Jefferson Health- Northeast — Hospital Prices & Charges

Procedures published 825

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 825 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
005	LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT	$74,598 – $465,088 · median $107,835	56 plans
006	LIVER TRANSPLANT W-O MCC	$34,151 – $465,088 · median $48,854	56 plans
652	KIDNEY TRANSPLANT	$21,754 – $216,320 · median $34,025	56 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$196,762 – $794,678 · median $271,628	55 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$77,180 – $478,773 · median $119,387	55 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$91,699 – $400,192 · median $126,616	55 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$7,427 – $33,778 · median $10,261	54 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W-O CC-MCC	$5,136 – $23,716 · median $6,951	54 plans
234	CORONARY BYPASS W CARDIAC CATH W-O MCC	$37,436 – $151,307 · median $53,725	54 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$20,306 – $110,307 · median $27,016	54 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W-O MCC	$13,484 – $67,278 · median $19,591	54 plans
010	PANCREAS TRANSPLANT	$41,271 – $270,400 · median $69,449	53 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC MCC	$42,426 – $400,192 · median $57,975	53 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT W-O CC-MCC	$42,426 – $400,192 · median $52,654	53 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND OR D C	$4,152 – $34,405 · median $10,387	53 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$4,152 – $54,714 · median $22,762	53 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$4,152 – $34,546 · median $10,275	53 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC-MCC	$4,152 – $26,503 · median $9,270	53 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$4,152 – $48,737 · median $15,988	53 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$4,152 – $33,888 · median $10,825	53 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC-MCC	$4,152 – $28,233 · median $9,293	53 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND-OR D&C WITH MCC	$4,152 – $46,022 · median $11,295	53 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND OR D C WITH CC	$4,152 – $26,547 · median $9,682	53 plans
798	VAGINAL DELIVERY W STERILIZATION-D&C W-O CC-MCC	$4,152 – $26,547 · median $9,263	53 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$4,152 – $32,073 · median $10,460	53 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D C WITH CC	$4,152 – $24,978 · median $7,308	53 plans
807	VAGINAL DELIVERY W-O STERILIZATION-D&C W-O CC-MCC	$4,152 – $24,978 · median $6,525	53 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$2,569 – $20,904 · median $8,902	52 plans
881	DEPRESSIVE NEUROSES	$2,569 – $20,503 · median $8,723	52 plans
882	NEUROSES EXCEPT DEPRESSIVE	$2,569 – $21,795 · median $9,956	52 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$2,569 – $40,483 · median $18,230	52 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$2,569 – $36,420 · median $14,921	52 plans
885	PSYCHOSES	$2,569 – $31,496 · median $12,950	52 plans
886	BEHAVIORAL & DEVELOPMENTAL DISORDERS	$2,569 – $39,174 · median $19,066	52 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$2,569 – $30,703 · median $10,147	52 plans
894	ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA	$2,569 – $14,134 · median $5,845	52 plans
895	ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$2,569 – $37,424 · median $13,413	52 plans
896	ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$2,569 – $47,477 · median $16,535	52 plans
897	ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$2,569 – $21,391 · median $8,357	52 plans
945	REHABILITATION WITH CC MCC	$2,521 – $43,270 · median $14,673	52 plans
946	REHABILITATION WITHOUT CC-MCC	$2,521 – $37,731 · median $10,866	52 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$38,279 – $201,139 · median $54,324	51 plans
280	ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC	$4,556 – $54,639 · median $15,525	51 plans
281	ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC	$4,556 – $33,126 · median $8,895	51 plans
282	ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC-MCC	$4,556 – $23,669 · median $6,998	51 plans
283	ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC	$4,556 – $52,928 · median $18,681	51 plans
284	ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC	$4,556 – $23,867 · median $6,699	51 plans
285	ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC-MCC	$4,251 – $16,385 · median $5,553	51 plans
286	CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC	$4,556 – $66,008 · median $21,416	51 plans
287	CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC	$4,556 – $34,061 · median $10,357	51 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$4,556 – $87,631 · median $26,192	51 plans
289	ACUTE & SUBACUTE ENDOCARDITIS W CC	$4,556 – $56,081 · median $16,520	51 plans
290	ACUTE & SUBACUTE ENDOCARDITIS W-O CC-MCC	$4,556 – $38,741 · median $8,998	51 plans
291	HEART FAILURE AND SHOCK WITH MCC	$4,556 – $47,116 · median $12,425	51 plans
292	HEART FAILURE AND SHOCK WITH CC	$4,556 – $31,152 · median $8,217	51 plans
293	HEART FAILURE AND SHOCK WITHOUT CC-MCC	$4,163 – $21,074 · median $5,478	51 plans
296	CARDIAC ARREST UNEXPLAINED WITH MCC	$4,556 – $40,791 · median $15,117	51 plans
297	CARDIAC ARREST UNEXPLAINED WITH CC	$4,556 – $19,005 · median $6,136	51 plans
298	CARDIAC ARREST UNEXPLAINED W-O CC-MCC	$3,416 – $13,353 · median $4,411	51 plans
306	CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC	$4,556 – $42,816 · median $14,682	51 plans
307	CARDIAC CONGENITAL & VALVULAR DISORDERS W-O MCC	$4,556 – $24,817 · median $8,838	51 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$4,556 – $37,891 · median $11,653	51 plans
309	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC	$4,556 – $24,660 · median $7,120	51 plans
310	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W-O CC-MCC	$4,238 – $17,278 · median $5,479	51 plans
311	ANGINA PECTORIS	$4,556 – $17,707 · median $6,793	51 plans
312	SYNCOPE & COLLAPSE	$4,556 – $22,657 · median $8,436	51 plans
313	CHEST PAIN	$4,556 – $18,783 · median $6,968	51 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$149,785 – $552,846 · median $201,106	50 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$98,869 – $342,574 · median $131,241	50 plans
007	LUNG TRANSPLANT	$91,469 – $594,880 · median $122,701	50 plans
011	TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$37,963 – $148,097 · median $52,051	50 plans
012	TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$28,953 – $101,219 · median $39,989	50 plans
013	TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC MCC	$18,816 – $67,855 · median $27,305	50 plans
020	INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC	$56,549 – $294,330 · median $76,214	50 plans
021	INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC	$38,880 – $202,050 · median $51,274	50 plans
022	INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W-O CC-MCC	$24,955 – $147,680 · median $30,775	50 plans
023	CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR	$40,120 – $161,705 · median $55,501	50 plans
024	CRANIO W MAJOR DEV IMPL-ACUTE COMPLEX CNS PDX W-O MCC	$26,847 – $116,359 · median $37,889	50 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$31,523 – $139,245 · median $44,037	50 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$21,665 – $93,543 · median $30,114	50 plans
027	CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W-O CC-MCC	$17,545 – $70,544 · median $24,436	50 plans
028	SPINAL PROCEDURES WITH MCC	$42,730 – $170,331 · median $58,089	50 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$23,744 – $96,489 · median $33,043	50 plans
030	SPINAL PROCEDURES W-O CC-MCC	$15,855 – $56,708 · median $21,262	50 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$29,559 – $123,691 · median $43,396	50 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$15,228 – $62,002 · median $20,640	50 plans
033	VENTRICULAR SHUNT PROCEDURES W-O CC-MCC	$11,462 – $47,727 · median $16,106	50 plans
034	CAROTID ARTERY STENT PROCEDURE W MCC	$27,453 – $107,031 · median $37,490	50 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$16,199 – $68,275 · median $23,153	50 plans
036	CAROTID ARTERY STENT PROCEDURE W-O CC-MCC	$13,119 – $53,990 · median $18,489	50 plans
037	EXTRACRANIAL PROCEDURES W MCC	$23,494 – $96,047 · median $31,886	50 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$11,572 – $50,022 · median $15,716	50 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC MCC	$8,273 – $32,763 · median $11,385	50 plans
040	PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$26,640 – $118,648 · median $37,398	50 plans
041	PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$16,083 – $68,118 · median $21,296	50 plans
042	PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC-MCC	$12,593 – $58,354 · median $16,734	50 plans
052	SPINAL DISORDERS AND INJURIES WITH CC MCC	$14,370 – $44,204 · median $17,219	50 plans
053	SPINAL DISORDERS & INJURIES W-O CC-MCC	$6,761 – $27,415 · median $9,484	50 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$10,790 – $41,361 · median $14,467	50 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$7,944 – $31,659 · median $9,875	50 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC	$17,798 – $54,605 · median $22,501	50 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$9,641 – $30,848 · median $12,549	50 plans
058	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC	$13,208 – $50,238 · median $16,557	50 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$8,869 – $32,597 · median $11,757	50 plans
060	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W-O CC-MCC	$6,559 – $24,760 · median $8,909	50 plans
061	ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC	$19,188 – $85,625 · median $26,704	50 plans
062	ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC	$12,755 – $58,181 · median $17,020	50 plans
063	ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W-O CC-MCC	$10,132 – $46,032 · median $13,597	50 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$14,208 – $54,595 · median $19,462	50 plans
067	NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W-O INFARCT W MCC	$10,482 – $44,424 · median $14,225	50 plans
068	NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W-O INFARCT W-O MCC	$6,483 – $26,901 · median $8,372	50 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$5,916 – $21,779 · median $7,737	50 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$12,461 – $52,012 · median $16,125	50 plans
071	NONSPECIFIC CEREBROVASCULAR DISORDERS W CC	$7,685 – $30,707 · median $9,937	50 plans
072	NONSPECIFIC CEREBROVASCULAR DISORDERS W-O CC-MCC	$5,568 – $21,688 · median $7,324	50 plans
073	CRANIAL & PERIPHERAL NERVE DISORDERS W MCC	$11,114 – $40,794 · median $15,201	50 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$7,605 – $27,541 · median $9,984	50 plans
075	VIRAL MENINGITIS WITH CC MCC	$12,347 – $49,897 · median $18,168	50 plans
076	VIRAL MENINGITIS WITHOUT CC-MCC	$6,710 – $26,409 · median $7,993	50 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$14,198 – $42,949 · median $17,531	50 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$6,646 – $23,368 · median $8,674	50 plans
082	TRAUMATIC STUPOR & COMA COMA >1 HR W MCC	$16,516 – $61,009 · median $22,137	50 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$10,032 – $39,631 · median $13,519	50 plans
084	TRAUMATIC STUPOR & COMA COMA >1 HR W-O CC-MCC	$7,003 – $26,616 · median $9,257	50 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$16,138 – $61,855 · median $22,005	50 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$9,482 – $34,810 · median $12,617	50 plans
087	TRAUMATIC STUPOR & COMA COMA <1 HR W-O CC-MCC	$6,501 – $23,024 · median $8,782	50 plans
088	CONCUSSION W MCC	$10,174 – $47,110 · median $13,093	50 plans
089	CONCUSSION W CC	$7,812 – $29,484 · median $10,435	50 plans
090	CONCUSSION WITHOUT CC MCC	$6,314 – $22,381 · median $7,973	50 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$13,048 – $49,687 · median $16,640	50 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$7,719 – $27,954 · median $9,908	50 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM W-O CC-MCC	$5,840 – $20,732 · median $7,713	50 plans
094	BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC	$25,780 – $109,630 · median $34,087	50 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$17,053 – $71,428 · median $24,974	50 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC MCC	$17,053 – $61,733 · median $24,438	50 plans
097	NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC	$25,333 – $100,191 · median $34,982	50 plans
098	NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC	$15,463 – $55,348 · median $21,744	50 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC MCC	$10,052 – $37,098 · median $13,196	50 plans
100	SEIZURES WITH MCC	$14,180 – $47,599 · median $18,759	50 plans
101	SEIZURES W-O MCC	$6,764 – $23,726 · median $8,742	50 plans
102	HEADACHES WITH MCC	$8,422 – $32,694 · median $10,857	50 plans
103	HEADACHES WITHOUT MCC	$6,265 – $20,886 · median $8,100	50 plans
113	ORBITAL PROCEDURES W CC-MCC	$16,072 – $59,551 · median $22,443	50 plans
114	ORBITAL PROCEDURES W-O CC-MCC	$8,579 – $32,023 · median $12,820	50 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$11,012 – $39,317 · median $14,866	50 plans
116	INTRAOCULAR PROCEDURES WITH CC-MCC	$11,972 – $46,411 · median $17,512	50 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC MCC	$7,858 – $25,738 · median $10,508	50 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC-MCC	$8,448 – $32,020 · median $11,267	50 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC-MCC	$5,066 – $19,268 · median $7,611	50 plans
123	NEUROLOGICAL EYE DISORDERS	$5,937 – $21,826 · median $7,735	50 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$9,429 – $37,584 · median $12,815	50 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$6,094 – $21,353 · median $7,437	50 plans
135	SINUS & MASTOID PROCEDURES W CC-MCC	$17,150 – $63,037 · median $21,018	50 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC MCC	$7,158 – $30,434 · median $9,834	50 plans
137	MOUTH PROCEDURES W CC-MCC	$10,089 – $42,245 · median $14,148	50 plans
138	MOUTH PROCEDURES W-O CC-MCC	$6,009 – $26,030 · median $8,583	50 plans
139	SALIVARY GLAND PROCEDURES	$9,911 – $29,939 · median $11,968	50 plans
146	EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC	$16,334 – $63,952 · median $20,256	50 plans
147	EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC	$9,017 – $38,609 · median $12,315	50 plans
148	EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC MCC	$5,920 – $24,099 · median $7,720	50 plans
149	DYSEQUILIBRIUM	$5,549 – $19,384 · median $7,280	50 plans
150	EPISTAXIS W MCC	$9,975 – $41,684 · median $12,896	50 plans
151	EPISTAXIS WITHOUT MCC	$5,622 – $20,554 · median $7,109	50 plans
152	OTITIS MEDIA & URI W MCC	$8,250 – $31,478 · median $11,201	50 plans
153	OTITIS MEDIA & URI W-O MCC	$5,299 – $20,184 · median $7,150	50 plans
154	OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC	$11,677 – $43,210 · median $15,024	50 plans
155	OTHER EAR NOSE MOUTH & THROAT DIAGNOSES W CC	$6,847 – $26,989 · median $8,877	50 plans
156	OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC-MCC	$5,025 – $19,309 · median $6,694	50 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$11,755 – $48,210 · median $16,419	50 plans
158	DENTAL & ORAL DISEASES W CC	$6,895 – $26,722 · median $8,812	50 plans
159	DENTAL & ORAL DISEASES W-O CC-MCC	$4,936 – $19,121 · median $6,862	50 plans
163	MAJOR CHEST PROCEDURES W MCC	$32,478 – $159,714 · median $43,409	50 plans
164	MAJOR CHEST PROCEDURES W CC	$17,888 – $81,769 · median $24,446	50 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC-MCC	$13,335 – $56,244 · median $18,540	50 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$27,186 – $115,168 · median $36,202	50 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$13,078 – $62,253 · median $17,467	50 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC MCC	$9,777 – $41,066 · median $13,234	50 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$10,162 – $48,104 · median $13,304	50 plans
176	PULMONARY EMBOLISM W-O MCC	$6,016 – $31,004 · median $7,797	50 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$11,609 – $62,485 · median $15,136	50 plans
178	RESPIRATORY INFECTIONS & INFLAMMATIONS W CC	$7,254 – $43,743 · median $9,453	50 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC-MCC	$5,704 – $30,534 · median $7,313	50 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$12,524 – $53,370 · median $17,105	50 plans
181	RESPIRATORY NEOPLASMS WITH CC	$8,079 – $36,753 · median $10,373	50 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC-MCC	$6,129 – $24,779 · median $7,301	50 plans
183	MAJOR CHEST TRAUMA W MCC	$11,405 – $45,919 · median $14,818	50 plans
184	MAJOR CHEST TRAUMA W CC	$7,784 – $30,819 · median $10,306	50 plans
185	MAJOR CHEST TRAUMA W-O CC-MCC	$5,759 – $21,651 · median $7,615	50 plans
186	PLEURAL EFFUSION W MCC	$11,354 – $49,298 · median $15,095	50 plans
187	PLEURAL EFFUSION W CC	$7,337 – $33,879 · median $9,580	50 plans
188	PLEURAL EFFUSION WITHOUT CC-MCC	$5,456 – $23,409 · median $6,947	50 plans
189	PULMONARY EDEMA & RESPIRATORY FAILURE	$8,965 – $38,192 · median $11,966	50 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$8,167 – $36,700 · median $10,729	50 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$6,327 – $29,287 · median $8,165	50 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC MCC	$4,849 – $22,318 · median $6,218	50 plans
193	SIMPLE PNEUMONIA & PLEURISY W MCC	$9,525 – $45,608 · median $12,731	50 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$6,054 – $30,628 · median $7,806	50 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC MCC	$4,679 – $21,933 · median $6,087	50 plans
196	INTERSTITIAL LUNG DISEASE W MCC	$13,475 – $52,304 · median $17,881	50 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$7,240 – $33,311 · median $9,193	50 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC-MCC	$5,220 – $24,945 · median $6,937	50 plans
199	PNEUMOTHORAX W MCC	$12,646 – $56,821 · median $17,086	50 plans
200	PNEUMOTHORAX WITH CC	$8,059 – $30,381 · median $10,647	50 plans
201	PNEUMOTHORAX W-O CC-MCC	$5,058 – $22,108 · median $6,926	50 plans
202	BRONCHITIS & ASTHMA W CC-MCC	$7,077 – $27,202 · median $9,407	50 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC MCC	$5,194 – $20,033 · median $6,489	50 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$5,992 – $21,253 · median $7,820	50 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC	$13,500 – $43,681 · median $17,349	50 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES W-O MCC	$6,653 – $24,798 · median $9,082	50 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$45,434 – $164,742 · median $60,968	50 plans
208	RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS	$19,051 – $71,691 · median $26,194	50 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$74,217 – $463,263 · median $96,439	50 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$67,636 – $297,163 · median $94,752	50 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$45,369 – $196,963 · median $63,686	50 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC-MCC	$41,822 – $170,090 · median $62,300	50 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$54,292 – $248,232 · median $74,369	50 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$37,272 – $165,874 · median $51,651	50 plans
221	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W-O CARD CATH W-O CC-MCC	$32,362 – $145,521 · median $48,244	50 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$35,086 – $215,291 · median $47,918	50 plans
229	OTHER CARDIOTHORACIC PROCEDURES W-O MCC	$21,997 – $139,217 · median $30,505	50 plans
231	CORONARY BYPASS W PTCA W MCC	$59,427 – $244,994 · median $81,648	50 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$42,934 – $175,992 · median $58,720	50 plans
233	CORONARY BYPASS W CARDIAC CATH W MCC	$54,842 – $231,606 · median $74,048	50 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$41,368 – $183,305 · median $56,841	50 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$29,011 – $119,149 · median $40,571	50 plans
239	AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC	$35,460 – $152,345 · median $47,670	50 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$20,644 – $83,973 · median $27,609	50 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC MCC	$10,865 – $44,593 · median $13,409	50 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$23,990 – $117,519 · median $30,924	50 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$16,046 – $83,744 · median $20,639	50 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC MCC	$12,921 – $67,732 · median $17,507	50 plans
245	AICD GENERATOR PROCEDURES	$34,413 – $147,395 · median $44,190	50 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$16,463 – $93,665 · median $21,139	50 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$11,233 – $61,868 · median $14,475	50 plans
252	OTHER VASCULAR PROCEDURES W MCC	$24,257 – $98,668 · median $33,786	50 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$18,139 – $78,904 · median $25,140	50 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC-MCC	$12,535 – $53,326 · median $17,257	50 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$18,582 – $82,766 · median $26,126	50 plans
256	UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC	$12,147 – $50,069 · median $16,445	50 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC-MCC	$6,556 – $28,265 · median $10,579	50 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC	$19,900 – $85,352 · median $30,433	50 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$12,593 – $61,006 · median $19,585	50 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC	$24,089 – $116,726 · median $31,505	50 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$13,569 – $54,178 · median $18,311	50 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W-O CC-MCC	$10,920 – $43,464 · median $15,787	50 plans
263	VEIN LIGATION & STRIPPING	$19,039 – $59,206 · median $28,968	50 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$24,709 – $85,067 · median $32,356	50 plans
265	AICD LEAD PROCEDURES	$25,211 – $84,289 · median $34,282	50 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC	$42,112 – $281,863 · median $59,357	50 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$33,144 – $211,639 · median $46,111	50 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$46,831 – $196,875 · median $66,616	50 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$29,350 – $122,378 · median $40,904	50 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC	$36,130 – $148,420 · median $51,104	50 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC	$24,355 – $98,508 · median $34,445	50 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES W-O CC-MCC	$17,785 – $70,554 · median $24,727	50 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$27,604 – $111,275 · median $39,220	50 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$22,100 – $75,848 · median $31,882	50 plans
299	PERIPHERAL VASCULAR DISORDERS W MCC	$11,616 – $42,778 · median $15,470	50 plans
300	PERIPHERAL VASCULAR DISORDERS W CC	$7,802 – $30,299 · median $10,339	50 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC-MCC	$5,311 – $20,942 · median $6,971	50 plans
302	ATHEROSCLEROSIS WITH MCC	$8,448 – $32,246 · median $11,511	50 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$5,025 – $18,914 · median $6,520	50 plans
304	HYPERTENSION WITH MCC	$8,528 – $32,186 · median $11,423	50 plans
305	HYPERTENSION WITHOUT MCC	$5,571 – $19,359 · median $7,314	50 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC	$15,353 – $59,372 · median $20,196	50 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES W CC	$7,047 – $29,885 · median $9,330	50 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES W-O CC-MCC	$5,097 – $19,930 · median $6,607	50 plans
326	STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$35,754 – $175,578 · median $48,306	50 plans
327	STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$17,268 – $83,374 · median $23,674	50 plans
328	STOMACH ESOPHAGEAL & DUODENAL PROC W-O CC-MCC	$11,448 – $46,282 · median $15,519	50 plans
329	MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC	$32,357 – $160,717 · median $44,520	50 plans
330	MAJOR SMALL & LARGE BOWEL PROCEDURES W CC	$16,819 – $80,274 · median $23,218	50 plans
331	MAJOR SMALL & LARGE BOWEL PROCEDURES W-O CC-MCC	$11,849 – $51,345 · median $16,300	50 plans
332	RECTAL RESECTION WITH MCC	$24,525 – $147,552 · median $35,069	50 plans
333	RECTAL RESECTION WITH CC	$15,157 – $76,691 · median $22,686	50 plans
334	RECTAL RESECTION W-O CC-MCC	$11,902 – $49,680 · median $15,864	50 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$25,603 – $130,446 · median $34,586	50 plans
336	PERITONEAL ADHESIOLYSIS W CC	$15,066 – $73,704 · median $20,424	50 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC-MCC	$11,041 – $49,345 · median $14,867	50 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$19,126 – $112,739 · median $25,016	50 plans
345	MINOR SMALL & LARGE BOWEL PROCEDURES W CC	$10,717 – $52,865 · median $14,574	50 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC-MCC	$9,020 – $38,161 · median $11,489	50 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$16,841 – $78,936 · median $22,234	50 plans
348	ANAL & STOMAL PROCEDURES W CC	$9,115 – $42,584 · median $12,677	50 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC-MCC	$6,479 – $27,691 · median $8,432	50 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$17,203 – $77,105 · median $24,135	50 plans
351	INGUINAL & FEMORAL HERNIA PROCEDURES W CC	$10,828 – $43,135 · median $14,766	50 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC-MCC	$8,025 – $28,961 · median $11,240	50 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$20,789 – $87,408 · median $28,108	50 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$12,199 – $51,411 · median $16,295	50 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC MCC	$9,633 – $36,935 · median $13,027	50 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC	$30,082 – $120,331 · median $42,418	50 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$16,040 – $67,231 · median $22,524	50 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W-O CC-MCC	$9,786 – $43,703 · median $13,539	50 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$11,982 – $58,865 · median $15,419	50 plans
369	MAJOR ESOPHAGEAL DISORDERS W CC	$7,432 – $33,415 · median $9,688	50 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC MCC	$5,204 – $23,466 · median $6,788	50 plans
371	MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC	$12,526 – $59,642 · median $17,174	50 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$7,514 – $36,778 · median $9,889	50 plans
373	MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W-O CC-MCC	$5,395 – $25,400 · median $7,045	50 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$15,060 – $65,986 · median $20,715	50 plans
375	DIGESTIVE MALIGNANCY W CC	$8,904 – $39,374 · median $11,716	50 plans
376	DIGESTIVE MALIGNANCY W-O CC-MCC	$6,494 – $27,390 · median $8,952	50 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$13,015 – $55,260 · median $17,705	50 plans
378	G.I. HEMORRHAGE W CC	$7,211 – $31,437 · median $9,499	50 plans
379	G.I. HEMORRHAGE W-O CC-MCC	$4,776 – $21,745 · median $6,106	50 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$13,755 – $60,256 · median $19,005	50 plans
381	COMPLICATED PEPTIC ULCER W CC	$7,931 – $35,104 · median $10,494	50 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC-MCC	$5,561 – $24,400 · median $7,754	50 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$9,152 – $43,414 · median $13,373	50 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$6,400 – $26,647 · median $8,279	50 plans
385	INFLAMMATORY BOWEL DISEASE W MCC	$11,667 – $56,338 · median $15,325	50 plans
386	INFLAMMATORY BOWEL DISEASE W CC	$7,257 – $31,650 · median $9,456	50 plans
387	INFLAMMATORY BOWEL DISEASE W-O CC-MCC	$5,010 – $23,613 · median $6,599	50 plans
388	G.I. OBSTRUCTION W MCC	$10,586 – $50,686 · median $14,304	50 plans
389	G.I. OBSTRUCTION W CC	$5,926 – $27,751 · median $7,650	50 plans
390	G.I. OBSTRUCTION W-O CC-MCC	$4,152 – $18,952 · median $5,269	50 plans
391	ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$9,293 – $37,311 · median $12,284	50 plans
392	ESOPHAGITIS GASTROENT & MISC DIGEST DISORDERS W-O MCC	$5,778 – $23,180 · median $7,551	50 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$11,884 – $51,918 · median $15,490	50 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES W CC	$6,900 – $30,258 · median $9,063	50 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES W-O CC-MCC	$4,774 – $20,905 · median $6,286	50 plans
405	PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC	$38,192 – $170,312 · median $52,985	50 plans
406	PANCREAS LIVER AND SHUNT PROCEDURES WITH CC	$19,920 – $86,725 · median $28,090	50 plans
407	PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC MCC	$15,230 – $59,993 · median $21,498	50 plans
408	BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W-O C.D.E. W MCC	$24,752 – $129,089 · median $34,535	50 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$14,956 – $76,287 · median $21,088	50 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC-MCC	$11,153 – $47,405 · median $15,378	50 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$19,418 – $112,745 · median $31,994	50 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$15,201 – $74,162 · median $20,364	50 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC MCC	$11,929 – $53,978 · median $16,083	50 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$24,769 – $113,498 · median $34,506	50 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$14,130 – $63,234 · median $20,017	50 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W-O C.D.E. W-O CC-MCC	$9,891 – $41,590 · median $13,204	50 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$16,908 – $77,688 · median $23,114	50 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY W-O C.D.E. W CC	$11,901 – $51,834 · median $16,384	50 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY W-O C.D.E. W-O CC-MCC	$9,524 – $38,364 · median $13,229	50 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$24,949 – $115,309 · median $33,000	50 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$11,756 – $55,526 · median $16,829	50 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC MCC	$10,583 – $38,164 · median $13,555	50 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$28,699 – $132,227 · median $40,224	50 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC	$16,258 – $72,563 · median $21,191	50 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W-O CC-MCC	$11,116 – $51,395 · median $14,531	50 plans
432	CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC	$13,998 – $53,758 · median $18,988	50 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$7,796 – $28,992 · median $10,230	50 plans
434	CIRRHOSIS & ALCOHOLIC HEPATITIS W-O CC-MCC	$5,193 – $19,297 · median $6,769	50 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$13,060 – $54,404 · median $17,696	50 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC	$8,200 – $36,198 · median $10,955	50 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC MCC	$5,812 – $29,095 · median $8,265	50 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$11,938 – $53,946 · median $15,789	50 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC	$6,335 – $28,719 · median $8,148	50 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC-MCC	$4,626 – $20,224 · median $6,019	50 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$13,519 – $58,097 · median $17,383	50 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$7,074 – $29,089 · median $9,349	50 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC-MCC	$5,236 – $20,118 · median $6,777	50 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$12,082 – $50,342 · median $16,184	50 plans
445	DISORDERS OF THE BILIARY TRACT W CC	$7,899 – $32,838 · median $10,600	50 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC-MCC	$5,896 – $23,506 · median $8,013	50 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC	$59,394 – $300,517 · median $81,392	50 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC	$40,359 – $213,742 · median $57,756	50 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC-MCC	$30,447 – $161,049 · median $40,414	50 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$43,129 – $157,526 · median $53,493	50 plans
463	WND DEBRID & SKN GRFT EXC HAND FOR MUSCULO-CONN TISS DIS W MCC	$37,999 – $160,341 · median $54,713	50 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$20,898 – $94,800 · median $30,168	50 plans
465	WND DEBRID & SKN GRFT EXC HAND FOR MUSCULO-CONN TISS DIS W-O CC-MCC	$12,443 – $60,181 · median $17,664	50 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$35,862 – $165,344 · median $50,417	50 plans
467	REVISION OF HIP OR KNEE REPLACEMENT W CC	$24,221 – $107,015 · median $34,157	50 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC-MCC	$18,629 – $86,590 · median $26,616	50 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$23,130 – $107,758 · median $29,378	50 plans
471	CERVICAL SPINAL FUSION W MCC	$34,208 – $154,987 · median $46,769	50 plans
472	CERVICAL SPINAL FUSION W CC	$20,539 – $91,806 · median $28,535	50 plans
473	CERVICAL SPINAL FUSION WITHOUT CC MCC	$16,845 – $70,397 · median $23,645	50 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$31,609 – $115,617 · median $40,885	50 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$15,380 – $64,222 · median $21,917	50 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W-O CC-MCC	$8,447 – $33,594 · median $11,431	50 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$24,317 – $102,900 · median $33,460	50 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$16,644 – $69,322 · median $23,819	50 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC MCC	$12,719 – $54,354 · median $18,005	50 plans
480	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC	$20,845 – $96,213 · median $28,207	50 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$14,805 – $61,817 · median $20,286	50 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC MCC	$11,399 – $51,110 · median $15,797	50 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$18,106 – $83,029 · median $26,263	50 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$22,785 – $102,561 · median $31,256	50 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$15,126 – $63,316 · median $20,254	50 plans
487	KNEE PROCEDURES W PDX OF INFECTION W-O CC-MCC	$11,356 – $47,693 · median $15,170	50 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC MCC	$14,042 – $54,476 · median $17,133	50 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC MCC	$8,972 – $40,120 · median $10,817	50 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC	$25,100 – $99,777 · median $35,562	50 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC	$17,079 – $62,601 · median $24,220	50 plans
494	LOWER EXTREM & HUMER PROC EXCEPT HIPFOOTFEMUR W-O CC-MCC	$13,484 – $47,248 · median $19,111	50 plans
495	LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC	$24,886 – $91,248 · median $35,117	50 plans
496	LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC	$14,095 – $54,197 · median $17,472	50 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC-MCC	$9,699 – $36,772 · median $11,703	50 plans
498	LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC-MCC	$17,943 – $68,723 · median $28,584	50 plans
499	LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W-O CC-MCC	$8,431 – $37,729 · median $18,680	50 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$22,433 – $94,402 · median $30,653	50 plans
501	SOFT TISSUE PROCEDURES WITH CC	$12,782 – $49,539 · median $16,931	50 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC-MCC	$10,079 – $35,349 · median $13,036	50 plans
503	FOOT PROCEDURES WITH MCC	$18,792 – $70,792 · median $27,033	50 plans
504	FOOT PROCEDURES WITH CC	$12,574 – $50,571 · median $18,058	50 plans
505	FOOT PROCEDURES WITHOUT CC MCC	$12,574 – $38,284 · median $17,364	50 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$10,790 – $37,744 · median $13,068	50 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC MCC	$13,852 – $61,648 · median $17,496	50 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC MCC	$9,336 – $41,345 · median $14,668	50 plans
510	SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$20,267 – $71,209 · median $29,086	50 plans
511	SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC	$14,012 – $49,821 · median $19,841	50 plans
512	SHOULDER ELBOW OR FOREARM PROC EXC MAJOR JOINT PROC W-O CC-MCC	$11,548 – $38,449 · median $15,867	50 plans
513	HAND OR WRIST PROC EXCEPT MAJOR THUMB OR JOINT PROC W CC-MCC	$10,835 – $44,267 · median $15,248	50 plans
514	HAND OR WRIST PROC EXCEPT MAJOR THUMB OR JOINT PROC W-O CC-MCC	$7,446 – $27,525 · median $9,902	50 plans
515	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC	$21,901 – $104,508 · median $30,867	50 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$14,364 – $63,194 · median $20,120	50 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC-MCC	$10,745 – $52,589 · median $14,782	50 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$25,329 – $96,007 · median $35,776	50 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$14,087 – $51,621 · median $19,373	50 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC-MCC	$10,330 – $35,722 · median $14,173	50 plans
533	FRACTURES OF FEMUR WITH MCC	$10,970 – $43,129 · median $15,161	50 plans
534	FRACTURES OF FEMUR W-O MCC	$6,013 – $23,083 · median $7,808	50 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$9,610 – $41,016 · median $12,417	50 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$5,991 – $22,227 · median $7,822	50 plans
537	SPRAINS STRAINS & DISLOCATIONS OF HIP PELVIS & THIGH W CC-MCC	$6,745 – $26,970 · median $9,243	50 plans
538	SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC-MCC	$5,019 – $21,535 · median $6,977	50 plans
539	OSTEOMYELITIS WITH MCC	$14,439 – $58,401 · median $19,078	50 plans
540	OSTEOMYELITIS W CC	$9,360 – $40,947 · median $12,555	50 plans
541	OSTEOMYELITIS W-O CC-MCC	$6,402 – $30,540 · median $7,626	50 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$13,342 – $60,971 · median $17,110	50 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$7,734 – $35,318 · median $9,957	50 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC MCC	$5,606 – $24,249 · median $7,309	50 plans
545	CONNECTIVE TISSUE DISORDERS W MCC	$17,957 – $76,625 · median $24,037	50 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$8,409 – $36,709 · median $11,171	50 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC-MCC	$5,540 – $25,268 · median $8,099	50 plans
548	SEPTIC ARTHRITIS WITH MCC	$14,385 – $55,830 · median $18,702	50 plans
549	SEPTIC ARTHRITIS WITH CC	$8,740 – $34,797 · median $11,692	50 plans
550	SEPTIC ARTHRITIS WITHOUT CC MCC	$6,348 – $25,544 · median $8,466	50 plans
551	MEDICAL BACK PROBLEMS W MCC	$12,236 – $51,147 · median $16,234	50 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$7,057 – $26,541 · median $9,311	50 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$9,443 – $38,775 · median $12,555	50 plans
554	BONE DISEASES & ARTHROPATHIES W-O MCC	$6,156 – $22,510 · median $8,040	50 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,727 – $37,534 · median $12,802	50 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$6,030 – $22,149 · median $8,045	50 plans
557	TENDONITIS MYOSITIS AND BURSITIS WITH MCC	$11,143 – $46,254 · median $14,401	50 plans
558	TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC	$6,360 – $26,133 · median $8,651	50 plans
559	AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$13,281 – $58,426 · median $18,063	50 plans
560	AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$8,277 – $32,161 · median $10,865	50 plans
561	AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC-MCC	$6,038 – $20,087 · median $7,769	50 plans
562	FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC	$10,542 – $42,405 · median $13,800	50 plans
563	FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC	$6,569 – $23,619 · median $8,673	50 plans
564	OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC	$11,279 – $46,564 · median $14,951	50 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$7,447 – $29,092 · median $9,438	50 plans
566	OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W-O CC-MCC	$5,553 – $20,820 · median $7,257	50 plans
570	SKIN DEBRIDEMENT WITH MCC	$21,327 – $75,713 · median $28,486	50 plans
571	SKIN DEBRIDEMENT W CC	$12,012 – $46,724 · median $16,364	50 plans
572	SKIN DEBRIDEMENT WITHOUT CC-MCC	$8,303 – $31,587 · median $11,103	50 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC	$43,279 – $134,283 · median $62,074	50 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$24,498 – $84,267 · median $33,001	50 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC-MCC	$14,260 – $45,063 · median $17,405	50 plans
576	SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC	$37,959 – $134,559 · median $47,471	50 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$18,905 – $63,357 · median $25,364	50 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC-MCC	$12,124 – $39,549 · median $15,559	50 plans
579	OTHER SKIN SUBCUT TISS & BREAST PROC W MCC	$23,065 – $81,832 · median $31,169	50 plans
580	OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$12,700 – $48,267 · median $16,711	50 plans
581	OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC-MCC	$10,372 – $33,242 · median $13,673	50 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC MCC	$12,548 – $38,186 · median $18,254	50 plans
583	MASTECTOMY FOR MALIGNANCY W-O CC-MCC	$11,791 – $35,818 · median $16,338	50 plans
584	BREAST BIOPSY LOCAL EXCISION & OTHER BREAST PROCEDURES W CC-MCC	$14,613 – $53,282 · median $20,283	50 plans
585	BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC MCC	$14,179 – $43,287 · median $18,278	50 plans
592	SKIN ULCERS WITH MCC	$14,675 – $44,840 · median $18,626	50 plans
593	SKIN ULCERS W CC	$8,863 – $31,641 · median $11,490	50 plans
594	SKIN ULCERS W-O CC-MCC	$6,255 – $21,359 · median $8,395	50 plans
595	MAJOR SKIN DISORDERS W MCC	$15,086 – $61,012 · median $20,540	50 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$7,875 – $29,102 · median $10,294	50 plans
597	MALIGNANT BREAST DISORDERS W MCC	$12,586 – $53,489 · median $16,147	50 plans
598	MALIGNANT BREAST DISORDERS W CC	$7,860 – $33,907 · median $10,957	50 plans
599	MALIGNANT BREAST DISORDERS W-O CC-MCC	$6,256 – $20,522 · median $7,332	50 plans
600	NON-MALIGNANT BREAST DISORDERS W CC-MCC	$7,007 – $31,230 · median $10,019	50 plans
601	NON-MALIGNANT BREAST DISORDERS W-O CC-MCC	$4,517 – $20,203 · median $5,860	50 plans
602	CELLULITIS WITH MCC	$10,581 – $45,787 · median $13,766	50 plans
603	CELLULITIS WITHOUT MCC	$6,478 – $26,337 · median $8,435	50 plans
604	TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$10,697 – $41,449 · median $14,258	50 plans
605	TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$6,778 – $23,108 · median $8,872	50 plans
606	MINOR SKIN DISORDERS WITH MCC	$11,565 – $42,612 · median $14,656	50 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$6,363 – $22,077 · median $8,674	50 plans
614	ADRENAL & PITUITARY PROCEDURES W CC-MCC	$16,228 – $79,791 · median $21,229	50 plans
615	ADRENAL & PITUITARY PROCEDURES W-O CC-MCC	$10,329 – $45,699 · median $13,553	50 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$27,288 – $127,807 · median $33,778	50 plans
617	AMPUTAT OF LOWER LIMB FOR ENDOCRINENUTRIT& METABOL DIS W CC	$13,806 – $62,915 · median $18,115	50 plans
618	AMPUTAT OF LOWER LIMB FOR ENDOCRINENUTRIT& METABOL DIS W-O CC-MCC	$9,019 – $39,148 · median $13,438	50 plans
619	O.R. PROCEDURES FOR OBESITY W MCC	$19,349 – $113,473 · median $27,966	50 plans
620	O.R. PROCEDURES FOR OBESITY W CC	$11,473 – $60,808 · median $15,500	50 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC MCC	$10,530 – $49,439 · median $14,610	50 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$26,430 – $105,025 · median $34,473	50 plans
623	SKIN GRAFTS & WOUND DEBRID FOR ENDOC NUTRIT & METAB DIS W CC	$13,675 – $57,172 · median $17,375	50 plans
624	SKIN GRAFTS & WOUND DEBRID FOR ENDOC NUTRIT & METAB DIS W-O CC-MCC	$7,331 – $30,202 · median $11,862	50 plans
625	THYROID PARATHYROID & THYROGLOSSAL PROCEDURES W MCC	$20,329 – $75,259 · median $29,251	50 plans
626	THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$10,861 – $39,054 · median $14,523	50 plans
627	THYROID PARATHYROID & THYROGLOSSAL PROCEDURES W-O CC-MCC	$9,171 – $27,625 · median $12,585	50 plans
628	OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$27,851 – $105,056 · median $36,096	50 plans
629	OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$16,020 – $66,742 · median $21,103	50 plans
630	OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC-MCC	$10,108 – $42,142 · median $14,136	50 plans
637	DIABETES WITH MCC	$10,492 – $43,533 · median $13,915	50 plans
638	DIABETES WITH CC	$6,732 – $25,867 · median $8,680	50 plans
639	DIABETES WITHOUT CC-MCC	$4,706 – $17,892 · median $6,017	50 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC	$9,597 – $34,829 · median $12,765	50 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC	$5,785 – $21,917 · median $7,537	50 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$8,991 – $33,459 · median $13,474	50 plans
643	ENDOCRINE DISORDERS WITH MCC	$11,893 – $52,326 · median $15,943	50 plans
644	ENDOCRINE DISORDERS WITH CC	$7,542 – $31,954 · median $9,928	50 plans
645	ENDOCRINE DISORDERS WITHOUT CC-MCC	$5,766 – $22,071 · median $7,441	50 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$39,210 – $186,691 · median $50,330	50 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$20,016 – $96,997 · median $27,113	50 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC-MCC	$14,822 – $67,930 · median $20,501	50 plans
656	KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC	$23,055 – $110,404 · median $30,837	50 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$13,084 – $63,510 · median $17,725	50 plans
658	KIDNEY & URETER PROCEDURES FOR NEOPLASM W-O CC-MCC	$10,824 – $47,251 · median $15,030	50 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$18,357 – $106,736 · median $24,610	50 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$9,680 – $59,015 · median $12,801	50 plans
661	KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W-O CC-MCC	$7,495 – $42,113 · median $10,028	50 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$22,090 – $93,414 · median $29,652	50 plans
663	MINOR BLADDER PROCEDURES W CC	$10,987 – $49,107 · median $14,724	50 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC-MCC	$7,866 – $38,267 · median $10,140	50 plans
665	PROSTATECTOMY WITH MCC	$24,280 – $98,470 · median $30,231	50 plans
666	PROSTATECTOMY W CC	$11,823 – $53,420 · median $16,943	50 plans
667	PROSTATECTOMY WITHOUT CC-MCC	$7,503 – $28,052 · median $10,481	50 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$20,673 – $80,161 · median $28,282	50 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$11,127 – $39,787 · median $15,032	50 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC-MCC	$7,001 – $26,186 · median $9,466	50 plans
671	URETHRAL PROCEDURES WITH CC MCC	$12,356 – $49,799 · median $17,386	50 plans
672	URETHRAL PROCEDURES WITHOUT CC-MCC	$7,968 – $27,694 · median $10,456	50 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$29,552 – $97,643 · median $39,810	50 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$16,433 – $70,146 · median $22,651	50 plans
675	OTHER KIDNEY & URINARY TRACT PROCEDURES W-O CC-MCC	$11,252 – $43,279 · median $15,898	50 plans
682	RENAL FAILURE WITH MCC	$10,810 – $48,276 · median $14,344	50 plans
683	RENAL FAILURE WITH CC	$6,535 – $30,265 · median $8,483	50 plans
684	RENAL FAILURE WITHOUT CC MCC	$4,572 – $19,475 · median $5,814	50 plans
686	KIDNEY & URINARY TRACT NEOPLASMS W MCC	$13,486 – $54,031 · median $17,470	50 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$7,677 – $32,728 · median $10,149	50 plans
688	KIDNEY & URINARY TRACT NEOPLASMS W-O CC-MCC	$5,386 – $21,525 · median $7,655	50 plans
689	KIDNEY & URINARY TRACT INFECTIONS W MCC	$8,497 – $35,421 · median $11,238	50 plans
690	KIDNEY & URINARY TRACT INFECTIONS W-O MCC	$5,933 – $24,114 · median $7,840	50 plans
693	URINARY STONES W-O ESW LITHOTRIPSY W MCC	$10,590 – $44,467 · median $13,022	50 plans
694	URINARY STONES WITHOUT MCC	$5,785 – $21,563 · median $7,571	50 plans
695	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC	$8,201 – $40,038 · median $11,078	50 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$5,160 – $20,735 · median $6,673	50 plans
697	URETHRAL STRICTURE	$7,322 – $25,782 · median $10,270	50 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$12,058 – $49,154 · median $16,024	50 plans
699	OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC	$7,448 – $31,001 · median $9,831	50 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC-MCC	$5,177 – $22,024 · median $6,682	50 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC MCC	$13,869 – $57,253 · median $19,374	50 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC-MCC	$10,674 – $40,524 · median $14,860	50 plans
709	PENIS PROCEDURES W CC-MCC	$16,006 – $65,946 · median $22,539	50 plans
710	PENIS PROCEDURES WITHOUT CC-MCC	$10,806 – $42,095 · median $13,571	50 plans
711	TESTES PROCEDURES WITH CC MCC	$13,659 – $63,683 · median $20,183	50 plans
712	TESTES PROCEDURES WITHOUT CC-MCC	$7,795 – $30,029 · median $10,616	50 plans
713	TRANSURETHRAL PROSTATECTOMY W CC-MCC	$10,420 – $43,301 · median $14,561	50 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC MCC	$6,889 – $23,202 · median $10,019	50 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC MCC	$16,084 – $69,801 · median $21,670	50 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC-MCC	$10,234 – $30,948 · median $14,247	50 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC-MCC	$13,275 – $54,840 · median $18,305	50 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC-MCC	$8,927 – $27,541 · median $12,828	50 plans
722	MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC	$12,392 – $50,251 · median $17,528	50 plans
723	MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC	$8,167 – $33,014 · median $11,068	50 plans
724	MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC MCC	$5,332 – $17,243 · median $6,237	50 plans
725	BENIGN PROSTATIC HYPERTROPHY W MCC	$9,141 – $39,634 · median $11,334	50 plans
726	BENIGN PROSTATIC HYPERTROPHY W-O MCC	$5,527 – $22,441 · median $6,993	50 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC	$10,583 – $44,217 · median $14,363	50 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$6,034 – $24,516 · median $7,857	50 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC-MCC	$8,013 – $35,095 · median $10,254	50 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W-O CC-MCC	$4,568 – $19,641 · median $6,509	50 plans
734	PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC MCC	$15,000 – $80,080 · median $20,630	50 plans
735	PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC MCC	$8,801 – $37,333 · median $13,032	50 plans
736	UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC	$27,794 – $132,315 · median $34,621	50 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$14,272 – $63,664 · median $19,958	50 plans
738	UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W-O CC-MCC	$10,914 – $39,502 · median $14,223	50 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$28,096 – $99,201 · median $34,702	50 plans
740	UTERINE ADNEXA PROC FOR NON-OVARIAN-ADNEXAL MALIG W CC	$13,016 – $49,586 · median $17,527	50 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC MCC	$9,915 – $35,954 · median $13,801	50 plans
742	UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC-MCC	$13,074 – $46,931 · median $17,647	50 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC-MCC	$8,695 – $31,042 · median $11,965	50 plans
744	D C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC MCC	$13,962 – $47,282 · median $19,415	50 plans
745	D&C CONIZATION LAPAROSCOPY & TUBAL INTERRUPTION W-O CC-MCC	$7,482 – $26,688 · median $11,017	50 plans
746	VAGINA CERVIX & VULVA PROCEDURES W CC-MCC	$12,014 – $42,925 · median $16,825	50 plans
747	VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC MCC	$6,990 – $27,628 · median $8,327	50 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$9,836 – $31,647 · median $13,437	50 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC-MCC	$18,387 – $82,249 · median $24,869	50 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC-MCC	$9,328 – $34,023 · median $14,050	50 plans
754	MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC	$12,953 – $62,015 · median $17,838	50 plans
755	MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC	$8,077 – $34,104 · median $10,536	50 plans
756	MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC MCC	$6,996 – $20,824 · median $9,199	50 plans
757	INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC	$10,206 – $47,934 · median $13,869	50 plans
758	INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC	$7,444 – $32,763 · median $9,482	50 plans
759	INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC MCC	$4,799 – $21,927 · median $6,427	50 plans
760	MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC-MCC	$7,209 – $25,274 · median $9,559	50 plans
761	MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W-O CC-MCC	$4,639 – $15,372 · median $5,526	50 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$10,026 – $68,287 · median $16,011	50 plans
770	ABORTION W D&C ASPIRATION CURETTAGE OR HYSTEROTOMY	$7,840 – $23,462 · median $9,500	50 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$5,312 – $22,177 · median $6,341	50 plans
779	ABORTION WITHOUT D&C	$6,841 – $20,383 · median $8,148	50 plans
789	NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$12,906 – $47,828 · median $17,455	50 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE	$41,791 – $157,717 · median $57,566	50 plans
791	PREMATURITY W MAJOR PROBLEMS	$28,647 – $107,714 · median $39,314	50 plans
792	PREMATURITY W-O MAJOR PROBLEMS	$17,419 – $64,993 · median $23,722	50 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$29,418 – $110,648 · median $40,385	50 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$10,630 – $39,164 · median $14,295	50 plans
795	NORMAL NEWBORN	$1,625 – $5,304 · median $1,935	50 plans
799	SPLENECTOMY W MCC	$33,493 – $158,733 · median $43,865	50 plans
800	SPLENECTOMY W CC	$20,655 – $79,099 · median $27,211	50 plans
801	SPLENIC PROCEDURES WITHOUT CC-MCC	$11,784 – $50,091 · median $18,489	50 plans
802	OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC	$25,334 – $99,185 · median $37,749	50 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$12,749 – $59,028 · median $18,005	50 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC MCC	$8,046 – $36,230 · median $13,134	50 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$16,307 – $69,641 · median $21,385	50 plans
809	MAJOR HEMATOL-IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC	$8,973 – $37,305 · median $12,261	50 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC-MCC	$6,973 – $25,785 · median $9,919	50 plans
811	RED BLOOD CELL DISORDERS W MCC	$10,147 – $39,145 · median $13,601	50 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$6,772 – $25,030 · median $8,893	50 plans
813	COAGULATION DISORDERS	$11,131 – $51,511 · median $14,773	50 plans
814	RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC	$14,914 – $53,006 · median $20,150	50 plans
815	RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC	$7,422 – $30,857 · median $9,821	50 plans
816	RETICULOENDOTHELIAL & IMMUNITY DISORDERS W-O CC-MCC	$4,934 – $20,861 · median $6,121	50 plans
817	OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC	$18,014 – $79,359 · median $22,099	50 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$9,318 – $42,584 · median $11,228	50 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC-MCC	$6,030 – $26,299 · median $8,302	50 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$40,937 – $184,249 · median $56,804	50 plans
821	LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC	$15,903 – $75,309 · median $21,682	50 plans
822	LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W-O CC-MCC	$8,312 – $38,668 · median $11,661	50 plans
823	LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC	$32,968 – $140,587 · median $44,141	50 plans
824	LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC	$15,673 – $67,971 · median $21,944	50 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC MCC	$8,919 – $40,546 · median $13,070	50 plans
826	MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC	$33,637 – $154,473 · median $45,307	50 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$16,793 – $71,300 · median $22,385	50 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC-MCC	$11,514 – $42,762 · median $16,502	50 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC-MCC	$21,841 – $99,583 · median $30,606	50 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC-MCC	$10,535 – $40,063 · median $14,439	50 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$8,363 – $32,227 · median $11,416	50 plans
832	OTHER ANTEPARTUM DIAGNOSES W-O O.R. PROCEDURE W CC	$5,548 – $22,532 · median $6,989	50 plans
833	OTHER ANTEPARTUM DIAGNOSES W-O O.R. PROCEDURE W-O CC-MCC	$3,961 – $15,055 · median $5,065	50 plans
834	ACUTE LEUKEMIA W-O MAJOR O.R. PROCEDURE W MCC	$38,880 – $168,729 · median $53,173	50 plans
835	ACUTE LEUKEMIA W-O MAJOR O.R. PROCEDURE W CC	$15,231 – $67,726 · median $20,202	50 plans
836	ACUTE LEUKEMIA WITHOUT CC MCC	$9,197 – $38,368 · median $11,812	50 plans
837	CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC	$35,253 – $189,596 · median $46,532	50 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$14,480 – $88,336 · median $20,218	50 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC MCC	$9,892 – $41,298 · median $13,681	50 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$22,574 – $96,680 · median $31,332	50 plans
841	LYMPHOMA & NON-ACUTE LEUKEMIA W CC	$11,270 – $50,677 · median $15,801	50 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC MCC	$7,671 – $33,948 · median $9,786	50 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$13,539 – $55,696 · median $19,321	50 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$8,671 – $36,678 · median $11,791	50 plans
845	OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W-O CC-MCC	$6,172 – $24,544 · median $8,248	50 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$18,145 – $76,287 · median $25,110	50 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$9,197 – $34,675 · median $12,671	50 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC-MCC	$6,047 – $27,067 · median $8,227	50 plans
849	RADIOTHERAPY	$18,963 – $58,244 · median $25,672	50 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$35,212 – $167,673 · median $47,833	50 plans
854	INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC	$14,270 – $78,023 · median $19,353	50 plans
855	INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W-O CC-MCC	$11,672 – $49,680 · median $14,501	50 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC	$31,797 – $150,066 · median $44,057	50 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$15,530 – $63,983 · median $20,742	50 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W-O CC-MCC	$9,321 – $41,110 · median $13,491	50 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$13,158 – $59,253 · median $17,664	50 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$7,309 – $30,860 · median $9,665	50 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$6,598 – $26,459 · median $8,598	50 plans
865	VIRAL ILLNESS W MCC	$10,628 – $54,388 · median $14,482	50 plans
866	VIRAL ILLNESS WITHOUT MCC	$6,506 – $24,622 · median $8,423	50 plans
867	OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC	$15,289 – $81,935 · median $20,274	50 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$7,659 – $33,775 · median $9,987	50 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC-MCC	$5,354 – $23,215 · median $7,068	50 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$48,846 – $185,528 · median $66,270	50 plans
871	SEPTICEMIA OR SEVERE SEPSIS W-O MV 96+ HOURS W MCC	$14,019 – $58,075 · median $18,814	50 plans
872	SEPTICEMIA OR SEVERE SEPSIS W-O MV >96 HOURS W-O MCC	$7,526 – $33,499 · median $9,911	50 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$27,739 – $88,308 · median $37,434	50 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$31,231 – $126,375 · median $40,647	50 plans
902	WOUND DEBRIDEMENTS FOR INJURIES W CC	$13,569 – $53,530 · median $18,543	50 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC MCC	$8,837 – $32,998 · median $11,328	50 plans
904	SKIN GRAFTS FOR INJURIES WITH CC-MCC	$27,261 – $99,486 · median $35,576	50 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC-MCC	$11,830 – $39,104 · median $14,368	50 plans
906	HAND PROCEDURES FOR INJURIES	$15,556 – $47,592 · median $18,612	50 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$28,116 – $122,986 · median $37,186	50 plans
908	OTHER O.R. PROCEDURES FOR INJURIES W CC	$14,402 – $61,078 · median $19,325	50 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC MCC	$9,180 – $38,085 · median $12,714	50 plans
913	TRAUMATIC INJURY WITH MCC	$11,621 – $36,622 · median $15,572	50 plans
914	TRAUMATIC INJURY W-O MCC	$6,727 – $22,287 · median $8,577	50 plans
915	ALLERGIC REACTIONS W MCC	$12,455 – $46,144 · median $16,287	50 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$4,967 – $16,109 · median $6,454	50 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$11,770 – $44,176 · median $15,184	50 plans
918	POISONING & TOXIC EFFECTS OF DRUGS W-O MCC	$6,505 – $19,892 · median $8,217	50 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$13,053 – $53,934 · median $17,732	50 plans
920	COMPLICATIONS OF TREATMENT W CC	$7,420 – $30,653 · median $9,708	50 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC-MCC	$5,132 – $20,444 · median $6,668	50 plans
922	OTHER INJURY POISONING & TOXIC EFFECT DIAG W MCC	$12,117 – $47,295 · median $16,788	50 plans
923	OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$7,448 – $22,239 · median $9,643	50 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$165,762 – $515,748 · median $206,792	50 plans
928	FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC-MCC	$46,910 – $181,004 · median $67,960	50 plans
929	FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W-O CC-MCC	$22,514 – $69,351 · median $30,852	50 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W-O SKIN GRAFT	$30,509 – $102,768 · median $36,897	50 plans
934	FULL THICKNESS BURN W-O SKIN GRAFT OR INHAL INJ	$15,300 – $50,295 · median $20,945	50 plans
935	NON-EXTENSIVE BURNS	$15,652 – $47,895 · median $19,952	50 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$22,470 – $97,743 · median $35,144	50 plans
940	O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC	$15,060 – $55,404 · median $22,634	50 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC MCC	$13,964 – $42,615 · median $19,639	50 plans
947	SIGNS AND SYMPTOMS WITH MCC	$9,305 – $35,496 · median $12,295	50 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$5,877 – $21,619 · median $7,753	50 plans
949	AFTERCARE W CC-MCC	$7,860 – $31,465 · median $11,408	50 plans
950	AFTERCARE W-O CC-MCC	$4,423 – $18,823 · median $6,080	50 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$4,290 – $26,889 · median $5,385	50 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$47,952 – $169,444 · median $64,130	50 plans
956	LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$26,991 – $120,121 · median $36,447	50 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$52,386 – $210,977 · median $73,803	50 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$28,995 – $121,416 · median $40,814	50 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W-O CC-MCC	$18,773 – $79,591 · median $28,515	50 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC	$19,281 – $83,797 · median $26,478	50 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA W CC	$10,797 – $43,583 · median $14,844	50 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC-MCC	$6,700 – $30,794 · median $9,109	50 plans
969	HIV W EXTENSIVE O.R. PROCEDURE W MCC	$44,437 – $172,077 · median $59,288	50 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$18,839 – $71,422 · median $25,545	50 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$21,160 – $82,550 · median $27,843	50 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$10,248 – $41,950 · median $12,543	50 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC-MCC	$7,330 – $27,042 · median $8,743	50 plans
977	HIV W OR W-O OTHER RELATED CONDITION	$10,391 – $35,089 · median $12,569	50 plans
981	EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC	$33,487 – $154,595 · median $45,443	50 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$17,409 – $89,349 · median $23,812	50 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC-MCC	$11,969 – $54,736 · median $16,601	50 plans
987	NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC	$24,762 – $104,765 · median $33,206	50 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$12,302 – $55,025 · median $15,919	50 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC-MCC	$8,394 – $32,694 · median $11,615	50 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$30,969 – $128,541 · median $41,971	48 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$16,478 – $73,591 · median $22,790	48 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$29,828 – $132,569 · median $39,545	47 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$15,318 – $67,347 · median $20,222	47 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC MCC	$11,301 – $49,288 · median $14,801	47 plans
143	OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$23,361 – $103,501 · median $34,736	47 plans
144	OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC	$12,586 – $55,066 · median $16,066	47 plans
145	OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC-MCC	$8,598 – $37,139 · median $11,147	47 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$21,735 – $96,188 · median $27,595	47 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$76,303 – $341,480 · median $100,817	47 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$49,616 – $221,522 · median $66,108	47 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$43,532 – $194,170 · median $55,689	47 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$32,775 – $145,818 · median $42,820	47 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$35,226 – $156,833 · median $51,606	47 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$22,682 – $100,445 · median $33,436	47 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$43,476 – $193,919 · median $61,993	47 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES-INTRALUMINAL DEVICES	$20,188 – $89,236 · median $25,225	47 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$12,952 – $56,711 · median $16,345	47 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$30,038 – $133,515 · median $40,121	47 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$22,617 – $100,154 · median $29,214	47 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$20,295 – $89,715 · median $29,765	47 plans
397	APPENDIX PROCEDURES WITH MCC	$17,615 – $77,669 · median $22,204	47 plans
398	APPENDIX PROCEDURES WITH CC	$10,888 – $47,433 · median $14,033	47 plans
399	APPENDIX PROCEDURES WITHOUT CC MCC	$8,173 – $35,227 · median $10,613	47 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$27,617 – $122,632 · median $37,275	47 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$73,384 – $328,362 · median $102,181	47 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$49,865 – $222,641 · median $66,926	47 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC-MCC	$38,718 – $172,532 · median $52,123	47 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$58,498 – $261,444 · median $83,531	47 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$38,484 – $171,478 · median $53,469	47 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$47,090 – $210,166 · median $61,947	47 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$28,812 – $128,001 · median $39,318	47 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$36,249 – $161,435 · median $49,412	47 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$21,856 – $96,734 · median $29,950	47 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$20,661 – $91,364 · median $26,611	47 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$15,037 – $66,081 · median $19,634	47 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$64,573 – $288,756 · median $80,285	47 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$263,318 – $1,182,145 · median $400,362	45 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$55,616 – $248,489 · median $66,147	45 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$32,464 – $144,420 · median $43,588	45 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$24,551 – $108,849 · median $34,358	45 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$92,033 – $211,956 · median $104,940	42 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$46,403 – $106,867 · median $52,911	42 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$19,695 – $45,358 · median $22,457	42 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$27,959 – $64,391 · median $31,880	42 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$19,631 – $45,210 · median $22,384	42 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$11,119 – $51,063 · median $23,338	8 plans
078	HYPERTENSIVE ENCEPHALOPATHY W CC	$7,295 – $29,675 · median $14,588	8 plans
079	HYPERTENSIVE ENCEPHALOPATHY W-O CC-MCC	$4,985 – $22,312 · median $11,225	8 plans
294	DEEP VEIN THROMBOPHLEBITIS W CC-MCC	$8,899 – $29,587 · median $17,456	8 plans
295	DEEP VEIN THROMBOPHLEBITIS W-O CC-MCC	$5,844 – $19,707 · median $8,290	8 plans
460	SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$41,108 – $126,077 · median $60,809	8 plans
509	ARTHROSCOPY	$12,586 – $41,518 · median $25,117	8 plans
129	MAJOR HEAD & NECK PROCEDURES W CC-MCC OR MAJOR DEVICE	$23,762 – $68,726 · median $36,556	4 plans
130	MAJOR HEAD & NECK PROCEDURES W-O CC-MCC	$15,005 – $39,769 · median $22,424	4 plans
131	CRANIAL-FACIAL PROCEDURES W CC-MCC	$27,914 – $69,080 · median $39,525	4 plans
132	CRANIAL-FACIAL PROCEDURES W-O CC-MCC	$16,499 – $40,295 · median $22,986	4 plans
133	OTHER EAR NOSE MOUTH & THROAT O.R. PROCEDURES W CC-MCC	$22,284 – $55,871 · median $31,558	4 plans
134	OTHER EAR NOSE MOUTH & THROAT O.R. PROCEDURES W-O CC-MCC	$12,550 – $30,042 · median $18,025	4 plans
222	CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI-HF-SHOCK W MCC	$86,615 – $276,368 · median $122,363	4 plans
223	CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI-HF-SHOCK W-O MCC	$62,309 – $201,420 · median $95,581	4 plans
224	CARDIAC DEFIB IMPLANT W CARDIAC CATH W-O AMI-HF-SHOCK W MCC	$76,771 – $242,066 · median $111,649	4 plans
225	CARDIAC DEFIB IMPLANT W CARDIAC CATH W-O AMI-HF-SHOCK W-O MCC	$58,633 – $185,587 · median $86,005	4 plans
226	CARDIAC DEFIBRILLATOR IMPLANT W-O CARDIAC CATH W MCC	$69,417 – $219,732 · median $102,529	4 plans
227	CARDIAC DEFIBRILLATOR IMPLANT W-O CARDIAC CATH W-O MCC	$54,278 – $173,647 · median $79,950	4 plans
246	PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS-STENTS	$32,933 – $99,774 · median $48,703	4 plans
247	PERC CARDIOVASC PROC W DRUG-ELUTING STENT W-O MCC	$21,120 – $63,971 · median $31,234	4 plans
248	PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS	$32,141 – $92,405 · median $47,708	4 plans
249	PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W-O MCC	$19,894 – $57,191 · median $29,926	4 plans
338	APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC	$30,206 – $97,853 · median $43,079	4 plans
339	APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC	$17,813 – $53,655 · median $26,174	4 plans
340	APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W-O CC-MCC	$12,845 – $36,803 · median $17,862	4 plans
341	APPENDECTOMY W-O COMPLICATED PRINCIPAL DIAG W MCC	$26,553 – $68,400 · median $34,353	4 plans
342	APPENDECTOMY W-O COMPLICATED PRINCIPAL DIAG W CC	$16,715 – $40,649 · median $21,335	4 plans
343	APPENDECTOMY W-O COMPLICATED PRINCIPAL DIAG W-O CC-MCC	$11,953 – $29,334 · median $16,320	4 plans
453	COMBINED ANTERIOR-POSTERIOR SPINAL FUSION W MCC	$97,643 – $368,168 · median $142,810	4 plans
454	COMBINED ANTERIOR-POSTERIOR SPINAL FUSION W CC	$63,576 – $251,395 · median $95,290	4 plans
455	COMBINED ANTERIOR-POSTERIOR SPINAL FUSION W-O CC-MCC	$49,961 – $197,110 · median $75,188	4 plans
459	SPINAL FUSION EXCEPT CERVICAL W MCC	$71,122 – $213,664 · median $96,011	4 plans
691	URINARY STONES W ESW LITHOTRIPSY W CC-MCC	$23,518 – $48,442 · median $25,329	3 plans
692	URINARY STONES W ESW LITHOTRIPSY W-O CC-MCC	$16,371 – $33,509 · median $17,632	3 plans
765	CESAREAN SECTION W CC-MCC	$24,978 – $34,872 · median $29,925	2 plans
766	CESAREAN SECTION W-O CC-MCC	$24,343 – $24,978 · median $24,661	2 plans
767	VAGINAL DELIVERY W STERILIZATION &-OR D&C	$24,978 – $28,948 · median $26,963	2 plans
774	VAGINAL DELIVERY W COMPLICATING DIAGNOSES	$22,372 – $24,978 · median $23,675	2 plans
775	VAGINAL DELIVERY W-O COMPLICATING DIAGNOSES	$17,632 – $24,978 · median $21,305	2 plans
230	OTHER CARDIOTHORACIC PROCEDURES W-O CC-MCC	$114,943 – $114,943 · median $114,943	1 plans
237	MAJOR CARDIOVASC PROCEDURES W MCC	$159,745 – $159,745 · median $159,745	1 plans
238	MAJOR CARDIOVASC PROCEDURES W-O MCC	$105,247 – $105,247 · median $105,247	1 plans
484	MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W-O CC-MCC	$69,895 – $69,895 · median $69,895	1 plans
490	BACK & NECK PROC EXC SPINAL FUSION W CC-MCC OR DISC DEVICE-NEUROSTIM	$59,072 – $59,072 · median $59,072	1 plans
491	BACK & NECK PROC EXC SPINAL FUSION W-O CC-MCC	$34,145 – $34,145 · median $34,145	1 plans
685	ADMIT FOR RENAL DIALYSIS	$29,095 – $29,095 · median $29,095	1 plans
777	ECTOPIC PREGNANCY	$29,935 – $29,935 · median $29,935	1 plans
778	THREATENED ABORTION	$16,447 – $16,447 · median $16,447	1 plans
780	FALSE LABOR	$7,884 – $7,884 · median $7,884	1 plans
781	OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS	$23,723 – $23,723 · median $23,723	1 plans
782	OTHER ANTEPARTUM DIAGNOSES W-O MEDICAL COMPLICATIONS	$13,990 – $13,990 · median $13,990	1 plans
984	PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC	$107,025 – $107,025 · median $107,025	1 plans
985	PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC	$59,115 – $59,115 · median $59,115	1 plans
986	PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W-O CC-MCC	$32,565 – $32,565 · median $32,565	1 plans

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