Mary Hitchcock Memorial Hospital — Hospital Prices & Charges

Procedures published 805

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 805 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
008	SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT	$39,724 – $195,166 · median $94,722	30 plans
010	PANCREAS TRANSPLANT	$50,860 – $179,775 · median $98,848	30 plans
652	KIDNEY TRANSPLANT	$22,890 – $121,977 · median $57,682	30 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$10,960 – $44,259 · median $17,037	28 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH CC	$7,073 – $28,562 · median $10,995	28 plans
079	HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC	$4,725 – $19,082 · median $7,346	28 plans
294	DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC	$8,704 – $35,148 · median $13,530	28 plans
295	DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC	$5,598 – $22,606 · median $8,702	28 plans
453	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC	$62,044 – $253,634 · median $65,857	28 plans
454	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC	$42,824 – $175,063 · median $45,456	28 plans
455	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC	$32,247 – $131,823 · median $34,228	28 plans
459	SPINAL FUSION EXCEPT CERVICAL WITH MCC	$46,437 – $189,832 · median $49,291	28 plans
460	SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$25,611 – $104,698 · median $27,185	28 plans
509	ARTHROSCOPY	$12,451 – $50,281 · median $19,355	28 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$85,180 – $343,980 · median $166,896	27 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$42,028 – $171,000 · median $104,051	27 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$38,503 – $171,000 · median $104,051	27 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$198,627 – $635,139 · median $287,611	21 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$80,317 – $248,472 · median $116,299	21 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$150,439 – $483,240 · median $217,836	21 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$98,175 – $318,603 · median $142,158	21 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$73,078 – $240,123 · median $105,817	21 plans
006	LIVER TRANSPLANT WITHOUT MCC	$32,866 – $109,340 · median $47,590	21 plans
007	LUNG TRANSPLANT	$91,788 – $294,675 · median $132,909	21 plans
011	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC	$38,657 – $121,667 · median $55,976	21 plans
012	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC	$29,882 – $92,530 · median $43,269	21 plans
013	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC	$20,425 – $59,752 · median $29,576	21 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$50,568 – $178,745 · median $73,223	21 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$55,772 – $181,762 · median $80,758	21 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$37,521 – $124,630 · median $54,331	21 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$22,521 – $79,603 · median $32,610	21 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$40,615 – $128,639 · median $58,810	21 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$27,727 – $85,721 · median $40,148	21 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$32,226 – $100,841 · median $46,663	21 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$22,037 – $68,965 · median $31,910	21 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$17,882 – $55,644 · median $25,893	21 plans
028	SPINAL PROCEDURES WITH MCC	$42,585 – $137,081 · median $61,664	21 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$24,181 – $75,687 · median $35,013	21 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$15,559 – $50,178 · median $22,529	21 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$31,757 – $94,490 · median $45,984	21 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$15,104 – $48,154 · median $21,871	21 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$11,786 – $35,975 · median $17,066	21 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$27,435 – $87,682 · median $39,725	21 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$16,943 – $51,292 · median $24,534	21 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$13,770 – $41,333 · median $19,939	21 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$23,334 – $74,880 · median $33,787	21 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$11,501 – $36,332 · median $16,653	21 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$8,332 – $25,664 · median $12,064	21 plans
040	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$27,367 – $85,053 · median $39,628	21 plans
041	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$15,584 – $50,918 · median $22,565	21 plans
042	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$12,246 – $39,630 · median $17,732	21 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$12,838 – $45,378 · median $18,590	21 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$6,940 – $20,776 · median $10,050	21 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$10,822 – $33,802 · median $15,671	21 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$7,227 – $24,600 · median $10,464	21 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$16,466 – $56,462 · median $23,842	21 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$9,183 – $30,088 · median $13,297	21 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$12,117 – $41,621 · median $17,545	21 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$8,795 – $27,590 · median $12,735	21 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$6,519 – $20,122 · median $9,440	21 plans
061	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$19,542 – $60,956 · median $28,296	21 plans
062	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$12,455 – $40,156 · median $18,034	21 plans
063	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$9,950 – $31,675 · median $14,407	21 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$14,253 – $44,852 · median $20,639	21 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$7,161 – $22,929 · median $10,369	21 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$4,851 – $15,520 · median $7,024	21 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$10,410 – $32,805 · median $15,073	21 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$6,127 – $19,876 · median $8,871	21 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$5,662 – $18,041 · median $8,198	21 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$11,800 – $39,206 · median $17,086	21 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$7,272 – $23,763 · median $10,530	21 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$5,360 – $16,916 · median $7,761	21 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$11,371 – $34,850 · median $16,465	21 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$7,306 – $23,504 · median $10,579	21 plans
075	VIRAL MENINGITIS WITH CC/MCC	$13,591 – $38,837 · median $19,679	21 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$5,849 – $20,674 · median $8,469	21 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$12,829 – $44,821 · median $18,576	21 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$6,348 – $20,401 · median $9,192	21 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$16,200 – $52,316 · median $23,457	21 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$9,893 – $31,351 · median $14,325	21 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$6,774 – $21,558 · median $9,809	21 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$16,103 – $51,094 · median $23,317	21 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$9,233 – $29,574 · median $13,370	21 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$6,483 – $19,932 · median $9,388	21 plans
088	CONCUSSION WITH MCC	$9,581 – $31,808 · median $13,874	21 plans
089	CONCUSSION WITH CC	$7,787 – $24,174 · median $11,275	21 plans
090	CONCUSSION WITHOUT CC/MCC	$5,835 – $19,330 · median $8,449	21 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$12,448 – $41,103 · median $18,024	21 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$7,251 – $23,872 · median $10,499	21 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$5,644 – $17,797 · median $8,172	21 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$24,945 – $82,271 · median $36,120	21 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$18,281 – $54,052 · median $26,471	21 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$18,281 – $54,052 · median $26,471	21 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$25,600 – $80,826 · median $37,068	21 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$16,266 – $48,913 · median $23,553	21 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$9,656 – $31,416 · median $13,982	21 plans
100	SEIZURES WITH MCC	$13,728 – $44,765 · median $19,878	21 plans
101	SEIZURES WITHOUT MCC	$6,397 – $20,782 · median $9,263	21 plans
102	HEADACHES WITH MCC	$7,945 – $26,144 · median $11,504	21 plans
103	HEADACHES WITHOUT MCC	$5,927 – $19,170 · median $8,583	21 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$16,664 – $50,882 · median $24,130	21 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$9,590 – $26,654 · median $13,886	21 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$10,879 – $34,521 · median $15,753	21 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$12,815 – $37,624 · median $18,557	21 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$7,690 – $24,320 · median $11,134	21 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$8,245 – $26,228 · median $11,939	21 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$5,570 – $15,294 · median $8,065	21 plans
123	NEUROLOGICAL EYE DISORDERS	$5,660 – $18,111 · median $8,196	21 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$9,378 – $29,400 · median $13,579	21 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$5,442 – $18,618 · median $7,880	21 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$15,380 – $54,365 · median $22,271	21 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$7,196 – $22,056 · median $10,420	21 plans
137	MOUTH PROCEDURES WITH CC/MCC	$10,583 – $31,536 · median $15,325	21 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$6,281 – $18,343 · median $9,095	21 plans
139	SALIVARY GLAND PROCEDURES	$8,758 – $30,958 · median $12,682	21 plans
140	SIMPLE PNEUMONIA & PLEURISY AGE 0-17	$30,231 – $95,360 · median $43,775	21 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$15,459 – $48,444 · median $22,385	21 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$11,315 – $35,454 · median $16,384	21 plans
143	STOMACH ESOPHAGEAL & DUODENAL PROC AGE 0-17	$26,555 – $74,451 · median $38,452	21 plans
144	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC	$12,282 – $39,610 · median $17,785	21 plans
145	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$8,522 – $26,715 · median $12,339	21 plans
146	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC	$15,008 – $51,727 · median $21,731	21 plans
147	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC	$9,012 – $28,068 · median $13,049	21 plans
148	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$5,650 – $18,054 · median $8,181	21 plans
149	DYSEQUILIBRIUM	$5,327 – $16,855 · median $7,714	21 plans
150	EPISTAXIS WITH MCC	$9,437 – $31,166 · median $13,665	21 plans
151	EPISTAXIS WITHOUT MCC	$5,202 – $17,091 · median $7,533	21 plans
152	OTITIS MEDIA AND URI WITH MCC	$8,379 – $25,587 · median $12,133	21 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$5,232 – $16,047 · median $7,576	21 plans
154	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC	$11,082 – $36,670 · median $16,046	21 plans
155	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC	$6,496 – $21,051 · median $9,406	21 plans
156	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$4,898 – $15,161 · median $7,093	21 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$12,168 – $36,922 · median $17,620	21 plans
158	DENTAL AND ORAL DISEASES WITH CC	$6,448 – $21,209 · median $9,337	21 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$5,022 – $14,873 · median $7,271	21 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$31,766 – $103,928 · median $45,997	21 plans
164	MAJOR CHEST PROCEDURES WITH CC	$17,889 – $56,753 · median $25,904	21 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$13,567 – $42,029 · median $19,646	21 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$26,492 – $86,817 · median $38,360	21 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$12,782 – $41,200 · median $18,508	21 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,685 – $30,528 · median $14,023	21 plans
173	URETHRAL PROCEDURES AGE 0-17	$21,096 – $69,191 · median $30,547	21 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$9,736 – $31,772 · median $14,097	21 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$5,706 – $18,365 · median $8,262	21 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$11,076 – $36,449 · median $16,038	21 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$6,918 – $22,370 · median $10,017	21 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$5,351 – $17,355 · median $7,749	21 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$12,517 – $39,409 · median $18,125	21 plans
181	RESPIRATORY NEOPLASMS WITH CC	$7,591 – $25,035 · median $10,992	21 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$5,343 – $18,884 · median $7,736	21 plans
183	MAJOR CHEST TRAUMA WITH MCC	$10,844 – $35,790 · median $15,701	21 plans
184	MAJOR CHEST TRAUMA WITH CC	$7,542 – $24,084 · median $10,921	21 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$5,575 – $17,536 · median $8,072	21 plans
186	PLEURAL EFFUSION WITH MCC	$11,046 – $35,626 · median $15,995	21 plans
187	PLEURAL EFFUSION WITH CC	$7,011 – $22,638 · median $10,151	21 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$5,083 – $16,555 · median $7,361	21 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$8,756 – $27,901 · median $12,679	21 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$7,851 – $25,321 · median $11,368	21 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$5,975 – $19,371 · median $8,652	21 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$4,550 – $14,593 · median $6,589	21 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$9,316 – $29,712 · median $13,490	21 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$5,712 – $18,489 · median $8,271	21 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$4,455 – $14,041 · median $6,450	21 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$13,376 – $42,483 · median $19,368	21 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$6,727 – $22,323 · median $9,741	21 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$5,076 – $15,793 · median $7,350	21 plans
199	PNEUMOTHORAX WITH MCC	$12,504 – $39,804 · median $18,105	21 plans
200	PNEUMOTHORAX WITH CC	$7,792 – $24,972 · median $11,282	21 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$5,068 – $15,267 · median $7,339	21 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$6,884 – $21,797 · median $9,967	21 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$4,749 – $15,707 · median $6,876	21 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$5,723 – $18,286 · median $8,286	21 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$12,978 – $42,566 · median $18,792	21 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$6,670 – $20,424 · median $9,659	21 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$45,608 – $145,822 · median $66,040	21 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$19,482 – $60,514 · median $28,210	21 plans
212	TESTES PROCEDURES AGE 0-17	$77,073 – $245,636 · median $111,602	21 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$70,573 – $238,892 · median $102,189	21 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$69,338 – $217,613 · median $100,402	21 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$46,604 – $145,613 · median $67,483	21 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$46,604 – $134,145 · median $67,483	21 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$54,422 – $174,465 · median $78,803	21 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$37,798 – $119,430 · median $54,731	21 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$35,724 – $103,554 · median $51,728	21 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$35,066 – $112,363 · median $50,776	21 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$22,323 – $70,041 · median $32,324	21 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$59,749 – $191,070 · median $86,517	21 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$42,970 – $137,739 · median $62,221	21 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC	$54,187 – $176,244 · median $78,463	21 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC	$38,718 – $119,960 · median $56,064	21 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$41,595 – $132,677 · median $60,230	21 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$29,689 – $92,720 · median $42,990	21 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$34,884 – $113,572 · median $50,512	21 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$20,204 – $65,664 · median $29,255	21 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$9,812 – $34,045 · median $14,208	21 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$22,630 – $76,483 · median $32,768	21 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$15,103 – $50,796 · median $21,870	21 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$12,811 – $40,692 · median $18,551	21 plans
245	AICD GENERATOR PROCEDURES	$32,337 – $110,188 · median $46,824	21 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$15,469 – $52,145 · median $22,399	21 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$10,593 – $35,234 · median $15,338	21 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$24,724 – $77,349 · median $35,801	21 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$18,397 – $57,565 · median $26,639	21 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$12,628 – $39,445 · median $18,286	21 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$19,119 – $58,997 · median $27,684	21 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$12,034 – $38,190 · median $17,426	21 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$7,741 – $20,111 · median $11,209	21 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$22,270 – $63,258 · median $32,248	21 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$14,332 – $39,633 · median $20,753	21 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$23,055 – $76,803 · median $33,384	21 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$13,399 – $42,787 · median $19,402	21 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$11,552 – $34,223 · median $16,728	21 plans
263	VEIN LIGATION AND STRIPPING	$21,670 – $60,476 · median $31,378	21 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$23,677 – $78,808 · median $34,285	21 plans
265	AICD LEAD PROCEDURES	$25,645 – $80,433 · median $37,134	21 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC	$43,437 – $135,081 · median $62,896	21 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC	$33,743 – $106,082 · median $48,860	21 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$48,749 – $150,341 · median $70,588	21 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$29,933 – $93,815 · median $43,343	21 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$37,397 – $115,739 · median $54,151	21 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$25,206 – $77,664 · median $36,499	21 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$18,095 – $56,420 · median $26,202	21 plans
273	PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC	$29,241 – $88,169 · median $42,340	21 plans
274	PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC	$23,331 – $70,372 · median $33,783	21 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$50,539 – $159,347 · median $73,180	21 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$42,573 – $139,671 · median $61,646	21 plans
277	OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC	$32,735 – $104,891 · median $47,400	21 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$39,452 – $112,814 · median $57,126	21 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$25,561 – $72,253 · median $37,013	21 plans
280	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC	$11,369 – $37,010 · median $16,463	21 plans
281	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC	$6,514 – $20,785 · median $9,433	21 plans
282	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC	$5,125 – $16,350 · median $7,421	21 plans
283	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC	$14,039 – $44,090 · median $20,329	21 plans
284	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC	$4,906 – $16,708 · median $7,104	21 plans
285	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC	$4,245 – $12,658 · median $6,147	21 plans
286	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC	$15,684 – $49,905 · median $22,710	21 plans
287	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC	$7,585 – $24,571 · median $10,983	21 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$19,181 – $61,590 · median $27,774	21 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$12,098 – $35,551 · median $17,518	21 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$6,589 – $22,074 · median $9,542	21 plans
291	HEART FAILURE AND SHOCK WITH MCC	$9,099 – $29,421 · median $13,176	21 plans
292	HEART FAILURE AND SHOCK WITH CC	$6,018 – $19,418 · median $8,713	21 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$4,012 – $12,372 · median $5,809	21 plans
296	CARDIAC ARREST- UNEXPLAINED WITH MCC	$11,070 – $36,943 · median $16,030	21 plans
297	CARDIAC ARREST- UNEXPLAINED WITH CC	$4,494 – $15,883 · median $6,507	21 plans
298	CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC	$3,226 – $9,959 · median $4,671	21 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$11,572 – $36,474 · median $16,757	21 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$7,566 – $24,140 · median $10,956	21 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$5,101 – $16,086 · median $7,386	21 plans
302	ATHEROSCLEROSIS WITH MCC	$8,481 – $26,230 · median $12,281	21 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$4,771 – $15,161 · median $6,909	21 plans
304	HYPERTENSION WITH MCC	$8,434 – $26,489 · median $12,213	21 plans
305	HYPERTENSION WITHOUT MCC	$5,352 – $16,927 · median $7,750	21 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$11,169 – $33,763 · median $16,173	21 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$6,473 – $20,888 · median $9,372	21 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$8,534 – $27,191 · median $12,357	21 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$5,214 – $16,670 · median $7,551	21 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$4,012 – $12,616 · median $5,810	21 plans
311	ANGINA PECTORIS	$4,975 – $15,745 · median $7,204	21 plans
312	SYNCOPE AND COLLAPSE	$6,178 – $19,646 · median $8,945	21 plans
313	CHEST PAIN	$5,103 – $16,086 · median $7,389	21 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$14,779 – $48,557 · median $21,401	21 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$6,828 – $21,698 · median $9,886	21 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,835 – $15,394 · median $7,000	21 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$31,632 – $99,049 · median $45,803	21 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$17,048 – $52,194 · median $24,686	21 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$19,284 – $64,190 · median $27,924	21 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$12,496 – $40,794 · median $18,094	21 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$30,672 – $96,041 · median $44,412	21 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$22,334 – $72,043 · median $32,339	21 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$22,755 – $64,535 · median $32,949	21 plans
326	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$35,349 – $114,521 · median $51,186	21 plans
327	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$17,324 – $54,749 · median $25,085	21 plans
328	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$11,357 – $35,930 · median $16,445	21 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$32,579 – $103,538 · median $47,174	21 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$16,991 – $53,297 · median $24,603	21 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$11,928 – $37,227 · median $17,272	21 plans
332	RECTAL RESECTION WITH MCC	$25,663 – $78,212 · median $37,160	21 plans
333	RECTAL RESECTION WITH CC	$16,601 – $47,921 · median $24,038	21 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$11,609 – $37,398 · median $16,810	21 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$25,310 – $81,700 · median $36,648	21 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$14,946 – $47,628 · median $21,642	21 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$10,880 – $34,613 · median $15,754	21 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$18,306 – $60,756 · median $26,507	21 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$10,665 – $33,567 · median $15,443	21 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$8,408 – $28,079 · median $12,174	21 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$16,271 – $53,367 · median $23,560	21 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$9,276 – $28,386 · median $13,432	21 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$6,171 – $19,863 · median $8,935	21 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$17,662 – $54,537 · median $25,575	21 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$10,805 – $33,923 · median $15,646	21 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$8,277 – $24,861 · median $11,985	21 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$20,569 – $66,133 · median $29,783	21 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$11,924 – $38,356 · median $17,267	21 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$9,533 – $30,061 · median $13,804	21 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$31,135 – $96,183 · median $45,084	21 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$16,483 – $50,778 · median $23,867	21 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,908 – $30,555 · median $14,347	21 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$11,283 – $37,655 · median $16,338	21 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$7,089 – $22,945 · median $10,265	21 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$4,967 – $15,739 · median $7,192	21 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$12,567 – $39,414 · median $18,197	21 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$7,237 – $23,209 · median $10,479	21 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$5,156 – $16,356 · median $7,465	21 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$15,159 – $47,608 · median $21,950	21 plans
375	DIGESTIVE MALIGNANCY WITH CC	$8,573 – $27,705 · median $12,414	21 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$6,551 – $19,910 · median $9,486	21 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$12,956 – $40,997 · median $18,761	21 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$6,951 – $22,230 · median $10,065	21 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$4,468 – $14,356 · median $6,470	21 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$13,908 – $43,389 · median $20,138	21 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$7,680 – $24,557 · median $11,120	21 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$5,674 – $16,895 · median $8,217	21 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$9,786 – $28,505 · median $14,170	21 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$6,059 – $19,608 · median $8,773	21 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$11,215 – $36,636 · median $16,239	21 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$6,920 – $22,379 · median $10,020	21 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$4,829 – $15,114 · median $6,992	21 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$10,467 – $33,143 · median $15,157	21 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$5,598 – $18,074 · median $8,106	21 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$3,856 – $12,338 · median $5,583	21 plans
391	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$8,989 – $28,963 · median $13,017	21 plans
392	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$5,526 – $17,594 · median $8,001	21 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$11,335 – $37,339 · median $16,414	21 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$6,632 – $21,224 · median $9,603	21 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,600 – $14,350 · median $6,661	21 plans
397	APPENDIX PROCEDURES WITH MCC	$16,974 – $55,869 · median $24,579	21 plans
398	APPENDIX PROCEDURES WITH CC	$10,728 – $34,120 · median $15,534	21 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$8,113 – $25,339 · median $11,748	21 plans
405	PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC	$38,774 – $122,406 · median $56,144	21 plans
406	PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC	$20,556 – $63,324 · median $29,765	21 plans
407	PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$15,732 – $48,158 · median $22,780	21 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$25,272 – $78,947 · median $36,594	21 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$15,432 – $47,272 · median $22,346	21 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$11,253 – $34,974 · median $16,295	21 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$23,413 – $61,700 · median $33,902	21 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$14,902 – $48,063 · median $21,578	21 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$11,769 – $37,486 · median $17,042	21 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$25,251 – $79,004 · median $36,563	21 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$14,648 – $44,602 · median $21,211	21 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$9,663 – $30,895 · median $13,992	21 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$16,914 – $53,585 · median $24,492	21 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$11,990 – $37,394 · median $17,361	21 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$9,680 – $29,709 · median $14,017	21 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$24,149 – $79,583 · median $34,967	21 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$12,315 – $36,925 · median $17,832	21 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$9,919 – $33,132 · median $14,363	21 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$29,435 – $91,712 · median $42,623	21 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$15,507 – $51,484 · median $22,455	21 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$10,634 – $34,855 · median $15,398	21 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$13,950 – $44,174 · median $20,200	21 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$7,486 – $24,122 · median $10,840	21 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,050 – $15,705 · median $7,312	21 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$13,018 – $41,141 · median $18,850	21 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$8,017 – $25,427 · median $11,609	21 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$6,048 – $17,705 · median $8,757	21 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$11,554 – $37,513 · median $16,731	21 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$5,962 – $19,396 · median $8,633	21 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$4,404 – $13,869 · median $6,377	21 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$12,720 – $42,625 · median $18,419	21 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$6,842 – $21,786 · median $9,907	21 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,959 – $15,844 · median $7,181	21 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$11,843 – $37,980 · median $17,149	21 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$7,757 – $24,453 · median $11,232	21 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$5,864 – $17,978 · median $8,491	21 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC	$59,561 – $190,964 · median $86,245	21 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC	$42,265 – $129,412 · median $61,200	21 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$29,574 – $97,362 · median $42,824	21 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC	$39,146 – $138,370 · median $56,683	21 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC	$18,853 – $64,573 · median $27,300	21 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$40,397 – $121,782 · median $58,494	21 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$22,076 – $66,485 · median $31,966	21 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$12,926 – $39,146 · median $18,717	21 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$36,895 – $114,873 · median $53,423	21 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$24,996 – $77,231 · median $36,194	21 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$19,477 – $59,150 · median $28,203	21 plans
469	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC	$21,499 – $73,703 · median $31,130	21 plans
470	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	$13,672 – $42,514 · median $19,796	21 plans
471	CERVICAL SPINAL FUSION WITH MCC	$34,225 – $109,522 · median $49,557	21 plans
472	CERVICAL SPINAL FUSION WITH CC	$20,881 – $65,326 · median $30,236	21 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$17,303 – $53,380 · median $25,055	21 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$30,427 – $101,121 · median $44,058	21 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$16,130 – $48,643 · median $23,356	21 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$8,365 – $26,226 · median $12,112	21 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$24,485 – $77,543 · median $35,455	21 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$17,430 – $52,731 · median $25,239	21 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$13,175 – $40,041 · median $19,078	21 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$20,642 – $66,314 · median $29,889	21 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$14,845 – $46,785 · median $21,496	21 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$11,560 – $35,770 · median $16,739	21 plans
483	MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES	$19,647 – $57,457 · median $28,448	21 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$22,873 – $72,589 · median $33,120	21 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$14,821 – $47,822 · median $21,461	21 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$11,101 – $35,630 · median $16,074	21 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$12,538 – $44,316 · median $18,154	21 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$7,916 – $27,923 · median $11,462	21 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC	$26,023 – $80,072 · median $37,682	21 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC	$17,975 – $54,138 · median $26,028	21 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC	$14,222 – $42,512 · median $20,593	21 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$25,698 – $79,382 · median $37,211	21 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$12,786 – $44,487 · median $18,514	21 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$8,564 – $30,273 · median $12,401	21 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$21,382 – $56,931 · median $30,962	21 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$14,280 – $26,174 · median $15,825	21 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$22,431 – $71,448 · median $32,481	21 plans
501	SOFT TISSUE PROCEDURES WITH CC	$12,390 – $40,241 · median $17,941	21 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$9,539 – $31,504 · median $13,813	21 plans
503	FOOT PROCEDURES WITH MCC	$19,783 – $59,676 · median $28,645	21 plans
504	FOOT PROCEDURES WITH CC	$13,248 – $39,572 · median $19,184	21 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$12,707 – $39,572 · median $18,400	21 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$9,563 – $33,802 · median $13,847	21 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$12,803 – $43,703 · median $18,539	21 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$10,734 – $29,100 · median $15,542	21 plans
510	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC	$21,409 – $64,444 · median $31,000	21 plans
511	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC	$14,738 – $44,221 · median $21,341	21 plans
512	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC	$11,733 – $36,253 · median $16,989	21 plans
513	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$11,158 – $33,948 · median $16,157	21 plans
514	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$7,246 – $22,990 · median $10,492	21 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$22,588 – $69,727 · median $32,707	21 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$14,729 – $45,360 · median $21,328	21 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$10,892 – $33,657 · median $15,771	21 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$26,489 – $80,812 · median $38,356	21 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$14,177 – $44,462 · median $20,528	21 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$10,588 – $32,316 · median $15,332	21 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$20,343 – $65,721 · median $29,457	21 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$15,010 – $47,533 · median $21,734	21 plans
533	FRACTURES OF FEMUR WITH MCC	$11,111 – $34,383 · median $16,089	21 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$5,713 – $18,354 · median $8,273	21 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$9,087 – $29,987 · median $13,157	21 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$5,724 – $18,284 · median $8,288	21 plans
537	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC	$6,764 – $20,722 · median $9,794	21 plans
538	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC	$5,105 – $15,141 · median $7,392	21 plans
539	OSTEOMYELITIS WITH MCC	$13,961 – $45,601 · median $20,215	21 plans
540	OSTEOMYELITIS WITH CC	$9,188 – $29,179 · median $13,304	21 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$5,581 – $19,727 · median $8,081	21 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$12,521 – $42,054 · median $18,130	21 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$7,286 – $23,921 · median $10,550	21 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$5,348 – $17,040 · median $7,745	21 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$17,590 – $56,977 · median $25,470	21 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$8,175 – $26,104 · median $11,837	21 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,927 – $16,825 · median $8,582	21 plans
548	SEPTIC ARTHRITIS WITH MCC	$13,686 – $45,425 · median $19,817	21 plans
549	SEPTIC ARTHRITIS WITH CC	$8,556 – $27,173 · median $12,390	21 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$6,195 – $19,439 · median $8,971	21 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$11,880 – $38,476 · median $17,202	21 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$6,813 – $21,732 · median $9,866	21 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$9,188 – $29,448 · median $13,304	21 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$5,884 – $18,819 · median $8,519	21 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,369 – $30,363 · median $13,566	21 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$5,887 – $18,410 · median $8,525	21 plans
557	TENDONITIS- MYOSITIS AND BURSITIS WITH MCC	$10,539 – $34,943 · median $15,260	21 plans
558	TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC	$6,331 – $19,477 · median $9,167	21 plans
559	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$13,218 – $41,856 · median $19,140	21 plans
560	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$7,982 – $25,675 · median $11,557	21 plans
561	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$5,698 – $18,435 · median $8,250	21 plans
562	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC	$10,099 – $32,999 · median $14,623	21 plans
563	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC	$6,347 – $20,153 · median $9,191	21 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$10,941 – $35,382 · median $15,842	21 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$6,906 – $22,992 · median $10,000	21 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$5,311 – $16,868 · median $7,690	21 plans
570	SKIN DEBRIDEMENT WITH MCC	$20,846 – $67,874 · median $30,185	21 plans
571	SKIN DEBRIDEMENT WITH CC	$11,975 – $37,752 · median $17,339	21 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$8,125 – $25,759 · median $11,765	21 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$46,435 – $138,855 · median $67,237	21 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$24,604 – $78,127 · median $35,627	21 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$12,737 – $45,022 · median $18,443	21 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$34,739 – $121,653 · median $50,301	21 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$18,788 – $60,041 · median $27,204	21 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$11,386 – $38,115 · median $16,487	21 plans
579	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$22,954 – $73,493 · median $33,237	21 plans
580	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$12,248 – $39,978 · median $17,735	21 plans
581	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$10,228 – $32,451 · median $14,811	21 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$13,655 – $39,486 · median $19,773	21 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$12,222 – $37,040 · median $17,698	21 plans
584	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$15,173 – $46,165 · median $21,970	21 plans
585	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$13,673 – $44,760 · median $19,798	21 plans
592	SKIN ULCERS WITH MCC	$13,717 – $46,365 · median $19,862	21 plans
593	SKIN ULCERS WITH CC	$8,408 – $27,569 · median $12,175	21 plans
594	SKIN ULCERS WITHOUT CC/MCC	$6,144 – $19,136 · median $8,896	21 plans
595	MAJOR SKIN DISORDERS WITH MCC	$15,031 – $47,691 · median $21,765	21 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$7,673 – $24,377 · median $11,110	21 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$11,816 – $39,610 · median $17,110	21 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$8,018 – $24,327 · median $11,611	21 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$5,453 – $19,276 · median $7,896	21 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$7,383 – $21,569 · median $10,690	21 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$4,288 – $13,518 · median $6,209	21 plans
602	CELLULITIS WITH MCC	$10,074 – $33,128 · median $14,587	21 plans
603	CELLULITIS WITHOUT MCC	$6,173 – $19,860 · median $8,938	21 plans
604	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$10,434 – $33,500 · median $15,108	21 plans
605	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$6,492 – $20,828 · median $9,401	21 plans
606	MINOR SKIN DISORDERS WITH MCC	$10,725 – $36,309 · median $15,530	21 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$6,424 – $19,486 · median $9,302	21 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$15,535 – $51,387 · median $22,495	21 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$9,918 – $32,311 · median $14,361	21 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$24,718 – $87,148 · median $35,791	21 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$13,256 – $43,554 · median $19,195	21 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$10,053 – $28,075 · median $14,556	21 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$25,227 – $84,375 · median $36,528	21 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$12,715 – $43,130 · median $18,411	21 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$8,873 – $22,618 · median $12,848	21 plans
625	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$21,406 – $64,647 · median $30,996	21 plans
626	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$10,627 – $34,032 · median $15,388	21 plans
627	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$9,415 – $28,566 · median $13,632	21 plans
628	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$26,415 – $88,968 · median $38,248	21 plans
629	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$15,443 – $50,713 · median $22,361	21 plans
630	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$10,345 – $31,597 · median $14,979	21 plans
637	DIABETES WITH MCC	$10,183 – $32,837 · median $14,745	21 plans
638	DIABETES WITH CC	$6,352 – $20,681 · median $9,198	21 plans
639	DIABETES WITHOUT CC/MCC	$4,403 – $14,129 · median $6,375	21 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC	$9,466 – $29,944 · median $13,707	21 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC	$5,516 – $17,619 · median $7,987	21 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$10,080 – $27,984 · median $14,595	21 plans
643	ENDOCRINE DISORDERS WITH MCC	$11,667 – $37,369 · median $16,894	21 plans
644	ENDOCRINE DISORDERS WITH CC	$7,265 – $23,301 · median $10,520	21 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$5,446 – $17,558 · median $7,885	21 plans
650	NEONATE BIRTHWT 1500-1999G W/O SIGNIF O.R. PROC W OTHER PROB	$33,322 – $103,885 · median $48,251	21 plans
651	NEONATE BIRTHWT 2000-2499G W SIGNIF O.R. PROC W MULT MAJOR PROB	$26,266 – $78,298 · median $38,033	21 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$36,831 – $125,696 · median $53,331	21 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$19,841 – $63,633 · median $28,729	21 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$15,002 – $46,839 · median $21,723	21 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$22,566 – $73,461 · median $32,676	21 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$12,971 – $41,220 · median $18,781	21 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$10,999 – $33,912 · median $15,926	21 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$18,009 – $58,271 · median $26,077	21 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$9,368 – $30,214 · median $13,565	21 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$7,339 – $23,148 · median $10,626	21 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$21,699 – $70,341 · median $31,420	21 plans
663	MINOR BLADDER PROCEDURES WITH CC	$10,775 – $34,440 · median $15,602	21 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$7,420 – $24,347 · median $10,744	21 plans
665	PROSTATECTOMY WITH MCC	$22,122 – $77,421 · median $32,033	21 plans
666	PROSTATECTOMY WITH CC	$12,399 – $37,143 · median $17,953	21 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$7,840 – $23,175 · median $11,353	21 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$20,696 – $65,757 · median $29,968	21 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$11,000 – $34,893 · median $15,928	21 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$6,927 – $21,549 · median $10,030	21 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$12,723 – $38,866 · median $18,422	21 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$7,651 – $24,677 · median $11,079	21 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$29,780 – $94,467 · median $43,121	21 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$16,575 – $52,050 · median $24,001	21 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$11,634 – $35,294 · median $16,846	21 plans
682	RENAL FAILURE WITH MCC	$10,497 – $33,865 · median $15,200	21 plans
683	RENAL FAILURE WITH CC	$6,207 – $20,043 · median $8,988	21 plans
684	RENAL FAILURE WITHOUT CC/MCC	$4,255 – $13,696 · median $6,161	21 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$12,784 – $42,519 · median $18,512	21 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$7,427 – $23,736 · median $10,754	21 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$5,601 – $16,329 · median $8,111	21 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$8,224 – $26,388 · median $11,908	21 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$5,738 – $18,097 · median $8,308	21 plans
693	URINARY STONES WITH MCC	$9,529 – $33,155 · median $13,799	21 plans
694	URINARY STONES WITHOUT MCC	$5,541 – $17,619 · median $8,023	21 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$8,107 – $25,430 · median $11,739	21 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$4,883 – $15,599 · median $7,071	21 plans
697	URETHRAL STRICTURE	$7,639 – $22,589 · median $11,062	21 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$11,726 – $37,901 · median $16,979	21 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$7,194 – $22,997 · median $10,417	21 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$4,890 – $15,653 · median $7,080	21 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$14,178 – $43,757 · median $20,529	21 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$10,874 – $33,427 · median $15,746	21 plans
709	PENIS PROCEDURES WITH CC/MCC	$16,494 – $50,668 · median $23,883	21 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$9,931 – $33,854 · median $14,381	21 plans
711	TESTES PROCEDURES WITH CC/MCC	$14,769 – $43,080 · median $21,386	21 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$7,794 – $24,117 · median $11,286	21 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$10,656 – $32,604 · median $15,430	21 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$7,495 – $21,188 · median $10,852	21 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$15,857 – $50,920 · median $22,962	21 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$10,426 – $32,002 · median $15,097	21 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$13,399 – $41,838 · median $19,402	21 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$9,520 – $27,777 · median $13,784	21 plans
722	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC	$12,827 – $38,983 · median $18,573	21 plans
723	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC	$8,099 – $25,319 · median $11,728	21 plans
724	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,647 – $16,428 · median $6,729	21 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$8,294 – $28,469 · median $12,010	21 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$5,117 – $16,785 · median $7,410	21 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$10,510 – $33,132 · median $15,219	21 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$5,750 – $18,424 · median $8,325	21 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$7,504 – $24,823 · median $10,866	21 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,763 – $13,684 · median $6,897	21 plans
734	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$15,097 – $47,414 · median $21,860	21 plans
735	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$9,537 – $27,371 · median $13,809	21 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$25,335 – $88,785 · median $36,685	21 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$14,605 – $45,060 · median $21,148	21 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$10,408 – $34,203 · median $15,071	21 plans
739	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC	$25,394 – $89,761 · median $36,771	21 plans
740	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC	$12,826 – $40,999 · median $18,572	21 plans
741	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC	$10,108 – $30,972 · median $14,636	21 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$13,005 – $41,188 · median $18,831	21 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$8,794 – $27,028 · median $12,733	21 plans
744	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$14,524 – $44,059 · median $21,030	21 plans
745	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$8,062 – $23,107 · median $11,674	21 plans
746	VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC	$12,312 – $37,759 · median $17,828	21 plans
747	VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$6,093 – $21,538 · median $8,823	21 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$9,833 – $30,717 · median $14,238	21 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$18,199 – $58,368 · median $26,351	21 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$10,460 – $29,076 · median $15,146	21 plans
754	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$13,054 – $40,796 · median $18,902	21 plans
755	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC	$7,710 – $25,031 · median $11,164	21 plans
756	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$6,808 – $21,533 · median $9,858	21 plans
757	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$10,149 – $31,912 · median $14,696	21 plans
758	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC	$6,939 – $22,983 · median $10,048	21 plans
759	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,703 – $14,431 · median $6,811	21 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$7,141 – $22,223 · median $10,340	21 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$4,044 – $14,293 · median $5,855	21 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$7,595 – $24,719 · median $10,998	21 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$11,977 – $31,330 · median $17,343	21 plans
770	ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY	$7,107 – $24,262 · median $10,291	21 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$4,640 – $16,088 · median $6,719	21 plans
779	ABORTION WITHOUT D&C	$5,963 – $21,078 · median $8,634	21 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$17,401 – $41,536 · median $25,113	21 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$7,514 – $24,419 · median $10,880	21 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$6,789 – $19,696 · median $9,830	21 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$11,691 – $36,435 · median $16,929	21 plans
787	NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB	$7,916 – $23,941 · median $11,462	21 plans
788	NEONATE BIRTHWT >2499G W MINOR ABDOM PROCEDURE	$6,796 – $20,399 · median $9,840	21 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$8,271 – $28,785 · median $11,977	21 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$7,091 – $21,831 · median $10,267	21 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$6,784 – $21,831 · median $9,823	21 plans
799	SPLENIC PROCEDURES WITH MCC	$32,100 – $107,211 · median $46,480	21 plans
800	SPLENIC PROCEDURES WITH CC	$19,912 – $65,700 · median $28,833	21 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$13,530 – $37,017 · median $19,591	21 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$28,238 – $80,830 · median $40,889	21 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$13,175 – $40,135 · median $19,078	21 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$9,611 – $24,929 · median $13,917	21 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$7,649 – $22,503 · median $11,076	21 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$5,344 – $16,316 · median $7,738	21 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$4,779 – $14,370 · median $6,919	21 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$15,649 – $51,642 · median $22,660	21 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$8,972 – $27,926 · median $12,992	21 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$7,418 – $21,461 · median $10,741	21 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$9,953 – $31,723 · median $14,412	21 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$6,508 – $20,810 · median $9,424	21 plans
813	COAGULATION DISORDERS	$10,811 – $34,904 · median $15,654	21 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$15,074 – $47,137 · median $21,826	21 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$7,187 – $22,911 · median $10,407	21 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$4,479 – $14,868 · median $6,486	21 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$16,171 – $57,161 · median $23,416	21 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$8,216 – $29,042 · median $11,897	21 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$6,095 – $18,410 · median $8,825	21 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$41,568 – $131,281 · median $60,191	21 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$15,867 – $50,336 · median $22,975	21 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$8,534 – $25,788 · median $12,357	21 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$32,496 – $105,513 · median $47,054	21 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$16,058 – $49,592 · median $23,252	21 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$9,564 – $27,752 · median $13,849	21 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$33,155 – $107,678 · median $48,009	21 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$16,381 – $53,211 · median $23,720	21 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$12,076 – $36,142 · median $17,486	21 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$22,397 – $69,534 · median $32,431	21 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$10,667 – $32,976 · median $15,446	21 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$8,523 – $25,953 · median $12,341	21 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$5,115 – $16,852 · median $7,406	21 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$3,706 – $11,720 · median $5,367	21 plans
834	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC	$38,911 – $124,630 · median $56,343	21 plans
835	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC	$14,784 – $48,160 · median $21,407	21 plans
836	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$8,644 – $28,652 · median $12,516	21 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$34,052 – $112,902 · median $49,307	21 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$14,795 – $45,732 · median $21,423	21 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$10,234 – $30,900 · median $14,819	21 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$22,928 – $71,906 · median $33,200	21 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$11,563 – $35,355 · median $16,743	21 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$7,161 – $23,718 · median $10,370	21 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$14,139 – $42,690 · median $20,473	21 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$8,629 – $26,949 · median $12,494	21 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$6,036 – $18,868 · median $8,740	21 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$18,375 – $57,583 · median $26,607	21 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$9,272 – $28,652 · median $13,426	21 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$6,020 – $18,465 · median $8,717	21 plans
849	RADIOTHERAPY	$19,204 – $60,228 · median $27,808	21 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$35,004 – $112,769 · median $50,685	21 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$14,162 – $45,053 · median $20,507	21 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$10,612 – $36,654 · median $15,366	21 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$32,240 – $101,728 · median $46,684	21 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$15,178 – $49,130 · median $21,978	21 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$9,873 – $29,051 · median $14,295	21 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$12,926 – $41,459 · median $18,717	21 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$7,073 – $22,546 · median $10,242	21 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$6,292 – $20,248 · median $9,111	21 plans
865	VIRAL ILLNESS WITH MCC	$10,620 – $33,279 · median $15,377	21 plans
866	VIRAL ILLNESS WITHOUT MCC	$6,164 – $19,950 · median $8,925	21 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$14,836 – $48,350 · median $21,483	21 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$7,308 – $23,678 · median $10,582	21 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$5,172 – $16,226 · median $7,489	21 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$48,989 – $156,855 · median $70,936	21 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$13,768 – $44,241 · median $19,936	21 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$7,253 – $23,247 · median $10,502	21 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$27,393 – $88,605 · median $39,666	21 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$6,806 – $21,615 · median $9,855	21 plans
881	DEPRESSIVE NEUROSES	$6,669 – $20,611 · median $9,657	21 plans
882	NEUROSES EXCEPT DEPRESSIVE	$7,611 – $21,691 · median $11,020	21 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$13,937 – $41,802 · median $20,180	21 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$11,403 – $37,660 · median $16,512	21 plans
885	PSYCHOSES	$9,900 – $31,784 · median $14,335	21 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$14,709 – $40,507 · median $21,299	21 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$7,590 – $26,819 · median $10,991	21 plans
894	ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA	$4,372 – $14,072 · median $6,331	21 plans
895	ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY	$10,033 – $32,647 · median $14,528	21 plans
896	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC	$12,369 – $40,153 · median $17,910	21 plans
897	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC	$6,257 – $19,892 · median $9,060	21 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$29,744 – $99,899 · median $43,070	21 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$13,570 – $42,787 · median $19,649	21 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$8,290 – $27,488 · median $12,004	21 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$26,034 – $87,060 · median $37,697	21 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$10,514 – $37,164 · median $15,224	21 plans
906	HAND PROCEDURES FOR INJURIES	$13,922 – $49,211 · median $20,160	21 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$27,212 – $89,824 · median $39,403	21 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$14,141 – $45,482 · median $20,477	21 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$9,304 – $28,598 · median $13,472	21 plans
913	TRAUMATIC INJURY WITH MCC	$11,586 – $36,489 · median $16,776	21 plans
914	TRAUMATIC INJURY WITHOUT MCC	$6,276 – $20,663 · median $9,088	21 plans
915	ALLERGIC REACTIONS WITH MCC	$11,919 – $39,186 · median $17,258	21 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$4,723 – $14,974 · median $6,838	21 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$11,116 – $36,972 · median $16,097	21 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$6,075 – $19,946 · median $8,796	21 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$12,976 – $41,119 · median $18,790	21 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$7,104 – $22,907 · median $10,287	21 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$4,879 – $15,506 · median $7,065	21 plans
922	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$12,399 – $38,093 · median $17,954	21 plans
923	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$7,213 – $22,997 · median $10,445	21 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$151,327 – $534,902 · median $219,122	21 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$50,838 – $150,596 · median $73,614	21 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$22,828 – $71,712 · median $33,055	21 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$27,601 – $97,563 · median $39,966	21 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$15,668 – $48,384 · median $22,688	21 plans
935	NON-EXTENSIVE BURNS	$14,601 – $49,524 · median $21,142	21 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$25,718 – $71,567 · median $37,240	21 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$16,563 – $47,608 · median $23,984	21 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$14,372 – $44,066 · median $20,810	21 plans
945	REHABILITATION WITH CC/MCC	$10,976 – $34,420 · median $15,893	21 plans
946	REHABILITATION WITHOUT CC/MCC	$8,128 – $25,175 · median $11,770	21 plans
947	SIGNS AND SYMPTOMS WITH MCC	$8,997 – $29,001 · median $13,028	21 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$5,674 – $17,914 · median $8,216	21 plans
949	AFTERCARE WITH CC/MCC	$8,432 – $24,329 · median $12,210	21 plans
950	AFTERCARE WITHOUT CC/MCC	$4,449 – $13,215 · median $6,442	21 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$3,941 – $12,785 · median $5,706	21 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$47,708 – $153,965 · median $69,082	21 plans
956	LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$26,671 – $86,187 · median $38,620	21 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$54,008 – $168,303 · median $78,204	21 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$29,867 – $92,668 · median $43,248	21 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$20,867 – $59,615 · median $30,216	21 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$19,377 – $61,256 · median $28,057	21 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$10,863 – $33,824 · median $15,729	21 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$6,666 – $20,577 · median $9,652	21 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$43,386 – $142,600 · median $62,823	21 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$18,693 – $59,827 · median $27,068	21 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$20,455 – $67,333 · median $29,619	21 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$9,179 – $32,050 · median $13,291	21 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$6,398 – $22,616 · median $9,264	21 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$9,198 – $32,512 · median $13,318	21 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$33,254 – $107,191 · median $48,152	21 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$17,425 – $55,204 · median $25,232	21 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$12,148 – $37,615 · median $17,591	21 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$24,300 – $78,979 · median $35,186	21 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$11,649 – $38,692 · median $16,868	21 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$8,500 – $26,054 · median $12,307	21 plans
222	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC	$54,268 – $219,150 · median $67,781	20 plans
223	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC	$36,989 – $149,371 · median $46,199	20 plans
224	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC	$50,247 – $202,909 · median $62,758	20 plans
225	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC	$35,848 – $144,763 · median $44,774	20 plans
226	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC	$45,368 – $183,208 · median $56,665	20 plans
227	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$35,585 – $143,704 · median $44,446	20 plans
246	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS	$21,231 – $85,735 · median $26,517	20 plans
247	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	$13,534 – $54,654 · median $16,904	20 plans
248	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS	$21,333 – $86,147 · median $26,645	20 plans
249	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC	$12,876 – $51,998 · median $16,083	20 plans
317	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC	$47,392 – $139,491 · median $59,193	20 plans
338	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC	$18,829 – $76,035 · median $23,517	20 plans
339	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	$11,542 – $46,609 · median $14,416	20 plans
340	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$8,505 – $34,344 · median $10,622	20 plans
341	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC	$16,011 – $64,658 · median $19,998	20 plans
342	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	$10,300 – $41,594 · median $12,865	20 plans
343	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$7,745 – $31,276 · median $9,673	20 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$28,496 – $88,212 · median $35,592	20 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$78,116 – $236,199 · median $97,566	20 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$51,164 – $160,152 · median $63,903	20 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$39,847 – $124,106 · median $49,769	20 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$63,858 – $188,064 · median $79,758	20 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$40,876 – $123,349 · median $51,054	20 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$47,358 – $151,178 · median $59,150	20 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$30,058 – $92,075 · median $37,542	20 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$37,775 – $116,124 · median $47,181	20 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$22,896 – $69,583 · median $28,597	20 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$20,465 – $61,477 · median $25,561	20 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$11,343 – $36,009 · median $14,167	20 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$10,691 – $32,961 · median $13,353	20 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$61,376 – $207,710 · median $76,659	20 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY	$306,069 – $850,348 · median $321,373	19 plans
209	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17	$80,225 – $133,256 · median $82,632	15 plans
213	SPLENECTOMY AGE 0-17	$40,449 – $67,187 · median $41,663	15 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$17,168 – $28,517 · median $17,683	15 plans
789	NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$12,774 – $38,955 · median $13,157	15 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE	$42,126 – $128,466 · median $43,390	15 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$28,769 – $87,735 · median $29,632	15 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$17,359 – $52,938 · median $17,880	15 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$29,553 – $90,123 · median $30,440	15 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$10,461 – $31,899 · median $10,775	15 plans
795	NORMAL NEWBORN	$1,416 – $4,317 · median $1,459	15 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$47,275 – $98,421 · median $76,004	4 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$33,193 – $69,103 · median $53,364	4 plans
129	MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE	$45,468 – $45,468 · median $45,468	1 plans
130	MAJOR HEAD & NECK PROCEDURES W/O CC/MCC	$28,711 – $28,711 · median $28,711	1 plans
131	CRANIAL/FACIAL PROCEDURES W CC/MCC	$53,412 – $53,412 · median $53,412	1 plans
132	CRANIAL/FACIAL PROCEDURES W/O CC/MCC	$31,569 – $31,569 · median $31,569	1 plans
133	OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W CC/MCC	$42,640 – $42,640 · median $42,640	1 plans
134	OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC	$24,014 – $24,014 · median $24,014	1 plans
691	URINARY STONES W ESW LITHOTRIPSY W CC/MCC	$32,258 – $32,258 · median $32,258	1 plans
692	URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC	$22,455 – $22,455 · median $22,455	1 plans

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