23,116 · median $9,250 | 36 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $1,521 – $30,928 · median $12,375 | 36 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $1,521 – $20,894 · median $8,361 | 36 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $1,521 – $32,555 · median $13,025 | 36 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $1,521 – $18,853 · median $7,561 | 36 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $1,521 – $29,216 · median $11,706 | 36 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $1,521 – $16,445 · median $6,598 | 36 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $1,521 – $24,826 · median $9,934 | 36 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | — | 36 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $24,099 · median $9,643 | 36 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,521 – $32,071 · median $12,848 | 36 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,521 – $19,642 · median $7,877 | 36 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,521 – $18,105 · median $7,261 | 36 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,521 – $26,229 · median $10,511 | 36 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,521 – $18,152 · median $7,280 | 36 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,395 – $12,544 · median $5,037 | 36 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $1,521 – $18,197 · median $7,298 | 36 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,521 – $11,887 · median $4,774 | 36 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $1,521 – $27,076 · median $10,850 | 36 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $1,521 – $15,013 · median $6,025 | 36 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,149 – $13,685 · median $5,477 | 36 plans |
| 779 | ABORTION WITHOUT D&C | $1,255 – $18,097 · median $6,881 | 36 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,086 – $31,535 · median $12,311 | 36 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,521 – $99,211 · median $39,688 | 36 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,521 – $68,416 · median $27,369 | 36 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,103 – $42,108 · median $16,583 | 36 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,521 – $70,222 · median $27,944 | 36 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $485 – $26,202 · median $10,156 | 36 plans |
| 795 | NORMAL NEWBORN | $355 – $5,349 · median $2,143 | 36 plans |
| 799 | SPLENECTOMY WITH MCC | — | 36 plans |
| 800 | SPLENECTOMY WITH CC | — | 36 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $1,521 – $34,683 · median $12,441 | 36 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | — | 36 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $1,521 – $32,164 · median $12,885 | 36 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $1,521 – $21,677 · median $8,690 | 36 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $1,521 – $37,536 · median $15,034 | 36 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $1,521 – $21,580 · median $8,652 | 36 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $1,521 – $18,344 · median $7,357 | 36 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $1,521 – $24,805 · median $9,925 | 36 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,521 – $16,664 · median $6,669 | 36 plans |
| 813 | COAGULATION DISORDERS | $1,521 – $27,336 · median $10,938 | 36 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $1,521 – $36,533 · median $14,633 | 36 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,521 – $18,178 · median $7,291 | 36 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,521 – $13,580 · median $5,452 | 36 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $1,521 – $47,681 · median $19,092 | 36 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $1,521 – $25,250 · median $10,120 | 36 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $16,769 · median $6,727 | 36 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | — | 36 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $1,521 – $38,216 · median $15,306 | 36 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $23,849 · median $8,874 | 36 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | — | 36 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $1,521 – $38,229 · median $15,311 | 36 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,521 – $22,988 · median $9,215 | 36 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | — | 36 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $1,521 – $39,594 · median $15,857 | 36 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $28,638 · median $11,475 | 36 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | — | 36 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,521 – $27,680 · median $11,091 | 36 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $1,521 – $19,490 · median $7,816 | 36 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,521 – $14,025 · median $5,630 | 36 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,468 – $10,369 · median $4,167 | 36 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $1,521 – $92,718 · median $37,107 | 36 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $1,521 – $52,832 · median $15,328 | 36 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $24,939 · median $9,995 | 36 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $1,521 – $100,207 · median $32,218 | 36 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $1,521 – $34,486 · median $13,814 | 36 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,521 – $23,178 · median $9,274 | 36 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,521 – $52,673 · median $21,089 | 36 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $1,521 – $27,555 · median $11,042 | 36 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,521 – $19,346 · median $7,758 | 36 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $1,521 – $32,202 · median $12,901 | 36 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,521 – $20,816 · median $8,346 | 36 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,521 – $16,084 · median $6,453 | 36 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $1,521 – $41,646 · median $16,678 | 36 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $1,521 – $21,713 · median $8,705 | 36 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,521 – $15,620 · median $6,268 | 36 plans |
| 849 | RADIOTHERAPY | $1,521 – $45,651 · median $18,015 | 36 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $1,521 – $83,010 · median $33,224 | 36 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $1,521 – $59,230 · median $14,051 | 36 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $50,210 · median $11,872 | 36 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | — | 36 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $1,521 – $36,656 · median $14,682 | 36 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,521 – $22,859 · median $9,163 | 36 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $1,521 – $31,901 · median $12,780 | 36 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $1,521 – $18,360 · median $7,364 | 36 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,386 – $16,374 · median $6,553 | 36 plans |
| 865 | VIRAL ILLNESS WITH MCC | $1,521 – $28,630 · median $11,137 | 36 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,088 – $16,939 · median $6,413 | 36 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $1,521 – $35,953 · median $14,401 | 36 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,521 – $19,655 · median $7,882 | 36 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,288 – $13,265 · median $5,309 | 36 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,521 – $114,828 · median $45,951 | 36 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $1,521 – $34,177 · median $13,690 | 36 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,521 – $18,755 · median $7,522 | 36 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | — | 36 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $1,521 – $32,592 · median $13,057 | 36 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $1,521 – $22,181 · median $8,892 | 36 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $1,521 – $54,794 · median $21,937 | 36 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $1,521 – $27,720 · median $11,108 | 36 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $1,521 – $32,542 · median $13,037 | 36 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | — | 36 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $1,521 – $34,525 · median $13,830 | 36 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $1,521 – $24,039 · median $9,635 | 36 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,521 – $26,276 · median $10,530 | 36 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,521 – $16,777 · median $6,714 | 36 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $1,521 – $30,801 · median $12,014 | 36 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $958 – $12,748 · median $4,880 | 36 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,521 – $27,918 · median $11,187 | 36 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,144 – $16,020 · median $6,041 | 36 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $1,521 – $31,621 · median $12,668 | 36 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,521 – $18,819 · median $7,547 | 36 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,521 – $13,380 · median $5,371 | 36 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $1,521 – $30,329 · median $12,135 | 36 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,387 – $18,456 · median $7,070 | 36 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $1,521 – $428,766 · median $171,510 | 36 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | — | 36 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | — | 36 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | — | 36 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,521 – $35,956 · median $14,402 | 36 plans |
| 935 | NON-EXTENSIVE BURNS | $1,521 – $35,124 · median $13,761 | 36 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | — | 36 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $1,521 – $37,156 · median $14,882 | 36 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $1,521 – $32,128 · median $12,854 | 36 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,521 – $22,344 · median $8,941 | 36 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,387 – $15,050 · median $6,023 | 36 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,521 – $19,450 · median $7,783 | 36 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,521 – $12,421 · median $4,988 | 36 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,521 – $11,634 · median $4,673 | 36 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | — | 36 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | — | 36 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | — | 36 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | — | 36 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | — | 36 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | — | 36 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,521 – $26,381 · median $10,572 | 36 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,521 – $19,398 · median $7,043 | 36 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | — | 36 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | — | 36 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | — | 36 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $1,521 – $24,152 · median $9,681 | 36 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,521 – $15,767 · median $6,326 | 36 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,521 – $25,007 · median $10,022 | 36 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | — | 36 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,521 – $42,326 · median $16,950 | 36 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,521 – $28,554 · median $11,441 | 36 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,521 – $56,744 · median $22,717 | 36 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,521 – $29,554 · median $11,841 | 36 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,521 – $19,571 · median $7,848 | 36 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,521 – $40,837 · median $16,322 | 35 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,521 – $24,151 · median $9,680 | 35 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | — | 35 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $1,521 – $176,435 · median $70,594 | 35 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | — | 35 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | — | 35 plans |
| 277 | CELLULITIS AGE >17 W CC | — | 35 plans |
| 278 | CELLULITIS AGE >17 W/O CC | — | 35 plans |
| 279 | CELLULITIS AGE 0-17 | — | 35 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | — | 35 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $1,521 – $31,600 · median $12,660 | 35 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | — | 35 plans |
| 324 | URINARY STONES W/O CC | — | 35 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | — | 35 plans |
| 397 | COAGULATION DISORDERS | — | 35 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $1,521 – $26,580 · median $10,652 | 35 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $1,521 – $20,102 · median $8,060 | 35 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 33 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,546 – $19,064 · median $7,410 | 33 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,546 – $28,106 · median $10,719 | 32 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | — | 31 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | — | 31 plans |
| 652 | KIDNEY TRANSPLANT | — | 30 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,521 – $62,488 · median $25,015 | 30 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,521 – $17,536 · median $7,034 | 30 plans |
| 881 | DEPRESSIVE NEUROSES | $1,449 – $16,758 · median $6,723 | 30 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,521 – $17,289 · median $6,935 | 30 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,521 – $32,442 · median $12,996 | 30 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,521 – $30,524 · median $12,229 | 30 plans |
| 885 | PSYCHOSES | $1,521 – $24,203 · median $9,701 | 30 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,521 – $29,306 · median $11,742 | 30 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,521 – $23,056 · median $9,242 | 30 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $716 – $11,384 · median $4,573 | 30 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,521 – $28,126 · median $11,270 | 30 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,521 – $30,867 · median $12,366 | 30 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,521 – $15,934 · median $6,393 | 30 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | — | 26 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | 25 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 25 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 25 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 25 plans |
| 007 | LUNG TRANSPLANT | — | 25 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 25 plans |
| 010 | PANCREAS TRANSPLANT | $1,878 – $80,004 · median $32,021 | 25 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 25 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 25 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | — | 25 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,000 – $10,240 · median $2,772 | 5 plans |
| 999 | UNGROUPABLE | $1,000 – $19,589 · median $2,772 | 5 plans |
No procedures match that keyword.