Christus St Frances Cabrini Hospital (Acute Care) — Pricing

255 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 255 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 255
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 255 procedures

Procedures with negotiated rates only

These 255 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
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,000 – $14,160 · median $11,617 6 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,000 – $14,160 · median $11,617 6 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,000 – $14,160 · median $11,617 6 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,000 – $14,160 · median $11,617 6 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,000 – $14,160 · median $11,617 6 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,000 – $14,160 · median $11,617 6 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $70,646 – $158,459 · median $91,784 5 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $47,272 – $109,729 · median $62,358 5 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,368 – $85,100 · median $53,463 5 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $56,639 – $126,102 · median $73,345 5 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $38,772 – $82,885 · median $49,332 5 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $33,618 – $68,866 · median $42,010 5 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $61,150 – $119,994 · median $76,151 5 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $44,232 – $86,796 · median $54,896 5 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $56,114 – $110,112 · median $70,242 5 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $36,859 – $72,328 · median $47,810 5 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $43,072 – $89,025 · median $54,027 5 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $28,755 – $56,428 · median $36,953 5 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $36,034 – $70,711 · median $45,264 5 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $21,317 – $41,873 · median $26,181 5 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,052 – $24,681 · median $14,331 5 plans
245 AICD GENERATOR PROCEDURES $31,873 – $62,546 · median $43,915 5 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $20,536 – $44,466 · median $26,274 5 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,866 – $26,528 · median $16,122 5 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $24,933 – $53,534 · median $31,783 5 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $11,504 – $22,574 · median $17,053 5 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $8,121 – $16,169 · median $13,524 5 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $15,815 – $31,034 · median $19,890 5 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,977 – $16,097 · median $9,905 5 plans
471 CERVICAL SPINAL FUSION WITH MCC $35,297 – $69,262 · median $43,650 5 plans
472 CERVICAL SPINAL FUSION WITH CC $20,867 – $40,948 · median $26,036 5 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $15,311 – $30,048 · median $21,275 5 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $28,465 – $50,581 · median $41,426 3 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,652 – $31,753 · median $24,233 3 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,418 – $24,604 · median $19,528 3 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $24,309 – $47,510 · median $35,378 3 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,795 – $24,373 · median $17,165 3 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,332 – $15,704 · median $12,125 3 plans
265 AICD LEAD PROCEDURES $26,112 – $38,001 · median $34,687 3 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $48,807 – $79,653 · median $71,030 3 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,456 – $45,326 · median $44,324 3 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,015 – $30,463 · median $17,486 3 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,748 – $19,171 · median $9,820 3 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,308 – $13,652 · median $7,724 3 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,314 – $26,569 · median $20,831 3 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,424 – $14,303 · median $7,894 3 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,109 – $9,503 · median $5,981 3 plans
397 APPENDIX PROCEDURES WITH MCC $18,138 – $33,903 · median $26,396 3 plans
398 APPENDIX PROCEDURES WITH CC $11,077 – $20,562 · median $16,120 3 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,226 – $14,194 · median $11,972 3 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $44,921 – $71,300 · median $65,374 3 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,963 – $49,352 · median $30,508 3 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $26,235 – $38,180 · median $27,003 3 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,434 – $27,003 · median $21,007 3 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,491 – $15,268 · median $14,732 3 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $156,879 – $228,311 · median $192,595 2 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $41,761 – $60,776 · median $51,269 2 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $27,828 – $40,500 · median $34,164 2 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $32,737 – $47,643 · median $40,190 2 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,389 – $32,583 · median $27,486 2 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,064 – $26,289 · median $22,177 2 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $18,330 – $26,676 · median $22,503 2 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,768 – $14,215 · median $11,992 2 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,314 – $16,465 · median $13,890 2 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,630 – $11,105 · median $9,368 2 plans
088 CONCUSSION WITH MCC $10,326 – $15,028 · median $12,677 2 plans
089 CONCUSSION WITH CC $7,848 – $11,421 · median $9,634 2 plans
090 CONCUSSION WITHOUT CC/MCC $6,275 – $9,133 · median $7,704 2 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $26,708 – $38,870 · median $32,789 2 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,548 – $25,537 · median $21,542 2 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,548 – $25,537 · median $21,542 2 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,207 – $16,310 · median $13,758 2 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,515 – $12,392 · median $10,453 2 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,965 – $7,226 · median $6,096 2 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,793 – $24,439 · median $20,616 2 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,112 – $13,261 · median $11,186 2 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,861 – $8,530 · median $7,195 2 plans
149 DYSEQUILIBRIUM $5,472 – $7,963 · median $6,717 2 plans
150 EPISTAXIS WITH MCC $10,118 – $14,725 · median $12,421 2 plans
151 EPISTAXIS WITHOUT MCC $5,549 – $8,075 · median $6,812 2 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,987 – $17,444 · median $14,715 2 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,885 – $10,020 · median $8,453 2 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,828 – $7,027 · median $5,928 2 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,220 – $11,963 · median $10,092 2 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,289 – $9,152 · median $7,720 2 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,738 – $6,895 · median $5,816 2 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,076 – $10,298 · median $8,687 2 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,099 – $7,421 · median $6,260 2 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $79,743 – $116,053 · median $97,898 2 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $69,173 – $69,173 · median $69,173 2 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $50,292 – $50,292 · median $50,292 2 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $63,616 – $63,616 · median $63,616 2 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $47,204 – $47,204 · median $47,204 2 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $53,693 – $53,693 · median $53,693 2 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $39,969 – $39,969 · median $39,969 2 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $43,853 – $63,820 · median $53,836 2 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,438 – $50,119 · median $42,279 2 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $51,730 – $75,285 · median $63,508 2 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $45,343 – $65,989 · median $55,666 2 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $34,052 – $49,557 · median $41,804 2 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,995 – $29,099 · median $24,547 2 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,541 – $16,797 · median $14,169 2 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,166 – $10,429 · median $8,798 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,989 – $13,082 · median $11,035 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,781 – $8,414 · median $7,098 2 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,993 – $17,454 · median $14,723 2 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,156 – $7,504 · median $6,330 2 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,233 – $4,705 · median $3,969 2 plans
302 ATHEROSCLEROSIS WITH MCC $8,515 – $12,393 · median $10,454 2 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,922 – $7,163 · median $6,043 2 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,961 – $15,952 · median $13,456 2 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,781 – $9,869 · median $8,325 2 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,827 – $12,846 · median $10,837 2 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,412 – $7,876 · median $6,644 2 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,096 – $5,960 · median $5,028 2 plans
311 ANGINA PECTORIS $5,112 – $7,439 · median $6,275 2 plans
313 CHEST PAIN $5,222 – $7,600 · median $6,411 2 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $45,284 – $65,904 · median $55,594 2 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $31,179 – $45,375 · median $38,277 2 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,388 – $34,037 · median $28,713 2 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,951 – $30,490 · median $25,720 2 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $17,278 – $17,278 · median $17,278 2 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $10,478 – $10,478 · median $10,478 2 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $7,233 – $7,233 · median $7,233 2 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,325 – $25,214 · median $21,269 2 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,215 – $13,411 · median $11,313 2 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,448 – $9,384 · median $7,916 2 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,455 – $22,493 · median $18,974 2 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,994 – $13,089 · median $11,042 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,464 – $9,407 · median $7,935 2 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,309 – $19,369 · median $16,339 2 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,217 – $10,503 · median $8,860 2 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,661 – $6,783 · median $5,722 2 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,086 – $20,500 · median $17,293 2 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,972 – $11,602 · median $9,787 2 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,485 – $7,982 · median $6,734 2 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,760 – $15,659 · median $13,209 2 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,868 – $8,539 · median $7,204 2 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,006 – $5,829 · median $4,917 2 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,403 – $13,684 · median $11,543 2 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,712 – $8,313 · median $7,012 2 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,630 – $37,299 · median $31,464 2 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,346 – $22,334 · median $18,840 2 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,354 – $16,524 · median $13,939 2 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $20,030 – $29,151 · median $24,591 2 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,603 – $22,708 · median $19,156 2 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,170 – $17,711 · median $14,940 2 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $25,648 – $37,326 · median $31,487 2 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,480 – $21,073 · median $17,776 2 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,030 – $14,597 · median $12,313 2 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $61,053 – $88,852 · median $74,953 2 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $40,044 – $58,277 · median $49,161 2 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,341 – $20,870 · median $17,605 2 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,831 – $11,397 · median $9,614 2 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,098 – $7,420 · median $6,259 2 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,178 – $17,723 · median $14,951 2 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,297 – $9,164 · median $7,730 2 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,503 – $6,553 · median $5,528 2 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,838 – $20,138 · median $16,988 2 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,073 – $10,293 · median $8,683 2 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,144 – $7,486 · median $6,315 2 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,330 – $17,944 · median $15,137 2 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,939 – $11,553 · median $9,746 2 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,836 – $8,494 · median $7,165 2 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $32,828 – $47,776 · median $40,302 2 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,791 – $22,982 · median $19,387 2 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,514 – $12,391 · median $10,452 2 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,173 – $36,636 · median $30,905 2 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,119 – $24,913 · median $21,016 2 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,999 – $18,918 · median $15,958 2 plans
503 FOOT PROCEDURES WITH MCC $19,373 – $28,194 · median $23,784 2 plans
504 FOOT PROCEDURES WITH CC $12,847 – $18,696 · median $15,771 2 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,847 – $18,696 · median $15,771 2 plans
509 ARTHROSCOPY $12,859 – $18,714 · median $15,787 2 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,021 – $16,039 · median $13,530 2 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,463 – $10,862 · median $9,163 2 plans
533 FRACTURES OF FEMUR WITH MCC $11,162 – $16,245 · median $13,704 2 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,958 – $8,672 · median $7,315 2 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,735 – $14,167 · median $11,951 2 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,936 – $8,639 · median $7,287 2 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,497 – $26,919 · median $22,708 2 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,474 – $12,333 · median $10,404 2 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,462 – $7,949 · median $6,706 2 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,560 – $13,913 · median $11,736 2 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,109 – $8,891 · median $7,500 2 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,588 – $19,775 · median $16,682 2 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,335 – $12,131 · median $10,233 2 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,985 – $8,710 · median $7,347 2 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,713 – $15,591 · median $13,152 2 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,543 – $9,522 · median $8,032 2 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,987 – $21,811 · median $18,399 2 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,531 – $21,147 · median $17,839 2 plans
602 CELLULITIS WITH MCC $10,755 – $15,651 · median $13,203 2 plans
603 CELLULITIS WITHOUT MCC $6,447 – $9,383 · median $7,915 2 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,682 – $24,278 · median $20,480 2 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,490 – $15,266 · median $12,878 2 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,292 – $41,174 · median $34,733 2 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,139 – $20,577 · median $17,358 2 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,114 – $13,264 · median $11,189 2 plans
637 DIABETES WITH MCC $10,660 – $15,514 · median $13,087 2 plans
638 DIABETES WITH CC $6,714 – $9,771 · median $8,242 2 plans
639 DIABETES WITHOUT CC/MCC $4,587 – $6,675 · median $5,631 2 plans
643 ENDOCRINE DISORDERS WITH MCC $12,131 – $17,655 · median $14,893 2 plans
644 ENDOCRINE DISORDERS WITH CC $7,564 – $11,009 · median $9,287 2 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,700 – $8,295 · median $6,998 2 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,242 – $13,450 · median $11,346 2 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,449 – $7,930 · median $6,690 2 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $14,303 – $20,816 · median $17,560 2 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,502 – $10,917 · median $9,209 2 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,972 – $14,513 · median $12,242 2 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,876 – $11,463 · median $9,669 2 plans
779 ABORTION WITHOUT D&C $6,843 – $9,958 · median $8,401 2 plans
813 COAGULATION DISORDERS $11,331 – $16,491 · median $13,911 2 plans
834 ACUTE LEUKEMIA WITH MCC $40,460 – $58,882 · median $49,671 2 plans
835 ACUTE LEUKEMIA WITH CC $15,635 – $22,754 · median $19,194 2 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,302 – $13,537 · median $11,419 2 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $36,653 – $53,342 · median $44,997 2 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,846 – $21,606 · median $18,226 2 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,031 – $14,599 · median $12,315 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,694 – $27,206 · median $22,950 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,302 – $13,537 · median $11,419 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,994 – $8,724 · median $7,359 2 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $67,431 – $98,134 · median $82,783 2 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,573 – $9,566 · median $8,070 2 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,017 – $10,212 · median $8,614 2 plans
881 DEPRESSIVE NEUROSES $6,691 – $9,738 · median $8,215 2 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,571 – $19,750 · median $16,660 2 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,150 – $19,138 · median $16,144 2 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,568 – $6,649 · median $5,608 2 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,599 – $15,424 · median $13,012 2 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,035 – $18,971 · median $16,003 2 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,458 – $9,398 · median $7,928 2 plans
906 HAND PROCEDURES FOR INJURIES $15,976 – $23,250 · median $19,613 2 plans
915 ALLERGIC REACTIONS WITH MCC $12,721 – $18,514 · median $15,618 2 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,861 – $7,075 · median $5,968 2 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,349 – $19,427 · median $16,388 2 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,436 – $10,822 · median $9,129 2 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,034 – $7,326 · median $6,180 2 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $173,651 – $252,719 · median $213,185 2 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $48,890 – $71,150 · median $60,020 2 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,281 – $33,881 · median $28,581 2 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $31,673 – $46,094 · median $38,884 2 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,707 – $22,859 · median $19,283 2 plans
949 AFTERCARE WITH CC/MCC $7,898 – $11,495 · median $9,696 2 plans
950 AFTERCARE WITHOUT CC/MCC $4,290 – $6,244 · median $5,267 2 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $49,983 – $72,742 · median $61,363 2 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $34,799 – $50,643 · median $42,721 2 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,922 – $26,082 · median $22,002 2 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,211 – $17,771 · median $14,991 2 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $95,905 – $95,905 · median $95,905 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $44,183 – $44,183 · median $44,183 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $44,183 – $44,183 · median $44,183 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $276,058 – $276,058 · median $276,058 1 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $43,516 – $43,516 · median $43,516 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $30,528 – $30,528 · median $30,528 1 plans
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