Glenn Medical Center — Pricing

278 procedures published in this hospital's Machine-Readable File (MRF) — 175 with a comparable price, 103 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 278
Lowest published price $387
Average published price $8,584
Highest published price $79,216

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 278 procedures

Published charges

Showing all 175 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.

DRG Description Published price Cash price vs. CA median vs. National median
540 OSTEOMYELITIS WITH CC $79,216 $47,530 $28,728 +176% $23,494 +237%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $70,760 $42,456 $43,328 +63% $36,850 +92%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $67,996 $40,798 $25,279 +169% $24,452 +178%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $60,819 $36,492 $38,483 +58% $30,974 +96%
602 CELLULITIS WITH MCC $56,036 $33,622 $31,970 +75% $29,347 +91%
593 SKIN ULCERS WITH CC $53,662 $32,197 $27,143 +98% $20,470 +162%
196 INTERSTITIAL LUNG DISEASE WITH MCC $49,036 $29,422 $38,951 +26% $30,766 +59%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $48,720 $29,232 $36,661 +33% $31,758 +53%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $41,066 $24,640 $34,448 +19% $31,840 +29%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $40,708 $24,425 $22,024 +85% $22,024 +85%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $37,643 $22,586 $20,896 +80% $18,918 +99%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $34,550 $20,730 $40,263 −14% $35,237 −2%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $31,943 $19,166 $31,974 −0% $25,786 +24%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $29,250 $17,550 $29,252 −0% $26,158 +12%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $28,332 $16,999 $33,325 −15% $28,646 −1%
947 SIGNS AND SYMPTOMS WITH MCC $27,070 $16,242 $28,553 −5% $25,474 +6%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $25,839 $15,503 $18,204 +42% $18,204 +42%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $24,396 $14,638 $25,980 −6% $22,982 +6%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $20,300 $12,180 $23,767 −15% $19,579 +4%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $17,869 $10,721 $35,113 −49% $32,689 −45%
386 INFLAMMATORY BOWEL DISEASE WITH CC $16,631 $9,979 $22,033 −25% $20,968 −21%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $16,240 $9,744 $29,481 −45% $24,480 −34%
291 HEART FAILURE AND SHOCK WITH MCC $16,218 $9,731 $28,966 −44% $25,020 −35%
183 MAJOR CHEST TRAUMA WITH MCC $15,765 $9,459 $33,957 −54% $28,924 −45%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $15,719 $9,432 $23,503 −33% $24,136 −35%
949 AFTERCARE WITH CC/MCC $15,664 $9,398 $23,953 −35% $23,953 −35%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $15,470 $9,282 $52,405 −70% $52,405 −70%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $15,406 $9,243 $22,850 −33% $22,850 −33%
637 DIABETES WITH MCC $15,122 $9,073 $31,753 −52% $28,819 −48%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $14,184 $8,510 $30,959 −54% $29,757 −52%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $13,801 $8,281 $21,886 −37% $21,886 −37%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $13,699 $8,219 $22,888 −40% $22,781 −40%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,623 $7,574 $37,842 −67% $37,842 −67%
200 PNEUMOTHORAX WITH CC $11,967 $7,180 $24,586 −51% $20,573 −42%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,823 $7,094 $23,749 −50% $23,749 −50%
606 MINOR SKIN DISORDERS WITH MCC $11,630 $6,978 $34,344 −66% $25,434 −54%
176 PULMONARY EMBOLISM WITHOUT MCC $11,469 $6,881 $18,081 −37% $18,081 −37%
920 COMPLICATIONS OF TREATMENT WITH CC $10,676 $6,406 $22,552 −53% $21,181 −50%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,102 $6,061 $34,817 −71% $30,910 −67%
292 HEART FAILURE AND SHOCK WITH CC $9,793 $5,876 $19,118 −49% $16,212 −40%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $9,123 $5,474 $40,719 −78% $35,714 −74%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,773 $5,264 $24,439 −64% $17,483 −50%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $8,542 $5,125 $37,213 −77% $30,275 −72%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,065 $4,839 $17,265 −53% $15,858 −49%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,897 $4,738 $24,930 −68% $24,190 −67%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $7,741 $4,645 $42,423 −82% $32,483 −76%
197 INTERSTITIAL LUNG DISEASE WITH CC $7,169 $4,301 $21,977 −67% $20,106 −64%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $7,144 $4,287 $15,637 −54% $12,336 −42%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $7,009 $4,205 $28,515 −75% $27,244 −74%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $6,796 $4,078 $31,982 −79% $28,780 −76%
302 ATHEROSCLEROSIS WITH MCC $6,765 $4,059 $25,825 −74% $20,844 −68%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $6,613 $3,968 $35,243 −81% $32,502 −80%
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,328 $3,797 $24,075 −74% $21,806 −71%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $6,309 $3,786 $32,578 −81% $14,284 −56%
100 SEIZURES WITH MCC $6,173 $3,704 $40,653 −85% $35,194 −82%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,719 $3,432 $17,795 −68% $17,388 −67%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,341 $3,205 $18,150 −71% $18,150 −71%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,289 $3,173 $21,460 −75% $17,273 −69%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,230 $3,138 $15,058 −65% $11,997 −56%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,177 $3,106 $16,077 −68% $12,593 −59%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,061 $3,037 $19,072 −73% $18,278 −72%
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,768 $2,861 $17,638 −73% $17,727 −73%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $4,765 $2,859 $32,473 −85% $29,484 −84%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,720 $2,832 $13,824 −66% $13,824 −66%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,454 $2,673 $20,725 −79% $16,642 −73%
682 RENAL FAILURE WITH MCC $4,215 $2,529 $32,520 −87% $27,854 −85%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,047 $2,428 $14,128 −71% $14,128 −71%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,047 $2,428 $43,483 −91% $38,357 −89%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,972 $2,383 $22,557 −82% $18,017 −78%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,919 $2,351 $18,139 −78% $16,837 −77%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,816 $2,290 $19,096 −80% $19,096 −80%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,780 $2,268 $34,867 −89% $28,967 −87%
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,728 $2,237 $29,523 −87% $23,350 −84%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,721 $2,232 $13,683 −73% $15,070 −75%
187 PLEURAL EFFUSION WITH CC $3,634 $2,180 $22,288 −84% $21,467 −83%
603 CELLULITIS WITHOUT MCC $3,553 $2,132 $19,553 −82% $18,530 −81%
181 RESPIRATORY NEOPLASMS WITH CC $3,548 $2,129 $24,648 −86% $22,431 −84%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,523 $2,114 $32,248 −89% $28,140 −87%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,470 $2,082 $16,104 −78% $16,104 −78%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,438 $2,063 $21,363 −84% $20,777 −83%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,413 $2,048 $17,087 −80% $14,444 −76%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,391 $2,035 $17,817 −81% $17,466 −81%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,359 $2,015 $27,470 −88% $25,704 −87%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,330 $1,998 $16,097 −79% $18,623 −82%
811 RED BLOOD CELL DISORDERS WITH MCC $3,284 $1,970 $30,922 −89% $27,934 −88%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,236 $1,942 $35,591 −91% $31,128 −90%
184 MAJOR CHEST TRAUMA WITH CC $3,178 $1,907 $23,711 −87% $20,842 −85%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,162 $1,897 $13,318 −76% $13,318 −76%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,070 $1,842 $20,463 −85% $20,463 −85%
311 ANGINA PECTORIS $3,049 $1,830 $15,502 −80% $15,165 −80%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,946 $1,768 $26,770 −89% $26,488 −89%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,815 $1,689 $25,552 −89% $18,133 −84%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,735 $1,641 $21,880 −88% $18,282 −85%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,729 $1,637 $14,134 −81% $14,134 −81%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $2,720 — $34,839 −92% $28,134 −90%
551 MEDICAL BACK PROBLEMS WITH MCC $2,713 $1,628 $35,961 −92% $31,086 −91%
638 DIABETES WITH CC $2,673 $1,604 $20,361 −87% $18,821 −86%
694 URINARY STONES WITHOUT MCC $2,655 $1,593 $17,347 −85% $16,531 −84%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,604 $1,563 $18,002 −86% $18,002 −86%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,596 $1,557 $19,638 −87% $15,045 −83%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $2,508 $1,505 $22,575 −89% $23,469 −89%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,496 $1,498 $13,855 −82% $12,013 −79%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,419 $1,451 $19,624 −88% $15,869 −85%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,389 $1,433 $16,654 −86% $16,654 −86%
201 PNEUMOTHORAX WITHOUT CC/MCC $2,376 $1,425 $15,031 −84% $13,081 −82%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,359 $1,415 $17,322 −86% $17,322 −86%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,297 $1,378 $23,551 −90% $23,496 −90%
312 SYNCOPE AND COLLAPSE $2,286 $1,371 $19,342 −88% $19,342 −88%
102 HEADACHES WITH MCC $2,261 — $25,740 −91% $22,544 −90%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,253 $1,352 $20,108 −89% $17,731 −87%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,232 $1,339 $107,269 −98% $80,018 −97%
313 CHEST PAIN $2,096 $1,258 $15,837 −87% $15,962 −87%
683 RENAL FAILURE WITH CC $2,064 $1,238 $19,733 −90% $18,620 −89%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $2,006 $1,204 $17,762 −89% $20,278 −90%
375 DIGESTIVE MALIGNANCY WITH CC $1,982 — $27,277 −93% $27,219 −93%
101 SEIZURES WITHOUT MCC $1,952 $1,171 $20,461 −90% $19,954 −90%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $1,906 $1,144 $13,326 −86% $11,955 −84%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,882 $1,129 $19,584 −90% $16,049 −88%
303 ATHEROSCLEROSIS WITHOUT MCC $1,876 $1,125 $14,927 −87% $14,927 −87%
149 DYSEQUILIBRIUM $1,861 $1,117 $16,594 −89% $17,203 −89%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,834 $1,100 $22,637 −92% $21,545 −91%
885 PSYCHOSES $1,799 $1,080 $30,968 −94% $21,489 −92%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $1,787 $1,072 $17,700 −90% $17,700 −90%
541 OSTEOMYELITIS WITHOUT CC/MCC $1,771 $1,063 $19,422 −91% $14,549 −88%
090 CONCUSSION WITHOUT CC/MCC $1,756 — $19,032 −91% $14,873 −88%
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,736 $1,041 $16,299 −89% $14,110 −88%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $1,686 $1,012 $15,549 −89% $13,654 −88%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,523 $914 $14,368 −89% $14,368 −89%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,460 $876 $17,953 −92% $15,655 −91%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $1,410 — $19,305 −93% $19,305 −93%
684 RENAL FAILURE WITHOUT CC/MCC $1,410 $846 $13,642 −90% $13,623 −90%
950 AFTERCARE WITHOUT CC/MCC $1,376 $826 $13,527 −90% $13,527 −90%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,375 $825 $20,506 −93% $19,287 −93%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,361 — $17,347 −92% $16,745 −92%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,325 — $29,623 −96% $25,426 −95%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,320 — $21,449 −94% $21,449 −94%
534 FRACTURES OF FEMUR WITHOUT MCC $1,316 $789 $18,070 −93% $17,195 −92%
204 RESPIRATORY SIGNS AND SYMPTOMS $1,298 $779 $18,004 −93% $16,866 −92%
914 TRAUMATIC INJURY WITHOUT MCC $1,291 — $20,344 −94% $15,593 −92%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,288 $773 $17,522 −93% $17,522 −93%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $1,274 $764 $15,267 −92% $14,012 −91%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,225 $735 $18,978 −94% $14,290 −91%
864 FEVER AND INFLAMMATORY CONDITIONS $1,224 — $19,935 −94% $17,412 −93%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $1,213 — $23,369 −95% $18,478 −93%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $1,194 — $20,086 −94% $15,077 −92%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,190 $714 $15,600 −92% $15,600 −92%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $1,183 $710 $19,602 −94% $15,608 −92%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,180 — $14,072 −92% $11,421 −90%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,167 $701 $13,384 −91% $13,384 −91%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,145 — $19,842 −94% $18,803 −94%
103 HEADACHES WITHOUT MCC $1,103 $662 $18,874 −94% $20,111 −95%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $1,092 $655 $15,358 −93% $14,441 −92%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $1,064 — $16,175 −93% $12,650 −92%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,048 — $16,412 −94% $16,865 −94%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,045 $627 $11,539 −91% $9,076 −88%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $1,033 $620 $14,907 −93% $11,909 −91%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,011 — $15,462 −93% $12,405 −92%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $964 $579 $13,425 −93% $9,385 −90%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $960 — $21,396 −96% $21,213 −95%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $939 $564 $15,156 −94% $12,797 −93%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $914 $548 $18,577 −95% $14,055 −93%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $906 — $16,525 −95% $13,892 −93%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $816 — $15,280 −95% $19,483 −96%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $804 $482 $13,639 −94% $11,071 −93%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $788 $788 $27,494 −97% $22,032 −96%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $762 $457 $17,287 −96% $14,166 −95%
305 HYPERTENSION WITHOUT MCC $723 — $16,665 −96% $17,144 −96%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $721 $433 $12,751 −94% $8,927 −92%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $679 — $23,352 −97% $17,550 −96%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $546 $328 $37,477 −99% $24,836 −98%
779 ABORTION WITHOUT D&C $537 $537 $20,752 −97% $15,327 −96%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $530 $530 $21,280 −98% $15,636 −97%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $506 $506 $14,638 −97% $13,485 −96%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $464 — $18,592 −98% $14,064 −97%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $387 $232 $16,713 −98% $7,961 −95%

Procedures with negotiated rates only

These 103 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
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $604 – $16,750 24 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $739 – $33,151 24 plans
607 MINOR SKIN DISORDERS WITHOUT MCC — 24 plans
639 DIABETES WITHOUT CC/MCC $626 – $16,264 · median $705 24 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $619 – $23,590 24 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $386 – $16,421 24 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC — 20 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC — 20 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC — 20 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC — 20 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC — 20 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC — 20 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $705 – $20,426 20 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC — 20 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC — 20 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC — 20 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC — 20 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC — 20 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC — 20 plans
089 CONCUSSION WITH CC — 20 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC — 20 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC — 20 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $1,644 – $32,995 20 plans
123 NEUROLOGICAL EYE DISORDERS — 20 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT — 20 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC — 20 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC — 20 plans
151 EPISTAXIS WITHOUT MCC — 20 plans
152 OTITIS MEDIA AND URI WITH MCC — 20 plans
153 OTITIS MEDIA AND URI WITHOUT MCC — 20 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC — 20 plans
158 DENTAL AND ORAL DISEASES WITH CC $847 – $13,985 · median $953 20 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC — 20 plans
186 PLEURAL EFFUSION WITH MCC — 20 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $535 – $12,474 20 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC — 20 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC — 20 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC — 20 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $759 – $17,324 · median $854 20 plans
304 HYPERTENSION WITH MCC — 20 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC — 20 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC — 20 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC — 20 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC — 20 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC — 20 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC — 20 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC — 20 plans
539 OSTEOMYELITIS WITH MCC — 20 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $602 – $38,018 20 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 20 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC — 20 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC — 20 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC — 20 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 20 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC — 20 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC — 20 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $712 – $16,750 · median $802 20 plans
592 SKIN ULCERS WITH MCC — 20 plans
594 SKIN ULCERS WITHOUT CC/MCC $649 – $17,780 20 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC — 20 plans
597 MALIGNANT BREAST DISORDERS WITH MCC — 20 plans
598 MALIGNANT BREAST DISORDERS WITH CC — 20 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC — 20 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC — 20 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM — 20 plans
643 ENDOCRINE DISORDERS WITH MCC — 20 plans
644 ENDOCRINE DISORDERS WITH CC — 20 plans
693 URINARY STONES WITH MCC — 20 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,306 – $16,288 20 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC — 20 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $745 – $16,288 · median $839 20 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $841 – $18,540 20 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC — 20 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC — 20 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 20 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC — 20 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC — 20 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC — 20 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES — 20 plans
795 NORMAL NEWBORN $170 – $8,219 20 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC — 20 plans
813 COAGULATION DISORDERS — 20 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC — 20 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC — 20 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $1,420 – $30,395 · median $1,598 20 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC — 20 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC — 20 plans
865 VIRAL ILLNESS WITH MCC — 20 plans
866 VIRAL ILLNESS WITHOUT MCC — 20 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC — 20 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC — 20 plans
881 DEPRESSIVE NEUROSES $388 – $12,733 20 plans
882 NEUROSES EXCEPT DEPRESSIVE $166 – $9,963 20 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $175 – $13,311 20 plans
887 OTHER MENTAL DISORDER DIAGNOSES $211 – $12,733 20 plans
913 TRAUMATIC INJURY WITH MCC — 20 plans
916 ALLERGIC REACTIONS WITHOUT MCC — 20 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC — 20 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $930 – $15,495 · median $1,046 20 plans
935 NON-EXTENSIVE BURNS — 20 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $890 – $17,610 20 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC — 20 plans
999 UNGROUPABLE — 20 plans
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