Ochsner Acadia General Hospital — Hospital Prices & Charges

Procedures published 757

Lowest published price $4,699

Average published price $49,497

Highest published price $290,989

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.

Published charges

Showing all 225 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 17 procedures, this hospital's negotiated rates average ≈121% of what Medicare pays.

DRG	Description	Published price	Cash price	vs. LA median		vs. National median		vs Medicare
283	MS DRG -ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Extreme	$290,989	$66,927	$75,916	+283%	$35,014	+731%	—
004	MS DRG -TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES;APR DRG -TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE;SOI -Major	$283,707	$65,253	$292,218	−3%	$245,241	+16%	—
467	MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITH CC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Moderate	$255,277	$58,714	$78,622	+225%	$68,880	+271%	—
853	MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Extreme	$246,737	$56,750	$102,538	+141%	$87,018	+184%	—
329	MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Extreme	$235,080	$54,068	$147,076	+60%	$88,050	+167%	—
468	MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Minor	$193,835	$44,582	$108,088	+79%	$54,929	+253%	—
682	MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme	$185,041	$42,560	$27,953	+562%	$27,854	+564%	≈119% of Medicare
466	MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITH MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Major	$176,177	$40,521	$116,776	+51%	$96,222	+83%	—
480	MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Major	$174,138	$40,052	$92,273	+89%	$63,984	+172%	—
207	MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Extreme	$157,317	$36,183	$160,739	−2%	$116,058	+36%	—
356	MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Extreme	$151,907	$34,939	$58,115	+161%	$82,561	+84%	—
483	MS DRG -MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES;APR DRG -SHOULDER AND ELBOW JOINT REPLACEMENT;SOI -Moderate	$136,582	$31,414	$83,829	+63%	$57,149	+139%	—
486	MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Minor	$133,262	$30,650	$69,602	+91%	$46,477	+187%	—
371	MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Extreme	$132,726	$30,527	$34,208	+288%	$31,758	+318%	—
441	MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Major	$125,802	$28,934	$28,244	+345%	$32,399	+288%	—
854	MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Major	$123,387	$28,379	$61,736	+100%	$43,524	+183%	—
389	MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI -Major	$122,819	$28,248	$17,413	+605%	$17,388	+606%	—
142	MS DRG -MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER MAJOR HEAD AND NECK PROCEDURES;SOI -Minor	$118,270	$27,202	$46,585	+154%	$34,906	+239%	—
199	MS DRG -PNEUMOTHORAX WITH MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Major	$117,275	$26,973	$23,280	+404%	$31,491	+272%	—
988	MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate	$115,833	$26,642	$47,723	+143%	$38,094	+204%	—
870	MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme	$104,798	$24,104	$126,146	−17%	$138,008	−24%	—
335	MS DRG -PERITONEAL ADHESIOLYSIS WITH MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Extreme	$99,228	$22,823	$44,541	+123%	$71,755	+38%	—
640	MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS;SOI -Extreme	$98,683	$22,697	$35,544	+178%	$24,480	+303%	—
189	MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -RESPIRATORY FAILURE;SOI -Extreme	$95,513	$21,968	$34,870	+174%	$25,704	+272%	≈118% of Medicare
398	MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Moderate	$94,012	$21,623	$52,201	+80%	$39,107	+140%	—
330	MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Moderate	$90,475	$20,809	$75,804	+19%	$58,832	+54%	—
331	MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Minor	$89,341	$20,548	$51,631	+73%	$44,117	+103%	—
417	MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Major	$88,754	$20,413	$60,767	+46%	$52,313	+70%	—
481	MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG -OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Moderate	$88,265	$20,301	$74,029	+19%	$51,172	+72%	≈128% of Medicare
473	MS DRG -CERVICAL SPINAL FUSION WITHOUT CC/MCC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Moderate	$87,786	$20,191	$64,026	+37%	$50,624	+73%	—
327	MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Moderate	$85,616	$19,692	$54,417	+57%	$54,824	+56%	—
472	MS DRG -CERVICAL SPINAL FUSION WITH CC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Moderate	$84,790	$19,502	$84,790	+0%	$59,537	+42%	—
478	MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate	$81,966	$18,852	$72,984	+12%	$50,139	+63%	—
862	MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme	$80,871	$18,600	$30,606	+164%	$30,394	+166%	—
748	MS DRG -FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;APR DRG -FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;SOI -Moderate	$80,809	$18,586	$14,545	+456%	$24,980	+223%	—
492	MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate	$80,161	$18,437	$78,830	+2%	$70,540	+14%	—
470	MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG -ELECTIVE HIP JOINT REPLACEMENT;SOI -Moderate	$78,264	$18,001	$77,962	+0%	$49,197	+59%	—
557	MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Extreme	$74,215	$17,069	$24,871	+198%	$28,646	+159%	—
987	MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme	$74,170	$17,059	$71,549	+4%	$65,383	+13%	—
357	MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Moderate	$73,784	$16,970	$56,437	+31%	$48,682	+52%	—
308	MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Extreme	$72,132	$16,590	$19,824	+264%	$26,488	+172%	—
334	MS DRG -RECTAL RESECTION WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Minor	$72,074	$16,577	$66,089	+9%	$32,213	+124%	—
922	MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC;APR DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Extreme	$72,062	$16,574	$31,839	+126%	$29,409	+145%	—
542	MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC;APR DRG -MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI -Major	$69,896	$16,076	$64,579	+8%	$35,114	+99%	—
501	MS DRG -SOFT TISSUE PROCEDURES WITH CC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Minor	$69,438	$15,971	$49,159	+41%	$37,975	+83%	—
482	MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Moderate	$69,375	$15,956	$60,104	+15%	$39,747	+75%	—
175	MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG -PULMONARY EMBOLISM;SOI -Major	$68,429	$15,739	$21,442	+219%	$29,757	+130%	—
521	MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Minor	$66,765	$15,356	$64,282	+4%	$67,764	−1%	—
475	MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate	$66,693	$15,339	$65,618	+2%	$44,553	+50%	—
314	MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE;SOI -Extreme	$66,687	$15,338	$66,687	+0%	$38,357	+74%	—
974	MS DRG -HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Moderate	$65,925	$15,163	$56,055	+18%	$46,402	+42%	—
463	MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Extreme	$63,802	$14,674	$66,425	−4%	$78,582	−19%	—
100	MS DRG -SEIZURES WITH MCC;APR DRG -SEIZURE;SOI -Major	$61,565	$14,160	$37,366	+65%	$35,194	+75%	—
312	MS DRG -SYNCOPE AND COLLAPSE;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Major	$60,735	$13,969	$20,728	+193%	$19,342	+214%	—
493	MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate	$60,559	$13,929	$68,944	−12%	$56,394	+7%	—
381	MS DRG -COMPLICATED PEPTIC ULCER WITH CC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Major	$59,895	$13,776	$29,448	+103%	$24,177	+148%	—
871	MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme	$59,281	$13,635	$47,280	+25%	$35,237	+68%	≈113% of Medicare
515	MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Major	$59,133	$13,601	$54,848	+8%	$62,821	−6%	—
193	MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -OTHER PNEUMONIA;SOI -Extreme	$57,975	$13,334	$31,866	+82%	$26,158	+122%	≈118% of Medicare
328	MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Minor	$57,203	$13,157	$34,509	+66%	$35,375	+62%	—
494	MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor	$55,675	$12,805	$61,521	−10%	$45,963	+21%	—
908	MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH CC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate	$55,402	$12,742	$37,636	+47%	$41,660	+33%	—
208	MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Extreme	$55,384	$12,738	$55,384	+0%	$52,405	+6%	—
336	MS DRG -PERITONEAL ADHESIOLYSIS WITH CC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Moderate	$54,581	$12,554	$54,942	−1%	$49,470	+10%	—
522	MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Moderate	$54,408	$12,514	$50,240	+8%	$56,519	−4%	≈122% of Medicare
637	MS DRG -DIABETES WITH MCC;APR DRG -DIABETES;SOI -Extreme	$54,407	$12,514	$39,314	+38%	$28,819	+89%	—
418	MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Major	$53,742	$12,361	$46,416	+16%	$42,119	+28%	—
377	MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Major	$51,101	$11,753	$46,940	+9%	$37,842	+35%	—
438	MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate	$51,008	$11,732	$31,731	+61%	$32,502	+57%	—
907	MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate	$49,804	$11,455	$62,830	−21%	$71,701	−31%	—
917	MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Moderate	$49,212	$11,319	$35,324	+39%	$28,134	+75%	—
674	MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major	$49,212	$11,319	$51,964	−5%	$49,631	−1%	—
864	MS DRG -FEVER AND INFLAMMATORY CONDITIONS;APR DRG -FEVER AND INFLAMMATORY CONDITIONS;SOI -Moderate	$48,622	$11,183	$14,916	+226%	$17,412	+179%	—
658	MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI -Minor	$48,020	$11,045	$48,020	+0%	$35,528	+35%	—
177	MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Major	$47,497	$10,924	$40,636	+17%	$31,840	+49%	≈117% of Medicare
432	MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Major	$47,428	$10,909	$35,757	+33%	$36,933	+28%	—
519	MS DRG -BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Moderate	$45,988	$10,577	$55,926	−18%	$43,775	+5%	—
355	MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Minor	$45,438	$10,451	$37,878	+20%	$31,978	+42%	—
812	MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major	$45,069	$10,366	$21,472	+110%	$20,488	+120%	—
091	MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major	$44,898	$10,326	$34,501	+30%	$36,375	+23%	—
689	MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Major	$44,794	$10,303	$24,198	+85%	$22,982	+95%	≈120% of Medicare
808	MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Major	$44,456	$10,225	$37,162	+20%	$36,334	+22%	—
641	MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS;SOI -Moderate	$44,412	$10,215	$16,702	+166%	$16,745	+165%	≈121% of Medicare
419	MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate	$43,745	$10,061	$36,340	+20%	$34,887	+25%	—
013	MS DRG -TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Moderate	$43,688	$10,048	$27,739	+57%	$45,290	−4%	—
673	MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major	$43,655	$10,041	$88,662	−51%	$72,945	−40%	—
623	MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -DIABETES;SOI -Moderate	$42,041	$9,670	$43,775	−4%	$33,165	+27%	—
502	MS DRG -SOFT TISSUE PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor	$41,885	$9,633	$28,835	+45%	$30,006	+40%	—
660	MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Moderate	$41,876	$9,631	$36,171	+16%	$30,358	+38%	—
901	MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITH MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Major	$40,710	$9,363	$40,710	+0%	$68,847	−41%	—
200	MS DRG -PNEUMOTHORAX WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Minor	$40,444	$9,302	$22,598	+79%	$20,573	+97%	—
393	MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI -Major	$40,124	$9,229	$40,098	+0%	$32,689	+23%	—
391	MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Major	$39,952	$9,189	$26,767	+49%	$27,244	+47%	—
300	MS DRG -PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Moderate	$39,659	$9,122	$23,860	+66%	$19,579	+103%	—
465	MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Minor	$39,430	$9,069	$36,675	+8%	$32,839	+20%	—
354	MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Minor	$38,558	$8,868	$41,931	−8%	$43,266	−11%	—
981	MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Major	$38,200	$8,786	$93,631	−59%	$86,390	−56%	—
659	MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major	$38,026	$8,746	$38,026	+0%	$48,094	−21%	—
669	MS DRG -TRANSURETHRAL PROCEDURES WITH CC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Moderate	$37,879	$8,712	$35,716	+6%	$34,354	+10%	—
394	MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate	$37,176	$8,551	$15,999	+132%	$18,918	+97%	—
513	MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor	$37,079	$8,528	$32,614	+14%	$33,424	+11%	—
630	MS DRG -OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor	$37,054	$8,522	$9,105	+307%	$24,452	+52%	—
629	MS DRG -OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Moderate	$36,613	$8,421	$35,001	+5%	$45,059	−19%	—
315	MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE;SOI -Major	$36,342	$8,359	$20,942	+74%	$20,777	+75%	—
195	MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -BRONCHIOLITIS AND RSV PNEUMONIA;SOI -Minor	$36,050	$8,291	$18,452	+95%	$13,824	+161%	—
291	MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Major	$35,443	$8,152	$27,049	+31%	$25,020	+42%	≈121% of Medicare
395	MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI -Moderate	$35,428	$8,148	$10,099	+251%	$14,128	+151%	—
683	MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major	$35,401	$8,142	$16,875	+110%	$18,620	+90%	≈124% of Medicare
194	MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -BRONCHIOLITIS AND RSV PNEUMONIA;SOI -Minor	$35,259	$8,110	$19,357	+82%	$18,204	+94%	≈132% of Medicare
949	MS DRG -AFTERCARE WITH CC/MCC;APR DRG -OTHER AFTERCARE AND CONVALESCENCE;SOI -Major	$34,882	$8,023	$26,724	+31%	$23,953	+46%	—
813	MS DRG -COAGULATION DISORDERS;APR DRG -COAGULATION AND PLATELET DISORDERS;SOI -Moderate	$34,845	$8,014	$47,828	−27%	$30,128	+16%	—
572	MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate	$34,543	$7,945	$28,378	+22%	$24,432	+41%	—
511	MS DRG -SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate	$33,657	$7,741	$33,657	+0%	$43,538	−23%	—
560	MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Moderate	$33,551	$7,717	$26,439	+27%	$24,452	+37%	—
202	MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -ASTHMA;SOI -Minor	$33,496	$7,704	$23,318	+44%	$17,273	+94%	—
884	MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Moderate	$33,430	$7,689	$28,404	+18%	$25,208	+33%	—
065	MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Major	$33,291	$7,657	$25,712	+29%	$23,469	+42%	—
439	MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate	$33,037	$7,599	$19,517	+69%	$19,096	+73%	—
399	MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate	$32,747	$7,532	$28,191	+16%	$30,314	+8%	—
378	MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Major	$32,614	$7,501	$21,582	+51%	$21,886	+49%	≈121% of Medicare
512	MS DRG -SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Minor	$32,285	$7,426	$32,285	+0%	$35,692	−10%	—
856	MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Major	$32,226	$7,412	$54,047	−40%	$72,859	−56%	—
948	MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Minor	$32,118	$7,387	$19,901	+61%	$17,727	+81%	—
178	MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Minor	$31,574	$7,262	$23,848	+32%	$22,024	+43%	—
809	MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Moderate	$31,570	$7,261	$22,779	+39%	$22,032	+43%	—
867	MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC;APR DRG -OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Moderate	$31,559	$7,259	$31,559	+0%	$36,850	−14%	—
240	MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Major	$31,536	$7,253	$63,977	−51%	$54,475	−42%	—
349	MS DRG -ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor	$31,536	$7,253	$27,972	+13%	$19,854	+59%	—
919	MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Major	$31,214	$7,179	$31,482	−1%	$29,031	+8%	—
710	MS DRG -PENIS PROCEDURES WITHOUT CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Minor	$31,129	$7,160	$17,252	+80%	$23,814	+31%	—
602	MS DRG -CELLULITIS WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate	$30,596	$7,037	$25,010	+22%	$29,347	+4%	—
698	MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Moderate	$30,427	$6,998	$28,616	+6%	$30,058	+1%	—
983	MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor	$30,033	$6,908	$30,033	+0%	$30,930	−3%	—
845	MS DRG -OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC;APR DRG -LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR;SOI -Minor	$29,861	$6,868	$7,299	+309%	$14,055	+112%	—
857	MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Minor	$29,246	$6,727	$26,079	+12%	$41,900	−30%	—
487	MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor	$29,148	$6,704	$29,148	+0%	$33,490	−13%	—
372	MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major	$28,521	$6,560	$25,271	+13%	$22,850	+25%	—
627	MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC;APR DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Minor	$28,300	$6,509	$26,357	+7%	$25,623	+10%	—
690	MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Moderate	$27,889	$6,414	$18,582	+50%	$17,466	+60%	≈122% of Medicare
304	MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Major	$27,401	$6,302	$26,659	+3%	$24,185	+13%	—
352	MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Minor	$27,386	$6,299	$30,099	−9%	$25,162	+9%	—
296	MS DRG -CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Major	$27,342	$6,289	$46,939	−42%	$30,910	−12%	—
663	MS DRG -MINOR BLADDER PROCEDURES WITH CC;APR DRG -OTHER BLADDER PROCEDURES;SOI -Minor	$27,101	$6,233	$25,988	+4%	$29,924	−9%	—
726	MS DRG -BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate	$27,003	$6,211	$13,637	+98%	$13,892	+94%	—
603	MS DRG -CELLULITIS WITHOUT MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major	$26,965	$6,202	$19,952	+35%	$18,530	+46%	≈127% of Medicare
390	MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate	$26,817	$6,168	$12,107	+122%	$13,318	+101%	—
379	MS DRG -GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Minor	$26,749	$6,152	$20,711	+29%	$14,134	+89%	—
571	MS DRG -SKIN DEBRIDEMENT WITH CC;APR DRG -SKIN ULCERS;SOI -Major	$26,736	$6,149	$37,596	−29%	$34,901	−23%	—
617	MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate	$26,073	$5,997	$37,649	−31%	$42,881	−39%	—
346	MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor	$25,646	$5,898	$20,366	+26%	$26,146	−2%	—
863	MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate	$25,609	$5,890	$28,888	−11%	$20,007	+28%	—
543	MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG -MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI -Moderate	$25,592	$5,886	$25,592	+0%	$23,496	+9%	—
622	MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Major	$25,549	$5,876	$77,820	−67%	$60,861	−58%	—
580	MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate	$25,404	$5,843	$59,184	−57%	$36,242	−30%	—
684	MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Moderate	$25,327	$5,825	$15,085	+68%	$13,623	+86%	—
600	MS DRG -NON-MALIGNANT BREAST DISORDERS WITH CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate	$25,031	$5,757	$13,684	+83%	$16,418	+52%	—
392	MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Moderate	$24,707	$5,683	$22,535	+10%	$17,322	+43%	≈127% of Medicare
638	MS DRG -DIABETES WITH CC;APR DRG -DIABETES;SOI -Moderate	$24,245	$5,576	$21,692	+12%	$18,821	+29%	—
803	MS DRG -OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC;APR DRG -OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor	$23,708	$5,453	$23,566	+1%	$33,564	−29%	—
699	MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Major	$23,684	$5,447	$24,373	−3%	$20,732	+14%	—
309	MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate	$23,415	$5,385	$22,998	+2%	$16,865	+39%	—
206	MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Major	$23,408	$5,384	$10,667	+119%	$17,731	+32%	—
661	MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Moderate	$23,091	$5,311	$27,285	−15%	$24,022	−4%	—
536	MS DRG -FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG -FRACTURE OF FEMUR;SOI -Minor	$22,235	$5,114	$20,702	+7%	$18,002	+24%	—
190	MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Major	$21,887	$5,034	$21,887	+0%	$24,190	−10%	—
182	MS DRG -RESPIRATORY NEOPLASMS WITHOUT CC/MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Moderate	$21,502	$4,946	$21,502	+0%	$14,064	+53%	—
539	MS DRG -OSTEOMYELITIS WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate	$21,327	$4,905	$27,935	−24%	$33,746	−37%	—
191	MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate	$21,315	$4,902	$18,365	+16%	$18,278	+17%	—
872	MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Moderate	$21,179	$4,871	$28,123	−25%	$22,781	−7%	≈119% of Medicare
896	MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Major	$20,747	$4,772	$20,366	+2%	$30,275	−31%	—
746	MS DRG -VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC;APR DRG -OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Minor	$20,722	$4,766	$32,278	−36%	$29,916	−31%	—
921	MS DRG -COMPLICATIONS OF TREATMENT WITHOUT CC/MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate	$20,454	$4,704	$10,735	+91%	$14,012	+46%	—
071	MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major	$20,258	$4,659	$22,186	−9%	$23,396	−13%	—
546	MS DRG -CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Moderate	$20,019	$4,604	$36,114	−45%	$24,202	−17%	—
125	MS DRG -OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG -SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI -Moderate	$19,427	$4,468	$18,156	+7%	$15,876	+22%	—
581	MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Minor	$19,165	$4,408	$37,749	−49%	$25,243	−24%	—
280	MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Moderate	$18,864	$4,339	$30,357	−38%	$28,967	−35%	—
074	MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Moderate	$18,758	$4,314	$20,035	−6%	$23,141	−19%	—
897	MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Major	$18,045	$4,150	$13,087	+38%	$16,049	+12%	—
440	MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Minor	$17,932	$4,124	$16,162	+11%	$15,070	+19%	—
066	MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Minor	$17,918	$4,121	$20,913	−14%	$19,483	−8%	—
388	MS DRG -GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major	$17,878	$4,112	$20,298	−12%	$28,780	−38%	—
149	MS DRG -DYSEQUILIBRIUM;APR DRG -VERTIGO AND OTHER LABYRINTH DISORDERS;SOI -Minor	$17,463	$4,017	$16,577	+5%	$17,203	+2%	—
281	MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate	$16,706	$3,842	$24,038	−31%	$20,463	−18%	—
156	MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Minor	$16,670	$3,834	$11,169	+49%	$13,198	+26%	—
594	MS DRG -SKIN ULCERS WITHOUT CC/MCC;APR DRG -SKIN ULCERS;SOI -Moderate	$16,395	$3,771	$8,987	+82%	$14,209	+15%	—
605	MS DRG -TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Minor	$16,290	$3,747	$24,757	−34%	$19,287	−16%	—
192	MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate	$16,078	$3,698	$14,790	+9%	$14,368	+12%	—
639	MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -DIABETES;SOI -Minor	$16,040	$3,689	$15,755	+2%	$13,910	+15%	—
607	MS DRG -MINOR SKIN DISORDERS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate	$15,856	$3,647	$14,778	+7%	$15,284	+4%	—
092	MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate	$15,764	$3,626	$25,748	−39%	$24,136	−35%	—
445	MS DRG -DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Moderate	$15,749	$3,622	$18,217	−14%	$21,806	−28%	—
516	MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Major	$15,611	$3,591	$50,042	−69%	$45,817	−66%	—
305	MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -HYPERTENSION;SOI -Minor	$15,601	$3,588	$15,455	+1%	$17,144	−9%	—
558	MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate	$15,571	$3,581	$16,479	−6%	$17,367	−10%	—
624	MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC;APR DRG -SKIN ULCERS;SOI -Moderate	$15,087	$3,470	$15,087	+0%	$17,078	−12%	—
256	MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate	$14,838	$3,413	$30,683	−52%	$29,729	−50%	—
544	MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Minor	$14,790	$3,402	$14,790	+0%	$16,776	−12%	—
713	MS DRG -TRANSURETHRAL PROSTATECTOMY WITH CC/MCC;APR DRG -TRANSURETHRAL PROSTATECTOMY;SOI -Minor	$14,753	$3,393	$33,716	−56%	$29,663	−50%	—
563	MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Major	$14,120	$3,248	$12,232	+15%	$18,803	−25%	—
920	MS DRG -COMPLICATIONS OF TREATMENT WITH CC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Major	$13,665	$3,143	$21,587	−37%	$21,181	−35%	—
205	MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate	$13,632	$3,135	$18,573	−27%	$32,204	−58%	—
179	MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate	$13,493	$3,103	$16,262	−17%	$14,444	−7%	—
069	MS DRG -TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG -TRANSIENT ISCHEMIA;SOI -Moderate	$13,343	$3,069	$22,611	−41%	$20,278	−34%	—
644	MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Moderate	$12,497	$2,874	$19,297	−35%	$22,941	−46%	—
757	MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Major	$12,216	$2,810	$13,652	−11%	$23,734	−49%	—
464	MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Minor	$12,019	$2,764	$36,687	−67%	$54,313	−78%	—
444	MS DRG -DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Moderate	$11,926	$2,743	$49,470	−76%	$31,128	−62%	—
310	MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Minor	$11,736	$2,699	$11,589	+1%	$13,384	−12%	—
184	MS DRG -MAJOR CHEST TRAUMA WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Moderate	$11,417	$2,626	$13,293	−14%	$20,842	−45%	—
866	MS DRG -VIRAL ILLNESS WITHOUT MCC;APR DRG -VIRAL ILLNESS;SOI -Minor	$11,085	$2,549	$18,361	−40%	$16,391	−32%	—
885	MS DRG -PSYCHOSES;APR DRG -SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI -Moderate	$10,835	$2,492	$16,075	−33%	$21,489	−50%	—
070	MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major	$10,828	$2,491	$25,907	−58%	$30,814	−65%	—
435	MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Major	$10,467	$2,407	$33,073	−68%	$37,950	−72%	—
865	MS DRG -VIRAL ILLNESS WITH MCC;APR DRG -VIRAL ILLNESS;SOI -Moderate	$10,255	$2,359	$15,709	−35%	$26,088	−61%	—
292	MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -HEART FAILURE;SOI -Moderate	$10,057	$2,313	$19,922	−50%	$16,212	−38%	—
556	MS DRG -SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate	$8,816	$2,028	$14,692	−40%	$17,715	−50%	—
951	MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -OTHER AFTERCARE AND CONVALESCENCE;SOI -Moderate	$7,918	$1,821	$10,551	−25%	$9,385	−16%	—
201	MS DRG -PNEUMOTHORAX WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor	$7,355	$1,692	$11,438	−36%	$13,081	−44%	—
534	MS DRG -FRACTURES OF FEMUR WITHOUT MCC;APR DRG -FRACTURE OF FEMUR;SOI -Moderate	$7,010	$1,612	$7,010	+0%	$17,195	−59%	—
593	MS DRG -SKIN ULCERS WITH CC;APR DRG -SKIN ULCERS;SOI -Major	$6,424	$1,478	$17,855	−64%	$20,470	−69%	—
311	MS DRG -ANGINA PECTORIS;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Minor	$6,129	$1,410	$11,421	−46%	$15,165	−60%	—
293	MS DRG -HEART FAILURE AND SHOCK WITHOUT CC/MCC;APR DRG -HEART FAILURE;SOI -Minor	$5,883	$1,353	$10,349	−43%	$11,955	−51%	—
918	MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Moderate	$5,785	$1,331	$11,452	−49%	$15,045	−62%	—
433	MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Moderate	$4,699	—	$23,582	−80%	$23,749	−80%	—

Procedures with negotiated rates only

These 532 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
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$2,200 – $9,320 · median $8,472	18 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$3,575 – $15,419 · median $14,017	18 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$3,575 – $9,211 · median $8,373	18 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$3,575 – $7,498 · median $6,816	18 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$3,575 – $13,569 · median $12,335	18 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$3,575 – $9,037 · median $8,216	18 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$3,575 – $7,753 · median $7,048	18 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$2,200 – $10,794 · median $9,813	18 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$2,200 – $8,272 · median $7,520	18 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$2,200 – $8,272 · median $7,520	18 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$2,200 – $8,516 · median $7,742	18 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$2,200 – $6,272 · median $5,702	18 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$2,200 – $5,566 · median $5,060	18 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$154,179 – $175,616 · median $159,651	16 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$38,818 – $44,481 · median $40,437	16 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$29,522 – $33,913 · median $30,830	16 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$271,306 – $335,342 · median $280,690	16 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$57,992 – $85,944 · median $60,251	16 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$39,763 – $65,129 · median $41,414	16 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$25,398 – $40,899 · median $26,568	16 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$41,042 – $48,185 · median $42,736	16 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$27,349 – $34,097 · median $28,585	16 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$32,174 – $39,479 · median $33,571	16 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$22,004 – $27,316 · median $23,061	16 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$17,753 – $20,774 · median $18,669	16 plans
028	SPINAL PROCEDURES WITH MCC	$43,736 – $50,071 · median $45,519	16 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$24,148 – $28,738 · median $25,277	16 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$16,010 – $18,553 · median $16,866	16 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$30,147 – $37,767 · median $31,476	16 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$15,364 – $18,500 · median $16,199	16 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$11,478 – $14,201 · median $12,184	16 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$27,975 – $33,685 · median $29,232	16 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$16,365 – $20,124 · median $17,234	16 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$13,187 – $15,758 · median $13,950	16 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$23,891 – $28,634 · median $25,011	16 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$11,592 – $14,445 · median $12,301	16 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$8,188 – $9,662 · median $8,784	16 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$27,136 – $34,551 · median $28,365	16 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$16,245 – $19,357 · median $17,110	16 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$12,644 – $16,917 · median $13,389	16 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$14,393 – $16,812 · median $15,284	16 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$6,629 – $8,459 · median $7,172	16 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$10,785 – $12,614 · median $11,467	16 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$7,849 – $9,276 · median $8,433	16 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$16,033 – $20,832 · median $18,938	16 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$9,192 – $11,267 · median $10,242	16 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$13,279 – $15,450 · median $14,045	16 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$8,803 – $10,361 · median $9,419	16 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$6,420 – $7,652 · median $6,957	16 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$19,448 – $25,095 · median $20,420	16 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$12,812 – $16,889 · median $13,562	16 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$10,106 – $13,742 · median $10,766	16 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$14,310 – $16,622 · median $15,110	16 plans
067	NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$10,467 – $13,222 · median $11,138	16 plans
068	NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$6,342 – $7,641 · median $6,875	16 plans
072	NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$5,397 – $6,489 · median $5,899	16 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$11,119 – $12,994 · median $11,813	16 plans
075	VIRAL MENINGITIS WITH CC/MCC	$12,391 – $15,105 · median $13,127	16 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$6,596 – $7,854 · median $7,139	16 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$11,124 – $14,786 · median $11,818	16 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH CC	$7,179 – $8,520 · median $7,741	16 plans
079	HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC	$4,796 – $6,077 · median $5,279	16 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$11,641 – $16,610 · median $15,100	16 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$6,509 – $7,754 · median $7,049	16 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$16,692 – $19,328 · median $17,571	16 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$10,003 – $11,725 · median $10,659	16 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$6,878 – $8,173 · median $7,430	16 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$16,302 – $18,885 · median $17,168	16 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$9,436 – $11,080 · median $10,073	16 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$6,360 – $7,583 · median $6,894	16 plans
088	CONCUSSION WITH MCC	$10,149 – $14,297 · median $10,810	16 plans
089	CONCUSSION WITH CC	$7,713 – $9,122 · median $8,292	16 plans
090	CONCUSSION WITHOUT CC/MCC	$6,167 – $7,365 · median $6,696	16 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$5,678 – $6,809 · median $6,190	16 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$26,249 – $30,362 · median $27,448	16 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$17,245 – $21,703 · median $18,144	16 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$17,245 – $19,958 · median $18,144	16 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$25,788 – $29,668 · median $26,971	16 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$15,606 – $18,094 · median $16,449	16 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$10,023 – $11,748 · median $10,680	16 plans
101	SEIZURES WITHOUT MCC	$6,631 – $7,892 · median $7,174	16 plans
102	HEADACHES WITH MCC	$8,341 – $9,836 · median $8,942	16 plans
103	HEADACHES WITHOUT MCC	$6,116 – $7,307 · median $6,643	16 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$16,234 – $18,808 · median $17,098	16 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$8,504 – $10,529 · median $9,110	16 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$11,014 – $12,874 · median $11,704	16 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$12,004 – $14,000 · median $12,727	16 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$7,499 – $9,175 · median $8,341	16 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$8,368 – $9,867 · median $8,970	16 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$4,880 – $5,901 · median $5,365	16 plans
123	NEUROLOGICAL EYE DISORDERS	$5,778 – $6,923 · median $6,293	16 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$9,380 – $11,017 · median $10,016	16 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$17,345 – $20,072 · median $18,247	16 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$7,037 – $9,565 · median $7,594	16 plans
137	MOUTH PROCEDURES WITH CC/MCC	$10,062 – $12,502 · median $10,720	16 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$5,852 – $7,180 · median $6,370	16 plans
139	SALIVARY GLAND PROCEDURES	$8,971 – $11,582 · median $10,529	16 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$30,425 – $34,940 · median $31,763	16 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$15,456 – $18,857 · median $16,295	16 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$23,754 – $30,270 · median $24,869	16 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$12,638 – $15,751 · median $13,382	16 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$8,523 – $11,114 · median $9,130	16 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$16,504 – $19,115 · median $17,377	16 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$8,955 – $11,713 · median $9,576	16 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$5,760 – $7,468 · median $6,275	16 plans
150	EPISTAXIS WITH MCC	$9,944 – $11,781 · median $10,598	16 plans
151	EPISTAXIS WITHOUT MCC	$5,453 – $6,553 · median $5,957	16 plans
152	OTITIS MEDIA AND URI WITH MCC	$8,164 – $9,634 · median $8,759	16 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$5,120 – $6,266 · median $5,613	16 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$11,700 – $13,654 · median $12,413	16 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$6,716 – $8,053 · median $7,263	16 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$11,780 – $14,394 · median $12,496	16 plans
158	DENTAL AND ORAL DISEASES WITH CC	$6,767 – $8,046 · median $7,315	16 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$4,745 – $5,748 · median $5,226	16 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$33,159 – $45,812 · median $34,588	16 plans
164	MAJOR CHEST PROCEDURES WITH CC	$18,107 – $23,674 · median $19,034	16 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$13,410 – $16,584 · median $14,180	16 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$27,699 – $33,322 · median $28,946	16 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$13,145 – $18,038 · median $13,906	16 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,740 – $12,097 · median $10,387	16 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$22,076 – $27,930 · median $23,135	16 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$5,860 – $8,802 · median $6,377	16 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$12,574 – $15,354 · median $13,316	16 plans
181	RESPIRATORY NEOPLASMS WITH CC	$7,988 – $10,542 · median $8,576	16 plans
183	MAJOR CHEST TRAUMA WITH MCC	$11,419 – $13,745 · median $12,123	16 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$5,595 – $6,714 · median $6,104	16 plans
186	PLEURAL EFFUSION WITH MCC	$11,367 – $14,064 · median $12,068	16 plans
187	PLEURAL EFFUSION WITH CC	$7,223 – $9,731 · median $7,786	16 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$5,282 – $6,926 · median $5,780	16 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$13,554 – $15,762 · median $14,329	16 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$7,122 – $9,662 · median $7,682	16 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$5,039 – $7,331 · median $5,529	16 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$5,011 – $6,051 · median $5,501	16 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$5,834 – $6,987 · median $6,351	16 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$78,371 – $99,156 · median $81,311	16 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$76,219 – $140,488 · median $79,087	16 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$69,430 – $86,686 · median $72,071	16 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$46,458 – $57,607 · median $48,332	16 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$42,799 – $50,692 · median $44,551	16 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$55,664 – $70,146 · median $57,845	16 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$38,104 – $47,381 · median $39,699	16 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$33,039 – $42,185 · median $34,465	16 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$35,850 – $66,547 · median $37,370	16 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$22,347 – $40,600 · median $23,415	16 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$60,961 – $70,310 · median $63,320	16 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$43,946 – $50,949 · median $45,736	16 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$56,231 – $66,893 · median $58,432	16 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$38,274 – $44,432 · median $39,874	16 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$42,331 – $51,962 · median $44,067	16 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$29,582 – $34,544 · median $30,893	16 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$36,235 – $43,316 · median $37,768	16 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$10,862 – $12,844 · median $11,547	16 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$24,402 – $33,898 · median $25,539	16 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$16,207 – $24,298 · median $17,070	16 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$12,983 – $19,619 · median $13,739	16 plans
245	AICD GENERATOR PROCEDURES	$35,156 – $42,311 · median $36,652	16 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$16,637 – $27,201 · median $17,515	16 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$11,241 – $18,567 · median $11,939	16 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$24,678 – $29,714 · median $25,825	16 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$18,366 – $23,239 · median $19,302	16 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$12,585 – $15,750 · median $13,328	16 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$18,823 – $23,712 · median $19,774	16 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$6,416 – $9,610 · median $6,953	16 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$20,183 – $25,133 · median $21,179	16 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$12,645 – $18,135 · median $13,389	16 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$24,504 – $34,092 · median $25,645	16 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$13,651 – $16,886 · median $14,429	16 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$10,919 – $12,767 · median $11,606	16 plans
263	VEIN LIGATION AND STRIPPING	$16,988 – $22,288 · median $20,262	16 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$25,144 – $28,936 · median $26,306	16 plans
265	AICD LEAD PROCEDURES	$25,662 – $29,526 · median $26,842	16 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$43,098 – $81,845 · median $44,860	16 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$33,846 – $61,454 · median $35,298	16 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$47,967 – $62,391 · median $49,891	16 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$29,932 – $37,852 · median $31,254	16 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$36,927 – $46,028 · median $38,482	16 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$24,779 – $31,458 · median $25,929	16 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$18,001 – $22,204 · median $18,924	16 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$28,131 – $35,470 · median $29,393	16 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$22,452 – $29,498 · median $23,525	16 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$50,840 – $64,324 · median $52,860	16 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$44,563 – $56,381 · median $46,373	16 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$33,466 – $42,342 · median $34,906	16 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$35,994 – $45,540 · median $37,518	16 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$23,052 – $29,166 · median $24,145	16 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$5,216 – $6,883 · median $5,713	16 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$5,331 – $7,011 · median $5,831	16 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$4,039 – $4,945 · median $4,496	16 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$15,922 – $19,333 · median $16,776	16 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$7,839 – $10,276 · median $8,423	16 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$19,650 – $24,701 · median $20,629	16 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$11,343 – $15,465 · median $12,044	16 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$7,043 – $11,356 · median $7,600	16 plans
294	DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC	$8,834 – $10,397 · median $9,451	16 plans
295	DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC	$5,682 – $6,813 · median $6,194	16 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$5,067 – $6,115 · median $5,559	16 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$3,178 – $3,966 · median $3,606	16 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$11,637 – $13,583 · median $12,348	16 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$5,132 – $6,188 · median $5,626	16 plans
302	ATHEROSCLEROSIS WITH MCC	$8,369 – $9,868 · median $8,970	16 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$4,837 – $5,853 · median $5,321	16 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$10,772 – $12,600 · median $11,454	16 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$6,665 – $7,930 · median $7,209	16 plans
313	CHEST PAIN	$5,132 – $6,188 · median $5,626	16 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,911 – $5,937 · median $5,398	16 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$44,505 – $56,309 · median $46,314	16 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$31,602 – $39,702 · median $32,980	16 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$16,653 – $20,261 · median $17,531	16 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$20,480 – $25,912 · median $21,486	16 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$13,015 – $16,467 · median $13,772	16 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$30,642 – $38,769 · median $31,988	16 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$22,986 – $29,082 · median $24,075	16 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$20,590 – $26,051 · median $21,600	16 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$36,538 – $49,012 · median $38,081	16 plans
332	RECTAL RESECTION WITH MCC	$24,954 – $42,823 · median $26,110	16 plans
333	RECTAL RESECTION WITH CC	$15,289 – $22,507 · median $16,122	16 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$11,044 – $14,195 · median $11,735	16 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$19,384 – $30,109 · median $20,354	16 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$10,710 – $15,571 · median $11,390	16 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$17,027 – $23,871 · median $17,918	16 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$9,057 – $12,584 · median $9,681	16 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$17,400 – $22,450 · median $18,304	16 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$10,823 – $12,765 · median $11,507	16 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$21,100 – $26,466 · median $22,127	16 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,749 – $12,503 · median $10,396	16 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$12,014 – $16,967 · median $12,737	16 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$7,321 – $9,742 · median $7,887	16 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$5,021 – $6,726 · median $5,511	16 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$5,219 – $7,293 · median $5,715	16 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$15,189 – $18,370 · median $16,019	16 plans
375	DIGESTIVE MALIGNANCY WITH CC	$8,839 – $11,313 · median $9,457	16 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$6,352 – $8,211 · median $6,887	16 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$13,843 – $17,535 · median $14,628	16 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$5,390 – $6,909 · median $5,893	16 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$9,095 – $12,028 · median $9,721	16 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$6,256 – $7,746 · median $6,787	16 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$11,689 – $16,064 · median $12,401	16 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$7,140 – $9,138 · median $7,701	16 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$4,822 – $6,780 · median $5,305	16 plans
397	APPENDIX PROCEDURES WITH MCC	$17,825 – $22,553 · median $18,743	16 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$28,144 – $35,609 · median $29,407	16 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$39,054 – $50,413 · median $40,681	16 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$20,204 – $25,547 · median $21,201	16 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$15,365 – $17,820 · median $16,200	16 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$25,188 – $35,468 · median $26,352	16 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$15,082 – $20,223 · median $15,908	16 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$11,159 – $14,751 · median $11,853	16 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$19,686 – $33,005 · median $20,665	16 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$15,335 – $21,996 · median $16,169	16 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$11,960 – $16,118 · median $12,682	16 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$25,206 – $32,353 · median $26,370	16 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$14,230 – $18,447 · median $15,028	16 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$9,857 – $12,256 · median $10,509	16 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$25,391 – $31,512 · median $26,562	16 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$11,781 – $16,110 · median $12,497	16 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$10,571 – $12,371 · median $11,246	16 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$29,261 – $38,193 · median $30,560	16 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$16,426 – $20,928 · median $17,297	16 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$11,120 – $12,996 · median $11,814	16 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$75,360 – $95,347 · median $78,199	16 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$51,097 – $64,649 · median $53,126	16 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$39,597 – $50,098 · median $41,241	16 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$60,002 – $75,916 · median $62,329	16 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$39,355 – $49,792 · median $40,991	16 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,011 – $6,050 · median $5,500	16 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$8,113 – $10,595 · median $8,706	16 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$5,649 – $8,165 · median $6,160	16 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$6,951 – $8,434 · median $7,505	16 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,055 – $6,101 · median $5,546	16 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$5,736 – $6,889 · median $6,250	16 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$48,234 – $61,026 · median $50,167	16 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$29,377 – $37,168 · median $30,680	16 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$37,050 – $46,876 · median $38,610	16 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$22,201 – $28,089 · median $23,264	16 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$60,927 – $85,594 · median $63,285	16 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$41,289 – $62,871 · median $42,991	16 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$31,064 – $47,910 · median $32,423	16 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$44,147 – $50,539 · median $45,944	16 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$20,602 – $31,771 · median $21,613	16 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$23,515 – $30,860 · median $24,623	16 plans
471	CERVICAL SPINAL FUSION WITH MCC	$34,943 – $44,360 · median $36,433	16 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$32,263 – $37,029 · median $33,663	16 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$8,367 – $10,182 · median $8,969	16 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$24,740 – $28,797 · median $25,889	16 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$12,775 – $15,757 · median $13,524	16 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$23,160 – $28,170 · median $24,255	16 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$14,139 – $16,427 · median $14,934	16 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$8,909 – $12,002 · median $9,529	16 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$25,327 – $29,145 · median $26,495	16 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$14,194 – $16,489 · median $14,990	16 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$9,659 – $11,334 · median $10,303	16 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$18,164 – $21,002 · median $19,093	16 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$8,351 – $9,847 · median $8,952	16 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$22,796 – $29,509 · median $23,879	16 plans
503	FOOT PROCEDURES WITH MCC	$19,040 – $21,998 · median $19,998	16 plans
504	FOOT PROCEDURES WITH CC	$12,625 – $14,706 · median $13,369	16 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$11,354 – $14,706 · median $13,369	16 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$10,785 – $12,614 · median $11,467	16 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$13,943 – $17,434 · median $14,731	16 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$9,285 – $13,833 · median $9,917	16 plans
509	ARTHROSCOPY	$12,638 – $14,720 · median $13,382	16 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$20,561 – $23,727 · median $21,570	16 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$7,335 – $8,692 · median $7,902	16 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$10,738 – $15,702 · median $11,419	16 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$25,783 – $29,663 · median $26,967	16 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$10,310 – $12,075 · median $10,977	16 plans
533	FRACTURES OF FEMUR WITH MCC	$10,970 – $13,193 · median $11,659	16 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$9,567 – $11,296 · median $10,209	16 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$6,611 – $8,169 · median $7,154	16 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$4,831 – $6,296 · median $5,314	16 plans
540	OSTEOMYELITIS WITH CC	$9,310 – $11,803 · median $9,943	16 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$6,294 – $8,390 · median $6,826	16 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$18,179 – $23,065 · median $19,108	16 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,368 – $7,268 · median $5,870	16 plans
548	SEPTIC ARTHRITIS WITH MCC	$14,493 – $17,406 · median $15,299	16 plans
549	SEPTIC ARTHRITIS WITH CC	$8,669 – $10,480 · median $9,281	16 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$6,202 – $7,637 · median $6,731	16 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$12,276 – $14,309 · median $13,008	16 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$6,934 – $8,236 · median $7,487	16 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$9,395 – $11,093 · median $10,031	16 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$6,004 – $7,180 · median $6,527	16 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,687 – $11,501 · median $10,333	16 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$13,354 – $16,889 · median $14,122	16 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$5,882 – $7,040 · median $6,400	16 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$10,528 – $12,475 · median $11,202	16 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$11,289 – $13,686 · median $11,988	16 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$7,336 – $8,693 · median $7,903	16 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$5,382 – $6,472 · median $5,884	16 plans
570	SKIN DEBRIDEMENT WITH MCC	$21,655 – $24,971 · median $22,701	16 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$33,745 – $50,714 · median $46,104	16 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$23,936 – $28,689 · median $26,081	16 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$13,586 – $16,683 · median $15,166	16 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$37,703 – $44,476 · median $40,432	16 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$18,033 – $22,130 · median $20,118	16 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$11,980 – $14,178 · median $12,889	16 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$23,448 – $27,009 · median $24,554	16 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$11,835 – $14,675 · median $13,341	16 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$9,950 – $13,788 · median $12,534	16 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$14,729 – $17,097 · median $15,543	16 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$12,517 – $16,588 · median $15,080	16 plans
592	SKIN ULCERS WITH MCC	$12,969 – $17,170 · median $15,609	16 plans
595	MAJOR SKIN DISORDERS WITH MCC	$15,216 – $17,866 · median $16,046	16 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$7,777 – $9,195 · median $8,359	16 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$12,638 – $15,253 · median $13,382	16 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$7,762 – $10,226 · median $8,343	16 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$6,150 – $7,346 · median $6,678	16 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$4,313 – $5,747 · median $4,779	16 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$10,688 – $12,504 · median $11,367	16 plans
606	MINOR SKIN DISORDERS WITH MCC	$11,585 – $13,523 · median $12,294	16 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$16,395 – $22,429 · median $17,265	16 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$10,309 – $12,964 · median $10,976	16 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$27,805 – $37,874 · median $29,056	16 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$8,957 – $12,299 · median $9,579	16 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$19,614 – $29,936 · median $20,592	16 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$11,489 – $16,811 · median $12,195	16 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$10,516 – $14,048 · median $11,190	16 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$20,626 – $23,801 · median $21,637	16 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$10,858 – $12,697 · median $11,543	16 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$28,385 – $32,621 · median $29,656	16 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$8,928 – $10,504 · median $9,549	16 plans
643	ENDOCRINE DISORDERS WITH MCC	$11,923 – $14,982 · median $12,643	16 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$5,602 – $6,722 · median $6,111	16 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$40,104 – $52,753 · median $41,765	16 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$20,302 – $28,192 · median $21,302	16 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$14,944 – $20,561 · median $15,765	16 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$23,438 – $31,417 · median $24,543	16 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$13,151 – $18,305 · median $13,913	16 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$22,442 – $27,344 · median $23,514	16 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$7,768 – $11,292 · median $8,350	16 plans
665	PROSTATECTOMY WITH MCC	$24,701 – $28,749 · median $25,849	16 plans
666	PROSTATECTOMY WITH CC	$11,851 – $15,939 · median $12,569	16 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$7,394 – $8,820 · median $7,963	16 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$20,980 – $24,203 · median $22,003	16 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$6,875 – $8,170 · median $7,427	16 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$12,400 – $14,718 · median $13,137	16 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$7,733 – $9,304 · median $8,458	16 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$11,261 – $13,155 · median $11,959	16 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$13,566 – $16,053 · median $14,341	16 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$7,573 – $9,151 · median $8,148	16 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$5,210 – $6,290 · median $5,706	16 plans
693	URINARY STONES WITH MCC	$10,578 – $12,379 · median $11,254	16 plans
694	URINARY STONES WITHOUT MCC	$5,621 – $6,744 · median $6,131	16 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$8,113 – $11,332 · median $8,707	16 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$4,977 – $6,025 · median $5,465	16 plans
697	URETHRAL STRICTURE	$7,207 – $8,547 · median $7,770	16 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$4,994 – $6,472 · median $5,483	16 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$13,961 – $16,525 · median $14,749	16 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$10,665 – $12,478 · median $11,344	16 plans
709	PENIS PROCEDURES WITH CC/MCC	$16,166 – $19,425 · median $17,028	16 plans
711	TESTES PROCEDURES WITH CC/MCC	$13,745 – $20,522 · median $14,526	16 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$7,695 – $9,677 · median $8,274	16 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$6,760 – $8,039 · median $7,308	16 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$16,246 – $18,822 · median $17,111	16 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$10,210 – $11,961 · median $10,874	16 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$13,348 – $16,126 · median $14,117	16 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$8,862 – $10,429 · median $9,480	16 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$12,438 – $15,991 · median $13,175	16 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$8,078 – $9,680 · median $8,670	16 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,242 – $6,313 · median $5,739	16 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$9,083 – $10,731 · median $9,709	16 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$10,571 – $12,920 · median $11,246	16 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$5,878 – $7,287 · median $6,397	16 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$7,920 – $9,457 · median $8,507	16 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,366 – $6,062 · median $4,834	16 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$15,128 – $23,396 · median $15,955	16 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$8,733 – $11,164 · median $9,347	16 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$28,327 – $40,359 · median $29,595	16 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$14,376 – $18,384 · median $15,179	16 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$10,913 – $12,759 · median $11,599	16 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$28,639 – $32,909 · median $29,917	16 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$13,081 – $15,224 · median $13,840	16 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$9,882 – $11,587 · median $10,534	16 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$13,141 – $15,293 · median $13,902	16 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$8,623 – $10,157 · median $9,234	16 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$14,057 – $16,334 · median $14,849	16 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$7,372 – $8,735 · median $7,941	16 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$6,872 – $8,166 · median $7,423	16 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$18,622 – $23,247 · median $19,567	16 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,277 – $10,900 · median $9,909	16 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$13,016 – $17,864 · median $13,773	16 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$7,986 – $10,072 · median $8,575	16 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$6,055 – $8,164 · median $7,422	16 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$7,333 – $9,573 · median $7,900	16 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,604 – $6,309 · median $5,080	16 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$7,090 – $8,414 · median $7,649	16 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$4,540 – $5,538 · median $5,035	16 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$9,996 – $17,230 · median $10,652	16 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$7,308 – $9,154 · median $8,321	16 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$5,133 – $7,388 · median $5,627	16 plans
779	ABORTION WITHOUT D&C	$5,815 – $7,999 · median $7,272	16 plans
799	SPLENIC PROCEDURES WITH MCC	$34,206 – $45,629 · median $35,671	16 plans
800	SPLENIC PROCEDURES WITH CC	$20,962 – $24,183 · median $21,984	16 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$11,810 – $14,087 · median $12,527	16 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$25,789 – $30,584 · median $26,973	16 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$7,954 – $11,164 · median $8,542	16 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$6,847 – $8,138 · median $7,398	16 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$10,121 – $11,860 · median $10,781	16 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$15,039 – $17,450 · median $15,864	16 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$7,310 – $9,055 · median $7,876	16 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$4,744 – $6,264 · median $5,224	16 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$18,238 – $25,639 · median $19,169	16 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$9,266 – $13,026 · median $9,898	16 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$5,874 – $8,257 · median $6,392	16 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$41,886 – $50,267 · median $43,607	16 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$16,060 – $20,993 · median $16,918	16 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$8,228 – $11,655 · median $8,825	16 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$33,664 – $40,615 · median $35,111	16 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$15,822 – $20,890 · median $16,673	16 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$8,854 – $12,563 · median $9,472	16 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$34,355 – $46,329 · median $35,825	16 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$16,977 – $21,129 · median $17,866	16 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$11,531 – $13,945 · median $12,239	16 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$22,185 – $31,157 · median $23,248	16 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$10,521 – $12,314 · median $11,195	16 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$8,280 – $9,787 · median $8,879	16 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$5,377 – $6,715 · median $5,879	16 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$3,739 – $4,658 · median $4,187	16 plans
834	ACUTE LEUKEMIA WITH MCC	$39,763 – $47,999 · median $41,414	16 plans
835	ACUTE LEUKEMIA WITH CC	$15,366 – $19,152 · median $16,201	16 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$9,141 – $10,746 · median $9,769	16 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$36,022 – $58,827 · median $37,547	16 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$14,591 – $25,416 · median $15,400	16 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$9,859 – $11,561 · median $10,510	16 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$22,942 – $28,269 · median $24,030	16 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$11,280 – $14,769 · median $11,979	16 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$7,567 – $9,809 · median $8,142	16 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$13,620 – $16,294 · median $14,398	16 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$8,598 – $10,975 · median $9,208	16 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$18,372 – $21,239 · median $19,308	16 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$9,141 – $10,746 · median $9,769	16 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$5,891 – $7,695 · median $6,410	16 plans
849	RADIOTHERAPY	$13,341 – $22,198 · median $20,180	16 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$66,270 – $83,847 · median $68,806	16 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$11,695 – $15,525 · median $12,407	16 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$9,269 – $12,188 · median $9,901	16 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$7,554 – $9,918 · median $8,129	16 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$5,177 – $6,259 · median $5,672	16 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$28,270 – $32,490 · median $29,536	16 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$6,102 – $8,194 · median $7,449	16 plans
881	DEPRESSIVE NEUROSES	$5,884 – $7,830 · median $7,118	16 plans
882	NEUROSES EXCEPT DEPRESSIVE	$6,312 – $8,221 · median $7,474	16 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$11,889 – $15,515 · median $14,105	16 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$7,544 – $15,046 · median $13,678	16 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$8,491 – $10,081 · median $9,165	16 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$4,050 – $5,458 · median $4,962	16 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$10,416 – $12,195 · median $11,086	16 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$13,651 – $15,872 · median $14,429	16 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$8,770 – $10,324 · median $9,385	16 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$27,777 – $31,929 · median $29,027	16 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$11,857 – $13,833 · median $12,575	16 plans
906	HAND PROCEDURES FOR INJURIES	$10,730 – $18,202 · median $16,548	16 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$9,124 – $11,428 · median $9,751	16 plans
913	TRAUMATIC INJURY WITH MCC	$10,385 – $13,588 · median $12,353	16 plans
914	TRAUMATIC INJURY WITHOUT MCC	$6,380 – $7,848 · median $7,135	16 plans
915	ALLERGIC REACTIONS WITH MCC	$12,502 – $14,566 · median $13,242	16 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$4,676 – $5,785 · median $5,259	16 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$6,688 – $8,695 · median $7,904	16 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$141,535 – $194,353 · median $176,685	16 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$48,048 – $54,973 · median $49,975	16 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$21,248 – $26,363 · median $23,966	16 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$25,082 – $35,739 · median $32,490	16 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$14,334 – $17,902 · median $16,275	16 plans
935	NON-EXTENSIVE BURNS	$13,395 – $18,316 · median $16,651	16 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$22,834 – $26,310 · median $23,919	16 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$15,189 – $17,621 · median $16,019	16 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$12,316 – $16,336 · median $14,851	16 plans
947	SIGNS AND SYMPTOMS WITH MCC	$9,253 – $10,873 · median $9,884	16 plans
950	AFTERCARE WITHOUT CC/MCC	$4,216 – $5,147 · median $4,679	16 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$49,123 – $56,194 · median $51,086	16 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$27,498 – $33,397 · median $28,739	16 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$53,697 – $62,306 · median $55,813	16 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$29,566 – $35,136 · median $30,876	16 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$19,020 – $23,162 · median $19,978	16 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$19,544 – $24,640 · median $20,519	16 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$10,792 – $13,443 · median $11,474	16 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$6,565 – $8,572 · median $7,107	16 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$45,497 – $55,354 · median $47,339	16 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$19,088 – $22,052 · median $20,048	16 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$10,226 – $11,978 · median $10,889	16 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$7,216 – $8,557 · median $7,779	16 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$10,290 – $12,146 · median $11,042	16 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$17,613 – $25,622 · median $18,524	16 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$8,313 – $9,804 · median $8,912	16 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$12,968 – $15,096 · median $13,723	15 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$42,767 – $48,969 · median $44,518	15 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$29,207 – $33,555 · median $30,505	15 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$17,623 – $20,387 · median $18,534	15 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$30,003 – $34,460 · median $31,327	15 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$10,620 – $12,426 · median $11,297	15 plans
945	REHABILITATION WITH CC/MCC	$10,982 – $12,838 · median $11,671	15 plans
946	REHABILITATION WITHOUT CC/MCC	$8,032 – $9,705 · median $8,623	15 plans
795	NORMAL NEWBORN	$1,437 – $1,988 · median $1,808	14 plans

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