UofL Health – Shelbyville Hospital — Hospital Prices & Charges

Procedures published 842

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 842 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
011	TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$32,858 – $62,144 · median $35,863	26 plans
012	TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$25,339 – $48,037 · median $27,575	26 plans
013	TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$16,363 – $32,835 · median $18,949	26 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$47,405 – $90,838 · median $51,741	26 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$31,892 – $71,277 · median $34,809	26 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$19,142 – $39,724 · median $21,157	26 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$34,522 – $65,291 · median $37,679	26 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$23,474 – $44,572 · median $25,723	26 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$27,391 – $51,805 · median $29,897	26 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$18,731 – $35,426 · median $20,444	26 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$15,199 – $28,746 · median $16,589	26 plans
028	SPINAL PROCEDURES WITH MCC	$33,400 – $68,459 · median $38,637	26 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$20,553 – $38,872 · median $21,938	26 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$13,225 – $25,040 · median $14,434	26 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$18,965 – $51,051 · median $28,812	26 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$12,838 – $24,281 · median $14,012	26 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$9,852 – $18,947 · median $10,934	26 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$23,319 – $44,103 · median $25,452	26 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$14,046 – $27,237 · median $15,719	26 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$11,319 – $22,136 · median $12,775	26 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$19,833 – $37,510 · median $21,647	26 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$9,775 – $18,488 · median $10,669	26 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$7,028 – $13,394 · median $7,729	26 plans
040	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$23,261 – $43,995 · median $25,389	26 plans
041	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$13,246 – $25,409 · median $14,457	26 plans
042	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$10,408 – $19,777 · median $11,360	26 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$10,912 – $33,856 · median $12,061	26 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$5,689 – $11,157 · median $6,439	26 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$9,199 – $17,398 · median $9,819	26 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$6,142 – $12,276 · median $6,763	26 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$13,995 – $28,176 · median $15,465	26 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$7,805 – $15,015 · median $8,519	26 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$10,299 – $20,770 · median $11,383	26 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$7,476 – $14,139 · median $8,160	26 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$5,510 – $10,480 · median $6,048	26 plans
061	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$16,610 – $31,414 · median $18,129	26 plans
062	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$10,586 – $20,039 · median $11,554	26 plans
063	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$8,457 – $15,995 · median $9,231	26 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$12,115 – $22,913 · median $13,223	26 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$6,086 – $11,511 · median $6,643	26 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$4,123 – $7,798 · median $4,500	26 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$6,618 – $16,734 · median $9,445	26 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$5,208 – $9,919 · median $5,684	26 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$4,812 – $9,102 · median $5,252	26 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$10,029 – $19,565 · median $10,947	26 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$6,181 – $11,858 · median $6,746	26 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$4,556 – $8,616 · median $4,972	26 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$9,544 – $18,279 · median $10,549	26 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$6,210 – $11,745 · median $6,778	26 plans
075	VIRAL MENINGITIS WITH CC/MCC	$7,575 – $21,848 · median $12,331	26 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$4,688 – $10,317 · median $5,426	26 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$10,904 – $22,367 · median $11,902	26 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$4,538 – $10,204 · median $5,759	26 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$13,769 – $26,107 · median $15,029	26 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$8,409 – $15,904 · median $9,178	26 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$5,758 – $10,890 · median $6,285	26 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$13,687 – $25,886 · median $14,939	26 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$7,848 – $14,843 · median $8,566	26 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$5,458 – $10,422 · median $6,015	26 plans
088	CONCUSSION WITH MCC	$8,144 – $15,873 · median $8,889	26 plans
089	CONCUSSION WITH CC	$6,618 – $12,517 · median $7,224	26 plans
090	CONCUSSION WITHOUT CC/MCC	$4,959 – $10,724 · median $5,413	26 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$10,580 – $20,511 · median $11,548	26 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$6,163 – $11,912 · median $6,727	26 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$4,797 – $9,073 · median $5,194	26 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$21,202 – $41,055 · median $23,142	26 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$14,802 – $29,387 · median $16,959	26 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$14,802 – $29,387 · median $16,959	26 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$21,759 – $41,153 · median $23,749	26 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$13,395 – $26,148 · median $15,090	26 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$8,208 – $15,677 · median $8,958	26 plans
100	SEIZURES WITH MCC	$11,668 – $22,339 · median $12,735	26 plans
101	SEIZURES WITHOUT MCC	$5,438 – $10,371 · median $5,899	26 plans
102	HEADACHES WITH MCC	$6,753 – $13,047 · median $7,218	26 plans
103	HEADACHES WITHOUT MCC	$5,038 – $9,566 · median $5,499	26 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$13,934 – $26,788 · median $15,289	26 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$7,299 – $15,416 · median $8,897	26 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$9,247 – $17,489 · median $10,093	26 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$10,303 – $20,601 · median $11,889	26 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$6,536 – $12,361 · median $7,134	26 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$4,215 – $13,255 · median $7,481	26 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$3,116 – $8,953 · median $5,053	26 plans
123	NEUROLOGICAL EYE DISORDERS	$4,811 – $9,099 · median $5,251	26 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$7,971 – $15,075 · median $8,700	26 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$4,626 – $9,291 · median $5,105	26 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$13,073 – $27,130 · median $14,449	26 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$6,040 – $11,568 · median $6,676	26 plans
137	MOUTH PROCEDURES WITH CC/MCC	$8,636 – $17,014 · median $9,819	26 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$5,023 – $10,097 · median $5,827	26 plans
139	SALIVARY GLAND PROCEDURES	$7,444 – $15,449 · median $8,228	26 plans
140	SIMPLE PNEUMONIA AND PLEURISY AGE 0-17	$4,018 – $48,599 · median $27,428	26 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$3,225 – $24,851 · median $14,026	26 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$9,617 – $19,907 · median $10,497	26 plans
143	STOMACH ESOPHAGEAL AND DUODENAL PROC AGE 0-17	$10,755 – $42,689 · median $24,093	26 plans
144	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC	$8,616 – $19,766 · median $11,144	26 plans
145	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$3,879 – $13,699 · median $7,731	26 plans
146	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC	$11,733 – $25,813 · median $13,923	26 plans
147	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC	$7,660 – $14,487 · median $8,361	26 plans
148	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$4,802 – $9,082 · median $5,241	26 plans
149	DYSEQUILIBRIUM	$4,528 – $8,564 · median $4,942	26 plans
150	EPISTAXIS WITH MCC	$8,022 – $15,553 · median $8,755	26 plans
151	EPISTAXIS WITHOUT MCC	$4,422 – $9,980 · median $4,826	26 plans
152	OTITIS MEDIA AND URI WITH MCC	$6,114 – $13,470 · median $7,602	26 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$3,020 – $8,411 · median $4,747	26 plans
154	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC	$8,896 – $18,299 · median $10,096	26 plans
155	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC	$5,521 – $10,505 · median $5,964	26 plans
156	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$4,152 – $7,874 · median $4,544	26 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$10,111 – $19,561 · median $11,289	26 plans
158	DENTAL AND ORAL DISEASES WITH CC	$5,481 – $10,584 · median $5,857	26 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$4,073 – $8,073 · median $4,659	26 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$27,000 – $51,863 · median $29,198	26 plans
164	MAJOR CHEST PROCEDURES WITH CC	$15,206 – $28,758 · median $16,597	26 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$11,510 – $21,810 · median $12,587	26 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$22,517 – $43,324 · median $24,577	26 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$10,864 – $20,560 · median $11,858	26 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$8,232 – $15,569 · median $8,985	26 plans
173	URETHRAL PROCEDURES AGE 0-17	$17,931 – $34,528 · median $19,571	26 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$8,275 – $15,855 · median $9,008	26 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$4,850 – $9,172 · median $5,256	26 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$9,414 – $18,189 · median $10,138	26 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$5,880 – $11,163 · median $6,316	26 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$4,548 – $8,661 · median $4,964	26 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$10,639 – $20,122 · median $11,612	26 plans
181	RESPIRATORY NEOPLASMS WITH CC	$6,452 – $12,493 · median $7,042	26 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$4,541 – $9,424 · median $5,019	26 plans
183	MAJOR CHEST TRAUMA WITH MCC	$9,217 – $17,860 · median $10,060	26 plans
184	MAJOR CHEST TRAUMA WITH CC	$6,411 – $12,124 · median $6,843	26 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$4,738 – $8,961 · median $5,172	26 plans
186	PLEURAL EFFUSION WITH MCC	$9,389 – $17,778 · median $10,248	26 plans
187	PLEURAL EFFUSION WITH CC	$5,959 – $11,297 · median $6,504	26 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$4,321 – $8,261 · median $4,716	26 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$6,431 – $14,076 · median $7,944	26 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$6,673 – $12,636 · median $7,284	26 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$5,079 – $9,667 · median $5,543	26 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$3,868 – $7,315 · median $4,128	26 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$7,918 – $14,976 · median $8,632	26 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$4,855 – $9,227 · median $5,299	26 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$3,786 – $7,161 · median $4,133	26 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$9,823 – $21,503 · median $12,136	26 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$5,718 – $11,139 · median $6,241	26 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$4,315 – $8,160 · median $4,709	26 plans
199	PNEUMOTHORAX WITH MCC	$8,811 – $20,100 · median $11,344	26 plans
200	PNEUMOTHORAX WITH CC	$6,394 – $12,525 · median $7,069	26 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$4,181 – $8,148 · median $4,598	26 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$5,851 – $11,066 · median $6,245	26 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$3,397 – $7,838 · median $4,326	26 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$4,158 – $9,200 · median $5,192	26 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$11,031 – $21,242 · median $12,040	26 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$4,293 – $10,723 · median $6,052	26 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$38,765 – $73,317 · median $42,311	26 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$16,559 – $31,319 · median $17,676	26 plans
212	TESTES PROCEDURES AGE 0-17	$7,191 – $123,900 · median $69,927	26 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$59,985 – $119,213 · median $65,859	26 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$58,936 – $111,465 · median $64,327	26 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$39,612 – $78,193 · median $43,236	26 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$36,735 – $74,919 · median $43,236	26 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$46,257 – $87,487 · median $50,488	26 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$32,127 – $60,762 · median $35,066	26 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$28,358 – $57,428 · median $32,411	26 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$29,805 – $56,371 · median $32,532	26 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$18,974 – $35,885 · median $20,709	26 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$50,785 – $96,050 · median $55,431	26 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$36,524 – $69,077 · median $39,864	26 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC	$46,058 – $87,950 · median $50,271	26 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC	$32,850 – $62,242 · median $35,920	26 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$35,355 – $66,867 · median $38,589	26 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$25,235 – $47,727 · median $27,543	26 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$29,650 – $56,675 · median $32,363	26 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$17,173 – $32,768 · median $18,743	26 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$8,340 – $16,989 · median $9,218	26 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$19,235 – $38,167 · median $21,102	26 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$12,837 – $25,349 · median $14,049	26 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$10,889 – $20,595 · median $11,885	26 plans
245	AICD GENERATOR PROCEDURES	$27,486 – $54,986 · median $30,277	26 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$13,148 – $26,021 · median $14,406	26 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$9,003 – $17,582 · median $9,827	26 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$21,015 – $39,746 · median $22,937	26 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$15,637 – $29,574 · median $17,067	26 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$10,734 – $20,301 · median $11,716	26 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$16,156 – $30,734 · median $17,737	26 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$10,229 – $19,346 · median $11,165	26 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$5,507 – $12,445 · median $7,023	26 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$17,323 – $35,801 · median $20,661	26 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$10,853 – $23,040 · median $13,296	26 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$19,596 – $38,327 · median $21,389	26 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$11,389 – $21,540 · median $12,431	26 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$9,372 – $18,571 · median $10,717	26 plans
263	VEIN LIGATION AND STRIPPING	$16,561 – $34,836 · median $20,104	26 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$20,125 – $39,327 · median $21,966	26 plans
265	AICD LEAD PROCEDURES	$21,798 – $41,226 · median $23,791	26 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC	$36,920 – $69,827 · median $40,173	26 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC	$3,358 – $54,245 · median $30,615	26 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$13,047 – $78,367 · median $44,229	26 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$3,549 – $48,119 · median $27,158	26 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$3,544 – $60,118 · median $33,930	26 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$4,072 – $40,520 · median $22,869	26 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$15,380 – $29,089 · median $16,787	26 plans
273	PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC	$24,145 – $47,006 · median $27,127	26 plans
274	PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC	$19,271 – $37,506 · median $21,644	26 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$40,848 – $81,244 · median $45,852	26 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$31,383 – $69,699 · median $38,626	26 plans
277	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$27,824 – $52,623 · median $30,369	26 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$29,347 – $63,421 · median $35,782	26 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$19,786 – $41,091 · median $23,191	26 plans
280	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC	$9,664 – $18,469 · median $10,548	26 plans
281	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC	$5,537 – $10,472 · median $6,044	26 plans
282	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC	$4,356 – $8,239 · median $4,755	26 plans
283	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC	$11,933 – $22,569 · median $13,025	26 plans
284	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC	$4,170 – $8,338 · median $4,592	26 plans
285	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC	$3,466 – $6,824 · median $3,923	26 plans
286	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC	$13,331 – $25,213 · median $14,550	26 plans
287	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC	$6,447 – $12,261 · median $7,036	26 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$16,303 – $30,834 · median $17,795	26 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$9,736 – $19,448 · median $11,224	26 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$5,601 – $11,016 · median $6,118	26 plans
291	HEART FAILURE AND SHOCK WITH MCC	$7,734 – $14,682 · median $8,346	26 plans
292	HEART FAILURE AND SHOCK WITH CC	$5,115 – $9,690 · median $5,583	26 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$2,959 – $6,449 · median $3,640	26 plans
296	CARDIAC ARREST- UNEXPLAINED WITH MCC	$9,410 – $18,435 · median $10,270	26 plans
297	CARDIAC ARREST- UNEXPLAINED WITH CC	$3,819 – $7,926 · median $4,222	26 plans
298	CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC	$2,727 – $5,185 · median $2,993	26 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$9,836 – $18,603 · median $10,736	26 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$6,431 – $12,163 · median $7,019	26 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$4,336 – $8,200 · median $4,732	26 plans
302	ATHEROSCLEROSIS WITH MCC	$7,183 – $13,634 · median $7,868	26 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$4,056 – $7,670 · median $4,427	26 plans
304	HYPERTENSION WITH MCC	$7,169 – $13,559 · median $7,796	26 plans
305	HYPERTENSION WITHOUT MCC	$4,549 – $8,604 · median $4,965	26 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$7,821 – $17,955 · median $10,133	26 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$5,501 – $10,424 · median $6,005	26 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$7,253 – $13,718 · median $7,917	26 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$4,432 – $8,383 · median $4,731	26 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$3,410 – $6,450 · median $3,682	26 plans
311	ANGINA PECTORIS	$4,007 – $7,997 · median $4,514	26 plans
312	SYNCOPE AND COLLAPSE	$5,251 – $9,931 · median $5,731	26 plans
313	CHEST PAIN	$4,338 – $8,204 · median $4,734	26 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$12,562 – $24,231 · median $13,711	26 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$5,803 – $10,976 · median $6,334	26 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,109 – $7,772 · median $4,485	26 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$26,886 – $50,850 · median $29,346	26 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$14,293 – $27,406 · median $15,816	26 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$16,391 – $32,032 · median $17,891	26 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$10,621 – $20,357 · median $11,593	26 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$26,070 – $50,280 · median $28,455	26 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$18,983 – $35,951 · median $20,719	26 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$17,673 – $36,579 · median $21,110	26 plans
326	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$30,046 – $57,149 · median $32,795	26 plans
327	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$14,725 – $27,849 · median $16,072	26 plans
328	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$9,653 – $18,257 · median $10,536	26 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$27,691 – $52,373 · median $30,224	26 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$14,442 – $27,314 · median $15,763	26 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$10,138 – $19,175 · median $11,066	26 plans
332	RECTAL RESECTION WITH MCC	$21,418 – $41,254 · median $23,808	26 plans
333	RECTAL RESECTION WITH CC	$13,123 – $27,284 · median $15,401	26 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$9,867 – $18,663 · median $10,770	26 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$21,513 – $40,771 · median $22,963	26 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$12,704 – $24,027 · median $13,866	26 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$9,247 – $17,490 · median $10,093	26 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$15,560 – $30,319 · median $16,983	26 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$9,065 – $17,145 · median $9,894	26 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$7,130 – $14,012 · median $7,695	26 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$13,830 – $26,631 · median $14,865	26 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$7,773 – $14,912 · median $8,606	26 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$5,245 – $9,920 · median $5,725	26 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$14,935 – $28,393 · median $16,385	26 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$9,184 – $17,370 · median $10,024	26 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$6,808 – $13,306 · median $7,679	26 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$17,483 – $33,065 · median $19,082	26 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$10,135 – $19,169 · median $11,063	26 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$8,103 – $15,325 · median $8,844	26 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$26,339 – $50,052 · median $28,885	26 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$13,905 – $26,497 · median $14,954	26 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$8,367 – $15,928 · median $9,192	26 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$9,590 – $18,791 · median $10,468	26 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$5,730 – $11,450 · median $6,432	26 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$4,222 – $7,985 · median $4,608	26 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$9,609 – $20,203 · median $11,402	26 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$6,151 – $11,633 · median $6,714	26 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$4,160 – $8,288 · median $4,678	26 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$12,884 – $24,368 · median $14,063	26 plans
375	DIGESTIVE MALIGNANCY WITH CC	$7,109 – $13,825 · median $7,778	26 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$5,452 – $10,531 · median $5,998	26 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$11,013 – $20,828 · median $11,755	26 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$5,908 – $11,174 · median $6,449	26 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$3,798 – $7,183 · median $4,145	26 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$11,821 – $22,357 · median $12,825	26 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$6,527 – $12,345 · median $7,034	26 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$4,627 – $9,122 · median $5,264	26 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$7,806 – $15,732 · median $9,079	26 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$5,150 – $9,785 · median $5,621	26 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$9,532 – $18,282 · median $10,404	26 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$5,882 – $11,168 · median $6,420	26 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$4,104 – $7,763 · median $4,480	26 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$8,897 – $16,827 · median $9,711	26 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$4,677 – $9,020 · median $5,079	26 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$3,277 – $6,198 · median $3,563	26 plans
391	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$7,641 – $14,453 · median $8,340	26 plans
392	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$4,697 – $8,883 · median $5,126	26 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$9,635 – $18,633 · median $10,516	26 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$5,637 – $10,661 · median $6,153	26 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,910 – $7,395 · median $4,267	26 plans
397	MAJOR HEAD AND NECK PROCEDURES WITH CC	$14,428 – $27,880 · median $15,748	26 plans
398	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$9,119 – $17,791 · median $9,953	26 plans
399	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC	$6,896 – $19,754 · median $7,527	26 plans
405	PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC	$32,957 – $62,331 · median $35,971	26 plans
406	PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC	$17,341 – $33,045 · median $19,070	26 plans
407	PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$13,188 – $25,290 · median $14,595	26 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$21,481 – $46,232 · median $23,446	26 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$12,945 – $24,808 · median $14,317	26 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$9,565 – $19,428 · median $10,440	26 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$16,896 – $37,638 · median $21,283	26 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$12,666 – $23,985 · median $13,825	26 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$10,004 – $18,920 · median $10,919	26 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$21,463 – $40,592 · median $23,426	26 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$12,214 – $25,596 · median $13,590	26 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$8,213 – $15,533 · median $8,964	26 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$14,377 – $27,191 · median $15,692	26 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$10,191 – $19,274 · median $11,123	26 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$8,136 – $15,562 · median $8,981	26 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$20,526 – $39,714 · median $22,403	26 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$10,112 – $19,797 · median $11,425	26 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$8,431 – $16,534 · median $9,202	26 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$25,019 – $64,872 · median $27,308	26 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$13,181 – $25,692 · median $14,386	26 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$9,038 – $17,393 · median $9,865	26 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$11,857 – $22,426 · median $12,942	26 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$6,363 – $12,037 · median $6,945	26 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,292 – $8,118 · median $4,582	26 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$11,065 – $20,927 · median $12,077	26 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$6,814 – $12,888 · median $7,438	26 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$4,848 – $9,723 · median $5,611	26 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$9,821 – $18,720 · median $10,719	26 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$5,068 – $9,679 · median $5,531	26 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$3,744 – $7,080 · median $4,086	26 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$10,812 – $21,271 · median $11,811	26 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$5,815 – $10,999 · median $6,347	26 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,215 – $7,972 · median $4,601	26 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$10,066 – $19,038 · median $10,745	26 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$6,593 – $12,470 · median $7,196	26 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$4,923 – $9,426 · median $5,440	26 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC	$47,959 – $95,748 · median $54,039	26 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC	$35,439 – $67,944 · median $39,210	26 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$25,137 – $48,586 · median $27,437	26 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC	$33,273 – $69,050 · median $36,775	26 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC	$16,025 – $32,223 · median $17,697	26 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$33,349 – $64,940 · median $37,477	26 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$18,207 – $35,489 · median $20,481	26 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$10,720 – $20,779 · median $11,992	26 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$31,359 – $59,679 · median $34,228	26 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$21,149 – $40,182 · median $23,189	26 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$16,198 – $31,311 · median $18,069	26 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$18,273 – $36,779 · median $20,190	26 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$11,620 – $21,978 · median $12,683	26 plans
471	CERVICAL SPINAL FUSION WITH MCC	$29,090 – $55,018 · median $31,751	26 plans
472	CERVICAL SPINAL FUSION WITH CC	$17,749 – $33,568 · median $19,372	26 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$14,618 – $27,816 · median $16,053	26 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$25,862 – $50,462 · median $28,228	26 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$12,951 – $25,929 · median $14,634	26 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$7,110 – $13,447 · median $7,760	26 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$20,812 – $39,362 · median $22,716	26 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$14,440 – $28,020 · median $16,170	26 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$10,965 – $21,180 · median $12,120	26 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$17,545 – $33,183 · median $19,150	26 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$12,618 – $23,865 · median $13,772	26 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$9,795 – $18,584 · median $10,725	26 plans
483	MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES	$15,734 – $31,583 · median $18,170	26 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$19,441 – $36,770 · median $21,220	26 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$12,157 – $23,864 · median $13,447	26 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$9,435 – $17,845 · median $10,157	26 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$10,657 – $22,115 · median $11,778	26 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$6,728 – $13,934 · median $7,436	26 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC	$21,927 – $41,834 · median $24,143	26 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC	$14,825 – $28,896 · median $16,676	26 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC	$11,642 – $22,862 · median $13,194	26 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$21,739 – $41,311 · median $23,841	26 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$10,867 – $22,200 · median $12,011	26 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$7,279 – $15,107 · median $8,046	26 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$15,590 – $34,373 · median $19,537	26 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$7,168 – $22,957 · median $12,458	26 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$19,066 – $36,060 · median $20,810	26 plans
501	SOFT TISSUE PROCEDURES WITH CC	$10,531 – $20,081 · median $11,495	26 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$8,108 – $15,721 · median $8,850	26 plans
503	FOOT PROCEDURES WITH MCC	$16,342 – $31,802 · median $18,353	26 plans
504	FOOT PROCEDURES WITH CC	$10,837 – $21,298 · median $12,291	26 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$10,801 – $20,427 · median $11,789	26 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$8,128 – $16,868 · median $8,888	26 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$10,882 – $21,809 · median $11,998	26 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$7,969 – $17,255 · median $9,897	26 plans
510	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC	$17,648 – $34,416 · median $19,861	26 plans
511	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC	$12,110 – $23,693 · median $13,673	26 plans
512	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC	$9,928 – $18,862 · median $10,885	26 plans
513	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$9,297 – $17,938 · median $10,352	26 plans
514	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$6,159 – $11,648 · median $6,722	26 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$19,095 – $36,312 · median $20,955	26 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$12,422 – $23,678 · median $13,664	26 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$9,217 – $17,509 · median $10,105	26 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$22,130 – $42,583 · median $24,575	26 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$12,050 – $22,790 · median $13,152	26 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$8,850 – $17,022 · median $9,823	26 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$17,291 – $32,796 · median $18,873	26 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$12,758 – $24,129 · median $13,925	26 plans
533	FRACTURES OF FEMUR WITH MCC	$9,416 – $17,862 · median $10,308	26 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$4,508 – $9,185 · median $5,184	26 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$7,723 – $14,964 · median $8,430	26 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$4,865 – $9,202 · median $5,299	26 plans
537	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC	$5,675 – $10,873 · median $6,275	26 plans
538	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC	$4,146 – $8,207 · median $4,736	26 plans
539	OSTEOMYELITIS WITH MCC	$11,866 – $22,756 · median $12,952	26 plans
540	OSTEOMYELITIS WITH CC	$7,809 – $14,770 · median $8,524	26 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$4,744 – $9,844 · median $5,243	26 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$10,642 – $20,986 · median $11,639	26 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$6,193 – $11,937 · median $6,760	26 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$4,546 – $8,598 · median $4,962	26 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$14,951 – $28,433 · median $16,318	26 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$6,949 – $13,142 · median $7,584	26 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$4,608 – $9,528 · median $5,498	26 plans
548	SEPTIC ARTHRITIS WITH MCC	$11,633 – $22,668 · median $12,697	26 plans
549	SEPTIC ARTHRITIS WITH CC	$7,273 – $13,755 · median $7,938	26 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$4,849 – $9,960 · median $5,621	26 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$10,098 – $19,200 · median $10,778	26 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$5,791 – $10,953 · median $6,182	26 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$7,809 – $14,770 · median $8,524	26 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$5,001 – $9,458 · median $5,338	26 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$7,963 – $15,152 · median $8,500	26 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$5,004 – $9,464 · median $5,462	26 plans
557	TENDONITIS- MYOSITIS AND BURSITIS WITH MCC	$7,019 – $17,437 · median $9,611	26 plans
558	TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC	$3,732 – $10,177 · median $5,744	26 plans
559	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$11,235 – $21,538 · median $12,263	26 plans
560	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$6,784 – $12,831 · median $7,405	26 plans
561	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$4,843 – $9,200 · median $5,286	26 plans
562	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC	$8,584 – $16,467 · median $9,264	26 plans
563	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC	$5,395 – $10,203 · median $5,888	26 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$9,299 – $17,772 · median $10,150	26 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$5,870 – $11,474 · median $6,407	26 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$4,514 – $8,538 · median $4,927	26 plans
570	SKIN DEBRIDEMENT WITH MCC	$17,718 – $33,871 · median $19,339	26 plans
571	SKIN DEBRIDEMENT WITH CC	$10,178 – $19,250 · median $10,864	26 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$6,906 – $13,061 · median $7,537	26 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$38,025 – $74,647 · median $43,079	26 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$14,578 – $39,553 · median $22,323	26 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$10,826 – $22,467 · median $11,965	26 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$29,527 – $60,708 · median $32,635	26 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$15,969 – $30,202 · median $17,430	26 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$9,678 – $19,020 · median $10,567	26 plans
579	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$19,510 – $36,899 · median $21,244	26 plans
580	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$10,410 – $19,950 · median $11,362	26 plans
581	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$8,694 – $17,266 · median $9,489	26 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$10,813 – $26,774 · median $12,668	26 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$10,143 – $22,147 · median $11,339	26 plans
584	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$12,642 – $28,491 · median $14,076	26 plans
585	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$11,622 – $22,336 · median $12,685	26 plans
592	SKIN ULCERS WITH MCC	$11,659 – $23,137 · median $12,792	26 plans
593	SKIN ULCERS WITH CC	$7,147 – $13,758 · median $7,800	26 plans
594	SKIN ULCERS WITHOUT CC/MCC	$5,222 – $9,876 · median $5,700	26 plans
595	MAJOR SKIN DISORDERS WITH MCC	$12,776 – $24,163 · median $13,945	26 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$5,406 – $12,334 · median $6,961	26 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$9,600 – $19,766 · median $10,835	26 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$6,662 – $12,890 · median $7,439	26 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$4,635 – $9,619 · median $5,123	26 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$4,479 – $11,868 · median $6,698	26 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,645 – $6,893 · median $3,890	26 plans
602	CELLULITIS WITH MCC	$8,177 – $16,531 · median $9,150	26 plans
603	CELLULITIS WITHOUT MCC	$5,002 – $9,923 · median $5,600	26 plans
604	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$8,869 – $16,773 · median $9,680	26 plans
605	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$5,518 – $10,437 · median $6,023	26 plans
606	MINOR SKIN DISORDERS WITH MCC	$6,150 – $18,119 · median $9,884	26 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$4,218 – $10,328 · median $5,829	26 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$13,204 – $25,643 · median $14,412	26 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$8,430 – $16,124 · median $9,201	26 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$21,010 – $43,489 · median $23,221	26 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$11,267 – $21,734 · median $12,298	26 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$7,688 – $16,160 · median $9,306	26 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$16,835 – $32,899 · median $18,986	26 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$9,641 – $18,234 · median $10,523	26 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$9,026 – $17,187 · median $9,918	26 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$21,442 – $42,105 · median $23,403	26 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$10,807 – $21,523 · median $11,878	26 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$6,194 – $14,264 · median $8,050	26 plans
625	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$17,703 – $34,411 · median $19,421	26 plans
626	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$9,033 – $17,084 · median $9,859	26 plans
627	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$7,823 – $15,135 · median $8,734	26 plans
628	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$22,452 – $44,397 · median $24,589	26 plans
629	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$13,126 – $25,307 · median $14,327	26 plans
630	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$8,653 – $16,630 · median $9,597	26 plans
637	DIABETES WITH MCC	$8,655 – $16,386 · median $9,244	26 plans
638	DIABETES WITH CC	$4,807 – $10,320 · median $5,763	26 plans
639	DIABETES WITHOUT CC/MCC	$3,547 – $7,078 · median $3,995	26 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC	$8,046 – $15,218 · median $8,782	26 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC	$4,688 – $8,867 · median $5,117	26 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$7,663 – $16,203 · median $9,351	26 plans
643	ENDOCRINE DISORDERS WITH MCC	$9,917 – $18,756 · median $10,824	26 plans
644	ENDOCRINE DISORDERS WITH CC	$6,175 – $11,679 · median $6,591	26 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$4,072 – $8,762 · median $4,941	26 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$31,305 – $62,725 · median $34,511	26 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$16,864 – $31,895 · median $18,001	26 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$12,751 – $24,117 · median $13,918	26 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$16,826 – $36,659 · median $20,474	26 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$11,025 – $20,851 · median $12,033	26 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$9,287 – $17,681 · median $10,204	26 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$15,059 – $29,079 · median $16,339	26 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$7,962 – $15,078 · median $8,691	26 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$6,238 – $11,797 · median $6,808	26 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$18,444 – $35,102 · median $20,131	26 plans
663	MINOR BLADDER PROCEDURES WITH CC	$9,158 – $17,321 · median $9,996	26 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$6,307 – $12,150 · median $6,884	26 plans
665	PROSTATECTOMY WITH MCC	$18,803 – $38,635 · median $20,783	26 plans
666	PROSTATECTOMY WITH CC	$10,172 – $19,932 · median $11,502	26 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$6,346 – $12,604 · median $7,274	26 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$17,591 – $33,270 · median $19,200	26 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$8,652 – $17,683 · median $9,980	26 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$5,888 – $11,135 · median $6,426	26 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$10,643 – $20,452 · median $11,803	26 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$6,503 – $12,314 · median $7,098	26 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$25,312 – $47,873 · median $27,628	26 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$14,089 – $26,646 · median $15,377	26 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$9,665 – $18,702 · median $10,793	26 plans
682	RENAL FAILURE WITH MCC	$8,922 – $16,899 · median $9,738	26 plans
683	RENAL FAILURE WITH CC	$5,276 – $10,002 · median $5,706	26 plans
684	RENAL FAILURE WITHOUT CC/MCC	$3,616 – $6,840 · median $3,947	26 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$10,866 – $21,218 · median $11,860	26 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$5,957 – $11,939 · median $6,738	26 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$4,472 – $9,005 · median $5,197	26 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$6,990 – $13,220 · median $7,630	26 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$4,715 – $9,223 · median $5,206	26 plans
693	URINARY STONES WITH MCC	$8,100 – $16,545 · median $8,952	26 plans
694	URINARY STONES WITHOUT MCC	$4,283 – $8,907 · median $5,027	26 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$6,891 – $13,032 · median $7,521	26 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$4,151 – $7,850 · median $4,531	26 plans
697	URETHRAL STRICTURE	$6,186 – $12,280 · median $7,087	26 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$9,967 – $18,913 · median $10,878	26 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$6,083 – $11,565 · median $6,527	26 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$4,156 – $7,861 · median $4,536	26 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$11,983 – $22,791 · median $13,153	26 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$9,154 – $17,481 · median $10,088	26 plans
709	PENIS PROCEDURES WITH CC/MCC	$13,875 – $26,515 · median $15,302	26 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$8,441 – $16,894 · median $9,300	26 plans
711	TESTES PROCEDURES WITH CC/MCC	$11,797 – $23,743 · median $13,702	26 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$6,604 – $12,530 · median $7,231	26 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$8,929 – $17,130 · median $9,886	26 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$5,802 – $12,048 · median $6,953	26 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$13,478 – $25,492 · median $14,711	26 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$8,764 – $16,761 · median $9,673	26 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$11,389 – $21,540 · median $12,431	26 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$7,607 – $15,303 · median $8,832	26 plans
722	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC	$10,675 – $20,620 · median $11,900	26 plans
723	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC	$6,884 – $13,020 · median $7,514	26 plans
724	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,950 – $8,198 · median $4,366	26 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$7,050 – $14,207 · median $7,792	26 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$4,350 – $8,376 · median $4,747	26 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$8,934 – $16,896 · median $9,751	26 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$4,090 – $9,243 · median $5,216	26 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$6,378 – $12,387 · median $6,961	26 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,747 – $7,657 · median $4,321	26 plans
734	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$12,832 – $24,269 · median $14,006	26 plans
735	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$7,495 – $15,331 · median $8,847	26 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$21,534 – $44,306 · median $23,801	26 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$12,339 – $23,478 · median $13,549	26 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$8,847 – $17,068 · median $9,656	26 plans
739	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC	$21,584 – $44,793 · median $23,856	26 plans
740	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC	$10,902 – $20,619 · median $11,899	26 plans
741	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC	$8,482 – $16,249 · median $9,377	26 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$11,054 – $20,906 · median $12,065	26 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$7,402 – $14,137 · median $8,158	26 plans
744	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$12,065 – $23,347 · median $13,474	26 plans
745	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$6,328 – $12,961 · median $7,480	26 plans
746	VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC	$10,340 – $19,793 · median $11,422	26 plans
747	VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$5,179 – $11,150 · median $5,724	26 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$8,358 – $15,807 · median $9,122	26 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$14,549 – $29,255 · median $16,511	26 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$7,962 – $16,815 · median $9,704	26 plans
754	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$8,633 – $20,984 · median $11,843	26 plans
755	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC	$5,702 – $12,491 · median $6,995	26 plans
756	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,786 – $10,944 · median $6,316	26 plans
757	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$8,626 – $16,315 · median $9,350	26 plans
758	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC	$5,612 – $11,469 · median $6,325	26 plans
759	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,952 – $7,561 · median $4,267	26 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$4,513 – $11,479 · median $6,479	26 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$3,437 – $7,133 · median $3,782	26 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$4,337 – $12,336 · median $6,891	26 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$8,580 – $19,254 · median $10,743	26 plans
770	ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY	$5,694 – $12,107 · median $6,488	26 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$3,421 – $8,028 · median $4,305	26 plans
779	ABORTION WITHOUT D&C	$3,374 – $10,518 · median $5,532	26 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$9,260 – $27,973 · median $15,211	26 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$6,386 – $12,186 · median $6,939	26 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$5,394 – $10,913 · median $6,159	26 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$6,556 – $12,725 · median $7,205	26 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$5,586 – $10,925 · median $6,305	26 plans
795	NORMAL NEWBORN	$989 – $2,277 · median $1,285	26 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$7,030 – $14,364 · median $7,771	26 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$5,978 – $11,399 · median $6,578	26 plans
799	SPLENIC PROCEDURES WITH MCC	$27,284 – $53,501 · median $29,780	26 plans
800	SPLENIC PROCEDURES WITH CC	$16,925 – $32,786 · median $18,473	26 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$10,137 – $21,750 · median $12,532	26 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$22,135 – $45,395 · median $26,197	26 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$10,991 – $21,180 · median $12,186	26 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$6,827 – $15,450 · median $8,720	26 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$4,311 – $12,296 · median $6,940	26 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$3,843 – $8,591 · median $4,849	26 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$3,288 – $7,682 · median $4,335	26 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$13,301 – $25,770 · median $14,518	26 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$7,626 – $14,424 · median $8,321	26 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$5,771 – $11,925 · median $6,730	26 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$8,460 – $16,001 · median $9,234	26 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$5,532 – $10,462 · median $5,905	26 plans
813	COAGULATION DISORDERS	$8,925 – $17,418 · median $9,809	26 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$11,198 – $24,232 · median $13,676	26 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$6,109 – $11,554 · median $6,521	26 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$3,807 – $7,420 · median $4,087	26 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$9,579 – $28,525 · median $15,003	26 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$6,984 – $14,493 · median $7,719	26 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$5,042 – $9,798 · median $5,654	26 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$35,332 – $66,824 · median $38,564	26 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$13,486 – $25,507 · median $14,720	26 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$7,062 – $13,718 · median $7,917	26 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$27,621 – $52,654 · median $30,147	26 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$13,581 – $25,814 · median $14,897	26 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$7,600 – $15,375 · median $8,873	26 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$28,181 – $53,734 · median $30,759	26 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$13,924 – $26,554 · median $15,197	26 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$9,897 – $19,413 · median $11,203	26 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$19,037 – $36,005 · median $20,779	26 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$9,030 – $17,148 · median $9,678	26 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$4,627 – $13,701 · median $7,733	26 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$3,411 – $8,410 · median $4,650	26 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$2,341 – $5,958 · median $3,363	26 plans
834	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC	$33,073 – $66,388 · median $36,099	26 plans
835	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC	$12,566 – $24,033 · median $13,715	26 plans
836	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$7,347 – $20,055 · median $8,019	26 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$28,943 – $56,341 · median $31,591	26 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$9,344 – $23,784 · median $13,423	26 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$7,957 – $16,452 · median $9,285	26 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$19,488 – $36,858 · median $21,271	26 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$9,682 – $18,588 · median $10,727	26 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$6,087 – $11,836 · median $6,644	26 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$11,690 – $22,729 · median $13,117	26 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$7,334 – $13,871 · median $8,005	26 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$5,130 – $9,703 · median $5,600	26 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$14,071 – $29,539 · median $16,671	26 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$7,846 – $14,906 · median $8,494	26 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$4,872 – $9,678 · median $5,462	26 plans
849	RADIOTHERAPY	$16,323 – $30,872 · median $17,816	26 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$29,752 – $56,275 · median $32,474	26 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$12,037 – $22,766 · median $12,849	26 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$9,020 – $18,291 · median $9,969	26 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$24,859 – $51,828 · median $29,251	26 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$12,710 – $24,517 · median $13,771	26 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$7,955 – $15,871 · median $9,159	26 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$10,263 – $20,779 · median $11,727	26 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$5,624 – $11,370 · median $6,417	26 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$5,348 – $10,114 · median $5,804	26 plans
865	VIRAL ILLNESS WITH MCC	$9,026 – $17,072 · median $9,852	26 plans
866	VIRAL ILLNESS WITHOUT MCC	$5,239 – $9,956 · median $5,638	26 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$12,610 – $26,302 · median $13,764	26 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$6,212 – $11,816 · median $6,780	26 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$3,597 – $8,314 · median $4,692	26 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$41,640 – $78,753 · median $45,448	26 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$11,702 – $22,133 · median $12,773	26 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$6,165 – $11,659 · median $6,580	26 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$25,282 – $49,852 · median $27,650	26 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$11,534 – $21,814 · median $12,589	26 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$7,046 – $13,717 · median $7,691	26 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$22,128 – $43,445 · median $24,152	26 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$8,937 – $18,546 · median $9,877	26 plans
906	HAND PROCEDURES FOR INJURIES	$10,032 – $24,557 · median $12,916	26 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$23,130 – $44,825 · median $25,245	26 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$12,020 – $22,733 · median $13,119	26 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$7,831 – $14,957 · median $8,632	26 plans
913	TRAUMATIC INJURY WITH MCC	$9,848 – $18,625 · median $10,748	26 plans
914	TRAUMATIC INJURY WITHOUT MCC	$5,335 – $10,311 · median $5,823	26 plans
915	ALLERGIC REACTIONS WITH MCC	$9,943 – $19,555 · median $10,824	26 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$3,362 – $7,592 · median $4,285	26 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$9,449 – $18,450 · median $10,154	26 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$4,705 – $9,954 · median $5,513	26 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$11,029 – $20,860 · median $11,972	26 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$6,038 – $11,431 · median $6,497	26 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$3,825 – $7,844 · median $4,427	26 plans
922	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$10,431 – $19,933 · median $11,503	26 plans
923	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$4,865 – $11,596 · median $6,544	26 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$19,598 – $41,343 · median $23,859	26 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$13,037 – $26,627 · median $15,366	26 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$12,067 – $23,104 · median $13,333	26 plans
947	SIGNS AND SYMPTOMS WITH MCC	$7,647 – $14,472 · median $8,347	26 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$4,823 – $9,121 · median $5,264	26 plans
949	AFTERCARE WITH CC/MCC	$6,662 – $13,555 · median $7,823	26 plans
950	AFTERCARE WITHOUT CC/MCC	$3,619 – $10,595 · median $4,127	26 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$3,054 – $6,380 · median $3,575	26 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$40,551 – $98,562 · median $44,260	26 plans
956	LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$22,670 – $68,421 · median $24,744	26 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$45,905 – $86,821 · median $50,104	26 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$25,377 – $48,013 · median $27,708	26 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$16,325 – $33,545 · median $19,359	26 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$16,470 – $31,149 · median $17,976	26 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$9,233 – $17,462 · median $10,078	26 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$5,635 – $10,716 · median $6,184	26 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$36,877 – $71,161 · median $40,250	26 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$15,889 – $30,051 · median $17,342	26 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$17,386 – $33,601 · median $18,977	26 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$7,802 – $15,994 · median $8,623	26 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$5,438 – $11,286 · median $6,011	26 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$7,818 – $16,224 · median $8,641	26 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$28,265 – $53,491 · median $30,851	26 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$14,811 – $28,012 · median $16,166	26 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$10,301 – $19,529 · median $11,022	26 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$20,654 – $39,412 · median $22,543	26 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$9,902 – $19,308 · median $10,807	26 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$7,135 – $13,664 · median $7,737	26 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY	$232,864 – $424,344 · median $275,019	25 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$42,982 – $89,198 · median $47,506	25 plans
650	NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH OTHER PROB	$16,746 – $51,841 · median $29,942	25 plans
651	NEONATE BIRTHWT 2000-2499G WITH SIGNIF O.R. PROC WITH MULT MAJOR PROB	$21,442 – $120,421 · median $24,060	25 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$9,937 – $18,794 · median $10,709	25 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$5,766 – $10,905 · median $6,214	25 plans
317	ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC	$38,199 – $76,186 · median $42,998	24 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$10,259 – $45,810 · median $25,551	24 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$11,907 – $125,576 · median $70,041	24 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$11,461 – $82,249 · median $45,875	24 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$9,067 – $64,057 · median $35,728	24 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$127,869 – $241,840 · median $135,178	23 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$83,447 – $158,991 · median $88,216	23 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$51,500 – $102,655 · median $57,380	23 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$33,778 – $65,710 · median $36,729	23 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$40,253 – $76,130 · median $42,553	23 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$25,214 – $48,320 · median $27,009	23 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$31,800 – $60,725 · median $33,943	23 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$19,055 – $36,807 · median $20,574	23 plans
789	NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$10,857 – $20,534 · median $11,478	23 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE	$5,463 – $67,720 · median $37,691	23 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$2,370 – $46,248 · median $25,740	23 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$1,613 – $27,906 · median $15,532	23 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$25,119 – $47,508 · median $26,555	23 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$8,891 – $24,362 · median $9,400	23 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$52,168 – $103,652 · median $56,221	23 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$128,624 – $266,929 · median $138,616	23 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$37,136 – $81,726 · median $45,486	23 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$17,112 – $36,698 · median $20,425	23 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$23,460 – $48,686 · median $24,801	23 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$5,080 – $25,188 · median $14,018	23 plans
935	NON-EXTENSIVE BURNS	$12,410 – $24,714 · median $13,120	23 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$168,827 – $316,950 · median $178,095	22 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$68,043 – $123,994 · median $72,015	22 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$62,115 – $119,827 · median $65,711	22 plans
006	LIVER TRANSPLANT WITHOUT MCC	$27,935 – $57,117 · median $29,737	22 plans
007	LUNG TRANSPLANT	$78,017 – $147,050 · median $82,300	22 plans
008	SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT	$33,597 – $61,223 · median $35,618	22 plans
010	PANCREAS TRANSPLANT	$38,975 – $89,712 · median $44,459	22 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$72,401 – $147,421 · median $77,282	22 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$35,723 – $67,916 · median $37,684	22 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$32,726 – $67,916 · median $34,933	22 plans
652	KIDNEY TRANSPLANT	$18,965 – $34,559 · median $20,524	22 plans
209	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17	—	18 plans
213	SPLENECTOMY AGE 0-17	$13,686 – $65,024 · median $35,359	18 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$14,592 – $33,085 · median $15,199	18 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$20,716 – $112,354 · median $21,577	18 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$14,545 – $50,748 · median $15,149	18 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$23,898 – $44,216 · median $25,735	18 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$5,686 – $10,941 · median $6,314	18 plans
881	DEPRESSIVE NEUROSES	$3,476 – $10,721 · median $6,187	18 plans
882	NEUROSES EXCEPT DEPRESSIVE	$5,940 – $12,235 · median $7,150	18 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$11,447 – $22,404 · median $13,093	18 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$9,948 – $18,793 · median $10,713	18 plans
885	PSYCHOSES	$4,886 – $15,915 · median $9,185	18 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$8,725 – $23,646 · median $13,545	18 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$6,622 – $16,477 · median $7,207	18 plans
894	ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA	$3,414 – $7,029 · median $4,056	18 plans
895	ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY	$4,948 – $16,292 · median $9,308	18 plans
896	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC	$9,290 – $20,038 · median $11,475	18 plans
945	REHABILITATION WITH CC/MCC	$9,426 – $17,645 · median $10,311	18 plans
946	REHABILITATION WITHOUT CC/MCC	$6,894 – $13,067 · median $7,636	18 plans
897	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC	$5,447 – $10,059 · median $5,878	17 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$9,548 – $17,619 · median $13,167	10 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH CC	$6,139 – $11,370 · median $8,495	10 plans
079	HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC	$4,117 – $7,596 · median $6,116	10 plans
294	DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC	$7,582 – $13,992 · median $9,995	10 plans
295	DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC	$4,877 – $8,999 · median $6,836	10 plans
509	ARTHROSCOPY	$10,847 – $20,016 · median $14,273	10 plans
453	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC	$71,749 – $87,341 · median $73,859	3 plans
454	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC	$47,811 – $50,979 · median $49,522	3 plans
455	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC	$34,801 – $38,387 · median $37,290	3 plans
459	SPINAL FUSION EXCEPT CERVICAL WITH MCC	$39,967 – $55,280 · median $53,700	3 plans
460	SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$28,262 – $30,488 · median $29,617	3 plans
104	CRANIOTOMY- VENTRICULAR SHUNT AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE 0-17	$22,241 – $22,241 · median $22,241	1 plans
105	TRAUMATIC STUPOR AND COMA COMA <1 HR AGE 0-17	$4,319 – $4,319 · median $4,319	1 plans
106	CONCUSSION AGE 0-17	$5,183 – $5,183 · median $5,183	1 plans
107	SEIZURES AND HEADACHES AGE 0-17	$4,295 – $4,295 · median $4,295	1 plans
108	EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17	$7,786 – $7,786 · median $7,786	1 plans
109	OTHER DISORDERS OF THE EYE AGE 0-17	$8,674 – $8,674 · median $8,674	1 plans
111	SINUS AND MASTOID PROCEDURES AGE 0-17	$14,433 – $14,433 · median $14,433	1 plans
112	OTITIS MEDIA AND URI AGE 0-17	$2,750 – $2,750 · median $2,750	1 plans
118	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES AGE 0-17	$5,182 – $5,182 · median $5,182	1 plans
119	DENTAL AND ORAL DISEASES AGE 0-17	$4,922 – $4,922 · median $4,922	1 plans
120	RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17	$5,386 – $5,386 · median $5,386	1 plans
160	OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17	$6,312 – $6,312 · median $6,312	1 plans
161	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17	$14,510 – $14,510 · median $14,510	1 plans
162	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR AGE 0-17	$9,969 – $9,969 · median $9,969	1 plans
169	FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH AGE 0-17	$4,410 – $4,410 · median $4,410	1 plans
170	CELLULITIS AGE 0-17	$3,249 – $3,249 · median $3,249	1 plans
171	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST AGE 0-17	$3,568 – $3,568 · median $3,568	1 plans
172	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES AGE 0-17	$4,211 – $4,211 · median $4,211	1 plans
174	KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17	$3,440 – $3,440 · median $3,440	1 plans
210	URETHRAL STRICTURE AGE 0-17	$5,403 – $5,403 · median $5,403	1 plans
211	OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17	$6,192 – $6,192 · median $6,192	1 plans
214	RED BLOOD CELL DISORDERS AGE 0-17	$4,175 – $4,175 · median $4,175	1 plans
361	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC	$52,474 – $52,474 · median $52,474	1 plans
362	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$32,398 – $32,398 · median $32,398	1 plans
363	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$29,440 – $29,440 · median $29,440	1 plans
364	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$25,067 – $25,067 · median $25,067	1 plans
396	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$31,551 – $31,551 · median $31,551	1 plans
400	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE 0-17	$8,002 – $8,002 · median $8,002	1 plans
401	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH CC	$16,640 – $16,640 · median $16,640	1 plans
608	BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD	$37,076 – $37,076 · median $37,076	1 plans
609	OTHER RESPIRATORY PROBLEMS AFTER BIRTH	$19,352 – $19,352 · median $19,352	1 plans
610	NEONATE- DIED WITHIN ONE DAY OF BIRTH	$2,717 – $2,717 · median $2,717	1 plans
611	NEONATE- TRANSFERRED <5 DAYS OLD	$1,957 – $1,957 · median $1,957	1 plans
612	NEONATE- BIRTH WEIGHT <750 GRAMS- DISCHARGED ALIVE	$217,287 – $217,287 · median $217,287	1 plans
613	NEONATE- BIRTH WEIGHT <750 GRAMS- DIED	$77,067 – $77,067 · median $77,067	1 plans
631	NEONATE- BIRTH WEIGHT 750-999 GRAMS- DISCHARGED ALIVE	$174,511 – $174,511 · median $174,511	1 plans
632	NEONATE- BIRTH WEIGHT 750-999 GRAMS- DIED	$64,773 – $64,773 · median $64,773	1 plans
633	NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE	$179,139 – $179,139 · median $179,139	1 plans
634	NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE	$80,655 – $80,655 · median $80,655	1 plans
635	NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- DIED	$84,974 – $84,974 · median $84,974	1 plans
636	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS	$199,389 – $199,389 · median $199,389	1 plans
646	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS	$46,720 – $46,720 · median $46,720	1 plans
647	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS	$52,096 – $52,096 · median $52,096	1 plans
648	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM	$35,818 – $35,818 · median $35,818	1 plans
649	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM	$26,317 – $26,317 · median $26,317	1 plans
676	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS	$24,946 – $24,946 · median $24,946	1 plans
677	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS	$32,618 – $32,618 · median $32,618	1 plans
678	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM	$18,636 – $18,636 · median $18,636	1 plans
679	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM	$10,114 – $10,114 · median $10,114	1 plans
680	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH OTHER PROBLEM	$6,790 – $6,790 · median $6,790	1 plans
681	NEONATE- BIRTH WEIGHT >2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS	$102,820 – $102,820 · median $102,820	1 plans
691	URINARY STONES W ESW LITHOTRIPSY W CC/MCC	$32,581 – $32,581 · median $32,581	1 plans
692	URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC	$25,472 – $25,472 · median $25,472	1 plans
762	VAGINAL DELIVERY WITH STERILIZATION/D&C WITH MCC	$8,425 – $8,425 · median $8,425	1 plans
763	VAGINAL DELIVERY WITH STERILIZATION/D&C WITH CC	$5,857 – $5,857 · median $5,857	1 plans
764	VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT CC/MCC	$5,824 – $5,824 · median $5,824	1 plans
771	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$8,373 – $8,373 · median $8,373	1 plans
772	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$6,951 – $6,951 · median $6,951	1 plans
773	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$5,892 – $5,892 · median $5,892	1 plans
898	ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE >21 WITHOUT MCC	$6,950 – $6,950 · median $6,950	1 plans
899	ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE <21 WITHOUT MCC	$7,209 – $7,209 · median $7,209	1 plans

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