Community Hospital of Staunton — Pricing

332 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 332 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 332
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.

Showing all 332 procedures

Procedures with negotiated rates only

These 332 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
054 NERVOUS SYSTEM NEOPLASMS WITH MCC — 3 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC — 3 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC — 3 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC — 3 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,396 – $2,468 · median $2,396 3 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 3 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC — 3 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC — 3 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC — 3 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $2,396 – $2,468 · median $2,396 3 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC — 3 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $2,396 – $2,468 · median $2,396 3 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC — 3 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC — 3 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
075 VIRAL MENINGITIS WITH CC/MCC — 3 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC — 3 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,396 – $2,468 · median $2,396 3 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC — 3 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
088 CONCUSSION WITH MCC — 3 plans
089 CONCUSSION WITH CC $2,396 – $2,468 · median $2,396 3 plans
090 CONCUSSION WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC — 3 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,396 – $2,468 · median $2,396 3 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
100 SEIZURES WITH MCC — 3 plans
101 SEIZURES WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
102 HEADACHES WITH MCC $2,396 – $2,468 · median $2,396 3 plans
103 HEADACHES WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,396 – $2,468 · median $2,396 3 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
123 NEUROLOGICAL EYE DISORDERS $2,396 – $2,468 · median $2,396 3 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $2,396 – $2,468 · median $2,396 3 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 3 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $2,396 – $2,468 · median $2,396 3 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
149 DYSEQUILIBRIUM $2,396 – $2,468 · median $2,396 3 plans
150 EPISTAXIS WITH MCC — 3 plans
151 EPISTAXIS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
152 OTITIS MEDIA AND URI WITH MCC $2,396 – $2,468 · median $2,396 3 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC — 3 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $2,396 – $2,468 · median $2,396 3 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
157 DENTAL AND ORAL DISEASES WITH MCC — 3 plans
158 DENTAL AND ORAL DISEASES WITH CC $2,396 – $2,468 · median $2,396 3 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC — 3 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $2,396 – $2,468 · median $2,396 3 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
180 RESPIRATORY NEOPLASMS WITH MCC — 3 plans
181 RESPIRATORY NEOPLASMS WITH CC $2,396 – $2,468 · median $2,396 3 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
183 MAJOR CHEST TRAUMA WITH MCC — 3 plans
184 MAJOR CHEST TRAUMA WITH CC $2,396 – $2,468 · median $2,396 3 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
186 PLEURAL EFFUSION WITH MCC — 3 plans
187 PLEURAL EFFUSION WITH CC $2,396 – $2,468 · median $2,396 3 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,396 – $2,468 · median $2,396 3 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,396 – $2,468 · median $2,396 3 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,396 – $2,468 · median $2,396 3 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC — 3 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,396 – $2,468 · median $2,396 3 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC — 3 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $2,396 – $2,468 · median $2,396 3 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
199 PNEUMOTHORAX WITH MCC — 3 plans
200 PNEUMOTHORAX WITH CC $2,396 – $2,468 · median $2,396 3 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $2,396 – $2,468 · median $2,396 3 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,396 – $2,468 · median $2,396 3 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC — 3 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS — 3 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS — 3 plans
276 NON-MALIGANT BREAST DISORDERS — 3 plans
278 CELLULITIS AGE >17 W/O CC — 3 plans
279 CELLULITIS AGE 0-17 — 3 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC — 3 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $2,396 – $2,468 · median $2,396 3 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC — 3 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $2,396 – $2,468 · median $2,396 3 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 3 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC — 3 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
291 HEART FAILURE AND SHOCK WITH MCC — 3 plans
292 HEART FAILURE AND SHOCK WITH CC $2,396 – $2,468 · median $2,396 3 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $2,396 – $2,468 · median $2,396 3 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC — 3 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $2,396 – $2,468 · median $2,396 3 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC — 3 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
302 ATHEROSCLEROSIS WITH MCC $2,396 – $2,468 · median $2,396 3 plans
303 ATHEROSCLEROSIS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
304 HYPERTENSION WITH MCC $2,396 – $2,468 · median $2,396 3 plans
305 HYPERTENSION WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC — 3 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,396 – $2,468 · median $2,396 3 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
311 ANGINA PECTORIS $2,396 – $2,468 · median $2,396 3 plans
312 SYNCOPE AND COLLAPSE $2,396 – $2,468 · median $2,396 3 plans
313 CHEST PAIN $2,396 – $2,468 · median $2,396 3 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC — 3 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,396 – $2,468 · median $2,396 3 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC — 3 plans
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 — 3 plans
323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY — 3 plans
324 URINARY STONES W/O CC — 3 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC — 3 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC — 3 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $2,396 – $2,468 · median $2,396 3 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
374 DIGESTIVE MALIGNANCY WITH MCC — 3 plans
375 DIGESTIVE MALIGNANCY WITH CC $2,396 – $2,468 · median $2,396 3 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC — 3 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $2,396 – $2,468 · median $2,396 3 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
380 COMPLICATED PEPTIC ULCER WITH MCC — 3 plans
381 COMPLICATED PEPTIC ULCER WITH CC $2,396 – $2,468 · median $2,396 3 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,396 – $2,468 · median $2,396 3 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC — 3 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,396 – $2,468 · median $2,396 3 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC — 3 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $2,396 – $2,468 · median $2,396 3 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,396 – $2,468 · median $2,396 3 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC — 3 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,396 – $2,468 · median $2,396 3 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
397 COAGULATION DISORDERS — 3 plans
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC — 3 plans
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC $2,396 – $2,468 · median $2,396 3 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC — 3 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,396 – $2,468 · median $2,396 3 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC — 3 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,396 – $2,468 · median $2,396 3 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC — 3 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $2,396 – $2,468 · median $2,396 3 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC — 3 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,396 – $2,468 · median $2,396 3 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC — 3 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,396 – $2,468 · median $2,396 3 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 3 plans
501 SOFT TISSUE PROCEDURES WITH CC — 3 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC — 3 plans
533 FRACTURES OF FEMUR WITH MCC — 3 plans
534 FRACTURES OF FEMUR WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC — 3 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $2,396 – $2,468 · median $2,396 3 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
539 OSTEOMYELITIS WITH MCC — 3 plans
540 OSTEOMYELITIS WITH CC $2,396 – $2,468 · median $2,396 3 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC — 3 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,396 – $2,468 · median $2,396 3 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 3 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
548 SEPTIC ARTHRITIS WITH MCC — 3 plans
549 SEPTIC ARTHRITIS WITH CC $2,396 – $2,468 · median $2,396 3 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
551 MEDICAL BACK PROBLEMS WITH MCC — 3 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC — 3 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 3 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC — 3 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 3 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,396 – $2,468 · median $2,396 3 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC — 3 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC — 3 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $2,396 – $2,468 · median $2,396 3 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
592 SKIN ULCERS WITH MCC — 3 plans
593 SKIN ULCERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
594 SKIN ULCERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
595 MAJOR SKIN DISORDERS WITH MCC — 3 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
597 MALIGNANT BREAST DISORDERS WITH MCC — 3 plans
598 MALIGNANT BREAST DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $2,396 – $2,468 · median $2,396 3 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
602 CELLULITIS WITH MCC — 3 plans
603 CELLULITIS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC — 3 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
606 MINOR SKIN DISORDERS WITH MCC — 3 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
637 DIABETES WITH MCC — 3 plans
638 DIABETES WITH CC $2,396 – $2,468 · median $2,396 3 plans
639 DIABETES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC — 3 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $2,396 – $2,468 · median $2,396 3 plans
643 ENDOCRINE DISORDERS WITH MCC — 3 plans
644 ENDOCRINE DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
682 RENAL FAILURE WITH MCC — 3 plans
683 RENAL FAILURE WITH CC $2,396 – $2,468 · median $2,396 3 plans
684 RENAL FAILURE WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC — 3 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $2,396 – $2,468 · median $2,396 3 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,396 – $2,468 · median $2,396 3 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
693 URINARY STONES WITH MCC — 3 plans
694 URINARY STONES WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $2,396 – $2,468 · median $2,396 3 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
697 URETHRAL STRICTURE $2,396 – $2,468 · median $2,396 3 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC — 3 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,396 – $2,468 · median $2,396 3 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC — 3 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $2,396 – $2,468 · median $2,396 3 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $2,396 – $2,468 · median $2,396 3 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC — 3 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,396 – $2,468 · median $2,396 3 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 3 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,396 – $2,468 · median $2,396 3 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 3 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,396 – $2,468 · median $2,396 3 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,396 – $2,468 · median $2,396 3 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC — 3 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
811 RED BLOOD CELL DISORDERS WITH MCC — 3 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
813 COAGULATION DISORDERS — 3 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC — 3 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $2,396 – $2,468 · median $2,396 3 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC — 3 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 3 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC — 3 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 3 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC — 3 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC — 3 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC — 3 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 3 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $2,396 – $2,468 · median $2,396 3 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC — 3 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $2,396 – $2,468 · median $2,396 3 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC — 3 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
864 FEVER AND INFLAMMATORY CONDITIONS $2,396 – $2,468 · median $2,396 3 plans
865 VIRAL ILLNESS WITH MCC — 3 plans
866 VIRAL ILLNESS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC — 3 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $2,396 – $2,468 · median $2,396 3 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS — 3 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC — 3 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,396 – $2,468 · median $2,396 3 plans
881 DEPRESSIVE NEUROSES $2,396 – $2,468 · median $2,396 3 plans
882 NEUROSES EXCEPT DEPRESSIVE $2,396 – $2,468 · median $2,396 3 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL — 3 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY — 3 plans
915 ALLERGIC REACTIONS WITH MCC — 3 plans
916 ALLERGIC REACTIONS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC — 3 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
919 COMPLICATIONS OF TREATMENT WITH MCC — 3 plans
920 COMPLICATIONS OF TREATMENT WITH CC $2,396 – $2,468 · median $2,396 3 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC — 3 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
947 SIGNS AND SYMPTOMS WITH MCC $2,396 – $2,468 · median $2,396 3 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $2,396 – $2,468 · median $2,396 3 plans
949 AFTERCARE WITH CC/MCC $2,396 – $2,468 · median $2,396 3 plans
950 AFTERCARE WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,396 – $2,468 · median $2,396 3 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 3 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC — 3 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,396 – $2,468 · median $2,396 3 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION — 3 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $2,396 – $2,468 · median $2,396 3 plans
999 UNGROUPABLE $2,396 – $2,468 · median $2,396 3 plans
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