UPMC Altoona — Hospital Prices & Charges

Procedures published 860

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

DRG	Description	Insurance rate range	Payers
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$9,674 – $420,302 · median $292,589	10 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$9,674 – $169,954 · median $118,312	10 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$9,674 – $318,336 · median $206,113	10 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$9,674 – $207,743 · median $134,508	10 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$9,674 – $81,801 · median $52,964	10 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$9,674 – $63,232 · median $40,941	10 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$9,674 – $43,221 · median $27,985	10 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$9,674 – $598,557 · median $401,570	10 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$9,674 – $91,860 · median $66,347	10 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$9,674 – $118,016 · median $76,412	10 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$9,674 – $79,396 · median $51,407	10 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$9,674 – $46,120 · median $30,855	10 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$9,674 – $85,943 · median $55,646	10 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$9,674 – $58,671 · median $37,988	10 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$9,674 – $68,191 · median $44,152	10 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$9,674 – $46,632 · median $30,193	10 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$9,674 – $37,838 · median $24,499	10 plans
028	SPINAL PROCEDURES WITH MCC	$9,674 – $90,112 · median $58,345	10 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$9,674 – $51,167 · median $33,129	10 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$9,674 – $32,924 · median $21,317	10 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$9,674 – $67,199 · median $43,509	10 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$9,674 – $31,961 · median $20,694	10 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$9,674 – $24,940 · median $16,148	10 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$9,674 – $58,053 · median $37,587	10 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$9,674 – $35,853 · median $23,214	10 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$9,674 – $29,138 · median $18,866	10 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$9,674 – $49,375 · median $31,969	10 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$9,674 – $24,336 · median $15,757	10 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$9,674 – $17,630 · median $11,415	10 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$9,674 – $57,910 · median $37,495	10 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$9,674 – $32,976 · median $21,351	10 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$9,674 – $25,912 · median $16,777	10 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$9,674 – $26,708 · median $17,589	10 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$8,058 – $14,686 · median $9,674	10 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$9,674 – $22,900 · median $14,827	10 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$8,391 – $15,292 · median $9,901	10 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$9,674 – $34,842 · median $22,559	10 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$9,674 – $19,431 · median $12,581	10 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$9,674 – $25,639 · median $16,601	10 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$9,674 – $18,611 · median $12,050	10 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$7,569 – $13,795 · median $9,674	10 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$9,674 – $41,351 · median $26,774	10 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$9,674 – $26,354 · median $17,064	10 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$9,674 – $21,054 · median $13,632	10 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$9,674 – $30,161 · median $19,528	10 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$8,314 – $15,152 · median $9,811	10 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$5,632 – $10,265 · median $7,645	10 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$9,674 – $22,028 · median $14,262	10 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$7,114 – $12,964 · median $9,656	10 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$6,574 – $11,980 · median $8,923	10 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$9,674 – $24,969 · median $16,167	10 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$8,443 – $15,388 · median $9,963	10 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$6,223 – $11,341 · median $8,447	10 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$9,674 – $24,061 · median $15,579	10 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$8,483 – $15,460 · median $10,010	10 plans
075	VIRAL MENINGITIS WITH CC/MCC	$9,674 – $28,759 · median $18,620	10 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$6,791 – $11,231 · median $8,365	10 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$9,674 – $27,146 · median $17,577	10 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$7,370 – $13,432 · median $9,674	10 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$9,674 – $34,279 · median $22,195	10 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$9,674 – $20,934 · median $13,554	10 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$7,866 – $14,335 · median $9,674	10 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$9,674 – $34,074 · median $22,062	10 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$9,674 – $19,538 · median $12,650	10 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$7,527 – $13,719 · median $9,674	10 plans
088	CONCUSSION WITH MCC	$9,674 – $20,274 · median $13,127	10 plans
089	CONCUSSION WITH CC	$9,041 – $16,477 · median $10,668	10 plans
090	CONCUSSION WITHOUT CC/MCC	$6,774 – $12,346 · median $9,196	10 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$9,674 – $26,339 · median $17,054	10 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$8,419 – $15,343 · median $9,934	10 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$6,553 – $11,943 · median $8,895	10 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$9,674 – $52,784 · median $34,176	10 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$9,674 – $38,683 · median $25,046	10 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$9,674 – $38,683 · median $25,046	10 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$9,674 – $54,170 · median $35,073	10 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$9,674 – $34,419 · median $22,285	10 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$9,674 – $20,433 · median $13,230	10 plans
100	SEIZURES WITH MCC	$9,674 – $29,048 · median $18,808	10 plans
101	SEIZURES WITHOUT MCC	$7,428 – $13,537 · median $9,674	10 plans
102	HEADACHES WITH MCC	$9,224 – $16,811 · median $10,885	10 plans
103	HEADACHES WITHOUT MCC	$6,882 – $12,543 · median $9,342	10 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$9,674 – $35,262 · median $22,831	10 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$9,674 – $20,292 · median $13,139	10 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$9,674 – $23,020 · median $14,905	10 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$9,674 – $27,118 · median $17,558	10 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$8,928 – $16,271 · median $10,535	10 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$9,573 – $17,447 · median $11,297	10 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$6,467 – $11,785 · median $8,778	10 plans
123	NEUROLOGICAL EYE DISORDERS	$6,572 – $11,977 · median $8,921	10 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$9,674 – $19,844 · median $12,848	10 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$6,319 – $11,515 · median $8,577	10 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$9,674 – $31,724 · median $21,072	10 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$8,355 – $15,227 · median $9,859	10 plans
137	MOUTH PROCEDURES WITH CC/MCC	$9,674 – $22,395 · median $14,500	10 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$7,293 – $13,291 · median $9,674	10 plans
139	SALIVARY GLAND PROCEDURES	$9,674 – $18,127 · median $12,000	10 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$9,674 – $63,971 · median $41,419	10 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$9,674 – $32,712 · median $21,180	10 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$9,674 – $23,943 · median $15,502	10 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$9,674 – $56,192 · median $36,382	10 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$9,674 – $25,990 · median $16,828	10 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$9,674 – $18,032 · median $11,675	10 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$9,674 – $31,757 · median $20,562	10 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$9,674 – $19,070 · median $12,347	10 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$6,560 – $11,955 · median $8,904	10 plans
149	DYSEQUILIBRIUM	$6,185 – $11,273 · median $8,396	10 plans
150	EPISTAXIS WITH MCC	$9,674 – $19,970 · median $12,930	10 plans
151	EPISTAXIS WITHOUT MCC	$6,040 – $11,009 · median $8,199	10 plans
152	OTITIS MEDIA AND URI WITH MCC	$9,674 – $17,731 · median $11,480	10 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$6,075 – $11,072 · median $8,246	10 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$9,674 – $23,449 · median $15,183	10 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$7,542 – $13,746 · median $9,674	10 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$5,687 – $10,365 · median $7,720	10 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$9,674 – $25,749 · median $16,671	10 plans
158	DENTAL AND ORAL DISEASES WITH CC	$7,487 – $13,645 · median $9,674	10 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$5,831 – $10,626 · median $7,914	10 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$9,674 – $67,218 · median $43,522	10 plans
164	MAJOR CHEST PROCEDURES WITH CC	$9,674 – $37,855 · median $24,510	10 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$9,674 – $28,709 · median $18,588	10 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$9,674 – $56,058 · median $36,296	10 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$9,674 – $27,047 · median $17,512	10 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,674 – $20,493 · median $13,269	10 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$9,674 – $44,640 · median $28,903	10 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$9,674 – $20,601 · median $13,339	10 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$6,625 – $12,073 · median $8,992	10 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$9,674 – $23,437 · median $15,175	10 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$8,032 – $14,638 · median $9,674	10 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$6,213 – $11,323 · median $8,434	10 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$9,674 – $26,486 · median $17,149	10 plans
181	RESPIRATORY NEOPLASMS WITH CC	$8,814 – $16,063 · median $10,400	10 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$6,203 – $11,159 · median $8,311	10 plans
183	MAJOR CHEST TRAUMA WITH MCC	$9,674 – $22,945 · median $14,857	10 plans
184	MAJOR CHEST TRAUMA WITH CC	$8,757 – $15,959 · median $10,333	10 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$6,472 – $11,796 · median $8,786	10 plans
186	PLEURAL EFFUSION WITH MCC	$9,674 – $23,374 · median $15,134	10 plans
187	PLEURAL EFFUSION WITH CC	$8,140 – $14,835 · median $9,674	10 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$5,902 – $10,757 · median $8,012	10 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$9,674 – $18,529 · median $11,997	10 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$9,116 – $16,613 · median $10,757	10 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$6,937 – $12,643 · median $9,417	10 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$5,305 – $9,674 · median $7,172	10 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$9,674 – $19,713 · median $12,764	10 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$6,632 – $12,087 · median $9,002	10 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$5,204 – $9,674 · median $7,021	10 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$9,674 – $28,304 · median $18,326	10 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$7,811 – $14,235 · median $9,674	10 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$5,894 – $10,742 · median $8,000	10 plans
199	PNEUMOTHORAX WITH MCC	$9,674 – $26,458 · median $17,131	10 plans
200	PNEUMOTHORAX WITH CC	$9,047 – $16,487 · median $10,675	10 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$5,885 – $10,725 · median $7,988	10 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$7,992 – $14,566 · median $9,674	10 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$5,514 – $10,049 · median $7,484	10 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$6,644 – $12,109 · median $9,019	10 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$9,674 – $27,461 · median $17,780	10 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$7,745 – $14,115 · median $9,674	10 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$9,674 – $96,508 · median $62,486	10 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$9,674 – $41,225 · median $26,692	10 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$9,674 – $169,759 · median $109,914	10 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$9,674 – $163,090 · median $105,596	10 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$9,674 – $85,592 · median $55,418	10 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$9,674 – $149,335 · median $96,690	10 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$9,674 – $146,722 · median $94,999	10 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$9,674 – $98,616 · median $63,851	10 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$9,674 – $98,616 · median $63,851	10 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$9,674 – $115,159 · median $74,562	10 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$9,674 – $79,981 · median $51,786	10 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$9,674 – $75,593 · median $48,944	10 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$9,674 – $74,201 · median $48,043	10 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$9,674 – $47,236 · median $30,584	10 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$9,674 – $126,432 · median $81,861	10 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$9,674 – $90,927 · median $58,873	10 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$9,674 – $114,663 · median $74,241	10 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$9,674 – $81,930 · median $53,047	10 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$9,674 – $88,017 · median $56,989	10 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$9,674 – $62,824 · median $40,676	10 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$9,674 – $73,816 · median $47,793	10 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$9,674 – $42,752 · median $27,681	10 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$9,674 – $20,763 · median $13,444	10 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$9,674 – $47,886 · median $31,005	10 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$9,674 – $31,959 · median $20,693	10 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$9,674 – $27,109 · median $17,552	10 plans
245	AICD GENERATOR PROCEDURES	$9,674 – $68,427 · median $44,304	10 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$9,674 – $32,733 · median $21,194	10 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$9,674 – $22,415 · median $14,513	10 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$9,674 – $52,318 · median $33,874	10 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$9,674 – $38,929 · median $25,205	10 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$9,674 – $26,722 · median $17,302	10 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$9,674 – $40,456 · median $26,194	10 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$9,674 – $25,465 · median $16,488	10 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$8,988 – $16,381 · median $10,606	10 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$9,674 – $47,125 · median $30,512	10 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$9,674 – $30,327 · median $19,636	10 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$9,674 – $48,785 · median $31,587	10 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$9,674 – $28,354 · median $18,358	10 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$9,674 – $24,445 · median $15,828	10 plans
263	VEIN LIGATION AND STRIPPING	$9,674 – $45,855 · median $29,690	10 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$9,674 – $50,102 · median $32,440	10 plans
265	AICD LEAD PROCEDURES	$9,674 – $54,266 · median $35,136	10 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$9,674 – $91,914 · median $59,511	10 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$9,674 – $71,402 · median $46,231	10 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$9,674 – $103,155 · median $66,790	10 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$9,674 – $63,340 · median $41,011	10 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$9,674 – $79,134 · median $51,237	10 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$9,674 – $53,337 · median $34,534	10 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$9,674 – $38,290 · median $24,792	10 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$9,674 – $61,874 · median $40,062	10 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$9,674 – $49,369 · median $31,965	10 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$9,674 – $106,942 · median $69,242	10 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$9,674 – $90,087 · median $58,329	10 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$9,674 – $69,268 · median $44,849	10 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$9,674 – $83,482 · median $54,052	10 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$9,674 – $54,089 · median $35,021	10 plans
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$9,674 – $24,058 · median $15,577	10 plans
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$7,564 – $13,785 · median $9,674	10 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$5,951 – $10,845 · median $8,077	10 plans
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$9,674 – $29,708 · median $19,235	10 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$5,696 – $10,382 · median $7,732	10 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$4,984 – $9,674 · median $6,690	10 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$9,674 – $33,188 · median $21,488	10 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$8,806 – $16,049 · median $10,391	10 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$9,674 – $40,588 · median $26,279	10 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$9,674 – $25,600 · median $16,575	10 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$7,651 – $13,944 · median $9,674	10 plans
291	HEART FAILURE AND SHOCK WITH MCC	$9,674 – $19,254 · median $12,467	10 plans
292	HEART FAILURE AND SHOCK WITH CC	$6,987 – $12,733 · median $9,484	10 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$4,739 – $9,674 · median $6,323	10 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$9,674 – $23,425 · median $15,167	10 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$5,245 – $9,674 · median $6,965	10 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$3,912 – $9,674 · median $5,084	10 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$9,674 – $24,487 · median $15,855	10 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$8,785 – $16,010 · median $10,366	10 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$5,923 – $10,794 · median $8,039	10 plans
302	ATHEROSCLEROSIS WITH MCC	$9,674 – $17,947 · median $11,620	10 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$5,540 – $10,097 · median $7,520	10 plans
304	HYPERTENSION WITH MCC	$9,674 – $17,848 · median $11,556	10 plans
305	HYPERTENSION WITHOUT MCC	$6,214 – $11,325 · median $8,435	10 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$9,674 – $23,634 · median $15,302	10 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$7,515 – $13,696 · median $9,674	10 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$9,674 – $18,058 · median $11,692	10 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$6,054 – $11,034 · median $8,218	10 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$4,739 – $9,674 · median $6,324	10 plans
311	ANGINA PECTORIS	$5,776 – $10,527 · median $7,841	10 plans
312	SYNCOPE AND COLLAPSE	$7,173 – $13,072 · median $9,674	10 plans
313	CHEST PAIN	$5,925 – $10,799 · median $8,043	10 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$9,674 – $31,274 · median $20,249	10 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$7,927 – $14,448 · median $9,674	10 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,613 – $10,230 · median $7,619	10 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$9,674 – $100,284 · median $64,931	10 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$9,674 – $36,328 · median $23,521	10 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$9,674 – $66,935 · median $43,338	10 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$9,674 – $36,075 · median $23,357	10 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$9,674 – $40,807 · median $26,421	10 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$9,674 – $26,441 · median $17,120	10 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$9,674 – $64,902 · median $42,022	10 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$9,674 – $47,259 · median $30,599	10 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$9,674 – $48,150 · median $31,175	10 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$9,674 – $74,801 · median $48,431	10 plans
327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$9,674 – $36,658 · median $23,735	10 plans
328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$9,674 – $24,031 · median $15,560	10 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$9,674 – $68,938 · median $44,636	10 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$9,674 – $35,953 · median $23,279	10 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$9,674 – $25,240 · median $16,342	10 plans
332	RECTAL RESECTION WITH MCC	$9,674 – $54,303 · median $35,160	10 plans
333	RECTAL RESECTION WITH CC	$9,674 – $35,128 · median $22,745	10 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$9,674 – $24,565 · median $15,905	10 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$9,674 – $53,556 · median $34,676	10 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$9,674 – $31,626 · median $20,477	10 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$9,674 – $23,022 · median $14,906	10 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$9,674 – $38,737 · median $25,081	10 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$9,674 – $22,567 · median $14,612	10 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$9,674 – $17,791 · median $11,519	10 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$9,674 – $34,429 · median $22,292	10 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$9,674 – $19,629 · median $12,709	10 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$7,165 – $13,057 · median $9,674	10 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$9,674 – $37,374 · median $24,198	10 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$9,674 – $22,864 · median $14,804	10 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$9,610 – $17,515 · median $11,340	10 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$9,674 – $43,524 · median $28,181	10 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$9,674 – $25,233 · median $16,337	10 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$9,674 – $20,172 · median $13,061	10 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$9,674 – $65,883 · median $42,658	10 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$9,674 – $34,878 · median $22,582	10 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,674 – $20,966 · median $13,575	10 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$9,674 – $51,572 · median $33,391	10 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$9,674 – $36,210 · median $23,445	10 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$9,674 – $23,875 · median $15,459	10 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$8,231 – $15,001 · median $9,713	10 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$5,767 – $10,511 · median $7,828	10 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$9,674 – $26,593 · median $17,218	10 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$8,402 – $15,313 · median $9,915	10 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$5,986 – $10,910 · median $8,125	10 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$9,674 – $32,076 · median $20,768	10 plans
375	DIGESTIVE MALIGNANCY WITH CC	$9,674 – $18,142 · median $11,746	10 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$7,606 – $13,863 · median $9,674	10 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$9,674 – $27,416 · median $17,751	10 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$8,071 – $14,709 · median $9,674	10 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$5,218 – $9,674 · median $7,042	10 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$9,674 – $29,429 · median $19,054	10 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$8,917 – $16,250 · median $10,522	10 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$6,589 – $12,007 · median $8,943	10 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$9,674 – $20,708 · median $13,408	10 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$7,035 – $12,820 · median $9,549	10 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$9,674 – $23,731 · median $15,365	10 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$8,034 – $14,643 · median $9,674	10 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$5,607 – $10,218 · median $7,611	10 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$9,674 – $22,149 · median $14,341	10 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$6,500 – $11,845 · median $8,823	10 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$4,575 – $9,674 · median $6,077	10 plans
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$9,674 – $19,022 · median $12,316	10 plans
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$6,416 – $11,692 · median $8,709	10 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$9,674 – $23,986 · median $15,530	10 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$7,700 – $14,034 · median $9,674	10 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,357 – $9,734 · median $7,250	10 plans
397	APPENDIX PROCEDURES WITH MCC	$9,674 – $35,919 · median $23,256	10 plans
398	APPENDIX PROCEDURES WITH CC	$9,674 – $22,701 · median $14,698	10 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$9,420 – $17,168 · median $11,116	10 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$9,674 – $60,299 · median $39,042	10 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$9,674 – $82,047 · median $53,123	10 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$9,674 – $43,497 · median $28,163	10 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$9,674 – $33,290 · median $21,554	10 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$9,674 – $53,477 · median $34,625	10 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$9,674 – $32,655 · median $21,143	10 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$9,674 – $23,812 · median $15,418	10 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$9,674 – $49,543 · median $32,078	10 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$9,674 – $31,533 · median $20,417	10 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$9,674 – $24,904 · median $16,125	10 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$9,674 – $53,432 · median $34,596	10 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$9,674 – $30,996 · median $20,069	10 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$9,674 – $20,447 · median $13,239	10 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$9,674 – $35,791 · median $23,174	10 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$9,674 – $25,371 · median $16,427	10 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$9,674 – $20,484 · median $13,263	10 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$9,674 – $51,100 · median $33,086	10 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$9,674 – $26,059 · median $16,872	10 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$9,674 – $20,990 · median $13,590	10 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$9,674 – $62,287 · median $40,329	10 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$9,674 – $32,814 · median $21,246	10 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$9,674 – $22,502 · median $14,569	10 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,674 – $165,296 · median $107,024	10 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$9,674 – $108,265 · median $70,098	10 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$9,674 – $84,319 · median $54,594	10 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$9,674 – $135,126 · median $87,490	10 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$9,674 – $86,495 · median $56,003	10 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$9,674 – $29,519 · median $19,113	10 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$8,692 – $15,841 · median $10,257	10 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,863 – $10,686 · median $7,959	10 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$9,674 – $27,547 · median $17,836	10 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$9,308 – $16,964 · median $10,984	10 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$7,022 – $12,798 · median $9,532	10 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$9,674 – $24,450 · median $15,831	10 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$6,923 – $12,616 · median $9,397	10 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$5,151 – $9,674 · median $6,941	10 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$9,674 – $26,917 · median $17,428	10 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$7,944 – $14,478 · median $9,674	10 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,758 – $10,494 · median $7,816	10 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$9,674 – $25,060 · median $16,226	10 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$9,006 – $16,414 · median $10,627	10 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$6,808 – $12,408 · median $9,241	10 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,674 – $100,211 · median $64,883	10 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$9,674 – $63,604 · median $41,181	10 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,674 – $79,933 · median $51,755	10 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$9,674 – $48,450 · median $31,370	10 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$9,674 – $126,034 · median $81,603	10 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$9,674 – $89,435 · median $57,906	10 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$9,674 – $62,581 · median $40,519	10 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$9,674 – $80,398 · median $53,633	10 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$9,674 – $39,895 · median $25,831	10 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$9,674 – $85,481 · median $55,347	10 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$9,674 – $46,714 · median $30,246	10 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$9,674 – $27,352 · median $17,710	10 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$9,674 – $78,071 · median $50,548	10 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$9,674 – $52,892 · median $34,246	10 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$9,674 – $41,215 · median $26,685	10 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$9,674 – $45,492 · median $29,455	10 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$9,674 – $28,930 · median $18,731	10 plans
471	CERVICAL SPINAL FUSION WITH MCC	$9,674 – $72,421 · median $46,890	10 plans
472	CERVICAL SPINAL FUSION WITH CC	$9,674 – $44,186 · median $28,609	10 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$9,674 – $36,615 · median $23,707	10 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$9,674 – $64,385 · median $41,687	10 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$9,674 – $34,131 · median $22,099	10 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$9,674 – $17,701 · median $11,461	10 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,674 – $51,812 · median $33,547	10 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$9,674 – $36,883 · median $23,881	10 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$9,674 – $27,880 · median $18,051	10 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$9,674 – $43,679 · median $28,281	10 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$9,674 – $31,413 · median $20,339	10 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$9,674 – $24,462 · median $15,838	10 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$9,674 – $41,573 · median $26,917	10 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$9,674 – $48,400 · median $31,338	10 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$9,674 – $31,362 · median $20,306	10 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$9,674 – $23,490 · median $15,209	10 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$9,674 – $22,851 · median $17,020	10 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$9,191 – $16,750 · median $10,845	10 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	$9,674 – $55,067 · median $35,654	10 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	$9,674 – $38,036 · median $24,627	10 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	$9,674 – $30,093 · median $19,485	10 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$9,674 – $54,378 · median $35,208	10 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$9,674 – $142,914 · median $100,123	9 plans
006	LIVER TRANSPLANT WITHOUT MCC	$9,674 – $64,273 · median $45,029	9 plans
007	LUNG TRANSPLANT	$9,674 – $179,503 · median $125,756	9 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$9,674 – $77,685 · median $54,425	9 plans
010	PANCREAS TRANSPLANT	$9,674 – $69,682 · median $42,552	9 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$9,674 – $166,580 · median $116,703	9 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$9,674 – $82,192 · median $57,582	9 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$9,674 – $67,064 · median $52,752	9 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$14,845 – $27,055 · median $18,834	9 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$9,944 – $17,273 · median $12,299	9 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$24,827 – $45,246 · median $31,497	9 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$16,581 – $30,218 · median $21,036	9 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$26,045 – $47,466 · median $33,043	9 plans
501	SOFT TISSUE PROCEDURES WITH CC	$14,386 – $26,218 · median $18,251	9 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$11,076 – $20,186 · median $14,052	9 plans
503	FOOT PROCEDURES WITH MCC	$22,969 – $41,861 · median $29,141	9 plans
504	FOOT PROCEDURES WITH CC	$15,383 – $28,034 · median $19,516	9 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$14,754 – $26,888 · median $18,718	9 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$11,103 – $17,992 · median $13,251	9 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$14,866 – $27,092 · median $18,860	9 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$12,463 – $22,713 · median $15,811	9 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$24,857 – $45,301 · median $31,536	9 plans
511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	$17,112 – $31,187 · median $21,710	9 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$13,623 – $24,828 · median $17,284	9 plans
513	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$12,956 – $23,611 · median $16,437	9 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$8,413 – $15,332 · median $10,674	9 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$26,226 – $47,797 · median $33,273	9 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$17,102 – $31,167 · median $21,697	9 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$12,646 – $23,047 · median $16,044	9 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$30,756 – $56,052 · median $39,020	9 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$16,461 – $29,999 · median $20,883	9 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$12,294 – $22,406 · median $15,597	9 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$23,620 – $43,047 · median $29,967	9 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$17,428 – $31,761 · median $22,110	9 plans
533	FRACTURES OF FEMUR WITH MCC	$12,901 – $23,512 · median $16,368	9 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$6,634 – $12,090 · median $8,416	9 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$10,550 – $19,227 · median $13,385	9 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$6,646 – $12,112 · median $8,432	9 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$7,853 – $14,313 · median $9,964	9 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$5,928 – $10,803 · median $7,520	9 plans
539	OSTEOMYELITIS WITH MCC	$16,210 – $29,542 · median $20,565	9 plans
540	OSTEOMYELITIS WITH CC	$10,668 – $19,442 · median $13,534	9 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$6,480 – $11,571 · median $8,132	9 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$14,537 – $26,494 · median $18,443	9 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$8,460 – $15,418 · median $10,733	9 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$6,210 – $11,317 · median $7,879	9 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$20,423 – $37,221 · median $25,911	9 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$9,492 – $17,299 · median $12,042	9 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$6,881 – $12,541 · median $8,731	9 plans
548	SEPTIC ARTHRITIS WITH MCC	$15,890 – $28,960 · median $20,160	9 plans
549	SEPTIC ARTHRITIS WITH CC	$9,935 – $18,106 · median $12,604	9 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$7,193 – $13,110 · median $9,126	9 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$13,793 – $25,138 · median $17,500	9 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$7,911 – $14,418 · median $10,037	9 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$10,668 – $19,442 · median $13,534	9 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$6,831 – $12,450 · median $8,667	9 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$10,878 – $19,824 · median $13,801	9 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$6,835 – $12,457 · median $8,672	9 plans
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$12,236 – $22,301 · median $15,524	9 plans
558	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	$7,351 – $13,396 · median $9,326	9 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$15,347 – $27,970 · median $19,471	9 plans
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$9,267 – $16,889 · median $11,757	9 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$6,616 – $12,057 · median $8,393	9 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$11,725 – $21,369 · median $14,876	9 plans
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$7,369 – $13,431 · median $9,350	9 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$12,703 – $23,151 · median $16,116	9 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$8,019 – $14,614 · median $10,173	9 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$6,166 – $11,238 · median $7,823	9 plans
570	SKIN DEBRIDEMENT WITH MCC	$24,204 – $44,111 · median $30,707	9 plans
571	SKIN DEBRIDEMENT WITH CC	$13,904 – $25,339 · median $17,640	9 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$9,433 – $17,192 · median $11,968	9 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$53,915 – $98,258 · median $68,401	9 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$28,568 – $52,064 · median $36,244	9 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$14,788 – $24,501 · median $17,849	9 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$40,334 – $73,508 · median $51,172	9 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$21,814 – $39,755 · median $27,675	9 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$13,220 – $24,093 · median $16,772	9 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$26,651 – $48,571 · median $33,812	9 plans
580	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$14,221 – $25,917 · median $18,042	9 plans
581	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$11,876 – $21,644 · median $15,067	9 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$15,855 – $28,895 · median $20,115	9 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$14,191 – $25,863 · median $18,004	9 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$17,617 – $32,106 · median $22,350	9 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$15,875 – $28,933 · median $20,141	9 plans
592	SKIN ULCERS WITH MCC	$15,926 – $29,026 · median $20,206	9 plans
593	SKIN ULCERS WITH CC	$9,763 – $17,792 · median $12,386	9 plans
594	SKIN ULCERS WITHOUT CC/MCC	$7,133 – $13,000 · median $9,050	9 plans
595	MAJOR SKIN DISORDERS WITH MCC	$17,452 – $31,806 · median $22,142	9 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$8,908 – $16,235 · median $11,302	9 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$13,719 – $25,003 · median $17,406	9 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$9,310 – $16,967 · median $11,812	9 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$6,332 – $10,997 · median $7,831	9 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$8,572 – $15,622 · median $10,875	9 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$5,029 – $9,074 · median $6,346	9 plans
602	CELLULITIS WITH MCC	$11,697 – $21,317 · median $14,839	9 plans
603	CELLULITIS WITHOUT MCC	$7,167 – $13,062 · median $9,093	9 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$12,115 – $22,079 · median $15,370	9 plans
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$7,538 – $13,738 · median $9,564	9 plans
606	MINOR SKIN DISORDERS WITH MCC	$12,453 – $22,695 · median $15,799	9 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$7,459 – $13,594 · median $9,463	9 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$18,037 – $32,873 · median $22,884	9 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$11,515 – $20,987 · median $14,610	9 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$28,699 – $52,304 · median $36,411	9 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$15,392 – $28,051 · median $19,527	9 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$11,672 – $21,272 · median $14,808	9 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$23,762 – $43,305 · median $30,146	9 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$13,170 – $24,001 · median $16,708	9 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$12,413 – $22,623 · median $15,749	9 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$29,290 – $53,381 · median $37,160	9 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$14,763 – $26,905 · median $18,730	9 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$10,302 – $18,776 · median $13,071	9 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$24,854 – $45,295 · median $31,532	9 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$12,339 – $22,488 · median $15,655	9 plans
627	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$10,931 – $19,922 · median $13,868	9 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$30,670 – $55,895 · median $38,910	9 plans
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$17,930 – $32,678 · median $22,748	9 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$12,011 – $21,890 · median $15,238	9 plans
637	DIABETES WITH MCC	$11,823 – $21,548 · median $15,000	9 plans
638	DIABETES WITH CC	$7,375 – $13,441 · median $9,357	9 plans
639	DIABETES WITHOUT CC/MCC	$5,150 – $9,317 · median $6,508	9 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$10,991 – $20,031 · median $13,945	9 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$6,404 – $11,671 · median $8,125	9 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$11,703 – $21,329 · median $14,848	9 plans
643	ENDOCRINE DISORDERS WITH MCC	$13,547 – $24,688 · median $17,186	9 plans
644	ENDOCRINE DISORDERS WITH CC	$8,435 – $15,373 · median $10,702	9 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$6,323 – $11,523 · median $8,022	9 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$38,690 – $65,166 · median $45,654	9 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$30,497 – $51,366 · median $35,986	9 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$42,764 – $77,936 · median $54,254	9 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$23,037 – $41,984 · median $29,227	9 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$17,418 – $31,745 · median $22,099	9 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$26,201 – $47,751 · median $33,241	9 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$15,060 – $27,446 · median $19,106	9 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$12,770 – $23,274 · median $16,202	9 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$20,910 – $38,108 · median $26,529	9 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$10,877 – $19,823 · median $13,799	9 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$8,521 – $15,529 · median $10,810	9 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$25,195 – $45,916 · median $31,964	9 plans
663	MINOR BLADDER PROCEDURES WITH CC	$12,510 – $22,800 · median $15,872	9 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$8,615 – $15,701 · median $10,930	9 plans
665	PROSTATECTOMY WITH MCC	$25,686 – $46,812 · median $32,587	9 plans
666	PROSTATECTOMY WITH CC	$14,396 – $26,236 · median $18,264	9 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$9,103 – $16,591 · median $11,549	9 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$24,030 – $43,794 · median $30,487	9 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$12,772 – $23,277 · median $16,204	9 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$8,043 – $14,658 · median $10,204	9 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$14,772 – $26,921 · median $18,741	9 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$8,884 – $16,190 · median $11,271	9 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$34,577 – $63,016 · median $43,868	9 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$19,245 – $35,074 · median $24,417	9 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$13,508 – $24,618 · median $17,137	9 plans
682	RENAL FAILURE WITH MCC	$12,188 – $22,212 · median $15,463	9 plans
683	RENAL FAILURE WITH CC	$7,207 – $13,135 · median $9,144	9 plans
684	RENAL FAILURE WITHOUT CC/MCC	$4,994 – $9,003 · median $6,299	9 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$14,843 – $27,052 · median $18,832	9 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$8,623 – $15,715 · median $10,940	9 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$6,504 – $11,853 · median $8,251	9 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$9,549 – $17,402 · median $12,114	9 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$6,662 – $12,141 · median $8,452	9 plans
693	URINARY STONES WITH MCC	$11,065 – $20,165 · median $14,038	9 plans
694	URINARY STONES WITHOUT MCC	$6,433 – $11,724 · median $8,161	9 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$9,413 – $17,155 · median $11,942	9 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$5,670 – $10,334 · median $7,194	9 plans
697	URETHRAL STRICTURE	$8,870 – $16,165 · median $11,253	9 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$13,615 – $24,813 · median $17,273	9 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$8,353 – $15,223 · median $10,597	9 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$5,678 – $10,347 · median $7,203	9 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$16,461 – $30,001 · median $20,885	9 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$12,626 – $23,010 · median $16,018	9 plans
709	PENIS PROCEDURES WITH CC/MCC	$19,151 – $34,902 · median $24,297	9 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$11,531 – $21,015 · median $14,629	9 plans
711	TESTES PROCEDURES WITH CC/MCC	$17,149 – $31,253 · median $21,756	9 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$9,050 – $16,493 · median $11,482	9 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$12,372 – $22,548 · median $15,697	9 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$8,702 – $15,859 · median $11,040	9 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$18,412 – $33,555 · median $23,359	9 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$12,106 – $22,062 · median $15,358	9 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$15,558 – $28,354 · median $19,738	9 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$11,053 – $20,144 · median $14,023	9 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$14,893 – $27,142 · median $18,895	9 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$9,404 – $17,138 · median $11,931	9 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,407 – $9,174 · median $6,606	9 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$9,630 – $17,551 · median $12,218	9 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$5,942 – $10,829 · median $7,538	9 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$12,203 – $22,241 · median $15,482	9 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$6,676 – $12,166 · median $8,469	9 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$8,713 – $15,878 · median $11,054	9 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,530 – $10,079 · median $7,016	9 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$17,529 – $31,946 · median $22,239	9 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$11,073 – $20,180 · median $14,048	9 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$29,416 – $53,610 · median $37,320	9 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$16,958 – $30,905 · median $21,514	9 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$12,085 – $22,025 · median $15,332	9 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$29,485 – $52,887 · median $37,091	9 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$14,892 – $27,140 · median $18,893	9 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$11,736 – $21,389 · median $14,889	9 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$15,099 – $27,518 · median $19,157	9 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$10,210 – $18,608 · median $12,954	9 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$16,863 – $30,732 · median $21,394	9 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$9,361 – $17,060 · median $11,876	9 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$14,295 – $26,053 · median $18,137	9 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$7,075 – $12,591 · median $8,863	9 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$11,417 – $20,807 · median $14,484	9 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$21,130 – $38,509 · median $26,807	9 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$12,145 – $22,134 · median $15,408	9 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$15,156 – $27,622 · median $19,229	9 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$8,952 – $16,315 · median $11,357	9 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$7,904 – $14,406 · median $10,028	9 plans
757	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$11,784 – $21,476 · median $14,950	9 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$8,057 – $14,683 · median $10,221	9 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,466 – $9,953 · median $6,931	9 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$8,291 – $15,110 · median $10,519	9 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$4,772 – $8,543 · median $5,997	9 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$8,819 – $16,072 · median $11,188	9 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$13,906 – $25,344 · median $17,643	9 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$8,252 – $15,038 · median $10,469	9 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$5,399 – $9,819 · median $6,842	9 plans
779	ABORTION WITHOUT D&C	$6,923 – $10,695 · median $8,068	9 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$20,204 – $36,822 · median $25,633	9 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$8,724 – $15,899 · median $11,068	9 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$7,882 – $14,365 · median $10,000	9 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$13,575 – $24,739 · median $17,222	9 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$9,191 – $16,750 · median $11,660	9 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$7,890 – $14,380 · median $10,011	9 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$14,831 – $27,029 · median $18,816	9 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$48,912 – $89,141 · median $62,054	9 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$33,403 – $60,877 · median $42,379	9 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$20,156 – $36,733 · median $25,571	9 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$34,314 – $62,536 · median $43,533	9 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$12,146 – $22,136 · median $15,409	9 plans
795	NORMAL NEWBORN	$2,010 – $2,997 · median $2,302	9 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$9,604 – $17,503 · median $12,184	9 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$8,233 – $15,004 · median $10,445	9 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$7,876 – $14,355 · median $9,993	9 plans
799	SPLENIC PROCEDURES WITH MCC	$37,270 – $67,924 · median $47,285	9 plans
800	SPLENIC PROCEDURES WITH CC	$23,120 – $42,135 · median $29,332	9 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$15,709 – $28,630 · median $19,930	9 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$32,787 – $59,754 · median $41,597	9 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$15,298 – $27,880 · median $19,408	9 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$11,159 – $20,337 · median $14,158	9 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$8,881 – $16,186 · median $11,268	9 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$6,205 – $11,308 · median $7,872	9 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$5,548 – $10,112 · median $7,039	9 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$18,170 – $33,114 · median $23,052	9 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$10,418 – $18,986 · median $13,217	9 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$8,613 – $15,697 · median $10,927	9 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$11,557 – $21,062 · median $14,662	9 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$7,556 – $13,771 · median $9,587	9 plans
813	COAGULATION DISORDERS	$12,552 – $22,876 · median $15,925	9 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$17,502 – $31,896 · median $22,204	9 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$8,345 – $15,208 · median $10,587	9 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$5,230 – $9,479 · median $6,616	9 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$18,776 – $25,317 · median $20,271	9 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$9,540 – $15,811 · median $11,516	9 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$7,077 – $12,897 · median $8,978	9 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$48,264 – $87,960 · median $61,233	9 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$18,422 – $33,575 · median $23,373	9 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$9,908 – $18,058 · median $12,571	9 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$37,730 – $68,763 · median $47,868	9 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$18,645 – $33,979 · median $23,654	9 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$11,105 – $20,238 · median $14,089	9 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$38,496 – $70,158 · median $48,839	9 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$19,020 – $34,663 · median $24,131	9 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$14,021 – $25,554 · median $17,789	9 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$26,005 – $47,394 · median $32,993	9 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$12,385 – $22,572 · median $15,713	9 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$9,896 – $18,035 · median $12,555	9 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$5,938 – $10,823 · median $7,534	9 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$4,417 – $7,842 · median $5,527	9 plans
834	ACUTE LEUKEMIA WITH MCC	$45,179 – $82,338 · median $57,318	9 plans
835	ACUTE LEUKEMIA WITH CC	$17,165 – $31,283 · median $21,777	9 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$10,036 – $18,290 · median $12,732	9 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$39,537 – $72,055 · median $50,160	9 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$17,178 – $31,307 · median $21,794	9 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$11,883 – $21,656 · median $15,075	9 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$26,622 – $48,517 · median $33,775	9 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$13,426 – $24,468 · median $17,033	9 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$8,315 – $15,154 · median $10,549	9 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$16,416 – $29,918 · median $20,827	9 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$10,019 – $18,259 · median $12,710	9 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$7,008 – $12,772 · median $8,891	9 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$21,335 – $38,882 · median $27,067	9 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$10,766 – $19,620 · median $13,659	9 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$6,990 – $12,739 · median $8,868	9 plans
849	RADIOTHERAPY	$22,298 – $40,637 · median $28,289	9 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$71,263 – $129,875 · median $90,411	9 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$40,642 – $74,069 · median $51,562	9 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$16,443 – $29,968 · median $20,862	9 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$12,321 – $22,455 · median $15,632	9 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$37,433 – $68,221 · median $47,492	9 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$17,623 – $32,118 · median $22,359	9 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$11,463 – $20,891 · median $14,543	9 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$15,008 – $27,352 · median $19,041	9 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$8,212 – $14,967 · median $10,419	9 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$7,305 – $13,314 · median $9,268	9 plans
865	VIRAL ILLNESS WITH MCC	$12,330 – $22,472 · median $15,643	9 plans
866	VIRAL ILLNESS WITHOUT MCC	$7,156 – $13,042 · median $9,079	9 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$17,226 – $31,394 · median $21,854	9 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$8,485 – $15,464 · median $10,765	9 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$6,005 – $10,944 · median $7,619	9 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$56,880 – $103,663 · median $72,164	9 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$15,986 – $29,134 · median $20,281	9 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$8,421 – $15,347 · median $10,684	9 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$31,806 – $57,966 · median $40,352	9 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$7,902 – $14,401 · median $10,025	9 plans
881	DEPRESSIVE NEUROSES	$7,743 – $14,112 · median $9,824	9 plans
882	NEUROSES EXCEPT DEPRESSIVE	$8,837 – $16,105 · median $11,211	9 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$16,182 – $29,491 · median $20,530	9 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$13,240 – $24,130 · median $16,798	9 plans
885	PSYCHOSES	$11,495 – $20,949 · median $14,584	9 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$17,079 – $31,125 · median $21,668	9 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$8,813 – $16,061 · median $11,181	9 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$5,118 – $9,252 · median $6,465	9 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$11,650 – $21,231 · median $14,780	9 plans
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$14,361 – $26,173 · median $18,220	9 plans
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$7,265 – $13,240 · median $9,217	9 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$34,536 – $62,941 · median $43,815	9 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$15,755 – $28,714 · median $19,989	9 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$9,625 – $17,542 · median $12,211	9 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$30,228 – $55,089 · median $38,350	9 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$12,208 – $21,474 · median $15,200	9 plans
906	HAND PROCEDURES FOR INJURIES	$16,165 – $26,432 · median $19,381	9 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$31,595 – $57,582 · median $40,085	9 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$16,419 – $29,924 · median $20,831	9 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$10,803 – $19,688 · median $13,705	9 plans
913	TRAUMATIC INJURY WITH MCC	$13,452 – $24,516 · median $17,066	9 plans
914	TRAUMATIC INJURY WITHOUT MCC	$7,287 – $13,281 · median $9,245	9 plans
915	ALLERGIC REACTIONS WITH MCC	$13,839 – $25,221 · median $17,557	9 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$5,486 – $9,993 · median $6,958	9 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$12,907 – $23,523 · median $16,375	9 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$7,053 – $12,855 · median $8,949	9 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$15,067 – $27,458 · median $19,115	9 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$8,248 – $15,033 · median $10,465	9 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$5,665 – $10,325 · median $7,187	9 plans
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$14,397 – $26,238 · median $18,265	9 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$8,375 – $15,263 · median $10,625	9 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$175,703 – $276,416 · median $206,603	9 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$59,027 – $107,576 · median $74,888	9 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$26,505 – $48,306 · median $33,627	9 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$32,047 – $57,243 · median $40,225	9 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$18,192 – $33,155 · median $23,080	9 plans
935	NON-EXTENSIVE BURNS	$16,953 – $30,896 · median $21,508	9 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$29,861 – $54,420 · median $37,884	9 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$19,231 – $35,049 · median $24,399	9 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$16,687 – $30,411 · median $21,171	9 plans
945	REHABILITATION WITH CC/MCC	$12,744 – $23,226 · median $16,168	9 plans
946	REHABILITATION WITHOUT CC/MCC	$9,438 – $17,200 · median $11,973	9 plans
947	SIGNS AND SYMPTOMS WITH MCC	$10,446 – $19,038 · median $13,253	9 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$6,588 – $12,006 · median $8,358	9 plans
949	AFTERCARE WITH CC/MCC	$9,791 – $17,843 · median $12,421	9 plans
950	AFTERCARE WITHOUT CC/MCC	$5,198 – $9,414 · median $6,573	9 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$4,664 – $8,339 · median $5,857	9 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$55,393 – $100,953 · median $70,277	9 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$30,967 – $56,437 · median $39,288	9 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$62,708 – $114,283 · median $79,557	9 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$34,678 – $63,200 · median $43,996	9 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$24,228 – $44,156 · median $30,738	9 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$22,498 – $41,002 · median $28,543	9 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$12,612 – $22,986 · median $16,001	9 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$7,740 – $14,106 · median $9,819	9 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$50,375 – $91,807 · median $63,911	9 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$21,704 – $39,556 · median $27,536	9 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$23,750 – $43,284 · median $30,132	9 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$10,657 – $19,422 · median $13,521	9 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$7,429 – $13,416 · median $9,379	9 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$10,679 – $19,011 · median $13,381	9 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$38,611 – $70,368 · median $48,986	9 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$20,232 – $36,873 · median $25,668	9 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$14,105 – $25,707 · median $17,895	9 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$28,214 – $51,419 · median $35,795	9 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$13,526 – $24,651 · median $17,160	9 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$9,869 – $17,986 · median $12,520	9 plans
652	KIDNEY TRANSPLANT	$26,577 – $44,764 · median $33,718	8 plans
009	DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES	$9,674 – $9,674 · median $9,674	1 plans
015	DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK &	$9,674 – $9,674 · median $9,674	1 plans
043	DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA	$9,674 – $9,674 · median $9,674	1 plans
044	DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS	$9,674 – $9,674 · median $9,674	1 plans
045	DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS	$9,674 – $9,674 · median $9,674	1 plans
046	DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17	$9,674 – $9,674 · median $9,674	1 plans
047	DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17	$9,674 – $9,674 · median $9,674	1 plans
048	DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0-	$9,674 – $9,674 · median $9,674	1 plans
049	DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES	$9,674 – $9,674 · median $9,674	1 plans
050	DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY	$9,674 – $9,674 · median $9,674	1 plans
051	DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT	$9,674 – $9,674 · median $9,674	1 plans
077	DRG Grouper 12 (10/1/1994): DRG 77: OTHER RESP SYSTEM O.R. PROCEDURES	$9,674 – $9,674 · median $9,674	1 plans
078	DRG Grouper 12 (10/1/1994): DRG 78: PULMONARY EMBOLISM	$9,674 – $9,674 · median $9,674	1 plans
079	DRG Grouper 12 (10/1/1994): DRG 79: RESPIRATORY INFECTIONS &	$9,674 – $9,674 · median $9,674	1 plans
104	DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC	$9,674 – $9,674 · median $9,674	1 plans
105	DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O	$9,674 – $9,674 · median $9,674	1 plans
106	DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH	$9,674 – $9,674 · median $9,674	1 plans
107	DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH	$9,674 – $9,674 · median $9,674	1 plans
108	DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES	$9,674 – $9,674 · median $9,674	1 plans
109	DRG Grouper 12 (10/1/1994): DRG 109: NO LONGER VALID	$9,674 – $9,674 · median $9,674	1 plans
110	DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W	$9,674 – $9,674 · median $9,674	1 plans
111	DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/	$9,674 – $9,674 · median $9,674	1 plans
112	DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR	$9,674 – $9,674 · median $9,674	1 plans
118	DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE	$9,674 – $9,674 · median $9,674	1 plans
119	DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING	$9,674 – $9,674 · median $9,674	1 plans
120	DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R.	$9,674 – $9,674 · median $9,674	1 plans
126	DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS	$9,674 – $9,674 · median $9,674	1 plans
127	DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK	$9,674 – $9,674 · median $9,674	1 plans
128	DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS	$9,674 – $9,674 · median $9,674	1 plans
129	DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED	$9,674 – $9,674 · median $9,674	1 plans
130	DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC	$9,674 – $9,674 · median $9,674	1 plans
131	DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O	$9,674 – $9,674 · median $9,674	1 plans
132	DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC	$9,674 – $9,674 · median $9,674	1 plans
133	DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC	$9,674 – $9,674 · median $9,674	1 plans
134	DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION	$9,674 – $9,674 · median $9,674	1 plans
160	DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL	$9,674 – $9,674 · median $9,674	1 plans
161	DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA	$9,674 – $9,674 · median $9,674	1 plans
162	DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA	$9,674 – $9,674 · median $9,674	1 plans
169	DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC	$9,674 – $9,674 · median $9,674	1 plans
170	DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R.	$9,674 – $9,674 · median $9,674	1 plans
171	DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R.	$9,674 – $9,674 · median $9,674	1 plans
172	DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC	$9,674 – $9,674 · median $9,674	1 plans
174	DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC	$9,674 – $9,674 · median $9,674	1 plans
210	DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT	$9,674 – $9,674 · median $9,674	1 plans
211	DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT	$9,674 – $9,674 · median $9,674	1 plans
214	DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC	$9,674 – $9,674 · median $9,674	1 plans
222	DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC	$9,674 – $9,674 · median $9,674	1 plans
223	DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR	$9,674 – $9,674 · median $9,674	1 plans
224	DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC,	$9,674 – $9,674 · median $9,674	1 plans
225	DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES	$9,674 – $9,674 · median $9,674	1 plans
226	DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC	$9,674 – $9,674 · median $9,674	1 plans
227	DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC	$9,674 – $9,674 · median $9,674	1 plans
230	DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT	$9,674 – $9,674 · median $9,674	1 plans
237	DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS	$9,674 – $9,674 · median $9,674	1 plans
238	DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS	$9,674 – $9,674 · median $9,674	1 plans
246	DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES	$9,674 – $9,674 · median $9,674	1 plans
247	DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF	$9,674 – $9,674 · median $9,674	1 plans
248	DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS	$9,674 – $9,674 · median $9,674	1 plans
249	DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM	$9,674 – $9,674 · median $9,674	1 plans
294	DRG Grouper 12 (10/1/1994): DRG 294: DIABETES AGE >35	$9,674 – $9,674 · median $9,674	1 plans
295	DRG Grouper 12 (10/1/1994): DRG 295: DIABETES AGE 0-35	$9,674 – $9,674 · median $9,674	1 plans
338	DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY	$9,674 – $9,674 · median $9,674	1 plans
339	DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY	$9,674 – $9,674 · median $9,674	1 plans
340	DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY	$9,674 – $9,674 · median $9,674	1 plans
341	DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES	$9,674 – $9,674 · median $9,674	1 plans
342	DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17	$9,674 – $9,674 · median $9,674	1 plans
343	DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17	$9,674 – $9,674 · median $9,674	1 plans
361	DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL	$9,674 – $9,674 · median $9,674	1 plans
362	DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION	$9,674 – $9,674 · median $9,674	1 plans
363	DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT,	$9,674 – $9,674 · median $9,674	1 plans
364	DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR	$9,674 – $9,674 · median $9,674	1 plans
365	DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM	$9,674 – $9,674 · median $9,674	1 plans
366	DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE	$9,674 – $9,674 · median $9,674	1 plans
367	DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE	$9,674 – $9,674 · median $9,674	1 plans
396	DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17	$9,674 – $9,674 · median $9,674	1 plans
400	DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R.	$9,674 – $9,674 · median $9,674	1 plans
401	DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W	$9,674 – $9,674 · median $9,674	1 plans
403	DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC	$9,674 – $9,674 · median $9,674	1 plans
404	DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O	$9,674 – $9,674 · median $9,674	1 plans
431	DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS	$9,674 – $9,674 · median $9,674	1 plans
449	DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS	$9,674 – $9,674 · median $9,674	1 plans
452	DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC	$9,674 – $9,674 · median $9,674	1 plans
453	DRG Grouper 12 (10/1/1994): DRG 453: COMPLICATIONS OF TREATMENT W/O CC	—	1 plans
454	DRG Grouper 12 (10/1/1994): DRG 454: OTHER INJURY, POISONING & TOXIC	$9,674 – $9,674 · median $9,674	1 plans
455	DRG Grouper 12 (10/1/1994): DRG 455: OTHER INJURY, POISONING & TOXIC	$9,674 – $9,674 · median $9,674	1 plans
459	DRG Grouper 12 (10/1/1994): DRG 459: NON-EXTENSIVE BURNS W WOUND	$9,674 – $9,674 · median $9,674	1 plans
460	DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R.	$9,674 – $9,674 · median $9,674	1 plans
484	DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE	$9,674 – $9,674 · median $9,674	1 plans
490	DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED	$9,674 – $9,674 · median $9,674	1 plans
491	DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT	$9,674 – $9,674 · median $9,674	1 plans

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