UPMC Bedford — 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
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$9,224 – $268,078 · median $159,794	10 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$9,224 – $178,348 · median $104,525	10 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$9,224 – $75,024 · median $41,585	10 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$9,224 – $60,999 · median $32,305	10 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$9,224 – $36,237 · median $22,305	10 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$9,224 – $382,988 · median $319,862	10 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$9,224 – $59,476 · median $53,427	10 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$9,224 – $137,945 · median $59,684	10 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$9,224 – $104,311 · median $40,383	10 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$9,224 – $73,390 · median $24,520	10 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$9,224 – $76,855 · median $43,655	10 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$9,224 – $54,625 · median $30,026	10 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$9,224 – $56,277 · median $34,784	10 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$9,224 – $38,661 · median $24,009	10 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$9,224 – $33,328 · median $19,615	10 plans
028	SPINAL PROCEDURES WITH MCC	$9,224 – $73,354 · median $45,739	10 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$9,224 – $42,558 · median $26,276	10 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$9,224 – $24,583 · median $17,158	10 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$9,224 – $49,471 · median $34,287	10 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$9,224 – $26,774 · median $16,677	10 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$9,224 – $22,392 · median $13,169	10 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$9,224 – $70,409 · median $29,717	10 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$9,224 – $33,005 · median $18,622	10 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$9,224 – $23,775 · median $15,267	10 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$9,224 – $50,800 · median $25,380	10 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$9,224 – $27,366 · median $12,867	10 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$8,852 – $18,226 · median $9,515	10 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$9,224 – $46,167 · median $29,646	10 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$9,224 – $32,771 · median $17,185	10 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$9,224 – $20,902 · median $13,654	10 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$9,224 – $34,172 · median $14,281	10 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$7,483 – $17,867 · median $8,082	10 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$9,224 – $15,658 · median $12,149	10 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$7,765 – $13,683 · median $8,386	10 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$9,224 – $31,299 · median $18,117	10 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$9,224 – $19,914 · median $10,416	10 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$9,224 – $29,539 · median $13,518	10 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$9,224 – $15,425 · median $10,006	10 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$7,069 – $13,719 · median $7,634	10 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$9,224 – $41,606 · median $21,370	10 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$9,224 – $30,940 · median $13,875	10 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$9,224 – $29,000 · median $11,227	10 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$9,224 – $25,211 · median $15,778	10 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$7,700 – $15,838 · median $8,316	10 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$5,428 – $12,372 · median $5,862	10 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$9,224 – $25,660 · median $11,713	10 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$6,683 – $13,647 · median $7,217	10 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$6,225 – $12,283 · median $6,723	10 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$9,224 – $27,977 · median $13,183	10 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$7,810 – $15,371 · median $8,434	10 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$5,928 – $11,887 · median $6,402	10 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$9,224 – $21,925 · median $12,729	10 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$7,843 – $14,204 · median $8,470	10 plans
075	VIRAL MENINGITIS WITH CC/MCC	$9,224 – $20,525 · median $15,077	10 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$6,409 – $10,918 · median $6,890	10 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$9,224 – $37,458 · median $14,271	10 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$6,900 – $11,798 · median $7,452	10 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$9,224 – $31,389 · median $17,836	10 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$9,224 – $19,717 · median $11,167	10 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$7,320 – $12,300 · median $7,905	10 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$9,224 – $25,301 · median $17,733	10 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$9,224 – $15,712 · median $10,469	10 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$7,033 – $10,289 · median $7,596	10 plans
088	CONCUSSION WITH MCC	$9,224 – $23,110 · median $10,837	10 plans
089	CONCUSSION WITH CC	$8,316 – $13,037 · median $8,981	10 plans
090	CONCUSSION WITHOUT CC/MCC	$6,395 – $10,577 · median $6,907	10 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$9,224 – $22,697 · median $13,868	10 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$7,789 – $16,143 · median $8,411	10 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$6,208 – $12,336 · median $6,704	10 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$9,224 – $51,087 · median $27,084	10 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$9,224 – $39,757 · median $20,037	10 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$9,224 – $36,596 · median $20,037	10 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$9,224 – $55,451 · median $27,776	10 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$9,224 – $29,701 · median $17,906	10 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$9,224 – $16,664 · median $10,916	10 plans
100	SEIZURES WITH MCC	$9,224 – $22,069 · median $15,222	10 plans
101	SEIZURES WITHOUT MCC	$6,949 – $9,786 · median $7,505	10 plans
102	HEADACHES WITH MCC	$8,471 – $16,107 · median $9,149	10 plans
103	HEADACHES WITHOUT MCC	$6,487 – $11,600 · median $7,005	10 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$9,224 – $41,947 · median $18,327	10 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$9,224 – $22,662 · median $10,846	10 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$9,224 – $27,330 · median $12,209	10 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$9,224 – $32,430 · median $14,257	10 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$8,220 – $19,753 · median $8,877	10 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$8,767 – $19,052 · median $9,424	10 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$6,135 – $10,954 · median $6,625	10 plans
123	NEUROLOGICAL EYE DISORDERS	$6,224 – $12,839 · median $6,722	10 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$9,224 – $24,152 · median $10,622	10 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$6,009 – $10,433 · median $6,490	10 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$9,224 – $44,246 · median $16,970	10 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$7,735 – $19,501 · median $8,353	10 plans
137	MOUTH PROCEDURES WITH CC/MCC	$9,224 – $14,186 · median $11,731	10 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$6,835 – $10,702 · median $7,381	10 plans
139	SALIVARY GLAND PROCEDURES	$9,224 – $22,482 · median $9,967	10 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$9,224 – $71,827 · median $32,674	10 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$9,224 – $33,166 · median $17,053	10 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$9,224 – $28,246 · median $12,670	10 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$9,224 – $43,186 · median $28,787	10 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$9,224 – $21,854 · median $13,693	10 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$9,039 – $15,982 · median $9,716	10 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$9,224 – $37,997 · median $16,575	10 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$9,224 – $21,818 · median $10,235	10 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$6,213 – $14,958 · median $6,710	10 plans
149	DYSEQUILIBRIUM	$5,896 – $10,469 · median $6,368	10 plans
150	EPISTAXIS WITH MCC	$9,224 – $24,170 · median $10,685	10 plans
151	EPISTAXIS WITHOUT MCC	$5,774 – $10,523 · median $6,235	10 plans
152	OTITIS MEDIA AND URI WITH MCC	$8,899 – $14,240 · median $9,566	10 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$5,738 – $9,224 · median $6,238	10 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$9,224 – $27,528 · median $12,424	10 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$7,046 – $10,774 · median $7,609	10 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$5,474 – $9,224 · median $5,912	10 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$9,224 – $24,978 · median $13,573	10 plans
158	DENTAL AND ORAL DISEASES WITH CC	$6,999 – $11,079 · median $7,559	10 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$5,596 – $9,224 · median $6,043	10 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$9,224 – $58,952 · median $34,297	10 plans
164	MAJOR CHEST PROCEDURES WITH CC	$9,224 – $35,734 · median $19,623	10 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$9,224 – $25,876 · median $15,052	10 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$9,224 – $47,460 · median $28,720	10 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$9,224 – $24,565 · median $14,222	10 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,224 – $18,980 · median $10,946	10 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$9,224 – $47,747 · median $23,014	10 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$9,224 – $17,705 · median $11,000	10 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$6,269 – $10,972 · median $6,770	10 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$9,224 – $19,429 · median $12,418	10 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$7,461 – $13,378 · median $8,057	10 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$5,920 – $10,020 · median $6,393	10 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$9,224 – $23,865 · median $13,941	10 plans
181	RESPIRATORY NEOPLASMS WITH CC	$8,123 – $16,502 · median $8,773	10 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$5,912 – $14,168 · median $6,384	10 plans
183	MAJOR CHEST TRAUMA WITH MCC	$9,224 – $18,945 · median $12,172	10 plans
184	MAJOR CHEST TRAUMA WITH CC	$8,075 – $13,737 · median $8,721	10 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$6,140 – $10,738 · median $6,630	10 plans
186	PLEURAL EFFUSION WITH MCC	$9,224 – $18,855 · median $12,386	10 plans
187	PLEURAL EFFUSION WITH CC	$7,552 – $13,773 · median $8,156	10 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$5,656 – $10,702 · median $6,109	10 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$9,224 – $15,856 · median $9,964	10 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$8,379 – $13,109 · median $9,049	10 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$6,534 – $11,582 · median $7,056	10 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$5,132 – $9,248 · median $5,542	10 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$9,224 – $15,461 · median $10,557	10 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$6,275 – $10,972 · median $6,777	10 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$5,038 – $9,224 · median $5,441	10 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$9,224 – $25,301 · median $14,850	10 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$7,273 – $14,743 · median $7,855	10 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$5,649 – $11,331 · median $6,101	10 plans
199	PNEUMOTHORAX WITH MCC	$9,224 – $18,819 · median $13,927	10 plans
200	PNEUMOTHORAX WITH CC	$8,321 – $12,839 · median $8,986	10 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$5,642 – $9,224 · median $6,093	10 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$7,427 – $11,708 · median $8,021	10 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$5,327 – $9,224 · median $5,753	10 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$6,285 – $10,523 · median $6,788	10 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$9,224 – $20,219 · median $14,429	10 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$7,218 – $11,367 · median $7,795	10 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$9,224 – $101,564 · median $48,935	10 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$9,224 – $35,106 · median $21,307	10 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$9,224 – $100,386 · median $84,353	10 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$9,224 – $193,970 · median $82,210	10 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$9,224 – $50,615 · median $42,875	10 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$9,224 – $96,069 · median $75,336	10 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$9,224 – $123,148 · median $74,030	10 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$9,224 – $80,788 · median $49,989	10 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$9,224 – $73,372 · median $49,989	10 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$9,224 – $85,098 · median $58,256	10 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$9,224 – $66,853 · median $40,676	10 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$9,224 – $53,134 · median $38,483	10 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$9,224 – $91,993 · median $37,787	10 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$9,224 – $49,112 · median $24,311	10 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$9,224 – $127,171 · median $63,889	10 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$9,224 – $85,654 · median $46,146	10 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$9,224 – $87,809 · median $58,008	10 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$9,224 – $68,505 · median $41,649	10 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$9,224 – $67,105 · median $44,692	10 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$9,224 – $52,596 · median $32,101	10 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$9,224 – $57,264 · median $37,594	10 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$9,224 – $35,770 · median $22,070	10 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$9,224 – $26,684 · median $11,081	10 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$9,224 – $47,352 · median $24,636	10 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$9,224 – $34,998 · median $16,676	10 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$9,224 – $30,599 · median $14,252	10 plans
245	AICD GENERATOR PROCEDURES	$9,224 – $86,462 · median $34,901	10 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$9,224 – $32,753 · median $17,063	10 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$9,224 – $26,558 · median $11,906	10 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$9,224 – $52,955 · median $26,851	10 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$9,224 – $37,674 · median $20,160	10 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$9,224 – $26,073 · median $14,059	10 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$9,224 – $33,723 · median $20,923	10 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$9,224 – $17,903 · median $13,431	10 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$8,271 – $13,144 · median $8,932	10 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$9,224 – $51,033 · median $24,256	10 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$9,224 – $34,226 · median $15,861	10 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$9,224 – $51,967 · median $25,085	10 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$9,224 – $27,582 · median $14,875	10 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$9,224 – $24,511 · median $12,921	10 plans
263	VEIN LIGATION AND STRIPPING	$9,224 – $48,232 · median $23,621	10 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$9,224 – $33,095 · median $25,744	10 plans
265	AICD LEAD PROCEDURES	$9,224 – $62,364 · median $27,824	10 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$9,224 – $79,890 · median $46,639	10 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$9,224 – $71,953 · median $36,388	10 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$9,224 – $98,888 · median $52,257	10 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$9,224 – $52,542 · median $32,359	10 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$9,224 – $63,909 · median $40,252	10 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$9,224 – $51,859 · median $27,360	10 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$9,224 – $37,763 · median $19,840	10 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$9,224 – $65,848 · median $31,627	10 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$9,224 – $45,862 · median $25,377	10 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$9,224 – $111,189 · median $54,149	10 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$9,224 – $95,818 · median $45,726	10 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$9,224 – $73,946 · median $35,322	10 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$9,224 – $82,530 · median $42,425	10 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$9,224 – $57,498 · median $27,736	10 plans
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$9,224 – $19,681 · median $12,728	10 plans
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$7,064 – $13,575 · median $7,629	10 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$5,698 – $12,247 · median $6,153	10 plans
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$9,224 – $27,941 · median $15,551	10 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$5,482 – $13,252 · median $5,920	10 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$4,832 – $9,356 · median $5,218	10 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$9,224 – $25,229 · median $17,290	10 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$8,117 – $15,389 · median $8,766	10 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$9,224 – $37,925 · median $20,989	10 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$9,224 – $18,693 · median $13,498	10 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$7,138 – $18,118 · median $7,709	10 plans
291	HEART FAILURE AND SHOCK WITH MCC	$9,224 – $15,209 · median $10,327	10 plans
292	HEART FAILURE AND SHOCK WITH CC	$6,575 – $10,379 · median $7,101	10 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$4,602 – $9,284 · median $4,970	10 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$9,224 – $26,702 · median $12,412	10 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$5,076 – $12,570 · median $5,482	10 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$3,829 – $9,224 · median $4,116	10 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$9,224 – $15,802 · median $12,850	10 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$8,099 – $12,678 · median $8,746	10 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$5,674 – $9,373 · median $6,127	10 plans
302	ATHEROSCLEROSIS WITH MCC	$8,999 – $20,614 · median $9,674	10 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$5,350 – $9,224 · median $5,777	10 plans
304	HYPERTENSION WITH MCC	$8,953 – $14,509 · median $9,624	10 plans
305	HYPERTENSION WITHOUT MCC	$5,921 – $10,343 · median $6,394	10 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$9,224 – $25,984 · median $12,516	10 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$7,023 – $16,018 · median $7,585	10 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$9,051 – $14,114 · median $9,729	10 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$5,785 – $9,224 · median $6,248	10 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$4,603 – $9,224 · median $4,971	10 plans
311	ANGINA PECTORIS	$5,550 – $9,224 · median $5,993	10 plans
312	SYNCOPE AND COLLAPSE	$6,733 – $11,600 · median $7,271	10 plans
313	CHEST PAIN	$5,676 – $9,224 · median $6,130	10 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$9,224 – $26,091 · median $16,334	10 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$7,372 – $13,575 · median $7,962	10 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,412 – $11,869 · median $5,844	10 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$9,224 – $111,081 · median $50,822	10 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$9,224 – $21,482 · median $18,598	10 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$9,224 – $77,951 · median $34,156	10 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$9,224 – $41,786 · median $18,733	10 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$9,224 – $44,300 · median $21,098	10 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$9,224 – $32,861 · median $13,919	10 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$9,224 – $70,104 · median $33,140	10 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$9,224 – $54,302 · median $24,322	10 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$9,224 – $48,466 · median $24,768	10 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$9,224 – $65,632 · median $38,087	10 plans
327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$9,224 – $35,429 · median $19,025	10 plans
328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$9,224 – $21,961 · median $12,714	10 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$9,224 – $51,716 · median $35,157	10 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$9,224 – $31,802 · median $18,672	10 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$9,224 – $23,901 · median $13,319	10 plans
332	RECTAL RESECTION WITH MCC	$9,224 – $67,500 · median $27,843	10 plans
333	RECTAL RESECTION WITH CC	$9,224 – $37,727 · median $18,260	10 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$9,224 – $22,267 · median $12,981	10 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$9,224 – $40,385 · median $27,470	10 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$9,224 – $26,828 · median $16,510	10 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$9,224 – $20,632 · median $12,210	10 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$9,224 – $48,932 · median $20,064	10 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$9,224 – $20,453 · median $11,983	10 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$8,927 – $17,328 · median $9,596	10 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$9,224 – $44,713 · median $17,911	10 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$9,224 – $17,203 · median $10,515	10 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$6,726 – $13,162 · median $7,264	10 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$9,224 – $43,222 · median $19,382	10 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$9,224 – $25,768 · median $12,131	10 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$8,798 – $15,443 · median $9,458	10 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$9,224 – $40,834 · median $22,456	10 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$9,224 – $22,033 · median $13,315	10 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$9,224 – $18,406 · median $10,786	10 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$9,224 – $50,118 · median $33,630	10 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$9,224 – $25,445 · median $18,135	10 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,224 – $18,837 · median $11,182	10 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$9,224 – $30,497 · median $26,110	10 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$9,224 – $21,412 · median $18,539	10 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$9,224 – $21,800 · median $12,636	10 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$7,630 – $14,455 · median $8,240	10 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$5,542 – $12,354 · median $5,985	10 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$9,224 – $22,231 · median $13,995	10 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$7,775 – $12,947 · median $8,396	10 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$5,728 – $9,571 · median $6,185	10 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$9,224 – $27,294 · median $16,735	10 plans
375	DIGESTIVE MALIGNANCY WITH CC	$9,090 – $16,125 · median $9,771	10 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$7,100 – $13,450 · median $7,668	10 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$9,224 – $24,062 · median $14,406	10 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$7,494 – $13,827 · median $8,093	10 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$5,051 – $9,751 · median $5,455	10 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$9,224 – $24,619 · median $15,412	10 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$8,210 – $13,647 · median $8,867	10 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$6,238 – $10,792 · median $6,737	10 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$9,224 – $24,116 · median $11,053	10 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$6,616 – $11,421 · median $7,145	10 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$9,224 – $19,088 · median $12,565	10 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$7,463 – $13,324 · median $8,060	10 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$5,406 – $9,571 · median $5,838	10 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$9,224 – $16,431 · median $11,774	10 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$6,163 – $9,230 · median $6,655	10 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$4,449 – $9,224 · median $4,804	10 plans
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$9,224 – $15,694 · median $10,211	10 plans
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$6,091 – $9,320 · median $6,578	10 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$9,224 – $22,123 · median $12,692	10 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$7,180 – $11,887 · median $7,754	10 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,181 – $9,715 · median $5,595	10 plans
397	APPENDIX PROCEDURES WITH MCC	$9,224 – $24,960 · median $18,655	10 plans
398	APPENDIX PROCEDURES WITH CC	$9,224 – $22,195 · median $12,050	10 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$8,637 – $15,946 · median $9,285	10 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$9,224 – $47,334 · median $30,840	10 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$9,224 – $77,807 · median $41,708	10 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$9,224 – $40,762 · median $22,443	10 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$9,224 – $31,029 · median $17,341	10 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$9,224 – $61,089 · median $27,430	10 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$9,224 – $31,640 · median $17,024	10 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$9,224 – $26,415 · median $12,605	10 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$9,224 – $56,816 · median $25,464	10 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$9,224 – $38,966 · median $16,464	10 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$9,224 – $28,857 · median $13,151	10 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$9,224 – $55,702 · median $27,408	10 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$9,224 – $27,438 · median $16,195	10 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$9,224 – $20,794 · median $10,923	10 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$9,224 – $28,138 · median $18,592	10 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$9,224 – $22,913 · median $13,384	10 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$9,224 – $19,052 · median $10,942	10 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$9,224 – $60,012 · median $26,242	10 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$9,224 – $30,168 · median $13,728	10 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$9,224 – $25,571 · median $11,194	10 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$9,224 – $62,867 · median $31,833	10 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$9,224 – $38,158 · median $17,104	10 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$9,224 – $27,707 · median $11,950	10 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,224 – $97,747 · median $82,153	10 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$9,224 – $72,294 · median $54,810	10 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$9,224 – $63,585 · median $42,843	10 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$9,224 – $149,760 · median $68,235	10 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$9,224 – $67,464 · median $43,931	10 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$9,224 – $26,271 · median $15,457	10 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$8,020 – $14,312 · median $8,661	10 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,624 – $12,103 · median $6,073	10 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$9,224 – $22,967 · median $14,471	10 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$8,542 – $15,048 · median $9,224	10 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$6,605 – $14,258 · median $7,133	10 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$9,224 – $24,834 · median $12,924	10 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$6,521 – $11,744 · median $7,042	10 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$4,988 – $9,224 · median $5,387	10 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$9,224 – $27,205 · median $14,157	10 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$7,386 – $13,952 · median $7,977	10 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,534 – $11,528 · median $5,977	10 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$9,224 – $21,441 · median $13,229	10 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$8,286 – $14,886 · median $8,949	10 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$6,424 – $12,642 · median $6,938	10 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,224 – $75,778 · median $50,785	10 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$9,224 – $47,765 · median $32,491	10 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,224 – $63,747 · median $40,652	10 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$9,224 – $36,650 · median $24,918	10 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$9,224 – $122,394 · median $63,691	10 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$9,224 – $89,012 · median $45,400	10 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$9,224 – $80,465 · median $31,980	10 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$9,224 – $114,708 · median $42,101	10 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$9,224 – $34,262 · median $20,642	10 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$9,224 – $65,525 · median $43,424	10 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$9,224 – $37,817 · median $24,050	10 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$9,224 – $24,996 · median $14,374	10 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$9,224 – $57,875 · median $39,721	10 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$9,224 – $38,230 · median $27,138	10 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$9,224 – $31,047 · median $21,302	10 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$9,224 – $39,882 · median $23,439	10 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$9,224 – $21,656 · median $15,162	10 plans
471	CERVICAL SPINAL FUSION WITH MCC	$9,224 – $53,727 · median $36,897	10 plans
472	CERVICAL SPINAL FUSION WITH CC	$9,224 – $34,495 · median $22,787	10 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$9,224 – $27,869 · median $19,003	10 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$9,224 – $51,339 · median $32,881	10 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$9,224 – $28,049 · median $17,762	10 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$8,885 – $21,171 · median $9,551	10 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,224 – $43,815 · median $26,598	10 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$9,224 – $29,108 · median $19,137	10 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$9,224 – $22,500 · median $14,638	10 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$9,224 – $45,772 · median $22,533	10 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$9,224 – $32,107 · median $16,404	10 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$9,224 – $23,254 · median $12,930	10 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$9,224 – $26,522 · median $21,447	10 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$9,224 – $58,952 · median $24,893	10 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$9,224 – $25,301 · median $16,378	10 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$9,224 – $19,034 · median $12,444	10 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$9,224 – $33,256 · median $13,769	10 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$8,443 – $19,717 · median $9,118	10 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	$9,224 – $41,732 · median $28,225	10 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	$9,224 – $33,956 · median $19,714	10 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	$9,224 – $23,865 · median $15,744	10 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$9,224 – $64,214 · median $27,880	10 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$9,224 – $248,544 · median $205,861	9 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$9,224 – $100,502 · median $83,652	9 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$9,224 – $91,444 · median $76,175	9 plans
006	LIVER TRANSPLANT WITHOUT MCC	$9,224 – $41,126 · median $34,637	9 plans
007	LUNG TRANSPLANT	$9,224 – $114,855 · median $95,501	9 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$9,224 – $49,707 · median $41,722	9 plans
010	PANCREAS TRANSPLANT	$9,224 – $59,814 · median $52,504	9 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$9,224 – $106,587 · median $88,676	9 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$9,224 – $52,591 · median $44,102	9 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$9,224 – $45,469 · median $40,460	9 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$13,234 – $23,937 · median $14,291	9 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$9,081 – $19,016 · median $9,806	9 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$21,691 – $45,988 · median $23,424	9 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$14,704 – $22,338 · median $15,879	9 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$22,723 – $38,320 · median $24,538	9 plans
501	SOFT TISSUE PROCEDURES WITH CC	$12,845 – $23,308 · median $13,871	9 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$10,040 – $17,436 · median $10,842	9 plans
503	FOOT PROCEDURES WITH MCC	$20,117 – $43,312 · median $21,724	9 plans
504	FOOT PROCEDURES WITH CC	$13,689 – $22,051 · median $14,783	9 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$13,156 – $20,543 · median $14,207	9 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$10,063 – $26,127 · median $10,768	9 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$13,251 – $36,183 · median $14,310	9 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$11,215 – $25,211 · median $12,111	9 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$21,717 – $50,064 · median $23,452	9 plans
511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	$15,155 – $26,702 · median $16,365	9 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$12,198 – $19,519 · median $13,173	9 plans
513	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$11,633 – $16,754 · median $12,562	9 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$7,784 – $13,091 · median $8,406	9 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$22,877 – $45,341 · median $24,705	9 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$15,146 – $29,755 · median $16,356	9 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$11,371 – $18,873 · median $12,279	9 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$26,715 – $37,871 · median $28,849	9 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$14,602 – $24,709 · median $15,769	9 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$11,072 – $16,897 · median $11,957	9 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$20,669 – $47,981 · median $22,320	9 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$15,422 – $29,737 · median $16,654	9 plans
533	FRACTURES OF FEMUR WITH MCC	$11,587 – $27,438 · median $12,512	9 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$6,276 – $12,731 · median $6,778	9 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$9,595 – $20,704 · median $10,361	9 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$6,287 – $10,792 · median $6,789	9 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$7,310 – $17,131 · median $7,894	9 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$5,678 – $12,570 · median $6,132	9 plans
539	OSTEOMYELITIS WITH MCC	$14,390 – $21,081 · median $15,539	9 plans
540	OSTEOMYELITIS WITH CC	$9,694 – $14,168 · median $10,469	9 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$6,146 – $10,056 · median $6,637	9 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$12,973 – $27,223 · median $14,009	9 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$7,823 – $17,149 · median $8,449	9 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$5,917 – $13,791 · median $6,390	9 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$17,960 – $42,899 · median $19,395	9 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$8,698 – $17,562 · median $9,393	9 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$6,486 – $14,653 · median $7,004	9 plans
548	SEPTIC ARTHRITIS WITH MCC	$14,119 – $34,316 · median $15,247	9 plans
549	SEPTIC ARTHRITIS WITH CC	$9,073 – $16,125 · median $9,798	9 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$6,750 – $13,809 · median $7,290	9 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$12,343 – $22,087 · median $13,329	9 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$7,358 – $11,349 · median $7,946	9 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$9,694 – $23,721 · median $10,469	9 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$6,444 – $10,882 · median $6,958	9 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,872 – $24,511 · median $10,661	9 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$6,447 – $11,852 · median $6,962	9 plans
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$11,023 – $17,346 · median $11,904	9 plans
558	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	$6,743 – $8,314 · median $7,365	9 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$13,659 – $25,391 · median $14,750	9 plans
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$8,508 – $14,779 · median $9,187	9 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$6,261 – $11,905 · median $6,761	9 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$10,590 – $21,351 · median $11,436	9 plans
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$6,900 – $10,990 · median $7,451	9 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$11,419 – $25,768 · median $12,331	9 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$7,450 – $13,216 · median $8,045	9 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$5,880 – $11,618 · median $6,350	9 plans
570	SKIN DEBRIDEMENT WITH MCC	$21,163 – $35,213 · median $22,854	9 plans
571	SKIN DEBRIDEMENT WITH CC	$12,436 – $18,118 · median $13,430	9 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$8,648 – $15,551 · median $9,339	9 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$46,337 – $105,155 · median $50,039	9 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$24,861 – $58,450 · median $26,847	9 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$13,186 – $33,777 · median $14,239	9 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$34,830 – $98,278 · median $37,613	9 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$19,138 – $41,840 · median $20,667	9 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$11,857 – $29,198 · median $12,804	9 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$23,237 – $32,897 · median $25,093	9 plans
580	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$12,704 – $24,008 · median $13,719	9 plans
581	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$10,718 – $20,130 · median $11,574	9 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$14,089 – $37,745 · median $15,215	9 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$12,679 – $34,082 · median $13,692	9 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$15,582 – $41,121 · median $16,827	9 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$14,107 – $35,860 · median $15,234	9 plans
592	SKIN ULCERS WITH MCC	$14,150 – $20,112 · median $15,280	9 plans
593	SKIN ULCERS WITH CC	$8,927 – $12,283 · median $9,641	9 plans
594	SKIN ULCERS WITHOUT CC/MCC	$6,700 – $8,350 · median $7,168	9 plans
595	MAJOR SKIN DISORDERS WITH MCC	$15,443 – $38,158 · median $16,676	9 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$8,204 – $11,277 · median $8,859	9 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$12,280 – $29,647 · median $13,261	9 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$8,544 – $15,335 · median $9,226	9 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$6,020 – $13,216 · median $6,501	9 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$7,918 – $11,439 · median $8,551	9 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$4,874 – $6,375 · median $5,215	9 plans
602	CELLULITIS WITH MCC	$10,566 – $19,358 · median $11,410	9 plans
603	CELLULITIS WITHOUT MCC	$6,728 – $8,835 · median $7,199	9 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$10,920 – $26,289 · median $11,793	9 plans
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$7,043 – $10,702 · median $7,605	9 plans
606	MINOR SKIN DISORDERS WITH MCC	$11,207 – $25,589 · median $12,102	9 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$6,976 – $9,427 · median $7,533	9 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$15,938 – $33,130 · median $17,212	9 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$10,412 – $24,601 · median $11,244	9 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$24,972 – $41,067 · median $26,967	9 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$13,697 – $20,812 · median $14,791	9 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$10,545 – $13,126 · median $11,283	9 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$20,789 – $39,290 · median $22,450	9 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$11,814 – $22,931 · median $12,758	9 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$11,173 – $18,514 · median $12,066	9 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$25,473 – $36,075 · median $27,508	9 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$13,164 – $20,489 · median $14,216	9 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$9,385 – $15,605 · median $10,135	9 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$21,714 – $51,788 · median $23,449	9 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$11,110 – $23,685 · median $11,998	9 plans
627	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$9,917 – $17,041 · median $10,710	9 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$26,641 – $40,996 · median $28,770	9 plans
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$15,848 – $23,721 · median $17,114	9 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$10,832 – $15,407 · median $11,698	9 plans
637	DIABETES WITH MCC	$10,673 – $15,928 · median $11,526	9 plans
638	DIABETES WITH CC	$6,904 – $9,840 · median $7,456	9 plans
639	DIABETES WITHOUT CC/MCC	$4,987 – $7,596 · median $5,385	9 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$9,968 – $17,346 · median $10,765	9 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$6,082 – $9,535 · median $6,568	9 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$10,571 – $13,845 · median $11,311	9 plans
643	ENDOCRINE DISORDERS WITH MCC	$12,133 – $21,045 · median $13,103	9 plans
644	ENDOCRINE DISORDERS WITH CC	$7,803 – $12,157 · median $8,426	9 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$6,013 – $8,332 · median $6,493	9 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$33,437 – $41,697 · median $35,778	9 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$26,495 – $32,867 · median $28,350	9 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$36,889 – $98,368 · median $39,836	9 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$20,174 – $38,625 · median $21,786	9 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$15,414 – $31,802 · median $16,646	9 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$22,855 – $43,420 · median $24,681	9 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$13,416 – $25,678 · median $14,488	9 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$11,476 – $22,141 · median $12,393	9 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$18,373 – $28,551 · median $19,840	9 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$9,871 – $15,838 · median $10,660	9 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$7,875 – $12,965 · median $8,504	9 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$22,003 – $54,445 · median $23,761	9 plans
663	MINOR BLADDER PROCEDURES WITH CC	$11,255 – $27,187 · median $12,155	9 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$7,955 – $19,771 · median $8,591	9 plans
665	PROSTATECTOMY WITH MCC	$22,419 – $56,780 · median $24,210	9 plans
666	PROSTATECTOMY WITH CC	$12,853 – $30,634 · median $13,880	9 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$8,369 – $18,352 · median $9,037	9 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$21,016 – $44,964 · median $22,695	9 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$11,477 – $17,831 · median $12,394	9 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$7,470 – $14,509 · median $8,067	9 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$13,172 – $31,389 · median $14,224	9 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$8,183 – $18,514 · median $8,836	9 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$29,952 – $43,563 · median $32,345	9 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$16,962 – $28,803 · median $18,317	9 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$12,101 – $26,756 · median $13,067	9 plans
682	RENAL FAILURE WITH MCC	$10,982 – $15,964 · median $11,860	9 plans
683	RENAL FAILURE WITH CC	$6,762 – $9,140 · median $7,303	9 plans
684	RENAL FAILURE WITHOUT CC/MCC	$4,841 – $6,806 · median $5,228	9 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$13,232 – $27,600 · median $14,289	9 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$7,962 – $14,437 · median $8,598	9 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$6,166 – $11,097 · median $6,659	9 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$8,746 – $16,377 · median $9,445	9 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$6,300 – $8,960 · median $6,803	9 plans
693	URINARY STONES WITH MCC	$10,030 – $25,337 · median $10,832	9 plans
694	URINARY STONES WITHOUT MCC	$6,106 – $8,494 · median $6,594	9 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$8,631 – $20,848 · median $9,321	9 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$5,460 – $8,889 · median $5,896	9 plans
697	URETHRAL STRICTURE	$8,171 – $18,675 · median $8,824	9 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$12,191 – $21,764 · median $13,165	9 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$7,733 – $12,749 · median $8,351	9 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$5,466 – $11,241 · median $5,903	9 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$14,603 – $26,217 · median $15,770	9 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$11,353 – $24,224 · median $12,260	9 plans
709	PENIS PROCEDURES WITH CC/MCC	$16,882 – $40,583 · median $18,231	9 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$10,426 – $25,696 · median $11,259	9 plans
711	TESTES PROCEDURES WITH CC/MCC	$15,185 – $36,937 · median $16,399	9 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$8,323 – $20,543 · median $8,988	9 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$11,138 – $21,423 · median $12,028	9 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$8,028 – $14,976 · median $8,670	9 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$16,256 – $39,451 · median $17,554	9 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$10,912 – $24,798 · median $11,784	9 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$13,837 – $20,597 · median $14,943	9 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$10,021 – $13,827 · median $10,821	9 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$13,274 – $31,891 · median $14,335	9 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$8,623 – $20,112 · median $9,312	9 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,228 – $13,504 · median $5,593	9 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$8,815 – $22,554 · median $9,519	9 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$5,690 – $13,378 · median $6,144	9 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$10,995 – $27,133 · median $11,874	9 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$6,312 – $9,697 · median $6,816	9 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$8,038 – $18,783 · median $8,680	9 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$5,341 – $11,097 · median $5,768	9 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$15,507 – $26,504 · median $16,746	9 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$10,037 – $21,351 · median $10,839	9 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$25,580 – $72,384 · median $27,623	9 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$15,024 – $27,205 · median $16,224	9 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$10,895 – $19,806 · median $11,765	9 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$25,637 – $68,092 · median $27,686	9 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$13,273 – $26,594 · median $14,334	9 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$10,599 – $18,639 · median $11,446	9 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$13,449 – $22,410 · median $14,524	9 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$9,307 – $15,676 · median $10,050	9 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$14,841 – $18,298 · median $15,989	9 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$8,587 – $12,211 · median $9,273	9 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$12,768 – $18,585 · median $13,788	9 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$6,650 – $13,252 · median $7,181	9 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$10,329 – $24,206 · median $11,154	9 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$18,559 – $29,611 · median $20,042	9 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$10,946 – $24,493 · median $11,820	9 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$13,497 – $23,057 · median $14,576	9 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$8,240 – $13,845 · median $8,899	9 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$7,353 – $12,193 · median $7,940	9 plans
757	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$10,640 – $26,091 · median $11,490	9 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$7,482 – $11,187 · median $8,080	9 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,283 – $8,799 · median $5,705	9 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$7,681 – $10,738 · median $8,294	9 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$4,633 – $8,009 · median $5,004	9 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$7,661 – $9,590 · median $8,696	9 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$12,438 – $19,160 · median $13,432	9 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$7,647 – $10,020 · median $8,182	9 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$5,010 – $6,177 · median $5,586	9 plans
779	ABORTION WITHOUT D&C	$5,345 – $7,696 · median $6,755	9 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$12,103 – $21,774 · median $18,663	9 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$8,047 – $13,055 · median $8,690	9 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$7,334 – $10,900 · median $7,920	9 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$11,885 – $14,653 · median $13,008	9 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$8,443 – $12,965 · median $9,117	9 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$7,341 – $10,882 · median $7,928	9 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$13,222 – $20,471 · median $14,278	9 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$42,098 – $117,169 · median $45,462	9 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$28,008 – $35,999 · median $30,985	9 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$9,307 – $21,722 · median $18,620	9 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$12,089 – $36,980 · median $31,215	9 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$3,306 – $13,090 · median $11,494	9 plans
795	NORMAL NEWBORN	$1,772 – $2,801 · median $2,192	9 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$8,793 – $21,010 · median $9,495	9 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$7,631 – $13,845 · median $8,241	9 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$7,329 – $11,780 · median $7,915	9 plans
799	SPLENIC PROCEDURES WITH MCC	$32,234 – $54,248 · median $34,810	9 plans
800	SPLENIC PROCEDURES WITH CC	$20,245 – $39,882 · median $21,862	9 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$13,966 – $28,875 · median $15,082	9 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$28,436 – $64,106 · median $30,708	9 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$13,617 – $27,851 · median $14,705	9 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$10,111 – $18,927 · median $10,918	9 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$7,472 – $9,653 · median $8,753	9 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$5,913 – $8,386 · median $6,385	9 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$5,357 – $7,147 · median $5,785	9 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$16,051 – $29,072 · median $17,333	9 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$9,482 – $15,605 · median $10,240	9 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$7,953 – $12,911 · median $8,589	9 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$10,447 – $18,496 · median $11,282	9 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$7,058 – $12,821 · median $7,622	9 plans
813	COAGULATION DISORDERS	$11,291 – $24,583 · median $12,193	9 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$15,484 – $24,511 · median $16,722	9 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$7,726 – $13,432 · median $8,343	9 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$5,062 – $10,092 · median $5,467	9 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$14,971 – $21,351 · median $17,393	9 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$8,738 – $14,330 · median $9,350	9 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$6,651 – $9,607 · median $7,183	9 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$41,549 – $85,475 · median $44,869	9 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$16,265 – $37,368 · median $17,564	9 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$9,051 – $21,315 · median $9,774	9 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$32,624 – $64,357 · median $35,231	9 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$16,453 – $35,986 · median $17,768	9 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$10,065 – $21,889 · median $10,869	9 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$33,273 – $86,750 · median $35,931	9 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$16,771 – $37,638 · median $18,111	9 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$12,536 – $25,086 · median $13,537	9 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$22,689 – $28,875 · median $24,278	9 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$11,149 – $24,511 · median $12,040	9 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$9,040 – $11,151 · median $9,673	9 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$5,687 – $7,273 · median $6,085	9 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$4,195 – $5,172 · median $4,603	9 plans
834	ACUTE LEUKEMIA WITH MCC	$38,935 – $122,268 · median $42,046	9 plans
835	ACUTE LEUKEMIA WITH CC	$15,199 – $46,760 · median $16,414	9 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$9,159 – $28,839 · median $9,891	9 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$34,155 – $56,636 · median $36,884	9 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$15,210 – $18,819 · median $16,275	9 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$10,723 – $15,209 · median $11,580	9 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$23,212 – $56,223 · median $25,066	9 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$12,031 – $28,246 · median $12,992	9 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$7,701 – $19,250 · median $8,316	9 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$14,565 – $31,820 · median $15,728	9 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$9,144 – $18,029 · median $9,875	9 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$6,594 – $15,317 · median $7,120	9 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$18,732 – $27,330 · median $20,229	9 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$9,777 – $13,342 · median $10,558	9 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$6,578 – $8,547 · median $7,039	9 plans
849	RADIOTHERAPY	$19,548 – $45,970 · median $21,110	9 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$61,036 – $165,401 · median $65,913	9 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$35,091 – $60,910 · median $37,895	9 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$14,588 – $24,978 · median $15,753	9 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$11,095 – $19,753 · median $11,982	9 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$32,372 – $49,292 · median $34,959	9 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$15,588 – $23,128 · median $16,833	9 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$10,368 – $16,431 · median $11,196	9 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$13,372 – $17,921 · median $14,440	9 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$7,614 – $11,421 · median $8,222	9 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$6,845 – $11,331 · median $7,392	9 plans
865	VIRAL ILLNESS WITH MCC	$11,103 – $17,095 · median $11,990	9 plans
866	VIRAL ILLNESS WITHOUT MCC	$6,719 – $9,625 · median $7,256	9 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$15,251 – $29,665 · median $16,469	9 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$7,845 – $13,611 · median $8,472	9 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$5,744 – $10,972 · median $6,202	9 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$48,850 – $93,376 · median $52,753	9 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$14,200 – $25,176 · median $15,335	9 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$7,791 – $12,857 · median $8,413	9 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$27,604 – $64,735 · median $29,810	9 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$7,351 – $10,559 · median $7,938	9 plans
881	DEPRESSIVE NEUROSES	$5,331 – $8,515 · median $7,577	9 plans
882	NEUROSES EXCEPT DEPRESSIVE	$5,214 – $9,609 · median $8,550	9 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$14,366 – $18,065 · median $15,372	9 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$9,118 – $14,269 · median $12,468	9 plans
885	PSYCHOSES	$7,821 – $12,388 · median $10,915	9 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$15,126 – $22,105 · median $16,335	9 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$8,123 – $18,531 · median $8,772	9 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$4,957 – $6,123 · median $5,304	9 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$10,526 – $26,828 · median $11,367	9 plans
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$12,824 – $20,399 · median $13,848	9 plans
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$6,811 – $8,925 · median $7,288	9 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$29,917 – $57,588 · median $32,308	9 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$14,005 – $21,423 · median $15,124	9 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$8,811 – $14,312 · median $9,515	9 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$26,267 – $52,470 · median $28,366	9 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$10,999 – $28,857 · median $11,878	9 plans
906	HAND PROCEDURES FOR INJURIES	$14,352 – $23,218 · median $15,499	9 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$27,426 – $49,328 · median $29,617	9 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$14,568 – $25,283 · median $15,731	9 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$9,809 – $17,203 · median $10,592	9 plans
913	TRAUMATIC INJURY WITH MCC	$12,053 – $27,779 · median $13,016	9 plans
914	TRAUMATIC INJURY WITHOUT MCC	$6,830 – $10,756 · median $7,376	9 plans
915	ALLERGIC REACTIONS WITH MCC	$12,381 – $18,783 · median $13,370	9 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$5,301 – $8,206 · median $5,725	9 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$11,592 – $17,813 · median $12,518	9 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$6,632 – $8,853 · median $7,162	9 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$13,421 – $19,914 · median $14,494	9 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$7,644 – $12,247 · median $8,255	9 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$5,456 – $8,781 · median $5,891	9 plans
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$12,854 – $26,702 · median $13,881	9 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$7,752 – $9,966 · median $8,294	9 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$149,527 – $389,592 · median $161,474	9 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$34,300 – $63,615 · median $53,202	9 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$16,662 – $28,565 · median $24,269	9 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$27,809 – $58,360 · median $30,031	9 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$16,069 – $36,255 · median $17,353	9 plans
935	NON-EXTENSIVE BURNS	$12,730 – $18,270 · median $15,770	9 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$25,956 – $57,803 · median $28,030	9 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$16,950 – $30,778 · median $18,304	9 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$14,794 – $20,614 · median $15,976	9 plans
945	REHABILITATION WITH CC/MCC	$11,453 – $27,025 · median $12,369	9 plans
946	REHABILITATION WITHOUT CC/MCC	$8,652 – $19,322 · median $9,343	9 plans
947	SIGNS AND SYMPTOMS WITH MCC	$9,507 – $16,018 · median $10,266	9 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$6,237 – $10,882 · median $6,736	9 plans
949	AFTERCARE WITH CC/MCC	$8,951 – $18,747 · median $9,666	9 plans
950	AFTERCARE WITHOUT CC/MCC	$5,032 – $11,726 · median $5,434	9 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$4,532 – $6,034 · median $4,894	9 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$47,590 – $107,418 · median $51,392	9 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$26,894 – $85,439 · median $29,043	9 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$53,787 – $103,019 · median $58,085	9 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$30,038 – $59,527 · median $32,438	9 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$21,184 – $46,634 · median $22,877	9 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$19,718 – $43,222 · median $21,293	9 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$11,342 – $19,753 · median $12,248	9 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$7,213 – $13,575 · median $7,790	9 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$43,338 – $118,641 · median $46,800	9 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$19,045 – $50,872 · median $20,567	9 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$20,779 – $46,131 · median $22,439	9 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$9,685 – $24,206 · median $10,459	9 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$6,950 – $16,359 · median $7,505	9 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$9,704 – $24,745 · median $10,479	9 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$33,370 – $70,391 · median $36,036	9 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$17,798 – $35,429 · median $19,220	9 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$12,607 – $22,015 · median $13,614	9 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$24,561 – $46,383 · median $26,523	9 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$12,116 – $21,638 · median $13,084	9 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$9,017 – $16,664 · median $9,738	9 plans
652	KIDNEY TRANSPLANT	$23,174 – $28,642 · median $24,679	8 plans
009	DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES	$9,224 – $9,224 · median $9,224	1 plans
015	DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK &	$9,224 – $9,224 · median $9,224	1 plans
043	DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA	$9,224 – $9,224 · median $9,224	1 plans
044	DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS	$9,224 – $9,224 · median $9,224	1 plans
045	DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS	$9,224 – $9,224 · median $9,224	1 plans
046	DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17	$9,224 – $9,224 · median $9,224	1 plans
047	DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17	$9,224 – $9,224 · median $9,224	1 plans
048	DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0-	$9,224 – $9,224 · median $9,224	1 plans
049	DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
050	DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY	$9,224 – $9,224 · median $9,224	1 plans
051	DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT	$9,224 – $9,224 · median $9,224	1 plans
077	DRG Grouper 12 (10/1/1994): DRG 77: OTHER RESP SYSTEM O.R. PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
078	DRG Grouper 12 (10/1/1994): DRG 78: PULMONARY EMBOLISM	$9,224 – $9,224 · median $9,224	1 plans
079	DRG Grouper 12 (10/1/1994): DRG 79: RESPIRATORY INFECTIONS &	$9,224 – $9,224 · median $9,224	1 plans
104	DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC	$9,224 – $9,224 · median $9,224	1 plans
105	DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O	$9,224 – $9,224 · median $9,224	1 plans
106	DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH	$9,224 – $9,224 · median $9,224	1 plans
107	DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH	$9,224 – $9,224 · median $9,224	1 plans
108	DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
109	DRG Grouper 12 (10/1/1994): DRG 109: NO LONGER VALID	$9,224 – $9,224 · median $9,224	1 plans
110	DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W	$9,224 – $9,224 · median $9,224	1 plans
111	DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/	$9,224 – $9,224 · median $9,224	1 plans
112	DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR	$9,224 – $9,224 · median $9,224	1 plans
118	DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE	$9,224 – $9,224 · median $9,224	1 plans
119	DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING	$9,224 – $9,224 · median $9,224	1 plans
120	DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R.	$9,224 – $9,224 · median $9,224	1 plans
126	DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS	$9,224 – $9,224 · median $9,224	1 plans
127	DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK	$9,224 – $9,224 · median $9,224	1 plans
128	DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS	$9,224 – $9,224 · median $9,224	1 plans
129	DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED	$9,224 – $9,224 · median $9,224	1 plans
130	DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC	$9,224 – $9,224 · median $9,224	1 plans
131	DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O	$9,224 – $9,224 · median $9,224	1 plans
132	DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC	$9,224 – $9,224 · median $9,224	1 plans
133	DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC	$9,224 – $9,224 · median $9,224	1 plans
134	DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION	$9,224 – $9,224 · median $9,224	1 plans
160	DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL	$9,224 – $9,224 · median $9,224	1 plans
161	DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA	$9,224 – $9,224 · median $9,224	1 plans
162	DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA	$9,224 – $9,224 · median $9,224	1 plans
169	DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC	$9,224 – $9,224 · median $9,224	1 plans
170	DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R.	$9,224 – $9,224 · median $9,224	1 plans
171	DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R.	$9,224 – $9,224 · median $9,224	1 plans
172	DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC	$9,224 – $9,224 · median $9,224	1 plans
174	DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC	$9,224 – $9,224 · median $9,224	1 plans
210	DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT	$9,224 – $9,224 · median $9,224	1 plans
211	DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT	$9,224 – $9,224 · median $9,224	1 plans
214	DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC	$9,224 – $9,224 · median $9,224	1 plans
222	DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC	$9,224 – $9,224 · median $9,224	1 plans
223	DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR	$9,224 – $9,224 · median $9,224	1 plans
224	DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC,	$9,224 – $9,224 · median $9,224	1 plans
225	DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
226	DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC	$9,224 – $9,224 · median $9,224	1 plans
227	DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC	$9,224 – $9,224 · median $9,224	1 plans
230	DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT	$9,224 – $9,224 · median $9,224	1 plans
237	DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS	$9,224 – $9,224 · median $9,224	1 plans
238	DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS	$9,224 – $9,224 · median $9,224	1 plans
246	DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES	$9,224 – $9,224 · median $9,224	1 plans
247	DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF	$9,224 – $9,224 · median $9,224	1 plans
248	DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS	$9,224 – $9,224 · median $9,224	1 plans
249	DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM	$9,224 – $9,224 · median $9,224	1 plans
294	DRG Grouper 12 (10/1/1994): DRG 294: DIABETES AGE >35	$9,224 – $9,224 · median $9,224	1 plans
295	DRG Grouper 12 (10/1/1994): DRG 295: DIABETES AGE 0-35	$9,224 – $9,224 · median $9,224	1 plans
338	DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY	$9,224 – $9,224 · median $9,224	1 plans
339	DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY	$9,224 – $9,224 · median $9,224	1 plans
340	DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY	$9,224 – $9,224 · median $9,224	1 plans
341	DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
342	DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17	$9,224 – $9,224 · median $9,224	1 plans
343	DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17	$9,224 – $9,224 · median $9,224	1 plans
361	DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL	$9,224 – $9,224 · median $9,224	1 plans
362	DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION	$9,224 – $9,224 · median $9,224	1 plans
363	DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT,	$9,224 – $9,224 · median $9,224	1 plans
364	DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR	$9,224 – $9,224 · median $9,224	1 plans
365	DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM	$9,224 – $9,224 · median $9,224	1 plans
366	DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE	$9,224 – $9,224 · median $9,224	1 plans
367	DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE	$9,224 – $9,224 · median $9,224	1 plans
396	DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17	$9,224 – $9,224 · median $9,224	1 plans
400	DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R.	$9,224 – $9,224 · median $9,224	1 plans
401	DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W	$9,224 – $9,224 · median $9,224	1 plans
403	DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC	$9,224 – $9,224 · median $9,224	1 plans
404	DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O	$9,224 – $9,224 · median $9,224	1 plans
431	DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS	$9,224 – $9,224 · median $9,224	1 plans
449	DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS	$9,224 – $9,224 · median $9,224	1 plans
452	DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC	$9,224 – $9,224 · median $9,224	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	—	1 plans
455	DRG Grouper 12 (10/1/1994): DRG 455: OTHER INJURY, POISONING & TOXIC	$9,224 – $9,224 · median $9,224	1 plans
459	DRG Grouper 12 (10/1/1994): DRG 459: NON-EXTENSIVE BURNS W WOUND	$9,224 – $9,224 · median $9,224	1 plans
460	DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R.	$9,224 – $9,224 · median $9,224	1 plans
484	DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE	$9,224 – $9,224 · median $9,224	1 plans
490	DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED	$9,224 – $9,224 · median $9,224	1 plans
491	DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT	$9,224 – $9,224 · median $9,224	1 plans

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