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Patient Price Information

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Kaleida Health
Corporate Office
100 High Street
Buffalo, NY 14203

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Patient Price Information

Kaleida Health is committed to being transparent about our charges. The information on this site/link contains the charges for all services and items provided by the hospital. The charges are uniform for all patients served by Kaleida Health hospitals.  However, the hospital charges rarely reflect the expected out-of-pocket expense for a specific hospital service. Your own charges and out-of-pocket expenses will depend on one or more of the following:

  1. The actual patient care services received
  2. The terms of your insurance coverage, and/or
  3. Your eligibility for financial assistance

If you do not have insurance and would like to speak with a financial counselor regarding options, please call (716) 859-8979. One of our facilitated enrollers will be happy to explain the options available.

If you have insurance, for a fuller understanding of your estimated out-of-pocket expenses, you should contact your insurer.

If you are seeking a price quote for services not covered by insurance, contact the hospital’s AccessCenter at (716) 859-8900 or email AccessCenter@KaleidaHealth.org.  

Frequently Asked Questions

The chargemaster is a comprehensive standard price list for the services provided by the hospital (medical procedures, lab tests, supplies, medications, etc.). Because it represents the full range of services the hospital provides, there are thousands of items listed. The charges listed are generally not the amount a patient will pay. If you have health insurance, your out-of-pocket expenses will depend on the specific services you receive, your specific health insurance coverage, and your insurance company’s contract with the hospital. Please contact your insurance company for more information.

If you do not have health insurance, you may be eligible for 1) reduced costs under the hospital’s Financial Assistance Policy, or 2) subsidized health insurance through programs such as Medicaid. Please contact our facilitated enrollers at (716) 859-8979 for more information.

Yes, hospital charges are standard for every patient, regardless of insurance status. The total charges on your patient bill will reflect the actual services that you receive, which may vary based on several factors, including your length of stay, the time it takes to complete your procedure, medications you receive, and other health conditions that could make your care more complicated.

In addition, your out-of-pocket expenses will depend on your specific insurance coverage and/or eligibility for discounted care based on the hospital�s Financial Assistance Policy.

Patients with health insurance should contact their insurance company to get an estimate of their out-of-pocket expenses for a procedure. Patients without health insurance should contact our AccessCenter at (716) 859-8900 or email at AccessCenter@KaleidaHealth.org. for an estimate, information about the hospital’s Financial Assistance Policy.

Yes, the hospital chargemaster reflects hospital services only and does not include any professional fees such as physician services that are billed separately. For estimated professional fees, please contact your physi­cian’s office.

Insurance companies have contracts with the hospital for discounts from charges. In addition, patients with health insurance are responsible for certain cost-sharing requirements such as deductibles, copayments, and/or coinsurance that vary by insurance plan.

Patients without health insurance can apply for support through the hospital to either receive insurance coverage (if eligible) or reduced costs through the hospital’s Financial Assistance Policy. These programs will reduce the amount owed by the patient.

Hospitals set their standard charges for services and items based on internal metrics, including the cost to provide patient care—which varies between hospitals. For example, charges will vary based on the location of the hospital, the availability of specialized services such as trauma and transplant services, whether it is a teaching hospital, its level of underpayment from the Medicare and Medicaid programs, and services provided to the uninsured. Again, these listed charges are generally not what insurance companies or patients without insurance ultimately pay.


Average MS-DRG Information

MS DRG CODE MSDRG DESC Number of Discharges Average Gross Charges  Medicare Payment 
3 ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 11 $620,194 $148,213
4 TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 17 $338,729 $90,399
23 CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR 53 $143,655 $44,159
24 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 27 $89,380 $31,671
25 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 53 $119,020 $34,620
26 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 37 $62,738 $24,097
27 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 41 $56,631 $19,033
34 CAROTID ARTERY STENT PROCEDURE W MCC 11 $59,170 $29,620
35 CAROTID ARTERY STENT PROCEDURE W CC 19 $51,005 $18,296
36 CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 30 $28,943 $13,995
38 EXTRACRANIAL PROCEDURES W CC 16 $58,533 $13,404
39 EXTRACRANIAL PROCEDURES W/O CC/MCC 16 $31,528 $9,160
40 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 12 $101,135 $31,077
41 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 43 $47,478 $18,836
42 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 16 $39,817 $14,754
54 NERVOUS SYSTEM NEOPLASMS W MCC 12 $27,283 $10,789
56 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 15 $39,382 $17,439
57 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 36 $25,755 $9,781
61 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC 12 $64,026 $22,129
62 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC 12 $52,342 $16,025
64 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 162 $48,151 $14,961
65 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS 180 $26,261 $8,352
66 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 55 $20,308 $5,928
68 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC 21 $21,138 $7,382
69 TRANSIENT ISCHEMIA W/O THROMBOLYTIC 29 $17,501 $6,422
70 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 53 $35,268 $13,386
71 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 54 $21,064 $8,095
74 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 12 $24,537 $8,043
83 TRAUMATIC STUPOR & COMA, COMA >1 HR W CC 16 $24,523 $10,560
86 TRAUMATIC STUPOR & COMA, COMA <1 HR W CC 11 $19,536 $9,991
91 OTHER DISORDERS OF NERVOUS SYSTEM W MCC 27 $37,318 $12,545
92 OTHER DISORDERS OF NERVOUS SYSTEM W CC 28 $19,037 $7,871
100 SEIZURES W MCC 46 $43,939 $14,535
101 SEIZURES W/O MCC 89 $18,356 $7,222
175 PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE 35 $30,683 $11,603
176 PULMONARY EMBOLISM W/O MCC 47 $19,574 $6,953
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 57 $36,337 $15,089
178 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC 36 $19,200 $10,034
180 RESPIRATORY NEOPLASMS W MCC 29 $30,289 $13,792
181 RESPIRATORY NEOPLASMS W CC 17 $20,838 $9,322
189 PULMONARY EDEMA & RESPIRATORY FAILURE 226 $28,917 $9,819
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 123 $19,454 $9,259
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 89 $15,204 $7,299
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 28 $12,668 $5,867
193 SIMPLE PNEUMONIA & PLEURISY W MCC 86 $19,196 $10,738
194 SIMPLE PNEUMONIA & PLEURISY W CC 98 $13,677 $7,267
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC 29 $11,056 $5,656
202 BRONCHITIS & ASTHMA W CC/MCC 27 $14,345 $7,730
207 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS 32 $152,420 $45,083
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 67 $63,580 $19,715
215 OTHER HEART ASSIST SYSTEM IMPLANT 14 $173,826 $100,872
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 22 $225,088 $61,503
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 28 $146,585 $41,731
226 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 14 $113,777 $52,512
227 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 13 $87,810 $41,132
228 OTHER CARDIOTHORACIC PROCEDURES W MCC 17 $123,974 $49,380
229 OTHER CARDIOTHORACIC PROCEDURES W/O MCC 19 $111,874 $32,360
233 CORONARY BYPASS W CARDIAC CATH W MCC 22 $210,233 $60,947
234 CORONARY BYPASS W CARDIAC CATH W/O MCC 28 $130,714 $40,954
235 CORONARY BYPASS W/O CARDIAC CATH W MCC 39 $142,713 $46,246
236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC 46 $102,417 $31,769
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 12 $86,311 $36,767
242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 39 $72,055 $29,288
243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC 39 $46,581 $20,068
244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 21 $31,070 $16,526
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS 65 $46,072 $25,088
247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 95 $31,065 $16,209
252 OTHER VASCULAR PROCEDURES W MCC 45 $73,323 $25,928
253 OTHER VASCULAR PROCEDURES W CC 41 $55,919 $20,671
254 OTHER VASCULAR PROCEDURES W/O CC/MCC 19 $45,864 $14,534
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 13 $104,342 $25,676
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC 46 $161,519 $55,895
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W/O MCC 138 $122,176 $44,615
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC 31 $93,438 $33,620
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC 18 $122,012 $40,204
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC 25 $69,441 $28,015
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC 28 $72,674 $29,282
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC 72 $62,677 $24,987
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 120 $44,914 $13,058
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 83 $17,425 $7,892
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 20 $16,332 $6,091
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 20 $49,068 $14,375
286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 66 $45,353 $17,478
287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 84 $19,709 $9,323
291 HEART FAILURE & SHOCK W MCC 487 $24,447 $10,834
292 HEART FAILURE & SHOCK W CC 114 $17,589 $7,399
293 HEART FAILURE & SHOCK W/O CC/MCC 45 $12,861 $5,446
299 PERIPHERAL VASCULAR DISORDERS W MCC 15 $22,300 $11,644
300 PERIPHERAL VASCULAR DISORDERS W CC 27 $18,096 $8,351
303 ATHEROSCLEROSIS W/O MCC 17 $13,064 $5,606
304 HYPERTENSION W MCC 15 $38,358 $8,850
305 HYPERTENSION W/O MCC 27 $14,443 $6,041
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 106 $26,385 $9,600
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 139 $15,099 $6,235
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 79 $10,013 $4,697
312 SYNCOPE & COLLAPSE 70 $24,591 $6,705
313 CHEST PAIN 31 $12,435 $5,915
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 67 $54,940 $16,168
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 33 $26,446 $7,905
327 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC 16 $53,458 $20,408
328 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC 14 $40,978 $12,622
329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 31 $125,397 $38,620
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 45 $67,894 $20,048
331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 28 $43,138 $13,513
336 PERITONEAL ADHESIOLYSIS W CC 15 $55,049 $18,015
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC 12 $62,954 $13,770
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 11 $39,443 $13,796
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 23 $22,707 $8,311
374 DIGESTIVE MALIGNANCY W MCC 19 $33,832 $15,918
375 DIGESTIVE MALIGNANCY W CC 26 $23,163 $9,753
377 G.I. HEMORRHAGE W MCC 88 $37,918 $14,143
378 G.I. HEMORRHAGE W CC 162 $21,059 $8,043
379 G.I. HEMORRHAGE W/O CC/MCC 19 $11,715 $5,372
386 INFLAMMATORY BOWEL DISEASE W CC 14 $16,889 $8,020
388 G.I. OBSTRUCTION W MCC 17 $38,329 $12,233
389 G.I. OBSTRUCTION W CC 30 $20,412 $6,885
390 G.I. OBSTRUCTION W/O CC/MCC 20 $11,568 $4,856
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC 39 $31,543 $9,969
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 127 $14,915 $6,275
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC 22 $30,834 $13,008
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 39 $18,456 $7,653
395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 13 $13,457 $5,439
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 13 $36,954 $10,530
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC 19 $42,251 $14,560
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC 18 $29,682 $13,575
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC 17 $23,523 $9,117
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 28 $23,143 $6,944
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC 14 $13,449 $5,137
441 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC 33 $34,613 $14,771
442 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC 26 $19,866 $7,616
444 DISORDERS OF THE BILIARY TRACT W MCC 19 $34,423 $13,021
445 DISORDERS OF THE BILIARY TRACT W CC 25 $24,009 $8,717
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC 11 $15,185 $6,675
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC 15 $119,905 $48,121
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC 26 $101,258 $37,887
457 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC 13 $151,691 $51,151
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC 58 $73,109 $31,233
467 REVISION OF HIP OR KNEE REPLACEMENT W CC 36 $83,490 $27,735
468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC 28 $58,202 $22,274
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT 18 $65,233 $24,831
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 455 $39,899 $15,691
472 CERVICAL SPINAL FUSION W CC 34 $63,504 $24,064
473 CERVICAL SPINAL FUSION W/O CC/MCC 19 $50,107 $19,936
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 19 $71,143 $23,884
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 65 $42,550 $16,623
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 24 $32,569 $13,171
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 58 $57,247 $18,997
501 SOFT TISSUE PROCEDURES W CC 11 $31,710 $13,426
519 BACK & NECK PROC EXC SPINAL FUSION W CC 15 $46,644 $15,226
536 FRACTURES OF HIP & PELVIS W/O MCC 20 $11,888 $6,252
552 MEDICAL BACK PROBLEMS W/O MCC 33 $15,997 $7,448
554 BONE DISEASES & ARTHROPATHIES W/O MCC 19 $7,041 $6,476
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC 13 $15,644 $7,054
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC 14 $26,278 $6,997
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC 13 $17,366 $7,984
602 CELLULITIS W MCC 21 $34,201 $11,489
603 CELLULITIS W/O MCC 85 $14,198 $6,915
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC 12 $37,617 $16,338
621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC 19 $31,942 $12,599
637 DIABETES W MCC 46 $33,037 $11,145
638 DIABETES W CC 74 $17,402 $7,232
640 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC 69 $30,729 $9,807
641 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC 100 $13,426 $6,237
643 ENDOCRINE DISORDERS W MCC 11 $35,846 $13,016
644 ENDOCRINE DISORDERS W CC 18 $21,989 $8,355
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 11 $44,832 $15,425
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 12 $48,586 $12,582
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 24 $22,218 $11,418
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 15 $22,139 $8,839
673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 24 $59,152 $28,223
682 RENAL FAILURE W MCC 145 $29,918 $11,865
683 RENAL FAILURE W CC 194 $15,552 $7,335
684 RENAL FAILURE W/O CC/MCC 29 $11,264 $5,134
689 KIDNEY & URINARY TRACT INFECTIONS W MCC 45 $21,113 $9,061
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC 88 $14,098 $6,504
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC 47 $28,649 $12,962
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC 32 $21,364 $8,391
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 11 $15,161 $9,820
811 RED BLOOD CELL DISORDERS W MCC 35 $24,454 $10,791
812 RED BLOOD CELL DISORDERS W/O MCC 96 $36,290 $7,127
813 COAGULATION DISORDERS 23 $84,004 $12,702
853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 108 $151,699 $40,113
854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 18 $53,496 $17,196
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 11 $114,091 $34,863
870 SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS 65 $152,332 $49,676
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC 646 $40,355 $14,895
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC 166 $18,373 $8,442
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 30 $22,100 $6,746
908 OTHER O.R. PROCEDURES FOR INJURIES W CC 14 $34,273 $16,430
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC 39 $49,683 $11,750
918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 13 $13,322 $6,451
919 COMPLICATIONS OF TREATMENT W MCC 22 $59,502 $14,575
920 COMPLICATIONS OF TREATMENT W CC 22 $21,709 $8,194
948 SIGNS & SYMPTOMS W/O MCC 17 $13,302 $6,416
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 43 $105,201 $35,459
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 33 $55,510 $19,355
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 12 $88,025 $26,343

Kaleida Health Price List

Last updated: 05/11/2020