Stanford Health Care Tri-Valley — 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
001	Heart Transplant Or Implant Of Heart Assist System With Mcc	$308,520 – $666,033 · median $487,276	3 plans
002	Heart Transplant Or Implant Of Heart Assist System Without Mcc	$125,244 – $383,225 · median $254,234	3 plans
003	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major	$233,871 – $493,576 · median $363,724	3 plans
004	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.	$152,909 – $299,697 · median $226,303	3 plans
005	Liver Transplant With Mcc Or Intestinal Transplant	$114,030 – $287,526 · median $200,778	3 plans
006	Liver Transplant Without Mcc	$51,736 – $140,065 · median $95,901	3 plans
007	Lung Transplant	$143,014 – $270,781 · median $206,897	3 plans
008	Simultaneous Pancreas And Kidney Transplant	$62,360 – $140,386 · median $101,373	3 plans
010	Pancreas Transplant	$79,611 – $106,710 · median $93,161	3 plans
011	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	$60,708 – $137,069 · median $98,889	3 plans
012	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	$47,114 – $84,921 · median $66,018	3 plans
013	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc	$32,465 – $52,074 · median $42,269	3 plans
014	Allogeneic Bone Marrow Transplant	$132,777 – $281,979 · median $207,378	3 plans
016	Autologous Bone Marrow Transplant With Cc/Mcc	$65,930 – $173,170 · median $119,550	3 plans
017	Autologous Bone Marrow Transplant Without Cc/Mcc	$60,469 – $118,572 · median $89,520	3 plans
020	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	$87,221 – $233,263 · median $160,242	3 plans
021	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	$58,948 – $176,577 · median $117,762	3 plans
022	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc	$35,710 – $113,843 · median $74,777	3 plans
023	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla	$63,741 – $147,104 · median $105,422	3 plans
024	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc	$43,775 – $99,652 · median $71,714	3 plans
025	Craniotomy And Endovascular Intracranial Procedures With Mcc	$50,745 – $128,730 · median $89,738	3 plans
026	Craniotomy And Endovascular Intracranial Procedures With Cc	$34,961 – $81,665 · median $58,313	3 plans
027	Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc	$28,524 – $58,477 · median $43,500	3 plans
028	Spinal Procedures With Mcc	$66,793 – $154,925 · median $110,859	3 plans
029	Spinal Procedures With Cc Or Spinal Neurostimulators	$38,282 – $77,655 · median $57,968	3 plans
030	Spinal Procedures Without Cc/Mcc	$24,926 – $46,426 · median $35,676	3 plans
031	Ventricular Shunt Procedures With Mcc	$50,018 – $122,152 · median $86,085	3 plans
032	Ventricular Shunt Procedures With Cc	$24,221 – $53,468 · median $38,844	3 plans
033	Ventricular Shunt Procedures Without Cc/Mcc	$19,081 – $38,638 · median $28,860	3 plans
034	Carotid Artery Stent Procedures With Mcc	$43,323 – $96,020 · median $69,671	3 plans
035	Carotid Artery Stent Procedures With Cc	$27,070 – $58,866 · median $42,968	3 plans
036	Carotid Artery Stent Procedures Without Cc/Mcc	$22,155 – $45,400 · median $33,777	3 plans
037	Extracranial Procedures With Mcc	$36,970 – $84,614 · median $60,792	3 plans
038	Extracranial Procedures With Cc	$18,639 – $43,354 · median $30,996	3 plans
039	Extracranial Procedures Without Cc/Mcc	$13,730 – $28,269 · median $20,999	3 plans
040	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	$43,218 – $110,636 · median $76,927	3 plans
041	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator	$24,964 – $59,733 · median $42,349	3 plans
042	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc	$19,793 – $47,847 · median $33,820	3 plans
052	Spinal Disorders And Injuries With Cc/Mcc	$20,711 – $42,218 · median $31,464	3 plans
053	Spinal Disorders And Injuries Without Cc/Mcc	$11,574 – $23,465 · median $17,520	3 plans
054	Nervous System Neoplasms With Mcc	$17,588 – $40,270 · median $28,929	3 plans
055	Nervous System Neoplasms Without Mcc	$12,018 – $29,517 · median $20,767	3 plans
056	Degenerative Nervous System Disorders With Mcc	$26,330 – $48,434 · median $37,382	3 plans
057	Degenerative Nervous System Disorders Without Mcc	$15,048 – $26,477 · median $20,763	3 plans
058	Multiple Sclerosis And Cerebellar Ataxia With Mcc	$19,593 – $41,760 · median $30,676	3 plans
059	Multiple Sclerosis And Cerebellar Ataxia With Cc	$14,448 – $27,929 · median $21,188	3 plans
060	Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc	$10,922 – $20,898 · median $15,910	3 plans
061	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc	$31,095 – $79,015 · median $55,055	3 plans
062	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc	$20,117 – $53,509 · median $36,813	3 plans
063	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc	$16,236 – $42,138 · median $29,187	3 plans
064	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	$22,903 – $50,900 · median $36,902	3 plans
065	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	$11,916 – $31,506 · median $21,711	3 plans
066	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc	$8,338 – $22,234 · median $15,286	3 plans
067	Precerebral Occlusion Without Infarction With Mcc	$16,949 – $39,708 · median $28,328	3 plans
068	Precerebral Occlusion Without Infarction Without Mcc	$10,314 – $24,417 · median $17,366	3 plans
069	Transient Ischemia Without Thrombolytic	$9,594 – $20,154 · median $14,874	3 plans
070	Other Cerebrovascular Disorders With Mcc	$19,102 – $49,460 · median $34,281	3 plans
071	Other Cerebrovascular Disorders With Cc	$12,088 – $29,018 · median $20,553	3 plans
072	Other Cerebrovascular Disorders Without Cc/Mcc	$9,126 – $19,853 · median $14,489	3 plans
073	Cranial And Peripheral Nerve Disorders With Mcc	$18,438 – $35,538 · median $26,988	3 plans
074	Cranial And Peripheral Nerve Disorders Without Mcc	$12,141 – $23,712 · median $17,927	3 plans
075	Viral Meningitis With Cc/Mcc	$21,877 – $47,172 · median $34,524	3 plans
076	Viral Meningitis Without Cc/Mcc	$9,884 – $24,006 · median $16,945	3 plans
080	Nontraumatic Stupor And Coma With Mcc	$20,696 – $32,548 · median $26,622	3 plans
081	Nontraumatic Stupor And Coma Without Mcc	$10,657 – $20,228 · median $15,442	3 plans
082	Traumatic Stupor And Coma >1 Hour With Mcc	$25,918 – $55,591 · median $40,755	3 plans
083	Traumatic Stupor And Coma >1 Hour With Cc	$16,149 – $37,217 · median $26,683	3 plans
084	Traumatic Stupor And Coma >1 Hour Without Cc/Mcc	$11,318 – $23,103 · median $17,210	3 plans
085	Traumatic Stupor And Coma <1 Hour With Mcc	$25,768 – $58,932 · median $42,350	3 plans
086	Traumatic Stupor And Coma <1 Hour With Cc	$15,126 – $32,257 · median $23,692	3 plans
087	Traumatic Stupor And Coma <1 Hour Without Cc/Mcc	$10,866 – $21,490 · median $16,178	3 plans
088	Concussion With Mcc	$15,666 – $44,377 · median $30,021	3 plans
089	Concussion With Cc	$12,885 – $26,908 · median $19,897	3 plans
090	Concussion Without Cc/Mcc	$9,862 – $20,017 · median $14,939	3 plans
091	Other Disorders Of Nervous System With Mcc	$20,106 – $44,544 · median $32,325	3 plans
092	Other Disorders Of Nervous System With Cc	$12,055 – $25,366 · median $18,711	3 plans
093	Other Disorders Of Nervous System Without Cc/Mcc	$9,566 – $18,519 · median $14,043	3 plans
094	Bacterial And Tuberculous Infections Of Nervous System With Mcc	$39,465 – $93,938 · median $66,702	3 plans
095	Bacterial And Tuberculous Infections Of Nervous System With Cc	$29,142 – $65,184 · median $47,163	3 plans
096	Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc	$29,142 – $52,310 · median $40,726	3 plans
097	Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	$40,480 – $88,164 · median $64,322	3 plans
098	Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc	$26,021 – $50,143 · median $38,082	3 plans
099	Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc	$15,782 – $33,739 · median $24,760	3 plans
100	Seizures With Mcc	$22,089 – $41,845 · median $31,967	3 plans
101	Seizures Without Mcc	$10,733 – $20,903 · median $15,818	3 plans
102	Headaches With Mcc	$13,130 – $27,786 · median $20,458	3 plans
103	Headaches Without Mcc	$10,005 – $18,316 · median $14,161	3 plans
113	Orbital Procedures With Cc/Mcc	$26,638 – $51,685 · median $39,161	3 plans
114	Orbital Procedures Without Cc/Mcc	$15,679 – $25,443 · median $20,561	3 plans
115	Extraocular Procedures Except Orbit	$17,676 – $33,593 · median $25,635	3 plans
116	Intraocular Procedures With Cc/Mcc	$20,676 – $35,612 · median $28,144	3 plans
117	Intraocular Procedures Without Cc/Mcc	$12,735 – $21,005 · median $16,870	3 plans
121	Acute Major Eye Infections With Cc/Mcc	$13,596 – $28,639 · median $21,117	3 plans
122	Acute Major Eye Infections Without Cc/Mcc	$9,451 – $17,293 · median $13,372	3 plans
123	Neurological Eye Disorders	$9,591 – $19,573 · median $14,582	3 plans
124	Other Disorders Of The Eye With Mcc Or Thrombolytic Agent	$15,350 – $32,101 · median $23,726	3 plans
125	Other Disorders Of The Eye Without Mcc	$9,253 – $18,977 · median $14,115	3 plans
135	Sinus And Mastoid Procedures With Cc/Mcc	$24,649 – $54,763 · median $39,706	3 plans
136	Sinus And Mastoid Procedures Without Cc/Mcc	$11,971 – $27,745 · median $19,858	3 plans
137	Mouth Procedures With Cc/Mcc	$17,218 – $36,101 · median $26,659	3 plans
138	Mouth Procedures Without Cc/Mcc	$10,553 – $21,353 · median $15,953	3 plans
139	Salivary Gland Procedures	$14,391 – $24,713 · median $19,552	3 plans
146	Ear, Nose, Mouth And Throat Malignancy With Mcc	$24,072 – $56,699 · median $40,385	3 plans
147	Ear, Nose, Mouth And Throat Malignancy With Cc	$14,784 – $33,654 · median $24,219	3 plans
148	Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc	$9,575 – $20,632 · median $15,103	3 plans
149	Dysequilibrium	$9,075 – $17,419 · median $13,247	3 plans
150	Epistaxis With Mcc	$15,443 – $35,944 · median $25,693	3 plans
151	Epistaxis Without Mcc	$8,882 – $18,108 · median $13,495	3 plans
152	Otitis Media And Uri With Mcc	$13,803 – $26,252 · median $20,028	3 plans
153	Otitis Media And Uri Without Mcc	$8,928 – $17,271 · median $13,100	3 plans
154	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	$17,990 – $39,049 · median $28,520	3 plans
155	Other Ear, Nose, Mouth And Throat Diagnoses With Cc	$10,886 – $24,648 · median $17,767	3 plans
156	Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc	$8,411 – $16,986 · median $12,699	3 plans
157	Dental And Oral Diseases With Mcc	$19,673 – $44,144 · median $31,908	3 plans
158	Dental And Oral Diseases With Cc	$10,812 – $24,609 · median $17,711	3 plans
159	Dental And Oral Diseases Without Cc/Mcc	$8,602 – $15,913 · median $12,258	3 plans
163	Major Chest Procedures With Mcc	$50,032 – $139,656 · median $94,844	3 plans
164	Major Chest Procedures With Cc	$28,536 – $71,403 · median $49,969	3 plans
165	Major Chest Procedures Without Cc/Mcc	$21,841 – $48,977 · median $35,409	3 plans
166	Other Respiratory System O.R. Procedures With Mcc	$41,862 – $102,382 · median $72,122	3 plans
167	Other Respiratory System O.R. Procedures With Cc	$20,624 – $56,441 · median $38,533	3 plans
168	Other Respiratory System O.R. Procedures Without Cc/Mcc	$15,826 – $35,088 · median $25,457	3 plans
175	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	$15,905 – $44,473 · median $30,189	3 plans
176	Pulmonary Embolism Without Mcc	$9,662 – $28,762 · median $19,212	3 plans
177	Respiratory Infections And Inflammations With Mcc	$17,981 – $56,655 · median $37,318	3 plans
178	Respiratory Infections And Inflammations With Cc	$11,539 – $40,196 · median $25,868	3 plans
179	Respiratory Infections And Inflammations Without Cc/Mcc	$9,113 – $27,501 · median $18,307	3 plans
180	Respiratory Neoplasms With Mcc	$20,213 – $47,740 · median $33,977	3 plans
181	Respiratory Neoplasms With Cc	$12,582 – $33,569 · median $23,075	3 plans
182	Respiratory Neoplasms Without Cc/Mcc	$9,100 – $23,169 · median $16,134	3 plans
183	Major Chest Trauma With Mcc	$17,621 – $40,311 · median $28,966	3 plans
184	Major Chest Trauma With Cc	$12,507 – $27,668 · median $20,087	3 plans
185	Major Chest Trauma Without Cc/Mcc	$9,459 – $19,238 · median $14,348	3 plans
186	Pleural Effusion With Mcc	$17,935 – $43,408 · median $30,672	3 plans
187	Pleural Effusion With Cc	$11,683 – $30,513 · median $21,098	3 plans
188	Pleural Effusion Without Cc/Mcc	$8,698 – $21,120 · median $14,909	3 plans
189	Pulmonary Edema And Respiratory Failure	$14,387 – $34,822 · median $24,605	3 plans
190	Chronic Obstructive Pulmonary Disease With Mcc	$12,985 – $32,052 · median $22,518	3 plans
191	Chronic Obstructive Pulmonary Disease With Cc	$10,079 – $26,412 · median $18,245	3 plans
192	Chronic Obstructive Pulmonary Disease Without Cc/Mcc	$7,872 – $19,425 · median $13,648	3 plans
193	Simple Pneumonia And Pleurisy With Mcc	$15,255 – $41,005 · median $28,130	3 plans
194	Simple Pneumonia And Pleurisy With Cc	$9,672 – $27,503 · median $18,587	3 plans
195	Simple Pneumonia And Pleurisy Without Cc/Mcc	$7,724 – $19,304 · median $13,514	3 plans
196	Interstitial Lung Disease With Mcc	$21,544 – $45,458 · median $33,501	3 plans
197	Interstitial Lung Disease With Cc	$11,244 – $30,019 · median $20,631	3 plans
198	Interstitial Lung Disease Without Cc/Mcc	$8,687 – $21,504 · median $15,095	3 plans
199	Pneumothorax With Mcc	$20,192 – $49,775 · median $34,984	3 plans
200	Pneumothorax With Cc	$12,893 – $27,136 · median $20,014	3 plans
201	Pneumothorax Without Cc/Mcc	$8,675 – $19,534 · median $14,105	3 plans
202	Bronchitis And Asthma With Cc/Mcc	$11,487 – $23,369 · median $17,428	3 plans
203	Bronchitis And Asthma Without Cc/Mcc	$8,179 – $16,824 · median $12,502	3 plans
204	Respiratory Signs And Symptoms	$9,688 – $18,006 · median $13,847	3 plans
205	Other Respiratory System Diagnoses With Mcc	$20,927 – $36,550 · median $28,739	3 plans
206	Other Respiratory System Diagnoses Without Mcc	$11,156 – $20,752 · median $15,954	3 plans
207	Respiratory System Diagnosis With Ventilator Support >96 Hours	$71,475 – $145,206 · median $108,340	3 plans
208	Respiratory System Diagnosis With Ventilator Support <=96 Hours	$31,003 – $62,282 · median $46,642	3 plans
215	Other Heart Assist System Implant	$110,149 – $377,544 · median $155,097	3 plans
216	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	$108,236 – $265,876 · median $136,106	3 plans
217	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc	$73,018 – $178,272 · median $87,675	3 plans
218	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc	$73,018 – $141,917 · median $107,468	3 plans
219	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc	$85,129 – $221,692 · median $208,344	3 plans
220	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc	$59,376 – $144,298 · median $143,195	3 plans
221	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M	$56,163 – $119,776 · median $87,970	3 plans
228	Other Cardiothoracic Procedures With Mcc	$55,144 – $201,474 · median $129,710	3 plans
229	Other Cardiothoracic Procedures Without Mcc	$35,404 – $127,701 · median $77,049	3 plans
231	Coronary Bypass With Ptca With Mcc	$85,201 – $216,943 · median $93,382	3 plans
232	Coronary Bypass With Ptca Without Mcc	$67,389 – $155,512 · median $73,839	3 plans
233	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	$84,766 – $195,914 · median $179,175	3 plans
234	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	$60,802 – $135,389 · median $132,535	3 plans
235	Coronary Bypass Without Cardiac Catheterization With Mcc	$65,259 – $162,022 · median $147,336	3 plans
236	Coronary Bypass Without Cardiac Catheterization Without Mcc	$46,815 – $103,474 · median $95,631	3 plans
239	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	$54,862 – $130,030 · median $92,446	3 plans
240	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	$32,121 – $71,496 · median $51,808	3 plans
241	Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc	$16,023 – $40,981 · median $28,502	3 plans
242	Permanent Cardiac Pacemaker Implant With Mcc	$35,879 – $101,046 · median $52,333	3 plans
243	Permanent Cardiac Pacemaker Implant With Cc	$24,220 – $72,319 · median $39,089	3 plans
244	Permanent Cardiac Pacemaker Implant Without Cc/Mcc	$20,669 – $56,340 · median $32,735	3 plans
245	Aicd Generator Procedures	$50,917 – $115,124 · median $83,021	3 plans
250	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	$24,786 – $79,336 · median $26,190	3 plans
251	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	$17,232 – $50,604 · median $26,190	3 plans
252	Other Vascular Procedures With Mcc	$39,124 – $81,926 · median $47,500	3 plans
253	Other Vascular Procedures With Cc	$29,322 – $67,022 · median $32,247	3 plans
254	Other Vascular Procedures Without Cc/Mcc	$20,386 – $45,320 · median $32,853	3 plans
255	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	$30,440 – $69,107 · median $49,773	3 plans
256	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	$19,466 – $43,987 · median $31,726	3 plans
257	Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc	$12,815 – $24,884 · median $18,849	3 plans
258	Cardiac Pacemaker Device Replacement With Mcc	$35,028 – $81,511 · median $35,323	3 plans
259	Cardiac Pacemaker Device Replacement Without Mcc	$22,918 – $49,973 · median $23,025	3 plans
260	Cardiac Pacemaker Revision Except Device Replacement With Mcc	$36,538 – $99,570 · median $37,731	3 plans
261	Cardiac Pacemaker Revision Except Device Replacement With Cc	$21,580 – $45,949 · median $22,918	3 plans
262	Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc	$18,719 – $32,249 · median $22,918	3 plans
263	Vein Ligation And Stripping	$34,393 – $44,511 · median $39,452	3 plans
264	Other Circulatory System O.R. Procedures	$37,502 – $70,171 · median $53,837	3 plans
265	Aicd Lead Procedures	$40,550 – $63,458 · median $52,004	3 plans
280	Acute Myocardial Infarction, Discharged Alive With Mcc	$18,436 – $49,106 · median $33,771	3 plans
281	Acute Myocardial Infarction, Discharged Alive With Cc	$10,915 – $31,486 · median $21,201	3 plans
282	Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc	$8,763 – $21,551 · median $15,157	3 plans
283	Acute Myocardial Infarction, Expired With Mcc	$22,572 – $46,958 · median $34,765	3 plans
284	Acute Myocardial Infarction, Expired With Cc	$8,423 – $23,043 · median $15,733	3 plans
285	Acute Myocardial Infarction, Expired Without Cc/Mcc	$7,399 – $14,816 · median $11,107	3 plans
286	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	$16,370 – $55,852 · median $25,119	3 plans
287	Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc	$12,573 – $29,470 · median $16,933	3 plans
288	Acute And Subacute Endocarditis With Mcc	$30,537 – $78,604 · median $54,570	3 plans
289	Acute And Subacute Endocarditis With Cc	$19,564 – $50,755 · median $35,160	3 plans
290	Acute And Subacute Endocarditis Without Cc/Mcc	$11,031 – $30,562 · median $20,796	3 plans
291	Heart Failure And Shock With Mcc	$14,919 – $41,175 · median $28,047	3 plans
292	Heart Failure And Shock With Cc	$10,145 – $28,019 · median $19,082	3 plans
293	Heart Failure And Shock Without Cc/Mcc	$7,038 – $18,533 · median $12,785	3 plans
296	Cardiac Arrest, Unexplained With Mcc	$17,972 – $35,374 · median $26,673	3 plans
297	Cardiac Arrest, Unexplained With Cc	$7,784 – $18,034 · median $12,909	3 plans
298	Cardiac Arrest, Unexplained Without Cc/Mcc	$5,820 – $11,104 · median $8,462	3 plans
299	Peripheral Vascular Disorders With Mcc	$18,750 – $37,634 · median $28,192	3 plans
300	Peripheral Vascular Disorders With Cc	$12,544 – $26,601 · median $19,572	3 plans
301	Peripheral Vascular Disorders Without Cc/Mcc	$8,725 – $18,231 · median $13,478	3 plans
302	Atherosclerosis With Mcc	$13,961 – $27,512 · median $20,737	3 plans
303	Atherosclerosis Without Mcc	$8,215 – $15,738 · median $11,976	3 plans
304	Hypertension With Mcc	$13,889 – $26,875 · median $20,382	3 plans
305	Hypertension Without Mcc	$9,114 – $16,816 · median $12,965	3 plans
306	Cardiac Congenital And Valvular Disorders With Mcc	$18,125 – $36,542 · median $27,334	3 plans
307	Cardiac Congenital And Valvular Disorders Without Mcc	$10,850 – $21,210 · median $16,030	3 plans
308	Cardiac Arrhythmia And Conduction Disorders With Mcc	$14,043 – $33,695 · median $23,869	3 plans
309	Cardiac Arrhythmia And Conduction Disorders With Cc	$8,901 – $22,371 · median $15,636	3 plans
310	Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc	$7,039 – $15,384 · median $11,211	3 plans
311	Angina Pectoris	$8,530 – $13,900 · median $11,215	3 plans
312	Syncope And Collapse	$10,393 – $19,584 · median $14,988	3 plans
313	Chest Pain	$8,728 – $14,907 · median $11,818	3 plans
314	Other Circulatory System Diagnoses With Mcc	$23,718 – $50,436 · median $37,077	3 plans
315	Other Circulatory System Diagnoses With Cc	$11,400 – $26,368 · median $18,884	3 plans
316	Other Circulatory System Diagnoses Without Cc/Mcc	$8,312 – $16,646 · median $12,479	3 plans
326	Stomach, Esophageal And Duodenal Procedures With Mcc	$55,584 – $155,822 · median $105,703	3 plans
327	Stomach, Esophageal And Duodenal Procedures With Cc	$27,660 – $75,356 · median $51,508	3 plans
328	Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc	$18,416 – $37,988 · median $28,202	3 plans
329	Major Small And Large Bowel Procedures With Mcc	$51,292 – $145,979 · median $98,636	3 plans
330	Major Small And Large Bowel Procedures With Cc	$27,144 – $71,079 · median $49,111	3 plans
331	Major Small And Large Bowel Procedures Without Cc/Mcc	$19,301 – $44,588 · median $31,944	3 plans
332	Rectal Resection With Mcc	$40,578 – $133,569 · median $87,073	3 plans
333	Rectal Resection With Cc	$26,540 – $67,916 · median $47,228	3 plans
334	Rectal Resection Without Cc/Mcc	$18,807 – $43,995 · median $31,401	3 plans
335	Peritoneal Adhesiolysis With Mcc	$40,031 – $117,617 · median $78,824	3 plans
336	Peritoneal Adhesiolysis With Cc	$23,976 – $64,169 · median $44,073	3 plans
337	Peritoneal Adhesiolysis Without Cc/Mcc	$17,677 – $41,027 · median $29,352	3 plans
344	Minor Small And Large Bowel Procedures With Mcc	$29,182 – $89,812 · median $59,497	3 plans
345	Minor Small And Large Bowel Procedures With Cc	$17,344 – $46,596 · median $31,970	3 plans
346	Minor Small And Large Bowel Procedures Without Cc/Mcc	$13,847 – $32,038 · median $22,943	3 plans
347	Anal And Stomal Procedures With Mcc	$26,028 – $69,485 · median $47,757	3 plans
348	Anal And Stomal Procedures With Cc	$15,193 – $38,490 · median $26,842	3 plans
349	Anal And Stomal Procedures Without Cc/Mcc	$10,382 – $22,151 · median $16,267	3 plans
350	Inguinal And Femoral Hernia Procedures With Mcc	$28,184 – $69,148 · median $48,666	3 plans
351	Inguinal And Femoral Hernia Procedures With Cc	$17,562 – $37,958 · median $27,760	3 plans
352	Inguinal And Femoral Hernia Procedures Without Cc/Mcc	$13,645 – $23,660 · median $18,653	3 plans
353	Hernia Procedures Except Inguinal And Femoral With Mcc	$32,686 – $77,997 · median $55,342	3 plans
354	Hernia Procedures Except Inguinal And Femoral With Cc	$19,295 – $43,044 · median $31,170	3 plans
355	Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc	$15,591 – $29,470 · median $22,531	3 plans
356	Other Digestive System O.R. Procedures With Mcc	$49,055 – $108,708 · median $78,881	3 plans
357	Other Digestive System O.R. Procedures With Cc	$26,357 – $59,906 · median $43,131	3 plans
358	Other Digestive System O.R. Procedures Without Cc/Mcc	$16,172 – $35,832 · median $26,002	3 plans
368	Major Esophageal Disorders With Mcc	$18,302 – $50,821 · median $34,561	3 plans
369	Major Esophageal Disorders With Cc	$11,805 – $29,852 · median $20,828	3 plans
370	Major Esophageal Disorders Without Cc/Mcc	$8,518 – $20,489 · median $14,503	3 plans
371	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	$20,291 – $55,863 · median $38,077	3 plans
372	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	$12,033 – $35,143 · median $23,588	3 plans
373	Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc	$8,810 – $23,144 · median $15,977	3 plans
374	Digestive Malignancy With Mcc	$24,306 – $57,473 · median $40,889	3 plans
375	Digestive Malignancy With Cc	$14,104 – $35,253 · median $24,679	3 plans
376	Digestive Malignancy Without Cc/Mcc	$10,972 – $23,907 · median $17,439	3 plans
377	Gastrointestinal Hemorrhage With Mcc	$20,894 – $48,390 · median $34,642	3 plans
378	Gastrointestinal Hemorrhage With Cc	$11,591 – $28,085 · median $19,838	3 plans
379	Gastrointestinal Hemorrhage Without Cc/Mcc	$7,745 – $19,386 · median $13,565	3 plans
380	Complicated Peptic Ulcer With Mcc	$22,368 – $51,723 · median $37,045	3 plans
381	Complicated Peptic Ulcer With Cc	$12,720 – $31,028 · median $21,874	3 plans
382	Complicated Peptic Ulcer Without Cc/Mcc	$9,613 – $22,009 · median $15,811	3 plans
383	Uncomplicated Peptic Ulcer With Mcc	$15,983 – $34,315 · median $25,149	3 plans
384	Uncomplicated Peptic Ulcer Without Mcc	$10,209 – $23,246 · median $16,727	3 plans
385	Inflammatory Bowel Disease With Mcc	$18,196 – $50,818 · median $34,507	3 plans
386	Inflammatory Bowel Disease With Cc	$11,543 – $29,072 · median $20,308	3 plans
387	Inflammatory Bowel Disease Without Cc/Mcc	$8,304 – $21,252 · median $14,778	3 plans
388	Gastrointestinal Obstruction With Mcc	$17,038 – $45,545 · median $31,292	3 plans
389	Gastrointestinal Obstruction With Cc	$9,495 – $25,635 · median $17,565	3 plans
390	Gastrointestinal Obstruction Without Cc/Mcc	$6,796 – $17,554 · median $12,175	3 plans
391	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	$14,749 – $32,490 · median $23,620	3 plans
392	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	$9,383 – $19,864 · median $14,623	3 plans
393	Other Digestive System Diagnoses With Mcc	$18,383 – $45,949 · median $32,166	3 plans
394	Other Digestive System Diagnoses With Cc	$11,097 – $27,152 · median $19,125	3 plans
395	Other Digestive System Diagnoses Without Cc/Mcc	$7,949 – $18,223 · median $13,086	3 plans
405	Pancreas, Liver And Shunt Procedures With Mcc	$60,888 – $156,821 · median $108,854	3 plans
406	Pancreas, Liver And Shunt Procedures With Cc	$32,667 – $72,906 · median $52,786	3 plans
407	Pancreas, Liver And Shunt Procedures Without Cc/Mcc	$25,194 – $50,906 · median $38,050	3 plans
408	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc	$39,973 – $110,268 · median $75,120	3 plans
409	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc	$24,729 – $63,423 · median $44,076	3 plans
410	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc	$18,256 – $41,815 · median $30,035	3 plans
411	Cholecystectomy With C.D.E. With Mcc	$37,093 – $98,264 · median $67,678	3 plans
412	Cholecystectomy With C.D.E. With Cc	$23,908 – $65,796 · median $44,852	3 plans
413	Cholecystectomy With C.D.E. Without Cc/Mcc	$19,055 – $47,756 · median $33,406	3 plans
414	Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc	$39,940 – $100,645 · median $70,292	3 plans
415	Cholecystectomy Except By Laparoscope Without C.D.E. With Cc	$23,515 – $56,611 · median $40,063	3 plans
416	Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc	$15,792 – $37,275 · median $26,533	3 plans
417	Laparoscopic Cholecystectomy Without C.D.E. With Mcc	$27,025 – $69,455 · median $48,240	3 plans
418	Laparoscopic Cholecystectomy Without C.D.E. With Cc	$19,396 – $46,385 · median $32,891	3 plans
419	Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc	$15,819 – $32,408 · median $24,114	3 plans
420	Hepatobiliary Diagnostic Procedures With Mcc	$38,232 – $104,538 · median $71,385	3 plans
421	Hepatobiliary Diagnostic Procedures With Cc	$19,900 – $52,343 · median $36,122	3 plans
422	Hepatobiliary Diagnostic Procedures Without Cc/Mcc	$16,189 – $33,807 · median $24,998	3 plans
423	Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc	$46,422 – $115,192 · median $80,807	3 plans
424	Other Hepatobiliary Or Pancreas O.R. Procedures With Cc	$24,846 – $66,964 · median $45,905	3 plans
425	Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc	$17,296 – $46,700 · median $31,998	3 plans
432	Cirrhosis And Alcoholic Hepatitis With Mcc	$22,433 – $45,913 · median $34,173	3 plans
433	Cirrhosis And Alcoholic Hepatitis With Cc	$12,420 – $25,852 · median $19,136	3 plans
434	Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc	$8,646 – $16,690 · median $12,668	3 plans
435	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	$20,990 – $49,240 · median $35,115	3 plans
436	Malignancy Of Hepatobiliary System Or Pancreas With Cc	$13,242 – $32,822 · median $23,032	3 plans
437	Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc	$10,192 – $25,536 · median $17,864	3 plans
438	Disorders Of Pancreas Except Malignancy With Mcc	$18,722 – $48,777 · median $33,750	3 plans
439	Disorders Of Pancreas Except Malignancy With Cc	$10,059 – $27,059 · median $18,559	3 plans
440	Disorders Of Pancreas Except Malignancy Without Cc/Mcc	$7,646 – $18,577 · median $13,111	3 plans
441	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	$20,528 – $51,772 · median $36,150	3 plans
442	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	$11,422 – $26,324 · median $18,873	3 plans
443	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc	$8,506 – $17,949 · median $13,227	3 plans
444	Disorders Of The Biliary Tract With Mcc	$19,169 – $44,119 · median $31,644	3 plans
445	Disorders Of The Biliary Tract With Cc	$12,839 – $29,292 · median $21,066	3 plans
446	Disorders Of The Biliary Tract Without Cc/Mcc	$9,907 – $19,811 · median $14,859	3 plans
456	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With	$93,091 – $269,251 · median $181,171	3 plans
457	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With	$66,297 – $173,987 · median $120,142	3 plans
458	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With	$46,637 – $138,710 · median $92,674	3 plans
461	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	$61,464 – $148,092 · median $104,778	3 plans
462	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	$30,029 – $91,510 · median $60,770	3 plans
463	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit	$63,402 – $138,362 · median $100,882	3 plans
464	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit	$35,022 – $81,358 · median $58,190	3 plans
465	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit	$20,847 – $47,748 · median $34,298	3 plans
466	Revision Of Hip Or Knee Replacement With Mcc	$57,977 – $136,644 · median $97,311	3 plans
467	Revision Of Hip Or Knee Replacement With Cc	$39,544 – $88,981 · median $64,263	3 plans
468	Revision Of Hip Or Knee Replacement Without Cc/Mcc	$30,996 – $70,500 · median $50,748	3 plans
469	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl	$34,127 – $94,415 · median $64,271	3 plans
470	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	$22,002 – $57,240 · median $39,621	3 plans
471	Cervical Spinal Fusion With Mcc	$53,841 – $124,662 · median $89,252	3 plans
472	Cervical Spinal Fusion With Cc	$33,171 – $76,552 · median $54,861	3 plans
473	Cervical Spinal Fusion Without Cc/Mcc	$27,628 – $57,091 · median $42,360	3 plans
474	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	$47,958 – $98,997 · median $73,477	3 plans
475	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	$25,810 – $54,118 · median $39,964	3 plans
476	Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc	$13,781 – $28,963 · median $21,372	3 plans
477	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	$38,754 – $94,904 · median $66,829	3 plans
478	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	$27,825 – $62,493 · median $45,159	3 plans
479	Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc	$21,233 – $46,160 · median $33,697	3 plans
480	Hip And Femur Procedures Except Major Joint With Mcc	$32,799 – $83,824 · median $58,312	3 plans
481	Hip And Femur Procedures Except Major Joint With Cc	$23,820 – $52,376 · median $38,098	3 plans
482	Hip And Femur Procedures Except Major Joint Without Cc/Mcc	$18,731 – $42,514 · median $30,623	3 plans
483	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	$31,258 – $65,870 · median $48,564	3 plans
485	Knee Procedures With Principal Diagnosis Of Infection With Mcc	$36,256 – $86,205 · median $61,230	3 plans
486	Knee Procedures With Principal Diagnosis Of Infection With Cc	$23,783 – $56,622 · median $40,203	3 plans
487	Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc	$18,020 – $40,942 · median $29,481	3 plans
488	Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc	$20,245 – $47,139 · median $33,692	3 plans
489	Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc	$13,085 – $33,697 · median $23,391	3 plans
492	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	$41,136 – $83,662 · median $62,399	3 plans
493	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	$28,669 – $51,493 · median $40,081	3 plans
494	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc	$22,854 – $37,083 · median $29,968	3 plans
495	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc	$40,632 – $79,528 · median $60,080	3 plans
496	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc	$20,629 – $44,997 · median $32,813	3 plans
497	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc	$14,090 – $29,923 · median $22,006	3 plans
498	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc	$33,947 – $55,679 · median $44,813	3 plans
499	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc	$22,945 – $25,819 · median $24,382	3 plans
500	Soft Tissue Procedures With Mcc	$35,572 – $86,948 · median $61,260	3 plans
501	Soft Tissue Procedures With Cc	$20,017 – $43,079 · median $31,548	3 plans
502	Soft Tissue Procedures Without Cc/Mcc	$15,601 – $28,455 · median $22,028	3 plans
503	Foot Procedures With Mcc	$31,469 – $63,154 · median $47,311	3 plans
504	Foot Procedures With Cc	$21,346 – $42,402 · median $31,874	3 plans
505	Foot Procedures Without Cc/Mcc	$20,508 – $30,990 · median $25,749	3 plans
506	Major Thumb Or Joint Procedures	$15,637 – $31,879 · median $23,758	3 plans
507	Major Shoulder Or Elbow Joint Procedures With Cc/Mcc	$20,657 – $51,380 · median $36,019	3 plans
508	Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc	$17,451 – $33,121 · median $25,286	3 plans
510	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	$33,988 – $61,738 · median $47,863	3 plans
511	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	$23,654 – $41,173 · median $32,414	3 plans
512	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc	$18,999 – $29,574 · median $24,287	3 plans
513	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc	$18,109 – $36,419 · median $27,264	3 plans
514	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc	$12,048 – $22,755 · median $17,401	3 plans
515	Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc	$35,815 – $88,704 · median $62,259	3 plans
516	Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc	$23,640 – $54,318 · median $38,979	3 plans
517	Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc	$17,696 – $42,673 · median $30,184	3 plans
533	Fractures Of Femur With Mcc	$18,036 – $44,297 · median $31,167	3 plans
534	Fractures Of Femur Without Mcc	$9,674 – $20,719 · median $15,197	3 plans
535	Fractures Of Hip And Pelvis With Mcc	$14,899 – $36,394 · median $25,647	3 plans
536	Fractures Of Hip And Pelvis Without Mcc	$9,690 – $19,905 · median $14,797	3 plans
537	Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc	$11,301 – $23,103 · median $17,202	3 plans
538	Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc	$8,732 – $17,200 · median $12,966	3 plans
539	Osteomyelitis With Mcc	$22,450 – $54,598 · median $38,524	3 plans
540	Osteomyelitis With Cc	$15,056 – $36,685 · median $25,870	3 plans
541	Osteomyelitis Without Cc/Mcc	$9,469 – $24,157 · median $16,813	3 plans
542	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc	$20,219 – $56,013 · median $38,116	3 plans
543	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc	$12,110 – $32,148 · median $22,129	3 plans
544	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc	$9,108 – $21,013 · median $15,061	3 plans
545	Connective Tissue Disorders With Mcc	$28,072 – $67,859 · median $47,965	3 plans
546	Connective Tissue Disorders With Cc	$13,487 – $32,504 · median $22,996	3 plans
547	Connective Tissue Disorders Without Cc/Mcc	$10,004 – $20,396 · median $15,200	3 plans
548	Septic Arthritis With Mcc	$22,024 – $51,740 · median $36,882	3 plans
549	Septic Arthritis With Cc	$14,078 – $34,016 · median $24,047	3 plans
550	Septic Arthritis Without Cc/Mcc	$10,420 – $20,198 · median $15,309	3 plans
551	Medical Back Problems With Mcc	$19,226 – $45,951 · median $32,589	3 plans
552	Medical Back Problems Without Mcc	$11,378 – $23,070 · median $17,224	3 plans
553	Bone Diseases And Arthropathies With Mcc	$15,056 – $32,652 · median $23,854	3 plans
554	Bone Diseases And Arthropathies Without Mcc	$9,937 – $19,186 · median $14,562	3 plans
555	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc	$15,336 – $32,436 · median $23,886	3 plans
556	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	$9,943 – $18,347 · median $14,145	3 plans
557	Tendonitis, Myositis And Bursitis With Mcc	$17,149 – $42,078 · median $29,613	3 plans
558	Tendonitis, Myositis And Bursitis Without Mcc	$10,630 – $24,631 · median $17,631	3 plans
559	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	$21,299 – $51,679 · median $36,489	3 plans
560	Aftercare, Musculoskeletal System And Connective Tissue With Cc	$13,187 – $28,074 · median $20,631	3 plans
561	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc	$9,650 – $16,744 · median $13,197	3 plans
562	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc	$16,467 – $38,416 · median $27,441	3 plans
563	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc	$10,655 – $20,278 · median $15,467	3 plans
564	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	$17,771 – $40,608 · median $29,190	3 plans
565	Other Musculoskeletal System And Connective Tissue Diagnoses With Cc	$11,522 – $26,055 · median $18,788	3 plans
566	Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc	$9,050 – $17,477 · median $13,264	3 plans
570	Skin Debridement With Mcc	$33,116 – $69,013 · median $51,065	3 plans
571	Skin Debridement With Cc	$19,373 – $42,319 · median $30,846	3 plans
572	Skin Debridement Without Cc/Mcc	$13,409 – $27,081 · median $20,245	3 plans
573	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	$72,756 – $93,952 · median $83,354	3 plans
574	Skin Graft For Skin Ulcer Or Cellulitis With Cc	$38,938 – $74,023 · median $56,480	3 plans
575	Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc	$20,554 – $33,662 · median $27,108	3 plans
576	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	$54,637 – $95,836 · median $75,237	3 plans
577	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	$29,927 – $49,701 · median $39,814	3 plans
578	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc	$18,461 – $29,308 · median $23,885	3 plans
579	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	$36,381 – $73,888 · median $55,135	3 plans
580	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	$19,796 – $40,602 · median $30,199	3 plans
581	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc	$16,668 – $26,052 · median $21,360	3 plans
582	Mastectomy For Malignancy With Cc/Mcc	$21,977 – $31,558 · median $26,767	3 plans
583	Mastectomy For Malignancy Without Cc/Mcc	$19,757 – $24,036 · median $21,896	3 plans
584	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc	$24,327 – $45,230 · median $34,779	3 plans
585	Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc	$22,004 – $30,186 · median $26,095	3 plans
592	Skin Ulcers With Mcc	$22,072 – $40,470 · median $31,271	3 plans
593	Skin Ulcers With Cc	$13,848 – $28,197 · median $21,023	3 plans
594	Skin Ulcers Without Cc/Mcc	$10,340 – $19,150 · median $14,745	3 plans
595	Major Skin Disorders With Mcc	$24,108 – $53,865 · median $38,987	3 plans
596	Major Skin Disorders Without Mcc	$12,709 – $24,480 · median $18,594	3 plans
597	Malignant Breast Disorders With Mcc	$19,127 – $45,510 · median $32,319	3 plans
598	Malignant Breast Disorders With Cc	$13,244 – $31,903 · median $22,574	3 plans
599	Malignant Breast Disorders Without Cc/Mcc	$9,271 – $18,648 · median $13,960	3 plans
600	Non-Malignant Breast Disorders With Cc/Mcc	$12,260 – $26,850 · median $19,555	3 plans
601	Non-Malignant Breast Disorders Without Cc/Mcc	$7,466 – $16,695 · median $12,080	3 plans
602	Cellulitis With Mcc	$16,429 – $40,042 · median $28,236	3 plans
603	Cellulitis Without Mcc	$10,385 – $23,164 · median $16,774	3 plans
604	Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc	$16,986 – $35,730 · median $26,358	3 plans
605	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	$10,881 – $20,267 · median $15,574	3 plans
606	Minor Skin Disorders With Mcc	$17,438 – $37,308 · median $27,373	3 plans
607	Minor Skin Disorders Without Mcc	$10,775 – $19,071 · median $14,923	3 plans
614	Adrenal And Pituitary Procedures With Cc/Mcc	$24,889 – $67,428 · median $46,158	3 plans
615	Adrenal And Pituitary Procedures Without Cc/Mcc	$16,187 – $39,280 · median $27,733	3 plans
616	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc	$39,114 – $120,517 · median $79,815	3 plans
617	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc	$21,359 – $55,380 · median $38,369	3 plans
618	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc	$16,396 – $31,865 · median $24,130	3 plans
619	O.R. Procedures For Obesity With Mcc	$32,526 – $95,883 · median $64,205	3 plans
620	O.R. Procedures For Obesity With Cc	$18,394 – $50,431 · median $34,412	3 plans
621	O.R. Procedures For Obesity Without Cc/Mcc	$17,385 – $40,695 · median $29,040	3 plans
622	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc	$39,902 – $105,172 · median $72,537	3 plans
623	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc	$20,520 – $50,864 · median $35,692	3 plans
624	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc	$14,569 – $27,336 · median $20,952	3 plans
625	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	$33,983 – $61,961 · median $47,972	3 plans
626	Thyroid, Parathyroid And Thyroglossal Procedures With Cc	$17,286 – $32,046 · median $24,666	3 plans
627	Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc	$15,407 – $21,968 · median $18,688	3 plans
628	Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc	$41,743 – $89,225 · median $65,484	3 plans
629	Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc	$24,746 – $60,562 · median $42,654	3 plans
630	Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc	$16,848 – $36,013 · median $26,430	3 plans
637	Diabetes With Mcc	$16,598 – $39,497 · median $28,047	3 plans
638	Diabetes With Cc	$10,663 – $22,404 · median $16,533	3 plans
639	Diabetes Without Cc/Mcc	$7,644 – $15,096 · median $11,370	3 plans
640	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc	$15,488 – $30,518 · median $23,003	3 plans
641	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc	$9,368 – $19,169 · median $14,268	3 plans
642	Inborn And Other Disorders Of Metabolism	$16,437 – $30,757 · median $23,597	3 plans
643	Endocrine Disorders With Mcc	$18,897 – $46,791 · median $32,844	3 plans
644	Endocrine Disorders With Cc	$12,077 – $29,031 · median $20,554	3 plans
645	Endocrine Disorders Without Cc/Mcc	$9,259 – $19,894 · median $14,576	3 plans
652	Kidney Transplant	$36,282 – $83,687 · median $59,985	3 plans
653	Major Bladder Procedures With Mcc	$57,878 – $162,532 · median $110,205	3 plans
654	Major Bladder Procedures With Cc	$31,559 – $83,854 · median $57,706	3 plans
655	Major Bladder Procedures Without Cc/Mcc	$24,063 – $54,683 · median $39,373	3 plans
656	Kidney And Ureter Procedures For Neoplasm With Mcc	$35,781 – $99,740 · median $67,760	3 plans
657	Kidney And Ureter Procedures For Neoplasm With Cc	$20,916 – $55,212 · median $38,064	3 plans
658	Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc	$17,861 – $40,320 · median $29,091	3 plans
659	Kidney And Ureter Procedures For Non-Neoplasm With Mcc	$28,722 – $95,008 · median $61,865	3 plans
660	Kidney And Ureter Procedures For Non-Neoplasm With Cc	$15,335 – $51,712 · median $33,524	3 plans
661	Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc	$12,192 – $35,716 · median $23,954	3 plans
662	Minor Bladder Procedures With Mcc	$34,438 – $81,564 · median $58,001	3 plans
663	Minor Bladder Procedures With Cc	$17,515 – $40,575 · median $29,045	3 plans
664	Minor Bladder Procedures Without Cc/Mcc	$12,318 – $30,913 · median $21,615	3 plans
665	Prostatectomy With Mcc	$35,093 – $92,652 · median $63,872	3 plans
666	Prostatectomy With Cc	$20,030 – $43,628 · median $31,829	3 plans
667	Prostatectomy Without Cc/Mcc	$12,969 – $22,297 · median $17,633	3 plans
668	Transurethral Procedures With Mcc	$32,884 – $69,985 · median $51,434	3 plans
669	Transurethral Procedures With Cc	$17,864 – $34,844 · median $26,354	3 plans
670	Transurethral Procedures Without Cc/Mcc	$11,554 – $21,413 · median $16,484	3 plans
671	Urethral Procedures With Cc/Mcc	$20,532 – $40,599 · median $30,566	3 plans
672	Urethral Procedures Without Cc/Mcc	$12,676 – $23,161 · median $17,918	3 plans
673	Other Kidney And Urinary Tract Procedures With Mcc	$46,956 – $81,953 · median $64,454	3 plans
674	Other Kidney And Urinary Tract Procedures With Cc	$26,500 – $58,534 · median $42,517	3 plans
675	Other Kidney And Urinary Tract Procedures Without Cc/Mcc	$18,845 – $36,827 · median $27,836	3 plans
682	Renal Failure With Mcc	$17,084 – $45,016 · median $31,050	3 plans
683	Renal Failure With Cc	$10,439 – $27,934 · median $19,187	3 plans
684	Renal Failure Without Cc/Mcc	$7,414 – $17,581 · median $12,498	3 plans
686	Kidney And Urinary Tract Neoplasms With Mcc	$20,627 – $48,815 · median $34,721	3 plans
687	Kidney And Urinary Tract Neoplasms With Cc	$12,328 – $28,688 · median $20,508	3 plans
688	Kidney And Urinary Tract Neoplasms Without Cc/Mcc	$9,500 – $17,781 · median $13,641	3 plans
689	Kidney And Urinary Tract Infections With Mcc	$13,563 – $32,910 · median $23,237	3 plans
690	Kidney And Urinary Tract Infections Without Mcc	$9,711 – $21,589 · median $15,650	3 plans
693	Urinary Stones With Mcc	$15,585 – $37,047 · median $26,316	3 plans
694	Urinary Stones Without Mcc	$9,406 – $19,449 · median $14,428	3 plans
695	Kidney And Urinary Tract Signs And Symptoms With Mcc	$13,382 – $34,586 · median $23,984	3 plans
696	Kidney And Urinary Tract Signs And Symptoms Without Mcc	$8,388 – $17,691 · median $13,040	3 plans
697	Urethral Stricture	$12,657 – $22,217 · median $17,437	3 plans
698	Other Kidney And Urinary Tract Diagnoses With Mcc	$18,988 – $44,072 · median $31,530	3 plans
699	Other Kidney And Urinary Tract Diagnoses With Cc	$11,968 – $27,427 · median $19,697	3 plans
700	Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc	$8,398 – $18,607 · median $13,503	3 plans
707	Major Male Pelvic Procedures With Cc/Mcc	$22,786 – $50,061 · median $36,423	3 plans
708	Major Male Pelvic Procedures Without Cc/Mcc	$17,668 – $34,995 · median $26,332	3 plans
709	Penis Procedures With Cc/Mcc	$26,374 – $52,941 · median $39,658	3 plans
710	Penis Procedures Without Cc/Mcc	$16,208 – $34,674 · median $25,441	3 plans
711	Testes Procedures With Cc/Mcc	$23,703 – $52,060 · median $37,882	3 plans
712	Testes Procedures Without Cc/Mcc	$12,898 – $21,674 · median $17,286	3 plans
713	Transurethral Prostatectomy With Cc/Mcc	$17,330 – $33,072 · median $25,201	3 plans
714	Transurethral Prostatectomy Without Cc/Mcc	$12,433 – $18,407 · median $15,420	3 plans
715	Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc	$25,388 – $48,160 · median $36,774	3 plans
716	Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc	$16,974 – $23,877 · median $20,426	3 plans
717	Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc	$21,580 – $44,846 · median $33,213	3 plans
718	Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc	$15,570 – $22,346 · median $18,958	3 plans
722	Malignancy, Male Reproductive System With Mcc	$20,693 – $43,162 · median $31,927	3 plans
723	Malignancy, Male Reproductive System With Cc	$13,370 – $27,920 · median $20,645	3 plans
724	Malignancy, Male Reproductive System Without Cc/Mcc	$8,022 – $18,445 · median $13,234	3 plans
725	Benign Prostatic Hypertrophy With Mcc	$13,672 – $34,172 · median $23,922	3 plans
726	Benign Prostatic Hypertrophy Without Mcc	$8,750 – $19,968 · median $14,359	3 plans
727	Inflammation Of The Male Reproductive System With Mcc	$17,105 – $39,074 · median $28,090	3 plans
728	Inflammation Of The Male Reproductive System Without Mcc	$9,730 – $21,529 · median $15,629	3 plans
729	Other Male Reproductive System Diagnoses With Cc/Mcc	$12,447 – $29,909 · median $21,178	3 plans
730	Other Male Reproductive System Diagnoses Without Cc/Mcc	$8,201 – $17,161 · median $12,681	3 plans
734	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc	$24,210 – $67,532 · median $45,871	3 plans
735	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc	$15,596 – $33,489 · median $24,543	3 plans
736	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	$40,070 – $124,201 · median $82,136	3 plans
737	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	$23,448 – $55,470 · median $39,459	3 plans
738	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc	$16,947 – $33,385 · median $25,166	3 plans
739	Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc	$40,161 – $92,369 · median $66,265	3 plans
740	Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc	$20,692 – $42,330 · median $31,511	3 plans
741	Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc	$16,481 – $30,727 · median $23,604	3 plans
742	Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc	$20,969 – $39,124 · median $30,046	3 plans
743	Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	$14,446 – $25,528 · median $19,987	3 plans
744	D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc	$23,322 – $40,558 · median $31,940	3 plans
745	D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc	$13,313 – $21,825 · median $17,569	3 plans
746	Vagina, Cervix And Vulva Procedures With Cc/Mcc	$19,896 – $35,642 · median $27,769	3 plans
747	Vagina, Cervix And Vulva Procedures Without Cc/Mcc	$10,262 – $24,793 · median $17,528	3 plans
748	Female Reproductive System Reconstructive Procedures	$16,055 – $25,915 · median $20,985	3 plans
749	Other Female Reproductive System O.R. Procedures With Cc/Mcc	$29,015 – $69,356 · median $49,186	3 plans
750	Other Female Reproductive System O.R. Procedures Without Cc/Mcc	$17,027 – $29,624 · median $23,325	3 plans
754	Malignancy, Female Reproductive System With Mcc	$21,045 – $56,269 · median $38,657	3 plans
755	Malignancy, Female Reproductive System With Cc	$12,767 – $31,711 · median $22,239	3 plans
756	Malignancy, Female Reproductive System Without Cc/Mcc	$11,369 – $17,013 · median $14,191	3 plans
757	Infections, Female Reproductive System With Mcc	$16,545 – $42,753 · median $29,649	3 plans
758	Infections, Female Reproductive System With Cc	$11,572 – $29,234 · median $20,403	3 plans
759	Infections, Female Reproductive System Without Cc/Mcc	$8,109 – $20,091 · median $14,100	3 plans
760	Menstrual And Other Female Reproductive System Disorders With Cc/Mcc	$11,885 – $21,649 · median $16,767	3 plans
761	Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc	$7,087 – $14,127 · median $10,607	3 plans
768	Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C	$12,589 – $26,486 · median $19,537	3 plans
769	Postpartum And Post Abortion Diagnoses With O.R. Procedures	$19,377 – $38,915 · median $29,146	3 plans
770	Abortion With D&C, Aspiration Curettage Or Hysterotomy	$11,832 – $16,092 · median $13,962	3 plans
776	Postpartum And Post Abortion Diagnoses Without O.R. Procedures	$8,012 – $12,117 · median $10,064	3 plans
779	Abortion Without D&C	$9,088 – $10,060 · median $9,574	3 plans
799	Splenic Procedures With Mcc	$50,549 – $137,711 · median $94,130	3 plans
800	Splenic Procedures With Cc	$31,670 – $69,609 · median $50,639	3 plans
801	Splenic Procedures Without Cc/Mcc	$21,782 – $41,527 · median $31,654	3 plans
802	Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc	$44,568 – $95,123 · median $69,845	3 plans
803	Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc	$21,233 – $47,394 · median $34,314	3 plans
804	Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc	$15,712 – $28,236 · median $21,974	3 plans
808	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders	$25,065 – $57,352 · median $41,209	3 plans
809	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders	$14,722 – $33,231 · median $23,977	3 plans
810	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders	$12,314 – $23,915 · median $18,115	3 plans
811	Red Blood Cell Disorders With Mcc	$16,242 – $33,418 · median $24,830	3 plans
812	Red Blood Cell Disorders Without Mcc	$10,905 – $21,726 · median $16,315	3 plans
813	Coagulation Disorders	$17,571 – $41,417 · median $29,494	3 plans
814	Reticuloendothelial And Immunity Disorders With Mcc	$24,174 – $46,001 · median $35,087	3 plans
815	Reticuloendothelial And Immunity Disorders With Cc	$11,957 – $26,914 · median $19,435	3 plans
816	Reticuloendothelial And Immunity Disorders Without Cc/Mcc	$7,762 – $19,715 · median $13,739	3 plans
820	Lymphoma And Leukemia With Major O.R. Procedures With Mcc	$65,217 – $166,559 · median $115,888	3 plans
821	Lymphoma And Leukemia With Major O.R. Procedures With Cc	$25,402 – $64,921 · median $45,161	3 plans
822	Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc	$14,043 – $33,420 · median $23,732	3 plans
823	Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc	$51,163 – $122,341 · median $86,752	3 plans
824	Lymphoma And Non-Acute Leukemia With Other Procedures With Cc	$25,699 – $63,623 · median $44,661	3 plans
825	Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc	$15,639 – $35,009 · median $25,324	3 plans
826	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc	$52,184 – $138,633 · median $95,409	3 plans
827	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc	$26,200 – $62,155 · median $44,177	3 plans
828	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C	$19,530 – $35,887 · median $27,708	3 plans
829	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc	$35,519 – $78,346 · median $56,932	3 plans
830	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc	$17,348 – $31,865 · median $24,606	3 plans
834	Acute Leukemia With Mcc	$61,101 – $147,052 · median $104,076	3 plans
835	Acute Leukemia With Cc	$23,725 – $64,849 · median $44,287	3 plans
836	Acute Leukemia Without Cc/Mcc	$14,213 – $30,085 · median $22,149	3 plans
837	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc	$53,573 – $178,459 · median $116,016	3 plans
838	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent	$23,742 – $89,672 · median $56,707	3 plans
839	Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc	$16,677 – $34,627 · median $25,652	3 plans
840	Lymphoma And Non-Acute Leukemia With Mcc	$36,342 – $83,256 · median $59,799	3 plans
841	Lymphoma And Non-Acute Leukemia With Cc	$18,735 – $44,829 · median $31,782	3 plans
842	Lymphoma And Non-Acute Leukemia Without Cc/Mcc	$11,917 – $27,797 · median $19,857	3 plans
843	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc	$22,726 – $51,844 · median $37,285	3 plans
844	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc	$14,190 – $32,233 · median $23,211	3 plans
845	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc	$10,173 – $21,852 · median $16,013	3 plans
846	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	$29,288 – $62,690 · median $45,989	3 plans
847	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc	$15,187 – $27,833 · median $21,510	3 plans
848	Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc	$10,149 – $20,966 · median $15,558	3 plans
849	Radiotherapy	$30,573 – $36,010 · median $33,291	3 plans
853	Infectious And Parasitic Diseases With O.R. Procedures With Mcc	$55,048 – $149,965 · median $102,507	3 plans
854	Infectious And Parasitic Diseases With O.R. Procedures With Cc	$22,762 – $72,835 · median $47,798	3 plans
855	Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc	$17,262 – $43,913 · median $30,588	3 plans
856	Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc	$50,767 – $136,030 · median $93,398	3 plans
857	Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc	$24,336 – $56,856 · median $40,596	3 plans
858	Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc	$16,117 – $36,243 · median $26,180	3 plans
862	Postoperative And Post-Traumatic Infections With Mcc	$20,847 – $52,733 · median $36,790	3 plans
863	Postoperative And Post-Traumatic Infections Without Mcc	$11,780 – $27,276 · median $19,528	3 plans
864	Fever And Inflammatory Conditions	$10,570 – $22,870 · median $16,720	3 plans
865	Viral Illness With Mcc	$17,274 – $43,367 · median $30,321	3 plans
866	Viral Illness Without Mcc	$10,371 – $20,426 · median $15,398	3 plans
867	Other Infectious And Parasitic Diseases Diagnoses With Mcc	$23,806 – $70,015 · median $46,910	3 plans
868	Other Infectious And Parasitic Diseases Diagnoses With Cc	$12,144 – $29,670 · median $20,907	3 plans
869	Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc	$8,835 – $18,445 · median $13,640	3 plans
870	Septicemia Or Severe Sepsis With Mv >96 Hours	$76,713 – $160,036 · median $118,374	3 plans
871	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	$22,151 – $52,368 · median $37,259	3 plans
872	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	$12,059 – $31,105 · median $21,582	3 plans
876	O.R. Procedures With Principal Diagnosis Of Mental Illness	$43,259 – $77,685 · median $60,472	3 plans
880	Acute Adjustment Reaction And Psychosocial Dysfunction	$11,366 – $17,384 · median $14,375	3 plans
881	Depressive Neuroses	$11,154 – $16,887 · median $14,021	3 plans
882	Neuroses Except Depressive	$12,613 – $18,012 · median $15,312	3 plans
883	Disorders Of Personality And Impulse Control	$22,413 – $32,545 · median $27,479	3 plans
884	Organic Disturbances And Intellectual Disability	$18,488 – $26,140 · median $22,314	3 plans
885	Psychoses	$16,160 – $25,262 · median $20,711	3 plans
886	Behavioral And Developmental Disorders	$20,481 – $23,609 · median $22,045	3 plans
887	Other Mental Disorder Diagnoses	$12,581 – $22,464 · median $17,523	3 plans
894	Alcohol, Drug Abuse Or Dependence, Left Ama	$7,596 – $11,807 · median $9,702	3 plans
895	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	$16,366 – $30,044 · median $23,205	3 plans
896	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	$19,984 – $39,927 · median $29,956	3 plans
897	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	$10,516 – $18,344 · median $14,430	3 plans
901	Wound Debridements For Injuries With Mcc	$46,901 – $112,554 · median $79,727	3 plans
902	Wound Debridements For Injuries With Cc	$21,844 – $49,208 · median $35,526	3 plans
903	Wound Debridements For Injuries Without Cc/Mcc	$13,665 – $28,974 · median $21,319	3 plans
904	Skin Grafts For Injuries With Cc/Mcc	$41,153 – $85,196 · median $63,174	3 plans
905	Skin Grafts For Injuries Without Cc/Mcc	$17,110 – $32,101 · median $24,606	3 plans
906	Hand Procedures For Injuries	$22,391 – $28,985 · median $25,688	3 plans
907	Other O.R. Procedures For Injuries With Mcc	$42,978 – $108,798 · median $75,888	3 plans
908	Other O.R. Procedures For Injuries With Cc	$22,730 – $52,938 · median $37,834	3 plans
909	Other O.R. Procedures For Injuries Without Cc/Mcc	$15,236 – $31,854 · median $23,545	3 plans
913	Traumatic Injury With Mcc	$18,771 – $34,175 · median $26,473	3 plans
914	Traumatic Injury Without Mcc	$10,546 – $19,468 · median $15,007	3 plans
915	Allergic Reactions With Mcc	$19,287 – $40,051 · median $29,669	3 plans
916	Allergic Reactions Without Mcc	$8,139 – $13,266 · median $10,703	3 plans
917	Poisoning And Toxic Effects Of Drugs With Mcc	$18,044 – $41,085 · median $29,564	3 plans
918	Poisoning And Toxic Effects Of Drugs Without Mcc	$10,234 – $17,085 · median $13,659	3 plans
919	Complications Of Treatment With Mcc	$20,925 – $44,665 · median $32,795	3 plans
920	Complications Of Treatment With Cc	$11,828 – $26,414 · median $19,121	3 plans
921	Complications Of Treatment Without Cc/Mcc	$8,382 – $17,370 · median $12,876	3 plans
922	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	$20,031 – $40,457 · median $30,244	3 plans
923	Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc	$11,997 – $18,492 · median $15,245	3 plans
927	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	$235,247 – $332,018 · median $283,632	3 plans
928	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc	$79,578 – $134,167 · median $106,872	3 plans
929	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc	$36,187 – $59,744 · median $47,965	3 plans
933	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	$43,581 – $62,682 · median $53,131	3 plans
934	Full Thickness Burn Without Skin Graft Or Inhalation Injury	$25,095 – $38,399 · median $31,747	3 plans
935	Non-Extensive Burns	$23,441 – $34,488 · median $28,964	3 plans
939	O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	$40,663 – $84,096 · median $62,379	3 plans
940	O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc	$26,482 – $48,494 · median $37,488	3 plans
941	O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc	$23,087 – $31,525 · median $27,306	3 plans
945	Rehabilitation With Cc/Mcc	$17,826 – $36,517 · median $27,172	3 plans
946	Rehabilitation Without Cc/Mcc	$13,415 – $35,357 · median $24,386	3 plans
947	Signs And Symptoms With Mcc	$14,761 – $31,023 · median $22,892	3 plans
948	Signs And Symptoms Without Mcc	$9,612 – $18,991 · median $14,302	3 plans
949	Aftercare With Cc/Mcc	$13,886 – $26,074 · median $19,980	3 plans
950	Aftercare Without Cc/Mcc	$7,715 – $14,196 · median $10,956	3 plans
951	Other Factors Influencing Health Status	$6,928 – $19,874 · median $13,401	3 plans
955	Craniotomy For Multiple Significant Trauma	$74,729 – $149,584 · median $112,157	3 plans
956	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	$42,140 – $99,639 · median $70,889	3 plans
957	Other O.R. Procedures For Multiple Significant Trauma With Mcc	$84,488 – $181,098 · median $132,793	3 plans
958	Other O.R. Procedures For Multiple Significant Trauma With Cc	$47,091 – $102,845 · median $74,968	3 plans
959	Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc	$33,149 – $67,787 · median $50,468	3 plans
963	Other Multiple Significant Trauma With Mcc	$30,840 – $77,616 · median $54,228	3 plans
964	Other Multiple Significant Trauma With Cc	$17,651 – $41,601 · median $29,626	3 plans
965	Other Multiple Significant Trauma Without Cc/Mcc	$11,150 – $27,745 · median $19,447	3 plans
969	Hiv With Extensive O.R. Procedures With Mcc	$68,034 – $154,053 · median $111,043	3 plans
970	Hiv With Extensive O.R. Procedures Without Mcc	$29,781 – $64,890 · median $47,336	3 plans
974	Hiv With Major Related Condition With Mcc	$32,511 – $74,239 · median $53,375	3 plans
975	Hiv With Major Related Condition With Cc	$15,042 – $36,910 · median $25,976	3 plans
976	Hiv With Major Related Condition Without Cc/Mcc	$10,734 – $23,726 · median $17,230	3 plans
977	Hiv With Or Without Other Related Condition	$15,072 – $29,580 · median $22,326	3 plans
981	Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc	$52,338 – $139,006 · median $95,672	3 plans
982	Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc	$27,817 – $80,518 · median $54,168	3 plans
983	Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc	$19,642 – $47,743 · median $33,693	3 plans
987	Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc	$38,466 – $93,376 · median $65,921	3 plans
988	Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc	$18,869 – $50,933 · median $34,901	3 plans
989	Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc	$13,990 – $29,031 · median $21,511	3 plans
018	Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies	$474,961 – $474,961 · median $474,961	2 plans
019	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	$79,159 – $79,159 · median $79,159	2 plans
140	Major Head And Neck Procedures With Mcc	$47,655 – $47,655 · median $47,655	2 plans
141	Major Head And Neck Procedures With Cc	$24,771 – $24,771 · median $24,771	2 plans
142	Major Head And Neck Procedures Without Cc/Mcc	$18,351 – $18,351 · median $18,351	2 plans
143	Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc	$41,960 – $41,960 · median $41,960	2 plans
144	Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc	$19,850 – $19,850 · median $19,850	2 plans
145	Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc	$14,024 – $14,024 · median $14,024	2 plans
173	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism	$33,503 – $33,503 · median $33,503	2 plans
209	Complex Aortic Arch Procedures	$125,101 – $125,101 · median $125,101	2 plans
212	Concomitant Aortic And Mitral Valve Procedures	$120,218 – $120,218 · median $120,218	2 plans
213	Endovascular Abdominal Aorta With Iliac Branch Procedures	$63,484 – $63,484 · median $63,484	2 plans
237	Major cardiovasc procedures w MCC	$96,429 – $140,509 · median $118,469	2 plans
238	Major cardiovasc procedures w/o MCC	$51,301 – $84,982 · median $68,141	2 plans
266	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	$68,112 – $185,878 · median $126,995	2 plans
267	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	$53,096 – $139,568 · median $96,332	2 plans
268	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	$76,341 – $106,609 · median $91,475	2 plans
269	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	$47,193 – $66,629 · median $56,911	2 plans
270	Other Major Cardiovascular Procedures With Mcc	$58,756 – $80,370 · median $69,563	2 plans
271	Other Major Cardiovascular Procedures With Cc	$39,870 – $53,342 · median $46,606	2 plans
272	Other Major Cardiovascular Procedures Without Cc/Mcc	$28,854 – $53,074 · median $40,964	2 plans
273	Percutaneous And Other Intracardiac Procedures With Mcc	$27,097 – $46,120 · median $36,609	2 plans
274	Percutaneous And Other Intracardiac Procedures Without Mcc	$27,097 – $36,965 · median $32,031	2 plans
275	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	$79,113 – $105,926 · median $92,520	2 plans
276	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	$66,774 – $110,834 · median $88,804	2 plans
277	Cardiac Defibrillator Implant Without Mcc	$51,533 – $80,995 · median $66,264	2 plans
278	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc	$47,500 – $61,939 · median $54,719	2 plans
279	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc	$32,247 – $40,421 · median $36,334	2 plans
317	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	$74,239 – $74,239 · median $74,239	2 plans
318	Percutaneous Coronary Atherectomy Without Intraluminal Device	$27,418 – $27,418 · median $27,418	2 plans
319	Other Endovascular Cardiac Valve Procedures With Mcc	$49,825 – $69,496 · median $59,660	2 plans
320	Other Endovascular Cardiac Valve Procedures Without Mcc	$27,233 – $39,787 · median $33,510	2 plans
321	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal	$25,510 – $30,697 · median $28,103	2 plans
322	Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc	$20,180 – $26,080 · median $23,130	2 plans
323	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	$48,337 – $48,337 · median $48,337	2 plans
324	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	$35,420 – $35,420 · median $35,420	2 plans
325	Coronary Intravascular Lithotripsy Without Intraluminal Device	$36,073 – $36,073 · median $36,073	2 plans
359	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	$38,578 – $38,578 · median $38,578	2 plans
360	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	$27,332 – $27,332 · median $27,332	2 plans
397	Appendix Procedures With Mcc	$27,119 – $27,119 · median $27,119	2 plans
398	Appendix Procedures With Cc	$17,442 – $17,442 · median $17,442	2 plans
399	Appendix Procedures Without Cc/Mcc	$13,392 – $13,392 · median $13,392	2 plans
402	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	$44,967 – $44,967 · median $44,967	2 plans
426	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made	$121,834 – $121,834 · median $121,834	2 plans
427	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc	$80,082 – $80,082 · median $80,082	2 plans
428	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc	$62,551 – $62,551 · median $62,551	2 plans
429	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	$99,747 – $99,747 · median $99,747	2 plans
430	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	$64,145 – $64,145 · median $64,145	2 plans
447	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody	$74,186 – $74,186 · median $74,186	2 plans
448	Multiple Level Spinal Fusion Except Cervical Without Mcc	$47,386 – $47,386 · median $47,386	2 plans
450	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F	$59,341 – $59,341 · median $59,341	2 plans
451	Single Level Spinal Fusion Except Cervical Without Mcc	$36,292 – $36,292 · median $36,292	2 plans
518	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator	$41,858 – $41,858 · median $41,858	2 plans
519	Back And Neck Procedures Except Spinal Fusion With Cc	$22,785 – $22,785 · median $22,785	2 plans
520	Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc	$17,226 – $17,226 · median $17,226	2 plans
521	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	$32,337 – $32,337 · median $32,337	2 plans
522	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	$24,075 – $24,075 · median $24,075	2 plans
650	Kidney Transplant With Hemodialysis With Mcc	$52,443 – $52,443 · median $52,443	2 plans
651	Kidney Transplant With Hemodialysis Without Mcc	$41,512 – $41,512 · median $41,512	2 plans
783	Cesarean Section With Sterilization With Mcc	$27,780 – $27,780 · median $27,780	2 plans
784	Cesarean Section With Sterilization With Cc	$12,463 – $12,463 · median $12,463	2 plans
785	Cesarean Section With Sterilization Without Cc/Mcc	$11,339 – $11,339 · median $11,339	2 plans
786	Cesarean Section Without Sterilization With Mcc	$18,934 – $18,934 · median $18,934	2 plans
787	Cesarean Section Without Sterilization With Cc	$13,085 – $13,085 · median $13,085	2 plans
788	Cesarean Section Without Sterilization Without Cc/Mcc	$11,350 – $11,350 · median $11,350	2 plans
789	Neonates, Died Or Transferred To Another Acute Care Facility	$20,611 – $20,611 · median $20,611	2 plans
790	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	$66,081 – $66,081 · median $66,081	2 plans
791	Prematurity With Major Problems	$45,390 – $45,390 · median $45,390	2 plans
792	Prematurity Without Major Problems	$27,715 – $27,715 · median $27,715	2 plans
793	Full Term Neonate With Major Problems	$46,604 – $46,604 · median $46,604	2 plans
794	Neonate With Other Significant Problems	$17,028 – $17,028 · median $17,028	2 plans
795	Normal Newborn	$3,017 – $3,017 · median $3,017	2 plans
796	Vaginal Delivery With Sterilization And/Or D&C With Mcc	$13,636 – $13,636 · median $13,636	2 plans
797	Vaginal Delivery With Sterilization And/Or D&C With Cc	$11,807 – $11,807 · median $11,807	2 plans
798	Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc	$11,332 – $11,332 · median $11,332	2 plans
805	Vaginal Delivery Without Sterilization Or D&C With Mcc	$12,672 – $12,672 · median $12,672	2 plans
806	Vaginal Delivery Without Sterilization Or D&C With Cc	$9,102 – $9,102 · median $9,102	2 plans
807	Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc	$8,226 – $8,226 · median $8,226	2 plans
817	Other Antepartum Diagnoses With O.R. Procedures With Mcc	$25,875 – $25,875 · median $25,875	2 plans
818	Other Antepartum Diagnoses With O.R. Procedures With Cc	$13,551 – $13,551 · median $13,551	2 plans
819	Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc	$10,265 – $10,265 · median $10,265	2 plans
831	Other Antepartum Diagnoses Without O.R. Procedures With Mcc	$14,026 – $14,026 · median $14,026	2 plans
832	Other Antepartum Diagnoses Without O.R. Procedures With Cc	$8,746 – $8,746 · median $8,746	2 plans
833	Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc	$6,564 – $6,564 · median $6,564	2 plans
850	Acute Leukemia With Other Procedures	$95,903 – $95,903 · median $95,903	2 plans
077	Hypertensive Encephalopathy With Mcc	$45,501 – $45,501 · median $45,501	1 plans
078	Hypertensive Encephalopathy With Cc	$27,981 – $27,981 · median $27,981	1 plans
079	Hypertensive Encephalopathy Without Cc/Mcc	$19,800 – $19,800 · median $19,800	1 plans
129	Major Head & Neck Procedures W Cc/Mcc Or Major Device	$60,743 – $60,743 · median $60,743	1 plans
130	Major Head & Neck Procedures W/O Cc/Mcc	$32,529 – $32,529 · median $32,529	1 plans
131	Cranial/Facial Procedures W Cc/Mcc	$61,881 – $61,881 · median $61,881	1 plans
132	Cranial/Facial Procedures W/O Cc/Mcc	$32,847 – $32,847 · median $32,847	1 plans
133	Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc	$47,296 – $47,296 · median $47,296	1 plans
134	Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc	$23,926 – $23,926 · median $23,926	1 plans
222	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc	$238,129 – $238,129 · median $238,129	1 plans
223	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc	$173,669 – $173,669 · median $173,669	1 plans
224	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc	$211,649 – $211,649 · median $211,649	1 plans
225	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc	$163,251 – $163,251 · median $163,251	1 plans
226	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	$186,250 – $186,250 · median $186,250	1 plans
227	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	$141,275 – $141,275 · median $141,275	1 plans
230	Other cardiothoracic procedures w/o CC/MCC	$100,409 – $100,409 · median $100,409	1 plans
246	Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents	$87,034 – $87,034 · median $87,034	1 plans
247	Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc	$54,392 – $54,392 · median $54,392	1 plans
248	Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents	$80,639 – $80,639 · median $80,639	1 plans
249	Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc	$49,740 – $49,740 · median $49,740	1 plans
294	Deep Vein Thrombophlebitis With Cc/Mcc	$27,202 – $27,202 · median $27,202	1 plans
295	Deep Vein Thrombophlebitis Without Cc/Mcc	$19,180 – $19,180 · median $19,180	1 plans
338	Appendectomy With Complicated Principal Diagnosis With Mcc	$89,535 – $89,535 · median $89,535	1 plans
339	Appendectomy With Complicated Principal Diagnosis With Cc	$50,705 – $50,705 · median $50,705	1 plans
340	Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc	$33,763 – $33,763 · median $33,763	1 plans
341	Appendectomy Without Complicated Principal Diagnosis With Mcc	$64,657 – $64,657 · median $64,657	1 plans
342	Appendectomy Without Complicated Principal Diagnosis With Cc	$36,970 – $36,970 · median $36,970	1 plans
343	Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc	$26,299 – $26,299 · median $26,299	1 plans
453	Combined Anterior And Posterior Spinal Fusion With Mcc	$299,538 – $299,538 · median $299,538	1 plans
454	Combined Anterior And Posterior Spinal Fusion With Cc	$200,989 – $200,989 · median $200,989	1 plans
455	Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc	$154,851 – $154,851 · median $154,851	1 plans
459	Spinal Fusion Except Cervical With Mcc	$178,089 – $178,089 · median $178,089	1 plans
460	Spinal Fusion Except Cervical Without Mcc	$105,833 – $105,833 · median $105,833	1 plans
484	Major joint & limb reattachment proc of upper extremity w/o CC/MCC	$54,697 – $54,697 · median $54,697	1 plans
490	Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim	$49,342 – $49,342 · median $49,342	1 plans
491	Back & neck proc exc spinal fusion w/o CC/MCC	$27,616 – $27,616 · median $27,616	1 plans
509	Arthroscopy	$38,366 – $38,366 · median $38,366	1 plans
685	Admit For Renal Dialysis	$24,428 – $24,428 · median $24,428	1 plans
691	Urinary Stones W Esw Lithotripsy W Cc/Mcc	$41,941 – $41,941 · median $41,941	1 plans
692	Urinary Stones W Esw Lithotripsy W/O Cc/Mcc	$29,909 – $29,909 · median $29,909	1 plans
765	Cesarean Section W Cc/Mcc	$25,844 – $25,844 · median $25,844	1 plans
766	Cesarean Section W/O Cc/Mcc	$20,758 – $20,758 · median $20,758	1 plans
767	Vaginal Delivery W Sterilization &/Or D&C	$20,061 – $20,061 · median $20,061	1 plans
774	Vaginal Delivery W Complicating Diagnoses	$15,077 – $15,077 · median $15,077	1 plans
775	Vaginal Delivery W/O Complicating Diagnoses	$12,792 – $12,792 · median $12,792	1 plans
777	Ectopic Pregnancy	$22,349 – $22,349 · median $22,349	1 plans
778	Threatened Abortion	$10,142 – $10,142 · median $10,142	1 plans
780	False Labor	$4,205 – $4,205 · median $4,205	1 plans
781	Other Antepartum Diagnoses W Medical Complications	$12,111 – $12,111 · median $12,111	1 plans
782	Other Antepartum Diagnoses W/O Medical Complications	$8,910 – $8,910 · median $8,910	1 plans
984	Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc	$96,819 – $96,819 · median $96,819	1 plans
985	Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc	$58,266 – $58,266 · median $58,266	1 plans
986	Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc	$30,120 – $30,120 · median $30,120	1 plans

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