US Health Care Costs

Milton S Hershey Medical Center

500 University Drive, Hershey, PA 17033 · (717) 531-8521

General hospitalVoluntary non-profit - PrivateEmergency room

Milton S Hershey Medical Center is a non-profit general hospital in Hershey, Pennsylvania (Dauphin County), with 645 beds. It has an emergency room and holds 4 of 5 stars in CMS's overall quality rating. In CMS's patient survey it scores 3 of 5 stars, and 77% of patients said they would definitely recommend it. Medicare patients had 3,875 stays here in 2024, most often for sepsis, heart failure and respiratory failure. It lists $4.29 for every $1 its care costs, less than the typical Pennsylvania hospital ($5.26). Its own cash prices and insurer rates are on this page.

On this page:QualityThe moneyHospital staysOutpatient pricesNearby hospitals

Compare with another hospital Best hospitals in Pennsylvania

★★★★★CMS overall quality rating
★★★★★patients' own rating (4,740 surveys)
$4.29listed for every $1 its care costs Pennsylvania typical $5.26
4 h 21 mintypical ER visit US typical 2 h 28 min
3,875Medicare stays in 2024
645beds

Quality and patient experience

What patients say

★★★★★3 of 5 · 4,740 surveys

77%would definitely recommend the hospital US typical 71%
76%rated the hospital 9 or 10 out of 10 US typical 72%

Rated by patients

  • Nurses communicated well★★★★★
  • Doctors communicated well★★★★★
  • Staff explained medicines★★★★★
  • Information for going home★★★★★
  • Room was clean★★★★★
  • Quiet at night★★★★★

Emergency room and urgent care

4 h 21 mintypical time in the ER before going home US typical 2 h 28 min
2%left the ER without being seen US typical 1%
48%of sepsis patients got the recommended care US typical 65%

ER volume: very high.

Deaths within 30 days of admission lower is better
Heart attack
12.0%
Heart failure
9.2%
Pneumonia
10.7%
Stroke
9.0%
COPD
9.2%
Back in the hospital within 30 days lower is better
Heart attack
15.2%
Heart failure
22.2%
Pneumonia
17.4%
Hip or knee replacement
6.8%
Infections and complications lower is better
Central-line bloodstream infections
0.72
≈ Same as US
Catheter urinary tract infections
0.54
✓ Better than US
Infections after colon surgery
0.44
✓ Better than US
MRSA blood infections
0.38
✓ Better than US
C. diff intestinal infections
0.44
✓ Better than US
Complications after hip or knee replacement
6.0%
Serious complications (CMS safety index)
0.87
≈ Same as US

US typical hospital. Infection figures are a ratio: 1.00 means as many infections as expected for a hospital like this one. CMS adjusts these rates for how sick the patients are; a small gap from the typical hospital can be chance, so a verdict is shown only where CMS gives one.

Source: CMS Care Compare, measurement periods ending up to September 2025.

The money

$23what care cost the hospital for every $100 it billed
$259.7Mnet income, all sources
−2.0%margin on patient care alone
$29.5Mcost of charity care (1.7% of costs)
$58.6Munpaid bills written off (bad debt)
7,073full-time staff (equivalent)

From the hospital's Medicare cost report for the year ending June 2025. 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 871263$100,785$22,924
$62$53–$79 · 13 plans
Heart failure, with major complications 291198$59,804$14,594
$21,591$72–$33,768 · 13 plans
Respiratory failure 189103$61,665$13,942
$80$59–$27,974 · 13 plans
Lung infection, with major complications 17790$71,330$18,038
$27,582$72–$42,057 · 13 plans
Pneumonia, with major complications 19384$60,804$14,472
$21,948$72–$34,573 · 13 plans
Kidney failure, with complications 68375$41,019$10,417
$12,975$72–$23,037 · 13 plans
Bowel surgery, with complications 33063$103,363$26,020
$45,145$72–$63,236 · 13 plans
Hip or thigh bone surgery (not replacement), with complications 48162$109,826$20,936
$45,579$72–$56,909 · 13 plans
Stroke, with major complications 06460$106,446$26,365
$62$53–$79 · 13 plans
Heart valve replacement through a catheter (TAVR) 26759$214,102$48,815
$102,144$72–$128,556 · 13 plans
Infection needing surgery, with major complications 85358$246,177$55,722
$62$53–$79 · 13 plans
Stomach and digestive disorders 39254$45,283$9,600
$13,230$72–$20,506 · 13 plans
Urinary tract infection 69054$40,643$9,231
$12,720$72–$21,293 · 13 plans
Stomach or intestinal bleeding, with complications 37852$52,189$11,218
$19,628$72–$26,129 · 13 plans
Other kidney and urinary problems, with major complications 69851$71,050$17,988
$30,896$72–$43,524 · 13 plans
Dehydration and electrolyte problems 64150$36,162$9,250
$80$59–$16,897 · 13 plans
Bowel surgery, with major complications 32947$188,825$48,139
$73,415$72–$121,242 · 13 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 84746$61,376$13,897
$18,940$72–$34,410 · 13 plans
Kidney failure, with major complications 68244$68,312$16,565
$22,662$72–$38,955 · 13 plans
Urinary tract infection, with major complications 68944$62,404$14,417
$23,248$72–$30,920 · 13 plans
Craniotomy and Endovascular Intracranial Procedures with Mcc 02541$140,235$45,122
$62$53–$79 · 13 plans
Stroke, with complications or clot-busting drug 06541$51,203$13,111
$62$53–$79 · 13 plans
Irregular heartbeat, with complications 30941$51,512$11,308
$12,618$72–$19,351 · 13 plans
Other circulation problems, with major complications 31438$123,990$25,407
$37,039$72–$54,848 · 13 plans
Stomach or intestinal bleeding, with major complications 37738$101,566$20,982
$34,158$72–$48,096 · 13 plans
Dehydration and electrolyte problems, with major complications 64038$69,888$14,280
$62$53–$79 · 13 plans
Skin infection (cellulitis) 60337$42,971$10,219
$12,542$72–$22,908 · 13 plans
Stomach and digestive disorders, with major complications 39134$65,277$14,523
$22,279$72–$33,361 · 13 plans
Spinal fusion (lower or mid back) 46034$211,499$36,142
–
Other kidney and urinary problems, with complications 69933$41,318$11,280
$18,099$72–$26,698 · 13 plans
Heart attack, with major complications 28031$108,902$19,330
$80$59–$35,632 · 13 plans
Irregular heartbeat, with major complications 30831$60,628$13,682
$20,036$72–$31,669 · 13 plans
Pneumonia, with complications 19430$37,877$9,788
$15,575$72–$21,333 · 13 plans
Fainting 31230$48,168$10,527
$16,467$72–$22,978 · 13 plans
Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 02729$102,951$25,027
$47,312$72–$66,422 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 21929$397,158$98,008
$120,804$72–$202,064 · 13 plans
Heart procedure through a catheter (e.g. ablation, valve clip) 27428$146,267$32,116
$65,105$72–$87,506 · 13 plans
Sepsis 87228$64,465$11,743
$80$59–$22,860 · 13 plans
Heart catheterization, with major complications 28627$145,611$27,184
$80$59–$47,039 · 13 plans
Other Circulatory System Diagnoses with Cc 31527$59,116$11,288
$19,272$72–$25,663 · 13 plans
Bowel obstruction, with complications 38927$37,756$9,265
$13,103$72–$20,774 · 13 plans
Other Cerebrovascular Disorders with Cc 07126$50,899$12,559
$21,821$72–$27,657 · 13 plans
Hip or thigh bone surgery (not replacement), with major complications 48026$132,840$29,514
$64,978$72–$79,704 · 13 plans
Diabetes, with complications 63826$43,151$13,135
$62$53–$79 · 13 plans
Nervous System Neoplasms with Mcc 05425$84,803$21,584
$80$59–$29,951 · 13 plans
Hip replacement after a hip fracture 52225$81,888$20,883
$42,214$72–$56,379 · 13 plans
Anemia and blood disorders 81225$69,972$11,843
$18,201$72–$24,419 · 13 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 02324$212,269$57,668
$62$53–$79 · 13 plans
Other Vascular Procedures with Cc 25324$162,266$28,699
$53,481$72–$69,537 · 13 plans
Other Digestive System Diagnoses with Mcc 39324$63,579$17,808
$80$59–$38,809 · 13 plans
Complications of Treatment with Mcc 91923$138,834$26,187
$28,270$72–$48,156 · 13 plans
Other Cerebrovascular Disorders with Mcc 07022$73,910$18,371
$37,429$72–$45,563 · 13 plans
Traumatic Stupor and Coma >1 Hour with Cc 08322$64,726$15,603
$80$59–$33,980 · 13 plans
Major Small and Large Bowel Procedures Without Cc/Mcc 33122$55,615$19,978
$33,929$72–$44,899 · 13 plans
Revision of Hip or Knee Replacement with Cc 46722$148,509$35,145
$54,271$72–$92,762 · 13 plans
Craniotomy and Endovascular Intracranial Procedures with Cc 02621$126,032$29,810
$62$53–$79 · 13 plans
Heart stent, with major complications or 4+ stents 32121$225,107$34,455
$62,513$72–$74,463 · 13 plans
Hip or knee replacement 47021$123,534$18,718
$30,743$72–$50,737 · 13 plans
Acute Leukemia with Mcc 83421$275,404$70,683
$72$58–$169,232 · 13 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 98121$281,550$77,247
$99,926$72–$126,508 · 13 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 98221$103,400$25,503
$50,295$72–$65,774 · 13 plans
Other digestive problems, with complications 39420$51,511$12,716
$80$59–$21,069 · 13 plans
Cirrhosis and Alcoholic Hepatitis with Mcc 43220$80,731$21,297
$37,294$72–$51,914 · 13 plans
Combined Anterior and Posterior Spinal Fusion with Cc 45420$309,146$68,514
–
Cervical Spinal Fusion with Cc 47220$147,978$28,892
$48,969$72–$77,492 · 13 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 49320$194,911$28,176
$48,204$72–$66,930 · 13 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 84620$109,594$27,402
$38,798$72–$68,192 · 13 plans
Signs and Symptoms Without Mcc 94820$36,554$9,234
$15,448$72–$21,184 · 13 plans
Disorders of the Biliary Tract with Mcc 44419$102,074$20,588
$80$59–$37,887 · 13 plans
Seizures with Mcc 10018$130,161$22,242
$62$53–$79 · 13 plans
Major Chest Trauma with Cc 18418$41,692$12,025
$19,501$72–$27,989 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 22018$248,548$59,131
$94,904$72–$140,271 · 13 plans
Peritoneal Adhesiolysis with Cc 33618$90,529$21,591
$38,084$72–$55,843 · 13 plans
Pancreas, Liver and Shunt Procedures with Cc 40618$112,373$31,048
$57,865$72–$77,224 · 13 plans
Kidney and Ureter Procedures for Non-Neoplasm with Cc 66018$75,510$14,232
$22,483$72–$35,032 · 13 plans
Degenerative nerve disorders (e.g. Parkinson's, dementia) 05717$72,800$15,767
$28,246$72–$35,279 · 13 plans
Other Disorders of Nervous System with Cc 09217$49,018$11,697
$62$53–$79 · 13 plans
Lung infection, with complications 17817$55,893$10,359
$18,991$72–$26,711 · 13 plans
Heart catheterization 28717$64,055$13,404
$21,846$72–$28,618 · 13 plans
Disorders of the Biliary Tract with Cc 44517$73,648$12,324
$80$59–$25,935 · 13 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 54317$48,533$10,980
$23,292$72–$28,135 · 13 plans
Back problems (no surgery) 55217$54,222$11,607
$16,111$72–$25,285 · 13 plans
Kidney and Ureter Procedures for Neoplasm with Cc 65717$104,940$21,972
$36,453$72–$48,713 · 13 plans
Other O.r. Procedures for Injuries with Mcc 90717$290,025$54,391
$70,025$72–$100,987 · 13 plans
Breathing problem needing a ventilator (up to 4 days) 20816$187,343$35,994
$62$53–$79 · 13 plans
Coronary Bypass Without Cardiac Catheterization with Mcc 23516$207,390$68,930
$62$53–$79 · 13 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Cc 37216$49,452$11,395
$80$59–$22,967 · 13 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 51616$96,841$21,622
$42,239$72–$55,528 · 13 plans
Diabetes, with major complications 63716$69,721$16,367
$62$53–$79 · 13 plans
Anemia and blood disorders, with major complications 81116$109,911$21,283
$26,256$72–$36,952 · 13 plans
Lymphoma and Non-Acute Leukemia with Mcc 84016$120,611$33,979
$62$53–$79 · 13 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 85616$253,308$55,572
$62$53–$79 · 13 plans
Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 00315$744,676$205,798
$62$53–$79 · 13 plans
Cranial and Peripheral Nerve Disorders Without Mcc 07415$84,619$11,211
$20,164$72–$27,347 · 13 plans
Seizures 10115$47,669$10,817
$80$59–$19,311 · 13 plans
Laparoscopic Cholecystectomy Without C.d.e. with Cc 41815$103,297$19,484
$32,527$72–$44,737 · 13 plans
Disorders of Pancreas Except Malignancy with Cc 43915$45,295$10,189
$16,671$72–$22,371 · 13 plans
Revision of Hip or Knee Replacement Without Cc/Mcc 46815$110,616$25,807
$44,075$72–$72,282 · 13 plans
Coagulation Disorders 81315$113,951$27,241
$80$59–$40,473 · 13 plans
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 17514$52,035$14,968
$25,135$72–$36,614 · 13 plans
COPD, with major complications 19014$45,609$12,585
$18,609$72–$29,136 · 13 plans
Heart valve replacement through a catheter (TAVR), with major complications 26614$264,082$62,911
$113,411$72–$164,026 · 13 plans
High blood pressure 30514$40,614$8,879
$14,683$72–$20,011 · 13 plans
Heart stent 32214$165,278$18,384
$40,634$72–$48,250 · 13 plans
Digestive Malignancy with Mcc 37414$103,372$22,494
$38,747$72–$56,255 · 13 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 44114$84,992$21,489
$38,619$72–$48,491 · 13 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 44214$47,984$10,646
$19,807$72–$25,840 · 13 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 46414$131,234$29,796
$53,685$72–$81,927 · 13 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 80914$86,730$18,238
$22,152$72–$33,297 · 13 plans
Postoperative and Post-Traumatic Infections Without Mcc 86314$39,705$12,268
$16,213$72–$26,248 · 13 plans
Other O.r. Procedures for Injuries with Cc 90814$146,219$29,886
$35,892$72–$52,481 · 13 plans
Heart Transplant or Implant of Heart Assist System with Mcc 00113$2,161,631$422,190
$334,612$71–$737,124 · 13 plans
Allogeneic Bone Marrow Transplant 01413$686,129$166,256
$176,088$71–$316,112 · 13 plans
Major Chest Procedures with Cc 16413$80,543$25,486
$62$53–$79 · 13 plans
Peripheral Vascular Disorders with Cc 30013$44,926$12,533
$17,997$72–$28,079 · 13 plans
Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 32313$274,255$45,407
$92,258$72–$118,433 · 13 plans
Malignancy of Hepatobiliary System or Pancreas with Mcc 43513$108,279$19,771
$32,603$72–$48,311 · 13 plans
Other Kidney and Urinary Tract Procedures with Mcc 67313$165,786$40,284
$61,842$72–$110,516 · 13 plans
Postoperative and Post-Traumatic Infections with Mcc 86213$87,868$19,383
$25,440$72–$47,970 · 13 plans
Autologous Bone Marrow Transplant with Cc/Mcc 01612$267,111$84,438
$124,299$71–$162,285 · 13 plans
Other Cardiothoracic Procedures Without Mcc 22912$289,527$44,430
$80$59–$84,495 · 13 plans
Stomach, Esophageal and Duodenal Procedures with Cc 32712$109,916$25,806
$50,295$72–$65,464 · 13 plans
Digestive Malignancy with Cc 37512$50,749$13,093
$22,891$72–$31,898 · 13 plans
Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 45512$247,909$50,116
–
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 54212$78,648$17,356
$38,645$72–$48,201 · 13 plans
Medical Back Problems with Mcc 55112$87,883$15,704
$31,354$72–$44,108 · 13 plans
Major Bladder Procedures with Cc 65412$139,146$28,847
$54,832$72–$74,283 · 13 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 04111$141,536$21,314
$80$59–$56,994 · 13 plans
Traumatic Stupor and Coma >1 Hour with Mcc 08211$91,885$23,868
$80$59–$54,649 · 13 plans
Major Chest Procedures Without Cc/Mcc 16511$68,038$18,899
$80$59–$45,275 · 13 plans
Pulmonary Embolism Without Mcc 17611$42,338$10,106
$15,575$72–$21,376 · 13 plans
Pneumothorax with Cc 20011$50,266$12,364
$18,226$72–$28,915 · 13 plans
Other Major Cardiovascular Procedures with Cc 27111$202,941$41,618
$73,619$72–$95,360 · 13 plans
Heart attack, with complications 28111$48,195$11,304
$19,272$72–$24,706 · 13 plans
Cirrhosis and Alcoholic Hepatitis with Cc 43311$46,840$11,817
$20,317$72–$27,934 · 13 plans
Major Joint or Limb Reattachment Procedures of Upper Extremities 48311$144,571$25,280
$37,651$72–$72,910 · 13 plans
Endocrine Disorders with Cc 64411$39,157$11,936
$17,258$72–$26,961 · 13 plans
Lymphoma and Non-Acute Leukemia with Cc 84111$114,214$23,945
$62$53–$79 · 13 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 85711$88,925$19,216
$32,833$72–$56,329 · 13 plans
Complications of Treatment with Cc 92011$61,297$12,009
$17,385$72–$26,364 · 13 plans
Ms-Drg 002 002–––$260,359$71–$372,853 · 13 plans
Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004–––$62$53–$79 · 13 plans
Liver Transplant with Mcc or Intestinal Transplant 005–––$159,911$71–$271,201 · 13 plans
Liver Transplant Without Mcc 006–––$106,540$71–$178,187 · 13 plans
Lung Transplant 007–––$273,793$71–$354,424 · 13 plans
Ms-Drg 008 008–––$118,268$71–$153,388 · 13 plans
Ms-Drg 010 010–––$118,268$71–$189,067 · 13 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011–––$106,503$72–$144,648 · 13 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012–––$85,412$72–$112,879 · 13 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013–––$51,442$72–$75,801 · 13 plans
Ms-Drg 017 017–––$124,299$71–$148,672 · 13 plans
Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018–––$818,525$71–$1,169,068 · 13 plans
Ms-Drg 019 019–––$118,268$71–$188,178 · 13 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020–––$62$53–$79 · 13 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021–––$62$53–$79 · 13 plans
Ms-Drg 022 022–––$62$53–$79 · 13 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024–––$62$53–$79 · 13 plans
Spinal Procedures with Mcc 028–––$104,132$72–$158,039 · 13 plans
Spinal Procedures with Cc or Spinal Neurostimulators 029–––$60,415$72–$89,737 · 13 plans
Spinal Procedures Without Cc/Mcc 030–––$34,898$72–$58,006 · 13 plans
Ventricular Shunt Procedures with Mcc 031–––$80$59–$95,494 · 13 plans
Ventricular Shunt Procedures with Cc 032–––$80$59–$49,017 · 13 plans
Ventricular Shunt Procedures Without Cc/Mcc 033–––$31,788$72–$43,931 · 13 plans
Carotid Artery Stent Procedures with Mcc 034–––$88,650$72–$105,934 · 13 plans
Carotid Artery Stent Procedures with Cc 035–––$46,853$72–$63,442 · 13 plans
Carotid Artery Stent Procedures Without Cc/Mcc 036–––$33,751$72–$51,102 · 13 plans
Extracranial Procedures with Mcc 037–––$72,115$72–$89,925 · 13 plans
Extracranial Procedures with Cc 038–––$36,966$72–$44,408 · 13 plans
Extracranial Procedures Without Cc/Mcc 039–––$25,384$72–$32,171 · 13 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040–––$80$59–$85,285 · 13 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042–––$29,672$72–$45,860 · 13 plans
Ms-Drg 052 052–––$41,616$72–$49,572 · 13 plans
Ms-Drg 053 053–––$22,498$72–$26,799 · 13 plans
Nervous System Neoplasms Without Mcc 055–––$80$59–$24,080 · 13 plans
Degenerative Nervous System Disorders with Mcc 056–––$44,432$72–$61,378 · 13 plans
Ms-Drg 058 058–––$38,726$72–$46,786 · 13 plans
Ms-Drg 059 059–––$21,897$72–$32,640 · 13 plans
Ms-Drg 060 060–––$19,475$72–$24,773 · 13 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061–––$59,064$72–$74,427 · 13 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062–––$40,373$72–$48,091 · 13 plans
Ms-Drg 063 063–––$32,738$72–$40,641 · 13 plans
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066–––$80$59–$18,541 · 13 plans
Ms-Drg 067 067–––$31,874$72–$40,196 · 13 plans
Precerebral Occlusion Without Infarction Without Mcc 068–––$19,373$72–$23,657 · 13 plans
Mini-stroke (TIA) 069–––$17,436$72–$21,757 · 13 plans
Other Cerebrovascular Disorders Without Cc/Mcc 072–––$16,875$72–$20,696 · 13 plans
Cranial and Peripheral Nerve Disorders with Mcc 073–––$31,125$72–$42,497 · 13 plans
Ms-Drg 075 075–––$29,137$72–$50,437 · 13 plans
Ms-Drg 076 076–––$15,499$72–$22,246 · 13 plans
Nontraumatic Stupor and Coma with Mcc 080–––$42,211$72–$52,476 · 13 plans
Ms-Drg 081 081–––$16,748$72–$23,567 · 13 plans
Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084–––$80$59–$21,498 · 13 plans
Traumatic Stupor and Coma <1 Hour with Mcc 085–––$80$59–$50,192 · 13 plans
Traumatic Stupor and Coma <1 Hour with Cc 086–––$80$59–$28,298 · 13 plans
Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087–––$80$59–$19,048 · 13 plans
Concussion with Mcc 088–––$31,059$72–$36,996 · 13 plans
Concussion with Cc 089–––$18,507$72–$28,897 · 13 plans
Concussion Without Cc/Mcc 090–––$15,014$72–$21,653 · 13 plans
Other Disorders of Nervous System with Mcc 091–––$62$53–$79 · 13 plans
Other Disorders of Nervous System Without Cc/Mcc 093–––$80$59–$20,988 · 13 plans
Bacterial and Tuberculous Infections of Nervous System with Mcc 094–––$72,523$72–$94,288 · 13 plans
Ms-Drg 095 095–––$55,874$72–$70,391 · 13 plans
Ms-Drg 096 096–––$51,951$72–$68,800 · 13 plans
Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097–––$78,717$72–$98,257 · 13 plans
Ms-Drg 098 098–––$42,163$72–$60,364 · 13 plans
Ms-Drg 099 099–––$23,656$72–$35,836 · 13 plans
Headaches with Mcc 102–––$22,866$72–$29,972 · 13 plans
Headaches Without Mcc 103–––$16,467$72–$22,214 · 13 plans
Orbital Procedures with Cc/Mcc 113–––$52,104$72–$64,345 · 13 plans
Ms-Drg 114 114–––$31,087$72–$37,029 · 13 plans
Extraocular Procedures Except Orbit 115–––$33,948$72–$42,007 · 13 plans
Intraocular Procedures with Cc/Mcc 116–––$41,543$72–$49,484 · 13 plans
Ms-Drg 117 117–––$24,535$72–$29,692 · 13 plans
Acute Major Eye Infections with Cc/Mcc 121–––$26,532$72–$31,837 · 13 plans
Ms-Drg 122 122–––$14,385$72–$20,892 · 13 plans
Neurological Eye Disorders 123–––$17,088$72–$21,856 · 13 plans
Other Disorders of the Eye with Mcc or Thrombolytic Agent 124–––$30,400$72–$36,211 · 13 plans
Other Disorders of the Eye Without Mcc 125–––$14,811$72–$20,345 · 13 plans
Ms-Drg 135 135–––$49,858$72–$62,161 · 13 plans
Ms-Drg 136 136–––$23,678$72–$27,956 · 13 plans
Ms-Drg 137 137–––$20,138$72–$39,276 · 13 plans
Ms-Drg 138 138–––$15,193$72–$23,310 · 13 plans
Ms-Drg 139 139–––$27,926$72–$33,819 · 13 plans
Ms-Drg 140 140–––$89,220$72–$116,734 · 13 plans
Major Head and Neck Procedures with Cc 141–––$47,083$72–$58,968 · 13 plans
Major Head and Neck Procedures Without Cc/Mcc 142–––$35,769$72–$43,691 · 13 plans
Ms-Drg 143 143–––$61,307$72–$98,548 · 13 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144–––$31,023$72–$45,581 · 13 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145–––$22,687$72–$31,689 · 13 plans
Ear, Nose, Mouth and Throat Malignancy with Mcc 146–––$47,197$72–$57,949 · 13 plans
Ear, Nose, Mouth and Throat Malignancy with Cc 147–––$28,994$72–$34,799 · 13 plans
Ms-Drg 148 148–––$18,314$72–$21,815 · 13 plans
Dysequilibrium 149–––$14,861$72–$19,979 · 13 plans
Ms-Drg 150 150–––$30,022$72–$36,441 · 13 plans
Epistaxis Without Mcc 151–––$14,938$72–$19,618 · 13 plans
Otitis Media and Uri with Mcc 152–––$62$53–$79 · 13 plans
Otitis Media and Uri Without Mcc 153–––$80$59–$15,226 · 13 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154–––$34,470$72–$42,790 · 13 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155–––$15,295$72–$24,107 · 13 plans
Ms-Drg 156 156–––$12,236$72–$18,178 · 13 plans
Dental and Oral Diseases with Mcc 157–––$35,125$72–$46,015 · 13 plans
Dental and Oral Diseases with Cc 158–––$15,728$72–$23,931 · 13 plans
Ms-Drg 159 159–––$12,797$72–$18,636 · 13 plans
Major Chest Procedures with Mcc 163–––$62$53–$79 · 13 plans
Other Respiratory System O.r. Procedures with Mcc 166–––$80$59–$83,969 · 13 plans
Other Respiratory System O.r. Procedures with Cc 167–––$34,872$72–$47,742 · 13 plans
Other Respiratory System O.r. Procedures Without Cc/Mcc 168–––$26,944$72–$36,304 · 13 plans
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173–––$80$61–$81,459 · 13 plans
Respiratory Infections and Inflammations Without Cc/Mcc 179–––$14,224$72–$20,227 · 13 plans
Respiratory Neoplasms with Mcc 180–––$33,878$72–$46,684 · 13 plans
Respiratory Neoplasms with Cc 181–––$23,427$72–$29,220 · 13 plans
Ms-Drg 182 182–––$17,579$72–$20,630 · 13 plans
Major Chest Trauma with Mcc 183–––$26,893$72–$40,242 · 13 plans
Major Chest Trauma Without Cc/Mcc 185–––$15,244$72–$20,830 · 13 plans
Pleural Effusion with Mcc 186–––$26,766$72–$40,994 · 13 plans
Pleural Effusion with Cc 187–––$19,552$72–$26,291 · 13 plans
Ms-Drg 188 188–––$15,193$72–$19,318 · 13 plans
Chronic Obstructive Pulmonary Disease with Cc 191–––$16,442$72–$22,352 · 13 plans
Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192–––$13,128$72–$17,174 · 13 plans
Simple Pneumonia and Pleurisy Without Cc/Mcc 195–––$11,701$72–$16,568 · 13 plans
Interstitial Lung Disease with Mcc 196–––$35,917$72–$49,817 · 13 plans
Interstitial Lung Disease with Cc 197–––$20,928$72–$25,975 · 13 plans
Ms-Drg 198 198–––$16,085$72–$19,601 · 13 plans
Pneumothorax with Mcc 199–––$26,715$72–$46,402 · 13 plans
Ms-Drg 201 201–––$11,089$72–$18,810 · 13 plans
Bronchitis and Asthma with Cc/Mcc 202–––$62$53–$79 · 13 plans
Bronchitis and Asthma Without Cc/Mcc 203–––$80$59–$15,249 · 13 plans
Respiratory Signs and Symptoms 204–––$14,938$72–$21,237 · 13 plans
Other Respiratory System Diagnoses with Mcc 205–––$28,703$72–$48,162 · 13 plans
Other Respiratory System Diagnoses Without Mcc 206–––$16,136$72–$24,754 · 13 plans
Respiratory System Diagnosis with Ventilator Support >96 Hours 207–––$62$53–$79 · 13 plans
Ms-Drg 209 209–––$126,154$72–$306,614 · 10 plans
Concomitant Aortic and Mitral Valve Procedures 212–––$240,938$72–$297,605 · 13 plans
Ms-Drg 213 213–––$78$61–$135,446 · 10 plans
Other Heart Assist System Implant 215–––$136,379$72–$262,519 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216–––$174,820$72–$257,321 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217–––$114,686$72–$172,953 · 13 plans
Ms-Drg 218 218–––$104,158$72–$172,953 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221–––$75,429$72–$132,574 · 13 plans
Other Cardiothoracic Procedures with Mcc 228–––$72$58–$127,328 · 13 plans
Coronary Bypass with Ptca with Mcc 231–––$180,530$72–$227,549 · 13 plans
Ms-Drg 232 232–––$121,594$72–$161,588 · 13 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233–––$124,653$72–$201,095 · 13 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234–––$97,250$72–$143,688 · 13 plans
Coronary Bypass Without Cardiac Catheterization Without Mcc 236–––$80$59–$92,924 · 13 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239–––$81,292$72–$129,457 · 13 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240–––$50,779$72–$74,978 · 13 plans
Ms-Drg 241 241–––$32,286$72–$37,975 · 13 plans
Permanent Cardiac Pacemaker Implant with Mcc 242–––$67,221$72–$85,895 · 13 plans
Permanent Cardiac Pacemaker Implant with Cc 243–––$48,960$72–$58,319 · 13 plans
Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244–––$41,529$72–$49,468 · 13 plans
Ms-Drg 245 245–––$106,400$72–$124,865 · 13 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250–––$46,496$72–$58,852 · 13 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251–––$34,338$72–$40,902 · 13 plans
Other Vascular Procedures with Mcc 252–––$74,112$72–$94,278 · 13 plans
Other Vascular Procedures Without Cc/Mcc 254–––$37,014$72–$47,808 · 13 plans
Ms-Drg 255 255–––$47,873$72–$70,951 · 13 plans
Ms-Drg 256 256–––$25,415$72–$44,661 · 13 plans
Ms-Drg 257 257–––$18,660$72–$28,828 · 13 plans
Ms-Drg 258 258–––$70,600$72–$85,994 · 13 plans
Ms-Drg 259 259–––$46,460$72–$55,341 · 13 plans
Cardiac Pacemaker Revision Except Device Replacement with Mcc 260–––$73,772$72–$89,023 · 13 plans
Cardiac Pacemaker Revision Except Device Replacement with Cc 261–––$39,155$72–$50,698 · 13 plans
Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262–––$34,796$72–$43,969 · 13 plans
Ms-Drg 263 263–––$59,911$72–$83,676 · 13 plans
Other Circulatory System O.r. Procedures 264–––$46,981$72–$87,869 · 13 plans
Ms-Drg 265 265–––$77,465$72–$99,024 · 13 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268–––$140,381$72–$183,928 · 13 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269–––$74,588$72–$111,085 · 13 plans
Other Major Cardiovascular Procedures with Mcc 270–––$66$53–$80 · 13 plans
Other Major Cardiovascular Procedures Without Cc/Mcc 272–––$53,608$72–$68,647 · 13 plans
Percutaneous and Other Intracardiac Procedures with Mcc 273–––$85,276$72–$112,908 · 13 plans
Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275–––$156,790$72–$195,146 · 13 plans
Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276–––$136,022$72–$164,390 · 13 plans
Cardiac Defibrillator Implant Without Mcc 277–––$104,974$72–$126,400 · 13 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278–––$102,514$72–$149,738 · 13 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279–––$71,421$72–$98,701 · 13 plans
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282–––$16,181$72–$19,790 · 13 plans
Acute Myocardial Infarction, Expired with Mcc 283–––$39,665$72–$52,779 · 13 plans
Ms-Drg 284 284–––$16,121$72–$18,962 · 13 plans
Ms-Drg 285 285–––$11,621$72–$16,391 · 13 plans
Ms-Drg 288 288–––$53,838$72–$72,019 · 13 plans
Ms-Drg 289 289–––$26,537$72–$44,897 · 13 plans
Ms-Drg 290 290–––$21,682$72–$25,680 · 13 plans
Heart Failure and Shock with Cc 292–––$14,734$72–$22,332 · 13 plans
Heart Failure and Shock Without Cc/Mcc 293–––$13,004$72–$15,490 · 13 plans
Cardiac Arrest, Unexplained with Mcc 296–––$35,548$72–$42,746 · 13 plans
Ms-Drg 297 297–––$14,786$72–$17,756 · 13 plans
Ms-Drg 298 298–––$10,456$72–$12,455 · 13 plans
Peripheral Vascular Disorders with Mcc 299–––$22,432$72–$42,946 · 13 plans
Peripheral Vascular Disorders Without Cc/Mcc 301–––$13,307$72–$18,931 · 13 plans
Atherosclerosis with Mcc 302–––$25,606$72–$32,749 · 13 plans
Atherosclerosis Without Mcc 303–––$12,695$72–$17,741 · 13 plans
Hypertension with Mcc 304–––$20,597$72–$31,301 · 13 plans
Cardiac Congenital and Valvular Disorders with Mcc 306–––$33,592$72–$43,127 · 13 plans
Cardiac Congenital and Valvular Disorders Without Mcc 307–––$19,896$72–$24,993 · 13 plans
Irregular heartbeat 310–––$9,865$72–$14,890 · 13 plans
Angina Pectoris 311–––$12,516$72–$18,462 · 13 plans
Chest pain 313–––$11,879$72–$18,938 · 13 plans
Other Circulatory System Diagnoses Without Cc/Mcc 316–––$15,672$72–$18,668 · 13 plans
Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317–––$71$53–$144,707 · 13 plans
Ms-Drg 318 318–––$27,028$72–$65,615 · 10 plans
Other Endovascular Cardiac Valve Procedures with Mcc 319–––$96,826$72–$122,142 · 13 plans
Other Endovascular Cardiac Valve Procedures Without Mcc 320–––$53,608$72–$65,829 · 13 plans
Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324–––$67,450$72–$86,237 · 13 plans
Ms-Drg 325 325–––$60,201$72–$86,671 · 13 plans
Stomach, Esophageal and Duodenal Procedures with Mcc 326–––$93,171$72–$131,618 · 13 plans
Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328–––$31,176$72–$42,466 · 13 plans
Ms-Drg 332 332–––$83,844$72–$99,092 · 13 plans
Ms-Drg 333 333–––$47,718$72–$64,102 · 13 plans
Ms-Drg 334 334–––$31,609$72–$43,345 · 13 plans
Peritoneal Adhesiolysis with Mcc 335–––$57,330$72–$94,714 · 13 plans
Peritoneal Adhesiolysis Without Cc/Mcc 337–––$29,290$72–$40,539 · 13 plans
Ms-Drg 344 344–––$60,233$72–$70,687 · 13 plans
Ms-Drg 345 345–––$29,035$72–$39,819 · 13 plans
Ms-Drg 346 346–––$24,599$72–$31,818 · 13 plans
Anal and Stomal Procedures with Mcc 347–––$53,536$72–$63,381 · 13 plans
Ms-Drg 348 348–––$24,421$72–$34,427 · 13 plans
Ms-Drg 349 349–––$18,685$72–$23,510 · 13 plans
Inguinal and Femoral Hernia Procedures with Mcc 350–––$54,704$72–$68,199 · 13 plans
Inguinal and Femoral Hernia Procedures with Cc 351–––$33,264$72–$41,723 · 13 plans
Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352–––$21,923$72–$30,751 · 13 plans
Hernia Procedures Except Inguinal and Femoral with Mcc 353–––$57,967$72–$77,289 · 13 plans
Hernia Procedures Except Inguinal and Femoral with Cc 354–––$31,278$72–$44,361 · 13 plans
Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355–––$26,129$72–$35,637 · 13 plans
Other Digestive System O.r. Procedures with Mcc 356–––$80$59–$94,585 · 13 plans
Other Digestive System O.r. Procedures with Cc 357–––$80$59–$49,472 · 13 plans
Ms-Drg 358 358–––$80$59–$32,753 · 13 plans
Ms-Drg 359 359–––$38,353$72–$93,148 · 10 plans
Ms-Drg 360 360–––$26,940$72–$65,401 · 10 plans
Major Esophageal Disorders with Mcc 368–––$30,947$72–$43,360 · 13 plans
Major Esophageal Disorders with Cc 369–––$20,521$72–$26,774 · 13 plans
Ms-Drg 370 370–––$16,102$72–$19,180 · 13 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371–––$80$59–$39,274 · 13 plans
Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373–––$80$59–$16,906 · 13 plans
Ms-Drg 376 376–––$19,093$72–$24,774 · 13 plans
Gastrointestinal Hemorrhage Without Cc/Mcc 379–––$13,842$72–$17,252 · 13 plans
Complicated Peptic Ulcer with Mcc 380–––$34,949$72–$51,613 · 13 plans
Complicated Peptic Ulcer with Cc 381–––$19,373$72–$28,500 · 13 plans
Ms-Drg 382 382–––$15,320$72–$21,154 · 13 plans
Ms-Drg 383 383–––$29,956$72–$37,787 · 13 plans
Uncomplicated Peptic Ulcer Without Mcc 384–––$16,213$72–$22,550 · 13 plans
Inflammatory Bowel Disease with Mcc 385–––$27,097$72–$41,620 · 13 plans
Inflammatory Bowel Disease with Cc 386–––$18,915$72–$25,855 · 13 plans
Ms-Drg 387 387–––$13,587$72–$18,140 · 13 plans
Gastrointestinal Obstruction with Mcc 388–––$23,325$72–$38,845 · 13 plans
Gastrointestinal Obstruction Without Cc/Mcc 390–––$10,248$72–$14,371 · 13 plans
Other Digestive System Diagnoses Without Cc/Mcc 395–––$80$59–$16,695 · 13 plans
Ms-Drg 397 397–––$66$53–$80 · 13 plans
Appendix Procedures with Cc 398–––$66$53–$80 · 13 plans
Appendix Procedures Without Cc/Mcc 399–––$80$59–$27,597 · 13 plans
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402–––$67,195$72–$105,753 · 13 plans
Pancreas, Liver and Shunt Procedures with Mcc 405–––$80$59–$136,026 · 13 plans
Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407–––$44,049$72–$59,043 · 13 plans
Ms-Drg 408 408–––$81,923$72–$97,584 · 13 plans
Ms-Drg 409 409–––$44,916$72–$58,344 · 13 plans
Ms-Drg 410 410–––$34,949$72–$43,452 · 13 plans
Cholecystectomy with C.d.e. with Mcc 411–––$75,897$72–$90,405 · 13 plans
Ms-Drg 412 412–––$48,402$72–$57,542 · 13 plans
Ms-Drg 413 413–––$38,152$72–$45,445 · 13 plans
Ms-Drg 414 414–––$79,074$72–$97,502 · 13 plans
Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415–––$38,951$72–$54,459 · 13 plans
Ms-Drg 416 416–––$29,519$72–$36,894 · 13 plans
Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417–––$39,945$72–$62,770 · 13 plans
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419–––$27,046$72–$36,316 · 13 plans
Hepatobiliary Diagnostic Procedures with Mcc 420–––$78,282$72–$93,246 · 13 plans
Ms-Drg 421 421–––$39,921$72–$47,552 · 13 plans
Ms-Drg 422 422–––$32,155$72–$38,302 · 13 plans
Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423–––$89,245$72–$112,179 · 13 plans
Ms-Drg 424 424–––$50,269$72–$59,879 · 13 plans
Ms-Drg 425 425–––$34,417$72–$41,061 · 13 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426–––$131,459$72–$289,895 · 13 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427–––$102,628$72–$189,874 · 13 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428–––$90,265$72–$147,878 · 13 plans
Ms-Drg 429 429–––$186,023$72–$246,577 · 13 plans
Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430–––$95,771$72–$151,694 · 13 plans
Ms-Drg 434 434–––$15,034$72–$19,500 · 13 plans
Malignancy of Hepatobiliary System or Pancreas with Cc 436–––$21,362$72–$29,817 · 13 plans
Ms-Drg 437 437–––$19,605$72–$23,353 · 13 plans
Disorders of Pancreas Except Malignancy with Mcc 438–––$80$59–$42,376 · 13 plans
Disorders of Pancreas Except Malignancy Without Cc/Mcc 440–––$11,981$72–$16,442 · 13 plans
Ms-Drg 443 443–––$14,779$72–$19,150 · 13 plans
Disorders of the Biliary Tract Without Cc/Mcc 446–––$80$59–$21,585 · 13 plans
Ms-Drg 447 447–––$71$54–$119,537 · 13 plans
Multiple Level Spinal Fusion Except Cervical Without Mcc 448–––$67,807$72–$111,547 · 13 plans
Ms-Drg 450 450–––$66$53–$80 · 13 plans
Single Level Spinal Fusion Except Cervical Without Mcc 451–––$52,028$72–$87,551 · 13 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456–––$62$53–$79 · 13 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457–––$62$53–$79 · 13 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458–––$80$59–$114,469 · 13 plans
Ms-Drg 461 461–––$128,802$72–$160,590 · 13 plans
Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462–––$48,638$72–$71,561 · 13 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463–––$93,018$72–$149,916 · 13 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465–––$35,484$72–$48,334 · 13 plans
Revision of Hip or Knee Replacement with Mcc 466–––$82,159$72–$136,920 · 13 plans
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469–––$56,616$72–$79,790 · 13 plans
Cervical Spinal Fusion with Mcc 471–––$80$59–$108,557 · 13 plans
Cervical Spinal Fusion Without Cc/Mcc 473–––$39,563$72–$64,214 · 13 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474–––$72,880$72–$112,918 · 13 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475–––$39,818$72–$59,859 · 13 plans
Ms-Drg 476 476–––$26,298$72–$32,300 · 13 plans
Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477–––$62,199$72–$90,868 · 13 plans
Biopsies of Musculoskeletal System and Connective Tissue with Cc 478–––$41,322$72–$64,685 · 13 plans
Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479–––$31,941$72–$48,895 · 13 plans
Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482–––$33,011$72–$43,546 · 13 plans
Knee Procedures with Principal Diagnosis of Infection with Mcc 485–––$74,146$72–$88,320 · 13 plans
Knee Procedures with Principal Diagnosis of Infection with Cc 486–––$35,917$72–$55,003 · 13 plans
Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487–––$27,021$72–$41,202 · 13 plans
Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488–––$41,253$72–$48,412 · 13 plans
Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489–––$25,660$72–$30,565 · 13 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492–––$59,242$72–$96,576 · 13 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494–––$33,878$72–$52,778 · 13 plans
Ms-Drg 495 495–––$81,158$72–$99,229 · 13 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496–––$33,980$72–$47,888 · 13 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497–––$26,995$72–$33,069 · 13 plans
Ms-Drg 498 498–––$57,577$72–$81,604 · 13 plans
Ms-Drg 499 499–––$27,747$72–$52,996 · 13 plans
Soft Tissue Procedures with Mcc 500–––$54,399$72–$83,245 · 13 plans
Soft Tissue Procedures with Cc 501–––$33,088$72–$46,099 · 13 plans
Soft Tissue Procedures Without Cc/Mcc 502–––$24,752$72–$35,402 · 13 plans
Ms-Drg 503 503–––$58,845$72–$76,387 · 13 plans
Foot Procedures with Cc 504–––$31,303$72–$49,166 · 13 plans
Ms-Drg 505 505–––$29,162$72–$47,157 · 13 plans
Ms-Drg 506 506–––$31,465$72–$37,079 · 13 plans
Ms-Drg 507 507–––$42,127$72–$51,009 · 13 plans
Ms-Drg 508 508–––$31,415$72–$41,446 · 13 plans
Ms-Drg 510 510–––$62,186$72–$82,666 · 13 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511–––$37,906$72–$54,695 · 13 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512–––$27,709$72–$43,543 · 13 plans
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513–––$23,783$72–$41,409 · 13 plans
Ms-Drg 514 514–––$18,583$72–$26,890 · 13 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515–––$64,366$72–$85,053 · 13 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517–––$26,791$72–$40,420 · 13 plans
Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518–––$53,761$72–$98,304 · 13 plans
Back and Neck Procedures Except Spinal Fusion with Cc 519–––$35,076$72–$52,612 · 13 plans
Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520–––$23,987$72–$39,295 · 13 plans
Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521–––$65,946$72–$78,552 · 13 plans
Ms-Drg 533 533–––$34,082$72–$42,905 · 13 plans
Ms-Drg 534 534–––$17,609$72–$22,062 · 13 plans
Fractures of Hip and Pelvis with Mcc 535–––$27,472$72–$35,086 · 13 plans
Fractures of Hip and Pelvis Without Mcc 536–––$15,320$72–$21,306 · 13 plans
Ms-Drg 537 537–––$21,279$72–$26,117 · 13 plans
Ms-Drg 538 538–––$16,116$72–$19,713 · 13 plans
Osteomyelitis with Mcc 539–––$29,927$72–$51,810 · 13 plans
Osteomyelitis with Cc 540–––$20,113$72–$34,097 · 13 plans
Ms-Drg 541 541–––$14,275$72–$20,797 · 13 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544–––$17,331$72–$20,652 · 13 plans
Connective Tissue Disorders with Mcc 545–––$55,781$72–$67,920 · 13 plans
Connective Tissue Disorders with Cc 546–––$24,931$72–$31,191 · 13 plans
Connective Tissue Disorders Without Cc/Mcc 547–––$18,576$72–$22,885 · 13 plans
Ms-Drg 548 548–––$44,364$72–$52,845 · 13 plans
Ms-Drg 549 549–––$22,891$72–$31,846 · 13 plans
Ms-Drg 550 550–––$19,586$72–$23,923 · 13 plans
Bone Diseases and Arthropathies with Mcc 553–––$29,465$72–$35,477 · 13 plans
Bone Diseases and Arthropathies Without Mcc 554–––$15,448$72–$21,834 · 13 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555–––$30,446$72–$36,175 · 13 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556–––$16,824$72–$22,180 · 13 plans
Tendonitis, Myositis and Bursitis with Mcc 557–––$24,625$72–$39,111 · 13 plans
Tendonitis, Myositis and Bursitis Without Mcc 558–––$11,803$72–$23,494 · 13 plans
Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559–––$36,045$72–$49,366 · 13 plans
Aftercare, Musculoskeletal System and Connective Tissue with Cc 560–––$20,979$72–$29,620 · 13 plans
Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561–––$16,901$72–$21,621 · 13 plans
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562–––$30,309$72–$38,409 · 13 plans
Fracture or sprain (not hip or thigh) 563–––$15,601$72–$23,555 · 13 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564–––$33,953$72–$42,246 · 13 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565–––$18,762$72–$25,776 · 13 plans
Ms-Drg 566 566–––$16,493$72–$20,507 · 13 plans
Skin Debridement with Mcc 570–––$49,989$72–$77,361 · 13 plans
Skin Debridement with Cc 571–––$25,721$72–$44,440 · 13 plans
Ms-Drg 572 572–––$22,076$72–$30,324 · 13 plans
Skin Graft for Skin Ulcer or Cellulitis with Mcc 573–––$130,618$72–$179,300 · 13 plans
Skin Graft for Skin Ulcer or Cellulitis with Cc 574–––$72,603$72–$95,006 · 13 plans
Ms-Drg 575 575–––$41,288$72–$49,181 · 13 plans
Ms-Drg 576 576–––$112,842$72–$138,517 · 13 plans
Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577–––$56,817$72–$72,545 · 13 plans
Ms-Drg 578 578–––$36,268$72–$43,964 · 13 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579–––$46,700$72–$85,184 · 13 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580–––$34,082$72–$45,913 · 13 plans
Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581–––$28,576$72–$38,371 · 13 plans
Ms-Drg 582 582–––$44,266$72–$53,443 · 13 plans
Ms-Drg 583 583–––$39,620$72–$48,172 · 13 plans
Ms-Drg 584 584–––$49,185$72–$58,681 · 13 plans
Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585–––$44,323$72–$52,796 · 13 plans
Skin Ulcers with Mcc 592–––$28,550$72–$50,905 · 13 plans
Skin Ulcers with Cc 593–––$17,436$72–$31,204 · 13 plans
Ms-Drg 594 594–––$11,854$72–$22,800 · 13 plans
Ms-Drg 595 595–––$47,398$72–$58,040 · 13 plans
Major Skin Disorders Without Mcc 596–––$16,009$72–$28,473 · 13 plans
Malignant Breast Disorders with Mcc 597–––$36,826$72–$45,626 · 13 plans
Ms-Drg 598 598–––$21,770$72–$29,923 · 13 plans
Ms-Drg 599 599–––$16,416$72–$21,057 · 13 plans
Ms-Drg 600 600–––$16,238$72–$27,398 · 13 plans
Ms-Drg 601 601–––$9,049$72–$16,153 · 13 plans
Cellulitis with Mcc 602–––$27,480$72–$37,626 · 13 plans
Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604–––$32,934$72–$40,289 · 13 plans
Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605–––$15,193$72–$24,094 · 13 plans
Minor Skin Disorders with Mcc 606–––$33,697$72–$41,414 · 13 plans
Minor Skin Disorders Without Mcc 607–––$13,383$72–$23,841 · 13 plans
Adrenal and Pituitary Procedures with Cc/Mcc 614–––$47,032$72–$59,187 · 13 plans
Adrenal and Pituitary Procedures Without Cc/Mcc 615–––$32,150$72–$38,296 · 13 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616–––$58,299$72–$93,142 · 13 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617–––$29,545$72–$49,518 · 13 plans
Ms-Drg 618 618–––$18,634$72–$37,306 · 13 plans
Ms-Drg 619 619–––$38,378$72–$76,425 · 13 plans
O.r. Procedures for Obesity with Cc 620–––$28,628$72–$42,767 · 13 plans
O.r. Procedures for Obesity Without Cc/Mcc 621–––$25,927$72–$39,759 · 13 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622–––$51,212$72–$93,619 · 13 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623–––$29,086$72–$47,186 · 13 plans
Ms-Drg 624 624–––$22,152$72–$32,929 · 13 plans
Ms-Drg 625 625–––$64,328$72–$82,655 · 13 plans
Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626–––$33,623$72–$41,036 · 13 plans
Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627–––$24,191$72–$34,939 · 13 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628–––$58,197$72–$98,028 · 13 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629–––$33,674$72–$57,600 · 13 plans
Ms-Drg 630 630–––$21,872$72–$38,390 · 13 plans
Diabetes Without Cc/Mcc 639–––$80$59–$13,563 · 13 plans
Inborn and Other Disorders of Metabolism 642–––$19,654$72–$37,406 · 13 plans
Endocrine Disorders with Mcc 643–––$29,876$72–$43,298 · 13 plans
Endocrine Disorders Without Cc/Mcc 645–––$11,828$72–$20,209 · 13 plans
Kidney Transplant with Hemodialysis with Mcc 650–––$101,644$71–$128,669 · 13 plans
Kidney Transplant with Hemodialysis Without Mcc 651–––$78,580$71–$101,421 · 13 plans
Kidney Transplant 652–––$74,201$71–$101,728 · 13 plans
Major Bladder Procedures with Mcc 653–––$121,185$72–$142,216 · 13 plans
Major Bladder Procedures Without Cc/Mcc 655–––$45,145$72–$57,088 · 13 plans
Kidney and Ureter Procedures for Neoplasm with Mcc 656–––$61,638$72–$84,304 · 13 plans
Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658–––$31,431$72–$41,437 · 13 plans
Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659–––$40,531$72–$66,867 · 13 plans
Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661–––$18,405$72–$27,235 · 13 plans
Ms-Drg 662 662–––$67,629$72–$83,788 · 13 plans
Minor Bladder Procedures with Cc 663–––$34,928$72–$41,605 · 13 plans
Ms-Drg 664 664–––$24,415$72–$28,652 · 13 plans
Prostatectomy with Mcc 665–––$70,528$72–$85,422 · 13 plans
Ms-Drg 666 666–––$38,768$72–$47,875 · 13 plans
Ms-Drg 667 667–––$22,796$72–$30,275 · 13 plans
Transurethral Procedures with Mcc 668–––$62,537$72–$79,627 · 13 plans
Transurethral Procedures with Cc 669–––$25,313$72–$40,823 · 13 plans
Ms-Drg 670 670–––$20,597$72–$26,297 · 13 plans
Ms-Drg 671 671–––$39,696$72–$49,126 · 13 plans
Ms-Drg 672 672–––$24,803$72–$29,544 · 13 plans
Other Kidney and Urinary Tract Procedures with Cc 674–––$40,888$72–$61,513 · 13 plans
Ms-Drg 675 675–––$37,713$72–$44,922 · 13 plans
Renal Failure Without Cc/Mcc 684–––$9,661$72–$15,790 · 13 plans
Kidney and Urinary Tract Neoplasms with Mcc 686–––$39,180$72–$48,938 · 13 plans
Kidney and Urinary Tract Neoplasms with Cc 687–––$20,495$72–$27,797 · 13 plans
Ms-Drg 688 688–––$15,283$72–$21,040 · 13 plans
Ms-Drg 693 693–––$30,891$72–$36,797 · 13 plans
Urinary Stones Without Mcc 694–––$12,057$72–$20,561 · 13 plans
Ms-Drg 695 695–––$25,896$72–$31,304 · 13 plans
Kidney and Urinary Tract Signs and Symptoms Without Mcc 696–––$12,618$72–$18,123 · 13 plans
Ms-Drg 697 697–––$23,197$72–$29,497 · 13 plans
Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700–––$15,851$72–$18,881 · 13 plans
Major Male Pelvic Procedures with Cc/Mcc 707–––$37,217$72–$52,615 · 13 plans
Major Male Pelvic Procedures Without Cc/Mcc 708–––$33,231$72–$41,988 · 13 plans
Ms-Drg 709 709–––$51,609$72–$63,689 · 13 plans
Ms-Drg 710 710–––$32,194$72–$38,348 · 13 plans
Ms-Drg 711 711–––$47,502$72–$57,030 · 13 plans
Ms-Drg 712 712–––$25,267$72–$30,097 · 13 plans
Transurethral Prostatectomy with Cc/Mcc 713–––$30,411$72–$40,135 · 13 plans
Transurethral Prostatectomy Without Cc/Mcc 714–––$20,698$72–$28,196 · 13 plans
Ms-Drg 715 715–––$49,004$72–$61,231 · 13 plans
Ms-Drg 716 716–––$30,803$72–$40,259 · 13 plans
Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717–––$29,239$72–$49,727 · 13 plans
Ms-Drg 718 718–––$19,628$72–$35,328 · 13 plans
Malignancy, Male Reproductive System with Mcc 722–––$39,614$72–$49,528 · 13 plans
Ms-Drg 723 723–––$24,982$72–$31,274 · 13 plans
Ms-Drg 724 724–––$15,065$72–$18,935 · 13 plans
Ms-Drg 725 725–––$27,290$72–$32,099 · 13 plans
Benign Prostatic Hypertrophy Without Mcc 726–––$16,595$72–$19,760 · 13 plans
Ms-Drg 727 727–––$33,703$72–$40,584 · 13 plans
Inflammation of the Male Reproductive System Without Mcc 728–––$13,765$72–$21,337 · 13 plans
Ms-Drg 729 729–––$23,331$72–$28,975 · 13 plans
Ms-Drg 730 730–––$13,784$72–$18,391 · 13 plans
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734–––$37,625$72–$56,026 · 13 plans
Ms-Drg 735 735–––$30,309$72–$36,824 · 13 plans
Ms-Drg 736 736–––$83,361$72–$101,827 · 13 plans
Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737–––$38,619$72–$54,245 · 13 plans
Ms-Drg 738 738–––$28,117$72–$38,806 · 13 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739–––$83,554$72–$98,055 · 13 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740–––$37,753$72–$48,596 · 13 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741–––$26,460$72–$37,511 · 13 plans
Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742–––$31,813$72–$48,261 · 13 plans
Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743–––$22,254$72–$32,635 · 13 plans
D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744–––$25,976$72–$53,898 · 13 plans
Ms-Drg 745 745–––$17,334$72–$29,920 · 13 plans
Vagina, Cervix and Vulva Procedures with Cc/Mcc 746–––$26,384$72–$45,692 · 13 plans
Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747–––$18,813$72–$23,463 · 13 plans
Female Reproductive System Reconstructive Procedures 748–––$30,067$72–$37,968 · 13 plans
Ms-Drg 749 749–––$42,035$72–$67,656 · 13 plans
Ms-Drg 750 750–––$32,620$72–$40,390 · 13 plans
Malignancy, Female Reproductive System with Mcc 754–––$32,731$72–$48,443 · 13 plans
Malignancy, Female Reproductive System with Cc 755–––$19,654$72–$28,613 · 13 plans
Ms-Drg 756 756–––$17,309$72–$25,264 · 13 plans
Ms-Drg 757 757–––$32,899$72–$39,189 · 13 plans
Ms-Drg 758 758–––$15,881$72–$25,751 · 13 plans
Ms-Drg 759 759–––$12,491$72–$17,482 · 13 plans
Ms-Drg 760 760–––$15,244$72–$26,501 · 13 plans
Ms-Drg 761 761–––$11,369$72–$15,187 · 13 plans
Ms-Drg 768 768–––$13,408$72–$28,401 · 13 plans
Ms-Drg 769 769–––$27,199$72–$44,447 · 13 plans
Ms-Drg 770 770–––$14,224$72–$26,374 · 13 plans
Ms-Drg 776 776–––$8,769$72–$17,619 · 13 plans
Ms-Drg 779 779–––$9,355$72–$23,025 · 13 plans
Ms-Drg 783 783–––$21,183$72–$64,577 · 13 plans
Ms-Drg 784 784–––$18,532$72–$27,824 · 13 plans
Ms-Drg 785 785–––$15,473$72–$25,193 · 13 plans
C-section, with major complications 786–––$20,801$72–$43,387 · 13 plans
C-section, with complications 787–––$18,405$72–$28,911 · 13 plans
C-section 788–––$15,448$72–$25,220 · 13 plans
Ms-Drg 789 789–––$62$53–$79 · 13 plans
Ms-Drg 790 790–––$62$53–$79 · 13 plans
Ms-Drg 791 791–––$62$53–$79 · 13 plans
Ms-Drg 792 792–––$62$53–$79 · 13 plans
Ms-Drg 793 793–––$62$53–$79 · 13 plans
Ms-Drg 794 794–––$75$59–$6,944 · 13 plans
Newborn care (healthy baby) 795–––$3,146$71–$4,827 · 13 plans
Ms-Drg 796 796–––$19,388$72–$31,939 · 13 plans
Ms-Drg 797 797–––$19,101$72–$26,561 · 13 plans
Ms-Drg 798 798–––$16,722$72–$24,891 · 13 plans
Ms-Drg 799 799–––$77,010$72–$120,943 · 13 plans
Ms-Drg 800 800–––$56,616$72–$74,947 · 13 plans
Ms-Drg 801 801–––$37,527$72–$51,555 · 13 plans
Ms-Drg 802 802–––$82,714$72–$109,038 · 13 plans
Ms-Drg 803 803–––$39,537$72–$50,109 · 13 plans
Ms-Drg 804 804–––$26,868$72–$36,060 · 13 plans
Vaginal birth, with major complications 805–––$12,359$72–$27,943 · 13 plans
Vaginal birth, with complications 806–––$11,904$72–$19,590 · 13 plans
Vaginal birth 807–––$10,146$72–$17,452 · 13 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808–––$41,271$72–$58,095 · 13 plans
Ms-Drg 810 810–––$18,328$72–$27,529 · 13 plans
Reticuloendothelial and Immunity Disorders with Mcc 814–––$34,796$72–$55,939 · 13 plans
Reticuloendothelial and Immunity Disorders with Cc 815–––$19,068$72–$26,709 · 13 plans
Ms-Drg 816 816–––$14,326$72–$17,297 · 13 plans
Ms-Drg 817 817–––$30,309$72–$60,014 · 13 plans
Ms-Drg 818 818–––$20,342$72–$31,145 · 13 plans
Ms-Drg 819 819–––$13,638$72–$23,007 · 13 plans
Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820–––$121,339$72–$157,244 · 13 plans
Lymphoma and Leukemia with Major O.r. Procedures with Cc 821–––$48,028$72–$61,266 · 13 plans
Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822–––$27,663$72–$32,951 · 13 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823–––$91,361$72–$122,052 · 13 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824–––$51,085$72–$62,005 · 13 plans
Ms-Drg 825 825–––$31,004$72–$36,931 · 13 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826–––$107,755$72–$128,023 · 13 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827–––$53,102$72–$63,253 · 13 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828–––$35,611$72–$45,772 · 13 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829–––$40,990$72–$83,119 · 13 plans
Ms-Drg 830 830–––$33,026$72–$41,189 · 13 plans
Ms-Drg 831 831–––$15,830$72–$31,630 · 13 plans
Ms-Drg 832 832–––$10,324$72–$19,084 · 13 plans
Ms-Drg 833 833–––$7,342$72–$13,754 · 13 plans
Acute Leukemia with Cc 835–––$72$58–$64,720 · 13 plans
Ms-Drg 836 836–––$80$59–$39,916 · 13 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837–––$80,400$72–$129,363 · 13 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838–––$26,715$72–$55,243 · 13 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839–––$21,591$72–$37,979 · 13 plans
Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842–––$80$59–$27,652 · 13 plans
Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843–––$42,510$72–$54,594 · 13 plans
Ms-Drg 844 844–––$25,593$72–$32,742 · 13 plans
Ms-Drg 845 845–––$19,026$72–$23,307 · 13 plans
Ms-Drg 848 848–––$12,134$72–$22,999 · 13 plans
Radiotherapy 849–––$57,101$72–$74,154 · 13 plans
Ms-Drg 850 850–––$71$53–$187,401 · 13 plans
Infectious and Parasitic Diseases with O.r. Procedures with Cc 854–––$62$53–$79 · 13 plans
Ms-Drg 855 855–––$28,041$72–$39,408 · 13 plans
Ms-Drg 858 858–––$23,325$72–$36,638 · 13 plans
Fever and Inflammatory Conditions 864–––$16,085$72–$23,350 · 13 plans
Viral Illness with Mcc 865–––$24,268$72–$39,410 · 13 plans
Viral Illness Without Mcc 866–––$80$59–$18,373 · 13 plans
Other Infectious and Parasitic Diseases Diagnoses with Mcc 867–––$42,112$72–$55,823 · 13 plans
Other Infectious and Parasitic Diseases Diagnoses with Cc 868–––$19,322$72–$27,143 · 13 plans
Ms-Drg 869 869–––$15,575$72–$19,684 · 13 plans
Septicemia or Severe Sepsis with Mv >96 Hours 870–––$62$53–$79 · 13 plans
O.r. Procedures with Principal Diagnosis of Mental Illness 876–––$80,409$72–$105,775 · 13 plans
Acute Adjustment Reaction and Psychosocial Dysfunction 880–––$14,989$72–$25,257 · 13 plans
Depressive Neuroses 881–––$9,330$72–$24,749 · 13 plans
Neuroses Except Depressive 882–––$9,126$72–$28,245 · 13 plans
Disorders of Personality and Impulse Control 883–––$25,644$72–$51,720 · 13 plans
Delirium and other mental confusion 884–––$15,958$72–$42,320 · 13 plans
Psychoses 885–––$13,689$72–$36,741 · 13 plans
Ms-Drg 886 886–––$27,457$72–$54,587 · 13 plans
Ms-Drg 887 887–––$24,063$72–$29,309 · 13 plans
Alcohol, Drug Abuse or Dependence, Left Ama 894–––$8,693$72–$16,227 · 13 plans
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895–––$33,013$72–$38,742 · 13 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896–––$28,958$72–$45,902 · 13 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897–––$12,669$72–$23,221 · 13 plans
Ms-Drg 901 901–––$81,751$72–$111,249 · 13 plans
Wound Debridements for Injuries with Cc 902–––$30,411$72–$50,358 · 13 plans
Ms-Drg 903 903–––$20,317$72–$30,764 · 13 plans
Skin Grafts for Injuries with Cc/Mcc 904–––$74,486$72–$98,104 · 13 plans
Ms-Drg 905 905–––$34,594$72–$40,915 · 13 plans
Ms-Drg 906 906–––$32,960$72–$51,668 · 13 plans
Other O.r. Procedures for Injuries Without Cc/Mcc 909–––$24,421$72–$34,528 · 13 plans
Traumatic Injury with Mcc 913–––$36,516$72–$44,736 · 13 plans
Traumatic Injury Without Mcc 914–––$15,269$72–$23,292 · 13 plans
Ms-Drg 915 915–––$26,664$72–$44,232 · 13 plans
Allergic Reactions Without Mcc 916–––$11,650$72–$17,526 · 13 plans
Poisoning and Toxic Effects of Drugs with Mcc 917–––$62$53–$79 · 13 plans
Poisoning and Toxic Effects of Drugs Without Mcc 918–––$80$59–$17,254 · 13 plans
Complications of Treatment Without Cc/Mcc 921–––$12,465$72–$18,107 · 13 plans
Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922–––$35,392$72–$47,370 · 13 plans
Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923–––$14,148$72–$26,769 · 13 plans
Ms-Drg 927 927–––$483,929$72–$584,325 · 13 plans
Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928–––$60,032$72–$188,666 · 13 plans
Ms-Drg 929 929–––$29,162$72–$84,718 · 13 plans
Ms-Drg 933 933–––$72,491$72–$104,979 · 13 plans
Full Thickness Burn Without Skin Graft or Inhalation Injury 934–––$45,034$72–$60,500 · 13 plans
Non-Extensive Burns 935–––$22,279$72–$54,185 · 13 plans
Ms-Drg 939 939–––$75,202$72–$99,306 · 13 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940–––$43,692$72–$61,492 · 13 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941–––$29,264$72–$53,335 · 13 plans
Rehabilitation with Cc/Mcc 945–––$33,569$72–$42,382 · 13 plans
Rehabilitation Without Cc/Mcc 946–––$25,097$72–$31,386 · 13 plans
Signs and Symptoms with Mcc 947–––$22,738$72–$33,390 · 13 plans
Aftercare with Cc/Mcc 949–––$24,734$72–$32,560 · 13 plans
Aftercare Without Cc/Mcc 950–––$14,565$72–$17,179 · 13 plans
Other Factors Influencing Health Status 951–––$8,565$72–$14,625 · 13 plans
Ms-Drg 955 955–––$140,154$72–$184,218 · 13 plans
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956–––$86,459$72–$118,256 · 13 plans
Other O.r. Procedures for Multiple Significant Trauma with Mcc 957–––$146,244$72–$201,450 · 13 plans
Other O.r. Procedures for Multiple Significant Trauma with Cc 958–––$84,504$72–$112,311 · 13 plans
Ms-Drg 959 959–––$60,973$72–$80,575 · 13 plans
Other Multiple Significant Trauma with Mcc 963–––$60,835$72–$74,819 · 13 plans
Other Multiple Significant Trauma with Cc 964–––$28,041$72–$40,313 · 13 plans
Ms-Drg 965 965–––$19,272$72–$25,170 · 13 plans
Ms-Drg 969 969–––$140,643$72–$168,341 · 13 plans
Ms-Drg 970 970–––$61,507$72–$72,357 · 13 plans
Hiv with Major Related Condition with Mcc 974–––$59,957$72–$78,985 · 13 plans
Hiv with Major Related Condition with Cc 975–––$29,754$72–$35,442 · 13 plans
Ms-Drg 976 976–––$20,740$72–$24,705 · 13 plans
Ms-Drg 977 977–––$29,816$72–$35,521 · 13 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983–––$31,252$72–$45,084 · 13 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987–––$62$53–$79 · 13 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988–––$30,717$72–$43,245 · 13 plans
Ms-Drg 989 989–––$23,656$72–$31,864 · 13 plans

Outpatient procedures and tests

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

ProcedureList priceCash priceInsurers (median)
Doctor and ER visits
Child checkup, established patient, age 5 to 11 CPT 99393$122$40$91$81–$112 · 13 plans
Critical care, first hour CPT 99291$5,477$1,815$3,949$3,527–$4,382 · 13 plans
Emergency room visit, highest level CPT 99285$3,985$1,320$2,873$2,566–$3,188 · 13 plans
Emergency room visit, level 1 (minor) CPT 99281$572$190$412$368–$458 · 13 plans
Emergency room visit, level 2 CPT 99282$1,029$341$742$663–$823 · 13 plans
Emergency room visit, level 3 CPT 99283$1,800$596$1,298$1,159–$1,440 · 13 plans
Emergency room visit, level 4 CPT 99284$2,768$917$1,996$1,782–$2,214 · 13 plans
Eye exam, established patient, comprehensive CPT 92014$115$38$86$76–$592 · 13 plans
Eye exam, new patient, comprehensive CPT 92004$115$38$86$76–$592 · 13 plans
Hospital observation care, per hour HCPCS G0378$253$84$185$167–$202 · 10 plans
Hospital outpatient clinic visit (facility fee) HCPCS G0463$115$38$92$85–$653 · 8 plans
Office visit, established patient, level 1 (nurse visit) CPT 99211$115$38$92$85–$116 · 8 plans
Office visit, established patient, level 2 CPT 99212$115$38$86$76–$105 · 13 plans
Specialist consultation, level 2 CPT 99242$115$38$86$76–$105 · 13 plans
Specialist consultation, level 3 CPT 99243$115$38$86$76–$105 · 13 plans
Specialist consultation, level 4 CPT 99244$115$38$86$76–$105 · 13 plans
Specialist consultation, level 5 CPT 99245$115$38$86$76–$105 · 13 plans
Teen checkup, established patient, age 12 to 17 CPT 99394$141$47$105$94–$129 · 13 plans
Yearly checkup, established patient, age 18 to 39 CPT 99395$141$47$105$94–$129 · 13 plans
Yearly checkup, established patient, age 40 to 64 CPT 99396$156$52$116$103–$143 · 13 plans
Yearly checkup, established patient, age 65 and over CPT 99397$177$59$132$117–$162 · 13 plans
Yearly checkup, new patient, age 18 to 39 CPT 99385$146$48$109$97–$134 · 13 plans
Yearly checkup, new patient, age 40 to 64 CPT 99386$195$65$145$129–$178 · 13 plans
Yearly checkup, new patient, age 65 and over CPT 99387$214$71$159$142–$196 · 13 plans
Scans and imaging
Barium swallow X-ray (esophagus) CPT 74220$890$295$663$487–$783 · 13 plans
Bone density scan (DEXA) CPT 77080$532$176$396$297–$467 · 13 plans
Bone scan, whole body CPT 78306$2,612$865$1,824$1,029–$2,090 · 13 plans
Breast ultrasound, complete CPT 76641$532$176$396$297–$467 · 13 plans
Breast ultrasound, limited CPT 76642$440$146$328$221–$388 · 13 plans
Chest X-ray, one view CPT 71045$440$146$328$221–$388 · 13 plans
Chest X-ray, two views CPT 71046$440$146$328$221–$388 · 13 plans
CT angiogram of the chest CPT 71275$890$295$663$487–$783 · 13 plans
CT angiogram of the heart CPT 75574$1,786$592$1,331$487–$1,559 · 13 plans
CT heart scan for calcium score CPT 75571$440$146$328$221–$388 · 13 plans
CT scan of the abdomen and pelvis, with and without contrast CPT 74178$1,786$592$1,331$1,004–$1,559 · 13 plans
CT scan of the abdomen and pelvis, with contrast CPT 74177$1,786$592$1,331$1,004–$1,559 · 13 plans
CT scan of the abdomen and pelvis, without contrast CPT 74176$1,209$401$901$628–$1,064 · 13 plans
CT scan of the abdomen, with contrast CPT 74160$890$295$663$487–$783 · 13 plans
CT scan of the abdomen, without contrast CPT 74150$532$176$396$297–$467 · 13 plans
CT scan of the chest, with contrast CPT 71260$890$295$663$487–$783 · 13 plans
CT scan of the chest, without contrast CPT 71250$532$176$396$297–$467 · 13 plans
CT scan of the head, without contrast CPT 70450$532$176$396$297–$467 · 13 plans
CT scan of the lower back, without contrast CPT 72131$532$176$396$297–$467 · 13 plans
CT scan of the neck spine, without contrast CPT 72125$532$176$396$297–$467 · 13 plans
CT scan of the pelvis, with contrast CPT 72193$890$295$663$487–$783 · 13 plans
CT scan of the sinuses, without contrast CPT 70486$532$176$396$297–$467 · 13 plans
Detailed pregnancy ultrasound (anatomy scan) CPT 76811$1,209$401$901$628–$1,064 · 13 plans
Diagnostic mammogram, both breasts CPT 77066$653$216$436$231–$516 · 13 plans
Diagnostic mammogram, one breast CPT 77065$513$170$342$180–$405 · 13 plans
Kidney ultrasound CPT 76770$532$176$396$297–$467 · 13 plans
Low-dose CT lung cancer screening CPT 71271$691$229$477$221–$553 · 13 plans
MRI of the abdomen, with and without contrast CPT 74183$1,786$592$1,331$1,004–$1,559 · 13 plans
MRI of the abdomen, without contrast CPT 74181$1,209$401$901$628–$1,064 · 13 plans
MRI of the brain, with and without contrast CPT 70553$1,786$592$1,331$1,004–$1,559 · 13 plans
MRI of the brain, without contrast CPT 70551$1,209$401$901$628–$1,064 · 13 plans
MRI of the knee, without contrast CPT 73721$1,209$401$901$628–$1,064 · 13 plans
MRI of the lower back, with and without contrast CPT 72158$1,786$592$1,331$1,004–$1,559 · 13 plans
MRI of the lower back, without contrast CPT 72148$1,209$401$901$628–$1,064 · 13 plans
MRI of the mid-back, without contrast CPT 72146$1,209$401$901$628–$1,064 · 13 plans
MRI of the neck spine, without contrast CPT 72141$1,209$401$901$628–$1,064 · 13 plans
MRI of the pelvis, with and without contrast CPT 72197$1,786$592$1,331$1,004–$1,559 · 13 plans
MRI of the shoulder, without contrast CPT 73221$1,209$401$901$628–$1,064 · 13 plans
Nuclear heart stress test CPT 78452$8,486$2,811$5,907$3,562–$6,789 · 13 plans
Pelvic ultrasound CPT 76856$532$176$396$297–$467 · 13 plans
PET/CT scan, skull to thigh CPT 78815$7,293$2,416$5,435$4,037–$6,387 · 13 plans
Pregnancy ultrasound, after the first trimester CPT 76805$532$176$396$297–$467 · 13 plans
Pregnancy ultrasound, first trimester CPT 76801$532$176$396$297–$467 · 13 plans
Pregnancy ultrasound, limited CPT 76815$532$176$396$297–$467 · 13 plans
Pregnancy ultrasound, transvaginal CPT 76817$532$176$396$297–$467 · 13 plans
Screening mammogram CPT 77067$540$179$360$191–$427 · 13 plans
Scrotal ultrasound CPT 76870$532$176$396$297–$467 · 13 plans
Transvaginal ultrasound CPT 76830$532$176$396$297–$467 · 13 plans
Ultrasound of a joint or limb, limited CPT 76882$532$176$396$297–$467 · 13 plans
Ultrasound of the abdomen, complete CPT 76700$532$176$396$297–$467 · 13 plans
Ultrasound of the abdomen, limited CPT 76705$532$176$396$297–$467 · 13 plans
Ultrasound of the leg veins, both legs CPT 93970$1,571$520$1,133$1,012–$1,257 · 13 plans
Ultrasound of the leg veins, one leg CPT 93971$691$229$498$445–$553 · 13 plans
Ultrasound of the neck arteries (carotid) CPT 93880$1,571$520$1,133$1,012–$1,257 · 13 plans
Ultrasound of the neck or thyroid CPT 76536$532$176$396$297–$467 · 13 plans
X-ray of the abdomen CPT 74018$440$146$328$221–$388 · 13 plans
X-ray of the ankle CPT 73610$440$146$328$221–$388 · 13 plans
X-ray of the foot CPT 73630$440$146$328$221–$388 · 13 plans
X-ray of the hand CPT 73130$440$146$328$221–$388 · 13 plans
X-ray of the knee, 1 or 2 views CPT 73560$440$146$328$221–$388 · 13 plans
X-ray of the knee, 3 views CPT 73562$440$146$328$221–$388 · 13 plans
X-ray of the knee, 4 or more views CPT 73564$532$176$396$297–$467 · 13 plans
X-ray of the lower back, 2 or 3 views CPT 72100$532$176$396$297–$467 · 13 plans
X-ray of the lower back, 4 or more views CPT 72110$532$176$396$297–$467 · 13 plans
X-ray of the lower leg CPT 73590$440$146$328$221–$388 · 13 plans
X-ray of the neck spine CPT 72040$440$146$328$221–$388 · 13 plans
X-ray of the shoulder CPT 73030$440$146$328$221–$388 · 13 plans
X-ray of the wrist CPT 73110$440$146$328$221–$388 · 13 plans
Lab tests
Acute hepatitis panel CPT 80074$310$103$198$93–$245 · 13 plans
ANA (autoimmune) test CPT 86038$79$26$51$24–$62 · 13 plans
Antibody screen (blood bank) CPT 86850$347$115$222$38–$274 · 13 plans
Basic metabolic panel (blood test) CPT 80048$55$18$35$17–$43 · 13 plans
Blood count (CBC) without differential CPT 85027$42$14$27$13–$33 · 13 plans
Blood culture CPT 87040$67$22$43$20–$53 · 13 plans
Blood draw CPT 36415$59$20$25$8–$47 · 13 plans
Blood type (ABO) CPT 86900$838$278$536$12–$662 · 13 plans
Blood type (Rh) CPT 86901$255$84$163$12–$201 · 13 plans
BNP (heart failure blood test) CPT 83880$255$84$163$77–$201 · 13 plans
BUN (kidney blood test) CPT 84520$26$9$11$8–$21 · 13 plans
C-reactive protein (CRP) test CPT 86140$34$11$15$10–$27 · 13 plans
Chlamydia test CPT 87491$228$76$146$68–$180 · 13 plans
CK (muscle enzyme) test CPT 82550$42$14$27$13–$33 · 13 plans
Complete blood count (CBC) CPT 85025$51$17$23$15–$40 · 13 plans
Comprehensive metabolic panel (blood test) CPT 80053$69$23$44$21–$55 · 13 plans
COVID-19 PCR test CPT 87635$334$111$226$117–$264 · 13 plans
Creatinine blood test CPT 82565$33$11$15$10–$26 · 13 plans
Drug screen CPT 80307$404$134$258$121–$319 · 13 plans
Ferritin (iron stores) test CPT 82728$89$29$57$27–$70 · 13 plans
Free T4 (thyroid test) CPT 84439$59$20$38$18–$47 · 13 plans
General health panel (blood tests) CPT 80050$513$170$382$340–$470 · 13 plans
Glucose (blood sugar) test CPT 82947$26$9$11$8–$21 · 13 plans
Glucose tolerance test CPT 82951$84$28$54$25–$66 · 13 plans
Gonorrhea test CPT 87591$228$76$146$68–$180 · 13 plans
Hemoglobin A1c (diabetes test) CPT 83036$63$21$40$19–$50 · 13 plans
Hemoglobin test CPT 85018$15$5$7$5–$12 · 13 plans
Hepatitis B antibody test CPT 86706$70$23$45$21–$55 · 13 plans
Hepatitis B antigen test CPT 87340$67$22$43$20–$53 · 13 plans
Hepatitis C antibody test CPT 86803$93$31$59$28–$73 · 13 plans
High-sensitivity CRP (heart risk) test CPT 86141$84$28$54$25–$66 · 13 plans
HIV test (antigen and antibody) CPT 87389$157$52$100$47–$124 · 13 plans
HPV test CPT 87624$228$76$146$68–$180 · 13 plans
Iron binding capacity test CPT 83550$57$19$25$17–$45 · 13 plans
Iron test CPT 83540$42$14$27$13–$33 · 13 plans
Kidney function panel CPT 80069$56$19$25$17–$44 · 13 plans
Lipase (pancreas) test CPT 83690$45$15$29$13–$36 · 13 plans
Lipid panel (cholesterol test) CPT 80061$87$29$56$26–$69 · 13 plans
Liver function panel CPT 80076$53$18$23$16–$42 · 13 plans
Magnesium test CPT 83735$44$15$19$13–$35 · 13 plans
Obstetric (pregnancy) blood panel CPT 80055$311$103$199$93–$246 · 13 plans
Pap test CPT 88142$132$44$84$40–$104 · 13 plans
Phosphorus test CPT 84100$31$10$14$9–$24 · 13 plans
Potassium test CPT 84132$31$10$14$9–$24 · 13 plans
Pregnancy blood test (hCG) CPT 84703$49$16$21$15–$39 · 13 plans
Pregnancy blood test (hCG), quantitative CPT 84702$98$32$63$29–$77 · 13 plans
Prothrombin time (PT/INR) clotting test CPT 85610$28$9$12$8–$22 · 13 plans
PSA (prostate screening test) CPT 84153$120$40$77$36–$95 · 13 plans
PTT clotting test CPT 85730$39$13$17$12–$31 · 13 plans
Rapid flu test CPT 87804$108$36$69$32–$85 · 13 plans
Rapid strep test CPT 87880$107$35$68$32–$85 · 13 plans
Rheumatoid factor test CPT 86431$37$12$16$11–$29 · 13 plans
Rubella antibody test CPT 86762$94$31$60$28–$74 · 13 plans
Sed rate (ESR) inflammation test CPT 85652$18$6$7$5–$14 · 13 plans
Stool test for hidden blood (FIT) CPT 82274$103$34$66$31–$81 · 13 plans
Syphilis test (RPR) CPT 86592$28$9$12$8–$22 · 13 plans
TB blood test CPT 86480$403$134$258$121–$318 · 13 plans
TB skin test CPT 86580$159$53$117$67–$131 · 13 plans
Tissue exam by a pathologist (biopsy) CPT 88305$347$115$238$136–$278 · 13 plans
Troponin (heart attack blood test) CPT 84484$81$27$52$24–$64 · 13 plans
TSH (thyroid test) CPT 84443$109$36$70$33–$86 · 13 plans
Uric acid (gout) test CPT 84550$29$10$13$9–$23 · 13 plans
Urinalysis, automated CPT 81003$15$5$10$4–$12 · 13 plans
Urinalysis, automated, with microscope CPT 81001$21$7$9$6–$17 · 13 plans
Urinalysis, dipstick CPT 81002$23$8$10$7–$18 · 13 plans
Urine albumin (kidney screening) CPT 82043$38$13$20$11–$30 · 13 plans
Urine culture CPT 87086$52$17$33$16–$41 · 13 plans
Urine pregnancy test CPT 81025$56$19$36$17–$44 · 13 plans
Vitamin B12 test CPT 82607$98$32$63$29–$77 · 13 plans
Vitamin D test CPT 82306$192$64$123$58–$152 · 13 plans
Heart, lung and nerve tests
Ablation for atrial fibrillation CPT 93656$159,460$52,829$117,809$104,605–$127,568 · 13 plans
Breathing test (spirometry) CPT 94010$1,017$337$758$675–$961 · 13 plans
Breathing test before and after an inhaler CPT 94060$2,024$671$1,495$1,343–$1,686 · 13 plans
Breathing treatment (nebulizer) CPT 94640$204$68$152$135–$974 · 13 plans
Coronary stent placement CPT 92928$73,714$24,421$53,148$47,464–$58,971 · 13 plans
Echocardiogram (heart ultrasound), complete CPT 93306$3,564$1,181$2,570$2,295–$2,851 · 13 plans
EEG (brain wave test) CPT 95816$2,024$671$1,371$1,034–$1,599 · 13 plans
EEG with sleep CPT 95819$2,024$671$1,371$1,034–$1,599 · 13 plans
Electrocardiogram (ECG), tracing only CPT 93005$386$128$278$249–$309 · 13 plans
Heart catheterization (left heart) CPT 93452$20,907$6,926$15,074$13,462–$16,726 · 13 plans
Heart catheterization with coronary angiogram CPT 93458$20,907$6,926$15,074$13,462–$16,726 · 13 plans
Holter heart monitor, up to 48 hours CPT 93224$912$302$666$602–$730 · 10 plans
Home sleep apnea test CPT 95806$1,017$337$758$675–$961 · 13 plans
Lung diffusion test CPT 94729$119$39$87$79–$95 · 10 plans
Lung volume test CPT 94726$2,024$671$1,495$1,343–$1,686 · 13 plans
Nerve conduction study CPT 95910$2,024$671$1,495$1,343–$1,686 · 13 plans
Sleep study in a sleep lab CPT 95810$6,613$2,191$4,768$3,980–$5,224 · 13 plans
Sleep study with CPAP CPT 95811$6,613$2,191$4,768$3,980–$5,224 · 13 plans
Stress echocardiogram CPT 93350$3,564$1,181$2,570$2,295–$2,851 · 13 plans
Treadmill stress test, tracing only CPT 93017$2,024$671$1,371$1,034–$1,599 · 13 plans
Scopes and biopsies
Bladder scope (cystoscopy) CPT 52000$4,339$1,438$3,182$2,802–$3,471 · 13 plans
Bone marrow biopsy CPT 38221$10,532$3,489$7,594$6,782–$8,426 · 13 plans
Breast biopsy with ultrasound CPT 19083$10,532$3,489$7,594$6,782–$8,426 · 13 plans
Breast biopsy, stereotactic CPT 19081$10,532$3,489$7,594$6,782–$8,426 · 13 plans
Colonoscopy CPT 45378$5,926$1,963$4,273$3,816–$4,741 · 13 plans
Colonoscopy with biopsy CPT 45380$7,664$2,539$5,526$4,935–$6,131 · 13 plans
Colonoscopy with polyp removal CPT 45385$7,664$2,539$5,526$4,935–$6,131 · 13 plans
Colposcopy with biopsy CPT 57454$1,977$655$1,425$1,273–$1,582 · 13 plans
ERCP (bile duct scope) CPT 43260$24,729$8,193$17,830$15,923–$19,783 · 13 plans
Fine needle biopsy with ultrasound CPT 10005$4,573$1,515$3,297$2,945–$3,658 · 13 plans
Kidney biopsy CPT 50200$10,532$3,489$7,594$6,782–$8,426 · 13 plans
Liver biopsy CPT 47000$10,532$3,489$7,594$6,782–$8,426 · 13 plans
Lung scope (bronchoscopy) CPT 31622$11,209$3,714$8,121$7,217–$8,967 · 13 plans
Nasal endoscopy CPT 31231$1,262$418$911$813–$1,010 · 13 plans
Prostate biopsy CPT 55700$13,315$4,411$9,719$8,788–$10,652 · 10 plans
Screening colonoscopy, average risk HCPCS G0121$5,926$1,963$4,273$3,816–$4,741 · 13 plans
Screening colonoscopy, high risk HCPCS G0105$5,926$1,963$4,273$3,816–$4,741 · 13 plans
Sigmoidoscopy CPT 45330$5,926$1,963$4,273$3,816–$4,741 · 13 plans
Skin biopsy CPT 11102$1,292$428$963$857–$1,808 · 13 plans
Skin punch biopsy CPT 11104$2,597$860$1,872$1,672–$2,078 · 13 plans
Throat scope (laryngoscopy) CPT 31575$1,262$418$911$813–$1,010 · 13 plans
Upper endoscopy (EGD) CPT 43235$6,094$2,019$4,394$3,924–$4,875 · 13 plans
Upper endoscopy with biopsy CPT 43239$6,094$2,019$4,394$3,924–$4,875 · 13 plans
Upper endoscopy with esophagus dilation CPT 43249$12,330$4,085$8,890$7,939–$9,864 · 13 plans
Surgery
Abdominal hernia repair, small CPT 49591$22,939$7,600$16,539$14,770–$18,351 · 13 plans
ACL reconstruction CPT 29888$46,434$15,384$33,479$29,899–$37,147 · 13 plans
Appendix removal (laparoscopic) CPT 44970$37,923$12,564$27,585$24,419–$30,338 · 13 plans
Breast lump removal CPT 19120$24,890$8,246$17,946$16,027–$19,912 · 13 plans
Carpal tunnel release CPT 64721$12,693$4,205$9,152$8,173–$10,154 · 13 plans
Cataract surgery CPT 66984$14,825$4,912$10,689$9,546–$11,860 · 13 plans
Cataract surgery, complex CPT 66982$14,825$4,912$10,689$9,546–$11,860 · 13 plans
Chemo port placement CPT 36561$20,459$6,778$14,751$13,174–$16,367 · 13 plans
Draining a skin abscess CPT 10060$1,292$428$932$832–$1,034 · 13 plans
Draining fluid from the belly (paracentesis) CPT 49083$6,094$2,019$4,394$3,924–$4,875 · 13 plans
Draining fluid from the chest (thoracentesis) CPT 32555$4,019$1,331$2,898$2,588–$3,215 · 13 plans
Ear tubes, under general anesthesia CPT 69436$9,628$3,190$7,080$6,231–$7,702 · 13 plans
Eye injection (retina) CPT 67028$2,156$714$1,554$1,388–$1,725 · 13 plans
Gallbladder removal (laparoscopic) CPT 47562$37,923$12,564$27,585$24,419–$30,338 · 13 plans
Gastric bypass (laparoscopic) CPT 43644$57,323$18,991$42,717$38,022–$52,467 · 13 plans
Hemorrhoid banding CPT 46221$5,926$1,963$4,273$3,816–$4,741 · 13 plans
Hip replacement CPT 27130$83,634$27,708$60,300$53,852–$66,907 · 13 plans
Inguinal hernia repair (laparoscopic) CPT 49650$37,923$12,564$27,585$24,419–$30,338 · 13 plans
Inguinal hernia repair (open) CPT 49505$22,939$7,600$16,539$14,770–$18,351 · 13 plans
Joint injection, large joint (knee, shoulder) CPT 20610$1,919$636$1,401$1,236–$1,535 · 13 plans
Joint injection, large joint, with ultrasound CPT 20611$1,919$636$1,401$1,236–$1,535 · 13 plans
Kidney stone removal with laser (ureteroscopy) CPT 52356$33,044$10,947$24,413$21,502–$26,435 · 13 plans
Kidney stone shock wave treatment CPT 50590$22,418$7,427$16,163$14,435–$17,934 · 13 plans
Knee arthroscopy (both menisci) CPT 29880$21,090$6,987$15,206$13,580–$16,872 · 13 plans
Knee arthroscopy (meniscus) CPT 29881$21,090$6,987$15,206$13,580–$16,872 · 13 plans
Knee replacement CPT 27447$83,634$27,708$60,300$53,852–$66,907 · 13 plans
Laser treatment after cataract surgery (YAG) CPT 66821$3,566$1,181$2,571$2,296–$2,853 · 13 plans
Laser treatment for glaucoma CPT 65855$3,566$1,181$2,571$2,296–$2,853 · 13 plans
Lower back disc surgery (discectomy) CPT 63030$46,434$15,384$33,479$29,899–$37,147 · 13 plans
Lower back epidural steroid injection CPT 62323$4,501$1,491$3,245$2,898–$3,601 · 13 plans
Lower back facet joint injection CPT 64493$5,787$1,917$4,172$3,726–$4,630 · 13 plans
Lower back laminectomy CPT 63047$46,434$15,384$33,479$29,899–$37,147 · 13 plans
Lower back nerve ablation (radiofrequency) CPT 64635$12,693$4,205$9,152$8,173–$10,154 · 13 plans
Lower back nerve root injection CPT 64483$5,787$1,917$4,172$3,726–$4,630 · 13 plans
Lower back spine fusion CPT 22612$119,535$39,602$86,185$76,969–$95,628 · 13 plans
Lumpectomy (partial mastectomy) CPT 19301$24,890$8,246$17,946$16,027–$19,912 · 13 plans
Mastectomy CPT 19303$42,389$14,043$30,562$27,294–$33,911 · 13 plans
Neck epidural steroid injection CPT 62321$4,501$1,491$3,245$2,898–$3,601 · 13 plans
Neck spine fusion (ACDF) CPT 22551$83,634$27,708$60,300$53,852–$66,907 · 13 plans
Pacemaker insertion CPT 33208$68,025$22,537$49,046$43,801–$54,420 · 13 plans
PICC line placement CPT 36573$10,097$3,345$7,280$6,501–$8,078 · 13 plans
Prostate removal (laparoscopic or robotic) CPT 55866$67,673$22,420$48,792$43,575–$54,138 · 13 plans
Prostate surgery (TURP) CPT 52601$33,044$10,947$24,413$21,502–$26,435 · 13 plans
Rotator cuff repair (arthroscopic) CPT 29827$46,434$15,384$33,479$29,899–$37,147 · 13 plans
Rotator cuff repair (open) CPT 23412$46,434$15,384$33,479$29,899–$37,147 · 13 plans
Sacroiliac joint injection CPT 27096$4,501$1,491$3,354$2,986–$4,120 · 13 plans
Septoplasty (nose) CPT 30520$21,080$6,984$15,199$13,573–$16,864 · 13 plans
Shoulder replacement CPT 23472$119,535$39,602$86,185$76,969–$95,628 · 13 plans
Sinus surgery CPT 31255$44,996$14,907$32,442$28,973–$35,997 · 13 plans
Sleeve gastrectomy CPT 43775$36,492$12,090$27,194$24,205–$33,401 · 13 plans
Spinal tap (lumbar puncture) CPT 62270$4,501$1,491$3,245$2,898–$3,601 · 13 plans
Stitches for a cut, 2.6 to 7.5 cm CPT 12002$1,292$428$932$832–$1,034 · 13 plans
Stitches for a small cut (up to 2.5 cm) CPT 12001$1,292$428$932$832–$1,034 · 13 plans
Tonsillectomy, age 12 and over CPT 42826$21,080$6,984$15,199$13,573–$16,864 · 13 plans
Tonsils and adenoids removal, age 12 and over CPT 42821$21,080$6,984$15,199$13,573–$16,864 · 13 plans
Tonsils and adenoids removal, under age 12 CPT 42820$38,452$12,739$27,724$24,759–$30,762 · 13 plans
Trigger finger release CPT 26055$10,403$3,447$7,501$6,698–$8,322 · 13 plans
Ureteral stent placement CPT 52332$22,418$7,427$16,163$14,435–$17,934 · 13 plans
Vasectomy CPT 55250$13,315$4,411$9,600$8,574–$10,652 · 13 plans
Vein ablation (varicose veins) CPT 36475$20,459$6,778$14,751$13,174–$16,367 · 13 plans
Wound debridement CPT 11042$2,597$860$1,872$1,672–$2,078 · 13 plans
Childbirth and women's health
C-section only CPT 59514$20,667$6,847$15,401$13,708–$18,916 · 13 plans
C-section with postpartum care CPT 59515$20,667$6,847$15,401$13,708–$18,916 · 13 plans
C-section, with prenatal and postpartum care CPT 59510$20,667$6,847$15,401$13,708–$18,916 · 13 plans
D&C (dilation and curettage) CPT 58120$20,667$6,847$14,901$13,307–$16,534 · 13 plans
Fetal non-stress test CPT 59025$1,308$433$943$842–$1,046 · 13 plans
Hysterectomy (abdominal) CPT 58150$9,709$3,217$7,235$6,440–$8,887 · 13 plans
Hysterectomy (laparoscopic) CPT 58571$67,673$22,420$48,792$43,575–$54,138 · 13 plans
Hysteroscopy with biopsy CPT 58558$20,667$6,847$14,901$13,307–$16,534 · 13 plans
IUD insertion CPT 58300$3,496$1,158$2,605$2,319–$3,200 · 13 plans
IUD removal CPT 58301$1,977$655$1,425$1,273–$1,582 · 13 plans
Miscarriage care, surgical (first trimester) CPT 59820$20,667$6,847$14,901$13,307–$16,534 · 13 plans
Removal of ovaries or tubes (laparoscopic) CPT 58661$37,923$12,564$27,585$24,419–$30,338 · 13 plans
Tubal ligation (laparoscopic) CPT 58670$37,923$12,564$27,585$24,419–$30,338 · 13 plans
Vaginal birth after C-section, with prenatal and postpartum care CPT 59610$27,426$9,086$20,438$18,192–$25,103 · 13 plans
Vaginal delivery only CPT 59409$20,667$6,847$14,901$13,307–$16,534 · 13 plans
Vaginal delivery with postpartum care CPT 59410$20,667$6,847$15,401$13,708–$18,916 · 13 plans
Vaginal delivery, with prenatal and postpartum care CPT 59400$20,667$6,847$15,401$13,708–$18,916 · 13 plans
Therapy and mental health
Balance and coordination therapy, 15 minutes CPT 97112$199$66$132$62–$157 · 13 plans
Cardiac rehab session CPT 93798$818$271$590$527–$654 · 13 plans
Electroconvulsive therapy (ECT) CPT 90870$3,449$1,143$2,570$2,288–$3,820 · 13 plans
Family therapy, with the patient CPT 90847$1,044$346$771$692–$835 · 13 plans
Family therapy, without the patient CPT 90846$1,044$346$771$692–$835 · 13 plans
Group therapy CPT 90853$601$199$444$399–$481 · 13 plans
Hearing test CPT 92557$1,017$337$733$600–$803 · 13 plans
Manual therapy, 15 minutes CPT 97140$169$56$112$52–$134 · 13 plans
Nutrition counseling, 15 minutes CPT 97802$169$56$114$58–$134 · 13 plans
Occupational therapy evaluation, low complexity CPT 97165$626$207$415$189–$495 · 13 plans
Occupational therapy evaluation, moderate complexity CPT 97166$626$207$415$189–$495 · 13 plans
Physical therapy evaluation, high complexity CPT 97163$610$202$404$184–$482 · 13 plans
Physical therapy evaluation, low complexity CPT 97161$610$202$404$184–$482 · 13 plans
Physical therapy evaluation, moderate complexity CPT 97162$610$202$404$184–$482 · 13 plans
Physical therapy exercises, 15 minutes CPT 97110$179$59$119$55–$141 · 13 plans
Physical therapy re-evaluation CPT 97164$420$139$278$127–$332 · 13 plans
Psychiatric evaluation CPT 90791$1,044$346$771$692–$835 · 13 plans
Psychiatric evaluation with medical services CPT 90792$1,044$346$771$692–$835 · 13 plans
Psychological testing, first hour CPT 96130$2,024$671$1,371$1,034–$1,599 · 13 plans
Psychotherapy, 30 minutes CPT 90832$1,044$346$771$692–$835 · 13 plans
Psychotherapy, 45 minutes CPT 90834$1,044$346$771$692–$835 · 13 plans
Psychotherapy, 60 minutes CPT 90837$1,044$346$771$692–$835 · 13 plans
Self-care training, 15 minutes CPT 97535$199$66$132$61–$157 · 13 plans
Speech and language evaluation CPT 92523$1,396$462$925$428–$1,103 · 13 plans
Speech therapy session CPT 92507$469$155$311$144–$371 · 13 plans
Therapeutic activities, 15 minutes CPT 97530$214$71$142$66–$169 · 13 plans
Walking (gait) training, 15 minutes CPT 97116$179$59$119$55–$141 · 13 plans
Infusions, shots and treatments
Blood transfusion CPT 36430$2,842$942$2,049$1,830–$2,274 · 13 plans
Chemotherapy infusion, first hour CPT 96413$2,156$714$1,554$1,388–$1,725 · 13 plans
Chemotherapy shot CPT 96401$463$153$334$298–$370 · 13 plans
Dialysis session CPT 90935$4,548$1,507$3,279$2,928–$3,638 · 13 plans
Flu vaccine CPT 90686$23$8$17$15–$18 · 10 plans
IV drug infusion, first hour CPT 96365$1,369$454$987$882–$1,095 · 13 plans
IV fluids (hydration), first hour CPT 96360$1,369$454$987$882–$1,095 · 13 plans
IV push injection CPT 96374$1,369$454$987$882–$1,095 · 13 plans
Pneumonia vaccine (PCV20) CPT 90677$1,301$431$911$454–$1,041 · 10 plans
Radiation therapy session (IMRT) CPT 77385$3,760$1,246$2,744$1,495–$3,008 · 10 plans
Shingles vaccine (Shingrix) CPT 90750$323$107$229$213–$259 · 10 plans
Shot (injection) under the skin or into a muscle CPT 96372$463$153$334$298–$370 · 13 plans
Tdap vaccine CPT 90715$23$8$18$17–$105 · 10 plans
Vaccine given (administration) CPT 90471$463$153$334$298–$370 · 13 plans
Wound care (debridement), first 20 sq cm CPT 97597$1,292$428$932$832–$1,034 · 13 plans

Price file: Pennsylvania Psychiatric Institute, read November 12, 2026.

Nearby hospitals

8.3 miles awayPhilhaven HospitalMt Gretna, PANot rated$1.33 listed per $1 of cost12 miles awayLebanon VA Medical CenterLebanon, PA★★★★★12 miles awayWellspan Good Samaritan HospitalLebanon, PA★★★★★$4.96 listed per $1 of cost13 miles awayUpmc Pinnacle HospitalsHarrisburg, PA★★★★★$5.60 listed per $1 of cost14 miles awayPennsylvania Psychiatric InstituteHarrisburg, PANot rated

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Distances are approximate: this hospital is placed by its ZIP code.