Jefferson Memorial Hospital — 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
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 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 $1,878 – $22,871 · median $8,161 35 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $1,474 – $37,283 · median $16,947 35 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $1,474 – $17,794 · median $8,088 35 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $1,474 – $16,365 · median $7,439 35 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $1,810 – $26,028 · median $11,831 35 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $1,810 – $18,586 · median $8,448 35 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $1,389 – $16,379 · median $7,445 35 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $1,474 – $16,960 · median $7,709 35 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $1,474 – $16,355 · median $7,434 35 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $1,546 – $18,061 · median $8,209 35 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $1,546 – $13,518 · median $6,144 35 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,389 – $12,403 · median $5,638 35 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $1,474 – $21,152 · median $8,767 34 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,878 – $299,514 · median $139,556 32 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,878 – $268,789 · median $124,492 32 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 32 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $1,878 – $61,884 · median $28,832 32 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $1,878 – $43,244 · median $20,147 32 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 32 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 32 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 32 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 32 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 32 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 32 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 32 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,878 – $38,230 · median $17,811 32 plans
028 SPINAL PROCEDURES WITH MCC — 32 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 32 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $1,878 – $33,652 · median $15,678 32 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 32 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $1,878 – $45,543 · median $15,260 32 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $1,878 – $33,544 · median $12,213 32 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 32 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $1,878 – $36,381 · median $16,949 32 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $1,878 – $30,126 · median $14,035 32 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 32 plans
038 EXTRACRANIAL PROCEDURES WITH CC $1,878 – $25,653 · median $11,950 32 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $1,878 – $19,406 · median $8,997 32 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 32 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $1,878 – $33,701 · median $15,701 32 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $1,878 – $27,121 · median $12,635 32 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $1,546 – $28,860 · median $13,179 32 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $1,546 – $16,664 · median $7,725 32 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $1,546 – $24,316 · median $11,286 32 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $1,546 – $21,217 · median $7,987 32 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $1,546 – $26,867 · median $12,464 32 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $1,546 – $20,320 · median $9,405 32 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $1,467 – $15,834 · median $7,341 32 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 32 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $1,546 – $30,090 · median $12,827 32 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $1,546 – $26,858 · median $10,476 32 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $1,546 – $31,079 · median $14,479 32 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,546 – $17,098 · median $7,927 32 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,546 – $12,545 · median $5,816 32 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $1,546 – $25,715 · median $10,896 32 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,546 – $15,060 · median $6,982 32 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,259 – $14,144 · median $6,541 32 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $1,546 – $26,242 · median $12,166 32 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,546 – $17,318 · median $8,028 32 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,546 – $13,548 · median $6,281 32 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $1,546 – $25,397 · median $11,823 32 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,496 – $17,385 · median $8,044 32 plans
075 VIRAL MENINGITIS WITH CC/MCC $1,546 – $29,773 · median $13,788 32 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $1,057 – $14,512 · median $6,646 32 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $1,546 – $28,271 · median $13,092 32 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,100 – $15,496 · median $7,098 32 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $1,546 – $34,915 · median $16,266 32 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $1,546 – $22,484 · median $10,424 32 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $1,546 – $16,337 · median $7,574 32 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $1,546 – $34,724 · median $16,177 32 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $1,546 – $21,183 · median $9,821 32 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $1,402 – $15,763 · median $7,292 32 plans
088 CONCUSSION WITH MCC $1,546 – $21,869 · median $10,139 32 plans
089 CONCUSSION WITH CC $1,546 – $18,332 · median $8,499 32 plans
090 CONCUSSION WITHOUT CC/MCC $1,198 – $14,484 · median $6,699 32 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,546 – $27,519 · median $12,821 32 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $1,546 – $17,276 · median $8,009 32 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,546 – $14,109 · median $6,541 32 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $1,546 – $58,742 · median $24,297 32 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $1,546 – $39,017 · median $18,177 32 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,546 – $39,017 · median $18,089 32 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $1,546 – $53,443 · median $24,899 32 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $1,546 – $35,045 · median $16,247 32 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $1,546 – $22,017 · median $10,145 32 plans
100 SEIZURES WITH MCC $1,546 – $30,042 · median $13,928 32 plans
101 SEIZURES WITHOUT MCC $1,211 – $15,594 · median $7,213 32 plans
102 HEADACHES WITH MCC $1,546 – $18,643 · median $8,643 32 plans
103 HEADACHES WITHOUT MCC $1,154 – $14,667 · median $6,784 32 plans
113 ORBITAL PROCEDURES WITH CC/MCC $1,878 – $35,830 · median $16,611 32 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $1,878 – $21,886 · median $10,146 32 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $1,878 – $24,427 · median $11,341 32 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $1,878 – $53,427 · median $13,158 32 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $1,878 – $18,141 · median $8,410 32 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $1,112 – $19,236 · median $8,815 32 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $881 – $13,962 · median $6,393 32 plans
123 NEUROLOGICAL EYE DISORDERS $1,228 – $14,141 · median $6,539 32 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $1,546 – $21,468 · median $9,937 32 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $1,063 – $13,710 · median $6,340 32 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $1,878 – $33,300 · median $15,438 32 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $1,878 – $17,168 · median $7,959 32 plans
137 MOUTH PROCEDURES WITH CC/MCC $1,878 – $23,845 · median $11,055 32 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $1,878 – $18,193 · median $7,123 32 plans
139 SALIVARY GLAND PROCEDURES $1,878 – $20,247 · median $9,387 32 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $1,546 – $44,861 · median $15,172 32 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $1,546 – $20,747 · median $9,619 32 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $1,546 – $14,120 · median $6,546 32 plans
149 DYSEQUILIBRIUM $1,015 – $13,484 · median $6,235 32 plans
150 EPISTAXIS WITH MCC $1,546 – $21,586 · median $10,007 32 plans
151 EPISTAXIS WITHOUT MCC $1,016 – $13,238 · median $6,121 32 plans
152 OTITIS MEDIA AND URI WITH MCC $1,546 – $19,500 · median $9,040 32 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $766 – $13,297 · median $6,088 32 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $1,546 – $24,827 · median $11,540 32 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $1,546 – $15,788 · median $7,319 32 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,308 – $12,639 · median $5,859 32 plans
157 DENTAL AND ORAL DISEASES WITH MCC $1,546 – $26,969 · median $12,564 32 plans
158 DENTAL AND ORAL DISEASES WITH CC $1,546 – $15,694 · median $7,276 32 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,546 – $12,882 · median $5,972 32 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 32 plans
164 MAJOR CHEST PROCEDURES WITH CC $1,878 – $38,246 · median $17,818 32 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $1,878 – $29,726 · median $13,849 32 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $1,878 – $55,202 · median $25,718 32 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $1,878 – $28,178 · median $13,128 32 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $22,073 · median $10,233 32 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $1,546 – $22,174 · median $10,280 32 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,546 – $14,230 · median $6,597 32 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,546 – $24,816 · median $11,534 32 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $1,546 – $16,619 · median $7,705 32 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,546 – $13,532 · median $6,273 32 plans
180 RESPIRATORY NEOPLASMS WITH MCC $1,546 – $27,656 · median $12,884 32 plans
181 RESPIRATORY NEOPLASMS WITH CC $1,546 – $17,946 · median $8,320 32 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,546 – $15,423 · median $6,265 32 plans
183 MAJOR CHEST TRAUMA WITH MCC $1,546 – $24,357 · median $11,292 32 plans
184 MAJOR CHEST TRAUMA WITH CC $1,546 – $17,850 · median $8,259 32 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $1,006 – $13,972 · median $6,398 32 plans
186 PLEURAL EFFUSION WITH MCC $1,546 – $24,757 · median $11,505 32 plans
187 PLEURAL EFFUSION WITH CC $1,546 – $16,802 · median $7,789 32 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,546 – $13,004 · median $6,028 32 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,546 – $20,243 · median $9,385 32 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $1,546 – $18,459 · median $8,558 32 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $1,502 – $14,761 · median $6,843 32 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,118 – $11,953 · median $5,494 32 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,546 – $21,347 · median $9,896 32 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $1,417 – $14,243 · median $6,603 32 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $995 – $11,764 · median $5,365 32 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $1,546 – $29,349 · median $13,673 32 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $1,546 – $32,738 · median $14,881 32 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,546 – $12,990 · median $6,051 32 plans
199 PNEUMOTHORAX WITH MCC $1,546 – $27,629 · median $12,872 32 plans
200 PNEUMOTHORAX WITH CC $1,546 – $18,342 · median $8,503 32 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $1,344 – $12,974 · median $6,015 32 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,147 – $16,552 · median $7,583 32 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $776 – $12,344 · median $5,650 32 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,088 – $14,264 · median $6,596 32 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $1,546 – $28,564 · median $13,243 32 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,511 – $16,132 · median $7,478 32 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,546 – $128,236 · median $59,449 32 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,546 – $41,385 · median $19,281 32 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $1,878 – $172,907 · median $66,200 32 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $1,878 – $141,668 · median $65,066 32 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $1,878 – $94,845 · median $44,188 32 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $1,878 – $94,845 · median $44,188 32 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $1,878 – $156,741 · median $51,368 32 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $1,878 – $81,719 · median $36,101 32 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 32 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 32 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 32 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $1,878 – $120,755 · median $56,260 32 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $1,878 – $87,682 · median $40,851 32 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $1,878 – $109,792 · median $51,152 32 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $1,878 – $79,301 · median $36,946 32 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 32 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 32 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 32 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $1,878 – $43,197 · median $19,943 32 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $1,878 – $35,598 · median $10,350 32 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 32 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $1,878 – $59,079 · median $15,259 32 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $1,878 – $39,039 · median $13,154 32 plans
245 AICD GENERATOR PROCEDURES — 32 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $1,878 – $69,023 · median $15,595 32 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $1,878 – $36,993 · median $11,063 32 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 32 plans
253 OTHER VASCULAR PROCEDURES WITH CC $1,878 – $39,246 · median $18,284 32 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $1,878 – $27,875 · median $12,986 32 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $1,878 – $66,367 · median $18,947 32 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $1,878 – $40,724 · median $12,441 32 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $1,878 – $29,628 · median $8,457 32 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $1,878 – $46,881 · median $21,841 32 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $1,878 – $31,234 · median $14,551 32 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $1,878 – $80,518 · median $22,562 32 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $1,878 – $52,424 · median $13,695 32 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $1,878 – $42,927 · median $11,998 32 plans
263 VEIN LIGATION AND STRIPPING $1,878 – $45,698 · median $21,290 32 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $1,878 – $49,654 · median $23,133 32 plans
265 AICD LEAD PROCEDURES — 32 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 32 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $1,878 – $97,272 · median $32,378 32 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $1,878 – $124,168 · median $57,850 32 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $1,878 – $61,985 · median $28,878 32 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,878 – $76,697 · median $35,733 32 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $1,878 – $52,668 · median $24,537 32 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $1,878 – $38,651 · median $18,007 32 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 32 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 32 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $1,546 – $28,275 · median $11,822 32 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $1,546 – $21,430 · median $7,336 32 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $1,546 – $20,720 · median $6,066 32 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $1,546 – $30,657 · median $14,282 32 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,519 – $12,654 · median $5,866 32 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,409 – $11,351 · median $5,194 32 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $1,546 – $33,898 · median $15,793 32 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $1,546 – $18,157 · median $8,314 32 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 32 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $1,546 – $26,830 · median $12,500 32 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $1,546 – $15,972 · median $7,405 32 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,546 – $20,919 · median $9,698 32 plans
292 HEART FAILURE AND SHOCK WITH CC $1,546 – $14,845 · median $6,882 32 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,160 – $10,891 · median $4,983 32 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $1,546 – $24,805 · median $11,500 32 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $1,546 – $11,841 · median $5,434 32 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,546 – $10,383 · median $4,272 32 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $1,546 – $25,794 · median $12,017 32 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $1,546 – $17,897 · median $8,297 32 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,546 – $14,586 · median $6,044 32 plans
302 ATHEROSCLEROSIS WITH MCC $1,546 – $28,585 · median $9,133 32 plans
303 ATHEROSCLEROSIS WITHOUT MCC $1,546 – $18,386 · median $5,743 32 plans
304 HYPERTENSION WITH MCC $1,546 – $19,609 · median $9,091 32 plans
305 HYPERTENSION WITHOUT MCC $961 – $13,533 · median $6,196 32 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $1,546 – $49,987 · median $11,625 32 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $1,546 – $41,138 · median $7,333 32 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,546 – $20,014 · median $9,181 32 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,546 – $13,262 · median $6,148 32 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,370 – $10,893 · median $4,984 32 plans
311 ANGINA PECTORIS $828 – $12,790 · median $5,855 32 plans
312 SYNCOPE AND COLLAPSE $1,181 – $15,161 · median $7,012 32 plans
313 CHEST PAIN $989 – $13,043 · median $6,030 32 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,546 – $32,115 · median $14,962 32 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,546 – $16,442 · median $7,622 32 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,546 – $12,513 · median $5,801 32 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $1,878 – $72,661 · median $34,018 32 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $1,878 – $37,131 · median $17,299 32 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $1,878 – $25,369 · median $11,809 32 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $1,878 – $67,200 · median $31,308 32 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,878 – $36,474 · median $16,993 32 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,878 – $26,495 · median $12,343 32 plans
332 RECTAL RESECTION WITH MCC — 32 plans
333 RECTAL RESECTION WITH CC $1,878 – $35,706 · median $16,663 32 plans
334 RECTAL RESECTION WITHOUT CC/MCC $1,878 – $25,866 · median $12,050 32 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 32 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $1,878 – $32,444 · median $15,115 32 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $1,878 – $24,429 · median $11,342 32 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $1,878 – $54,046 · median $18,201 32 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $1,878 – $24,454 · median $11,132 32 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $1,878 – $19,556 · median $9,066 32 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $1,878 – $37,309 · median $17,382 32 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $1,878 – $21,269 · median $9,860 32 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $1,878 – $15,147 · median $7,022 32 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $1,878 – $37,797 · median $17,609 32 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $1,878 – $24,282 · median $11,269 32 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $1,878 – $19,299 · median $8,947 32 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $1,878 – $43,527 · median $20,279 32 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $1,878 – $26,488 · median $12,340 32 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $1,878 – $21,774 · median $10,095 32 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $1,878 – $64,354 · median $30,128 32 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $1,878 – $35,473 · median $16,526 32 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $22,513 · median $10,437 32 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $1,546 – $25,224 · median $11,737 32 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $1,546 – $16,957 · median $7,861 32 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $1,125 – $12,774 · median $5,906 32 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,546 – $27,755 · median $12,931 32 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,546 – $17,248 · median $7,996 32 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $1,546 – $13,146 · median $6,094 32 plans
374 DIGESTIVE MALIGNANCY WITH MCC $1,546 – $32,863 · median $15,310 32 plans
375 DIGESTIVE MALIGNANCY WITH CC $1,546 – $19,883 · median $9,218 32 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,546 – $17,232 · median $7,370 32 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,546 – $28,522 · median $13,223 32 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,546 – $16,685 · median $7,735 32 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $1,241 – $11,791 · median $5,407 32 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $1,546 – $30,397 · median $14,161 32 plans
381 COMPLICATED PEPTIC ULCER WITH CC $1,546 – $18,121 · median $8,401 32 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $1,546 – $14,169 · median $6,568 32 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $1,546 – $22,273 · median $10,326 32 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,129 – $14,926 · median $6,904 32 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $1,546 – $25,090 · median $11,670 32 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,546 – $16,623 · median $7,706 32 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $1,282 – $12,502 · median $5,796 32 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $1,546 – $23,616 · median $10,948 32 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $1,546 – $14,018 · median $6,498 32 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,115 – $10,584 · median $4,842 32 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,546 – $20,703 · median $9,582 32 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,053 – $13,875 · median $6,416 32 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $1,546 – $25,327 · median $11,788 32 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $1,546 – $16,056 · median $7,444 32 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,546 – $12,051 · median $5,547 32 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $1,878 – $79,410 · median $36,817 32 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $1,878 – $43,502 · median $20,267 32 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $1,878 – $33,993 · median $15,837 32 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 32 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $1,878 – $37,111 · median $15,561 32 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $1,878 – $25,165 · median $11,708 32 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $1,878 – $49,168 · median $22,891 32 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $1,878 – $38,009 · median $15,075 32 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $1,878 – $27,967 · median $12,198 32 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $1,878 – $79,047 · median $24,579 32 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $1,878 – $32,625 · median $14,842 32 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $1,878 – $26,214 · median $10,213 32 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $1,878 – $36,323 · median $16,923 32 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $1,878 – $26,617 · median $12,400 32 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,878 – $22,065 · median $10,229 32 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $1,878 – $50,583 · median $23,439 32 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $1,878 – $27,258 · median $12,699 32 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $1,878 – $22,536 · median $10,448 32 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $1,878 – $61,004 · median $28,421 32 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $1,878 – $33,550 · median $15,630 32 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $23,944 · median $11,101 32 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $1,546 – $30,481 · median $14,200 32 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $1,546 – $17,740 · median $8,208 32 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,056 – $12,938 · median $5,982 32 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $1,546 – $28,644 · median $13,344 32 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $1,546 – $18,786 · median $8,709 32 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,546 – $14,905 · median $6,910 32 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,546 – $25,759 · median $12,000 32 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,546 – $14,736 · median $6,831 32 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,132 – $11,665 · median $5,340 32 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,546 – $28,057 · median $13,008 32 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,526 – $16,470 · median $7,635 32 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,073 – $12,759 · median $5,899 32 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,546 – $26,327 · median $12,265 32 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,546 – $18,273 · median $8,471 32 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,546 – $14,542 · median $6,741 32 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 32 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 32 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 32 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 32 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $1,878 – $44,652 · median $18,703 32 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,878 – $82,610 · median $38,488 32 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $1,878 – $46,498 · median $21,663 32 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,878 – $32,252 · median $13,260 32 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 32 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 32 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $1,878 – $41,375 · median $19,276 32 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 32 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $1,878 – $38,521 · median $13,945 32 plans
471 CERVICAL SPINAL FUSION WITH MCC — 32 plans
472 CERVICAL SPINAL FUSION WITH CC — 32 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $1,878 – $37,090 · median $17,280 32 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $1,878 – $76,289 · median $29,332 32 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $1,878 – $46,151 · median $16,202 32 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,878 – $24,202 · median $9,027 32 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,878 – $61,214 · median $23,876 32 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,878 – $45,725 · median $17,396 32 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,878 – $28,954 · median $13,489 32 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $1,878 – $43,671 · median $20,346 32 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $1,878 – $35,244 · median $15,023 32 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $1,878 – $26,636 · median $12,006 32 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $1,878 – $41,709 · median $19,432 32 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 32 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $1,878 – $32,198 · median $15,000 32 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,878 – $24,865 · median $11,559 32 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $1,878 – $28,501 · median $12,903 32 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $1,878 – $20,091 · median $8,617 32 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 32 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $1,878 – $38,415 · median $17,897 32 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $1,878 – $31,016 · median $14,450 32 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 32 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $1,878 – $31,498 · median $13,131 32 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $1,878 – $28,392 · median $9,209 32 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $1,878 – $45,130 · median $21,026 32 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $1,878 – $31,132 · median $14,504 32 plans
500 SOFT TISSUE PROCEDURES WITH MCC $1,878 – $47,198 · median $21,989 32 plans
501 SOFT TISSUE PROCEDURES WITH CC $1,878 – $27,406 · median $12,768 32 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $1,878 – $21,787 · median $10,100 32 plans
503 FOOT PROCEDURES WITH MCC $1,878 – $41,977 · median $19,557 32 plans
504 FOOT PROCEDURES WITH CC $1,878 – $29,098 · median $13,556 32 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $1,878 – $28,030 · median $12,995 32 plans
506 MAJOR THUMB OR JOINT PROCEDURES $1,878 – $22,167 · median $10,122 32 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $1,878 – $28,220 · median $13,147 32 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $1,878 – $24,141 · median $11,199 32 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $1,878 – $45,182 · median $20,947 32 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $1,878 – $32,034 · median $14,852 32 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $1,878 – $26,111 · median $12,105 32 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $1,878 – $24,978 · median $11,615 32 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $1,878 – $17,266 · median $8,004 32 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 32 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $1,878 – $32,016 · median $14,916 32 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $24,452 · median $11,354 32 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $1,878 – $55,196 · median $25,716 32 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $1,878 – $30,928 · median $14,409 32 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $1,878 – $23,855 · median $11,059 32 plans
533 FRACTURES OF FEMUR WITH MCC $1,546 – $37,127 · median $11,569 32 plans
534 FRACTURES OF FEMUR WITHOUT MCC $1,546 – $17,711 · median $6,604 32 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $1,546 – $28,945 · median $9,687 32 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,546 – $17,875 · median $6,614 32 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $1,546 – $16,316 · median $7,564 32 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,012 – $13,047 · median $6,032 32 plans
539 OSTEOMYELITIS WITH MCC $1,546 – $30,502 · median $14,210 32 plans
540 OSTEOMYELITIS WITH CC $1,546 – $21,094 · median $9,779 32 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $1,483 – $13,984 · median $6,483 32 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $1,546 – $31,317 · median $12,888 32 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,546 – $17,346 · median $8,041 32 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $1,546 – $13,526 · median $6,270 32 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $1,546 – $37,655 · median $17,543 32 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $1,546 – $19,098 · median $8,854 32 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $1,546 – $14,666 · median $6,799 32 plans
548 SEPTIC ARTHRITIS WITH MCC $1,546 – $29,960 · median $13,958 32 plans
549 SEPTIC ARTHRITIS WITH CC $1,546 – $19,849 · median $9,202 32 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $1,546 – $15,196 · median $7,044 32 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,546 – $26,400 · median $12,299 32 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,546 – $16,414 · median $7,609 32 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $1,546 – $34,560 · median $9,779 32 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,546 – $25,526 · median $6,760 32 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,546 – $21,450 · median $9,944 32 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,053 – $14,588 · median $6,681 32 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $1,546 – $23,757 · median $11,014 32 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,445 – $15,462 · median $7,168 32 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,546 – $33,845 · median $13,528 32 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,546 – $30,230 · median $8,677 32 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $1,546 – $23,877 · median $6,590 32 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,546 – $22,889 · median $10,612 32 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,546 – $15,495 · median $7,183 32 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $1,546 – $27,960 · median $11,402 32 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,546 – $16,597 · median $7,694 32 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,546 – $13,983 · median $6,236 32 plans
570 SKIN DEBRIDEMENT WITH MCC $1,878 – $119,771 · median $54,844 32 plans
571 SKIN DEBRIDEMENT WITH CC $1,878 – $26,587 · median $12,386 32 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $1,878 – $18,998 · median $8,808 32 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,878 – $94,511 · median $44,033 32 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $1,878 – $51,482 · median $23,855 32 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,878 – $28,089 · median $13,086 32 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,878 – $71,457 · median $33,129 32 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $1,878 – $40,016 · median $18,643 32 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $1,878 – $25,426 · median $11,788 32 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $1,878 – $48,228 · median $22,469 32 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $1,878 – $27,125 · median $12,637 32 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $1,878 – $23,145 · median $10,730 32 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $1,878 – $29,900 · median $13,862 32 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $1,878 – $27,075 · median $12,614 32 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $1,878 – $32,891 · median $15,323 32 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $1,878 – $29,935 · median $13,878 32 plans
592 SKIN ULCERS WITH MCC $1,546 – $30,021 · median $13,918 32 plans
593 SKIN ULCERS WITH CC $1,546 – $19,557 · median $9,051 32 plans
594 SKIN ULCERS WITHOUT CC/MCC $1,490 – $15,094 · median $6,997 32 plans
595 MAJOR SKIN DISORDERS WITH MCC $1,546 – $32,611 · median $15,193 32 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,123 – $18,107 · median $8,297 32 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $1,546 – $26,274 · median $12,241 32 plans
598 MALIGNANT BREAST DISORDERS WITH CC $1,546 – $18,789 · median $8,710 32 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,331 – $13,733 · median $6,366 32 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $1,546 – $17,536 · median $8,129 32 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,151 – $11,436 · median $5,234 32 plans
602 CELLULITIS WITH MCC $1,546 – $22,840 · median $10,574 32 plans
603 CELLULITIS WITHOUT MCC $1,080 – $15,151 · median $6,939 32 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,546 – $23,550 · median $10,918 32 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,132 – $15,781 · median $7,229 32 plans
606 MINOR SKIN DISORDERS WITH MCC $1,546 – $24,124 · median $11,169 32 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $1,049 – $15,647 · median $7,167 32 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $1,878 – $33,605 · median $15,656 32 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $1,878 – $23,774 · median $10,446 32 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $1,878 – $51,705 · median $24,089 32 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,878 – $31,798 · median $13,563 32 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,878 – $25,290 · median $10,569 32 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $1,878 – $43,323 · median $20,184 32 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $1,878 – $28,794 · median $11,795 32 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $1,878 – $24,632 · median $11,158 32 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $1,878 – $78,201 · median $24,556 32 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,878 – $28,046 · median $13,066 32 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $1,878 – $23,132 · median $9,492 32 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $1,878 – $47,037 · median $21,047 32 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $1,878 – $23,931 · median $11,095 32 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $1,680 – $21,541 · median $9,971 32 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $1,878 – $83,255 · median $25,647 32 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $1,878 – $33,423 · median $15,571 32 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $23,374 · median $10,836 32 plans
637 DIABETES WITH MCC $1,546 – $23,055 · median $10,673 32 plans
638 DIABETES WITH CC $1,356 – $15,504 · median $7,172 32 plans
639 DIABETES WITHOUT CC/MCC $938 – $11,662 · median $5,303 32 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,546 – $21,643 · median $10,018 32 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,050 – $13,856 · median $6,407 32 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,382 – $22,851 · median $10,544 32 plans
643 ENDOCRINE DISORDERS WITH MCC $1,546 – $25,981 · median $12,104 32 plans
644 ENDOCRINE DISORDERS WITH CC $1,546 – $17,304 · median $8,022 32 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,546 – $13,717 · median $6,359 32 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 32 plans
654 MAJOR BLADDER PROCEDURES WITH CC $1,878 – $42,092 · median $19,610 32 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $1,878 – $32,554 · median $15,166 32 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $1,878 – $61,622 · median $22,113 32 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $1,878 – $29,638 · median $13,301 32 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $1,878 – $25,211 · median $11,459 32 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $1,878 – $44,019 · median $17,928 32 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $1,878 – $21,449 · median $9,944 32 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $1,878 – $17,449 · median $8,089 32 plans
662 MINOR BLADDER PROCEDURES WITH MCC $1,878 – $45,755 · median $21,317 32 plans
663 MINOR BLADDER PROCEDURES WITH CC $1,878 – $24,222 · median $11,239 32 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $1,878 – $17,610 · median $8,164 32 plans
665 PROSTATECTOMY WITH MCC — 32 plans
666 PROSTATECTOMY WITH CC $1,878 – $27,423 · median $12,776 32 plans
667 PROSTATECTOMY WITHOUT CC/MCC $1,366 – $18,438 · median $8,511 32 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $1,878 – $43,778 · median $20,396 32 plans
669 TRANSURETHRAL PROCEDURES WITH CC $1,878 – $24,666 · median $11,460 32 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $1,742 – $16,637 · median $7,713 32 plans
671 URETHRAL PROCEDURES WITH CC/MCC $1,878 – $28,061 · median $13,073 32 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $1,878 – $18,065 · median $8,375 32 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 32 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $1,878 – $35,656 · median $16,611 32 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $1,878 – $25,915 · median $12,073 32 plans
682 RENAL FAILURE WITH MCC $1,546 – $23,674 · median $10,976 32 plans
683 RENAL FAILURE WITH CC $1,546 – $15,219 · median $7,056 32 plans
684 RENAL FAILURE WITHOUT CC/MCC $1,337 – $11,370 · median $5,203 32 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $1,546 – $28,183 · median $13,130 32 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,546 – $17,622 · median $8,170 32 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $1,546 – $14,146 · median $6,502 32 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,546 – $19,194 · median $8,883 32 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $994 – $14,293 · median $6,545 32 plans
693 URINARY STONES WITH MCC $1,546 – $21,767 · median $10,091 32 plans
694 URINARY STONES WITHOUT MCC $1,383 – $13,905 · median $6,446 32 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $1,546 – $20,402 · median $8,791 32 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,152 – $12,610 · median $5,829 32 plans
697 URETHRAL STRICTURE $1,297 – $18,041 · median $8,267 32 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,546 – $26,097 · median $12,158 32 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,546 – $17,164 · median $7,957 32 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,546 – $12,622 · median $5,851 32 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $1,878 – $30,929 · median $14,339 32 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $1,878 – $24,418 · median $11,337 32 plans
709 PENIS PROCEDURES WITH CC/MCC $1,878 – $35,495 · median $16,537 32 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $1,878 – $22,559 · median $10,459 32 plans
711 TESTES PROCEDURES WITH CC/MCC $1,878 – $32,096 · median $14,953 32 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $1,664 – $18,347 · median $8,490 32 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $1,878 – $23,987 · median $11,123 32 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $1,427 – $17,756 · median $8,216 32 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $1,878 – $34,240 · median $15,874 32 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $1,878 – $23,535 · median $10,911 32 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $1,878 – $29,395 · median $13,695 32 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $1,421 – $21,748 · median $9,995 32 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $1,546 – $28,266 · median $13,169 32 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $1,546 – $20,825 · median $8,784 32 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,546 – $15,035 · median $5,597 32 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $1,546 – $19,332 · median $8,962 32 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $1,169 – $13,071 · median $6,043 32 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $1,414 – $23,701 · median $10,966 32 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,016 – $14,317 · median $6,556 32 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $1,546 – $17,774 · median $8,240 32 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,546 – $12,372 · median $5,735 32 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $1,878 – $32,741 · median $15,254 32 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $1,878 – $21,781 · median $10,098 32 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 32 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $1,878 – $31,772 · median $14,802 32 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,878 – $23,500 · median $10,881 32 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 32 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $1,878 – $28,265 · median $13,104 32 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $1,837 – $22,907 · median $10,605 32 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $1,878 – $28,617 · median $13,253 32 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $1,640 – $20,317 · median $9,404 32 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $1,878 – $31,611 · median $14,641 32 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $1,658 – $19,402 · median $8,751 32 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $1,878 – $27,252 · median $12,634 32 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $1,878 – $14,994 · median $6,951 32 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $1,878 – $22,365 · median $10,353 32 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $1,878 – $38,855 · median $18,000 32 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $1,675 – $23,602 · median $10,916 32 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,546 – $28,714 · median $13,377 32 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,546 – $18,181 · median $8,429 32 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,546 – $16,403 · median $7,604 32 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $1,546 – $22,988 · median $10,658 32 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,546 – $16,661 · median $7,724 32 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,056 – $12,255 · median $5,657 32 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $1,546 – $17,059 · median $7,909 32 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,392 – $10,954 · median $5,012 32 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,878 – $26,591 · median $12,388 32 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $1,697 – $16,992 · median $7,877 32 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $870 – $12,130 · median $5,551 32 plans
779 ABORTION WITHOUT D&C $950 – $14,737 · median $6,749 32 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $822 – $28,162 · median $13,041 32 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,546 – $86,019 · median $39,881 32 plans
791 PREMATURITY WITH MAJOR PROBLEMS $1,546 – $59,691 · median $27,674 32 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $835 – $37,201 · median $17,233 32 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,441 – $61,236 · median $28,379 32 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $367 – $23,603 · median $10,917 32 plans
795 NORMAL NEWBORN $269 – $5,775 · median $2,625 32 plans
799 SPLENECTOMY WITH MCC — 32 plans
800 SPLENECTOMY WITH CC $1,878 – $42,233 · median $19,676 32 plans
801 SPLENECTOMY WITHOUT CC/MCC $1,878 – $33,499 · median $13,814 32 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $1,878 – $58,644 · median $27,322 32 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $1,878 – $28,954 · median $13,489 32 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $1,878 – $21,928 · median $10,166 32 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $1,546 – $33,830 · median $15,761 32 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,546 – $20,669 · median $9,582 32 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $1,510 – $17,605 · median $8,146 32 plans
811 RED BLOOD CELL DISORDERS WITH MCC $1,546 – $22,603 · median $10,464 32 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $1,266 – $15,812 · median $7,314 32 plans
813 COAGULATION DISORDERS $1,546 – $24,293 · median $11,263 32 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $1,546 – $32,695 · median $15,158 32 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $1,546 – $17,150 · median $7,951 32 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,458 – $11,813 · median $5,419 32 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $1,878 – $36,474 · median $16,240 32 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $1,878 – $19,572 · median $8,891 32 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 32 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $1,878 – $34,259 · median $15,960 32 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $23,035 · median $9,181 32 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 32 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $1,878 – $34,636 · median $16,136 32 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $1,878 – $21,836 · median $10,123 32 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 32 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $1,878 – $36,474 · median $16,433 32 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $26,787 · median $12,479 32 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $1,878 – $47,131 · median $21,958 32 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $1,878 – $24,010 · median $11,134 32 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,546 – $19,783 · median $9,172 32 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,546 – $13,065 · median $6,057 32 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,111 – $10,289 · median $4,707 32 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $1,546 – $81,678 · median $37,123 32 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $1,546 – $51,030 · median $14,966 32 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $1,546 – $20,021 · median $9,282 32 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $1,546 – $96,788 · median $44,599 32 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $1,546 – $32,146 · median $14,976 32 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,546 – $23,156 · median $10,695 32 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $1,546 – $48,178 · median $22,445 32 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,546 – $25,775 · median $12,067 32 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $1,546 – $17,100 · median $7,927 32 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $1,546 – $30,852 · median $14,374 32 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $1,546 – $19,992 · median $9,268 32 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $1,546 – $14,881 · median $6,899 32 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $1,546 – $39,203 · median $18,264 32 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $1,546 – $21,260 · median $9,856 32 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $1,546 – $14,850 · median $6,885 32 plans
849 RADIOTHERAPY $1,546 – $40,837 · median $18,933 32 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,878 – $75,481 · median $33,535 32 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $1,878 – $57,209 · median $14,395 32 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $48,497 · median $11,081 32 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 32 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $1,878 – $32,902 · median $15,328 32 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $22,443 · median $10,405 32 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,546 – $28,462 · median $13,260 32 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,518 – $16,925 · median $7,831 32 plans
864 FEVER AND INFLAMMATORY CONDITIONS $1,049 – $15,386 · median $7,047 32 plans
865 VIRAL ILLNESS WITH MCC $1,546 – $23,916 · median $11,072 32 plans
866 VIRAL ILLNESS WITHOUT MCC $824 – $15,133 · median $6,931 32 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $1,546 – $32,227 · median $15,014 32 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,546 – $17,389 · median $8,061 32 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $975 – $13,178 · median $6,073 32 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $1,546 – $108,051 · median $46,379 32 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,546 – $30,122 · median $14,033 32 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,546 – $17,280 · median $8,011 32 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 32 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $1,878 – $29,731 · median $13,851 32 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $1,878 – $19,324 · median $8,959 32 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $1,878 – $54,299 · median $25,175 32 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $1,878 – $23,708 · median $10,991 32 plans
906 HAND PROCEDURES FOR INJURIES $1,878 – $30,426 · median $14,175 32 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 32 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $1,878 – $30,858 · median $14,393 32 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $1,878 – $21,323 · median $9,885 32 plans
913 TRAUMATIC INJURY WITH MCC $1,546 – $25,820 · median $11,971 32 plans
914 TRAUMATIC INJURY WITHOUT MCC $1,152 – $15,355 · median $7,102 32 plans
915 ALLERGIC REACTIONS WITH MCC $1,339 – $26,477 · median $12,260 32 plans
916 ALLERGIC REACTIONS WITHOUT MCC $725 – $12,292 · median $5,627 32 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $1,546 – $24,895 · median $11,574 32 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $866 – $14,958 · median $6,851 32 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $1,546 – $28,561 · median $13,306 32 plans
920 COMPLICATIONS OF TREATMENT WITH CC $1,546 – $16,987 · median $7,875 32 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,164 – $12,601 · median $5,837 32 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $1,546 – $27,424 · median $12,699 32 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $1,050 – $17,202 · median $7,881 32 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $1,878 – $301,265 · median $139,677 32 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $1,878 – $103,191 · median $47,843 32 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $1,878 – $47,981 · median $22,232 32 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 32 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $1,546 – $33,867 · median $15,778 32 plans
935 NON-EXTENSIVE BURNS $1,415 – $31,763 · median $14,712 32 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $1,878 – $53,676 · median $25,007 32 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $1,878 – $35,632 · median $16,600 32 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $1,878 – $31,312 · median $14,502 32 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,489 – $20,718 · median $9,496 32 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,050 – $14,167 · median $6,536 32 plans
949 AFTERCARE WITH CC/MCC $1,446 – $19,605 · median $9,031 32 plans
950 AFTERCARE WITHOUT CC/MCC $1,257 – $11,753 · median $5,387 32 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,235 – $10,751 · median $4,919 32 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $1,878 – $97,022 · median $45,202 32 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 32 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 32 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — 32 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,878 – $44,115 · median $20,553 32 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 32 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $1,546 – $24,518 · median $11,326 32 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $1,546 – $18,736 · median $7,475 32 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 32 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $1,878 – $53,088 · median $18,647 32 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $1,546 – $43,303 · median $20,174 32 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $1,546 – $21,076 · median $9,771 32 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $1,546 – $15,595 · median $7,230 32 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,546 – $21,113 · median $9,788 32 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $1,878 – $68,531 · median $31,929 32 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,878 – $37,331 · median $17,392 32 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,878 – $26,929 · median $12,546 32 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $1,878 – $50,881 · median $23,705 32 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $1,878 – $25,946 · median $12,088 32 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,878 – $19,737 · median $9,150 32 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,546 – $35,439 · median $16,430 31 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,546 – $21,084 · median $9,775 31 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $1,878 – $62,573 · median $29,294 31 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $1,878 – $33,455 · median $15,662 31 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $1,878 – $25,287 · median $11,813 31 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $1,878 – $55,326 · median $25,902 31 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $1,878 – $27,194 · median $12,730 31 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $19,781 · median $9,170 31 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 31 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $1,878 – $36,587 · median $17,129 31 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 31 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $1,878 – $32,569 · median $15,247 31 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $1,878 – $14,997 · median $6,953 31 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $1,878 – $44,566 · median $20,864 30 plans
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $1,878 – $155,173 · median $72,521 30 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 30 plans
276 NON-MALIGANT BREAST DISORDERS $1,878 – $89,470 · median $40,684 30 plans
277 CELLULITIS AGE >17 W CC — 30 plans
278 CELLULITIS AGE >17 W/O CC — 30 plans
279 CELLULITIS AGE 0-17 — 30 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC $1,878 – $41,416 · median $19,192 30 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 $1,878 – $27,614 · median $12,927 30 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 30 plans
324 URINARY STONES W/O CC $1,878 – $47,005 · median $22,006 30 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $1,878 – $47,835 · median $22,395 30 plans
397 COAGULATION DISORDERS $1,878 – $36,442 · median $17,060 30 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $1,878 – $24,130 · median $11,248 30 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $1,878 – $18,976 · median $8,840 30 plans
945 REHABILITATION WITH CC/MCC $1,546 – $27,147 · median $11,413 27 plans
946 REHABILITATION WITHOUT CC/MCC $1,546 – $19,005 · median $8,811 27 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 26 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 26 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 26 plans
652 KIDNEY TRANSPLANT — 26 plans
509 ARTHROSCOPY $2,936 – $27,526 · median $12,886 25 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,546 – $11,602 · median $5,379 25 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,546 – $22,761 · median $10,655 25 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,546 – $27,364 · median $12,810 25 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,546 – $15,317 · median $7,170 25 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,878 – $56,979 · median $26,676 24 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,546 – $16,398 · median $7,639 24 plans
881 DEPRESSIVE NEUROSES $1,546 – $16,129 · median $7,514 24 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,546 – $17,985 · median $8,379 24 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,546 – $30,454 · median $14,257 24 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,546 – $25,461 · median $11,913 24 plans
885 PSYCHOSES $1,546 – $22,498 · median $10,481 24 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,546 – $31,977 · median $14,970 24 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,546 – $17,945 · median $8,360 24 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 23 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 23 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 21 plans
006 LIVER TRANSPLANT WITHOUT MCC — 21 plans
007 LUNG TRANSPLANT — 21 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 21 plans
010 PANCREAS TRANSPLANT $1,878 – $103,233 · median $47,862 21 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 21 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 21 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 21 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 21 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,131 – $24,587 · median $11,510 21 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $1,879 – $16,925 · median $7,923 21 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $1,693 – $12,298 · median $5,757 21 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $2,874 – $20,140 · median $9,428 21 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $977 – $14,018 · median $6,562 21 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $21,138 – $126,784 · median $59,357 21 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $16,499 – $88,433 · median $41,402 21 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $14,296 – $67,327 · median $31,520 21 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $22,271 – $95,641 · median $44,777 21 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $9,489 – $54,087 · median $25,322 21 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,676 – $3,413 · median $2,545 2 plans
999 UNGROUPABLE $1,676 – $6,530 · median $4,103 2 plans
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