UPMC Horizon - Greenville — 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	$9,470 – $258,150 · median $164,181	11 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$9,470 – $171,742 · median $107,387	11 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$9,470 – $72,245 · median $42,711	11 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$9,470 – $58,740 · median $33,175	11 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$9,470 – $34,895 · median $22,899	11 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$9,470 – $367,564 · median $327,070	11 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$9,470 – $61,376 · median $54,614	11 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$9,470 – $132,836 · median $61,309	11 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$9,470 – $100,448 · median $41,476	11 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$9,470 – $70,672 · median $25,176	11 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$9,470 – $74,009 · median $44,838	11 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$9,470 – $52,602 · median $30,833	11 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$9,470 – $54,193 · median $35,722	11 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$9,470 – $37,229 · median $24,650	11 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$9,470 – $32,094 · median $20,135	11 plans
028	SPINAL PROCEDURES WITH MCC	$9,470 – $70,637 · median $46,979	11 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$9,470 – $40,982 · median $26,979	11 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$9,470 – $23,673 · median $17,611	11 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$9,470 – $47,639 · median $35,212	11 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$9,470 – $25,782 · median $17,116	11 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$7,701 – $21,563 · median $13,511	11 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$9,470 – $67,801 · median $30,516	11 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$9,470 – $31,782 · median $19,115	11 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$8,997 – $22,894 · median $15,667	11 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$9,470 – $48,919 · median $26,059	11 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$7,514 – $26,353 · median $13,200	11 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$5,444 – $17,551 · median $9,757	11 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$9,470 – $44,457 · median $30,442	11 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$9,470 – $31,558 · median $17,638	11 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$8,001 – $20,128 · median $14,010	11 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$8,247 – $32,906 · median $14,654	11 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$4,535 – $17,205 · median $8,307	11 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$7,071 – $15,078 · median $12,239	11 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$4,722 – $13,176 · median $8,635	11 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$9,470 – $30,140 · median $18,596	11 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$6,000 – $19,177 · median $10,682	11 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$7,917 – $28,445 · median $13,870	11 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$5,747 – $14,854 · median $10,261	11 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$4,260 – $13,211 · median $7,803	11 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$9,470 – $40,065 · median $21,938	11 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$8,138 – $29,794 · median $14,237	11 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$6,501 – $27,926 · median $11,515	11 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$9,313 – $24,278 · median $16,192	11 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$4,679 – $15,251 · median $8,563	11 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$3,169 – $11,914 · median $5,974	11 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$6,802 – $24,710 · median $12,015	11 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$4,003 – $13,142 · median $7,361	11 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$3,699 – $11,828 · median $6,856	11 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$7,710 – $26,941 · median $13,526	11 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$4,751 – $14,802 · median $8,685	11 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$3,502 – $11,447 · median $6,527	11 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$7,430 – $21,113 · median $13,060	11 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$4,774 – $13,678 · median $8,722	11 plans
075	VIRAL MENINGITIS WITH CC/MCC	$8,880 – $19,765 · median $15,472	11 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$3,468 – $10,513 · median $7,059	11 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$8,382 – $36,071 · median $14,644	11 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$4,148 – $11,361 · median $7,601	11 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$9,470 – $30,226 · median $18,307	11 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$6,464 – $18,986 · median $11,454	11 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$4,426 – $11,845 · median $8,108	11 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$9,470 – $24,364 · median $18,201	11 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$6,033 – $15,130 · median $10,737	11 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$4,236 – $9,908 · median $7,759	11 plans
088	CONCUSSION WITH MCC	$6,260 – $22,255 · median $11,115	11 plans
089	CONCUSSION WITH CC	$5,088 – $12,554 · median $9,249	11 plans
090	CONCUSSION WITHOUT CC/MCC	$3,812 – $10,185 · median $7,043	11 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$8,133 – $21,857 · median $14,229	11 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$4,738 – $15,545 · median $8,662	11 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$3,688 – $11,879 · median $6,836	11 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$9,470 – $49,195 · median $27,810	11 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$9,470 – $38,284 · median $20,568	11 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$9,470 – $35,241 · median $20,568	11 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$9,470 – $53,397 · median $28,521	11 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$9,470 – $28,601 · median $18,379	11 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$6,309 – $16,047 · median $11,196	11 plans
100	SEIZURES WITH MCC	$8,969 – $21,252 · median $15,620	11 plans
101	SEIZURES WITHOUT MCC	$4,180 – $9,470 · median $7,655	11 plans
102	HEADACHES WITH MCC	$5,191 – $15,511 · median $9,423	11 plans
103	HEADACHES WITHOUT MCC	$3,873 – $11,171 · median $7,144	11 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$9,470 – $40,394 · median $18,811	11 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$6,266 – $21,822 · median $11,124	11 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$7,108 – $26,318 · median $12,525	11 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$8,373 – $31,229 · median $14,629	11 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$5,024 – $19,021 · median $9,143	11 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$5,387 – $18,347 · median $9,663	11 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$3,639 – $10,548 · median $6,755	11 plans
123	NEUROLOGICAL EYE DISORDERS	$3,698 – $12,364 · median $6,854	11 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$6,127 – $23,258 · median $10,894	11 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$3,556 – $10,047 · median $6,617	11 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$9,470 – $42,607 · median $17,417	11 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$4,702 – $18,779 · median $8,602	11 plans
137	MOUTH PROCEDURES WITH CC/MCC	$6,915 – $13,661 · median $11,976	11 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$4,104 – $10,306 · median $7,529	11 plans
139	SALIVARY GLAND PROCEDURES	$5,597 – $21,649 · median $10,221	11 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$9,470 – $69,167 · median $33,555	11 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$9,470 – $31,938 · median $17,502	11 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$7,393 – $27,200 · median $12,999	11 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$9,470 – $41,587 · median $29,560	11 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$8,025 – $21,044 · median $14,050	11 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$5,568 – $15,390 · median $9,963	11 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$9,470 – $36,590 · median $17,011	11 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$5,888 – $21,010 · median $10,496	11 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$3,691 – $14,404 · median $6,842	11 plans
149	DYSEQUILIBRIUM	$3,481 – $10,081 · median $6,492	11 plans
150	EPISTAXIS WITH MCC	$6,166 – $23,275 · median $10,958	11 plans
151	EPISTAXIS WITHOUT MCC	$3,399 – $10,133 · median $6,356	11 plans
152	OTITIS MEDIA AND URI WITH MCC	$5,475 – $13,712 · median $9,809	11 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$3,419 – $9,470 · median $6,269	11 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$7,241 – $26,508 · median $12,745	11 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$4,244 – $10,375 · median $7,775	11 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$3,200 – $9,470 · median $6,026	11 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$7,951 – $24,053 · median $13,926	11 plans
158	DENTAL AND ORAL DISEASES WITH CC	$4,213 – $10,669 · median $7,718	11 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$3,281 – $9,470 · median $6,160	11 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$9,470 – $56,769 · median $35,222	11 plans
164	MAJOR CHEST PROCEDURES WITH CC	$9,470 – $34,411 · median $20,143	11 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$8,865 – $24,918 · median $15,446	11 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$9,470 – $45,702 · median $29,491	11 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$8,352 – $23,655 · median $14,593	11 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$6,328 – $18,277 · median $11,227	11 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$9,470 – $45,979 · median $23,628	11 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$6,361 – $17,050 · median $11,283	11 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$3,728 – $10,565 · median $6,903	11 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$7,237 – $18,710 · median $12,739	11 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$4,520 – $12,882 · median $8,279	11 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$3,496 – $9,649 · median $6,518	11 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$8,178 – $22,981 · median $14,305	11 plans
181	RESPIRATORY NEOPLASMS WITH CC	$4,960 – $15,891 · median $9,035	11 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$3,445 – $13,643 · median $6,509	11 plans
183	MAJOR CHEST TRAUMA WITH MCC	$7,085 – $18,243 · median $12,486	11 plans
184	MAJOR CHEST TRAUMA WITH CC	$4,928 – $13,228 · median $8,981	11 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$3,642 – $10,341 · median $6,761	11 plans
186	PLEURAL EFFUSION WITH MCC	$7,217 – $18,156 · median $12,707	11 plans
187	PLEURAL EFFUSION WITH CC	$4,581 – $13,263 · median $8,391	11 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$3,321 – $10,306 · median $6,227	11 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$5,721 – $15,269 · median $10,218	11 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$5,130 – $12,623 · median $9,320	11 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$3,904 – $11,153 · median $7,196	11 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$2,973 – $9,470 · median $5,648	11 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$6,087 – $14,888 · median $10,827	11 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$3,732 – $10,565 · median $6,910	11 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$2,911 – $9,470 · median $5,544	11 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$8,740 – $24,364 · median $15,238	11 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$4,395 – $14,197 · median $8,051	11 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$3,317 – $10,911 · median $6,219	11 plans
199	PNEUMOTHORAX WITH MCC	$8,170 – $18,122 · median $14,290	11 plans
200	PNEUMOTHORAX WITH CC	$5,091 – $12,364 · median $9,255	11 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$3,312 – $9,470 · median $6,105	11 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$4,498 – $11,274 · median $8,239	11 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$3,103 – $9,470 · median $5,825	11 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$3,739 – $10,133 · median $6,922	11 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$8,479 – $19,471 · median $14,806	11 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$4,358 – $10,946 · median $7,983	11 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$9,470 – $97,803 · median $50,264	11 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$9,470 – $33,806 · median $21,874	11 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$9,470 – $96,916 · median $86,239	11 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$9,470 – $186,786 · median $84,456	11 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$9,470 – $49,249 · median $43,823	11 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$9,470 – $92,511 · median $75,946	11 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$9,470 – $118,587 · median $76,051	11 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$9,470 – $77,796 · median $51,346	11 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$9,470 – $70,654 · median $51,346	11 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$9,470 – $81,946 · median $59,842	11 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$9,470 – $64,377 · median $41,777	11 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$9,470 – $51,167 · median $39,523	11 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$9,470 – $88,586 · median $38,808	11 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$9,470 – $47,293 · median $24,961	11 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$9,470 – $122,461 · median $65,631	11 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$9,470 – $82,482 · median $47,398	11 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$9,470 – $84,557 · median $59,587	11 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$9,470 – $65,968 · median $42,777	11 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$9,470 – $64,620 · median $45,903	11 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$9,470 – $50,648 · median $32,966	11 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$9,470 – $55,144 · median $38,610	11 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$9,470 – $34,445 · median $22,658	11 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$6,411 – $25,696 · median $11,366	11 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$9,470 – $45,599 · median $25,294	11 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$9,470 – $33,702 · median $17,115	11 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$8,371 – $29,465 · median $14,625	11 plans
245	AICD GENERATOR PROCEDURES	$9,470 – $83,260 · median $35,843	11 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$9,470 – $31,540 · median $17,513	11 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$6,921 – $25,575 · median $12,214	11 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$9,470 – $50,994 · median $27,570	11 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$9,470 – $36,278 · median $20,695	11 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$8,251 – $25,108 · median $14,426	11 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$9,470 – $32,474 · median $21,479	11 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$7,863 – $17,240 · median $13,780	11 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$5,058 – $12,658 · median $9,200	11 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$9,470 – $49,143 · median $24,904	11 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$9,364 – $32,958 · median $16,277	11 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$9,470 – $50,043 · median $25,756	11 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$8,755 – $26,560 · median $15,264	11 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$7,548 – $23,603 · median $13,257	11 plans
263	VEIN LIGATION AND STRIPPING	$9,470 – $46,446 · median $24,251	11 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$9,470 – $31,869 · median $25,939	11 plans
265	AICD LEAD PROCEDURES	$9,470 – $60,055 · median $28,571	11 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$9,470 – $76,931 · median $47,904	11 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$9,470 – $69,288 · median $37,371	11 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$9,470 – $95,226 · median $53,677	11 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$9,470 – $50,596 · median $33,230	11 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$9,470 – $61,542 · median $41,341	11 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$9,470 – $49,939 · median $28,094	11 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$9,470 – $36,365 · median $20,366	11 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$9,470 – $63,409 · median $32,478	11 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$9,470 – $44,163 · median $26,056	11 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$9,470 – $107,071 · median $55,622	11 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$9,470 – $92,269 · median $46,966	11 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$9,470 – $71,208 · median $36,275	11 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$9,470 – $79,473 · median $43,574	11 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$9,470 – $55,368 · median $28,480	11 plans
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$7,429 – $18,952 · median $13,058	11 plans
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$4,256 – $13,073 · median $7,797	11 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$3,349 – $11,793 · median $6,273	11 plans
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$9,173 – $26,906 · median $15,959	11 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$3,206 – $12,761 · median $6,034	11 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$2,774 – $9,470 · median $5,316	11 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$9,470 – $24,295 · median $17,746	11 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$4,956 – $14,819 · median $9,028	11 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$9,470 – $36,520 · median $21,546	11 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$7,905 – $18,001 · median $13,850	11 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$4,305 – $17,447 · median $7,887	11 plans
291	HEART FAILURE AND SHOCK WITH MCC	$5,945 – $14,646 · median $10,591	11 plans
292	HEART FAILURE AND SHOCK WITH CC	$3,932 – $9,995 · median $7,242	11 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$2,621 – $9,470 · median $5,063	11 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$7,233 – $25,713 · median $12,733	11 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$2,887 – $12,104 · median $5,586	11 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$2,108 – $9,470 · median $4,208	11 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$7,561 – $15,217 · median $13,030	11 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$4,944 – $12,208 · median $9,008	11 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$3,333 – $9,470 · median $6,246	11 plans
302	ATHEROSCLEROSIS WITH MCC	$5,541 – $19,851 · median $9,919	11 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$3,118 – $9,470 · median $5,888	11 plans
304	HYPERTENSION WITH MCC	$5,511 – $13,972 · median $9,869	11 plans
305	HYPERTENSION WITHOUT MCC	$3,497 – $9,960 · median $6,519	11 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$7,298 – $25,021 · median $12,840	11 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$4,229 – $15,424 · median $7,747	11 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$5,576 – $13,591 · median $9,976	11 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$3,407 – $9,470 · median $6,370	11 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$2,622 – $9,470 · median $5,063	11 plans
311	ANGINA PECTORIS	$3,251 – $9,470 · median $6,109	11 plans
312	SYNCOPE AND COLLAPSE	$4,036 – $11,171 · median $7,416	11 plans
313	CHEST PAIN	$3,334 – $9,470 · median $6,249	11 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$9,470 – $25,125 · median $16,763	11 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$4,461 – $13,073 · median $8,172	11 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,159 – $11,430 · median $5,957	11 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$9,470 – $106,967 · median $52,203	11 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$9,470 – $21,349 · median $18,997	11 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$9,470 – $75,064 · median $35,077	11 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$9,470 – $40,238 · median $19,229	11 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$9,470 – $42,659 · median $21,659	11 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$8,164 – $31,644 · median $14,282	11 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$9,470 – $67,507 · median $34,033	11 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$9,470 – $52,290 · median $24,972	11 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$9,470 – $46,671 · median $25,430	11 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$9,470 – $63,202 · median $39,116	11 plans
327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$9,470 – $34,117 · median $19,529	11 plans
328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$7,420 – $21,148 · median $13,044	11 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$9,470 – $49,800 · median $36,106	11 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$9,470 – $30,624 · median $19,167	11 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$7,794 – $23,015 · median $13,665	11 plans
332	RECTAL RESECTION WITH MCC	$9,470 – $65,000 · median $28,590	11 plans
333	RECTAL RESECTION WITH CC	$9,470 – $36,330 · median $18,743	11 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$7,585 – $21,442 · median $13,318	11 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$9,470 – $38,889 · median $28,206	11 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$9,470 – $25,834 · median $16,944	11 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$7,109 – $19,868 · median $12,526	11 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$9,470 – $47,120 · median $20,596	11 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$6,968 – $19,695 · median $12,292	11 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$5,493 – $16,687 · median $9,839	11 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$9,470 – $43,057 · median $18,384	11 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$6,061 – $16,566 · median $10,784	11 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$4,032 – $12,675 · median $7,409	11 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$9,470 – $41,621 · median $19,896	11 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$7,060 – $24,814 · median $12,445	11 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$5,408 – $14,871 · median $9,698	11 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$9,470 – $39,322 · median $23,055	11 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$7,791 – $21,217 · median $13,661	11 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$6,229 – $17,724 · median $11,062	11 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$9,470 – $48,262 · median $34,537	11 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$9,470 – $24,503 · median $18,614	11 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$6,474 – $18,139 · median $11,470	11 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$9,470 – $29,982 · median $26,679	11 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$9,470 – $21,282 · median $18,937	11 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$7,372 – $20,992 · median $12,964	11 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$4,632 – $13,920 · median $8,485	11 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$3,245 – $11,897 · median $6,101	11 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$8,211 – $21,407 · median $14,360	11 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$4,728 – $12,467 · median $8,646	11 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$3,369 – $9,470 · median $6,306	11 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$9,470 – $26,284 · median $17,176	11 plans
375	DIGESTIVE MALIGNANCY WITH CC	$5,602 – $15,528 · median $10,020	11 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$4,280 – $12,952 · median $7,841	11 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$8,465 – $23,171 · median $14,782	11 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$4,542 – $13,315 · median $8,319	11 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$2,919 – $9,470 · median $5,559	11 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$9,087 – $23,707 · median $15,816	11 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$5,018 – $13,142 · median $9,132	11 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$3,708 – $10,392 · median $6,869	11 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$6,394 – $23,223 · median $11,337	11 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$3,959 – $10,998 · median $7,287	11 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$7,328 – $18,381 · median $12,890	11 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$4,521 – $12,831 · median $8,282	11 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$3,155 – $9,470 · median $5,951	11 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$6,839 – $15,822 · median $12,078	11 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$3,658 – $9,470 · median $6,786	11 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$2,519 – $9,470 · median $4,893	11 plans
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$5,874 – $15,113 · median $10,472	11 plans
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$3,610 – $9,470 · median $6,708	11 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$7,406 – $21,304 · median $13,021	11 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$4,333 – $11,447 · median $7,938	11 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,006 – $9,470 · median $5,702	11 plans
397	APPENDIX PROCEDURES WITH MCC	$9,470 – $24,036 · median $19,149	11 plans
398	APPENDIX PROCEDURES WITH CC	$7,009 – $21,373 · median $12,361	11 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$5,301 – $15,355 · median $9,520	11 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$9,470 – $45,581 · median $31,669	11 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$9,470 – $74,926 · median $42,837	11 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$9,470 – $39,252 · median $23,041	11 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$9,470 – $29,880 · median $17,799	11 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$9,470 – $58,827 · median $28,166	11 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$9,470 – $30,468 · median $17,473	11 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$7,353 – $25,436 · median $12,932	11 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$9,470 – $54,711 · median $26,145	11 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$9,470 – $37,523 · median $16,897	11 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$7,690 – $27,788 · median $13,492	11 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$9,470 – $53,639 · median $28,142	11 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$9,470 – $26,422 · median $16,621	11 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$6,313 – $20,024 · median $11,203	11 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$9,470 – $27,096 · median $19,083	11 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$7,834 – $22,064 · median $13,732	11 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$6,325 – $18,347 · median $11,223	11 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$9,470 – $57,789 · median $26,945	11 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$8,046 – $29,050 · median $14,085	11 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$6,481 – $24,624 · median $11,482	11 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$9,470 – $60,539 · median $32,690	11 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$9,470 – $36,745 · median $17,554	11 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$6,948 – $26,681 · median $12,259	11 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,470 – $94,388 · median $83,989	11 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$9,470 – $69,617 · median $56,301	11 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$9,470 – $61,230 · median $44,004	11 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$9,470 – $144,214 · median $70,096	11 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$9,470 – $64,965 · median $45,122	11 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$9,115 – $25,298 · median $15,862	11 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$4,891 – $13,782 · median $8,920	11 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$3,300 – $11,655 · median $6,191	11 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$8,506 – $22,116 · median $14,850	11 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$5,238 – $14,491 · median $9,470	11 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$3,952 – $13,730 · median $7,275	11 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$7,549 – $23,915 · median $13,259	11 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$3,896 – $11,309 · median $7,182	11 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$2,878 – $9,470 · median $5,489	11 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$8,311 – $26,197 · median $14,526	11 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$4,470 – $13,436 · median $8,189	11 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$3,240 – $11,101 · median $6,092	11 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$7,738 – $20,646 · median $13,572	11 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$5,068 – $14,335 · median $9,217	11 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$3,831 – $12,173 · median $7,075	11 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,470 – $72,972 · median $52,165	11 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$9,470 – $45,996 · median $33,366	11 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$9,470 – $61,386 · median $41,752	11 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$9,470 – $35,293 · median $25,584	11 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$9,470 – $117,861 · median $65,427	11 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$9,470 – $85,716 · median $46,631	11 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$9,470 – $77,485 · median $32,841	11 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$9,470 – $110,460 · median $43,242	11 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$9,470 – $32,993 · median $21,191	11 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$9,470 – $63,098 · median $44,601	11 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$9,470 – $36,417 · median $24,693	11 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$8,446 – $24,070 · median $14,749	11 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$9,470 – $55,732 · median $40,795	11 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$9,470 – $36,814 · median $27,865	11 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$9,470 – $29,898 · median $21,868	11 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$9,470 – $38,405 · median $24,065	11 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$8,933 – $20,854 · median $15,560	11 plans
471	CERVICAL SPINAL FUSION WITH MCC	$9,470 – $51,737 · median $37,894	11 plans
472	CERVICAL SPINAL FUSION WITH CC	$9,470 – $33,218 · median $23,394	11 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$9,470 – $26,837 · median $19,506	11 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$9,470 – $49,437 · median $33,767	11 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$9,470 – $27,010 · median $18,231	11 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,466 – $20,387 · median $9,793	11 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,470 – $42,192 · median $27,311	11 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$9,470 – $28,030 · median $19,644	11 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$8,609 – $21,667 · median $15,020	11 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$9,470 – $44,077 · median $23,134	11 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$9,470 – $30,918 · median $16,835	11 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$7,553 – $22,393 · median $13,265	11 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$9,470 – $25,540 · median $21,640	11 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$9,470 – $56,769 · median $25,558	11 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$9,470 – $24,364 · median $16,809	11 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$7,253 – $18,329 · median $12,766	11 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$7,056 – $32,024 · median $14,060	11 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$5,172 – $18,986 · median $9,391	11 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	$9,470 – $40,186 · median $28,982	11 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	$9,470 – $32,699 · median $20,236	11 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	$9,292 – $22,981 · median $16,157	11 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$9,470 – $61,836 · median $28,628	11 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$9,470 – $238,806 · median $210,473	10 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$9,470 – $97,026 · median $85,515	10 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$9,470 – $88,351 · median $77,869	10 plans
006	LIVER TRANSPLANT WITHOUT MCC	$9,470 – $40,161 · median $35,397	10 plans
007	LUNG TRANSPLANT	$9,470 – $110,773 · median $97,630	10 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$9,470 – $48,380 · median $42,640	10 plans
010	PANCREAS TRANSPLANT	$9,470 – $61,725 · median $53,094	10 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$9,470 – $102,854 · median $90,651	10 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$9,470 – $51,141 · median $45,074	10 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$9,470 – $46,917 · median $40,998	10 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$8,354 – $23,050 · median $14,664	10 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$5,334 – $18,312 · median $9,916	10 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$13,971 – $44,284 · median $24,049	10 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$9,331 – $21,511 · median $16,296	10 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$14,656 – $36,901 · median $25,195	10 plans
501	SOFT TISSUE PROCEDURES WITH CC	$8,095 – $22,445 · median $14,233	10 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$6,233 – $16,790 · median $11,121	10 plans
503	FOOT PROCEDURES WITH MCC	$12,926 – $41,708 · median $22,303	10 plans
504	FOOT PROCEDURES WITH CC	$8,656 – $21,234 · median $15,170	10 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$8,302 – $19,782 · median $14,579	10 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$5,555 – $25,160 · median $10,991	10 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$8,365 – $34,843 · median $14,684	10 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$7,013 – $24,278 · median $12,424	10 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$13,988 – $48,210 · median $24,078	10 plans
511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	$9,630 – $25,713 · median $16,796	10 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$7,666 – $18,796 · median $13,515	10 plans
513	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$7,291 – $16,133 · median $12,888	10 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$4,734 – $12,606 · median $8,617	10 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$14,759 – $43,662 · median $25,366	10 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$9,624 – $28,653 · median $16,786	10 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$7,116 – $18,174 · median $12,597	10 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$17,307 – $36,468 · median $29,544	10 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$9,263 – $23,794 · median $16,183	10 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$6,918 – $16,272 · median $12,266	10 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$13,292 – $46,204 · median $22,915	10 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$9,807 – $28,635 · median $17,092	10 plans
533	FRACTURES OF FEMUR WITH MCC	$7,260 – $26,422 · median $12,837	10 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$3,733 – $12,260 · median $6,875	10 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$5,937 – $19,937 · median $10,626	10 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$3,740 – $10,392 · median $6,887	10 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$4,419 – $16,496 · median $8,074	10 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$3,336 – $12,104 · median $6,193	10 plans
539	OSTEOMYELITIS WITH MCC	$9,122 – $20,301 · median $15,947	10 plans
540	OSTEOMYELITIS WITH CC	$6,003 – $13,643 · median $10,737	10 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$3,573 – $9,683 · median $6,704	10 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$8,181 – $26,214 · median $14,375	10 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$4,761 – $16,514 · median $8,661	10 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$3,495 – $13,280 · median $6,458	10 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$11,493 – $41,310 · median $19,909	10 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$5,341 – $16,911 · median $9,631	10 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$3,872 – $14,110 · median $7,119	10 plans
548	SEPTIC ARTHRITIS WITH MCC	$8,942 – $33,045 · median $15,647	10 plans
549	SEPTIC ARTHRITIS WITH CC	$5,591 – $15,528 · median $10,047	10 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$4,048 – $13,297 · median $7,425	10 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$7,762 – $21,269 · median $13,676	10 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$4,452 – $10,928 · median $8,131	10 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$6,003 – $22,843 · median $10,737	10 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$3,844 – $10,479 · median $7,069	10 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$6,121 – $23,603 · median $10,934	10 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$3,847 – $11,413 · median $7,073	10 plans
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$6,886 – $16,704 · median $12,212	10 plans
558	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	$4,136 – $8,362 · median $7,509	10 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$8,636 – $24,451 · median $15,136	10 plans
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$5,215 – $14,231 · median $9,420	10 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$3,723 – $11,464 · median $6,857	10 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$6,598 – $20,560 · median $11,731	10 plans
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$4,147 – $10,583 · median $7,598	10 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$7,148 – $24,814 · median $12,650	10 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$4,512 – $12,727 · median $8,237	10 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$3,470 – $11,188 · median $6,415	10 plans
570	SKIN DEBRIDEMENT WITH MCC	$13,620 – $33,909 · median $23,464	10 plans
571	SKIN DEBRIDEMENT WITH CC	$7,824 – $17,447 · median $13,779	10 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$5,309 – $14,975 · median $9,576	10 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$30,340 – $101,261 · median $51,399	10 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$16,076 – $56,285 · median $27,567	10 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$7,565 – $32,526 · median $14,408	10 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$22,697 – $94,638 · median $38,630	10 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$12,275 – $40,290 · median $21,217	10 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$7,439 – $28,117 · median $13,136	10 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$14,997 – $31,679 · median $25,680	10 plans
580	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$8,002 – $23,119 · median $14,077	10 plans
581	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$6,683 – $19,384 · median $11,873	10 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$8,922 – $36,347 · median $15,614	10 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$7,986 – $32,820 · median $14,049	10 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$9,914 – $39,598 · median $17,270	10 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$8,934 – $34,532 · median $15,633	10 plans
592	SKIN ULCERS WITH MCC	$8,962 – $19,367 · median $15,664	10 plans
593	SKIN ULCERS WITH CC	$5,494 – $11,828 · median $9,748	10 plans
594	SKIN ULCERS WITHOUT CC/MCC	$4,014 – $8,138 · median $7,297	10 plans
595	MAJOR SKIN DISORDERS WITH MCC	$9,821 – $36,745 · median $17,116	10 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$5,013 – $10,859 · median $8,956	10 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$7,720 – $28,549 · median $13,606	10 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$5,239 – $14,767 · median $9,460	10 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,395 – $12,727 · median $6,567	10 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$4,824 – $11,015 · median $8,766	10 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$2,802 – $6,139 · median $5,213	10 plans
602	CELLULITIS WITH MCC	$6,582 – $18,641 · median $11,704	10 plans
603	CELLULITIS WITHOUT MCC	$4,033 – $8,508 · median $7,330	10 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$6,817 – $25,315 · median $12,097	10 plans
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$4,242 – $10,306 · median $7,764	10 plans
606	MINOR SKIN DISORDERS WITH MCC	$7,008 – $24,641 · median $12,415	10 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$4,198 – $9,078 · median $7,612	10 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$10,150 – $31,903 · median $17,666	10 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$6,480 – $23,690 · median $11,534	10 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$16,150 – $39,546 · median $27,691	10 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$8,661 – $20,041 · median $15,178	10 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$6,568 – $12,822 · median $11,518	10 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$13,372 – $37,835 · median $23,048	10 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$7,411 – $22,082 · median $13,089	10 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$6,985 – $17,828 · median $12,378	10 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$16,483 – $34,739 · median $28,157	10 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$8,308 – $19,730 · median $14,587	10 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$5,798 – $15,027 · median $10,393	10 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$13,986 – $49,870 · median $24,075	10 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$6,944 – $22,808 · median $12,308	10 plans
627	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$6,151 – $16,410 · median $10,984	10 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$17,259 – $39,477 · median $29,543	10 plans
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$10,090 – $22,843 · median $17,565	10 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$6,759 – $14,836 · median $11,993	10 plans
637	DIABETES WITH MCC	$6,653 – $15,338 · median $11,823	10 plans
638	DIABETES WITH CC	$4,150 – $9,476 · median $7,604	10 plans
639	DIABETES WITHOUT CC/MCC	$2,877 – $7,314 · median $5,436	10 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$6,185 – $16,704 · median $11,041	10 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$3,604 – $9,182 · median $6,649	10 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$6,586 – $13,332 · median $11,547	10 plans
643	ENDOCRINE DISORDERS WITH MCC	$7,623 – $20,266 · median $13,443	10 plans
644	ENDOCRINE DISORDERS WITH CC	$4,747 – $11,707 · median $8,638	10 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$3,558 – $8,023 · median $6,515	10 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$21,772 – $40,708 · median $36,569	10 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$17,162 – $32,252 · median $28,972	10 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$24,065 – $94,725 · median $40,915	10 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$12,964 – $37,195 · median $22,367	10 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$9,802 – $30,624 · median $17,084	10 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$14,744 – $41,812 · median $25,342	10 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$8,475 – $24,727 · median $14,866	10 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$7,186 – $21,321 · median $12,714	10 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$11,767 – $27,494 · median $20,367	10 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$6,121 – $15,251 · median $10,933	10 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$4,795 – $12,485 · median $8,718	10 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$14,178 – $52,429 · median $24,395	10 plans
663	MINOR BLADDER PROCEDURES WITH CC	$7,040 – $26,180 · median $12,469	10 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$4,848 – $19,038 · median $8,807	10 plans
665	PROSTATECTOMY WITH MCC	$14,454 – $54,677 · median $24,857	10 plans
666	PROSTATECTOMY WITH CC	$8,101 – $29,500 · median $14,242	10 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$5,123 – $17,672 · median $9,266	10 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$13,523 – $43,299 · median $23,300	10 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$7,187 – $17,171 · median $12,715	10 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$4,526 – $13,972 · median $8,260	10 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$8,313 – $30,226 · median $14,596	10 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$4,999 – $17,828 · median $9,059	10 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$19,458 – $41,950 · median $33,217	10 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$10,830 – $27,736 · median $18,802	10 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$7,601 – $25,765 · median $13,407	10 plans
682	RENAL FAILURE WITH MCC	$6,859 – $15,372 · median $12,166	10 plans
683	RENAL FAILURE WITH CC	$4,056 – $8,802 · median $7,369	10 plans
684	RENAL FAILURE WITHOUT CC/MCC	$2,780 – $6,554 · median $5,273	10 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$8,353 – $26,578 · median $14,663	10 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$4,852 – $13,903 · median $8,814	10 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$3,660 – $10,686 · median $6,747	10 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$5,373 – $15,770 · median $9,684	10 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$3,749 – $8,629 · median $6,902	10 plans
693	URINARY STONES WITH MCC	$6,226 – $24,399 · median $11,110	10 plans
694	URINARY STONES WITHOUT MCC	$3,620 – $8,179 · median $6,635	10 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$5,297 – $20,076 · median $9,557	10 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$3,191 – $8,559 · median $5,954	10 plans
697	URETHRAL STRICTURE	$4,991 – $17,984 · median $9,046	10 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$7,662 – $20,958 · median $13,508	10 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$4,700 – $12,277 · median $8,560	10 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$3,195 – $10,825 · median $5,961	10 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$9,263 – $25,246 · median $16,184	10 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$7,105 – $23,327 · median $12,578	10 plans
709	PENIS PROCEDURES WITH CC/MCC	$10,777 – $39,080 · median $18,713	10 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$6,489 – $24,745 · median $11,548	10 plans
711	TESTES PROCEDURES WITH CC/MCC	$9,650 – $35,569 · median $16,830	10 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$5,093 – $19,782 · median $9,216	10 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$6,962 – $20,629 · median $12,339	10 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$4,897 – $14,421 · median $8,888	10 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$10,361 – $37,990 · median $18,018	10 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$6,812 – $23,880 · median $12,089	10 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$8,755 – $19,834 · median $15,334	10 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$6,220 – $13,315 · median $10,945	10 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$8,381 – $30,710 · median $14,709	10 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$5,292 – $19,367 · median $9,548	10 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$2,833 – $13,003 · median $5,700	10 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$5,419 – $21,719 · median $9,761	10 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$3,344 – $12,882 · median $6,205	10 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$6,867 – $26,128 · median $12,181	10 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$3,757 – $9,338 · median $6,916	10 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$4,903 – $18,087 · median $8,898	10 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,112 – $10,686 · median $5,824	10 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$9,864 – $25,523 · median $17,188	10 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$6,231 – $20,560 · median $11,117	10 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$16,554 – $69,703 · median $28,365	10 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$9,543 – $26,197 · median $16,651	10 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$6,801 – $19,073 · median $12,069	10 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$16,330 – $65,571 · median $28,429	10 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$8,380 – $25,609 · median $14,709	10 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$6,604 – $17,949 · median $11,741	10 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$8,497 – $21,580 · median $14,904	10 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$5,746 – $15,096 · median $10,307	10 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$9,489 – $18,180 · median $16,331	10 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$5,268 – $11,758 · median $9,504	10 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$8,045 – $17,897 · median $14,148	10 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$3,888 – $12,761 · median $7,256	10 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$6,425 – $23,309 · median $11,441	10 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$11,891 – $28,514 · median $20,574	10 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$6,834 – $23,586 · median $12,126	10 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$8,529 – $22,203 · median $14,957	10 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$5,038 – $13,332 · median $9,123	10 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,448 – $11,741 · median $8,124	10 plans
757	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$6,631 – $25,125 · median $11,786	10 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$4,534 – $10,773 · median $8,274	10 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,073 – $8,473 · median $5,760	10 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$4,666 – $10,341 · median $8,428	10 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$2,638 – $7,712 · median $5,050	10 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$2,700 – $9,877 · median $8,873	10 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$7,825 – $18,450 · median $13,782	10 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$4,644 – $9,649 · median $8,347	10 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$3,032 – $6,336 · median $5,596	10 plans
779	ABORTION WITHOUT D&C	$3,302 – $7,921 · median $6,814	10 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$2,700 – $21,629 · median $19,063	10 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$2,700 – $12,571 · median $8,909	10 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$2,700 – $10,496 · median $8,103	10 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$2,700 – $14,786 · median $13,282	10 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$2,700 – $12,485 · median $9,348	10 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$2,700 – $10,479 · median $8,111	10 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$2,700 – $20,231 · median $9,736	10 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$2,700 – $13,332 · median $8,447	10 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$2,700 – $11,343 · median $8,097	10 plans
799	SPLENIC PROCEDURES WITH MCC	$20,973 – $52,239 · median $35,750	10 plans
800	SPLENIC PROCEDURES WITH CC	$13,010 – $38,405 · median $22,445	10 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$8,840 – $27,805 · median $15,477	10 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$18,450 – $61,732 · median $31,534	10 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$8,609 – $26,820 · median $15,090	10 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$6,280 – $18,226 · median $11,199	10 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$2,700 – $9,942 · median $8,859	10 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$2,700 – $8,075 · median $6,453	10 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$2,700 – $6,882 · median $5,752	10 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$10,225 – $27,995 · median $17,790	10 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$5,862 – $15,027 · median $10,502	10 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$4,847 – $12,433 · median $8,805	10 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$6,503 – $17,811 · median $11,572	10 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$4,252 – $12,346 · median $7,782	10 plans
813	COAGULATION DISORDERS	$7,064 – $23,673 · median $12,509	10 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$9,849 – $23,603 · median $17,162	10 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$4,696 – $12,934 · median $8,552	10 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$2,927 – $9,718 · median $5,519	10 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$7,817 – $20,560 · median $17,764	10 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$4,882 – $13,799 · median $9,541	10 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$3,982 – $9,251 · median $7,310	10 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$27,160 – $82,309 · median $46,086	10 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$10,367 – $35,984 · median $18,028	10 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$5,576 – $20,525 · median $10,023	10 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$21,232 – $61,974 · median $36,182	10 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$10,492 – $34,653 · median $18,237	10 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$6,249 – $21,079 · median $11,148	10 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$21,663 – $83,537 · median $36,902	10 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$10,703 – $36,244 · median $18,590	10 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$7,890 – $24,157 · median $13,890	10 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$14,634 – $27,805 · median $24,808	10 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$6,970 – $23,603 · median $12,352	10 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$5,569 – $10,989 · median $9,872	10 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$3,342 – $7,003 · median $6,133	10 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$2,422 – $5,217 · median $4,598	10 plans
834	ACUTE LEUKEMIA WITH MCC	$25,424 – $117,740 · median $43,186	10 plans
835	ACUTE LEUKEMIA WITH CC	$9,659 – $45,028 · median $16,846	10 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$5,648 – $27,771 · median $10,142	10 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$22,249 – $54,538 · median $37,881	10 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$9,667 – $18,506 · median $16,624	10 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$6,687 – $14,646 · median $11,856	10 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$14,981 – $54,141 · median $25,737	10 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$7,555 – $27,200 · median $13,330	10 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$4,679 – $18,537 · median $8,525	10 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$9,238 – $30,641 · median $16,142	10 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$5,638 – $17,361 · median $10,126	10 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$3,944 – $14,750 · median $7,243	10 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$12,006 – $26,318 · median $20,766	10 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$6,058 – $12,848 · median $10,678	10 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$3,934 – $8,231 · median $7,158	10 plans
849	RADIOTHERAPY	$12,548 – $44,267 · median $21,672	10 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$40,102 – $159,275 · median $67,711	10 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$22,871 – $58,654 · median $38,920	10 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$9,253 – $24,053 · median $16,167	10 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$6,934 – $19,021 · median $12,291	10 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$21,065 – $47,466 · median $35,903	10 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$9,917 – $22,272 · median $17,277	10 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$6,451 – $15,822 · median $11,484	10 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$8,446 – $17,257 · median $14,612	10 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$4,621 – $10,998 · median $8,427	10 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$4,111 – $10,911 · median $7,535	10 plans
865	VIRAL ILLNESS WITH MCC	$6,939 – $16,462 · median $12,300	10 plans
866	VIRAL ILLNESS WITHOUT MCC	$4,027 – $9,268 · median $7,389	10 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$9,694 – $28,566 · median $16,903	10 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$4,775 – $13,107 · median $8,685	10 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$3,379 – $10,565 · median $6,264	10 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$32,009 – $89,918 · median $54,188	10 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$8,996 – $24,243 · median $15,737	10 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$4,739 – $12,381 · median $8,624	10 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$19,434 – $55,455 · median $33,178	10 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$8,866 – $20,629 · median $15,520	10 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$5,416 – $13,782 · median $9,756	10 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$17,010 – $50,527 · median $29,128	10 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$6,631 – $27,788 · median $12,137	10 plans
906	HAND PROCEDURES FOR INJURIES	$8,162 – $22,358 · median $15,684	10 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$17,780 – $47,501 · median $30,414	10 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$9,240 – $24,347 · median $16,145	10 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$6,079 – $16,566 · median $10,864	10 plans
913	TRAUMATIC INJURY WITH MCC	$7,570 – $26,750 · median $13,354	10 plans
914	TRAUMATIC INJURY WITHOUT MCC	$4,101 – $10,358 · median $7,518	10 plans
915	ALLERGIC REACTIONS WITH MCC	$7,787 – $18,087 · median $13,718	10 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$3,086 – $7,902 · median $5,781	10 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$7,263 – $17,154 · median $12,842	10 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$3,969 – $8,525 · median $7,219	10 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$8,478 – $19,177 · median $14,873	10 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$4,642 – $11,793 · median $8,462	10 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$3,188 – $8,456 · median $5,949	10 plans
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$8,101 – $25,713 · median $14,243	10 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$4,713 – $9,597 · median $8,462	10 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$85,350 – $375,164 · median $163,602	10 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$33,053 – $61,699 · median $54,379	10 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$14,916 – $28,132 · median $24,795	10 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$17,675 – $56,198 · median $30,839	10 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$10,237 – $34,912 · median $17,811	10 plans
935	NON-EXTENSIVE BURNS	$9,540 – $18,273 · median $16,105	10 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$16,804 – $55,662 · median $28,783	10 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$10,822 – $29,638 · median $18,789	10 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$9,390 – $19,851 · median $16,217	10 plans
947	SIGNS AND SYMPTOMS WITH MCC	$5,879 – $15,424 · median $10,529	10 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$3,707 – $10,479 · median $6,830	10 plans
949	AFTERCARE WITH CC/MCC	$5,510 – $18,053 · median $9,912	10 plans
950	AFTERCARE WITHOUT CC/MCC	$2,907 – $11,292 · median $5,486	10 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$2,575 – $5,810 · median $4,846	10 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$31,172 – $103,440 · median $52,790	10 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$17,426 – $82,275 · median $29,823	10 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$35,288 – $99,203 · median $59,667	10 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$19,515 – $57,322 · median $33,312	10 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$13,634 – $44,907 · median $23,487	10 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$12,660 – $41,621 · median $21,860	10 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$7,097 – $19,021 · median $12,565	10 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$4,355 – $13,073 · median $7,963	10 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$28,348 – $114,247 · median $48,071	10 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$12,214 – $48,988 · median $21,114	10 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$13,365 – $44,423 · median $23,037	10 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$5,997 – $23,309 · median $10,727	10 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$4,142 – $15,753 · median $7,622	10 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$5,870 – $23,828 · median $10,726	10 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$21,728 – $67,784 · median $37,010	10 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$11,385 – $34,117 · median $19,730	10 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$7,938 – $21,200 · median $13,969	10 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$15,877 – $44,665 · median $27,234	10 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$7,612 – $20,837 · median $13,424	10 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$5,554 – $16,047 · median $9,985	10 plans
652	KIDNEY TRANSPLANT	$14,956 – $28,206 · median $25,099	9 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$13,612 – $19,713 · median $14,719	9 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$43,383 – $112,829 · median $46,910	9 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$26,990 – $35,252 · median $31,966	9 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$8,969 – $21,579 · median $19,201	9 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$11,649 – $36,191 · median $32,204	9 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$3,186 – $13,312 · median $11,845	9 plans
795	NORMAL NEWBORN	$1,695 – $2,698 · median $2,200	9 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$28,440 – $62,337 · median $30,753	9 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$7,559 – $10,168 · median $8,145	9 plans
881	DEPRESSIVE NEUROSES	$5,137 – $8,767 · median $7,801	9 plans
882	NEUROSES EXCEPT DEPRESSIVE	$5,025 – $9,896 · median $8,806	9 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$14,120 – $17,477 · median $15,848	9 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$8,786 – $14,441 · median $12,850	9 plans
885	PSYCHOSES	$7,537 – $12,640 · median $11,247	9 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$15,575 – $21,286 · median $16,842	9 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$8,355 – $17,845 · median $9,034	9 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$4,786 – $6,015 · median $5,353	9 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$10,833 – $25,834 · median $11,714	9 plans
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$13,202 – $19,644 · median $14,275	9 plans
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$6,976 – $8,594 · median $7,489	9 plans
945	REHABILITATION WITH CC/MCC	$11,789 – $26,024 · median $12,747	9 plans
946	REHABILITATION WITHOUT CC/MCC	$8,900 – $18,606 · median $9,624	9 plans
009	DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES	$9,470 – $9,470 · median $9,470	1 plans
015	DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK &	$9,470 – $9,470 · median $9,470	1 plans
043	DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA	$9,470 – $9,470 · median $9,470	1 plans
044	DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS	$9,470 – $9,470 · median $9,470	1 plans
045	DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS	$9,470 – $9,470 · median $9,470	1 plans
046	DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17	$9,470 – $9,470 · median $9,470	1 plans
047	DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17	$9,470 – $9,470 · median $9,470	1 plans
048	DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0-	$9,470 – $9,470 · median $9,470	1 plans
049	DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES	$9,470 – $9,470 · median $9,470	1 plans
050	DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY	$9,470 – $9,470 · median $9,470	1 plans
051	DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT	$9,470 – $9,470 · median $9,470	1 plans
077	DRG Grouper 12 (10/1/1994): DRG 77: OTHER RESP SYSTEM O.R. PROCEDURES	$9,470 – $9,470 · median $9,470	1 plans
078	DRG Grouper 12 (10/1/1994): DRG 78: PULMONARY EMBOLISM	$9,470 – $9,470 · median $9,470	1 plans
079	DRG Grouper 12 (10/1/1994): DRG 79: RESPIRATORY INFECTIONS &	$9,470 – $9,470 · median $9,470	1 plans
104	DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC	$9,470 – $9,470 · median $9,470	1 plans
105	DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O	$9,470 – $9,470 · median $9,470	1 plans
106	DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH	$9,470 – $9,470 · median $9,470	1 plans
107	DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH	$9,470 – $9,470 · median $9,470	1 plans
108	DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES	$9,470 – $9,470 · median $9,470	1 plans
109	DRG Grouper 12 (10/1/1994): DRG 109: NO LONGER VALID	$9,470 – $9,470 · median $9,470	1 plans
110	DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W	$9,470 – $9,470 · median $9,470	1 plans
111	DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/	$9,470 – $9,470 · median $9,470	1 plans
112	DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR	$9,470 – $9,470 · median $9,470	1 plans
118	DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE	$9,470 – $9,470 · median $9,470	1 plans
119	DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING	$9,470 – $9,470 · median $9,470	1 plans
120	DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R.	$9,470 – $9,470 · median $9,470	1 plans
126	DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS	$9,470 – $9,470 · median $9,470	1 plans
127	DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK	$9,470 – $9,470 · median $9,470	1 plans
128	DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS	$9,470 – $9,470 · median $9,470	1 plans
129	DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED	$9,470 – $9,470 · median $9,470	1 plans
130	DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC	$9,470 – $9,470 · median $9,470	1 plans
131	DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O	$9,470 – $9,470 · median $9,470	1 plans
132	DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC	$9,470 – $9,470 · median $9,470	1 plans
133	DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC	$9,470 – $9,470 · median $9,470	1 plans
134	DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION	$9,470 – $9,470 · median $9,470	1 plans
160	DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL	$9,470 – $9,470 · median $9,470	1 plans
161	DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA	$9,470 – $9,470 · median $9,470	1 plans
162	DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA	$9,470 – $9,470 · median $9,470	1 plans
169	DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC	$9,470 – $9,470 · median $9,470	1 plans
170	DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R.	$9,470 – $9,470 · median $9,470	1 plans
171	DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R.	$9,470 – $9,470 · median $9,470	1 plans
172	DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC	$9,470 – $9,470 · median $9,470	1 plans
174	DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC	$9,470 – $9,470 · median $9,470	1 plans
210	DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT	$9,470 – $9,470 · median $9,470	1 plans
211	DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT	$9,470 – $9,470 · median $9,470	1 plans
214	DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC	$9,470 – $9,470 · median $9,470	1 plans
222	DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC	$9,470 – $9,470 · median $9,470	1 plans
223	DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR	$9,470 – $9,470 · median $9,470	1 plans
224	DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC,	$9,470 – $9,470 · median $9,470	1 plans
225	DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES	$9,470 – $9,470 · median $9,470	1 plans
226	DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC	$9,470 – $9,470 · median $9,470	1 plans
227	DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC	$9,470 – $9,470 · median $9,470	1 plans
230	DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT	$9,470 – $9,470 · median $9,470	1 plans
237	DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS	$9,470 – $9,470 · median $9,470	1 plans
238	DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS	$9,470 – $9,470 · median $9,470	1 plans
246	DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES	$9,470 – $9,470 · median $9,470	1 plans
247	DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF	$9,470 – $9,470 · median $9,470	1 plans
248	DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS	$9,470 – $9,470 · median $9,470	1 plans
249	DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM	$9,470 – $9,470 · median $9,470	1 plans
294	DRG Grouper 12 (10/1/1994): DRG 294: DIABETES AGE >35	$9,470 – $9,470 · median $9,470	1 plans
295	DRG Grouper 12 (10/1/1994): DRG 295: DIABETES AGE 0-35	$9,470 – $9,470 · median $9,470	1 plans
338	DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY	$9,470 – $9,470 · median $9,470	1 plans
339	DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY	$9,470 – $9,470 · median $9,470	1 plans
340	DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY	$9,470 – $9,470 · median $9,470	1 plans
341	DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES	$9,470 – $9,470 · median $9,470	1 plans
342	DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17	$9,470 – $9,470 · median $9,470	1 plans
343	DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17	$9,470 – $9,470 · median $9,470	1 plans
361	DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL	$9,470 – $9,470 · median $9,470	1 plans
362	DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION	$9,470 – $9,470 · median $9,470	1 plans
363	DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT,	$9,470 – $9,470 · median $9,470	1 plans
364	DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR	$9,470 – $9,470 · median $9,470	1 plans
365	DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM	$9,470 – $9,470 · median $9,470	1 plans
366	DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE	$9,470 – $9,470 · median $9,470	1 plans
367	DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE	$9,470 – $9,470 · median $9,470	1 plans
396	DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17	$9,470 – $9,470 · median $9,470	1 plans
400	DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R.	$9,470 – $9,470 · median $9,470	1 plans
401	DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W	$9,470 – $9,470 · median $9,470	1 plans
403	DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC	$9,470 – $9,470 · median $9,470	1 plans
404	DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O	$9,470 – $9,470 · median $9,470	1 plans
431	DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS	$9,470 – $9,470 · median $9,470	1 plans
449	DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS	$9,470 – $9,470 · median $9,470	1 plans
452	DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC	$9,470 – $9,470 · median $9,470	1 plans
453	DRG Grouper 12 (10/1/1994): DRG 453: COMPLICATIONS OF TREATMENT W/O CC	—	1 plans
454	DRG Grouper 12 (10/1/1994): DRG 454: OTHER INJURY, POISONING & TOXIC	$9,470 – $9,470 · median $9,470	1 plans
455	DRG Grouper 12 (10/1/1994): DRG 455: OTHER INJURY, POISONING & TOXIC	$9,470 – $9,470 · median $9,470	1 plans
459	DRG Grouper 12 (10/1/1994): DRG 459: NON-EXTENSIVE BURNS W WOUND	$9,470 – $9,470 · median $9,470	1 plans
460	DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R.	$9,470 – $9,470 · median $9,470	1 plans
484	DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE	$9,470 – $9,470 · median $9,470	1 plans
490	DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED	$9,470 – $9,470 · median $9,470	1 plans
491	DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT	$9,470 – $9,470 · median $9,470	1 plans

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