Southeast Health Medical Center — Hospital Prices & Charges

Procedures published 771

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 771 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
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT	$18,314 – $45,266 · median $24,468	18 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY	$10,349 – $32,500 · median $16,070	18 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY	$149,042 – $396,868 · median $214,523	17 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$67,343 – $162,021 · median $87,579	17 plans
003	ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R.	$117,262 – $301,215 · median $162,819	17 plans
004	TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R.	$80,850 – $197,470 · median $106,741	17 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$56,925 – $147,652 · median $79,812	17 plans
006	LIVER TRANSPLANT WITHOUT MCC	$26,603 – $67,830 · median $36,665	17 plans
007	LUNG TRANSPLANT	$67,465 – $184,791 · median $99,887	17 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$28,939 – $81,443 · median $44,023	17 plans
010	PANCREAS TRANSPLANT	$26,475 – $103,548 · median $55,972	17 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$28,360 – $79,326 · median $42,879	17 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$22,027 – $61,907 · median $33,463	17 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$14,771 – $43,135 · median $23,316	17 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$63,035 – $171,674 · median $92,797	17 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$33,974 – $86,017 · median $46,496	17 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$33,974 – $79,019 · median $42,713	17 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$202,635 – $610,143 · median $329,807	17 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$43,964 – $102,969 · median $55,659	17 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY	$46,488 – $113,299 · median $61,243	17 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION	$33,778 – $77,071 · median $41,660	17 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT COMPLICATION/COMORBITY	$19,122 – $47,294 · median $25,565	17 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$31,178 – $83,212 · median $44,979	17 plans
024	CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY	$20,838 – $57,628 · median $31,150	17 plans
025	CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY	$24,288 – $66,559 · median $35,978	17 plans
026	CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION	$16,242 – $46,335 · median $25,046	17 plans
027	CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$13,381 – $38,086 · median $20,587	17 plans
028	SPINAL PROCEDURES WITH COMORBITY	$33,144 – $87,123 · median $47,094	17 plans
029	SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS	$18,855 – $50,589 · median $27,346	17 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$12,755 – $33,475 · median $18,095	17 plans
031	VENTRICULAR SHUNT PROCEDURES WITH COMORBITY	$22,641 – $65,628 · median $35,475	17 plans
032	VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION	$11,846 – $32,572 · median $17,607	17 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY	$8,926 – $25,986 · median $14,047	17 plans
034	CAROTID ARTERY STENT PROCEDURE WITH COMORBITY	$21,458 – $57,049 · median $30,837	17 plans
035	CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION	$12,647 – $36,223 · median $19,580	17 plans
036	CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY	$9,945 – $29,924 · median $16,175	17 plans
037	EXTRACRANIAL PROCEDURES WITH COMORBITY	$18,566 – $48,908 · median $26,437	17 plans
038	EXTRACRANIAL PROCEDURES WITH COMPLICATION	$8,799 – $25,419 · median $13,740	17 plans
039	EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$6,276 – $19,129 · median $10,340	17 plans
040	PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY	$21,178 – $56,915 · median $30,765	17 plans
041	PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM	$12,269 – $33,525 · median $18,121	17 plans
042	PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY	$9,569 – $26,898 · median $14,540	17 plans
052	SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY	$10,695 – $28,074 · median $15,175	17 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$5,411 – $16,367 · median $8,847	17 plans
054	NERVOUS SYSTEM NEOPLASMS WITH COMORBITY	$8,104 – $24,073 · median $13,012	17 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY	$5,903 – $16,936 · median $9,154	17 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY	$13,167 – $35,275 · median $19,068	17 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY	$7,498 – $20,819 · median $11,253	17 plans
058	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY	$9,503 – $26,642 · median $14,401	17 plans
059	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION	$6,530 – $20,049 · median $10,837	17 plans
060	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY	$4,936 – $15,531 · median $8,395	17 plans
061	ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY	$15,415 – $41,381 · median $22,368	17 plans
062	ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION	$10,294 – $27,313 · median $14,764	17 plans
063	ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY	$8,177 – $22,341 · median $12,076	17 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY	$11,017 – $30,884 · median $16,694	17 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS	$5,590 – $16,805 · median $9,084	17 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY	$3,781 – $12,220 · median $6,605	17 plans
067	NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY	$7,793 – $23,254 · median $12,570	17 plans
068	NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY	$4,791 – $14,752 · median $7,974	17 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$4,393 – $13,829 · median $7,475	17 plans
070	NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY	$9,842 – $26,013 · median $14,061	17 plans
071	NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION	$5,840 – $17,026 · median $9,203	17 plans
072	NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY	$4,307 – $13,230 · median $7,151	17 plans
073	CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY	$8,322 – $25,162 · median $13,601	17 plans
074	CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY	$5,644 – $17,093 · median $9,240	17 plans
075	VIRAL MENINGITIS WITH COMPLICATION/COMORBITY	$10,526 – $29,568 · median $15,983	17 plans
076	VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY	$5,074 – $14,200 · median $7,676	17 plans
080	NONTRAUMATIC STUPOR & COMA WITH COMORBITY	$12,148 – $28,056 · median $15,165	17 plans
081	NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY	$5,002 – $15,191 · median $8,211	17 plans
082	TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY	$12,531 – $34,747 · median $18,782	17 plans
083	TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION	$7,460 – $22,228 · median $12,015	17 plans
084	TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY	$5,058 – $16,038 · median $8,669	17 plans
085	TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY	$12,500 – $34,555 · median $18,678	17 plans
086	TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION	$7,244 – $20,919 · median $11,307	17 plans
087	TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY	$4,874 – $15,460 · median $8,357	17 plans
088	CONCUSSION WITH COMORBITY	$8,436 – $21,609 · median $11,681	17 plans
089	CONCUSSION WITH COMPLICATION	$6,324 – $18,047 · median $9,755	17 plans
090	CONCUSSION WITHOUT CC/MCC	$5,141 – $14,172 · median $7,661	17 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY	$9,841 – $27,299 · median $14,756	17 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION	$5,644 – $16,983 · median $9,180	17 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY	$4,259 – $13,794 · median $7,456	17 plans
094	BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY	$19,925 – $52,106 · median $28,165	17 plans
095	BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION	$13,113 – $38,878 · median $21,015	17 plans
096	BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY	$11,988 – $38,878 · median $21,015	17 plans
097	NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY	$20,003 – $53,406 · median $28,868	17 plans
098	NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION	$11,850 – $34,878 · median $18,853	17 plans
099	NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY	$7,261 – $21,759 · median $11,761	17 plans
100	SEIZURES WITH COMORBITY	$10,904 – $29,840 · median $16,130	17 plans
101	SEIZURES WITHOUT COMORBITY	$5,003 – $15,289 · median $8,265	17 plans
102	HEADACHES WITH COMORBITY	$6,636 – $18,361 · median $9,925	17 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$13,790 – $35,669 · median $19,280	17 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$6,775 – $21,626 · median $11,690	17 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$8,604 – $24,185 · median $13,073	17 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$10,069 – $28,029 · median $15,151	17 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$6,591 – $17,854 · median $9,651	17 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$7,047 – $18,957 · median $10,247	17 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$4,095 – $13,646 · median $7,376	17 plans
123	NEUROLOGICAL EYE DISORDERS	$4,422 – $13,826 · median $7,474	17 plans
124	OTHER DISORDERS OF THE EYE WITH COMORBITY	$7,270 – $21,206 · median $11,462	17 plans
125	OTHER DISORDERS OF THE EYE WITHOUT COMORBITY	$4,386 – $13,393 · median $7,239	17 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$14,587 – $33,121 · median $17,903	17 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$5,165 – $16,875 · median $9,122	17 plans
137	MOUTH PROCEDURES WITH CC/MCC	$8,276 – $23,599 · median $12,756	17 plans
138	MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY	$4,761 – $15,059 · median $8,140	17 plans
139	SALIVARY GLAND PROCEDURES	$6,532 – $19,976 · median $10,798	17 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$20,780 – $62,600 · median $33,838	17 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$11,394 – $33,277 · median $17,988	17 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$8,498 – $25,051 · median $13,541	17 plans
143	OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$18,291 – $55,303 · median $29,893	17 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$9,518 – $26,971 · median $14,579	17 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$6,716 – $19,506 · median $10,544	17 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$11,611 – $32,381 · median $17,503	17 plans
147	EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION	$6,797 – $20,480 · median $11,070	17 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$4,893 – $13,805 · median $7,462	17 plans
149	DYSEQUILIBRIUM	$4,096 – $13,165 · median $7,116	17 plans
150	EPISTAXIS WITH MCC	$7,230 – $21,324 · median $11,526	17 plans
151	EPISTAXIS WITHOUT MCC	$4,239 – $12,917 · median $6,982	17 plans
152	OTITIS MEDIA & URI WITH COMORBITY	$6,535 – $19,223 · median $10,391	17 plans
153	OTITIS MEDIA & URI WITHOUT COMORBITY	$4,041 – $12,976 · median $7,014	17 plans
154	OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY	$8,460 – $24,588 · median $13,291	17 plans
155	OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION	$5,206 – $15,485 · median $8,370	17 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$3,605 – $12,314 · median $6,656	17 plans
157	DENTAL & ORAL DISEASES WITH COMORBITY	$9,389 – $26,745 · median $14,457	17 plans
158	DENTAL & ORAL DISEASES WITH COMPLICATION	$5,162 – $15,391 · median $8,319	17 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$3,714 – $12,559 · median $6,788	17 plans
163	MAJOR CHEST PROCEDURES WITH COMORBITY	$25,925 – $65,646 · median $35,485	17 plans
164	MAJOR CHEST PROCEDURES WITH COMPLICATION	$14,027 – $38,101 · median $20,595	17 plans
165	MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY	$10,320 – $29,522 · median $15,958	17 plans
166	OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY	$22,318 – $55,177 · median $29,826	17 plans
167	OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION	$10,009 – $27,963 · median $15,115	17 plans
168	OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY	$7,456 – $21,815 · median $11,792	17 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$16,913 – $44,466 · median $24,036	17 plans
175	PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE	$7,717 – $21,916 · median $11,847	17 plans
176	PULMONARY EMBOLISM WITHOUT COMORBITY	$4,486 – $13,916 · median $7,522	17 plans
177	RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY	$9,330 – $24,577 · median $13,285	17 plans
178	RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION	$5,427 – $16,322 · median $8,823	17 plans
179	RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY	$4,198 – $13,213 · median $7,142	17 plans
180	RESPIRATORY NEOPLASMS WITH COMORBITY	$9,560 – $27,437 · median $14,831	17 plans
181	RESPIRATORY NEOPLASMS WITH COMPLICATION	$6,056 – $17,659 · median $9,545	17 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$4,175 – $13,196 · median $7,133	17 plans
183	MAJOR CHEST TRAUMA WITH COMORBITY	$8,660 – $24,115 · median $13,035	17 plans
184	MAJOR CHEST TRAUMA WITH COMPLICATION	$5,785 – $17,562 · median $9,493	17 plans
185	MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY	$4,156 – $13,656 · median $7,382	17 plans
186	PLEURAL EFFUSION WITH COMORBITY	$8,537 – $24,518 · median $13,253	17 plans
187	PLEURAL EFFUSION WITH COMPLICATION	$5,480 – $16,506 · median $8,922	17 plans
188	PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY	$4,106 – $12,681 · median $6,855	17 plans
189	PULMONARY EDEMA & RESPIRATORY FAILURE	$6,776 – $19,972 · median $10,796	17 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY	$6,061 – $18,175 · median $9,824	17 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION	$4,670 – $14,451 · median $7,811	17 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY	$3,530 – $11,623 · median $6,283	17 plans
193	SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY	$7,296 – $21,083 · median $11,396	17 plans
194	SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION	$4,522 – $13,929 · median $7,529	17 plans
195	SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY	$3,441 – $11,433 · median $6,180	17 plans
196	INTERSTITIAL LUNG DISEASE WITH COMORBITY	$10,425 – $29,142 · median $15,752	17 plans
197	INTERSTITIAL LUNG DISEASE WITH COMPLICATION	$5,486 – $15,944 · median $8,618	17 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY	$4,280 – $12,667 · median $6,847	17 plans
199	PNEUMOTHORAX WITH COMORBITY	$9,758 – $27,410 · median $14,816	17 plans
200	PNEUMOTHORAX WITH COMPLICATION	$5,924 – $18,057 · median $9,760	17 plans
201	PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY	$3,884 – $12,651 · median $6,839	17 plans
202	BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY	$5,266 – $16,255 · median $8,786	17 plans
203	BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY	$3,822 – $12,017 · median $6,496	17 plans
204	RESPIRATORY SIGNS & SYMPTOMS	$4,526 – $13,950 · median $7,541	17 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY	$9,957 – $28,351 · median $15,325	17 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY	$5,024 – $15,831 · median $8,557	17 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$37,994 – $93,122 · median $50,336	17 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$14,871 – $41,263 · median $22,304	17 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$59,239 – $155,582 · median $84,098	17 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$56,181 – $142,679 · median $77,124	17 plans
216	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY	$53,379 – $140,228 · median $75,799	17 plans
217	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION	$35,009 – $95,100 · median $51,406	17 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$31,332 – $95,100 · median $51,406	17 plans
219	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY	$42,412 – $110,619 · median $59,794	17 plans
220	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION	$28,845 – $77,619 · median $41,956	17 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$25,567 – $73,503 · median $39,731	17 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY	$27,713 – $72,197 · median $39,025	17 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY	$17,488 – $46,902 · median $25,352	17 plans
231	CORONARY BYPASS WITH PTCA WITH COMORBITY	$44,634 – $121,193 · median $65,510	17 plans
232	CORONARY BYPASS WITH PTCA WITHOUT COMORBITY	$32,717 – $87,887 · median $47,507	17 plans
233	CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY	$42,898 – $110,153 · median $59,542	17 plans
234	CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY	$28,588 – $79,447 · median $42,944	17 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY	$32,343 – $85,158 · median $46,031	17 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY	$22,227 – $61,524 · median $33,256	17 plans
239	AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY	$26,437 – $71,835 · median $38,830	17 plans
240	AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION	$15,451 – $42,695 · median $23,078	17 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$7,644 – $22,068 · median $11,929	17 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY	$19,003 – $47,511 · median $25,682	17 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION	$12,527 – $32,571 · median $17,606	17 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY	$10,062 – $28,021 · median $15,146	17 plans
245	AICD GENERATOR PROCEDURES	$24,923 – $66,780 · median $36,097	17 plans
250	PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY	$12,929 – $33,297 · median $17,998	17 plans
251	PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY	$8,728 – $23,617 · median $12,766	17 plans
252	OTHER VASCULAR PROCEDURES WITH COMORBITY	$18,446 – $51,668 · median $27,929	17 plans
253	OTHER VASCULAR PROCEDURES WITH COMPLICATION	$14,031 – $39,109 · median $21,140	17 plans
254	OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY	$9,543 – $27,658 · median $14,950	17 plans
255	UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY	$15,111 – $40,541 · median $21,914	17 plans
256	UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION	$9,018 – $26,479 · median $14,313	17 plans
257	UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY	$5,451 – $17,957 · median $9,706	17 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$14,897 – $46,798 · median $25,296	17 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY	$10,266 – $31,040 · median $16,778	17 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY	$18,234 – $48,355 · median $26,138	17 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION	$10,350 – $29,189 · median $15,778	17 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY	$9,049 – $25,522 · median $13,796	17 plans
263	VEIN LIGATION & STRIPPING	$15,539 – $45,606 · median $24,652	17 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$17,963 – $49,590 · median $26,806	17 plans
265	AICD LEAD PROCEDURES	$19,438 – $53,496 · median $28,917	17 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY	$34,354 – $88,813 · median $48,007	17 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY	$26,841 – $69,572 · median $37,606	17 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY	$37,701 – $99,358 · median $53,707	17 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY	$22,872 – $62,008 · median $33,518	17 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY	$27,813 – $76,824 · median $41,527	17 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION	$19,009 – $52,625 · median $28,446	17 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY	$13,417 – $38,509 · median $20,816	17 plans
273	PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY	$21,434 – $60,633 · median $32,775	17 plans
274	PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY	$17,824 – $48,902 · median $26,434	17 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$38,697 – $102,910 · median $55,627	17 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$34,156 – $87,099 · median $47,081	17 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$26,303 – $67,570 · median $36,524	17 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$24,532 – $80,903 · median $43,731	17 plans
279	HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS	$17,603 – $53,330 · median $28,827	17 plans
280	ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY	$8,726 – $25,159 · median $13,600	17 plans
281	ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION	$5,022 – $15,522 · median $8,390	17 plans
282	ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY	$3,950 – $12,764 · median $6,899	17 plans
283	ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY	$10,843 – $30,459 · median $16,464	17 plans
284	ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION	$4,068 – $12,329 · median $6,664	17 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$2,688 – $11,017 · median $5,955	17 plans
286	CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY	$11,856 – $33,723 · median $18,229	17 plans
287	CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY	$5,949 – $17,646 · median $9,538	17 plans
288	ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY	$14,262 – $40,665 · median $21,981	17 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$8,127 – $26,605 · median $14,381	17 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$5,639 – $15,671 · median $8,471	17 plans
291	HEART FAILURE & SHOCK WITH COMORBITY	$7,061 – $20,653 · median $11,164	17 plans
292	HEART FAILURE & SHOCK WITH COMPLICATION	$4,711 – $14,535 · median $7,857	17 plans
293	HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY	$3,088 – $10,554 · median $5,705	17 plans
296	CARDIAC ARREST; UNEXPLAINED WITH COMORBITY	$8,818 – $24,565 · median $13,279	17 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$4,007 – $11,510 · median $6,222	17 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$2,414 – $8,993 · median $4,861	17 plans
299	PERIPHERAL VASCULAR DISORDERS WITH COMORBITY	$8,669 – $25,561 · median $13,817	17 plans
300	PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION	$5,869 – $17,609 · median $9,519	17 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY	$3,904 – $12,716 · median $6,874	17 plans
303	ATHEROSCLEROSIS WITHOUT COMORBITY	$3,620 – $12,062 · median $6,520	17 plans
304	HYPERTENSION WITH COMORBITY	$6,320 – $19,333 · median $10,450	17 plans
305	HYPERTENSION WITHOUT COMORBITY	$4,144 – $13,214 · median $7,143	17 plans
306	CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY	$8,452 – $24,761 · median $13,384	17 plans
307	CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY	$5,184 – $15,439 · median $8,345	17 plans
308	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY	$6,612 – $19,530 · median $10,557	17 plans
309	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION	$4,096 – $12,941 · median $6,995	17 plans
310	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY	$3,042 – $10,555 · median $5,705	17 plans
311	ANGINA PECTORIS	$3,840 – $12,466 · median $6,738	17 plans
312	SYNCOPE & COLLAPSE	$4,749 – $14,853 · median $8,029	17 plans
313	CHEST PAIN	$3,980 – $12,720 · median $6,876	17 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY	$11,514 – $31,928 · median $17,258	17 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION	$5,320 – $16,143 · median $8,726	17 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$3,810 – $12,187 · median $6,588	17 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$23,990 – $65,380 · median $35,341	17 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$12,243 – $36,431 · median $19,693	17 plans
321	CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION	$15,811 – $40,870 · median $22,092	17 plans
322	SHOULDER AND ELBOW JOINT REPLACEMENT	$10,029 – $27,395 · median $14,808	17 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$22,770 – $63,474 · median $34,310	17 plans
324	NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT	$16,327 – $46,923 · median $25,364	17 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$14,544 – $47,759 · median $25,815	17 plans
326	STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY	$27,935 – $72,760 · median $39,330	17 plans
327	STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION	$13,736 – $36,979 · median $19,989	17 plans
328	STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY	$8,785 – $25,134 · median $13,586	17 plans
329	MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY	$24,842 – $67,260 · median $36,357	17 plans
330	MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION	$13,047 – $36,317 · median $19,631	17 plans
331	MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$9,196 – $26,268 · median $14,199	17 plans
332	RECTAL RESECTION WITH MCC	$19,952 – $53,531 · median $28,936	17 plans
333	RECTAL RESECTION WITH CC	$11,437 – $35,544 · median $19,213	17 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$8,828 – $25,635 · median $13,857	17 plans
335	PERITONEAL ADHESIOLYSIS WITH COMORBITY	$19,663 – $52,831 · median $28,557	17 plans
336	PERITONEAL ADHESIOLYSIS WITH COMPLICATION	$11,579 – $32,258 · median $17,437	17 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY	$8,230 – $24,187 · median $13,074	17 plans
344	MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY	$15,072 – $38,929 · median $21,043	17 plans
345	MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION	$8,473 – $23,761 · median $12,844	17 plans
346	MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$7,083 – $19,280 · median $10,421	17 plans
347	ANAL & STOMAL PROCEDURES WITH COMORBITY	$14,020 – $34,888 · median $18,858	17 plans
348	ANAL & STOMAL PROCEDURES WITH COMPLICATION	$7,158 – $21,004 · median $11,354	17 plans
349	ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,367 – $14,839 · median $8,021	17 plans
350	INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY	$13,200 – $37,650 · median $20,351	17 plans
351	INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION	$8,006 – $24,039 · median $12,994	17 plans
352	INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY	$6,100 – $19,021 · median $10,281	17 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY	$16,084 – $43,420 · median $23,470	17 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION	$9,448 – $26,261 · median $14,195	17 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY	$7,494 – $21,514 · median $11,629	17 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY	$23,533 – $64,394 · median $34,808	17 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION	$12,082 – $35,309 · median $19,086	17 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY	$7,046 – $22,258 · median $12,031	17 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY	$9,086 – $24,987 · median $13,507	17 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION	$5,436 – $16,663 · median $9,007	17 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY	$4,090 – $12,450 · median $6,730	17 plans
371	MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY	$9,612 – $27,537 · median $14,885	17 plans
372	MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION	$5,733 – $16,955 · median $9,165	17 plans
373	MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY	$3,941 – $12,825 · median $6,932	17 plans
374	DIGESTIVE MALIGNANCY WITH COMORBITY	$11,545 – $32,681 · median $17,665	17 plans
375	DIGESTIVE MALIGNANCY WITH COMPLICATION	$6,591 – $19,609 · median $10,599	17 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$4,903 – $15,595 · median $8,430	17 plans
377	G.I. HEMORRHAGE WITH COMORBITY	$9,847 – $28,309 · median $15,302	17 plans
378	G.I. HEMORRHAGE WITH COMPLICATION	$5,411 – $16,388 · median $8,859	17 plans
379	G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY	$3,483 – $11,460 · median $6,194	17 plans
380	COMPLICATED PEPTIC ULCER WITH COMORBITY	$10,717 – $30,197 · median $16,323	17 plans
381	COMPLICATED PEPTIC ULCER WITH COMPLICATION	$5,902 – $17,835 · median $9,640	17 plans
382	COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY	$4,164 – $13,854 · median $7,489	17 plans
383	UNCOMPLICATED PEPTIC ULCER WITH COMORBITY	$7,690 – $22,016 · median $11,901	17 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY	$4,816 – $14,617 · median $7,901	17 plans
385	INFLAMMATORY BOWEL DISEASE WITH COMORBITY	$8,618 – $24,852 · median $13,434	17 plans
386	INFLAMMATORY BOWEL DISEASE WITH COMPLICATION	$5,344 – $16,326 · median $8,825	17 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY	$3,763 – $12,176 · median $6,582	17 plans
388	G.I. OBSTRUCTION WITH COMORBITY	$7,994 – $23,368 · median $12,631	17 plans
389	G.I. OBSTRUCTION WITH COMPLICATION	$4,380 – $13,702 · median $7,407	17 plans
390	G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY	$3,075 – $10,244 · median $5,537	17 plans
391	ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY	$7,016 – $20,435 · median $11,046	17 plans
392	ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY	$4,321 – $13,559 · median $7,329	17 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY	$8,908 – $25,092 · median $13,563	17 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION	$5,153 – $15,755 · median $8,516	17 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$3,561 – $11,721 · median $6,336	17 plans
397	APPENDIX PROCEDURES WITH MCC	$12,356 – $36,285 · median $19,614	17 plans
398	APPENDIX PROCEDURES WITH CC	$8,323 – $23,886 · median $12,911	17 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$6,122 – $18,696 · median $10,106	17 plans
405	PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY	$30,279 – $79,557 · median $43,004	17 plans
406	PANCREAS; LIVER & SHUNT PROCEDURES WITH COMPLICATION	$15,881 – $43,394 · median $23,456	17 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$11,831 – $33,819 · median $18,280	17 plans
408	BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY	$20,472 – $52,756 · median $28,517	17 plans
409	BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION	$10,765 – $33,224 · median $17,959	17 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$8,609 – $24,928 · median $13,475	17 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$15,843 – $49,066 · median $26,522	17 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$11,250 – $32,171 · median $17,390	17 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$8,303 – $25,953 · median $14,028	17 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY	$19,389 – $52,714 · median $28,494	17 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION	$10,867 – $31,668 · median $17,118	17 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY	$7,366 – $21,771 · median $11,768	17 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY	$12,748 – $36,165 · median $19,549	17 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION	$8,991 – $26,390 · median $14,265	17 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY	$7,223 – $21,806 · median $11,787	17 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY	$17,604 – $50,526 · median $27,311	17 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION	$9,403 – $27,036 · median $14,614	17 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$7,761 – $22,281 · median $12,044	17 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY	$21,510 – $61,020 · median $32,984	17 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$3,682 – $12,615 · median $6,819	17 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY	$9,679 – $28,432 · median $15,368	17 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION	$6,054 – $18,504 · median $10,002	17 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$4,571 – $14,596 · median $7,890	17 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY	$9,178 – $25,526 · median $13,798	17 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION	$4,704 – $14,426 · median $7,798	17 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY	$3,386 – $11,333 · median $6,126	17 plans
441	DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY	$10,055 – $27,841 · median $15,049	17 plans
442	DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION	$5,233 – $16,172 · median $8,741	17 plans
443	DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY	$3,931 – $12,435 · median $6,722	17 plans
444	DISORDERS OF THE BILIARY TRACT WITH COMORBITY	$8,983 – $26,099 · median $14,108	17 plans
445	DISORDERS OF THE BILIARY TRACT WITH COMPLICATION	$5,977 – $17,988 · median $9,723	17 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY	$4,408 – $14,230 · median $7,692	17 plans
456	SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY	$46,362 – $120,821 · median $65,308	17 plans
457	SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION	$33,414 – $86,487 · median $46,750	17 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$24,921 – $61,296 · median $33,133	17 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$37,502 – $80,295 · median $43,403	17 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY	$15,655 – $40,015 · median $21,630	17 plans
463	WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY	$31,150 – $82,779 · median $44,745	17 plans
464	WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION	$16,508 – $46,412 · median $25,088	17 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$10,289 – $28,249 · median $15,270	17 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY	$28,526 – $75,827 · median $40,988	17 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION	$19,175 – $52,207 · median $28,220	17 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY	$14,683 – $41,253 · median $22,299	17 plans
471	CERVICAL SPINAL FUSION WITH COMORBITY	$27,055 – $70,527 · median $38,123	17 plans
472	CERVICAL SPINAL FUSION WITH COMPLICATION	$16,255 – $44,040 · median $23,805	17 plans
473	CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY	$13,533 – $36,938 · median $19,966	17 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY	$23,665 – $62,989 · median $34,048	17 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION	$11,796 – $34,608 · median $18,707	17 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$6,473 – $19,195 · median $10,376	17 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY	$18,530 – $51,194 · median $27,673	17 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION	$13,110 – $37,190 · median $20,103	17 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY	$10,252 – $28,744 · median $15,537	17 plans
482	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY	$8,736 – $25,538 · median $13,804	17 plans
483	MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES	$13,663 – $41,589 · median $22,481	17 plans
485	KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY	$18,117 – $47,994 · median $25,942	17 plans
486	KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION	$11,046 – $32,011 · median $17,303	17 plans
487	KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY	$8,497 – $24,626 · median $13,311	17 plans
488	KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY	$11,586 – $27,478 · median $14,853	17 plans
489	KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY	$6,807 – $18,303 · median $9,894	17 plans
492	LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY	$19,042 – $54,247 · median $29,323	17 plans
493	LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION	$13,209 – $38,272 · median $20,687	17 plans
494	LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY	$10,281 – $30,821 · median $16,660	17 plans
496	LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION	$10,931 – $27,970 · median $15,119	17 plans
497	LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY	$7,851 – $19,590 · median $10,589	17 plans
498	LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY	$14,361 – $45,035 · median $24,343	17 plans
499	LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY	$7,094 – $30,937 · median $16,723	17 plans
500	SOFT TISSUE PROCEDURES WITH COMORBITY	$17,835 – $47,117 · median $25,469	17 plans
501	SOFT TISSUE PROCEDURES WITH COMPLICATION	$9,546 – $27,185 · median $14,695	17 plans
502	SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY	$7,605 – $21,526 · median $11,636	17 plans
503	FOOT PROCEDURES WITH COMORBITY	$14,750 – $41,859 · median $22,627	17 plans
504	FOOT PROCEDURES WITH COMPLICATION	$9,499 – $28,889 · median $15,616	17 plans
505	FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY	$9,381 – $27,814 · median $15,035	17 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$8,044 – $21,573 · median $11,661	17 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION/COMORBITY	$11,724 – $28,005 · median $15,138	17 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$7,887 – $23,897 · median $12,917	17 plans
510	SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY	$14,963 – $45,087 · median $24,371	17 plans
511	SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION	$10,966 – $31,846 · median $17,214	17 plans
514	HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY	$5,728 – $16,974 · median $9,175	17 plans
515	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY	$17,388 – $47,428 · median $25,637	17 plans
516	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION	$11,224 – $31,828 · median $17,204	17 plans
517	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY	$8,219 – $24,211 · median $13,087	17 plans
518	BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM	$20,085 – $55,172 · median $29,823	17 plans
519	BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION	$10,827 – $30,732 · median $16,612	17 plans
520	BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY	$7,873 – $23,609 · median $12,761	17 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$11,617 – $32,500 · median $17,505	17 plans
533	FRACTURES OF FEMUR WITH COMORBITY	$8,973 – $24,647 · median $13,323	17 plans
534	FRACTURES OF FEMUR WITHOUT COMORBITY	$4,455 – $13,932 · median $7,531	17 plans
535	FRACTURES OF HIP & PELVIS WITH COMORBITY	$7,132 – $20,627 · median $11,150	17 plans
536	FRACTURES OF HIP & PELVIS WITHOUT COMORBITY	$4,329 – $13,953 · median $7,542	17 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$5,319 – $16,017 · median $8,658	17 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$3,900 – $12,725 · median $6,878	17 plans
539	OSTEOMYELITIS WITH COMORBITY	$10,914 – $30,303 · median $16,380	17 plans
540	OSTEOMYELITIS WITH COMPLICATION	$7,140 – $20,829 · median $11,259	17 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$4,718 – $13,669 · median $7,388	17 plans
542	PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY	$10,030 – $27,444 · median $14,835	17 plans
543	PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION	$5,999 – $17,054 · median $9,218	17 plans
544	PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY	$4,221 – $13,207 · median $7,139	17 plans
545	CONNECTIVE TISSUE DISORDERS WITH COMORBITY	$13,713 – $37,506 · median $20,274	17 plans
546	CONNECTIVE TISSUE DISORDERS WITH COMPLICATION	$6,596 – $18,818 · median $10,172	17 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY	$4,474 – $14,355 · median $7,760	17 plans
548	SEPTIC ARTHRITIS WITH MCC	$10,724 – $29,757 · median $16,085	17 plans
549	SEPTIC ARTHRITIS WITH COMPLICATION	$6,634 – $19,575 · median $10,581	17 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$5,064 – $14,888 · median $8,048	17 plans
551	MEDICAL BACK PROBLEMS WITH COMORBITY	$9,360 – $26,172 · median $14,147	17 plans
552	MEDICAL BACK PROBLEMS WITHOUT COMORBITY	$5,315 – $16,115 · median $8,711	17 plans
553	BONE DISEASES & ARTHROPATHIES WITH COMORBITY	$7,433 – $20,829 · median $11,259	17 plans
554	BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY	$4,520 – $14,269 · median $7,713	17 plans
555	SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY	$7,695 – $21,187 · median $11,453	17 plans
556	SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY	$4,534 – $14,277 · median $7,717	17 plans
557	TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY	$8,562 – $23,510 · median $12,708	17 plans
558	TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY	$4,831 – $15,157 · median $8,193	17 plans
559	AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY	$10,178 – $28,828 · median $15,583	17 plans
560	AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION	$6,227 – $18,434 · median $9,964	17 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$4,291 – $13,901 · median $7,514	17 plans
562	FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY	$8,364 – $22,636 · median $12,236	17 plans
563	FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY	$4,926 – $15,190 · median $8,211	17 plans
564	OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY	$8,590 – $24,308 · median $13,139	17 plans
565	OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION	$5,497 – $16,300 · median $8,811	17 plans
566	OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$4,128 – $13,133 · median $7,099	17 plans
570	SKIN DEBRIDEMENT WITH COMORBITY	$16,072 – $43,970 · median $23,767	17 plans
571	SKIN DEBRIDEMENT WITH COMPLICATION	$9,305 – $26,361 · median $14,249	17 plans
572	SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY	$6,268 – $18,718 · median $10,118	17 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY	$34,200 – $94,764 · median $51,224	17 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$18,732 – $51,431 · median $27,800	17 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$11,253 – $27,873 · median $15,067	17 plans
576	SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY	$31,257 – $71,547 · median $38,674	17 plans
577	SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION	$14,570 – $39,884 · median $21,559	17 plans
578	SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY	$8,858 – $25,191 · median $13,617	17 plans
579	OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY	$18,382 – $48,154 · median $26,029	17 plans
580	OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION	$9,606 – $26,902 · median $14,542	17 plans
581	OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY	$7,407 – $22,894 · median $12,375	17 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$9,169 – $29,696 · median $16,052	17 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$8,370 – $26,852 · median $14,514	17 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$10,772 – $32,709 · median $17,680	17 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$9,262 – $29,732 · median $16,071	17 plans
592	SKIN ULCERS WITH COMORBITY	$11,496 – $29,819 · median $16,118	17 plans
593	SKIN ULCERS WITH COMPLICATION	$6,654 – $19,281 · median $10,422	17 plans
594	SKIN ULCERS WITHOUT COMPLICATION/COMORBITY	$4,331 – $14,786 · median $7,992	17 plans
595	MAJOR SKIN DISORDERS WITH COMORBITY	$11,963 – $32,427 · median $17,528	17 plans
596	MAJOR SKIN DISORDERS WITHOUT COMORBITY	$5,550 – $17,821 · median $9,633	17 plans
597	MALIGNANT BREAST DISORDERS WITH COMORBITY	$8,803 – $26,045 · median $14,079	17 plans
598	MALIGNANT BREAST DISORDERS WITH COMPLICATION	$6,593 – $18,507 · median $10,004	17 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,418 – $13,415 · median $7,252	17 plans
600	NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY	$5,640 – $17,245 · median $9,322	17 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY	$3,424 – $11,102 · median $6,001	17 plans
602	CELLULITIS WITH COMORBITY	$8,181 – $22,587 · median $12,209	17 plans
603	CELLULITIS WITHOUT COMORBITY	$4,866 – $14,843 · median $8,024	17 plans
604	TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY	$8,284 – $23,302 · median $12,596	17 plans
605	TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY	$4,998 – $15,478 · median $8,366	17 plans
606	MINOR SKIN DISORDERS WITH COMORBITY	$8,722 – $23,880 · median $12,908	17 plans
607	MINOR SKIN DISORDERS WITHOUT COMORBITY	$4,914 – $15,343 · median $8,293	17 plans
614	ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY	$12,388 – $33,428 · median $18,069	17 plans
615	ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY	$8,091 – $22,278 · median $12,042	17 plans
616	AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY	$21,767 – $51,656 · median $27,922	17 plans
617	AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION	$10,915 – $28,904 · median $15,624	17 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$6,388 – $22,545 · median $12,187	17 plans
619	O.R. PROCEDURES FOR OBESITY WITH COMORBITY	$14,237 – $43,214 · median $23,359	17 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$8,922 – $25,106 · median $13,571	17 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$8,345 – $23,813 · median $12,872	17 plans
622	SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY	$21,041 – $52,666 · median $28,468	17 plans
623	SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION	$10,238 – $27,829 · median $15,043	17 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$6,130 – $20,204 · median $10,921	17 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$16,067 – $45,081 · median $24,368	17 plans
626	THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION	$8,205 – $23,686 · median $12,803	17 plans
627	THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$6,798 – $21,279 · median $11,502	17 plans
628	OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY	$22,080 – $55,024 · median $29,743	17 plans
629	OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION	$12,445 – $33,245 · median $17,970	17 plans
630	OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITHOUT COMPLICATION/COMORBITY	$7,680 – $23,125 · median $12,500	17 plans
637	DIABETES WITH COMORBITY	$7,971 – $22,804 · median $12,326	17 plans
638	DIABETES WITH COMPLICATION	$4,947 – $15,199 · median $8,216	17 plans
639	DIABETES WITHOUT COMPLICATION/COMORBITY	$3,424 – $11,330 · median $6,125	17 plans
640	MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY	$7,234 – $21,381 · median $11,558	17 plans
641	MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY	$4,298 – $13,539 · median $7,319	17 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$7,168 – $22,598 · median $12,215	17 plans
643	ENDOCRINE DISORDERS WITH COMORBITY	$9,048 – $25,750 · median $13,919	17 plans
644	ENDOCRINE DISORDERS WITH COMPLICATION	$5,839 – $17,012 · median $9,195	17 plans
645	ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY	$4,185 – $13,400 · median $7,243	17 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$24,736 – $68,736 · median $37,155	17 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$19,021 – $54,729 · median $29,583	17 plans
652	KIDNEY TRANSPLANT	$16,524 – $48,027 · median $25,961	17 plans
653	MAJOR BLADDER PROCEDURES WITH COMORBITY	$29,775 – $75,700 · median $40,919	17 plans
654	MAJOR BLADDER PROCEDURES WITH COMPLICATION	$15,056 – $41,975 · median $22,689	17 plans
655	MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY	$11,593 – $32,370 · median $17,497	17 plans
656	KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY	$17,257 – $47,384 · median $25,613	17 plans
657	KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION	$10,143 – $28,337 · median $15,318	17 plans
658	KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY	$8,142 – $24,423 · median $13,202	17 plans
659	KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY	$14,239 – $38,339 · median $20,724	17 plans
660	KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION	$7,402 – $21,186 · median $11,452	17 plans
661	KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY	$5,766 – $17,158 · median $9,275	17 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$16,482 – $45,664 · median $24,683	17 plans
663	MINOR BLADDER PROCEDURES WITH COMPLICATION	$8,025 – $23,979 · median $12,961	17 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$5,839 – $17,320 · median $9,362	17 plans
665	PROSTATECTOMY WITH MCC	$16,990 – $46,504 · median $25,137	17 plans
666	PROSTATECTOMY WITH COMPLICATION	$9,446 – $27,202 · median $14,704	17 plans
667	PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY	$5,773 – $18,154 · median $9,813	17 plans
668	TRANSURETHRAL PROCEDURES WITH COMORBITY	$15,499 – $43,673 · median $23,607	17 plans
669	TRANSURETHRAL PROCEDURES WITH COMPLICATION	$8,440 – $24,426 · median $13,203	17 plans
670	TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,294 – $16,340 · median $8,833	17 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$9,415 – $27,845 · median $15,051	17 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$5,075 – $17,778 · median $9,610	17 plans
673	OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY	$20,339 – $61,704 · median $33,354	17 plans
674	OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION	$13,102 – $35,493 · median $19,185	17 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$8,726 – $25,684 · median $13,883	17 plans
682	RENAL FAILURE WITH COMORBITY	$8,254 – $23,427 · median $12,663	17 plans
683	RENAL FAILURE WITH COMPLICATION	$4,954 – $14,912 · median $8,061	17 plans
684	RENAL FAILURE WITHOUT COMPLICATION/COMORBITY	$3,347 – $11,036 · median $5,966	17 plans
686	KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY	$10,117 – $27,967 · median $15,117	17 plans
687	KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION	$5,749 – $17,332 · median $9,369	17 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$4,295 – $13,709 · median $7,411	17 plans
689	KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY	$6,459 – $18,915 · median $10,224	17 plans
690	KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY	$4,438 – $13,980 · median $7,557	17 plans
693	URINARY STONES WITH COMORBITY	$7,790 – $21,507 · median $11,625	17 plans
694	URINARY STONES WITHOUT COMORBITY	$4,305 – $13,588 · median $7,345	17 plans
695	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY	$6,578 – $18,683 · median $10,099	17 plans
696	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY	$3,807 – $12,284 · median $6,640	17 plans
697	URETHRAL STRICTURE	$6,122 – $17,754 · median $9,597	17 plans
698	OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY	$9,099 – $25,867 · median $13,982	17 plans
699	OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION	$5,614 – $16,871 · median $9,119	17 plans
700	OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$3,896 – $12,297 · median $6,647	17 plans
707	MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY	$10,790 – $30,733 · median $16,613	17 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY	$8,022 – $24,176 · median $13,068	17 plans
709	PENIS PROCEDURES WITH COMPLICATION/COMORBITY	$11,660 – $35,331 · median $19,098	17 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$6,789 – $22,304 · median $12,056	17 plans
711	TESTES PROCEDURES WITH COMPLICATION/COMORBITY	$11,676 – $31,908 · median $17,248	17 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$6,536 – $18,063 · median $9,764	17 plans
713	TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY	$7,979 – $23,742 · median $12,834	17 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY	$5,272 – $17,467 · median $9,442	17 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$12,141 – $34,068 · median $18,415	17 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$7,822 – $23,286 · median $12,587	17 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY	$9,975 – $29,189 · median $15,778	17 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITHOUT COMPLICATION/COMORBITY	$6,467 – $21,487 · median $11,615	17 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$10,311 – $28,052 · median $15,163	17 plans
723	MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION	$6,129 – $18,668 · median $10,091	17 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,452 – $11,816 · median $6,387	17 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$6,825 – $19,054 · median $10,300	17 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY	$4,020 – $12,749 · median $6,891	17 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY	$8,916 – $23,454 · median $12,678	17 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY	$4,401 – $14,004 · median $7,569	17 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$5,521 – $17,486 · median $9,452	17 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,419 – $12,045 · median $6,511	17 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$11,955 – $32,558 · median $17,599	17 plans
735	PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITHOUT COMPLICATION/COMORBITY	$6,931 – $21,521 · median $11,633	17 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$21,380 – $52,881 · median $28,584	17 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$10,856 – $31,582 · median $17,071	17 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$7,505 – $23,251 · median $12,568	17 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$19,890 – $52,998 · median $28,648	17 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$9,829 – $28,050 · median $15,162	17 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$7,146 – $22,655 · median $12,246	17 plans
742	UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY	$9,800 – $28,405 · median $15,354	17 plans
743	UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY	$6,391 – $20,046 · median $10,836	17 plans
744	D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY	$10,353 – $31,420 · median $16,984	17 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$5,697 – $18,594 · median $10,051	17 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$9,219 – $27,030 · median $14,611	17 plans
747	VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY	$4,880 – $14,686 · median $7,938	17 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$7,727 – $22,109 · median $11,951	17 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY	$13,845 – $38,715 · median $20,927	17 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$7,480 – $23,354 · median $12,624	17 plans
754	MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY	$10,189 – $28,502 · median $15,406	17 plans
755	MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION	$5,966 – $17,895 · median $9,673	17 plans
756	MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY	$5,443 – $16,104 · median $8,705	17 plans
757	INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY	$8,204 – $22,736 · median $12,290	17 plans
758	INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION	$5,459 – $16,364 · median $8,846	17 plans
759	INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY	$3,554 – $11,927 · median $6,447	17 plans
760	MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY	$5,475 – $16,765 · median $9,062	17 plans
761	MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY	$3,331 – $10,617 · median $5,739	17 plans
769	POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE	$8,491 – $26,365 · median $14,251	17 plans
770	ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY	$4,393 – $16,698 · median $9,026	17 plans
776	POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE	$3,942 – $11,802 · median $6,379	17 plans
779	ABORTION WITHOUT D&C	$5,441 – $14,427 · median $7,798	17 plans
789	NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$10,007 – $27,946 · median $15,106	17 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE	$33,001 – $86,212 · median $46,601	17 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$22,537 – $59,698 · median $32,269	17 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$13,599 – $37,049 · median $20,027	17 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$23,151 – $61,254 · median $33,110	17 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$8,194 – $23,355 · median $12,625	17 plans
795	NORMAL NEWBORN	$1,109 – $5,402 · median $2,920	17 plans
799	SPLENECTOMY WITH COMORBITY	$27,250 – $66,309 · median $35,843	17 plans
800	SPLENIC PROCEDURES WITH CC	$15,497 – $42,117 · median $22,766	17 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$9,843 – $29,447 · median $15,918	17 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$18,647 – $58,644 · median $31,699	17 plans
803	OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION	$10,220 – $28,744 · median $15,537	17 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$6,657 – $21,669 · median $11,713	17 plans
808	MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY	$12,046 – $33,654 · median $18,191	17 plans
809	MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION	$6,624 – $20,401 · median $11,027	17 plans
810	MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY	$5,525 – $17,315 · median $9,360	17 plans
811	RED BLOOD CELL DISORDERS WITH COMORBITY	$7,720 – $22,348 · median $12,080	17 plans
812	RED BLOOD CELL DISORDERS WITHOUT COMORBITY	$4,954 – $15,509 · median $8,383	17 plans
813	COAGULATION DISORDERS	$8,580 – $24,050 · median $13,000	17 plans
814	RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY	$11,705 – $32,512 · median $17,574	17 plans
815	RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION	$5,468 – $16,857 · median $9,112	17 plans
816	RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY	$3,906 – $11,482 · median $6,207	17 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY	$12,403 – $34,691 · median $18,752	17 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMPLICATION	$6,452 – $18,900 · median $10,216	17 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY	$4,990 – $14,689 · median $7,940	17 plans
820	LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY	$33,257 – $85,104 · median $46,002	17 plans
821	LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION	$12,277 – $34,086 · median $18,425	17 plans
822	LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY	$6,813 – $19,530 · median $10,557	17 plans
823	LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY	$24,760 – $67,096 · median $36,268	17 plans
824	LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION	$12,281 – $34,466 · median $18,630	17 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$7,103 – $21,576 · median $11,663	17 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$24,138 – $68,404 · median $36,975	17 plans
827	MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION	$12,745 – $35,108 · median $18,977	17 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$9,022 – $26,562 · median $14,358	17 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$17,346 – $47,050 · median $25,432	17 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$8,697 – $23,765 · median $12,846	17 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY	$5,554 – $19,509 · median $10,545	17 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION	$4,057 – $12,743 · median $6,888	17 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY	$2,815 – $9,947 · median $5,377	17 plans
834	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY	$30,795 – $79,830 · median $43,151	17 plans
835	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION	$12,295 – $31,936 · median $17,263	17 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$6,585 – $19,748 · median $10,675	17 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$26,161 – $70,184 · median $37,937	17 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$10,738 – $31,959 · median $17,275	17 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$7,167 – $22,905 · median $12,381	17 plans
840	LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY	$17,189 – $48,103 · median $26,002	17 plans
841	LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION	$8,654 – $25,543 · median $13,807	17 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$5,865 – $16,806 · median $9,084	17 plans
843	OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY	$10,233 – $30,656 · median $16,571	17 plans
844	OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION	$6,365 – $19,718 · median $10,659	17 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$4,757 – $14,572 · median $7,877	17 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$13,442 – $39,065 · median $21,116	17 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$6,669 – $20,996 · median $11,349	17 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$4,177 – $14,541 · median $7,860	17 plans
849	RADIOTHERAPY	$14,803 – $40,711 · median $22,006	17 plans
853	INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY	$27,496 – $72,073 · median $38,959	17 plans
854	INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION	$11,210 – $30,702 · median $16,596	17 plans
855	INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY	$9,360 – $23,655 · median $12,787	17 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY	$24,356 – $66,588 · median $35,993	17 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION	$11,746 – $32,720 · median $17,686	17 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY	$7,059 – $22,188 · median $11,993	17 plans
862	POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY	$10,131 – $28,249 · median $15,270	17 plans
863	POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY	$5,530 – $16,630 · median $8,989	17 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$4,855 – $15,080 · median $8,151	17 plans
865	VIRAL ILLNESS WITH COMORBITY	$9,019 – $23,671 · median $12,795	17 plans
866	VIRAL ILLNESS WITHOUT COMORBITY	$5,047 – $14,825 · median $8,014	17 plans
867	OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY	$11,508 – $32,040 · median $17,319	17 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$5,970 – $17,097 · median $9,242	17 plans
869	OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$3,799 – $12,857 · median $6,950	17 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$38,307 – $99,835 · median $53,965	17 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY	$10,904 – $29,920 · median $16,173	17 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY	$5,664 – $16,988 · median $9,183	17 plans
876	O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS	$20,523 – $56,967 · median $30,793	17 plans
880	ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION	$5,250 – $16,100 · median $8,703	17 plans
881	DEPRESSIVE NEUROSES	$4,986 – $15,828 · median $8,556	17 plans
882	NEUROSES EXCEPT DEPRESSIVE	$5,166 – $17,698 · median $9,567	17 plans
883	DISORDERS OF PERSONALITY & IMPULSE CONTROL	$10,315 – $30,255 · median $16,354	17 plans
884	ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY	$9,663 – $25,227 · median $13,636	17 plans
885	PSYCHOSES	$7,515 – $22,242 · median $12,023	17 plans
886	BEHAVIORAL & DEVELOPMENTAL DISORDERS	$9,249 – $31,789 · median $17,183	17 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$7,126 – $17,657 · median $9,544	17 plans
894	ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA	$3,160 – $11,270 · median $6,092	17 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$8,848 – $22,507 · median $12,166	17 plans
896	ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY	$9,780 – $27,143 · median $14,672	17 plans
897	ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY	$4,706 – $15,011 · median $8,114	17 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY	$23,803 – $61,634 · median $33,316	17 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION	$10,366 – $29,526 · median $15,960	17 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$6,828 – $19,046 · median $10,295	17 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$17,909 – $54,268 · median $29,334	17 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$8,710 – $23,461 · median $12,682	17 plans
906	HAND PROCEDURES FOR INJURIES	$10,349 – $30,227 · median $16,339	17 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY	$20,457 – $56,607 · median $30,598	17 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION	$11,023 – $30,662 · median $16,574	17 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY	$7,460 – $21,059 · median $11,383	17 plans
913	TRAUMATIC INJURY WITH COMORBITY	$8,220 – $25,588 · median $13,831	17 plans
914	TRAUMATIC INJURY WITHOUT COMORBITY	$4,992 – $15,049 · median $8,135	17 plans
915	ALLERGIC REACTIONS WITH COMORBITY	$9,757 – $26,249 · median $14,189	17 plans
916	ALLERGIC REACTIONS WITHOUT COMORBITY	$3,623 – $11,965 · median $6,468	17 plans
917	POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY	$8,777 – $24,657 · median $13,328	17 plans
918	POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY	$4,735 – $14,649 · median $7,919	17 plans
919	COMPLICATIONS OF TREATMENT WITH COMORBITY	$10,036 – $28,349 · median $15,324	17 plans
920	COMPLICATIONS OF TREATMENT WITH COMPLICATION	$5,686 – $16,692 · median $9,023	17 plans
921	COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY	$3,838 – $12,276 · median $6,636	17 plans
922	OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY	$9,597 – $27,203 · median $14,705	17 plans
923	OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY	$5,563 – $16,909 · median $9,140	17 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$144,973 – $302,977 · median $163,772	17 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$38,058 – $103,505 · median $55,949	17 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$17,685 – $47,905 · median $25,895	17 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$16,676 – $57,379 · median $31,016	17 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$11,509 – $33,692 · median $18,212	17 plans
935	NON-EXTENSIVE BURNS	$11,226 – $31,573 · median $17,067	17 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$17,684 – $53,641 · median $28,995	17 plans
940	O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION	$11,916 – $35,469 · median $19,172	17 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$10,208 – $31,119 · median $16,821	17 plans
945	REHABILITATION WITH CC/MCC	$8,302 – $24,378 · median $13,177	17 plans
946	REHABILITATION WITHOUT CC/MCC	$5,570 – $18,725 · median $10,122	17 plans
947	SIGNS & SYMPTOMS WITH COMORBITY	$6,884 – $20,450 · median $11,054	17 plans
948	SIGNS & SYMPTOMS WITHOUT COMORBITY	$4,406 – $13,853 · median $7,488	17 plans
949	AFTERCARE WITH CC/MCC	$5,699 – $19,329 · median $10,448	17 plans
950	AFTERCARE WITHOUT CC/MCC	$3,455 – $11,422 · median $6,174	17 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$3,245 – $10,413 · median $5,629	17 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$33,496 – $97,292 · median $52,591	17 plans
956	LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA	$21,330 – $55,533 · median $30,018	17 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY	$39,779 – $109,797 · median $59,350	17 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION	$22,246 – $61,877 · median $33,447	17 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY	$13,928 – $44,012 · median $23,790	17 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY	$15,039 – $41,053 · median $22,191	17 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION	$8,256 – $24,153 · median $13,056	17 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY	$5,257 – $15,823 · median $8,553	17 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURE WITH COMORBITY	$37,799 – $88,713 · median $47,953	17 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$13,224 – $39,697 · median $21,458	17 plans
974	HIV WITH MAJOR RELATED CONDITION WITH COMORBITY	$16,041 – $43,195 · median $23,348	17 plans
975	HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION	$7,498 – $20,810 · median $11,249	17 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$4,649 – $15,291 · median $8,265	17 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$7,789 – $20,848 · median $11,269	17 plans
981	EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY	$26,072 – $68,601 · median $37,082	17 plans
982	EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION	$13,673 – $37,180 · median $20,097	17 plans
983	EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY	$8,994 – $26,705 · median $14,435	17 plans
987	NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY	$18,572 – $50,826 · median $27,473	17 plans
988	NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION	$9,334 – $25,715 · median $13,900	17 plans
989	NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY	$5,942 – $19,462 · median $10,520	17 plans
103	HEADACHES WITHOUT COMORBITY	$4,633 – $14,357 · median $7,760	16 plans
302	ATHEROSCLEROSIS WITH COMORBITY	$6,166 – $19,426 · median $10,500	16 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$49,639 – $96,665 · median $52,251	16 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$30,378 – $59,156 · median $31,976	16 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION	$11,480 – $33,373 · median $18,039	16 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$8,810 – $23,699 · median $12,810	16 plans
432	CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY	$10,538 – $30,282 · median $16,368	16 plans
433	CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION	$5,671 – $17,451 · median $9,433	16 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$49,603 – $96,596 · median $52,214	16 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$31,969 – $62,256 · median $33,652	16 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$39,835 – $77,574 · median $41,932	16 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$24,669 – $48,040 · median $25,968	16 plans
480	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY	$16,219 – $43,565 · median $23,548	16 plans
481	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION	$11,412 – $32,059 · median $17,329	16 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$19,697 – $53,602 · median $28,974	16 plans
512	SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY	$8,876 – $25,881 · median $13,990	16 plans
513	HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY	$8,916 – $24,740 · median $13,373	16 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$16,468 – $42,972 · median $23,228	16 plans
768	VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C	$6,700 – $17,667 · median $9,550	16 plans
783	CESAREAN SECTION WITH STERILIZATION WITH COMORBITY	$9,745 – $37,132 · median $20,071	16 plans
784	CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION	$5,633 – $17,505 · median $9,462	16 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY	$4,765 – $16,066 · median $8,684	16 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY	$9,622 – $25,798 · median $13,945	16 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION	$5,781 – $18,303 · median $9,894	16 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY	$4,703 – $16,080 · median $8,692	16 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$7,801 – $19,009 · median $10,275	16 plans
797	VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION	$5,477 – $16,665 · median $9,008	16 plans
798	VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY	$4,462 – $16,056 · median $8,679	16 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY	$5,545 – $17,774 · median $9,608	16 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION	$4,107 – $13,199 · median $7,134	16 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY	$3,599 – $12,076 · median $6,528	16 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$63,893 – $124,424 · median $67,256	16 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$83,106 – $161,838 · median $87,480	15 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$42,561 – $82,883 · median $44,801	15 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$18,830 – $36,669 · median $19,821	15 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$26,173 – $50,969 · median $27,551	15 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$18,773 – $36,558 · median $19,761	15 plans
426	NON-HYPOVOLEMIC SODIUM DISORDERS	$80,956 – $157,651 · median $85,217	15 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$53,483 – $104,151 · median $56,298	15 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$41,948 – $81,688 · median $44,156	15 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$66,423 – $129,349 · median $69,919	15 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$42,996 – $83,730 · median $45,259	15 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION	$5,593 – $11,449 · median $8,521	2 plans

← Back to Southeast Health Medical Center profile

Southeast Health Medical Center — Pricing

Estimate your out-of-pocket cost

Procedures with negotiated rates only