UPMC Northwest (Acute Care) — Hospital Prices & Charges

Procedures published 863

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

DRG	Description	Insurance rate range	Payers
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$3,704 – $238,160 · median $211,922	10 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	—	10 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$3,704 – $259,102 · median $165,181	10 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$3,704 – $172,376 · median $107,941	10 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$3,704 – $87,911 · median $78,226	10 plans
006	LIVER TRANSPLANT WITHOUT MCC	$3,704 – $39,787 · median $35,404	10 plans
007	LUNG TRANSPLANT	$3,704 – $110,302 · median $98,150	10 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$3,704 – $47,995 · median $42,707	10 plans
010	PANCREAS TRANSPLANT	$3,704 – $61,321 · median $53,526	10 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$3,704 – $72,512 · median $42,755	10 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$3,704 – $58,957 · median $33,144	10 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$3,704 – $35,024 · median $22,787	10 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$3,704 – $102,394 · median $91,113	10 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$3,704 – $50,752 · median $45,161	10 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$3,704 – $46,533 · median $41,074	10 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	—	10 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$3,704 – $60,973 · median $54,255	10 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$3,704 – $133,326 · median $61,500	10 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$3,704 – $100,819 · median $41,511	10 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$3,704 – $70,932 · median $25,082	10 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$3,704 – $74,282 · median $44,899	10 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$3,704 – $52,796 · median $30,783	10 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$3,704 – $54,393 · median $35,711	10 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$3,704 – $37,367 · median $24,552	10 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$3,704 – $32,212 · median $20,001	10 plans
028	SPINAL PROCEDURES WITH MCC	$3,704 – $70,898 · median $47,057	10 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$3,704 – $41,133 · median $26,900	10 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$3,704 – $23,760 · median $17,457	10 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$3,704 – $47,815 · median $35,197	10 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$3,704 – $25,877 · median $16,959	10 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$3,704 – $21,642 · median $13,325	10 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$3,704 – $68,051 · median $30,464	10 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$3,704 – $31,900 · median $18,973	10 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$3,704 – $22,979 · median $15,498	10 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$3,704 – $49,099 · median $25,972	10 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$3,704 – $26,450 · median $13,012	10 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$3,704 – $17,616 · median $9,542	10 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$3,704 – $44,621 · median $30,390	10 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$3,704 – $31,674 · median $17,484	10 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$3,704 – $20,202 · median $13,828	10 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$3,704 – $33,028 · median $14,477	10 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$3,704 – $17,269 · median $8,019	10 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$3,704 – $15,134 · median $12,269	10 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$3,704 – $13,225 · median $8,332	10 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$3,704 – $30,251 · median $18,450	10 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$3,704 – $19,247 · median $10,474	10 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$3,704 – $28,550 · median $13,687	10 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$3,704 – $14,908 · median $10,049	10 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$3,704 – $13,260 · median $7,557	10 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$3,704 – $40,213 · median $21,819	10 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$3,704 – $29,904 · median $14,057	10 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$3,704 – $28,029 · median $11,314	10 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$3,704 – $24,367 · median $16,027	10 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$3,704 – $15,308 · median $8,260	10 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$3,704 – $11,958 · median $5,730	10 plans
067	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$3,704 – $24,801 · median $11,818	10 plans
068	PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$3,704 – $13,190 · median $7,127	10 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$3,704 – $11,871 · median $6,618	10 plans
070	OTHER CEREBROVASCULAR DISORDERS WITH MCC	$3,704 – $27,040 · median $13,340	10 plans
071	OTHER CEREBROVASCULAR DISORDERS WITH CC	$3,704 – $14,856 · median $8,382	10 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$3,704 – $11,489 · median $6,287	10 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$3,704 – $21,191 · median $12,870	10 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$3,704 – $13,728 · median $8,419	10 plans
075	VIRAL MENINGITIS WITH CC/MCC	$3,704 – $19,837 · median $15,302	10 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$3,704 – $10,552 · median $6,822	10 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$3,704 – $36,204 · median $14,467	10 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$3,704 – $11,403 · median $7,370	10 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$3,704 – $30,338 · median $18,159	10 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$3,704 – $19,056 · median $11,252	10 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$3,704 – $11,889 · median $7,837	10 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$3,704 – $24,454 · median $18,053	10 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$3,704 – $15,186 · median $10,529	10 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$3,704 – $9,945 · median $7,518	10 plans
088	CONCUSSION WITH MCC	$3,704 – $22,337 · median $10,910	10 plans
089	CONCUSSION WITH CC	$3,704 – $12,600 · median $8,946	10 plans
090	CONCUSSION WITHOUT CC/MCC	$3,704 – $10,222 · median $6,807	10 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$3,704 – $21,938 · median $14,049	10 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$3,704 – $15,603 · median $8,359	10 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$3,704 – $11,923 · median $6,599	10 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$3,704 – $49,377 · median $27,737	10 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$3,704 – $38,425 · median $20,438	10 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$3,704 – $35,371 · median $20,438	10 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$3,704 – $53,594 · median $28,454	10 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$3,704 – $28,706 · median $18,231	10 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$3,704 – $16,106 · median $10,992	10 plans
100	SEIZURES WITH MCC	$3,704 – $21,330 · median $15,451	10 plans
101	SEIZURES WITHOUT MCC	$3,704 – $9,459 · median $7,424	10 plans
102	HEADACHES WITH MCC	$3,704 – $15,568 · median $9,119	10 plans
103	HEADACHES WITHOUT MCC	$3,704 – $11,212 · median $6,909	10 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$3,704 – $40,543 · median $18,667	10 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$3,704 – $21,903 · median $10,919	10 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$3,704 – $26,415 · median $12,332	10 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$3,704 – $31,344 · median $14,452	10 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$3,704 – $19,091 · median $8,839	10 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$3,704 – $18,414 · median $9,447	10 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$3,704 – $10,587 · median $6,517	10 plans
123	NEUROLOGICAL EYE DISORDERS	$3,704 – $12,409 · median $6,616	10 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$3,704 – $23,343 · median $10,687	10 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$3,704 – $10,084 · median $6,377	10 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$3,704 – $42,764 · median $17,262	10 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$3,704 – $18,848 · median $8,299	10 plans
137	MOUTH PROCEDURES WITH CC/MCC	$3,704 – $13,711 · median $11,675	10 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$3,704 – $10,344 · median $7,297	10 plans
139	SALIVARY GLAND PROCEDURES	$3,704 – $21,729 · median $10,009	10 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$3,704 – $69,422 · median $33,527	10 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$3,704 – $32,056 · median $17,348	10 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$3,704 – $27,300 · median $12,809	10 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$3,704 – $41,740 · median $29,500	10 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$3,704 – $21,122 · median $13,869	10 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $15,447 · median $9,750	10 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$3,704 – $36,724 · median $16,853	10 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$3,704 – $21,087 · median $10,287	10 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$3,704 – $14,457 · median $6,605	10 plans
149	DYSEQUILIBRIUM	$3,704 – $10,118 · median $6,252	10 plans
150	EPISTAXIS WITH MCC	$3,704 – $23,361 · median $10,753	10 plans
151	EPISTAXIS WITHOUT MCC	$3,704 – $10,170 · median $6,115	10 plans
152	OTITIS MEDIA AND URI WITH MCC	$3,704 – $13,763 · median $9,594	10 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$3,704 – $9,224 · median $6,147	10 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$3,704 – $26,606 · median $12,554	10 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$3,704 – $10,413 · median $7,532	10 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$3,704 – $9,224 · median $5,782	10 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$3,704 – $24,142 · median $13,744	10 plans
158	DENTAL AND ORAL DISEASES WITH CC	$3,704 – $10,708 · median $7,480	10 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$3,704 – $9,224 · median $5,917	10 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$3,704 – $56,979 · median $35,207	10 plans
164	MAJOR CHEST PROCEDURES WITH CC	$3,704 – $34,538 · median $20,010	10 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$3,704 – $25,009 · median $15,276	10 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$3,704 – $45,871 · median $29,431	10 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$3,704 – $23,742 · median $14,416	10 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $18,345 · median $11,024	10 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$3,704 – $46,149 · median $23,521	10 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$3,704 – $17,113 · median $11,079	10 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$3,704 – $10,604 · median $6,666	10 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$3,704 – $18,779 · median $12,547	10 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$3,704 – $12,930 · median $7,994	10 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$3,704 – $9,684 · median $6,278	10 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$3,704 – $23,066 · median $14,125	10 plans
181	RESPIRATORY NEOPLASMS WITH CC	$3,704 – $15,950 · median $8,731	10 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$3,704 – $13,694 · median $6,269	10 plans
183	MAJOR CHEST TRAUMA WITH MCC	$3,704 – $18,310 · median $12,293	10 plans
184	MAJOR CHEST TRAUMA WITH CC	$3,704 – $13,277 · median $8,678	10 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$3,704 – $10,379 · median $6,523	10 plans
186	PLEURAL EFFUSION WITH MCC	$3,704 – $18,223 · median $12,515	10 plans
187	PLEURAL EFFUSION WITH CC	$3,704 – $13,312 · median $8,095	10 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$3,704 – $10,344 · median $5,985	10 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$3,704 – $15,325 · median $10,007	10 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$3,704 – $12,670 · median $9,016	10 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$3,704 – $11,194 · median $6,961	10 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$3,704 – $9,224 · median $5,401	10 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$3,704 – $14,943 · median $10,620	10 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$3,704 – $10,604 · median $6,673	10 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$3,704 – $9,224 · median $5,296	10 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$3,704 – $24,454 · median $15,066	10 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$3,704 – $14,249 · median $7,785	10 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$3,704 – $10,951 · median $5,977	10 plans
199	PNEUMOTHORAX WITH MCC	$3,704 – $18,189 · median $14,111	10 plans
200	PNEUMOTHORAX WITH CC	$3,704 – $12,409 · median $8,951	10 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$3,704 – $9,224 · median $5,968	10 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$3,704 – $11,316 · median $7,956	10 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$3,704 – $9,224 · median $5,618	10 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$3,704 – $10,170 · median $6,685	10 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$3,704 – $19,542 · median $14,630	10 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$3,704 – $10,986 · median $7,723	10 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$3,704 – $98,163 · median $50,367	10 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$3,704 – $33,930 · median $21,754	10 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$3,704 – $96,464 · median $85,837	10 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$3,704 – $187,475 · median $84,829	10 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$3,704 – $48,862 · median $43,479	10 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$3,704 – $92,853 · median $75,558	10 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$3,704 – $119,025 · median $76,357	10 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$3,704 – $78,083 · median $51,459	10 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$3,704 – $70,915 · median $51,459	10 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$3,704 – $82,248 · median $60,021	10 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$3,704 – $64,615 · median $41,813	10 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$3,704 – $51,355 · median $39,542	10 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$3,704 – $88,913 · median $38,822	10 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$3,704 – $47,468 · median $24,865	10 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$3,704 – $122,913 · median $65,855	10 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$3,704 – $82,786 · median $47,479	10 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$3,704 – $84,869 · median $59,764	10 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$3,704 – $66,212 · median $42,822	10 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$3,704 – $64,858 · median $45,973	10 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$3,704 – $50,835 · median $32,933	10 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$3,704 – $55,347 · median $38,622	10 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$3,704 – $34,572 · median $22,544	10 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$3,704 – $25,790 · median $11,163	10 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$3,704 – $45,767 · median $25,201	10 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$3,704 – $33,826 · median $16,958	10 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$3,704 – $29,574 · median $14,448	10 plans
245	AICD GENERATOR PROCEDURES	$3,704 – $83,567 · median $35,833	10 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$3,704 – $31,657 · median $17,359	10 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$3,704 – $25,669 · median $12,018	10 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$3,704 – $51,182 · median $27,495	10 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$3,704 – $36,412 · median $20,565	10 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$3,704 – $25,200 · median $14,247	10 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$3,704 – $32,594 · median $21,356	10 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$3,704 – $17,304 · median $13,597	10 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$3,704 – $12,704 · median $8,896	10 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$3,704 – $49,325 · median $24,808	10 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$3,704 – $33,080 · median $16,113	10 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$3,704 – $50,227 · median $25,667	10 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$3,704 – $26,658 · median $15,092	10 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$3,704 – $23,690 · median $13,069	10 plans
263	VEIN LIGATION AND STRIPPING	$3,704 – $46,617 · median $24,150	10 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$3,704 – $31,986 · median $25,964	10 plans
265	AICD LEAD PROCEDURES	$3,704 – $60,276 · median $28,504	10 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$3,704 – $77,215 · median $47,989	10 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$3,704 – $69,544 · median $37,373	10 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$3,704 – $95,577 · median $53,808	10 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$3,704 – $50,783 · median $33,200	10 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$3,704 – $61,769 · median $41,375	10 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$3,704 – $50,123 · median $28,023	10 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$3,704 – $36,499 · median $20,235	10 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$3,704 – $63,643 · median $32,442	10 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$3,704 – $44,326 · median $25,969	10 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$3,704 – $107,466 · median $55,768	10 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$3,704 – $92,610 · median $47,044	10 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$3,704 – $71,470 · median $36,269	10 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$3,704 – $79,766 · median $43,625	10 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$3,704 – $55,573 · median $28,412	10 plans
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$3,704 – $19,022 · median $12,869	10 plans
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$3,704 – $13,121 · median $7,552	10 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$3,704 – $11,837 · median $6,030	10 plans
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$3,704 – $27,005 · median $15,793	10 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$3,704 – $12,808 · median $5,790	10 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$3,704 – $9,224 · median $5,066	10 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$3,704 – $24,385 · median $17,594	10 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$3,704 – $14,874 · median $8,724	10 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$3,704 – $36,655 · median $21,424	10 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$3,704 – $18,067 · median $13,667	10 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$3,704 – $17,512 · median $7,634	10 plans
291	HEART FAILURE AND SHOCK WITH MCC	$3,704 – $14,700 · median $10,382	10 plans
292	HEART FAILURE AND SHOCK WITH CC	$3,704 – $10,032 · median $7,008	10 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$3,704 – $9,224 · median $4,810	10 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$3,704 – $25,808 · median $12,541	10 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$3,704 – $12,149 · median $5,338	10 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$3,573 – $9,224 · median $3,949	10 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$3,704 – $15,273 · median $12,728	10 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$3,704 – $12,253 · median $8,704	10 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$3,704 – $9,224 · median $6,004	10 plans
302	ATHEROSCLEROSIS WITH MCC	$3,704 – $19,924 · median $9,705	10 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$3,704 – $9,224 · median $5,643	10 plans
304	HYPERTENSION WITH MCC	$3,704 – $14,023 · median $9,654	10 plans
305	HYPERTENSION WITHOUT MCC	$3,704 – $9,997 · median $6,279	10 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$3,704 – $25,114 · median $12,649	10 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$3,704 – $15,481 · median $7,506	10 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$3,704 – $13,642 · median $9,763	10 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$3,704 – $9,224 · median $6,128	10 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$3,704 – $9,224 · median $4,811	10 plans
311	ANGINA PECTORIS	$3,704 – $9,224 · median $5,866	10 plans
312	SYNCOPE AND COLLAPSE	$3,704 – $11,212 · median $7,183	10 plans
313	CHEST PAIN	$3,704 – $9,224 · median $6,006	10 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$3,704 – $25,218 · median $16,603	10 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$3,704 – $13,121 · median $7,895	10 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,704 – $11,472 · median $5,712	10 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	—	10 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$3,704 – $21,001 · median $18,687	10 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$3,704 – $75,341 · median $35,061	10 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$3,704 – $40,387 · median $19,088	10 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$3,704 – $42,816 · median $21,537	10 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$3,704 – $31,761 · median $14,102	10 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$3,704 – $67,756 · median $34,009	10 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$3,704 – $52,483 · median $24,877	10 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$3,704 – $46,843 · median $25,338	10 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$3,704 – $63,435 · median $39,132	10 plans
327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$3,704 – $34,243 · median $19,390	10 plans
328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$3,704 – $21,226 · median $12,855	10 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$3,704 – $49,984 · median $36,098	10 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$3,704 – $30,737 · median $19,025	10 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$3,704 – $23,100 · median $13,480	10 plans
332	RECTAL RESECTION WITH MCC	$3,704 – $65,240 · median $28,523	10 plans
333	RECTAL RESECTION WITH CC	$3,704 – $36,464 · median $18,598	10 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$3,704 – $21,521 · median $13,131	10 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$3,704 – $39,033 · median $28,136	10 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$3,704 – $25,929 · median $16,786	10 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$3,704 – $19,942 · median $12,332	10 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$3,704 – $47,294 · median $20,466	10 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$3,704 – $19,768 · median $12,097	10 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$3,704 – $16,748 · median $9,625	10 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$3,704 – $43,215 · median $18,237	10 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$3,704 – $16,627 · median $10,576	10 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$3,704 – $12,722 · median $7,175	10 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$3,704 – $41,775 · median $19,760	10 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$3,704 – $24,905 · median $12,251	10 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$3,704 – $14,926 · median $9,482	10 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$3,704 – $39,467 · median $22,944	10 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$3,704 – $21,295 · median $13,477	10 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$3,704 – $17,790 · median $10,857	10 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$3,704 – $48,440 · median $34,516	10 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$3,704 – $24,593 · median $18,469	10 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $18,206 · median $11,268	10 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$3,704 – $29,622 · median $26,359	10 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$3,704 – $20,934 · median $18,628	10 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$3,704 – $21,070 · median $12,774	10 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$3,704 – $13,971 · median $8,182	10 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$3,704 – $11,941 · median $5,857	10 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$3,704 – $21,486 · median $14,181	10 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$3,704 – $12,513 · median $8,343	10 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$3,704 – $9,251 · median $6,064	10 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$3,704 – $26,381 · median $17,019	10 plans
375	DIGESTIVE MALIGNANCY WITH CC	$3,704 – $15,585 · median $9,806	10 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$3,704 – $12,999 · median $7,592	10 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$3,704 – $23,257 · median $14,607	10 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$3,704 – $13,364 · median $8,030	10 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$3,704 – $9,424 · median $5,311	10 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$3,704 – $23,795 · median $15,649	10 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$3,704 – $13,190 · median $8,828	10 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$3,704 – $10,431 · median $6,632	10 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$3,704 – $23,309 · median $11,135	10 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$3,704 – $11,038 · median $7,053	10 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$3,704 – $18,449 · median $12,699	10 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$3,704 – $12,878 · median $7,996	10 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$3,704 – $9,251 · median $5,706	10 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$3,704 – $15,880 · median $11,881	10 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$3,704 – $9,224 · median $6,548	10 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$3,704 – $9,224 · median $4,640	10 plans
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$3,704 – $15,169 · median $10,262	10 plans
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$3,704 – $9,224 · median $6,469	10 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$3,704 – $21,382 · median $12,831	10 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$3,704 – $11,489 · median $7,681	10 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,704 – $9,389 · median $5,455	10 plans
397	APPENDIX PROCEDURES WITH MCC	$3,704 – $24,124 · median $19,007	10 plans
398	APPENDIX PROCEDURES WITH CC	$3,704 – $21,452 · median $12,166	10 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$3,704 – $15,412 · median $9,303	10 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$3,704 – $45,749 · median $31,626	10 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$3,704 – $75,202 · median $42,882	10 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$3,704 – $39,397 · median $22,930	10 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$3,704 – $29,991 · median $17,647	10 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$3,704 – $59,044 · median $28,095	10 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$3,704 – $30,581 · median $17,318	10 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$3,704 – $25,530 · median $12,741	10 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$3,704 – $54,913 · median $26,059	10 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$3,704 – $37,662 · median $16,738	10 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$3,704 – $27,890 · median $13,307	10 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$3,704 – $53,837 · median $28,072	10 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$3,704 – $26,519 · median $16,460	10 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$3,704 – $20,098 · median $10,999	10 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$3,704 – $27,196 · median $18,941	10 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$3,704 – $22,146 · median $13,548	10 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$3,704 – $18,414 · median $11,019	10 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$3,704 – $58,002 · median $26,865	10 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$3,704 – $29,157 · median $13,904	10 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$3,704 – $24,714 · median $11,280	10 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$3,704 – $60,762 · median $32,655	10 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$3,704 – $36,881 · median $17,401	10 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $26,780 · median $12,063	10 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$3,704 – $93,940 · median $83,590	10 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$3,704 – $69,874 · median $56,452	10 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$3,704 – $61,456 · median $44,058	10 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	—	10 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	—	10 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$3,704 – $25,391 · median $15,695	10 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$3,704 – $13,832 · median $8,616	10 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$3,704 – $11,698 · median $5,948	10 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$3,704 – $22,198 · median $14,674	10 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$3,704 – $14,544 · median $9,198	10 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$3,704 – $13,780 · median $7,041	10 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$3,704 – $24,003 · median $13,071	10 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$3,704 – $11,351 · median $6,947	10 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$3,704 – $9,224 · median $5,241	10 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$3,704 – $26,294 · median $14,348	10 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$3,704 – $13,485 · median $7,911	10 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$3,704 – $11,142 · median $5,849	10 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$3,704 – $20,723 · median $13,387	10 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$3,704 – $14,388 · median $8,913	10 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$3,704 – $12,218 · median $6,839	10 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	—	10 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$3,704 – $46,166 · median $33,337	10 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$3,704 – $61,612 · median $41,789	10 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$3,704 – $35,423 · median $25,493	10 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$3,704 – $118,296 · median $65,650	10 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$3,704 – $86,032 · median $46,706	10 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$3,704 – $77,771 · median $32,807	10 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$3,704 – $110,868 · median $43,290	10 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$3,704 – $33,115 · median $21,065	10 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$3,704 – $63,331 · median $44,660	10 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$3,704 – $36,551 · median $24,595	10 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$3,704 – $24,159 · median $14,573	10 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$3,704 – $55,937 · median $40,824	10 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$3,704 – $36,950 · median $27,792	10 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$3,704 – $30,008 · median $21,748	10 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$3,704 – $38,547 · median $23,962	10 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$3,704 – $20,931 · median $15,390	10 plans
471	CERVICAL SPINAL FUSION WITH MCC	$3,704 – $51,928 · median $37,900	10 plans
472	CERVICAL SPINAL FUSION WITH CC	$3,704 – $33,340 · median $23,286	10 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$3,704 – $26,936 · median $19,368	10 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$3,704 – $49,620 · median $33,741	10 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$3,704 – $27,109 · median $18,082	10 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$3,704 – $20,462 · median $9,578	10 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$3,704 – $42,348 · median $27,234	10 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$3,704 – $28,133 · median $19,507	10 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$3,704 – $21,747 · median $14,847	10 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$3,704 – $44,239 · median $23,024	10 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$3,704 – $31,032 · median $16,676	10 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$3,704 – $22,476 · median $13,078	10 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$3,704 – $25,634 · median $21,327	10 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$3,704 – $56,979 · median $25,468	10 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$3,704 – $24,454 · median $16,649	10 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$3,704 – $18,397 · median $12,575	10 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$3,704 – $32,143 · median $13,756	10 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$3,704 – $19,056 · median $9,087	10 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	$3,704 – $40,334 · median $28,918	10 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	$3,704 – $32,819 · median $20,104	10 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	$3,704 – $23,066 · median $15,992	10 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$3,704 – $62,064 · median $28,562	10 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$3,704 – $23,135 · median $14,420	9 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$3,704 – $18,380 · median $9,787	9 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$3,704 – $44,448 · median $23,836	9 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$3,704 – $21,590 · median $16,058	9 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$3,704 – $37,037 · median $24,985	9 plans
501	SOFT TISSUE PROCEDURES WITH CC	$3,704 – $22,528 · median $13,987	9 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$3,704 – $16,852 · median $10,865	9 plans
503	FOOT PROCEDURES WITH MCC	$3,704 – $41,862 · median $22,084	9 plans
504	FOOT PROCEDURES WITH CC	$3,704 – $21,313 · median $14,927	9 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$3,704 – $19,855 · median $14,334	9 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$3,704 – $25,252 · median $10,739	9 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$3,704 – $34,972 · median $14,440	9 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$3,704 – $24,367 · median $12,173	9 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$3,704 – $48,387 · median $23,865	9 plans
511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	$3,704 – $25,808 · median $16,559	9 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$3,704 – $18,866 · median $13,268	9 plans
513	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$3,704 – $16,193 · median $12,638	9 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$3,704 – $12,652 · median $8,353	9 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$3,704 – $43,823 · median $25,157	9 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$3,704 – $28,758 · median $16,549	9 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $18,241 · median $12,346	9 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$3,704 – $36,603 · median $29,429	9 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$3,704 – $23,881 · median $15,944	9 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$3,704 – $16,332 · median $12,014	9 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$3,704 – $46,374 · median $22,698	9 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$3,704 – $28,741 · median $16,856	9 plans
533	FRACTURES OF FEMUR WITH MCC	$3,704 – $26,519 · median $12,587	9 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$3,704 – $12,305 · median $6,674	9 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$3,704 – $20,011 · median $10,369	9 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$3,704 – $10,431 · median $6,686	9 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$3,704 – $16,557 · median $7,825	9 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$3,704 – $12,149 · median $6,008	9 plans
539	OSTEOMYELITIS WITH MCC	$3,704 – $20,376 · median $15,707	9 plans
540	OSTEOMYELITIS WITH CC	$3,704 – $13,694 · median $10,480	9 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$3,704 – $9,719 · median $6,529	9 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$3,704 – $26,311 · median $14,130	9 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$3,704 – $16,575 · median $8,397	9 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$3,704 – $13,329 · median $6,275	9 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$3,704 – $41,463 · median $19,682	9 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$3,704 – $16,974 · median $9,371	9 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$3,704 – $14,162 · median $6,908	9 plans
548	SEPTIC ARTHRITIS WITH MCC	$3,704 – $33,167 · median $15,406	9 plans
549	SEPTIC ARTHRITIS WITH CC	$3,704 – $15,585 · median $9,788	9 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$3,704 – $13,346 · median $7,202	9 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$3,704 – $21,347 · median $13,428	9 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$3,704 – $10,969 · median $7,879	9 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$3,704 – $22,927 · median $10,480	9 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$3,704 – $10,518 · median $6,861	9 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$3,704 – $23,690 · median $10,678	9 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$3,704 – $11,455 · median $6,865	9 plans
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$3,704 – $16,766 · median $11,959	9 plans
558	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	$3,704 – $8,036 · median $7,248	9 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$3,704 – $24,541 · median $14,894	9 plans
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$3,704 – $14,284 · median $9,159	9 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$3,704 – $11,507 · median $6,657	9 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$3,704 – $20,636 · median $11,477	9 plans
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$3,704 – $10,622 · median $7,368	9 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$3,704 – $24,905 · median $12,400	9 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$3,704 – $12,774 · median $7,981	9 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$3,704 – $11,229 · median $6,233	9 plans
570	SKIN DEBRIDEMENT WITH MCC	$3,704 – $34,034 · median $23,248	9 plans
571	SKIN DEBRIDEMENT WITH CC	$3,704 – $17,512 · median $13,532	9 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$3,704 – $15,030 · median $9,315	9 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$3,704 – $101,635 · median $51,275	9 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$3,704 – $56,493 · median $27,365	9 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$3,704 – $32,646 · median $14,167	9 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$3,704 – $94,987 · median $38,465	9 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$3,704 – $40,439 · median $20,994	9 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$3,704 – $28,220 · median $12,887	9 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$3,704 – $31,796 · median $25,557	9 plans
580	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$3,704 – $23,204 · median $13,831	9 plans
581	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$3,704 – $19,456 · median $11,619	9 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$3,704 – $36,482 · median $15,373	9 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$3,704 – $32,941 · median $13,803	9 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$3,704 – $39,744 · median $17,035	9 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$3,704 – $34,659 · median $15,392	9 plans
592	SKIN ULCERS WITH MCC	$3,704 – $19,438 · median $15,440	9 plans
593	SKIN ULCERS WITH CC	$3,704 – $11,871 · median $9,626	9 plans
594	SKIN ULCERS WITHOUT CC/MCC	$3,704 – $8,070 · median $7,046	9 plans
595	MAJOR SKIN DISORDERS WITH MCC	$3,704 – $36,881 · median $16,880	9 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$3,704 – $10,899 · median $8,820	9 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$3,704 – $28,654 · median $13,358	9 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$3,704 – $14,822 · median $9,199	9 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,704 – $12,774 · median $6,307	9 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$3,704 – $11,056 · median $8,503	9 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,704 – $6,161 · median $5,057	9 plans
602	CELLULITIS WITH MCC	$3,704 – $18,709 · median $11,450	9 plans
603	CELLULITIS WITHOUT MCC	$3,704 – $8,539 · median $7,078	9 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$3,704 – $25,409 · median $11,845	9 plans
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$3,704 – $10,344 · median $7,528	9 plans
606	MINOR SKIN DISORDERS WITH MCC	$3,704 – $24,732 · median $12,164	9 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$3,704 – $9,112 · median $7,424	9 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$3,704 – $32,021 · median $17,432	9 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$3,704 – $23,777 · median $11,279	9 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$3,704 – $39,692 · median $27,489	9 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$3,704 – $20,115 · median $14,936	9 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$3,704 – $12,687 · median $11,268	9 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$3,704 – $37,974 · median $22,832	9 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$3,704 – $22,163 · median $12,840	9 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$3,704 – $17,894 · median $12,126	9 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$3,704 – $34,867 · median $28,047	9 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$3,704 – $19,803 · median $14,343	9 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$3,704 – $15,082 · median $10,135	9 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$3,704 – $50,054 · median $23,862	9 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$3,704 – $22,892 · median $12,057	9 plans
627	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$3,704 – $16,470 · median $10,728	9 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$3,704 – $39,623 · median $29,348	9 plans
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$3,704 – $22,927 · median $17,331	9 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $14,891 · median $11,747	9 plans
637	DIABETES WITH MCC	$3,704 – $15,394 · median $11,570	9 plans
638	DIABETES WITH CC	$3,704 – $9,511 · median $7,374	9 plans
639	DIABETES WITHOUT CC/MCC	$3,704 – $7,341 · median $5,239	9 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$3,704 – $16,766 · median $10,785	9 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$3,704 – $9,216 · median $6,458	9 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$3,704 – $13,381 · median $11,297	9 plans
643	ENDOCRINE DISORDERS WITH MCC	$3,704 – $20,341 · median $13,195	9 plans
644	ENDOCRINE DISORDERS WITH CC	$3,704 – $11,750 · median $8,374	9 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$3,704 – $8,053 · median $6,381	9 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$3,704 – $40,334 · median $36,401	9 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$3,704 – $31,889 · median $28,780	9 plans
652	KIDNEY TRANSPLANT	$3,704 – $27,849 · median $25,133	9 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$3,704 – $95,074 · median $40,756	9 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$3,704 – $37,332 · median $22,148	9 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$3,704 – $30,737 · median $16,848	9 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$3,704 – $41,966 · median $25,133	9 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$3,704 – $24,819 · median $14,623	9 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$3,704 – $21,399 · median $12,463	9 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$3,704 – $27,595 · median $20,142	9 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$3,704 – $15,308 · median $10,677	9 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$3,704 – $12,531 · median $8,454	9 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$3,704 – $52,622 · median $24,183	9 plans
663	MINOR BLADDER PROCEDURES WITH CC	$3,704 – $26,276 · median $12,218	9 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$3,704 – $19,109 · median $8,544	9 plans
665	PROSTATECTOMY WITH MCC	$3,704 – $54,878 · median $24,647	9 plans
666	PROSTATECTOMY WITH CC	$3,704 – $29,609 · median $13,996	9 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$3,704 – $17,737 · median $9,004	9 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$3,704 – $43,458 · median $23,085	9 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$3,704 – $17,234 · median $12,465	9 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$3,704 – $14,023 · median $8,003	9 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$3,704 – $30,338 · median $14,351	9 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$3,704 – $17,894 · median $8,797	9 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$3,704 – $42,105 · median $33,034	9 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$3,704 – $27,838 · median $18,571	9 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$3,704 – $25,860 · median $13,159	9 plans
682	RENAL FAILURE WITH MCC	$3,704 – $15,429 · median $11,914	9 plans
683	RENAL FAILURE WITH CC	$3,704 – $8,834 · median $7,193	9 plans
684	RENAL FAILURE WITHOUT CC/MCC	$3,704 – $6,578 · median $5,077	9 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$3,704 – $26,676 · median $14,419	9 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$3,704 – $13,954 · median $8,551	9 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$3,704 – $10,726 · median $6,552	9 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$3,704 – $15,828 · median $9,424	9 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$3,704 – $8,660 · median $6,701	9 plans
693	URINARY STONES WITH MCC	$3,704 – $24,489 · median $10,854	9 plans
694	URINARY STONES WITHOUT MCC	$3,704 – $8,209 · median $6,485	9 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$3,704 – $20,150 · median $9,296	9 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$3,704 – $8,591 · median $5,765	9 plans
697	URETHRAL STRICTURE	$3,704 – $18,050 · median $8,784	9 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$3,704 – $21,035 · median $13,260	9 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$3,704 – $12,322 · median $8,296	9 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$3,704 – $10,865 · median $5,772	9 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$3,704 – $25,339 · median $15,945	9 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$3,704 – $23,413 · median $12,327	9 plans
709	PENIS PROCEDURES WITH CC/MCC	$3,704 – $39,224 · median $18,482	9 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$3,704 – $24,836 · median $11,294	9 plans
711	TESTES PROCEDURES WITH CC/MCC	$3,704 – $35,701 · median $16,593	9 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$3,704 – $19,855 · median $8,954	9 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$3,704 – $20,705 · median $12,088	9 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$3,704 – $14,475 · median $8,625	9 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$3,704 – $38,130 · median $17,785	9 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$3,704 – $23,968 · median $11,836	9 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$3,704 – $19,907 · median $15,093	9 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$3,704 – $13,364 · median $10,843	9 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$3,704 – $30,824 · median $14,465	9 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$3,704 – $19,438 · median $9,287	9 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,704 – $13,051 · median $5,430	9 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$3,704 – $21,799 · median $9,501	9 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$3,704 – $12,930 · median $6,022	9 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$3,704 – $26,224 · median $11,928	9 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$3,704 – $9,372 · median $6,714	9 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$3,704 – $18,154 · median $8,635	9 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$3,704 – $10,726 · median $5,633	9 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$3,704 – $25,617 · median $16,952	9 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$3,704 – $20,636 · median $10,862	9 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$3,704 – $69,961 · median $28,166	9 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$3,704 – $26,294 · median $16,413	9 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$3,704 – $19,143 · median $11,817	9 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$3,704 – $65,813 · median $28,230	9 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$3,704 – $25,704 · median $14,465	9 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$3,704 – $18,015 · median $11,487	9 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$3,704 – $21,660 · median $14,660	9 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$3,704 – $15,151 · median $10,048	9 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$3,704 – $17,836 · median $16,097	9 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$3,704 – $11,802 · median $9,247	9 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$3,704 – $17,963 · median $13,902	9 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$3,704 – $12,808 · median $7,090	9 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$3,704 – $23,395 · median $11,186	9 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$3,704 – $28,619 · median $20,349	9 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $23,673 · median $11,873	9 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$3,704 – $22,285 · median $14,714	9 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$3,704 – $13,381 · median $8,861	9 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,704 – $11,784 · median $7,873	9 plans
757	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$3,704 – $25,218 · median $11,532	9 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$3,704 – $10,813 · median $8,017	9 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$3,704 – $8,504 · median $5,568	9 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$3,704 – $10,379 · median $8,238	9 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$3,704 – $7,741 · median $4,840	9 plans
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$2,820 – $9,545 · median $8,493	9 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$3,704 – $18,518 · median $13,535	9 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$3,704 – $9,684 · median $8,087	9 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$3,704 – $6,009 · median $5,423	9 plans
779	ABORTION WITHOUT D&C	$3,704 – $7,591 · median $6,530	9 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$2,820 – $21,280 · median $18,575	9 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$2,820 – $12,618 · median $8,646	9 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$2,820 – $10,535 · median $7,852	9 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$2,820 – $14,447 · median $12,855	9 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$2,820 – $12,531 · median $9,086	9 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$2,820 – $10,518 · median $7,859	9 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$3,704 – $19,785 · median $14,407	9 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$3,704 – $113,245 · median $46,556	9 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$3,704 – $34,885 · median $31,483	9 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$3,704 – $21,230 · median $18,711	9 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$3,704 – $35,823 · median $31,573	9 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$3,198 – $12,974 · median $11,435	9 plans
795	NORMAL NEWBORN	$1,696 – $3,704 · median $1,968	9 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$2,820 – $20,306 · median $9,476	9 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$2,820 – $13,381 · median $8,182	9 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$2,820 – $11,385 · median $7,846	9 plans
799	SPLENIC PROCEDURES WITH MCC	$3,704 – $52,431 · median $35,575	9 plans
800	SPLENIC PROCEDURES WITH CC	$3,704 – $38,547 · median $22,226	9 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$3,704 – $27,908 · median $15,235	9 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$3,704 – $61,960 · median $31,345	9 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$3,704 – $26,919 · median $14,847	9 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$3,704 – $18,293 · median $10,943	9 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$2,820 – $9,609 · median $8,551	9 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$2,820 – $8,105 · median $6,270	9 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$2,820 – $6,908 · median $5,607	9 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$3,704 – $28,099 · median $17,557	9 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$3,704 – $15,082 · median $10,244	9 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$3,704 – $12,479 · median $8,541	9 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$3,704 – $17,876 · median $11,318	9 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$3,704 – $12,392 · median $7,545	9 plans
813	COAGULATION DISORDERS	$3,704 – $23,760 · median $12,258	9 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$3,704 – $23,690 · median $16,926	9 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$3,704 – $12,982 · median $8,288	9 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$3,704 – $9,754 · median $5,323	9 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$3,704 – $20,636 · median $17,458	9 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$3,704 – $13,850 · median $9,285	9 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $9,285 · median $7,092	9 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$3,704 – $82,613 · median $45,945	9 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$3,704 – $36,117 · median $17,795	9 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $20,601 · median $9,763	9 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$3,704 – $62,203 · median $36,009	9 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$3,704 – $34,781 · median $18,005	9 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$3,704 – $21,157 · median $10,892	9 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$3,704 – $83,845 · median $36,731	9 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$3,704 – $36,377 · median $18,359	9 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $24,246 · median $13,643	9 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$3,704 – $27,908 · median $24,601	9 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$3,704 – $23,690 · median $12,100	9 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$3,704 – $10,778 · median $9,616	9 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$3,704 – $7,029 · median $5,935	9 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $4,998 · median $4,395	9 plans
834	ACUTE LEUKEMIA WITH MCC	$3,704 – $118,174 · median $43,035	9 plans
835	ACUTE LEUKEMIA WITH CC	$3,704 – $45,194 · median $16,609	9 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$3,704 – $27,873 · median $9,884	9 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$3,704 – $54,740 · median $37,713	9 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$3,704 – $18,189 · median $16,390	9 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$3,704 – $14,700 · median $11,626	9 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$3,704 – $54,340 · median $25,529	9 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$3,704 – $27,300 · median $13,081	9 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$3,704 – $18,605 · median $8,260	9 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$3,704 – $30,754 · median $15,902	9 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$3,704 – $17,425 · median $9,867	9 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$3,704 – $14,804 · median $7,028	9 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$3,704 – $26,415 · median $20,542	9 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$3,704 – $12,895 · median $10,520	9 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$3,704 – $8,261 · median $6,913	9 plans
849	RADIOTHERAPY	$3,704 – $44,430 · median $21,451	9 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	—	9 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$3,704 – $58,870 · median $38,755	9 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$3,704 – $24,142 · median $15,928	9 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $19,091 · median $12,039	9 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$3,704 – $47,641 · median $35,728	9 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$3,704 – $22,354 · median $17,041	9 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$3,704 – $15,880 · median $11,230	9 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$3,704 – $17,321 · median $14,372	9 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$3,704 – $11,038 · median $8,163	9 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$3,704 – $10,951 · median $7,308	9 plans
865	VIRAL ILLNESS WITH MCC	$3,704 – $16,523 · median $12,048	9 plans
866	VIRAL ILLNESS WITHOUT MCC	$3,704 – $9,303 · median $7,167	9 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$3,704 – $28,671 · median $16,666	9 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$3,704 – $13,156 · median $8,421	9 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$3,704 – $10,604 · median $6,081	9 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$3,704 – $90,249 · median $54,073	9 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$3,704 – $24,333 · median $15,496	9 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$3,704 – $12,427 · median $8,361	9 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$3,704 – $62,567 · median $30,420	9 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$3,704 – $10,205 · median $7,871	9 plans
881	DEPRESSIVE NEUROSES	$3,704 – $8,436 · median $7,435	9 plans
882	NEUROSES EXCEPT DEPRESSIVE	$3,704 – $9,563 · median $8,429	9 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$3,704 – $17,460 · median $15,463	9 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$3,704 – $14,102 · median $12,429	9 plans
885	PSYCHOSES	$3,704 – $12,303 · median $10,843	9 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$3,704 – $21,365 · median $16,527	9 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$3,704 – $17,911 · median $8,730	9 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$3,704 – $5,918 · median $5,133	9 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$3,704 – $25,929 · median $11,406	9 plans
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$3,704 – $19,716 · median $13,964	9 plans
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$3,704 – $8,626 · median $7,169	9 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$3,704 – $55,659 · median $32,995	9 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$3,704 – $20,705 · median $15,279	9 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$3,704 – $13,832 · median $9,496	9 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$3,704 – $50,713 · median $28,931	9 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$3,704 – $27,890 · median $11,932	9 plans
906	HAND PROCEDURES FOR INJURIES	$3,704 – $22,441 · median $15,448	9 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$3,704 – $47,676 · median $30,221	9 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$3,704 – $24,437 · median $15,905	9 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$3,704 – $16,627 · median $10,607	9 plans
913	TRAUMATIC INJURY WITH MCC	$3,704 – $26,849 · median $13,106	9 plans
914	TRAUMATIC INJURY WITHOUT MCC	$3,704 – $10,396 · median $7,291	9 plans
915	ALLERGIC REACTIONS WITH MCC	$3,704 – $18,154 · median $13,471	9 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$3,704 – $7,932 · median $5,589	9 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$3,704 – $17,217 · median $12,592	9 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$3,704 – $8,556 · median $7,008	9 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$3,704 – $19,247 · median $14,629	9 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$3,704 – $11,837 · median $8,198	9 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$3,704 – $8,487 · median $5,761	9 plans
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$3,704 – $25,808 · median $13,997	9 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$3,704 – $9,632 · median $8,202	9 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$3,704 – $376,548 · median $163,854	9 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$3,704 – $61,296 · median $54,023	9 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$3,704 – $27,775 · median $24,479	9 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$3,704 – $56,406 · median $30,647	9 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$3,704 – $35,041 · median $17,578	9 plans
935	NON-EXTENSIVE BURNS	$3,704 – $17,929 · median $15,801	9 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$3,704 – $55,868 · median $28,585	9 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$3,704 – $29,748 · median $18,558	9 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$3,704 – $19,924 · median $16,158	9 plans
945	REHABILITATION WITH CC/MCC	$3,704 – $26,120 · median $12,438	9 plans
946	REHABILITATION WITHOUT CC/MCC	$3,704 – $18,675 · median $9,319	9 plans
947	SIGNS AND SYMPTOMS WITH MCC	$3,704 – $15,481 · median $10,271	9 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$3,704 – $10,518 · median $6,631	9 plans
949	AFTERCARE WITH CC/MCC	$3,704 – $18,119 · median $9,652	9 plans
950	AFTERCARE WITHOUT CC/MCC	$3,704 – $11,333 · median $5,289	9 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$3,704 – $5,831 · median $4,726	9 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$3,704 – $103,821 · median $52,670	9 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$3,704 – $82,578 · median $29,629	9 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$3,704 – $99,569 · median $59,570	9 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$3,704 – $57,534 · median $33,129	9 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$3,704 – $45,073 · median $23,272	9 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$3,704 – $41,775 · median $21,639	9 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$3,704 – $19,091 · median $12,314	9 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$3,704 – $13,121 · median $7,718	9 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$3,704 – $114,669 · median $47,937	9 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$3,704 – $49,168 · median $20,891	9 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$3,704 – $44,587 · median $22,821	9 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$3,704 – $23,395 · median $10,470	9 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$3,704 – $15,811 · median $7,424	9 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$3,704 – $23,916 · median $10,491	9 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$3,704 – $68,034 · median $36,839	9 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$3,704 – $34,243 · median $19,502	9 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$3,704 – $21,278 · median $13,722	9 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$3,704 – $44,830 · median $27,031	9 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$3,704 – $20,914 · median $13,176	9 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$3,704 – $16,106 · median $9,726	9 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$3,704 – $9,224 · median $6,464	2 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH CC	$3,704 – $9,224 · median $6,464	2 plans
079	HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC	$3,704 – $9,224 · median $6,464	2 plans
294	DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC	$3,704 – $9,224 · median $6,464	2 plans
295	DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC	$3,704 – $9,224 · median $6,464	2 plans
453	COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC	$3,704 – $9,224	2 plans
454	COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC	$3,704 – $9,224 · median $6,464	2 plans
455	COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC	$3,704 – $9,224 · median $6,464	2 plans
459	SPINAL FUSION EXCEPT CERVICAL WITH MCC	$3,704 – $9,224 · median $6,464	2 plans
460	SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$3,704 – $9,224 · median $6,464	2 plans
009	DRG Grouper 12 (10/1/1994): DRG 9: SPINAL DISORDERS & INJURIES	$9,224 – $9,224 · median $9,224	1 plans
015	DRG Grouper 12 (10/1/1994): DRG 15: TRANSIENT ISCHEMIC ATTACK &	$9,224 – $9,224 · median $9,224	1 plans
043	DRG Grouper 12 (10/1/1994): DRG 43: HYPHEMA	$9,224 – $9,224 · median $9,224	1 plans
044	DRG Grouper 12 (10/1/1994): DRG 44: ACUTE MAJOR EYE INFECTIONS	$9,224 – $9,224 · median $9,224	1 plans
045	DRG Grouper 12 (10/1/1994): DRG 45: NEUROLOGICAL EYE DISORDERS	$9,224 – $9,224 · median $9,224	1 plans
046	DRG Grouper 12 (10/1/1994): DRG 46: OTHER DISORDERS OF THE EYE AGE >17	$9,224 – $9,224 · median $9,224	1 plans
047	DRG Grouper 12 (10/1/1994): DRG 47: OTHER DISORDERS OF THE EYE AGE >17	$9,224 – $9,224 · median $9,224	1 plans
048	DRG Grouper 12 (10/1/1994): DRG 48: *OTHER DISORDERS OF THE EYE AGE 0-	$9,224 – $9,224 · median $9,224	1 plans
049	DRG Grouper 12 (10/1/1994): DRG 49: MAJOR HEAD & NECK PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
050	DRG Grouper 12 (10/1/1994): DRG 50: SIALOADENECTOMY	$9,224 – $9,224 · median $9,224	1 plans
051	DRG Grouper 12 (10/1/1994): DRG 51: SALIVARY GLAND PROCEDURES EXCEPT	$9,224 – $9,224 · median $9,224	1 plans
104	DRG Grouper 12 (10/1/1994): DRG 104: CARDIAC VALVE PROCEDURES W CARDIAC	$9,224 – $9,224 · median $9,224	1 plans
105	DRG Grouper 12 (10/1/1994): DRG 105: CARDIAC VALVE PROCEDURES W/O	$9,224 – $9,224 · median $9,224	1 plans
106	DRG Grouper 12 (10/1/1994): DRG 106: CORONARY BYPASS W CARDIAC CATH	$9,224 – $9,224 · median $9,224	1 plans
107	DRG Grouper 12 (10/1/1994): DRG 107: CORONARY BYPASS W/O CARDIAC CATH	$9,224 – $9,224 · median $9,224	1 plans
108	DRG Grouper 12 (10/1/1994): DRG 108: OTHER CARDIOTHORACIC PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
109	DRG Grouper 12 (10/1/1994): DRG 109: NO LONGER VALID	$9,224 – $9,224 · median $9,224	1 plans
110	DRG Grouper 12 (10/1/1994): DRG 110: MAJOR CARDIOVASCULAR PROCEDURES W	$9,224 – $9,224 · median $9,224	1 plans
111	DRG Grouper 12 (10/1/1994): DRG 111: MAJOR CARDIOVASCULAR PROCEDURES W/	$9,224 – $9,224 · median $9,224	1 plans
112	DRG Grouper 12 (10/1/1994): DRG 112: PERCUTANEOUS CARDIOVASCULAR	$9,224 – $9,224 · median $9,224	1 plans
118	DRG Grouper 12 (10/1/1994): DRG 118: CARDIAC PACEMAKER DEVICE	$9,224 – $9,224 · median $9,224	1 plans
119	DRG Grouper 12 (10/1/1994): DRG 119: VEIN LIGATION & STRIPPING	$9,224 – $9,224 · median $9,224	1 plans
120	DRG Grouper 12 (10/1/1994): DRG 120: OTHER CIRCULATORY SYSTEM O.R.	$9,224 – $9,224 · median $9,224	1 plans
126	DRG Grouper 12 (10/1/1994): DRG 126: ACUTE & SUBACUTE ENDOCARDITIS	$9,224 – $9,224 · median $9,224	1 plans
127	DRG Grouper 12 (10/1/1994): DRG 127: HEART FAILURE & SHOCK	$9,224 – $9,224 · median $9,224	1 plans
128	DRG Grouper 12 (10/1/1994): DRG 128: DEEP VEIN THROMBOPHLEBITIS	$9,224 – $9,224 · median $9,224	1 plans
129	DRG Grouper 12 (10/1/1994): DRG 129: CARDIAC ARREST, UNEXPLAINED	$9,224 – $9,224 · median $9,224	1 plans
130	DRG Grouper 12 (10/1/1994): DRG 130: PERIPHERAL VASCULAR DISORDERS W CC	$9,224 – $9,224 · median $9,224	1 plans
131	DRG Grouper 12 (10/1/1994): DRG 131: PERIPHERAL VASCULAR DISORDERS W/O	$9,224 – $9,224 · median $9,224	1 plans
132	DRG Grouper 12 (10/1/1994): DRG 132: ATHEROSCLEROSIS W CC	$9,224 – $9,224 · median $9,224	1 plans
133	DRG Grouper 12 (10/1/1994): DRG 133: ATHEROSCLEROSIS W/O CC	$9,224 – $9,224 · median $9,224	1 plans
134	DRG Grouper 12 (10/1/1994): DRG 134: HYPERTENSION	$9,224 – $9,224 · median $9,224	1 plans
160	DRG Grouper 12 (10/1/1994): DRG 160: HERNIA PROCEDURES EXCEPT INGUINAL	$9,224 – $9,224 · median $9,224	1 plans
161	DRG Grouper 12 (10/1/1994): DRG 161: INGUINAL & FEMORAL HERNIA	$9,224 – $9,224 · median $9,224	1 plans
162	DRG Grouper 12 (10/1/1994): DRG 162: INGUINAL & FEMORAL HERNIA	$9,224 – $9,224 · median $9,224	1 plans
169	DRG Grouper 12 (10/1/1994): DRG 169: MOUTH PROCEDURES W/O CC	$9,224 – $9,224 · median $9,224	1 plans
170	DRG Grouper 12 (10/1/1994): DRG 170: OTHER DIGESTIVE SYSTEM O.R.	$9,224 – $9,224 · median $9,224	1 plans
171	DRG Grouper 12 (10/1/1994): DRG 171: OTHER DIGESTIVE SYSTEM O.R.	$9,224 – $9,224 · median $9,224	1 plans
172	DRG Grouper 12 (10/1/1994): DRG 172: DIGESTIVE MALIGNANCY W CC	$9,224 – $9,224 · median $9,224	1 plans
174	DRG Grouper 12 (10/1/1994): DRG 174: G.I. HEMORRHAGE W CC	$9,224 – $9,224 · median $9,224	1 plans
210	DRG Grouper 12 (10/1/1994): DRG 210: HIP & FEMUR PROCEDURES EXCEPT	$9,224 – $9,224 · median $9,224	1 plans
211	DRG Grouper 12 (10/1/1994): DRG 211: HIP & FEMUR PROCEDURES EXCEPT	$9,224 – $9,224 · median $9,224	1 plans
214	DRG Grouper 12 (10/1/1994): DRG 214: BACK & NECK PROCEDURES W CC	$9,224 – $9,224 · median $9,224	1 plans
222	DRG Grouper 12 (10/1/1994): DRG 222: KNEE PROCEDURES W/O CC	$9,224 – $9,224 · median $9,224	1 plans
223	DRG Grouper 12 (10/1/1994): DRG 223: MAJOR SHOULDER/ELBOW PROC, OR	$9,224 – $9,224 · median $9,224	1 plans
224	DRG Grouper 12 (10/1/1994): DRG 224: SHOULDER, ELBOW OR FOREARM PROC,	$9,224 – $9,224 · median $9,224	1 plans
225	DRG Grouper 12 (10/1/1994): DRG 225: FOOT PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
226	DRG Grouper 12 (10/1/1994): DRG 226: SOFT TISSUE PROCEDURES W CC	$9,224 – $9,224 · median $9,224	1 plans
227	DRG Grouper 12 (10/1/1994): DRG 227: SOFT TISSUE PROCEDURES W/O CC	$9,224 – $9,224 · median $9,224	1 plans
230	DRG Grouper 12 (10/1/1994): DRG 230: LOCAL EXCISION & REMOVAL OF INT	$9,224 – $9,224 · median $9,224	1 plans
237	DRG Grouper 12 (10/1/1994): DRG 237: SPRAINS, STRAINS, & DISLOCATIONS	$9,224 – $9,224 · median $9,224	1 plans
238	DRG Grouper 12 (10/1/1994): DRG 238: OSTEOMYELITIS	$9,224 – $9,224 · median $9,224	1 plans
246	DRG Grouper 12 (10/1/1994): DRG 246: NON-SPECIFIC ARTHROPATHIES	$9,224 – $9,224 · median $9,224	1 plans
247	DRG Grouper 12 (10/1/1994): DRG 247: SIGNS & SYMPTOMS OF	$9,224 – $9,224 · median $9,224	1 plans
248	DRG Grouper 12 (10/1/1994): DRG 248: TENDONITIS, MYOSITIS & BURSITIS	$9,224 – $9,224 · median $9,224	1 plans
249	DRG Grouper 12 (10/1/1994): DRG 249: AFTERCARE, MUSCULOSKELETAL SYSTEM	$9,224 – $9,224 · median $9,224	1 plans
338	DRG Grouper 12 (10/1/1994): DRG 338: TESTES PROCEDURES, FOR MALIGNANCY	$9,224 – $9,224 · median $9,224	1 plans
339	DRG Grouper 12 (10/1/1994): DRG 339: TESTES PROCEDURES, NON-MALIGNANCY	$9,224 – $9,224 · median $9,224	1 plans
340	DRG Grouper 12 (10/1/1994): DRG 340: *TESTES PROCEDURES, NON-MALIGNANCY	$9,224 – $9,224 · median $9,224	1 plans
341	DRG Grouper 12 (10/1/1994): DRG 341: PENIS PROCEDURES	$9,224 – $9,224 · median $9,224	1 plans
342	DRG Grouper 12 (10/1/1994): DRG 342: CIRCUMCISION AGE >17	$9,224 – $9,224 · median $9,224	1 plans
343	DRG Grouper 12 (10/1/1994): DRG 343: *CIRCUMCISION AGE 0-17	$9,224 – $9,224 · median $9,224	1 plans
361	DRG Grouper 12 (10/1/1994): DRG 361: LAPAROSCOPY & INCISIONAL TUBAL	$9,224 – $9,224 · median $9,224	1 plans
362	DRG Grouper 12 (10/1/1994): DRG 362: *ENDOSCOPIC TUBAL INTERRUPTION	$9,224 – $9,224 · median $9,224	1 plans
363	DRG Grouper 12 (10/1/1994): DRG 363: D&C, CONIZATION & RADIO-IMPLANT,	$9,224 – $9,224 · median $9,224	1 plans
364	DRG Grouper 12 (10/1/1994): DRG 364: D&C, CONIZATION EXCEPT FOR	$9,224 – $9,224 · median $9,224	1 plans
365	DRG Grouper 12 (10/1/1994): DRG 365: OTHER FEMALE REPRODUCTIVE SYSTEM	$9,224 – $9,224 · median $9,224	1 plans
366	DRG Grouper 12 (10/1/1994): DRG 366: MALIGNANCY, FEMALE REPRODUCTIVE	$9,224 – $9,224 · median $9,224	1 plans
367	DRG Grouper 12 (10/1/1994): DRG 367: MALIGNANCY, FEMALE REPRODUCTIVE	$9,224 – $9,224 · median $9,224	1 plans
396	DRG Grouper 12 (10/1/1994): DRG 396: RED BLOOD CELL DISORDERS AGE 0-17	$9,224 – $9,224 · median $9,224	1 plans
400	DRG Grouper 12 (10/1/1994): DRG 400: LYMPHOMA & LEUKEMIA W MAJOR O.R.	$9,224 – $9,224 · median $9,224	1 plans
401	DRG Grouper 12 (10/1/1994): DRG 401: LYMPHOMA & NON-ACUTE LEUKEMIA W	$9,224 – $9,224 · median $9,224	1 plans
403	DRG Grouper 12 (10/1/1994): DRG 403: LYMPHOMA & NON-ACUTE LEUKEMIA W CC	$9,224 – $9,224 · median $9,224	1 plans
404	DRG Grouper 12 (10/1/1994): DRG 404: LYMPHOMA & NON-ACUTE LEUKEMIA W/O	$9,224 – $9,224 · median $9,224	1 plans
431	DRG Grouper 12 (10/1/1994): DRG 431: CHILDHOOD MENTAL DISORDERS	$9,224 – $9,224 · median $9,224	1 plans
449	DRG Grouper 12 (10/1/1994): DRG 449: POISONING & TOXIC EFFECTS OF DRUGS	$9,224 – $9,224 · median $9,224	1 plans
452	DRG Grouper 12 (10/1/1994): DRG 452: COMPLICATIONS OF TREATMENT W CC	$9,224 – $9,224 · median $9,224	1 plans
484	DRG Grouper 12 (10/1/1994): DRG 484: CRANIOTOMY FOR MULTIPLE	$9,224 – $9,224 · median $9,224	1 plans
490	DRG Grouper 12 (10/1/1994): DRG 490: HIV W OR W/O OTHER RELATED	$9,224 – $9,224 · median $9,224	1 plans
491	DRG Grouper 12 (10/1/1994): DRG 491: MAJOR JOINT & LIMB REATTACHMENT	$9,224 – $9,224 · median $9,224	1 plans
509	ARTHROSCOPY	$3,704 – $3,704 · median $3,704	1 plans
998	PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS	$3,704 – $3,704 · median $3,704	1 plans
999	UNGROUPABLE	$3,704 – $3,704 · median $3,704	1 plans

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