USA Health University Hospital — Hospital Prices & Charges

Procedures published 820

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.

Procedures with negotiated rates only

These 820 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG	Description	Insurance rate range	Payers
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$1,900 – $17,242 · median $14,369	16 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$1,950 – $25,655 · median $21,379	16 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$1,950 – $17,092 · median $14,244	16 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$1,950 – $14,729 · median $12,274	16 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$1,950 – $23,103 · median $19,253	16 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$1,950 – $16,853 · median $14,044	16 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$1,950 – $15,081 · median $12,567	16 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$1,900 – $19,276 · median $16,063	16 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$1,900 – $15,797 · median $13,164	16 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$1,900 – $15,797 · median $13,164	16 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$1,900 – $16,133 · median $13,444	16 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$1,900 – $13,038 · median $10,865	16 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$1,900 – $12,065 · median $10,054	16 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$477 – $25,209 · median $21,008	13 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$1,791 – $71,934 · median $59,945	13 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$1,791 – $50,672 · median $42,227	13 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$477 – $32,509 · median $27,091	13 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$1,791 – $51,920 · median $43,266	13 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$477 – $21,528 · median $17,940	13 plans
795	NORMAL NEWBORN	$268 – $7,130 · median $5,941	13 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$596 – $33,472 · median $27,893	13 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$596 – $19,405 · median $16,171	13 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$596 – $14,086 · median $11,738	13 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$596 – $17,859 · median $14,883	13 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$596 – $13,307 · median $11,089	13 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$596 – $10,739 · median $8,949	13 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$850 – $15,689 · median $13,074	12 plans
881	DEPRESSIVE NEUROSES	$850 – $15,187 · median $12,656	12 plans
882	NEUROSES EXCEPT DEPRESSIVE	$850 – $15,727 · median $13,106	12 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$850 – $25,788 · median $21,490	12 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$850 – $23,716 · median $19,763	12 plans
885	PSYCHOSES	$850 – $20,776 · median $17,314	12 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$850 – $25,141 · median $20,951	12 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$850 – $18,292 · median $15,244	12 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$850 – $11,916 · median $9,930	12 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$850 – $21,208 · median $17,674	12 plans
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$850 – $24,963 · median $20,803	12 plans
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$850 – $14,827 · median $12,356	12 plans
945	REHABILITATION WITH CC/MCC	$2,100 – $22,095 · median $18,412	12 plans
946	REHABILITATION WITHOUT CC/MCC	$2,100 – $17,470 · median $14,558	12 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$8,230 – $246,628 · median $205,524	11 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$4,914 – $164,265 · median $136,887	11 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$4,914 – $65,743 · median $54,785	11 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$4,914 – $51,166 · median $42,639	11 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$3,659 – $34,768 · median $28,974	11 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$6,112 – $152,667 · median $127,222	11 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$4,914 – $72,962 · median $60,802	11 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$6,112 – $72,962 · median $60,802	11 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$4,914 – $430,283 · median $358,569	11 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$6,112 – $94,297 · median $78,581	11 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$8,230 – $95,807 · median $79,839	11 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$8,230 – $67,225 · median $56,021	11 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$8,230 – $44,699 · median $37,249	11 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$6,112 – $69,230 · median $57,692	11 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$4,914 – $47,760 · median $39,800	11 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$6,112 – $55,324 · median $46,103	11 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$8,230 – $39,377 · median $32,814	11 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$13,717 – $32,713 · median $27,261	11 plans
028	SPINAL PROCEDURES WITH MCC	$13,717 – $73,454 · median $61,211	11 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$13,717 – $42,740 · median $35,617	11 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$13,717 – $29,979 · median $24,982	11 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$13,717 – $52,147 · median $43,455	11 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$13,717 – $28,966 · median $24,138	11 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$13,717 – $22,873 · median $19,061	11 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$13,717 – $48,741 · median $40,618	11 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$13,717 – $30,536 · median $25,447	11 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$13,717 – $25,553 · median $21,295	11 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$8,230 – $42,336 · median $35,280	11 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$8,230 – $23,052 · median $19,210	11 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$8,230 – $17,715 · median $14,762	11 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$6,112 – $47,426 · median $39,521	11 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$4,914 – $30,349 · median $25,291	11 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$8,230 – $24,702 · median $20,585	11 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$4,914 – $27,577 · median $22,981	11 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$3,659 – $15,269 · median $12,724	11 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$2,753 – $21,786 · median $18,155	11 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$2,753 – $17,182 · median $14,319	11 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$3,659 – $33,122 · median $27,602	11 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$3,659 – $19,928 · median $16,607	11 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$3,659 – $25,698 · median $21,415	11 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$2,753 – $18,678 · median $15,565	11 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$2,753 – $14,942 · median $12,452	11 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$6,112 – $35,371 · median $29,476	11 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$6,112 – $24,965 · median $20,804	11 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$6,112 – $20,722 · median $17,268	11 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$4,914 – $27,314 · median $22,762	11 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$3,659 – $16,347 · median $13,622	11 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$2,753 – $12,640 · median $10,533	11 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$3,659 – $21,287 · median $17,739	11 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$2,753 – $14,819 · median $12,349	11 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$3,659 – $13,901 · median $11,584	11 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$2,753 – $24,490 · median $20,408	11 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$3,659 – $16,764 · median $13,970	11 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$3,659 – $13,338 · median $11,115	11 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$3,659 – $22,310 · median $18,592	11 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$3,659 – $16,634 · median $13,862	11 plans
075	VIRAL MENINGITIS WITH CC/MCC	$3,659 – $24,305 · median $20,254	11 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$3,659 – $15,219 · median $12,682	11 plans
077	Inpatient MS-DRG	$3,659 – $22,318 · median $18,599	11 plans
078	Inpatient MS-DRG	$3,659 – $16,132 · median $13,444	11 plans
079	Inpatient MS-DRG	$3,659 – $12,396 · median $10,330	11 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$3,659 – $27,299 · median $22,749	11 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$3,659 – $15,082 · median $12,568	11 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$6,112 – $31,048 · median $25,873	11 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$2,753 – $20,560 · median $17,133	11 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$3,659 – $15,661 · median $13,051	11 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$3,659 – $30,437 · median $25,364	11 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$3,659 – $19,671 · median $16,392	11 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$3,659 – $14,847 · median $12,373	11 plans
088	CONCUSSION WITH MCC	$4,914 – $20,789 · median $17,324	11 plans
089	CONCUSSION WITH CC	$3,659 – $16,969 · median $14,141	11 plans
090	CONCUSSION WITHOUT CC/MCC	$6,112 – $14,546 · median $12,122	11 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$3,659 – $25,438 · median $21,199	11 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$2,753 – $16,818 · median $14,015	11 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$2,753 – $13,779 · median $11,483	11 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$4,914 – $46,034 · median $38,361	11 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$4,914 – $31,917 · median $26,597	11 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$4,914 – $31,917 · median $26,597	11 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$6,112 – $45,311 · median $37,759	11 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$2,753 – $29,346 · median $24,455	11 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$3,659 – $20,592 · median $17,160	11 plans
100	SEIZURES WITH MCC	$6,112 – $27,270 · median $22,725	11 plans
101	SEIZURES WITHOUT MCC	$4,914 – $15,273 · median $12,727	11 plans
102	HEADACHES WITH MCC	$3,659 – $17,955 · median $14,963	11 plans
103	HEADACHES WITHOUT MCC	$3,659 – $14,466 · median $12,055	11 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$6,112 – $30,331 · median $25,276	11 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$6,112 – $18,210 · median $15,175	11 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$4,914 – $22,146 · median $18,455	11 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$4,914 – $23,698 · median $19,748	11 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$6,112 – $17,043 · median $14,202	11 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$3,659 – $17,997 · median $14,997	11 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$2,753 – $12,527 · median $10,439	11 plans
123	NEUROLOGICAL EYE DISORDERS	$2,753 – $13,936 · median $11,613	11 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$3,659 – $19,584 · median $16,320	11 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$3,659 – $14,190 · median $11,825	11 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$13,717 – $32,073 · median $26,728	11 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$8,230 – $15,910 · median $13,258	11 plans
137	MOUTH PROCEDURES WITH CC/MCC	$4,914 – $20,652 · median $17,210	11 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$4,914 – $14,052 · median $11,710	11 plans
139	SALIVARY GLAND PROCEDURES	$8,230 – $20,363 · median $16,970	11 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$13,717 – $52,582 · median $43,818	11 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$13,717 – $29,111 · median $24,259	11 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$13,717 – $22,613 · median $18,844	11 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$13,717 – $42,122 · median $35,102	11 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$13,717 – $24,692 · median $20,576	11 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$8,230 – $18,241 · median $15,200	11 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$3,659 – $30,754 · median $25,628	11 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$3,659 – $18,917 · median $15,764	11 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$4,914 – $13,908 · median $11,590	11 plans
149	DYSEQUILIBRIUM	$3,659 – $13,308 · median $11,090	11 plans
150	EPISTAXIS WITH MCC	$3,659 – $20,467 · median $17,056	11 plans
151	EPISTAXIS WITHOUT MCC	$3,659 – $13,426 · median $11,188	11 plans
152	OTITIS MEDIA AND URI WITH MCC	$3,659 – $17,677 · median $14,730	11 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$3,659 – $12,904 · median $10,753	11 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$3,659 – $23,221 · median $19,351	11 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$4,914 – $15,407 · median $12,839	11 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$2,753 – $12,461 · median $10,384	11 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$3,659 – $23,347 · median $19,456	11 plans
158	DENTAL AND ORAL DISEASES WITH CC	$2,753 – $15,486 · median $12,905	11 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$3,659 – $12,316 · median $10,263	11 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$6,112 – $56,868 · median $47,390	11 plans
164	MAJOR CHEST PROCEDURES WITH CC	$6,112 – $33,268 · median $27,723	11 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$4,914 – $25,902 · median $21,585	11 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$4,914 – $48,308 · median $40,257	11 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$4,914 – $25,487 · median $21,239	11 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$6,112 – $20,148 · median $16,790	11 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$3,659 – $20,771 · median $17,309	11 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$3,659 – $14,063 · median $11,720	11 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$2,753 – $23,110 · median $19,258	11 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$2,753 – $16,067 · median $13,389	11 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$2,753 – $13,558 · median $11,298	11 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$2,753 – $24,591 · median $20,493	11 plans
181	RESPIRATORY NEOPLASMS WITH CC	$3,659 – $17,400 · median $14,500	11 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$2,753 – $14,323 · median $11,936	11 plans
183	MAJOR CHEST TRAUMA WITH MCC	$4,914 – $22,781 · median $18,984	11 plans
184	MAJOR CHEST TRAUMA WITH CC	$3,659 – $16,924 · median $14,103	11 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$3,659 – $13,648 · median $11,374	11 plans
186	PLEURAL EFFUSION WITH MCC	$3,659 – $22,698 · median $18,915	11 plans
187	PLEURAL EFFUSION WITH CC	$3,659 – $16,201 · median $13,501	11 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$2,753 – $13,158 · median $10,965	11 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$2,753 – $18,834 · median $15,695	11 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$2,753 – $17,543 · median $14,619	11 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$2,753 – $14,567 · median $12,139	11 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$2,753 – $12,176 · median $10,147	11 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$2,753 – $19,740 · median $16,450	11 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$2,753 – $14,126 · median $11,771	11 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$2,753 – $11,900 · median $9,917	11 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$3,659 – $26,129 · median $21,774	11 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$2,753 – $16,043 · median $13,369	11 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$2,753 – $12,776 · median $10,647	11 plans
199	PNEUMOTHORAX WITH MCC	$3,659 – $24,789 · median $20,657	11 plans
200	PNEUMOTHORAX WITH CC	$2,753 – $17,369 · median $14,474	11 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$2,753 – $12,514 · median $10,428	11 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$2,753 – $15,780 · median $13,150	11 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$3,659 – $12,734 · median $10,611	11 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$3,659 – $14,024 · median $11,687	11 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$2,753 – $26,171 · median $21,809	11 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$3,659 – $15,093 · median $12,578	11 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$4,914 – $77,827 · median $64,856	11 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$8,230 – $35,150 · median $29,291	11 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$13,717 – $124,387 · median $103,656	11 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$8,230 – $113,742 · median $94,785	11 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$8,230 – $77,722 · median $64,768	11 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$13,717 – $71,985 · median $59,988	11 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$13,717 – $92,156 · median $76,797	11 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$13,717 – $64,624 · median $53,853	11 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$13,717 – $56,681 · median $47,234	11 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$13,717 – $61,088 · median $50,907	11 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$13,717 – $39,915 · median $33,263	11 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$13,717 – $100,463 · median $83,719	11 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$8,230 – $73,783 · median $61,486	11 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$8,230 – $93,046 · median $77,539	11 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$8,230 – $64,889 · median $54,074	11 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$8,230 – $71,251 · median $59,376	11 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$8,230 – $51,261 · median $42,718	11 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$8,230 – $61,693 · median $51,411	11 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$4,914 – $37,726 · median $31,438	11 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$3,659 – $21,908 · median $18,256	11 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$13,717 – $43,138 · median $35,948	11 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$13,717 – $30,288 · median $25,240	11 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$13,717 – $25,233 · median $21,028	11 plans
245	AICD GENERATOR PROCEDURES	$13,717 – $60,000 · median $50,000	11 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$8,230 – $30,962 · median $25,802	11 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$13,717 – $22,502 · median $18,752	11 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$6,112 – $43,571 · median $36,309	11 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$8,230 – $33,674 · median $28,062	11 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$8,230 – $24,609 · median $20,508	11 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$4,914 – $34,390 · median $28,659	11 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$3,659 – $23,981 · median $19,984	11 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$3,659 – $14,937 · median $12,447	11 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$6,112 – $36,522 · median $30,435	11 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$8,230 – $24,703 · median $20,586	11 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$6,112 – $43,298 · median $36,082	11 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$6,112 – $26,281 · median $21,901	11 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$8,230 – $21,997 · median $18,331	11 plans
263	VEIN LIGATION AND STRIPPING	$6,112 – $35,130 · median $29,275	11 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$8,230 – $44,301 · median $36,918	11 plans
265	AICD LEAD PROCEDURES	$13,717 – $45,114 · median $37,595	11 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$13,717 – $72,453 · median $60,378	11 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$13,717 – $57,946 · median $48,288	11 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$13,717 – $80,088 · median $66,740	11 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$13,717 – $51,809 · median $43,174	11 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$8,230 – $62,777 · median $52,314	11 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$8,230 – $43,729 · median $36,441	11 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$13,717 – $33,101 · median $27,584	11 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$8,230 – $48,985 · median $40,821	11 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$13,717 – $40,081 · median $33,401	11 plans
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$3,659 – $23,391 · median $19,493	11 plans
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$4,914 – $15,274 · median $12,728	11 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$4,914 – $13,055 · median $10,879	11 plans
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$6,112 – $26,933 · median $22,444	11 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$4,914 – $13,234 · median $11,029	11 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$4,914 – $11,208 · median $9,340	11 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$4,914 – $29,842 · median $24,869	11 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$6,112 – $17,168 · median $14,306	11 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$3,659 – $35,688 · median $29,740	11 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$3,659 – $22,661 · median $18,884	11 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$3,659 – $15,919 · median $13,266	11 plans
291	HEART FAILURE AND SHOCK WITH MCC	$3,659 – $19,594 · median $16,328	11 plans
292	HEART FAILURE AND SHOCK WITH CC	$2,753 – $14,590 · median $12,159	11 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$2,753 – $11,065 · median $9,221	11 plans
294	Inpatient MS-DRG	$2,753 – $18,728 · median $15,607	11 plans
295	Inpatient MS-DRG	$2,753 – $13,785 · median $11,487	11 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$3,659 – $23,357 · median $19,464	11 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$6,112 – $12,822 · median $10,685	11 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$4,914 – $9,858 · median $8,215	11 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$3,659 – $23,123 · median $19,269	11 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$3,659 – $16,952 · median $14,127	11 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$2,753 – $12,923 · median $10,769	11 plans
302	ATHEROSCLEROSIS WITH MCC	$3,659 – $17,998 · median $14,998	11 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$2,753 – $12,461 · median $10,384	11 plans
304	HYPERTENSION WITH MCC	$3,659 – $18,128 · median $15,106	11 plans
305	HYPERTENSION WITHOUT MCC	$2,753 – $13,344 · median $11,120	11 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$2,753 – $21,767 · median $18,139	11 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$2,753 – $15,326 · median $12,771	11 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$3,659 – $18,479 · median $15,399	11 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$3,659 – $13,215 · median $11,013	11 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$3,659 – $11,187 · median $9,323	11 plans
311	ANGINA PECTORIS	$3,659 – $12,753 · median $10,627	11 plans
312	SYNCOPE AND COLLAPSE	$3,659 – $14,704 · median $12,254	11 plans
313	CHEST PAIN	$4,914 – $12,923 · median $10,769	11 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$3,659 – $29,168 · median $24,306	11 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$2,753 – $15,731 · median $13,109	11 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$2,753 – $12,577 · median $10,481	11 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$8,230 – $54,427 · median $45,356	11 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$13,717 – $30,987 · median $25,823	11 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$8,230 – $62,168 · median $51,807	11 plans
327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$8,230 – $32,265 · median $26,888	11 plans
328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$8,230 – $22,851 · median $19,042	11 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$6,112 – $56,673 · median $47,228	11 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$6,112 – $31,539 · median $26,282	11 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$4,914 – $23,499 · median $19,583	11 plans
332	RECTAL RESECTION WITH MCC	$4,914 – $44,003 · median $36,669	11 plans
333	RECTAL RESECTION WITH CC	$6,112 – $28,850 · median $24,041	11 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$6,112 – $23,585 · median $19,654	11 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$4,914 – $45,748 · median $38,124	11 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$6,112 – $28,703 · median $23,919	11 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$4,914 – $22,192 · median $18,493	11 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$4,914 – $35,270 · median $29,392	11 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$6,112 – $21,669 · median $18,057	11 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$3,659 – $18,923 · median $15,769	11 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$4,914 – $31,574 · median $26,311	11 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$4,914 – $19,076 · median $15,897	11 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$3,659 – $14,812 · median $12,344	11 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$4,914 – $32,159 · median $26,799	11 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$4,914 – $21,847 · median $18,206	11 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$6,112 – $17,313 · median $14,428	11 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$4,914 – $37,961 · median $31,634	11 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$8,230 – $24,064 · median $20,054	11 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$8,230 – $19,915 · median $16,595	11 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$8,230 – $52,994 · median $44,161	11 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$4,914 – $30,279 · median $25,232	11 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$6,112 – $20,162 · median $16,801	11 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$3,659 – $23,714 · median $19,761	11 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$2,753 – $16,354 · median $13,629	11 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$2,753 – $12,749 · median $10,624	11 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$3,659 – $24,594 · median $20,495	11 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$2,753 – $16,486 · median $13,739	11 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$2,753 – $13,058 · median $10,882	11 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$2,753 – $28,693 · median $23,911	11 plans
375	DIGESTIVE MALIGNANCY WITH CC	$3,659 – $18,736 · median $15,613	11 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$2,753 – $14,836 · median $12,363	11 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$6,112 – $25,385 · median $21,154	11 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$3,659 – $15,997 · median $13,331	11 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$3,659 – $12,058 · median $10,048	11 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$2,753 – $26,582 · median $22,152	11 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$3,659 – $17,161 · median $14,301	11 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$3,659 – $13,328 · median $11,107	11 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$3,659 – $19,136 · median $15,947	11 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$3,659 – $14,685 · median $12,238	11 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$3,659 – $23,204 · median $19,337	11 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$2,753 – $16,071 · median $13,393	11 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$2,753 – $12,437 · median $10,364	11 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$2,753 – $21,457 · median $17,880	11 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$2,753 – $13,918 · median $11,598	11 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$2,753 – $11,048 · median $9,207	11 plans
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$2,753 – $19,365 · median $16,138	11 plans
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$3,659 – $13,678 · median $11,398	11 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$2,753 – $23,556 · median $19,630	11 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$3,659 – $15,494 · median $12,911	11 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$2,753 – $12,054 · median $10,045	11 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$6,112 – $66,113 · median $55,094	11 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$6,112 – $36,555 · median $30,463	11 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$6,112 – $28,968 · median $24,140	11 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$4,914 – $44,371 · median $36,976	11 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$3,659 – $28,525 · median $23,771	11 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$3,659 – $22,372 · median $18,644	11 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$4,914 – $35,743 · median $29,786	11 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$4,914 – $28,921 · median $24,101	11 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$4,914 – $23,629 · median $19,691	11 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$8,230 – $44,399 · median $36,999	11 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$3,659 – $27,189 · median $22,658	11 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$4,914 – $20,332 · median $16,943	11 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$8,230 – $31,683 · median $26,403	11 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$6,112 – $23,583 · median $19,652	11 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$8,230 – $19,739 · median $16,449	11 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$4,914 – $44,689 · median $37,241	11 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$4,914 – $23,348 · median $19,457	11 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$4,914 – $21,451 · median $17,876	11 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$4,914 – $50,757 · median $42,297	11 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$4,914 – $30,632 · median $25,527	11 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$4,914 – $22,313 · median $18,594	11 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$3,659 – $26,975 · median $22,479	11 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$2,753 – $16,943 · median $14,119	11 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$3,659 – $12,732 · median $10,610	11 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$4,914 – $25,458 · median $21,215	11 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$3,659 – $17,596 · median $14,664	11 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$3,659 – $13,733 · median $11,444	11 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$2,753 – $23,643 · median $19,702	11 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$2,753 – $14,579 · median $12,149	11 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$2,753 – $11,814 · median $9,845	11 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$4,914 – $26,200 · median $21,833	11 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$2,753 – $15,775 · median $13,146	11 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$2,753 – $12,802 · median $10,669	11 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$4,914 – $23,876 · median $19,897	11 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$3,659 – $17,109 · median $14,258	11 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$3,659 – $13,869 · median $11,558	11 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$13,717 – $100,410 · median $83,675	11 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$13,717 – $69,617 · median $58,014	11 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$13,717 – $53,584 · median $44,653	11 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$8,230 – $74,099 · median $61,749	11 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$13,717 – $37,180 · median $30,983	11 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$6,112 – $65,800 · median $54,833	11 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$8,230 – $38,137 · median $31,780	11 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$8,230 – $24,459 · median $20,383	11 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$13,717 – $62,344 · median $51,953	11 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$13,717 – $43,513 · median $36,261	11 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$13,717 – $34,467 · median $28,723	11 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$13,717 – $41,747 · median $34,789	11 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$13,717 – $26,145 · median $21,787	11 plans
471	CERVICAL SPINAL FUSION WITH MCC	$13,717 – $59,667 · median $49,723	11 plans
472	CERVICAL SPINAL FUSION WITH CC	$13,717 – $37,557 · median $31,297	11 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$13,717 – $31,580 · median $26,317	11 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$4,914 – $55,464 · median $46,220	11 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$3,659 – $29,211 · median $24,342	11 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$3,659 – $17,996 · median $14,996	11 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$4,914 – $43,668 · median $36,390	11 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$4,914 – $31,256 · median $26,046	11 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$6,112 – $24,907 · median $20,756	11 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$8,230 – $38,051 · median $31,709	11 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$8,230 – $28,281 · median $23,568	11 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$8,230 – $22,771 · median $18,976	11 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$13,717 – $33,620 · median $28,017	11 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$4,914 – $41,190 · median $34,325	11 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$4,914 – $28,800 · median $24,000	11 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$4,914 – $22,701 · median $18,917	11 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$8,230 – $27,046 · median $22,538	11 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$13,717 – $18,845 · median $15,704	11 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	$8,230 – $44,934 · median $37,445	11 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	$8,230 – $31,959 · median $26,633	11 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	$13,717 – $26,143 · median $21,786	11 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$4,914 – $44,589 · median $37,157	11 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$6,112 – $27,132 · median $22,610	11 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$8,230 – $20,021 · median $16,684	11 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$4,914 – $33,357 · median $27,798	11 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$6,112 – $17,970 · median $14,975	11 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$6,112 – $40,619 · median $33,849	11 plans
501	SOFT TISSUE PROCEDURES WITH CC	$6,112 – $25,008 · median $20,840	11 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$8,230 – $20,636 · median $17,197	11 plans
503	FOOT PROCEDURES WITH MCC	$3,659 – $34,730 · median $28,942	11 plans
504	FOOT PROCEDURES WITH CC	$4,914 – $24,672 · median $20,560	11 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$8,230 – $24,672 · median $20,560	11 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$4,914 – $21,786 · median $18,155	11 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$4,914 – $26,739 · median $22,283	11 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$8,230 – $19,434 · median $16,195	11 plans
509	Inpatient MS-DRG	$6,112 – $24,692 · median $20,576	11 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$6,112 – $37,116 · median $30,930	11 plans
511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	$6,112 – $26,998 · median $22,499	11 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$13,717 – $23,012 · median $19,177	11 plans
513	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$4,914 – $21,859 · median $18,216	11 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$4,914 – $16,377 · median $13,648	11 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$4,914 – $39,759 · median $33,132	11 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$6,112 – $27,568 · median $22,973	11 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$13,717 – $21,714 · median $18,095	11 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$8,230 – $45,304 · median $37,753	11 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$6,112 – $27,119 · median $22,599	11 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$8,230 – $21,043 · median $17,535	11 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$13,717 – $37,754 · median $31,462	11 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$13,717 – $28,656 · median $23,880	11 plans
533	FRACTURES OF FEMUR WITH MCC	$3,659 – $22,077 · median $18,397	11 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$2,753 – $14,058 · median $11,715	11 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$3,659 – $19,877 · median $16,564	11 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$3,659 – $14,023 · median $11,686	11 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$3,659 – $15,242 · median $12,702	11 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$3,659 – $12,450 · median $10,375	11 plans
539	OSTEOMYELITIS WITH MCC	$2,753 – $27,689 · median $23,074	11 plans
540	OSTEOMYELITIS WITH CC	$3,659 – $19,473 · median $16,228	11 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$2,753 – $14,745 · median $12,287	11 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$3,659 – $25,914 · median $21,595	11 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$2,753 – $16,843 · median $14,036	11 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$2,753 – $13,400 · median $11,167	11 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$4,914 – $33,380 · median $27,816	11 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$2,753 – $17,935 · median $14,946	11 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$3,659 – $13,293 · median $11,078	11 plans
548	SEPTIC ARTHRITIS WITH MCC	$3,659 – $27,601 · median $23,001	11 plans
549	SEPTIC ARTHRITIS WITH CC	$2,753 – $18,470 · median $15,391	11 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$3,659 – $14,600 · median $12,167	11 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$8,230 – $24,124 · median $20,104	11 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$4,914 – $15,748 · median $13,123	11 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$3,659 – $19,608 · median $16,340	11 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$2,753 – $14,290 · median $11,908	11 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$3,659 – $20,066 · median $16,721	11 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$3,659 – $14,086 · median $11,738	11 plans
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$2,753 – $22,357 · median $18,631	11 plans
558	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	$3,659 – $14,620 · median $12,183	11 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$4,914 – $25,815 · median $21,513	11 plans
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$2,753 – $17,721 · median $14,767	11 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$3,659 – $14,098 · median $11,749	11 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$3,659 – $21,384 · median $17,820	11 plans
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$4,914 – $14,958 · median $12,465	11 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$3,659 – $22,577 · median $18,814	11 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$3,659 – $16,378 · median $13,648	11 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$3,659 – $13,314 · median $11,095	11 plans
570	SKIN DEBRIDEMENT WITH MCC	$3,659 – $38,831 · median $32,359	11 plans
571	SKIN DEBRIDEMENT WITH CC	$3,659 – $23,762 · median $19,802	11 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$3,659 – $17,762 · median $14,802	11 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$4,914 – $74,341 · median $61,951	11 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$4,914 – $43,961 · median $36,634	11 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$3,659 – $27,399 · median $22,832	11 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$6,112 – $65,736 · median $54,780	11 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$6,112 – $34,913 · median $29,094	11 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$8,230 – $23,944 · median $19,953	11 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$6,112 – $41,642 · median $34,702	11 plans
580	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$6,112 – $24,876 · median $20,730	11 plans
581	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$8,230 – $21,110 · median $17,592	11 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$8,230 – $24,630 · median $20,525	11 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$13,717 – $23,406 · median $19,505	11 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$6,112 – $27,971 · median $23,309	11 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$8,230 – $27,268 · median $22,723	11 plans
592	SKIN ULCERS WITH MCC	$3,659 – $28,071 · median $23,393	11 plans
593	SKIN ULCERS WITH CC	$2,753 – $18,668 · median $15,557	11 plans
594	SKIN ULCERS WITHOUT CC/MCC	$2,753 – $14,449 · median $12,041	11 plans
595	MAJOR SKIN DISORDERS WITH MCC	$3,659 – $28,734 · median $23,945	11 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$2,753 – $17,071 · median $14,226	11 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$3,659 – $24,692 · median $20,576	11 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$3,659 – $17,046 · median $14,205	11 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,659 – $14,519 · median $12,099	11 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$2,753 – $15,666 · median $13,055	11 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$2,753 – $11,638 · median $9,699	11 plans
602	CELLULITIS WITH MCC	$3,659 – $21,449 · median $17,874	11 plans
603	CELLULITIS WITHOUT MCC	$3,659 – $14,811 · median $12,343	11 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$3,659 – $21,635 · median $18,029	11 plans
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$4,914 – $15,295 · median $12,746	11 plans
606	MINOR SKIN DISORDERS WITH MCC	$3,659 – $23,040 · median $19,200	11 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$3,659 – $14,624 · median $12,187	11 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$13,717 – $30,583 · median $25,486	11 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$8,230 – $21,040 · median $17,534	11 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$4,914 – $48,474 · median $40,395	11 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$3,659 – $26,665 · median $22,220	11 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$3,659 – $18,921 · median $15,767	11 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$8,230 – $35,631 · median $29,693	11 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$13,717 – $22,890 · median $19,075	11 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$13,717 – $21,365 · median $17,804	11 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$4,914 – $47,086 · median $39,239	11 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$3,659 – $26,453 · median $22,044	11 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$3,659 – $16,191 · median $13,492	11 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$6,112 – $37,217 · median $31,014	11 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$13,717 – $21,901 · median $18,251	11 plans
627	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$8,230 – $19,167 · median $15,972	11 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$6,112 – $49,384 · median $41,153	11 plans
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$4,914 – $30,246 · median $25,205	11 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$13,717 – $20,683 · median $17,236	11 plans
637	DIABETES WITH MCC	$3,659 – $21,303 · median $17,753	11 plans
638	DIABETES WITH CC	$3,659 – $15,222 · median $12,685	11 plans
639	DIABETES WITHOUT CC/MCC	$3,659 – $11,944 · median $9,953	11 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$2,753 – $19,856 · median $16,547	11 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$2,753 – $13,690 · median $11,408	11 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$3,659 – $18,876 · median $15,730	11 plans
643	ENDOCRINE DISORDERS WITH MCC	$4,914 – $23,570 · median $19,642	11 plans
644	ENDOCRINE DISORDERS WITH CC	$2,753 – $16,533 · median $13,777	11 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$3,659 – $13,660 · median $11,383	11 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$6,112 – $56,847 · median $47,372	11 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$6,112 – $44,046 · median $36,705	11 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$6,112 – $67,758 · median $56,465	11 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$8,230 – $36,710 · median $30,591	11 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$6,112 – $28,308 · median $23,590	11 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$6,112 – $41,627 · median $34,689	11 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$6,112 – $25,497 · median $21,248	11 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$8,230 – $21,841 · median $18,201	11 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$4,914 – $34,027 · median $28,356	11 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$8,230 – $19,991 · median $16,659	11 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$8,230 – $16,456 · median $13,713	11 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$4,914 – $40,065 · median $33,388	11 plans
663	MINOR BLADDER PROCEDURES WITH CC	$4,914 – $22,105 · median $18,421	11 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$8,230 – $17,056 · median $14,213	11 plans
665	PROSTATECTOMY WITH MCC	$3,659 – $43,607 · median $36,340	11 plans
666	PROSTATECTOMY WITH CC	$4,914 – $23,458 · median $19,548	11 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$6,112 – $16,470 · median $13,725	11 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$4,914 – $37,772 · median $31,477	11 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$8,230 – $22,332 · median $18,610	11 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$8,230 – $15,656 · median $13,047	11 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$4,914 – $24,319 · median $20,266	11 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$6,112 – $17,221 · median $14,351	11 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$13,717 – $52,135 · median $43,446	11 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$3,659 – $30,915 · median $25,762	11 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$8,230 – $22,533 · median $18,777	11 plans
682	RENAL FAILURE WITH MCC	$3,659 – $21,817 · median $18,181	11 plans
683	RENAL FAILURE WITH CC	$2,753 – $14,903 · median $12,419	11 plans
684	RENAL FAILURE WITHOUT CC/MCC	$2,753 – $11,727 · median $9,773	11 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$3,659 – $26,147 · median $21,789	11 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$3,659 – $16,750 · median $13,959	11 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$3,659 – $13,045 · median $10,871	11 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$2,753 – $18,077 · median $15,064	11 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$3,659 – $13,929 · median $11,608	11 plans
693	URINARY STONES WITH MCC	$3,659 – $21,462 · median $17,885	11 plans
694	URINARY STONES WITHOUT MCC	$4,914 – $13,690 · median $11,408	11 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$3,659 – $17,598 · median $14,665	11 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$3,659 – $12,679 · median $10,566	11 plans
697	URETHRAL STRICTURE	$3,659 – $16,176 · median $13,480	11 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$3,659 – $23,837 · median $19,864	11 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$3,659 – $16,380 · median $13,650	11 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$2,753 – $12,706 · median $10,589	11 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$13,717 – $26,766 · median $22,305	11 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$13,717 – $21,599 · median $17,999	11 plans
709	PENIS PROCEDURES WITH CC/MCC	$6,112 – $30,223 · median $25,186	11 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$13,717 – $21,812 · median $18,177	11 plans
711	TESTES PROCEDURES WITH CC/MCC	$4,914 – $26,428 · median $22,023	11 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$4,914 – $16,941 · median $14,118	11 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$4,914 – $21,187 · median $17,656	11 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$8,230 – $15,476 · median $12,896	11 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$4,914 – $30,350 · median $25,292	11 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$8,230 – $20,886 · median $17,405	11 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$4,914 – $25,806 · median $21,505	11 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$4,914 – $18,772 · median $15,643	11 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$3,659 – $24,378 · median $20,315	11 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$3,659 – $17,542 · median $14,619	11 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,659 – $13,094 · median $10,912	11 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$3,659 – $19,118 · median $15,932	11 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$3,659 – $13,273 · median $11,061	11 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$3,659 – $21,451 · median $17,876	11 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$3,659 – $14,093 · median $11,744	11 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$3,659 – $17,294 · median $14,412	11 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,659 – $11,722 · median $9,768	11 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$8,230 – $28,596 · median $23,830	11 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$13,717 – $18,569 · median $15,474	11 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$4,914 – $49,293 · median $41,077	11 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$4,914 – $27,418 · median $22,848	11 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$4,914 – $21,987 · median $18,322	11 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$6,112 – $49,781 · median $41,484	11 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$8,230 – $25,387 · median $21,155	11 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$13,717 – $20,370 · median $16,975	11 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$8,230 – $25,481 · median $21,234	11 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$8,230 – $18,397 · median $15,331	11 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$3,659 – $26,917 · median $22,431	11 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$6,112 – $16,436 · median $13,696	11 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$4,914 – $23,766 · median $19,805	11 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$8,230 – $15,651 · median $13,042	11 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$13,717 – $20,243 · median $16,869	11 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$8,230 – $34,076 · median $28,396	11 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$6,112 – $19,422 · median $16,185	11 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$3,659 – $25,285 · median $21,071	11 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$2,753 – $17,398 · median $14,498	11 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,659 – $15,648 · median $13,040	11 plans
757	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$3,659 – $20,841 · median $17,367	11 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$4,914 – $16,374 · median $13,645	11 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,659 – $12,095 · median $10,079	11 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$2,753 – $15,994 · median $13,328	11 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$2,753 – $12,026 · median $10,022	11 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$4,914 – $20,550 · median $17,125	11 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$6,112 – $17,013 · median $14,178	11 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$3,659 – $12,924 · median $10,770	11 plans
779	ABORTION WITHOUT D&C	$4,914 – $15,420 · median $12,850	11 plans
799	SPLENIC PROCEDURES WITH MCC	$6,112 – $58,511 · median $48,759	11 plans
800	SPLENIC PROCEDURES WITH CC	$6,112 – $37,744 · median $31,453	11 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$8,230 – $23,394 · median $19,495	11 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$4,914 – $45,313 · median $37,761	11 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$4,914 – $24,954 · median $20,795	11 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$6,112 – $17,347 · median $14,456	11 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$3,659 – $30,711 · median $25,592	11 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$3,659 – $18,846 · median $15,705	11 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$3,659 – $15,612 · median $13,010	11 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$2,753 – $20,746 · median $17,288	11 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$3,659 – $15,286 · median $12,739	11 plans
813	COAGULATION DISORDERS	$8,230 – $22,337 · median $18,615	11 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$3,659 – $28,457 · median $23,714	11 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$2,753 – $16,338 · median $13,615	11 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$2,753 – $12,314 · median $10,262	11 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$6,112 – $70,552 · median $58,794	11 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$4,914 – $30,058 · median $25,048	11 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$8,230 – $17,777 · median $14,814	11 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$4,914 – $57,661 · median $48,051	11 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$4,914 – $29,685 · median $24,738	11 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$6,112 – $18,759 · median $15,633	11 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$6,112 – $58,744 · median $48,954	11 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$4,914 – $31,496 · median $26,247	11 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$6,112 – $22,957 · median $19,131	11 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$6,112 – $39,662 · median $33,051	11 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$13,717 – $21,373 · median $17,811	11 plans
834	ACUTE LEUKEMIA WITH MCC	$4,914 – $67,225 · median $56,021	11 plans
835	ACUTE LEUKEMIA WITH CC	$3,659 – $28,969 · median $24,141	11 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$2,753 – $19,209 · median $16,008	11 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$6,112 – $61,358 · median $51,132	11 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$2,753 – $27,754 · median $23,129	11 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$2,753 – $20,334 · median $16,945	11 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$4,914 – $40,848 · median $34,040	11 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$3,659 – $22,563 · median $18,803	11 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$3,659 – $16,741 · median $13,951	11 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$3,659 – $26,233 · median $21,860	11 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$3,659 – $18,358 · median $15,298	11 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$3,659 – $14,315 · median $11,929	11 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$4,914 – $33,683 · median $28,069	11 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$4,914 – $19,209 · median $16,008	11 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$3,659 – $14,113 · median $11,761	11 plans
849	RADIOTHERAPY	$3,659 – $35,006 · median $29,172	11 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$6,112 – $61,291 · median $51,076	11 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$4,914 – $27,415 · median $22,846	11 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$4,914 – $23,213 · median $19,344	11 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$4,914 – $55,767 · median $46,473	11 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$4,914 – $29,454 · median $24,545	11 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$3,659 – $19,409 · median $16,174	11 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$4,914 – $25,617 · median $21,347	11 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$3,659 – $16,155 · median $13,462	11 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$3,659 – $15,005 · median $12,504	11 plans
865	VIRAL ILLNESS WITH MCC	$3,659 – $21,524 · median $17,937	11 plans
866	VIRAL ILLNESS WITHOUT MCC	$3,659 – $14,856 · median $12,380	11 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$4,914 – $29,064 · median $24,220	11 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$2,753 – $16,721 · median $13,934	11 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$2,753 – $12,993 · median $10,827	11 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$4,914 – $83,346 · median $69,455	11 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$3,659 – $27,009 · median $22,507	11 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$2,753 – $16,506 · median $13,755	11 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$850 – $49,202 · median $41,002	11 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$4,914 – $54,853 · median $45,711	11 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$3,659 – $26,281 · median $21,901	11 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$4,914 – $18,627 · median $15,523	11 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$6,112 – $48,430 · median $40,358	11 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$4,914 – $23,468 · median $19,556	11 plans
906	HAND PROCEDURES FOR INJURIES	$6,112 – $29,495 · median $24,579	11 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$8,230 – $49,813 · median $41,511	11 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$8,230 – $27,629 · median $23,024	11 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$8,230 – $19,182 · median $15,985	11 plans
913	TRAUMATIC INJURY WITH MCC	$3,659 – $23,130 · median $19,275	11 plans
914	TRAUMATIC INJURY WITHOUT MCC	$3,659 – $15,213 · median $12,677	11 plans
915	ALLERGIC REACTIONS WITH MCC	$4,914 – $24,480 · median $20,400	11 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$3,659 – $12,367 · median $10,306	11 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$6,112 – $23,372 · median $19,477	11 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$4,914 – $14,854 · median $12,379	11 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$6,112 – $25,446 · median $21,205	11 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$3,659 – $16,335 · median $13,613	11 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$3,659 – $12,633 · median $10,528	11 plans
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$3,659 – $23,933 · median $19,944	11 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$3,659 – $16,380 · median $13,650	11 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$8,230 – $272,473 · median $227,061	11 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$6,112 – $80,215 · median $66,846	11 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$4,914 – $40,751 · median $33,959	11 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$13,717 – $53,684 · median $44,737	11 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$4,914 – $29,081 · median $24,234	11 plans
935	NON-EXTENSIVE BURNS	$4,914 – $29,652 · median $24,710	11 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$4,914 – $40,679 · median $33,899	11 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$6,112 – $28,693 · median $23,911	11 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$6,112 – $26,921 · median $22,434	11 plans
947	SIGNS AND SYMPTOMS WITH MCC	$3,659 – $19,384 · median $16,154	11 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$2,753 – $13,838 · median $11,532	11 plans
949	AFTERCARE WITH CC/MCC	$3,659 – $17,047 · median $14,206	11 plans
950	AFTERCARE WITHOUT CC/MCC	$2,753 – $11,487 · median $9,573	11 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$4,914 – $11,272 · median $9,393	11 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$8,230 – $81,900 · median $68,250	11 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$6,112 – $47,993 · median $39,994	11 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$8,230 – $89,073 · median $74,228	11 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$8,230 – $51,235 · median $42,696	11 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$6,112 – $34,699 · median $28,916	11 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$4,914 – $35,521 · median $29,601	11 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$3,659 – $21,797 · median $18,164	11 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$4,914 – $15,170 · median $12,642	11 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$6,112 – $76,215 · median $63,513	11 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$4,914 – $34,805 · median $29,005	11 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$3,659 – $38,561 · median $32,134	11 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$2,753 – $20,909 · median $17,425	11 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$3,659 – $16,190 · median $13,491	11 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$4,914 – $21,141 · median $17,617	11 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$8,230 – $58,501 · median $48,751	11 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$8,230 – $32,493 · median $27,078	11 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$13,717 – $23,693 · median $19,744	11 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$3,659 – $44,387 · median $36,989	11 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$3,659 – $24,233 · median $20,194	11 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$4,914 – $17,910 · median $14,925	11 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$31,263 – $39,490 · median $32,908	10 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$101,144 – $127,761 · median $106,468	10 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$66,969 – $84,593 · median $70,494	10 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$59,177 – $74,750 · median $62,292	10 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$45,402 – $57,350 · median $47,792	10 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$48,540 – $61,314 · median $51,095	10 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$32,476 – $41,022 · median $34,185	10 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$59,105 – $74,660 · median $62,216	10 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$29,282 – $36,988 · median $30,824	10 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$20,016 – $25,284 · median $21,070	10 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$41,897 – $52,923 · median $44,102	10 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$32,393 – $40,917 · median $34,098	10 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$29,419 – $37,161 · median $30,967	10 plans
397	APPENDIX PROCEDURES WITH MCC	$25,987 – $32,826 · median $27,355	10 plans
398	APPENDIX PROCEDURES WITH CC	$17,373 – $21,945 · median $18,287	10 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$13,896 – $17,552 · median $14,627	10 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$38,796 – $49,006 · median $40,838	10 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$97,407 – $123,040 · median $102,534	10 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$67,288 – $84,996 · median $70,830	10 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$53,012 – $66,963 · median $55,803	10 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$78,343 – $98,959 · median $82,466	10 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$52,712 – $66,584 · median $55,487	10 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$63,734 – $80,506 · median $67,088	10 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$40,326 – $50,938 · median $42,449	10 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$49,851 – $62,970 · median $52,475	10 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$31,418 – $39,686 · median $33,072	10 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$86,124 – $108,788 · median $90,656	10 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$13,717 – $322,620 · median $268,850	9 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$13,717 – $129,180 · median $107,650	9 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$8,230 – $125,003 · median $104,169	9 plans
006	LIVER TRANSPLANT WITHOUT MCC	$8,230 – $59,576 · median $49,646	9 plans
007	LUNG TRANSPLANT	$8,230 – $152,294 · median $126,912	9 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$6,112 – $66,252 · median $55,210	9 plans
010	PANCREAS TRANSPLANT	$6,112 – $94,813 · median $79,011	9 plans
652	KIDNEY TRANSPLANT	$6,112 – $39,522 · median $32,935	9 plans
129	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
130	Inpatient MS-DRG	$8,230 – $8,230 · median $8,230	1 plans
131	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
132	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
133	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
134	Inpatient MS-DRG	$8,230 – $8,230 · median $8,230	1 plans
222	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
223	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
224	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
225	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
226	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
227	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
230	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
237	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
238	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
246	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
247	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
248	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
249	Inpatient MS-DRG	$8,230 – $8,230 · median $8,230	1 plans
338	Inpatient MS-DRG	$4,914 – $4,914 · median $4,914	1 plans
339	Inpatient MS-DRG	$3,659 – $3,659 · median $3,659	1 plans
340	Inpatient MS-DRG	$4,914 – $4,914 · median $4,914	1 plans
341	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
342	Inpatient MS-DRG	$8,230 – $8,230 · median $8,230	1 plans
343	Inpatient MS-DRG	$8,230 – $8,230 · median $8,230	1 plans
453	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
454	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
455	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
459	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
460	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
484	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
490	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
491	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
685	Inpatient MS-DRG	$4,914 – $4,914 · median $4,914	1 plans
691	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
692	Inpatient MS-DRG	$13,717 – $13,717 · median $13,717	1 plans
765	Inpatient MS-DRG	$3,659 – $3,659 · median $3,659	1 plans
766	Inpatient MS-DRG	$2,753 – $2,753 · median $2,753	1 plans
767	Inpatient MS-DRG	$3,659 – $3,659 · median $3,659	1 plans
774	Inpatient MS-DRG	$3,659 – $3,659 · median $3,659	1 plans
775	Inpatient MS-DRG	$2,753 – $2,753 · median $2,753	1 plans
777	Inpatient MS-DRG	$8,230 – $8,230 · median $8,230	1 plans
778	Inpatient MS-DRG	$2,753 – $2,753 · median $2,753	1 plans
780	Inpatient MS-DRG	$2,753 – $2,753 · median $2,753	1 plans
781	Inpatient MS-DRG	$2,753 – $2,753 · median $2,753	1 plans
782	Inpatient MS-DRG	$2,753 – $2,753 · median $2,753	1 plans
984	Inpatient MS-DRG	$3,659 – $3,659 · median $3,659	1 plans
985	Inpatient MS-DRG	$4,914 – $4,914 · median $4,914	1 plans
986	Inpatient MS-DRG	$4,914 – $4,914 · median $4,914	1 plans

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