Chambers Memorial Hospital — Pricing

226 procedures published in this hospital's Machine-Readable File (MRF) — 206 with a comparable price, 20 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 226
Lowest published price $472
Average published price $7,689
Highest published price $33,293

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 226 procedures

Published charges

Showing all 206 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 10 procedures, this hospital's negotiated rates average ≈99% of what Medicare pays.

DRG Description Published price Cash price vs. AR median vs. National median vs Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $33,293 $16,646 $35,694 −7% $39,409 −16% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $29,219 $14,609 $24,335 +20% $34,887 −16% —
885 PSYCHOSES $28,895 $14,448 $17,655 +64% $21,489 +34% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $28,866 $14,433 $19,761 +46% $25,208 +15% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $24,477 $12,239 $18,228 +34% $24,452 +0% —
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,962 $11,481 $18,288 +26% $16,240 +41% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $22,503 $11,251 $12,394 +82% $21,449 +5% —
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $22,408 $11,204 $15,792 +42% $19,454 +15% —
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $21,822 $10,911 $23,248 −6% $25,628 −15% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $21,458 $10,729 $20,513 +5% $25,426 −16% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $21,314 $10,657 $16,043 +33% $24,836 −14% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $20,932 $10,466 $19,152 +9% $28,780 −27% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $20,413 $10,207 $21,416 −5% $42,119 −52% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $20,408 $10,204 $62,923 −68% $87,018 −77% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $20,380 $10,190 $17,158 +19% $31,978 −36% —
181 RESPIRATORY NEOPLASMS WITH CC $18,410 $9,205 $14,929 +23% $22,431 −18% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $17,445 $8,723 $17,299 +1% $24,136 −28% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $17,135 $8,568 $27,250 −37% $52,405 −67% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $17,087 $8,543 $26,083 −34% $36,334 −53% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $15,832 $7,916 $34,868 −55% $60,861 −74% —
176 PULMONARY EMBOLISM WITHOUT MCC $15,656 $7,828 $11,415 +37% $18,081 −13% —
549 SEPTIC ARTHRITIS WITH CC $14,980 $7,490 $12,498 +20% $20,938 −28% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,897 $7,449 $13,647 +9% $13,735 +8% —
919 COMPLICATIONS OF TREATMENT WITH MCC $14,526 $7,263 $18,713 −22% $29,031 −50% —
551 MEDICAL BACK PROBLEMS WITH MCC $14,336 $7,168 $15,192 −6% $31,086 −54% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $13,500 $6,750 $13,500 +0% $19,483 −31% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,500 $6,750 $22,644 −40% $37,842 −64% —
180 RESPIRATORY NEOPLASMS WITH MCC $13,025 $6,512 $19,072 −32% $36,658 −64% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,327 $6,164 $16,880 −27% $29,757 −59% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,129 $6,065 $23,542 −48% $32,399 −63% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,104 $6,052 $18,121 −33% $31,758 −62% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,082 $6,041 $13,695 −12% $26,158 −54% ≈102% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,842 $5,921 $15,576 −24% $29,371 −60% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $11,723 $5,862 $20,207 −42% $35,714 −67% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $11,689 $5,844 $19,992 −42% $35,237 −67% ≈92% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $11,683 $5,842 $9,569 +22% $15,680 −25% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,652 $5,826 $17,478 −33% $31,128 −63% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $11,568 $5,784 $35,029 −67% $51,953 −78% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,565 $5,782 $11,565 +0% $23,749 −51% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $11,458 $5,729 $11,434 +0% $19,096 −40% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,445 $5,722 $11,930 −4% $23,115 −50% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,365 $5,682 $14,080 −19% $22,698 −50% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,194 $5,597 $21,438 −48% $28,967 −61% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $11,156 $5,578 $13,963 −20% $17,550 −36% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $10,925 $5,463 $10,925 +0% $17,388 −37% —
157 DENTAL AND ORAL DISEASES WITH MCC $10,710 $5,355 $16,483 −35% $27,457 −61% —
200 PNEUMOTHORAX WITH CC $10,686 $5,343 $12,333 −13% $20,573 −48% —
637 DIABETES WITH MCC $10,562 $5,281 $16,011 −34% $28,819 −63% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,363 $5,182 $14,279 −27% $22,024 −53% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,166 $5,083 $13,075 −22% $18,150 −44% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,088 $5,044 $18,055 −44% $30,766 −67% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,052 $5,026 $17,449 −42% $31,840 −68% —
811 RED BLOOD CELL DISORDERS WITH MCC $9,986 $4,993 $17,000 −41% $27,934 −64% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $9,957 $4,978 $13,837 −28% $18,204 −45% ≈108% of Medicare
100 SEIZURES WITH MCC $9,952 $4,976 $18,515 −46% $35,194 −72% —
606 MINOR SKIN DISORDERS WITH MCC $9,947 $4,973 $15,393 −35% $25,434 −61% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,898 $4,949 $17,384 −43% $24,190 −59% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $9,687 $4,844 $8,559 +13% $13,318 −27% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,685 $4,842 $11,005 −12% $20,488 −53% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,533 $4,766 $15,128 −37% $24,118 −60% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $9,311 $4,656 $48,172 −81% $72,945 −87% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $9,219 $4,610 $9,219 +0% $15,070 −39% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,173 $4,586 $12,660 −28% $22,781 −60% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,148 $4,574 $25,216 −64% $38,357 −76% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $9,085 $4,542 $17,056 −47% $29,409 −69% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $8,902 $4,451 $17,225 −48% $30,058 −70% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $8,896 $4,448 $13,566 −34% $18,278 −51% —
184 MAJOR CHEST TRAUMA WITH CC $8,861 $4,431 $17,057 −48% $20,842 −57% —
292 HEART FAILURE AND SHOCK WITH CC $8,798 $4,399 $13,521 −35% $16,212 −46% —
291 HEART FAILURE AND SHOCK WITH MCC $8,764 $4,382 $16,124 −46% $25,020 −65% ≈98% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,741 $4,371 $10,453 −16% $19,579 −55% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,728 $4,364 $12,321 −29% $24,480 −64% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,664 $4,332 $13,404 −35% $18,918 −54% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,476 $4,238 $16,431 −48% $20,732 −59% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,451 $4,226 $11,834 −29% $21,806 −61% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,374 $4,187 $16,402 −49% $28,134 −70% —
683 RENAL FAILURE WITH CC $8,294 $4,147 $14,137 −41% $18,620 −55% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,270 $4,135 $12,808 −35% $25,704 −68% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,241 $4,121 $12,425 −34% $22,982 −64% ≈101% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,228 $4,114 $17,784 −54% $23,469 −65% —
999 UNGROUPABLE $8,146 $4,073 $37,016 −78% $28,822 −72% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,137 $4,069 $15,148 −46% $17,273 −53% ≈107% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,893 $3,946 $10,172 −22% $22,231 −64% —
682 RENAL FAILURE WITH MCC $7,875 $3,937 $17,222 −54% $27,854 −72% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,819 $3,910 $16,167 −52% $25,731 −70% —
602 CELLULITIS WITH MCC $7,787 $3,894 $22,262 −65% $29,347 −73% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,689 $3,844 $16,921 −55% $32,502 −76% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $7,687 $3,843 $13,908 −45% $29,484 −74% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,523 $3,761 $15,990 −53% $21,886 −66% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $7,490 $3,745 $19,194 −61% $37,950 −80% —
693 URINARY STONES WITH MCC $7,453 $3,726 $13,761 −46% $22,525 −67% —
644 ENDOCRINE DISORDERS WITH CC $7,360 $3,680 $12,550 −41% $22,941 −68% —
947 SIGNS AND SYMPTOMS WITH MCC $7,341 $3,671 $21,926 −67% $25,474 −71% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,189 $3,595 $16,553 −57% $22,850 −69% ≈100% of Medicare
375 DIGESTIVE MALIGNANCY WITH CC $7,173 $3,586 $12,547 −43% $27,219 −74% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,981 $3,491 $13,113 −47% $27,244 −74% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,821 $3,410 $10,830 −37% $20,968 −67% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,772 $3,386 $11,734 −42% $19,305 −65% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,728 $3,364 $15,307 −56% $21,545 −69% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,506 $3,253 $6,910 −6% $16,104 −60% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,363 $3,182 $7,244 −12% $12,381 −49% —
881 DEPRESSIVE NEUROSES $6,260 $3,130 $9,561 −35% $15,058 −58% —
638 DIABETES WITH CC $6,243 $3,121 $10,690 −42% $18,821 −67% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $6,232 $3,116 $16,377 −62% $26,488 −76% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $6,077 $3,039 $16,277 −63% $31,059 −80% —
949 AFTERCARE WITH CC/MCC $5,988 $2,994 $16,276 −63% $23,953 −75% —
595 MAJOR SKIN DISORDERS WITH MCC $5,973 $2,987 $20,294 −71% $31,785 −81% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,851 $2,926 $10,018 −42% $16,571 −65% —
158 DENTAL AND ORAL DISEASES WITH CC $5,630 $2,815 $10,105 −44% $17,700 −68% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,596 $2,798 $11,393 −51% $19,132 −71% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,563 $2,782 $16,052 −65% $25,786 −78% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,551 $2,775 $7,636 −27% $15,869 −65% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,525 $2,763 $6,929 −20% $14,110 −61% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,480 $2,740 $8,802 −38% $16,642 −67% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,454 $2,727 $13,008 −58% $26,634 −80% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,444 $2,722 $9,098 −40% $19,569 −72% —
950 AFTERCARE WITHOUT CC/MCC $5,428 $2,714 $6,216 −13% $13,527 −60% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,348 $2,674 $8,396 −36% $14,861 −64% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,315 $2,657 $14,704 −64% $18,623 −71% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,263 $2,631 $9,984 −47% $20,777 −75% —
694 URINARY STONES WITHOUT MCC $5,231 $2,615 $7,816 −33% $16,531 −68% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,092 $2,546 $10,882 −53% $20,278 −75% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,007 $2,503 $12,789 −61% $16,865 −70% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,003 $2,501 $12,340 −59% $20,463 −76% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,962 $2,481 $8,833 −44% $17,466 −72% ≈96% of Medicare
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $4,807 $2,404 $21,963 −78% $36,242 −87% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,762 $2,381 $6,295 −24% $11,997 −60% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,747 $2,373 $17,916 −74% $22,032 −78% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,720 $2,360 $10,333 −54% $16,837 −72% —
312 SYNCOPE AND COLLAPSE $4,641 $2,320 $12,515 −63% $19,342 −76% —
311 ANGINA PECTORIS $4,549 $2,275 $7,220 −37% $15,165 −70% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,466 $2,233 $10,332 −57% $18,478 −76% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,297 $2,149 $11,027 −61% $17,727 −76% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,213 $2,107 $8,080 −48% $13,824 −70% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,199 $2,100 $12,453 −66% $15,607 −73% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,192 $2,096 $21,027 −80% $33,165 −87% —
303 ATHEROSCLEROSIS WITHOUT MCC $4,168 $2,084 $6,915 −40% $14,927 −72% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,164 $2,082 $7,665 −46% $13,892 −70% —
089 CONCUSSION WITH CC $4,144 $2,072 $14,967 −72% $18,293 −77% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,042 $2,021 $9,704 −58% $16,745 −76% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,824 $1,912 $8,282 −54% $17,700 −78% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,756 $1,878 $7,302 −49% $11,955 −69% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,697 $1,848 $7,257 −49% $16,634 −78% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,667 $1,834 $8,496 −57% $15,045 −76% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,653 $1,827 $11,458 −68% $14,134 −74% —
090 CONCUSSION WITHOUT CC/MCC $3,520 $1,760 $8,665 −59% $14,873 −76% —
639 DIABETES WITHOUT CC/MCC $3,239 $1,619 $11,327 −71% $13,910 −77% —
684 RENAL FAILURE WITHOUT CC/MCC $3,225 $1,612 $8,126 −60% $13,623 −76% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,223 $1,612 $8,018 −60% $17,322 −81% ≈63% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,212 $1,606 $7,460 −57% $12,797 −75% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,205 $1,603 $8,177 −61% $14,128 −77% —
101 SEIZURES WITHOUT MCC $3,189 $1,595 $10,815 −71% $19,954 −84% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,061 $1,530 $13,295 −77% $21,213 −86% ≈47% of Medicare
571 SKIN DEBRIDEMENT WITH CC $2,975 — $17,213 −83% $34,901 −91% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,950 $1,475 $10,338 −71% $13,384 −78% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $2,946 $1,473 $7,880 −63% $16,776 −82% —
603 CELLULITIS WITHOUT MCC $2,929 $1,464 $9,611 −70% $18,530 −84% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,904 $1,452 $12,165 −76% $24,202 −88% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,868 $1,434 $18,395 −84% $35,014 −92% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,827 $1,414 $8,340 −66% $14,368 −80% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,801 $1,400 $9,255 −70% $17,731 −84% —
149 DYSEQUILIBRIUM $2,773 $1,386 $7,397 −63% $17,203 −84% —
186 PLEURAL EFFUSION WITH MCC $2,748 — $17,331 −84% $32,468 −92% —
305 HYPERTENSION WITHOUT MCC $2,577 $1,289 $13,295 −81% $17,144 −85% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,569 $1,285 $12,727 −80% $23,723 −89% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,477 $1,239 $9,352 −74% $12,895 −81% —
914 TRAUMATIC INJURY WITHOUT MCC $2,452 $1,226 $8,756 −72% $15,593 −84% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,340 $1,170 $9,391 −75% $15,636 −85% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,318 $1,159 $10,707 −78% $17,367 −87% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,301 $1,150 $8,620 −73% $16,049 −86% —
313 CHEST PAIN $2,297 $1,148 $9,403 −76% $15,962 −86% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,272 $1,136 $7,162 −68% $12,537 −82% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,262 $1,131 $9,650 −77% $18,002 −87% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,184 — $10,738 −80% $23,141 −91% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,179 $1,089 $6,071 −64% $11,421 −81% —
866 VIRAL ILLNESS WITHOUT MCC $2,067 $1,033 $9,377 −78% $16,391 −87% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,950 $975 $8,026 −76% $14,444 −86% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,897 $949 $12,217 −84% $23,496 −92% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,878 $939 $8,554 −78% $17,522 −89% —
152 OTITIS MEDIA AND URI WITH MCC $1,811 — $11,310 −84% $19,795 −91% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,789 — $11,960 −85% $22,525 −92% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,716 $858 $7,512 −77% $14,012 −88% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,690 $845 $8,274 −80% $14,064 −88% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,674 $837 $9,728 −83% $13,303 −87% —
204 RESPIRATORY SIGNS AND SYMPTOMS $1,661 $830 $7,973 −79% $16,866 −90% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,649 $825 $7,959 −79% $14,166 −88% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,642 — $10,927 −85% $17,226 −90% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,615 $808 $5,251 −69% $9,076 −82% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,537 $769 $6,839 −78% $12,279 −87% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,515 — $8,375 −82% $18,253 −92% —
594 SKIN ULCERS WITHOUT CC/MCC $1,507 — $6,772 −78% $14,209 −89% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,462 — $6,944 −79% $14,208 −90% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,431 — $9,613 −85% $19,287 −93% —
102 HEADACHES WITH MCC $1,413 — $11,034 −87% $22,544 −94% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,397 $699 $7,074 −80% $14,441 −90% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,382 — $11,816 −88% $18,803 −93% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,345 $672 $5,227 −74% $10,039 −87% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,302 $651 $6,696 −81% $13,485 −90% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,235 $617 $6,457 −81% $13,198 −91% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,208 — $7,722 −84% $17,715 −93% —
916 ALLERGIC REACTIONS WITHOUT MCC $1,163 — $6,794 −83% $13,890 −92% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,002 $501 $16,285 −94% $16,719 −94% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $985 $493 $4,486 −78% $8,927 −89% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $784 — $8,959 −91% $15,600 −95% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $532 — $5,767 −91% $11,071 −95% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $472 $236 $7,673 −94% $9,385 −95% —

Procedures with negotiated rates only

These 20 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
151 EPISTAXIS WITHOUT MCC $781 – $7,213 · median $887 19 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $761 – $7,254 · median $864 19 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $767 – $5,945 · median $871 19 plans
607 MINOR SKIN DISORDERS WITHOUT MCC — 19 plans
935 NON-EXTENSIVE BURNS — 19 plans
103 HEADACHES WITHOUT MCC $742 – $8,218 16 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC — 16 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC — 16 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC — 16 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $916 – $8,974 · median $1,041 16 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC — 16 plans
539 OSTEOMYELITIS WITH MCC $1,794 – $19,356 · median $2,038 16 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC — 16 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $519 – $7,363 16 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC — 16 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $788 – $9,901 16 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC — 16 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $773 – $9,806 16 plans
864 FEVER AND INFLAMMATORY CONDITIONS — 16 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $267 – $6,062 15 plans
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