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Inpatient Procedures

Estimated Average Prices for Procedures

These prices are for John C. Lincoln Health Network services performed at hospitals and facilities and DO NOT INCLUDE physicians' fees. If you would like an estimated average price for a specific location, please call: 623-434-6287.

The chart includes the following information:

  • The average charge for the procedure.
  • The average Arizona Health Care Cost Containment System (AHCCCS) payment John C. Lincoln Health Network receives for this procedure.
  • The average Medicare payment John C. Lincoln Health Network receives for this procedure.

Please select your procedure from the list below.

DRG Code DRG Code Description
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC
603 CELLULITIS W/O MCC
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC
313 CHEST PAIN
247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC
203 BRONCHITIS & ASTHMA W/O CC/MCC
312 SYNCOPE & COLLAPSE
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC
287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC
194 SIMPLE PNEUMONIA & PLEURISY W CC
641 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC
683 RENAL FAILURE W CC
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC
378 G.I. HEMORRHAGE W CC
552 MEDICAL BACK PROBLEMS W/O MCC
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC
682 RENAL FAILURE W MCC
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC
189 PULMONARY EDEMA & RESPIRATORY FAILURE
669 TRANSURETHRAL PROCEDURES W CC
343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC
193 SIMPLE PNEUMONIA & PLEURISY W MCC
853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC
292 HEART FAILURE & SHOCK W CC
291 HEART FAILURE & SHOCK W MCC
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC
418 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC
251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC
812 RED BLOOD CELL DISORDERS W/O MCC
202 BRONCHITIS & ASTHMA W CC/MCC
305 HYPERTENSION W/O MCC
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC
638 DIABETES W CC
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC
69 TRANSIENT ISCHEMIA
101 SEIZURES W/O MCC
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC
473 CERVICAL SPINAL FUSION W/O CC/MCC
494 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT < 96 HOURS
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC
491 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC
918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC
490 BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM

Average Costs and Payments

392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
Average Charge: $19,832
Average Payment with AHCCCS: $2,646
Average Payment with Medicare: $4,136

871 - SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC
Average Charge: $54,214
Average Payment with AHCCCS: $6,062
Average Payment with Medicare: $11,843

603 - CELLULITIS W/O MCC
Average Charge: $18,566
Average Payment with AHCCCS: $2,687
Average Payment with Medicare: $4,777

470 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
Average Charge: $73,095
Average Payment with AHCCCS: $9,513
Average Payment with Medicare: $13,119

872 - SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC
Average Charge: $27,656
Average Payment with AHCCCS: $3,642
Average Payment with Medicare: $6,703

313 - CHEST PAIN
Average Charge: $21,188
Average Payment with AHCCCS: $2,481
Average Payment with Medicare: $3,146

247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC
Average Charge: $90,470
Average Payment with AHCCCS: $16,939
Average Payment with Medicare: $11,793

203 - BRONCHITIS & ASTHMA W/O CC/MCC
Average Charge: $13,138
Average Payment with AHCCCS: $2,231
Average Payment with Medicare: $3,621

312 - SYNCOPE & COLLAPSE
Average Charge: $23,940
Average Payment with AHCCCS: $2,766
Average Payment with Medicare: $3,193

419 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC
Average Charge: $30,176
Average Payment with AHCCCS: $3,668
Average Payment with Medicare: $6,296

690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC
Average Charge: $18,024
Average Payment with AHCCCS: $2,591
Average Payment with Medicare: $4,267

287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC
Average Charge: $39,813
Average Payment with AHCCCS: $5,318
Average Payment with Medicare: $6,200

194 - SIMPLE PNEUMONIA & PLEURISY W CC
Average Charge: $25,744
Average Payment with AHCCCS: $3,287
Average Payment with Medicare: $6,177

641 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC
Average Charge: $18,993
Average Payment with AHCCCS: $2,205
Average Payment with Medicare: $3,894

683 - RENAL FAILURE W CC
Average Charge: $28,361
Average Payment with AHCCCS: $3,707
Average Payment with Medicare: $6,122

917 - POISONING & TOXIC EFFECTS OF DRUGS W MCC
Average Charge: $37,867
Average Payment with AHCCCS: $6,634
Average Payment with Medicare: $8,706

378 - G.I. HEMORRHAGE W CC
Average Charge: $30,463
Average Payment with AHCCCS: $3,420
Average Payment with Medicare: $6,192

552 - MEDICAL BACK PROBLEMS W/O MCC
Average Charge: $25,470
Average Payment with AHCCCS: $3,365
Average Payment with Medicare: $4,886

190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC
Average Charge: $36,146
Average Payment with AHCCCS: $4,579
Average Payment with Medicare: $7,135

682 - RENAL FAILURE W MCC
Average Charge: $45,448
Average Payment with AHCCCS: $5,202
Average Payment with Medicare: $9,970

310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC
Average Charge: $20,364
Average Payment with AHCCCS: $2,157
Average Payment with Medicare: $3,113

191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC
Average Charge: $30,647
Average Payment with AHCCCS: $3,532
Average Payment with Medicare: $5,635

189 - PULMONARY EDEMA & RESPIRATORY FAILURE
Average Charge: $36,936
Average Payment with AHCCCS: $5,306
Average Payment with Medicare: $7,555

669 - TRANSURETHRAL PROCEDURES W CC
Average Charge: $25,731
Average Payment with AHCCCS: $3,062
Average Payment with Medicare: $7,878

343 - APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC
Average Charge: $22,249
Average Payment with AHCCCS: $2,195
Average Payment with Medicare: $5,530

193 - SIMPLE PNEUMONIA & PLEURISY W MCC
Average Charge: $43,060
Average Payment with AHCCCS: $4,703
Average Payment with Medicare: $9,124

853 - INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC
Average Charge: $141,267
Average Payment with AHCCCS: $14,030
Average Payment with Medicare: $36,531

292 - HEART FAILURE & SHOCK W CC
Average Charge: $31,835
Average Payment with AHCCCS: $3,886
Average Payment with Medicare: $6,162

291 - HEART FAILURE & SHOCK W MCC
Average Charge: $50,145
Average Payment with AHCCCS: $5,368
Average Payment with Medicare: $9,348

460 - SPINAL FUSION EXCEPT CERVICAL W/O MCC
Average Charge: $168,585
Average Payment with AHCCCS: $27,202
Average Payment with Medicare: $27,632

418 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC
Average Charge: $37,496
Average Payment with AHCCCS: $4,219
Average Payment with Medicare: $9,583

251 - PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC
Average Charge: $81,787
Average Payment with AHCCCS: $11,352
Average Payment with Medicare: $10,892

812 - RED BLOOD CELL DISORDERS W/O MCC
Average Charge: $22,215
Average Payment with AHCCCS: $2,543
Average Payment with Medicare: $4,649

202 - BRONCHITIS & ASTHMA W CC/MCC
Average Charge: $21,290
Average Payment with AHCCCS: $2,690
Average Payment with Medicare: $5,018

305 - HYPERTENSION W/O MCC
Average Charge: $22,674
Average Payment with AHCCCS: $2,878
Average Payment with Medicare: $3,492

309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC
Average Charge: $25,629
Average Payment with AHCCCS: $3,449
Average Payment with Medicare: $4,976

638 - DIABETES W CC
Average Charge: $26,141
Average Payment with AHCCCS: $3,648
Average Payment with Medicare: $4,871

192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC
Average Charge: $24,721
Average Payment with AHCCCS: $2,398
Average Payment with Medicare: $4,062

69 - TRANSIENT ISCHEMIA
Average Charge: $24,471
Average Payment with AHCCCS: $1,267
Average Payment with Medicare: $3,935

101 - SEIZURES W/O MCC
Average Charge: $21,140
Average Payment with AHCCCS: $1,943
Average Payment with Medicare: $4,423

439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC
Average Charge: $29,609
Average Payment with AHCCCS: $3,885
Average Payment with Medicare: $5,327

473 - CERVICAL SPINAL FUSION W/O CC/MCC
Average Charge: $111,564
Average Payment with AHCCCS: $15,866
Average Payment with Medicare: $14,356

494 - LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC
Average Charge: $63,971
Average Payment with AHCCCS: $8,427
Average Payment with Medicare: $7,008

208 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS
Average Charge: $77,538
Average Payment with AHCCCS: $6,767
Average Payment with Medicare: $14,105

195 - SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC
Average Charge: $19,345
Average Payment with AHCCCS: $2,223
Average Payment with Medicare: $3,891

481 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC
Average Charge: $77,540
Average Payment with AHCCCS: $8,885
Average Payment with Medicare: $11,802

491 - BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC
Average Charge: $59,087
Average Payment with AHCCCS: $5,111
Average Payment with Medicare: $6,807

330 - MAJOR SMALL & LARGE BOWEL PROCEDURES W CC
Average Charge: $60,876
Average Payment with AHCCCS: $10,735
Average Payment with Medicare: $16,807

918 - POISONING & TOXIC EFFECTS OF DRUGS W/O MCC
Average Charge: $21,106
Average Payment with AHCCCS: $4,146
Average Payment with Medicare: $3,969

490 - BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM
Average Charge: $74,751
Average Payment with AHCCCS: $8,469
Average Payment with Medicare: $11,372