Logan Health Medical Center — Hospital Prices & Charges

Procedures published 770

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 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG	Description	Insurance rate range	Payers
001	Heart Transplant Or Implant Of Heart Assist System With Mcc	$213,607 – $523,336 · median $222,151	5 plans
002	Heart Transplant Or Implant Of Heart Assist System Without Mcc	$86,737 – $212,506 · median $90,207	5 plans
003	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major	$161,933 – $396,735 · median $168,410	5 plans
004	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.	$105,888 – $259,425 · median $110,123	5 plans
005	Liver Transplant With Mcc Or Intestinal Transplant	$78,975 – $193,488 · median $82,134	5 plans
006	Liver Transplant Without Mcc	$35,853 – $87,840 · median $37,287	5 plans
007	Lung Transplant	$99,038 – $242,643 · median $102,999	5 plans
008	Simultaneous Pancreas And Kidney Transplant	$43,207 – $105,858 · median $44,936	5 plans
010	Pancreas Transplant	$55,149 – $135,114 · median $57,354	5 plans
011	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	$42,063 – $103,055 · median $43,746	5 plans
012	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	$32,653 – $80,000 · median $33,959	5 plans
013	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc	$22,512 – $55,155 · median $23,413	5 plans
014	Allogeneic Bone Marrow Transplant	$91,952 – $225,282 · median $95,630	5 plans
016	Autologous Bone Marrow Transplant With Cc/Mcc	$45,678 – $111,912 · median $47,505	5 plans
017	Autologous Bone Marrow Transplant Without Cc/Mcc	$41,898 – $102,649 · median $43,574	5 plans
018	Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies	$328,823 – $805,616 · median $341,976	5 plans
019	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	$54,836 – $134,348 · median $57,030	5 plans
020	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	$60,416 – $148,020 · median $62,833	5 plans
021	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	$40,845 – $100,070 · median $42,479	5 plans
022	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc	$24,759 – $60,660 · median $25,750	5 plans
023	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla	$44,163 – $108,198 · median $45,929	5 plans
024	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc	$30,342 – $74,337 · median $31,555	5 plans
025	Craniotomy And Endovascular Intracranial Procedures With Mcc	$35,167 – $86,158 · median $36,573	5 plans
026	Craniotomy And Endovascular Intracranial Procedures With Cc	$24,241 – $59,390 · median $25,210	5 plans
027	Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc	$19,785 – $48,472 · median $20,576	5 plans
028	Spinal Procedures With Mcc	$46,276 – $113,375 · median $48,127	5 plans
029	Spinal Procedures With Cc Or Spinal Neurostimulators	$26,539 – $65,021 · median $27,601	5 plans
030	Spinal Procedures Without Cc/Mcc	$17,294 – $42,370 · median $17,986	5 plans
031	Ventricular Shunt Procedures With Mcc	$34,663 – $84,925 · median $36,050	5 plans
032	Ventricular Shunt Procedures With Cc	$16,806 – $41,175 · median $17,478	5 plans
033	Ventricular Shunt Procedures Without Cc/Mcc	$13,248 – $32,458 · median $13,778	5 plans
034	Carotid Artery Stent Procedures With Mcc	$30,029 – $73,570 · median $31,230	5 plans
035	Carotid Artery Stent Procedures With Cc	$18,778 – $46,007 · median $19,529	5 plans
036	Carotid Artery Stent Procedures Without Cc/Mcc	$15,375 – $37,670 · median $15,991	5 plans
037	Extracranial Procedures With Mcc	$25,631 – $62,796 · median $26,656	5 plans
038	Extracranial Procedures With Cc	$12,942 – $31,707 · median $13,459	5 plans
039	Extracranial Procedures Without Cc/Mcc	$9,544 – $23,382 · median $9,925	5 plans
040	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	$29,956 – $73,393 · median $31,155	5 plans
041	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator	$17,320 – $42,435 · median $18,013	5 plans
042	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc	$13,741 – $33,664 · median $14,290	5 plans
052	Spinal Disorders And Injuries With Cc/Mcc	$14,376 – $35,221 · median $14,951	5 plans
053	Spinal Disorders And Injuries Without Cc/Mcc	$8,052 – $19,726 · median $8,374	5 plans
054	Nervous System Neoplasms With Mcc	$12,214 – $29,925 · median $12,703	5 plans
055	Nervous System Neoplasms Without Mcc	$8,359 – $20,479 · median $8,693	5 plans
056	Degenerative Nervous System Disorders With Mcc	$18,266 – $44,752 · median $18,997	5 plans
057	Degenerative Nervous System Disorders Without Mcc	$10,456 – $25,618 · median $10,875	5 plans
058	Multiple Sclerosis And Cerebellar Ataxia With Mcc	$13,602 – $33,326 · median $14,146	5 plans
059	Multiple Sclerosis And Cerebellar Ataxia With Cc	$10,041 – $24,600 · median $10,442	5 plans
060	Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc	$7,600 – $18,620 · median $7,904	5 plans
061	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc	$21,565 – $52,833 · median $22,427	5 plans
062	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc	$13,965 – $34,214 · median $14,523	5 plans
063	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc	$11,279 – $27,633 · median $11,730	5 plans
064	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	$15,894 – $38,940 · median $16,530	5 plans
065	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	$8,288 – $20,306 · median $8,619	5 plans
066	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc	$5,811 – $14,237 · median $6,043	5 plans
067	Precerebral Occlusion Without Infarction With Mcc	$11,772 – $28,842 · median $12,243	5 plans
068	Precerebral Occlusion Without Infarction Without Mcc	$7,179 – $17,589 · median $7,466	5 plans
069	Transient Ischemia Without Thrombolytic	$6,680 – $16,367 · median $6,948	5 plans
070	Other Cerebrovascular Disorders With Mcc	$13,263 – $32,493 · median $13,793	5 plans
071	Other Cerebrovascular Disorders With Cc	$8,407 – $20,598 · median $8,744	5 plans
072	Other Cerebrovascular Disorders Without Cc/Mcc	$6,357 – $15,574 · median $6,611	5 plans
073	Cranial And Peripheral Nerve Disorders With Mcc	$12,803 – $31,367 · median $13,315	5 plans
074	Cranial And Peripheral Nerve Disorders Without Mcc	$8,444 – $20,687 · median $8,782	5 plans
075	Viral Meningitis With Cc/Mcc	$15,183 – $37,199 · median $15,791	5 plans
076	Viral Meningitis Without Cc/Mcc	$6,881 – $16,859 · median $7,156	5 plans
080	Nontraumatic Stupor And Coma With Mcc	$14,366 – $35,197 · median $14,941	5 plans
081	Nontraumatic Stupor And Coma Without Mcc	$7,416 – $18,170 · median $7,713	5 plans
082	Traumatic Stupor And Coma >1 Hour With Mcc	$17,981 – $44,053 · median $18,700	5 plans
083	Traumatic Stupor And Coma >1 Hour With Cc	$11,218 – $27,484 · median $11,667	5 plans
084	Traumatic Stupor And Coma >1 Hour Without Cc/Mcc	$7,874 – $19,291 · median $8,189	5 plans
085	Traumatic Stupor And Coma <1 Hour With Mcc	$17,877 – $43,798 · median $18,592	5 plans
086	Traumatic Stupor And Coma <1 Hour With Cc	$10,510 – $25,750 · median $10,931	5 plans
087	Traumatic Stupor And Coma <1 Hour Without Cc/Mcc	$7,561 – $18,525 · median $7,864	5 plans
088	Concussion With Mcc	$10,884 – $26,665 · median $11,319	5 plans
089	Concussion With Cc	$8,959 – $21,950 · median $9,317	5 plans
090	Concussion Without Cc/Mcc	$6,866 – $16,821 · median $7,141	5 plans
091	Other Disorders Of Nervous System With Mcc	$13,957 – $34,195 · median $14,516	5 plans
092	Other Disorders Of Nervous System With Cc	$8,384 – $20,542 · median $8,720	5 plans
093	Other Disorders Of Nervous System Without Cc/Mcc	$6,661 – $16,321 · median $6,928	5 plans
094	Bacterial And Tuberculous Infections Of Nervous System With Mcc	$27,359 – $67,028 · median $28,453	5 plans
095	Bacterial And Tuberculous Infections Of Nervous System With Cc	$20,212 – $49,521 · median $21,021	5 plans
096	Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc	$20,212 – $49,521 · median $21,021	5 plans
097	Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	$28,061 – $68,749 · median $29,183	5 plans
098	Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc	$18,052 – $44,227 · median $18,774	5 plans
099	Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc	$10,964 – $26,862 · median $11,403	5 plans
100	Seizures With Mcc	$15,330 – $37,558 · median $15,943	5 plans
101	Seizures Without Mcc	$7,469 – $18,300 · median $7,768	5 plans
102	Headaches With Mcc	$9,129 – $22,365 · median $9,494	5 plans
103	Headaches Without Mcc	$6,965 – $17,065 · median $7,244	5 plans
113	Orbital Procedures With Cc/Mcc	$18,479 – $45,273 · median $19,218	5 plans
114	Orbital Procedures Without Cc/Mcc	$10,893 – $26,687 · median $11,328	5 plans
115	Extraocular Procedures Except Orbit	$12,275 – $30,074 · median $12,766	5 plans
116	Intraocular Procedures With Cc/Mcc	$14,352 – $35,162 · median $14,926	5 plans
117	Intraocular Procedures Without Cc/Mcc	$8,855 – $21,695 · median $9,209	5 plans
121	Acute Major Eye Infections With Cc/Mcc	$9,451 – $23,155 · median $9,829	5 plans
122	Acute Major Eye Infections Without Cc/Mcc	$6,582 – $16,125 · median $6,845	5 plans
123	Neurological Eye Disorders	$6,679 – $16,363 · median $6,946	5 plans
124	Other Disorders Of The Eye With Mcc Or Thrombolytic Agent	$10,665 – $26,130 · median $11,092	5 plans
125	Other Disorders Of The Eye Without Mcc	$6,445 – $15,790 · median $6,703	5 plans
135	Sinus And Mastoid Procedures With Cc/Mcc	$17,102 – $41,901 · median $17,786	5 plans
136	Sinus And Mastoid Procedures Without Cc/Mcc	$8,326 – $20,399 · median $8,659	5 plans
137	Mouth Procedures With Cc/Mcc	$11,958 – $29,298 · median $12,437	5 plans
138	Mouth Procedures Without Cc/Mcc	$7,345 – $17,995 · median $7,639	5 plans
139	Salivary Gland Procedures	$10,001 – $24,503 · median $10,401	5 plans
140	Major Head And Neck Procedures With Mcc	$33,028 – $80,918 · median $34,349	5 plans
141	Major Head And Neck Procedures With Cc	$17,187 – $42,107 · median $17,874	5 plans
142	Major Head And Neck Procedures Without Cc/Mcc	$12,743 – $31,219 · median $13,252	5 plans
143	Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc	$29,085 – $71,259 · median $30,249	5 plans
144	Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc	$13,780 – $33,761 · median $14,331	5 plans
145	Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc	$9,747 – $23,881 · median $10,137	5 plans
146	Ear, Nose, Mouth And Throat Malignancy With Mcc	$16,703 – $40,921 · median $17,371	5 plans
147	Ear, Nose, Mouth And Throat Malignancy With Cc	$10,273 – $25,169 · median $10,684	5 plans
148	Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc	$6,668 – $16,335 · median $6,934	5 plans
149	Dysequilibrium	$6,322 – $15,488 · median $6,575	5 plans
150	Epistaxis With Mcc	$10,729 – $26,287 · median $11,158	5 plans
151	Epistaxis Without Mcc	$6,188 – $15,160 · median $6,435	5 plans
152	Otitis Media And Uri With Mcc	$9,595 – $23,507 · median $9,978	5 plans
153	Otitis Media And Uri Without Mcc	$6,220 – $15,239 · median $6,469	5 plans
154	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	$12,493 – $30,607 · median $12,992	5 plans
155	Other Ear, Nose, Mouth And Throat Diagnoses With Cc	$7,575 – $18,559 · median $7,878	5 plans
156	Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc	$5,862 – $14,362 · median $6,096	5 plans
157	Dental And Oral Diseases With Mcc	$13,658 – $33,462 · median $14,204	5 plans
158	Dental And Oral Diseases With Cc	$7,524 – $18,434 · median $7,825	5 plans
159	Dental And Oral Diseases Without Cc/Mcc	$5,994 – $14,686 · median $6,234	5 plans
163	Major Chest Procedures With Mcc	$34,673 – $84,950 · median $36,060	5 plans
164	Major Chest Procedures With Cc	$19,793 – $48,493 · median $20,585	5 plans
165	Major Chest Procedures Without Cc/Mcc	$15,158 – $37,137 · median $15,764	5 plans
166	Other Respiratory System O.R. Procedures With Mcc	$29,018 – $71,093 · median $30,178	5 plans
167	Other Respiratory System O.R. Procedures With Cc	$14,316 – $35,074 · median $14,889	5 plans
168	Other Respiratory System O.R. Procedures Without Cc/Mcc	$10,995 – $26,937 · median $11,434	5 plans
173	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism	$23,231 – $56,917 · median $24,161	5 plans
175	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	$11,049 – $27,071 · median $11,491	5 plans
176	Pulmonary Embolism Without Mcc	$6,728 – $16,483 · median $6,997	5 plans
177	Respiratory Infections And Inflammations With Mcc	$12,487 – $30,592 · median $12,986	5 plans
178	Respiratory Infections And Inflammations With Cc	$8,027 – $19,667 · median $8,348	5 plans
179	Respiratory Infections And Inflammations Without Cc/Mcc	$6,348 – $15,551 · median $6,601	5 plans
180	Respiratory Neoplasms With Mcc	$14,032 – $34,378 · median $14,593	5 plans
181	Respiratory Neoplasms With Cc	$8,749 – $21,436 · median $9,099	5 plans
182	Respiratory Neoplasms Without Cc/Mcc	$6,338 – $15,529 · median $6,592	5 plans
183	Major Chest Trauma With Mcc	$12,237 – $29,981 · median $12,727	5 plans
184	Major Chest Trauma With Cc	$8,697 – $21,307 · median $9,045	5 plans
185	Major Chest Trauma Without Cc/Mcc	$6,587 – $16,138 · median $6,850	5 plans
186	Pleural Effusion With Mcc	$12,455 – $30,514 · median $12,953	5 plans
187	Pleural Effusion With Cc	$8,127 – $19,911 · median $8,452	5 plans
188	Pleural Effusion Without Cc/Mcc	$6,060 – $14,848 · median $6,303	5 plans
189	Pulmonary Edema And Respiratory Failure	$9,999 – $24,497 · median $10,399	5 plans
190	Chronic Obstructive Pulmonary Disease With Mcc	$9,028 – $22,119 · median $9,389	5 plans
191	Chronic Obstructive Pulmonary Disease With Cc	$7,016 – $17,190 · median $7,297	5 plans
192	Chronic Obstructive Pulmonary Disease Without Cc/Mcc	$5,489 – $13,447 · median $5,708	5 plans
193	Simple Pneumonia And Pleurisy With Mcc	$10,599 – $25,968 · median $11,023	5 plans
194	Simple Pneumonia And Pleurisy With Cc	$6,734 – $16,499 · median $7,004	5 plans
195	Simple Pneumonia And Pleurisy Without Cc/Mcc	$5,386 – $13,196 · median $5,602	5 plans
196	Interstitial Lung Disease With Mcc	$14,953 – $36,635 · median $15,551	5 plans
197	Interstitial Lung Disease With Cc	$7,823 – $19,166 · median $8,136	5 plans
198	Interstitial Lung Disease Without Cc/Mcc	$6,053 – $14,829 · median $6,295	5 plans
199	Pneumothorax With Mcc	$14,017 – $34,342 · median $14,578	5 plans
200	Pneumothorax With Cc	$8,964 – $21,963 · median $9,323	5 plans
201	Pneumothorax Without Cc/Mcc	$6,044 – $14,808 · median $6,286	5 plans
202	Bronchitis And Asthma With Cc/Mcc	$7,991 – $19,577 · median $8,310	5 plans
203	Bronchitis And Asthma Without Cc/Mcc	$5,701 – $13,969 · median $5,930	5 plans
204	Respiratory Signs And Symptoms	$6,746 – $16,527 · median $7,016	5 plans
205	Other Respiratory System Diagnoses With Mcc	$14,526 – $35,588 · median $15,107	5 plans
206	Other Respiratory System Diagnoses Without Mcc	$7,762 – $19,017 · median $8,072	5 plans
207	Respiratory System Diagnosis With Ventilator Support >96 Hours	$49,516 – $121,315 · median $51,497	5 plans
208	Respiratory System Diagnosis With Ventilator Support <=96 Hours	$21,501 – $52,677 · median $22,361	5 plans
209	Complex Aortic Arch Procedures	$86,638 – $212,264 · median $90,104	5 plans
212	Concomitant Aortic And Mitral Valve Procedures	$83,258 – $203,983 · median $86,589	5 plans
213	Endovascular Abdominal Aorta With Iliac Branch Procedures	$43,985 – $107,763 · median $45,744	5 plans
215	Other Heart Assist System Implant	$76,288 – $186,905 · median $79,339	5 plans
216	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	$74,964 – $183,662 · median $77,962	5 plans
217	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc	$50,585 – $123,934 · median $52,609	5 plans
218	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc	$50,585 – $123,934 · median $52,609	5 plans
219	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc	$58,969 – $144,473 · median $61,327	5 plans
220	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc	$41,141 – $100,796 · median $42,787	5 plans
221	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M	$38,917 – $95,348 · median $40,474	5 plans
228	Other Cardiothoracic Procedures With Mcc	$38,212 – $93,620 · median $39,741	5 plans
229	Other Cardiothoracic Procedures Without Mcc	$24,547 – $60,140 · median $25,529	5 plans
231	Coronary Bypass With Ptca With Mcc	$64,681 – $158,469 · median $67,268	5 plans
232	Coronary Bypass With Ptca Without Mcc	$46,688 – $114,386 · median $48,556	5 plans
233	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	$58,717 – $143,857 · median $61,066	5 plans
234	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	$42,129 – $103,215 · median $43,814	5 plans
235	Coronary Bypass Without Cardiac Catheterization With Mcc	$45,214 – $110,774 · median $47,022	5 plans
236	Coronary Bypass Without Cardiac Catheterization Without Mcc	$32,446 – $79,494 · median $33,744	5 plans
239	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	$38,017 – $93,141 · median $39,537	5 plans
240	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	$22,275 – $54,573 · median $23,166	5 plans
241	Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc	$11,131 – $27,272 · median $11,577	5 plans
242	Permanent Cardiac Pacemaker Implant With Mcc	$24,876 – $60,947 · median $25,871	5 plans
243	Permanent Cardiac Pacemaker Implant With Cc	$16,805 – $41,173 · median $17,477	5 plans
244	Permanent Cardiac Pacemaker Implant Without Cc/Mcc	$14,347 – $35,150 · median $14,921	5 plans
245	Aicd Generator Procedures	$35,286 – $86,451 · median $36,697	5 plans
250	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	$17,197 – $42,134 · median $17,885	5 plans
251	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	$11,968 – $29,322 · median $12,447	5 plans
252	Other Vascular Procedures With Mcc	$27,122 – $66,449 · median $28,207	5 plans
253	Other Vascular Procedures With Cc	$20,337 – $49,826 · median $21,151	5 plans
254	Other Vascular Procedures Without Cc/Mcc	$14,151 – $34,670 · median $14,717	5 plans
255	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	$21,111 – $51,722 · median $21,955	5 plans
256	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	$13,514 – $33,110 · median $14,055	5 plans
257	Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc	$8,910 – $21,831 · median $9,267	5 plans
258	Cardiac Pacemaker Device Replacement With Mcc	$24,491 – $60,003 · median $25,470	5 plans
259	Cardiac Pacemaker Device Replacement Without Mcc	$15,978 – $39,147 · median $16,617	5 plans
260	Cardiac Pacemaker Revision Except Device Replacement With Mcc	$25,332 – $62,064 · median $26,346	5 plans
261	Cardiac Pacemaker Revision Except Device Replacement With Cc	$14,978 – $36,696 · median $15,577	5 plans
262	Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc	$12,997 – $31,843 · median $13,517	5 plans
263	Vein Ligation And Stripping	$23,847 – $58,425 · median $24,801	5 plans
264	Other Circulatory System O.R. Procedures	$26,000 – $63,699 · median $27,040	5 plans
265	Aicd Lead Procedures	$28,109 – $68,868 · median $29,234	5 plans
266	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	$47,188 – $115,612 · median $49,076	5 plans
267	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	$36,794 – $90,145 · median $38,266	5 plans
268	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	$52,885 – $129,568 · median $55,000	5 plans
269	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	$32,708 – $80,134 · median $34,016	5 plans
270	Other Major Cardiovascular Procedures With Mcc	$40,712 – $99,744 · median $42,340	5 plans
271	Other Major Cardiovascular Procedures With Cc	$27,639 – $67,716 · median $28,745	5 plans
272	Other Major Cardiovascular Procedures Without Cc/Mcc	$20,013 – $49,033 · median $20,814	5 plans
273	Percutaneous And Other Intracardiac Procedures With Mcc	$31,965 – $78,315 · median $33,244	5 plans
274	Percutaneous And Other Intracardiac Procedures Without Mcc	$25,628 – $62,788 · median $26,653	5 plans
275	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	$54,804 – $134,270 · median $56,996	5 plans
276	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	$46,263 – $113,344 · median $48,113	5 plans
277	Cardiac Defibrillator Implant Without Mcc	$35,712 – $87,495 · median $37,141	5 plans
278	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc	$42,915 – $105,143 · median $44,632	5 plans
279	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc	$28,020 – $68,648 · median $29,141	5 plans
280	Acute Myocardial Infarction, Discharged Alive With Mcc	$12,801 – $31,363 · median $13,313	5 plans
281	Acute Myocardial Infarction, Discharged Alive With Cc	$7,595 – $18,607 · median $7,899	5 plans
282	Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc	$6,105 – $14,957 · median $6,349	5 plans
283	Acute Myocardial Infarction, Expired With Mcc	$15,664 – $38,378 · median $16,291	5 plans
284	Acute Myocardial Infarction, Expired With Cc	$5,870 – $14,382 · median $6,105	5 plans
285	Acute Myocardial Infarction, Expired Without Cc/Mcc	$5,161 – $12,645 · median $5,368	5 plans
286	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	$17,428 – $42,698 · median $18,125	5 plans
287	Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc	$8,742 – $21,419 · median $9,092	5 plans
288	Acute And Subacute Endocarditis With Mcc	$21,178 – $51,886 · median $22,025	5 plans
289	Acute And Subacute Endocarditis With Cc	$13,583 – $33,277 · median $14,126	5 plans
290	Acute And Subacute Endocarditis Without Cc/Mcc	$7,675 – $18,805 · median $7,982	5 plans
291	Heart Failure And Shock With Mcc	$10,367 – $25,398 · median $10,781	5 plans
292	Heart Failure And Shock With Cc	$7,062 – $17,302 · median $7,344	5 plans
293	Heart Failure And Shock Without Cc/Mcc	$4,911 – $12,032 · median $5,107	5 plans
296	Cardiac Arrest, Unexplained With Mcc	$12,480 – $30,577 · median $12,980	5 plans
297	Cardiac Arrest, Unexplained With Cc	$5,428 – $13,298 · median $5,645	5 plans
298	Cardiac Arrest, Unexplained Without Cc/Mcc	$4,068 – $9,967 · median $4,231	5 plans
299	Peripheral Vascular Disorders With Mcc	$13,019 – $31,895 · median $13,539	5 plans
300	Peripheral Vascular Disorders With Cc	$8,723 – $21,371 · median $9,072	5 plans
301	Peripheral Vascular Disorders Without Cc/Mcc	$6,079 – $14,894 · median $6,322	5 plans
302	Atherosclerosis With Mcc	$9,704 – $23,775 · median $10,092	5 plans
303	Atherosclerosis Without Mcc	$5,726 – $14,028 · median $5,955	5 plans
304	Hypertension With Mcc	$9,654 – $23,652 · median $10,040	5 plans
305	Hypertension Without Mcc	$6,348 – $15,553 · median $6,602	5 plans
306	Cardiac Congenital And Valvular Disorders With Mcc	$12,586 – $30,836 · median $13,090	5 plans
307	Cardiac Congenital And Valvular Disorders Without Mcc	$7,550 – $18,497 · median $7,852	5 plans
308	Cardiac Arrhythmia And Conduction Disorders With Mcc	$9,760 – $23,912 · median $10,151	5 plans
309	Cardiac Arrhythmia And Conduction Disorders With Cc	$6,201 – $15,192 · median $6,449	5 plans
310	Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc	$4,912 – $12,034 · median $5,108	5 plans
311	Angina Pectoris	$5,944 – $14,563 · median $6,182	5 plans
312	Syncope And Collapse	$7,234 – $17,723 · median $7,523	5 plans
313	Chest Pain	$6,082 – $14,900 · median $6,325	5 plans
314	Other Circulatory System Diagnoses With Mcc	$16,458 – $40,322 · median $17,116	5 plans
315	Other Circulatory System Diagnoses With Cc	$7,931 – $19,430 · median $8,248	5 plans
316	Other Circulatory System Diagnoses Without Cc/Mcc	$5,793 – $14,194 · median $6,025	5 plans
317	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	$51,430 – $126,004 · median $53,488	5 plans
318	Percutaneous Coronary Atherectomy Without Intraluminal Device	$19,019 – $46,597 · median $19,780	5 plans
319	Other Endovascular Cardiac Valve Procedures With Mcc	$34,530 – $84,598 · median $35,911	5 plans
320	Other Endovascular Cardiac Valve Procedures Without Mcc	$18,891 – $46,282 · median $19,646	5 plans
321	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal	$21,289 – $52,157 · median $22,140	5 plans
322	Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc	$14,009 – $34,322 · median $14,569	5 plans
323	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	$33,500 – $82,075 · median $34,840	5 plans
324	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	$24,559 – $60,168 · median $25,541	5 plans
325	Coronary Intravascular Lithotripsy Without Intraluminal Device	$25,010 – $61,274 · median $26,010	5 plans
326	Stomach, Esophageal And Duodenal Procedures With Mcc	$38,516 – $94,365 · median $40,057	5 plans
327	Stomach, Esophageal And Duodenal Procedures With Cc	$19,186 – $47,007 · median $19,954	5 plans
328	Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc	$12,788 – $31,329 · median $13,299	5 plans
329	Major Small And Large Bowel Procedures With Mcc	$35,545 – $87,086 · median $36,967	5 plans
330	Major Small And Large Bowel Procedures With Cc	$18,829 – $46,132 · median $19,582	5 plans
331	Major Small And Large Bowel Procedures Without Cc/Mcc	$13,400 – $32,830 · median $13,936	5 plans
332	Rectal Resection With Mcc	$28,128 – $68,915 · median $29,254	5 plans
333	Rectal Resection With Cc	$18,411 – $45,107 · median $19,148	5 plans
334	Rectal Resection Without Cc/Mcc	$13,058 – $31,992 · median $13,580	5 plans
335	Peritoneal Adhesiolysis With Mcc	$27,750 – $67,987 · median $28,860	5 plans
336	Peritoneal Adhesiolysis With Cc	$16,636 – $40,759 · median $17,302	5 plans
337	Peritoneal Adhesiolysis Without Cc/Mcc	$12,276 – $30,076 · median $12,767	5 plans
344	Minor Small And Large Bowel Procedures With Mcc	$20,240 – $49,588 · median $21,049	5 plans
345	Minor Small And Large Bowel Procedures With Cc	$12,046 – $29,512 · median $12,528	5 plans
346	Minor Small And Large Bowel Procedures Without Cc/Mcc	$9,625 – $23,581 · median $10,010	5 plans
347	Anal And Stomal Procedures With Mcc	$18,057 – $44,240 · median $18,779	5 plans
348	Anal And Stomal Procedures With Cc	$10,557 – $25,864 · median $10,979	5 plans
349	Anal And Stomal Procedures Without Cc/Mcc	$7,226 – $17,704 · median $7,515	5 plans
350	Inguinal And Femoral Hernia Procedures With Mcc	$19,549 – $47,895 · median $20,331	5 plans
351	Inguinal And Femoral Hernia Procedures With Cc	$12,196 – $29,881 · median $12,684	5 plans
352	Inguinal And Femoral Hernia Procedures Without Cc/Mcc	$9,485 – $23,238 · median $9,864	5 plans
353	Hernia Procedures Except Inguinal And Femoral With Mcc	$22,666 – $55,532 · median $23,573	5 plans
354	Hernia Procedures Except Inguinal And Femoral With Cc	$13,396 – $32,821 · median $13,932	5 plans
355	Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc	$10,832 – $26,538 · median $11,265	5 plans
356	Other Digestive System O.R. Procedures With Mcc	$33,997 – $83,292 · median $35,357	5 plans
357	Other Digestive System O.R. Procedures With Cc	$18,284 – $44,796 · median $19,016	5 plans
358	Other Digestive System O.R. Procedures Without Cc/Mcc	$11,234 – $27,523 · median $11,683	5 plans
359	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	$26,744 – $65,524 · median $27,814	5 plans
360	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	$18,959 – $46,450 · median $19,718	5 plans
368	Major Esophageal Disorders With Mcc	$12,708 – $31,136 · median $13,217	5 plans
369	Major Esophageal Disorders With Cc	$8,211 – $20,117 · median $8,540	5 plans
370	Major Esophageal Disorders Without Cc/Mcc	$5,936 – $14,542 · median $6,173	5 plans
371	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	$14,086 – $34,510 · median $14,649	5 plans
372	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	$8,369 – $20,505 · median $8,704	5 plans
373	Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc	$6,138 – $15,038 · median $6,383	5 plans
374	Digestive Malignancy With Mcc	$16,864 – $41,318 · median $17,539	5 plans
375	Digestive Malignancy With Cc	$9,803 – $24,017 · median $10,195	5 plans
376	Digestive Malignancy Without Cc/Mcc	$7,634 – $18,704 · median $7,940	5 plans
377	Gastrointestinal Hemorrhage With Mcc	$14,503 – $35,532 · median $15,083	5 plans
378	Gastrointestinal Hemorrhage With Cc	$8,063 – $19,754 · median $8,386	5 plans
379	Gastrointestinal Hemorrhage Without Cc/Mcc	$5,401 – $13,231 · median $5,617	5 plans
380	Complicated Peptic Ulcer With Mcc	$15,523 – $38,031 · median $16,144	5 plans
381	Complicated Peptic Ulcer With Cc	$8,844 – $21,669 · median $9,198	5 plans
382	Complicated Peptic Ulcer Without Cc/Mcc	$6,694 – $16,401 · median $6,962	5 plans
383	Uncomplicated Peptic Ulcer With Mcc	$11,103 – $27,203 · median $11,547	5 plans
384	Uncomplicated Peptic Ulcer Without Mcc	$7,106 – $17,410 · median $7,390	5 plans
385	Inflammatory Bowel Disease With Mcc	$12,635 – $30,957 · median $13,141	5 plans
386	Inflammatory Bowel Disease With Cc	$8,030 – $19,672 · median $8,351	5 plans
387	Inflammatory Bowel Disease Without Cc/Mcc	$5,787 – $14,179 · median $6,019	5 plans
388	Gastrointestinal Obstruction With Mcc	$11,834 – $28,992 · median $12,307	5 plans
389	Gastrointestinal Obstruction With Cc	$6,612 – $16,200 · median $6,877	5 plans
390	Gastrointestinal Obstruction Without Cc/Mcc	$4,744 – $11,622 · median $4,934	5 plans
391	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	$10,249 – $25,110 · median $10,659	5 plans
392	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	$6,535 – $16,010 · median $6,796	5 plans
393	Other Digestive System Diagnoses With Mcc	$12,765 – $31,274 · median $13,275	5 plans
394	Other Digestive System Diagnoses With Cc	$7,721 – $18,916 · median $8,030	5 plans
395	Other Digestive System Diagnoses Without Cc/Mcc	$5,542 – $13,578 · median $5,764	5 plans
397	Appendix Procedures With Mcc	$18,812 – $46,089 · median $19,564	5 plans
398	Appendix Procedures With Cc	$12,113 – $29,678 · median $12,598	5 plans
399	Appendix Procedures Without Cc/Mcc	$9,309 – $22,808 · median $9,682	5 plans
402	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	$31,167 – $76,360 · median $32,414	5 plans
405	Pancreas, Liver And Shunt Procedures With Mcc	$42,188 – $103,361 · median $43,876	5 plans
406	Pancreas, Liver And Shunt Procedures With Cc	$22,652 – $55,498 · median $23,558	5 plans
407	Pancreas, Liver And Shunt Procedures Without Cc/Mcc	$17,479 – $42,824 · median $18,179	5 plans
408	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc	$27,710 – $67,889 · median $28,818	5 plans
409	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc	$17,158 – $42,037 · median $17,844	5 plans
410	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc	$12,677 – $31,058 · median $13,184	5 plans
411	Cholecystectomy With C.D.E. With Mcc	$25,716 – $63,004 · median $26,745	5 plans
412	Cholecystectomy With C.D.E. With Cc	$16,589 – $40,644 · median $17,253	5 plans
413	Cholecystectomy With C.D.E. Without Cc/Mcc	$13,230 – $32,413 · median $13,759	5 plans
414	Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc	$27,687 – $67,833 · median $28,794	5 plans
415	Cholecystectomy Except By Laparoscope Without C.D.E. With Cc	$16,317 – $39,977 · median $16,970	5 plans
416	Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc	$10,971 – $26,879 · median $11,410	5 plans
417	Laparoscopic Cholecystectomy Without C.D.E. With Mcc	$18,747 – $45,930 · median $19,497	5 plans
418	Laparoscopic Cholecystectomy Without C.D.E. With Cc	$13,466 – $32,992 · median $14,005	5 plans
419	Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc	$10,990 – $26,925 · median $11,430	5 plans
420	Hepatobiliary Diagnostic Procedures With Mcc	$26,505 – $64,937 · median $27,565	5 plans
421	Hepatobiliary Diagnostic Procedures With Cc	$13,815 – $33,847 · median $14,368	5 plans
422	Hepatobiliary Diagnostic Procedures Without Cc/Mcc	$11,246 – $27,553 · median $11,696	5 plans
423	Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc	$32,174 – $78,827 · median $33,461	5 plans
424	Other Hepatobiliary Or Pancreas O.R. Procedures With Cc	$17,238 – $42,234 · median $17,928	5 plans
425	Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc	$12,012 – $29,430 · median $12,493	5 plans
426	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made	$84,376 – $206,722 · median $87,752	5 plans
427	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc	$55,475 – $135,913 · median $57,694	5 plans
428	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc	$43,340 – $106,182 · median $45,073	5 plans
429	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	$69,087 – $169,264 · median $71,851	5 plans
430	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	$44,442 – $108,884 · median $46,220	5 plans
432	Cirrhosis And Alcoholic Hepatitis With Mcc	$15,569 – $38,143 · median $16,191	5 plans
433	Cirrhosis And Alcoholic Hepatitis With Cc	$8,637 – $21,160 · median $8,982	5 plans
434	Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc	$6,025 – $14,760 · median $6,265	5 plans
435	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	$14,569 – $35,694 · median $15,152	5 plans
436	Malignancy Of Hepatobiliary System Or Pancreas With Cc	$9,206 – $22,555 · median $9,574	5 plans
437	Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc	$7,095 – $17,382 · median $7,378	5 plans
438	Disorders Of Pancreas Except Malignancy With Mcc	$13,000 – $31,849 · median $13,520	5 plans
439	Disorders Of Pancreas Except Malignancy With Cc	$7,003 – $17,157 · median $7,283	5 plans
440	Disorders Of Pancreas Except Malignancy Without Cc/Mcc	$5,332 – $13,064 · median $5,545	5 plans
441	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	$14,250 – $34,912 · median $14,820	5 plans
442	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	$7,946 – $19,468 · median $8,264	5 plans
443	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc	$5,927 – $14,522 · median $6,164	5 plans
444	Disorders Of The Biliary Tract With Mcc	$13,309 – $32,607 · median $13,841	5 plans
445	Disorders Of The Biliary Tract With Cc	$8,927 – $21,872 · median $9,284	5 plans
446	Disorders Of The Biliary Tract Without Cc/Mcc	$6,897 – $16,898 · median $7,173	5 plans
447	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody	$51,393 – $125,913 · median $53,449	5 plans
448	Multiple Level Spinal Fusion Except Cervical Without Mcc	$32,842 – $80,462 · median $34,155	5 plans
450	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F	$41,117 – $100,737 · median $42,762	5 plans
451	Single Level Spinal Fusion Except Cervical Without Mcc	$25,162 – $61,647 · median $26,168	5 plans
456	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With	$64,480 – $157,975 · median $67,059	5 plans
457	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With	$45,932 – $112,534 · median $47,769	5 plans
458	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With	$32,323 – $79,192 · median $33,616	5 plans
461	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	$42,587 – $104,338 · median $44,291	5 plans
462	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	$20,827 – $51,025 · median $21,660	5 plans
463	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit	$43,929 – $107,625 · median $45,686	5 plans
464	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit	$24,283 – $59,492 · median $25,254	5 plans
465	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit	$14,470 – $35,452 · median $15,049	5 plans
466	Revision Of Hip Or Knee Replacement With Mcc	$40,173 – $98,424 · median $41,780	5 plans
467	Revision Of Hip Or Knee Replacement With Cc	$27,413 – $67,163 · median $28,510	5 plans
468	Revision Of Hip Or Knee Replacement Without Cc/Mcc	$21,495 – $52,664 · median $22,355	5 plans
469	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl	$23,663 – $57,975 · median $24,610	5 plans
470	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	$15,270 – $37,411 · median $15,881	5 plans
471	Cervical Spinal Fusion With Mcc	$37,310 – $91,409 · median $38,802	5 plans
472	Cervical Spinal Fusion With Cc	$23,001 – $56,353 · median $23,921	5 plans
473	Cervical Spinal Fusion Without Cc/Mcc	$19,164 – $46,953 · median $19,931	5 plans
474	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	$33,238 – $81,432 · median $34,567	5 plans
475	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	$17,906 – $43,869 · median $18,622	5 plans
476	Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc	$9,579 – $23,469 · median $9,962	5 plans
477	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	$26,866 – $65,822 · median $27,941	5 plans
478	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	$19,300 – $47,286 · median $20,072	5 plans
479	Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc	$14,738 – $36,108 · median $15,327	5 plans
480	Hip And Femur Procedures Except Major Joint With Mcc	$22,744 – $55,723 · median $23,654	5 plans
481	Hip And Femur Procedures Except Major Joint With Cc	$16,529 – $40,495 · median $17,190	5 plans
482	Hip And Femur Procedures Except Major Joint Without Cc/Mcc	$13,006 – $31,864 · median $13,526	5 plans
483	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	$21,677 – $53,109 · median $22,544	5 plans
485	Knee Procedures With Principal Diagnosis Of Infection With Mcc	$25,137 – $61,585 · median $26,142	5 plans
486	Knee Procedures With Principal Diagnosis Of Infection With Cc	$16,503 – $40,432 · median $17,163	5 plans
487	Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc	$12,513 – $30,657 · median $13,014	5 plans
488	Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc	$14,054 – $34,432 · median $14,616	5 plans
489	Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc	$9,097 – $22,289 · median $9,461	5 plans
492	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	$28,515 – $69,863 · median $29,656	5 plans
493	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	$19,885 – $48,718 · median $20,680	5 plans
494	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc	$15,860 – $38,856 · median $16,494	5 plans
495	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc	$28,166 – $69,008 · median $29,293	5 plans
496	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc	$14,320 – $35,083 · median $14,893	5 plans
497	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc	$9,793 – $23,993 · median $10,185	5 plans
498	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc	$23,539 – $57,669 · median $24,480	5 plans
499	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc	$15,923 – $39,011 · median $16,560	5 plans
500	Soft Tissue Procedures With Mcc	$24,663 – $60,425 · median $25,650	5 plans
501	Soft Tissue Procedures With Cc	$13,896 – $34,044 · median $14,451	5 plans
502	Soft Tissue Procedures Without Cc/Mcc	$10,839 – $26,555 · median $11,272	5 plans
503	Foot Procedures With Mcc	$21,823 – $53,466 · median $22,696	5 plans
504	Foot Procedures With Cc	$14,816 – $36,299 · median $15,409	5 plans
505	Foot Procedures Without Cc/Mcc	$14,235 – $34,877 · median $14,805	5 plans
506	Major Thumb Or Joint Procedures	$10,864 – $26,616 · median $11,298	5 plans
507	Major Shoulder Or Elbow Joint Procedures With Cc/Mcc	$14,339 – $35,130 · median $14,912	5 plans
508	Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc	$12,119 – $29,693 · median $12,604	5 plans
510	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	$23,567 – $57,738 · median $24,509	5 plans
511	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	$16,414 – $40,214 · median $17,070	5 plans
512	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc	$13,191 – $32,318 · median $13,719	5 plans
513	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc	$12,575 – $30,808 · median $13,078	5 plans
514	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc	$8,379 – $20,529 · median $8,714	5 plans
515	Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc	$24,831 – $60,837 · median $25,825	5 plans
516	Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc	$16,404 – $40,189 · median $17,060	5 plans
517	Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc	$12,289 – $30,108 · median $12,780	5 plans
518	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator	$29,015 – $71,086 · median $30,175	5 plans
519	Back And Neck Procedures Except Spinal Fusion With Cc	$15,812 – $38,739 · median $16,444	5 plans
520	Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc	$11,964 – $29,311 · median $12,442	5 plans
521	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	$22,424 – $54,939 · median $23,321	5 plans
522	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	$16,705 – $40,927 · median $17,373	5 plans
533	Fractures Of Femur With Mcc	$12,525 – $30,685 · median $13,026	5 plans
534	Fractures Of Femur Without Mcc	$6,736 – $16,503 · median $7,005	5 plans
535	Fractures Of Hip And Pelvis With Mcc	$10,353 – $25,365 · median $10,767	5 plans
536	Fractures Of Hip And Pelvis Without Mcc	$6,747 – $16,531 · median $7,017	5 plans
537	Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc	$7,862 – $19,263 · median $8,177	5 plans
538	Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc	$6,084 – $14,905 · median $6,327	5 plans
539	Osteomyelitis With Mcc	$15,580 – $38,171 · median $16,203	5 plans
540	Osteomyelitis With Cc	$10,462 – $25,631 · median $10,880	5 plans
541	Osteomyelitis Without Cc/Mcc	$6,594 – $16,155 · median $6,858	5 plans
542	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc	$14,036 – $34,387 · median $14,597	5 plans
543	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc	$8,422 – $20,635 · median $8,759	5 plans
544	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc	$6,345 – $15,544 · median $6,598	5 plans
545	Connective Tissue Disorders With Mcc	$19,471 – $47,705 · median $20,250	5 plans
546	Connective Tissue Disorders With Cc	$9,376 – $22,970 · median $9,751	5 plans
547	Connective Tissue Disorders Without Cc/Mcc	$6,965 – $17,064 · median $7,243	5 plans
548	Septic Arthritis With Mcc	$15,285 – $37,448 · median $15,896	5 plans
549	Septic Arthritis With Cc	$9,785 – $23,972 · median $10,176	5 plans
550	Septic Arthritis Without Cc/Mcc	$7,253 – $17,769 · median $7,543	5 plans
551	Medical Back Problems With Mcc	$13,348 – $32,704 · median $13,882	5 plans
552	Medical Back Problems Without Mcc	$7,916 – $19,393 · median $8,232	5 plans
553	Bone Diseases And Arthropathies With Mcc	$10,462 – $25,631 · median $10,880	5 plans
554	Bone Diseases And Arthropathies Without Mcc	$6,918 – $16,950 · median $7,195	5 plans
555	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc	$10,656 – $26,106 · median $11,082	5 plans
556	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	$6,922 – $16,959 · median $7,199	5 plans
557	Tendonitis, Myositis And Bursitis With Mcc	$11,910 – $29,180 · median $12,387	5 plans
558	Tendonitis, Myositis And Bursitis Without Mcc	$7,398 – $18,125 · median $7,694	5 plans
559	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	$14,783 – $36,219 · median $15,375	5 plans
560	Aftercare, Musculoskeletal System And Connective Tissue With Cc	$9,168 – $22,462 · median $9,535	5 plans
561	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc	$6,719 – $16,462 · median $6,988	5 plans
562	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc	$11,438 – $28,024 · median $11,896	5 plans
563	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc	$7,415 – $18,168 · median $7,712	5 plans
564	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	$12,341 – $30,236 · median $12,835	5 plans
565	Other Musculoskeletal System And Connective Tissue Diagnoses With Cc	$8,015 – $19,637 · median $8,336	5 plans
566	Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc	$6,304 – $15,445 · median $6,556	5 plans
570	Skin Debridement With Mcc	$22,963 – $56,260 · median $23,882	5 plans
571	Skin Debridement With Cc	$13,450 – $32,953 · median $13,988	5 plans
572	Skin Debridement Without Cc/Mcc	$9,322 – $22,838 · median $9,695	5 plans
573	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	$50,403 – $123,488 · median $52,420	5 plans
574	Skin Graft For Skin Ulcer Or Cellulitis With Cc	$26,994 – $66,135 · median $28,073	5 plans
575	Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc	$14,267 – $34,955 · median $14,838	5 plans
576	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	$37,861 – $92,759 · median $39,375	5 plans
577	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	$20,756 – $50,852 · median $21,586	5 plans
578	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc	$12,819 – $31,406 · median $13,331	5 plans
579	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	$25,224 – $61,798 · median $26,232	5 plans
580	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	$13,743 – $33,670 · median $14,293	5 plans
581	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc	$11,577 – $28,365 · median $12,041	5 plans
582	Mastectomy For Malignancy With Cc/Mcc	$15,252 – $37,368 · median $15,862	5 plans
583	Mastectomy For Malignancy Without Cc/Mcc	$13,716 – $33,603 · median $14,264	5 plans
584	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc	$16,880 – $41,355 · median $17,555	5 plans
585	Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc	$15,271 – $37,415 · median $15,882	5 plans
592	Skin Ulcers With Mcc	$15,318 – $37,530 · median $15,931	5 plans
593	Skin Ulcers With Cc	$9,626 – $23,583 · median $10,011	5 plans
594	Skin Ulcers Without Cc/Mcc	$7,197 – $17,633 · median $7,485	5 plans
595	Major Skin Disorders With Mcc	$16,728 – $40,983 · median $17,397	5 plans
596	Major Skin Disorders Without Mcc	$8,837 – $21,650 · median $9,190	5 plans
597	Malignant Breast Disorders With Mcc	$13,280 – $32,536 · median $13,811	5 plans
598	Malignant Breast Disorders With Cc	$9,208 – $22,559 · median $9,576	5 plans
599	Malignant Breast Disorders Without Cc/Mcc	$6,457 – $15,820 · median $6,715	5 plans
600	Non-Malignant Breast Disorders With Cc/Mcc	$8,526 – $20,888 · median $8,867	5 plans
601	Non-Malignant Breast Disorders Without Cc/Mcc	$5,207 – $12,758 · median $5,416	5 plans
602	Cellulitis With Mcc	$11,412 – $27,959 · median $11,868	5 plans
603	Cellulitis Without Mcc	$7,228 – $17,710 · median $7,518	5 plans
604	Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc	$11,798 – $28,905 · median $12,270	5 plans
605	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	$7,571 – $18,550 · median $7,874	5 plans
606	Minor Skin Disorders With Mcc	$12,110 – $29,670 · median $12,595	5 plans
607	Minor Skin Disorders Without Mcc	$7,498 – $18,371 · median $7,798	5 plans
614	Adrenal And Pituitary Procedures With Cc/Mcc	$17,268 – $42,307 · median $17,959	5 plans
615	Adrenal And Pituitary Procedures Without Cc/Mcc	$11,245 – $27,549 · median $11,694	5 plans
616	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc	$27,115 – $66,433 · median $28,200	5 plans
617	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc	$14,824 – $36,320 · median $15,417	5 plans
618	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc	$11,389 – $27,903 · median $11,845	5 plans
619	O.R. Procedures For Obesity With Mcc	$22,555 – $55,260 · median $23,457	5 plans
620	O.R. Procedures For Obesity With Cc	$12,772 – $31,292 · median $13,283	5 plans
621	O.R. Procedures For Obesity Without Cc/Mcc	$12,074 – $29,581 · median $12,557	5 plans
622	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc	$27,661 – $67,770 · median $28,767	5 plans
623	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc	$14,244 – $34,897 · median $14,814	5 plans
624	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc	$10,124 – $24,804 · median $10,529	5 plans
625	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	$23,564 – $57,731 · median $24,506	5 plans
626	Thyroid, Parathyroid And Thyroglossal Procedures With Cc	$12,005 – $29,413 · median $12,486	5 plans
627	Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc	$10,705 – $26,227 · median $11,133	5 plans
628	Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc	$28,935 – $70,891 · median $30,092	5 plans
629	Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc	$17,169 – $42,065 · median $17,856	5 plans
630	Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc	$11,702 – $28,670 · median $12,170	5 plans
637	Diabetes With Mcc	$11,529 – $28,246 · median $11,990	5 plans
638	Diabetes With Cc	$7,421 – $18,181 · median $7,718	5 plans
639	Diabetes Without Cc/Mcc	$5,331 – $13,060 · median $5,544	5 plans
640	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc	$10,760 – $26,363 · median $11,191	5 plans
641	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc	$6,524 – $15,983 · median $6,785	5 plans
642	Inborn And Other Disorders Of Metabolism	$11,418 – $27,974 · median $11,875	5 plans
643	Endocrine Disorders With Mcc	$13,120 – $32,145 · median $13,645	5 plans
644	Endocrine Disorders With Cc	$8,400 – $20,579 · median $8,736	5 plans
645	Endocrine Disorders Without Cc/Mcc	$6,449 – $15,799 · median $6,707	5 plans
650	Kidney Transplant With Hemodialysis With Mcc	$36,342 – $89,039 · median $37,796	5 plans
651	Kidney Transplant With Hemodialysis Without Mcc	$28,775 – $70,499 · median $29,926	5 plans
652	Kidney Transplant	$25,155 – $61,630 · median $26,161	5 plans
653	Major Bladder Procedures With Mcc	$40,105 – $98,256 · median $41,709	5 plans
654	Major Bladder Procedures With Cc	$21,885 – $53,619 · median $22,761	5 plans
655	Major Bladder Procedures Without Cc/Mcc	$16,696 – $40,906 · median $17,364	5 plans
656	Kidney And Ureter Procedures For Neoplasm With Mcc	$24,808 – $60,779 · median $25,800	5 plans
657	Kidney And Ureter Procedures For Neoplasm With Cc	$14,518 – $35,569 · median $15,099	5 plans
658	Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc	$12,404 – $30,389 · median $12,900	5 plans
659	Kidney And Ureter Procedures For Non-Neoplasm With Mcc	$19,921 – $48,807 · median $20,718	5 plans
660	Kidney And Ureter Procedures For Non-Neoplasm With Cc	$10,655 – $26,104 · median $11,081	5 plans
661	Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc	$8,479 – $20,773 · median $8,818	5 plans
662	Minor Bladder Procedures With Mcc	$23,878 – $58,502 · median $24,833	5 plans
663	Minor Bladder Procedures With Cc	$12,163 – $29,801 · median $12,650	5 plans
664	Minor Bladder Procedures Without Cc/Mcc	$8,566 – $20,987 · median $8,909	5 plans
665	Prostatectomy With Mcc	$24,332 – $59,613 · median $25,305	5 plans
666	Prostatectomy With Cc	$13,905 – $34,067 · median $14,461	5 plans
667	Prostatectomy Without Cc/Mcc	$9,017 – $22,091 · median $9,378	5 plans
668	Transurethral Procedures With Mcc	$22,803 – $55,867 · median $23,715	5 plans
669	Transurethral Procedures With Cc	$12,405 – $30,393 · median $12,901	5 plans
670	Transurethral Procedures Without Cc/Mcc	$8,037 – $19,691 · median $8,359	5 plans
671	Urethral Procedures With Cc/Mcc	$14,252 – $34,918 · median $14,822	5 plans
672	Urethral Procedures Without Cc/Mcc	$8,814 – $21,594 · median $9,166	5 plans
673	Other Kidney And Urinary Tract Procedures With Mcc	$32,544 – $79,732 · median $33,845	5 plans
674	Other Kidney And Urinary Tract Procedures With Cc	$18,384 – $45,040 · median $19,119	5 plans
675	Other Kidney And Urinary Tract Procedures Without Cc/Mcc	$13,085 – $32,057 · median $13,608	5 plans
682	Renal Failure With Mcc	$11,866 – $29,071 · median $12,340	5 plans
683	Renal Failure With Cc	$7,266 – $17,801 · median $7,556	5 plans
684	Renal Failure Without Cc/Mcc	$5,172 – $12,671 · median $5,379	5 plans
686	Kidney And Urinary Tract Neoplasms With Mcc	$14,318 – $35,080 · median $14,891	5 plans
687	Kidney And Urinary Tract Neoplasms With Cc	$8,573 – $21,004 · median $8,916	5 plans
688	Kidney And Urinary Tract Neoplasms Without Cc/Mcc	$6,616 – $16,209 · median $6,880	5 plans
689	Kidney And Urinary Tract Infections With Mcc	$9,428 – $23,099 · median $9,805	5 plans
690	Kidney And Urinary Tract Infections Without Mcc	$6,762 – $16,566 · median $7,032	5 plans
693	Urinary Stones With Mcc	$10,828 – $26,529 · median $11,261	5 plans
694	Urinary Stones Without Mcc	$6,550 – $16,049 · median $6,812	5 plans
695	Kidney And Urinary Tract Signs And Symptoms With Mcc	$9,303 – $22,791 · median $9,675	5 plans
696	Kidney And Urinary Tract Signs And Symptoms Without Mcc	$5,846 – $14,322 · median $6,080	5 plans
697	Urethral Stricture	$8,801 – $21,562 · median $9,153	5 plans
698	Other Kidney And Urinary Tract Diagnoses With Mcc	$13,183 – $32,300 · median $13,711	5 plans
699	Other Kidney And Urinary Tract Diagnoses With Cc	$8,324 – $20,393 · median $8,657	5 plans
700	Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc	$5,853 – $14,339 · median $6,087	5 plans
707	Major Male Pelvic Procedures With Cc/Mcc	$15,813 – $38,741 · median $16,445	5 plans
708	Major Male Pelvic Procedures Without Cc/Mcc	$12,270 – $30,061 · median $12,761	5 plans
709	Penis Procedures With Cc/Mcc	$18,296 – $44,826 · median $19,028	5 plans
710	Penis Procedures Without Cc/Mcc	$11,259 – $27,585 · median $11,709	5 plans
711	Testes Procedures With Cc/Mcc	$16,447 – $40,296 · median $17,105	5 plans
712	Testes Procedures Without Cc/Mcc	$8,967 – $21,970 · median $9,326	5 plans
713	Transurethral Prostatectomy With Cc/Mcc	$12,036 – $29,488 · median $12,517	5 plans
714	Transurethral Prostatectomy Without Cc/Mcc	$8,646 – $21,183 · median $8,992	5 plans
715	Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc	$17,614 – $43,154 · median $18,318	5 plans
716	Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc	$11,790 – $28,884 · median $12,261	5 plans
717	Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc	$14,978 – $36,696 · median $15,577	5 plans
718	Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc	$10,817 – $26,503 · median $11,250	5 plans
722	Malignancy, Male Reproductive System With Mcc	$14,364 – $35,191 · median $14,938	5 plans
723	Malignancy, Male Reproductive System With Cc	$9,294 – $22,771 · median $9,666	5 plans
724	Malignancy, Male Reproductive System Without Cc/Mcc	$5,593 – $13,702 · median $5,817	5 plans
725	Benign Prostatic Hypertrophy With Mcc	$9,503 – $23,283 · median $9,883	5 plans
726	Benign Prostatic Hypertrophy Without Mcc	$6,097 – $14,937 · median $6,341	5 plans
727	Inflammation Of The Male Reproductive System With Mcc	$11,880 – $29,106 · median $12,355	5 plans
728	Inflammation Of The Male Reproductive System Without Mcc	$6,775 – $16,598 · median $7,046	5 plans
729	Other Male Reproductive System Diagnoses With Cc/Mcc	$8,656 – $21,207 · median $9,002	5 plans
730	Other Male Reproductive System Diagnoses Without Cc/Mcc	$5,717 – $14,006 · median $5,945	5 plans
734	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc	$16,798 – $41,156 · median $17,470	5 plans
735	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc	$10,836 – $26,547 · median $11,269	5 plans
736	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	$27,777 – $68,054 · median $28,888	5 plans
737	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	$16,271 – $39,864 · median $16,922	5 plans
738	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc	$11,771 – $28,838 · median $12,241	5 plans
739	Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc	$27,840 – $68,209 · median $28,954	5 plans
740	Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc	$14,363 – $35,190 · median $14,938	5 plans
741	Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc	$11,448 – $28,048 · median $11,906	5 plans
742	Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc	$14,555 – $35,659 · median $15,137	5 plans
743	Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	$10,039 – $24,596 · median $10,441	5 plans
744	D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc	$16,183 – $39,649 · median $16,831	5 plans
745	D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc	$9,255 – $22,674 · median $9,625	5 plans
746	Vagina, Cervix And Vulva Procedures With Cc/Mcc	$13,812 – $33,840 · median $14,365	5 plans
747	Vagina, Cervix And Vulva Procedures Without Cc/Mcc	$7,143 – $17,501 · median $7,429	5 plans
748	Female Reproductive System Reconstructive Procedures	$11,153 – $27,326 · median $11,600	5 plans
749	Other Female Reproductive System O.R. Procedures With Cc/Mcc	$20,124 – $49,305 · median $20,929	5 plans
750	Other Female Reproductive System O.R. Procedures Without Cc/Mcc	$11,826 – $28,974 · median $12,299	5 plans
754	Malignancy, Female Reproductive System With Mcc	$14,607 – $35,787 · median $15,191	5 plans
755	Malignancy, Female Reproductive System With Cc	$8,877 – $21,749 · median $9,232	5 plans
756	Malignancy, Female Reproductive System Without Cc/Mcc	$7,909 – $19,378 · median $8,226	5 plans
757	Infections, Female Reproductive System With Mcc	$11,492 – $28,156 · median $11,952	5 plans
758	Infections, Female Reproductive System With Cc	$8,050 – $19,723 · median $8,372	5 plans
759	Infections, Female Reproductive System Without Cc/Mcc	$5,653 – $13,849 · median $5,879	5 plans
760	Menstrual And Other Female Reproductive System Disorders With Cc/Mcc	$8,267 – $20,253 · median $8,597	5 plans
761	Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc	$4,945 – $12,116 · median $5,143	5 plans
768	Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C	$8,754 – $21,447 · median $9,104	5 plans
769	Postpartum And Post Abortion Diagnoses With O.R. Procedures	$13,453 – $32,959 · median $13,991	5 plans
770	Abortion With D&C, Aspiration Curettage Or Hysterotomy	$8,230 – $20,164 · median $8,559	5 plans
776	Postpartum And Post Abortion Diagnoses Without O.R. Procedures	$5,585 – $13,684 · median $5,809	5 plans
779	Abortion Without D&C	$7,003 – $17,159 · median $7,284	5 plans
783	Cesarean Section With Sterilization With Mcc	$19,269 – $47,210 · median $20,040	5 plans
784	Cesarean Section With Sterilization With Cc	$8,666 – $21,233 · median $9,013	5 plans
785	Cesarean Section With Sterilization Without Cc/Mcc	$7,889 – $19,328 · median $8,204	5 plans
786	Cesarean Section Without Sterilization With Mcc	$13,146 – $32,208 · median $13,672	5 plans
787	Cesarean Section Without Sterilization With Cc	$9,097 – $22,289 · median $9,461	5 plans
788	Cesarean Section Without Sterilization Without Cc/Mcc	$7,897 – $19,347 · median $8,212	5 plans
789	Neonates, Died Or Transferred To Another Acute Care Facility	$14,307 – $35,052 · median $14,879	5 plans
790	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	$45,783 – $112,169 · median $47,614	5 plans
791	Prematurity With Major Problems	$31,460 – $77,077 · median $32,718	5 plans
792	Prematurity Without Major Problems	$19,224 – $47,100 · median $19,993	5 plans
793	Full Term Neonate With Major Problems	$32,300 – $79,136 · median $33,592	5 plans
794	Neonate With Other Significant Problems	$11,827 – $28,976 · median $12,300	5 plans
795	Normal Newborn	$2,128 – $5,213 · median $2,213	5 plans
796	Vaginal Delivery With Sterilization And/Or D&C With Mcc	$9,479 – $23,223 · median $9,858	5 plans
797	Vaginal Delivery With Sterilization And/Or D&C With Cc	$8,213 – $20,121 · median $8,541	5 plans
798	Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc	$7,884 – $19,315 · median $8,199	5 plans
799	Splenic Procedures With Mcc	$35,031 – $85,827 · median $36,433	5 plans
800	Splenic Procedures With Cc	$21,962 – $53,807 · median $22,841	5 plans
801	Splenic Procedures Without Cc/Mcc	$15,118 – $37,039 · median $15,723	5 plans
802	Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc	$30,891 – $75,682 · median $32,126	5 plans
803	Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc	$14,738 – $36,108 · median $15,327	5 plans
804	Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc	$10,915 – $26,743 · median $11,352	5 plans
805	Vaginal Delivery Without Sterilization Or D&C With Mcc	$8,812 – $21,589 · median $9,164	5 plans
806	Vaginal Delivery Without Sterilization Or D&C With Cc	$6,340 – $15,533 · median $6,594	5 plans
807	Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc	$5,733 – $14,047 · median $5,963	5 plans
808	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders	$17,390 – $42,606 · median $18,086	5 plans
809	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders	$10,231 – $25,065 · median $10,640	5 plans
810	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders	$8,564 – $20,981 · median $8,906	5 plans
811	Red Blood Cell Disorders With Mcc	$11,283 – $27,642 · median $11,734	5 plans
812	Red Blood Cell Disorders Without Mcc	$7,588 – $18,590 · median $7,891	5 plans
813	Coagulation Disorders	$12,202 – $29,896 · median $12,690	5 plans
814	Reticuloendothelial And Immunity Disorders With Mcc	$16,773 – $41,094 · median $17,444	5 plans
815	Reticuloendothelial And Immunity Disorders With Cc	$8,316 – $20,374 · median $8,649	5 plans
816	Reticuloendothelial And Immunity Disorders Without Cc/Mcc	$5,413 – $13,261 · median $5,629	5 plans
817	Other Antepartum Diagnoses With O.R. Procedures With Mcc	$17,951 – $43,979 · median $18,669	5 plans
818	Other Antepartum Diagnoses With O.R. Procedures With Cc	$9,420 – $23,078 · median $9,796	5 plans
819	Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc	$7,145 – $17,505 · median $7,431	5 plans
820	Lymphoma And Leukemia With Major O.R. Procedures With Mcc	$45,185 – $110,703 · median $46,992	5 plans
821	Lymphoma And Leukemia With Major O.R. Procedures With Cc	$17,624 – $43,178 · median $18,329	5 plans
822	Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc	$9,760 – $23,912 · median $10,151	5 plans
823	Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc	$35,456 – $86,868 · median $36,874	5 plans
824	Lymphoma And Non-Acute Leukemia With Other Procedures With Cc	$17,829 – $43,681 · median $18,542	5 plans
825	Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc	$10,865 – $26,620 · median $11,300	5 plans
826	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc	$36,163 – $88,599 · median $37,610	5 plans
827	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc	$18,176 – $44,530 · median $18,903	5 plans
828	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C	$13,559 – $33,219 · median $14,101	5 plans
829	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc	$24,627 – $60,336 · median $25,612	5 plans
830	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc	$12,048 – $29,518 · median $12,530	5 plans
831	Other Antepartum Diagnoses Without O.R. Procedures With Mcc	$9,749 – $23,885 · median $10,139	5 plans
832	Other Antepartum Diagnoses Without O.R. Procedures With Cc	$6,094 – $14,930 · median $6,337	5 plans
833	Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc	$4,583 – $11,229 · median $4,767	5 plans
834	Acute Leukemia With Mcc	$42,335 – $103,722 · median $44,029	5 plans
835	Acute Leukemia With Cc	$16,462 – $40,333 · median $17,121	5 plans
836	Acute Leukemia Without Cc/Mcc	$9,878 – $24,201 · median $10,273	5 plans
837	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc	$37,125 – $90,955 · median $38,609	5 plans
838	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent	$16,475 – $40,363 · median $17,134	5 plans
839	Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc	$11,584 – $28,380 · median $12,047	5 plans
840	Lymphoma And Non-Acute Leukemia With Mcc	$25,196 – $61,731 · median $26,204	5 plans
841	Lymphoma And Non-Acute Leukemia With Cc	$13,009 – $31,871 · median $13,529	5 plans
842	Lymphoma And Non-Acute Leukemia Without Cc/Mcc	$8,289 – $20,307 · median $8,620	5 plans
843	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc	$15,771 – $38,638 · median $16,402	5 plans
844	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc	$9,862 – $24,162 · median $10,257	5 plans
845	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc	$7,082 – $17,350 · median $7,365	5 plans
846	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	$20,314 – $49,768 · median $21,126	5 plans
847	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc	$10,552 – $25,853 · median $10,974	5 plans
848	Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc	$7,065 – $17,309 · median $7,348	5 plans
849	Radiotherapy	$21,203 – $51,947 · median $22,051	5 plans
850	Acute Leukemia With Other Procedures	$66,426 – $162,744 · median $69,083	5 plans
853	Infectious And Parasitic Diseases With O.R. Procedures With Mcc	$38,145 – $93,456 · median $39,671	5 plans
854	Infectious And Parasitic Diseases With O.R. Procedures With Cc	$15,796 – $38,700 · median $16,428	5 plans
855	Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc	$11,989 – $29,372 · median $12,468	5 plans
856	Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc	$35,182 – $86,195 · median $36,589	5 plans
857	Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc	$16,886 – $41,370 · median $17,561	5 plans
858	Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc	$11,196 – $27,430 · median $11,644	5 plans
862	Postoperative And Post-Traumatic Infections With Mcc	$14,470 – $35,452 · median $15,049	5 plans
863	Postoperative And Post-Traumatic Infections Without Mcc	$8,194 – $20,075 · median $8,521	5 plans
864	Fever And Inflammatory Conditions	$7,356 – $18,023 · median $7,650	5 plans
865	Viral Illness With Mcc	$11,997 – $29,393 · median $12,477	5 plans
866	Viral Illness Without Mcc	$7,219 – $17,685 · median $7,507	5 plans
867	Other Infectious And Parasitic Diseases Diagnoses With Mcc	$16,519 – $40,471 · median $17,179	5 plans
868	Other Infectious And Parasitic Diseases Diagnoses With Cc	$8,446 – $20,693 · median $8,784	5 plans
869	Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc	$6,155 – $15,080 · median $6,401	5 plans
870	Septicemia Or Severe Sepsis With Mv >96 Hours	$53,143 – $130,200 · median $55,268	5 plans
871	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	$15,373 – $37,664 · median $15,988	5 plans
872	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	$8,387 – $20,548 · median $8,722	5 plans
876	O.R. Procedures With Principal Diagnosis Of Mental Illness	$29,985 – $73,462 · median $31,184	5 plans
880	Acute Adjustment Reaction And Psychosocial Dysfunction	$7,907 – $19,373 · median $8,223	5 plans
881	Depressive Neuroses	$7,760 – $19,013 · median $8,071	5 plans
882	Neuroses Except Depressive	$8,771 – $21,488 · median $9,121	5 plans
883	Disorders Of Personality And Impulse Control	$15,554 – $38,108 · median $16,176	5 plans
884	Organic Disturbances And Intellectual Disability	$12,838 – $31,452 · median $13,351	5 plans
885	Psychoses	$11,226 – $27,503 · median $11,675	5 plans
886	Behavioral And Developmental Disorders	$16,383 – $40,137 · median $17,038	5 plans
887	Other Mental Disorder Diagnoses	$8,749 – $21,434 · median $9,099	5 plans
894	Alcohol, Drug Abuse Or Dependence, Left Ama	$5,298 – $12,980 · median $5,510	5 plans
895	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	$11,368 – $27,853 · median $11,823	5 plans
896	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	$13,873 – $33,989 · median $14,428	5 plans
897	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	$7,319 – $17,931 · median $7,612	5 plans
901	Wound Debridements For Injuries With Mcc	$32,506 – $79,639 · median $33,806	5 plans
902	Wound Debridements For Injuries With Cc	$15,160 – $37,143 · median $15,767	5 plans
903	Wound Debridements For Injuries Without Cc/Mcc	$9,499 – $23,272 · median $9,879	5 plans
904	Skin Grafts For Injuries With Cc/Mcc	$28,527 – $69,891 · median $29,668	5 plans
905	Skin Grafts For Injuries Without Cc/Mcc	$11,884 – $29,115 · median $12,359	5 plans
906	Hand Procedures For Injuries	$15,539 – $38,070 · median $16,160	5 plans
907	Other O.R. Procedures For Injuries With Mcc	$29,790 – $72,985 · median $30,982	5 plans
908	Other O.R. Procedures For Injuries With Cc	$15,774 – $38,646 · median $16,405	5 plans
909	Other O.R. Procedures For Injuries Without Cc/Mcc	$10,586 – $25,937 · median $11,010	5 plans
913	Traumatic Injury With Mcc	$13,033 – $31,931 · median $13,554	5 plans
914	Traumatic Injury Without Mcc	$7,339 – $17,982 · median $7,633	5 plans
915	Allergic Reactions With Mcc	$13,390 – $32,806 · median $13,926	5 plans
916	Allergic Reactions Without Mcc	$5,673 – $13,900 · median $5,900	5 plans
917	Poisoning And Toxic Effects Of Drugs With Mcc	$12,530 – $30,698 · median $13,031	5 plans
918	Poisoning And Toxic Effects Of Drugs Without Mcc	$7,124 – $17,453 · median $7,409	5 plans
919	Complications Of Treatment With Mcc	$14,524 – $35,584 · median $15,105	5 plans
920	Complications Of Treatment With Cc	$8,227 – $20,157 · median $8,556	5 plans
921	Complications Of Treatment Without Cc/Mcc	$5,841 – $14,311 · median $6,075	5 plans
922	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	$13,906 – $34,069 · median $14,462	5 plans
923	Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc	$8,344 – $20,443 · median $8,678	5 plans
927	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	$162,885 – $399,068 · median $169,400	5 plans
928	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc	$55,126 – $135,058 · median $57,331	5 plans
929	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc	$25,089 – $61,468 · median $26,093	5 plans
933	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	$30,207 – $74,008 · median $31,416	5 plans
934	Full Thickness Burn Without Skin Graft Or Inhalation Injury	$17,411 – $42,657 · median $18,107	5 plans
935	Non-Extensive Burns	$16,266 – $39,852 · median $16,917	5 plans
939	O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	$28,188 – $69,060 · median $29,315	5 plans
940	O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc	$18,371 – $45,009 · median $19,106	5 plans
941	O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc	$16,021 – $39,251 · median $16,662	5 plans
945	Rehabilitation With Cc/Mcc	$12,379 – $30,329 · median $12,875	5 plans
946	Rehabilitation Without Cc/Mcc	$9,325 – $22,847 · median $9,698	5 plans
947	Signs And Symptoms With Mcc	$10,257 – $25,130 · median $10,668	5 plans
948	Signs And Symptoms Without Mcc	$6,693 – $16,399 · median $6,961	5 plans
949	Aftercare With Cc/Mcc	$9,652 – $23,646 · median $10,038	5 plans
950	Aftercare Without Cc/Mcc	$5,380 – $13,181 · median $5,595	5 plans
951	Other Factors Influencing Health Status	$4,835 – $11,846 · median $5,028	5 plans
955	Craniotomy For Multiple Significant Trauma	$51,769 – $126,835 · median $53,840	5 plans
956	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	$29,210 – $71,565 · median $30,378	5 plans
957	Other O.R. Procedures For Multiple Significant Trauma With Mcc	$58,525 – $143,385 · median $60,866	5 plans
958	Other O.R. Procedures For Multiple Significant Trauma With Cc	$32,637 – $79,961 · median $33,943	5 plans
959	Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc	$22,986 – $56,316 · median $23,905	5 plans
963	Other Multiple Significant Trauma With Mcc	$21,388 – $52,399 · median $22,243	5 plans
964	Other Multiple Significant Trauma With Cc	$12,258 – $30,031 · median $12,748	5 plans
965	Other Multiple Significant Trauma Without Cc/Mcc	$7,757 – $19,006 · median $8,068	5 plans
969	Hiv With Extensive O.R. Procedures With Mcc	$47,134 – $115,479 · median $49,020	5 plans
970	Hiv With Extensive O.R. Procedures Without Mcc	$20,655 – $50,604 · median $21,481	5 plans
974	Hiv With Major Related Condition With Mcc	$22,544 – $55,234 · median $23,446	5 plans
975	Hiv With Major Related Condition With Cc	$10,452 – $25,607 · median $10,870	5 plans
976	Hiv With Major Related Condition Without Cc/Mcc	$7,470 – $18,302 · median $7,769	5 plans
977	Hiv With Or Without Other Related Condition	$10,472 – $25,657 · median $10,891	5 plans
981	Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc	$36,269 – $88,860 · median $37,720	5 plans
982	Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc	$19,295 – $47,273 · median $20,067	5 plans
983	Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc	$13,636 – $33,409 · median $14,182	5 plans
987	Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc	$26,667 – $65,334 · median $27,734	5 plans
988	Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc	$13,101 – $32,098 · median $13,625	5 plans
989	Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc	$9,724 – $23,823 · median $10,113	5 plans

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