Independence Health System Butler Memorial Hospital — Hospital Prices & Charges

Procedures published 893

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 893 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
895	ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY	$3,600 – $27,922 · median $9,826	37 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$126,619 – $390,092 · median $149,995	36 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$84,237 – $254,571 · median $97,885	36 plans
011	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC	$34,354 – $100,239 · median $38,543	36 plans
012	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC	$26,556 – $77,485 · median $29,794	36 plans
013	TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC	$17,115 – $52,964 · median $20,365	36 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$49,564 – $144,619 · median $55,633	36 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$33,344 – $108,568 · median $37,427	36 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$20,014 – $76,385 · median $22,464	36 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$36,094 – $105,316 · median $40,495	36 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$24,640 – $71,896 · median $27,645	36 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$26,581 – $83,563 · median $32,131	36 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$18,260 – $57,143 · median $21,972	36 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$15,741 – $46,368 · median $17,829	36 plans
028	SPINAL PROCEDURES WITH MCC	$34,647 – $110,425 · median $41,514	36 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$20,101 – $62,701 · median $24,109	36 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$11,611 – $40,345 · median $15,446	36 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$21,724 – $82,346 · median $30,889	36 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$12,646 – $39,165 · median $15,059	36 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$10,474 – $30,562 · median $11,751	36 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$24,381 – $73,282 · median $27,366	36 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$15,057 – $43,934 · median $16,893	36 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$11,229 – $35,706 · median $13,729	36 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$20,736 – $60,505 · median $23,275	36 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$10,220 – $29,821 · median $11,472	36 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$7,404 – $21,604 · median $8,311	36 plans
040	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$21,806 – $70,964 · median $27,286	36 plans
041	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$13,849 – $40,409 · median $15,538	36 plans
042	PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$9,872 – $31,753 · median $12,209	36 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$11,409 – $35,566 · median $12,806	36 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$6,168 – $18,596 · median $6,923	36 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$7,396 – $28,063 · median $10,692	36 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$6,422 – $18,739 · median $7,205	36 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$14,633 – $42,696 · median $16,417	36 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$8,161 – $23,812 · median $9,160	36 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$10,768 – $31,418 · median $12,086	36 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$7,286 – $22,806 · median $8,769	36 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$5,794 – $16,905 · median $6,500	36 plans
061	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$17,366 – $50,672 · median $19,493	36 plans
062	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$11,068 – $32,295 · median $12,423	36 plans
063	ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$8,842 – $30,184 · median $9,925	36 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$11,908 – $36,960 · median $14,211	36 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$6,364 – $18,568 · median $7,143	36 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$4,311 – $12,877 · median $4,839	36 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$9,251 – $26,993 · median $10,384	36 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$5,445 – $15,887 · median $6,111	36 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$5,031 – $14,681 · median $5,648	36 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$10,486 – $30,597 · median $11,770	36 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$6,463 – $18,857 · median $7,254	36 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$4,763 – $13,898 · median $5,346	36 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$10,105 – $29,485 · median $11,337	36 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$6,493 – $18,945 · median $7,284	36 plans
075	VIRAL MENINGITIS WITH CC/MCC	$9,694 – $35,241 · median $13,064	36 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$3,769 – $15,166 · median $5,702	36 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$11,401 – $38,987 · median $12,797	36 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$5,572 – $16,460 · median $6,188	36 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$14,396 – $42,006 · median $15,912	36 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$8,792 – $25,653 · median $9,864	36 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$5,810 – $17,566 · median $6,754	36 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$11,950 – $41,755 · median $15,942	36 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$7,421 – $23,942 · median $9,206	36 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$4,860 – $16,811 · median $6,451	36 plans
088	CONCUSSION WITH MCC	$8,515 – $24,844 · median $9,557	36 plans
089	CONCUSSION WITH CC	$6,158 – $20,191 · median $7,764	36 plans
090	CONCUSSION WITHOUT CC/MCC	$4,996 – $15,129 · median $5,817	36 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$10,720 – $32,277 · median $12,411	36 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$6,444 – $18,801 · median $7,233	36 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$5,016 – $14,635 · median $5,630	36 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$22,168 – $64,682 · median $24,871	36 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$16,246 – $47,402 · median $18,235	36 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$16,246 – $47,402 · median $17,821	36 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$22,750 – $66,380 · median $25,292	36 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$12,965 – $42,177 · median $15,856	36 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$7,871 – $25,039 · median $9,628	36 plans
100	SEIZURES WITH MCC	$10,424 – $35,596 · median $13,687	36 plans
101	SEIZURES WITHOUT MCC	$4,622 – $16,589 · median $6,166	36 plans
102	HEADACHES WITH MCC	$7,060 – $20,601 · median $7,921	36 plans
103	HEADACHES WITHOUT MCC	$5,268 – $15,370 · median $5,910	36 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$13,794 – $43,659 · median $16,464	36 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$8,522 – $24,866 · median $9,566	36 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$9,668 – $28,446 · median $10,852	36 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$11,389 – $33,754 · median $12,783	36 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$6,834 – $20,559 · median $7,670	36 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$4,241 – $21,380 · median $8,146	36 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$2,720 – $14,442 · median $5,429	36 plans
123	NEUROLOGICAL EYE DISORDERS	$5,030 – $14,677 · median $5,646	36 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$8,334 – $25,138 · median $9,354	36 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$4,836 – $14,111 · median $5,426	36 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$13,668 – $46,051 · median $15,342	36 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$6,395 – $20,297 · median $7,178	36 plans
137	MOUTH PROCEDURES WITH CC/MCC	$6,700 – $27,443 · median $10,173	36 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$5,055 – $16,287 · median $6,263	36 plans
139	SALIVARY GLAND PROCEDURES	$7,783 – $23,399 · median $8,736	36 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$4,579 – $78,391 · median $29,868	36 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$3,496 – $40,086 · median $15,273	36 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$10,055 – $29,399 · median $11,287	36 plans
143	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$20,398 – $68,858 · median $25,887	36 plans
144	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC	$8,539 – $31,849 · median $11,973	36 plans
145	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$4,354 – $22,097 · median $8,307	36 plans
146	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC	$12,521 – $39,547 · median $14,827	36 plans
147	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC	$8,009 – $23,369 · median $8,990	36 plans
148	EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$5,021 – $15,569 · median $5,636	36 plans
149	DYSEQUILIBRIUM	$4,734 – $13,813 · median $5,311	36 plans
150	EPISTAXIS WITH MCC	$8,387 – $25,156 · median $9,414	36 plans
151	EPISTAXIS WITHOUT MCC	$4,374 – $13,490 · median $5,071	36 plans
152	OTITIS MEDIA AND URI WITH MCC	$6,726 – $21,727 · median $8,354	36 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$3,342 – $13,567 · median $5,029	36 plans
154	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC	$9,848 – $28,735 · median $11,054	36 plans
155	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC	$5,089 – $16,844 · median $6,477	36 plans
156	OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$3,947 – $12,702 · median $4,775	36 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$10,814 – $31,553 · median $12,132	36 plans
158	DENTAL AND ORAL DISEASES WITH CC	$5,233 – $16,721 · median $6,429	36 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$4,258 – $13,021 · median $5,007	36 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$27,844 – $82,370 · median $31,672	36 plans
164	MAJOR CHEST PROCEDURES WITH CC	$15,898 – $46,388 · median $17,837	36 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$12,057 – $35,181 · median $13,527	36 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$22,416 – $68,694 · median $26,414	36 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$11,359 – $33,144 · median $12,744	36 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$8,607 – $25,113 · median $9,656	36 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$8,363 – $25,245 · median $9,491	36 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$5,071 – $14,795 · median $5,689	36 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$9,177 – $28,720 · median $11,043	36 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$6,148 – $17,938 · median $6,897	36 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$4,733 – $13,876 · median $5,335	36 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$11,124 – $32,457 · median $12,480	36 plans
181	RESPIRATORY NEOPLASMS WITH CC	$6,746 – $19,684 · median $7,572	36 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$4,748 – $14,746 · median $5,329	36 plans
183	MAJOR CHEST TRAUMA WITH MCC	$8,948 – $28,118 · median $10,812	36 plans
184	MAJOR CHEST TRAUMA WITH CC	$6,488 – $19,557 · median $7,520	36 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$4,954 – $14,455 · median $5,558	36 plans
186	PLEURAL EFFUSION WITH MCC	$8,905 – $28,643 · median $10,768	36 plans
187	PLEURAL EFFUSION WITH CC	$6,230 – $18,178 · median $6,990	36 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$4,517 – $13,181 · median $5,068	36 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$6,872 – $22,705 · median $8,536	36 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$6,191 – $20,358 · median $7,828	36 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$5,310 – $15,493 · median $5,957	36 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$4,044 – $11,799 · median $4,436	36 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$7,302 – $24,157 · median $9,082	36 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$5,076 – $14,811 · median $5,695	36 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$3,893 – $11,551 · median $4,442	36 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$11,887 – $34,684 · median $13,337	36 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$5,978 – $17,443 · median $6,710	36 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$4,511 – $13,163 · median $5,064	36 plans
199	PNEUMOTHORAX WITH MCC	$7,345 – $32,422 · median $12,019	36 plans
200	PNEUMOTHORAX WITH CC	$6,064 – $20,204 · median $7,595	36 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$3,689 – $13,143 · median $4,904	36 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$5,530 – $17,849 · median $6,710	36 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$3,520 – $12,314 · median $4,629	36 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$4,970 – $14,839 · median $5,579	36 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$9,550 – $33,651 · median $12,624	36 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$5,369 – $17,296 · median $6,502	36 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$40,531 – $118,262 · median $45,494	36 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$16,581 – $50,518 · median $19,425	36 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$45,375 – $182,997 · median $69,724	36 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$58,165 – $179,796 · median $69,133	36 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$38,158 – $120,846 · median $46,134	36 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$34,655 – $120,846 · median $46,185	36 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$40,193 – $141,117 · median $53,768	36 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$31,576 – $98,010 · median $37,686	36 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$25,096 – $92,633 · median $35,294	36 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$31,163 – $95,747 · median $34,978	36 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$19,838 – $57,884 · median $22,267	36 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$52,039 – $154,931 · median $59,031	36 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$38,187 – $111,423 · median $42,843	36 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC	$41,474 – $140,509 · median $54,027	36 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC	$32,357 – $100,398 · median $38,604	36 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$31,695 – $107,857 · median $41,472	36 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$24,842 – $76,985 · median $29,602	36 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$27,047 – $90,455 · median $34,762	36 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$16,895 – $52,389 · median $19,695	36 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$8,720 – $27,773 · median $9,788	36 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$20,111 – $58,680 · median $22,563	36 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$13,422 – $39,163 · median $15,066	36 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$11,385 – $33,220 · median $12,779	36 plans
245	AICD GENERATOR PROCEDURES	$28,737 – $89,991 · median $32,256	36 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$13,747 – $40,112 · median $15,430	36 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$9,414 – $27,642 · median $10,566	36 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$21,972 – $64,111 · median $24,662	36 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$16,349 – $47,704 · median $18,343	36 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$11,223 – $32,745 · median $12,591	36 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$15,928 – $49,575 · median $19,062	36 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$8,456 – $31,205 · median $11,890	36 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$6,208 – $20,073 · median $7,718	36 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$19,791 – $57,748 · median $22,215	36 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$12,737 – $37,164 · median $14,296	36 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$20,489 – $59,782 · median $22,997	36 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$11,908 – $34,745 · median $13,360	36 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$10,266 – $29,956 · median $11,523	36 plans
263	VEIN LIGATION AND STRIPPING	$19,258 – $56,191 · median $21,606	36 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$15,631 – $61,396 · median $22,759	36 plans
265	AICD LEAD PROCEDURES	$22,790 – $66,498 · median $25,581	36 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC	$36,897 – $112,632 · median $42,343	36 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC	$3,555 – $87,498 · median $33,338	36 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$13,254 – $126,407 · median $47,522	36 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$6,025 – $77,617 · median $29,180	36 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$3,208 – $96,972 · median $36,456	36 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$4,023 – $65,360 · median $24,590	36 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$16,081 – $46,921 · median $18,042	36 plans
273	PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC	$25,986 – $75,821 · median $29,167	36 plans
274	PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC	$20,734 – $60,497 · median $23,262	36 plans
280	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC	$9,296 – $29,481 · median $11,336	36 plans
281	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC	$5,789 – $16,892 · median $6,495	36 plans
282	ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC	$4,555 – $13,290 · median $5,112	36 plans
283	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC	$12,477 – $36,405 · median $13,998	36 plans
284	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC	$4,360 – $13,793 · median $4,894	36 plans
285	ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC	$3,772 – $11,007 · median $4,234	36 plans
286	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC	$11,916 – $40,668 · median $15,637	36 plans
287	CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC	$6,740 – $19,667 · median $7,562	36 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$17,046 – $49,737 · median $19,124	36 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$6,765 – $31,371 · median $11,720	36 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$5,856 – $18,858 · median $6,573	36 plans
291	HEART FAILURE AND SHOCK WITH MCC	$7,184 – $23,595 · median $9,072	36 plans
292	HEART FAILURE AND SHOCK WITH CC	$4,902 – $15,604 · median $6,000	36 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$3,565 – $10,402 · median $4,002	36 plans
296	CARDIAC ARREST- UNEXPLAINED WITH MCC	$9,838 – $28,706 · median $11,043	36 plans
297	CARDIAC ARREST- UNEXPLAINED WITH CC	$3,993 – $13,083 · median $4,482	36 plans
298	CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC	$2,867 – $8,579 · median $3,218	36 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$7,464 – $30,007 · median $11,124	36 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$5,988 – $19,619 · median $7,544	36 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$4,427 – $13,227 · median $5,086	36 plans
302	ATHEROSCLEROSIS WITH MCC	$7,537 – $21,992 · median $8,460	36 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$4,224 – $12,373 · median $4,651	36 plans
304	HYPERTENSION WITH MCC	$6,853 – $21,871 · median $8,410	36 plans
305	HYPERTENSION WITHOUT MCC	$4,756 – $13,878 · median $5,336	36 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$9,926 – $28,961 · median $11,141	36 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$5,752 – $16,783 · median $6,456	36 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$6,666 – $22,128 · median $8,425	36 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$4,198 – $13,521 · median $5,083	36 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$3,282 – $10,404 · median $3,962	36 plans
311	ANGINA PECTORIS	$4,164 – $12,900 · median $4,960	36 plans
312	SYNCOPE AND COLLAPSE	$5,479 – $16,019 · median $6,159	36 plans
313	CHEST PAIN	$3,952 – $13,233 · median $5,088	36 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$12,323 – $38,323 · median $14,736	36 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$6,068 – $17,704 · median $6,807	36 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,296 – $12,536 · median $4,776	36 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$28,111 – $82,022 · median $31,553	36 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$15,150 – $44,206 · median $17,006	36 plans
326	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$31,000 – $91,662 · median $35,245	36 plans
327	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$15,395 – $44,921 · median $17,273	36 plans
328	STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$10,093 – $29,448 · median $11,323	36 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$24,426 – $84,478 · median $32,419	36 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$15,021 – $44,058 · median $16,941	36 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$10,600 – $30,930 · median $11,893	36 plans
332	RECTAL RESECTION WITH MCC	$22,806 – $70,255 · median $25,599	36 plans
333	RECTAL RESECTION WITH CC	$14,753 – $43,047 · median $16,559	36 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$10,317 – $30,103 · median $11,575	36 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$19,075 – $65,629 · median $25,235	36 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$12,671 – $38,755 · median $14,902	36 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$9,669 – $28,211 · median $10,848	36 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$14,833 – $50,929 · median $18,086	36 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$9,478 – $27,654 · median $10,633	36 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$7,472 – $21,801 · median $8,383	36 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$14,459 – $46,537 · median $16,230	36 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$8,125 – $24,054 · median $9,249	36 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$5,484 – $16,001 · median $6,155	36 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$15,696 – $45,798 · median $17,618	36 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$9,602 – $28,018 · median $10,778	36 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$7,294 – $21,463 · median $8,253	36 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$18,279 – $53,335 · median $20,508	36 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$10,407 – $30,920 · median $11,889	36 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$8,472 – $24,719 · median $9,505	36 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$23,672 – $80,734 · median $30,351	36 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$12,018 – $42,740 · median $16,284	36 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$8,805 – $25,692 · median $9,879	36 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$8,973 – $29,257 · median $10,999	36 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$6,300 – $18,382 · median $6,911	36 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$4,414 – $12,880 · median $4,955	36 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$10,500 – $32,587 · median $12,530	36 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$6,115 – $18,765 · median $7,169	36 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$4,521 – $13,369 · median $5,026	36 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$12,892 – $39,307 · median $15,114	36 plans
375	DIGESTIVE MALIGNANCY WITH CC	$7,616 – $22,231 · median $8,548	36 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$5,822 – $16,987 · median $6,532	36 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$11,365 – $33,596 · median $12,918	36 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$6,177 – $18,024 · median $6,930	36 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$3,971 – $11,586 · median $4,457	36 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$11,628 – $36,063 · median $13,558	36 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$6,446 – $19,913 · median $7,657	36 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$5,043 – $14,714 · median $5,532	36 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$8,697 – $25,376 · median $9,762	36 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$5,384 – $15,710 · median $6,041	36 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$9,016 – $29,081 · median $10,933	36 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$6,149 – $17,943 · median $6,899	36 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$4,291 – $12,521 · median $4,815	36 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$7,760 – $27,142 · median $10,358	36 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$4,359 – $14,516 · median $5,457	36 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$3,410 – $9,998 · median $3,768	36 plans
391	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$7,413 – $23,310 · median $8,963	36 plans
392	ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$4,402 – $14,328 · median $5,509	36 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$10,074 – $29,393 · median $11,302	36 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$5,615 – $17,197 · median $6,612	36 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,088 – $11,928 · median $4,588	36 plans
405	PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC	$34,457 – $100,541 · median $38,659	36 plans
406	PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC	$18,268 – $53,302 · median $20,495	36 plans
407	PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$13,981 – $40,793 · median $15,686	36 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$22,459 – $65,531 · median $25,209	36 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$13,714 – $40,016 · median $15,387	36 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$10,001 – $29,180 · median $11,225	36 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$20,807 – $60,710 · median $23,354	36 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$13,243 – $40,557 · median $14,865	36 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$10,459 – $30,518 · median $11,740	36 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$22,440 – $65,476 · median $25,188	36 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$12,960 – $37,983 · median $14,605	36 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$8,587 – $25,056 · median $9,639	36 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$13,290 – $43,859 · median $16,864	36 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$10,655 – $31,089 · median $11,954	36 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$8,603 – $25,102 · median $9,652	36 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$21,461 – $62,618 · median $24,088	36 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$10,944 – $31,933 · median $12,284	36 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$8,815 – $26,614 · median $9,895	36 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$26,159 – $76,327 · median $29,362	36 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$13,781 – $40,211 · median $15,469	36 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$9,450 – $28,838 · median $10,607	36 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$12,397 – $36,173 · median $13,909	36 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$6,653 – $19,412 · median $7,464	36 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,488 – $13,095 · median $5,037	36 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$10,848 – $33,756 · median $12,980	36 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$7,107 – $20,788 · median $7,815	36 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$5,375 – $15,683 · median $6,033	36 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$10,268 – $29,961 · median $11,526	36 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$5,299 – $15,460 · median $5,945	36 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$3,914 – $11,421 · median $4,391	36 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$11,304 – $32,984 · median $12,689	36 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$6,080 – $17,741 · median $6,822	36 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,407 – $12,860 · median $4,947	36 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$10,127 – $30,709 · median $11,763	36 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$6,893 – $20,114 · median $7,717	36 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$5,211 – $15,205 · median $5,849	36 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC	$52,931 – $154,444 · median $59,385	36 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC	$37,560 – $109,594 · median $42,140	36 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$26,282 – $83,748 · median $29,500	36 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC	$34,788 – $119,390 · median $39,048	36 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC	$16,183 – $48,887 · median $18,798	36 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$30,949 – $104,750 · median $40,277	36 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$17,862 – $57,244 · median $22,011	36 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$11,487 – $33,517 · median $12,888	36 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$27,336 – $95,669 · median $36,497	36 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$18,057 – $64,814 · median $24,695	36 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$14,664 – $50,505 · median $19,420	36 plans
469	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC	$18,837 – $55,746 · median $21,435	36 plans
470	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	$10,229 – $35,451 · median $13,590	36 plans
471	CERVICAL SPINAL FUSION WITH MCC	$25,376 – $88,745 · median $33,868	36 plans
472	CERVICAL SPINAL FUSION WITH CC	$16,293 – $54,146 · median $20,820	36 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$13,163 – $44,868 · median $17,252	36 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$24,248 – $78,898 · median $30,337	36 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$13,248 – $41,825 · median $16,082	36 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$7,434 – $22,035 · median $8,264	36 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$20,695 – $63,491 · median $24,413	36 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$13,748 – $45,197 · median $17,379	36 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$10,627 – $34,164 · median $13,137	36 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$18,344 – $53,524 · median $20,590	36 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$13,193 – $38,494 · median $14,808	36 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$10,273 – $29,976 · median $11,526	36 plans
483	MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES	$12,527 – $50,944 · median $19,410	36 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$20,327 – $61,358 · median $22,816	36 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$11,950 – $38,432 · median $14,777	36 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$8,990 – $28,785 · median $11,068	36 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$11,142 – $34,613 · median $12,506	36 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$7,034 – $20,525 · median $7,896	36 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC	$19,711 – $67,479 · median $25,947	36 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC	$15,974 – $46,610 · median $17,922	36 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC	$11,272 – $36,877 · median $14,180	36 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$19,648 – $66,834 · median $25,389	36 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$11,306 – $33,153 · median $12,748	36 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$7,611 – $22,207 · median $8,543	36 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$19,002 – $55,445 · median $21,125	36 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$10,551 – $37,029 · median $13,727	36 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$18,099 – $58,165 · median $22,365	36 plans
501	SOFT TISSUE PROCEDURES WITH CC	$11,009 – $32,128 · median $12,354	36 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$8,235 – $24,736 · median $9,511	36 plans
503	FOOT PROCEDURES WITH MCC	$17,580 – $51,297 · median $19,733	36 plans
504	FOOT PROCEDURES WITH CC	$10,415 – $34,354 · median $13,209	36 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$9,703 – $32,949 · median $12,594	36 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$8,498 – $27,193 · median $9,539	36 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$11,378 – $37,660 · median $12,771	36 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$9,539 – $27,833 · median $10,707	36 plans
510	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC	$19,025 – $55,513 · median $21,355	36 plans
511	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC	$12,612 – $38,217 · median $14,695	36 plans
512	SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC	$9,219 – $30,424 · median $11,698	36 plans
513	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$7,913 – $28,934 · median $11,024	36 plans
514	HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$6,183 – $18,789 · median $7,224	36 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$20,074 – $58,571 · median $22,521	36 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$13,089 – $38,193 · median $14,686	36 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$8,914 – $28,243 · median $10,860	36 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$17,887 – $68,687 · median $26,171	36 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$11,670 – $36,761 · median $14,135	36 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$7,981 – $27,456 · median $10,557	36 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$18,079 – $52,751 · median $20,292	36 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$13,339 – $38,921 · median $14,965	36 plans
533	FRACTURES OF FEMUR WITH MCC	$9,875 – $28,812 · median $11,084	36 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$4,561 – $14,815 · median $5,645	36 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$8,075 – $23,562 · median $9,064	36 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$5,087 – $14,843 · median $5,602	36 plans
537	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC	$6,011 – $17,830 · median $6,747	36 plans
538	SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC	$4,537 – $13,238 · median $5,093	36 plans
539	OSTEOMYELITIS WITH MCC	$9,957 – $36,201 · median $13,793	36 plans
540	OSTEOMYELITIS WITH CC	$6,692 – $23,824 · median $8,891	36 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$4,750 – $14,471 · median $5,440	36 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$11,127 – $32,466 · median $12,489	36 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$6,475 – $18,893 · median $7,268	36 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$4,753 – $14,354 · median $5,335	36 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$15,632 – $45,611 · median $17,546	36 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$7,265 – $21,198 · median $8,155	36 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,267 – $15,368 · median $5,912	36 plans
548	SEPTIC ARTHRITIS WITH MCC	$12,162 – $35,716 · median $13,652	36 plans
549	SEPTIC ARTHRITIS WITH CC	$7,604 – $22,187 · median $8,531	36 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$5,506 – $16,065 · median $6,180	36 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$10,075 – $30,805 · median $11,581	36 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$5,360 – $17,667 · median $6,715	36 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$8,165 – $24,689 · median $9,165	36 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$4,886 – $15,256 · median $5,735	36 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$8,326 – $25,511 · median $9,345	36 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$5,232 – $15,265 · median $5,870	36 plans
557	TENDONITIS- MYOSITIS AND BURSITIS WITH MCC	$8,193 – $27,327 · median $10,274	36 plans
558	TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC	$3,927 – $16,416 · median $6,085	36 plans
559	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$11,747 – $34,275 · median $13,179	36 plans
560	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$6,980 – $20,696 · median $7,958	36 plans
561	AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$5,064 – $14,775 · median $5,681	36 plans
562	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC	$8,974 – $26,186 · median $10,073	36 plans
563	FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC	$5,191 – $16,458 · median $6,328	36 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$9,723 – $28,369 · median $10,913	36 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$6,138 – $17,908 · median $6,886	36 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$4,720 – $13,771 · median $5,298	36 plans
570	SKIN DEBRIDEMENT WITH MCC	$16,632 – $54,054 · median $20,784	36 plans
571	SKIN DEBRIDEMENT WITH CC	$8,558 – $31,051 · median $11,831	36 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$7,220 – $21,068 · median $8,101	36 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$41,266 – $120,406 · median $46,319	36 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$19,907 – $63,800 · median $24,309	36 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$11,319 – $35,155 · median $12,705	36 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$30,872 – $102,289 · median $34,652	36 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$16,696 – $48,717 · median $18,741	36 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$10,118 – $30,389 · median $11,357	36 plans
579	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$15,538 – $59,520 · median $22,678	36 plans
580	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$10,884 – $31,758 · median $12,211	36 plans
581	OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$9,090 – $26,522 · median $10,198	36 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$12,135 – $39,286 · median $13,621	36 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$10,862 – $35,473 · median $12,192	36 plans
584	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$13,484 – $42,799 · median $15,135	36 plans
585	BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$12,151 – $37,323 · median $13,639	36 plans
592	SKIN ULCERS WITH MCC	$9,499 – $35,568 · median $13,552	36 plans
593	SKIN ULCERS WITH CC	$5,797 – $21,803 · median $8,082	36 plans
594	SKIN ULCERS WITHOUT CC/MCC	$3,944 – $15,931 · median $6,070	36 plans
595	MAJOR SKIN DISORDERS WITH MCC	$13,358 – $39,716 · median $14,993	36 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$4,838 – $19,895 · median $7,375	36 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$10,501 – $30,857 · median $11,786	36 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$7,126 – $20,792 · median $7,995	36 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$4,846 – $14,141 · median $5,440	36 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$3,984 – $19,143 · median $7,161	36 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,011 – $11,119 · median $4,237	36 plans
602	CELLULITIS WITH MCC	$8,952 – $26,122 · median $10,044	36 plans
603	CELLULITIS WITHOUT MCC	$4,173 – $16,006 · median $5,933	36 plans
604	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$9,272 – $27,362 · median $10,408	36 plans
605	TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$5,055 – $16,835 · median $6,329	36 plans
606	MINOR SKIN DISORDERS WITH MCC	$6,461 – $27,811 · median $10,596	36 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$3,801 – $16,658 · median $6,175	36 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$13,806 – $40,283 · median $15,496	36 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$8,814 – $25,717 · median $9,893	36 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$19,397 – $64,094 · median $24,096	36 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$9,830 – $34,374 · median $13,119	36 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$6,200 – $26,067 · median $9,932	36 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$18,187 – $53,067 · median $20,405	36 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$10,080 – $29,412 · median $11,309	36 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$8,744 – $27,722 · median $10,660	36 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$17,039 – $65,414 · median $24,923	36 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$9,677 – $32,970 · median $12,677	36 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$7,370 – $23,008 · median $8,847	36 plans
625	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$19,023 – $55,506 · median $21,352	36 plans
626	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$9,444 – $27,557 · median $10,601	36 plans
627	THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$8,049 – $24,412 · median $9,387	36 plans
628	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$19,363 – $68,494 · median $26,097	36 plans
629	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$11,204 – $40,044 · median $14,916	36 plans
630	OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$7,277 – $26,824 · median $10,220	36 plans
637	DIABETES WITH MCC	$7,523 – $26,405 · median $9,925	36 plans
638	DIABETES WITH CC	$4,648 – $16,471 · median $6,161	36 plans
639	DIABETES WITHOUT CC/MCC	$3,588 – $11,417 · median $4,292	36 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC	$8,193 – $24,547 · median $9,438	36 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC	$4,504 – $14,302 · median $5,499	36 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$6,539 – $26,136 · median $9,958	36 plans
643	ENDOCRINE DISORDERS WITH MCC	$9,940 – $30,253 · median $11,633	36 plans
644	ENDOCRINE DISORDERS WITH CC	$5,742 – $18,838 · median $7,211	36 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$3,935 – $14,120 · median $5,249	36 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$23,243 – $86,406 · median $32,922	36 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$23,342 – $118,875 · median $26,200	36 plans
652	KIDNEY TRANSPLANT	$20,342 – $76,497 · median $22,833	36 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$32,090 – $102,382 · median $36,388	36 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$17,632 – $51,448 · median $19,782	36 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$13,332 – $38,900 · median $14,964	36 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$20,054 – $58,514 · median $22,499	36 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$11,527 – $33,633 · median $12,932	36 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$9,774 – $28,520 · median $10,966	36 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$13,485 – $46,699 · median $17,909	36 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$7,481 – $24,291 · median $9,340	36 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$6,124 – $19,029 · median $7,317	36 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$19,284 – $56,667 · median $21,645	36 plans
663	MINOR BLADDER PROCEDURES WITH CC	$9,575 – $28,296 · median $10,748	36 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$6,594 – $20,577 · median $7,402	36 plans
665	PROSTATECTOMY WITH MCC	$19,660 – $59,097 · median $22,067	36 plans
666	PROSTATECTOMY WITH CC	$11,018 – $32,150 · median $12,368	36 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$6,968 – $20,331 · median $7,821	36 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$18,392 – $53,666 · median $20,645	36 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$8,422 – $28,524 · median $10,723	36 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$6,156 – $17,962 · median $6,906	36 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$11,306 – $32,990 · median $12,691	36 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$6,800 – $19,840 · median $7,632	36 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$20,576 – $77,220 · median $28,625	36 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$13,604 – $42,981 · median $16,526	36 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$10,339 – $30,167 · median $11,605	36 plans
682	RENAL FAILURE WITH MCC	$7,540 – $27,219 · median $10,371	36 plans
683	RENAL FAILURE WITH CC	$4,317 – $16,096 · median $5,967	36 plans
684	RENAL FAILURE WITHOUT CC/MCC	$3,214 – $11,033 · median $4,150	36 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$11,361 – $33,150 · median $12,752	36 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$6,600 – $19,257 · median $7,405	36 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$4,978 – $14,525 · median $5,585	36 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$7,308 – $21,325 · median $8,200	36 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$4,232 – $14,878 · median $5,588	36 plans
693	URINARY STONES WITH MCC	$8,469 – $26,371 · median $9,506	36 plans
694	URINARY STONES WITHOUT MCC	$4,012 – $14,367 · median $5,346	36 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$7,205 – $21,699 · median $8,087	36 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$4,021 – $12,663 · median $4,761	36 plans
697	URETHRAL STRICTURE	$6,789 – $19,809 · median $7,620	36 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$10,279 – $30,406 · median $11,691	36 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$6,022 – $18,654 · median $7,173	36 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$4,346 – $12,679 · median $4,878	36 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$12,383 – $36,763 · median $14,136	36 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$9,664 – $28,197 · median $10,847	36 plans
709	PENIS PROCEDURES WITH CC/MCC	$14,658 – $42,769 · median $16,453	36 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$8,826 – $26,745 · median $9,907	36 plans
711	TESTES PROCEDURES WITH CC/MCC	$13,125 – $38,445 · median $14,733	36 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$6,927 – $21,381 · median $7,775	36 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$9,470 – $27,631 · median $10,624	36 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$6,660 – $19,434 · median $7,472	36 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$14,092 – $41,119 · median $15,818	36 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$9,265 – $27,035 · median $10,400	36 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$9,728 – $34,745 · median $13,238	36 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$6,531 – $24,684 · median $9,405	36 plans
722	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC	$11,399 – $33,260 · median $12,795	36 plans
723	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC	$7,198 – $21,001 · median $8,079	36 plans
724	MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,130 – $14,055 · median $4,636	36 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$7,371 – $23,474 · median $8,273	36 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$3,422 – $13,924 · median $5,056	36 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$9,340 – $28,240 · median $10,484	36 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$4,580 – $14,909 · median $5,605	36 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$6,669 – $19,549 · median $7,485	36 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,095 – $12,351 · median $4,706	36 plans
734	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$12,519 – $39,147 · median $15,052	36 plans
735	PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$8,475 – $24,729 · median $9,513	36 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$22,515 – $75,338 · median $25,272	36 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$12,849 – $37,871 · median $14,562	36 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$9,250 – $26,989 · median $10,378	36 plans
739	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC	$22,567 – $70,871 · median $25,331	36 plans
740	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC	$11,398 – $33,258 · median $12,788	36 plans
741	UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC	$8,804 – $26,210 · median $10,078	36 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$10,585 – $33,721 · median $12,966	36 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$7,404 – $22,803 · median $8,768	36 plans
744	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$8,643 – $37,660 · median $13,960	36 plans
745	D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$3,821 – $20,906 · median $7,750	36 plans
746	VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC	$8,778 – $31,926 · median $12,164	36 plans
747	VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$5,415 – $15,800 · median $6,078	36 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$8,738 – $25,497 · median $9,808	36 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$13,986 – $47,189 · median $17,740	36 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,296 – $27,123 · median $10,434	36 plans
754	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$10,890 – $33,848 · median $12,725	36 plans
755	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC	$6,539 – $19,992 · median $7,516	36 plans
756	MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,759 – $17,653 · median $6,788	36 plans
757	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC	$8,604 – $27,156 · median $10,027	36 plans
758	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC	$5,284 – $17,993 · median $6,764	36 plans
759	INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,751 – $12,196 · median $4,585	36 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$4,487 – $18,517 · median $6,864	36 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$3,593 – $10,485 · median $3,942	36 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$9,050 – $31,056 · median $11,942	36 plans
770	ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY	$4,733 – $18,428 · median $7,021	36 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$2,918 – $12,033 · median $4,460	36 plans
779	ABORTION WITHOUT D&C	$3,113 – $15,462 · median $5,732	36 plans
789	NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$9,669 – $33,122 · median $12,736	36 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE	$6,452 – $121,950 · median $41,620	36 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$2,547 – $74,599 · median $27,654	36 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$1,990 – $45,013 · median $16,529	36 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$7,040 – $76,632 · median $28,139	36 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$1,925 – $27,125 · median $9,960	36 plans
795	NORMAL NEWBORN	$1,134 – $3,672 · median $1,380	36 plans
799	SPLENIC PROCEDURES WITH MCC	$25,622 – $83,235 · median $32,005	36 plans
800	SPLENIC PROCEDURES WITH CC	$17,696 – $51,633 · median $19,854	36 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$12,024 – $35,083 · median $13,496	36 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$25,095 – $73,223 · median $28,168	36 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$11,709 – $34,164 · median $13,143	36 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$8,541 – $24,922 · median $9,583	36 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$13,731 – $40,578 · median $15,480	36 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$7,370 – $23,266 · median $8,946	36 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$6,098 – $19,235 · median $7,231	36 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$8,736 – $25,809 · median $9,924	36 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$5,784 – $16,875 · median $6,349	36 plans
813	COAGULATION DISORDERS	$9,608 – $28,033 · median $10,784	36 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$11,577 – $39,086 · median $15,029	36 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$6,344 – $18,636 · median $7,162	36 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$3,981 – $11,615 · median $4,468	36 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$10,084 – $41,933 · median $15,544	36 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$6,768 – $21,305 · median $8,192	36 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$4,538 – $15,804 · median $6,044	36 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$36,941 – $107,788 · median $41,446	36 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$14,100 – $41,143 · median $15,827	36 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$7,584 – $22,185 · median $8,512	36 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$28,879 – $84,263 · median $32,400	36 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$14,270 – $41,639 · median $16,018	36 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$8,500 – $24,800 · median $9,540	36 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$29,464 – $90,290 · median $33,072	36 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$14,558 – $42,477 · median $16,340	36 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$10,732 – $31,314 · median $12,040	36 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$13,638 – $58,077 · median $22,128	36 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$9,480 – $27,660 · median $10,640	36 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$4,816 – $22,100 · median $8,193	36 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$3,435 – $13,262 · median $4,916	36 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$2,443 – $9,610 · median $3,562	36 plans
834	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC	$34,580 – $127,258 · median $38,814	36 plans
835	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC	$13,138 – $48,668 · median $14,747	36 plans
836	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$7,681 – $30,016 · median $8,622	36 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$26,750 – $88,297 · median $33,951	36 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$8,889 – $38,364 · median $14,221	36 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$7,184 – $26,537 · median $9,837	36 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$20,376 – $59,453 · median $22,871	36 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$10,276 – $29,983 · median $11,534	36 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$6,364 – $20,035 · median $7,144	36 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$12,565 – $36,662 · median $13,969	36 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$7,668 – $22,374 · median $8,603	36 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$5,364 – $15,942 · median $6,021	36 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$12,909 – $47,647 · median $17,663	36 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$6,302 – $24,043 · median $8,913	36 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$4,037 – $15,611 · median $5,948	36 plans
849	RADIOTHERAPY	$17,067 – $49,797 · median $19,156	36 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$28,769 – $90,765 · median $34,900	36 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$11,798 – $36,723 · median $13,806	36 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$9,330 – $27,517 · median $10,580	36 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$23,281 – $83,599 · median $31,853	36 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$10,924 – $39,358 · median $14,996	36 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$7,760 – $25,600 · median $9,843	36 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$8,464 – $33,517 · median $12,425	36 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$5,394 – $18,340 · median $6,895	36 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$5,352 – $16,315 · median $6,133	36 plans
865	VIRAL ILLNESS WITH MCC	$8,074 – $27,537 · median $10,352	36 plans
866	VIRAL ILLNESS WITHOUT MCC	$4,546 – $15,982 · median $6,002	36 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$13,185 – $38,470 · median $14,792	36 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$6,429 – $18,950 · median $7,287	36 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$4,596 – $13,411 · median $5,159	36 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$43,536 – $127,030 · median $48,844	36 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$11,891 – $35,701 · median $13,727	36 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$6,073 – $18,807 · median $7,070	36 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$24,344 – $71,032 · median $27,325	36 plans
894	ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA	$2,892 – $11,338 · median $4,203	36 plans
896	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC	$9,635 – $32,073 · median $12,058	36 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$26,433 – $77,128 · median $29,657	36 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$10,118 – $35,186 · median $13,466	36 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$6,760 – $21,496 · median $8,265	36 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$23,136 – $67,507 · median $25,957	36 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$9,344 – $30,034 · median $10,488	36 plans
906	HAND PROCEDURES FOR INJURIES	$10,966 – $36,101 · median $13,881	36 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$23,298 – $70,562 · median $27,063	36 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$11,942 – $36,669 · median $14,100	36 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$8,125 – $24,126 · median $9,277	36 plans
913	TRAUMATIC INJURY WITH MCC	$10,296 – $30,042 · median $11,557	36 plans
914	TRAUMATIC INJURY WITHOUT MCC	$5,080 – $16,274 · median $6,258	36 plans
915	ALLERGIC REACTIONS WITH MCC	$8,872 – $30,906 · median $11,817	36 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$3,876 – $12,246 · median $4,604	36 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$8,414 – $28,825 · median $11,084	36 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$4,181 – $15,752 · median $5,839	36 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$9,406 – $33,648 · median $12,558	36 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$5,784 – $18,421 · median $7,083	36 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$4,147 – $12,652 · median $4,865	36 plans
922	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$11,019 – $32,152 · median $12,368	36 plans
923	OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$4,558 – $18,704 · median $6,934	36 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$134,482 – $405,491 · median $150,949	36 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$19,974 – $131,825 · median $48,406	36 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$9,703 – $59,194 · median $21,736	36 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$20,730 – $71,570 · median $27,520	36 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$3,197 – $40,628 · median $15,480	36 plans
935	NON-EXTENSIVE BURNS	$7,413 – $37,860 · median $14,035	36 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$22,855 – $66,687 · median $25,654	36 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$14,537 – $42,949 · median $16,514	36 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$9,737 – $37,267 · median $13,815	36 plans
945	REHABILITATION WITH CC/MCC	$9,754 – $28,461 · median $10,949	36 plans
946	REHABILITATION WITHOUT CC/MCC	$7,223 – $21,077 · median $8,108	36 plans
947	SIGNS AND SYMPTOMS WITH MCC	$7,565 – $23,330 · median $8,971	36 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$5,042 – $14,712 · median $5,657	36 plans
949	AFTERCARE WITH CC/MCC	$7,494 – $21,865 · median $8,411	36 plans
950	AFTERCARE WITHOUT CC/MCC	$3,954 – $17,299 · median $4,438	36 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$2,850 – $10,219 · median $3,800	36 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$42,398 – $123,709 · median $47,589	36 plans
956	LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$23,702 – $88,926 · median $26,605	36 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$47,996 – $140,044 · median $53,849	36 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$26,542 – $77,446 · median $29,779	36 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$15,238 – $54,109 · median $20,616	36 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$17,220 – $50,244 · median $19,328	36 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$9,330 – $28,167 · median $10,831	36 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$5,924 – $17,285 · median $6,641	36 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$38,557 – $123,483 · median $43,278	36 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$16,612 – $52,948 · median $18,647	36 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$18,178 – $53,041 · median $20,404	36 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$8,157 – $25,194 · median $9,156	36 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$5,686 – $17,026 · median $6,382	36 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$8,174 – $25,754 · median $9,175	36 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$29,553 – $86,229 · median $33,171	36 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$15,486 – $45,184 · median $17,374	36 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$10,398 – $31,501 · median $11,843	36 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$21,595 – $63,010 · median $24,228	36 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$10,220 – $30,207 · median $11,615	36 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$7,553 – $22,040 · median $8,475	36 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$169,475 – $515,044 · median $197,950	35 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$71,376 – $237,284 · median $80,116	35 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$64,943 – $198,428 · median $72,896	35 plans
006	LIVER TRANSPLANT WITHOUT MCC	$29,207 – $89,991 · median $32,784	35 plans
007	LUNG TRANSPLANT	$81,570 – $238,008 · median $91,558	35 plans
008	SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT	$35,302 – $103,005 · median $39,625	35 plans
010	PANCREAS TRANSPLANT	$33,163 – $131,880 · median $49,810	35 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$75,698 – $220,874 · median $84,890	35 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$25,682 – $108,980 · median $41,161	35 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$21,382 – $99,839 · median $37,708	35 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY	$271,998 – $793,645 · median $305,304	35 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$44,939 – $141,462 · median $50,442	35 plans
173	URETHRAL PROCEDURES AGE 0-17	$18,748 – $54,702 · median $21,043	35 plans
212	TESTES PROCEDURES AGE 0-17	$68,493 – $201,886 · median $76,880	35 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$44,913 – $131,048 · median $50,412	35 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$33,094 – $110,394 · median $41,695	35 plans
277	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$29,091 – $84,882 · median $32,653	35 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$28,665 – $102,300 · median $38,638	35 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$22,716 – $66,281 · median $25,497	35 plans
317	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$42,117 – $122,889 · median $47,274	35 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$17,138 – $50,005 · median $19,236	35 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$11,105 – $34,202 · median $12,464	35 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$27,257 – $79,532 · median $30,595	35 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$19,847 – $57,911 · median $22,278	35 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$20,222 – $59,003 · median $22,698	35 plans
397	MAJOR HEAD AND NECK PROCEDURES WITH CC	$11,789 – $44,015 · median $16,624	35 plans
398	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$9,534 – $27,818 · median $10,691	35 plans
399	OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC	$7,210 – $21,038 · median $8,086	35 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$10,835 – $73,892 · median $27,650	35 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$17,838 – $202,556 · median $74,379	35 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$13,372 – $132,669 · median $48,716	35 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$10,160 – $103,325 · median $38,664	35 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$56,749 – $165,585 · median $63,698	35 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$31,865 – $105,992 · median $40,737	35 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$35,792 – $122,799 · median $47,196	35 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$22,561 – $77,941 · median $29,897	35 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$30,109 – $97,951 · median $37,646	35 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$17,311 – $59,371 · median $22,818	35 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$4,461 – $19,695 · median $7,232	35 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$7,048 – $45,122 · median $16,569	35 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$6,166 – $19,483 · median $7,488	35 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$5,148 – $17,603 · median $6,693	35 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$6,124 – $20,525 · median $7,889	35 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$5,140 – $17,622 · median $6,773	35 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$7,351 – $21,867 · median $8,251	35 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$6,301 – $18,386 · median $7,066	35 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$4,351 – $19,834 · median $7,283	35 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$3,961 – $13,858 · median $5,185	35 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$3,376 – $12,391 · median $4,550	35 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$54,544 – $172,151 · median $61,223	35 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$4,987 – $17,647 · median $6,604	35 plans
881	DEPRESSIVE NEUROSES	$3,104 – $17,293 · median $6,350	35 plans
882	NEUROSES EXCEPT DEPRESSIVE	$3,036 – $19,735 · median $7,247	35 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$8,532 – $36,138 · median $13,270	35 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$5,309 – $29,570 · median $10,858	35 plans
885	PSYCHOSES	$4,555 – $25,671 · median $9,427	35 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$10,441 – $38,141 · median $14,006	35 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$6,745 – $19,682 · median $7,571	35 plans
897	ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC	$4,215 – $16,225 · median $6,100	34 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$6,921 – $30,316 · median $11,344	33 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$5,564 – $17,590 · median $6,644	33 plans
209	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17	$4,673 – $208,025 · median $76,387	30 plans
213	SPLENECTOMY AGE 0-17	$16,202 – $104,886 · median $38,514	30 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$15,257 – $44,517 · median $16,736	30 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$21,659 – $110,800 · median $23,759	30 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$15,207 – $60,317 · median $16,681	30 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$13,019 – $28,689 · median $16,165	8 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH CC	$8,456 – $18,634 · median $10,468	8 plans
079	HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC	$6,107 – $13,457 · median $7,384	8 plans
294	DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC	$9,932 – $21,886 · median $12,567	8 plans
295	DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC	$7,031 – $15,494 · median $9,166	8 plans
453	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC	$47,920 – $105,597 · median $94,105	8 plans
454	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC	$30,957 – $68,217 · median $54,708	8 plans
455	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC	$25,487 – $56,162 · median $41,407	8 plans
459	SPINAL FUSION EXCEPT CERVICAL WITH MCC	$32,976 – $72,665 · median $53,244	8 plans
460	SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$18,311 – $40,351 · median $33,643	8 plans
509	ARTHROSCOPY	$13,112 – $28,894 · median $17,252	8 plans
222	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC	$56,766 – $125,090 · median $92,800	6 plans
223	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC	$47,606 – $104,905 · median $77,825	6 plans
224	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC	$50,744 – $111,820 · median $83,774	6 plans
225	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC	$37,836 – $83,375 · median $62,515	6 plans
226	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC	$42,984 – $94,719 · median $71,859	6 plans
227	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$34,638 – $76,329 · median $57,548	6 plans
246	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS	$20,975 – $46,220 · median $34,702	6 plans
247	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	$15,835 – $34,894 · median $25,886	6 plans
248	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS	$20,949 – $46,164 · median $34,851	6 plans
249	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC	$15,860 – $34,950 · median $25,928	6 plans
338	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC	$15,970 – $35,193 · median $28,339	6 plans
339	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	$10,873 – $23,960 · median $18,346	6 plans
340	APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$8,363 – $18,428 · median $13,756	6 plans
341	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC	$13,392 – $29,511 · median $23,657	6 plans
342	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	$9,677 – $21,325 · median $15,971	6 plans
343	APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$6,904 – $15,213 · median $11,790	6 plans
009	SPINAL DISORDERS & INJURIES	$12,858 – $14,433 · median $13,645	2 plans
015	NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT	$7,677 – $8,457 · median $8,067	2 plans
043	HYPHEMA	$4,456 – $4,741 · median $4,599	2 plans
044	ACUTE MAJOR EYE INFECTIONS	$6,618 – $7,235 · median $6,926	2 plans
045	NEUROLOGICAL EYE DISORDERS	$7,036 – $7,718 · median $7,377	2 plans
046	OTHER DISORDERS OF THE EYE AGE >17 W CC	$8,268 – $9,139 · median $8,703	2 plans
047	OTHER DISORDERS OF THE EYE AGE >17 W/O CC	$5,311 – $5,727 · median $5,519	2 plans
048	OTHER DISORDERS OF THE EYE AGE 0-17	$5,178 – $5,573 · median $5,375	2 plans
049	MAJOR HEAD & NECK PROCEDURES	$17,037 – $19,254 · median $18,145	2 plans
050	SIALOADENECTOMY	$7,881 – $8,692 · median $8,286	2 plans
051	SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY	$7,612 – $8,381 · median $7,997	2 plans
104	CARDIAC VALVE & OTH MAJOR CARDIOTHORACIC PROC W CARD CATH	$71,165 – $81,697 · median $76,431	2 plans
105	CARDIAC VALVE & OTH MAJOR CARDIOTHORACIC PROC W/O CARD CATH	$54,257 – $62,193 · median $58,225	2 plans
106	CORONARY BYPASS W PTCA	$53,364 – $61,162 · median $57,263	2 plans
107	CORONARY BYPASS W CARDIAC CATH	$39,863 – $45,587 · median $42,725	2 plans
108	OTHER CARDIOTHORACIC PROCEDURES	$57,401 – $65,819 · median $61,610	2 plans
109	OTHER DISORDERS OF THE EYE AGE 0-17	$7,207 – $7,207 · median $7,207	2 plans
110	MAJOR CARDIOVASCULAR PROCEDURES W CC	$38,781 – $44,340 · median $41,560	2 plans
111	MAJOR CARDIOVASCULAR PROCEDURES W/O CC	$22,469 – $25,521 · median $23,995	2 plans
112	NO LONGER VALID	$19,676 – $22,299 · median $20,987	2 plans
118	CARDIAC PACEMAKER DEVICE REPLACEMENT	$15,638 – $17,640 · median $16,639	2 plans
119	VEIN LIGATION & STRIPPING	$10,467 – $11,676 · median $11,072	2 plans
120	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$19,341 – $21,912 · median $20,626	2 plans
126	ACUTE & SUBACUTE ENDOCARDITIS	$26,783 – $30,498 · median $28,640	2 plans
127	HEART FAILURE & SHOCK	$10,734 – $11,983 · median $11,358	2 plans
128	DEEP VEIN THROMBOPHLEBITIS	$8,513 – $9,421 · median $8,967	2 plans
129	CARDIAC ARREST, UNEXPLAINED	$11,715 – $13,115 · median $12,415	2 plans
130	PERIPHERAL VASCULAR DISORDERS W CC	$9,759 – $10,858 · median $10,308	2 plans
131	PERIPHERAL VASCULAR DISORDERS W/O CC	$6,741 – $7,377 · median $7,059	2 plans
132	ATHEROSCLEROSIS W CC	$8,032 – $8,866 · median $8,449	2 plans
133	ATHEROSCLEROSIS W/O CC	$6,244 – $6,804 · median $6,524	2 plans
134	HYPERTENSION	$6,623 – $7,241 · median $6,932	2 plans
160	HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC	$7,369 – $8,102 · median $7,736	2 plans
161	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17	$17,025 – $17,025 · median $17,025	2 plans
162	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR AGE 0-17	$10,531 – $10,531 · median $10,531	2 plans
169	MOUTH PROCEDURES W/O CC	$6,979 – $7,652 · median $7,316	2 plans
170	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC	$26,865 – $30,592 · median $28,728	2 plans
171	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC	$11,100 – $12,405 · median $11,753	2 plans
172	DIGESTIVE MALIGNANCY W CC	$13,259 – $14,896 · median $14,077	2 plans
174	G.I. HEMORRHAGE W CC	$10,263 – $11,440 · median $10,851	2 plans
210	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W CC	$18,249 – $20,653 · median $19,451	2 plans
211	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W/O CC	$13,259 – $14,896 · median $14,077	2 plans
214	NO LONGER VALID	$18,993 – $21,511 · median $20,252	2 plans
230	LOCAL EXCISION & REMOVAL OF INT FIX DEVICES OF HIP & FEMUR	$9,729 – $10,824 · median $10,277	2 plans
237	SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH	$6,416 – $7,002 · median $6,709	2 plans
238	OSTEOMYELITIS	$15,048 – $16,960 · median $16,004	2 plans
361	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC	$40,888 – $40,888 · median $40,888	2 plans
362	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$38,136 – $38,136 · median $38,136	2 plans
363	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$28,357 – $28,357 · median $28,357	2 plans
364	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$31,006 – $31,006 · median $31,006	2 plans
365	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES	$17,056 – $19,276 · median $18,166	2 plans
366	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC	$12,452 – $13,965 · median $13,208	2 plans
367	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC	$5,453 – $5,891 · median $5,672	2 plans
396	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$37,912 – $37,912 · median $37,912	2 plans
400	NO LONGER VALID	$24,901 – $28,327 · median $26,614	2 plans
401	LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC	$23,404 – $26,600 · median $25,002	2 plans
403	LYMPHOMA & NON-ACUTE LEUKEMIA W CC	$16,899 – $19,095 · median $17,997	2 plans
404	LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC	$8,285 – $9,158 · median $8,721	2 plans
431	CHILDHOOD MENTAL DISORDERS	$7,133 – $7,829 · median $7,481	2 plans
449	POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W CC	$8,496 – $9,401 · median $8,948	2 plans
452	COMPLICATIONS OF TREATMENT W CC	$9,208 – $10,223 · median $9,715	2 plans
484	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$56,231 – $64,470 · median $60,351	2 plans
490	HIV W OR W/O OTHER RELATED CONDITION	$11,092 – $12,397 · median $11,745	2 plans
491	MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY	$16,237 – $18,332 · median $17,285	2 plans
608	BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD	$32,496 – $32,496 · median $32,496	2 plans
609	OTHER RESPIRATORY PROBLEMS AFTER BIRTH	$25,282 – $25,282 · median $25,282	2 plans
610	NEONATE- DIED WITHIN ONE DAY OF BIRTH	$3,194 – $3,194 · median $3,194	2 plans
611	NEONATE- TRANSFERRED <5 DAYS OLD	$2,065 – $2,065 · median $2,065	2 plans
612	NEONATE- BIRTH WEIGHT <750 GRAMS- DISCHARGED ALIVE	$273,916 – $273,916 · median $273,916	2 plans
613	NEONATE- BIRTH WEIGHT <750 GRAMS- DIED	$38,403 – $38,403 · median $38,403	2 plans
631	NEONATE- BIRTH WEIGHT 750-999 GRAMS- DISCHARGED ALIVE	$198,619 – $198,619 · median $198,619	2 plans
632	NEONATE- BIRTH WEIGHT 750-999 GRAMS- DIED	$97,478 – $97,478 · median $97,478	2 plans
633	NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE	$298,917 – $298,917 · median $298,917	2 plans
634	NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE	$107,141 – $107,141 · median $107,141	2 plans
635	NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- DIED	$59,632 – $59,632 · median $59,632	2 plans
636	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS	$175,638 – $175,638 · median $175,638	2 plans
646	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS	$55,642 – $55,642 · median $55,642	2 plans
647	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS	$59,756 – $59,756 · median $59,756	2 plans
648	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM	$41,655 – $41,655 · median $41,655	2 plans
649	NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM	$29,354 – $29,354 · median $29,354	2 plans
676	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS	$28,366 – $28,366 · median $28,366	2 plans
677	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS	$39,457 – $39,457 · median $39,457	2 plans
678	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM	$23,650 – $23,650 · median $23,650	2 plans
679	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM	$10,947 – $10,947 · median $10,947	2 plans
680	NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH OTHER PROBLEM	$7,379 – $7,379 · median $7,379	2 plans
681	NEONATE- BIRTH WEIGHT >2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS	$119,632 – $119,632 · median $119,632	2 plans
691	URINARY STONES W ESW LITHOTRIPSY W CC/MCC	$46,158 – $46,158 · median $46,158	2 plans
692	URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC	$28,378 – $28,378 · median $28,378	2 plans
762	VAGINAL DELIVERY WITH STERILIZATION OR D&C WITH MCC	$9,373 – $9,373 · median $9,373	2 plans
763	VAGINAL DELIVERY WITH STERILIZATION OR D&C WITH CC	$7,149 – $7,149 · median $7,149	2 plans
764	VAGINAL DELIVERY WITH STERILIZATION OR D&C WITHOUT CC/MCC	$6,261 – $6,261 · median $6,261	2 plans
771	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$9,594 – $9,594 · median $9,594	2 plans
772	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$7,786 – $7,786 · median $7,786	2 plans
773	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$6,631 – $6,631 · median $6,631	2 plans
898	ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE >21 WITHOUT MCC	$7,551 – $7,551 · median $7,551	2 plans
899	ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE <21 WITHOUT MCC	$7,699 – $7,699 · median $7,699	2 plans

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