Chambers Memorial Hospital — Pricing

226 procedures published in this hospital's Machine-Readable File (MRF) — 201 with a comparable price, 25 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 $7,825
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 201 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% $39,973 −17% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $29,219 $14,609 $24,335 +20% $36,937 −21% —
885 PSYCHOSES $28,895 $14,448 $17,655 +64% $21,729 +33% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $28,866 $14,433 $19,761 +46% $26,682 +8% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $24,477 $12,239 $17,973 +36% $25,279 −3% —
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,962 $11,481 $13,613 +69% $13,613 +69% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $22,503 $11,251 $15,734 +43% $21,449 +5% —
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $22,408 $11,204 $16,487 +36% $16,487 +36% —
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $21,822 $10,911 $24,675 −12% $25,628 −15% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $21,458 $10,729 $20,513 +5% $27,543 −22% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $21,314 $10,657 $16,579 +29% $26,510 −20% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $20,932 $10,466 $20,248 +3% $30,571 −32% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $20,413 $10,207 $24,718 −17% $44,606 −54% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $20,408 $10,204 $64,242 −68% $93,172 −78% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $20,380 $10,190 $20,380 +0% $32,841 −38% —
181 RESPIRATORY NEOPLASMS WITH CC $18,410 $9,205 $17,604 +5% $23,573 −22% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $17,445 $8,723 $17,152 +2% $24,914 −30% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $17,135 $8,568 $31,088 −45% $52,405 −67% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $17,087 $8,543 $29,501 −42% $39,181 −56% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $15,832 $7,916 $34,902 −55% $61,470 −74% —
176 PULMONARY EMBOLISM WITHOUT MCC $15,656 $7,828 $13,765 +14% $18,081 −13% —
549 SEPTIC ARTHRITIS WITH CC $14,980 $7,490 $13,739 +9% $24,056 −38% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,897 $7,449 $12,397 +20% $12,397 +20% —
919 COMPLICATIONS OF TREATMENT WITH MCC $14,526 $7,263 $18,910 −23% $31,105 −53% —
551 MEDICAL BACK PROBLEMS WITH MCC $14,336 $7,168 $16,047 −11% $34,017 −58% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $13,500 $6,750 $13,500 +0% $20,781 −35% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,500 $6,750 $24,718 −45% $37,842 −64% —
180 RESPIRATORY NEOPLASMS WITH MCC $13,025 $6,512 $20,359 −36% $36,658 −64% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,327 $6,164 $17,000 −27% $30,959 −60% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,129 $6,065 $27,729 −56% $33,985 −64% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,104 $6,052 $21,214 −43% $33,555 −64% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,082 $6,041 $16,450 −27% $27,275 −56% ≈102% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,842 $5,921 $15,960 −26% $32,697 −64% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $11,723 $5,862 $20,207 −42% $39,106 −70% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $11,689 $5,844 $24,488 −52% $35,628 −67% ≈92% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $11,683 $5,842 $9,868 +18% $15,680 −25% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,652 $5,826 $18,202 −36% $34,273 −66% —
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 $17,079 −32% $23,749 −51% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $11,458 $5,729 $12,908 −11% $19,096 −40% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,445 $5,722 $12,415 −8% $27,043 −58% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,365 $5,682 $14,657 −22% $23,206 −51% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,194 $5,597 $21,438 −48% $30,828 −64% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $11,156 $5,578 $16,770 −33% $19,657 −43% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $10,925 $5,463 $11,211 −3% $17,578 −38% —
157 DENTAL AND ORAL DISEASES WITH MCC $10,710 $5,355 $17,171 −38% $31,300 −66% —
200 PNEUMOTHORAX WITH CC $10,686 $5,343 $15,742 −32% $21,368 −50% —
637 DIABETES WITH MCC $10,562 $5,281 $16,549 −36% $30,100 −65% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,363 $5,182 $14,420 −28% $22,024 −53% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,166 $5,083 $13,441 −24% $18,150 −44% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,088 $5,044 $18,629 −46% $32,637 −69% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,052 $5,026 $17,449 −42% $33,707 −70% —
811 RED BLOOD CELL DISORDERS WITH MCC $9,986 $4,993 $20,051 −50% $28,226 −65% —
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% $35,481 −72% —
606 MINOR SKIN DISORDERS WITH MCC $9,947 $4,973 $15,846 −37% $27,975 −64% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,898 $4,949 $17,384 −43% $24,386 −59% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $9,687 $4,844 $9,773 −1% $13,361 −27% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,685 $4,842 $13,749 −30% $20,488 −53% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,533 $4,766 $17,756 −46% $27,285 −65% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $9,311 $4,656 $53,805 −83% $77,990 −88% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $9,219 $4,610 $9,449 −2% $15,183 −39% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,173 $4,586 $15,263 −40% $22,888 −60% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,148 $4,574 $27,694 −67% $38,666 −76% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $9,085 $4,542 $18,132 −50% $31,563 −71% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $8,902 $4,451 $18,499 −52% $32,496 −73% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $8,896 $4,448 $13,959 −36% $18,807 −53% —
184 MAJOR CHEST TRAUMA WITH CC $8,861 $4,431 $17,057 −48% $22,432 −60% —
292 HEART FAILURE AND SHOCK WITH CC $8,798 $4,399 $13,521 −35% $16,371 −46% —
291 HEART FAILURE AND SHOCK WITH MCC $8,764 $4,382 $16,124 −46% $26,776 −67% ≈98% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,741 $4,371 $11,399 −23% $20,422 −57% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,728 $4,364 $12,682 −31% $25,463 −66% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,664 $4,332 $13,404 −35% $20,181 −57% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,476 $4,238 $16,431 −48% $21,275 −60% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,451 $4,226 $11,834 −29% $23,319 −64% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,374 $4,187 $21,087 −60% $30,235 −72% —
683 RENAL FAILURE WITH CC $8,294 $4,147 $14,731 −44% $19,130 −57% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,270 $4,135 $13,395 −38% $26,580 −69% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,241 $4,121 $14,359 −43% $23,617 −65% ≈101% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,228 $4,114 $16,392 −50% $23,940 −66% —
999 UNGROUPABLE $8,146 $4,073 $37,016 −78% $29,674 −73% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,137 $4,069 $15,148 −46% $17,724 −54% ≈107% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,893 $3,946 $10,313 −23% $22,763 −65% —
682 RENAL FAILURE WITH MCC $7,875 $3,937 $18,878 −58% $29,064 −73% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,819 $3,910 $16,296 −52% $27,316 −71% —
602 CELLULITIS WITH MCC $7,787 $3,894 $22,262 −65% $30,598 −75% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,689 $3,844 $17,204 −55% $32,628 −76% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $7,687 $3,843 $14,391 −47% $30,502 −75% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,523 $3,761 $15,990 −53% $22,098 −66% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $7,490 $3,745 $19,910 −62% $37,950 −80% —
693 URINARY STONES WITH MCC $7,453 $3,726 $14,238 −48% $23,892 −69% —
644 ENDOCRINE DISORDERS WITH CC $7,360 $3,680 $16,431 −55% $23,198 −68% —
947 SIGNS AND SYMPTOMS WITH MCC $7,341 $3,671 $19,887 −63% $27,401 −73% —
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 $12,620 −43% $27,277 −74% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,981 $3,491 $19,865 −65% $28,050 −75% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,821 $3,410 $12,418 −45% $22,033 −69% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,772 $3,386 $14,480 −53% $19,305 −65% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,728 $3,364 $15,827 −57% $22,506 −70% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,506 $3,253 $7,486 −13% $16,767 −61% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,363 $3,182 $7,644 −17% $12,454 −49% —
881 DEPRESSIVE NEUROSES $6,260 $3,130 $9,689 −35% $15,058 −58% —
638 DIABETES WITH CC $6,243 $3,121 $13,558 −54% $19,661 −68% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $6,232 $3,116 $16,377 −62% $26,770 −77% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $6,077 $3,039 $16,277 −63% $33,633 −82% —
949 AFTERCARE WITH CC/MCC $5,988 $2,994 $16,737 −64% $23,953 −75% —
595 MAJOR SKIN DISORDERS WITH MCC $5,973 $2,987 $20,895 −71% $34,598 −83% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,851 $2,926 $10,038 −42% $17,601 −67% —
158 DENTAL AND ORAL DISEASES WITH CC $5,630 $2,815 $10,625 −47% $18,466 −70% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,596 $2,798 $11,800 −53% $19,132 −71% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,563 $2,782 $16,945 −67% $26,463 −79% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,551 $2,775 $7,849 −29% $16,520 −66% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,525 $2,763 $7,294 −24% $14,514 −62% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,480 $2,740 $9,513 −42% $16,968 −68% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,454 $2,727 $13,406 −59% $27,426 −80% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,444 $2,722 $11,866 −54% $19,569 −72% —
950 AFTERCARE WITHOUT CC/MCC $5,428 $2,714 $6,268 −13% $13,527 −60% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,348 $2,674 $8,396 −36% $16,565 −68% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,315 $2,657 $12,605 −58% $19,227 −72% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,263 $2,631 $14,428 −64% $21,363 −75% —
694 URINARY STONES WITHOUT MCC $5,231 $2,615 $8,583 −39% $17,345 −70% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,092 $2,546 $13,579 −62% $21,056 −76% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,007 $2,503 $12,789 −61% $17,303 −71% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,003 $2,501 $15,158 −67% $20,463 −76% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,962 $2,481 $10,874 −54% $17,674 −72% ≈96% of Medicare
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $4,807 $2,404 $21,963 −78% $38,101 −87% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,762 $2,381 $6,533 −27% $11,997 −60% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,747 $2,373 $19,268 −75% $22,458 −79% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,720 $2,360 $11,437 −59% $17,118 −72% —
312 SYNCOPE AND COLLAPSE $4,641 $2,320 $12,796 −64% $19,342 −76% —
311 ANGINA PECTORIS $4,549 $2,275 $12,257 −63% $15,502 −71% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,466 $2,233 $10,608 −58% $20,232 −78% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,297 $2,149 $12,284 −65% $17,921 −76% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,213 $2,107 $10,050 −58% $13,824 −70% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,199 $2,100 $12,453 −66% $15,837 −73% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,192 $2,096 $28,020 −85% $34,459 −88% —
303 ATHEROSCLEROSIS WITHOUT MCC $4,168 $2,084 $7,255 −43% $14,927 −72% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,164 $2,082 $8,511 −51% $15,019 −72% —
089 CONCUSSION WITH CC $4,144 $2,072 $16,573 −75% $18,821 −78% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,042 $2,021 $11,112 −64% $17,038 −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 $8,506 −56% $12,999 −71% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,697 $1,848 $7,527 −51% $16,634 −78% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,667 $1,834 $8,784 −58% $15,452 −76% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,653 $1,827 $11,458 −68% $15,038 −76% —
090 CONCUSSION WITHOUT CC/MCC $3,520 $1,760 $11,493 −69% $15,412 −77% —
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 $11,077 −71% $13,642 −76% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,223 $1,612 $11,593 −72% $17,322 −81% ≈63% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,212 $1,606 $7,606 −58% $13,651 −76% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,205 $1,603 $10,309 −69% $14,128 −77% —
101 SEIZURES WITHOUT MCC $3,189 $1,595 $10,815 −71% $20,461 −84% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,061 $1,530 $13,725 −78% $21,396 −86% ≈47% of Medicare
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 $10,441 −72% $16,776 −82% —
603 CELLULITIS WITHOUT MCC $2,929 $1,464 $10,745 −73% $18,530 −84% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,904 $1,452 $12,165 −76% $25,700 −89% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,868 $1,434 $19,070 −85% $39,955 −93% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,827 $1,414 $10,412 −73% $14,368 −80% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,801 $1,400 $10,673 −74% $18,488 −85% —
149 DYSEQUILIBRIUM $2,773 $1,386 $7,632 −64% $18,096 −85% —
305 HYPERTENSION WITHOUT MCC $2,577 $1,289 $12,937 −80% $18,086 −86% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,569 $1,285 $12,727 −80% $24,127 −89% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,477 $1,239 $9,984 −75% $12,895 −81% —
914 TRAUMATIC INJURY WITHOUT MCC $2,452 $1,226 $8,989 −73% $15,855 −85% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,340 $1,170 $10,053 −77% $17,733 −87% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,318 $1,159 $12,355 −81% $18,602 −88% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,301 $1,150 $10,042 −77% $16,699 −86% —
313 CHEST PAIN $2,297 $1,148 $11,410 −80% $16,440 −86% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,272 $1,136 $7,347 −69% $12,559 −82% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,262 $1,131 $12,398 −82% $18,002 −87% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,184 $1,092 $10,738 −80% $23,141 −91% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,179 $1,089 $6,261 −65% $11,421 −81% —
866 VIRAL ILLNESS WITHOUT MCC $2,067 $1,033 $9,770 −79% $17,081 −88% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,950 $975 $9,194 −79% $14,648 −87% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,897 $949 $14,590 −87% $23,551 −92% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,878 $939 $8,689 −78% $17,620 −89% —
152 OTITIS MEDIA AND URI WITH MCC $1,811 — $11,439 −84% $20,247 −91% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,716 $858 $8,677 −80% $14,415 −88% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $1,690 $845 $8,403 −80% $14,064 −88% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,674 $837 $12,204 −86% $14,797 −89% —
204 RESPIRATORY SIGNS AND SYMPTOMS $1,661 $830 $8,249 −80% $18,004 −91% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,649 $825 $8,685 −81% $15,428 −89% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,615 $808 $5,902 −73% $9,940 −84% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $1,537 $769 $7,792 −80% $12,252 −87% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,515 — $8,901 −83% $18,528 −92% —
594 SKIN ULCERS WITHOUT CC/MCC $1,507 — $7,874 −81% $14,209 −89% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,462 $731 $7,229 −80% $14,250 −90% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,431 — $11,372 −87% $20,506 −93% —
102 HEADACHES WITH MCC $1,413 — $11,384 −88% $25,740 −95% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,382 — $14,554 −91% $19,842 −93% —
186 PLEURAL EFFUSION WITH MCC $1,374 $1,374 $21,046 −93% $33,834 −96% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $1,345 $672 $5,382 −75% $10,480 −87% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,235 — $6,681 −82% $14,549 −92% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,208 — $8,301 −85% $18,126 −93% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,002 $501 $16,601 −94% $18,649 −95% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $985 $493 $4,572 −78% $8,927 −89% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $699 $699 $7,124 −90% $14,689 −95% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $651 $651 $6,844 −90% $14,638 −96% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $532 — $6,072 −91% $11,071 −95% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $472 $236 $8,260 −94% $10,160 −95% —

Procedures with negotiated rates only

These 25 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
571 SKIN DEBRIDEMENT WITH CC $1,700 – $16,603 · median $2,975 19 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $850 – $10,638 · median $1,642 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
916 ALLERGIC REACTIONS WITHOUT MCC $850 – $6,548 · median $1,163 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
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $690 – $6,876 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 — 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
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,575 – $12,753 · median $1,789 16 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $267 – $6,062 15 plans
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