PeaceHealth St. John Medical Center — Pricing

796 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 796 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 796
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 796 procedures

Procedures with negotiated rates only

These 796 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
876 O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $660 – $68,246 · median $34,464 15 plans
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $660 – $19,035 · median $9,613 15 plans
881 DEPRESSIVE NEUROSES $660 – $18,708 · median $9,448 15 plans
882 NEUROSES EXCEPT DEPRESSIVE $660 – $20,960 · median $10,585 15 plans
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $660 – $36,080 · median $18,221 15 plans
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $660 – $30,025 · median $15,163 15 plans
885 PSYCHOSES $660 – $26,432 · median $13,348 15 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $660 – $37,927 · median $19,153 15 plans
887 OTHER MENTAL DISORDER DIAGNOSES $660 – $20,911 · median $10,560 15 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $660 – $362,357 · median $183,896 14 plans
004 TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. $660 – $237,433 · median $120,497 14 plans
011 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY — 14 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 14 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 14 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 14 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — 14 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 14 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — 14 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 14 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 14 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 14 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — 14 plans
028 SPINAL PROCEDURES WITH MCC — 14 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — 14 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC — 14 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 14 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC — 14 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC — 14 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 14 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 14 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC — 14 plans
037 EXTRACRANIAL PROCEDURES WITH MCC — 14 plans
038 EXTRACRANIAL PROCEDURES WITH CC — 14 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC — 14 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 14 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — 14 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — 14 plans
052 SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY — 14 plans
053 SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY — 14 plans
054 NERVOUS SYSTEM NEOPLASMS WITH COMORBITY — 14 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC — 14 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY $660 – $42,125 · median $21,379 14 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY — 14 plans
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY — 14 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC — 14 plans
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY $660 – $18,351 · median $9,313 14 plans
061 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY — 14 plans
062 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION — 14 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC — 14 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY — 14 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS — 14 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY $660 – $14,363 · median $7,289 14 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC — 14 plans
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY $660 – $17,412 · median $8,837 14 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $660 – $16,301 · median $8,273 14 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY — 14 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION — 14 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $660 – $15,579 · median $7,907 14 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC — 14 plans
074 CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY — 14 plans
075 VIRAL MENINGITIS WITH COMPLICATION/COMORBITY — 14 plans
076 VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY $660 – $16,748 · median $8,500 14 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 14 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $660 – $17,941 · median $9,105 14 plans
082 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY — 14 plans
083 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION — 14 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC — 14 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC — 14 plans
086 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION — 14 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $660 – $18,265 · median $9,269 14 plans
088 CONCUSSION WITH MCC — 14 plans
089 CONCUSSION WITH COMPLICATION — 14 plans
090 CONCUSSION WITHOUT CC/MCC $660 – $16,714 · median $8,483 14 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY — 14 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION — 14 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $660 – $16,259 · median $8,251 14 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC — 14 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 14 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC — 14 plans
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY — 14 plans
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION — 14 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC — 14 plans
100 SEIZURES WITH COMORBITY — 14 plans
101 SEIZURES WITHOUT COMORBITY $660 – $18,060 · median $9,165 14 plans
102 HEADACHES WITH MCC — 14 plans
103 HEADACHES WITHOUT MCC $660 – $16,936 · median $8,595 14 plans
113 ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY — 14 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC — 14 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT — 14 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC — 14 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC — 14 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC — 14 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $660 – $16,081 · median $8,161 14 plans
123 NEUROLOGICAL EYE DISORDERS $660 – $16,298 · median $8,271 14 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT — 14 plans
125 OTHER DISORDERS OF THE EYE WITHOUT COMORBITY $660 – $15,776 · median $8,006 14 plans
135 SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY — 14 plans
136 SINUS & MASTOID PROCEDURES WITHOUT COMPLICATION/COMORBITY — 14 plans
137 MOUTH PROCEDURES WITH COMPLICATION/COMORBITY — 14 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $660 – $17,782 · median $9,024 14 plans
139 SALIVARY GLAND PROCEDURES — 14 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $660 – $75,029 · median $38,077 14 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC — 14 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC — 14 plans
143 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC — 14 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — 14 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — 14 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 14 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC — 14 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $660 – $16,272 · median $8,258 14 plans
149 DYSEQUILIBRIUM $660 – $15,501 · median $7,867 14 plans
150 EPISTAXIS WITH MCC — 14 plans
151 EPISTAXIS WITHOUT MCC $660 – $15,203 · median $7,716 14 plans
152 OTITIS MEDIA & URI WITH COMORBITY — 14 plans
153 OTITIS MEDIA & URI WITHOUT COMORBITY $660 – $15,274 · median $7,752 14 plans
154 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY — 14 plans
155 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION $660 – $18,295 · median $9,285 14 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $660 – $14,476 · median $7,347 14 plans
157 DENTAL & ORAL DISEASES WITH COMORBITY — 14 plans
158 DENTAL AND ORAL DISEASES WITH CC $660 – $18,182 · median $9,227 14 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $660 – $14,771 · median $7,496 14 plans
163 MAJOR CHEST PROCEDURES WITH COMORBITY — 14 plans
164 MAJOR CHEST PROCEDURES WITH CC — 14 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC — 14 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 14 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — 14 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 14 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 14 plans
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE — 14 plans
176 PULMONARY EMBOLISM WITHOUT COMORBITY $660 – $16,406 · median $8,326 14 plans
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY — 14 plans
178 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION — 14 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY $660 – $15,559 · median $7,896 14 plans
180 RESPIRATORY NEOPLASMS WITH COMORBITY — 14 plans
181 RESPIRATORY NEOPLASMS WITH COMPLICATION — 14 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $660 – $15,539 · median $7,886 14 plans
183 MAJOR CHEST TRAUMA WITH COMORBITY — 14 plans
184 MAJOR CHEST TRAUMA WITH COMPLICATION — 14 plans
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY $660 – $16,093 · median $8,167 14 plans
186 PLEURAL EFFUSION WITH COMORBITY — 14 plans
187 PLEURAL EFFUSION WITH CC — 14 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $660 – $14,919 · median $7,571 14 plans
189 PULMONARY EDEMA & RESPIRATORY FAILURE — 14 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY — 14 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $660 – $17,050 · median $8,653 14 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY $660 – $13,645 · median $6,925 14 plans
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY — 14 plans
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $660 – $16,421 · median $8,334 14 plans
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $660 – $13,416 · median $6,809 14 plans
196 INTERSTITIAL LUNG DISEASE WITH COMORBITY — 14 plans
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION — 14 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY $660 – $14,902 · median $7,563 14 plans
199 PNEUMOTHORAX WITH COMORBITY — 14 plans
200 PNEUMOTHORAX WITH COMPLICATION — 14 plans
201 PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY $660 – $14,883 · median $7,553 14 plans
202 BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY $660 – $19,222 · median $9,755 14 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $660 – $14,119 · median $7,165 14 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $660 – $16,447 · median $8,347 14 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY — 14 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY $660 – $18,712 · median $9,496 14 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $660 – $111,782 · median $56,730 14 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS — 14 plans
209 COMPLEX AORTIC ARCH PROCEDURES — 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $660 – $186,993 · median $94,899 14 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES — 14 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $660 – $171,456 · median $87,014 14 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $660 – $168,505 · median $85,516 14 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 14 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 14 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC — 14 plans
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION — 14 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC — 14 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY — 14 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 14 plans
231 CORONARY BYPASS WITH PTCA WITH COMORBITY — 14 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 14 plans
233 CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY $660 – $132,290 · median $67,137 14 plans
234 CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY — 14 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 14 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC — 14 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 14 plans
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION — 14 plans
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY — 14 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY — 14 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION — 14 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY — 14 plans
245 AICD GENERATOR PROCEDURES — 14 plans
250 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY — 14 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC — 14 plans
252 OTHER VASCULAR PROCEDURES WITH COMORBITY — 14 plans
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION — 14 plans
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY — 14 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 14 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC — 14 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC — 14 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 14 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 14 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY — 14 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION — 14 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC — 14 plans
263 VEIN LIGATION & STRIPPING — 14 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — 14 plans
265 AICD LEAD PROCEDURES — 14 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 14 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC — 14 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $660 – $119,291 · median $60,540 14 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC — 14 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY $660 – $92,157 · median $46,770 14 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION — 14 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — 14 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 14 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR — 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC — 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC — 14 plans
279 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS — 14 plans
280 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY — 14 plans
281 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION — 14 plans
282 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY $660 – $15,019 · median $7,622 14 plans
283 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY — 14 plans
284 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION $660 – $14,495 · median $7,356 14 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $660 – $12,914 · median $6,554 14 plans
286 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY — 14 plans
287 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY — 14 plans
288 ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY — 14 plans
289 ACUTE & SUBACUTE ENDOCARDITIS WITH COMPLICATION — 14 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC — 14 plans
291 HEART FAILURE & SHOCK WITH COMORBITY — 14 plans
292 HEART FAILURE & SHOCK WITH COMPLICATION $660 – $17,152 · median $8,704 14 plans
293 HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY $660 – $12,357 · median $6,271 14 plans
296 CARDIAC ARREST; UNEXPLAINED WITH COMORBITY — 14 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $660 – $13,509 · median $6,856 14 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $660 – $10,478 · median $5,318 14 plans
299 PERIPHERAL VASCULAR DISORDERS WITH COMORBITY — 14 plans
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION — 14 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $660 – $14,961 · median $7,593 14 plans
302 ATHEROSCLEROSIS WITH MCC — 14 plans
303 ATHEROSCLEROSIS WITHOUT COMORBITY $660 – $14,173 · median $7,193 14 plans
304 HYPERTENSION WITH COMORBITY — 14 plans
305 HYPERTENSION WITHOUT COMORBITY $660 – $15,561 · median $7,897 14 plans
306 CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY — 14 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $660 – $18,239 · median $9,256 14 plans
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY — 14 plans
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION $660 – $15,232 · median $7,730 14 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $660 – $12,359 · median $6,272 14 plans
311 ANGINA PECTORIS $660 – $14,659 · median $7,440 14 plans
312 SYNCOPE & COLLAPSE $660 – $17,534 · median $8,899 14 plans
313 CHEST PAIN $660 – $14,966 · median $7,595 14 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY — 14 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION — 14 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $660 – $14,324 · median $7,269 14 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION — 14 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE — 14 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 14 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC — 14 plans
321 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION — 14 plans
322 SHOULDER AND ELBOW JOINT REPLACEMENT — 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC — 14 plans
324 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT — 14 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 14 plans
326 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY — 14 plans
327 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION — 14 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — 14 plans
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY — 14 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION — 14 plans
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY — 14 plans
332 RECTAL RESECTION WITH MCC — 14 plans
333 RECTAL RESECTION WITH CC — 14 plans
334 RECTAL RESECTION WITHOUT CC/MCC — 14 plans
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY — 14 plans
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION — 14 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC — 14 plans
344 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY — 14 plans
345 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION — 14 plans
346 MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY — 14 plans
347 ANAL & STOMAL PROCEDURES WITH COMORBITY — 14 plans
348 ANAL & STOMAL PROCEDURES WITH COMPLICATION — 14 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC — 14 plans
350 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY — 14 plans
351 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION — 14 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC — 14 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY — 14 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION — 14 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC — 14 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY — 14 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION — 14 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — 14 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC — 14 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC — 14 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY — 14 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION — 14 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $660 – $14,641 · median $7,430 14 plans
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY — 14 plans
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION — 14 plans
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY $660 – $15,091 · median $7,659 14 plans
374 DIGESTIVE MALIGNANCY WITH COMORBITY — 14 plans
375 DIGESTIVE MALIGNANCY WITH COMPLICATION — 14 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $660 – $18,427 · median $9,352 14 plans
377 G.I. HEMORRHAGE WITH COMORBITY — 14 plans
378 G.I. HEMORRHAGE WITH COMPLICATION — 14 plans
379 G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $660 – $13,448 · median $6,825 14 plans
380 COMPLICATED PEPTIC ULCER WITH COMORBITY — 14 plans
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION — 14 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $660 – $16,332 · median $8,288 14 plans
383 UNCOMPLICATED PEPTIC ULCER WITH COMORBITY — 14 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY $660 – $17,250 · median $8,754 14 plans
385 INFLAMMATORY BOWEL DISEASE WITH COMORBITY — 14 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC — 14 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY $660 – $14,310 · median $7,263 14 plans
388 G.I. OBSTRUCTION WITH COMORBITY — 14 plans
389 G.I. OBSTRUCTION WITH COMPLICATION $660 – $16,149 · median $8,195 14 plans
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $660 – $11,984 · median $6,082 14 plans
391 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY — 14 plans
392 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $660 – $15,976 · median $8,108 14 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY — 14 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $660 – $18,620 · median $9,450 14 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $660 – $13,763 · median $6,985 14 plans
397 APPENDIX PROCEDURES WITH MCC — 14 plans
398 APPENDIX PROCEDURES WITH CC — 14 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC — 14 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL — 14 plans
405 PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY — 14 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — 14 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — 14 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 14 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — 14 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — 14 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 14 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC — 14 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — 14 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 14 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION — 14 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC — 14 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY — 14 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION — 14 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY — 14 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY — 14 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC — 14 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY — 14 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 14 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION — 14 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY — 14 plans
426 NON-HYPOVOLEMIC SODIUM DISORDERS — 14 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC — 14 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC — 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC — 14 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC — 14 plans
432 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY — 14 plans
433 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION — 14 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $660 – $14,839 · median $7,531 14 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY — 14 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION — 14 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $660 – $17,224 · median $8,741 14 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY — 14 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $660 – $17,019 · median $8,637 14 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $660 – $13,296 · median $6,748 14 plans
441 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY — 14 plans
442 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION — 14 plans
443 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY $660 – $14,622 · median $7,421 14 plans
444 DISORDERS OF THE BILIARY TRACT WITH COMORBITY — 14 plans
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION — 14 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $660 – $16,784 · median $8,518 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE — 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 14 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE — 14 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 14 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 14 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC — 14 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC — 14 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 14 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — 14 plans
463 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY — 14 plans
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION — 14 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 14 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY — 14 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION — 14 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY — 14 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT — 14 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY — 14 plans
471 CERVICAL SPINAL FUSION WITH MCC — 14 plans
472 CERVICAL SPINAL FUSION WITH CC — 14 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC — 14 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 14 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC — 14 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 14 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 14 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — 14 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 14 plans
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY — 14 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION — 14 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY — 14 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES — 14 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 14 plans
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION — 14 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC — 14 plans
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY — 14 plans
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY — 14 plans
492 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY — 14 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION — 14 plans
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY — 14 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 14 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION — 14 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — 14 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — 14 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC — 14 plans
500 SOFT TISSUE PROCEDURES WITH COMORBITY — 14 plans
501 SOFT TISSUE PROCEDURES WITH COMPLICATION — 14 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC — 14 plans
503 FOOT PROCEDURES WITH MCC — 14 plans
504 FOOT PROCEDURES WITH COMPLICATION — 14 plans
505 FOOT PROCEDURES WITHOUT CC/MCC — 14 plans
506 MAJOR THUMB OR JOINT PROCEDURES — 14 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — 14 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC — 14 plans
510 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY — 14 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC — 14 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC — 14 plans
513 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY — 14 plans
514 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY — 14 plans
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY — 14 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — 14 plans
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY — 14 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 14 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — 14 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC — 14 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 14 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — 14 plans
533 FRACTURES OF FEMUR WITH MCC — 14 plans
534 FRACTURES OF FEMUR WITHOUT MCC $660 – $16,425 · median $8,336 14 plans
535 FRACTURES OF HIP & PELVIS WITH COMORBITY — 14 plans
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $660 – $16,450 · median $8,348 14 plans
537 SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITH COMPLICATION/COMORBITY — 14 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $660 – $14,971 · median $7,598 14 plans
539 OSTEOMYELITIS WITH COMORBITY — 14 plans
540 OSTEOMYELITIS WITH COMPLICATION — 14 plans
541 OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY $660 – $16,108 · median $8,175 14 plans
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY — 14 plans
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION — 14 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $660 – $15,552 · median $7,893 14 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 14 plans
546 CONNECTIVE TISSUE DISORDERS WITH COMPLICATION — 14 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY $660 – $16,935 · median $8,594 14 plans
548 SEPTIC ARTHRITIS WITH MCC — 14 plans
549 SEPTIC ARTHRITIS WITH COMPLICATION — 14 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $660 – $17,577 · median $8,920 14 plans
551 MEDICAL BACK PROBLEMS WITH COMORBITY — 14 plans
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $660 – $19,054 · median $9,670 14 plans
553 BONE DISEASES & ARTHROPATHIES WITH COMORBITY — 14 plans
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $660 – $16,831 · median $8,542 14 plans
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY — 14 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $660 – $16,840 · median $8,546 14 plans
557 TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY — 14 plans
558 TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY $660 – $17,900 · median $9,084 14 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 14 plans
560 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION — 14 plans
561 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $660 – $16,387 · median $8,317 14 plans
562 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY — 14 plans
563 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY $660 – $17,939 · median $9,104 14 plans
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY — 14 plans
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION — 14 plans
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY $660 – $15,462 · median $7,847 14 plans
570 SKIN DEBRIDEMENT WITH MCC — 14 plans
571 SKIN DEBRIDEMENT WITH COMPLICATION — 14 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC — 14 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 14 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 14 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 14 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC — 14 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC — 14 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC — 14 plans
579 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY — 14 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — 14 plans
581 OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY — 14 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC — 14 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC — 14 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC — 14 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC — 14 plans
592 SKIN ULCERS WITH MCC — 14 plans
593 SKIN ULCERS WITH CC — 14 plans
594 SKIN ULCERS WITHOUT CC/MCC $660 – $17,453 · median $8,857 14 plans
595 MAJOR SKIN DISORDERS WITH MCC — 14 plans
596 MAJOR SKIN DISORDERS WITHOUT COMORBITY — 14 plans
597 MALIGNANT BREAST DISORDERS WITH MCC — 14 plans
598 MALIGNANT BREAST DISORDERS WITH CC — 14 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $660 – $15,803 · median $8,020 14 plans
600 NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY $660 – $20,414 · median $10,360 14 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $660 – $13,018 · median $6,607 14 plans
602 CELLULITIS WITH COMORBITY — 14 plans
603 CELLULITIS WITHOUT COMORBITY $660 – $17,523 · median $8,893 14 plans
604 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY — 14 plans
605 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY $660 – $18,287 · median $9,280 14 plans
606 MINOR SKIN DISORDERS WITH COMORBITY — 14 plans
607 MINOR SKIN DISORDERS WITHOUT COMORBITY $660 – $18,124 · median $9,198 14 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 14 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC — 14 plans
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY — 14 plans
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION — 14 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC — 14 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 14 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC — 14 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY — 14 plans
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY — 14 plans
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION — 14 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC — 14 plans
625 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY — 14 plans
626 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION — 14 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC — 14 plans
628 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY — 14 plans
629 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION — 14 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — 14 plans
637 DIABETES WITH COMORBITY — 14 plans
638 DIABETES WITH COMPLICATION $660 – $17,951 · median $9,110 14 plans
639 DIABETES WITHOUT COMPLICATION/COMORBITY $660 – $13,292 · median $6,746 14 plans
640 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY — 14 plans
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $660 – $15,952 · median $8,096 14 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM — 14 plans
643 ENDOCRINE DISORDERS WITH COMORBITY — 14 plans
644 ENDOCRINE DISORDERS WITH COMPLICATION — 14 plans
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY $660 – $15,784 · median $8,011 14 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 14 plans
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION — 14 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — 14 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 14 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — 14 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC — 14 plans
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY — 14 plans
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION — 14 plans
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY — 14 plans
662 MINOR BLADDER PROCEDURES WITH COMORBITY — 14 plans
663 MINOR BLADDER PROCEDURES WITH COMPLICATION — 14 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC — 14 plans
665 PROSTATECTOMY WITH MCC — 14 plans
666 PROSTATECTOMY WITH CC — 14 plans
667 PROSTATECTOMY WITHOUT CC/MCC — 14 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 14 plans
669 TRANSURETHRAL PROCEDURES WITH CC — 14 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC — 14 plans
671 URETHRAL PROCEDURES WITH CC/MCC — 14 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC — 14 plans
673 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY — 14 plans
674 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION — 14 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — 14 plans
682 RENAL FAILURE WITH COMORBITY — 14 plans
683 RENAL FAILURE WITH COMPLICATION $660 – $17,606 · median $8,935 14 plans
684 RENAL FAILURE WITHOUT COMPLICATION/COMORBITY $660 – $12,938 · median $6,566 14 plans
686 KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY — 14 plans
687 KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION — 14 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $660 – $16,157 · median $8,200 14 plans
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY — 14 plans
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $660 – $16,482 · median $8,365 14 plans
693 URINARY STONES WITH MCC — 14 plans
694 URINARY STONES WITHOUT COMORBITY $660 – $16,011 · median $8,126 14 plans
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY — 14 plans
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY $660 – $14,441 · median $7,329 14 plans
697 URETHRAL STRICTURE — 14 plans
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY — 14 plans
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION — 14 plans
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $660 – $14,456 · median $7,336 14 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC — 14 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC — 14 plans
709 PENIS PROCEDURES WITH CC/MCC — 14 plans
710 PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY — 14 plans
711 TESTES PROCEDURES WITH CC/MCC — 14 plans
712 TESTES PROCEDURES WITHOUT CC/MCC — 14 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC — 14 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC — 14 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITH COMPLICATION/COMORBITY — 14 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC — 14 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY — 14 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC — 14 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC — 14 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC — 14 plans
724 MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $660 – $13,877 · median $7,042 14 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC — 14 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY $660 – $15,000 · median $7,612 14 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC — 14 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY $660 – $16,511 · median $8,379 14 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC — 14 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $660 – $14,153 · median $7,183 14 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 14 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC — 14 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 14 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC — 14 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC — 14 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 14 plans
740 UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION — 14 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC — 14 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC — 14 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC — 14 plans
744 D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY — 14 plans
745 D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITHOUT COMPLICATION/COMORBITY — 14 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC — 14 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC — 14 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES — 14 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 14 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY — 14 plans
754 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY — 14 plans
755 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION — 14 plans
756 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $660 – $19,041 · median $9,663 14 plans
757 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY — 14 plans
758 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION — 14 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $660 – $14,011 · median $7,110 14 plans
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY $660 – $19,837 · median $10,067 14 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $660 – $12,433 · median $6,310 14 plans
768 VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C $660 – $20,923 · median $10,618 14 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES — 14 plans
770 ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY $660 – $19,755 · median $10,026 14 plans
776 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE $660 – $13,860 · median $7,034 14 plans
779 ABORTION WITHOUT D&C $660 – $17,021 · median $8,638 14 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $660 – $44,361 · median $22,513 14 plans
784 CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION $660 – $20,728 · median $10,519 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY $660 – $18,995 · median $9,640 14 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY $660 – $30,713 · median $15,587 14 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION $660 – $21,688 · median $11,007 14 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY $660 – $19,012 · median $9,648 14 plans
789 NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $660 – $33,300 · median $16,900 14 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE $660 – $103,461 · median $52,506 14 plans
791 PREMATURITY WITH MAJOR PROBLEMS $660 – $71,534 · median $36,304 14 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $660 – $44,261 · median $22,463 14 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $660 – $73,408 · median $37,254 14 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $660 – $27,772 · median $14,094 14 plans
795 NORMAL NEWBORN $660 – $6,153 · median $3,123 14 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $660 – $22,539 · median $11,439 14 plans
797 VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION $660 – $19,716 · median $10,006 14 plans
798 VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $660 – $18,983 · median $9,634 14 plans
799 SPLENIC PROCEDURES WITH MCC — 14 plans
800 SPLENIC PROCEDURES WITH CC — 14 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC — 14 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 14 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC — 14 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC — 14 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY $660 – $21,051 · median $10,684 14 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION $660 – $15,542 · median $7,888 14 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $660 – $14,190 · median $7,201 14 plans
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY — 14 plans
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION — 14 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC — 14 plans
811 RED BLOOD CELL DISORDERS WITH COMORBITY — 14 plans
812 RED BLOOD CELL DISORDERS WITHOUT COMORBITY $660 – $18,324 · median $9,299 14 plans
813 COAGULATION DISORDERS — 14 plans
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY — 14 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC — 14 plans
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY $660 – $13,475 · median $6,839 14 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY $660 – $41,422 · median $21,022 14 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC — 14 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $660 – $17,336 · median $8,798 14 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 14 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — 14 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 14 plans
823 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY — 14 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC — 14 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC — 14 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 14 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 14 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — 14 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY — 14 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC — 14 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $660 – $23,140 · median $11,744 14 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION $660 – $14,993 · median $7,609 14 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $660 – $11,627 · median $5,901 14 plans
834 ACUTE LEUKEMIA WITH MCC $660 – $95,776 · median $48,606 14 plans
835 ACUTE LEUKEMIA WITH CC — 14 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC — 14 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC — 14 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 14 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC — 14 plans
840 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY — 14 plans
841 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION — 14 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC — 14 plans
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY — 14 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC — 14 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $660 – $17,196 · median $8,727 14 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC — 14 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC — 14 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $660 – $17,158 · median $8,708 14 plans
849 RADIOTHERAPY — 14 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 14 plans
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY — 14 plans
854 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION — 14 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC — 14 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY — 14 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION — 14 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC — 14 plans
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY — 14 plans
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY — 14 plans
864 FEVER AND INFLAMMATORY CONDITIONS $660 – $17,807 · median $9,037 14 plans
865 VIRAL ILLNESS WITH COMORBITY — 14 plans
866 VIRAL ILLNESS WITHOUT COMORBITY $660 – $17,501 · median $8,882 14 plans
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY — 14 plans
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION — 14 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $660 – $15,130 · median $7,679 14 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $660 – $119,865 · median $60,832 14 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY — 14 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY — 14 plans
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA $660 – $13,219 · median $6,676 14 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $660 – $26,751 · median $13,509 14 plans
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY $660 – $32,333 · median $16,328 14 plans
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $660 – $17,724 · median $8,951 14 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 14 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC — 14 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC — 14 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC — 14 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC — 14 plans
906 HAND PROCEDURES FOR INJURIES — 14 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY — 14 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION — 14 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — 14 plans
913 TRAUMATIC INJURY WITH MCC — 14 plans
914 TRAUMATIC INJURY WITHOUT MCC $660 – $17,770 · median $9,018 14 plans
915 ALLERGIC REACTIONS WITH MCC — 14 plans
916 ALLERGIC REACTIONS WITHOUT MCC $660 – $14,056 · median $7,134 14 plans
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY — 14 plans
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $660 – $17,289 · median $8,774 14 plans
919 COMPLICATIONS OF TREATMENT WITH COMORBITY — 14 plans
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION — 14 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $660 – $14,431 · median $7,324 14 plans
922 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY — 14 plans
923 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY $660 – $20,010 · median $10,155 14 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $660 – $364,480 · median $184,974 14 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 14 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 14 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 14 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $660 – $40,219 · median $20,411 14 plans
935 NON-EXTENSIVE BURNS — 14 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 14 plans
940 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION — 14 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC — 14 plans
945 REHABILITATION WITH CC/MCC $660 – $29,004 · median $14,719 14 plans
946 REHABILITATION WITHOUT CC/MCC $660 – $22,197 · median $11,265 14 plans
947 SIGNS & SYMPTOMS WITH COMORBITY — 14 plans
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $660 – $16,330 · median $8,287 14 plans
949 AFTERCARE WITH CC/MCC — 14 plans
950 AFTERCARE WITHOUT CC/MCC $660 – $13,402 · median $6,802 14 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $660 – $12,188 · median $6,185 14 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 14 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — 14 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY — 14 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION — 14 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 14 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY — 14 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC — 14 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 14 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 14 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 14 plans
974 HIV WITH MAJOR RELATED CONDITION WITH COMORBITY — 14 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC — 14 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC — 14 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION — 14 plans
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY — 14 plans
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION — 14 plans
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY — 14 plans
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY — 14 plans
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION — 14 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 14 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 13 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 13 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 13 plans
006 LIVER TRANSPLANT WITHOUT MCC — 13 plans
007 LUNG TRANSPLANT — 13 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 13 plans
010 PANCREAS TRANSPLANT — 13 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 13 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 13 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 13 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 13 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS — 13 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 13 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 13 plans
652 KIDNEY TRANSPLANT — 13 plans
043 MULTIPLE SCLEROSIS; OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES $660 – $660 · median $660 1 plans
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION — 1 plans
048 PERIPHERAL; CRANIAL AND AUTONOMIC NERVE DISORDERS $660 – $660 · median $660 1 plans
133 OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITH COMPLICATION/COMORBITY — 1 plans
134 OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY — 1 plans
169 MAJOR ABDOMINAL VASCULAR PROCEDURES $660 – $660 · median $660 1 plans
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI $660 – $660 · median $660 1 plans
230 MAJOR SMALL BOWEL PROCEDURES — 1 plans
249 PERCUTANEOUS CARDIOVASC PROC WITH NON-DRUG-ELUTING STENT WITHOUT COMORBITY — 1 plans
364 OTHER SKIN; SUBCUTANEOUS TISSUE AND RELATED PROCEDURES $660 – $660 · median $660 1 plans
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS — 1 plans
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY $660 – $660 · median $660 1 plans
634 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION — 1 plans
720 SEPTICEMIA AND DISSEMINATED INFECTIONS $660 – $660 · median $660 1 plans
721 POST-OPERATIVE; POST-TRAUMATIC; OTHER DEVICE INFECTIONS $660 – $660 · median $660 1 plans
751 MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES $660 – $660 · median $660 1 plans
753 BIPOLAR DISORDERS $660 – $660 · median $660 1 plans
773 OPIOID ABUSE AND DEPENDENCE — 1 plans
774 COCAINE ABUSE AND DEPENDENCE $660 – $660 · median $660 1 plans
775 ALCOHOL ABUSE AND DEPENDENCE $660 – $660 · median $660 1 plans
861 SIGNS; SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS $660 – $660 · median $660 1 plans
890 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS $660 – $660 · median $660 1 plans
892 HIV WITH MAJOR HIV RELATED CONDITION $660 – $660 · median $660 1 plans
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS — 1 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $660 – $660 · median $660 1 plans
999 UNGROUPABLE $660 – $660 · median $660 1 plans
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