The Hospitals of Providence Horizon City Campus — 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
030 SPINAL PROCEDURES W/O CC/MCC $12,337 – $69,450 · median $29,984 31 plans
053 SPINAL DISORDERS & INJURIES W/O CC/MCC $5,234 – $30,979 · median $13,176 31 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC $7,252 – $40,989 · median $17,697 31 plans
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC $9,192 – $54,083 · median $23,074 31 plans
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC $6,316 – $39,258 · median $16,295 31 plans
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC $4,774 – $29,100 · median $12,196 31 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $10,656 – $63,622 · median $26,943 31 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC $5,407 – $31,963 · median $13,604 31 plans
069 TRANSIENT ISCHEMIA $4,249 – $25,272 · median $10,723 31 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC $9,520 – $52,669 · median $22,740 31 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC $5,649 – $32,460 · median $14,014 31 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC $4,166 – $23,924 · median $10,329 31 plans
073 CRANIAL & PERIPHERAL NERVE DISORDERS W MCC $8,049 – $50,755 · median $20,920 31 plans
074 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $5,459 – $32,611 · median $13,807 31 plans
076 VIRAL MENINGITIS W/O CC/MCC $4,908 – $26,107 · median $11,548 31 plans
085 TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC $12,091 – $71,876 · median $30,505 31 plans
087 TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC $4,715 – $28,938 · median $12,087 31 plans
089 CONCUSSION W CC $6,117 – $34,756 · median $15,006 31 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM W MCC $9,519 – $55,561 · median $23,799 31 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM W CC $5,459 – $32,365 · median $13,754 31 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC $4,120 – $25,193 · median $10,542 31 plans
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC $12,684 – $81,598 · median $33,306 31 plans
096 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC $11,596 – $81,598 · median $31,562 31 plans
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC $19,348 – $114,267 · median $48,656 31 plans
099 NON-BACTE INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/M $7,023 – $43,102 · median $18,004 31 plans
100 SEIZURES W MCC $10,547 – $61,275 · median $26,310 31 plans
101 SEIZURES W/O MCC $4,839 – $28,556 · median $12,164 31 plans
102 HEADACHES W MCC $6,419 – $35,462 · median $15,310 31 plans
103 HEADACHES W/O MCC $4,482 – $26,458 · median $11,268 31 plans
121 ACUTE MAJOR EYE INFECTIONS W CC/MCC $6,816 – $36,803 · median $15,890 31 plans
122 ACUTE MAJOR EYE INFECTIONS W/O CC/MCC $3,961 – $24,860 · median $10,270 31 plans
125 OTHER DISORDERS OF THE EYE W/O MCC $4,243 – $24,291 · median $10,487 31 plans
149 DYSEQUILIBRIUM $3,962 – $23,778 · median $10,043 31 plans
152 OTITIS MEDIA & URI W MCC $6,321 – $37,401 · median $15,911 31 plans
153 OTITIS MEDIA & URI W/O MCC $3,909 – $23,354 · median $9,887 31 plans
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC $8,183 – $49,464 · median $20,818 31 plans
155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC $5,036 – $28,995 · median $12,507 31 plans
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $3,487 – $21,864 · median $9,037 31 plans
158 DENTAL & ORAL DISEASES W CC $4,993 – $28,783 · median $12,408 31 plans
159 DENTAL & ORAL DISEASES W/O CC/MCC $3,592 – $22,415 · median $9,286 31 plans
175 PULMONARY EMBOLISM W MCC $7,464 – $43,457 · median $18,639 31 plans
176 PULMONARY EMBOLISM W/O MCC $4,339 – $25,468 · median $10,878 31 plans
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $9,025 – $49,439 · median $21,345 31 plans
178 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $5,249 – $30,878 · median $13,175 31 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $4,061 – $23,886 · median $10,192 31 plans
183 MAJOR CHEST TRAUMA W MCC $8,376 – $48,401 · median $20,840 31 plans
184 MAJOR CHEST TRAUMA W CC $5,596 – $33,665 · median $14,203 31 plans
185 MAJOR CHEST TRAUMA W/O CC/MCC $4,020 – $24,883 · median $10,350 31 plans
186 PLEURAL EFFUSION W MCC $8,257 – $49,306 · median $20,879 31 plans
187 PLEURAL EFFUSION W CC $5,300 – $31,292 · median $13,327 31 plans
189 PULMONARY EDEMA & RESPIRATORY FAILURE $6,554 – $39,084 · median $16,562 31 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $5,863 – $35,044 · median $14,832 31 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $4,517 – $26,670 · median $11,357 31 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $3,414 – $20,311 · median $8,617 31 plans
193 SIMPLE PNEUMONIA & PLEURISY W MCC $7,058 – $41,584 · median $17,728 31 plans
194 SIMPLE PNEUMONIA & PLEURISY W CC $4,374 – $25,496 · median $10,929 31 plans
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $3,328 – $19,884 · median $8,418 31 plans
196 INTERSTITIAL LUNG DISEASE W MCC $10,084 – $59,705 · median $25,390 31 plans
197 INTERSTITIAL LUNG DISEASE W CC $5,307 – $30,027 · median $12,964 31 plans
198 INTERSTITIAL LUNG DISEASE W/O CC/MCC $4,140 – $22,658 · median $9,783 31 plans
199 PNEUMOTHORAX W MCC $9,438 – $55,811 · median $23,750 31 plans
200 PNEUMOTHORAX W CC $5,730 – $34,779 · median $14,607 31 plans
202 BRONCHITIS & ASTHMA W CC/MCC $5,094 – $30,726 · median $12,945 31 plans
203 BRONCHITIS & ASTHMA W/O CC/MCC $3,697 – $21,197 · median $9,152 31 plans
204 RESPIRATORY SIGNS & SYMPTOMS $4,378 – $25,544 · median $10,944 31 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $9,631 – $57,927 · median $24,440 31 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $4,860 – $29,774 · median $12,447 31 plans
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS $14,384 – $86,961 · median $36,596 31 plans
252 OTHER VASCULAR PROCEDURES W MCC $17,842 – $110,359 · median $45,919 31 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $8,440 – $50,749 · median $21,415 31 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC $4,857 – $29,078 · median $12,297 31 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC $3,820 – $22,877 · median $9,673 31 plans
288 ACUTE & SUBACUTE ENDOCARDITIS W MCC $13,795 – $85,616 · median $35,564 31 plans
291 HEART FAILURE & SHOCK W MCC $6,830 – $40,616 · median $17,235 31 plans
292 HEART FAILURE & SHOCK W CC $4,557 – $26,860 · median $11,448 31 plans
293 HEART FAILURE & SHOCK W/O CC/MCC $2,987 – $17,907 · median $7,568 31 plans
296 CARDIAC ARREST, UNEXPLAINED W MCC $8,529 – $49,414 · median $21,247 31 plans
299 PERIPHERAL VASCULAR DISORDERS W MCC $8,385 – $51,654 · median $21,536 31 plans
300 PERIPHERAL VASCULAR DISORDERS W CC $5,676 – $33,773 · median $14,327 31 plans
301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC $3,776 – $22,769 · median $9,595 31 plans
302 ATHEROSCLEROSIS W MCC $5,964 – $37,857 · median $15,553 31 plans
303 ATHEROSCLEROSIS W/O MCC $3,501 – $21,298 · median $8,935 31 plans
304 HYPERTENSION W MCC $6,113 – $37,648 · median $15,698 31 plans
305 HYPERTENSION W/O MCC $4,009 – $23,889 · median $10,126 31 plans
307 CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC $5,015 – $28,891 · median $12,458 31 plans
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $6,396 – $38,091 · median $16,151 31 plans
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $3,962 – $23,275 · median $9,937 31 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $2,942 – $17,910 · median $7,511 31 plans
311 ANGINA PECTORIS $3,714 – $22,206 · median $9,397 31 plans
312 SYNCOPE & COLLAPSE $4,594 – $27,575 · median $11,646 31 plans
313 CHEST PAIN $3,850 – $22,779 · median $9,690 31 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $11,137 – $65,969 · median $28,049 31 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $5,146 – $30,476 · median $12,959 31 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC $3,685 – $21,580 · median $9,229 31 plans
368 MAJOR ESOPHAGEAL DISORDERS W MCC $8,789 – $50,363 · median $21,744 31 plans
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC $9,298 – $56,096 · median $23,631 31 plans
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC $5,545 – $32,301 · median $13,850 31 plans
373 MAJOR GASTROINTESTINAL DISORD & PERITONEAL INFECTIONS W/O CC/M $3,812 – $23,013 · median $9,691 31 plans
375 DIGESTIVE MALIGNANCY W CC $6,375 – $38,268 · median $16,162 31 plans
376 DIGESTIVE MALIGNANCY W/O CC/MCC $4,742 – $29,242 · median $12,186 31 plans
377 G.I. HEMORRHAGE W MCC $9,524 – $57,832 · median $24,285 31 plans
378 G.I. HEMORRHAGE W CC $5,234 – $31,026 · median $13,186 31 plans
379 G.I. HEMORRHAGE W/O CC/MCC $3,369 – $19,944 · median $8,482 31 plans
380 COMPLICATED PEPTIC ULCER W MCC $10,366 – $62,078 · median $26,249 31 plans
386 INFLAMMATORY BOWEL DISEASE W CC $5,169 – $30,887 · median $13,075 31 plans
387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC $3,639 – $21,554 · median $9,165 31 plans
388 G.I. OBSTRUCTION W MCC $7,733 – $46,722 · median $19,668 31 plans
389 G.I. OBSTRUCTION W CC $4,237 – $24,987 · median $10,647 31 plans
390 G.I. OBSTRUCTION W/O CC/MCC $2,974 – $17,211 · median $7,404 31 plans
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $6,787 – $40,125 · median $17,076 31 plans
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $4,179 – $24,664 · median $10,506 31 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $8,616 – $50,597 · median $21,607 31 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC $4,984 – $29,603 · median $12,569 31 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $3,445 – $20,532 · median $8,702 31 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC $11,104 – $69,219 · median $28,691 31 plans
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC $10,193 – $62,268 · median $26,069 31 plans
433 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $5,485 – $33,415 · median $14,009 31 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $8,878 – $51,575 · median $22,146 31 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $4,550 – $26,613 · median $11,387 31 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $3,275 – $19,659 · median $8,303 31 plans
441 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC $9,726 – $56,779 · median $24,320 31 plans
442 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC $5,062 – $30,539 · median $12,865 31 plans
443 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC $3,802 – $22,136 · median $9,495 31 plans
444 DISORDERS OF THE BILIARY TRACT W MCC $8,689 – $52,862 · median $22,176 31 plans
445 DISORDERS OF THE BILIARY TRACT W CC $5,782 – $34,624 · median $14,640 31 plans
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC $4,264 – $26,173 · median $10,932 31 plans
535 FRACTURES OF HIP & PELVIS W MCC $6,898 – $40,559 · median $17,310 31 plans
536 FRACTURES OF HIP & PELVIS W/O MCC $4,187 – $25,550 · median $10,703 31 plans
537 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC $5,144 – $30,191 · median $12,897 31 plans
539 OSTEOMYELITIS W MCC $10,557 – $62,315 · median $26,542 31 plans
540 OSTEOMYELITIS W CC $6,906 – $41,011 · median $17,415 31 plans
541 OSTEOMYELITIS W/O CC/MCC $4,564 – $24,911 · median $11,019 31 plans
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC $5,803 – $32,523 · median $14,041 31 plans
544 PATHOLOGICAL FRACTURES & MUSCULOSKEL & CONN TISS MALIG W/O CC/M $4,083 – $23,873 · median $10,217 31 plans
545 CONNECTIVE TISSUE DISORDERS W MCC $13,264 – $78,514 · median $33,393 31 plans
546 CONNECTIVE TISSUE DISORDERS W CC $6,380 – $36,490 · median $15,754 31 plans
547 CONNECTIVE TISSUE DISORDERS W/O CC/MCC $4,327 – $26,455 · median $11,071 31 plans
549 SEPTIC ARTHRITIS W CC $6,417 – $38,192 · median $16,199 31 plans
550 SEPTIC ARTHRITIS W/O CC/MCC $4,899 – $27,654 · median $11,939 31 plans
551 MEDICAL BACK PROBLEMS W MCC $9,054 – $53,027 · median $22,675 31 plans
552 MEDICAL BACK PROBLEMS W/O MCC $5,141 – $30,413 · median $12,939 31 plans
554 BONE DISEASES & ARTHROPATHIES W/O MCC $4,372 – $26,262 · median $11,088 31 plans
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC $7,443 – $41,818 · median $18,054 31 plans
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $4,386 – $26,278 · median $11,108 31 plans
557 TENDONITIS, MYOSITIS & BURSITIS W MCC $8,282 – $47,041 · median $20,310 31 plans
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC $4,673 – $28,258 · median $11,891 31 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $6,023 – $35,626 · median $15,158 31 plans
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC $8,090 – $45,076 · median $19,461 31 plans
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC $4,765 – $28,331 · median $12,022 31 plans
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC $8,309 – $48,835 · median $20,846 31 plans
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC $5,317 – $30,827 · median $13,250 31 plans
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WO CC/MC $3,993 – $23,706 · median $10,067 31 plans
570 SKIN DEBRIDEMENT W MCC $15,546 – $93,048 · median $39,355 31 plans
579 OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC $17,781 – $102,456 · median $44,177 31 plans
581 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC $7,164 – $45,655 · median $18,721 31 plans
593 SKIN ULCERS W CC $6,437 – $37,531 · median $16,085 31 plans
596 MAJOR SKIN DISORDERS W/O MCC $5,368 – $34,247 · median $14,035 31 plans
600 NON-MALIGNANT BREAST DISORDERS W CC/MCC $5,456 – $32,953 · median $13,874 31 plans
602 CELLULITIS W MCC $7,914 – $44,966 · median $19,414 31 plans
603 CELLULITIS W/O MCC $4,707 – $27,553 · median $11,785 31 plans
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC $8,013 – $46,573 · median $19,993 31 plans
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $4,835 – $28,979 · median $12,248 31 plans
606 MINOR SKIN DISORDERS W MCC $8,436 – $47,873 · median $20,669 31 plans
607 MINOR SKIN DISORDERS W/O MCC $4,753 – $28,676 · median $12,081 31 plans
614 ADRENAL & PITUITARY PROCEDURES W CC/MCC $11,983 – $69,342 · median $29,834 31 plans
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC $21,357 – $117,905 · median $50,904 31 plans
637 DIABETES W MCC $7,710 – $45,453 · median $19,372 31 plans
638 DIABETES W CC $4,785 – $28,353 · median $12,053 31 plans
639 DIABETES W/O CC/MCC $3,312 – $19,653 · median $8,348 31 plans
640 NUTRITIONAL & MISC METABOLIC DISORDERS W MCC $6,997 – $42,254 · median $17,792 31 plans
641 NUTRITIONAL & MISC METABOLIC DISORDERS W/O MCC $4,157 – $24,620 · median $10,469 31 plans
642 INBORN ERRORS OF METABOLISM $6,934 – $44,991 · median $18,288 31 plans
643 ENDOCRINE DISORDERS W MCC $8,752 – $52,078 · median $22,091 31 plans
644 ENDOCRINE DISORDERS W CC $5,648 – $32,428 · median $14,000 31 plans
645 ENDOCRINE DISORDERS W/O CC/MCC $4,048 – $24,307 · median $10,264 31 plans
682 RENAL FAILURE W MCC $7,984 – $46,854 · median $20,016 31 plans
683 RENAL FAILURE W CC $4,792 – $27,708 · median $11,926 31 plans
684 RENAL FAILURE W/O CC/MCC $3,237 – $18,992 · median $8,114 31 plans
686 KIDNEY & URINARY TRACT NEOPLASMS W MCC $9,786 – $57,064 · median $24,455 31 plans
688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC $4,154 – $25,003 · median $10,546 31 plans
689 KIDNEY & URINARY TRACT INFECTIONS W MCC $6,248 – $36,708 · median $15,672 31 plans
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC $4,293 – $25,610 · median $10,850 31 plans
693 URINARY STONES W/O ESW LITHOTRIPSY W MCC $7,535 – $42,536 · median $18,365 31 plans
694 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC $4,164 – $24,731 · median $10,501 31 plans
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC $3,682 – $21,798 · median $9,270 31 plans
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC $8,801 – $52,340 · median $22,209 31 plans
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $5,431 – $32,112 · median $13,665 31 plans
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $3,768 – $21,826 · median $9,386 31 plans
726 BENIGN PROSTATIC HYPERTROPHY W/O MCC $3,888 – $22,842 · median $9,753 31 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC $8,624 – $46,915 · median $20,255 31 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $4,257 – $25,664 · median $10,815 31 plans
746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC $8,917 – $54,957 · median $22,907 31 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC $5,281 – $30,973 · median $13,235 31 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $3,438 – $20,994 · median $8,791 31 plans
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC $5,296 – $31,874 · median $13,443 31 plans
761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC $3,222 – $18,049 · median $7,984 31 plans
776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE $3,813 – $20,713 · median $8,943 31 plans
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC $11,651 – $69,851 · median $29,520 31 plans
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC $6,407 – $40,049 · median $16,578 31 plans
811 RED BLOOD CELL DISORDERS W MCC $7,467 – $44,428 · median $18,847 31 plans
812 RED BLOOD CELL DISORDERS W/O MCC $4,792 – $29,049 · median $12,208 31 plans
813 COAGULATION DISORDERS $8,299 – $48,256 · median $20,711 31 plans
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $5,289 – $32,080 · median $13,479 31 plans
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC $9,898 – $63,109 · median $25,872 31 plans
854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC $10,843 – $63,214 · median $27,095 31 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC $11,362 – $67,751 · median $28,709 31 plans
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC $9,799 – $57,696 · median $24,606 31 plans
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC $5,349 – $31,571 · median $13,448 31 plans
864 FEVER $4,697 – $28,084 · median $11,884 31 plans
865 VIRAL ILLNESS W MCC $8,724 – $47,402 · median $20,465 31 plans
866 VIRAL ILLNESS W/O MCC $4,882 – $27,512 · median $11,878 31 plans
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC $11,131 – $66,223 · median $28,094 31 plans
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC $5,775 – $32,621 · median $14,084 31 plans
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC $3,675 – $23,086 · median $9,532 31 plans
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC $10,547 – $61,455 · median $26,348 31 plans
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC $5,479 – $32,374 · median $13,782 31 plans
913 TRAUMATIC INJURY W MCC $7,951 – $51,714 · median $20,996 31 plans
914 TRAUMATIC INJURY W/O MCC $4,829 – $28,015 · median $12,038 31 plans
915 ALLERGIC REACTIONS W MCC $9,438 – $53,201 · median $22,969 31 plans
916 ALLERGIC REACTIONS W/O MCC $3,505 – $21,080 · median $8,894 31 plans
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC $8,490 – $49,619 · median $21,241 31 plans
918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC $4,580 – $27,116 · median $11,532 31 plans
919 COMPLICATIONS OF TREATMENT W MCC $9,707 – $57,921 · median $24,536 31 plans
920 COMPLICATIONS OF TREATMENT W CC $5,500 – $31,710 · median $13,668 31 plans
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC $9,283 – $55,346 · median $23,454 31 plans
923 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC $5,381 – $32,197 · median $13,620 31 plans
947 SIGNS & SYMPTOMS W MCC $6,659 – $40,160 · median $16,921 31 plans
948 SIGNS & SYMPTOMS W/O MCC $4,261 – $25,325 · median $10,750 31 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,139 – $17,590 · median $7,594 31 plans
974 HIV W MAJOR RELATED CONDITION W MCC $15,516 – $91,304 · median $38,949 31 plans
975 HIV W MAJOR RELATED CONDITION W CC $7,253 – $40,970 · median $17,688 31 plans
976 HIV W MAJOR RELATED CONDITION W/O CC/MCC $4,497 – $28,559 · median $12,028 31 plans
977 HIV W OR W/O OTHER RELATED CONDITION $7,534 – $41,055 · median $18,160 31 plans
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC $13,226 – $77,780 · median $33,190 31 plans
983 EXTENSIVE O.R. PROCED UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/ $8,699 – $54,226 · median $22,477 31 plans
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $17,964 – $108,464 · median $45,675 31 plans
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $6,565 – $30,378 · median $13,115 30 plans
884 ORGANIC DISTURBANCES & MENTAL RETARDATION $10,999 – $50,901 · median $21,976 30 plans
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,218 – $19,517 · median $8,426 30 plans
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $11,931 – $55,210 · median $23,836 30 plans
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERA W/O M $6,035 – $27,929 · median $12,058 30 plans
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