PeaceHealth Southwest Medical Center — Hospital Prices & Charges

Procedures published 772

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 772 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
945	REHABILITATION WITH COMPLICATION/COMORBITY	$1,600 – $32,617 · median $14,988	16 plans
946	REHABILITATION WITHOUT COMPLICATION/COMORBITY	$1,600 – $23,857 · median $11,408	16 plans
003	ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R.	$72,491 – $457,940 · median $196,631	15 plans
004	TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R.	$47,465 – $301,923 · median $128,748	15 plans
011	TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY	$18,965 – $115,297 · median $51,442	15 plans
012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC	$14,763 – $87,686 · median $40,044	15 plans
013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC	$10,235 – $56,624 · median $27,761	15 plans
018	CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES	$147,014 – $805,828 · median $398,774	15 plans
020	INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY	$27,160 – $172,246 · median $73,672	15 plans
021	INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION	$18,421 – $118,105 · median $49,966	15 plans
022	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC	$11,238 – $75,436 · median $30,482	15 plans
023	CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR	$19,902 – $121,904 · median $53,985	15 plans
024	CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY	$13,731 – $81,233 · median $37,244	15 plans
025	CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY	$15,885 – $95,562 · median $43,088	15 plans
026	CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION	$11,006 – $65,355 · median $29,855	15 plans
027	CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$9,016 – $52,731 · median $24,457	15 plans
028	SPINAL PROCEDURES WITH COMORBITY	$20,846 – $129,904 · median $56,544	15 plans
029	SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS	$12,033 – $71,724 · median $32,638	15 plans
030	SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$7,904 – $47,551 · median $21,440	15 plans
031	VENTRICULAR SHUNT PROCEDURES WITH COMORBITY	$15,660 – $89,543 · median $42,479	15 plans
032	VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION	$7,686 – $45,632 · median $20,849	15 plans
033	VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY	$6,098 – $34,092 · median $16,540	15 plans
034	CAROTID ARTERY STENT PROCEDURE WITH COMORBITY	$13,591 – $83,092 · median $36,865	15 plans
035	CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION	$8,567 – $48,607 · median $23,238	15 plans
036	CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY	$7,048 – $39,169 · median $19,117	15 plans
037	EXTRACRANIAL PROCEDURES WITH COMORBITY	$11,627 – $70,959 · median $31,538	15 plans
038	EXTRACRANIAL PROCEDURES WITH COMPLICATION	$5,961 – $34,429 · median $16,169	15 plans
039	EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$4,443 – $24,320 · median $12,053	15 plans
040	PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY	$13,559 – $80,600 · median $36,777	15 plans
041	PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM	$7,916 – $48,252 · median $21,472	15 plans
042	PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY	$6,318 – $37,556 · median $17,136	15 plans
052	SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY	$6,601 – $43,002 · median $17,906	15 plans
053	SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY	$3,777 – $19,688 · median $10,246	15 plans
054	NERVOUS SYSTEM NEOPLASMS WITH COMORBITY	$5,636 – $32,032 · median $15,288	15 plans
055	NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY	$3,914 – $23,312 · median $10,618	15 plans
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY	$8,338 – $53,506 · median $22,618	15 plans
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY	$4,851 – $28,513 · median $13,158	15 plans
058	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY	$6,256 – $39,442 · median $16,969	15 plans
059	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION	$4,665 – $26,145 · median $12,655	15 plans
060	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY	$3,576 – $19,068 · median $9,699	15 plans
061	ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY	$9,811 – $57,765 · median $26,613	15 plans
062	ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION	$6,418 – $38,053 · median $17,408	15 plans
063	ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY	$5,218 – $30,017 · median $14,155	15 plans
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY	$7,279 – $42,504 · median $19,744	15 plans
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS	$3,883 – $21,729 · median $10,532	15 plans
066	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY	$2,777 – $14,707 · median $7,532	15 plans
067	NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY	$5,439 – $31,088 · median $14,752	15 plans
068	NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY	$3,388 – $18,835 · median $9,189	15 plans
069	TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	$3,165 – $17,096 · median $8,585	15 plans
070	NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY	$6,104 – $37,154 · median $16,557	15 plans
071	NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION	$3,936 – $22,519 · median $10,676	15 plans
072	OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC	$3,020 – $16,030 · median $8,193	15 plans
073	CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY	$5,899 – $33,026 · median $16,000	15 plans
074	CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY	$3,952 – $22,273 · median $10,721	15 plans
075	VIRAL MENINGITIS WITH COMPLICATION/COMORBITY	$6,962 – $36,803 · median $18,884	15 plans
076	VIRAL MENINGITIS WITHOUT CC/MCC	$3,255 – $19,592 · median $8,828	15 plans
080	NONTRAUMATIC STUPOR & COMA WITH COMORBITY	$6,597 – $42,474 · median $17,894	15 plans
081	NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY	$3,493 – $19,333 · median $9,476	15 plans
082	TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY	$8,211 – $49,577 · median $22,272	15 plans
083	TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION	$5,191 – $29,709 · median $14,081	15 plans
084	TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY	$3,698 – $20,429 · median $10,030	15 plans
085	TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY	$8,165 – $48,419 · median $22,146	15 plans
086	TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION	$4,875 – $28,026 · median $13,224	15 plans
087	TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY	$3,558 – $18,889 · median $9,652	15 plans
088	CONCUSSION WITH COMORBITY	$5,042 – $30,143 · median $13,676	15 plans
089	CONCUSSION WITH COMPLICATION	$4,182 – $22,908 · median $11,345	15 plans
090	CONCUSSION WITHOUT CC/MCC	$3,248 – $18,318 · median $8,809	15 plans
091	OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY	$6,414 – $38,951 · median $17,399	15 plans
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION	$3,926 – $22,622 · median $10,649	15 plans
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY	$3,156 – $16,865 · median $8,562	15 plans
094	BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY	$12,398 – $77,964 · median $33,631	15 plans
095	BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION	$9,208 – $51,222 · median $24,975	15 plans
096	BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY	$9,208 – $51,222 · median $24,975	15 plans
097	NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY	$12,712 – $76,594 · median $34,481	15 plans
098	NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION	$8,243 – $46,353 · median $22,358	15 plans
099	NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY	$5,078 – $29,771 · median $13,773	15 plans
100	SEIZURES WITH COMORBITY	$7,027 – $42,421 · median $19,061	15 plans
101	SEIZURES WITHOUT COMORBITY	$3,517 – $19,694 · median $9,540	15 plans
102	HEADACHES WITH COMORBITY	$4,258 – $24,776 · median $11,550	15 plans
103	HEADACHES WITHOUT COMORBITY	$3,292 – $18,167 · median $8,930	15 plans
113	ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY	$8,433 – $48,218 · median $22,875	15 plans
114	ORBITAL PROCEDURES WITHOUT CC/MCC	$5,046 – $25,259 · median $13,687	15 plans
115	EXTRAOCULAR PROCEDURES EXCEPT ORBIT	$5,663 – $32,714 · median $15,361	15 plans
116	INTRAOCULAR PROCEDURES WITH CC/MCC	$6,590 – $35,654 · median $17,877	15 plans
117	INTRAOCULAR PROCEDURES WITHOUT CC/MCC	$4,136 – $23,047 · median $11,219	15 plans
121	ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY	$4,402 – $24,855 · median $11,940	15 plans
122	ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC	$3,121 – $15,604 · median $8,465	15 plans
123	NEUROLOGICAL EYE DISORDERS	$3,164 – $17,162 · median $8,583	15 plans
124	OTHER DISORDERS OF THE EYE WITH COMORBITY	$4,944 – $27,861 · median $13,412	15 plans
125	OTHER DISORDERS OF THE EYE WITHOUT COMORBITY	$3,060 – $17,643 · median $8,299	15 plans
135	SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY	$7,819 – $51,519 · median $21,208	15 plans
136	SINUS & MASTOID PROCEDURES WITHOUT COMPLICATION/COMORBITY	$3,900 – $20,902 · median $10,578	15 plans
137	MOUTH PROCEDURES WITH COMPLICATION/COMORBITY	$5,522 – $29,885 · median $14,978	15 plans
138	MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY	$3,462 – $17,382 · median $9,389	15 plans
139	SALIVARY GLAND PROCEDURES	$4,648 – $29,338 · median $12,607	15 plans
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	$14,930 – $90,367 · median $40,498	15 plans
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	$7,856 – $45,908 · median $21,310	15 plans
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	$5,872 – $33,598 · median $15,928	15 plans
143	OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC	$13,170 – $70,553 · median $35,722	15 plans
144	OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC	$6,335 – $37,536 · median $17,184	15 plans
145	OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	$4,534 – $25,316 · median $12,300	15 plans
146	EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY	$7,640 – $49,019 · median $20,724	15 plans
147	EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION	$4,769 – $26,598 · median $12,937	15 plans
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	$3,159 – $17,109 · median $8,569	15 plans
149	DYSEQUILIBRIUM	$3,005 – $15,972 · median $8,150	15 plans
150	EPISTAXIS WITH MCC	$4,973 – $29,534 · median $13,489	15 plans
151	EPISTAXIS WITHOUT MCC	$2,945 – $16,197 · median $7,988	15 plans
152	OTITIS MEDIA & URI WITH COMORBITY	$4,466 – $24,248 · median $12,114	15 plans
153	OTITIS MEDIA & URI WITHOUT COMORBITY	$2,959 – $15,207 · median $8,027	15 plans
154	OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY	$5,760 – $34,750 · median $15,625	15 plans
155	OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION	$3,564 – $19,949 · median $9,668	15 plans
156	OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$2,799 – $14,368 · median $7,593	15 plans
157	DENTAL & ORAL DISEASES WITH COMORBITY	$6,281 – $34,989 · median $17,036	15 plans
158	DENTAL & ORAL DISEASES WITH COMPLICATION	$3,542 – $20,098 · median $9,607	15 plans
159	DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY	$2,858 – $14,292 · median $7,754	15 plans
163	MAJOR CHEST PROCEDURES WITH COMORBITY	$15,665 – $98,487 · median $42,491	15 plans
164	MAJOR CHEST PROCEDURES WITH COMPLICATION	$9,020 – $53,782 · median $24,467	15 plans
165	MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY	$6,951 – $39,829 · median $18,853	15 plans
166	OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY	$13,139 – $82,271 · median $35,641	15 plans
167	OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION	$6,574 – $39,043 · median $17,833	15 plans
168	OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,091 – $28,929 · median $13,810	15 plans
173	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM	$10,556 – $65,568 · median $28,632	15 plans
175	PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE	$5,116 – $30,109 · median $13,877	15 plans
176	PULMONARY EMBOLISM WITHOUT COMORBITY	$3,186 – $17,404 · median $8,642	15 plans
177	RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY	$5,758 – $34,541 · median $15,617	15 plans
178	RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION	$3,766 – $21,199 · median $10,216	15 plans
179	RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY	$3,016 – $16,447 · median $8,182	15 plans
180	RESPIRATORY NEOPLASMS WITH COMORBITY	$6,448 – $37,346 · median $17,489	15 plans
181	RESPIRATORY NEOPLASMS WITH COMPLICATION	$4,089 – $23,724 · median $11,091	15 plans
182	RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY	$3,012 – $17,895 · median $8,171	15 plans
183	MAJOR CHEST TRAUMA WITH COMORBITY	$5,646 – $33,917 · median $15,315	15 plans
184	MAJOR CHEST TRAUMA WITH COMPLICATION	$4,065 – $22,823 · median $11,027	15 plans
185	MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY	$3,123 – $16,618 · median $8,472	15 plans
186	PLEURAL EFFUSION WITH COMORBITY	$5,743 – $33,761 · median $15,579	15 plans
187	PLEURAL EFFUSION WITH COMPLICATION	$3,811 – $21,453 · median $10,337	15 plans
188	PLEURAL EFFUSION WITHOUT CC/MCC	$2,888 – $15,688 · median $7,834	15 plans
189	PULMONARY EDEMA & RESPIRATORY FAILURE	$4,647 – $26,440 · median $12,604	15 plans
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY	$4,213 – $23,996 · median $11,429	15 plans
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION	$3,315 – $18,357 · median $8,992	15 plans
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY	$2,633 – $13,829 · median $7,141	15 plans
193	SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY	$4,915 – $28,156 · median $13,332	15 plans
194	SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION	$3,189 – $17,521 · median $8,650	15 plans
195	SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY	$2,587 – $13,306 · median $7,017	15 plans
196	INTERSTITIAL LUNG DISEASE WITH COMORBITY	$6,859 – $40,259 · median $18,605	15 plans
197	INTERSTITIAL LUNG DISEASE WITH COMPLICATION	$3,675 – $21,154 · median $9,969	15 plans
198	INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY	$2,885 – $14,966 · median $7,824	15 plans
199	PNEUMOTHORAX WITH COMORBITY	$6,441 – $37,720 · median $17,471	15 plans
200	PNEUMOTHORAX WITH COMPLICATION	$4,185 – $23,665 · median $11,351	15 plans
201	PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY	$2,881 – $14,468 · median $7,814	15 plans
202	BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY	$3,750 – $20,656 · median $10,172	15 plans
203	BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY	$2,728 – $14,885 · median $7,399	15 plans
204	RESPIRATORY SIGNS & SYMPTOMS	$3,194 – $17,329 · median $8,664	15 plans
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY	$6,668 – $40,338 · median $18,087	15 plans
206	OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY	$3,648 – $19,355 · median $9,895	15 plans
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$22,293 – $138,188 · median $60,469	15 plans
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$9,783 – $57,346 · median $26,536	15 plans
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$37,360 – $232,775 · median $101,339	15 plans
215	OTHER HEART ASSIST SYSTEM IMPLANT	$34,247 – $226,384 · median $92,896	15 plans
216	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY	$33,656 – $206,220 · median $91,292	15 plans
217	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION	$22,770 – $137,989 · median $61,764	15 plans
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$22,770 – $127,122 · median $61,764	15 plans
219	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY	$26,514 – $165,331 · median $71,918	15 plans
220	CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION	$18,553 – $113,177 · median $50,325	15 plans
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	$17,560 – $98,132 · median $47,631	15 plans
228	OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY	$17,245 – $106,481 · median $46,777	15 plans
229	OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY	$11,143 – $66,374 · median $30,226	15 plans
231	CORONARY BYPASS WITH PTCA WITH COMORBITY	$29,064 – $181,066 · median $78,837	15 plans
232	CORONARY BYPASS WITH PTCA WITHOUT COMORBITY	$21,030 – $130,528 · median $57,044	15 plans
233	CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY	$26,401 – $167,017 · median $71,613	15 plans
234	CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY	$18,994 – $113,679 · median $51,521	15 plans
235	CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY	$20,372 – $125,731 · median $55,258	15 plans
236	CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY	$14,670 – $87,865 · median $39,793	15 plans
239	AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY	$17,158 – $107,626 · median $46,541	15 plans
240	AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION	$10,128 – $62,226 · median $27,473	15 plans
241	AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY	$5,152 – $32,263 · median $13,976	15 plans
242	PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY	$11,290 – $72,479 · median $30,624	15 plans
243	PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION	$7,686 – $48,137 · median $20,848	15 plans
244	PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY	$6,588 – $38,562 · median $17,871	15 plans
245	AICD GENERATOR PROCEDURES	$15,938 – $104,419 · median $43,233	15 plans
250	PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY	$7,861 – $49,414 · median $21,323	15 plans
251	PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY	$5,526 – $33,389 · median $14,990	15 plans
252	OTHER VASCULAR PROCEDURES WITH COMORBITY	$12,293 – $73,299 · median $33,345	15 plans
253	OTHER VASCULAR PROCEDURES WITH COMPLICATION	$9,263 – $54,551 · median $25,126	15 plans
254	OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY	$6,501 – $37,380 · median $17,633	15 plans
255	UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY	$9,609 – $55,908 · median $26,063	15 plans
256	UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION	$6,216 – $36,190 · median $16,862	15 plans
257	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC	$4,161 – $20,804 · median $11,286	15 plans
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	$11,118 – $59,947 · median $30,157	15 plans
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY	$7,317 – $37,558 · median $19,847	15 plans
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY	$11,494 – $72,782 · median $31,177	15 plans
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION	$6,870 – $40,547 · median $18,635	15 plans
262	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	$5,986 – $32,432 · median $16,236	15 plans
263	VEIN LIGATION & STRIPPING	$10,830 – $57,310 · median $29,378	15 plans
264	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	$11,792 – $74,682 · median $31,985	15 plans
265	AICD LEAD PROCEDURES	$12,734 – $76,222 · median $34,540	15 plans
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY	$21,253 – $128,008 · median $57,649	15 plans
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY	$16,612 – $100,528 · median $45,059	15 plans
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY	$23,797 – $142,470 · median $64,549	15 plans
269	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY	$14,787 – $88,904 · median $40,110	15 plans
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY	$18,361 – $109,679 · median $49,805	15 plans
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION	$12,524 – $73,598 · median $33,971	15 plans
272	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY	$9,119 – $53,466 · median $24,734	15 plans
273	PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY	$14,456 – $83,553 · median $39,211	15 plans
274	PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY	$11,626 – $66,688 · median $31,535	15 plans
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$24,654 – $151,004 · median $66,874	15 plans
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$20,840 – $132,359 · median $56,528	15 plans
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$16,129 – $99,399 · median $43,749	15 plans
278	ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC	$19,345 – $106,908 · median $52,474	15 plans
279	HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS	$12,694 – $68,470 · median $34,432	15 plans
280	ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY	$5,898 – $35,073 · median $15,999	15 plans
281	ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION	$3,573 – $19,697 · median $9,692	15 plans
282	ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY	$2,908 – $15,494 · median $7,888	15 plans
283	ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY	$7,177 – $41,782 · median $19,466	15 plans
284	ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION	$2,803 – $15,833 · median $7,603	15 plans
285	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC	$2,486 – $12,432 · median $6,745	15 plans
286	CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY	$7,964 – $47,293 · median $21,602	15 plans
287	CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY	$4,086 – $23,284 · median $11,082	15 plans
288	ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	$9,639 – $58,365 · median $26,144	15 plans
289	ACUTE & SUBACUTE ENDOCARDITIS WITH COMPLICATION	$6,247 – $33,690 · median $16,945	15 plans
290	ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC	$3,609 – $20,919 · median $9,790	15 plans
291	HEART FAILURE & SHOCK WITH COMORBITY	$4,811 – $27,880 · median $13,050	15 plans
292	HEART FAILURE & SHOCK WITH COMPLICATION	$3,335 – $18,402 · median $9,047	15 plans
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$2,375 – $11,874 · median $6,442	15 plans
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$5,755 – $35,009 · median $15,610	15 plans
297	CARDIAC ARREST, UNEXPLAINED WITH CC	$2,606 – $15,051 · median $7,068	15 plans
298	CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC	$1,998 – $9,992 · median $5,421	15 plans
299	PERIPHERAL VASCULAR DISORDERS WITH COMORBITY	$5,995 – $34,564 · median $16,262	15 plans
300	PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION	$4,077 – $22,876 · median $11,059	15 plans
301	PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY	$2,896 – $15,244 · median $7,857	15 plans
302	ATHEROSCLEROSIS WITH COMORBITY	$4,515 – $24,857 · median $12,247	15 plans
303	ATHEROSCLEROSIS WITHOUT COMORBITY	$2,739 – $14,368 · median $7,429	15 plans
304	HYPERTENSION WITH COMORBITY	$4,493 – $25,103 · median $12,186	15 plans
305	HYPERTENSION WITHOUT COMORBITY	$3,017 – $16,041 · median $8,183	15 plans
306	CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY	$5,802 – $31,996 · median $15,738	15 plans
307	CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY	$3,553 – $19,795 · median $9,638	15 plans
308	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY	$4,540 – $25,767 · median $12,315	15 plans
309	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION	$2,951 – $15,797 · median $8,004	15 plans
310	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY	$2,375 – $11,955 · median $6,443	15 plans
311	ANGINA PECTORIS	$2,836 – $14,921 · median $7,693	15 plans
312	SYNCOPE & COLLAPSE	$3,412 – $18,618 · median $9,255	15 plans
313	CHEST PAIN	$2,897 – $15,244 · median $7,859	15 plans
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY	$7,531 – $46,015 · median $20,428	15 plans
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION	$3,723 – $20,562 · median $10,099	15 plans
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$2,769 – $14,588 · median $7,511	15 plans
317	CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION	$23,147 – $132,188 · median $62,787	15 plans
319	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH COMORBITY	$15,601 – $93,863 · median $42,317	15 plans
320	OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY	$8,617 – $49,461 · median $23,374	15 plans
321	CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION	$9,688 – $60,829 · median $26,279	15 plans
322	SHOULDER AND ELBOW JOINT REPLACEMENT	$6,437 – $38,658 · median $17,461	15 plans
323	CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC	$15,141 – $91,013 · median $41,069	15 plans
324	NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT	$11,148 – $68,271 · median $30,239	15 plans
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$11,350 – $61,156 · median $30,786	15 plans
326	STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY	$17,381 – $108,526 · median $47,145	15 plans
327	STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION	$8,749 – $51,882 · median $23,733	15 plans
328	STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY	$5,892 – $34,049 · median $15,982	15 plans
329	MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY	$16,054 – $98,117 · median $43,547	15 plans
330	MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION	$8,590 – $50,506 · median $23,300	15 plans
331	MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$6,166 – $35,278 · median $16,724	15 plans
332	RECTAL RESECTION WITH COMORBITY	$12,742 – $74,117 · median $34,563	15 plans
333	RECTAL RESECTION WITH COMPLICATION	$8,403 – $45,412 · median $22,793	15 plans
334	RECTAL RESECTION WITHOUT COMPLICATION/COMORBITY	$6,013 – $35,440 · median $16,310	15 plans
335	PERITONEAL ADHESIOLYSIS WITH COMORBITY	$12,573 – $77,423 · median $34,105	15 plans
336	PERITONEAL ADHESIOLYSIS WITH COMPLICATION	$7,611 – $45,135 · median $20,644	15 plans
337	PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY	$5,664 – $32,801 · median $15,362	15 plans
344	MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY	$9,220 – $57,575 · median $25,008	15 plans
345	MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION	$5,561 – $31,810 · median $15,083	15 plans
346	MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$4,480 – $26,609 · median $12,151	15 plans
347	ANAL & STOMAL PROCEDURES WITH COMORBITY	$8,245 – $50,573 · median $22,365	15 plans
348	ANAL & STOMAL PROCEDURES WITH COMPLICATION	$4,896 – $26,900 · median $13,280	15 plans
349	ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$3,409 – $18,823 · median $9,246	15 plans
350	INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY	$8,911 – $51,682 · median $24,172	15 plans
351	INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION	$5,628 – $32,147 · median $15,266	15 plans
352	INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC	$4,417 – $23,560 · median $11,982	15 plans
353	HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC	$10,303 – $62,671 · median $27,947	15 plans
354	HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION	$6,164 – $36,348 · median $16,719	15 plans
355	HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY	$5,019 – $28,487 · median $13,613	15 plans
356	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY	$15,363 – $91,147 · median $41,671	15 plans
357	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION	$8,346 – $48,120 · median $22,640	15 plans
358	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,198 – $28,955 · median $14,100	15 plans
368	MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY	$5,857 – $35,684 · median $15,886	15 plans
369	MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION	$3,848 – $21,744 · median $10,439	15 plans
370	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	$2,832 – $14,915 · median $7,683	15 plans
371	MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY	$6,472 – $37,350 · median $17,554	15 plans
372	MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION	$3,919 – $21,994 · median $10,630	15 plans
373	MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY	$2,923 – $15,500 · median $7,928	15 plans
374	DIGESTIVE MALIGNANCY WITH COMORBITY	$7,712 – $45,115 · median $20,920	15 plans
375	DIGESTIVE MALIGNANCY WITH COMPLICATION	$4,559 – $26,254 · median $12,367	15 plans
376	DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY	$3,591 – $18,868 · median $9,740	15 plans
377	G.I. HEMORRHAGE WITH COMORBITY	$6,658 – $38,850 · median $18,060	15 plans
378	G.I. HEMORRHAGE WITH COMPLICATION	$3,782 – $21,066 · median $10,259	15 plans
379	G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY	$2,593 – $13,605 · median $7,035	15 plans
380	COMPLICATED PEPTIC ULCER WITH COMORBITY	$7,113 – $41,117 · median $19,295	15 plans
381	COMPLICATED PEPTIC ULCER WITH COMPLICATION	$4,131 – $23,271 · median $11,206	15 plans
382	COMPLICATED PEPTIC ULCER WITHOUT CC/MCC	$3,171 – $16,011 · median $8,601	15 plans
383	UNCOMPLICATED PEPTIC ULCER WITH COMORBITY	$5,140 – $27,013 · median $13,942	15 plans
384	UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY	$3,355 – $18,581 · median $9,100	15 plans
385	INFLAMMATORY BOWEL DISEASE WITH COMORBITY	$5,824 – $34,718 · median $15,798	15 plans
386	INFLAMMATORY BOWEL DISEASE WITH COMPLICATION	$3,767 – $21,207 · median $10,219	15 plans
387	INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	$2,766 – $14,323 · median $7,503	15 plans
388	G.I. OBSTRUCTION WITH COMORBITY	$5,466 – $31,408 · median $14,827	15 plans
389	G.I. OBSTRUCTION WITH COMPLICATION	$3,134 – $17,128 · median $8,502	15 plans
390	G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY	$2,300 – $11,692 · median $6,239	15 plans
391	ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY	$4,758 – $27,447 · median $12,907	15 plans
392	ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY	$3,100 – $16,673 · median $8,408	15 plans
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY	$5,882 – $35,385 · median $15,954	15 plans
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION	$3,630 – $20,113 · median $9,845	15 plans
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$2,657 – $13,598 · median $7,206	15 plans
397	APPENDIX PROCEDURES WITH MCC	$8,582 – $52,944 · median $23,279	15 plans
398	APPENDIX PROCEDURES WITH CC	$5,591 – $32,333 · median $15,165	15 plans
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$4,339 – $24,013 · median $11,769	15 plans
402	SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL	$14,099 – $83,594 · median $38,244	15 plans
405	PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY	$19,020 – $115,998 · median $51,593	15 plans
406	PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC	$10,297 – $60,008 · median $27,930	15 plans
407	PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC	$7,987 – $45,637 · median $21,665	15 plans
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	$12,555 – $74,814 · median $34,056	15 plans
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	$7,843 – $44,797 · median $21,275	15 plans
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	$5,842 – $33,143 · median $15,848	15 plans
411	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	$11,665 – $59,803 · median $31,641	15 plans
412	CHOLECYSTECTOMY WITH C.D.E. WITH CC	$7,590 – $45,547 · median $20,587	15 plans
413	CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC	$6,089 – $35,523 · median $16,518	15 plans
414	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY	$12,545 – $74,867 · median $34,029	15 plans
415	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION	$7,468 – $42,267 · median $20,257	15 plans
416	CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC	$5,081 – $29,278 · median $13,782	15 plans
417	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY	$8,553 – $50,780 · median $23,200	15 plans
418	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION	$6,195 – $35,436 · median $16,804	15 plans
419	LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY	$5,089 – $28,154 · median $13,805	15 plans
420	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY	$12,017 – $75,417 · median $32,597	15 plans
421	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION	$6,351 – $34,991 · median $17,227	15 plans
422	HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,204 – $31,397 · median $14,115	15 plans
423	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY	$14,549 – $86,910 · median $39,464	15 plans
424	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION	$7,879 – $48,788 · median $21,373	15 plans
425	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,546 – $33,030 · median $15,043	15 plans
426	NON-HYPOVOLEMIC SODIUM DISORDERS	$37,859 – $223,833 · median $102,693	15 plans
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	$24,953 – $151,767 · median $67,686	15 plans
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	$19,535 – $117,609 · median $52,987	15 plans
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$31,032 – $178,218 · median $84,174	15 plans
430	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC	$20,027 – $116,891 · median $54,323	15 plans
432	CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY	$7,134 – $41,861 · median $19,350	15 plans
433	CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION	$4,039 – $22,859 · median $10,955	15 plans
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	$2,872 – $14,882 · median $7,790	15 plans
435	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY	$6,688 – $38,987 · median $18,140	15 plans
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION	$4,293 – $24,096 · median $11,644	15 plans
437	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC	$3,350 – $16,778 · median $9,087	15 plans
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY	$5,987 – $35,549 · median $16,239	15 plans
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION	$3,309 – $18,380 · median $8,975	15 plans
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY	$2,563 – $13,143 · median $6,952	15 plans
441	DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY	$6,545 – $40,393 · median $17,753	15 plans
442	DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION	$3,730 – $20,645 · median $10,118	15 plans
443	DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY	$2,829 – $15,015 · median $7,673	15 plans
444	DISORDERS OF THE BILIARY TRACT WITH COMORBITY	$6,125 – $35,991 · median $16,613	15 plans
445	DISORDERS OF THE BILIARY TRACT WITH COMPLICATION	$4,168 – $23,173 · median $11,306	15 plans
446	DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY	$3,262 – $17,036 · median $8,847	15 plans
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$23,131 – $143,263 · median $62,742	15 plans
448	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$14,847 – $87,254 · median $40,272	15 plans
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE	$18,542 – $110,045 · median $50,296	15 plans
451	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$11,418 – $65,940 · median $30,970	15 plans
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	$28,974 – $180,966 · median $78,593	15 plans
457	SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION	$20,692 – $122,637 · median $56,128	15 plans
458	SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY	$14,615 – $92,265 · median $39,644	15 plans
461	BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC	$19,199 – $131,126 · median $52,076	15 plans
462	BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY	$9,482 – $61,192 · median $25,719	15 plans
463	WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY	$19,798 – $115,406 · median $53,701	15 plans
464	WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION	$11,025 – $63,004 · median $29,905	15 plans
465	WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY	$6,643 – $37,096 · median $18,020	15 plans
466	REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY	$18,121 – $108,859 · median $49,152	15 plans
467	REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION	$12,423 – $73,188 · median $33,697	15 plans
468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY	$9,780 – $56,053 · median $26,529	15 plans
469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT	$10,748 – $69,844 · median $29,155	15 plans
470	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY	$7,000 – $40,288 · median $18,989	15 plans
471	CERVICAL SPINAL FUSION WITH COMORBITY	$16,842 – $103,788 · median $45,684	15 plans
472	CERVICAL SPINAL FUSION WITH COMPLICATION	$10,453 – $61,906 · median $28,353	15 plans
473	CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY	$8,739 – $50,585 · median $23,706	15 plans
474	AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY	$15,024 – $95,827 · median $40,752	15 plans
475	AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION	$8,177 – $46,096 · median $22,181	15 plans
476	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$4,459 – $24,853 · median $12,096	15 plans
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY	$12,179 – $73,483 · median $33,034	15 plans
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION	$8,800 – $49,970 · median $23,871	15 plans
479	BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY	$6,763 – $37,944 · median $18,344	15 plans
480	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY	$10,338 – $62,842 · median $28,042	15 plans
481	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION	$7,562 – $44,335 · median $20,513	15 plans
482	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY	$5,989 – $33,897 · median $16,246	15 plans
483	MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES	$9,862 – $54,449 · median $26,749	15 plans
485	KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY	$11,406 – $68,788 · median $30,940	15 plans
486	KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION	$7,551 – $45,318 · median $20,482	15 plans
487	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC	$5,769 – $33,765 · median $15,650	15 plans
488	KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY	$6,457 – $41,996 · median $17,516	15 plans
489	KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY	$4,244 – $26,462 · median $11,512	15 plans
492	LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY	$12,915 – $75,880 · median $35,032	15 plans
493	LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION	$9,061 – $51,303 · median $24,579	15 plans
494	LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY	$7,264 – $40,286 · median $19,703	15 plans
495	LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY	$12,759 – $75,226 · median $34,609	15 plans
496	LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION	$6,576 – $42,158 · median $17,838	15 plans
497	LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY	$4,555 – $28,688 · median $12,355	15 plans
498	LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY	$10,693 – $54,616 · median $29,004	15 plans
499	LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY	$7,292 – $36,476 · median $19,779	15 plans
500	SOFT TISSUE PROCEDURES WITH COMORBITY	$11,195 – $67,707 · median $30,366	15 plans
501	SOFT TISSUE PROCEDURES WITH COMPLICATION	$6,387 – $38,135 · median $17,324	15 plans
502	SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,022 – $29,855 · median $13,621	15 plans
503	FOOT PROCEDURES WITH COMORBITY	$9,927 – $56,551 · median $26,926	15 plans
504	FOOT PROCEDURES WITH COMPLICATION	$6,798 – $37,500 · median $18,439	15 plans
505	FOOT PROCEDURES WITHOUT CC/MCC	$6,539 – $37,500 · median $17,736	15 plans
506	MAJOR THUMB OR JOINT PROCEDURES	$5,033 – $32,032 · median $13,652	15 plans
507	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC	$6,585 – $41,414 · median $17,861	15 plans
508	MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC	$5,594 – $27,968 · median $15,173	15 plans
510	SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY	$10,705 – $61,070 · median $29,038	15 plans
511	SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION	$7,511 – $41,906 · median $20,374	15 plans
512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC	$6,072 – $34,355 · median $16,471	15 plans
513	HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY	$5,797 – $32,171 · median $15,724	15 plans
514	HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY	$3,923 – $21,786 · median $10,642	15 plans
515	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY	$11,270 – $66,077 · median $30,570	15 plans
516	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION	$7,507 – $42,985 · median $20,362	15 plans
517	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY	$5,669 – $31,895 · median $15,378	15 plans
518	BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM	$13,138 – $76,581 · median $35,637	15 plans
519	BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION	$7,242 – $42,135 · median $19,645	15 plans
520	BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY	$5,524 – $30,624 · median $14,984	15 plans
521	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	$10,195 – $62,280 · median $27,654	15 plans
522	HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	$7,641 – $45,045 · median $20,727	15 plans
533	FRACTURES OF FEMUR WITH COMORBITY	$5,775 – $32,583 · median $15,663	15 plans
534	FRACTURES OF FEMUR WITHOUT MCC	$3,190 – $17,393 · median $8,652	15 plans
535	FRACTURES OF HIP & PELVIS WITH COMORBITY	$4,805 – $28,417 · median $13,033	15 plans
536	FRACTURES OF HIP & PELVIS WITHOUT COMORBITY	$3,195 – $17,327 · median $8,666	15 plans
537	SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITH COMPLICATION/COMORBITY	$3,693 – $19,637 · median $10,016	15 plans
538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC	$2,899 – $14,493 · median $7,862	15 plans
539	OSTEOMYELITIS WITH COMORBITY	$7,139 – $43,214 · median $19,364	15 plans
540	OSTEOMYELITIS WITH COMPLICATION	$4,853 – $27,652 · median $13,165	15 plans
541	OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY	$3,126 – $18,694 · median $8,480	15 plans
542	PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY	$6,449 – $39,853 · median $17,494	15 plans
543	PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION	$3,943 – $22,669 · median $10,695	15 plans
544	PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY	$3,015 – $16,147 · median $8,178	15 plans
545	CONNECTIVE TISSUE DISORDERS WITH COMORBITY	$8,877 – $53,994 · median $24,078	15 plans
546	CONNECTIVE TISSUE DISORDERS WITH COMPLICATION	$4,368 – $24,737 · median $11,849	15 plans
547	CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY	$3,292 – $16,459 · median $8,929	15 plans
548	SEPTIC ARTHRITIS WITH COMORBITY	$7,007 – $43,047 · median $19,007	15 plans
549	SEPTIC ARTHRITIS WITH CC	$4,551 – $25,750 · median $12,345	15 plans
550	SEPTIC ARTHRITIS WITHOUT CC/MCC	$3,420 – $18,421 · median $9,278	15 plans
551	MEDICAL BACK PROBLEMS WITH COMORBITY	$6,142 – $36,462 · median $16,661	15 plans
552	MEDICAL BACK PROBLEMS WITHOUT COMORBITY	$3,716 – $20,594 · median $10,081	15 plans
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$4,853 – $27,906 · median $13,165	15 plans
554	BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY	$3,271 – $17,833 · median $8,873	15 plans
555	SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY	$4,940 – $28,773 · median $13,400	15 plans
556	SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY	$3,273 – $17,447 · median $8,878	15 plans
557	TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY	$5,500 – $33,113 · median $14,920	15 plans
558	TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY	$3,485 – $18,457 · median $9,454	15 plans
559	AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY	$6,783 – $39,664 · median $18,399	15 plans
560	AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION	$4,276 – $24,331 · median $11,598	15 plans
561	AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY	$3,182 – $17,470 · median $8,632	15 plans
562	FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY	$5,290 – $31,271 · median $14,348	15 plans
563	FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY	$3,493 – $19,098 · median $9,475	15 plans
564	OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY	$5,693 – $33,530 · median $15,442	15 plans
565	OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION	$3,761 – $21,788 · median $10,201	15 plans
566	OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$2,997 – $15,985 · median $8,129	15 plans
570	SKIN DEBRIDEMENT WITH COMORBITY	$10,436 – $64,320 · median $28,307	15 plans
571	SKIN DEBRIDEMENT WITH COMPLICATION	$6,188 – $35,776 · median $16,785	15 plans
572	SKIN DEBRIDEMENT WITHOUT CC/MCC	$4,344 – $24,410 · median $11,784	15 plans
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	$22,689 – $131,585 · median $61,544	15 plans
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION	$12,236 – $74,036 · median $33,189	15 plans
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$6,553 – $42,664 · median $17,774	15 plans
576	SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY	$17,088 – $115,284 · median $46,352	15 plans
577	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC	$9,450 – $56,897 · median $25,634	15 plans
578	SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	$5,906 – $36,120 · median $16,020	15 plans
579	OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY	$11,445 – $69,645 · median $31,045	15 plans
580	OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION	$6,319 – $37,885 · median $17,139	15 plans
581	OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY	$5,352 – $30,752 · median $14,516	15 plans
582	MASTECTOMY FOR MALIGNANCY WITH CC/MCC	$6,993 – $37,419 · median $18,967	15 plans
583	MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC	$6,306 – $35,100 · median $17,106	15 plans
584	BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY	$7,719 – $43,748 · median $20,938	15 plans
585	BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC	$7,001 – $42,417 · median $18,990	15 plans
592	SKIN ULCERS WITH COMORBITY	$7,022 – $43,938 · median $19,048	15 plans
593	SKIN ULCERS WITH COMPLICATION	$4,480 – $26,126 · median $12,152	15 plans
594	SKIN ULCERS WITHOUT CC/MCC	$3,396 – $18,135 · median $9,211	15 plans
595	MAJOR SKIN DISORDERS WITH MCC	$7,651 – $45,194 · median $20,754	15 plans
596	MAJOR SKIN DISORDERS WITHOUT MCC	$4,128 – $23,100 · median $11,197	15 plans
597	MALIGNANT BREAST DISORDERS WITH MCC	$6,112 – $37,536 · median $16,578	15 plans
598	MALIGNANT BREAST DISORDERS WITH CC	$4,293 – $23,053 · median $11,646	15 plans
599	MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$3,065 – $18,267 · median $8,314	15 plans
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$3,989 – $20,440 · median $10,820	15 plans
601	NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC	$2,507 – $12,810 · median $6,801	15 plans
602	CELLULITIS WITH COMORBITY	$5,278 – $31,393 · median $14,316	15 plans
603	CELLULITIS WITHOUT COMORBITY	$3,410 – $18,820 · median $9,249	15 plans
604	TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY	$5,450 – $31,746 · median $14,783	15 plans
605	TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY	$3,563 – $19,737 · median $9,664	15 plans
606	MINOR SKIN DISORDERS WITH COMORBITY	$5,590 – $34,408 · median $15,162	15 plans
607	MINOR SKIN DISORDERS WITHOUT COMORBITY	$3,530 – $18,466 · median $9,575	15 plans
614	ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY	$7,893 – $48,697 · median $21,409	15 plans
615	ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,203 – $30,620 · median $14,113	15 plans
616	AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY	$12,290 – $82,585 · median $33,336	15 plans
617	AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION	$6,802 – $41,273 · median $18,449	15 plans
618	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$5,267 – $26,605 · median $14,288	15 plans
619	O.R. PROCEDURES FOR OBESITY WITH MCC	$10,254 – $58,258 · median $27,813	15 plans
620	O.R. PROCEDURES FOR OBESITY WITH COMPLICATION	$5,885 – $34,124 · median $15,964	15 plans
621	O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY	$5,573 – $31,235 · median $15,118	15 plans
622	SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY	$12,534 – $79,957 · median $33,997	15 plans
623	SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION	$6,542 – $40,872 · median $17,746	15 plans
624	SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC	$4,703 – $23,514 · median $12,756	15 plans
625	THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY	$10,704 – $61,263 · median $29,034	15 plans
626	THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION	$5,543 – $32,250 · median $15,035	15 plans
627	THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$4,962 – $27,070 · median $13,459	15 plans
628	OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY	$13,102 – $84,310 · median $35,540	15 plans
629	OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION	$7,849 – $48,058 · median $21,289	15 plans
630	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC	$5,407 – $29,942 · median $14,667	15 plans
637	DIABETES WITH COMORBITY	$5,330 – $31,117 · median $14,457	15 plans
638	DIABETES WITH COMPLICATION	$3,496 – $19,598 · median $9,482	15 plans
639	DIABETES WITHOUT COMPLICATION/COMORBITY	$2,562 – $13,389 · median $6,950	15 plans
640	MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY	$4,987 – $28,376 · median $13,527	15 plans
641	MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY	$3,095 – $16,697 · median $8,395	15 plans
642	INBORN AND OTHER DISORDERS OF METABOLISM	$5,280 – $26,519 · median $14,323	15 plans
643	ENDOCRINE DISORDERS WITH COMORBITY	$6,041 – $35,412 · median $16,385	15 plans
644	ENDOCRINE DISORDERS WITH COMPLICATION	$3,933 – $22,081 · median $10,667	15 plans
645	ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY	$3,061 – $16,639 · median $8,304	15 plans
653	MAJOR BLADDER PROCEDURES WITH COMORBITY	$18,090 – $119,115 · median $49,069	15 plans
654	MAJOR BLADDER PROCEDURES WITH COMPLICATION	$9,955 – $60,301 · median $27,002	15 plans
655	MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	$7,637 – $44,387 · median $20,717	15 plans
656	KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	$11,259 – $69,615 · median $30,541	15 plans
657	KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION	$6,665 – $39,062 · median $18,078	15 plans
658	KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY	$5,721 – $32,137 · median $15,517	15 plans
659	KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY	$9,078 – $55,220 · median $24,623	15 plans
660	KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION	$4,940 – $28,632 · median $13,399	15 plans
661	KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY	$3,968 – $21,936 · median $10,763	15 plans
662	MINOR BLADDER PROCEDURES WITH COMORBITY	$10,844 – $66,658 · median $29,415	15 plans
663	MINOR BLADDER PROCEDURES WITH COMPLICATION	$5,613 – $32,637 · median $15,226	15 plans
664	MINOR BLADDER PROCEDURES WITHOUT CC/MCC	$4,007 – $23,073 · median $10,869	15 plans
665	PROSTATECTOMY WITH MCC	$11,047 – $73,367 · median $29,965	15 plans
666	PROSTATECTOMY WITH CC	$6,391 – $35,199 · median $17,335	15 plans
667	PROSTATECTOMY WITHOUT CC/MCC	$4,208 – $21,962 · median $11,415	15 plans
668	TRANSURETHRAL PROCEDURES WITH COMORBITY	$10,364 – $62,314 · median $28,113	15 plans
669	TRANSURETHRAL PROCEDURES WITH COMPLICATION	$5,721 – $33,066 · median $15,519	15 plans
670	TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY	$3,771 – $20,421 · median $10,228	15 plans
671	URETHRAL PROCEDURES WITH COMPLICATION/COMORBITY	$6,546 – $36,831 · median $17,756	15 plans
672	URETHRAL PROCEDURES WITHOUT CC/MCC	$4,118 – $23,385 · median $11,169	15 plans
673	OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY	$14,714 – $89,521 · median $39,911	15 plans
674	OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION	$8,391 – $49,325 · median $22,760	15 plans
675	OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC	$6,025 – $33,447 · median $16,342	15 plans
682	RENAL FAILURE WITH COMORBITY	$5,480 – $32,092 · median $14,865	15 plans
683	RENAL FAILURE WITH COMPLICATION	$3,426 – $18,994 · median $9,294	15 plans
684	RENAL FAILURE WITHOUT COMPLICATION/COMORBITY	$2,491 – $12,979 · median $6,757	15 plans
686	KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY	$6,576 – $40,293 · median $17,836	15 plans
687	KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION	$4,010 – $22,494 · median $10,877	15 plans
688	KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC	$3,136 – $15,680 · median $8,507	15 plans
689	KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY	$4,392 – $25,006 · median $11,913	15 plans
690	KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY	$3,201 – $17,150 · median $8,683	15 plans
693	URINARY STONES WITH COMORBITY	$5,017 – $31,419 · median $13,609	15 plans
694	URINARY STONES WITHOUT COMORBITY	$3,107 – $16,697 · median $8,427	15 plans
695	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY	$4,336 – $24,098 · median $11,761	15 plans
696	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY	$2,792 – $14,782 · median $7,574	15 plans
697	URETHRAL STRICTURE	$4,112 – $21,406 · median $11,153	15 plans
698	OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY	$6,069 – $35,917 · median $16,462	15 plans
699	OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION	$3,899 – $21,793 · median $10,575	15 plans
700	OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY	$2,795 – $14,833 · median $7,582	15 plans
707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	$7,243 – $41,466 · median $19,646	15 plans
708	MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,661 – $31,677 · median $15,355	15 plans
709	PENIS PROCEDURES WITH COMPLICATION/COMORBITY	$8,352 – $48,015 · median $22,654	15 plans
710	PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,209 – $32,081 · median $14,131	15 plans
711	TESTES PROCEDURES WITH COMPLICATION/COMORBITY	$7,526 – $40,825 · median $20,415	15 plans
712	TESTES PROCEDURES WITHOUT CC/MCC	$4,186 – $22,855 · median $11,355	15 plans
713	TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY	$5,556 – $30,897 · median $15,071	15 plans
714	TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC	$4,043 – $20,213 · median $10,966	15 plans
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITH COMPLICATION/COMORBITY	$8,047 – $48,254 · median $21,828	15 plans
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	$5,446 – $30,327 · median $14,773	15 plans
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY	$6,870 – $39,647 · median $18,635	15 plans
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	$5,012 – $26,323 · median $13,596	15 plans
722	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC	$6,596 – $36,942 · median $17,891	15 plans
723	MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION	$4,332 – $23,994 · median $11,751	15 plans
724	MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY	$2,679 – $15,568 · median $7,267	15 plans
725	BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY	$4,425 – $26,979 · median $12,004	15 plans
726	BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY	$2,904 – $15,906 · median $7,878	15 plans
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY	$5,487 – $31,397 · median $14,883	15 plans
728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY	$3,207 – $17,459 · median $8,699	15 plans
729	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION/COMORBITY	$4,047 – $23,523 · median $10,978	15 plans
730	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	$2,735 – $13,673 · median $7,418	15 plans
734	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC	$7,683 – $44,932 · median $20,840	15 plans
735	PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC	$5,020 – $25,938 · median $13,618	15 plans
736	UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY	$12,585 – $84,137 · median $34,138	15 plans
737	UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION	$7,447 – $42,701 · median $20,201	15 plans
738	UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY	$5,438 – $32,412 · median $14,750	15 plans
739	UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMORBITY	$12,614 – $85,062 · median $34,215	15 plans
740	UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION	$6,596 – $38,853 · median $17,890	15 plans
741	UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC	$5,294 – $29,350 · median $14,360	15 plans
742	UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY	$6,681 – $39,032 · median $18,122	15 plans
743	UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY	$4,665 – $25,613 · median $12,653	15 plans
744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	$7,408 – $41,752 · median $20,095	15 plans
745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	$4,314 – $21,897 · median $11,703	15 plans
746	VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY	$6,349 – $35,782 · median $17,223	15 plans
747	VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY	$3,372 – $20,410 · median $9,146	15 plans
748	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	$5,162 – $29,109 · median $14,003	15 plans
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY	$9,168 – $55,312 · median $24,869	15 plans
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY	$5,463 – $27,553 · median $14,817	15 plans
754	MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY	$6,704 – $38,660 · median $18,186	15 plans
755	MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION	$4,146 – $23,720 · median $11,245	15 plans
756	MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY	$3,714 – $20,406 · median $10,073	15 plans
757	INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY	$5,314 – $30,241 · median $14,413	15 plans
758	INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION	$3,777 – $21,780 · median $10,244	15 plans
759	INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY	$2,706 – $13,675 · median $7,340	15 plans
760	MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY	$3,873 – $21,060 · median $10,506	15 plans
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	$2,390 – $13,545 · median $6,483	15 plans
768	VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C	$4,091 – $23,425 · median $11,096	15 plans
769	POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE	$6,189 – $30,945 · median $16,787	15 plans
770	ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY	$3,857 – $22,991 · median $10,462	15 plans
776	POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE	$2,676 – $15,246 · median $7,258	15 plans
779	ABORTION WITHOUT D&C	$3,309 – $19,974 · median $8,976	15 plans
783	CESAREAN SECTION WITH STERILIZATION WITH COMORBITY	$8,786 – $44,447 · median $23,833	15 plans
784	CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION	$4,052 – $23,141 · median $10,990	15 plans
785	CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY	$3,705 – $18,665 · median $10,049	15 plans
786	CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY	$6,052 – $34,528 · median $16,416	15 plans
787	CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION	$4,244 – $22,688 · median $11,512	15 plans
788	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY	$3,708 – $19,331 · median $10,058	15 plans
789	NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	$5,151 – $38,517 · median $17,576	15 plans
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE	$3,605 – $127,026 · median $55,174	15 plans
791	PREMATURITY WITH MAJOR PROBLEMS	$3,605 – $86,750 · median $38,065	15 plans
792	PREMATURITY WITHOUT MAJOR PROBLEMS	$3,605 – $52,344 · median $23,450	15 plans
793	FULL TERM NEONATE WITH MAJOR PROBLEMS	$2,831 – $89,113 · median $39,069	15 plans
794	NEONATE WITH OTHER SIGNIFICANT PROBLEMS	$2,831 – $31,543 · median $14,613	15 plans
795	NORMAL NEWBORN	$1,132 – $5,660 · median $3,028	15 plans
796	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC	$4,415 – $27,278 · median $11,975	15 plans
797	VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION	$3,849 – $20,688 · median $10,441	15 plans
798	VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY	$3,702 – $20,688 · median $10,042	15 plans
799	SPLENECTOMY WITH COMORBITY	$15,825 – $101,598 · median $42,924	15 plans
800	SPLENIC PROCEDURES WITH CC	$9,989 – $62,261 · median $27,095	15 plans
801	SPLENIC PROCEDURES WITHOUT CC/MCC	$6,933 – $35,079 · median $18,805	15 plans
802	OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY	$13,976 – $76,598 · median $37,909	15 plans
803	OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION	$6,763 – $38,034 · median $18,344	15 plans
804	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC	$5,056 – $25,280 · median $13,714	15 plans
805	VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY	$4,117 – $21,325 · median $11,166	15 plans
806	VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION	$3,013 – $15,462 · median $8,172	15 plans
807	VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY	$2,742 – $13,710 · median $7,438	15 plans
808	MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY	$7,947 – $48,938 · median $21,557	15 plans
809	MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION	$4,750 – $26,464 · median $12,885	15 plans
810	MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY	$4,006 – $20,338 · median $10,866	15 plans
811	RED BLOOD CELL DISORDERS WITH COMORBITY	$5,220 – $30,062 · median $14,159	15 plans
812	RED BLOOD CELL DISORDERS WITHOUT COMORBITY	$3,570 – $19,720 · median $9,684	15 plans
813	COAGULATION DISORDERS	$5,631 – $33,077 · median $15,273	15 plans
814	RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY	$7,672 – $44,669 · median $20,810	15 plans
815	RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION	$3,895 – $21,712 · median $10,566	15 plans
816	RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY	$2,599 – $14,090 · median $7,049	15 plans
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY	$8,197 – $54,169 · median $22,236	15 plans
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	$4,388 – $27,521 · median $11,903	15 plans
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	$3,372 – $17,447 · median $9,147	15 plans
820	LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY	$20,359 – $124,408 · median $55,223	15 plans
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	$8,052 – $47,701 · median $21,840	15 plans
822	LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY	$4,540 – $24,438 · median $12,315	15 plans
823	LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY	$16,014 – $99,989 · median $43,439	15 plans
824	LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION	$8,143 – $46,996 · median $22,088	15 plans
825	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC	$5,034 – $26,299 · median $13,654	15 plans
826	MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY	$16,330 – $102,041 · median $44,295	15 plans
827	MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION	$8,298 – $50,425 · median $22,508	15 plans
828	MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY	$6,236 – $34,250 · median $16,916	15 plans
829	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY	$11,179 – $65,893 · median $30,322	15 plans
830	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC	$5,562 – $31,250 · median $15,086	15 plans
831	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY	$4,535 – $24,594 · median $12,301	15 plans
832	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION	$2,903 – $15,970 · median $7,874	15 plans
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY	$2,229 – $11,143 · median $6,045	15 plans
834	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY	$19,086 – $118,105 · median $51,771	15 plans
835	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION	$7,533 – $45,639 · median $20,433	15 plans
836	ACUTE LEUKEMIA WITHOUT CC/MCC	$4,593 – $27,152 · median $12,458	15 plans
837	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC	$16,759 – $106,991 · median $45,460	15 plans
838	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT	$7,538 – $43,338 · median $20,448	15 plans
839	CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$5,354 – $29,282 · median $14,524	15 plans
840	LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY	$11,433 – $68,141 · median $31,012	15 plans
841	LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION	$5,991 – $33,504 · median $16,250	15 plans
842	LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY	$3,883 – $22,476 · median $10,533	15 plans
843	OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY	$7,224 – $40,455 · median $19,595	15 plans
844	OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION	$4,586 – $25,538 · median $12,439	15 plans
845	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC	$3,344 – $17,880 · median $9,071	15 plans
846	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY	$9,253 – $54,568 · median $25,098	15 plans
847	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION	$4,894 – $27,152 · median $13,274	15 plans
848	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC	$3,337 – $17,498 · median $9,051	15 plans
849	RADIOTHERAPY	$9,650 – $57,075 · median $26,175	15 plans
850	ACUTE LEUKEMIA WITH OTHER PROCEDURES	$29,844 – $196,835 · median $80,951	15 plans
853	INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY	$17,215 – $106,865 · median $46,696	15 plans
854	INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION	$7,235 – $42,694 · median $19,626	15 plans
855	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC	$5,535 – $34,735 · median $15,014	15 plans
856	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY	$15,892 – $96,402 · median $43,107	15 plans
857	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION	$7,722 – $46,558 · median $20,946	15 plans
858	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY	$5,181 – $27,530 · median $14,054	15 plans
862	POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY	$6,643 – $39,288 · median $18,020	15 plans
863	POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY	$3,841 – $21,365 · median $10,418	15 plans
864	FEVER AND INFLAMMATORY CONDITIONS	$3,467 – $19,188 · median $9,403	15 plans
865	VIRAL ILLNESS WITH COMORBITY	$5,539 – $31,536 · median $15,024	15 plans
866	VIRAL ILLNESS WITHOUT COMORBITY	$3,405 – $18,906 · median $9,237	15 plans
867	OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY	$7,558 – $45,818 · median $20,501	15 plans
868	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC	$3,953 – $22,438 · median $10,723	15 plans
869	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC	$2,930 – $15,376 · median $7,949	15 plans
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$23,912 – $148,643 · median $64,861	15 plans
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY	$7,047 – $41,925 · median $19,114	15 plans
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY	$3,927 – $22,030 · median $10,652	15 plans
876	O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS	$1,891 – $83,966 · median $35,624	15 plans
880	ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION	$1,891 – $20,483 · median $9,699	15 plans
881	DEPRESSIVE NEUROSES	$1,891 – $19,532 · median $9,528	15 plans
882	NEUROSES EXCEPT DEPRESSIVE	$1,891 – $20,556 · median $10,707	15 plans
883	DISORDERS OF PERSONALITY AND IMPULSE CONTROL	$1,891 – $39,613 · median $18,620	15 plans
884	ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY	$1,891 – $35,688 · median $15,451	15 plans
885	PSYCHOSES	$1,891 – $30,120 · median $13,571	15 plans
886	BEHAVIORAL AND DEVELOPMENTAL DISORDERS	$1,891 – $38,387 · median $19,587	15 plans
887	OTHER MENTAL DISORDER DIAGNOSES	$1,891 – $25,415 · median $10,732	15 plans
894	ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA	$1,891 – $13,335 · median $6,815	15 plans
895	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY	$1,891 – $30,938 · median $14,066	15 plans
896	ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY	$1,891 – $38,051 · median $17,057	15 plans
897	ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY	$1,891 – $18,850 · median $9,229	15 plans
901	WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY	$14,697 – $94,669 · median $39,865	15 plans
902	WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION	$6,952 – $40,547 · median $18,856	15 plans
903	WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY	$4,423 – $26,049 · median $11,998	15 plans
904	SKIN GRAFTS FOR INJURIES WITH CC/MCC	$12,920 – $82,502 · median $35,046	15 plans
905	SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	$5,488 – $35,218 · median $14,887	15 plans
906	HAND PROCEDURES FOR INJURIES	$7,121 – $46,635 · median $19,315	15 plans
907	OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY	$13,484 – $85,122 · median $36,576	15 plans
908	OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION	$7,225 – $43,100 · median $19,599	15 plans
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY	$4,909 – $27,100 · median $13,316	15 plans
913	TRAUMATIC INJURY WITH MCC	$6,002 – $34,579 · median $16,279	15 plans
914	TRAUMATIC INJURY WITHOUT COMORBITY	$3,459 – $19,581 · median $9,383	15 plans
915	ALLERGIC REACTIONS WITH COMORBITY	$6,161 – $37,135 · median $16,712	15 plans
916	ALLERGIC REACTIONS WITHOUT COMORBITY	$2,715 – $14,190 · median $7,365	15 plans
917	POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY	$5,777 – $35,036 · median $15,670	15 plans
918	POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY	$3,363 – $18,902 · median $9,122	15 plans
919	COMPLICATIONS OF TREATMENT WITH COMORBITY	$6,667 – $38,966 · median $18,086	15 plans
920	COMPLICATIONS OF TREATMENT WITH COMPLICATION	$3,856 – $21,707 · median $10,458	15 plans
921	COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY	$2,790 – $14,694 · median $7,569	15 plans
922	OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY	$6,391 – $36,098 · median $17,336	15 plans
923	OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY	$3,908 – $21,793 · median $10,600	15 plans
927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	$72,916 – $506,897 · median $197,785	15 plans
928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	$24,798 – $142,711 · median $67,263	15 plans
929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	$11,385 – $67,957 · median $30,882	15 plans
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$13,671 – $92,455 · median $37,081	15 plans
934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHAL INJ	$7,956 – $45,850 · median $21,582	15 plans
935	NON-EXTENSIVE BURNS	$7,445 – $46,932 · median $20,196	15 plans
939	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC	$12,769 – $67,820 · median $34,635	15 plans
940	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC	$8,385 – $45,115 · median $22,745	15 plans
941	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC	$7,336 – $41,759 · median $19,898	15 plans
947	SIGNS & SYMPTOMS WITH COMORBITY	$4,762 – $27,483 · median $12,917	15 plans
948	SIGNS & SYMPTOMS WITHOUT COMORBITY	$3,171 – $16,976 · median $8,601	15 plans
949	AFTERCARE WITH COMPLICATION/COMORBITY	$4,492 – $23,056 · median $12,184	15 plans
950	AFTERCARE WITHOUT COMPLICATION/COMORBITY	$2,584 – $12,921 · median $7,010	15 plans
951	OTHER FACTORS INFLUENCING HEALTH STATUS	$2,341 – $12,115 · median $6,350	15 plans
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	$23,299 – $145,904 · median $63,198	15 plans
956	LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA	$13,225 – $81,675 · median $35,873	15 plans
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY	$26,315 – $159,491 · median $71,380	15 plans
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION	$14,756 – $87,816 · median $40,024	15 plans
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY	$10,446 – $56,494 · median $28,335	15 plans
963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY	$9,732 – $58,049 · median $26,399	15 plans
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION	$5,655 – $32,053 · median $15,340	15 plans
965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	$3,646 – $19,500 · median $9,889	15 plans
969	HIV WITH EXTENSIVE O.R. PROCEDURE WITH COMORBITY	$21,229 – $135,134 · median $57,584	15 plans
970	HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC	$9,405 – $56,694 · median $25,511	15 plans
974	HIV WITH MAJOR RELATED CONDITION WITH COMORBITY	$10,249 – $63,808 · median $27,800	15 plans
975	HIV WITH MAJOR RELATED CONDITION WITH CC	$4,849 – $30,372 · median $13,153	15 plans
976	HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC	$3,518 – $21,432 · median $9,541	15 plans
977	HIV WITH OR WITHOUT OTHER RELATED CONDITION	$4,858 – $30,810 · median $13,178	15 plans
981	EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY	$16,378 – $101,579 · median $44,424	15 plans
982	EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION	$8,798 – $52,314 · median $23,864	15 plans
983	EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY	$6,271 – $35,645 · median $17,010	15 plans
987	NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY	$12,090 – $74,844 · median $32,793	15 plans
988	NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION	$6,032 – $36,667 · median $16,362	15 plans
989	NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC	$4,524 – $24,690 · median $12,271	15 plans
001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY	$95,565 – $601,886 · median $255,637	14 plans
002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC	$38,913 – $235,463 · median $104,093	14 plans
005	LIVER TRANSPLANT WITH COMORBITY OR INTESTINAL TRANSPLANT	$35,447 – $227,551 · median $94,821	14 plans
006	LIVER TRANSPLANT WITHOUT MCC	$16,192 – $103,615 · median $43,312	14 plans
007	LUNG TRANSPLANT	$44,406 – $279,248 · median $118,786	14 plans
008	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT	$19,476 – $116,263 · median $52,097	14 plans
010	PANCREAS TRANSPLANT	$24,808 – $170,363 · median $66,361	14 plans
014	ALLOGENEIC BONE MARROW TRANSPLANT	$41,242 – $279,953 · median $110,322	14 plans
016	AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC	$20,579 – $128,972 · median $55,048	14 plans
017	AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC	$18,891 – $128,972 · median $50,533	14 plans
019	SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS	$24,668 – $169,387 · median $65,988	14 plans
209	COMPLEX AORTIC ARCH PROCEDURES	$38,869 – $204,916 · median $103,975	14 plans
213	ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES	$19,823 – $103,318 · median $53,026	14 plans
318	PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE	$8,675 – $43,852 · median $23,205	14 plans
359	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC	$12,124 – $62,252 · median $32,432	14 plans
360	PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC	$8,648 – $43,708 · median $23,133	14 plans
650	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC	$16,410 – $98,446 · median $43,897	14 plans
651	KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC	$13,031 – $74,199 · median $34,858	14 plans
652	KIDNEY TRANSPLANT	$11,415 – $65,628 · median $30,534	14 plans
077	HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY	$33,041 – $33,041 · median $33,041	1 plans
078	HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION	$21,323 – $21,323 · median $21,323	1 plans

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PeaceHealth Southwest Medical Center — Pricing

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