Baylor Scott and White Surgical Hospital - Fort Worth — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 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 782
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 782 procedures

Procedures with negotiated rates only

These 782 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
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $2,500 – $99,703 · median $23,782 48 plans
028 SPINAL PROCEDURES WITH MCC $2,500 – $105,987 · median $10,813 39 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $2,500 – $40,787 · median $10,813 39 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $2,500 – $72,403 · median $19,950 39 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $2,500 – $68,618 · median $10,813 39 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,500 – $20,068 · median $10,675 39 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $2,500 – $67,723 · median $19,950 39 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $2,500 – $51,939 · median $21,089 32 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $2,500 – $71,438 · median $39,690 31 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $2,500 – $69,351 · median $11,861 31 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $2,500 – $170,697 · median $44,009 31 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $2,500 – $111,953 · median $44,911 31 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $2,500 – $100,194 · median $44,911 31 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,500 – $135,625 · median $44,911 31 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $2,500 – $92,242 · median $44,911 31 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $2,500 – $81,760 · median $44,009 31 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $2,500 – $88,621 · median $44,911 31 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $2,500 – $71,438 · median $44,009 31 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $2,500 – $142,730 · median $44,911 31 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $2,500 – $104,624 · median $44,911 31 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,500 – $137,179 · median $44,911 31 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $2,500 – $91,421 · median $44,911 31 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,500 – $103,428 · median $44,911 31 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $2,500 – $71,438 · median $44,009 31 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $2,500 – $60,768 · median $21,303 31 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $2,500 – $40,058 · median $20,876 31 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,500 – $32,783 · median $20,876 31 plans
245 AICD GENERATOR PROCEDURES $2,500 – $79,698 · median $21,303 31 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $2,500 – $41,346 · median $14,081 31 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $2,500 – $27,910 · median $14,081 31 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $2,500 – $58,987 · median $11,268 31 plans
253 OTHER VASCULAR PROCEDURES WITH CC $2,500 – $44,869 · median $11,268 31 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,500 – $30,517 · median $11,268 31 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $2,500 – $47,639 · median $21,303 31 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,500 – $32,830 · median $20,876 31 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $2,500 – $58,308 · median $21,303 31 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $2,500 – $33,097 · median $20,876 31 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,500 – $28,938 · median $20,876 31 plans
265 AICD LEAD PROCEDURES $2,500 – $62,158 · median $21,303 31 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,500 – $27,903 · median $14,166 31 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $2,500 – $22,857 · median $13,572 31 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,500 – $18,521 · median $10,675 31 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $2,500 – $37,913 · median $10,813 31 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $2,500 – $19,023 · median $10,675 31 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 31 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $2,500 – $91,222 · median $23,358 31 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $2,500 – $61,317 · median $23,358 31 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $2,500 – $46,953 · median $23,358 31 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $2,500 – $58,565 · median $23,358 31 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $2,500 – $34,843 · median $22,890 31 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $2,500 – $45,527 · median $15,682 31 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $2,500 – $28,531 · median $15,368 31 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $2,500 – $27,505 · median $15,368 31 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,500 – $21,424 · median $5,854 31 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,500 – $24,947 · median $6,159 31 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,500 – $17,516 · median $6,159 31 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,500 – $14,267 · median $6,159 31 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,500 – $17,732 · median $6,159 31 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,500 – $13,133 · median $6,159 31 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,500 – $11,861 · median $5,854 31 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $2,500 – $35,193 · median $8,414 30 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $2,500 – $17,303 · median $6,753 30 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $2,500 – $25,916 · median $6,753 30 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $2,500 – $18,875 · median $6,753 30 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,500 – $42,106 · median $6,753 30 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,500 – $23,976 · median $6,753 30 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $2,500 – $32,919 · median $11,565 30 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $2,500 – $123,746 · median $26,713 30 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $2,500 – $109,225 · median $10,972 30 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC — 30 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $2,500 – $78,450 · median $10,444 30 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $2,500 – $56,292 · median $10,444 30 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $2,500 – $69,351 · median $19,703 30 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $2,500 – $32,070 · median $10,972 30 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $2,500 – $72,814 · median $10,972 30 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $2,500 – $52,837 · median $10,972 30 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $2,500 – $52,837 · median $10,972 30 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $2,500 – $155,854 · median $19,209 30 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $2,500 – $107,573 · median $19,406 30 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $2,500 – $81,003 · median $19,406 30 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $2,500 – $148,256 · median $19,406 30 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 30 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 30 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $2,500 – $116,649 · median $19,939 30 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $2,500 – $64,335 · median $19,406 30 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $2,500 – $119,924 · median $7,253 30 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $2,500 – $50,061 · median $7,253 30 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,500 – $99,613 · median $7,253 30 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $2,500 – $52,789 · median $7,253 30 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,500 – $32,904 · median $7,253 30 plans
471 CERVICAL SPINAL FUSION WITH MCC — 30 plans
472 CERVICAL SPINAL FUSION WITH CC $2,500 – $51,980 · median $19,406 30 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $2,500 – $43,277 · median $19,406 30 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,500 – $75,678 · median $7,253 30 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $2,500 – $37,721 · median $7,253 30 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,500 – $20,699 · median $7,253 30 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,500 – $59,254 · median $7,253 30 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,500 – $41,925 · median $7,253 30 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,500 – $32,784 · median $7,253 30 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $2,500 – $51,865 · median $7,253 30 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $2,500 – $36,493 · median $7,253 30 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $2,500 – $27,937 · median $7,253 30 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $2,500 – $43,692 · median $7,253 30 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $2,500 – $57,935 · median $7,253 30 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $2,500 – $35,322 · median $7,253 30 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,500 – $27,172 · median $7,253 30 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $2,500 – $37,051 · median $7,253 30 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,500 – $21,769 · median $7,253 30 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $2,500 – $60,891 · median $7,253 30 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $2,500 – $42,241 · median $7,253 30 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $2,500 – $32,875 · median $7,253 30 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $2,500 – $62,986 · median $7,253 30 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $2,500 – $34,956 · median $7,253 30 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $2,500 – $25,105 · median $7,253 30 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $2,500 – $45,922 · median $7,253 30 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $2,500 – $22,685 · median $7,253 30 plans
500 SOFT TISSUE PROCEDURES WITH MCC $2,500 – $57,034 · median $7,253 30 plans
501 SOFT TISSUE PROCEDURES WITH CC $2,500 – $30,527 · median $7,253 30 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $2,500 – $24,319 · median $7,253 30 plans
503 FOOT PROCEDURES WITH MCC $2,500 – $47,169 · median $7,253 30 plans
504 FOOT PROCEDURES WITH CC $2,500 – $30,376 · median $7,253 30 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $2,500 – $30,000 · median $7,253 30 plans
506 MAJOR THUMB OR JOINT PROCEDURES $2,500 – $25,724 · median $7,253 30 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $2,500 – $37,492 · median $7,253 30 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $2,500 – $25,221 · median $7,253 30 plans
509 ARTHROSCOPY $2,500 – $23,325 · median $7,253 30 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $2,500 – $47,850 · median $7,253 30 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $2,500 – $35,067 · median $7,253 30 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $2,500 – $28,384 · median $7,253 30 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $2,500 – $28,510 · median $7,253 30 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $2,500 – $18,318 · median $7,253 30 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $2,500 – $55,604 · median $7,253 30 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $2,500 – $35,894 · median $7,253 30 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $26,284 · median $7,253 30 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $2,500 – $52,662 · median $8,873 30 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $2,500 – $37,149 · median $8,873 30 plans
533 FRACTURES OF FEMUR WITH MCC $2,500 – $28,693 · median $6,753 30 plans
534 FRACTURES OF FEMUR WITHOUT MCC $2,500 – $14,246 · median $6,753 30 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $2,500 – $22,806 · median $6,753 30 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,500 – $13,844 · median $6,673 30 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $2,500 – $17,008 · median $6,753 30 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $2,500 – $12,472 · median $6,325 30 plans
539 OSTEOMYELITIS WITH MCC $2,500 – $34,902 · median $6,753 30 plans
540 OSTEOMYELITIS WITH CC $2,500 – $22,833 · median $6,753 30 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $2,500 – $15,089 · median $6,753 30 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $2,500 – $32,075 · median $6,753 30 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,500 – $19,183 · median $6,753 30 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $2,500 – $13,499 · median $6,586 30 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $2,500 – $43,850 · median $6,753 30 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,500 – $21,093 · median $6,753 30 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,500 – $14,306 · median $6,753 30 plans
548 SEPTIC ARTHRITIS WITH MCC $2,500 – $34,293 · median $6,753 30 plans
549 SEPTIC ARTHRITIS WITH CC $2,500 – $21,215 · median $6,753 30 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,500 – $16,195 · median $6,753 30 plans
551 MEDICAL BACK PROBLEMS WITH MCC $2,500 – $29,933 · median $6,753 30 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $2,500 – $16,995 · median $6,753 30 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $2,500 – $23,770 · median $6,753 30 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $2,500 – $14,454 · median $6,753 30 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,500 – $24,606 · median $6,753 30 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,500 – $14,500 · median $6,753 30 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,500 – $27,381 · median $6,753 30 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,500 – $15,449 · median $6,753 30 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,500 – $32,547 · median $6,753 30 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,500 – $19,911 · median $6,753 30 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,500 – $13,722 · median $6,642 30 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $2,500 – $26,746 · median $6,753 30 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $2,500 – $15,752 · median $6,753 30 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,500 – $27,471 · median $6,753 30 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $2,500 – $17,577 · median $6,753 30 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,500 – $13,200 · median $6,510 30 plans
570 SKIN DEBRIDEMENT WITH MCC $2,500 – $51,396 · median $6,753 30 plans
571 SKIN DEBRIDEMENT WITH CC $2,500 – $29,757 · median $6,753 30 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $2,500 – $107,114 · median $7,253 30 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $2,500 – $68,210 · median $7,253 30 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,500 – $127,205 · median $7,253 30 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,500 – $71,140 · median $7,253 30 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,500 – $44,540 · median $7,253 30 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $2,500 – $182,036 29 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $2,500 – $32,325 · median $11,861 29 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $2,500 – $64,228 · median $8,255 29 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $2,500 – $35,193 · median $8,255 29 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $2,500 – $35,193 · median $8,255 29 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $2,500 – $77,669 · median $10,955 25 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $2,500 – $66,637 · median $8,096 23 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,500 – $55,545 · median $10,675 23 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $2,500 – $60,295 · median $8,096 23 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $2,500 – $32,146 · median $8,096 23 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $2,500 – $40,444 · median $8,096 23 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $2,500 – $31,803 · median $8,096 23 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $2,500 – $59,370 · median $8,096 23 plans
038 EXTRACRANIAL PROCEDURES WITH CC $2,500 – $28,139 · median $8,096 23 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $2,500 – $39,234 · median $8,096 23 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $2,500 – $32,146 · median $8,096 23 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $2,500 – $476,610 22 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 22 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $2,500 – $374,981 22 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $2,500 – $258,544 22 plans
006 LIVER TRANSPLANT WITHOUT MCC — 22 plans
007 LUNG TRANSPLANT — 22 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 22 plans
010 PANCREAS TRANSPLANT $2,500 – $84,662 · median $8,022 22 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $2,500 – $90,689 · median $8,022 22 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $2,500 – $70,438 · median $8,022 22 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,500 – $47,236 · median $8,022 22 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 22 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 22 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $2,500 – $108,641 · median $8,022 22 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY — 22 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 22 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $2,500 – $148,661 · median $8,022 22 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $2,500 – $108,015 · median $8,022 22 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,500 – $30,390 · median $8,022 22 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,500 – $20,880 · median $8,022 22 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,500 – $15,783 · median $7,980 22 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $2,500 – $49,296 · median $8,022 22 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $2,500 – $26,150 · median $8,022 22 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $2,500 – $35,229 · median $8,022 22 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $2,500 – $17,876 · median $8,022 22 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,500 – $12,092 · median $7,641 22 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $2,500 – $24,920 · median $8,022 22 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,500 – $15,319 · median $7,862 22 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $2,500 – $14,048 · median $7,690 22 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $2,500 – $31,474 · median $8,022 22 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $2,500 – $18,675 · median $8,022 22 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,500 – $13,771 · median $7,690 22 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $2,500 – $26,611 · median $8,022 22 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,500 – $18,049 · median $8,022 22 plans
075 VIRAL MENINGITIS WITH CC/MCC $2,500 – $33,660 · median $8,022 22 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $2,500 – $16,225 · median $8,022 22 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $2,500 – $26,574 · median $8,022 22 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,500 – $17,885 · median $8,022 22 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $2,500 – $38,847 · median $8,022 22 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,500 – $15,996 · median $8,022 22 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $2,500 – $40,071 · median $8,022 22 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $2,500 – $23,856 · median $8,022 22 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,500 – $16,176 · median $8,022 22 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $2,500 – $39,974 · median $8,022 22 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $2,500 – $23,165 · median $8,022 22 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,500 – $15,586 · median $7,930 22 plans
088 CONCUSSION WITH MCC $2,500 – $26,976 · median $8,022 22 plans
089 CONCUSSION WITH CC $2,500 – $20,224 · median $8,022 22 plans
090 CONCUSSION WITHOUT CC/MCC $2,500 – $16,441 · median $8,022 22 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $2,500 – $31,468 · median $8,022 22 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,500 – $18,047 · median $8,022 22 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,500 – $13,620 · median $7,690 22 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $2,500 – $63,716 · median $8,022 22 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $2,500 – $41,933 · median $8,022 22 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,500 – $38,337 · median $8,022 22 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $2,500 – $63,966 · median $8,022 22 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $2,500 – $37,893 · median $8,022 22 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $2,500 – $23,220 · median $8,022 22 plans
100 SEIZURES WITH MCC $2,500 – $34,868 · median $8,022 22 plans
101 SEIZURES WITHOUT MCC $2,500 – $15,998 · median $8,022 22 plans
102 HEADACHES WITH MCC $2,500 – $21,222 · median $8,022 22 plans
103 HEADACHES WITHOUT MCC $2,500 – $14,816 · median $7,734 22 plans
113 ORBITAL PROCEDURES WITH CC/MCC $2,500 – $44,098 · median $8,022 22 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,500 – $21,665 · median $8,022 22 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,500 – $27,515 · median $8,022 22 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $2,500 – $32,200 · median $8,022 22 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,500 – $21,077 · median $8,022 22 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,500 – $22,534 · median $8,022 22 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $2,500 – $13,094 · median $7,690 22 plans
123 NEUROLOGICAL EYE DISORDERS $2,500 – $14,141 · median $7,690 22 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $2,500 – $23,250 · median $8,022 22 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,500 – $14,026 · median $7,690 22 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,500 – $46,645 · median $8,022 22 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,500 – $16,517 · median $8,022 22 plans
137 MOUTH PROCEDURES WITH CC/MCC $2,500 – $26,465 · median $8,022 22 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $2,500 – $15,226 · median $7,838 22 plans
139 SALIVARY GLAND PROCEDURES $2,500 – $20,889 · median $8,022 22 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $2,500 – $66,449 · median $8,022 22 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,500 – $36,437 · median $8,022 22 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $2,500 – $27,173 · median $8,022 22 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $2,500 – $58,491 · median $8,022 22 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $2,500 – $30,436 · median $8,022 22 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $21,477 · median $8,022 22 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $2,500 – $37,128 · median $8,022 22 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $2,500 – $21,735 · median $8,022 22 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $2,500 – $15,648 · median $7,946 22 plans
149 DYSEQUILIBRIUM $2,500 – $13,098 · median $7,690 22 plans
150 EPISTAXIS WITH MCC $2,500 – $23,119 · median $8,022 22 plans
151 EPISTAXIS WITHOUT MCC $2,500 – $13,555 · median $7,690 22 plans
152 OTITIS MEDIA AND URI WITH MCC $2,500 – $20,898 · median $8,022 22 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $2,500 – $12,924 · median $7,690 22 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $2,500 – $27,054 · median $8,022 22 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $2,500 – $16,649 · median $8,022 22 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,500 – $11,861 · median $7,458 22 plans
157 DENTAL AND ORAL DISEASES WITH MCC $2,500 – $30,023 · median $8,022 22 plans
158 DENTAL AND ORAL DISEASES WITH CC $2,500 – $16,506 · median $8,022 22 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,500 – $11,875 · median $7,571 22 plans
163 MAJOR CHEST PROCEDURES WITH MCC $2,500 – $82,903 · median $8,022 22 plans
164 MAJOR CHEST PROCEDURES WITH CC $2,500 – $44,856 · median $8,022 22 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,500 – $33,002 · median $8,022 22 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $2,500 – $71,369 · median $8,022 22 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $2,500 – $32,007 · median $8,022 22 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $23,844 · median $8,022 22 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $2,500 – $54,083 · median $8,022 22 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $2,500 – $24,676 · median $8,022 22 plans
176 PULMONARY EMBOLISM WITHOUT MCC $2,500 – $14,345 · median $7,690 22 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $2,500 – $29,836 · median $8,022 22 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $2,500 – $17,354 · median $8,022 22 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $2,500 – $13,425 · median $7,690 22 plans
180 RESPIRATORY NEOPLASMS WITH MCC $2,500 – $30,571 · median $8,022 22 plans
181 RESPIRATORY NEOPLASMS WITH CC $2,500 – $19,366 · median $8,022 22 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,500 – $13,349 · median $7,690 22 plans
183 MAJOR CHEST TRAUMA WITH MCC $2,500 – $27,692 · median $8,022 22 plans
184 MAJOR CHEST TRAUMA WITH CC $2,500 – $18,501 · median $8,022 22 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,500 – $13,291 · median $7,690 22 plans
186 PLEURAL EFFUSION WITH MCC $2,500 – $27,298 · median $8,022 22 plans
187 PLEURAL EFFUSION WITH CC $2,500 – $17,523 · median $8,022 22 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $2,500 – $13,129 · median $7,690 22 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,500 – $21,668 · median $8,022 22 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,500 – $19,382 · median $8,022 22 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,500 – $14,932 · median $7,764 22 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,500 – $11,861 · median $7,380 22 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $2,500 – $23,332 · median $8,022 22 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,500 – $14,461 · median $7,690 22 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $2,500 – $33,336 · median $8,022 22 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $2,500 – $17,544 · median $8,022 22 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $2,500 – $13,687 · median $7,690 22 plans
199 PNEUMOTHORAX WITH MCC $2,500 – $31,203 · median $8,022 22 plans
200 PNEUMOTHORAX WITH CC $2,500 – $18,942 · median $8,022 22 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $2,500 – $12,419 · median $7,690 22 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $2,500 – $16,841 · median $8,022 22 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,500 – $12,222 · median $7,683 22 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,500 – $14,473 · median $7,690 22 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $2,500 – $31,840 · median $8,022 22 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,500 – $16,067 · median $8,022 22 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $2,500 – $121,498 · median $8,022 22 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $2,500 – $47,554 · median $8,022 22 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $2,500 – $189,435 22 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $2,500 – $179,658 22 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $2,500 – $71,438 · median $11,342 22 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $2,500 – $71,438 · median $11,342 22 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $2,500 – $71,438 · median $11,342 22 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $2,500 – $71,438 · median $11,342 22 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $2,500 – $71,438 · median $11,342 22 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $2,500 – $71,438 · median $11,342 22 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $2,500 – $84,542 · median $8,022 22 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $2,500 – $49,408 · median $8,022 22 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,500 – $24,444 · median $8,022 22 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $2,500 – $21,435 · median $9,924 22 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $2,500 – $21,435 · median $9,924 22 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $2,500 – $21,435 · median $9,924 22 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $2,500 – $48,321 · median $8,022 22 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $2,500 – $28,839 · median $8,022 22 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,500 – $17,430 · median $8,022 22 plans
263 VEIN LIGATION AND STRIPPING $2,500 – $49,690 · median $8,022 22 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $2,500 – $57,442 · median $8,022 22 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 22 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $2,500 – $85,833 · median $23,049 22 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $2,500 – $120,560 · median $11,565 22 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $2,500 – $73,141 · median $9,924 22 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $2,500 – $88,941 · median $9,924 22 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $2,500 – $60,788 · median $9,924 22 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $2,500 – $55,545 · median $9,924 22 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $2,500 – $68,540 · median $9,924 22 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $2,500 – $56,999 · median $9,924 22 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,500 – $34,673 · median $8,022 22 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $2,500 – $13,010 · median $7,690 22 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,500 – $11,861 · median $7,291 22 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $2,500 – $45,606 · median $8,022 22 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $2,500 – $25,990 · median $8,022 22 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $2,500 – $18,031 · median $8,022 22 plans
291 HEART FAILURE AND SHOCK WITH MCC $2,500 – $22,581 · median $8,022 22 plans
292 HEART FAILURE AND SHOCK WITH CC $2,500 – $15,064 · median $7,797 22 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $2,500 – $19,236 · median $8,022 22 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $2,500 – $28,197 · median $8,022 22 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $2,500 – $12,815 · median $7,690 22 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,500 – $11,861 · median $7,253 22 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $2,500 – $27,722 · median $8,022 22 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $2,500 – $18,766 · median $8,022 22 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,500 – $12,484 · median $7,690 22 plans
302 ATHEROSCLEROSIS WITH MCC $2,500 – $19,718 · median $8,022 22 plans
303 ATHEROSCLEROSIS WITHOUT MCC $2,500 – $11,861 · median $7,473 22 plans
304 HYPERTENSION WITH MCC $2,500 – $20,209 · median $8,022 22 plans
305 HYPERTENSION WITHOUT MCC $2,500 – $13,253 · median $7,690 22 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $2,500 – $27,029 · median $8,022 22 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $2,500 – $16,578 · median $8,022 22 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,500 – $21,144 · median $8,022 22 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,500 – $13,098 · median $7,690 22 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
311 ANGINA PECTORIS $2,500 – $12,278 · median $7,690 22 plans
312 SYNCOPE AND COLLAPSE $2,500 – $15,187 · median $7,829 22 plans
313 CHEST PAIN $2,500 – $12,727 · median $7,690 22 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $2,500 – $36,820 · median $8,022 22 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,500 – $17,013 · median $8,022 22 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,500 – $12,183 · median $7,670 22 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $2,500 – $50,560 · median $8,176 22 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $2,500 – $89,329 · median $8,022 22 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $2,500 – $43,924 · median $8,022 22 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $2,500 – $28,093 · median $8,022 22 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,500 – $79,441 · median $8,022 22 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,500 – $41,721 · median $8,022 22 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,500 – $29,407 · median $8,022 22 plans
332 RECTAL RESECTION WITH MCC $2,500 – $63,802 · median $8,022 22 plans
333 RECTAL RESECTION WITH CC $2,500 – $36,574 · median $8,022 22 plans
334 RECTAL RESECTION WITHOUT CC/MCC $2,500 – $28,231 · median $8,022 22 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $2,500 – $62,877 · median $8,022 22 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $2,500 – $37,028 · median $8,022 22 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $2,500 – $26,319 · median $8,022 22 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $2,500 – $48,198 · median $8,022 22 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,500 – $27,096 · median $8,022 22 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,500 – $22,650 · median $8,022 22 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $2,500 – $44,834 · median $8,022 22 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $2,500 – $22,889 · median $8,022 22 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,500 – $17,162 · median $8,022 22 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $2,500 – $42,211 · median $8,022 22 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $2,500 – $25,601 · median $8,022 22 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $2,500 – $19,505 · median $8,022 22 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $2,500 – $51,433 · median $8,022 22 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $2,500 – $30,213 · median $8,022 22 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $2,500 – $23,965 · median $8,022 22 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $2,500 – $75,254 · median $8,022 22 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $2,500 – $38,637 · median $8,022 22 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $22,532 · median $8,022 22 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $2,500 – $29,055 · median $8,022 22 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $2,500 – $17,382 · median $8,022 22 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $2,500 – $13,080 · median $7,690 22 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $2,500 – $30,739 · median $8,022 22 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $2,500 – $18,332 · median $8,022 22 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,500 – $12,602 · median $7,690 22 plans
374 DIGESTIVE MALIGNANCY WITH MCC $2,500 – $36,917 · median $8,022 22 plans
375 DIGESTIVE MALIGNANCY WITH CC $2,500 – $21,076 · median $8,022 22 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,500 – $15,678 · median $7,953 22 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $2,500 – $31,488 · median $8,022 22 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $2,500 – $17,303 · median $8,022 22 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $2,500 – $34,270 · median $8,022 22 plans
381 COMPLICATED PEPTIC ULCER WITH CC $2,500 – $18,872 · median $8,022 22 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,500 – $13,316 · median $7,690 22 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,500 – $24,592 · median $8,022 22 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $2,500 – $15,402 · median $7,883 22 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $2,500 – $27,559 · median $8,022 22 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,500 – $17,089 · median $8,022 22 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,500 – $12,032 · median $7,621 22 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $2,500 – $25,564 · median $8,022 22 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $2,500 – $14,007 · median $7,690 22 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,500 – $22,437 · median $8,022 22 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,500 – $13,817 · median $7,690 22 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $2,500 – $28,486 · median $8,022 22 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,500 – $16,478 · median $8,022 22 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,500 – $11,861 · median $7,412 22 plans
397 APPENDIX PROCEDURES WITH MCC $2,500 – $39,513 · median $8,022 22 plans
398 APPENDIX PROCEDURES WITH CC $2,500 – $26,616 · median $8,022 22 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $2,500 – $19,577 · median $8,022 22 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $2,500 – $96,825 · median $8,022 22 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,500 – $50,784 · median $8,022 22 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $2,500 – $37,832 · median $8,022 22 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $2,500 – $65,466 · median $8,022 22 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $2,500 – $34,425 · median $8,022 22 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $2,500 – $27,529 · median $8,022 22 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $2,500 – $50,662 · median $8,022 22 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $2,500 – $35,976 · median $8,022 22 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,500 – $26,551 · median $8,022 22 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $2,500 – $62,001 · median $8,022 22 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $2,500 – $34,750 · median $8,022 22 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $2,500 – $23,554 · median $8,022 22 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $2,500 – $40,765 · median $8,022 22 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $2,500 – $28,751 · median $8,022 22 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,500 – $23,097 · median $8,022 22 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $2,500 – $56,296 · median $8,022 22 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,500 – $30,068 · median $8,022 22 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $2,500 – $24,817 · median $8,022 22 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $2,500 – $68,785 · median $8,022 22 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $2,500 – $36,711 · median $8,022 22 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $28,174 · median $8,022 22 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $2,500 – $33,699 · median $8,022 22 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,500 – $18,133 · median $8,022 22 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,500 – $11,861 · median $7,538 22 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,500 – $30,953 · median $8,022 22 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,500 – $19,359 · median $8,022 22 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,500 – $14,617 · median $7,690 22 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $2,500 – $29,351 · median $8,022 22 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $2,500 – $15,041 · median $7,792 22 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $2,500 – $32,154 · median $8,022 22 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,500 – $16,735 · median $8,022 22 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,500 – $12,570 · median $7,690 22 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $2,500 – $28,725 · median $8,022 22 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,500 – $19,115 · median $8,022 22 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,500 – $14,097 · median $7,690 22 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,500 – $20,043 · median $8,022 22 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,500 – $109,364 · median $8,022 22 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $2,500 – $59,901 · median $8,022 22 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,500 – $35,985 · median $8,022 22 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $2,500 – $99,954 · median $8,022 22 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $2,500 – $46,592 · median $8,022 22 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,500 – $28,325 · median $8,022 22 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $2,500 – $58,783 · median $8,022 22 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $2,500 – $30,719 · median $8,022 22 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,500 – $23,686 · median $8,022 22 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $2,500 – $29,321 · median $8,022 22 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $2,500 – $26,767 · median $8,022 22 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $2,500 – $34,448 · median $8,022 22 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $2,500 – $29,618 · median $8,022 22 plans
592 SKIN ULCERS WITH MCC $2,500 – $36,761 · median $8,022 22 plans
593 SKIN ULCERS WITH CC $2,500 – $21,280 · median $8,022 22 plans
594 SKIN ULCERS WITHOUT CC/MCC $2,500 – $13,849 · median $7,690 22 plans
595 MAJOR SKIN DISORDERS WITH MCC $2,500 – $38,254 · median $8,022 22 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,500 – $17,746 · median $8,022 22 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $2,500 – $28,150 · median $8,022 22 plans
598 MALIGNANT BREAST DISORDERS WITH CC $2,500 – $21,084 · median $8,022 22 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $2,500 – $18,036 · median $8,022 22 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
602 CELLULITIS WITH MCC $2,500 – $26,162 · median $8,022 22 plans
603 CELLULITIS WITHOUT MCC $2,500 – $15,560 · median $7,923 22 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $2,500 – $26,491 · median $8,022 22 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $2,500 – $15,984 · median $8,022 22 plans
606 MINOR SKIN DISORDERS WITH MCC $2,500 – $27,891 · median $8,022 22 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $2,500 – $15,715 · median $7,963 22 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,500 – $39,615 · median $8,022 22 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $2,500 – $25,874 · median $8,022 22 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,500 – $69,608 · median $8,022 22 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,500 – $34,903 · median $8,022 22 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,500 – $20,428 · median $8,022 22 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $2,500 – $67,285 · median $8,022 22 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,500 – $32,738 · median $8,022 22 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,500 – $19,602 · median $8,022 22 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $2,500 – $51,378 · median $8,022 22 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,500 – $26,240 · median $8,022 22 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $2,500 – $21,739 · median $8,022 22 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $2,500 – $70,607 · median $8,022 22 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $2,500 – $39,798 · median $8,022 22 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $24,558 · median $8,022 22 plans
637 DIABETES WITH MCC $2,500 – $25,490 · median $8,022 22 plans
638 DIABETES WITH CC $2,500 – $15,819 · median $7,989 22 plans
639 DIABETES WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,500 – $23,132 · median $8,022 22 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $2,500 – $13,743 · median $7,690 22 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $2,500 – $22,922 · median $8,022 22 plans
643 ENDOCRINE DISORDERS WITH MCC $2,500 – $28,934 · median $8,022 22 plans
644 ENDOCRINE DISORDERS WITH CC $2,500 – $18,673 · median $8,022 22 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,500 – $13,383 · median $7,690 22 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $2,500 – $95,214 · median $8,022 22 plans
654 MAJOR BLADDER PROCEDURES WITH CC $2,500 – $48,147 · median $8,022 22 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $2,500 – $37,072 · median $8,022 22 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $2,500 – $55,184 · median $8,022 22 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,500 – $32,436 · median $8,022 22 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,500 – $26,037 · median $8,022 22 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $2,500 – $45,534 · median $8,022 22 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $2,500 – $23,672 · median $8,022 22 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $2,500 – $18,439 · median $8,022 22 plans
662 MINOR BLADDER PROCEDURES WITH MCC $2,500 – $52,706 · median $8,022 22 plans
663 MINOR BLADDER PROCEDURES WITH CC $2,500 – $25,661 · median $8,022 22 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,500 – $18,671 · median $8,022 22 plans
665 PROSTATECTOMY WITH MCC $2,500 – $54,331 · median $8,022 22 plans
666 PROSTATECTOMY WITH CC $2,500 – $30,206 · median $8,022 22 plans
667 PROSTATECTOMY WITHOUT CC/MCC $2,500 – $18,460 · median $8,022 22 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $2,500 – $49,563 · median $8,022 22 plans
669 TRANSURETHRAL PROCEDURES WITH CC $2,500 – $26,991 · median $8,022 22 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $2,500 – $16,930 · median $8,022 22 plans
671 URETHRAL PROCEDURES WITH CC/MCC $2,500 – $30,109 · median $8,022 22 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $2,500 – $16,228 · median $8,022 22 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $2,500 – $65,040 · median $8,022 22 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $2,500 – $41,898 · median $8,022 22 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $2,500 – $27,903 · median $8,022 22 plans
682 RENAL FAILURE WITH MCC $2,500 – $26,396 · median $8,022 22 plans
683 RENAL FAILURE WITH CC $2,500 – $15,843 · median $7,995 22 plans
684 RENAL FAILURE WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $2,500 – $32,351 · median $8,022 22 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $2,500 – $18,385 · median $8,022 22 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,500 – $13,734 · median $7,690 22 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,500 – $20,655 · median $8,022 22 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $2,500 – $14,192 · median $7,690 22 plans
693 URINARY STONES WITH MCC $2,500 – $24,910 · median $8,022 22 plans
694 URINARY STONES WITHOUT MCC $2,500 – $13,766 · median $7,690 22 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $2,500 – $21,035 · median $8,022 22 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,500 – $12,173 · median $7,667 22 plans
697 URETHRAL STRICTURE $2,500 – $19,577 · median $8,022 22 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $2,500 – $29,098 · median $8,022 22 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,500 – $17,954 · median $8,022 22 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,500 – $12,458 · median $7,690 22 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,500 – $34,506 · median $8,022 22 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,500 – $25,652 · median $8,022 22 plans
709 PENIS PROCEDURES WITH CC/MCC $2,500 – $37,287 · median $8,022 22 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $2,500 – $21,709 · median $8,022 22 plans
711 TESTES PROCEDURES WITH CC/MCC $2,500 – $37,338 · median $8,022 22 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $2,500 – $20,902 · median $8,022 22 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $2,500 – $25,515 · median $8,022 22 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $2,500 – $16,858 · median $8,022 22 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $2,500 – $38,826 · median $8,022 22 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $2,500 – $25,014 · median $8,022 22 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $2,500 – $31,899 · median $8,022 22 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $2,500 – $20,680 · median $8,022 22 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $2,500 – $32,974 · median $8,022 22 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $2,500 – $19,598 · median $8,022 22 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,500 – $14,237 · median $7,690 22 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $2,500 – $21,825 · median $8,022 22 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,500 – $12,855 · median $7,690 22 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $2,500 – $28,510 · median $8,022 22 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $2,500 – $14,072 · median $7,690 22 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,500 – $17,657 · median $8,022 22 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $2,500 – $38,229 · median $8,022 22 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $2,500 – $22,164 · median $8,022 22 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $2,500 – $68,368 · median $8,022 22 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $2,500 – $34,715 · median $8,022 22 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,500 – $24,001 · median $8,022 22 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $2,500 – $63,603 · median $8,022 22 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,500 – $31,430 · median $8,022 22 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,500 – $22,852 · median $8,022 22 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $2,500 – $31,340 · median $8,022 22 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,500 – $20,437 · median $8,022 22 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,500 – $33,108 · median $8,022 22 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $2,500 – $18,219 · median $8,022 22 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $2,500 – $29,479 · median $8,022 22 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $2,500 – $15,604 · median $7,934 22 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,500 – $24,709 · median $8,022 22 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $2,500 – $44,273 · median $8,022 22 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $23,920 · median $8,022 22 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,500 – $32,582 · median $8,022 22 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,500 – $19,078 · median $8,022 22 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,500 – $17,407 · median $8,022 22 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,500 – $26,234 · median $8,022 22 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,500 – $17,458 · median $8,022 22 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,500 – $11,861 · median $7,405 22 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,500 – $17,507 · median $8,022 22 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $2,500 – $27,154 · median $8,022 22 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,500 – $14,048 · median $7,690 22 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $2,500 – $12,605 · median $7,690 22 plans
779 ABORTION WITHOUT D&C $2,500 – $17,398 · median $8,022 22 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,500 – $31,162 · median $8,022 22 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,500 – $18,012 · median $8,022 22 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,500 – $15,236 · median $7,841 22 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,500 – $30,770 · median $8,022 22 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,500 – $18,487 · median $8,022 22 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,500 – $15,038 · median $7,791 22 plans
799 SPLENECTOMY WITH MCC $2,500 – $87,142 · median $8,022 22 plans
800 SPLENECTOMY WITH CC $2,500 – $49,558 · median $8,022 22 plans
801 SPLENECTOMY WITHOUT CC/MCC $2,500 – $31,477 · median $8,022 22 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,500 – $59,629 · median $8,022 22 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,500 – $32,682 · median $8,022 22 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,500 – $21,289 · median $8,022 22 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $2,500 – $38,519 · median $8,022 22 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $2,500 – $21,183 · median $8,022 22 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $2,500 – $17,667 · median $8,022 22 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,500 – $24,687 · median $8,022 22 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $2,500 – $15,842 · median $7,995 22 plans
813 COAGULATION DISORDERS $2,500 – $27,437 · median $8,022 22 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $2,500 – $37,429 · median $8,022 22 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $2,500 – $17,486 · median $8,022 22 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,500 – $12,491 · median $7,690 22 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,500 – $39,661 · median $8,022 22 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,500 – $20,632 · median $8,022 22 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $15,956 · median $8,022 22 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $2,500 – $106,349 · median $8,022 22 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,500 – $39,258 · median $8,022 22 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $21,788 · median $8,022 22 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $2,500 – $79,179 · median $8,022 22 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $2,500 – $39,272 · median $8,022 22 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $2,500 – $22,713 · median $8,022 22 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $2,500 – $77,190 · median $8,022 22 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $2,500 – $40,755 · median $8,022 22 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $28,851 · median $8,022 22 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $2,500 – $55,469 · median $8,022 22 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $2,500 – $27,810 · median $8,022 22 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,500 – $17,760 · median $8,022 22 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,500 – $12,975 · median $7,690 22 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $2,500 – $98,475 · median $8,022 22 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $2,500 – $39,318 · median $8,022 22 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $21,058 · median $8,022 22 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $2,500 – $83,659 · median $8,022 22 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $2,500 – $34,339 · median $8,022 22 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,500 – $22,919 · median $8,022 22 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $2,500 – $54,966 · median $8,022 22 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $2,500 – $27,675 · median $8,022 22 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,500 – $18,756 · median $8,022 22 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $2,500 – $32,724 · median $8,022 22 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $2,500 – $20,353 · median $8,022 22 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $2,500 – $15,212 · median $7,835 22 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $2,500 – $42,985 · median $8,022 22 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $2,500 – $21,327 · median $8,022 22 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,500 – $13,358 · median $7,690 22 plans
849 RADIOTHERAPY $2,500 – $47,336 · median $8,022 22 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $2,500 – $87,928 · median $8,022 22 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $2,500 – $35,848 · median $8,022 22 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $29,931 · median $8,022 22 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $2,500 – $77,887 · median $8,022 22 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $2,500 – $37,563 · median $8,022 22 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,500 – $22,572 · median $8,022 22 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $2,500 – $32,397 · median $8,022 22 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $2,500 – $17,685 · median $8,022 22 plans
864 FEVER AND INFLAMMATORY CONDITIONS $2,500 – $15,527 · median $7,915 22 plans
865 VIRAL ILLNESS WITH MCC $2,500 – $28,843 · median $8,022 22 plans
866 VIRAL ILLNESS WITHOUT MCC $2,500 – $16,141 · median $8,022 22 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $2,500 – $36,799 · median $8,022 22 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $2,500 – $19,092 · median $8,022 22 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,500 – $12,148 · median $7,659 22 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $2,500 – $122,499 · median $8,022 22 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $2,500 – $34,870 · median $8,022 22 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,500 – $18,114 · median $8,022 22 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $2,500 – $76,117 · median $8,022 22 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,500 – $33,148 · median $8,022 22 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $2,500 – $21,836 · median $8,022 22 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $2,500 – $57,270 · median $8,022 22 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $2,500 – $27,854 · median $8,022 22 plans
906 HAND PROCEDURES FOR INJURIES $2,500 – $33,094 · median $8,022 22 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $2,500 – $65,419 · median $8,022 22 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $2,500 – $35,248 · median $8,022 22 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $2,500 – $23,855 · median $8,022 22 plans
913 TRAUMATIC INJURY WITH MCC $2,500 – $26,285 · median $8,022 22 plans
914 TRAUMATIC INJURY WITHOUT MCC $2,500 – $15,965 · median $8,022 22 plans
915 ALLERGIC REACTIONS WITH MCC $2,500 – $31,201 · median $8,022 22 plans
916 ALLERGIC REACTIONS WITHOUT MCC $2,500 – $11,861 · median $7,477 22 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $2,500 – $28,069 · median $8,022 22 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,500 – $15,142 · median $7,817 22 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $2,500 – $32,093 · median $8,022 22 plans
920 COMPLICATIONS OF TREATMENT WITH CC $2,500 – $18,182 · median $8,022 22 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $2,500 – $12,273 · median $7,690 22 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $2,500 – $30,689 · median $8,022 22 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,500 – $17,789 · median $8,022 22 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,500 – $56,551 · median $8,022 22 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $2,500 – $38,106 · median $8,022 22 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $2,500 – $32,643 · median $8,022 22 plans
947 SIGNS AND SYMPTOMS WITH MCC $2,500 – $22,013 · median $8,022 22 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $2,500 – $14,088 · median $7,690 22 plans
949 AFTERCARE WITH CC/MCC $2,500 – $18,223 · median $8,022 22 plans
950 AFTERCARE WITHOUT CC/MCC $2,500 – $11,861 · median $7,376 22 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,500 – $11,861 · median $7,376 22 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $2,500 – $48,091 · median $8,022 22 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,500 – $26,400 · median $8,022 22 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,500 – $16,812 · median $8,022 22 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $2,500 – $120,875 · median $8,022 22 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $2,500 – $42,289 · median $8,022 22 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $2,500 – $51,295 · median $8,022 22 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $2,500 – $23,978 · median $8,022 22 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,500 – $14,867 · median $7,747 22 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $2,500 – $24,906 · median $8,022 22 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,500 – $83,374 · median $8,022 22 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,500 – $43,724 · median $8,022 22 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,500 – $28,760 · median $8,022 22 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $2,500 – $59,389 · median $8,022 22 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,500 – $29,847 · median $8,022 22 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,500 – $19,000 · median $8,022 22 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $2,500 – $11,861 · median $7,690 20 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $2,500 – $11,861 · median $7,690 20 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,500 – $11,861 · median $7,690 20 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $2,500 – $11,861 · median $7,690 20 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $2,500 – $11,861 · median $7,690 20 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,500 – $11,861 · median $7,690 20 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $2,500 – $11,861 · median $7,690 20 plans
999 UNGROUPABLE $2,500 – $11,861 · median $7,690 20 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,500 – $13,029 · median $7,433 19 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,500 – $65,630 · median $7,433 17 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,500 – $16,790 · median $7,433 17 plans
881 DEPRESSIVE NEUROSES $2,500 – $15,944 · median $7,433 17 plans
882 NEUROSES EXCEPT DEPRESSIVE $2,500 – $16,520 · median $7,433 17 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,500 – $32,985 · median $7,433 17 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,500 – $30,900 · median $7,433 17 plans
885 PSYCHOSES $2,500 – $24,032 · median $7,433 17 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,500 – $29,578 · median $7,433 17 plans
887 OTHER MENTAL DISORDER DIAGNOSES $2,500 – $22,787 · median $7,433 17 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,500 – $10,104 · median $7,073 17 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,500 – $28,296 · median $7,433 17 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,500 – $31,273 · median $7,433 17 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,500 – $15,048 · median $7,433 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $2,500 – $463,597 17 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $2,500 – $121,704 · median $7,433 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $2,500 – $56,554 · median $7,433 17 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $2,500 – $53,327 · median $7,433 17 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $2,500 – $36,803 · median $7,433 17 plans
935 NON-EXTENSIVE BURNS $2,500 – $35,899 · median $7,433 17 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,500 – $32,000 · median $7,188 15 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,500 – $105,530 · median $7,188 15 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,500 – $72,070 · median $7,188 15 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,500 – $43,486 · median $7,188 15 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,500 – $74,033 · median $7,188 15 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,500 – $26,204 · median $7,188 15 plans
945 REHABILITATION WITH CC/MCC $2,500 – $26,549 · median $7,188 15 plans
946 REHABILITATION WITHOUT CC/MCC $2,500 – $17,811 · median $7,188 15 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 14 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $2,500 – $51,409 · median $7,311 14 plans
795 NORMAL NEWBORN $2,500 – $8,573 · median $6,159 13 plans
652 KIDNEY TRANSPLANT $2,500 – $44,660 · median $7,131 10 plans
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