CHRISTUS Outpatient Pavilion St. Elizabeth — Hospital Prices & Charges

Procedures published 786

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 786 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
768	VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C	$1,040 – $8,348 · median $6,632	25 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH CC	$1,040 – $13,516 · median $10,030	25 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$1,040 – $13,516 · median $10,030	25 plans
797	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC	$1,040 – $7,993 · median $6,632	25 plans
798	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$1,040 – $7,993 · median $6,632	25 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC	$1,040 – $7,750 · median $6,443	25 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$1,040 – $7,750 · median $6,443	25 plans
783	CESAREAN SECTION WITH STERILIZATION WITH MCC	$1,040 – $15,208 · median $10,036	24 plans
784	CESAREAN SECTION WITH STERILIZATION WITH CC	$1,040 – $13,516 · median $9,866	24 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$1,040 – $13,516 · median $9,866	24 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$1,040 – $13,516 · median $9,866	24 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$1,040 – $8,760 · median $6,538	24 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC	$1,040 – $8,239 · median $6,538	24 plans
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$70,646 – $173,772 · median $105,364	20 plans
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$47,272 – $116,797 · median $84,863	20 plans
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$56,639 – $136,390 · median $85,563	20 plans
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	$38,772 – $94,727 · median $64,115	20 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH MCC	$36,478 – $87,881 · median $74,149	20 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC	$22,738 – $86,427 · median $48,306	20 plans
231	CORONARY BYPASS WITH PTCA WITH MCC	$61,150 – $149,740 · median $90,002	20 plans
232	CORONARY BYPASS WITH PTCA WITHOUT MCC	$44,232 – $108,822 · median $74,755	20 plans
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$56,114 – $135,802 · median $82,446	20 plans
234	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	$36,859 – $97,034 · median $59,726	20 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	$43,072 – $104,244 · median $62,575	20 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	$28,755 – $74,406 · median $45,721	20 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	$24,829 – $56,714 · median $39,905	20 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	$16,491 – $37,851 · median $28,523	20 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	$13,210 – $32,107 · median $23,916	20 plans
250	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC	$16,928 – $39,053 · median $30,012	20 plans
251	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC	$11,438 – $32,879 · median $21,092	20 plans
252	OTHER VASCULAR PROCEDURES WITH MCC	$23,640 – $61,963 · median $33,263	20 plans
253	OTHER VASCULAR PROCEDURES WITH CC	$18,035 – $46,106 · median $27,483	20 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$14,293 – $55,813 · median $30,794	20 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$12,866 – $35,919 · median $20,382	20 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$12,190 – $57,779 · median $33,926	20 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$11,504 – $33,581 · median $17,536	20 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$8,121 – $28,952 · median $13,570	20 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$37,068 – $176,866 · median $140,720	19 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$43,368 – $116,797 · median $76,784	18 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$33,618 – $89,529 · median $58,727	18 plans
245	AICD GENERATOR PROCEDURES	$31,873 – $81,042 · median $43,850	18 plans
254	OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	$12,340 – $31,648 · median $20,257	18 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$20,262 – $59,339 · median $30,269	18 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$48,807 – $122,172 · median $76,641	18 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	$30,456 – $75,017 · median $47,825	18 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	$37,574 – $93,723 · median $59,001	18 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	$25,213 – $63,171 · median $39,592	18 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC	$18,316 – $45,349 · median $35,775	18 plans
273	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC	$27,011 – $73,281 · median $44,567	18 plans
274	PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	$18,983 – $58,470 · median $32,456	18 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$51,730 – $126,657 · median $85,466	18 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$45,343 – $106,695 · median $69,709	18 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$34,052 – $82,038 · median $61,119	18 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$27,992 – $98,872 · median $42,531	18 plans
279	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC	$22,977 – $64,060 · median $29,522	18 plans
321	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES	$20,839 – $48,330 · median $34,123	18 plans
322	PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	$13,243 – $31,918 · median $23,752	18 plans
265	AICD LEAD PROCEDURES	$24,812 – $64,270 · median $31,195	17 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	$17,396 – $42,390 · median $20,782	17 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	$12,139 – $30,048 · median $19,441	17 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	$9,011 – $24,261 · median $13,380	17 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$19,958 – $51,289 · median $28,690	17 plans
620	O.R. PROCEDURES FOR OBESITY WITH CC	$11,690 – $28,426 · median $18,029	17 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC	$10,700 – $26,794 · median $16,502	17 plans
037	EXTRACRANIAL PROCEDURES WITH MCC	$24,309 – $58,478 · median $33,764	16 plans
038	EXTRACRANIAL PROCEDURES WITH CC	$11,795 – $28,822 · median $17,957	16 plans
039	EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	$8,332 – $20,880 · median $13,164	16 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$78,565 – $193,157 · median $109,124	16 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$30,726 – $76,868 · median $42,666	16 plans
324	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC	$23,388 – $55,971 · median $32,005	16 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$20,951 – $57,026 · median $29,094	16 plans
397	APPENDIX PROCEDURES WITH MCC	$18,138 – $42,541 · median $24,820	16 plans
398	APPENDIX PROCEDURES WITH CC	$11,077 – $26,886 · median $16,311	16 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$8,226 – $20,333 · median $11,985	16 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$49,078 – $118,685 · median $70,538	16 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$29,891 – $75,329 · median $45,189	16 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$37,699 – $94,670 · median $65,387	16 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$22,590 – $57,382 · median $44,280	16 plans
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	$18,442 – $66,386 · median $35,901	16 plans
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	$14,434 – $35,530 · median $21,376	16 plans
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	$10,491 – $26,536 · median $14,356	16 plans
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	$13,371 – $32,592 · median $18,298	16 plans
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$8,774 – $22,039 · median $12,007	16 plans
286	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	$14,454 – $39,306 · median $24,986	15 plans
287	CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	$7,977 – $19,008 · median $12,954	15 plans
263	VEIN LIGATION AND STRIPPING	$12,332 – $54,309 · median $31,381	13 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$43,853 – $129,562 · median $86,148	13 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	$34,438 – $97,285 · median $67,654	13 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$45,284 – $118,772 · median $72,559	13 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC	$32,155 – $79,274 · median $58,345	13 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC	$16,944 – $42,725 · median $30,745	13 plans
028	SPINAL PROCEDURES WITH MCC	$41,535 – $106,725 · median $75,939	12 plans
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	$22,354 – $60,600 · median $41,929	12 plans
030	SPINAL PROCEDURES WITHOUT CC/MCC	$12,308 – $38,993 · median $27,797	12 plans
239	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	$36,034 – $87,424 · median $62,916	12 plans
240	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC	$21,317 – $50,633 · median $36,376	12 plans
241	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC	$11,052 – $24,591 · median $18,860	12 plans
255	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC	$19,153 – $47,914 · median $32,683	12 plans
256	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC	$12,398 – $30,160 · median $21,156	12 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$6,529 – $19,401 · median $10,298	12 plans
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$12,015 – $28,494 · median $20,503	12 plans
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$6,748 – $16,326 · median $12,259	12 plans
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$5,308 – $12,844 · median $9,057	12 plans
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$14,314 – $35,185 · median $24,425	12 plans
284	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC	$5,424 – $12,296 · median $9,412	12 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$4,109 – $10,638 · median $7,012	12 plans
471	CERVICAL SPINAL FUSION WITH MCC	$35,297 – $85,772 · median $60,673	12 plans
472	CERVICAL SPINAL FUSION WITH CC	$20,867 – $52,332 · median $36,189	12 plans
473	CERVICAL SPINAL FUSION WITHOUT CC/MCC	$15,311 – $43,365 · median $29,571	12 plans
003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	$156,879 – $377,023 · median $284,655	11 plans
004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	$103,432 – $246,042 · median $187,675	11 plans
011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC	$39,498 – $96,881 · median $71,668	11 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$30,039 – $74,889 · median $54,505	11 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$19,398 – $51,189 · median $35,197	11 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$276,058 – $767,056 · median $500,901	11 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC	$59,007 – $139,773 · median $107,068	11 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC	$40,460 – $94,034 · median $70,938	11 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$22,803 – $56,440 · median $39,718	11 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$41,761 – $101,787 · median $75,775	11 plans
024	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC	$27,828 – $69,487 · median $50,494	11 plans
025	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	$32,737 – $80,763 · median $59,401	11 plans
026	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	$22,389 – $55,229 · median $40,624	11 plans
027	CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	$18,064 – $44,814 · median $32,777	11 plans
031	VENTRICULAR SHUNT PROCEDURES WITH MCC	$30,675 – $79,587 · median $55,660	11 plans
032	VENTRICULAR SHUNT PROCEDURES WITH CC	$15,633 – $37,853 · median $28,365	11 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC	$11,679 – $29,538 · median $21,191	11 plans
034	CAROTID ARTERY STENT PROCEDURES WITH MCC	$28,465 – $68,755 · median $51,650	11 plans
035	CAROTID ARTERY STENT PROCEDURES WITH CC	$16,652 – $42,462 · median $30,214	11 plans
036	CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	$13,418 – $34,510 · median $24,347	11 plans
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	$27,612 – $68,587 · median $50,101	11 plans
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	$16,530 – $39,056 · median $29,993	11 plans
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	$12,866 – $30,689 · median $23,344	11 plans
052	SPINAL DISORDERS AND INJURIES WITH CC/MCC	$14,732 – $32,741 · median $26,730	11 plans
053	SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	$6,745 – $17,394 · median $12,238	11 plans
054	NERVOUS SYSTEM NEOPLASMS WITH MCC	$10,973 – $27,122 · median $19,911	11 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	$7,986 – $18,111 · median $14,491	11 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$18,330 – $41,265 · median $33,259	11 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$9,768 – $23,014 · median $17,724	11 plans
058	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC	$13,512 – $30,366 · median $24,517	11 plans
059	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC	$8,957 – $22,042 · median $16,252	11 plans
060	MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	$6,532 – $16,338 · median $11,853	11 plans
061	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC	$19,789 – $48,974 · median $35,907	11 plans
062	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC	$13,036 – $31,213 · median $23,654	11 plans
063	ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC	$10,283 – $24,936 · median $18,659	11 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$14,561 – $35,721 · median $26,421	11 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$7,444 – $17,946 · median $13,506	11 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	$5,038 – $12,157 · median $9,142	11 plans
067	NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC	$10,650 – $26,089 · median $19,324	11 plans
068	NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC	$6,453 – $15,354 · median $11,708	11 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$5,857 – $14,189 · median $10,627	11 plans
070	NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC	$12,728 – $29,572 · median $23,095	11 plans
071	NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC	$7,715 – $18,225 · median $13,998	11 plans
072	NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$5,491 – $13,432 · median $9,964	11 plans
073	CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC	$11,314 – $28,497 · median $20,529	11 plans
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$7,630 – $18,310 · median $13,845	11 plans
075	VIRAL MENINGITIS WITH CC/MCC	$12,608 – $34,061 · median $22,077	11 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$6,712 – $14,917 · median $12,178	11 plans
080	NONTRAUMATIC STUPOR AND COMA WITH MCC	$14,551 – $32,151 · median $26,152	11 plans
081	NONTRAUMATIC STUPOR AND COMA WITHOUT MCC	$6,623 – $15,909 · median $12,018	11 plans
082	TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	$16,984 – $40,599 · median $30,817	11 plans
083	TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	$10,178 – $24,794 · median $18,467	11 plans
084	TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC	$6,999 – $16,978 · median $12,699	11 plans
085	TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	$16,587 – $40,356 · median $30,097	11 plans
086	TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	$9,601 – $23,140 · median $17,421	11 plans
087	TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC	$6,471 – $16,248 · median $11,741	11 plans
088	CONCUSSION WITH MCC	$10,326 – $24,012 · median $18,737	11 plans
089	CONCUSSION WITH CC	$7,848 – $19,514 · median $14,240	11 plans
090	CONCUSSION WITHOUT CC/MCC	$6,275 – $14,623 · median $11,387	11 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	$13,344 – $31,195 · median $24,212	11 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$7,750 – $18,172 · median $14,062	11 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$5,778 – $14,145 · median $10,483	11 plans
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$26,708 – $62,515 · median $48,462	11 plans
095	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC	$17,548 – $45,814 · median $31,840	11 plans
096	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC	$17,548 – $45,814 · median $31,840	11 plans
097	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC	$26,239 – $64,156 · median $47,611	11 plans
098	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC	$15,879 – $40,764 · median $28,813	11 plans
099	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC	$10,199 – $24,200 · median $18,506	11 plans
100	SEIZURES WITH MCC	$14,532 – $34,403 · median $26,369	11 plans
101	SEIZURES WITHOUT MCC	$6,747 – $16,033 · median $12,242	11 plans
102	HEADACHES WITH MCC	$8,488 – $19,911 · median $15,400	11 plans
103	HEADACHES WITHOUT MCC	$6,223 – $14,855 · median $11,292	11 plans
113	ORBITAL PROCEDURES WITH CC/MCC	$16,518 – $41,763 · median $29,714	11 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$8,653 – $24,033 · median $15,701	11 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$11,207 – $27,264 · median $20,335	11 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$12,214 – $32,117 · median $22,162	11 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$7,895 – $19,271 · median $13,444	11 plans
121	ACUTE MAJOR EYE INFECTIONS WITH CC/MCC	$8,515 – $20,664 · median $15,450	11 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$4,965 – $13,958 · median $9,009	11 plans
123	NEUROLOGICAL EYE DISORDERS	$5,879 – $14,186 · median $10,668	11 plans
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	$9,545 – $23,502 · median $17,318	11 plans
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	$6,044 – $13,638 · median $10,967	11 plans
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	$17,649 – $39,226 · median $32,024	11 plans
136	SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC	$7,160 – $18,035 · median $12,992	11 plans
137	MOUTH PROCEDURES WITH CC/MCC	$10,238 – $26,524 · median $18,576	11 plans
138	MOUTH PROCEDURES WITHOUT CC/MCC	$5,955 – $15,742 · median $10,805	11 plans
139	SALIVARY GLAND PROCEDURES	$10,050 – $22,337 · median $18,236	11 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$30,958 – $75,765 · median $56,172	11 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$15,727 – $38,743 · median $28,536	11 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$11,510 – $28,357 · median $20,885	11 plans
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$24,170 – $66,551 · median $43,856	11 plans
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$12,859 – $30,782 · median $23,332	11 plans
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$8,673 – $21,356 · median $15,737	11 plans
146	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC	$16,793 – $37,611 · median $30,470	11 plans
147	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC	$9,112 – $22,586 · median $16,533	11 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$5,861 – $14,159 · median $10,138	11 plans
149	DYSEQUILIBRIUM	$5,472 – $13,351 · median $9,928	11 plans
150	EPISTAXIS WITH MCC	$10,118 – $23,651 · median $18,358	11 plans
151	EPISTAXIS WITHOUT MCC	$5,549 – $13,038 · median $10,068	11 plans
152	OTITIS MEDIA AND URI WITH MCC	$8,307 – $20,999 · median $15,072	11 plans
153	OTITIS MEDIA AND URI WITHOUT MCC	$5,210 – $13,113 · median $9,453	11 plans
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	$11,905 – $27,772 · median $21,601	11 plans
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	$6,834 – $16,280 · median $12,400	11 plans
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	$4,922 – $12,276 · median $8,931	11 plans
157	DENTAL AND ORAL DISEASES WITH MCC	$11,987 – $30,496 · median $21,749	11 plans
158	DENTAL AND ORAL DISEASES WITH CC	$6,885 – $16,161 · median $12,493	11 plans
159	DENTAL AND ORAL DISEASES WITHOUT CC/MCC	$4,828 – $12,585 · median $8,761	11 plans
163	MAJOR CHEST PROCEDURES WITH MCC	$33,739 – $79,610 · median $61,219	11 plans
164	MAJOR CHEST PROCEDURES WITH CC	$18,424 – $44,834 · median $33,431	11 plans
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	$13,644 – $34,002 · median $24,758	11 plans
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$28,184 – $66,393 · median $51,140	11 plans
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	$13,375 – $32,034 · median $24,269	11 plans
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,911 – $24,271 · median $17,983	11 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$22,462 – $52,870 · median $40,757	11 plans
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$10,315 – $24,399 · median $18,716	11 plans
176	PULMONARY EMBOLISM WITHOUT MCC	$5,962 – $14,299 · median $10,818	11 plans
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$11,833 – $27,758 · median $21,470	11 plans
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$7,262 – $17,337 · median $13,177	11 plans
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	$5,634 – $13,411 · median $10,223	11 plans
180	RESPIRATORY NEOPLASMS WITH MCC	$12,794 – $31,369 · median $23,214	11 plans
181	RESPIRATORY NEOPLASMS WITH CC	$8,127 – $19,024 · median $14,747	11 plans
182	RESPIRATORY NEOPLASMS WITHOUT CC/MCC	$6,131 – $13,625 · median $11,124	11 plans
183	MAJOR CHEST TRAUMA WITH MCC	$11,619 – $27,176 · median $21,083	11 plans
184	MAJOR CHEST TRAUMA WITH CC	$7,818 – $18,902 · median $14,187	11 plans
185	MAJOR CHEST TRAUMA WITHOUT CC/MCC	$5,693 – $13,971 · median $10,329	11 plans
186	PLEURAL EFFUSION WITH MCC	$11,566 – $27,684 · median $20,986	11 plans
187	PLEURAL EFFUSION WITH CC	$7,349 – $17,569 · median $13,335	11 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$5,374 – $12,740 · median $9,752	11 plans
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$9,058 – $21,944 · median $16,435	11 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$8,220 – $19,676 · median $14,916	11 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$6,289 – $14,974 · median $11,411	11 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$4,738 – $11,404 · median $8,596	11 plans
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$9,646 – $23,348 · median $17,502	11 plans
194	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$6,002 – $14,315 · median $10,891	11 plans
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$4,558 – $11,164 · median $8,271	11 plans
196	INTERSTITIAL LUNG DISEASE WITH MCC	$13,792 – $33,522 · median $25,025	11 plans
197	INTERSTITIAL LUNG DISEASE WITH CC	$7,247 – $16,859 · median $13,149	11 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	$5,127 – $12,722 · median $8,939	11 plans
199	PNEUMOTHORAX WITH MCC	$12,922 – $31,336 · median $23,447	11 plans
200	PNEUMOTHORAX WITH CC	$8,107 – $19,527 · median $14,710	11 plans
201	PNEUMOTHORAX WITHOUT CC/MCC	$4,956 – $12,702 · median $8,993	11 plans
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$7,076 – $17,251 · median $12,840	11 plans
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$5,099 – $11,901 · median $9,252	11 plans
204	RESPIRATORY SIGNS AND SYMPTOMS	$5,937 – $14,342 · median $10,772	11 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$13,819 – $32,524 · median $25,074	11 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC	$6,630 – $16,717 · median $12,031	11 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$47,340 – $114,300 · median $85,897	11 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$19,645 – $48,825 · median $35,646	11 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$19,995 – $48,070 · median $36,280	11 plans
289	ACUTE AND SUBACUTE ENDOCARDITIS WITH CC	$11,541 – $30,320 · median $20,942	11 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$7,166 – $16,514 · median $13,003	11 plans
291	HEART FAILURE AND SHOCK WITH MCC	$9,551 – $22,804 · median $17,330	11 plans
292	HEART FAILURE AND SHOCK WITH CC	$6,304 – $15,081 · median $11,438	11 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$4,016 – $10,054 · median $7,288	11 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$11,993 – $27,744 · median $21,761	11 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$5,156 – $11,460 · median $9,356	11 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$3,233 – $8,084 · median $5,867	11 plans
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$11,841 – $29,002 · median $21,485	11 plans
300	PERIPHERAL VASCULAR DISORDERS WITH CC	$7,837 – $18,962 · median $14,220	11 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	$5,222 – $12,784 · median $9,475	11 plans
302	ATHEROSCLEROSIS WITH MCC	$8,515 – $21,255 · median $15,451	11 plans
303	ATHEROSCLEROSIS WITHOUT MCC	$4,922 – $11,958 · median $8,931	11 plans
304	HYPERTENSION WITH MCC	$8,600 – $21,138 · median $15,604	11 plans
305	HYPERTENSION WITHOUT MCC	$5,495 – $13,413 · median $9,971	11 plans
306	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	$10,961 – $27,991 · median $19,888	11 plans
307	CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC	$6,781 – $16,221 · median $12,304	11 plans
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$8,827 – $21,387 · median $16,017	11 plans
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$5,412 – $13,068 · median $9,819	11 plans
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$4,096 – $10,056 · median $7,431	11 plans
311	ANGINA PECTORIS	$5,112 – $12,468 · median $9,275	11 plans
312	SYNCOPE AND COLLAPSE	$6,378 – $15,482 · median $11,573	11 plans
313	CHEST PAIN	$5,222 – $12,789 · median $9,475	11 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	$15,764 – $37,039 · median $28,603	11 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	$7,044 – $17,111 · median $12,781	11 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,997 – $12,116 · median $9,068	11 plans
326	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC	$37,178 – $88,591 · median $67,459	11 plans
327	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC	$17,774 – $43,416 · median $32,250	11 plans
328	STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC	$11,664 – $28,462 · median $21,165	11 plans
329	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$33,613 – $81,648 · median $60,990	11 plans
330	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$17,302 – $42,581 · median $31,395	11 plans
331	MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$12,085 – $29,893 · median $21,929	11 plans
332	RECTAL RESECTION WITH MCC	$25,391 – $64,314 · median $46,071	11 plans
333	RECTAL RESECTION WITH CC	$15,557 – $41,605 · median $28,228	11 plans
334	RECTAL RESECTION WITHOUT CC/MCC	$12,141 – $29,094 · median $22,030	11 plans
335	PERITONEAL ADHESIOLYSIS WITH MCC	$26,523 – $63,430 · median $48,126	11 plans
336	PERITONEAL ADHESIOLYSIS WITH CC	$15,462 – $37,457 · median $28,056	11 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	$11,237 – $27,266 · median $20,389	11 plans
344	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	$19,724 – $45,878 · median $35,788	11 plans
345	MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	$10,897 – $26,728 · median $19,773	11 plans
346	MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	$9,116 – $21,070 · median $16,540	11 plans
347	ANAL AND STOMAL PROCEDURES WITH MCC	$17,325 – $40,777 · median $31,436	11 plans
348	ANAL AND STOMAL PROCEDURES WITH CC	$9,215 – $23,248 · median $16,721	11 plans
349	ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC	$6,448 – $15,464 · median $11,700	11 plans
350	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC	$17,705 – $44,264 · median $32,125	11 plans
351	INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC	$11,013 – $27,080 · median $19,983	11 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$8,071 – $20,744 · median $14,645	11 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$21,470 – $51,548 · median $38,956	11 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC	$12,452 – $29,884 · median $22,594	11 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC	$9,759 – $23,891 · median $17,708	11 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC	$31,225 – $78,029 · median $56,657	11 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC	$16,485 – $41,308 · median $29,911	11 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,919 – $24,831 · median $17,998	11 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH MCC	$12,224 – $28,277 · median $22,181	11 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH CC	$7,449 – $17,767 · median $13,516	11 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$5,109 – $12,448 · median $9,271	11 plans
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$12,795 – $31,496 · median $23,217	11 plans
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$7,534 – $18,136 · median $13,671	11 plans
373	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC	$5,310 – $12,921 · median $9,635	11 plans
374	DIGESTIVE MALIGNANCY WITH MCC	$15,455 – $37,990 · median $28,044	11 plans
375	DIGESTIVE MALIGNANCY WITH CC	$8,994 – $21,486 · median $16,320	11 plans
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	$6,464 – $16,418 · median $11,728	11 plans
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$13,309 – $32,471 · median $24,149	11 plans
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$7,217 – $17,420 · median $13,095	11 plans
379	GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	$4,661 – $11,198 · median $8,457	11 plans
380	COMPLICATED PEPTIC ULCER WITH MCC	$14,086 – $34,855 · median $25,559	11 plans
381	COMPLICATED PEPTIC ULCER WITH CC	$7,972 – $19,246 · median $14,465	11 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$5,485 – $14,221 · median $9,952	11 plans
383	UNCOMPLICATED PEPTIC ULCER WITH MCC	$9,254 – $24,525 · median $16,791	11 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	$6,365 – $15,184 · median $11,550	11 plans
385	INFLAMMATORY BOWEL DISEASE WITH MCC	$11,894 – $28,106 · median $21,581	11 plans
386	INFLAMMATORY BOWEL DISEASE WITH CC	$7,265 – $17,342 · median $13,182	11 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$4,907 – $12,102 · median $8,903	11 plans
388	GASTROINTESTINAL OBSTRUCTION WITH MCC	$10,760 – $26,232 · median $19,523	11 plans
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$5,868 – $14,029 · median $10,647	11 plans
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$4,006 – $9,663 · median $7,268	11 plans
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$9,403 – $22,529 · median $17,061	11 plans
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$5,712 – $13,848 · median $10,364	11 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	$12,122 – $28,408 · median $21,995	11 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	$6,890 – $16,621 · median $12,502	11 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,658 – $11,528 · median $8,453	11 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$28,637 – $71,416 · median $51,962	11 plans
405	PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC	$39,738 – $97,172 · median $72,104	11 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$20,557 – $51,516 · median $37,301	11 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$15,634 – $39,427 · median $28,368	11 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$25,630 – $63,336 · median $46,504	11 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$15,346 – $38,675 · median $27,846	11 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$11,354 – $28,202 · median $20,602	11 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$20,030 – $58,677 · median $36,039	11 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$15,603 – $37,347 · median $28,312	11 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$12,170 – $29,495 · median $22,081	11 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC	$25,648 – $63,282 · median $46,537	11 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC	$14,480 – $36,711 · median $26,273	11 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$10,030 – $24,216 · median $18,199	11 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC	$25,836 – $60,520 · median $46,879	11 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC	$11,987 – $30,863 · median $21,751	11 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC	$10,756 – $24,859 · median $19,517	11 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC	$29,773 – $73,770 · median $54,023	11 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC	$16,714 – $38,864 · median $30,327	11 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC	$11,315 – $26,650 · median $20,531	11 plans
426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$76,680 – $195,770 · median $139,134	11 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$51,992 – $128,224 · median $94,338	11 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$40,290 – $99,864 · median $73,105	11 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$61,053 – $160,038 · median $110,780	11 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$40,044 – $102,441 · median $72,659	11 plans
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	$14,341 – $34,961 · median $26,021	11 plans
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$7,831 – $18,761 · median $14,209	11 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,098 – $12,656 · median $9,251	11 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	$13,356 – $32,625 · median $24,234	11 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$8,255 – $20,092 · median $14,978	11 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$5,748 – $15,157 · median $10,429	11 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$12,178 – $28,957 · median $22,097	11 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$6,297 – $14,942 · median $11,425	11 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$4,503 – $11,038 · median $8,170	11 plans
441	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC	$13,838 – $31,879 · median $25,108	11 plans
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$7,073 – $17,147 · median $12,833	11 plans
443	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$5,144 – $12,429 · median $9,333	11 plans
444	DISORDERS OF THE BILIARY TRACT WITH MCC	$12,330 – $29,680 · median $22,372	11 plans
445	DISORDERS OF THE BILIARY TRACT WITH CC	$7,939 – $19,440 · median $14,404	11 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	$5,836 – $14,695 · median $10,590	11 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$61,995 – $149,270 · median $112,488	11 plans
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	$42,012 – $105,923 · median $76,231	11 plans
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	$31,608 – $74,118 · median $57,352	11 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$44,921 – $98,105 · median $79,570	11 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC	$20,963 – $47,250 · median $38,037	11 plans
463	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC	$39,535 – $101,240 · median $71,736	11 plans
464	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	$21,584 – $55,326 · median $39,163	11 plans
465	WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$12,708 – $32,394 · median $23,059	11 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	$37,292 – $92,464 · median $67,666	11 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	$25,072 – $62,643 · median $45,494	11 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	$19,203 – $48,813 · median $34,843	11 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	$23,927 – $53,879 · median $43,415	11 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$13,802 – $34,263 · median $25,043	11 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	$32,828 – $76,255 · median $59,566	11 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC	$15,791 – $40,423 · median $28,653	11 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$8,514 – $20,964 · median $15,448	11 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$25,173 – $61,364 · median $45,677	11 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$17,119 – $43,683 · median $31,061	11 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$12,999 – $33,020 · median $23,586	11 plans
480	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	$21,528 – $51,731 · median $39,062	11 plans
481	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	$15,188 – $37,205 · median $27,559	11 plans
482	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	$11,612 – $28,971 · median $21,071	11 plans
483	MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	$18,653 – $49,237 · median $33,845	11 plans
485	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	$23,565 – $57,323 · median $42,759	11 plans
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	$15,525 – $37,144 · median $28,170	11 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$11,567 – $27,820 · median $20,988	11 plans
488	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	$14,387 – $31,975 · median $26,104	11 plans
489	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$9,065 – $20,148 · median $16,448	11 plans
492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	$25,995 – $65,219 · median $47,167	11 plans
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	$17,575 – $45,049 · median $31,890	11 plans
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	$13,801 – $35,641 · median $25,042	11 plans
495	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC	$25,771 – $64,403 · median $46,761	11 plans
496	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC	$14,442 – $32,099 · median $26,205	11 plans
497	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC	$9,828 – $21,843 · median $17,832	11 plans
498	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC	$18,482 – $53,587 · median $33,536	11 plans
499	LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC	$8,497 – $35,789 · median $14,593	11 plans
500	SOFT TISSUE PROCEDURES WITH MCC	$23,195 – $56,216 · median $42,087	11 plans
501	SOFT TISSUE PROCEDURES WITH CC	$13,064 – $31,052 · median $23,704	11 plans
502	SOFT TISSUE PROCEDURES WITHOUT CC/MCC	$10,228 – $23,907 · median $18,558	11 plans
503	FOOT PROCEDURES WITH MCC	$19,373 – $49,578 · median $35,152	11 plans
504	FOOT PROCEDURES WITH CC	$12,847 – $33,203 · median $23,310	11 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$12,847 – $31,846 · median $23,310	11 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$10,973 – $24,389 · median $19,911	11 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$14,188 – $32,087 · median $25,743	11 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$9,447 – $26,900 · median $16,490	11 plans
510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	$20,921 – $53,653 · median $37,961	11 plans
511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	$14,356 – $36,936 · median $26,049	11 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$11,769 – $29,405 · median $21,355	11 plans
513	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC	$11,021 – $27,964 · median $19,997	11 plans
514	HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC	$7,463 – $18,159 · median $13,542	11 plans
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	$22,636 – $56,609 · median $41,073	11 plans
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	$14,726 – $36,913 · median $26,719	11 plans
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	$10,927 – $27,296 · median $19,826	11 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$21,336 – $50,983 · median $38,713	11 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$15,431 – $37,617 · median $28,000	11 plans
533	FRACTURES OF FEMUR WITH MCC	$11,162 – $27,847 · median $20,254	11 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$5,958 – $14,319 · median $10,812	11 plans
535	FRACTURES OF HIP AND PELVIS WITH MCC	$9,735 – $22,772 · median $17,664	11 plans
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$5,936 – $14,345 · median $10,770	11 plans
537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	$6,727 – $16,951 · median $12,206	11 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$4,915 – $12,795 · median $8,919	11 plans
539	OSTEOMYELITIS WITH MCC	$14,804 – $34,988 · median $26,862	11 plans
540	OSTEOMYELITIS WITH CC	$9,473 – $23,026 · median $17,188	11 plans
541	OSTEOMYELITIS WITHOUT CC/MCC	$6,404 – $14,234 · median $11,620	11 plans
542	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC	$13,653 – $31,378 · median $24,772	11 plans
543	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	$7,766 – $18,260 · median $14,091	11 plans
544	PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC	$5,532 – $13,404 · median $10,037	11 plans
545	CONNECTIVE TISSUE DISORDERS WITH MCC	$18,497 – $44,082 · median $33,562	11 plans
546	CONNECTIVE TISSUE DISORDERS WITH CC	$8,474 – $20,488 · median $15,377	11 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$5,462 – $14,853 · median $9,911	11 plans
548	SEPTIC ARTHRITIS WITH MCC	$14,747 – $34,299 · median $26,758	11 plans
549	SEPTIC ARTHRITIS WITH CC	$8,821 – $21,443 · median $16,006	11 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$6,311 – $15,527 · median $11,450	11 plans
551	MEDICAL BACK PROBLEMS WITH MCC	$12,491 – $29,773 · median $22,664	11 plans
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$7,055 – $17,076 · median $12,801	11 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$9,560 – $23,026 · median $17,346	11 plans
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$6,109 – $14,745 · median $11,085	11 plans
555	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$9,857 – $23,479 · median $17,886	11 plans
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$5,977 – $14,754 · median $10,845	11 plans
557	TENDONITIS, MYOSITIS AND BURSITIS WITH MCC	$11,344 – $26,412 · median $20,583	11 plans
558	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	$6,323 – $15,866 · median $11,473	11 plans
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$13,588 – $33,126 · median $24,655	11 plans
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$8,335 – $20,003 · median $15,124	11 plans
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$5,985 – $14,280 · median $10,859	11 plans
562	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC	$10,713 – $25,309 · median $19,438	11 plans
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$6,543 – $15,907 · median $11,871	11 plans
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$11,487 – $27,419 · median $20,842	11 plans
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	$7,464 – $17,308 · median $13,544	11 plans
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	$5,476 – $13,310 · median $9,936	11 plans
570	SKIN DEBRIDEMENT WITH MCC	$22,035 – $52,243 · median $39,981	11 plans
571	SKIN DEBRIDEMENT WITH CC	$12,256 – $30,011 · median $22,238	11 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$8,362 – $20,362 · median $15,173	11 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$45,078 – $116,373 · median $81,793	11 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	$25,363 – $61,662 · median $46,021	11 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$14,616 – $32,484 · median $26,520	11 plans
576	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC	$39,494 – $87,776 · median $71,660	11 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$19,492 – $47,084 · median $35,367	11 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$12,374 – $28,534 · median $22,452	11 plans
579	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC	$23,859 – $57,525 · median $43,291	11 plans
580	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC	$12,978 – $30,694 · median $23,549	11 plans
581	OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC	$10,535 – $25,634 · median $19,115	11 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$12,819 – $34,222 · median $23,259	11 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$12,025 – $30,631 · median $21,818	11 plans
584	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC	$14,987 – $38,025 · median $27,194	11 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$14,531 – $34,267 · median $26,366	11 plans
592	SKIN ULCERS WITH MCC	$15,052 – $34,377 · median $27,312	11 plans
593	SKIN ULCERS WITH CC	$8,950 – $21,072 · median $16,240	11 plans
594	SKIN ULCERS WITHOUT CC/MCC	$6,212 – $15,397 · median $11,272	11 plans
595	MAJOR SKIN DISORDERS WITH MCC	$15,483 – $37,670 · median $28,093	11 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$7,914 – $19,228 · median $14,359	11 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$12,859 – $29,613 · median $23,332	11 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$7,898 – $20,095 · median $14,090	11 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$6,258 – $13,908 · median $11,355	11 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$7,002 – $18,502 · median $12,706	11 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$4,388 – $10,747 · median $7,963	11 plans
602	CELLULITIS WITH MCC	$10,755 – $25,247 · median $19,514	11 plans
603	CELLULITIS WITHOUT MCC	$6,447 – $15,470 · median $11,699	11 plans
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	$10,875 – $26,149 · median $19,733	11 plans
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	$6,761 – $16,271 · median $12,269	11 plans
606	MINOR SKIN DISORDERS WITH MCC	$11,787 – $26,879 · median $21,388	11 plans
607	MINOR SKIN DISORDERS WITHOUT MCC	$6,326 – $16,100 · median $11,478	11 plans
614	ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	$16,682 – $38,933 · median $30,270	11 plans
615	ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC	$10,490 – $24,856 · median $19,033	11 plans
616	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$28,292 – $62,880 · median $51,335	11 plans
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$14,139 – $33,222 · median $25,656	11 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$9,114 – $25,193 · median $16,537	11 plans
622	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC	$27,391 – $63,222 · median $49,701	11 plans
623	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$14,002 – $31,865 · median $25,406	11 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$7,343 – $22,238 · median $13,228	11 plans
625	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC	$20,987 – $53,646 · median $38,081	11 plans
626	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC	$11,048 – $26,634 · median $20,047	11 plans
627	THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC	$9,274 – $23,595 · median $16,827	11 plans
628	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	$28,883 – $66,199 · median $52,407	11 plans
629	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC	$16,463 – $38,702 · median $29,873	11 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$10,258 – $25,925 · median $18,612	11 plans
637	DIABETES WITH MCC	$10,660 – $25,520 · median $19,343	11 plans
638	DIABETES WITH CC	$6,714 – $15,919 · median $12,182	11 plans
639	DIABETES WITHOUT CC/MCC	$4,587 – $11,034 · median $8,323	11 plans
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$9,721 – $23,724 · median $17,639	11 plans
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$5,720 – $13,823 · median $10,379	11 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$9,085 – $25,261 · median $16,484	11 plans
643	ENDOCRINE DISORDERS WITH MCC	$12,131 – $29,240 · median $22,012	11 plans
644	ENDOCRINE DISORDERS WITH CC	$7,564 – $18,207 · median $13,726	11 plans
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	$5,700 – $13,647 · median $10,343	11 plans
653	MAJOR BLADDER PROCEDURES WITH MCC	$40,806 – $92,304 · median $74,042	11 plans
654	MAJOR BLADDER PROCEDURES WITH CC	$20,658 – $49,724 · median $37,483	11 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$15,206 – $37,597 · median $27,591	11 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$23,849 – $56,554 · median $43,273	11 plans
657	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	$13,382 – $32,506 · median $24,281	11 plans
658	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	$11,009 – $27,565 · median $19,976	11 plans
659	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	$18,917 – $45,134 · median $34,325	11 plans
660	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	$9,809 – $23,477 · median $17,798	11 plans
661	KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	$7,515 – $18,392 · median $13,635	11 plans
662	MINOR BLADDER PROCEDURES WITH MCC	$22,835 – $54,381 · median $41,435	11 plans
663	MINOR BLADDER PROCEDURES WITH CC	$11,181 – $27,003 · median $20,287	11 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$7,904 – $18,596 · median $14,342	11 plans
665	PROSTATECTOMY WITH MCC	$25,134 – $55,861 · median $45,605	11 plans
666	PROSTATECTOMY WITH CC	$12,058 – $31,073 · median $21,879	11 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$7,524 – $19,649 · median $13,651	11 plans
668	TRANSURETHRAL PROCEDURES WITH MCC	$21,347 – $51,868 · median $38,734	11 plans
669	TRANSURETHRAL PROCEDURES WITH CC	$11,328 – $27,568 · median $20,554	11 plans
670	TRANSURETHRAL PROCEDURES WITHOUT CC/MCC	$6,996 – $17,360 · median $12,694	11 plans
671	URETHRAL PROCEDURES WITH CC/MCC	$12,617 – $31,885 · median $22,894	11 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$8,011 – $19,175 · median $14,536	11 plans
673	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC	$30,668 – $74,633 · median $55,646	11 plans
674	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	$16,897 – $41,541 · median $30,660	11 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$11,458 – $29,156 · median $20,790	11 plans
682	RENAL FAILURE WITH MCC	$10,994 – $26,307 · median $19,948	11 plans
683	RENAL FAILURE WITH CC	$6,507 – $15,557 · median $11,806	11 plans
684	RENAL FAILURE WITHOUT CC/MCC	$4,446 – $10,663 · median $8,067	11 plans
686	KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	$13,803 – $32,039 · median $25,046	11 plans
687	KIDNEY AND URINARY TRACT NEOPLASMS WITH CC	$7,706 – $18,612 · median $13,982	11 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$5,301 – $14,038 · median $9,619	11 plans
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$8,567 – $20,610 · median $15,544	11 plans
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$5,875 – $14,379 · median $10,660	11 plans
693	URINARY STONES WITH MCC	$10,763 – $23,922 · median $19,530	11 plans
694	URINARY STONES WITHOUT MCC	$5,720 – $13,885 · median $10,379	11 plans
695	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC	$8,256 – $20,317 · median $14,979	11 plans
696	KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC	$5,064 – $12,239 · median $9,188	11 plans
697	URETHRAL STRICTURE	$7,333 – $19,145 · median $12,921	11 plans
698	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	$12,304 – $29,387 · median $22,326	11 plans
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$7,466 – $18,029 · median $13,546	11 plans
700	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC	$5,082 – $12,255 · median $9,220	11 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$14,205 – $35,531 · median $25,775	11 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC	$10,852 – $27,252 · median $19,691	11 plans
709	PENIS PROCEDURES WITH CC/MCC	$16,449 – $41,336 · median $29,846	11 plans
710	PENIS PROCEDURES WITHOUT CC/MCC	$10,990 – $24,890 · median $19,942	11 plans
711	TESTES PROCEDURES WITH CC/MCC	$13,986 – $37,015 · median $25,337	11 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$7,316 – $19,534 · median $12,075	11 plans
713	TRANSURETHRAL PROSTATECTOMY WITH CC/MCC	$10,585 – $26,705 · median $19,206	11 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$6,879 – $18,783 · median $12,481	11 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	$16,531 – $39,741 · median $29,995	11 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$10,389 – $26,129 · median $18,851	11 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	$13,582 – $33,581 · median $24,645	11 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$9,018 – $23,857 · median $16,362	11 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$12,656 – $32,146 · median $22,963	11 plans
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$8,220 – $20,298 · median $14,914	11 plans
724	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$5,333 – $11,647 · median $8,725	11 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH MCC	$9,242 – $20,786 · median $16,770	11 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC	$5,449 – $12,825 · median $9,887	11 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$10,756 – $26,341 · median $19,517	11 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC	$5,981 – $14,409 · median $10,853	11 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC	$8,059 – $18,806 · median $14,622	11 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$4,443 – $11,937 · median $8,061	11 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$15,393 – $37,835 · median $27,929	11 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$8,886 – $23,900 · median $16,123	11 plans
736	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	$28,823 – $64,061 · median $52,299	11 plans
737	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	$14,628 – $36,602 · median $26,543	11 plans
738	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC	$11,104 – $26,085 · median $20,147	11 plans
739	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC	$29,140 – $64,765 · median $52,874	11 plans
740	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC	$13,310 – $32,144 · median $24,151	11 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$10,055 – $25,332 · median $18,244	11 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$14,303 – $36,398 · median $25,953	11 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$7,502 – $20,205 · median $13,611	11 plans
746	VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC	$12,258 – $30,856 · median $22,242	11 plans
747	VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC	$6,992 – $15,540 · median $12,687	11 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$9,972 – $24,643 · median $18,094	11 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	$18,949 – $45,608 · median $34,382	11 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	$9,439 – $26,215 · median $17,127	11 plans
754	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$13,244 – $32,714 · median $24,031	11 plans
755	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC	$8,126 – $19,323 · median $14,744	11 plans
756	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$6,991 – $17,061 · median $12,684	11 plans
757	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC	$8,745 – $25,435 · median $18,798	11 plans
759	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC	$4,685 – $11,788 · median $8,500	11 plans
760	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC	$7,215 – $17,896 · median $13,091	11 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$4,640 – $10,313 · median $8,419	11 plans
770	ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	$7,876 – $17,811 · median $14,291	11 plans
779	ABORTION WITHOUT D&C	$6,843 – $15,208 · median $12,416	11 plans
799	SPLENIC PROCEDURES WITH MCC	$8,745 – $80,447 · median $63,153	11 plans
800	SPLENIC PROCEDURES WITH CC	$8,745 – $49,903 · median $38,701	11 plans
802	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC	$8,745 – $70,770 · median $47,613	11 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$8,093 – $24,087 · median $14,685	11 plans
808	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC	$16,765 – $39,219 · median $30,420	11 plans
809	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC	$8,745 – $22,486 · median $16,450	11 plans
810	MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC	$6,967 – $18,591 · median $12,642	11 plans
811	RED BLOOD CELL DISORDERS WITH MCC	$8,745 – $24,945 · median $18,686	11 plans
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$6,756 – $16,310 · median $12,258	11 plans
813	COAGULATION DISORDERS	$8,745 – $27,094 · median $20,561	11 plans
814	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC	$8,745 – $37,777 · median $27,766	11 plans
815	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC	$7,438 – $18,012 · median $13,496	11 plans
816	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC	$4,827 – $11,226 · median $8,758	11 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	$18,047 – $40,528 · median $29,033	11 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$8,168 – $20,591 · median $14,228	11 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$5,576 – $15,274 · median $9,217	11 plans
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	$42,619 – $104,176 · median $77,332	11 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$16,341 – $39,764 · median $29,651	11 plans
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$8,372 – $21,387 · median $15,191	11 plans
823	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC	$34,254 – $81,440 · median $62,153	11 plans
824	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC	$16,100 – $40,244 · median $29,212	11 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$9,009 – $23,969 · median $16,347	11 plans
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	$34,957 – $83,092 · median $63,428	11 plans
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	$17,274 – $41,054 · median $31,344	11 plans
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	$11,733 – $30,265 · median $21,290	11 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC	$22,573 – $56,131 · median $40,959	11 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$10,706 – $26,733 · median $19,425	11 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC	$8,425 – $21,360 · median $15,288	11 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC	$5,471 – $12,818 · median $9,927	11 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	$3,805 – $9,288 · median $6,904	11 plans
834	ACUTE LEUKEMIA WITH MCC	$40,460 – $97,517 · median $73,414	11 plans
835	ACUTE LEUKEMIA WITH CC	$15,635 – $37,050 · median $28,369	11 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$9,302 – $21,662 · median $16,502	11 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$36,653 – $85,339 · median $66,506	11 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$14,846 – $37,078 · median $26,939	11 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$10,031 – $25,648 · median $18,202	11 plans
840	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC	$23,343 – $57,462 · median $42,356	11 plans
841	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	$11,478 – $28,979 · median $20,826	11 plans
842	LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC	$7,700 – $17,948 · median $13,971	11 plans
843	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC	$13,859 – $35,434 · median $25,147	11 plans
844	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC	$8,749 – $21,625 · median $15,875	11 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$6,125 – $15,127 · median $11,114	11 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	$18,694 – $46,051 · median $33,920	11 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	$9,302 – $23,238 · median $16,877	11 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$5,994 – $15,088 · median $10,877	11 plans
849	RADIOTHERAPY	$19,552 – $48,129 · median $35,478	11 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$67,431 – $153,819 · median $122,352	11 plans
853	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	$36,610 – $87,724 · median $66,427	11 plans
854	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	$14,626 – $35,492 · median $26,539	11 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$11,899 – $26,595 · median $21,591	11 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC	$33,025 – $80,799 · median $59,923	11 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC	$15,950 – $38,039 · median $28,940	11 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	$9,431 – $24,742 · median $17,113	11 plans
862	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC	$13,459 – $32,394 · median $24,422	11 plans
863	POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC	$7,319 – $17,726 · median $13,281	11 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$6,573 – $15,768 · median $11,927	11 plans
865	VIRAL ILLNESS WITH MCC	$10,804 – $26,614 · median $19,266	11 plans
866	VIRAL ILLNESS WITHOUT MCC	$6,477 – $15,447 · median $11,752	11 plans
867	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC	$15,696 – $37,182 · median $28,481	11 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$7,687 – $18,315 · median $13,947	11 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$5,267 – $12,962 · median $9,558	11 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$50,922 – $122,774 · median $92,396	11 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$14,363 – $34,505 · median $26,061	11 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$7,547 – $18,177 · median $13,694	11 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	$32,431 – $74,544 · median $58,846	11 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH CC	$13,890 – $34,007 · median $25,204	11 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC	$8,745 – $20,776 · median $16,192	11 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$8,745 – $65,245 · median $51,283	11 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$8,745 – $26,815 · median $21,891	11 plans
906	HAND PROCEDURES FOR INJURIES	$8,745 – $35,507 · median $28,988	11 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	$29,161 – $68,197 · median $52,912	11 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	$14,765 – $35,441 · median $26,791	11 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	$9,284 – $23,317 · median $16,846	11 plans
913	TRAUMATIC INJURY WITH MCC	$11,846 – $29,035 · median $21,494	11 plans
914	TRAUMATIC INJURY WITHOUT MCC	$6,708 – $15,729 · median $12,172	11 plans
915	ALLERGIC REACTIONS WITH MCC	$12,721 – $29,870 · median $23,083	11 plans
916	ALLERGIC REACTIONS WITHOUT MCC	$4,861 – $11,835 · median $8,821	11 plans
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	$12,003 – $27,859 · median $21,779	11 plans
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	$6,475 – $15,225 · median $11,749	11 plans
919	COMPLICATIONS OF TREATMENT WITH MCC	$13,349 – $32,521 · median $24,221	11 plans
920	COMPLICATIONS OF TREATMENT WITH CC	$7,436 – $17,804 · median $13,493	11 plans
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	$5,034 – $12,228 · median $9,134	11 plans
922	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC	$12,366 – $31,075 · median $22,439	11 plans
923	OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC	$7,466 – $18,077 · median $13,546	11 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$23,234 – $64,453 · median $42,157	11 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$15,455 – $41,510 · median $28,044	11 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$14,305 – $36,018 · median $25,957	11 plans
947	SIGNS AND SYMPTOMS WITH MCC	$9,415 – $22,548 · median $17,083	11 plans
948	SIGNS AND SYMPTOMS WITHOUT MCC	$5,816 – $14,219 · median $10,553	11 plans
949	AFTERCARE WITH CC/MCC	$7,898 – $21,133 · median $14,331	11 plans
950	AFTERCARE WITHOUT CC/MCC	$4,290 – $11,150 · median $7,785	11 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$4,150 – $11,289 · median $8,295	11 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$8,745 – $119,565 · median $90,693	11 plans
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	$27,980 – $66,842 · median $50,769	11 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$54,638 – $135,352 · median $99,140	11 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	$30,084 – $74,852 · median $54,586	11 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$19,353 – $52,296 · median $35,116	11 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$19,886 – $48,560 · median $36,083	11 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$10,981 – $27,224 · median $19,924	11 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$6,680 – $16,706 · median $12,121	11 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	$46,294 – $108,733 · median $83,999	11 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$19,422 – $46,848 · median $35,241	11 plans
974	HIV WITH MAJOR RELATED CONDITION WITH MCC	$21,859 – $51,264 · median $39,663	11 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$10,405 – $23,125 · median $18,879	11 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$7,342 – $16,318 · median $13,322	11 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$10,555 – $23,458 · median $19,151	11 plans
981	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$34,799 – $83,340 · median $63,141	11 plans
982	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$17,922 – $43,670 · median $32,518	11 plans
983	EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$12,211 – $30,446 · median $22,157	11 plans
987	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	$25,640 – $60,899 · median $46,523	11 plans
988	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC	$12,561 – $29,195 · median $22,792	11 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$8,458 – $21,301 · median $15,347	11 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH MCC	$11,319 – $25,157 · median $19,315	10 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH CC	$7,305 – $16,235 · median $12,465	10 plans
079	HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC	$4,880 – $10,764 · median $8,264	10 plans
294	DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC	$8,989 – $19,978 · median $15,339	10 plans
295	DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC	$5,781 – $12,849 · median $9,865	10 plans
509	ARTHROSCOPY	$12,859 – $28,580 · median $21,943	10 plans
758	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC	$7,461 – $16,583 · median $12,732	10 plans
769	POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	$8,745 – $22,391 · median $17,191	10 plans
776	POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES	$5,223 – $11,608 · median $9,868	10 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$8,745 – $26,709 · median $20,506	10 plans
803	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC	$13,030 – $28,959 · median $22,234	10 plans
789	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$8,256 – $32,012 · median $12,242	6 plans
876	O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS	$28,765 – $68,652 · median $39,363	6 plans
880	ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$7,017 – $17,056 · median $9,602	6 plans
881	DEPRESSIVE NEUROSES	$6,691 – $16,713 · median $9,157	6 plans
882	NEUROSES EXCEPT DEPRESSIVE	$7,042 – $19,074 · median $9,636	6 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$13,571 – $34,927 · median $18,571	6 plans
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$12,226 – $28,579 · median $16,730	6 plans
885	PSYCHOSES	$10,318 – $24,811 · median $14,120	6 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$13,150 – $36,864 · median $17,996	6 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$8,706 – $19,022 · median $11,914	6 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$166,047 – $379,249 · median $237,631	6 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$48,890 – $127,409 · median $66,903	6 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$23,281 – $57,211 · median $31,858	6 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$31,673 – $69,173 · median $43,343	6 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	$15,707 – $39,267 · median $21,494	6 plans
935	NON-EXTENSIVE BURNS	$16,078 – $36,592 · median $22,001	6 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	$206,192 – $424,468 · median $246,332	5 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$77,644 – $166,056 · median $96,367	5 plans
005	LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT	$77,954 – $160,476 · median $93,129	5 plans
006	LIVER TRANSPLANT WITHOUT MCC	$35,496 – $73,073 · median $42,406	5 plans
007	LUNG TRANSPLANT	$95,664 – $196,934 · median $114,287	5 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$39,829 – $81,992 · median $47,582	5 plans
010	PANCREAS TRANSPLANT	$58,362 – $120,145 · median $69,724	5 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$95,905 – $197,431 · median $114,575	5 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$44,183 – $90,955 · median $52,784	5 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$44,183 – $90,955 · median $52,784	5 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$58,028 – $119,456 · median $69,324	5 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$33,725 – $69,427 · median $40,291	5 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$25,419 – $52,327 · median $30,367	5 plans
652	KIDNEY TRANSPLANT	$22,483 – $46,283 · median $26,859	5 plans
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$4,568 – $10,958 · median $7,279	4 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$10,599 – $25,145 · median $16,702	4 plans
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$13,035 – $30,998 · median $20,769	4 plans
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$6,458 – $15,681 · median $10,289	4 plans
222	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC	$69,173 – $92,766 · median $80,970	2 plans
223	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC	$50,292 – $67,859 · median $59,076	2 plans
224	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC	$63,616 – $82,495 · median $73,056	2 plans
225	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC	$47,204 – $63,753 · median $55,479	2 plans
226	Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC	$53,693 – $72,692 · median $63,193	2 plans
227	Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC	$39,969 – $55,101 · median $47,535	2 plans
246	Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents	$25,174 – $33,900 · median $29,537	2 plans
247	Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC	$15,301 – $21,199 · median $18,250	2 plans
248	Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents	$22,437 – $31,354 · median $26,896	2 plans
249	Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC	$13,116 – $19,208 · median $16,162	2 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	$43,516 – $105,574 · median $74,545	2 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$29,718 – $72,100 · median $50,909	2 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$30,528 – $74,065 · median $52,296	2 plans
795	NORMAL NEWBORN	$1,463 – $3,549 · median $2,506	2 plans
945	REHABILITATION WITH CC/MCC	$11,174 – $12,603 · median $11,888	2 plans
946	REHABILITATION WITHOUT CC/MCC	$8,173 – $9,218 · median $8,695	2 plans
341	Appendectomy Without Complicated Principal Diagnosis With MCC	$17,278 – $17,278 · median $17,278	1 plans
342	Appendectomy Without Complicated Principal Diagnosis With CC	$10,478 – $10,478 · median $10,478	1 plans
343	Appendectomy Without Complicated Principal Diagnosis Without CC/MCC	$7,233 – $7,233 · median $7,233	1 plans
459	Spinal Fusion Except Cervical With MCC	$47,669 – $47,669 · median $47,669	1 plans
460	Spinal Fusion Except Cervical Without MCC	$28,485 – $28,485 · median $28,485	1 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$17,932 – $17,932 · median $17,932	1 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$10,806 – $10,806 · median $10,806	1 plans

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CHRISTUS Outpatient Pavilion St. Elizabeth — Pricing

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