Saline Memorial Hospital (Acute Care) — Pricing

250 procedures published in this hospital's Machine-Readable File (MRF) — 249 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 250
Lowest published price $4,727
Average published price $46,333
Highest published price $359,148

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 250 procedures

Published charges

Showing all 249 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 26 procedures, this hospital's negotiated rates average ≈124% of what Medicare pays.

DRG Description Published price Cash price vs. AR median vs. National median vs Medicare
464 WND DEB & SG EX HAND W CC $359,148 $107,744 $36,295 +890% $58,228 +517% —
463 WND DEB & SG EX HAND WMCC $226,498 $67,949 $68,035 +233% $89,207 +154% —
580 OT SKIN,SBQ BRST PX W CC $164,874 $49,462 $21,963 +651% $38,101 +333% —
351 ING/FEM HERNIA PX W CC $153,207 $45,962 $27,688 +453% $36,505 +320% —
907 OTH OR PX FOR INJ W MCC $152,322 $45,697 $40,269 +278% $77,817 +96% —
870 SEPTI OR SEPSI W MV >96HRS $145,509 $43,653 $89,864 +62% $148,832 −2% —
853 INF & PAR DIS OR PX W MCC $143,756 $43,127 $64,242 +124% $93,172 +54% —
469 MAJ JOIN REPL/REATT LE W M $130,506 $39,152 $45,618 +186% $65,788 +98% —
326 GASTR, ESOPH,DUO PX W MCC $125,958 $37,787 $59,451 +112% $80,793 +56% —
854 INF & PAR DIS OR PX W CC $123,066 $36,920 $29,929 +311% $43,943 +180% —
486 KNEE PX W INF PDX W CC $121,292 $36,388 $30,721 +295% $49,351 +146% —
468 REV HIP/KNE REPL WO CC/MCC $117,822 $35,347 $30,010 +293% $54,929 +114% —
329 MAJ SM/LG BOWEL PX W MCC $115,479 $34,644 $62,607 +84% $88,050 +31% —
253 OTH VASC PX W CC $114,254 $34,276 $35,283 +224% $57,454 +99% —
480 HIP/FEMUR PX X MJ W MCC $112,506 $33,752 $43,263 +160% $65,653 +71% —
474 AMP MUSC/TISS DIS W MCC $110,074 $33,022 $53,021 +108% $84,692 +30% —
483 MAJ REATT PX UPPER EXT $106,332 $31,900 $28,785 +269% $58,707 +81% ≈113% of Medicare
521 HIP REPL W PDX FX W MCC $103,489 $31,047 $41,024 +152% $70,467 +47% —
462 BIL/MULT M/JNT/LE W/OMCC $102,662 $30,799 $30,522 +236% $58,975 +74% —
957 OR PX MULT SIG TRAMA W MCC $101,247 $30,374 $72,066 +40% $120,573 −16% —
510 UE PX EX MAJ JOINT PX WMCC $99,419 $29,826 $34,692 +187% $49,839 +99% —
335 PERITON ADHES W MCC $98,611 $29,583 $45,576 +116% $71,755 +37% —
470 MAJ JOIN REP/REAT LE W/O M $96,833 $29,050 $27,666 +250% $50,607 +91% ≈115% of Medicare
246 PERC CV PX W DE STNT W MCC $96,126 $28,838 $33,983 +183% $33,983 +183% —
492 LE & HUM PX W MCC $93,112 $27,934 $42,794 +118% $70,564 +32% —
982 EXT OR PX UNREL PDX W CC $90,538 $27,161 $37,418 +142% $51,985 +74% —
337 PERITON ADHES WO CC/MCC $87,605 $26,281 $23,090 +279% $39,211 +123% —
407 PANC/LIVER PX WO CC/MCC $86,578 $25,974 $26,311 +229% $46,727 +85% —
623 SKN GFT & DEBRIMT W CC $85,412 $25,624 $28,020 +205% $34,459 +148% —
391 ESOPH, GE & DIG DIS W MCC $83,717 $25,115 $19,865 +321% $28,050 +198% —
493 LE & HUM PX W CC $83,472 $25,042 $32,697 +155% $59,651 +40% ≈116% of Medicare
481 HIP/FEMUR PX X MJ W CC $82,788 $24,836 $32,716 +153% $52,751 +57% ≈118% of Medicare
380 CMP PEPTIC ULCER W MCC $81,212 $24,364 $25,777 +215% $39,627 +105% —
981 EXT OR PX UNREL PDX W MCC $78,344 $23,503 $55,101 +42% $90,775 −14% —
321 KIDN/URIN TRCT INFCT >17 $78,327 $23,498 $40,142 +95% $81,706 −4% —
322 KIDN/URIN TRCT INFCT <18 $76,709 $23,013 $26,676 +188% $58,809 +30% ≈122% of Medicare
330 MAJ SM/LG BOWEL PX W CC $75,377 $22,613 $39,077 +93% $59,500 +27% —
620 OR PX FOR OBESITY W CC $75,375 $22,612 $23,921 +215% $35,453 +113% —
064 IC HEM OR CEREB INF W MCC $75,310 $22,593 $20,207 +273% $39,106 +93% —
920 COMPL OF TREAT W CC $74,870 $22,461 $16,379 +357% $22,468 +233% —
908 OTH OR PX FOR INJ W CC $73,741 $22,122 $28,782 +156% $42,914 +72% —
353 HERNIA PX X ING/FEM MCC $73,672 $22,102 $39,092 +88% $60,170 +22% —
522 HIP REPL W PDX FX WO MCC $73,246 $21,974 $32,590 +125% $58,280 +26% ≈118% of Medicare
467 REV HIP/KNEE REPL W CC $72,690 $21,807 $37,465 +94% $70,847 +3% —
331 MAJ SM/LG BOWEL PX WO CC $72,134 $21,640 $24,873 +190% $44,117 +64% —
327 GASTR, ESOPH,DUO PX W CC $70,794 $21,238 $45,422 +56% $59,421 +19% —
619 OR PX FOR OBESITY W MCC $69,232 $20,770 $33,182 +109% $51,746 +34% —
673 OTH KID/UT PX W MCC $68,849 $20,655 $53,805 +28% $77,990 −12% —
504 FOOT PX W CC $67,272 $20,182 $25,972 +159% $38,960 +73% —
516 OT MUS CON TISS OR PX W CC $66,822 $20,047 $25,991 +157% $46,090 +45% —
438 DIS PANCR X MALIG W MCC $65,047 $19,514 $17,204 +278% $32,628 +99% —
247 PERC CV PX W DE STNT WOMCC $64,589 $19,377 $21,663 +198% $21,663 +198% —
951 OT FACTS HEALTH STATUS $64,503 $19,351 $8,260 +681% $10,160 +535% —
512 UE PX EX MAJ JNT PX WO CC $64,441 $19,332 $23,149 +178% $35,692 +81% —
617 AMP LOW LIMB W CC $64,432 $19,330 $28,264 +128% $42,881 +50% —
417 LAP CHOLE WO CDE W MCC $64,423 $19,327 $34,039 +89% $53,451 +21% —
418 LAP CHOLE WO CDE W CC $64,063 $19,219 $24,718 +159% $44,606 +44% —
593 SKIN ULCERS W CC $64,028 $19,208 $12,350 +418% $22,886 +180% —
250 PER CV PX WO ST W MCC $64,021 $19,206 $33,209 +93% $59,629 +7% —
494 LE & HUM PX WO CC/MCC $63,668 $19,100 $27,664 +130% $47,711 +33% —
501 SOFT TISS PX W CC $63,624 $19,087 $25,949 +145% $39,619 +61% —
488 KNEE PX WO INF PDX CC/MCC $63,090 $18,927 $30,266 +108% $43,631 +45% —
999 UNGROUPABLE $61,263 $18,379 $37,016 +66% $29,674 +106% —
336 PERITON ADHES W CC $60,073 $18,022 $31,925 +88% $50,463 +19% —
570 SKIN DEBRIDEMNT W MCC $59,089 $17,727 $42,263 +40% $52,435 +13% —
487 KNEE PX W INF PDX WO CC $58,969 $17,691 $19,974 +195% $35,074 +68% —
208 RESP SYS DX W VENT <=96 $57,923 $17,377 $31,088 +86% $52,405 +11% —
482 HIP/FEMUR PX W MJ WO CC $57,770 $17,331 $23,784 +143% $41,955 +38% —
616 AMP LOW LIMB W MCC $57,674 $17,302 $46,758 +23% $66,685 −14% —
621 OR PX FOR OBESITY WO CC $57,565 $17,269 $22,167 +160% $32,451 +77% —
475 AMP MUSC/TISS DIS W CC $55,768 $16,730 $31,193 +79% $45,877 +22% —
419 LAP CHOLE WO CDE WO CC $54,909 $16,473 $24,335 +126% $36,937 +49% —
340 APNDEC/COMP PDX WO CC $54,845 $16,453 $13,613 +303% $13,613 +303% —
871 SEPTI/SEPS WO MV>96HR WMCC $54,816 $16,445 $24,488 +124% $35,628 +54% ≈118% of Medicare
640 MS DIS NUT,META,ELEC W MC $54,336 $16,301 $12,682 +328% $25,463 +113% ≈141% of Medicare
251 PER CV PX WO STNT WO MCC $53,970 $16,191 $23,475 +130% $46,295 +17% —
397 COAGULATION DISORDERS $53,257 $15,977 $34,696 +53% $53,257 +0% —
497 LOC EX & REM IFD W/O CC $53,249 $15,975 $20,619 +158% $29,805 +79% —
056 DEG NRV SYS DIS W MCC $51,025 $15,308 $35,694 +43% $39,973 +28% —
856 POSTOP/TRAMA INF WOR W MCC $50,660 $15,198 $53,754 −6% $76,001 −33% —
296 CARDIAC ARREST, UNEX W MCC $50,512 $15,154 $22,788 +122% $33,661 +50% —
983 EXT OR PX UNREL PDX WO CC $49,595 $14,879 $24,846 +100% $34,607 +43% —
963 OTH MULT SIG TRAUMA MCC $49,369 $14,811 $30,983 +59% $43,491 +14% —
328 GASTR,ESOPH ,DUO PX WO CC $49,312 $14,794 $20,938 +136% $39,006 +26% —
399 RE/IMMUNITY DISORDER $47,993 $14,398 $22,152 +117% $31,321 +53% —
857 POSTOP/TRAMA INF WOR W CC $46,334 $13,900 $29,530 +57% $45,333 +2% —
743 UTR/ADNEX PX NON MAL WO CC $45,374 $13,612 $17,231 +163% $30,784 +47% —
914 TRAUMATIC INJURY W/O MCC $44,912 $13,473 $8,989 +400% $15,855 +183% —
505 FOOT PX WO CC/MCC $44,813 $13,444 $17,565 +155% $34,937 +28% —
554 BONE DIS & ARTHROP WO MCC $44,559 $13,368 $8,901 +401% $18,528 +141% —
196 INTERSTITAL LUNG DIS W MCC $44,148 $13,244 $18,629 +137% $32,637 +35% —
287 CIRC DIS NO MI WCATH WOMCC $43,855 $13,157 $17,337 +153% $32,021 +37% —
855 INF & PAR DIS OR PX WO CC $42,696 $12,809 $16,650 +156% $28,202 +51% —
439 DIS PANCR X MALIG W CC $42,307 $12,692 $12,908 +228% $19,096 +122% —
343 APNDEC WO COMP PDX WO CC $41,667 $12,500 $12,397 +236% $12,397 +236% —
195 SIMP PNEU/PLEU WO CC/MCC $40,958 $12,287 $10,050 +308% $13,824 +196% —
314 OTH CIRC SYS DX W MCC $40,910 $12,273 $27,694 +48% $38,666 +6% —
637 DIABETES W MCC $40,597 $12,179 $16,549 +145% $30,100 +35% —
357 OTH DIGEST PX W CC $40,527 $12,158 $31,389 +29% $48,682 −17% —
085 TRAU STUPOR/COMA <1HR MCC $39,398 $11,819 $21,991 +79% $41,892 −6% —
308 CARD ARR/COND DIS W MCC $39,202 $11,761 $16,377 +139% $26,770 +46% —
489 KNEE PX WO INF PDX WO CC $38,848 $11,654 $19,267 +102% $28,320 +37% —
371 MAJ GI DIS&PERIT INF W MCC $38,793 $11,638 $21,214 +83% $33,555 +16% —
811 RBC DIS W MCC $38,692 $11,608 $20,051 +93% $28,226 +37% —
558 TEND MYOSTIS BURSTIS WOMCC $38,596 $11,579 $12,355 +212% $18,602 +107% —
394 OTH DIGEST DX W CC $38,189 $11,457 $13,404 +185% $20,181 +89% —
189 PUL EDEMA/ RESP FAILURE $38,151 $11,445 $13,395 +185% $26,580 +44% ≈123% of Medicare
432 CIRR/ALC HEPATITIS MCC $38,053 $11,416 $27,416 +39% $40,213 −5% —
281 ACUTE MI, DIS ALIV W CC $37,714 $11,314 $15,158 +149% $20,463 +84% —
987 NON-EXT OR UNREL PDX W MCC $37,549 $11,265 $32,476 +16% $66,068 −43% —
177 RESP INF/INFLAM W MCC $37,169 $11,151 $17,449 +113% $33,707 +10% ≈141% of Medicare
125 OTH DIS EYE W/O MCC $36,445 $10,933 $8,450 +331% $17,298 +111% —
057 DEG NRV SYS DIS WO MCC $36,323 $10,897 $20,513 +77% $27,543 +32% —
377 GI HEM W MCC $36,267 $10,880 $24,718 +47% $37,842 −4% —
560 AFTCARE MUS CONN TISS W CC $36,009 $10,803 $17,973 +100% $25,279 +42% —
682 RENAL FAILURE W MCC $36,002 $10,801 $18,878 +91% $29,064 +24% ≈125% of Medicare
542 PTH FX/CON TIS MALIG WMCC $35,520 $10,656 $27,101 +31% $36,792 −3% —
867 OTH INF/PARA DX W MCC $35,503 $10,651 $27,367 +30% $38,070 −7% —
092 OTH DIS NERV SYS W CC $34,905 $10,472 $17,152 +104% $24,914 +40% —
885 PSYCHOSES $34,789 $10,437 $17,655 +97% $21,729 +60% ≈110% of Medicare
881 DEPRESSIVE NEUROSES $34,661 $10,398 $9,689 +258% $15,058 +130% —
786 CESAREAN SEC WO STER WMCC $34,281 $10,284 $18,634 +84% $27,152 +26% —
309 CARD ARR/COND DIS W CC $34,183 $10,255 $12,789 +167% $17,303 +98% ≈126% of Medicare
193 SIMP PNEU/PLEU W MCC $33,961 $10,188 $16,450 +106% $27,275 +25% ≈126% of Medicare
689 KIDNEY/UTI W MCC $33,751 $10,125 $14,359 +135% $23,617 +43% ≈118% of Medicare
280 ACUTE MI, DIS ALIV W MCC $33,559 $10,068 $21,438 +57% $30,828 +9% ≈133% of Medicare
896 ALC/DRU ABU WO REHAB W MCC $33,177 $9,953 $18,389 +80% $31,159 +6% —
065 IC HM OR CB INF W CC/TPA24 $33,171 $9,951 $16,392 +102% $23,940 +39% —
175 PULM EMB W MCC OR AC COR P $32,693 $9,808 $17,000 +92% $30,959 +6% —
880 AC ADJ REAC & PSY DYS $32,235 $9,671 $10,053 +221% $17,733 +82% —
199 PNEUMOTHORAX W MCC $32,184 $9,655 $22,220 +45% $33,787 −5% —
862 POSTOP POST TRAM INF W MCC $31,934 $9,580 $27,058 +18% $32,859 −3% —
581 SKIN SUBC BRST PX WO CC $31,789 $9,537 $20,575 +55% $26,932 +18% —
644 ENDO DIS W CC $31,248 $9,375 $16,431 +90% $23,198 +35% —
699 OTH KID & UT DX W CC $31,042 $9,313 $16,431 +89% $21,275 +46% —
571 SKIN DEBRIDEMENT W CC $31,023 $9,307 $24,925 +24% $37,169 −17% —
190 CH OBST PULM DIS W MCC $31,019 $9,306 $17,384 +78% $24,386 +27% ≈121% of Medicare
305 HYPERTENSION WO MCC $31,013 $9,304 $12,937 +140% $18,086 +71% —
291 HEART FAIL/SHOCK W MCC $30,974 $9,292 $16,124 +92% $26,776 +16% ≈124% of Medicare
069 TRANS ISCHEMIA W/O THROMB $30,822 $9,247 $13,579 +127% $21,056 +46% —
917 POIS/TOX EFF OF DRUG W MCC $30,777 $9,233 $21,087 +46% $30,235 +2% —
071 NS CEREB DIS W CC $30,451 $9,135 $16,872 +80% $23,488 +30% —
940 OR PX PDX OTH SVCS W CC $30,294 $9,088 $30,294 +0% $43,650 −31% —
757 INF FEM REPRO SYS W MCC $30,215 $9,064 $18,192 +66% $26,280 +15% —
349 ANAL/STOMAL PX WO CC/MCC $29,571 $8,871 $14,627 +102% $19,854 +49% —
765 CESAREAN SEC W CC/MCC $29,230 $8,769 $11,380 +157% $5,336 +448% —
602 CELLULITIS W MCC $29,087 $8,726 $22,262 +31% $30,598 −5% —
872 SEPTI/SEPS WO MV >96 WO MC $28,573 $8,572 $15,263 +87% $22,888 +25% ≈135% of Medicare
948 SIGNS & SYMPTOMS W/O MCC $28,432 $8,530 $12,284 +131% $17,921 +59% —
552 MED BACK PROB W/O MCC $28,206 $8,462 $13,725 +106% $21,396 +32% —
551 MED BACK PROB W MCC $28,144 $8,443 $16,047 +75% $34,017 −17% —
378 GI HEM W CC $28,140 $8,442 $15,990 +76% $22,098 +27% ≈122% of Medicare
194 SIMP PNEU/PLEU W CC $28,018 $8,405 $13,837 +102% $18,204 +54% —
282 ACUTE MI,DIS ALIV WOCC/MC $27,887 $8,366 $12,605 +121% $19,227 +45% —
605 TRAM SKN, SUBQ, BST WO MC $27,611 $8,283 $11,372 +143% $20,506 +35% —
788 CESAREAN WO STER WO CC/MCC $27,513 $8,254 $14,304 +92% $20,084 +37% —
536 HIP/PELVIS FRAC WO MCC $27,336 $8,201 $12,398 +120% $18,002 +52% ≈134% of Medicare
690 KIDNEY/UTI WO MCC $27,239 $8,172 $10,874 +150% $17,674 +54% ≈143% of Medicare
304 HYPERTENSION W MCC $26,906 $8,072 $15,366 +75% $26,080 +3% —
066 IC HEM OR CEREB INF WO CC $26,865 $8,060 $13,500 +99% $20,781 +29% —
918 POIS/TOX EFF OF DRUG WO CC $26,853 $8,056 $8,784 +206% $15,452 +74% —
787 CESAREAN SEC WO STER W CC $26,624 $7,987 $16,074 +66% $23,571 +13% —
433 CIRR/ALC HEPATITIS CC $26,444 $7,933 $17,079 +55% $23,749 +11% —
557 TEND MYOSTIS BURSITIS WMCC $26,434 $7,930 $23,307 +13% $32,877 −20% —
641 MS DIS NUT/META/ELEC WOMCC $26,270 $7,881 $11,112 +136% $17,038 +54% ≈127% of Medicare
070 NS CEREB DIS W MCC $26,176 $7,853 $25,761 +2% $31,951 −18% —
055 NERV SYS NEOP WO MCC $26,043 $7,813 $12,698 +105% $20,926 +24% —
200 PNEUMOTHORAX W CC $25,828 $7,749 $15,742 +64% $21,368 +21% —
562 FX SPN STN DIS EX LE WMCC $25,787 $7,736 $22,189 +16% $29,743 −13% —
790 EXT IMMAT OR RD SYN NEONAT $25,736 $7,721 $58,478 −56% $80,018 −68% —
559 AFTRCARE MUS CONN TIS WMCC $25,693 $7,708 $26,490 −3% $33,047 −22% —
638 DIABETES W CC $25,678 $7,703 $13,558 +89% $19,661 +31% —
072 NS CEREB DIS WO CC/MCC $25,357 $7,607 $13,203 +92% $19,037 +33% —
603 CELLULITIS W/O MCC $25,034 $7,510 $10,745 +133% $18,530 +35% ≈128% of Medicare
683 RENAL FAILURE W CC $24,421 $7,326 $14,731 +66% $19,130 +28% ≈124% of Medicare
759 INF FEM REPRO SYS WO CC $24,405 $7,322 $7,229 +238% $14,250 +71% —
785 CESAREAN W STER WO CC/MCC $24,056 $7,217 $13,884 +73% $19,846 +21% —
947 SIGNS & SYMPTOMS W MCC $23,965 $7,190 $19,887 +21% $27,401 −13% —
544 PATH FX/CON TIS MALIG WOCC $23,823 $7,147 $10,441 +128% $16,776 +42% —
784 CESAREAN SEC W STERIL W CC $23,717 $7,115 $15,808 +50% $23,283 +2% —
842 LYMPH & NON AC LEUK WO CC $23,667 $7,100 $16,770 +41% $19,657 +20% —
766 CESAREAN SEC W/O CC/MCC $23,537 $7,061 $9,291 +153% $5,336 +341% —
392 ESOPH, GE DIG DIS WO MCC $23,478 $7,043 $11,593 +103% $17,322 +36% ≈141% of Medicare
884 ORGAN DIST & INTELL DISAB $23,419 $7,026 $19,761 +19% $26,682 −12% —
388 GI OBST W MCC $23,390 $7,017 $20,248 +16% $30,571 −23% —
793 FULL TERM NEO W MAJ PROB $23,278 $6,983 $16,601 +40% $18,649 +25% —
812 RBC DIS W/O MCC $22,636 $6,791 $13,749 +65% $20,488 +10% —
372 MAJ GI DIS&PERIT INF W CC $22,482 $6,745 $16,553 +36% $22,850 −2% —
384 UNCMP PEPTC ULCER WO MCC $22,294 $6,688 $14,480 +54% $19,305 +15% —
292 HEART FAIL/SHOCK W CC $22,131 $6,639 $13,521 +64% $16,371 +35% —
866 VIRAL ILLNESS W/O MCC $21,951 $6,585 $9,770 +125% $17,081 +29% —
379 GI HEM WO CC/MCC $21,579 $6,474 $11,458 +88% $15,038 +44% —
783 CESAREAN SEC W STERIL W MC $21,075 $6,322 $19,927 +6% $29,221 −28% —
191 CH OBST PULM DIS W CC $20,642 $6,193 $13,959 +48% $18,807 +10% —
373 MAJ GI DIS&PERIT INF WO CC $20,520 $6,156 $7,486 +174% $16,767 +22% —
792 PREMATURITY WO MAJ PROB $20,481 $6,144 $19,142 +7% $12,229 +67% —
184 MAJ CHEST TRAUMA W CC $19,903 $5,971 $17,057 +17% $22,432 −11% —
698 OTH KID & UT DX W MCC $19,773 $5,932 $18,499 +7% $32,496 −39% —
310 CARD COND DIS WO CC/MCC $19,713 $5,914 $10,338 +91% $13,384 +47% —
312 SYNCOPE & COLLAPSE $19,457 $5,837 $12,796 +52% $19,342 +1% —
639 DIABETES W/O CC/MCC $19,387 $5,816 $11,327 +71% $13,910 +39% —
187 PLEURAL EFF W CC $19,023 $5,707 $16,225 +17% $21,789 −13% —
768 VAG DEL W OR PX $18,975 $5,692 $13,160 +44% $16,846 +13% —
301 PERI VASC DIS WO CC/MCC $18,784 $5,635 $12,453 +51% $15,837 +19% —
089 CONCUSSION W CC $18,369 $5,511 $16,573 +11% $18,821 −2% —
091 OTH DIS NERV SYS W MCC $18,350 $5,505 $18,130 +1% $37,387 −51% —
882 NEUROSES X DEPRESSIVE $18,338 $5,501 $9,868 +86% $15,680 +17% —
315 OTH CIRC SYS DX W CC $18,202 $5,461 $14,428 +26% $21,363 −15% —
816 RETICUL & IMMUN DIS WO $17,908 $5,372 $6,844 +162% $14,638 +22% —
390 GI OBST WO CC/MCC $17,770 $5,331 $9,773 +82% $13,361 +33% —
441 DISDRS LIVER W MCC $17,684 $5,305 $27,729 −36% $33,985 −48% —
916 ALLERGIC REAC W/O MCC $17,472 $5,242 $11,813 +48% $13,942 +25% —
192 CH OBST PULM DIS WO CC/MCC $17,286 $5,186 $10,412 +66% $14,368 +20% —
386 INFL BOWEL DIS W CC $17,206 $5,162 $12,418 +39% $22,033 −22% —
988 NON-EXT OR UNREL PDX W CC $17,074 $5,122 $25,466 −33% $38,094 −55% —
293 HEART FAIL/SHOCK WO CC/MCC $17,054 $5,116 $8,506 +100% $12,999 +31% —
440 DIS PANCR X MALIG WO CC $17,054 $5,116 $9,449 +80% $15,183 +12% —
774 VAG DELIV W COMP DX $16,969 $5,091 $7,467 +127% $3,032 +460% —
727 INF MALE REPROD SYS W MCC $16,945 $5,084 $16,945 +0% $26,463 −36% —
176 PULMONARY EMB WO MCC $16,182 $4,855 $13,765 +18% $18,081 −11% —
760 MENS/FEMAL REPRO DIS W CC $15,966 $4,790 $13,209 +21% $20,895 −24% —
074 CRAN/PERI NRV DIS WO MCC $15,702 $4,710 $10,738 +46% $23,141 −32% —
313 CHEST PAIN $15,673 $4,702 $11,410 +37% $16,440 −5% —
154 OTHER ENMT DIAG W MCC $15,488 $4,646 $17,626 −12% $27,633 −44% —
789 NEON DIED OR TRANS TO ACF $15,422 $4,627 $13,100 +18% $16,351 −6% —
684 RENAL FAILURE W/O CC/MCC $15,416 $4,625 $11,077 +39% $13,642 +13% —
965 OTH MULT SIG TRAUMA W/O CC $15,340 $4,602 $10,774 +42% $20,259 −24% —
389 GI OBST W CC $15,277 $4,583 $11,211 +36% $17,578 −13% —
989 NON-EXT OR UNREL PDX WO CC $15,091 $4,527 $18,191 −17% $25,652 −41% —
805 VAG DEL WO STER/DC W MCC $15,041 $4,512 $13,876 +8% $15,370 −2% —
807 VAG DEL WO STER/DC WOCCMCC $15,007 $4,502 $9,890 +52% $12,078 +24% —
935 NON-EXTENSIVE BURNS $14,954 $4,486 $17,380 −14% $31,701 −53% —
794 NEON W OTH SIG PROB $14,730 $4,419 $10,055 +46% $8,445 +74% —
791 PREMATURITY W MAJ PROB $14,392 $4,317 $38,919 −63% $42,679 −66% —
806 VAG DEL WO STER/DC W CC $14,089 $4,227 $10,644 +32% $13,275 +6% —
775 VAG DELIV W/O COMP DX $12,730 $3,819 $7,220 +76% $3,032 +320% —
832 OTH ANTP DX WO OR W CC $12,536 $3,761 $9,984 +26% $12,895 −3% —
442 DISDRS LIVER W CC $12,244 $3,673 $15,734 −22% $21,449 −43% —
300 PERI VASC DIS W CC $11,848 $3,555 $11,399 +4% $20,422 −42% —
897 ALC/DRU ABU WO REHAB WOMCC $11,149 $3,345 $10,042 +11% $16,699 −33% —
758 INF FEM REPRO SYS W CC $10,546 $3,164 $11,514 −8% $20,901 −50% —
561 AFTRCARE MUS CON TIS WO CC $10,527 $3,158 $13,441 −22% $18,150 −42% —
795 NORMAL NEWBORN $10,376 $3,113 $4,129 +151% $4,720 +120% —
776 PP & POST AB DX WO OR PX $10,228 $3,068 $7,644 +34% $12,454 −18% —
782 OTHER ANTEPARTUM DX $10,060 $3,018 $4,226 +138% $10,060 +0% —
894 ALC/DRUG ABUSE/DEP AMA $9,612 $2,884 $5,914 +63% $12,324 −22% —
798 VAG DEL W STER/DC WO CCMCC $8,488 $2,546 $13,602 −38% $18,452 −54% —
833 OTH ANTP DX WO OR WOCCMCC $7,421 $2,226 $5,902 +26% $9,940 −25% —
895 ALC/DRUG ABUSE/DEP REHAB $4,727 $1,418 $14,725 −68% $21,986 −79% —

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
018 CHIM ANTG REC (CAR) T-CELL — 1 plans
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