Good Samaritan Hospital (Acute Care) — Hospital Prices & Charges

Procedures published 808

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 808 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	$147,908 – $557,293 · median $196,641	20 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$75,007 – $266,767 · median $79,514	20 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$101,449 – $400,695 · median $148,935	20 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$61,787 – $271,888 · median $97,194	20 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$55,198 – $225,859 · median $72,348	20 plans
006	LIVER TRANSPLANT WITHOUT MCC	$26,076 – $95,224 · median $32,537	20 plans
007	LUNG TRANSPLANT	$57,733 – $241,705 · median $90,870	20 plans
008	SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT	$30,060 – $110,704 · median $39,327	20 plans
010	PANCREAS TRANSPLANT	$21,282 – $111,766 · median $50,351	20 plans
011	TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$26,461 – $102,271 · median $38,271	20 plans
012	TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$20,200 – $77,408 · median $29,583	20 plans
013	TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$12,981 – $56,000 · median $20,221	20 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$68,269 – $221,621 · median $84,328	20 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$36,853 – $120,471 · median $41,608	20 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$23,804 – $86,528 · median $38,118	20 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$55,215 – $184,205 · median $55,215	20 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$37,146 – $134,426 · median $37,146	20 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$22,295 – $86,298 · median $22,295	20 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$30,065 – $113,482 · median $40,209	20 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$21,498 – $78,186 · median $27,449	20 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$23,521 – $89,902 · median $31,904	20 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$16,302 – $59,865 · median $21,817	20 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$12,828 – $49,409 · median $17,703	20 plans
028	SPINAL PROCEDURES WITH MCC	$29,922 – $116,375 · median $42,160	20 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$17,165 – $67,668 · median $23,939	20 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$12,161 – $46,356 · median $15,403	20 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$23,414 – $81,596 · median $31,439	20 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$11,733 – $40,679 · median $14,953	20 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$9,104 – $33,630 · median $11,668	20 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$20,091 – $79,188 · median $27,160	20 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$12,322 – $45,219 · median $16,774	20 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$9,372 – $37,238 · median $13,632	20 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$17,360 – $66,785 · median $23,100	20 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$8,966 – $32,383 · median $11,386	20 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$6,055 – $22,823 · median $8,248	20 plans
040	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$21,091 – $75,010 · median $27,094	20 plans
041	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$12,693 – $46,294 · median $15,428	20 plans
042	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$9,893 – $36,624 · median $12,123	20 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$8,719 – $35,250 · median $12,710	20 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$5,171 – $20,251 · median $6,871	20 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$7,173 – $27,463 · median $10,714	20 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$5,277 – $19,964 · median $7,154	20 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$11,735 – $44,170 · median $16,301	20 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$6,481 – $25,770 · median $9,091	20 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$10,462 – $34,161 · median $11,995	20 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$5,837 – $22,641 · median $8,707	20 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$4,719 – $17,945 · median $6,454	20 plans
061	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$14,952 – $58,065 · median $19,346	20 plans
062	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$10,765 – $37,961 · median $12,330	20 plans
063	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$8,996 – $31,304 · median $9,850	20 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$10,035 – $39,046 · median $14,111	20 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$5,501 – $20,125 · median $7,089	20 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$3,838 – $13,830 · median $4,802	20 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$7,839 – $27,999 · median $10,306	20 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$4,835 – $17,893 · median $6,065	20 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$4,177 – $15,798 · median $5,605	20 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$8,954 – $34,139 · median $11,682	20 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$5,324 – $21,166 · median $7,199	20 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$3,953 – $15,286 · median $5,306	20 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$7,577 – $29,686 · median $11,257	20 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$5,289 – $20,267 · median $7,233	20 plans
075	VIRAL MENINGITIS WITH CC/MCC	$8,608 – $36,135 · median $13,455	20 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$4,831 – $19,549 · median $5,790	20 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$10,257 – $40,388 · median $12,701	20 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$4,705 – $17,790 · median $6,284	20 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$12,053 – $44,853 · median $16,038	20 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$7,015 – $26,694 · median $9,794	20 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$4,803 – $18,147 · median $6,707	20 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$12,020 – $46,247 · median $15,942	20 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$6,625 – $25,734 · median $9,141	20 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$4,492 – $17,274 · median $6,418	20 plans
088	CONCUSSION WITH MCC	$7,435 – $31,211 · median $9,485	20 plans
089	CONCUSSION WITH CC	$5,279 – $23,120 · median $7,709	20 plans
090	CONCUSSION WITHOUT CC/MCC	$4,540 – $16,297 · median $5,776	20 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$8,377 – $34,203 · median $12,323	20 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$5,171 – $19,687 · median $7,178	20 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$4,074 – $15,143 · median $5,588	20 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$19,187 – $70,755 · median $24,695	20 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$12,884 – $50,625 · median $18,098	20 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$12,108 – $45,229 · median $18,098	20 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$19,140 – $76,986 · median $25,344	20 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$10,464 – $41,267 · median $16,103	20 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$6,864 – $27,690 · median $9,560	20 plans
100	SEIZURES WITH MCC	$9,742 – $38,036 · median $13,590	20 plans
101	SEIZURES WITHOUT MCC	$4,726 – $17,850 · median $6,333	20 plans
102	HEADACHES WITH MCC	$6,383 – $22,768 · median $7,865	20 plans
103	HEADACHES WITHOUT MCC	$4,279 – $16,484 · median $5,868	20 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$11,412 – $44,457 · median $16,497	20 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$6,374 – $25,795 · median $9,494	20 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$7,954 – $30,078 · median $10,770	20 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$10,121 – $37,353 · median $12,687	20 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$5,870 – $19,657 · median $7,613	20 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$6,786 – $24,261 · median $8,163	20 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$4,135 – $13,678 · median $5,514	20 plans
123	NEUROLOGICAL EYE DISORDERS	$4,179 – $15,717 · median $5,604	20 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$7,437 – $27,734 · median $9,284	20 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$4,225 – $17,070 · median $5,388	20 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$12,228 – $48,524 · median $15,227	20 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$6,369 – $22,974 · median $7,124	20 plans
137	MOUTH PROCEDURES WITH CC/MCC	$7,136 – $29,692 · median $10,478	20 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$4,611 – $17,509 · median $6,218	20 plans
139	SALIVARY GLAND PROCEDURES	$6,607 – $24,899 · median $8,671	20 plans
146	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC	$10,323 – $39,881 · median $14,858	20 plans
147	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC	$6,642 – $23,980 · median $8,922	20 plans
148	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$4,070 – $16,188 · median $5,593	20 plans
149	DYSEQUILIBRIUM	$3,910 – $14,949 · median $5,274	20 plans
150	EPISTAXIS WITH MCC	$6,913 – $27,310 · median $9,343	20 plans
151	EPISTAXIS WITHOUT MCC	$3,742 – $15,266 · median $5,150	20 plans
152	OTITIS MEDIA AND URI WITH MCC	$5,561 – $23,714 · median $8,295	20 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$3,781 – $13,672 · median $5,180	20 plans
154	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC	$7,691 – $29,757 · median $10,971	20 plans
155	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC	$4,823 – $18,202 · median $6,431	20 plans
156	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$3,503 – $13,498 · median $4,849	20 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$8,365 – $33,102 · median $12,047	20 plans
158	DENTAL AND ORAL DISEASES WITH CC	$4,638 – $18,396 · median $6,384	20 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$3,602 – $14,848 · median $4,971	20 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$26,086 – $95,905 · median $31,448	20 plans
164	MAJOR CHEST PROCEDURES WITH CC	$13,550 – $51,137 · median $17,711	20 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$9,898 – $38,153 · median $13,432	20 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$19,968 – $72,583 · median $26,227	20 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$10,247 – $37,642 · median $12,654	20 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$7,101 – $28,068 · median $9,588	20 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$7,731 – $27,657 · median $9,638	20 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$4,541 – $16,188 · median $5,649	20 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$10,123 – $35,242 · median $10,965	20 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$6,655 – $21,523 · median $6,848	20 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$4,636 – $15,551 · median $5,298	20 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$9,232 – $33,539 · median $12,392	20 plans
181	RESPIRATORY NEOPLASMS WITH CC	$6,166 – $22,447 · median $7,515	20 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$4,511 – $17,573 · median $5,289	20 plans
183	MAJOR CHEST TRAUMA WITH MCC	$8,078 – $29,744 · median $10,735	20 plans
184	MAJOR CHEST TRAUMA WITH CC	$5,450 – $20,695 · median $7,467	20 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$3,929 – $14,949 · median $5,519	20 plans
186	PLEURAL EFFUSION WITH MCC	$8,258 – $30,231 · median $10,936	20 plans
187	PLEURAL EFFUSION WITH CC	$5,502 – $20,709 · median $6,940	20 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$3,912 – $14,335 · median $5,033	20 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$6,507 – $23,899 · median $8,669	20 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$6,123 – $21,493 · median $7,773	20 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$4,779 – $17,111 · median $5,915	20 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$3,796 – $12,912 · median $4,505	20 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$7,137 – $25,714 · median $9,223	20 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$4,756 – $16,636 · median $5,655	20 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$3,651 – $12,708 · median $4,410	20 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$8,967 – $34,406 · median $13,242	20 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$5,468 – $19,475 · median $6,660	20 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$4,041 – $14,076 · median $5,026	20 plans
199	PNEUMOTHORAX WITH MCC	$9,603 – $34,820 · median $12,379	20 plans
200	PNEUMOTHORAX WITH CC	$5,792 – $21,226 · median $7,714	20 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$3,843 – $14,412 · median $5,018	20 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$5,074 – $18,331 · median $6,815	20 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$3,714 – $13,209 · median $4,701	20 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$4,349 – $16,026 · median $5,665	20 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$8,747 – $35,264 · median $12,848	20 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$4,670 – $17,689 · median $6,604	20 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$30,699 – $130,005 · median $45,152	20 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$13,296 – $51,482 · median $19,287	20 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$68,972 – $204,003 · median $69,867	20 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$53,751 – $192,890 · median $68,645	20 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$35,602 – $125,706 · median $46,138	20 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$28,911 – $117,586 · median $46,138	20 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$41,964 – $160,940 · median $53,878	20 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$28,399 – $107,615 · median $37,420	20 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$24,601 – $93,686 · median $35,367	20 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$33,647 – $97,580 · median $34,715	20 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$21,971 – $65,358 · median $22,100	20 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$43,951 – $166,185 · median $59,152	20 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$32,042 – $115,984 · median $42,541	20 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC	$41,582 – $153,349 · median $53,646	20 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC	$27,866 – $102,689 · median $38,331	20 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$31,497 – $118,602 · median $41,179	20 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$21,565 – $80,752 · median $29,392	20 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$24,994 – $92,072 · median $34,535	20 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$14,773 – $53,741 · median $20,002	20 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$8,116 – $30,668 · median $9,714	20 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$19,863 – $68,775 · median $22,404	20 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$13,538 – $46,411 · median $14,952	20 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$11,108 – $37,642 · median $12,683	20 plans
245	AICD GENERATOR PROCEDURES	$27,874 – $96,545 · median $32,014	20 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$13,649 – $47,910 · median $15,314	20 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$9,008 – $32,181 · median $10,487	20 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$17,558 – $66,197 · median $24,477	20 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$13,952 – $52,945 · median $18,213	20 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$9,742 – $36,204 · median $12,502	20 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$14,182 – $50,799 · median $18,927	20 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$9,187 – $32,318 · median $11,914	20 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$6,072 – $20,764 · median $7,664	20 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$16,371 – $56,456 · median $22,048	20 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$11,147 – $39,483 · median $14,189	20 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$19,802 – $69,272 · median $22,825	20 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$10,429 – $37,834 · median $13,265	20 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$8,979 – $33,201 · median $11,437	20 plans
263	VEIN LIGATION AND STRIPPING	$12,627 – $55,163 · median $21,453	20 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$17,331 – $65,532 · median $23,441	20 plans
265	AICD LEAD PROCEDURES	$16,707 – $66,966 · median $25,389	20 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC	$38,117 – $130,694 · median $43,002	20 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC	$30,378 – $102,180 · median $33,406	20 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$36,303 – $137,032 · median $48,261	20 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$22,836 – $84,671 · median $29,634	20 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$27,352 – $101,229 · median $37,023	20 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$18,990 – $68,979 · median $24,954	20 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$13,923 – $51,409 · median $17,914	20 plans
273	PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC	$19,859 – $79,457 · median $28,948	20 plans
274	PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC	$16,913 – $66,518 · median $23,098	20 plans
280	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC	$8,729 – $31,807 · median $11,256	20 plans
281	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC	$5,185 – $18,188 · median $6,449	20 plans
282	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC	$3,950 – $14,191 · median $5,074	20 plans
283	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC	$9,633 – $37,988 · median $13,899	20 plans
284	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC	$3,882 – $14,561 · median $4,857	20 plans
285	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC	$2,771 – $10,728 · median $4,202	20 plans
286	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC	$11,761 – $41,996 · median $15,527	20 plans
287	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC	$6,167 – $21,784 · median $7,509	20 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$14,224 – $53,391 · median $18,989	20 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$8,905 – $31,821 · median $11,977	20 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$5,356 – $23,873 · median $6,524	20 plans
291	HEART FAILURE AND SHOCK WITH MCC	$7,203 – $25,340 · median $9,008	20 plans
292	HEART FAILURE AND SHOCK WITH CC	$4,847 – $17,083 · median $5,957	20 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$3,507 – $11,094 · median $3,972	20 plans
296	CARDIAC ARREST- UNEXPLAINED WITH MCC	$8,405 – $32,438 · median $10,960	20 plans
297	CARDIAC ARREST- UNEXPLAINED WITH CC	$3,870 – $12,599 · median $4,449	20 plans
298	CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC	$2,693 – $9,672 · median $3,193	20 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$7,759 – $30,452 · median $11,456	20 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$5,500 – $20,416 · median $7,491	20 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$3,885 – $14,181 · median $5,050	20 plans
302	ATHEROSCLEROSIS WITH MCC	$5,900 – $23,875 · median $8,396	20 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$3,617 – $13,387 · median $4,724	20 plans
304	HYPERTENSION WITH MCC	$5,842 – $21,752 · median $8,350	20 plans
305	HYPERTENSION WITHOUT MCC	$3,915 – $14,763 · median $5,298	20 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$7,571 – $29,221 · median $11,057	20 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$4,722 – $18,046 · median $6,408	20 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$6,357 – $23,217 · median $8,448	20 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$4,048 – $14,604 · median $5,162	20 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$2,994 – $10,914 · median $3,972	20 plans
311	ANGINA PECTORIS	$3,666 – $13,228 · median $4,925	20 plans
312	SYNCOPE AND COLLAPSE	$4,371 – $16,883 · median $6,116	20 plans
313	CHEST PAIN	$3,829 – $14,323 · median $5,052	20 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$10,863 – $41,235 · median $14,632	20 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$5,194 – $19,176 · median $6,759	20 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,973 – $13,504 · median $4,786	20 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$21,949 – $85,271 · median $31,316	20 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$12,566 – $48,934 · median $16,878	20 plans
326	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$28,210 – $101,352 · median $34,996	20 plans
327	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$13,771 – $50,714 · median $17,151	20 plans
328	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$8,430 – $32,822 · median $11,243	20 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$26,265 – $91,541 · median $32,253	20 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$13,525 – $48,617 · median $16,821	20 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$9,041 – $33,834 · median $11,809	20 plans
332	RECTAL RESECTION WITH MCC	$18,690 – $80,394 · median $25,406	20 plans
333	RECTAL RESECTION WITH CC	$12,114 – $44,215 · median $16,435	20 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$8,244 – $33,947 · median $11,493	20 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$21,651 – $72,939 · median $25,057	20 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$12,130 – $42,115 · median $14,797	20 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$8,776 – $31,195 · median $10,771	20 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$16,031 – $52,124 · median $18,123	20 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$8,742 – $30,720 · median $10,558	20 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$6,866 – $24,764 · median $8,323	20 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$14,111 – $50,256 · median $16,108	20 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$7,543 – $27,344 · median $9,184	20 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$5,250 – $19,745 · median $6,109	20 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$13,056 – $46,669 · median $17,485	20 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$7,805 – $29,110 · median $10,697	20 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$5,763 – $21,822 · median $8,194	20 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$15,880 – $56,782 · median $20,363	20 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$9,217 – $34,690 · median $11,805	20 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$7,346 – $27,172 · median $9,438	20 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$21,823 – $83,606 · median $30,824	20 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$12,045 – $44,475 · median $16,318	20 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$7,342 – $27,467 · median $9,809	20 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$10,189 – $34,733 · median $11,170	20 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$5,690 – $20,238 · median $7,018	20 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$4,000 – $14,824 · median $4,917	20 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$9,236 – $33,498 · median $12,442	20 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$5,473 – $20,156 · median $7,164	20 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$3,970 – $14,375 · median $5,104	20 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$10,691 – $39,467 · median $15,007	20 plans
375	DIGESTIVE MALIGNANCY WITH CC	$6,462 – $23,851 · median $8,488	20 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$5,359 – $17,380 · median $6,486	20 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$9,473 – $35,204 · median $12,827	20 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$5,289 – $19,503 · median $6,881	20 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$3,456 – $12,549 · median $4,423	20 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$10,103 – $37,701 · median $13,769	20 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$5,763 – $20,899 · median $7,603	20 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$4,236 – $15,242 · median $5,618	20 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$7,099 – $26,928 · median $9,688	20 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$4,658 – $17,852 · median $5,998	20 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$8,619 – $32,248 · median $11,103	20 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$5,273 – $19,598 · median $6,851	20 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$3,750 – $13,694 · median $4,781	20 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$8,163 – $29,055 · median $10,363	20 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$4,494 – $15,981 · median $5,542	20 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$3,102 – $11,197 · median $3,817	20 plans
391	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$6,610 – $25,423 · median $8,900	20 plans
392	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$4,076 – $15,594 · median $5,470	20 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$8,695 – $31,904 · median $11,222	20 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$5,021 – $18,671 · median $6,566	20 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,503 – $12,769 · median $4,554	20 plans
405	PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC	$29,049 – $109,730 · median $38,386	20 plans
406	PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC	$14,938 – $58,008 · median $20,350	20 plans
407	PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$11,167 – $44,069 · median $15,575	20 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$19,074 – $72,656 · median $25,019	20 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$12,813 – $42,202 · median $15,278	20 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$8,885 – $33,614 · median $11,141	20 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$20,502 – $66,888 · median $23,179	20 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$12,723 – $45,455 · median $14,753	20 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$8,656 – $32,084 · median $11,652	20 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$18,286 – $69,987 · median $24,998	20 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$10,982 – $39,600 · median $14,502	20 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$7,227 – $27,253 · median $9,566	20 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$12,903 – $47,078 · median $16,745	20 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$8,933 – $32,888 · median $11,870	20 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$6,995 – $25,839 · median $9,584	20 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$18,385 – $64,572 · median $23,907	20 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$9,855 – $35,870 · median $12,192	20 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$7,517 – $27,435 · median $9,820	20 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$22,685 – $77,852 · median $29,141	20 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$12,050 – $46,898 · median $15,352	20 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$7,823 – $28,326 · median $10,527	20 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$9,760 – $37,386 · median $13,811	20 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$5,524 – $20,588 · median $7,411	20 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$3,425 – $12,428 · median $5,000	20 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$9,084 – $34,614 · median $12,888	20 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$6,025 – $21,788 · median $7,937	20 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$4,699 – $16,749 · median $5,988	20 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$8,769 – $32,817 · median $11,439	20 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$4,535 – $17,222 · median $5,903	20 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$3,295 – $12,007 · median $4,360	20 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$9,905 – $37,517 · median $12,593	20 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$4,996 – $18,731 · median $6,773	20 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$3,641 – $12,908 · median $4,910	20 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$8,704 – $32,961 · median $11,725	20 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$5,751 – $21,772 · median $7,679	20 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$4,350 – $16,072 · median $5,805	20 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC	$48,606 – $167,294 · median $58,966	20 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC	$34,862 – $119,529 · median $41,842	20 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$25,124 – $95,299 · median $29,279	20 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC	$28,790 – $99,521 · median $38,754	20 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC	$16,787 – $51,406 · median $18,665	20 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$27,981 – $103,784 · median $39,993	20 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$15,804 – $59,147 · median $21,856	20 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$10,251 – $39,455 · median $12,797	20 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$27,293 – $87,477 · median $36,526	20 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$18,798 – $58,542 · median $24,746	20 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$15,052 – $45,858 · median $19,282	20 plans
469	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC	$16,806 – $50,498 · median $21,284	20 plans
470	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	$10,536 – $31,097 · median $13,535	20 plans
471	CERVICAL SPINAL FUSION WITH MCC	$26,732 – $99,733 · median $33,882	20 plans
472	CERVICAL SPINAL FUSION WITH CC	$16,279 – $60,806 · median $20,672	20 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$13,447 – $50,195 · median $17,130	20 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$20,740 – $81,119 · median $30,123	20 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$11,245 – $43,980 · median $15,968	20 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$6,234 – $24,305 · median $8,281	20 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$17,424 – $67,375 · median $24,241	20 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$12,402 – $46,508 · median $17,256	20 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$9,539 – $35,014 · median $13,044	20 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$16,156 – $58,727 · median $20,435	20 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$11,175 – $41,826 · median $14,697	20 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$8,806 – $32,593 · median $11,445	20 plans
483	MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES	$12,804 – $46,680 · median $19,450	20 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$17,551 – $64,370 · median $22,644	20 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$11,511 – $41,303 · median $14,673	20 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$8,602 – $31,759 · median $10,990	20 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$10,540 – $44,930 · median $12,412	20 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$6,739 – $26,324 · median $7,836	20 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC	$18,441 – $69,021 · median $25,763	20 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC	$12,321 – $47,041 · median $17,796	20 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC	$9,695 – $37,398 · median $14,079	20 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$18,373 – $73,545 · median $25,441	20 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$10,922 – $41,574 · median $12,658	20 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$7,864 – $30,130 · median $8,479	20 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$13,103 – $50,749 · median $21,169	20 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$6,160 – $28,275 · median $14,138	20 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$16,139 – $63,449 · median $22,207	20 plans
501	SOFT TISSUE PROCEDURES WITH CC	$8,981 – $34,804 · median $12,266	20 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$7,069 – $27,215 · median $9,444	20 plans
503	FOOT PROCEDURES WITH MCC	$14,540 – $50,159 · median $19,585	20 plans
504	FOOT PROCEDURES WITH CC	$9,294 – $35,141 · median $13,116	20 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$9,000 – $34,983 · median $12,580	20 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$7,165 – $27,914 · median $9,467	20 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$11,240 – $36,725 · median $12,675	20 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$8,341 – $28,674 · median $10,626	20 plans
510	SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$14,923 – $57,184 · median $21,195	20 plans
511	SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH CC	$10,085 – $39,184 · median $14,591	20 plans
512	SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$8,103 – $31,809 · median $11,616	20 plans
513	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$8,441 – $31,561 · median $11,047	20 plans
514	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$5,710 – $20,447 · median $7,173	20 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$16,882 – $61,732 · median $22,362	20 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$10,379 – $40,269 · median $14,582	20 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$7,575 – $29,896 · median $10,783	20 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$18,244 – $73,808 · median $26,224	20 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$10,216 – $39,586 · median $14,035	20 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$7,162 – $29,300 · median $10,483	20 plans
533	FRACTURES OF FEMUR WITH MCC	$7,811 – $28,241 · median $11,000	20 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$4,163 – $15,759 · median $5,656	20 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$6,568 – $25,532 · median $8,996	20 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$4,060 – $15,387 · median $5,667	20 plans
537	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC	$4,876 – $19,669 · median $6,696	20 plans
538	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC	$3,859 – $13,785 · median $5,054	20 plans
539	OSTEOMYELITIS WITH MCC	$10,090 – $39,519 · median $13,821	20 plans
540	OSTEOMYELITIS WITH CC	$6,958 – $26,663 · median $9,096	20 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$4,853 – $16,196 · median $5,525	20 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$9,767 – $36,194 · median $12,395	20 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$5,654 – $21,562 · median $7,213	20 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$4,059 – $15,406 · median $5,295	20 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$13,531 – $49,670 · median $17,414	20 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$6,441 – $23,871 · median $8,093	20 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$4,336 – $18,113 · median $5,868	20 plans
548	SEPTIC ARTHRITIS WITH MCC	$10,615 – $38,410 · median $13,549	20 plans
549	SEPTIC ARTHRITIS WITH CC	$6,386 – $23,992 · median $8,471	20 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$4,624 – $20,756 · median $6,133	20 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$8,507 – $33,133 · median $11,761	20 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$4,881 – $19,018 · median $6,745	20 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$6,881 – $26,253 · median $9,096	20 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$4,213 – $16,240 · median $5,825	20 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$7,040 – $26,358 · median $9,275	20 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$4,238 – $15,998 · median $5,828	20 plans
557	TENDONITIS- MYOSITIS AND BURSITIS WITH MCC	$7,805 – $28,352 · median $10,433	20 plans
558	TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC	$4,611 – $17,206 · median $6,267	20 plans
559	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,644 – $35,343 · median $13,086	20 plans
560	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$5,585 – $21,693 · median $7,902	20 plans
561	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$4,000 – $15,646 · median $5,641	20 plans
562	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC	$7,210 – $28,963 · median $9,998	20 plans
563	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC	$4,571 – $17,052 · median $6,284	20 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$8,093 – $30,755 · median $10,831	20 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$5,248 – $19,551 · median $6,837	20 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$4,056 – $14,705 · median $5,258	20 plans
570	SKIN DEBRIDEMENT WITH MCC	$15,379 – $57,759 · median $20,637	20 plans
571	SKIN DEBRIDEMENT WITH CC	$8,951 – $32,642 · median $11,855	20 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$6,004 – $23,831 · median $8,043	20 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$28,450 – $116,236 · median $45,970	20 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$16,709 – $71,371 · median $24,358	20 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$9,404 – $40,582 · median $12,609	20 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$25,955 – $111,850 · median $34,391	20 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$12,929 – $51,850 · median $18,600	20 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$8,711 – $33,908 · median $11,272	20 plans
579	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$15,983 – $62,404 · median $22,724	20 plans
580	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$8,610 – $34,377 · median $12,125	20 plans
581	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$6,716 – $27,948 · median $10,126	20 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$8,450 – $38,309 · median $13,519	20 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$7,822 – $29,914 · median $12,100	20 plans
584	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$9,786 – $42,289 · median $15,021	20 plans
585	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$9,085 – $36,454 · median $13,536	20 plans
592	SKIN ULCERS WITH MCC	$9,550 – $35,323 · median $13,580	20 plans
593	SKIN ULCERS WITH CC	$6,144 – $22,808 · median $8,324	20 plans
594	SKIN ULCERS WITHOUT CC/MCC	$4,334 – $15,323 · median $6,082	20 plans
595	MAJOR SKIN DISORDERS WITH MCC	$10,879 – $42,400 · median $14,881	20 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$5,214 – $21,618 · median $7,596	20 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$9,061 – $33,343 · median $11,698	20 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$5,827 – $21,148 · median $7,938	20 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,722 – $14,802 · median $5,399	20 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$5,134 – $20,614 · median $7,309	20 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,312 – $13,937 · median $4,245	20 plans
602	CELLULITIS WITH MCC	$7,653 – $28,536 · median $9,973	20 plans
603	CELLULITIS WITHOUT MCC	$4,515 – $17,460 · median $6,111	20 plans
604	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$7,839 – $29,882 · median $10,330	20 plans
605	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$4,687 – $18,026 · median $6,427	20 plans
606	MINOR SKIN DISORDERS WITH MCC	$8,005 – $30,391 · median $10,618	20 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$4,422 – $16,794 · median $6,360	20 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$13,024 – $46,528 · median $15,380	20 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$7,944 – $29,221 · median $9,819	20 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$21,414 – $74,537 · median $24,471	20 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$10,979 – $38,491 · median $13,124	20 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$6,715 – $23,223 · median $9,952	20 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$16,477 – $57,256 · median $20,261	20 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$9,605 – $33,375 · median $11,229	20 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$8,414 – $30,789 · median $10,584	20 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$20,208 – $71,698 · median $24,975	20 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$10,451 – $37,315 · median $12,588	20 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$5,898 – $19,582 · median $8,784	20 plans
625	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$15,656 – $56,969 · median $21,192	20 plans
626	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$9,007 – $32,060 · median $10,521	20 plans
627	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$6,111 – $25,263 · median $9,321	20 plans
628	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$19,747 – $72,167 · median $26,151	20 plans
629	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$12,433 – $44,427 · median $15,288	20 plans
630	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$7,755 – $27,803 · median $10,241	20 plans
637	DIABETES WITH MCC	$7,417 – $27,635 · median $10,081	20 plans
638	DIABETES WITH CC	$4,732 – $17,345 · median $6,289	20 plans
639	DIABETES WITHOUT CC/MCC	$3,282 – $11,896 · median $4,359	20 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC	$6,499 – $25,053 · median $9,372	20 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC	$4,050 – $15,250 · median $5,461	20 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$6,507 – $27,785 · median $9,979	20 plans
643	ENDOCRINE DISORDERS WITH MCC	$8,700 – $32,545 · median $11,551	20 plans
644	ENDOCRINE DISORDERS WITH CC	$5,503 – $20,178 · median $7,192	20 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$4,096 – $14,703 · median $5,391	20 plans
652	KIDNEY TRANSPLANT	$18,117 – $61,085 · median $22,661	20 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$29,634 – $110,023 · median $36,463	20 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$15,052 – $56,282 · median $19,642	20 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$11,039 – $42,742 · median $14,852	20 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$17,452 – $65,445 · median $22,340	20 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$10,353 – $37,184 · median $12,841	20 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$8,403 – $31,264 · median $10,889	20 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$14,343 – $51,023 · median $17,829	20 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$7,604 – $27,942 · median $9,274	20 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$5,835 – $21,342 · median $7,265	20 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$16,939 – $60,166 · median $21,482	20 plans
663	MINOR BLADDER PROCEDURES WITH CC	$8,154 – $30,195 · median $10,667	20 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$5,923 – $22,309 · median $7,346	20 plans
665	PROSTATECTOMY WITH MCC	$15,889 – $60,594 · median $21,901	20 plans
666	PROSTATECTOMY WITH CC	$9,469 – $34,094 · median $12,275	20 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$5,024 – $19,481 · median $7,762	20 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$14,924 – $55,893 · median $20,489	20 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$8,273 – $31,169 · median $10,890	20 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$5,238 – $19,553 · median $6,858	20 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$9,782 – $36,264 · median $12,595	20 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$5,530 – $20,626 · median $7,575	20 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$19,133 – $69,181 · median $29,482	20 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$13,082 – $46,936 · median $16,410	20 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$8,735 – $33,391 · median $11,518	20 plans
682	RENAL FAILURE WITH MCC	$7,911 – $29,435 · median $10,392	20 plans
683	RENAL FAILURE WITH CC	$4,803 – $17,719 · median $6,145	20 plans
684	RENAL FAILURE WITHOUT CC/MCC	$3,293 – $11,975 · median $4,212	20 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$9,399 – $33,616 · median $12,656	20 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$5,634 – $20,588 · median $7,352	20 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$4,128 – $17,155 · median $5,545	20 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$5,987 – $22,713 · median $8,142	20 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$4,233 – $15,753 · median $5,680	20 plans
693	URINARY STONES WITH MCC	$7,243 – $28,330 · median $9,434	20 plans
694	URINARY STONES WITHOUT MCC	$3,963 – $15,783 · median $5,485	20 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$6,275 – $22,736 · median $8,026	20 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$3,636 – $13,721 · median $4,835	20 plans
697	URETHRAL STRICTURE	$5,213 – $19,650 · median $7,563	20 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$8,663 – $31,730 · median $11,609	20 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$5,527 – $20,040 · median $7,122	20 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$3,970 – $14,668 · median $4,841	20 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$10,009 – $39,507 · median $14,036	20 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$7,772 – $29,397 · median $10,765	20 plans
709	PENIS PROCEDURES WITH CC/MCC	$12,876 – $47,758 · median $16,329	20 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$8,220 – $28,540 · median $9,832	20 plans
711	TESTES PROCEDURES WITH CC/MCC	$11,471 – $40,459 · median $14,622	20 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$5,461 – $24,584 · median $7,716	20 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$7,825 – $29,342 · median $10,549	20 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$4,900 – $18,972 · median $7,420	20 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$11,435 – $44,217 · median $15,699	20 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$7,844 – $26,023 · median $10,322	20 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$9,443 – $35,052 · median $13,265	20 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$6,527 – $25,126 · median $9,424	20 plans
722	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC	$9,661 – $33,614 · median $12,698	20 plans
723	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC	$5,927 – $22,818 · median $8,018	20 plans
724	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,160 – $15,149 · median $4,601	20 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$6,719 – $24,736 · median $8,211	20 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$4,093 – $15,278 · median $5,066	20 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$7,640 – $28,449 · median $10,405	20 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$4,295 – $16,270 · median $5,692	20 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$5,748 – $21,340 · median $7,429	20 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,381 – $12,985 · median $4,715	20 plans
734	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$11,732 – $43,267 · median $14,946	20 plans
735	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$7,355 – $25,190 · median $9,441	20 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$23,127 – $84,451 · median $25,082	20 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$10,636 – $40,065 · median $14,459	20 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$7,380 – $27,795 · median $10,304	20 plans
739	UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC	$20,042 – $77,266 · median $25,140	20 plans
740	UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC	$9,554 – $35,688 · median $12,698	20 plans
741	UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC	$7,116 – $25,995 · median $10,007	20 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$9,043 – $35,682 · median $12,875	20 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$6,147 – $23,178 · median $8,706	20 plans
744	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$9,316 – $37,586 · median $14,378	20 plans
745	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$5,702 – $22,786 · median $7,982	20 plans
746	VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC	$8,730 – $30,955 · median $12,189	20 plans
747	VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$4,990 – $19,376 · median $6,032	20 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$7,074 – $28,061 · median $9,735	20 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$13,875 – $50,019 · median $18,017	20 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$7,125 – $28,255 · median $10,356	20 plans
754	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$9,430 – $34,391 · median $12,923	20 plans
755	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC	$5,480 – $21,406 · median $7,633	20 plans
756	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,693 – $19,737 · median $6,740	20 plans
757	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$7,602 – $27,170 · median $10,047	20 plans
758	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC	$5,167 – $18,919 · median $6,870	20 plans
759	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,534 – $12,284 · median $4,656	20 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$4,831 – $19,139 · median $7,070	20 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$3,026 – $11,201 · median $4,003	20 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$7,724 – $32,894 · median $11,857	20 plans
770	ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY	$4,209 – $17,143 · median $7,036	20 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$3,800 – $13,803 · median $4,594	20 plans
779	ABORTION WITHOUT D&C	$5,903 – $20,168 · median $5,903	20 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$7,800 – $38,208 · median $17,227	20 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$7,439 – $20,671 · median $7,439	20 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$6,721 – $18,060 · median $6,721	20 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$7,800 – $31,977 · median $11,574	20 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$7,800 – $21,093 · median $7,836	20 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$6,728 – $17,274 · median $6,728	20 plans
789	NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$9,046 – $36,151 · median $12,646	20 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE	$29,829 – $119,218 · median $41,705	20 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$20,372 – $81,420 · median $28,482	20 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$12,292 – $49,128 · median $17,186	20 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$20,926 – $83,635 · median $29,258	20 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$7,407 – $29,603 · median $10,356	20 plans
795	NORMAL NEWBORN	$1,003 – $4,008 · median $1,402	20 plans
799	SPLENIC PROCEDURES WITH MCC	$26,464 – $103,112 · median $31,779	20 plans
800	SPLENIC PROCEDURES WITH CC	$15,212 – $52,638 · median $19,713	20 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$10,026 – $35,561 · median $13,395	20 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$16,873 – $75,478 · median $27,956	20 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$9,536 – $40,655 · median $13,044	20 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$7,293 – $24,984 · median $9,515	20 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$5,570 – $19,911 · median $7,573	20 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$3,796 – $13,816 · median $5,291	20 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$3,355 – $12,502 · median $4,731	20 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$11,399 – $42,392 · median $15,493	20 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$6,508 – $24,071 · median $8,883	20 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$5,007 – $18,588 · median $7,344	20 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$7,174 – $27,528 · median $9,854	20 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$4,660 – $17,780 · median $6,443	20 plans
813	COAGULATION DISORDERS	$8,485 – $30,989 · median $10,703	20 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$9,362 – $37,206 · median $14,923	20 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$5,421 – $20,416 · median $7,115	20 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$3,832 – $14,434 · median $4,435	20 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$13,468 – $61,970 · median $16,010	20 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$6,818 – $31,484 · median $8,134	20 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$4,271 – $17,592 · median $6,034	20 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$30,598 – $105,288 · median $41,153	20 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$11,948 – $42,816 · median $15,708	20 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$6,768 – $23,859 · median $8,448	20 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$22,642 – $85,663 · median $32,171	20 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$12,445 – $45,348 · median $15,897	20 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$7,250 – $26,069 · median $9,469	20 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$26,842 – $101,810 · median $32,824	20 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$12,397 – $48,207 · median $16,217	20 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$8,838 – $34,434 · median $11,955	20 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$16,806 – $62,661 · median $22,173	20 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$7,380 – $29,116 · median $10,560	20 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$5,773 – $23,657 · median $8,438	20 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$3,830 – $13,870 · median $5,063	20 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$2,848 – $9,979 · median $3,669	20 plans
834	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC	$31,272 – $109,494 · median $38,522	20 plans
835	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC	$10,856 – $41,523 · median $14,636	20 plans
836	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$7,052 – $31,062 · median $8,557	20 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$32,065 – $106,568 · median $33,711	20 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$11,711 – $44,037 · median $14,647	20 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$6,831 – $27,219 · median $10,132	20 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$17,102 – $61,519 · median $22,699	20 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$8,627 – $31,577 · median $11,447	20 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$6,137 – $21,853 · median $7,090	20 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$10,211 – $38,361 · median $13,997	20 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$6,466 – $22,584 · median $8,542	20 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$4,635 – $16,741 · median $5,976	20 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$14,059 – $47,698 · median $18,191	20 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$7,043 – $24,118 · median $9,180	20 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$5,253 – $18,396 · median $5,960	20 plans
849	RADIOTHERAPY	$11,378 – $46,310 · median $19,012	20 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$27,290 – $97,040 · median $34,654	20 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$11,568 – $40,701 · median $14,020	20 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$8,582 – $30,248 · median $10,506	20 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$23,688 – $87,371 · median $31,918	20 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$10,883 – $41,758 · median $15,027	20 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$7,367 – $28,009 · median $9,774	20 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$9,905 – $36,216 · median $12,797	20 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$5,288 – $19,917 · median $7,002	20 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$4,536 – $16,794 · median $6,229	20 plans
865	VIRAL ILLNESS WITH MCC	$7,458 – $33,121 · median $10,513	20 plans
866	VIRAL ILLNESS WITHOUT MCC	$4,382 – $17,814 · median $6,102	20 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$11,696 – $41,845 · median $14,688	20 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$5,872 – $20,903 · median $7,235	20 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$3,974 – $14,668 · median $5,120	20 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$33,850 – $134,460 · median $48,499	20 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$9,989 – $38,753 · median $13,630	20 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$5,563 – $20,354 · median $7,180	20 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$23,161 – $87,092 · median $29,447	20 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$10,528 – $39,240 · median $13,434	20 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$6,123 – $24,069 · median $8,207	20 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$18,934 – $70,328 · median $25,774	20 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$8,909 – $30,886 · median $10,409	20 plans
906	HAND PROCEDURES FOR INJURIES	$9,318 – $35,398 · median $13,783	20 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$21,354 – $76,541 · median $26,940	20 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$11,043 – $40,719 · median $14,000	20 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$7,058 – $27,021 · median $9,211	20 plans
913	TRAUMATIC INJURY WITH MCC	$7,902 – $29,979 · median $11,470	20 plans
914	TRAUMATIC INJURY WITHOUT MCC	$4,612 – $17,604 · median $6,213	20 plans
915	ALLERGIC REACTIONS WITH MCC	$9,094 – $36,038 · median $11,800	20 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$3,389 – $13,151 · median $4,675	20 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$7,832 – $30,146 · median $11,005	20 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$4,196 – $16,190 · median $6,014	20 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$9,770 – $35,513 · median $12,847	20 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$5,393 – $20,232 · median $7,033	20 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$3,696 – $14,412 · median $4,830	20 plans
922	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$8,583 – $30,805 · median $12,275	20 plans
923	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$4,633 – $18,675 · median $7,141	20 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$106,746 – $375,848 · median $149,814	20 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$33,158 – $122,588 · median $50,330	20 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$15,744 – $58,188 · median $22,600	20 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$16,808 – $60,654 · median $27,325	20 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$9,687 – $37,145 · median $15,512	20 plans
935	NON-EXTENSIVE BURNS	$10,342 – $40,077 · median $14,455	20 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$19,560 – $61,323 · median $25,461	20 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$12,160 – $43,625 · median $16,398	20 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$10,334 – $37,371 · median $14,228	20 plans
947	SIGNS AND SYMPTOMS WITH MCC	$6,408 – $24,069 · median $8,907	20 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$4,173 – $15,396 · median $5,617	20 plans
949	AFTERCARE WITH CC/MCC	$5,828 – $23,602 · median $8,348	20 plans
950	AFTERCARE WITHOUT CC/MCC	$3,966 – $14,048 · median $4,405	20 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$3,139 – $11,270 · median $3,901	20 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$32,545 – $133,373 · median $47,231	20 plans
956	LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$20,999 – $75,323 · median $26,405	20 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$40,324 – $146,728 · median $53,468	20 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$22,431 – $82,576 · median $29,568	20 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$14,989 – $50,860 · median $20,658	20 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$14,586 – $54,909 · median $19,183	20 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$7,994 – $28,997 · median $10,754	20 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$4,909 – $18,016 · median $6,599	20 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$31,059 – $143,502 · median $42,953	20 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$15,613 – $61,150 · median $18,506	20 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$14,312 – $56,885 · median $20,251	20 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$7,183 – $27,239 · median $9,087	20 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$4,893 – $18,271 · median $6,334	20 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$6,961 – $25,738 · median $9,106	20 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$24,036 – $90,692 · median $32,922	20 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$13,050 – $49,662 · median $17,251	20 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$8,762 – $33,070 · median $12,027	20 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$17,843 – $65,704 · median $24,057	20 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$9,197 – $33,589 · median $11,533	20 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$6,168 – $21,828 · median $8,415	20 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY	$303,009 – $715,675 · median $303,009	19 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$50,063 – $141,265 · median $50,063	19 plans
140	SIMPLE PNEUMONIA & PLEURISY AGE 0-17	$29,929 – $82,295 · median $29,929	19 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$15,305 – $44,205 · median $15,305	19 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$11,202 – $33,694 · median $11,202	19 plans
143	STOMACH-- ESOPHAGEAL & DUODENAL PROC AGE 0-17	$26,289 – $62,817 · median $26,289	19 plans
144	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC	$12,160 – $35,824 · median $12,160	19 plans
145	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$8,436 – $23,914 · median $8,436	19 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$20,140 – $59,780 · median $20,140	19 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$14,860 – $43,023 · median $14,860	19 plans
650	NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W OTHER PROB	$32,989 – $91,949 · median $32,989	19 plans
651	NEONATE- BIRTHWT 2000-2499G- W SIGNIF O.R. PROC- W MULT MAJOR PROB	$26,003 – $70,215 · median $26,003	19 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$6,500 – $19,139 · median $7,519	19 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$8,189 – $25,997 · median $8,189	19 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$7,020 – $18,372 · median $7,020	19 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$6,716 – $18,372 · median $6,716	19 plans
945	REHABILITATION WITH CC/MCC	$2,053 – $29,803 · median $10,866	19 plans
946	REHABILITATION WITHOUT CC/MCC	$2,053 – $22,227 · median $8,047	19 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$1,279 – $54,239 · median $27,120	18 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$1,279 – $13,475 · median $6,738	18 plans
881	DEPRESSIVE NEUROSES	$1,279 – $13,204 · median $6,602	18 plans
882	NEUROSES EXCEPT DEPRESSIVE	$1,279 – $15,069 · median $7,535	18 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$1,279 – $27,595 · median $13,797	18 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$1,279 – $22,579 · median $11,289	18 plans
885	PSYCHOSES	$1,279 – $19,602 · median $9,801	18 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$1,279 – $29,124 · median $14,562	18 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$1,279 – $15,029 · median $7,514	18 plans
894	ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA	$1,279 – $8,657 · median $4,329	18 plans
895	ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY	$1,279 – $19,866 · median $9,933	18 plans
896	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC	$1,279 – $24,490 · median $12,245	18 plans
897	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC	$1,279 – $12,389 · median $6,195	18 plans
173	URETHRAL PROCEDURES AGE 0-17	$20,885 – $43,016 · median $20,885	17 plans
209	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17	$79,423 – $158,846 · median $79,423	17 plans
212	TESTES PROCEDURES AGE 0-17	$76,302 – $152,711 · median $76,302	17 plans
213	SPLENIC PROCEDURES AGE 0-17	$40,045 – $80,089 · median $40,045	17 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$50,033 – $100,067 · median $50,033	17 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$42,148 – $86,833 · median $42,148	17 plans
277	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$32,408 – $65,210 · median $32,408	17 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$39,057 – $78,115 · median $39,057	17 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$25,306 – $50,611 · median $25,306	17 plans
317	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$46,918 – $93,837 · median $46,918	17 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$16,996 – $33,993 · median $16,996	17 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$19,092 – $39,906 · median $19,092	17 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$12,371 – $25,361 · median $12,371	17 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$30,365 – $60,730 · median $30,365	17 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$22,110 – $44,789 · median $22,110	17 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$22,527 – $45,054 · median $22,527	17 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$24,128 – $48,257 · median $24,128	17 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$16,941 – $33,882 · median $16,941	17 plans
397	MAJOR HEAD AND NECK PROCEDURES WITH CC	$16,805 – $34,734 · median $16,805	17 plans
398	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$10,621 – $21,242 · median $10,621	17 plans
399	OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC	$8,032 – $16,064 · median $8,032	17 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$28,211 – $56,423 · median $28,211	17 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$77,335 – $154,669 · median $77,335	17 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$50,652 – $101,304 · median $50,652	17 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$39,449 – $78,898 · median $39,449	17 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$63,219 – $126,439 · median $63,219	17 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$40,467 – $80,934 · median $40,467	17 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$46,884 – $93,986 · median $46,884	17 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$29,757 – $59,514 · median $29,757	17 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$37,397 – $74,794 · median $37,397	17 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$22,667 – $45,335 · median $22,667	17 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$60,763 – $129,132 · median $60,763	17 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$8,256 – $30,971 · median $25,084	3 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH CC	$5,149 – $19,657 · median $15,544	3 plans
079	HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC	$3,967 – $14,531 · median $11,926	3 plans
222	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC	$44,664 – $151,601 · median $130,110	3 plans
223	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC	$32,130 – $103,330 · median $94,888	3 plans
224	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC	$39,588 – $140,366 · median $123,043	3 plans
225	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC	$30,235 – $100,142 · median $91,930	3 plans
226	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC	$35,795 – $126,738 · median $107,430	3 plans
227	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$27,989 – $99,410 · median $85,291	3 plans
246	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS	$16,982 – $59,309 · median $51,126	3 plans
247	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	$10,891 – $37,808 · median $32,289	3 plans
248	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS	$16,574 – $59,594 · median $51,746	3 plans
249	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC	$10,258 – $35,971 · median $30,661	3 plans
294	DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC	$6,808 – $22,859 · median $20,992	3 plans
295	DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC	$3,088 – $17,537 · median $16,104	3 plans
338	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC	$15,576 – $52,599 · median $45,775	3 plans
339	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	$9,185 – $32,242 · median $27,776	3 plans
340	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$6,624 – $23,758 · median $20,100	3 plans
341	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC	$13,692 – $44,728 · median $38,004	3 plans
342	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	$8,619 – $28,773 · median $23,448	3 plans
343	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$6,164 – $21,635 · median $18,141	3 plans
453	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC	$50,350 – $181,265 · median $150,352	3 plans
454	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC	$32,784 – $120,600 · median $99,707	3 plans
455	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC	$25,763 – $94,802 · median $78,241	3 plans
459	SPINAL FUSION EXCEPT CERVICAL WITH MCC	$36,675 – $131,333 · median $110,187	3 plans
460	SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$21,198 – $74,567 · median $64,322	3 plans
509	ARTHROSCOPY	$7,449 – $30,054 · median $27,598	3 plans
129	MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE	$12,253 – $12,253 · median $12,253	1 plans
130	MAJOR HEAD & NECK PROCEDURES W/O CC/MCC	$7,737 – $7,737 · median $7,737	1 plans
131	CRANIAL/FACIAL PROCEDURES W CC/MCC	$14,394 – $14,394 · median $14,394	1 plans
132	CRANIAL/FACIAL PROCEDURES W/O CC/MCC	$8,508 – $8,508 · median $8,508	1 plans
133	OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W CC/MCC	$11,491 – $11,491 · median $11,491	1 plans
134	OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC	$6,472 – $6,472 · median $6,472	1 plans
765	CESAREAN SECTION W CC/MCC	$6,500 – $6,500 · median $6,500	1 plans
766	CESAREAN SECTION W/O CC/MCC	$6,500 – $6,500 · median $6,500	1 plans
767	VAGINAL DELIVERY W STERILIZATION &/OR D&C	$6,500 – $6,500 · median $6,500	1 plans
774	VAGINAL DELIVERY W COMPLICATING DIAGNOSES	$6,500 – $6,500 · median $6,500	1 plans
775	VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES	$6,500 – $6,500 · median $6,500	1 plans

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