Harlan ARH Hospital — Pricing

241 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 241 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 241
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 241 procedures

Procedures with negotiated rates only

These 241 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
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $15,141 – $33,708 · median $20,064 16 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,622 – $18,799 · median $11,190 16 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,668 – $29,179 · median $17,368 16 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,428 – $14,659 · median $8,726 16 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $8,961 – $21,310 · median $12,685 16 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,509 – $12,542 · median $7,466 16 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,051 – $11,590 · median $6,899 16 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $11,318 – $24,156 · median $14,378 16 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $6,715 – $14,887 · median $8,861 16 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,952 – $10,972 · median $6,531 16 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $6,490 – $14,957 · median $8,903 16 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,752 – $12,995 · median $7,735 16 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,375 – $32,965 · median $19,622 16 plans
089 CONCUSSION WITH CC $7,273 – $15,940 · median $9,488 16 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,316 – $25,482 · median $15,168 16 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $6,490 – $14,843 · median $8,835 16 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $15,079 – $37,423 · median $22,276 16 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $23,002 – $52,406 · median $31,194 16 plans
100 SEIZURES WITH MCC $12,538 – $28,102 · median $16,728 16 plans
101 SEIZURES WITHOUT MCC $5,753 – $13,096 · median $7,796 16 plans
103 HEADACHES WITHOUT MCC $5,328 – $12,134 · median $7,223 16 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,709 – $11,402 · median $6,787 16 plans
123 NEUROLOGICAL EYE DISORDERS $5,085 – $11,587 · median $6,897 16 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,044 – $11,141 · median $6,631 16 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $13,351 – $30,723 · median $18,287 16 plans
149 DYSEQUILIBRIUM $4,710 – $10,906 · median $6,491 16 plans
152 OTITIS MEDIA AND URI WITH MCC $7,515 – $17,153 · median $10,210 16 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,647 – $10,711 · median $6,376 16 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,936 – $13,201 · median $7,858 16 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,873 – $19,931 · median $11,863 16 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,729 – $22,674 · median $13,497 16 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,240 – $14,161 · median $8,429 16 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,828 – $10,955 · median $6,521 16 plans
180 RESPIRATORY NEOPLASMS WITH MCC $10,993 – $25,624 · median $15,252 16 plans
181 RESPIRATORY NEOPLASMS WITH CC $6,964 – $15,540 · median $9,250 16 plans
186 PLEURAL EFFUSION WITH MCC $9,816 – $22,613 · median $13,460 16 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,792 – $17,925 · median $10,670 16 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $6,970 – $16,072 · median $9,567 16 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,370 – $12,232 · median $7,281 16 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,059 – $9,315 · median $5,545 16 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,390 – $19,072 · median $11,352 16 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,200 – $11,693 · median $6,960 16 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,957 – $9,119 · median $5,428 16 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $11,988 – $27,383 · median $16,299 16 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,922 – $10,392 · median $6,186 16 plans
199 PNEUMOTHORAX WITH MCC $11,220 – $25,597 · median $15,236 16 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,056 – $14,092 · median $8,388 16 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,395 – $9,722 · median $5,787 16 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,449 – $26,567 · median $15,814 16 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,778 – $13,655 · median $8,128 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $43,690 – $93,366 · median $55,575 16 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $17,100 – $39,883 · median $23,740 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,211 – $50,614 · median $30,128 16 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $17,376 – $39,139 · median $23,297 16 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $20,656 – $48,471 · median $28,852 16 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,034 – $23,275 · median $13,854 16 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,774 – $13,336 · median $7,938 16 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,542 – $10,492 · median $6,245 16 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,678 – $10,044 · median $5,978 16 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,120 – $18,628 · median $11,088 16 plans
292 HEART FAILURE AND SHOCK WITH CC $5,417 – $12,319 · median $7,333 16 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,551 – $8,213 · median $4,888 16 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,140 – $22,663 · median $13,490 16 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $9,969 – $23,690 · median $14,101 16 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $6,748 – $15,489 · median $9,220 16 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,489 – $10,443 · median $6,216 16 plans
302 ATHEROSCLEROSIS WITH MCC $7,090 – $17,362 · median $10,335 16 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,162 – $9,768 · median $5,814 16 plans
304 HYPERTENSION WITH MCC $7,267 – $17,267 · median $10,278 16 plans
305 HYPERTENSION WITHOUT MCC $4,766 – $10,956 · median $6,522 16 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,962 – $13,250 · median $7,887 16 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,603 – $17,470 · median $10,399 16 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,710 – $10,675 · median $6,354 16 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,497 – $8,214 · median $4,889 16 plans
311 ANGINA PECTORIS $4,415 – $10,184 · median $6,062 16 plans
312 SYNCOPE AND COLLAPSE $5,461 – $12,647 · median $7,528 16 plans
313 CHEST PAIN $4,576 – $10,447 · median $6,218 16 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,241 – $30,256 · median $18,009 16 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,118 – $13,977 · median $8,320 16 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,381 – $9,897 · median $5,891 16 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $32,123 – $72,366 · median $43,075 16 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $28,567 – $66,694 · median $39,699 16 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,003 – $34,783 · median $20,704 16 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,575 – $24,418 · median $14,535 16 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,744 – $21,833 · median $12,996 16 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $16,122 – $33,309 · median $19,827 16 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,231 – $18,990 · median $11,304 16 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,014 – $16,944 · median $10,086 16 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,864 – $24,411 · median $14,530 16 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $13,894 – $33,742 · median $20,085 16 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,448 – $23,098 · median $13,749 16 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,053 – $25,727 · median $15,314 16 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,592 – $14,814 · median $8,818 16 plans
374 DIGESTIVE MALIGNANCY WITH MCC $13,275 – $31,032 · median $18,471 16 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,323 – $26,524 · median $15,788 16 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,222 – $14,230 · median $8,470 16 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,005 – $9,147 · median $5,445 16 plans
381 COMPLICATED PEPTIC ULCER WITH CC $6,786 – $15,721 · median $9,358 16 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,788 – $11,616 · median $6,915 16 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,193 – $21,428 · median $12,755 16 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,037 – $11,460 · median $6,821 16 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,535 – $7,893 · median $4,698 16 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,068 – $18,403 · median $10,954 16 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,969 – $11,312 · median $6,733 16 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,243 – $23,205 · median $13,813 16 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,926 – $13,577 · median $8,081 16 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,095 – $9,417 · median $5,605 16 plans
398 APPENDIX PROCEDURES WITH CC $9,571 – $21,962 · median $13,073 16 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,040 – $16,609 · median $9,886 16 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,470 – $19,781 · median $11,774 16 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $14,659 – $34,626 · median $20,611 16 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $10,339 – $24,545 · median $14,610 16 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,305 – $19,817 · median $11,796 16 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,118 – $28,558 · median $16,999 16 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $6,521 – $15,325 · median $9,122 16 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $11,131 – $26,650 · median $15,863 16 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $6,961 – $16,412 · median $9,769 16 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,409 – $12,206 · median $7,265 16 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,893 – $9,016 · median $5,367 16 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $11,563 – $26,041 · median $15,500 16 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,018 – $14,006 · median $8,337 16 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $10,329 – $24,244 · median $14,431 16 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,874 – $15,879 · median $9,452 16 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,069 – $12,004 · median $7,145 16 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $18,983 – $45,193 · median $26,901 16 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $13,564 – $33,020 · median $19,655 16 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $18,651 – $42,257 · median $25,153 16 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,123 – $30,391 · median $18,090 16 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $21,896 – $53,274 · median $31,711 16 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,190 – $36,798 · median $21,904 16 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $11,822 – $29,114 · median $17,330 16 plans
504 FOOT PROCEDURES WITH CC $10,923 – $27,122 · median $16,144 16 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,207 – $43,827 · median $26,087 16 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,359 – $30,727 · median $18,290 16 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,201 – $18,601 · median $11,072 16 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,978 – $11,718 · median $6,975 16 plans
539 OSTEOMYELITIS WITH MCC $12,550 – $28,580 · median $17,012 16 plans
540 OSTEOMYELITIS WITH CC $8,211 – $18,809 · median $11,196 16 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $6,898 – $14,916 · median $8,879 16 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,585 – $16,736 · median $9,962 16 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,111 – $13,948 · median $8,303 16 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,214 – $12,052 · median $7,174 16 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,846 – $21,575 · median $12,842 16 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,556 – $12,960 · median $7,714 16 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,704 – $27,059 · median $16,107 16 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,618 – $20,673 · median $12,306 16 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,664 – $12,993 · median $7,734 16 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $9,878 – $22,397 · median $13,332 16 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,321 – $14,138 · median $8,416 16 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,747 – $10,872 · median $6,472 16 plans
570 SKIN DEBRIDEMENT WITH MCC $18,482 – $42,675 · median $25,402 16 plans
571 SKIN DEBRIDEMENT WITH CC $10,701 – $24,514 · median $14,592 16 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $21,138 – $46,990 · median $27,970 16 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,047 – $25,073 · median $14,924 16 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,517 – $20,939 · median $12,464 16 plans
593 SKIN ULCERS WITH CC $7,652 – $17,213 · median $10,246 16 plans
602 CELLULITIS WITH MCC $9,408 – $20,623 · median $12,275 16 plans
603 CELLULITIS WITHOUT MCC $5,595 – $12,637 · median $7,522 16 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,748 – $13,291 · median $7,911 16 plans
606 MINOR SKIN DISORDERS WITH MCC $10,030 – $21,956 · median $13,069 16 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,031 – $50,601 · median $30,120 16 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,551 – $27,138 · median $16,153 16 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,773 – $26,029 · median $15,493 16 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,311 – $31,614 · median $18,818 16 plans
637 DIABETES WITH MCC $9,166 – $20,846 · median $12,408 16 plans
638 DIABETES WITH CC $5,688 – $13,004 · median $7,740 16 plans
639 DIABETES WITHOUT CC/MCC $3,937 – $9,013 · median $5,365 16 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,318 – $19,379 · median $11,535 16 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,942 – $11,291 · median $6,721 16 plans
643 ENDOCRINE DISORDERS WITH MCC $10,405 – $23,884 · median $14,217 16 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,512 – $19,178 · median $11,415 16 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,631 – $15,023 · median $8,942 16 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,088 – $14,180 · median $8,441 16 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $23,388 – $60,964 · median $36,288 16 plans
682 RENAL FAILURE WITH MCC $9,492 – $21,489 · median $12,791 16 plans
683 RENAL FAILURE WITH CC $5,697 – $12,708 · median $7,564 16 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,849 – $8,710 · median $5,185 16 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,428 – $16,836 · median $10,021 16 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,103 – $11,746 · median $6,991 16 plans
693 URINARY STONES WITH MCC $8,958 – $19,508 · median $11,612 16 plans
694 URINARY STONES WITHOUT MCC $4,950 – $11,342 · median $6,751 16 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,564 – $16,596 · median $9,879 16 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,377 – $9,997 · median $5,951 16 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,463 – $24,005 · median $14,289 16 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,456 – $14,727 · median $8,766 16 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $7,349 – $18,002 · median $10,716 16 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,860 – $15,784 · median $9,395 16 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,295 – $14,619 · median $8,702 16 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,704 – $15,549 · median $9,255 16 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,206 – $35,623 · median $21,204 16 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,477 – $15,382 · median $9,156 16 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,479 – $13,897 · median $8,272 16 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,065 – $23,934 · median $14,246 16 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,648 – $16,204 · median $9,646 16 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,408 – $13,912 · median $8,281 16 plans
795 NORMAL NEWBORN $1,276 – $2,899 · median $1,726 16 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,376 – $15,659 · median $9,321 16 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,723 – $10,940 · median $6,512 16 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,138 – $9,782 · median $5,823 16 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $13,851 – $32,036 · median $19,069 16 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,617 – $18,368 · median $10,933 16 plans
811 RED BLOOD CELL DISORDERS WITH MCC $8,877 – $20,376 · median $12,129 16 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,697 – $13,323 · median $7,930 16 plans
813 COAGULATION DISORDERS $9,866 – $22,132 · median $13,174 16 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,801 – $17,448 · median $10,386 16 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,666 – $10,470 · median $6,232 16 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,237 – $7,587 · median $4,516 16 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $19,766 – $46,938 · median $27,939 16 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $31,618 – $71,658 · median $42,653 16 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,891 – $28,992 · median $17,257 16 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,359 – $14,479 · median $8,619 16 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,583 – $12,880 · median $7,667 16 plans
866 VIRAL ILLNESS WITHOUT MCC $5,804 – $12,618 · median $7,511 16 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $13,233 – $30,372 · median $18,078 16 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $44,050 – $100,288 · median $59,695 16 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,539 – $28,185 · median $16,777 16 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,514 – $14,848 · median $8,838 16 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $23,524 – $55,707 · median $33,159 16 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,093 – $22,757 · median $13,546 16 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,445 – $12,436 · median $7,403 16 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $11,540 – $26,564 · median $15,812 16 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,036 – $25,383 · median $15,109 16 plans
935 NON-EXTENSIVE BURNS $12,909 – $29,890 · median $17,792 16 plans
947 SIGNS AND SYMPTOMS WITH MCC $7,916 – $18,419 · median $10,963 16 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,066 – $11,615 · median $6,914 16 plans
949 AFTERCARE WITH CC/MCC $6,785 – $17,262 · median $10,275 16 plans
950 AFTERCARE WITHOUT CC/MCC $4,039 – $9,108 · median $5,421 16 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,356 – $49,745 · median $29,610 16 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $92,971 – $200,980 · median $119,631 14 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,507 – $26,149 · median $15,565 14 plans
791 PREMATURITY WITH MAJOR PROBLEMS $25,916 – $58,895 · median $35,057 14 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $26,622 – $60,500 · median $36,012 14 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,423 – $21,415 · median $12,747 14 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,037 – $13,932 · median $8,293 14 plans
881 DEPRESSIVE NEUROSES $5,733 – $13,652 · median $8,126 14 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,941 – $15,581 · median $9,274 14 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,112 – $23,345 · median $13,896 14 plans
885 PSYCHOSES $8,642 – $20,267 · median $12,064 14 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,633 – $8,951 · median $5,328 14 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,246 – $25,321 · median $15,072 14 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,411 – $12,809 · median $7,625 14 plans
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