Mercy Health — Kings Mills Hospital — Pricing

264 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 264 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 264
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 264 procedures

Procedures with negotiated rates only

These 264 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
201 PNEUMOTHORAX WITHOUT CC/MCC $2,528 – $14,010 · median $5,713 42 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,401 – $18,437 · median $7,519 42 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,776 – $14,166 · median $5,878 42 plans
383 CELLULITIS AND OTHER SKIN INFECTIONS,MODERATE $2,893 – $27,049 · median $11,031 42 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $4,104 – $53,836 · median $21,956 42 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,403 – $15,749 · median $6,423 42 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,527 – $12,826 · median $7,939 42 plans
813 COAGULATION DISORDERS $3,683 – $29,882 · median $12,187 42 plans
199 PNEUMOTHORAX WITH MCC $2,486 – $34,560 · median $14,095 41 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $16,062 – $45,512 · median $25,017 37 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,958 – $25,382 · median $13,952 37 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,360 – $18,020 · median $9,905 37 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $19,063 – $54,014 · median $29,690 37 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,904 – $39,398 · median $21,656 37 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,985 – $19,793 · median $10,880 37 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,732 – $13,408 · median $7,370 37 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,094 – $20,100 · median $11,049 37 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,007 – $25,521 · median $14,028 37 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,142 – $34,406 · median $18,912 37 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,073 – $20,042 · median $11,016 37 plans
101 SEIZURES WITHOUT MCC $6,241 – $17,683 · median $9,720 37 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,778 – $13,539 · median $7,442 37 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $25,842 – $73,225 · median $40,250 37 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,497 – $26,910 · median $14,792 37 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,566 – $15,771 · median $8,669 37 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,805 – $30,615 · median $16,828 37 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,748 – $19,121 · median $10,510 37 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,220 – $14,791 · median $8,130 37 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,542 – $24,203 · median $13,304 37 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,088 – $25,750 · median $14,154 37 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,715 – $19,027 · median $10,459 37 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,632 – $13,126 · median $7,215 37 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $23,097 – $65,446 · median $35,974 37 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,651 – $50,016 · median $27,493 37 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,091 – $31,426 · median $17,274 37 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $15,299 – $43,351 · median $23,829 37 plans
292 HEART FAILURE AND SHOCK WITH CC $5,870 – $16,633 · median $9,143 37 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,381 – $20,913 · median $11,496 37 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,976 – $14,100 · median $7,750 37 plans
304 HYPERTENSION WITH MCC $8,228 – $23,313 · median $12,815 37 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,324 – $23,588 · median $12,966 37 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,087 – $14,413 · median $7,923 37 plans
311 ANGINA PECTORIS $4,853 – $13,751 · median $7,559 37 plans
312 SYNCOPE AND COLLAPSE $6,026 – $17,076 · median $9,386 37 plans
313 CHEST PAIN $4,978 – $14,106 · median $7,753 37 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,417 – $40,851 · median $22,455 37 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,660 – $18,872 · median $10,374 37 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $18,812 – $53,303 · median $29,300 37 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,483 – $97,708 · median $53,708 37 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,899 – $47,884 · median $26,321 37 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $31,780 – $90,050 · median $49,498 37 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,574 – $46,964 · median $25,815 37 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,636 – $32,970 · median $18,123 37 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,580 – $41,312 · median $22,708 37 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,201 – $23,239 · median $12,774 37 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,049 – $25,641 · median $14,094 37 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,540 – $29,866 · median $16,417 37 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,079 – $45,559 · median $25,043 37 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,006 – $31,187 · median $17,143 37 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,059 – $20,002 · median $10,995 37 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,029 – $14,250 · median $7,833 37 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,363 – $23,697 · median $13,026 37 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,639 – $35,812 · median $19,685 37 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,781 – $19,213 · median $10,561 37 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,359 – $12,350 · median $6,789 37 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $13,567 – $38,441 · median $21,130 37 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,491 – $21,227 · median $11,668 37 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,910 – $16,746 · median $9,205 37 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,211 – $28,932 · median $15,903 37 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,461 – $15,473 · median $8,505 37 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,390 – $15,273 · median $8,395 37 plans
397 APPENDIX PROCEDURES WITH MCC $16,558 – $46,918 · median $25,790 37 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,500 – $46,752 · median $25,698 37 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,696 – $33,140 · median $18,216 37 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,443 – $26,757 · median $14,708 37 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,608 – $38,559 · median $21,195 37 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,699 – $35,983 · median $19,779 37 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,816 – $16,480 · median $9,059 37 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,553 – $32,735 · median $17,993 37 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,567 – $21,440 · median $11,785 37 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $24,383 – $69,090 · median $37,977 37 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,336 – $36,578 · median $20,772 37 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,136 – $57,055 · median $31,362 37 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,481 – $41,033 · median $22,555 37 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,277 – $31,953 · median $17,564 37 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $19,165 – $54,304 · median $29,850 37 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,230 – $34,655 · median $19,049 37 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $17,535 – $49,685 · median $27,311 37 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,086 – $34,247 · median $18,825 37 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,306 – $26,368 · median $14,494 37 plans
504 FOOT PROCEDURES WITH CC $12,924 – $36,620 · median $20,129 37 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,885 – $30,842 · median $16,953 37 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,368 – $40,712 · median $22,378 37 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,625 – $30,105 · median $16,548 37 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,845 – $56,230 · median $30,908 37 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,642 – $41,488 · median $22,805 37 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,214 – $34,608 · median $19,023 37 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,108 – $20,140 · median $11,070 37 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $17,158 – $48,619 · median $26,725 37 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,781 – $16,382 · median $9,005 37 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,646 – $18,833 · median $10,352 37 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,963 – $25,396 · median $13,959 37 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,280 – $29,130 · median $16,012 37 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,176 – $17,499 · median $9,619 37 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,178 – $28,840 · median $15,853 37 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,333 – $17,945 · median $9,864 37 plans
638 DIABETES WITH CC $6,196 – $17,557 · median $9,651 37 plans
639 DIABETES WITHOUT CC/MCC $4,295 – $12,170 · median $6,690 37 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,234 – $26,166 · median $14,383 37 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,832 – $27,860 · median $15,314 37 plans
643 ENDOCRINE DISORDERS WITH MCC $11,381 – $32,249 · median $17,726 37 plans
644 ENDOCRINE DISORDERS WITH CC $7,087 – $20,081 · median $11,038 37 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,568 – $49,779 · median $27,362 37 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,138 – $25,893 · median $14,233 37 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,159 – $20,285 · median $11,150 37 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,731 – $30,405 · median $16,713 37 plans
682 RENAL FAILURE WITH MCC $10,240 – $29,014 · median $15,948 37 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,150 – $11,760 · median $6,464 37 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,471 – $35,336 · median $19,424 37 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,022 – $22,731 · median $12,495 37 plans
694 URINARY STONES WITHOUT MCC $5,405 – $15,314 · median $8,418 37 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,439 – $32,411 · median $17,816 37 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,018 – $19,885 · median $10,930 37 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,770 – $13,516 · median $7,429 37 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,395 – $29,453 · median $16,190 37 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,311 – $20,716 · median $11,387 37 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,901 – $22,387 · median $12,305 37 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,992 – $14,145 · median $7,775 37 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,253 – $29,051 · median $15,969 37 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,609 – $15,892 · median $8,736 37 plans
811 RED BLOOD CELL DISORDERS WITH MCC $9,709 – $27,512 · median $15,123 37 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $34,145 – $96,752 · median $53,182 37 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,815 – $39,145 · median $21,517 37 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $31,450 – $89,114 · median $48,984 37 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,806 – $41,954 · median $23,061 37 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,899 – $19,550 · median $10,746 37 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,138 – $17,391 · median $9,559 37 plans
865 VIRAL ILLNESS WITH MCC $10,359 – $29,353 · median $16,135 37 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $47,788 – $135,409 · median $74,431 37 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,430 – $38,056 · median $20,918 37 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,075 – $20,047 · median $11,020 37 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,500 – $18,811 · median $7,672 37 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,500 – $31,520 · median $12,855 37 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,500 – $11,698 · median $4,929 37 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,500 – $33,092 · median $13,943 37 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,545 – $75,216 · median $41,344 37 plans
915 ALLERGIC REACTIONS WITH MCC $11,627 – $32,944 · median $18,109 37 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,607 – $13,053 · median $7,175 37 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,844 – $30,727 · median $16,890 37 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $12,658 – $35,867 · median $19,715 37 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,760 – $13,486 · median $7,413 37 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,157 – $45,782 · median $25,165 37 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,535 – $15,683 · median $8,620 37 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,439 – $91,917 · median $50,525 37 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $25,385 – $71,930 · median $39,921 36 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,765 – $18,081 · median $7,938 36 plans
885 PSYCHOSES $9,657 – $27,365 · median $14,557 36 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,528 – $16,741 · median $7,053 36 plans
123 NEUROLOGICAL EYE DISORDERS $5,522 – $15,645 · median $8,600 35 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $20,858 – $59,102 · median $27,247 34 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $29,050 – $82,314 · median $37,948 34 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,944 – $11,177 · median $7,352 34 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,523 – $15,649 · median $8,685 32 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,309 – $15,042 · median $8,348 32 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $3,458 – $15,818 · median $6,451 32 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,076 – $25,717 · median $13,817 32 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $11,510 – $32,615 · median $13,301 31 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,803 – $44,777 · median $18,261 31 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $24,333 – $68,949 · median $28,119 31 plans
103 HEADACHES WITHOUT MCC $5,782 – $16,384 · median $6,682 31 plans
149 DYSEQUILIBRIUM $5,197 – $14,725 · median $8,094 31 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,578 – $29,972 · median $12,223 31 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,005 – $53,850 · median $21,961 31 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,355 – $18,006 · median $7,343 31 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,876 – $25,151 · median $10,257 31 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,288 – $31,986 · median $13,045 31 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,655 – $13,189 · median $5,379 31 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,914 – $11,090 · median $4,523 31 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,229 – $48,819 · median $19,910 31 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,589 – $32,836 · median $13,392 31 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,139 – $25,895 · median $10,561 31 plans
603 CELLULITIS WITHOUT MCC $6,021 – $17,062 · median $6,958 31 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,931 – $36,641 · median $14,943 31 plans
637 DIABETES WITH MCC $8,712 – $28,393 · median $10,020 31 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,881 – $15,308 · median $7,566 31 plans
683 RENAL FAILURE WITH CC $6,055 – $17,158 · median $6,997 31 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,752 – $24,800 · median $10,114 31 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,609 – $35,728 · median $14,571 31 plans
187 PLEURAL EFFUSION WITH CC $6,839 – $19,377 · median $14,635 30 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,296 – $12,174 · median $6,476 30 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,065 – $15,886 · median $10,001 30 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,716 – $13,363 · median $10,092 29 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,127 – $20,194 · median $10,742 28 plans
194 HEART FAILURE,MINOR $3,030 – $15,788 · median $6,439 28 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,792 – $36,984 · median $17,688 28 plans
305 HYPERTENSION WITHOUT MCC $5,221 – $14,793 · median $7,869 28 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,418 – $10,720 · median $8,171 28 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,975 – $12,468 · median $5,963 28 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,445 – $32,431 · median $17,999 28 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,013 – $15,724 · median $5,765 28 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,926 – $16,791 · median $6,848 28 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,562 – $18,594 · median $9,561 27 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,851 – $27,913 · median $15,343 27 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,356 – $19,936 · median $12,550 26 plans
398 APPENDIX PROCEDURES WITH CC $9,452 – $29,645 · median $22,595 26 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,303 – $20,692 · median $9,539 26 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,743 – $15,751 · median $8,656 26 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,506 – $17,269 · median $13,043 25 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,439 – $12,577 · median $6,914 25 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,427 – $10,750 · median $5,313 25 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,187 – $13,132 · median $6,490 25 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,469 – $18,331 · median $10,271 25 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,914 – $22,426 · median $17,093 25 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,949 – $22,001 · median $13,850 24 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,586 – $14,384 · median $7,109 23 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,392 – $32,594 · median $11,951 23 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,873 – $38,049 · median $21,607 23 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,104 – $14,462 · median $9,436 22 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $6,807 – $21,348 · median $8,849 22 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,767 – $16,262 · median $12,282 22 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,930 – $19,636 · median $12,916 22 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,191 – $17,544 · median $9,021 21 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,890 – $12,199 · median $9,256 20 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $9,736 – $31,730 · median $19,673 20 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,689 – $32,960 · median $25,122 19 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,409 – $35,160 · median $14,339 19 plans
602 CELLULITIS WITH MCC $9,827 – $27,845 · median $11,356 19 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,635 – $16,831 · median $12,828 18 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,024 – $24,358 · median $15,929 14 plans
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME $13,373 – $14,948 · median $14,041 5 plans
053 SEIZURE,MODERATE $3,111 – $4,148 · median $3,710 5 plans
113 INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE — 5 plans
121 OTHER RESPIRATORY AND CHEST PROCEDURES,MAJOR $15,933 – $17,810 · median $16,729 5 plans
133 RESPIRATORY FAILURE,MODERATE $4,379 – $4,894 · median $4,597 5 plans
137 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,MINOR $3,483 – $3,894 · median $3,658 5 plans
139 OTHER PNEUMONIA,MINOR $2,643 – $2,955 · median $2,776 5 plans
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MINOR — 5 plans
229 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,MODERATE $7,510 – $8,395 · median $7,886 5 plans
241 PEPTIC ULCER AND GASTRITIS,MODERATE $3,404 – $4,436 · median $3,410 5 plans
243 OTHER ESOPHAGEAL DISORDERS,MINOR $3,730 – $4,614 · median $4,170 5 plans
246 GASTROINTESTINAL VASCULAR INSUFFICIENCY,MINOR $3,216 – $3,594 · median $3,376 5 plans
247 INTESTINAL OBSTRUCTION,MODERATE $2,846 – $4,336 · median $3,879 5 plans
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MINOR $3,037 – $6,313 · median $5,930 5 plans
252 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MODERATE — 5 plans
253 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MAJOR $5,707 – $6,379 · median $5,992 5 plans
254 OTHER DIGESTIVE SYSTEM DIAGNOSES,MAJOR $6,835 – $7,640 · median $7,177 5 plans
263 CHOLECYSTECTOMY,MODERATE $6,445 – $7,204 · median $6,767 5 plans
317 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES,MINOR — 5 plans
324 ELECTIVE HIP JOINT REPLACEMENT,MODERATE $8,880 – $9,926 · median $9,324 5 plans
347 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES,MINOR — 5 plans
420 DIABETES,MINOR — 5 plans
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MAJOR $3,655 – $5,444 · median $5,114 5 plans
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MAJOR $3,211 – $5,409 · median $5,081 5 plans
463 KIDNEY AND URINARY TRACT INFECTIONS,MODERATE — 5 plans
465 URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,MINOR — 5 plans
469 ACUTE KIDNEY INJURY,MODERATE $3,419 – $12,919 · median $3,596 5 plans
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MINOR $4,398 – $4,917 · median $4,618 5 plans
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MAJOR $3,104 – $6,780 · median $6,369 5 plans
750 SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,MINOR $7,615 – $8,512 · median $7,996 5 plans
773 OPIOID ABUSE AND DEPENDENCE,MODERATE $3,929 – $4,392 · median $4,125 5 plans
775 ALCOHOL ABUSE AND DEPENDENCE,MAJOR $3,992 – $8,695 · median $8,167 5 plans
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE $4,205 – $4,700 · median $4,415 5 plans
145 ACUTE BRONCHITIS AND RELATED SYMPTOMS,MODERATE $2,779 – $3,415 · median $3,105 4 plans
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE $4,101 – $4,306 · median $4,306 3 plans
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