UPMC Hanover — Hospital Prices & Charges

Procedures published 859

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 859 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	$29,284 – $498,792 · median $230,515	12 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$22,438 – $325,508 · median $153,610	12 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$7,451 – $128,171 · median $62,414	12 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$9,223 – $99,076 · median $48,246	12 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$7,527 – $67,722 · median $32,223	12 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$20,065 – $186,765 · median $90,046	12 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$13,816 – $142,396 · median $60,579	12 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$7,520 – $94,155 · median $35,750	12 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$7,711 – $134,662 · median $65,440	12 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$9,293 – $91,930 · median $44,766	12 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$5,313 – $107,728 · median $49,234	12 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$6,040 – $73,066 · median $34,108	12 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$12,964 – $59,288 · median $28,871	12 plans
028	SPINAL PROCEDURES WITH MCC	$11,724 – $141,195 · median $63,976	12 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$5,973 – $80,173 · median $36,725	12 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$3,552 – $51,587 · median $25,121	12 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$7,347 – $105,292 · median $36,306	12 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$4,465 – $50,079 · median $24,386	12 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$2,465 – $39,078 · median $19,029	12 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$10,464 – $90,961 · median $44,294	12 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$5,651 – $56,177 · median $27,356	12 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$5,770 – $45,656 · median $22,232	12 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$7,793 – $77,364 · median $37,443	12 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$3,858 – $38,516 · median $18,568	12 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$4,870 – $27,624 · median $13,452	12 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$6,012 – $90,738 · median $41,912	12 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$3,670 – $51,669 · median $25,161	12 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$5,479 – $40,601 · median $19,771	12 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$8,817 – $45,040 · median $20,546	12 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$6,641 – $26,550 · median $11,205	12 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$6,913 – $35,882 · median $17,473	12 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$6,218 – $24,114 · median $11,668	12 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$7,402 – $54,593 · median $26,584	12 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$8,787 – $30,447 · median $14,826	12 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$3,109 – $43,604 · median $19,563	12 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$4,433 – $29,161 · median $14,200	12 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$2,624 – $21,615 · median $10,526	12 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$9,652 – $66,954 · median $31,551	12 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$3,099 – $45,846 · median $20,108	12 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$9,521 – $42,168 · median $16,064	12 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$11,001 – $47,259 · median $23,013	12 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$4,881 – $26,416 · median $11,561	12 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$4,642 – $18,562 · median $7,832	12 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$8,074 – $35,845 · median $16,807	12 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$5,863 – $20,313 · median $9,892	12 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$4,945 – $18,772 · median $9,141	12 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$5,599 – $41,700 · median $19,051	12 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$6,270 – $25,029 · median $11,741	12 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$5,129 – $17,771 · median $8,654	12 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$7,337 – $37,701 · median $18,359	12 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$3,440 – $24,224 · median $11,796	12 plans
075	VIRAL MENINGITIS WITH CC/MCC	$13,005 – $45,061 · median $22,370	12 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$5,597 – $24,205 · median $9,850	12 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$8,920 – $47,622 · median $20,713	12 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$6,074 – $21,047 · median $11,712	12 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$12,752 – $53,712 · median $26,155	12 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$9,181 – $32,801 · median $15,973	12 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$4,813 – $22,461 · median $10,938	12 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$11,454 – $53,390 · median $25,998	12 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$6,506 – $30,613 · median $14,907	12 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$6,204 – $21,495 · median $11,863	12 plans
088	CONCUSSION WITH MCC	$9,168 – $37,634 · median $15,469	12 plans
089	CONCUSSION WITH CC	$7,451 – $25,817 · median $12,572	12 plans
090	CONCUSSION WITHOUT CC/MCC	$5,583 – $19,345 · median $9,420	12 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$6,584 – $41,271 · median $20,097	12 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$6,938 – $24,041 · median $11,921	12 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$5,401 – $18,713 · median $9,112	12 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$11,972 – $83,259 · median $39,898	12 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$5,921 – $60,611 · median $29,515	12 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$8,177 – $60,611 · median $29,515	12 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$5,898 – $84,877 · median $41,332	12 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$5,160 – $53,930 · median $26,262	12 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$6,762 – $32,016 · median $15,591	12 plans
100	SEIZURES WITH MCC	$4,866 – $45,515 · median $22,164	12 plans
101	SEIZURES WITHOUT MCC	$6,122 – $21,211 · median $10,329	12 plans
102	HEADACHES WITH MCC	$5,143 – $26,341 · median $12,827	12 plans
103	HEADACHES WITHOUT MCC	$5,672 – $130,530 · median $10,936	12 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$15,946 – $55,251 · median $27,393	12 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$9,176 – $33,906 · median $15,483	12 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$10,410 – $37,130 · median $20,072	12 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$12,263 – $47,105 · median $22,589	12 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$7,358 – $25,568 · median $12,415	12 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$7,890 – $28,011 · median $14,654	12 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$5,329 – $18,466 · median $10,125	12 plans
123	NEUROLOGICAL EYE DISORDERS	$5,416 – $18,767 · median $10,443	12 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$8,974 – $35,090 · median $15,141	12 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$5,207 – $18,043 · median $8,786	12 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$8,195 – $49,707 · median $24,506	12 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$5,395 – $30,228 · median $11,619	12 plans
137	MOUTH PROCEDURES WITH CC/MCC	$6,337 – $35,090 · median $17,087	12 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$6,010 – $20,826 · median $10,141	12 plans
139	SALIVARY GLAND PROCEDURES	$4,758 – $31,135 · median $13,979	12 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$6,029 – $100,235 · median $48,810	12 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$6,768 – $51,256 · median $24,959	12 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$4,984 – $38,138 · median $18,268	12 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$4,980 – $88,045 · median $41,689	12 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$10,192 – $40,723 · median $19,830	12 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$5,929 – $28,254 · median $13,758	12 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$14,361 – $49,759 · median $24,844	12 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$8,624 – $29,880 · median $15,033	12 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$5,406 – $31,039 · median $10,424	12 plans
149	DYSEQUILIBRIUM	$5,098 – $17,663 · median $9,829	12 plans
150	EPISTAXIS WITH MCC	$9,031 – $34,057 · median $17,412	12 plans
151	EPISTAXIS WITHOUT MCC	$4,978 – $17,249 · median $9,598	12 plans
152	OTITIS MEDIA AND URI WITH MCC	$8,018 – $27,782 · median $15,460	12 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$5,007 – $17,348 · median $8,901	12 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$10,604 – $40,210 · median $20,446	12 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$6,216 – $21,538 · median $11,985	12 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$4,687 – $16,241 · median $8,327	12 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$9,942 – $40,345 · median $19,646	12 plans
158	DENTAL AND ORAL DISEASES WITH CC	$5,245 – $21,380 · median $10,411	12 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$4,805 – $16,650 · median $9,265	12 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$7,008 – $115,093 · median $50,430	12 plans
164	MAJOR CHEST PROCEDURES WITH CC	$17,118 – $59,409 · median $28,883	12 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$11,537 – $44,984 · median $21,905	12 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$12,972 – $87,836 · median $41,102	12 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$7,541 – $46,571 · median $20,637	12 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,267 – $32,110 · median $15,636	12 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$6,033 – $69,945 · median $27,323	12 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$5,163 – $36,446 · median $15,719	12 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$5,460 – $24,242 · median $9,827	12 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$7,767 – $46,797 · median $17,883	12 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$5,594 – $33,709 · median $11,169	12 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$5,121 – $22,330 · median $9,869	12 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$8,804 – $41,501 · median $20,209	12 plans
181	RESPIRATORY NEOPLASMS WITH CC	$4,793 – $27,587 · median $12,256	12 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$5,112 – $18,767 · median $8,568	12 plans
183	MAJOR CHEST TRAUMA WITH MCC	$5,160 – $35,953 · median $17,507	12 plans
184	MAJOR CHEST TRAUMA WITH CC	$4,085 – $25,006 · median $12,177	12 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$5,334 – $18,483 · median $9,000	12 plans
186	PLEURAL EFFUSION WITH MCC	$4,125 – $36,625 · median $17,835	12 plans
187	PLEURAL EFFUSION WITH CC	$6,117 – $24,968 · median $11,319	12 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$4,864 – $17,388 · median $9,190	12 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$4,843 – $29,032 · median $14,137	12 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$6,461 – $26,999 · median $12,676	12 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$5,717 – $42,557 · median $11,024	12 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$4,354 – $16,964 · median $8,395	12 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$8,915 – $33,502 · median $17,188	12 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$5,466 – $22,989 · median $10,539	12 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$4,263 – $23,675 · median $8,219	12 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$12,799 – $44,349 · median $21,596	12 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$6,437 – $25,305 · median $12,411	12 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$4,857 – $18,578 · median $9,366	12 plans
199	PNEUMOTHORAX WITH MCC	$11,965 – $41,456 · median $21,888	12 plans
200	PNEUMOTHORAX WITH CC	$7,456 – $28,610 · median $14,376	12 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$4,850 – $31,138 · median $9,327	12 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$6,587 – $22,823 · median $12,095	12 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$4,544 – $15,745 · median $8,762	12 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$5,476 – $18,974 · median $10,294	12 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$11,834 – $43,029 · median $20,953	12 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$5,992 – $22,116 · median $10,769	12 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$9,694 – $151,215 · median $73,635	12 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$5,454 – $64,594 · median $31,455	12 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$22,324 – $265,992 · median $83,745	12 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$8,751 – $255,541 · median $99,824	12 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$16,602 – $134,112 · median $42,224	12 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$10,575 – $285,501 · median $101,112	12 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$20,275 – $229,896 · median $108,292	12 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$28,982 – $154,520 · median $71,437	12 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$13,514 – $154,520 · median $66,874	12 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$8,797 – $183,029 · median $81,546	12 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$9,273 – $125,321 · median $58,628	12 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$17,255 – $118,445 · median $47,703	12 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$8,101 – $171,821 · median $56,615	12 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$5,745 – $108,110 · median $36,041	12 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$10,862 – $198,103 · median $94,909	12 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$11,136 – $142,471 · median $69,377	12 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$18,353 – $179,662 · median $79,451	12 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$9,180 – $128,373 · median $59,543	12 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$8,636 – $137,912 · median $59,988	12 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$7,487 – $98,437 · median $45,572	12 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$9,959 – $115,660 · median $52,210	12 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$11,453 – $66,987 · median $30,725	12 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$5,621 – $39,347 · median $15,842	12 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$11,021 – $84,409 · median $36,537	12 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$6,861 – $60,023 · median $24,385	12 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$7,077 – $46,187 · median $20,684	12 plans
245	AICD GENERATOR PROCEDURES	$4,637 – $107,216 · median $52,210	12 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$6,695 – $65,295 · median $24,975	12 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$4,345 – $40,741 · median $17,102	12 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$3,509 – $81,975 · median $39,918	12 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$7,338 – $60,997 · median $29,703	12 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$4,166 – $41,870 · median $20,389	12 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$4,654 – $63,389 · median $30,868	12 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$6,163 – $39,901 · median $19,430	12 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$7,408 – $25,667 · median $12,499	12 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$6,733 – $73,839 · median $35,957	12 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$7,987 – $47,519 · median $23,140	12 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$5,626 – $80,383 · median $37,223	12 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$7,160 – $44,427 · median $21,634	12 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$6,253 – $38,303 · median $18,652	12 plans
263	VEIN LIGATION AND STRIPPING	$20,736 – $71,849 · median $34,987	12 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$11,236 – $78,504 · median $32,783	12 plans
265	AICD LEAD PROCEDURES	$13,442 – $85,028 · median $41,405	12 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$7,088 – $203,612 · median $68,426	12 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$6,681 – $152,883 · median $54,480	12 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$8,050 – $161,631 · median $78,707	12 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$16,401 – $99,245 · median $44,980	12 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$6,368 – $123,993 · median $56,033	12 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$10,927 – $83,573 · median $40,696	12 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$9,703 – $59,996 · median $29,215	12 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$6,107 – $96,949 · median $47,210	12 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$10,678 – $77,355 · median $37,668	12 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$4,944 – $167,564 · median $65,457	12 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$5,912 – $141,155 · median $55,140	12 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$8,481 – $108,535 · median $42,398	12 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$5,636 – $130,806 · median $51,098	12 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$6,462 – $84,750 · median $33,107	12 plans
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$6,482 – $41,900 · median $18,356	12 plans
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$4,185 – $26,973 · median $10,518	12 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$3,435 – $18,260 · median $8,275	12 plans
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$6,893 – $46,549 · median $22,667	12 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$4,183 – $20,126 · median $7,921	12 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$4,062 – $24,344 · median $7,832	12 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$15,008 – $52,001 · median $25,322	12 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$7,258 – $25,147 · median $13,994	12 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$18,333 – $66,564 · median $30,968	12 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$9,694 – $41,873 · median $19,533	12 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$6,305 – $29,346 · median $10,639	12 plans
291	HEART FAILURE AND SHOCK WITH MCC	$4,915 – $33,837 · median $14,691	12 plans
292	HEART FAILURE AND SHOCK WITH CC	$5,758 – $26,200 · median $11,102	12 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$3,839 – $15,517 · median $7,402	12 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$8,843 – $38,087 · median $17,874	12 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$4,300 – $16,827 · median $7,193	12 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$3,087 – $12,318 · median $5,325	12 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$7,821 – $38,368 · median $18,684	12 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$7,240 – $25,086 · median $12,216	12 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$4,881 – $16,913 · median $8,236	12 plans
302	ATHEROSCLEROSIS WITH MCC	$8,116 – $39,877 · median $15,648	12 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$4,566 – $24,796 · median $8,803	12 plans
304	HYPERTENSION WITH MCC	$8,071 – $27,965 · median $15,562	12 plans
305	HYPERTENSION WITHOUT MCC	$5,121 – $17,745 · median $9,874	12 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$10,687 – $37,936 · median $18,033	12 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$6,194 – $24,837 · median $10,450	12 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$8,166 – $28,294 · median $14,147	12 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$4,990 – $18,991 · median $8,419	12 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$3,839 – $13,303 · median $7,403	12 plans
311	ANGINA PECTORIS	$4,760 – $16,495 · median $8,032	12 plans
312	SYNCOPE AND COLLAPSE	$5,911 – $20,483 · median $9,974	12 plans
313	CHEST PAIN	$4,599 – $16,920 · median $8,239	12 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$4,338 – $49,002 · median $23,862	12 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$6,533 – $22,638 · median $12,597	12 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,626 – $16,399 · median $8,920	12 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$4,960 – $157,133 · median $49,472	12 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$10,786 – $56,922 · median $17,921	12 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$5,327 – $104,878 · median $51,071	12 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$9,105 – $56,525 · median $27,525	12 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$5,885 – $65,094 · median $24,977	12 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$5,264 – $41,431 · median $16,184	12 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$6,956 – $101,694 · median $39,725	12 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$3,730 – $74,049 · median $28,926	12 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$6,239 – $75,444 · median $29,471	12 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$4,033 – $131,654 · median $57,073	12 plans
327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$6,957 – $61,661 · median $27,970	12 plans
328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$6,485 – $37,654 · median $18,336	12 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$4,134 – $119,573 · median $48,349	12 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$2,797 – $58,489 · median $27,432	12 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$9,579 – $39,548 · median $19,258	12 plans
332	RECTAL RESECTION WITH MCC	$5,798 – $110,127 · median $41,433	12 plans
333	RECTAL RESECTION WITH CC	$9,997 – $56,518 · median $26,803	12 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$11,109 – $38,491 · median $18,743	12 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$12,954 – $96,861 · median $37,879	12 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$8,211 – $53,113 · median $24,131	12 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$5,905 – $36,073 · median $17,566	12 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$9,577 – $71,522 · median $29,556	12 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$7,245 – $38,574 · median $17,219	12 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$8,045 – $27,876 · median $13,574	12 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$4,719 – $54,759 · median $26,270	12 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$6,478 – $31,034 · median $14,977	12 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$3,944 – $20,459 · median $9,963	12 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$6,538 – $58,560 · median $28,516	12 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$3,345 – $35,826 · median $17,446	12 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$5,594 – $27,443 · median $13,364	12 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$18,174 – $68,197 · median $32,708	12 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$11,410 – $39,536 · median $19,252	12 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$8,452 – $31,608 · median $15,391	12 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$6,900 – $103,231 · median $45,197	12 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$15,772 – $54,649 · median $26,612	12 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,481 – $32,851 · median $15,997	12 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$7,694 – $80,807 · median $25,441	12 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$7,886 – $56,736 · median $17,863	12 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$9,348 – $39,803 · median $18,217	12 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$4,908 – $24,395 · median $11,446	12 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$4,753 – $18,212 · median $8,502	12 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$6,108 – $47,520 · median $20,290	12 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$4,722 – $29,291 · median $11,684	12 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$3,263 – $19,472 · median $8,324	12 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$5,927 – $50,259 · median $24,474	12 plans
375	DIGESTIVE MALIGNANCY WITH CC	$6,841 – $28,985 · median $13,842	12 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$3,384 – $21,721 · median $10,577	12 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$9,404 – $42,958 · median $20,919	12 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$6,651 – $23,264 · median $11,223	12 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$3,087 – $16,181 · median $7,214	12 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$3,353 – $46,112 · median $22,454	12 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$3,914 – $25,462 · median $12,399	12 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$1,788 – $18,814 · median $9,162	12 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$3,911 – $33,729 · median $15,800	12 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$2,802 – $20,088 · median $9,782	12 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$10,732 – $43,253 · median $18,107	12 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$6,621 – $36,606 · median $12,767	12 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$4,621 – $18,331 · median $8,909	12 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$10,016 – $37,263 · median $16,900	12 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$5,357 – $21,159 · median $10,328	12 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$3,690 – $14,422 · median $6,225	12 plans
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$2,226 – $29,805 · median $14,514	12 plans
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$5,287 – $30,848 · median $10,195	12 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$10,847 – $37,584 · median $18,302	12 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$6,346 – $22,505 · median $12,236	12 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,402 – $15,283 · median $7,780	12 plans
397	APPENDIX PROCEDURES WITH MCC	$12,032 – $56,280 · median $21,985	12 plans
398	APPENDIX PROCEDURES WITH CC	$10,266 – $35,570 · median $14,142	12 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$6,477 – $26,900 · median $10,508	12 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$8,874 – $96,918 · median $29,747	12 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$10,443 – $128,557 · median $62,601	12 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$19,670 – $68,155 · median $33,188	12 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$10,849 – $52,161 · median $25,400	12 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$15,015 – $89,144 · median $40,803	12 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$9,426 – $56,326 · median $24,916	12 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$6,502 – $37,311 · median $18,169	12 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$4,312 – $83,369 · median $37,801	12 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$4,350 – $56,411 · median $24,060	12 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$11,262 – $42,017 · median $19,002	12 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$6,458 – $83,721 · median $40,768	12 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$14,017 – $48,567 · median $27,026	12 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$9,246 – $32,038 · median $15,601	12 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$13,728 – $56,674 · median $27,309	12 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$9,275 – $39,753 · median $19,358	12 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$8,952 – $32,096 · median $15,629	12 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$6,135 – $82,520 · median $38,989	12 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$6,616 – $42,820 · median $19,883	12 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$5,644 – $35,417 · median $16,015	12 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$15,265 – $100,941 · median $47,525	12 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$14,839 – $55,102 · median $25,364	12 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$6,820 – $37,306 · median $17,169	12 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$5,742 – $258,998 · median $81,543	12 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$5,750 – $175,098 · median $53,409	12 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$7,245 – $135,792 · median $41,596	12 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$8,929 – $211,726 · median $66,660	12 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$8,651 – $135,527 · median $42,670	12 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$7,262 – $46,253 · median $22,523	12 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$3,233 – $24,821 · median $12,087	12 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,832 – $16,744 · median $8,153	12 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$4,212 – $43,162 · median $21,018	12 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$7,671 – $27,659 · median $12,944	12 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$5,787 – $20,390 · median $9,765	12 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$5,705 – $22,845 · median $11,000	12 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$4,214 – $16,854 · median $8,126	12 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$7,553 – $42,175 · median $20,538	12 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$6,547 – $22,685 · median $12,623	12 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$4,746 – $16,443 · median $8,007	12 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$7,128 – $39,266 · median $19,121	12 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$4,470 – $25,718 · median $12,524	12 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$4,812 – $19,442 · median $9,467	12 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	—	12 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$3,482 – $100,717 · median $31,377	12 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$4,015 – $127,024 · median $39,433	12 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$9,962 – $76,115 · median $23,901	12 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$20,925 – $229,112 · median $96,164	12 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$15,709 – $152,990 · median $68,239	12 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$28,299 – $121,800 · median $47,749	12 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$9,086 – $125,974 · median $57,455	12 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$16,014 – $82,449 · median $30,909	12 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$6,907 – $133,938 · median $55,128	12 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$4,566 – $73,195 · median $35,145	12 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$4,300 – $54,371 · median $23,848	12 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$5,124 – $122,327 · median $47,121	12 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$3,586 – $82,875 · median $36,834	12 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$18,638 – $64,578 · median $36,779	12 plans
471	CERVICAL SPINAL FUSION WITH MCC	$32,749 – $116,674 · median $48,818	12 plans
472	CERVICAL SPINAL FUSION WITH CC	$19,981 – $112,110 · median $38,526	12 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$16,557 – $57,371 · median $31,925	12 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$15,434 – $53,479 · median $29,759	12 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$8,004 – $29,976 · median $15,433	12 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$14,663 – $81,183 · median $37,897	12 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$16,679 – $57,791 · median $28,142	12 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$12,607 – $43,684 · median $21,272	12 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$19,752 – $175,890 · median $36,993	12 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$14,205 – $147,466 · median $27,390	12 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$11,062 – $38,329 · median $21,329	12 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$18,800 – $162,587 · median $34,196	12 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$21,887 – $75,837 · median $36,929	12 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$14,182 – $49,141 · median $27,345	12 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$10,622 – $36,806 · median $18,653	12 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$11,997 – $43,402 · median $20,534	12 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$7,574 – $27,492 · median $14,604	12 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	$24,902 – $86,283 · median $39,172	12 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	$15,234 – $59,598 · median $29,022	12 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	$8,152 – $47,153 · median $22,961	12 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$24,590 – $123,643 · median $47,413	12 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$8,792 – $1,014,796 · median $396,417	11 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$11,056 – $41,533 · median $19,441	11 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$20,572 – $85,652 · median $34,845	11 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$13,082 – $54,371 · median $27,445	11 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$29,115 – $100,883 · median $49,301	11 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$12,234 – $42,392 · median $21,513	11 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$8,195 – $27,432 · median $13,735	11 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$20,461 – $70,895 · median $35,978	11 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$13,665 – $47,348 · median $22,085	11 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$21,464 – $74,373 · median $34,109	11 plans
501	SOFT TISSUE PROCEDURES WITH CC	$11,856 – $41,080 · median $20,847	11 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$9,128 – $31,629 · median $16,051	11 plans
503	FOOT PROCEDURES WITH MCC	$18,930 – $65,591 · median $33,286	11 plans
504	FOOT PROCEDURES WITH CC	$12,677 – $43,926 · median $22,292	11 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$12,159 – $42,131 · median $21,381	11 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$9,151 – $35,694 · median $14,789	11 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$12,251 – $49,070 · median $21,543	11 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$10,271 – $36,475 · median $18,060	11 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$20,486 – $70,982 · median $36,022	11 plans
511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	$14,103 – $48,866 · median $24,798	11 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$11,227 – $38,902 · median $19,742	11 plans
513	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$10,677 – $36,996 · median $18,775	11 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$6,933 – $24,024 · median $12,192	11 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$21,614 – $74,892 · median $38,006	11 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$14,094 – $48,835 · median $24,783	11 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$10,422 – $36,112 · median $18,326	11 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$25,347 – $87,827 · median $34,744	11 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$13,566 – $47,005 · median $23,854	11 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$10,132 – $35,107 · median $17,816	11 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$19,466 – $69,365 · median $40,838	11 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$14,363 – $54,371 · median $30,131	11 plans
533	FRACTURES OF FEMUR WITH MCC	$10,632 – $36,841 · median $18,696	11 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$5,467 – $19,749 · median $9,613	11 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$8,695 – $31,790 · median $15,289	11 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$5,477 – $18,979 · median $9,631	11 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$6,472 – $24,233 · median $11,381	11 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$4,885 – $17,860 · median $8,590	11 plans
539	OSTEOMYELITIS WITH MCC	$13,359 – $46,345 · median $23,490	11 plans
540	OSTEOMYELITIS WITH CC	$8,792 – $30,463 · median $15,459	11 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$5,340 – $19,729 · median $9,201	11 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$11,981 – $44,202 · median $21,067	11 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$6,972 – $26,257 · median $12,260	11 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$5,118 – $19,547 · median $8,999	11 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$16,831 – $58,320 · median $29,596	11 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$7,823 – $27,105 · median $13,755	11 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,671 – $19,651 · median $9,972	11 plans
548	SEPTIC ARTHRITIS WITH MCC	$13,096 – $45,376 · median $23,027	11 plans
549	SEPTIC ARTHRITIS WITH CC	$8,187 – $28,369 · median $14,397	11 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$5,928 – $20,541 · median $10,424	11 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$11,368 – $39,388 · median $19,989	11 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$6,520 – $22,591 · median $11,464	11 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$8,792 – $32,747 · median $15,459	11 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$5,630 – $19,507 · median $9,900	11 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$8,965 – $33,830 · median $15,763	11 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$5,633 – $19,519 · median $9,906	11 plans
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$10,084 – $36,277 · median $17,732	11 plans
558	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	$6,058 – $20,990 · median $10,652	11 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$12,648 – $43,825 · median $22,240	11 plans
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$7,637 – $26,463 · median $13,430	11 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$5,452 – $18,892 · median $9,587	11 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$9,663 – $33,483 · median $16,992	11 plans
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$6,073 – $21,044 · median $10,680	11 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$10,469 – $36,652 · median $18,409	11 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$6,609 – $22,898 · median $11,620	11 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$5,082 – $17,609 · median $8,936	11 plans
570	SKIN DEBRIDEMENT WITH MCC	$19,947 – $69,116 · median $35,075	11 plans
571	SKIN DEBRIDEMENT WITH CC	$11,459 – $39,703 · median $20,149	11 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$7,774 – $26,938 · median $13,671	11 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$44,433 – $153,958 · median $71,811	11 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$23,544 – $81,578 · median $39,893	11 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$12,188 – $41,236 · median $19,697	11 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$33,241 – $115,178 · median $58,451	11 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$17,978 – $62,291 · median $31,612	11 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$10,895 – $40,203 · median $19,158	11 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$21,964 – $76,105 · median $35,498	11 plans
580	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$11,720 – $40,608 · median $20,608	11 plans
581	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$9,787 – $33,913 · median $17,210	11 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$13,067 – $46,325 · median $22,574	11 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$11,695 – $42,017 · median $18,901	11 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$14,519 – $50,306 · median $25,529	11 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$13,084 – $45,342 · median $22,241	11 plans
592	SKIN ULCERS WITH MCC	$13,126 – $45,480 · median $23,080	11 plans
593	SKIN ULCERS WITH CC	$8,046 – $27,878 · median $14,148	11 plans
594	SKIN ULCERS WITHOUT CC/MCC	$5,879 – $20,370 · median $10,337	11 plans
595	MAJOR SKIN DISORDERS WITH MCC	$14,383 – $49,836 · median $25,291	11 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$7,342 – $25,439 · median $12,828	11 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$11,307 – $41,035 · median $19,881	11 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$7,673 – $26,586 · median $13,492	11 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$5,218 – $18,112 · median $8,744	11 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$7,064 – $24,478 · median $12,422	11 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$4,103 – $15,233 · median $7,215	11 plans
602	CELLULITIS WITH MCC	$9,640 – $33,401 · median $16,950	11 plans
603	CELLULITIS WITHOUT MCC	$5,907 – $20,466 · median $10,386	11 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$9,984 – $35,417 · median $17,556	11 plans
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$6,213 – $21,526 · median $10,924	11 plans
606	MINOR SKIN DISORDERS WITH MCC	$10,263 – $38,163 · median $18,046	11 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$6,147 – $21,300 · median $10,810	11 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$14,865 – $55,601 · median $26,139	11 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$9,490 – $35,871 · median $16,688	11 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$23,652 – $101,745 · median $38,057	11 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$12,685 – $45,300 · median $22,305	11 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$9,619 – $33,330 · median $16,914	11 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$19,583 – $79,739 · median $34,434	11 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$10,854 – $42,180 · median $19,085	11 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$10,230 – $35,447 · median $17,989	11 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$24,139 – $83,641 · median $33,657	11 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$12,167 – $42,157 · median $21,394	11 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$8,491 – $29,420 · median $14,930	11 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$20,483 – $70,972 · median $36,017	11 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$10,169 – $35,236 · median $17,881	11 plans
627	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$9,009 – $31,215 · median $15,841	11 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$25,276 – $87,580 · median $39,479	11 plans
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$14,777 – $51,285 · median $25,984	11 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$9,899 – $34,298 · median $17,406	11 plans
637	DIABETES WITH MCC	$9,744 – $33,762 · median $17,134	11 plans
638	DIABETES WITH CC	$6,078 – $21,061 · median $10,688	11 plans
639	DIABETES WITHOUT CC/MCC	$4,213 – $14,598 · median $7,408	11 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$9,058 – $31,387 · median $15,928	11 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$5,278 – $18,288 · median $9,281	11 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$9,645 – $33,419 · median $16,328	11 plans
643	ENDOCRINE DISORDERS WITH MCC	$11,164 – $41,117 · median $19,631	11 plans
644	ENDOCRINE DISORDERS WITH CC	$6,952 – $24,127 · median $12,224	11 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$5,211 – $18,055 · median $9,163	11 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$35,243 – $137,965 · median $61,971	11 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$18,985 – $68,052 · median $33,384	11 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$14,355 – $49,740 · median $25,242	11 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$21,593 – $80,867 · median $37,969	11 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$12,411 – $45,296 · median $21,824	11 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$10,525 – $36,467 · median $18,506	11 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$17,233 – $79,224 · median $30,302	11 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$8,964 – $43,092 · median $15,762	11 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$7,022 – $28,625 · median $12,348	11 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$20,764 – $71,945 · median $36,511	11 plans
663	MINOR BLADDER PROCEDURES WITH CC	$10,310 – $39,246 · median $18,130	11 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$7,100 – $29,044 · median $12,485	11 plans
665	PROSTATECTOMY WITH MCC	$21,169 – $73,348 · median $37,223	11 plans
666	PROSTATECTOMY WITH CC	$11,864 – $43,680 · median $20,862	11 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$7,502 – $25,996 · median $13,192	11 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$19,804 – $68,620 · median $34,823	11 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$10,526 – $36,472 · median $18,509	11 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$6,628 – $22,967 · median $11,655	11 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$12,174 – $45,317 · median $21,407	11 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$7,321 – $27,230 · median $12,874	11 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$28,496 – $98,738 · median $38,023	11 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$15,861 – $54,957 · median $27,890	11 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$11,132 – $38,573 · median $19,575	11 plans
682	RENAL FAILURE WITH MCC	$10,044 – $37,152 · median $17,662	11 plans
683	RENAL FAILURE WITH CC	$5,940 – $23,194 · median $10,445	11 plans
684	RENAL FAILURE WITHOUT CC/MCC	$4,071 – $14,915 · median $7,159	11 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$12,233 – $42,387 · median $21,510	11 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$7,106 – $24,623 · median $12,496	11 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$5,360 – $18,572 · median $9,425	11 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$7,869 – $27,593 · median $13,837	11 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$5,490 – $19,023 · median $9,654	11 plans
693	URINARY STONES WITH MCC	$9,119 – $34,384 · median $16,034	11 plans
694	URINARY STONES WITHOUT MCC	$5,302 – $18,370 · median $9,322	11 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$7,757 – $28,918 · median $13,641	11 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$4,673 – $16,192 · median $8,217	11 plans
697	URETHRAL STRICTURE	$7,310 – $25,328 · median $12,854	11 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$11,221 – $38,878 · median $19,730	11 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$6,884 – $23,853 · median $12,105	11 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$4,679 – $16,213 · median $8,228	11 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$13,566 – $47,007 · median $23,855	11 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$10,405 – $36,054 · median $18,297	11 plans
709	PENIS PROCEDURES WITH CC/MCC	$15,783 – $54,687 · median $27,752	11 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$9,503 – $38,188 · median $16,710	11 plans
711	TESTES PROCEDURES WITH CC/MCC	$14,133 – $48,969 · median $24,851	11 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$7,458 – $28,943 · median $13,115	11 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$10,196 – $35,330 · median $17,929	11 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$7,172 – $24,849 · median $12,610	11 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$15,174 – $52,577 · median $26,682	11 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$9,977 – $34,569 · median $17,543	11 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$12,822 – $44,427 · median $22,546	11 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$9,109 – $31,563 · median $16,017	11 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$12,274 – $43,050 · median $21,582	11 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$7,750 – $28,314 · median $13,628	11 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,447 – $17,885 · median $7,295	11 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$7,937 – $31,840 · median $13,956	11 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$4,897 – $19,119 · median $8,610	11 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$10,057 – $35,997 · median $17,685	11 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$5,502 – $19,063 · median $9,674	11 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$7,180 – $26,475 · median $12,626	11 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,558 – $15,792 · median $8,014	11 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$14,446 – $55,167 · median $25,402	11 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$9,125 – $31,619 · median $16,046	11 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$24,243 – $99,504 · median $42,629	11 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$13,975 – $48,424 · median $24,574	11 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$9,960 – $34,510 · median $17,513	11 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$24,299 – $82,868 · median $42,054	11 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$12,273 – $42,526 · median $21,581	11 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$9,672 – $33,513 · median $17,007	11 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$12,444 – $43,118 · median $21,881	11 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$8,415 – $29,156 · median $14,796	11 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$13,897 – $48,154 · median $22,461	11 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$7,715 – $26,731 · median $13,566	11 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$11,781 – $40,822 · median $20,716	11 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$5,831 – $20,046 · median $10,012	11 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$9,409 – $32,602 · median $16,545	11 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$17,414 – $60,339 · median $30,621	11 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$10,009 – $35,669 · median $17,600	11 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$12,491 – $45,954 · median $21,964	11 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$7,378 – $25,914 · median $12,973	11 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$6,514 – $22,572 · median $11,455	11 plans
757	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$9,711 – $37,509 · median $17,077	11 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$6,640 – $24,825 · median $11,675	11 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,501 – $16,684 · median $7,914	11 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$6,833 – $23,676 · median $12,015	11 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$3,869 – $13,386 · median $6,793	11 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$7,037 – $25,183 · median $9,021	11 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$11,461 – $39,710 · median $14,634	11 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$6,801 – $23,563 · median $11,958	11 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$4,440 – $15,385 · median $7,808	11 plans
779	ABORTION WITHOUT D&C	$5,706 – $16,758 · median $9,210	11 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$10,736 – $57,695 · median $17,997	11 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$7,190 – $24,912 · median $12,643	11 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$6,496 – $22,508 · median $11,422	11 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$10,736 – $38,763 · median $13,806	11 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$7,574 – $26,245 · median $13,319	11 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$6,503 – $22,532 · median $11,434	11 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$2,684 – $38,106 · median $13,087	11 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$2,841 – $125,669 · median $43,160	11 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$2,841 – $85,824 · median $29,476	11 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$1,594 – $51,786 · median $17,786	11 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$2,040 – $88,162 · median $30,279	11 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$530 – $31,206 · median $10,718	11 plans
795	NORMAL NEWBORN	$1,355 – $4,225 · median $1,972	11 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$7,037 – $27,425 · median $12,294	11 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$6,785 – $23,509 · median $10,966	11 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$6,491 – $22,492 · median $10,491	11 plans
799	SPLENIC PROCEDURES WITH MCC	$30,716 – $111,937 · median $49,642	11 plans
800	SPLENIC PROCEDURES WITH CC	$19,054 – $66,021 · median $33,504	11 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$12,947 – $44,859 · median $22,765	11 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$27,021 – $93,626 · median $47,513	11 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$12,607 – $43,684 · median $22,169	11 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$9,197 – $31,866 · median $16,171	11 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$7,037 – $25,361 · median $9,092	11 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$5,114 – $17,719 · median $8,265	11 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$4,573 – $15,844 · median $7,339	11 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$14,974 – $51,886 · median $26,331	11 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$8,586 – $29,749 · median $15,097	11 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$7,098 – $24,595 · median $12,482	11 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$9,524 – $33,001 · median $16,747	11 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$6,227 – $21,578 · median $10,950	11 plans
813	COAGULATION DISORDERS	$10,345 – $35,845 · median $18,190	11 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$14,424 – $49,977 · median $25,363	11 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$6,877 – $23,829 · median $12,093	11 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$4,286 – $15,439 · median $7,537	11 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$13,806 – $39,668 · median $16,881	11 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$7,862 – $24,774 · median $12,706	11 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$5,832 – $20,208 · median $10,255	11 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$39,776 – $137,823 · median $67,649	11 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$15,183 – $54,340 · median $26,697	11 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$8,166 – $28,294 · median $14,359	11 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$31,095 – $107,743 · median $54,677	11 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$15,366 – $53,242 · median $27,019	11 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$9,152 – $31,711 · median $16,093	11 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$31,726 – $110,197 · median $55,786	11 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$15,675 – $54,313 · median $27,563	11 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$11,556 – $40,039 · median $20,319	11 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$21,432 – $74,260 · median $37,685	11 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$10,207 – $37,080 · median $17,948	11 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$8,156 – $28,259 · median $13,806	11 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$4,894 – $16,958 · median $8,606	11 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$3,546 – $14,634 · median $6,236	11 plans
834	ACUTE LEUKEMIA WITH MCC	$37,234 – $129,013 · median $65,471	11 plans
835	ACUTE LEUKEMIA WITH CC	$14,146 – $54,989 · median $24,875	11 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$8,271 – $42,017 · median $14,543	11 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$32,584 – $150,804 · median $46,136	11 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$14,157 – $71,165 · median $24,894	11 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$9,793 – $33,932 · median $17,220	11 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$21,940 – $76,020 · median $38,579	11 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$11,065 – $40,077 · median $19,456	11 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$6,853 – $27,734 · median $12,050	11 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$13,529 – $46,878 · median $23,790	11 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$8,257 – $28,609 · median $14,518	11 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$5,776 – $21,437 · median $10,156	11 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$17,583 – $60,924 · median $30,918	11 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$8,872 – $30,743 · median $15,601	11 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$5,761 – $19,961 · median $9,609	11 plans
849	RADIOTHERAPY	$18,376 – $63,673 · median $28,590	11 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$58,731 – $208,578 · median $79,494	11 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$33,495 – $125,077 · median $54,133	11 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$13,552 – $63,138 · median $23,829	11 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$10,154 – $35,184 · median $17,855	11 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$30,850 – $116,154 · median $47,592	11 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$14,524 – $50,325 · median $25,539	11 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$9,447 – $32,733 · median $16,611	11 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$12,369 – $44,181 · median $21,749	11 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$6,768 – $23,451 · median $11,901	11 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$6,021 – $20,861 · median $10,587	11 plans
865	VIRAL ILLNESS WITH MCC	$10,162 – $35,438 · median $17,868	11 plans
866	VIRAL ILLNESS WITHOUT MCC	$5,898 – $20,436 · median $10,371	11 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$14,197 – $55,948 · median $24,963	11 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$6,993 – $26,301 · median $12,297	11 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$4,949 – $17,148 · median $8,702	11 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$46,877 – $162,427 · median $81,519	11 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$13,174 – $45,649 · median $23,166	11 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$6,940 – $26,140 · median $12,204	11 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$26,213 – $90,825 · median $42,364	11 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$6,512 – $22,565 · median $10,525	11 plans
881	DEPRESSIVE NEUROSES	$6,381 – $22,111 · median $8,387	11 plans
882	NEUROSES EXCEPT DEPRESSIVE	$7,283 – $25,234 · median $7,988	11 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$13,336 – $46,208 · median $21,553	11 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$10,912 – $37,809 · median $13,908	11 plans
885	PSYCHOSES	$9,473 – $32,825 · median $11,817	11 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$14,075 – $48,770 · median $20,745	11 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$7,263 – $26,349 · median $11,738	11 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$4,184 – $14,497 · median $7,357	11 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$9,601 – $35,468 · median $16,882	11 plans
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$11,836 – $41,010 · median $20,812	11 plans
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$5,987 – $20,746 · median $10,528	11 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$28,462 – $98,620 · median $50,048	11 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$12,985 – $44,991 · median $22,832	11 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$7,932 – $27,486 · median $13,948	11 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$24,912 – $86,318 · median $41,844	11 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$10,061 – $40,329 · median $17,075	11 plans
906	HAND PROCEDURES FOR INJURIES	$13,322 – $41,416 · median $21,531	11 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$26,039 – $90,224 · median $44,356	11 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$13,532 – $46,887 · median $23,794	11 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$8,903 – $30,848 · median $15,655	11 plans
913	TRAUMATIC INJURY WITH MCC	$11,086 – $39,045 · median $19,494	11 plans
914	TRAUMATIC INJURY WITHOUT MCC	$6,006 – $20,809 · median $10,560	11 plans
915	ALLERGIC REACTIONS WITH MCC	$11,405 – $39,518 · median $20,054	11 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$4,519 – $15,658 · median $7,946	11 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$10,637 – $36,857 · median $18,704	11 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$5,813 – $20,142 · median $10,222	11 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$12,417 – $43,024 · median $21,834	11 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$6,798 – $23,554 · median $11,953	11 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$4,669 – $16,177 · median $8,210	11 plans
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$11,865 – $41,111 · median $20,863	11 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$6,902 – $23,916 · median $12,137	11 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$144,804 – $433,110 · median $234,026	11 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$34,995 – $168,558 · median $53,069	11 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$21,844 – $75,689 · median $27,558	11 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$26,411 – $89,692 · median $42,889	11 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$14,993 – $51,949 · median $26,363	11 plans
935	NON-EXTENSIVE BURNS	$13,971 – $48,410 · median $22,580	11 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$24,609 – $85,270 · median $43,273	11 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$15,849 – $54,917 · median $27,869	11 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$13,752 – $47,651 · median $24,182	11 plans
945	REHABILITATION WITH CC/MCC	$10,503 – $37,407 · median $16,974	11 plans
946	REHABILITATION WITHOUT CC/MCC	$7,778 – $28,037 · median $12,570	11 plans
947	SIGNS AND SYMPTOMS WITH MCC	$8,609 – $29,831 · median $15,139	11 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$5,429 – $18,812 · median $9,547	11 plans
949	AFTERCARE WITH CC/MCC	$8,069 – $27,958 · median $14,188	11 plans
950	AFTERCARE WITHOUT CC/MCC	$4,257 – $17,910 · median $7,486	11 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$3,771 – $14,931 · median $6,631	11 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$45,652 – $158,181 · median $80,273	11 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$25,521 – $88,431 · median $44,877	11 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$51,680 – $179,068 · median $90,873	11 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$28,580 – $99,027 · median $48,740	11 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$19,968 – $69,186 · median $35,111	11 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$18,541 – $64,244 · median $32,603	11 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$10,394 – $36,016 · median $18,277	11 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$6,379 – $22,102 · median $11,216	11 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$41,516 – $143,851 · median $73,001	11 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$17,887 – $61,979 · median $31,453	11 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$19,573 – $67,821 · median $34,418	11 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$8,783 – $32,344 · median $15,444	11 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$6,122 – $23,049 · median $10,668	11 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$8,801 – $32,621 · median $15,117	11 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$31,821 – $114,652 · median $55,953	11 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$16,674 – $66,579 · median $29,319	11 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$11,625 – $40,279 · median $20,441	11 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$23,252 – $80,567 · median $40,886	11 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$11,147 – $42,432 · median $19,601	11 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$8,133 – $28,181 · median $14,301	11 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$30,408 – $658,562 · median $257,259	10 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$29,833 – $308,240 · median $104,026	10 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$15,029 – $242,297 · median $94,650	10 plans
006	LIVER TRANSPLANT WITHOUT MCC	$6,107 – $109,488 · median $42,568	10 plans
007	LUNG TRANSPLANT	$24,089 – $304,330 · median $118,882	10 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$8,848 – $131,708 · median $51,450	10 plans
010	PANCREAS TRANSPLANT	$12,156 – $85,663 · median $51,445	10 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$11,518 – $282,421 · median $110,324	10 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$10,104 – $139,348 · median $54,434	10 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$5,968 – $134,740 · median $48,946	10 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$5,708 – $155,739 · median $65,495	10 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$31,886 – $110,483 · median $53,800	10 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$25,134 – $87,086 · median $42,407	10 plans
652	KIDNEY TRANSPLANT	$21,903 – $75,893 · median $36,957	10 plans
009	DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES	$12,093 – $12,093 · median $12,093	1 plans
015	DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK &	$6,656 – $6,656 · median $6,656	1 plans
043	DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA	$3,275 – $3,275 · median $3,275	1 plans
044	DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS	$5,544 – $5,544 · median $5,544	1 plans
045	DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS	$5,983 – $5,983 · median $5,983	1 plans
046	DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17	$7,276 – $7,276 · median $7,276	1 plans
047	DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17	$4,172 – $4,172 · median $4,172	1 plans
048	DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0-	$4,033 – $4,033 · median $4,033	1 plans
049	DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES	$16,479 – $16,479 · median $16,479	1 plans
050	DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY	$6,870 – $6,870 · median $6,870	1 plans
051	DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT	$6,587 – $6,587 · median $6,587	1 plans
077	DRG Grouper 12 (10/1/1994): DRG 77: OTHER RESP SYSTEM O.R. PROCEDURES	$10,240 – $10,240 · median $10,240	1 plans
078	DRG Grouper 12 (10/1/1994): DRG 78: PULMONARY EMBOLISM	$13,690 – $13,690 · median $13,690	1 plans
079	DRG Grouper 12 (10/1/1994): DRG 79: RESPIRATORY INFECTIONS &	$16,334 – $16,334 · median $16,334	1 plans
104	DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC	$73,288 – $73,288 · median $73,288	1 plans
105	DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O	$55,543 – $55,543 · median $55,543	1 plans
106	DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH	$54,606 – $54,606 · median $54,606	1 plans
107	DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH	$40,436 – $40,436 · median $40,436	1 plans
108	DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES	$58,843 – $58,843 · median $58,843	1 plans
110	DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W	$39,301 – $39,301 · median $39,301	1 plans
111	DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/	$22,180 – $22,180 · median $22,180	1 plans
112	DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR	$19,152 – $19,152 · median $19,152	1 plans
118	DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE	$15,011 – $15,011 · median $15,011	1 plans
119	DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING	$9,584 – $9,584 · median $9,584	1 plans
120	DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R.	$18,897 – $18,897 · median $18,897	1 plans
126	DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS	$26,708 – $26,708 · median $26,708	1 plans
127	DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK	$9,864 – $9,864 · median $9,864	1 plans
128	DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS	$7,533 – $7,533 · median $7,533	1 plans
129	DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED	$10,894 – $10,894 · median $10,894	1 plans
130	DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC	$8,841 – $8,841 · median $8,841	1 plans
131	DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O	$5,673 – $5,673 · median $5,673	1 plans
132	DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC	$7,029 – $7,029 · median $7,029	1 plans
133	DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC	$5,152 – $5,152 · median $5,152	1 plans
134	DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION	$5,550 – $5,550 · median $5,550	1 plans
160	DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL	$6,333 – $6,333 · median $6,333	1 plans
161	DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA	$8,721 – $8,721 · median $8,721	1 plans
162	DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA	$4,967 – $4,967 · median $4,967	1 plans
169	DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC	$5,924 – $5,924 · median $5,924	1 plans
170	DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R.	$26,794 – $26,794 · median $26,794	1 plans
171	DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R.	$10,248 – $10,248 · median $10,248	1 plans
172	DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC	$12,514 – $12,514 · median $12,514	1 plans
174	DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC	$9,370 – $9,370 · median $9,370	1 plans
210	DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT	$17,752 – $17,752 · median $17,752	1 plans
211	DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT	$12,514 – $12,514 · median $12,514	1 plans
214	DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC	$18,532 – $18,532 · median $18,532	1 plans
222	DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC	$9,491 – $9,491 · median $9,491	1 plans
223	DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR	$7,863 – $7,863 · median $7,863	1 plans
224	DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC,	$6,678 – $6,678 · median $6,678	1 plans
225	DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES	$8,676 – $8,676 · median $8,676	1 plans
226	DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC	$12,891 – $12,891 · median $12,891	1 plans
227	DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC	$6,743 – $6,743 · median $6,743	1 plans
230	DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT	$8,810 – $8,810 · median $8,810	1 plans
237	DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS	$5,332 – $5,332 · median $5,332	1 plans
238	DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS	$14,392 – $14,392 · median $14,392	1 plans
246	DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES	$5,326 – $5,326 · median $5,326	1 plans
247	DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF	$5,329 – $5,329 · median $5,329	1 plans
248	DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS	$6,856 – $6,856 · median $6,856	1 plans
249	DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM	$6,248 – $6,248 · median $6,248	1 plans
294	DRG Grouper 12 (10/1/1994): DRG 294: DIABETES AGE >35	$7,190 – $7,190 · median $7,190	1 plans
295	DRG Grouper 12 (10/1/1994): DRG 295: DIABETES AGE 0-35	$7,161 – $7,161 · median $7,161	1 plans
338	DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY	$9,381 – $9,381 · median $9,381	1 plans
339	DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY	$7,962 – $7,962 · median $7,962	1 plans
340	DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY	$4,351 – $4,351 · median $4,351	1 plans
341	DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES	$9,818 – $9,818 · median $9,818	1 plans
342	DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17	$6,444 – $6,444 · median $6,444	1 plans
343	DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17	$3,800 – $3,800 · median $3,800	1 plans
361	DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL	$10,642 – $10,642 · median $10,642	1 plans
362	DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION	$4,999 – $4,999 · median $4,999	1 plans
363	DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT,	$6,233 – $6,233 · median $6,233	1 plans
364	DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR	$6,010 – $6,010 · median $6,010	1 plans
365	DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM	$16,499 – $16,499 · median $16,499	1 plans
366	DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE	$11,667 – $11,667 · median $11,667	1 plans
367	DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE	$4,322 – $4,322 · median $4,322	1 plans
396	DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17	$2,754 – $2,754 · median $2,754	1 plans
400	DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R.	$24,733 – $24,733 · median $24,733	1 plans
401	DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W	$23,162 – $23,162 · median $23,162	1 plans
403	DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC	$16,335 – $16,335 · median $16,335	1 plans
404	DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O	$7,294 – $7,294 · median $7,294	1 plans
431	DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS	$6,085 – $6,085 · median $6,085	1 plans
449	DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS	$7,515 – $7,515 · median $7,515	1 plans
452	DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC	$8,263 – $8,263 · median $8,263	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	—	1 plans
459	DRG Grouper 12 (10/1/1994): DRG 459: NON-EXTENSIVE BURNS W WOUND	$16,900 – $16,900 · median $16,900	1 plans
460	DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R.	$9,656 – $9,656 · median $9,656	1 plans
484	DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE	$57,615 – $57,615 · median $57,615	1 plans
490	DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED	$10,240 – $10,240 · median $10,240	1 plans
491	DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT	$15,640 – $15,640 · median $15,640	1 plans

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