National Park Medical Center (Acute Care) — Pricing
333 procedures published in this hospital's Machine-Readable File (MRF) — 332 with a comparable price, 1 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 333
Lowest published price $6,858
Average published price $163,453
Highest published price $1,642,020
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.
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Find your insurer's rate
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 333 procedures
Published charges
Showing all 332 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 32 procedures, this hospital's negotiated rates average ≈123% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. AR median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 004 | TRACH/ MV >96 W/O MAJ OR | $1,642,020 | $492,606 | $184,103 | +792% | $248,521 | +561% | — |
| 003 | ECMO TRACH MV >96 W OR | $1,271,205 | $381,361 | $204,317 | +522% | $371,366 | +242% | — |
| 463 | WND DEB & SG EX HAND WMCC | $816,892 | $245,068 | $68,035 | +1101% | $89,207 | +816% | — |
| 207 | RESP SYS DX W VENT >96 | $743,644 | $223,093 | $73,010 | +919% | $116,058 | +541% | — |
| 212 | HIP/FEMUR PROCEDURES <18 | $737,796 | $221,339 | $127,704 | +478% | $196,346 | +276% | — |
| 870 | SEPTI OR SEPSI W MV >96HRS | $617,667 | $185,300 | $89,864 | +587% | $148,832 | +315% | ≈92% of Medicare |
| 233 | CORN BYPASS W CATH W MCC | $614,127 | $184,238 | $103,817 | +492% | $144,569 | +325% | — |
| 219 | CV & PX WO C CATH W MCC | $599,527 | $179,858 | $84,432 | +610% | $143,242 | +319% | — |
| 242 | PERM CARD PM IMP W MCC | $588,036 | $176,411 | $47,218 | +1145% | $70,132 | +738% | — |
| 240 | AMP EXC UP LMB & TOE W CC | $582,372 | $174,712 | $40,991 | +1321% | $59,790 | +874% | — |
| 273 | PERC INTRACARDIAC W MCC | $566,031 | $169,809 | $46,995 | +1104% | $78,852 | +618% | ≈105% of Medicare |
| 474 | AMP MUSC/TISS DIS W MCC | $494,571 | $148,371 | $53,021 | +833% | $84,692 | +484% | — |
| 867 | OTH INF/PARA DX W MCC | $493,908 | $148,172 | $27,367 | +1705% | $38,070 | +1197% | — |
| 435 | MALIG HEPA OR PANCR W MCC | $491,352 | $147,406 | $19,910 | +2368% | $37,950 | +1195% | — |
| 853 | INF & PAR DIS OR PX W MCC | $486,442 | $145,933 | $64,242 | +657% | $93,172 | +422% | ≈121% of Medicare |
| 673 | OTH KID/UT PX W MCC | $474,990 | $142,497 | $53,805 | +783% | $77,990 | +509% | — |
| 234 | CORN BYPASS W CATH WO MCC | $454,125 | $136,238 | $72,075 | +530% | $102,573 | +343% | — |
| 235 | CORN BYPASS WO CATH W MCC | $453,210 | $135,963 | $70,078 | +547% | $112,062 | +304% | — |
| 215 | OTH HEART ASSIST SYS IMPL | $451,269 | $135,381 | $117,796 | +283% | $208,939 | +116% | — |
| 275 | BREAST MALIGNANCY | $448,984 | $134,695 | $73,142 | +514% | $131,961 | +240% | — |
| 163 | MAJ CHEST PX W MCC | $407,448 | $122,234 | $55,604 | +633% | $90,195 | +352% | — |
| 629 | OT ENDO/METAB OR PX W CC | $396,526 | $118,958 | $26,386 | +1403% | $47,737 | +731% | — |
| 999 | UNGROUPABLE | $388,338 | $116,501 | $37,016 | +949% | $29,674 | +1209% | — |
| 236 | CORN BYPASS WO CATH WO MCC | $376,046 | $112,814 | $49,302 | +663% | $82,247 | +357% | — |
| 186 | PLEURAL EFF W MCC | $365,859 | $109,758 | $21,046 | +1638% | $33,834 | +981% | — |
| 856 | POSTOP/TRAMA INF WOR W MCC | $364,588 | $109,377 | $53,754 | +578% | $76,001 | +380% | — |
| 577 | SG X SKN ULC/CELLIT W CC | $358,687 | $107,606 | $32,423 | +1006% | $47,945 | +648% | — |
| 981 | EXT OR PX UNREL PDX W MCC | $351,692 | $105,508 | $55,101 | +538% | $90,775 | +287% | ≈147% of Medicare |
| 276 | NONMALIGNANT BRST DISORDER | $342,461 | $102,738 | $83,192 | +312% | $117,280 | +192% | — |
| 480 | HIP/FEMUR PX X MJ W MCC | $334,602 | $100,380 | $43,263 | +673% | $65,653 | +410% | — |
| 485 | KNEE PX W INF PDX W MCC | $333,792 | $100,138 | $44,977 | +642% | $72,424 | +361% | — |
| 274 | PERC INTRACARDIAC W/O MCC | $332,102 | $99,631 | $43,701 | +660% | $65,573 | +406% | — |
| 769 | PP & POST AB DX WO OR PX | $323,394 | $97,018 | $17,141 | +1787% | $25,094 | +1189% | — |
| 180 | RESP NEOP W MCC | $320,335 | $96,100 | $20,359 | +1473% | $36,658 | +774% | — |
| 717 | MALE REP PX EX MALIG W CC | $318,862 | $95,659 | $23,175 | +1276% | $36,670 | +770% | — |
| 323 | URINARY STONES W CC/ESWL | $302,677 | $90,803 | $58,476 | +418% | $101,510 | +198% | — |
| 208 | RESP SYS DX W VENT <=96 | $302,241 | $90,672 | $31,088 | +872% | $52,405 | +477% | — |
| 164 | MAJ CHEST PX W CC | $300,332 | $90,100 | $35,862 | +737% | $56,755 | +429% | — |
| 324 | URINARY STONES | $299,284 | $89,785 | $44,663 | +570% | $71,464 | +319% | — |
| 026 | CRAN & ENDOVAS IC PX W CC | $297,756 | $89,327 | $37,094 | +703% | $64,523 | +361% | — |
| 329 | MAJ SM/LG BOWEL PX W MCC | $287,452 | $86,236 | $62,607 | +359% | $88,050 | +226% | — |
| 578 | SG X SKN ULC/CELL WO CCMCC | $278,290 | $83,487 | $19,211 | +1349% | $29,079 | +857% | — |
| 220 | CV & MJ CT PX WO C CTH WCC | $275,625 | $82,688 | $71,776 | +284% | $111,320 | +148% | — |
| 402 | LYMPH/N-ACUTE LEUK W/OR | $272,730 | $81,819 | $42,088 | +548% | $79,116 | +245% | — |
| 250 | PER CV PX WO ST W MCC | $271,592 | $81,478 | $33,209 | +718% | $59,629 | +355% | — |
| 492 | LE & HUM PX W MCC | $270,252 | $81,076 | $42,794 | +532% | $70,564 | +283% | — |
| 659 | KIDNY URTER PX NO-CA W MCC | $264,255 | $79,276 | $27,708 | +854% | $52,178 | +406% | — |
| 321 | KIDN/URIN TRCT INFCT >17 | $262,083 | $78,625 | $40,142 | +553% | $81,706 | +221% | — |
| 469 | MAJ JOIN REPL/REATT LE W M | $254,196 | $76,259 | $45,618 | +457% | $65,788 | +286% | — |
| 391 | ESOPH, GE & DIG DIS W MCC | $253,912 | $76,174 | $19,865 | +1178% | $28,050 | +805% | — |
| 444 | DIS BILIARY TRACT W MCC | $252,650 | $75,795 | $18,202 | +1288% | $34,273 | +637% | — |
| 238 | MAJ CARDIOV PX WO MCC | $248,697 | $74,609 | $35,669 | +597% | $33,293 | +647% | — |
| 165 | MAJ CHEST PX WO CC/MCC | $245,875 | $73,762 | $25,404 | +868% | $46,340 | +431% | — |
| 448 | ALLERGIC REACTIONS <18 | $245,380 | $73,614 | $42,382 | +479% | $81,998 | +199% | — |
| 579 | OT SKN,SBQ BRS PX WMCC | $244,325 | $73,298 | $30,373 | +704% | $58,745 | +316% | — |
| 521 | HIP REPL W PDX FX W MCC | $243,165 | $72,950 | $41,024 | +493% | $70,467 | +245% | — |
| 827 | MYL DIS/NEO W MOR PX W CC | $237,227 | $71,168 | $28,971 | +719% | $50,498 | +370% | — |
| 533 | FEMUR FRACTURE W MCC | $237,004 | $71,101 | $19,434 | +1120% | $25,945 | +813% | — |
| 656 | KID/URE PX FOR NEOP W MCC | $235,997 | $70,799 | $45,479 | +419% | $65,608 | +260% | — |
| 963 | OTH MULT SIG TRAUMA MCC | $232,098 | $69,629 | $30,983 | +649% | $43,491 | +434% | — |
| 243 | PERM CARD PM IMP W CC | $228,986 | $68,696 | $32,433 | +606% | $50,011 | +358% | — |
| 269 | ART HRT X PULS BLM WO MCC | $227,281 | $68,184 | $57,196 | +297% | $85,159 | +167% | — |
| 417 | LAP CHOLE WO CDE W MCC | $225,599 | $67,680 | $34,039 | +563% | $53,451 | +322% | — |
| 466 | REV HIP/KNEE REPL W MCC | $223,073 | $66,922 | $52,357 | +326% | $96,507 | +131% | — |
| 205 | OTH RESP SYS DX W MCC | $222,423 | $66,727 | $18,906 | +1076% | $33,255 | +569% | — |
| 270 | OTH MAJOR CARDIO W MCC | $221,676 | $66,503 | $69,695 | +218% | $99,423 | +123% | — |
| 251 | PER CV PX WO STNT WO MCC | $221,664 | $66,499 | $23,475 | +844% | $46,295 | +379% | — |
| 467 | REV HIP/KNEE REPL W CC | $218,442 | $65,532 | $37,465 | +483% | $70,847 | +208% | — |
| 516 | OT MUS CON TISS OR PX W CC | $218,127 | $65,438 | $25,991 | +739% | $46,090 | +373% | — |
| 271 | OTH MAJOR CARDIO W CC | $215,541 | $64,662 | $47,899 | +350% | $71,014 | +204% | — |
| 808 | MAJ HEMO/IMMO DX W MCC | $214,682 | $64,405 | $29,501 | +628% | $39,181 | +448% | — |
| 483 | MAJ REATT PX UPPER EXT | $211,322 | $63,397 | $28,785 | +634% | $58,707 | +260% | ≈110% of Medicare |
| 441 | DISDRS LIVER W MCC | $207,349 | $62,205 | $27,729 | +648% | $33,985 | +510% | — |
| 252 | OTH VASC PX W MCC | $204,296 | $61,289 | $47,717 | +328% | $68,508 | +198% | — |
| 253 | OTH VASC PX W CC | $202,837 | $60,851 | $35,283 | +475% | $57,454 | +253% | — |
| 464 | WND DEB & SG EX HAND W CC | $201,524 | $60,457 | $36,295 | +455% | $58,228 | +246% | — |
| 040 | PER/CRAN NRV + OTH W MCC | $198,043 | $59,413 | $44,565 | +344% | $74,257 | +167% | — |
| 177 | RESP INF/INFLAM W MCC | $196,499 | $58,950 | $17,449 | +1026% | $33,707 | +483% | ≈125% of Medicare |
| 908 | OTH OR PX FOR INJ W CC | $193,811 | $58,143 | $28,782 | +573% | $42,914 | +352% | — |
| 698 | OTH KID & UT DX W MCC | $193,282 | $57,985 | $18,499 | +945% | $32,496 | +495% | ≈118% of Medicare |
| 388 | GI OBST W MCC | $191,864 | $57,559 | $20,248 | +848% | $30,571 | +528% | — |
| 922 | INJ/POIS/TOX EFCT DX W MCC | $190,732 | $57,220 | $18,132 | +952% | $31,563 | +504% | — |
| 674 | OTH KID/UT PX W CC | $189,379 | $56,814 | $33,155 | +471% | $50,394 | +276% | — |
| 167 | OTH RESP SYS PX W CC | $187,630 | $56,289 | $18,914 | +892% | $40,642 | +362% | — |
| 854 | INF & PAR DIS OR PX W CC | $186,052 | $55,815 | $29,929 | +522% | $43,943 | +323% | ≈127% of Medicare |
| 496 | LOC EX & REM IFD W CC | $185,179 | $55,554 | $24,687 | +650% | $43,800 | +323% | — |
| 462 | BIL/MULT M/JNT/LE W/OMCC | $184,014 | $55,204 | $30,522 | +503% | $58,975 | +212% | — |
| 728 | INF MALE REPROD SYS WO MCC | $183,887 | $55,166 | $11,437 | +1508% | $17,118 | +974% | — |
| 871 | SEPTI/SEPS WO MV>96HR WMCC | $182,725 | $54,817 | $24,488 | +646% | $35,628 | +413% | ≈113% of Medicare |
| 522 | HIP REPL W PDX FX WO MCC | $178,571 | $53,571 | $32,590 | +448% | $58,280 | +206% | — |
| 041 | PER/CRAN NRV + OTH W CC | $177,628 | $53,289 | $23,114 | +668% | $49,418 | +259% | — |
| 244 | PERM CARD PM IMP WO CC/MCC | $176,037 | $52,811 | $26,617 | +561% | $41,591 | +323% | — |
| 322 | KIDN/URIN TRCT INFCT <18 | $174,683 | $52,405 | $26,676 | +555% | $58,809 | +197% | ≈115% of Medicare |
| 432 | CIRR/ALC HEPATITIS MCC | $174,224 | $52,267 | $27,416 | +535% | $40,213 | +333% | — |
| 246 | PERC CV PX W DE STNT W MCC | $173,886 | $52,166 | $33,983 | +412% | $33,983 | +412% | — |
| 658 | KID/URE PX FOR NEOP WO CC | $173,646 | $52,094 | $22,714 | +664% | $36,253 | +379% | — |
| 602 | CELLULITIS W MCC | $173,100 | $51,930 | $22,262 | +678% | $30,598 | +466% | — |
| 024 | CRANIOTOMY WDEVICE WO MCC | $173,051 | $51,915 | $39,362 | +340% | $74,755 | +131% | — |
| 064 | IC HEM OR CEREB INF W MCC | $172,294 | $51,688 | $20,207 | +753% | $39,106 | +341% | — |
| 398 | RE/IMMUNITY DISORDER W CC | $171,932 | $51,580 | $22,834 | +653% | $40,162 | +328% | — |
| 707 | MJ MALE PELV PX W CC/MCC | $170,983 | $51,295 | $23,989 | +613% | $43,080 | +297% | — |
| 037 | EX CRANIAL PX W MCC | $169,456 | $50,837 | $40,200 | +322% | $66,666 | +154% | — |
| 857 | POSTOP/TRAMA INF WOR W CC | $168,871 | $50,661 | $29,530 | +472% | $45,333 | +273% | — |
| 374 | DIGEST MALIG W MCC | $167,806 | $50,342 | $23,633 | +610% | $39,958 | +320% | — |
| 254 | OTH VASC PX WO CC/MCC | $167,733 | $50,320 | $25,899 | +548% | $38,836 | +332% | — |
| 330 | MAJ SM/LG BOWEL PX W CC | $167,096 | $50,129 | $39,077 | +328% | $59,500 | +181% | — |
| 279 | CELLULITIS <18 | $166,823 | $50,047 | $44,783 | +273% | $63,928 | +161% | — |
| 958 | OR PX MULT SIG TRAMA WCC | $166,229 | $49,869 | $48,826 | +240% | $73,120 | +127% | — |
| 744 | D&C, CON, LAP & TUB W CC | $165,809 | $49,743 | $23,920 | +593% | $38,861 | +327% | — |
| 682 | RENAL FAILURE W MCC | $163,551 | $49,065 | $18,878 | +766% | $29,064 | +463% | ≈116% of Medicare |
| 193 | SIMP PNEU/PLEU W MCC | $162,968 | $48,890 | $16,450 | +891% | $27,275 | +497% | ≈117% of Medicare |
| 237 | MAJ CARDIOVASC PROC W MCC | $161,537 | $48,461 | $52,963 | +205% | $49,435 | +227% | — |
| 468 | REV HIP/KNE REPL WO CC/MCC | $160,297 | $48,089 | $30,010 | +434% | $54,929 | +192% | — |
| 280 | ACUTE MI, DIS ALIV W MCC | $159,803 | $47,941 | $21,438 | +645% | $30,828 | +418% | ≈120% of Medicare |
| 470 | MAJ JOIN REP/REAT LE W/O M | $158,904 | $47,671 | $27,666 | +474% | $50,607 | +214% | ≈115% of Medicare |
| 660 | KIDNY URETER PX NO-CA W CC | $158,419 | $47,526 | $17,836 | +788% | $31,264 | +407% | — |
| 584 | BX BREAS & OT BRES PX WCC | $153,526 | $46,058 | $29,182 | +426% | $35,030 | +338% | — |
| 919 | COMPL OF TREAT W MCC | $152,656 | $45,797 | $18,910 | +707% | $31,105 | +391% | — |
| 488 | KNEE PX WO INF PDX CC/MCC | $152,553 | $45,766 | $30,266 | +404% | $43,631 | +250% | — |
| 168 | OTH RESP SYS PX WOCC/MCC | $152,275 | $45,682 | $17,400 | +775% | $29,949 | +408% | — |
| 982 | EXT OR PX UNREL PDX W CC | $151,250 | $45,375 | $37,418 | +304% | $51,985 | +191% | — |
| 481 | HIP/FEMUR PX X MJ W CC | $149,623 | $44,887 | $32,716 | +357% | $52,751 | +184% | ≈117% of Medicare |
| 062 | ISC CVA W/THROMBO W CC | $149,263 | $44,779 | $22,562 | +562% | $52,075 | +187% | — |
| 811 | RBC DIS W MCC | $148,704 | $44,611 | $20,051 | +642% | $28,226 | +427% | — |
| 493 | LE & HUM PX W CC | $148,302 | $44,491 | $32,697 | +354% | $59,651 | +149% | — |
| 333 | RECTAL RESEC W CC | $148,265 | $44,479 | $26,053 | +469% | $37,154 | +299% | — |
| 355 | HERNIA PX X ING/FEM WO CC | $146,864 | $44,059 | $20,380 | +621% | $32,841 | +347% | — |
| 264 | OTH CIRC SYS OR PX | $146,301 | $43,890 | $35,029 | +318% | $51,953 | +182% | — |
| 199 | PNEUMOTHORAX W MCC | $144,866 | $43,460 | $22,220 | +552% | $33,787 | +329% | — |
| 433 | CIRR/ALC HEPATITIS CC | $144,645 | $43,394 | $17,079 | +747% | $23,749 | +509% | — |
| 247 | PERC CV PX W DE STNT WOMCC | $144,346 | $43,304 | $21,663 | +566% | $21,663 | +566% | — |
| 473 | CERVCAL SPN FUSN WO CC/MCC | $142,488 | $42,746 | $27,518 | +418% | $50,624 | +181% | — |
| 030 | SPINAL PROC W/O CC/MCC | $142,221 | $42,666 | $24,139 | +489% | $45,866 | +210% | — |
| 451 | POIS/TOXIC EFF DRUGS <18 | $141,650 | $42,495 | $38,481 | +268% | $65,216 | +117% | — |
| 425 | OT HEPA/PANCR OR PX WO CC | $139,554 | $41,866 | $19,563 | +613% | $26,598 | +425% | — |
| 881 | DEPRESSIVE NEUROSES | $138,627 | $41,588 | $9,689 | +1331% | $15,058 | +821% | — |
| 189 | PUL EDEMA/ RESP FAILURE | $137,794 | $41,338 | $13,395 | +929% | $26,580 | +418% | ≈120% of Medicare |
| 708 | MJ MALE PELV PX WO CC/MCC | $136,920 | $41,076 | $22,435 | +510% | $36,988 | +270% | — |
| 482 | HIP/FEMUR PX W MJ WO CC | $135,739 | $40,722 | $23,784 | +471% | $41,955 | +224% | — |
| 571 | SKIN DEBRIDEMENT W CC | $134,503 | $40,351 | $24,925 | +440% | $37,169 | +262% | — |
| 291 | HEART FAIL/SHOCK W MCC | $133,672 | $40,102 | $16,124 | +729% | $26,776 | +399% | ≈124% of Medicare |
| 287 | CIRC DIS NO MI WCATH WOMCC | $132,767 | $39,830 | $17,337 | +666% | $32,021 | +315% | — |
| 475 | AMP MUSC/TISS DIS W CC | $132,666 | $39,800 | $31,193 | +325% | $45,877 | +189% | — |
| 418 | LAP CHOLE WO CDE W CC | $132,014 | $39,604 | $24,718 | +434% | $44,606 | +196% | — |
| 082 | TRAU STUPOR/COMA >1HR MCC | $131,572 | $39,472 | $24,815 | +430% | $36,489 | +261% | — |
| 308 | CARD ARR/COND DIS W MCC | $130,609 | $39,183 | $16,377 | +698% | $26,770 | +388% | ≈114% of Medicare |
| 351 | ING/FEM HERNIA PX W CC | $129,491 | $38,847 | $27,688 | +368% | $36,505 | +255% | — |
| 377 | GI HEM W MCC | $128,013 | $38,404 | $24,718 | +418% | $37,842 | +238% | — |
| 460 | SPNAL FUSN X CERVCAL WOMCC | $127,242 | $38,172 | $42,725 | +198% | $51,625 | +146% | — |
| 286 | CIRC DIS NO MI W CATH WMCC | $127,191 | $38,157 | $31,311 | +306% | $46,283 | +175% | — |
| 093 | OTH DIS NERV SYS WO CC/MCC | $126,348 | $37,904 | $8,689 | +1354% | $17,620 | +617% | — |
| 354 | HERNIA PX X ING/FEM CC | $124,900 | $37,470 | $25,272 | +394% | $43,477 | +187% | — |
| 100 | SEIZURES W MCC | $124,789 | $37,437 | $18,515 | +574% | $35,481 | +252% | — |
| 175 | PULM EMB W MCC OR AC COR P | $123,115 | $36,935 | $17,000 | +624% | $30,959 | +298% | — |
| 494 | LE & HUM PX WO CC/MCC | $120,751 | $36,225 | $27,664 | +336% | $47,711 | +153% | — |
| 184 | MAJ CHEST TRAUMA W CC | $120,616 | $36,185 | $17,057 | +607% | $22,432 | +438% | — |
| 896 | ALC/DRU ABU WO REHAB W MCC | $120,108 | $36,032 | $18,389 | +553% | $31,159 | +285% | — |
| 471 | CERVICAL SPN FUSN W MCC | $119,699 | $35,910 | $50,596 | +137% | $92,515 | +29% | — |
| 917 | POIS/TOX EFF OF DRUG W MCC | $118,636 | $35,591 | $21,087 | +463% | $30,235 | +292% | — |
| 657 | KID/URE PX FOR NEOP W CC | $118,064 | $35,419 | $26,921 | +339% | $43,298 | +173% | — |
| 038 | EX CRANIAL PX W CC | $118,023 | $35,407 | $24,107 | +390% | $35,770 | +230% | — |
| 299 | PERI VASC DIS W MCC | $115,434 | $34,630 | $16,296 | +608% | $27,316 | +323% | — |
| 551 | MED BACK PROB W MCC | $115,396 | $34,619 | $16,047 | +619% | $34,017 | +239% | — |
| 070 | NS CEREB DIS W MCC | $115,269 | $34,581 | $25,761 | +347% | $31,951 | +261% | — |
| 194 | SIMP PNEU/PLEU W CC | $114,972 | $34,492 | $13,837 | +731% | $18,204 | +532% | ≈137% of Medicare |
| 501 | SOFT TISS PX W CC | $114,476 | $34,343 | $25,949 | +341% | $39,619 | +189% | — |
| 063 | ISC CVA W/THOMBO W/O CC | $113,669 | $34,101 | $21,427 | +431% | $39,887 | +185% | — |
| 300 | PERI VASC DIS W CC | $113,605 | $34,081 | $11,399 | +897% | $20,422 | +456% | — |
| 057 | DEG NRV SYS DIS WO MCC | $113,404 | $34,021 | $20,513 | +453% | $27,543 | +312% | — |
| 419 | LAP CHOLE WO CDE WO CC | $112,207 | $33,662 | $24,335 | +361% | $36,937 | +204% | — |
| 350 | ING/FEM HERNIA PX W MCC | $112,083 | $33,625 | $32,088 | +249% | $50,046 | +124% | — |
| 486 | KNEE PX W INF PDX W CC | $111,520 | $33,456 | $30,721 | +263% | $49,351 | +126% | — |
| 399 | RE/IMMUNITY DISORDER | $110,477 | $33,143 | $22,152 | +399% | $31,321 | +253% | — |
| 166 | OTH RESP SYS PX W MCC | $109,681 | $32,904 | $38,661 | +184% | $75,573 | +45% | — |
| 196 | INTERSTITAL LUNG DIS W MCC | $109,092 | $32,728 | $18,629 | +486% | $32,637 | +234% | — |
| 669 | TRANSURETHRAL PX W CC | $109,091 | $32,727 | $23,279 | +369% | $34,354 | +218% | — |
| 862 | POSTOP POST TRAM INF W MCC | $108,376 | $32,513 | $27,058 | +301% | $32,859 | +230% | — |
| 443 | DISDRS LIVER WO CC/MCC | $107,764 | $32,329 | $10,636 | +913% | $15,600 | +591% | — |
| 190 | CH OBST PULM DIS W MCC | $106,725 | $32,017 | $17,384 | +514% | $24,386 | +338% | ≈138% of Medicare |
| 946 | REHAB W/O CC/MCC | $106,152 | $31,846 | $14,175 | +649% | $17,685 | +500% | — |
| 511 | UE PX EX MAJ JOINT PX W CC | $106,010 | $31,803 | $23,791 | +346% | $43,538 | +143% | — |
| 559 | AFTRCARE MUS CONN TIS WMCC | $105,623 | $31,687 | $26,490 | +299% | $33,047 | +220% | — |
| 693 | URINARY STONES W MCC | $105,296 | $31,589 | $14,238 | +640% | $23,892 | +341% | — |
| 743 | UTR/ADNEX PX NON MAL WO CC | $105,147 | $31,544 | $17,231 | +510% | $30,784 | +242% | — |
| 282 | ACUTE MI,DIS ALIV WOCC/MC | $104,887 | $31,466 | $12,605 | +732% | $19,227 | +446% | — |
| 623 | SKN GFT & DEBRIMT W CC | $102,336 | $30,701 | $28,020 | +265% | $34,459 | +197% | — |
| 039 | EX CRANIAL PX WO CC/MCC | $101,986 | $30,596 | $17,967 | +468% | $26,618 | +283% | ≈126% of Medicare |
| 988 | NON-EXT OR UNREL PDX W CC | $101,738 | $30,522 | $25,466 | +300% | $38,094 | +167% | — |
| 331 | MAJ SM/LG BOWEL PX WO CC | $101,315 | $30,394 | $24,873 | +307% | $44,117 | +130% | — |
| 178 | RESP INF/INFLAM W CC | $100,770 | $30,231 | $14,420 | +599% | $22,024 | +358% | — |
| 543 | PATH FX/CON TIS MALIG W CC | $100,411 | $30,123 | $14,590 | +588% | $23,551 | +326% | — |
| 540 | OSTEOMYELITIS W CC | $100,172 | $30,052 | $17,968 | +458% | $26,676 | +276% | — |
| 580 | OT SKIN,SBQ BRST PX W CC | $99,626 | $29,888 | $21,963 | +354% | $38,101 | +161% | — |
| 581 | SKIN SUBC BRST PX WO CC | $99,395 | $29,818 | $20,575 | +383% | $26,932 | +269% | — |
| 281 | ACUTE MI, DIS ALIV W CC | $99,278 | $29,783 | $15,158 | +555% | $20,463 | +385% | ≈135% of Medicare |
| 042 | PER/CRAN NRV + OTH WO CC | $98,982 | $29,695 | $26,006 | +281% | $39,018 | +154% | — |
| 535 | HIP/PELVIS FRAC W MCC | $98,905 | $29,671 | $17,565 | +463% | $24,552 | +303% | — |
| 071 | NS CEREB DIS W CC | $98,029 | $29,409 | $16,872 | +481% | $23,488 | +317% | — |
| 056 | DEG NRV SYS DIS W MCC | $97,837 | $29,351 | $35,694 | +174% | $39,973 | +145% | — |
| 948 | SIGNS & SYMPTOMS W/O MCC | $97,359 | $29,208 | $12,284 | +693% | $17,921 | +443% | — |
| 713 | TRANS PROST W CC/MCC | $97,308 | $29,192 | $21,961 | +343% | $32,100 | +203% | — |
| 092 | OTH DIS NERV SYS W CC | $97,145 | $29,144 | $17,152 | +466% | $24,914 | +290% | — |
| 153 | OTITIS MEDIA/URI WO MCC | $96,700 | $29,010 | $7,026 | +1276% | $14,583 | +563% | — |
| 560 | AFTCARE MUS CONN TISS W CC | $96,395 | $28,919 | $17,973 | +436% | $25,279 | +281% | — |
| 489 | KNEE PX WO INF PDX WO CC | $96,307 | $28,892 | $19,267 | +400% | $28,320 | +240% | — |
| 513 | HND/WRST PX W CC/MCC | $95,869 | $28,761 | $21,535 | +345% | $33,424 | +187% | — |
| 565 | OT MUS CONN TISS DX W CC | $95,763 | $28,729 | $15,827 | +505% | $22,506 | +326% | — |
| 872 | SEPTI/SEPS WO MV >96 WO MC | $95,247 | $28,574 | $15,263 | +524% | $22,888 | +316% | ≈121% of Medicare |
| 683 | RENAL FAILURE W CC | $94,921 | $28,476 | $14,731 | +544% | $19,130 | +396% | ≈127% of Medicare |
| 520 | B/N PX X SPN FUS WO CC/MCC | $93,545 | $28,063 | $21,795 | +329% | $35,465 | +164% | — |
| 421 | HEPATOBILIARY DIAG PX CC | $93,436 | $28,031 | $20,853 | +348% | $36,354 | +157% | — |
| 357 | OTH DIGEST PX W CC | $93,133 | $27,940 | $31,389 | +197% | $48,682 | +91% | — |
| 689 | KIDNEY/UTI W MCC | $92,474 | $27,742 | $14,359 | +544% | $23,617 | +292% | ≈127% of Medicare |
| 202 | BRONCH/ASTHMA W CC/MCC | $92,443 | $27,733 | $15,148 | +510% | $17,724 | +422% | — |
| 192 | CH OBST PULM DIS WO CC/MCC | $92,057 | $27,617 | $10,412 | +784% | $14,368 | +541% | — |
| 983 | EXT OR PX UNREL PDX WO CC | $91,467 | $27,440 | $24,846 | +268% | $34,607 | +164% | — |
| 598 | MAL BREAST DIS W CC | $91,320 | $27,396 | $14,522 | +529% | $19,073 | +379% | — |
| 072 | NS CEREB DIS WO CC/MCC | $91,200 | $27,360 | $13,203 | +591% | $19,037 | +379% | — |
| 438 | DIS PANCR X MALIG W MCC | $91,107 | $27,332 | $17,204 | +430% | $32,628 | +179% | — |
| 642 | INBORN/OTH DIS OF METABOL | $90,990 | $27,297 | $16,149 | +463% | $20,727 | +339% | — |
| 758 | INF FEM REPRO SYS W CC | $90,282 | $27,085 | $11,514 | +684% | $20,901 | +332% | — |
| 661 | KIDNY URETR PX NON-CA WOCC | $89,030 | $26,709 | $16,518 | +439% | $25,970 | +243% | — |
| 603 | CELLULITIS W/O MCC | $88,385 | $26,516 | $10,745 | +723% | $18,530 | +377% | ≈141% of Medicare |
| 699 | OTH KID & UT DX W CC | $88,133 | $26,440 | $16,431 | +436% | $21,275 | +314% | — |
| 077 | HYP ENCEPH W MCC | $88,015 | $26,405 | $23,263 | +278% | $24,550 | +259% | — |
| 378 | GI HEM W CC | $87,649 | $26,295 | $15,990 | +448% | $22,098 | +297% | ≈124% of Medicare |
| 191 | CH OBST PULM DIS W CC | $87,471 | $26,241 | $13,959 | +527% | $18,807 | +365% | — |
| 864 | FEVER AND INFLAM COND | $86,205 | $25,861 | $14,548 | +493% | $18,640 | +362% | — |
| 314 | OTH CIRC SYS DX W MCC | $85,587 | $25,676 | $27,694 | +209% | $38,666 | +121% | — |
| 372 | MAJ GI DIS&PERIT INF W CC | $84,382 | $25,315 | $16,553 | +410% | $22,850 | +269% | — |
| 797 | VAG DEL W STER/D&C W CC | $84,117 | $25,235 | $13,602 | +518% | $19,962 | +321% | — |
| 884 | ORGAN DIST & INTELL DISAB | $83,720 | $25,116 | $19,761 | +324% | $26,682 | +214% | — |
| 091 | OTH DIS NERV SYS W MCC | $83,498 | $25,049 | $18,130 | +361% | $37,387 | +123% | — |
| 074 | CRAN/PERI NRV DIS WO MCC | $82,908 | $24,872 | $10,738 | +672% | $23,141 | +258% | — |
| 557 | TEND MYOSTIS BURSITIS WMCC | $82,515 | $24,755 | $23,307 | +254% | $32,877 | +151% | — |
| 639 | DIABETES W/O CC/MCC | $82,387 | $24,716 | $11,327 | +627% | $13,910 | +492% | — |
| 395 | OTH DIGEST DX WO CC/MCC | $81,703 | $24,511 | $10,309 | +692% | $14,128 | +478% | — |
| 637 | DIABETES W MCC | $81,449 | $24,435 | $16,549 | +392% | $30,100 | +171% | — |
| 640 | MS DIS NUT,META,ELEC W MC | $81,082 | $24,325 | $12,682 | +539% | $25,463 | +218% | — |
| 069 | TRANS ISCHEMIA W/O THROMB | $80,194 | $24,058 | $13,579 | +491% | $21,056 | +281% | ≈123% of Medicare |
| 766 | CESAREAN SEC W/O CC/MCC | $78,840 | $23,652 | $9,291 | +749% | $5,336 | +1378% | — |
| 343 | APNDEC WO COMP PDX WO CC | $78,221 | $23,466 | $12,397 | +531% | $12,397 | +531% | — |
| 083 | TRAU STUPOR/COMA >1HR CC | $77,829 | $23,349 | $17,756 | +338% | $27,285 | +185% | — |
| 812 | RBC DIS W/O MCC | $77,679 | $23,304 | $13,749 | +465% | $20,488 | +279% | — |
| 694 | URINARY STONES W/O MCC | $77,409 | $23,223 | $8,583 | +802% | $17,345 | +346% | — |
| 065 | IC HM OR CB INF W CC/TPA24 | $76,210 | $22,863 | $16,392 | +365% | $23,940 | +218% | — |
| 200 | PNEUMOTHORAX W CC | $75,998 | $22,799 | $15,742 | +383% | $21,368 | +256% | — |
| 379 | GI HEM WO CC/MCC | $75,568 | $22,670 | $11,458 | +560% | $15,038 | +403% | — |
| 292 | HEART FAIL/SHOCK W CC | $75,428 | $22,628 | $13,521 | +458% | $16,371 | +361% | — |
| 813 | COAGULATION DISORDERS | $74,568 | $22,370 | $23,285 | +220% | $33,296 | +124% | — |
| 690 | KIDNEY/UTI WO MCC | $73,539 | $22,062 | $10,874 | +576% | $17,674 | +316% | ≈140% of Medicare |
| 670 | TRANSURETHRAL PX WO CC/MCC | $73,259 | $21,978 | $15,598 | +370% | $20,911 | +250% | — |
| 564 | OT MUS CONN TISS DX W MCC | $73,229 | $21,969 | $23,123 | +217% | $33,653 | +118% | — |
| 327 | GASTR, ESOPH,DUO PX W CC | $72,265 | $21,679 | $45,422 | +59% | $59,421 | +22% | — |
| 390 | GI OBST WO CC/MCC | $71,521 | $21,456 | $9,773 | +632% | $13,361 | +435% | — |
| 641 | MS DIS NUT/META/ELEC WOMCC | $70,544 | $21,163 | $11,112 | +535% | $17,038 | +314% | ≈180% of Medicare |
| 788 | CESAREAN WO STER WO CC/MCC | $70,455 | $21,137 | $14,304 | +393% | $20,084 | +251% | — |
| 312 | SYNCOPE & COLLAPSE | $69,941 | $20,982 | $12,796 | +447% | $19,342 | +262% | — |
| 897 | ALC/DRU ABU WO REHAB WOMCC | $69,909 | $20,973 | $10,042 | +596% | $16,699 | +319% | — |
| 759 | INF FEM REPRO SYS WO CC | $69,677 | $20,903 | $7,229 | +864% | $14,250 | +389% | — |
| 392 | ESOPH, GE DIG DIS WO MCC | $67,789 | $20,337 | $11,593 | +485% | $17,322 | +291% | ≈143% of Medicare |
| 684 | RENAL FAILURE W/O CC/MCC | $67,298 | $20,189 | $11,077 | +508% | $13,642 | +393% | — |
| 787 | CESAREAN SEC WO STER W CC | $66,846 | $20,054 | $16,074 | +316% | $23,571 | +184% | — |
| 909 | OT OR PX FOR INJ WO CC/MCC | $66,629 | $19,989 | $19,003 | +251% | $28,156 | +137% | — |
| 776 | PP & POST AB DX WO OR PX | $65,637 | $19,691 | $7,644 | +759% | $12,454 | +427% | — |
| 442 | DISDRS LIVER W CC | $65,593 | $19,678 | $15,734 | +317% | $21,449 | +206% | — |
| 309 | CARD ARR/COND DIS W CC | $65,156 | $19,547 | $12,789 | +409% | $17,303 | +277% | ≈134% of Medicare |
| 504 | FOOT PX W CC | $65,142 | $19,543 | $25,972 | +151% | $38,960 | +67% | — |
| 561 | AFTRCARE MUS CON TIS WO CC | $65,124 | $19,537 | $13,441 | +385% | $18,150 | +259% | — |
| 918 | POIS/TOX EFF OF DRUG WO CC | $64,500 | $19,350 | $8,784 | +634% | $15,452 | +317% | — |
| 386 | INFL BOWEL DIS W CC | $63,668 | $19,100 | $12,418 | +413% | $22,033 | +189% | — |
| 315 | OTH CIRC SYS DX W CC | $63,233 | $18,970 | $14,428 | +338% | $21,363 | +196% | — |
| 638 | DIABETES W CC | $63,076 | $18,923 | $13,558 | +365% | $19,661 | +221% | — |
| 617 | AMP LOW LIMB W CC | $62,699 | $18,810 | $28,264 | +122% | $42,881 | +46% | — |
| 066 | IC HEM OR CEREB INF WO CC | $62,674 | $18,802 | $13,500 | +364% | $20,781 | +202% | — |
| 176 | PULMONARY EMB WO MCC | $62,504 | $18,751 | $13,765 | +354% | $18,081 | +246% | — |
| 303 | ATHEROSCLEROSIS WO MCC | $61,582 | $18,475 | $7,255 | +749% | $14,927 | +313% | — |
| 084 | TRAU STUPOR/COMA >1HR WO | $61,294 | $18,388 | $9,770 | +527% | $19,924 | +208% | — |
| 969 | HIV W EXT OR PX W MCC | $60,684 | $18,205 | $64,267 | −6% | $109,331 | −44% | — |
| 201 | PNEUMOTHORAX WO CC/MCC | $60,410 | $18,123 | $11,982 | +404% | $14,053 | +330% | — |
| 389 | GI OBST W CC | $60,315 | $18,095 | $11,211 | +438% | $17,578 | +243% | — |
| 446 | DIS BILIRY TRACT WO CC/MCC | $59,692 | $17,907 | $8,282 | +621% | $17,700 | +237% | — |
| 765 | CESAREAN SEC W CC/MCC | $59,474 | $17,842 | $11,380 | +423% | $5,336 | +1015% | — |
| 439 | DIS PANCR X MALIG W CC | $59,463 | $17,839 | $12,908 | +361% | $19,096 | +211% | — |
| 863 | POSTOP POST TRAUM INF WOCC | $58,748 | $17,624 | $10,246 | +473% | $20,957 | +180% | — |
| 558 | TEND MYOSTIS BURSTIS WOMCC | $58,373 | $17,512 | $12,355 | +372% | $18,602 | +214% | — |
| 195 | SIMP PNEU/PLEU WO CC/MCC | $57,783 | $17,335 | $10,050 | +475% | $13,824 | +318% | — |
| 920 | COMPL OF TREAT W CC | $57,661 | $17,298 | $16,379 | +252% | $22,468 | +157% | — |
| 394 | OTH DIGEST DX W CC | $57,059 | $17,118 | $13,404 | +326% | $20,181 | +183% | — |
| 393 | OTH DIGEST DX W MCC | $56,080 | $16,824 | $20,857 | +169% | $34,192 | +64% | — |
| 951 | OT FACTS HEALTH STATUS | $55,641 | $16,692 | $8,260 | +574% | $10,160 | +448% | — |
| 440 | DIS PANCR X MALIG WO CC | $55,362 | $16,608 | $9,449 | +486% | $15,183 | +265% | — |
| 305 | HYPERTENSION WO MCC | $55,330 | $16,599 | $12,937 | +328% | $18,086 | +206% | — |
| 809 | MAJ HEMO/IMMO DX W CC | $54,651 | $16,395 | $19,268 | +184% | $22,458 | +143% | — |
| 304 | HYPERTENSION W MCC | $54,116 | $16,235 | $15,366 | +252% | $26,080 | +108% | — |
| 760 | MENS/FEMAL REPRO DIS W CC | $51,743 | $15,523 | $13,209 | +292% | $20,895 | +148% | — |
| 206 | OTH RESP SYS DX WO MCC | $51,706 | $15,512 | $10,673 | +384% | $18,488 | +180% | — |
| 768 | VAG DEL W OR PX | $51,519 | $15,456 | $13,160 | +291% | $16,846 | +206% | — |
| 842 | LYMPH & NON AC LEUK WO CC | $51,202 | $15,361 | $16,770 | +205% | $19,657 | +160% | — |
| 880 | AC ADJ REAC & PSY DYS | $49,910 | $14,973 | $10,053 | +396% | $17,733 | +181% | — |
| 552 | MED BACK PROB W/O MCC | $49,888 | $14,966 | $13,725 | +263% | $21,396 | +133% | — |
| 774 | VAG DELIV W COMP DX | $48,239 | $14,472 | $7,467 | +546% | $3,032 | +1491% | — |
| 536 | HIP/PELVIS FRAC WO MCC | $46,369 | $13,911 | $12,398 | +274% | $18,002 | +158% | — |
| 090 | CONCUSSION WO CC/MCC | $46,108 | $13,832 | $11,493 | +301% | $15,412 | +199% | — |
| 807 | VAG DEL WO STER/DC WOCCMCC | $45,762 | $13,729 | $9,890 | +363% | $12,078 | +279% | — |
| 989 | NON-EXT OR UNREL PDX WO CC | $44,749 | $13,425 | $18,191 | +146% | $25,652 | +74% | — |
| 806 | VAG DEL WO STER/DC W CC | $43,584 | $13,075 | $10,644 | +309% | $13,275 | +228% | — |
| 775 | VAG DELIV W/O COMP DX | $43,307 | $12,992 | $7,220 | +500% | $3,032 | +1328% | — |
| 605 | TRAM SKN, SUBQ, BST WO MC | $42,935 | $12,881 | $11,372 | +278% | $20,506 | +109% | — |
| 885 | PSYCHOSES | $42,798 | $12,839 | $17,655 | +142% | $21,729 | +97% | — |
| 059 | MS & CEREB ATAX W CC | $39,157 | $11,747 | $16,440 | +138% | $27,163 | +44% | — |
| 547 | CONN TISS DIS WO CC/MCC | $38,382 | $11,515 | $8,396 | +357% | $16,565 | +132% | — |
| 563 | FX SPN STN DIS EX LE WOMCC | $37,798 | $11,339 | $14,554 | +160% | $19,842 | +90% | — |
| 949 | AFTERCARE W CC/MCC | $37,251 | $11,175 | $16,737 | +123% | $23,953 | +56% | — |
| 310 | CARD COND DIS WO CC/MCC | $37,199 | $11,160 | $10,338 | +260% | $13,384 | +178% | — |
| 940 | OR PX PDX OTH SVCS W CC | $34,869 | $10,461 | $30,294 | +15% | $43,650 | −20% | — |
| 549 | SEPTIC ARTHRITIS W CC | $34,839 | $10,452 | $13,739 | +154% | $24,056 | +45% | — |
| 293 | HEART FAIL/SHOCK WO CC/MCC | $34,744 | $10,423 | $8,506 | +308% | $12,999 | +167% | — |
| 101 | SEIZURES WO MCC | $34,123 | $10,237 | $10,815 | +216% | $20,461 | +67% | — |
| 445 | DIS BILIARY TRACT W CC | $30,819 | $9,246 | $11,834 | +160% | $23,319 | +32% | — |
| 921 | COMPL OF TREAT WO CC/MCC | $30,738 | $9,221 | $8,677 | +254% | $14,415 | +113% | — |
| 596 | MAJ SKIN DIS W/O MCC | $29,616 | $8,885 | $17,226 | +72% | $17,226 | +72% | — |
| 301 | PERI VASC DIS WO CC/MCC | $29,474 | $8,842 | $12,453 | +137% | $15,837 | +86% | — |
| 436 | MALIG HEPA OR PANCR W CC | $27,599 | $8,280 | $17,830 | +55% | $25,034 | +10% | — |
| 832 | OTH ANTP DX WO OR W CC | $27,295 | $8,189 | $9,984 | +173% | $12,895 | +112% | — |
| 542 | PTH FX/CON TIS MALIG WMCC | $27,101 | $8,130 | $27,101 | +0% | $36,792 | −26% | — |
| 311 | ANGINA PECTORIS | $26,280 | $7,884 | $12,257 | +114% | $15,502 | +70% | — |
| 947 | SIGNS & SYMPTOMS W MCC | $25,443 | $7,633 | $19,887 | +28% | $27,401 | −7% | — |
| 781 | OT ANTEPARTM DX W MED COMP | $25,003 | $7,501 | $7,861 | +218% | $16,875 | +48% | — |
| 296 | CARDIAC ARREST, UNEX W MCC | $22,788 | $6,836 | $22,788 | +0% | $33,661 | −32% | — |
| 794 | NEON W OTH SIG PROB | $9,383 | $2,815 | $10,055 | −7% | $8,445 | +11% | — |
| 795 | NORMAL NEWBORN | $6,858 | $2,057 | $4,129 | +66% | $4,720 | +45% | — |
Procedures with negotiated rates only
These 1 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 |
|---|---|---|---|
| 545 | CONN TISS DIS W MCC | $46,847 – $46,847 · median $46,847 | 1 plans |
No procedures match that keyword.