Essentia Health Duluth — Hospital Prices & Charges

Procedures published 797

Lowest published price —

Average published price —

Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Procedures with negotiated rates only

These 797 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
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$5,701 – $454,393 · median $144,934	34 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$5,701 – $299,584 · median $94,583	34 plans
011	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC	$5,701 – $114,404 · median $37,243	34 plans
012	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC	$5,701 – $87,007 · median $28,788	34 plans
013	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC	$5,701 – $56,185 · median $19,678	34 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$5,701 – $170,911 · median $53,731	34 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$5,701 – $117,190 · median $36,148	34 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$5,701 – $74,852 · median $21,696	34 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$5,701 – $120,960 · median $39,129	34 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$5,701 – $80,604 · median $26,712	34 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$5,701 – $94,822 · median $31,047	34 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$5,701 – $64,848 · median $21,231	34 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$5,701 – $52,322 · median $17,227	34 plans
028	SPINAL PROCEDURES WITH MCC	$5,701 – $128,898 · median $41,027	34 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$5,701 – $71,169 · median $23,296	34 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$5,701 – $47,183 · median $14,990	34 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$5,701 – $88,849 · median $30,595	34 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$5,701 – $45,279 · median $14,551	34 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$5,701 – $33,828 · median $11,355	34 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$5,701 – $82,448 · median $26,431	34 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$5,701 – $48,230 · median $16,323	34 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$5,701 – $38,865 · median $13,266	34 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$5,701 – $70,410 · median $22,480	34 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$5,701 – $34,163 · median $11,080	34 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$5,701 – $24,132 · median $8,027	34 plans
040	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$5,701 – $79,976 · median $26,366	34 plans
041	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$5,701 – $47,878 · median $15,014	34 plans
042	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$5,701 – $37,265 · median $11,797	34 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$5,701 – $42,669 · median $12,368	34 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$5,701 – $19,536 · median $6,686	34 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$5,701 – $31,784 · median $10,426	34 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$5,701 – $23,131 · median $6,962	34 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$5,701 – $53,092 · median $15,863	34 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$5,701 – $28,292 · median $8,847	34 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$5,701 – $39,137 · median $11,673	34 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$5,701 – $25,943 · median $8,473	34 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$5,701 – $18,921 · median $6,281	34 plans
061	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$5,701 – $57,317 · median $18,827	34 plans
062	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$5,701 – $37,759 · median $11,999	34 plans
063	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$5,701 – $29,785 · median $9,586	34 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$5,701 – $42,175 · median $13,732	34 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$5,701 – $21,560 · median $6,899	34 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$4,673 – $14,593 · median $4,673	34 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$5,701 – $30,847 · median $10,029	34 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$5,701 – $18,690 · median $5,902	34 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$5,455 – $16,964 · median $5,455	34 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$5,701 – $36,866 · median $11,368	34 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$5,701 – $22,345 · median $7,006	34 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$5,164 – $15,906 · median $5,164	34 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$5,701 – $32,770 · median $10,955	34 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$5,701 – $22,101 · median $7,039	34 plans
075	VIRAL MENINGITIS WITH CC/MCC	$5,701 – $36,518 · median $13,093	34 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$5,635 – $19,440 · median $5,635	34 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$5,701 – $42,145 · median $12,359	34 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$5,701 – $19,184 · median $6,115	34 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$5,701 – $49,193 · median $15,607	34 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$5,701 – $29,479 · median $9,531	34 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$5,701 – $20,271 · median $6,527	34 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$5,701 – $48,044 · median $15,513	34 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$5,701 – $27,809 · median $8,895	34 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$5,701 – $18,743 · median $6,246	34 plans
088	CONCUSSION WITH MCC	$5,701 – $29,910 · median $9,231	34 plans
089	CONCUSSION WITH CC	$5,701 – $22,731 · median $7,502	34 plans
090	CONCUSSION WITHOUT CC/MCC	$5,621 – $18,176 · median $5,621	34 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$5,701 – $38,649 · median $11,992	34 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$5,701 – $22,447 · median $6,985	34 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$5,437 – $16,735 · median $5,437	34 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$5,701 – $77,360 · median $24,032	34 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$5,701 – $50,825 · median $17,612	34 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$5,701 – $50,825 · median $17,612	34 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$5,701 – $76,001 · median $24,663	34 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$5,701 – $45,994 · median $15,670	34 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$5,701 – $29,541 · median $9,303	34 plans
100	SEIZURES WITH MCC	$5,701 – $42,092 · median $13,225	34 plans
101	SEIZURES WITHOUT MCC	$5,701 – $19,542 · median $6,163	34 plans
102	HEADACHES WITH MCC	$5,701 – $24,584 · median $7,654	34 plans
103	HEADACHES WITHOUT MCC	$5,701 – $18,026 · median $5,711	34 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$5,701 – $47,844 · median $16,054	34 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$5,701 – $25,063 · median $9,239	34 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$5,701 – $32,460 · median $10,481	34 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$5,701 – $35,378 · median $12,346	34 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$5,701 – $22,868 · median $7,408	34 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$5,701 – $24,662 · median $7,943	34 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$5,366 – $14,381 · median $5,366	34 plans
123	NEUROLOGICAL EYE DISORDERS	$5,453 – $17,029 · median $5,453	34 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$5,701 – $27,645 · median $9,035	34 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$5,243 – $17,506 · median $5,243	34 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$5,701 – $51,120 · median $14,818	34 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$5,701 – $20,740 · median $6,933	34 plans
137	MOUTH PROCEDURES WITH CC/MCC	$5,701 – $29,653 · median $10,196	34 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$5,701 – $17,248 · median $6,051	34 plans
139	SALIVARY GLAND PROCEDURES	$5,701 – $29,110 · median $8,438	34 plans
140	SIMPLE PNEUMONIA AND PLEURISY AGE 0-17	$5,701 – $89,668 · median $29,125	34 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$5,701 – $45,553 · median $14,893	34 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$5,701 – $33,338 · median $10,901	34 plans
143	STOMACH ESOPHAGEAL AND DUODENAL PROC AGE 0-17	$5,701 – $70,007 · median $25,583	34 plans
144	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC	$5,701 – $37,246 · median $11,833	34 plans
145	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $25,120 · median $8,210	34 plans
146	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC	$5,701 – $48,640 · median $14,458	34 plans
147	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC	$5,701 – $26,392 · median $8,682	34 plans
148	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$5,443 – $16,976 · median $5,443	34 plans
149	DYSEQUILIBRIUM	$5,132 – $15,849 · median $5,132	34 plans
150	EPISTAXIS WITH MCC	$5,701 – $29,305 · median $9,092	34 plans
151	EPISTAXIS WITHOUT MCC	$5,012 – $16,071 · median $5,012	34 plans
152	OTITIS MEDIA AND URI WITH MCC	$5,701 – $24,060 · median $8,073	34 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$5,041 – $15,089 · median $5,041	34 plans
154	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC	$5,701 – $34,481 · median $10,676	34 plans
155	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC	$5,701 – $19,794 · median $6,258	34 plans
156	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$4,719 – $14,256 · median $4,719	34 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$5,701 – $34,718 · median $11,723	34 plans
158	DENTAL AND ORAL DISEASES WITH CC	$5,701 – $19,943 · median $6,212	34 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$4,838 – $13,985 · median $4,838	34 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$5,701 – $97,724 · median $30,603	34 plans
164	MAJOR CHEST PROCEDURES WITH CC	$5,701 – $53,365 · median $17,235	34 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$5,701 – $39,521 · median $13,071	34 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$5,701 – $81,634 · median $25,522	34 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$5,701 – $38,740 · median $12,314	34 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $28,705 · median $9,330	34 plans
173	URETHRAL PROCEDURES AGE 0-17	$5,701 – $65,060 · median $20,324	34 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$5,701 – $29,876 · median $9,379	34 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$5,497 – $17,269 · median $5,497	34 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$5,701 – $34,273 · median $10,671	34 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$5,701 – $21,035 · median $6,664	34 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$5,155 – $16,319 · median $5,155	34 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$5,701 – $37,057 · median $12,059	34 plans
181	RESPIRATORY NEOPLASMS WITH CC	$5,701 – $23,541 · median $7,313	34 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$5,147 – $17,757 · median $5,147	34 plans
183	MAJOR CHEST TRAUMA WITH MCC	$5,701 – $33,654 · median $10,447	34 plans
184	MAJOR CHEST TRAUMA WITH CC	$5,701 – $22,646 · median $7,266	34 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$5,371 – $16,489 · median $5,371	34 plans
186	PLEURAL EFFUSION WITH MCC	$5,701 – $33,499 · median $10,642	34 plans
187	PLEURAL EFFUSION WITH CC	$5,701 – $21,287 · median $6,754	34 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$4,897 – $15,567 · median $4,897	34 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$5,701 – $26,235 · median $8,436	34 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$5,701 – $23,810 · median $7,564	34 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$5,701 – $18,215 · median $5,756	34 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$4,384 – $13,722 · median $4,384	34 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$5,701 – $27,938 · median $8,975	34 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$5,503 – $17,386 · median $5,503	34 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$4,292 – $13,202 · median $4,292	34 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$5,701 – $39,947 · median $12,887	34 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$5,701 – $20,990 · median $6,481	34 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$4,890 – $14,850 · median $4,890	34 plans
199	PNEUMOTHORAX WITH MCC	$5,701 – $37,428 · median $12,046	34 plans
200	PNEUMOTHORAX WITH CC	$5,701 – $23,481 · median $7,506	34 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$4,883 – $14,356 · median $4,883	34 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$5,701 – $20,496 · median $6,632	34 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$4,575 – $14,769 · median $4,575	34 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$5,513 – $17,195 · median $5,513	34 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$5,701 – $40,025 · median $12,503	34 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$5,701 – $19,205 · median $6,426	34 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$5,701 – $137,118 · median $43,939	34 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$5,701 – $56,902 · median $18,769	34 plans
212	TESTES PROCEDURES AGE 0-17	$5,701 – $230,972 · median $74,252	34 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$5,701 – $224,631 · median $67,990	34 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$5,701 – $204,623 · median $66,801	34 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$5,701 – $136,920 · median $44,899	34 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$5,701 – $126,137 · median $44,899	34 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$5,701 – $164,050 · median $52,430	34 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$5,701 – $112,301 · median $36,414	34 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$5,701 – $97,372 · median $34,416	34 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$5,701 – $105,656 · median $33,783	34 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$5,701 – $65,860 · median $21,506	34 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$5,701 – $179,664 · median $57,563	34 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$5,701 – $129,517 · median $41,398	34 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC	$5,701 – $165,723 · median $52,204	34 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC	$5,701 – $112,799 · median $37,301	34 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$5,701 – $124,757 · median $40,073	34 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$5,701 – $87,185 · median $28,603	34 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$5,701 – $106,792 · median $33,607	34 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$5,701 – $61,744 · median $19,464	34 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$5,701 – $32,013 · median $9,453	34 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$5,701 – $71,917 · median $21,802	34 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$5,701 – $47,764 · median $14,551	34 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$5,701 – $38,263 · median $12,342	34 plans
245	AICD GENERATOR PROCEDURES	$5,701 – $103,610 · median $31,154	34 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$5,701 – $49,032 · median $14,903	34 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$5,701 – $33,130 · median $10,205	34 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$5,701 – $72,731 · median $23,819	34 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$5,701 – $54,129 · median $17,724	34 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$5,701 – $37,091 · median $12,166	34 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$5,701 – $55,475 · median $18,419	34 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$5,701 – $35,910 · median $11,594	34 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$5,701 – $18,910 · median $7,458	34 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$5,701 – $59,482 · median $21,455	34 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$5,701 – $37,267 · median $13,808	34 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$5,701 – $72,218 · median $22,211	34 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$5,701 – $40,233 · median $12,909	34 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$5,701 – $32,180 · median $11,130	34 plans
263	VEIN LIGATION AND STRIPPING	$5,701 – $56,866 · median $20,877	34 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$5,701 – $74,103 · median $22,811	34 plans
265	AICD LEAD PROCEDURES	$5,701 – $75,632 · median $24,706	34 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC	$5,701 – $127,017 · median $41,847	34 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC	$5,701 – $99,749 · median $32,509	34 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$5,701 – $141,366 · median $46,965	34 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$5,701 – $88,215 · median $28,838	34 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$5,701 – $108,830 · median $36,029	34 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$5,701 – $73,028 · median $24,284	34 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$5,701 – $53,052 · median $17,433	34 plans
273	PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC	$5,701 – $82,906 · median $28,170	34 plans
274	PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC	$5,701 – $66,171 · median $22,477	34 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$5,701 – $149,835 · median $48,689	34 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$5,701 – $131,334 · median $41,015	34 plans
277	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$5,701 – $98,630 · median $31,537	34 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$5,701 – $106,080 · median $38,008	34 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$5,701 – $67,940 · median $24,626	34 plans
280	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC	$5,701 – $34,801 · median $10,953	34 plans
281	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC	$5,701 – $19,544 · median $6,276	34 plans
282	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC	$4,938 – $15,374 · median $4,938	34 plans
283	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC	$5,701 – $41,458 · median $13,526	34 plans
284	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC	$4,727 – $15,711 · median $4,727	34 plans
285	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC	$4,090 – $11,903 · median $4,090	34 plans
286	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC	$5,701 – $46,926 · median $15,110	34 plans
287	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC	$5,701 – $23,104 · median $7,307	34 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$5,701 – $57,913 · median $18,479	34 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$5,701 – $33,429 · median $11,655	34 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$5,701 – $20,757 · median $6,348	34 plans
291	HEART FAILURE AND SHOCK WITH MCC	$5,701 – $27,664 · median $8,766	34 plans
292	HEART FAILURE AND SHOCK WITH CC	$5,701 – $18,259 · median $5,797	34 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$3,865 – $11,634 · median $3,865	34 plans
296	CARDIAC ARREST- UNEXPLAINED WITH MCC	$5,701 – $34,737 · median $10,665	34 plans
297	CARDIAC ARREST- UNEXPLAINED WITH CC	$4,329 – $14,935 · median $4,329	34 plans
298	CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC	$3,108 – $9,365 · median $3,108	34 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$5,701 – $34,296 · median $11,149	34 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$5,701 – $22,699 · median $7,289	34 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$4,914 – $15,126 · median $4,914	34 plans
302	ATHEROSCLEROSIS WITH MCC	$5,701 – $24,664 · median $8,171	34 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$4,597 – $14,256 · median $4,597	34 plans
304	HYPERTENSION WITH MCC	$5,701 – $24,908 · median $8,126	34 plans
305	HYPERTENSION WITHOUT MCC	$5,156 – $15,916 · median $5,156	34 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$5,701 – $31,748 · median $10,760	34 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$5,701 – $19,642 · median $6,236	34 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$5,701 – $25,567 · median $8,221	34 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$5,024 – $15,675 · median $5,024	34 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$3,866 – $11,863 · median $3,866	34 plans
311	ANGINA PECTORIS	$4,793 – $14,805 · median $4,793	34 plans
312	SYNCOPE AND COLLAPSE	$5,701 – $18,473 · median $5,952	34 plans
313	CHEST PAIN	$4,916 – $15,126 · median $4,916	34 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$5,701 – $45,659 · median $14,239	34 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$5,701 – $20,403 · median $6,578	34 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,658 – $14,475 · median $4,658	34 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$5,701 – $93,136 · median $30,474	34 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$5,701 – $49,078 · median $16,424	34 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$5,701 – $60,358 · median $18,579	34 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$5,701 – $38,359 · median $12,038	34 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$5,701 – $90,308 · median $29,549	34 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$5,701 – $67,743 · median $21,516	34 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$5,701 – $60,682 · median $21,922	34 plans
326	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$5,701 – $107,685 · median $34,056	34 plans
327	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$5,701 – $51,481 · median $16,690	34 plans
328	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$5,701 – $33,785 · median $10,941	34 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$5,701 – $97,357 · median $31,387	34 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$5,701 – $50,115 · median $16,369	34 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$5,701 – $35,005 · median $11,491	34 plans
332	RECTAL RESECTION WITH MCC	$5,701 – $73,543 · median $24,723	34 plans
333	RECTAL RESECTION WITH CC	$5,701 – $45,061 · median $15,993	34 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$5,701 – $35,166 · median $11,184	34 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$5,701 – $76,823 · median $24,383	34 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$5,701 – $44,785 · median $14,399	34 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$5,701 – $32,547 · median $10,482	34 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$5,701 – $57,129 · median $17,636	34 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$5,701 – $31,563 · median $10,275	34 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$5,701 – $26,403 · median $8,100	34 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$5,701 – $50,181 · median $15,675	34 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$5,701 – $26,691 · median $8,937	34 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$5,701 – $18,677 · median $5,945	34 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$5,701 – $51,281 · median $17,016	34 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$5,701 – $31,898 · median $10,410	34 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$5,701 – $23,377 · median $7,974	34 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$5,701 – $62,185 · median $19,816	34 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$5,701 – $36,067 · median $11,488	34 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$5,701 – $28,267 · median $9,184	34 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$5,701 – $90,441 · median $29,996	34 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$5,701 – $47,747 · median $15,879	34 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $28,731 · median $9,545	34 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$5,701 – $35,407 · median $10,870	34 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$5,701 – $21,575 · median $6,830	34 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$4,785 – $14,799 · median $4,785	34 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$5,701 – $37,061 · median $12,107	34 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$5,701 – $21,823 · median $6,972	34 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$4,967 – $15,380 · median $4,967	34 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$5,701 – $44,766 · median $14,604	34 plans
375	DIGESTIVE MALIGNANCY WITH CC	$5,701 – $26,051 · median $8,260	34 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$5,701 – $18,721 · median $6,311	34 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$5,701 – $38,549 · median $12,482	34 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$5,701 – $20,903 · median $6,697	34 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$4,305 – $13,499 · median $4,305	34 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$5,701 – $40,799 · median $13,399	34 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$5,701 – $23,091 · median $7,399	34 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$5,467 – $15,887 · median $5,467	34 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$5,701 – $26,804 · median $9,428	34 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$5,701 – $18,437 · median $5,837	34 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$5,701 – $34,449 · median $10,805	34 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$5,701 – $21,043 · median $6,667	34 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$4,652 – $14,212 · median $4,652	34 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$5,701 – $31,165 · median $10,084	34 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$5,393 – $16,996 · median $5,393	34 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$3,715 – $11,602 · median $3,715	34 plans
391	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$5,701 – $27,234 · median $8,660	34 plans
392	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$5,323 – $16,544 · median $5,323	34 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$5,701 – $35,111 · median $10,921	34 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$5,701 – $19,957 · median $6,389	34 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,432 – $13,493 · median $4,432	34 plans
397	MAJOR HEAD AND NECK PROCEDURES WITH CC	$5,701 – $52,534 · median $16,353	34 plans
398	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$5,701 – $32,083 · median $10,335	34 plans
399	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC	$5,701 – $23,827 · median $7,816	34 plans
405	PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC	$5,701 – $115,099 · median $37,355	34 plans
406	PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC	$5,701 – $59,544 · median $19,804	34 plans
407	PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$5,701 – $45,283 · median $15,156	34 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$5,701 – $74,235 · median $24,347	34 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$5,701 – $44,450 · median $14,867	34 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$5,701 – $32,886 · median $10,841	34 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$5,701 – $58,017 · median $22,556	34 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$5,701 – $45,194 · median $14,357	34 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$5,701 – $35,248 · median $11,339	34 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$5,701 – $74,288 · median $24,327	34 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$5,701 – $41,940 · median $14,112	34 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$5,701 – $29,051 · median $9,309	34 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$5,701 – $50,387 · median $16,295	34 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$5,701 – $35,161 · median $11,551	34 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$5,701 – $27,936 · median $9,326	34 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$5,701 – $74,832 · median $23,265	34 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$5,701 – $34,720 · median $11,864	34 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$5,701 – $31,154 · median $9,556	34 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$5,701 – $86,237 · median $28,358	34 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$5,701 – $48,411 · median $14,940	34 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $32,774 · median $10,245	34 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$5,701 – $41,537 · median $13,440	34 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$5,701 – $22,682 · median $7,212	34 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,865 – $14,767 · median $4,865	34 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$5,701 – $38,685 · median $12,542	34 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$5,701 – $23,910 · median $7,724	34 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$5,701 – $16,648 · median $5,827	34 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$5,701 – $35,274 · median $11,132	34 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$5,701 – $18,238 · median $5,744	34 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$4,243 – $13,041 · median $4,243	34 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$5,701 – $40,080 · median $12,255	34 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$5,701 – $20,485 · median $6,591	34 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,778 – $14,899 · median $4,778	34 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$5,701 – $35,713 · median $11,410	34 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$5,701 – $22,994 · median $7,473	34 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$5,649 – $16,904 · median $5,649	34 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC	$5,701 – $179,564 · median $57,382	34 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC	$5,701 – $121,687 · median $40,718	34 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$5,701 – $91,550 · median $28,492	34 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC	$5,701 – $130,110 · median $37,713	34 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC	$5,701 – $60,718 · median $18,163	34 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$5,701 – $114,512 · median $38,918	34 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$5,701 – $62,516 · median $21,268	34 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,701 – $36,809 · median $12,453	34 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$5,701 – $108,016 · median $35,544	34 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$5,701 – $72,621 · median $24,081	34 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$5,701 – $55,619 · median $18,764	34 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$5,701 – $69,303 · median $20,712	34 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$5,701 – $39,976 · median $13,171	34 plans
471	CERVICAL SPINAL FUSION WITH MCC	$5,701 – $102,984 · median $32,972	34 plans
472	CERVICAL SPINAL FUSION WITH CC	$5,701 – $61,426 · median $20,117	34 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$5,701 – $50,194 · median $16,670	34 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$5,701 – $95,085 · median $29,314	34 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$5,701 – $45,739 · median $15,539	34 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,701 – $24,660 · median $8,059	34 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$5,701 – $72,914 · median $23,589	34 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$5,701 – $49,583 · median $16,792	34 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$5,701 – $37,651 · median $12,693	34 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$5,701 – $62,355 · median $19,886	34 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$5,701 – $43,992 · median $14,302	34 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$5,701 – $33,635 · median $11,137	34 plans
483	MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES	$5,701 – $54,027 · median $18,928	34 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$5,701 – $68,256 · median $22,036	34 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$5,701 – $44,967 · median $14,279	34 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$5,701 – $33,503 · median $10,695	34 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$5,701 – $41,670 · median $12,079	34 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$5,701 – $26,257 · median $7,626	34 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC	$5,701 – $75,293 · median $25,071	34 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC	$5,701 – $50,906 · median $17,317	34 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC	$5,701 – $39,974 · median $13,701	34 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$5,701 – $74,644 · median $24,758	34 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$5,701 – $41,832 · median $12,318	34 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$5,701 – $28,466 · median $8,251	34 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$5,701 – $53,533 · median $20,600	34 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$5,701 – $25,710 · median $13,758	34 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$5,701 – $67,183 · median $21,610	34 plans
501	SOFT TISSUE PROCEDURES WITH CC	$5,701 – $37,839 · median $11,937	34 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$5,701 – $29,623 · median $9,190	34 plans
503	FOOT PROCEDURES WITH MCC	$5,701 – $56,113 · median $19,059	34 plans
504	FOOT PROCEDURES WITH CC	$5,701 – $37,210 · median $12,764	34 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$5,701 – $37,210 · median $12,242	34 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$5,701 – $31,784 · median $9,213	34 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$5,701 – $41,094 · median $12,335	34 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$5,701 – $27,363 · median $10,341	34 plans
510	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC	$5,701 – $60,597 · median $20,625	34 plans
511	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC	$5,701 – $41,581 · median $14,199	34 plans
512	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC	$5,701 – $34,089 · median $11,304	34 plans
513	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$5,701 – $31,922 · median $10,750	34 plans
514	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$5,701 – $21,618 · median $6,981	34 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$5,701 – $65,565 · median $21,761	34 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$5,701 – $42,652 · median $14,190	34 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $31,648 · median $10,493	34 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$5,701 – $75,988 · median $25,520	34 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$5,701 – $41,808 · median $13,658	34 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$5,701 – $30,387 · median $10,201	34 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$5,701 – $61,797 · median $19,599	34 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$5,701 – $44,696 · median $14,460	34 plans
533	FRACTURES OF FEMUR WITH MCC	$5,701 – $32,331 · median $10,705	34 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$5,504 – $17,258 · median $5,504	34 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$5,701 – $28,197 · median $8,754	34 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$5,515 – $17,193 · median $5,515	34 plans
537	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC	$5,701 – $19,485 · median $6,516	34 plans
538	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC	$4,918 – $14,237 · median $4,918	34 plans
539	OSTEOMYELITIS WITH MCC	$5,701 – $42,879 · median $13,450	34 plans
540	OSTEOMYELITIS WITH CC	$5,701 – $27,438 · median $8,852	34 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$5,377 – $18,550 · median $5,377	34 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$5,701 – $39,544 · median $12,062	34 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$5,701 – $22,493 · median $7,020	34 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$5,153 – $16,022 · median $5,153	34 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$5,701 – $53,575 · median $16,946	34 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$5,701 – $24,546 · median $7,876	34 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,701 – $15,821 · median $5,710	34 plans
548	SEPTIC ARTHRITIS WITH MCC	$5,701 – $42,714 · median $13,185	34 plans
549	SEPTIC ARTHRITIS WITH CC	$5,701 – $25,551 · median $8,243	34 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$5,701 – $18,278 · median $5,969	34 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$5,701 – $36,179 · median $11,445	34 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$5,701 – $20,434 · median $6,564	34 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$5,701 – $27,690 · median $8,852	34 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$5,668 – $17,695 · median $5,668	34 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$5,701 – $28,551 · median $9,026	34 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$5,672 – $17,311 · median $5,672	34 plans
557	TENDONITIS- MYOSITIS AND BURSITIS WITH MCC	$5,701 – $32,857 · median $10,153	34 plans
558	TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC	$5,701 – $18,314 · median $6,099	34 plans
559	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$5,701 – $39,357 · median $12,734	34 plans
560	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$5,701 – $24,143 · median $7,689	34 plans
561	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$5,489 – $17,335 · median $5,489	34 plans
562	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC	$5,701 – $31,029 · median $9,729	34 plans
563	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC	$5,701 – $18,950 · median $6,115	34 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$5,701 – $33,270 · median $10,540	34 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$5,701 – $21,620 · median $6,654	34 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$5,117 – $15,861 · median $5,117	34 plans
570	SKIN DEBRIDEMENT WITH MCC	$5,701 – $63,822 · median $20,083	34 plans
571	SKIN DEBRIDEMENT WITH CC	$5,701 – $35,499 · median $11,537	34 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$5,701 – $24,221 · median $7,827	34 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$5,701 – $130,566 · median $44,735	34 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$5,701 – $73,463 · median $23,704	34 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$5,701 – $42,334 · median $12,271	34 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$5,701 – $114,391 · median $33,467	34 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$5,701 – $56,457 · median $18,100	34 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$5,701 – $35,840 · median $10,969	34 plans
579	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$5,701 – $69,106 · median $22,114	34 plans
580	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$5,701 – $37,591 · median $11,799	34 plans
581	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$5,701 – $30,514 · median $9,854	34 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$5,701 – $37,129 · median $13,156	34 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$5,701 – $34,829 · median $11,775	34 plans
584	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$5,701 – $43,409 · median $14,618	34 plans
585	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$5,701 – $42,088 · median $13,173	34 plans
592	SKIN ULCERS WITH MCC	$5,701 – $43,598 · median $13,215	34 plans
593	SKIN ULCERS WITH CC	$5,701 – $25,924 · median $8,101	34 plans
594	SKIN ULCERS WITHOUT CC/MCC	$5,701 – $17,994 · median $5,919	34 plans
595	MAJOR SKIN DISORDERS WITH MCC	$5,701 – $44,844 · median $14,481	34 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$5,701 – $22,921 · median $7,392	34 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$5,701 – $37,246 · median $11,384	34 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$5,701 – $22,875 · median $7,725	34 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$5,254 – $18,126 · median $5,254	34 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$5,701 – $20,282 · median $7,112	34 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$4,131 – $12,711 · median $4,131	34 plans
602	CELLULITIS WITH MCC	$5,701 – $31,150 · median $9,705	34 plans
603	CELLULITIS WITHOUT MCC	$5,701 – $18,675 · median $5,947	34 plans
604	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$5,701 – $31,500 · median $10,052	34 plans
605	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$5,701 – $19,584 · median $6,255	34 plans
606	MINOR SKIN DISORDERS WITH MCC	$5,701 – $34,142 · median $10,333	34 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$5,701 – $18,323 · median $6,189	34 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$5,701 – $48,319 · median $14,966	34 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$5,701 – $30,382 · median $9,555	34 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$5,701 – $81,946 · median $23,813	34 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$5,701 – $40,954 · median $12,771	34 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$5,701 – $26,399 · median $9,685	34 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$5,701 – $57,807 · median $19,716	34 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$5,701 – $33,860 · median $10,927	34 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$5,701 – $30,993 · median $10,300	34 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$5,701 – $79,338 · median $24,304	34 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$5,701 – $40,555 · median $12,249	34 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$5,701 – $21,268 · median $8,548	34 plans
625	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$5,701 – $60,788 · median $20,622	34 plans
626	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$5,701 – $32,000 · median $10,238	34 plans
627	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$5,701 – $26,861 · median $9,070	34 plans
628	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$5,701 – $83,657 · median $25,448	34 plans
629	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$5,701 – $47,685 · median $14,878	34 plans
630	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $29,710 · median $9,966	34 plans
637	DIABETES WITH MCC	$5,701 – $30,876 · median $9,810	34 plans
638	DIABETES WITH CC	$5,701 – $19,446 · median $6,120	34 plans
639	DIABETES WITHOUT CC/MCC	$4,242 – $13,285 · median $4,242	34 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC	$5,701 – $28,156 · median $9,120	34 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC	$5,314 – $16,567 · median $5,314	34 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$5,701 – $26,314 · median $9,711	34 plans
643	ENDOCRINE DISORDERS WITH MCC	$5,701 – $35,138 · median $11,240	34 plans
644	ENDOCRINE DISORDERS WITH CC	$5,701 – $21,910 · median $6,999	34 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$5,246 – $16,510 · median $5,246	34 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$5,701 – $118,193 · median $35,483	34 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$5,701 – $59,834 · median $19,115	34 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$5,701 – $44,043 · median $14,453	34 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$5,701 – $69,076 · median $21,740	34 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$5,701 – $38,759 · median $12,496	34 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$5,701 – $31,888 · median $10,596	34 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$5,701 – $54,792 · median $17,350	34 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$5,701 – $28,411 · median $9,025	34 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$5,701 – $21,766 · median $7,070	34 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$5,701 – $66,142 · median $20,905	34 plans
663	MINOR BLADDER PROCEDURES WITH CC	$5,701 – $32,384 · median $10,380	34 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$5,701 – $22,894 · median $7,149	34 plans
665	PROSTATECTOMY WITH MCC	$5,701 – $72,799 · median $21,313	34 plans
666	PROSTATECTOMY WITH CC	$5,701 – $34,926 · median $11,945	34 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$5,701 – $21,791 · median $7,554	34 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$5,701 – $61,831 · median $19,939	34 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$5,701 – $32,810 · median $10,598	34 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$5,701 – $20,263 · median $6,673	34 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$5,701 – $36,546 · median $12,257	34 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$5,701 – $23,203 · median $7,371	34 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$5,701 – $88,828 · median $28,690	34 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$5,701 – $48,943 · median $15,969	34 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$5,701 – $33,187 · median $11,208	34 plans
682	RENAL FAILURE WITH MCC	$5,701 – $31,843 · median $10,113	34 plans
683	RENAL FAILURE WITH CC	$5,701 – $18,846 · median $5,980	34 plans
684	RENAL FAILURE WITHOUT CC/MCC	$4,099 – $12,878 · median $4,099	34 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$5,701 – $39,981 · median $12,316	34 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$5,701 – $22,319 · median $7,155	34 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$5,396 – $15,354 · median $5,396	34 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$5,701 – $24,813 · median $7,923	34 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$5,528 – $17,017 · median $5,528	34 plans
693	URINARY STONES WITH MCC	$5,701 – $31,175 · median $9,181	34 plans
694	URINARY STONES WITHOUT MCC	$5,338 – $16,567 · median $5,338	34 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$5,701 – $23,912 · median $7,810	34 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$4,705 – $14,668 · median $4,705	34 plans
697	URETHRAL STRICTURE	$5,701 – $21,240 · median $7,360	34 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$5,701 – $35,638 · median $11,297	34 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$5,701 – $21,624 · median $6,931	34 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$4,711 – $14,718 · median $4,711	34 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$5,701 – $41,145 · median $13,659	34 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$5,701 – $31,432 · median $10,476	34 plans
709	PENIS PROCEDURES WITH CC/MCC	$5,701 – $47,643 · median $15,890	34 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$5,701 – $31,833 · median $9,568	34 plans
711	TESTES PROCEDURES WITH CC/MCC	$5,701 – $40,509 · median $14,229	34 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$5,701 – $22,678 · median $7,509	34 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$5,701 – $30,658 · median $10,266	34 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$5,701 – $19,924 · median $7,220	34 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$5,701 – $47,880 · median $15,277	34 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$5,701 – $30,092 · median $10,045	34 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$5,701 – $39,340 · median $12,909	34 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$5,701 – $26,119 · median $9,171	34 plans
722	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC	$5,701 – $36,656 · median $12,357	34 plans
723	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC	$5,701 – $23,808 · median $7,803	34 plans
724	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,477 – $15,448 · median $4,477	34 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$5,701 – $26,770 · median $7,991	34 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$4,930 – $15,783 · median $4,930	34 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$5,701 – $31,154 · median $10,126	34 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$5,539 – $17,324 · median $5,539	34 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$5,701 – $23,341 · median $7,229	34 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,589 – $12,867 · median $4,589	34 plans
734	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$5,701 – $44,584 · median $14,544	34 plans
735	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$5,701 – $25,737 · median $9,188	34 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$5,701 – $83,485 · median $24,408	34 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$5,701 – $42,370 · median $14,071	34 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$5,701 – $32,161 · median $10,027	34 plans
739	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC	$5,701 – $84,403 · median $24,465	34 plans
740	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC	$5,701 – $38,552 · median $12,357	34 plans
741	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC	$5,701 – $29,123 · median $9,738	34 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$5,701 – $38,730 · median $12,529	34 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$5,701 – $25,415 · median $8,472	34 plans
744	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$5,701 – $41,429 · median $13,992	34 plans
745	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$5,701 – $21,728 · median $7,767	34 plans
746	VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC	$5,701 – $35,505 · median $11,862	34 plans
747	VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$5,701 – $20,252 · median $5,870	34 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$5,701 – $28,883 · median $9,473	34 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$5,701 – $54,884 · median $17,533	34 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $27,340 · median $10,077	34 plans
754	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$5,701 – $38,361 · median $12,576	34 plans
755	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC	$5,701 – $23,536 · median $7,428	34 plans
756	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,701 – $20,248 · median $6,559	34 plans
757	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$5,701 – $30,007 · median $9,778	34 plans
758	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC	$5,701 – $21,611 · median $6,685	34 plans
759	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,531 – $13,569 · median $4,531	34 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$5,701 – $20,897 · median $6,880	34 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$3,896 – $13,440 · median $3,896	34 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$5,701 – $29,460 · median $11,539	34 plans
770	ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY	$5,701 – $22,813 · median $6,847	34 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$4,471 – $15,128 · median $4,471	34 plans
779	ABORTION WITHOUT D&C	$5,701 – $19,820 · median $5,745	34 plans
799	SPLENIC PROCEDURES WITH MCC	$5,701 – $100,811 · median $30,925	34 plans
800	SPLENIC PROCEDURES WITH CC	$5,701 – $61,778 · median $19,184	34 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$5,701 – $34,807 · median $13,035	34 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$5,701 – $76,005 · median $27,205	34 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$5,701 – $37,740 · median $12,693	34 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$5,701 – $23,441 · median $9,259	34 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$5,701 – $48,559 · median $15,076	34 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$5,701 – $26,259 · median $8,644	34 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$5,701 – $20,180 · median $7,147	34 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$5,701 – $29,829 · median $9,589	34 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$5,701 – $19,567 · median $6,270	34 plans
813	COAGULATION DISORDERS	$5,701 – $32,821 · median $10,415	34 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$5,701 – $44,323 · median $14,522	34 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$5,701 – $21,543 · median $6,924	34 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$4,316 – $13,981 · median $4,316	34 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$5,701 – $53,749 · median $15,580	34 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$5,701 – $27,308 · median $7,915	34 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $17,311 · median $5,872	34 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$5,701 – $123,444 · median $40,047	34 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$5,701 – $47,331 · median $15,286	34 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $24,249 · median $8,221	34 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$5,701 – $99,215 · median $31,307	34 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$5,701 – $46,632 · median $15,470	34 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$5,701 – $26,095 · median $9,214	34 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$5,701 – $101,250 · median $31,942	34 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$5,701 – $50,035 · median $15,782	34 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $33,985 · median $11,634	34 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$5,701 – $65,383 · median $21,578	34 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$5,701 – $31,008 · median $10,277	34 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$5,701 – $24,404 · median $8,211	34 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$4,927 – $15,846 · median $4,927	34 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$3,571 – $11,021 · median $3,571	34 plans
834	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC	$5,701 – $117,190 · median $37,487	34 plans
835	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC	$5,701 – $45,285 · median $14,243	34 plans
836	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $26,941 · median $8,327	34 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$5,701 – $106,163 · median $32,806	34 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$5,701 – $43,002 · median $14,254	34 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$5,701 – $29,055 · median $9,859	34 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$5,701 – $67,613 · median $22,089	34 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$5,701 – $33,245 · median $11,140	34 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$5,701 – $22,302 · median $6,899	34 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$5,701 – $40,142 · median $13,621	34 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$5,701 – $25,341 · median $8,313	34 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$5,701 – $17,742 · median $5,815	34 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$5,701 – $54,146 · median $17,703	34 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$5,701 – $26,941 · median $8,933	34 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$5,701 – $17,362 · median $5,800	34 plans
849	RADIOTHERAPY	$5,701 – $56,633 · median $18,501	34 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$5,701 – $106,038 · median $33,723	34 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$5,701 – $42,364 · median $13,644	34 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $34,466 · median $10,223	34 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$5,701 – $95,655 · median $31,060	34 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$5,701 – $46,197 · median $14,623	34 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$5,701 – $27,317 · median $9,511	34 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$5,701 – $38,984 · median $12,453	34 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$5,701 – $21,200 · median $6,814	34 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$5,701 – $19,039 · median $6,062	34 plans
865	VIRAL ILLNESS WITH MCC	$5,701 – $31,292 · median $10,231	34 plans
866	VIRAL ILLNESS WITHOUT MCC	$5,701 – $18,760 · median $5,938	34 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$5,701 – $45,463 · median $14,293	34 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$5,701 – $22,264 · median $7,041	34 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$4,983 – $15,257 · median $4,983	34 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$5,701 – $147,492 · median $47,196	34 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$5,701 – $41,600 · median $13,264	34 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$5,701 – $21,859 · median $6,987	34 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$5,701 – $83,315 · median $26,391	34 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$5,701 – $93,935 · median $28,656	34 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$5,701 – $40,233 · median $13,073	34 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$5,701 – $25,847 · median $7,986	34 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$5,701 – $81,863 · median $25,081	34 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$5,701 – $34,945 · median $10,129	34 plans
906	HAND PROCEDURES FOR INJURIES	$5,701 – $46,273 · median $13,413	34 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$5,701 – $84,462 · median $26,216	34 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$5,701 – $42,767 · median $13,624	34 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$5,701 – $26,891 · median $8,964	34 plans
913	TRAUMATIC INJURY WITH MCC	$5,701 – $34,311 · median $11,162	34 plans
914	TRAUMATIC INJURY WITHOUT MCC	$5,701 – $19,430 · median $6,047	34 plans
915	ALLERGIC REACTIONS WITH MCC	$5,701 – $36,847 · median $11,483	34 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$4,550 – $14,080 · median $4,550	34 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$5,701 – $34,765 · median $10,710	34 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$5,701 – $18,755 · median $5,853	34 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$5,701 – $38,664 · median $12,501	34 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$5,701 – $21,539 · median $6,844	34 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$4,701 – $14,581 · median $4,701	34 plans
922	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$5,701 – $35,819 · median $11,946	34 plans
923	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$5,701 – $21,624 · median $6,949	34 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$5,701 – $502,971 · median $145,789	34 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$5,701 – $141,606 · median $48,978	34 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$5,701 – $67,431 · median $21,993	34 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$5,701 – $91,739 · median $26,591	34 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$5,701 – $45,495 · median $15,095	34 plans
935	NON-EXTENSIVE BURNS	$5,701 – $46,568 · median $14,066	34 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$5,701 – $67,295 · median $24,777	34 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$5,701 – $44,766 · median $15,957	34 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$5,701 – $41,435 · median $13,846	34 plans
947	SIGNS AND SYMPTOMS WITH MCC	$5,701 – $27,270 · median $8,668	34 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$5,466 – $16,845 · median $5,466	34 plans
949	AFTERCARE WITH CC/MCC	$5,701 – $22,877 · median $8,124	34 plans
950	AFTERCARE WITHOUT CC/MCC	$4,286 – $12,426 · median $4,286	34 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$3,797 – $12,022 · median $3,797	34 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$5,701 – $144,774 · median $45,962	34 plans
956	LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$5,701 – $81,043 · median $25,695	34 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$5,701 – $158,256 · median $52,032	34 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$5,701 – $87,136 · median $28,774	34 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$5,701 – $56,056 · median $20,103	34 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$5,701 – $57,599 · median $18,667	34 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$5,701 – $31,805 · median $10,465	34 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$5,701 – $19,349 · median $6,422	34 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$5,701 – $134,088 · median $41,799	34 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$5,701 – $56,255 · median $18,009	34 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$5,701 – $63,313 · median $19,707	34 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$5,701 – $30,137 · median $8,843	34 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$5,701 – $21,266 · median $6,164	34 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$5,701 – $30,571 · median $8,861	34 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$5,701 – $100,792 · median $32,037	34 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$5,701 – $51,909 · median $16,788	34 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$5,701 – $35,369 · median $11,704	34 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$5,701 – $74,264 · median $23,410	34 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$5,701 – $36,383 · median $11,223	34 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$5,701 – $24,499 · median $8,189	34 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$6,557 – $20,324 · median $6,557	33 plans
881	DEPRESSIVE NEUROSES	$6,425 – $19,381 · median $6,425	33 plans
882	NEUROSES EXCEPT DEPRESSIVE	$7,332 – $20,396 · median $7,332	33 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$13,427 – $39,306 · median $13,427	33 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$10,986 – $35,412 · median $10,986	33 plans
885	PSYCHOSES	$9,538 – $29,886 · median $9,538	33 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$14,171 – $38,089 · median $14,171	33 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$7,313 – $25,218 · median $7,313	33 plans
894	ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA	$4,212 – $13,232 · median $4,212	33 plans
895	ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY	$9,666 – $30,698 · median $9,666	33 plans
896	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC	$11,916 – $37,757 · median $11,916	33 plans
897	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC	$6,028 – $18,704 · median $6,028	33 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$5,701 – $565,187 · median $191,358	32 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$5,701 – $221,121 · median $77,378	32 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$5,701 – $213,675 · median $70,404	32 plans
006	LIVER TRANSPLANT WITHOUT MCC	$5,701 – $97,298 · median $31,663	32 plans
007	LUNG TRANSPLANT	$5,701 – $262,220 · median $88,429	32 plans
008	SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT	$5,701 – $109,175 · median $38,270	32 plans
010	PANCREAS TRANSPLANT	$5,701 – $159,978 · median $48,998	32 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$5,701 – $262,883 · median $82,063	32 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$5,701 – $121,108 · median $40,490	32 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$5,701 – $121,108 · median $37,094	32 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY	$5,701 – $756,693 · median $294,868	32 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$5,701 – $159,057 · median $48,718	32 plans
317	ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC	$5,701 – $131,164 · median $45,658	32 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$5,701 – $82,946 · median $27,453	32 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$5,701 – $222,099 · median $75,257	32 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$5,701 – $150,591 · median $49,291	32 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$5,701 – $116,698 · median $38,389	32 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$5,701 – $176,837 · median $61,521	32 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$5,701 – $115,986 · median $39,380	32 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$5,701 – $142,153 · median $45,624	32 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$5,701 – $86,578 · median $28,958	32 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$5,701 – $109,192 · median $36,393	32 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$5,701 – $65,429 · median $22,058	32 plans
650	NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH OTHER PROB	$5,701 – $92,444 · median $32,103	32 plans
651	NEONATE BIRTHWT 2000-2499G WITH SIGNIF O.R. PROC WITH MULT MAJOR PROB	$5,701 – $69,673 · median $25,305	32 plans
652	KIDNEY TRANSPLANT	$5,701 – $61,627 · median $22,052	32 plans
789	NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$519 – $38,219 · median $12,306	32 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE	$519 – $126,042 · median $40,584	32 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$519 – $86,078 · median $27,716	32 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$519 – $51,939 · median $16,724	32 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$519 – $88,423 · median $28,472	32 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$519 – $31,298 · median $10,078	32 plans
795	NORMAL NEWBORN	$519 – $4,236 · median $1,364	32 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$5,701 – $195,311 · median $59,130	32 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$1,934 – $21,998 · median $7,317	31 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$2,952 – $36,962 · median $16,764	31 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$2,952 – $21,731 · median $7,239	31 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$2,952 – $17,556 · median $6,540	31 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$2,952 – $32,423 · median $11,263	31 plans
787	NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB	$2,952 – $21,306 · median $7,626	31 plans
788	NEONATE BIRTHWT >2499G W MINOR ABDOM PROCEDURE	$2,952 – $18,160 · median $6,547	31 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$1,934 – $25,616 · median $7,969	31 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$1,934 – $19,428 · median $6,831	31 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$1,934 – $19,428 · median $6,535	31 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$1,934 – $20,024 · median $7,369	31 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$1,934 – $14,518 · median $5,149	31 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$1,934 – $12,786 · median $4,604	31 plans
945	REHABILITATION WITH CC/MCC	$10,574 – $32,365 · median $10,574	29 plans
946	REHABILITATION WITHOUT CC/MCC	$7,831 – $23,672 · median $7,831	29 plans
209	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17	$77,289 – $144,436 · median $77,289	22 plans
213	SPLENIC PROCEDURES AGE 0-17	$38,969 – $72,824 · median $38,969	22 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$16,540 – $30,909 · median $16,540	22 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$23,480 – $43,879 · median $23,480	22 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$16,486 – $30,808 · median $16,486	22 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$5,701 – $32,785 · median $28,153	12 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH CC	$5,701 – $21,157 · median $18,518	12 plans
079	HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC	$5,701 – $14,135 · median $12,887	12 plans
294	DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC	$5,701 – $26,036 · median $22,341	12 plans
295	DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC	$5,701 – $16,745 · median $14,593	12 plans
509	ARTHROSCOPY	$5,701 – $37,246 · median $31,959	12 plans
453	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC	$129,554 – $177,813 · median $148,269	9 plans
454	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC	$89,420 – $122,730 · median $102,338	9 plans
455	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC	$67,334 – $92,416 · median $77,061	9 plans
459	SPINAL FUSION EXCEPT CERVICAL WITH MCC	$96,964 – $133,084 · median $110,972	9 plans
460	SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$53,479 – $73,399 · median $61,204	9 plans
222	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC	$153,637 – $153,637 · median $153,637	4 plans
223	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC	$104,718 – $104,718 · median $104,718	4 plans
224	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC	$142,252 – $142,252 · median $142,252	4 plans
225	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC	$101,488 – $101,488 · median $101,488	4 plans
226	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC	$128,440 – $128,440 · median $128,440	4 plans
227	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$100,745 – $100,745 · median $100,745	4 plans
246	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS	$60,106 – $60,106 · median $60,106	4 plans
247	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	$38,316 – $38,316 · median $38,316	4 plans
248	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS	$60,395 – $60,395 · median $60,395	4 plans
249	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC	$36,454 – $36,454 · median $36,454	4 plans
338	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC	$53,305 – $53,305 · median $53,305	4 plans
339	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	$32,675 – $32,675 · median $32,675	4 plans
340	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$24,077 – $24,077 · median $24,077	4 plans
341	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC	$45,329 – $45,329 · median $45,329	4 plans
342	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	$29,160 – $29,160 · median $29,160	4 plans
343	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$21,926 – $21,926 · median $21,926	4 plans

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