U.S. Hospital Pricing Disparities

• Inpatient
• Outpatient

039 - EXTRACRANIAL PROCEDURES W/O CC/MCC 057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC 066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 069 - TRANSIENT ISCHEMIA 074 - CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 101 - SEIZURES W/O MCC 149 - DYSEQUILIBRIUM 176 - PULMONARY EMBOLISM W/O MCC 177 - RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 178 - RESPIRATORY INFECTIONS & INFLAMMATIONS W CC 189 - PULMONARY EDEMA & RESPIRATORY FAILURE 190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 193 - SIMPLE PNEUMONIA & PLEURISY W MCC 194 - SIMPLE PNEUMONIA & PLEURISY W CC 195 - SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC 202 - BRONCHITIS & ASTHMA W CC/MCC 203 - BRONCHITIS & ASTHMA W/O CC/MCC 207 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 208 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS 238 - MAJOR CARDIOVASC PROCEDURES W/O MCC 243 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC 244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 246 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 249 - PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 251 - PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 252 - OTHER VASCULAR PROCEDURES W MCC 253 - OTHER VASCULAR PROCEDURES W CC 254 - OTHER VASCULAR PROCEDURES W/O CC/MCC 280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 291 - HEART FAILURE & SHOCK W MCC 292 - HEART FAILURE & SHOCK W CC 293 - HEART FAILURE & SHOCK W/O CC/MCC 300 - PERIPHERAL VASCULAR DISORDERS W CC 301 - PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 303 - ATHEROSCLEROSIS W/O MCC 305 - HYPERTENSION W/O MCC 308 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 312 - SYNCOPE & COLLAPSE 313 - CHEST PAIN 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 329 - MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 330 - MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 372 - MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 377 - G.I. HEMORRHAGE W MCC 378 - G.I. HEMORRHAGE W CC 379 - G.I. HEMORRHAGE W/O CC/MCC 389 - G.I. OBSTRUCTION W CC 390 - G.I. OBSTRUCTION W/O CC/MCC 391 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC 392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 418 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 419 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 460 - SPINAL FUSION EXCEPT CERVICAL W/O MCC 469 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC 470 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 473 - CERVICAL SPINAL FUSION W/O CC/MCC 480 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 481 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 482 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 491 - BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC 536 - FRACTURES OF HIP & PELVIS W/O MCC 552 - MEDICAL BACK PROBLEMS W/O MCC 563 - FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC 602 - CELLULITIS W MCC 603 - CELLULITIS W/O MCC 638 - DIABETES W CC 640 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC 641 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC 682 - RENAL FAILURE W MCC 683 - RENAL FAILURE W CC 684 - RENAL FAILURE W/O CC/MCC 689 - KIDNEY & URINARY TRACT INFECTIONS W MCC 690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC 698 - OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC 699 - OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC 811 - RED BLOOD CELL DISORDERS W MCC 812 - RED BLOOD CELL DISORDERS W/O MCC 853 - INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 870 - SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS 871 - SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC 872 - SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC 885 - PSYCHOSES 897 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 917 - POISONING & TOXIC EFFECTS OF DRUGS W MCC 918 - POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 948 - SIGNS & SYMPTOMS W/O MCC

0012 - Level I Debridement & Destruction 0013 - Level II Debridement & Destruction 0015 - Level III Debridement & Destruction 0019 - Level I Excision/ Biopsy 0020 - Level II Excision/ Biopsy 0073 - Level III Endoscopy Upper Airway 0074 - Level IV Endoscopy Upper Airway 0078 - Level III Pulmonary Treatment 0096 - Level II Noninvasive Physiologic Studies 0203 - Level IV Nerve Injections 0204 - Level I Nerve Injections 0206 - Level II Nerve Injections 0207 - Level III Nerve Injections 0209 - Level II Extended EEG, Sleep, and Cardiovascular Studies 0265 - Level I Diagnostic and Screening Ultrasound 0267 - Level III Diagnostic and Screening Ultrasound 0269 - Level II Echocardiogram Without Contrast 0270 - Level III Echocardiogram Without Contrast 0336 - Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast 0368 - Level II Pulmonary Tests 0369 - Level III Pulmonary Tests 0377 - Level II Cardiac Imaging 0604 - Level 1 Hospital Clinic Visits 0605 - Level 2 Hospital Clinic Visits 0606 - Level 3 Hospital Clinic Visits 0607 - Level 4 Hospital Clinic Visits 0608 - Level 5 Hospital Clinic Visits 0690 - Level I Electronic Analysis of Devices 0692 - Level II Electronic Analysis of Devices 0698 - Level II Eye Tests & Treatments

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