US Health Care Costs

Miami Valley Hospital

One Wyoming Street, Dayton, OH 45409 · (937) 208-3023

General hospitalVoluntary non-profit - PrivateEmergency roomCMS rating ★★★★★

The money

$17what care cost the hospital for every $100 it billed
$230.3Mnet income, all sources
15.8%margin on patient care alone
$8.6Mcost of charity care (0.7% of costs)
$127.1Munpaid bills written off (bad debt)
943beds

From the hospital's Medicare cost report for the year ending December 2024. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.

Hospital stays

Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid. Cash and insurer prices are from the hospital's own price file; insurer prices are commercial plans only.

Billed (list price)Actually paid (Medicare + patient)

StayMedicare staysBilledPaidInsurers (median)
Sepsis, with major complications 871577$81,203$16,172
$43,857$28,802–$43,857 · 17 plans
Heart failure, with major complications 291368$51,156$10,509
$26,565$14,041–$29,165 · 19 plans
Lung infection, with major complications 177146$55,793$13,158
$32,909$17,039–$36,129 · 19 plans
Pneumonia, with major complications 193137$46,750$10,480
$26,828$19,731–$29,453 · 19 plans
Kidney failure, with complications 683136$32,959$7,657
$19,867$13,048–$19,867 · 17 plans
Stomach and digestive disorders 392133$29,352$6,834
$17,440$11,684–$22,995 · 19 plans
Hip or thigh bone surgery (not replacement), with complications 481119$99,626$16,051
$46,044$31,069–$46,374 · 19 plans
Urinary tract infection 690115$31,691$6,815
$17,938$11,781–$17,938 · 17 plans
Stroke, with major complications 064114$98,050$15,929
$40,494$21,849–$44,456 · 19 plans
Infection needing surgery, with major complications 853111$253,985$42,339
$106,802$72,675–$111,784 · 16 plans
Irregular heartbeat, with major complications 308110$52,794$9,936
$24,552$14,552–$26,954 · 19 plans
Respiratory failure 189108$59,019$10,836
$25,193$13,434–$27,658 · 19 plans
Heart procedure through a catheter (e.g. ablation, valve clip) 274108$72,864$25,201
$59,967$45,811–$63,533 · 17 plans
Stroke, with complications or clot-busting drug 065104$44,030$8,353
$20,704$11,294–$22,730 · 19 plans
Kidney failure, with major complications 682103$59,286$11,761
$33,570$22,046–$33,570 · 17 plans
Fainting 312100$33,978$7,294
$17,738$10,645–$19,474 · 19 plans
Other kidney and urinary problems, with major complications 69898$70,578$13,376
$37,568$24,673–$37,568 · 17 plans
Dehydration and electrolyte problems, with major complications 64097$48,062$10,811
$29,683$19,494–$29,683 · 17 plans
Urinary tract infection, with major complications 68994$44,326$9,263
$26,158$17,179–$26,158 · 17 plans
Delirium and other mental confusion 88491$43,534$12,694
$37,327$24,516–$37,327 · 17 plans
Irregular heartbeat, with complications 30990$34,792$6,802
$15,051$9,107–$16,523 · 19 plans
Stomach or intestinal bleeding, with complications 37890$41,015$8,319
$9,125$5,544–$14,350 · 4 plans
Back problems (no surgery) 55284$36,914$8,265
$21,541$14,147–$21,541 · 17 plans
Heart attack, with major complications 28079$68,991$12,912
$33,418$17,139–$49,280 · 19 plans
Dehydration and electrolyte problems 64170$30,344$6,827
$17,467$11,470–$17,467 · 17 plans
Anemia and blood disorders 81265$38,832$7,930
$20,627$13,547–$20,627 · 17 plans
Septicemia or Severe Sepsis with Mv >96 Hours 87065$248,300$52,108
$155,478$102,112–$155,478 · 17 plans
Heart catheterization 28763$66,827$9,964
$22,182$13,729–$30,428 · 19 plans
Coagulation Disorders 81363$80,511$16,252
$34,596$22,722–$34,596 · 17 plans
Stomach or intestinal bleeding, with major complications 37762$69,863$13,857
$15,377$7,951–$26,274 · 4 plans
Heart stent 32261$114,198$16,185
$36,830$18,369–$56,212 · 19 plans
Breathing problem needing a ventilator (up to 4 days) 20858$108,645$22,027
$54,643$28,001–$59,990 · 19 plans
Bowel obstruction, with complications 38957$28,894$6,967
$17,918$12,003–$22,774 · 19 plans
Pneumonia, with complications 19454$32,860$7,013
$16,694$11,139–$18,327 · 19 plans
Skin infection (cellulitis) 60354$24,266$7,200
$19,688$12,929–$19,688 · 17 plans
Other digestive problems, with complications 39453$33,082$8,078
$19,163$13,314–$21,038 · 19 plans
Peripheral Vascular Disorders with Cc 30051$41,299$8,956
$21,793$12,548–$23,926 · 19 plans
High blood pressure 30551$30,908$6,459
$15,283$9,671–$16,778 · 19 plans
Bowel surgery, with complications 33051$121,674$21,265
$48,120$24,124–$52,829 · 19 plans
Heart valve replacement through a catheter (TAVR) 26749$234,530$36,489
$95,772$47,482–$158,143 · 19 plans
Degenerative nerve disorders (e.g. Parkinson's, dementia) 05748$54,312$10,842
$27,172$14,626–$29,831 · 19 plans
Spinal fusion (lower or mid back) 46048$158,629$28,356
Not in dollars (31 plans)
Other kidney and urinary problems, with complications 69948$32,014$8,015
$22,793$14,970–$22,793 · 17 plans
Heart catheterization, with major complications 28647$109,011$17,873
$39,688$24,654–$45,058 · 19 plans
Hip replacement after a hip fracture 52247$98,228$17,082
$42,919$21,706–$47,118 · 19 plans
Heart attack, with complications 28146$49,918$8,064
$18,766$10,280–$20,602 · 19 plans
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 17545$58,888$11,643
$28,686$14,721–$31,493 · 19 plans
Stomach and digestive disorders, with major complications 39145$51,307$10,450
$26,158$13,125–$28,718 · 19 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 98145$179,197$33,341
$106,259$69,783–$106,259 · 17 plans
Lung infection, with complications 17844$36,101$8,101
$20,197$11,085–$22,173 · 19 plans
Other circulation problems, with major complications 31443$75,661$19,584
$43,839$21,402–$48,128 · 19 plans
Bowel surgery, with major complications 32943$176,013$32,748
$93,478$45,279–$102,625 · 19 plans
Traumatic Stupor and Coma <1 Hour with Cc 08642$42,747$10,597
$26,702$14,225–$29,314 · 19 plans
Seizures 10142$48,654$8,336
$18,762$10,658–$20,598 · 19 plans
Craniotomy and Endovascular Intracranial Procedures with Mcc 02541$225,446$45,202
$91,041$45,030–$99,949 · 19 plans
Peripheral Vascular Disorders with Mcc 29941$61,425$12,713
$32,933$17,709–$36,156 · 19 plans
Kidney and Ureter Procedures for Non-Neoplasm with Cc 66041$77,331$11,761
$29,947$19,669–$29,947 · 17 plans
Hip or thigh bone surgery (not replacement), with major complications 48040$147,350$23,184
$65,731$44,038–$70,074 · 19 plans
Irregular heartbeat 31039$27,290$5,564
$11,390$8,176–$12,505 · 19 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 54339$38,431$8,614
$23,709$15,885–$31,651 · 19 plans
Degenerative Nervous System Disorders with Mcc 05637$99,795$18,091
$50,976$24,251–$55,964 · 19 plans
Seizures with Mcc 10037$102,179$18,166
$40,415$20,052–$44,369 · 19 plans
Other Digestive System Diagnoses with Mcc 39337$56,403$15,159
$33,711$17,991–$37,009 · 19 plans
Diabetes, with complications 63837$33,860$7,517
$20,499$13,463–$20,499 · 17 plans
Anemia and blood disorders, with major complications 81137$57,973$11,405
$31,442$20,651–$31,442 · 17 plans
Revision of Hip or Knee Replacement with Cc 46736$118,870$24,677
$69,724$35,230–$76,547 · 19 plans
Diabetes, with major complications 63736$55,889$12,155
$32,548$21,376–$32,548 · 17 plans
Heart stent, with major complications or 4+ stents 32135$158,641$23,473
$57,953$27,559–$70,942 · 19 plans
Hip or knee replacement 47035$105,306$14,491
$42,141$27,677–$42,141 · 17 plans
Sepsis 87234$48,190$8,700
$23,043$15,134–$23,043 · 17 plans
Traumatic Stupor and Coma >1 Hour with Mcc 08231$93,162$19,829
$47,233$24,552–$51,854 · 19 plans
Other Disorders of Nervous System with Cc 09231$40,027$8,640
$21,555$12,263–$23,664 · 19 plans
Bronchitis and Asthma with Cc/Mcc 20231$39,690$8,332
$19,680$11,976–$21,606 · 19 plans
Other Circulatory System Diagnoses with Cc 31531$44,769$8,443
$19,591$14,409–$21,507 · 19 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 49331$117,180$20,708
$22,141$13,041–$35,035 · 4 plans
Cranial and Peripheral Nerve Disorders Without Mcc 07430$36,171$8,956
$21,221$11,123–$23,298 · 19 plans
COPD, with major complications 19030$35,305$7,818
$22,868$12,116–$25,106 · 19 plans
Combined Anterior and Posterior Spinal Fusion with Cc 45430$259,179$49,368
$6,031only 2 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 02329$230,340$44,557
$116,136$56,628–$127,500 · 19 plans
Traumatic Stupor and Coma <1 Hour with Mcc 08528$84,301$18,424
$46,129$24,221–$50,643 · 19 plans
Chronic Obstructive Pulmonary Disease with Cc 19128$31,354$7,093
$19,201$12,864–$27,335 · 19 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 23328$336,348$66,327
$159,114$76,469–$169,334 · 19 plans
Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 66128$59,002$10,436
$22,945$15,069–$22,945 · 17 plans
Signs and Symptoms Without Mcc 94828$36,411$8,354
$17,757$11,662–$17,757 · 17 plans
Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 00327$595,691$130,112
$436,276$205,952–$478,965 · 19 plans
Major Small and Large Bowel Procedures Without Cc/Mcc 33127$96,083$14,538
$33,611$18,363–$36,900 · 19 plans
Fracture or sprain (not hip or thigh) 56327$30,848$7,341
$19,974$13,119–$19,974 · 17 plans
Major Chest Trauma with Cc 18426$35,731$8,691
$21,742$11,649–$23,870 · 19 plans
Permanent Cardiac Pacemaker Implant with Cc 24326$101,880$17,862
$72,762$7,569–$72,762 · 12 plans
Malignancy of Hepatobiliary System or Pancreas with Mcc 43526$79,980$15,585
$38,960$26,513–$40,778 · 16 plans
Traumatic Stupor and Coma >1 Hour with Cc 08325$52,873$11,030
$28,304$15,515–$31,073 · 19 plans
Headaches Without Mcc 10325$32,966$7,618
$19,002$12,731–$49,123 · 19 plans
Coronary Bypass Without Cardiac Catheterization Without Mcc 23625$216,026$36,806
$83,708$41,818–$105,836 · 19 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 26925$177,791$35,576
$104,849$62,311–$104,849 · 10 plans
Disorders of the Biliary Tract with Cc 44525$46,136$9,481
$22,076$11,976–$24,236 · 19 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 56525$45,885$8,928
$22,788$14,967–$22,788 · 17 plans
Respiratory System Diagnosis with Ventilator Support >96 Hours 20724$166,528$49,352
$131,669$63,841–$144,553 · 19 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 80824$88,654$17,526
$51,190$33,619–$51,190 · 17 plans
Postoperative and Post-Traumatic Infections with Mcc 86224$83,276$14,223
$41,093$26,989–$41,093 · 17 plans
Chest pain 31323$30,187$6,497
$14,521$8,614–$15,942 · 19 plans
Disorders of Pancreas Except Malignancy with Cc 43923$25,757$6,768
$17,512$12,880–$19,225 · 19 plans
Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 52123$129,454$22,505
$59,335$29,169–$65,141 · 19 plans
Fractures of Hip and Pelvis Without Mcc 53623$34,562$7,128
$18,124$12,142–$29,236 · 19 plans
Gastrointestinal Obstruction with Mcc 38822$51,856$11,223
$29,926$17,570–$32,855 · 19 plans
Medical Back Problems with Mcc 55122$84,388$14,458
$38,136$25,047–$38,136 · 17 plans
Endocrine Disorders with Cc 64422$33,478$8,073
$23,099$15,169–$23,099 · 17 plans
Dysequilibrium 14921$29,334$6,135
$15,218$10,190–$16,707 · 19 plans
Respiratory Neoplasms with Mcc 18021$67,683$13,858
$35,580$19,036–$39,061 · 19 plans
Other Major Cardiovascular Procedures with Mcc 27021$260,835$46,359
$127,161$76,927–$127,161 · 10 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 54221$86,952$16,043
$41,681$27,927–$63,934 · 19 plans
Other Kidney and Urinary Tract Procedures with Mcc 67321$159,549$30,296
$93,647$61,500–$93,647 · 17 plans
Other Major Cardiovascular Procedures with Cc 27120$150,577$35,904
$84,396$51,673–$84,396 · 10 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Cc 37220$41,293$10,389
$20,954$11,325–$23,005 · 19 plans
Digestive Malignancy with Mcc 37420$88,375$18,036
$42,986$22,147–$47,192 · 19 plans
Other Cerebrovascular Disorders with Mcc 07019$65,036$14,421
$35,396$17,347–$38,860 · 19 plans
Pulmonary Embolism Without Mcc 17619$37,910$7,714
$16,582$10,074–$18,204 · 19 plans
Other Digestive System O.r. Procedures with Mcc 35619$168,043$29,864
$86,835$43,743–$95,332 · 19 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 44219$34,177$7,775
$19,670$14,468–$21,595 · 19 plans
Disorders of the Biliary Tract with Mcc 44419$78,425$13,402
$34,293$17,839–$37,649 · 19 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 51619$85,653$17,311
$40,952$24,383–$44,959 · 19 plans
Kidney and Ureter Procedures for Non-Neoplasm with Mcc 65919$119,506$23,476
$57,757$37,933–$57,757 · 17 plans
Complications of Treatment with Cc 92019$40,535$8,959
$22,703$14,911–$22,703 · 17 plans
Nervous System Neoplasms with Mcc 05418$69,523$11,821
$30,519$16,062–$33,505 · 19 plans
Dental and Oral Diseases with Cc 15818$34,203$8,979
$19,147$10,422–$21,020 · 19 plans
Major Chest Procedures with Cc 16418$172,891$27,794
$51,237$28,132–$56,250 · 19 plans
Stomach, Esophageal and Duodenal Procedures with Cc 32718$143,722$21,638
$49,431$24,646–$54,268 · 19 plans
Laparoscopic Cholecystectomy Without C.d.e. with Mcc 41718$122,799$18,856
$48,381$25,572–$53,115 · 19 plans
Laparoscopic Cholecystectomy Without C.d.e. with Cc 41818$85,731$13,876
$33,764$18,465–$37,067 · 19 plans
Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 60518$28,740$8,219
$20,645$13,559–$20,645 · 17 plans
Psychoses 88518$42,317$11,172
$31,502$20,690–$31,502 · 17 plans
Complications of Treatment with Mcc 91918$66,583$14,519
$40,753$26,767–$40,753 · 17 plans
Other Disorders of Nervous System with Mcc 09117$71,969$13,943
$37,109$18,448–$40,740 · 19 plans
Major Chest Procedures with Mcc 16317$211,112$46,453
$93,828$44,964–$103,009 · 19 plans
Other Respiratory System Diagnoses with Mcc 20517$75,677$14,989
$38,430$19,992–$42,190 · 19 plans
Other Circulatory System O.r. Procedures 26417$140,595$28,592
$71,149$34,177–$78,111 · 19 plans
Cirrhosis and Alcoholic Hepatitis with Mcc 43217$71,945$16,407
$41,835$28,468–$43,786 · 16 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 55617$27,843$6,779
$18,249$11,985–$18,249 · 17 plans
Poisoning and Toxic Effects of Drugs with Mcc 91717$49,251$12,381
$36,645$24,068–$36,645 · 17 plans
Permanent Cardiac Pacemaker Implant with Mcc 24216$113,836$25,840
$68,794$11,330–$68,794 · 12 plans
Complicated Peptic Ulcer with Cc 38116$39,979$8,719
$9,320$4,709–$15,820 · 4 plans
Cirrhosis and Alcoholic Hepatitis with Cc 43316$40,670$8,702
$22,842$15,545–$23,908 · 16 plans
Cervical Spinal Fusion with Cc 47216$137,795$24,596
$64,748$42,526–$64,748 · 17 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 56416$56,618$12,746
$35,072$23,034–$35,072 · 17 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 85616$180,174$35,498
$100,828$66,222–$100,828 · 17 plans
Other O.r. Procedures for Injuries with Mcc 90716$108,283$38,517
$89,031$58,474–$89,031 · 17 plans
Mini-stroke (TIA) 06915$37,210$7,067
$16,290$9,136–$17,884 · 19 plans
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 17315$89,830$35,027
$62,466$30,245–$68,579 · 19 plans
Other Vascular Procedures with Mcc 25215$153,115$29,251
$69,832$34,432–$75,814 · 19 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 44115$65,513$13,968
$38,483$19,159–$42,248 · 19 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 89715$38,438$6,745
$19,717$12,949–$19,717 · 17 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 98215$97,447$20,113
$54,724$35,939–$54,724 · 17 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 98715$114,535$41,369
$78,292$51,416–$78,292 · 17 plans
Major Chest Trauma with Mcc 18314$104,715$16,912
$32,312$16,230–$35,474 · 19 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 22014$258,062$63,142
$107,822$52,487–$137,585 · 19 plans
Heart valve replacement through a catheter (TAVR), with major complications 26614$327,992$51,066
$121,953$60,459–$210,612 · 19 plans
Disorders of Pancreas Except Malignancy Without Cc/Mcc 44014$17,405$5,247
$13,075$9,210–$13,747 · 19 plans
Cellulitis with Mcc 60214$50,854$11,119
$32,841$21,567–$32,841 · 17 plans
Other Kidney and Urinary Tract Procedures with Cc 67414$90,783$18,466
$51,591$33,884–$51,591 · 17 plans
Renal Failure Without Cc/Mcc 68414$23,294$5,117
$13,578$8,916–$13,578 · 17 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 89614$57,233$14,244
$39,801$26,140–$39,801 · 17 plans
Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 00413$375,126$104,804
$315,785$207,404–$315,785 · 17 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 06213$71,272$17,533
$36,254$17,990–$39,801 · 19 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 21913$336,646$82,790
$137,585$75,457–$157,510 · 19 plans
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 28213$50,575$6,112
$14,762$8,077–$16,206 · 19 plans
Hypertension with Mcc 30413$43,231$10,462
$23,917$16,577–$26,257 · 19 plans
Endocrine Disorders with Mcc 64313$69,930$13,084
$37,041$24,327–$37,041 · 17 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 85713$109,744$17,856
$48,698$31,983–$48,698 · 17 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 98813$65,483$13,148
$38,353$25,188–$38,353 · 17 plans
Carotid Artery Stent Procedures with Cc 03512$75,490$17,511
$46,306$24,518–$50,837 · 19 plans
Other Respiratory System O.r. Procedures with Mcc 16612$228,574$40,259
$78,399$38,537–$86,070 · 19 plans
Other Heart Assist System Implant 21512$377,835$70,983
$244,744$155,514–$244,744 · 17 plans
Permanent Cardiac Pacemaker Implant Without Cc/Mcc 24412$95,621$17,453
$59,532$6,816–$59,532 · 12 plans
Atherosclerosis Without Mcc 30312$31,479$7,019
$15,028$10,068–$16,481 · 19 plans
Inflammatory Bowel Disease with Cc 38612$53,605$7,758
$22,180$14,861–$31,425 · 19 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 42712$251,466$85,304
$158,656$104,236–$158,656 · 17 plans
Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 45512$183,653$49,528
$3,411only 2 plans
Spinal Fusion Except Cervical with Mcc 45912$242,328$49,919
Not in dollars (31 plans)
Revision of Hip or Knee Replacement Without Cc/Mcc 46812$89,608$23,223
$53,403$32,617–$58,629 · 19 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 49212$150,002$30,124
$72,291$41,284–$79,365 · 19 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 58012$73,833$13,135
$39,624$26,025–$39,624 · 17 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 61712$87,057$17,019
$43,185$28,356–$43,185 · 17 plans
Urinary Stones Without Mcc 69412$34,443$6,004
$17,464$11,470–$17,464 · 17 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 80912$139,748$44,365
$27,680$18,179–$27,680 · 17 plans
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 95612$146,647$27,884
$85,426$56,106–$85,426 · 17 plans
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 06611$37,705$6,595
$14,012$8,173–$15,384 · 19 plans
Simple Pneumonia and Pleurisy Without Cc/Mcc 19511$23,951$5,567
$13,920$9,324–$19,749 · 19 plans
Other Vascular Procedures with Cc 25311$123,941$25,501
$61,914$8,092–$61,914 · 12 plans
Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 32811$108,780$12,451
$32,438$17,054–$35,612 · 19 plans
Gastrointestinal Obstruction Without Cc/Mcc 39011$22,746$5,489
$11,138$7,957–$12,228 · 19 plans
Minor Skin Disorders Without Mcc 60711$31,906$7,348
$19,317$12,686–$19,317 · 17 plans
Other O.r. Procedures for Injuries with Cc 90811$99,996$14,295
$45,080$29,608–$45,080 · 17 plans
Other Multiple Significant Trauma with Cc 96411$67,353$11,602
$33,529$22,020–$33,529 · 17 plans
Heart Transplant or Implant of Heart Assist System with Mcc 001–––$502,714$272,688–$573,412 · 19 plans
Ms-Drg 002 002–––$224,339$111,601–$502,714 · 19 plans
Liver Transplant with Mcc or Intestinal Transplant 005–––$216,784$142,276–$240,311 · 9 plans
Liver Transplant Without Mcc 006–––$98,714$5,574–$98,714 · 11 plans
Lung Transplant 007–––$266,036$18,865–$266,036 · 11 plans
Ms-Drg 008 008–––$110,764$11,067–$110,764 · 11 plans
Ms-Drg 009 009–––$8,829only 2 plans
Ms-Drg 010 010–––$47,607$8,691–$111,175 · 4 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011–––$109,844$54,053–$120,592 · 19 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012–––$83,537$42,303–$91,711 · 19 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013–––$53,945$29,448–$59,223 · 19 plans
Allogeneic Bone Marrow Transplant 014–––$266,708$9,030–$266,708 · 11 plans
Ms-Drg 015 015–––$6,732only 2 plans
Autologous Bone Marrow Transplant with Cc/Mcc 016–––$122,871$8,842–$122,871 · 11 plans
Ms-Drg 017 017–––$35,359$4,967–$84,239 · 4 plans
Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018–––$767,704$413,864–$842,823 · 19 plans
Ms-Drg 019 019–––$161,372$69,828–$177,162 · 19 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020–––$164,096$79,847–$180,152 · 19 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021–––$112,525$53,444–$123,535 · 19 plans
Ms-Drg 022 022–––$71,872$32,696–$78,904 · 19 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024–––$77,389$39,545–$84,961 · 19 plans
Craniotomy and Endovascular Intracranial Procedures with Cc 026–––$62,263$31,262–$68,355 · 19 plans
Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027–––$50,235$26,783–$55,151 · 19 plans
Spinal Procedures with Mcc 028–––$123,758$59,973–$135,868 · 19 plans
Spinal Procedures with Cc or Spinal Neurostimulators 029–––$68,332$34,340–$75,018 · 19 plans
Spinal Procedures Without Cc/Mcc 030–––$45,301$22,217–$49,733 · 19 plans
Ventricular Shunt Procedures with Mcc 031–––$85,306$44,860–$93,653 · 19 plans
Ventricular Shunt Procedures with Cc 032–––$43,475$21,979–$47,728 · 19 plans
Ventricular Shunt Procedures Without Cc/Mcc 033–––$32,479$16,967–$35,657 · 19 plans
Carotid Artery Stent Procedures with Mcc 034–––$79,162$39,110–$86,908 · 19 plans
Carotid Artery Stent Procedures Without Cc/Mcc 036–––$37,316$20,294–$40,968 · 19 plans
Extracranial Procedures with Mcc 037–––$67,603$33,838–$74,218 · 19 plans
Extracranial Procedures with Cc 038–––$32,799$17,032–$36,008 · 19 plans
Extracranial Procedures Without Cc/Mcc 039–––$23,171$12,914–$25,439 · 19 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040–––$76,786$38,990–$84,300 · 19 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041–––$45,981$22,259–$50,480 · 19 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042–––$35,779$18,333–$39,280 · 19 plans
Ms-Drg 043 043–––$4,580only 2 plans
Ms-Drg 044 044–––$4,682only 2 plans
Ms-Drg 045 045–––$5,160only 2 plans
Ms-Drg 046 046–––$5,508only 2 plans
Ms-Drg 047 047–––$3,906only 2 plans
Ms-Drg 048 048–––$2,129only 2 plans
Ms-Drg 049 049–––$12,411only 2 plans
Ms-Drg 050 050–––$6,183only 2 plans
Ms-Drg 051 051–––$5,650only 2 plans
Ms-Drg 052 052–––$40,968$19,202–$44,977 · 19 plans
Ms-Drg 053 053–––$18,756$11,870–$20,591 · 19 plans
Nervous System Neoplasms Without Mcc 055–––$22,209$11,830–$24,382 · 19 plans
Ms-Drg 058 058–––$37,575$17,504–$41,251 · 19 plans
Ms-Drg 059 059–––$24,908$13,557–$27,345 · 19 plans
Ms-Drg 060 060–––$18,167$9,883–$19,945 · 19 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061–––$55,032$29,274–$60,417 · 19 plans
Ms-Drg 063 063–––$28,597$16,170–$31,395 · 19 plans
Ms-Drg 067 067–––$29,637$16,010–$32,537 · 19 plans
Precerebral Occlusion Without Infarction Without Mcc 068–––$17,948$10,002–$19,704 · 19 plans
Other Cerebrovascular Disorders with Cc 071–––$21,453$11,338–$23,552 · 19 plans
Other Cerebrovascular Disorders Without Cc/Mcc 072–––$15,271$9,073–$16,765 · 19 plans
Cranial and Peripheral Nerve Disorders with Mcc 073–––$31,463$17,295–$34,542 · 19 plans
Ms-Drg 075 075–––$35,065$23,314–$38,496 · 19 plans
Ms-Drg 076 076–––$20,050$13,729–$20,493 · 19 plans
Hypertensive Encephalopathy with Mcc 077–––$33,018$17,534–$34,558 · 18 plans
Hypertensive Encephalopathy with Cc 078–––$21,307$12,292–$22,301 · 18 plans
Ms-Drg 079 079–––$14,237$10,919–$14,901 · 18 plans
Nontraumatic Stupor and Coma with Mcc 080–––$40,468$19,277–$44,427 · 19 plans
Ms-Drg 081 081–––$18,420$11,528–$20,222 · 19 plans
Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084–––$19,462$10,714–$21,367 · 19 plans
Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087–––$17,996$11,459–$19,757 · 19 plans
Concussion with Mcc 088–––$28,717$14,993–$31,527 · 19 plans
Concussion with Cc 089–––$21,826$12,777–$23,961 · 19 plans
Concussion Without Cc/Mcc 090–––$17,451$9,540–$19,158 · 19 plans
Other Disorders of Nervous System Without Cc/Mcc 093–––$16,069$9,419–$17,641 · 19 plans
Bacterial and Tuberculous Infections of Nervous System with Mcc 094–––$74,274$35,995–$81,542 · 19 plans
Ms-Drg 095 095–––$48,798$26,257–$53,573 · 19 plans
Ms-Drg 096 096–––$48,798$26,459–$53,573 · 19 plans
Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097–––$72,979$36,017–$80,120 · 19 plans
Ms-Drg 098 098–––$44,159$23,479–$48,479 · 19 plans
Ms-Drg 099 099–––$28,363$14,823–$31,138 · 19 plans
Headaches with Mcc 102–––$23,603$12,279–$25,913 · 19 plans
Ms-Drg 104 104–––$56,218only 2 plans
Ms-Drg 105 105–––$41,135only 2 plans
Ms-Drg 106 106–––$51,874only 2 plans
Ms-Drg 107 107–––$38,167only 2 plans
Ms-Drg 108 108–––$36,708only 2 plans
Ms-Drg 109 109–––$28,010only 2 plans
Ms-Drg 110 110–––$28,107only 2 plans
Ms-Drg 111 111–––$17,386only 2 plans
Ms-Drg 112 112–––Not in dollars (31 plans)
Orbital Procedures with Cc/Mcc 113–––$45,940$27,640–$50,435 · 19 plans
Ms-Drg 114 114–––$24,065$15,451–$26,420 · 19 plans
Extraocular Procedures Except Orbit 115–––$31,166$22,925–$34,216 · 19 plans
Intraocular Procedures with Cc/Mcc 116–––$33,967$21,398–$37,291 · 19 plans
Ms-Drg 117 117–––$21,958$13,080–$24,107 · 19 plans
Ms-Drg 118 118–––$11,893only 2 plans
Ms-Drg 119 119–––$10,169only 2 plans
Ms-Drg 120 120–––$16,366only 2 plans
Acute Major Eye Infections with Cc/Mcc 121–––$23,678$14,206–$25,995 · 19 plans
Ms-Drg 122 122–––$13,809$8,923–$15,160 · 19 plans
Neurological Eye Disorders 123–––$16,352$10,949–$17,952 · 19 plans
Other Disorders of the Eye with Mcc or Thrombolytic Agent 124–––$26,543$15,497–$29,140 · 19 plans
Other Disorders of the Eye Without Mcc 125–––$16,810$9,719–$18,454 · 19 plans
Ms-Drg 126 126–––$18,496only 2 plans
Ms-Drg 127 127–––$7,377only 2 plans
Ms-Drg 128 128–––$5,307only 2 plans
Ms-Drg 129 129–––$7,346only 2 plans
Ms-Drg 130 130–––$6,792only 2 plans
Ms-Drg 131 131–––$4,015only 2 plans
Ms-Drg 132 132–––$4,564only 2 plans
Ms-Drg 133 133–––$3,842only 2 plans
Ms-Drg 134 134–––$4,325only 2 plans
Ms-Drg 135 135–––$49,081$22,818–$53,884 · 19 plans
Ms-Drg 136 136–––$19,914$11,333–$21,863 · 19 plans
Ms-Drg 137 137–––$12,335$5,857–$20,593 · 4 plans
Ms-Drg 138 138–––$8,777$5,973–$12,169 · 4 plans
Ms-Drg 139 139–––$9,731$3,716–$19,399 · 4 plans
Ms-Drg 140 140–––$27,795$3,745–$60,756 · 4 plans
Major Head and Neck Procedures with Cc 141–––$16,209$5,408–$31,067 · 4 plans
Major Head and Neck Procedures Without Cc/Mcc 142–––$12,126$4,210–$22,819 · 4 plans
Ms-Drg 143 143–––$67,216$37,234–$73,793 · 19 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144–––$35,761$19,111–$39,260 · 19 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145–––$24,118$13,108–$26,478 · 19 plans
Ear, Nose, Mouth and Throat Malignancy with Mcc 146–––$46,699$24,755–$51,269 · 19 plans
Ear, Nose, Mouth and Throat Malignancy with Cc 147–––$25,340$15,095–$27,819 · 19 plans
Ms-Drg 148 148–––$17,896$11,533–$24,048 · 19 plans
Ms-Drg 150 150–––$28,137$19,426–$30,890 · 19 plans
Epistaxis Without Mcc 151–––$15,431$9,654–$16,941 · 19 plans
Otitis Media and Uri with Mcc 152–––$23,100$14,757–$25,361 · 19 plans
Otitis Media and Uri Without Mcc 153–––$14,489$9,434–$15,907 · 19 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154–––$33,106$24,352–$36,346 · 19 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155–––$19,006$11,358–$20,866 · 19 plans
Ms-Drg 156 156–––$13,689$8,611–$15,028 · 19 plans
Dental and Oral Diseases with Mcc 157–––$33,334$19,016–$36,596 · 19 plans
Ms-Drg 159 159–––$13,428$9,751–$14,742 · 19 plans
Ms-Drg 160 160–––$5,840only 2 plans
Ms-Drg 161 161–––$8,395only 2 plans
Ms-Drg 162 162–––$4,717only 2 plans
Major Chest Procedures Without Cc/Mcc 165–––$37,945$20,751–$41,658 · 19 plans
Other Respiratory System O.r. Procedures with Cc 167–––$37,196$19,279–$40,836 · 19 plans
Other Respiratory System O.r. Procedures Without Cc/Mcc 168–––$27,561$15,606–$30,257 · 19 plans
Ms-Drg 169 169–––$5,312only 2 plans
Ms-Drg 170 170–––$20,326only 2 plans
Ms-Drg 171 171–––$8,409only 2 plans
Ms-Drg 172 172–––$9,917only 2 plans
Ms-Drg 174 174–––$7,177only 2 plans
Respiratory Infections and Inflammations Without Cc/Mcc 179–––$15,670$9,584–$17,203 · 19 plans
Respiratory Neoplasms with Cc 181–––$22,601$11,813–$24,813 · 19 plans
Ms-Drg 182 182–––$17,050$9,175–$18,718 · 19 plans
Major Chest Trauma Without Cc/Mcc 185–––$15,830$9,610–$17,379 · 19 plans
Pleural Effusion with Mcc 186–––$32,166$16,133–$35,313 · 19 plans
Pleural Effusion with Cc 187–––$20,437$11,405–$22,437 · 19 plans
Ms-Drg 188 188–––$14,945$9,235–$16,407 · 19 plans
Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192–––$13,176$9,691–$14,465 · 19 plans
Interstitial Lung Disease with Mcc 196–––$38,359$21,057–$42,112 · 19 plans
Interstitial Lung Disease with Cc 197–––$20,152$14,824–$22,124 · 19 plans
Ms-Drg 198 198–––$14,259$9,314–$15,654 · 19 plans
Pneumothorax with Mcc 199–––$35,936$20,953–$39,452 · 19 plans
Pneumothorax with Cc 200–––$22,544$16,583–$24,750 · 19 plans
Ms-Drg 201 201–––$15,129$10,179–$22,335 · 19 plans
Bronchitis and Asthma Without Cc/Mcc 203–––$14,175$9,773–$15,562 · 19 plans
Respiratory Signs and Symptoms 204–––$16,508$10,138–$18,124 · 19 plans
Other Respiratory System Diagnoses Without Mcc 206–––$18,440$10,820–$20,245 · 19 plans
Ms-Drg 209 209–––$14,436$14,436–$111,600 · 3 plans
Ms-Drg 210 210–––$13,360only 2 plans
Ms-Drg 211 211–––$8,999only 2 plans
Concomitant Aortic and Mitral Valve Procedures 212–––$221,762$106,485–$243,461 · 19 plans
Ms-Drg 213 213–––$13,456$13,456–$57,909 · 3 plans
Ms-Drg 214 214–––Not in dollars (31 plans)
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216–––$187,857$96,764–$196,463 · 19 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217–––$131,460$67,662–$187,857 · 19 plans
Ms-Drg 218 218–––$121,112$65,734–$137,585 · 19 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221–––$144,221$67,411–$165,365 · 17 plans
Ms-Drg 222 222–––$157,945$157,945–$157,945 · 8 plans
Ms-Drg 223 223–––$165,365$7,642–$165,365 · 10 plans
Ms-Drg 224 224–––$141,521$5,660–$141,521 · 10 plans
Ms-Drg 225 225–––$148,170$8,505–$148,170 · 10 plans
Ms-Drg 226 226–––$146,575$10,867–$146,575 · 10 plans
Ms-Drg 227 227–––$146,575$5,921–$146,575 · 10 plans
Other Cardiothoracic Procedures with Mcc 228–––$132,294$13,441–$132,294 · 12 plans
Other Cardiothoracic Procedures Without Mcc 229–––$63,234$31,883–$132,294 · 19 plans
Ms-Drg 230 230–––$169,334$9,552–$169,334 · 10 plans
Coronary Bypass with Ptca with Mcc 231–––$157,429$126,596–$157,429 · 10 plans
Ms-Drg 232 232–––$124,353$60,023–$157,429 · 19 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234–––$108,303$54,543–$134,940 · 19 plans
Coronary Bypass Without Cardiac Catheterization with Mcc 235–––$119,782$57,826–$128,326 · 19 plans
Ms-Drg 237 237–––$4,305only 2 plans
Ms-Drg 238 238–––$9,733only 2 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239–––$102,533$49,268–$112,566 · 19 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240–––$59,283$29,906–$65,083 · 19 plans
Ms-Drg 241 241–––$11,130$4,742–$21,393 · 4 plans
Ms-Drg 245 245–––$33,284$6,358–$53,175 · 12 plans
Ms-Drg 246 246–––$75,814$4,244–$75,814 · 10 plans
Ms-Drg 247 247–––$60,652$4,136–$60,652 · 10 plans
Ms-Drg 248 248–––$65,707$5,976–$65,707 · 10 plans
Ms-Drg 249 249–––$49,280$4,974–$49,280 · 10 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250–––$68,794$7,117–$68,794 · 12 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251–––$31,809$15,749–$55,565 · 19 plans
Other Vascular Procedures Without Cc/Mcc 254–––$35,612$18,448–$39,097 · 19 plans
Ms-Drg 255 255–––$53,263$26,952–$58,474 · 19 plans
Ms-Drg 256 256–––$34,478$18,169–$37,852 · 19 plans
Ms-Drg 257 257–––$18,157$10,976–$19,934 · 19 plans
Ms-Drg 258 258–––$42,336$31,785–$57,112 · 19 plans
Ms-Drg 259 259–––$35,781$20,788–$42,336 · 19 plans
Cardiac Pacemaker Revision Except Device Replacement with Mcc 260–––$39,688$8,430–$39,771 · 12 plans
Cardiac Pacemaker Revision Except Device Replacement with Cc 261–––$39,688$8,569–$39,688 · 12 plans
Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262–––$30,897$17,733–$39,688 · 19 plans
Ms-Drg 263 263–––$54,598$32,492–$59,940 · 19 plans
Ms-Drg 265 265–––$72,615$37,576–$79,720 · 19 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268–––$168,675$97,869–$168,675 · 17 plans
Other Major Cardiovascular Procedures Without Cc/Mcc 272–––$60,446$37,530–$60,446 · 10 plans
Percutaneous and Other Intracardiac Procedures with Mcc 273–––$87,975$57,396–$87,975 · 17 plans
Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275–––$143,860$69,601–$149,505 · 19 plans
Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276–––$126,097$59,102–$153,460 · 19 plans
Cardiac Defibrillator Implant Without Mcc 277–––$94,709$46,103–$153,460 · 19 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278–––$79,375$54,662–$101,849 · 19 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279–––$64,823$36,300–$65,231 · 19 plans
Acute Myocardial Infarction, Expired with Mcc 283–––$39,808$20,774–$43,703 · 19 plans
Ms-Drg 284 284–––$15,083$8,024–$16,559 · 19 plans
Ms-Drg 285 285–––$12,545$8,489–$14,652 · 19 plans
Ms-Drg 288 288–––$55,604$29,637–$61,045 · 19 plans
Ms-Drg 289 289–––$32,096$18,455–$35,237 · 19 plans
Ms-Drg 290 290–––$19,930$10,960–$21,881 · 19 plans
Heart Failure and Shock with Cc 292–––$19,250$12,896–$19,328 · 19 plans
Heart Failure and Shock Without Cc/Mcc 293–––$11,177$8,256–$12,270 · 19 plans
Ms-Drg 294 294–––$26,221$13,519–$27,444 · 18 plans
Ms-Drg 295 295–––$16,865$9,263–$17,652 · 18 plans
Cardiac Arrest, Unexplained with Mcc 296–––$33,353$16,901–$36,616 · 19 plans
Ms-Drg 297 297–––$14,340$7,569–$15,743 · 19 plans
Ms-Drg 298 298–––$8,990$5,708–$9,870 · 19 plans
Peripheral Vascular Disorders Without Cc/Mcc 301–––$14,521$8,592–$15,942 · 19 plans
Atherosclerosis with Mcc 302–––$23,680$17,419–$25,998 · 19 plans
Cardiac Congenital and Valvular Disorders with Mcc 306–––$30,484$17,629–$33,467 · 19 plans
Cardiac Congenital and Valvular Disorders Without Mcc 307–––$18,858$10,394–$20,703 · 19 plans
Angina Pectoris 311–––$14,220$8,400–$15,611 · 19 plans
Other Circulatory System Diagnoses Without Cc/Mcc 316–––$13,896$9,140–$15,256 · 19 plans
Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317–––$125,935$65,705–$133,367 · 19 plans
Ms-Drg 318 318–––$8,155$8,155–$25,537 · 3 plans
Other Endovascular Cardiac Valve Procedures with Mcc 319–––$89,423$44,234–$106,141 · 19 plans
Other Endovascular Cardiac Valve Procedures Without Mcc 320–––$47,121$24,991–$59,134 · 19 plans
Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323–––$86,709$43,251–$95,193 · 19 plans
Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324–––$65,044$31,553–$71,408 · 19 plans
Ms-Drg 325 325–––$58,265$32,361–$63,966 · 19 plans
Stomach, Esophageal and Duodenal Procedures with Mcc 326–––$103,392$48,980–$113,509 · 19 plans
Ms-Drg 332 332–––$70,612$36,188–$77,521 · 19 plans
Ms-Drg 333 333–––$43,263$24,469–$47,496 · 19 plans
Ms-Drg 334 334–––$33,762$18,457–$37,065 · 19 plans
Peritoneal Adhesiolysis with Mcc 335–––$73,775$36,400–$80,994 · 19 plans
Peritoneal Adhesiolysis with Cc 336–––$43,004$22,131–$47,212 · 19 plans
Peritoneal Adhesiolysis Without Cc/Mcc 337–––$31,250$16,276–$34,307 · 19 plans
Ms-Drg 338 338–––$8,617only 2 plans
Ms-Drg 339 339–––$8,606only 2 plans
Ms-Drg 340 340–––$2,027only 2 plans
Ms-Drg 341 341–––$9,008only 2 plans
Ms-Drg 342 342–––$5,641only 2 plans
Ms-Drg 343 343–––$1,102only 2 plans
Ms-Drg 344 344–––$54,853$27,280–$60,220 · 19 plans
Ms-Drg 345 345–––$30,317$16,855–$33,284 · 19 plans
Ms-Drg 346 346–––$25,350$13,670–$27,830 · 19 plans
Anal and Stomal Procedures with Mcc 347–––$48,179$23,448–$52,894 · 19 plans
Ms-Drg 348 348–––$10,896$5,176–$18,440 · 4 plans
Ms-Drg 349 349–––$17,933$9,752–$19,688 · 19 plans
Inguinal and Femoral Hernia Procedures with Mcc 350–––$49,262$25,633–$54,083 · 19 plans
Inguinal and Femoral Hernia Procedures with Cc 351–––$30,633$15,687–$33,630 · 19 plans
Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352–––$22,445$13,030–$24,641 · 19 plans
Hernia Procedures Except Inguinal and Femoral with Mcc 353–––$59,706$31,169–$65,548 · 19 plans
Hernia Procedures Except Inguinal and Femoral with Cc 354–––$34,631$19,029–$38,020 · 19 plans
Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355–––$27,139$14,910–$29,795 · 19 plans
Other Digestive System O.r. Procedures with Cc 357–––$45,844$26,151–$50,330 · 19 plans
Ms-Drg 358 358–––$27,585$15,803–$30,284 · 19 plans
Ms-Drg 359 359–––$5,701$5,701–$34,735 · 3 plans
Ms-Drg 360 360–––$6,159$6,159–$25,063 · 3 plans
Ms-Drg 361 361–––$7,988only 2 plans
Ms-Drg 362 362–––$2,161only 2 plans
Ms-Drg 363 363–––$6,905only 2 plans
Ms-Drg 364 364–––$6,994only 2 plans
Ms-Drg 365 365–––$14,652only 2 plans
Ms-Drg 366 366–––$8,966only 2 plans
Ms-Drg 367 367–––$3,901only 2 plans
Major Esophageal Disorders with Mcc 368–––$33,996$17,692–$37,322 · 19 plans
Major Esophageal Disorders with Cc 369–––$20,716$11,233–$22,743 · 19 plans
Ms-Drg 370 370–––$14,208$8,772–$15,598 · 19 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371–––$35,592$18,602–$39,075 · 19 plans
Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373–––$14,766$8,262–$16,210 · 19 plans
Digestive Malignancy with Cc 375–––$25,014$13,172–$27,461 · 19 plans
Ms-Drg 376 376–––$17,974$10,394–$19,733 · 19 plans
Gastrointestinal Hemorrhage Without Cc/Mcc 379–––$5,600$2,667–$9,365 · 4 plans
Complicated Peptic Ulcer with Mcc 380–––$13,457$2,513–$27,888 · 4 plans
Ms-Drg 382 382–––$6,113$1,665–$11,177 · 4 plans
Ms-Drg 383 383–––$25,737$14,670–$28,255 · 19 plans
Uncomplicated Peptic Ulcer Without Mcc 384–––$17,703$9,379–$19,436 · 19 plans
Inflammatory Bowel Disease with Mcc 385–––$33,076$17,869–$36,312 · 19 plans
Ms-Drg 387 387–––$14,981$10,037–$21,275 · 19 plans
Other Digestive System Diagnoses Without Cc/Mcc 395–––$12,956$8,196–$14,224 · 19 plans
Ms-Drg 396 396–––$17,958only 2 plans
Ms-Drg 397 397–––$50,439$25,390–$55,374 · 19 plans
Appendix Procedures with Cc 398–––$30,808$16,998–$33,822 · 19 plans
Appendix Procedures Without Cc/Mcc 399–––$9,667$4,674–$16,410 · 4 plans
Ms-Drg 400 400–––Not in dollars (31 plans)
Ms-Drg 401 401–––$21,015only 2 plans
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402–––$28,558$8,188–$56,493 · 4 plans
Ms-Drg 403 403–––$12,902only 2 plans
Ms-Drg 404 404–––$6,335only 2 plans
Pancreas, Liver and Shunt Procedures with Mcc 405–––$110,511$55,698–$121,325 · 19 plans
Pancreas, Liver and Shunt Procedures with Cc 406–––$57,169$32,388–$62,763 · 19 plans
Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407–––$43,477$23,701–$47,731 · 19 plans
Ms-Drg 408 408–––$71,275$37,927–$78,250 · 19 plans
Ms-Drg 409 409–––$42,676$23,431–$46,852 · 19 plans
Ms-Drg 410 410–––$31,575$17,537–$34,665 · 19 plans
Cholecystectomy with C.d.e. with Mcc 411–––$55,708$30,756–$61,159 · 19 plans
Ms-Drg 412 412–––$43,393$21,771–$47,639 · 19 plans
Ms-Drg 413 413–––$33,843$18,630–$37,155 · 19 plans
Ms-Drg 414 414–––$71,326$35,699–$78,305 · 19 plans
Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415–––$40,268$25,767–$44,208 · 19 plans
Ms-Drg 416 416–––$27,895$16,082–$30,624 · 19 plans
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419–––$26,824$15,100–$29,448 · 19 plans
Hepatobiliary Diagnostic Procedures with Mcc 420–––$71,847$34,150–$78,878 · 19 plans
Ms-Drg 421 421–––$33,336$18,531–$36,598 · 19 plans
Ms-Drg 422 422–––$29,912$15,002–$32,839 · 19 plans
Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423–––$82,798$42,938–$90,900 · 19 plans
Ms-Drg 424 424–––$51,027$33,515–$51,027 · 17 plans
Ms-Drg 425 425–––$34,546$22,690–$34,546 · 17 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426–––$234,264$153,798–$234,264 · 17 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428–––$123,041$80,799–$123,041 · 17 plans
Ms-Drg 429 429–––$186,399$122,425–$186,399 · 17 plans
Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430–––$122,257$80,297–$122,257 · 17 plans
Ms-Drg 431 431–––Not in dollars (31 plans)
Ms-Drg 434 434–––$14,871$10,120–$15,565 · 16 plans
Malignancy of Hepatobiliary System or Pancreas with Cc 436–––$24,079$16,386–$25,202 · 16 plans
Ms-Drg 437 437–––$17,547$11,669–$17,547 · 17 plans
Disorders of Pancreas Except Malignancy with Mcc 438–––$37,186$24,421–$37,186 · 17 plans
Ms-Drg 443 443–––$14,304$8,917–$15,703 · 19 plans
Disorders of the Biliary Tract Without Cc/Mcc 446–––$16,229$9,127–$17,817 · 19 plans
Ms-Drg 447 447–––$136,484$65,280–$149,839 · 19 plans
Multiple Level Spinal Fusion Except Cervical Without Mcc 448–––$83,126$41,382–$91,260 · 19 plans
Ms-Drg 449 449–––$6,046only 2 plans
Ms-Drg 450 450–––$104,838$52,234–$115,096 · 19 plans
Single Level Spinal Fusion Except Cervical Without Mcc 451–––$62,821$31,987–$68,968 · 19 plans
Ms-Drg 452 452–––$7,397only 2 plans
Combined Anterior and Posterior Spinal Fusion with Mcc 453–––$3,710only 2 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456–––$180,838$123,062–$189,273 · 16 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457–––$128,267$84,244–$128,267 · 17 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458–––$96,501$63,381–$96,501 · 17 plans
Ms-Drg 461 461–––$124,931$55,185–$137,155 · 19 plans
Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462–––$64,001$42,035–$64,001 · 17 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463–––$109,947$56,151–$120,706 · 19 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464–––$60,028$31,235–$65,901 · 19 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465–––$35,339$19,050–$38,797 · 19 plans
Revision of Hip or Knee Replacement with Mcc 466–––$103,710$51,348–$113,858 · 19 plans
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469–––$73,051$47,979–$73,051 · 17 plans
Cervical Spinal Fusion with Mcc 471–––$98,879$51,180–$108,554 · 19 plans
Cervical Spinal Fusion Without Cc/Mcc 473–––$48,191$29,113–$52,907 · 19 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474–––$100,226$65,827–$100,226 · 17 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475–––$43,914$27,645–$48,211 · 19 plans
Ms-Drg 476 476–––$23,676$15,966–$25,993 · 19 plans
Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477–––$70,007$36,613–$76,857 · 19 plans
Biopsies of Musculoskeletal System and Connective Tissue with Cc 478–––$47,605$27,665–$52,263 · 19 plans
Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479–––$36,150$20,582–$39,687 · 19 plans
Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482–––$32,296$22,539–$35,456 · 19 plans
Major Joint or Limb Reattachment Procedures of Upper Extremities 483–––$56,950$37,403–$56,950 · 17 plans
Ms-Drg 484 484–––$36,117only 2 plans
Knee Procedures with Principal Diagnosis of Infection with Mcc 485–––$65,626$36,096–$72,047 · 19 plans
Knee Procedures with Principal Diagnosis of Infection with Cc 486–––$43,173$31,757–$47,398 · 19 plans
Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487–––$32,168$18,546–$35,315 · 19 plans
Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488–––$40,010$29,429–$43,924 · 19 plans
Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489–––$25,215$13,985–$27,683 · 19 plans
Ms-Drg 490 490–––$7,486only 2 plans
Ms-Drg 491 491–––$12,090only 2 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494–––$16,092$7,255–$27,631 · 4 plans
Ms-Drg 495 495–––$58,274$47,083–$62,792 · 4 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496–––$41,231$29,543–$44,094 · 19 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497–––$27,341$20,105–$30,016 · 19 plans
Ms-Drg 498 498–––$51,398$31,625–$56,427 · 19 plans
Ms-Drg 499 499–––$13,503$10,230–$22,553 · 4 plans
Soft Tissue Procedures with Mcc 500–––$22,715$6,700–$45,487 · 4 plans
Soft Tissue Procedures with Cc 501–––$36,337$20,929–$39,893 · 19 plans
Soft Tissue Procedures Without Cc/Mcc 502–––$28,442$15,674–$31,225 · 19 plans
Ms-Drg 503 503–––$53,877$29,151–$59,149 · 19 plans
Foot Procedures with Cc 504–––$39,238$26,281–$62,577 · 19 plans
Ms-Drg 505 505–––$35,741$20,566–$39,238 · 19 plans
Ms-Drg 506 506–––$30,517$22,447–$33,503 · 19 plans
Ms-Drg 507 507–––$39,456$20,680–$43,317 · 19 plans
Ms-Drg 508 508–––$26,274$16,138–$28,845 · 19 plans
Ms-Drg 509 509–––$37,508$18,420–$39,258 · 18 plans
Ms-Drg 510 510–––$58,183$31,419–$63,876 · 19 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511–––$39,930$21,641–$43,837 · 19 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512–––$35,932$24,075–$42,743 · 19 plans
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513–––$33,648$22,544–$44,881 · 19 plans
Ms-Drg 514 514–––$22,788$14,966–$22,788 · 17 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515–––$62,951$38,912–$69,111 · 19 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517–––$30,386$18,462–$33,360 · 19 plans
Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518–––$72,959$38,929–$80,098 · 19 plans
Back and Neck Procedures Except Spinal Fusion with Cc 519–––$40,140$23,312–$44,068 · 19 plans
Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520–––$29,175$17,372–$32,030 · 19 plans
Ms-Drg 523 523–––$2,758only 2 plans
Ms-Drg 524 524–––$5,264only 2 plans
Ms-Drg 525 525–––$80,762only 2 plans
Ms-Drg 526 526–––$21,116only 2 plans
Ms-Drg 527 527–––$16,530only 2 plans
Ms-Drg 528 528–––$48,622only 2 plans
Ms-Drg 529 529–––$15,737only 2 plans
Ms-Drg 530 530–––$8,481only 2 plans
Ms-Drg 531 531–––$21,996only 2 plans
Ms-Drg 532 532–––$10,420only 2 plans
Ms-Drg 533 533–––$31,042$18,104–$34,079 · 19 plans
Ms-Drg 534 534–––$9,046$7,466–$11,888 · 4 plans
Fractures of Hip and Pelvis with Mcc 535–––$29,723$19,914–$44,343 · 19 plans
Ms-Drg 537 537–––$18,707$12,737–$20,537 · 19 plans
Ms-Drg 538 538–––$13,670$8,821–$15,008 · 19 plans
Osteomyelitis with Mcc 539–––$41,178$24,394–$45,207 · 19 plans
Osteomyelitis with Cc 540–––$12,800$9,133–$18,772 · 4 plans
Ms-Drg 541 541–––$77,826$11,290–$142,294 · 4 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544–––$16,890$11,093–$16,890 · 17 plans
Connective Tissue Disorders with Mcc 545–––$56,472$37,090–$56,472 · 17 plans
Connective Tissue Disorders with Cc 546–––$25,875$16,993–$25,875 · 17 plans
Connective Tissue Disorders Without Cc/Mcc 547–––$16,678$11,230–$16,678 · 17 plans
Ms-Drg 548 548–––$45,024$29,571–$45,024 · 17 plans
Ms-Drg 549 549–––$26,932$17,689–$26,932 · 17 plans
Ms-Drg 550 550–––$19,268$12,654–$19,268 · 17 plans
Bone Diseases and Arthropathies with Mcc 553–––$29,196$19,172–$29,196 · 17 plans
Bone Diseases and Arthropathies Without Mcc 554–––$18,653$12,251–$18,653 · 17 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555–––$30,094$19,766–$30,094 · 17 plans
Tendonitis, Myositis and Bursitis with Mcc 557–––$34,636$22,747–$34,636 · 17 plans
Tendonitis, Myositis and Bursitis Without Mcc 558–––$19,306$12,679–$19,306 · 17 plans
Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559–––$41,484$27,247–$41,484 · 17 plans
Aftercare, Musculoskeletal System and Connective Tissue with Cc 560–––$25,452$16,715–$25,452 · 17 plans
Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561–––$18,273$12,001–$18,273 · 17 plans
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562–––$32,714$21,483–$32,714 · 17 plans
Ms-Drg 566 566–––$16,718$10,981–$16,718 · 17 plans
Ms-Drg 567 567–––Not in dollars (31 plans)
Ms-Drg 568 568–––Not in dollars (31 plans)
Ms-Drg 569 569–––Not in dollars (31 plans)
Skin Debridement with Mcc 570–––$67,282$44,187–$67,282 · 17 plans
Skin Debridement with Cc 571–––$37,432$24,579–$37,432 · 17 plans
Ms-Drg 572 572–––$25,533$16,769–$25,533 · 17 plans
Skin Graft for Skin Ulcer or Cellulitis with Mcc 573–––$137,627$90,392–$137,627 · 17 plans
Skin Graft for Skin Ulcer or Cellulitis with Cc 574–––$77,436$50,859–$77,436 · 17 plans
Ms-Drg 575 575–––$44,622$29,308–$44,622 · 17 plans
Ms-Drg 576 576–––$120,576$79,193–$120,576 · 17 plans
Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577–––$59,509$39,085–$59,509 · 17 plans
Ms-Drg 578 578–––$37,778$24,812–$37,778 · 17 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579–––$72,841$47,842–$72,841 · 17 plans
Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581–––$32,164$21,125–$32,164 · 17 plans
Ms-Drg 582 582–––$39,137$25,705–$39,137 · 17 plans
Ms-Drg 583 583–––$36,710$24,111–$36,710 · 17 plans
Ms-Drg 584 584–––$45,757$30,052–$45,757 · 17 plans
Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585–––$44,365$29,138–$44,365 · 17 plans
Skin Ulcers with Mcc 592–––$45,956$30,183–$45,956 · 17 plans
Skin Ulcers with Cc 593–––$27,325$17,947–$27,325 · 17 plans
Ms-Drg 594 594–––$18,966$12,457–$18,966 · 17 plans
Ms-Drg 595 595–––$47,270$31,046–$47,270 · 17 plans
Major Skin Disorders Without Mcc 596–––$24,160$15,868–$24,160 · 17 plans
Malignant Breast Disorders with Mcc 597–––$39,258$25,785–$39,258 · 17 plans
Ms-Drg 598 598–––$24,113$15,671–$24,113 · 17 plans
Ms-Drg 599 599–––$19,107$12,549–$19,107 · 17 plans
Ms-Drg 600 600–––$21,393$14,137–$21,393 · 17 plans
Ms-Drg 601 601–––$13,399$8,800–$13,399 · 17 plans
Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604–––$33,205$21,808–$33,205 · 17 plans
Minor Skin Disorders with Mcc 606–––$35,986$23,636–$35,986 · 17 plans
Adrenal and Pituitary Procedures with Cc/Mcc 614–––$50,931$33,451–$50,931 · 17 plans
Adrenal and Pituitary Procedures Without Cc/Mcc 615–––$32,025$21,034–$32,025 · 17 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616–––$86,381$56,732–$86,381 · 17 plans
Ms-Drg 618 618–––$27,826$18,575–$27,826 · 17 plans
Ms-Drg 619 619–––$60,935$40,021–$60,935 · 17 plans
O.r. Procedures for Obesity with Cc 620–––$35,691$23,441–$35,691 · 17 plans
O.r. Procedures for Obesity Without Cc/Mcc 621–––$32,669$21,457–$32,669 · 17 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622–––$83,678$54,938–$83,678 · 17 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623–––$42,778$28,084–$42,778 · 17 plans
Ms-Drg 624 624–––$22,419$15,645–$22,419 · 17 plans
Ms-Drg 625 625–––$64,075$42,084–$64,075 · 17 plans
Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626–––$33,731$22,154–$33,731 · 17 plans
Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627–––$28,313$18,596–$28,313 · 17 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628–––$88,200$57,921–$88,200 · 17 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629–––$50,290$33,019–$50,290 · 17 plans
Ms-Drg 630 630–––$31,317$20,569–$31,317 · 17 plans
Diabetes Without Cc/Mcc 639–––$14,005$9,198–$14,005 · 17 plans
Inborn and Other Disorders of Metabolism 642–––$27,739$18,557–$27,739 · 17 plans
Endocrine Disorders Without Cc/Mcc 645–––$17,411$11,432–$17,411 · 17 plans
Kidney Transplant with Hemodialysis with Mcc 650–––$102,966$67,627–$102,966 · 17 plans
Kidney Transplant with Hemodialysis Without Mcc 651–––$77,604$50,970–$77,604 · 17 plans
Kidney Transplant 652–––$62,523$41,789–$69,309 · 9 plans
Major Bladder Procedures with Mcc 653–––$124,583$81,825–$124,583 · 17 plans
Major Bladder Procedures with Cc 654–––$63,069$41,423–$63,069 · 17 plans
Major Bladder Procedures Without Cc/Mcc 655–––$46,425$30,491–$46,425 · 17 plans
Kidney and Ureter Procedures for Neoplasm with Mcc 656–––$72,810$47,821–$72,810 · 17 plans
Kidney and Ureter Procedures for Neoplasm with Cc 657–––$40,856$26,833–$40,856 · 17 plans
Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658–––$33,612$22,076–$33,612 · 17 plans
Ms-Drg 662 662–––$69,719$45,790–$69,719 · 17 plans
Minor Bladder Procedures with Cc 663–––$34,135$22,420–$34,135 · 17 plans
Ms-Drg 664 664–––$24,134$15,850–$24,134 · 17 plans
Prostatectomy with Mcc 665–––$76,736$50,399–$76,736 · 17 plans
Ms-Drg 666 666–––$36,815$24,180–$36,815 · 17 plans
Ms-Drg 667 667–––$22,969$15,097–$22,969 · 17 plans
Transurethral Procedures with Mcc 668–––$65,175$42,806–$65,175 · 17 plans
Transurethral Procedures with Cc 669–––$34,587$22,715–$34,587 · 17 plans
Ms-Drg 670 670–––$21,358$14,028–$21,358 · 17 plans
Ms-Drg 671 671–––$38,522$25,301–$38,522 · 17 plans
Ms-Drg 672 672–––$24,458$16,064–$24,458 · 17 plans
Ms-Drg 675 675–––$34,982$22,976–$34,982 · 17 plans
Ms-Drg 685 685–––Not in dollars (31 plans)
Kidney and Urinary Tract Neoplasms with Mcc 686–––$42,143$27,679–$42,143 · 17 plans
Kidney and Urinary Tract Neoplasms with Cc 687–––$23,526$15,452–$23,526 · 17 plans
Ms-Drg 688 688–––$16,186$10,810–$16,186 · 17 plans
Ms-Drg 691 691–––Not in dollars (31 plans)
Ms-Drg 692 692–––Not in dollars (31 plans)
Ms-Drg 693 693–––$32,861$21,583–$32,861 · 17 plans
Ms-Drg 695 695–––$25,204$16,554–$25,204 · 17 plans
Kidney and Urinary Tract Signs and Symptoms Without Mcc 696–––$15,460$10,154–$15,460 · 17 plans
Ms-Drg 697 697–––$22,390$14,458–$22,390 · 17 plans
Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700–––$15,513$10,189–$15,513 · 17 plans
Major Male Pelvic Procedures with Cc/Mcc 707–––$43,370$28,485–$43,370 · 17 plans
Major Male Pelvic Procedures Without Cc/Mcc 708–––$33,132$21,760–$33,132 · 17 plans
Ms-Drg 709 709–––$50,220$32,984–$50,220 · 17 plans
Ms-Drg 710 710–––$33,554$22,038–$33,554 · 17 plans
Ms-Drg 711 711–––$42,702$28,017–$42,702 · 17 plans
Ms-Drg 712 712–––$23,906$14,502–$23,906 · 17 plans
Transurethral Prostatectomy with Cc/Mcc 713–––$32,316$21,225–$32,316 · 17 plans
Transurethral Prostatectomy Without Cc/Mcc 714–––$21,000$14,057–$21,000 · 17 plans
Ms-Drg 715 715–––$50,471$33,148–$50,471 · 17 plans
Ms-Drg 716 716–––$31,719$20,833–$31,719 · 17 plans
Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717–––$41,468$27,236–$41,468 · 17 plans
Ms-Drg 718 718–––$27,531$18,096–$27,531 · 17 plans
Malignancy, Male Reproductive System with Mcc 722–––$38,639$25,377–$38,639 · 17 plans
Ms-Drg 723 723–––$25,097$16,483–$25,097 · 17 plans
Ms-Drg 724 724–––$16,284$10,042–$16,284 · 17 plans
Ms-Drg 725 725–––$28,230$18,536–$28,230 · 17 plans
Benign Prostatic Hypertrophy Without Mcc 726–––$16,635$10,926–$16,635 · 17 plans
Ms-Drg 727 727–––$32,839$21,568–$32,839 · 17 plans
Inflammation of the Male Reproductive System Without Mcc 728–––$18,262$11,994–$18,262 · 17 plans
Ms-Drg 729 729–––$24,603$16,159–$24,603 · 17 plans
Ms-Drg 730 730–––$13,564$9,171–$13,564 · 17 plans
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734–––$46,995$30,866–$46,995 · 17 plans
Ms-Drg 735 735–––$27,128$17,942–$27,128 · 17 plans
Ms-Drg 736 736–––$87,999$57,797–$87,999 · 17 plans
Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737–––$44,662$29,333–$44,662 · 17 plans
Ms-Drg 738 738–––$33,900$22,265–$33,900 · 17 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739–––$88,969$58,433–$88,969 · 17 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740–––$25,174only 2 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741–––$30,698$20,162–$30,698 · 17 plans
Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742–––$40,825$26,813–$40,825 · 17 plans
Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743–––$26,789$17,595–$26,789 · 17 plans
D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744–––$43,670$28,681–$43,670 · 17 plans
Ms-Drg 745 745–––$22,904$15,219–$22,904 · 17 plans
Vagina, Cervix and Vulva Procedures with Cc/Mcc 746–––$23,645only 2 plans
Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747–––$12,925only 2 plans
Female Reproductive System Reconstructive Procedures 748–––$30,445$19,996–$30,445 · 17 plans
Ms-Drg 749 749–––$57,851$37,996–$57,851 · 17 plans
Ms-Drg 750 750–––$28,820$19,256–$28,820 · 17 plans
Malignancy, Female Reproductive System with Mcc 754–––$40,436$26,557–$40,436 · 17 plans
Malignancy, Female Reproductive System with Cc 755–––$24,811$16,295–$24,811 · 17 plans
Ms-Drg 756 756–––$21,342$14,018–$21,342 · 17 plans
Ms-Drg 757 757–––$31,630$20,774–$31,630 · 17 plans
Ms-Drg 758 758–––$22,781$14,962–$22,781 · 17 plans
Ms-Drg 759 759–––$14,302$9,435–$14,302 · 17 plans
Ms-Drg 760 760–––$22,026$14,467–$22,026 · 17 plans
Ms-Drg 761 761–––$14,168$9,305–$14,168 · 17 plans
Ms-Drg 765 765–––Not in dollars (31 plans)
Ms-Drg 766 766–––Not in dollars (31 plans)
Ms-Drg 767 767–––Not in dollars (31 plans)
Ms-Drg 768 768–––$12,439$10,931–$12,979 · 17 plans
Ms-Drg 769 769–––$31,055$21,192–$31,055 · 17 plans
Ms-Drg 770 770–––$24,046$15,793–$24,046 · 17 plans
Ms-Drg 774 774–––Not in dollars (31 plans)
Ms-Drg 775 775–––Not in dollars (31 plans)
Ms-Drg 776 776–––$15,944$10,472–$15,944 · 17 plans
Ms-Drg 777 777–––Not in dollars (31 plans)
Ms-Drg 778 778–––Not in dollars (31 plans)
Ms-Drg 779 779–––$20,891$13,720–$20,891 · 17 plans
Ms-Drg 780 780–––Not in dollars (31 plans)
Ms-Drg 781 781–––Not in dollars (31 plans)
Ms-Drg 782 782–––Not in dollars (31 plans)
Ms-Drg 783 783–––$18,521$17,235–$24,354 · 17 plans
Ms-Drg 784 784–––$18,521$10,799–$18,521 · 17 plans
Ms-Drg 785 785–––$18,521$8,724–$18,521 · 17 plans
C-section, with major complications 786–––$18,521$16,111–$19,383 · 17 plans
C-section, with complications 787–––$18,521$10,587–$18,521 · 17 plans
C-section 788–––$18,521$9,024–$18,521 · 17 plans
Ms-Drg 789 789–––$22,495$9,919–$36,699 · 17 plans
Ms-Drg 790 790–––$92,605$87,264–$121,028 · 17 plans
Ms-Drg 791 791–––$49,386$26,457–$82,656 · 17 plans
Ms-Drg 792 792–––$30,205$9,919–$49,873 · 17 plans
Ms-Drg 793 793–––$50,704$26,457–$84,905 · 17 plans
Ms-Drg 794 794–––$2,916$2,910–$9,956 · 17 plans
Newborn care (healthy baby) 795–––$2,910$510–$3,107 · 17 plans
Ms-Drg 796 796–––$12,439$11,706–$14,457 · 17 plans
Ms-Drg 797 797–––$12,439$9,654–$12,640 · 17 plans
Ms-Drg 798 798–––$12,439$9,654–$12,439 · 17 plans
Ms-Drg 799 799–––$106,263$69,792–$106,263 · 17 plans
Ms-Drg 800 800–––$65,119$42,769–$65,119 · 17 plans
Ms-Drg 801 801–––$36,692$24,547–$36,692 · 17 plans
Ms-Drg 802 802–––$80,116$52,619–$80,116 · 17 plans
Ms-Drg 803 803–––$39,781$26,127–$39,781 · 17 plans
Ms-Drg 804 804–––$24,708$17,060–$24,708 · 17 plans
Vaginal birth, with major complications 805–––$13,764$12,439–$20,315 · 17 plans
Vaginal birth, with complications 806–––$12,439$10,631–$14,729 · 17 plans
Vaginal birth 807–––$12,439$9,460–$12,972 · 17 plans
Ms-Drg 810 810–––$21,271$14,117–$21,271 · 17 plans
Reticuloendothelial and Immunity Disorders with Mcc 814–––$46,718$30,685–$46,718 · 17 plans
Reticuloendothelial and Immunity Disorders with Cc 815–––$22,710$14,915–$22,710 · 17 plans
Ms-Drg 816 816–––$14,738$9,679–$14,738 · 17 plans
Ms-Drg 817 817–––$56,659$34,331–$56,659 · 17 plans
Ms-Drg 818 818–––$28,787$16,702–$28,787 · 17 plans
Ms-Drg 819 819–––$18,249$11,265–$18,249 · 17 plans
Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820–––$130,119$85,461–$130,119 · 17 plans
Lymphoma and Leukemia with Major O.r. Procedures with Cc 821–––$30,891only 2 plans
Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822–––$16,415only 2 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823–––$63,551only 2 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824–––$49,154$32,284–$49,154 · 17 plans
Ms-Drg 825 825–––$27,506$18,116–$27,506 · 17 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826–––$106,726$70,096–$106,726 · 17 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827–––$32,297only 2 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828–––$22,899only 2 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829–––$68,918$45,265–$68,918 · 17 plans
Ms-Drg 830 830–––$20,642only 2 plans
Ms-Drg 831 831–––$16,462only 2 plans
Ms-Drg 832 832–––$16,702$10,970–$16,702 · 17 plans
Ms-Drg 833 833–––$7,594only 2 plans
Acute Leukemia with Mcc 834–––$75,416only 2 plans
Acute Leukemia with Cc 835–––$29,244only 2 plans
Ms-Drg 836 836–––$28,400$18,393–$28,400 · 17 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837–––$111,902$73,496–$111,902 · 17 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838–––$45,328$29,771–$45,328 · 17 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839–––$30,626$20,115–$30,626 · 17 plans
Lymphoma and Non-Acute Leukemia with Mcc 840–––$71,283$46,812–$71,283 · 17 plans
Lymphoma and Non-Acute Leukemia with Cc 841–––$35,043$23,015–$35,043 · 17 plans
Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842–––$23,508$15,440–$23,508 · 17 plans
Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843–––$42,311$27,790–$42,311 · 17 plans
Ms-Drg 844 844–––$26,710$17,543–$26,710 · 17 plans
Ms-Drg 845 845–––$18,700$12,283–$18,700 · 17 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846–––$57,073$37,485–$57,073 · 17 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847–––$28,398$18,652–$28,398 · 17 plans
Ms-Drg 848 848–––$18,302$12,020–$18,302 · 17 plans
Radiotherapy 849–––$59,695$39,207–$59,695 · 17 plans
Ms-Drg 850 850–––$205,873$135,214–$205,873 · 17 plans
Infectious and Parasitic Diseases with O.r. Procedures with Cc 854–––$44,660$29,330–$44,660 · 17 plans
Ms-Drg 855 855–––$36,330$23,861–$36,330 · 17 plans
Ms-Drg 858 858–––$28,796$18,912–$28,796 · 17 plans
Postoperative and Post-Traumatic Infections Without Mcc 863–––$22,348$14,677–$22,348 · 17 plans
Fever and Inflammatory Conditions 864–––$20,068$13,181–$20,068 · 17 plans
Viral Illness with Mcc 865–––$32,986$21,431–$32,986 · 17 plans
Viral Illness Without Mcc 866–––$19,773$12,987–$19,773 · 17 plans
Other Infectious and Parasitic Diseases Diagnoses with Mcc 867–––$47,923$31,475–$47,923 · 17 plans
Other Infectious and Parasitic Diseases Diagnoses with Cc 868–––$23,468$15,413–$23,468 · 17 plans
Ms-Drg 869 869–––$16,081$10,562–$16,081 · 17 plans
O.r. Procedures with Principal Diagnosis of Mental Illness 876–––$87,822$57,680–$87,822 · 17 plans
Acute Adjustment Reaction and Psychosocial Dysfunction 880–––$21,425$14,071–$21,425 · 17 plans
Depressive Neuroses 881–––$20,430$13,418–$20,430 · 17 plans
Neuroses Except Depressive 882–––$21,498$14,340–$21,498 · 17 plans
Disorders of Personality and Impulse Control 883–––$41,491$27,226–$41,491 · 17 plans
Ms-Drg 886 886–––$40,150$26,758–$40,150 · 17 plans
Ms-Drg 887 887–––$26,581$17,458–$26,581 · 17 plans
Alcohol, Drug Abuse or Dependence, Left Ama 894–––$13,949$9,161–$13,949 · 17 plans
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895–––$32,361$20,845–$32,361 · 17 plans
Ms-Drg 901 901–––$99,015$65,032–$99,015 · 17 plans
Wound Debridements for Injuries with Cc 902–––$42,407$27,853–$42,407 · 17 plans
Ms-Drg 903 903–––$27,245$17,894–$27,245 · 17 plans
Skin Grafts for Injuries with Cc/Mcc 904–––$86,291$56,674–$86,291 · 17 plans
Ms-Drg 905 905–––$36,835$24,193–$36,835 · 17 plans
Ms-Drg 906 906–––$48,777$32,035–$48,777 · 17 plans
Other O.r. Procedures for Injuries Without Cc/Mcc 909–––$28,344$18,616–$28,344 · 17 plans
Traumatic Injury with Mcc 913–––$36,167$23,754–$36,167 · 17 plans
Traumatic Injury Without Mcc 914–––$20,479$13,451–$20,479 · 17 plans
Ms-Drg 915 915–––$38,840$25,509–$38,840 · 17 plans
Allergic Reactions Without Mcc 916–––$14,840$9,748–$14,840 · 17 plans
Poisoning and Toxic Effects of Drugs Without Mcc 918–––$19,766$12,984–$19,766 · 17 plans
Complications of Treatment Without Cc/Mcc 921–––$15,368$10,094–$15,368 · 17 plans
Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922–––$37,754$24,797–$37,754 · 17 plans
Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923–––$22,793$14,970–$22,793 · 17 plans
Ms-Drg 927 927–––$404,819$319,163–$482,949 · 17 plans
Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928–––$145,521$98,035–$145,521 · 17 plans
Ms-Drg 929 929–––$62,180$46,683–$64,743 · 17 plans
Ms-Drg 933 933–––$60,856$60,385–$88,083 · 17 plans
Full Thickness Burn Without Skin Graft or Inhalation Injury 934–––$37,043$31,497–$43,682 · 17 plans
Non-Extensive Burns 935–––$34,395$32,240–$44,712 · 17 plans
Ms-Drg 939 939–––$70,934$46,781–$70,934 · 17 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940–––$47,188$30,992–$47,188 · 17 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941–––$43,676$28,686–$43,676 · 17 plans
Rehabilitation with Cc/Mcc 945–––$39,688$22,406–$39,688 · 17 plans
Rehabilitation Without Cc/Mcc 946–––$35,061$16,388–$39,688 · 17 plans
Signs and Symptoms with Mcc 947–––$28,744$18,879–$28,744 · 17 plans
Aftercare with Cc/Mcc 949–––$24,113$15,964–$24,113 · 17 plans
Aftercare Without Cc/Mcc 950–––$13,099$8,770–$13,099 · 17 plans
Other Factors Influencing Health Status 951–––$12,670$8,322–$12,670 · 17 plans
Ms-Drg 955 955–––$152,604$100,228–$152,604 · 17 plans
Other O.r. Procedures for Multiple Significant Trauma with Mcc 957–––$166,814$109,561–$166,814 · 17 plans
Other O.r. Procedures for Multiple Significant Trauma with Cc 958–––$91,847$60,324–$91,847 · 17 plans
Ms-Drg 959 959–––$59,087$38,808–$59,087 · 17 plans
Other Multiple Significant Trauma with Mcc 963–––$60,716$39,877–$60,716 · 17 plans
Ms-Drg 965 965–––$20,394$13,395–$20,394 · 17 plans
Ms-Drg 969 969–––$141,339$92,830–$141,339 · 17 plans
Ms-Drg 970 970–––$59,299$38,946–$59,299 · 17 plans
Hiv with Major Related Condition with Mcc 974–––$66,737$43,832–$66,737 · 17 plans
Hiv with Major Related Condition with Cc 975–––$31,766$20,864–$31,766 · 17 plans
Ms-Drg 976 976–––$22,415$14,722–$22,415 · 17 plans
Ms-Drg 977 977–––$32,224$21,165–$32,224 · 17 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983–––$37,282$24,486–$37,282 · 17 plans
Ms-Drg 984 984–––Not in dollars (31 plans)
Ms-Drg 985 985–––Not in dollars (31 plans)
Ms-Drg 986 986–––Not in dollars (31 plans)
Ms-Drg 989 989–––$25,823$16,961–$25,823 · 17 plans
Ms-Drg 998 998–––Not in dollars (31 plans)
Ms-Drg 999 999–––Not in dollars (31 plans)

Outpatient procedures and tests

The hospital's facility charge only; doctors usually bill separately.

ProcedureList priceCash priceInsurers (median)
Cataract surgery CPT 66984––$6,522$3,602–$6,522 · 12 plans
Colonoscopy CPT 45378––$4,951$1,452–$4,951 · 12 plans
Colonoscopy with biopsy CPT 45380––$4,951$1,868–$4,951 · 12 plans
Complete blood count (CBC) CPT 85025$137$137$9$9–$17 · 12 plans
Comprehensive metabolic panel (blood test) CPT 80053$152$152$13$13–$23 · 12 plans
CT scan of the abdomen and pelvis, with contrast CPT 74177$3,941$3,941$436$436–$945 · 13 plans
Emergency room visit, highest level CPT 99285$6,078$6,078$1,105$871–$1,634 · 4 plans
Gallbladder removal (laparoscopic) CPT 47562––$13,382$9,430–$13,439 · 12 plans
Hip replacement CPT 27130––$16,745$16,745–$27,607 · 12 plans
Knee arthroscopy (meniscus) CPT 29881––$7,853$5,107–$7,853 · 12 plans
Knee replacement CPT 27447––$16,745$16,745–$27,607 · 12 plans
MRI of the brain, with and without contrast CPT 70553$3,687$3,687$436$436–$881 · 13 plans
MRI of the knee, without contrast CPT 73721$2,048$2,048$273$273–$566 · 13 plans

Price file: Miami Valley Hospital, read November 9, 2026.