Cass County Memorial Hospital — Pricing
251 procedures published in this hospital's Machine-Readable File (MRF) — 247 with a comparable price, 4 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 251
Lowest published price $642
Average published price $17,441
Highest published price $150,496
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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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 251 procedures
Published charges
Showing all 247 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. IA median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $150,496 | $105,347 | $41,184 | +265% | $52,908 | +184% |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $149,738 | $104,817 | $53,186 | +182% | $82,561 | +81% |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $106,916 | $74,841 | $39,466 | +171% | $58,707 | +82% |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $83,810 | $58,667 | $23,394 | +258% | $32,841 | +155% |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $73,337 | $51,336 | $60,749 | +21% | $59,421 | +23% |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $70,080 | $49,056 | $30,277 | +131% | $47,583 | +47% |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $68,961 | $48,273 | $71,694 | −4% | $53,451 | +29% |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $64,438 | $45,107 | $38,516 | +67% | $58,745 | +10% |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $61,147 | $42,803 | $30,670 | +99% | $48,682 | +26% |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $60,523 | $42,366 | $25,729 | +135% | $29,611 | +104% |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $53,866 | $37,706 | $9,782 | +451% | $18,474 | +192% |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $52,346 | $36,643 | $86,898 | −40% | $51,985 | +1% |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $48,623 | $34,036 | $43,554 | +12% | $54,929 | −11% |
| 548 | SEPTIC ARTHRITIS WITH MCC | $47,850 | $33,495 | $26,752 | +79% | $31,346 | +53% |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $46,615 | $32,631 | $43,703 | +7% | $71,464 | −35% |
| 263 | VEIN LIGATION AND STRIPPING | $44,502 | $31,152 | $34,370 | +29% | $51,253 | −13% |
| 302 | ATHEROSCLEROSIS WITH MCC | $42,778 | $29,945 | $34,434 | +24% | $22,446 | +91% |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $41,994 | $29,396 | $37,727 | +11% | $80,793 | −48% |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $40,733 | $28,513 | $109,301 | −63% | $58,280 | −30% |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $39,188 | $27,432 | $10,795 | +263% | $15,215 | +158% |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $39,106 | $27,374 | $63,984 | −39% | $65,653 | −40% |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $39,085 | $27,360 | $21,948 | +78% | $27,861 | +40% |
| 813 | COAGULATION DISORDERS | $39,030 | $27,321 | $35,406 | +10% | $33,296 | +17% |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $36,768 | $25,738 | $58,965 | −38% | $50,607 | −27% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $36,203 | $25,342 | $25,330 | +43% | $19,096 | +90% |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $35,813 | $25,069 | $28,441 | +26% | $45,877 | −22% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $34,425 | $24,097 | $19,959 | +72% | $23,571 | +46% |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $34,160 | $23,912 | $33,350 | +2% | $38,101 | −10% |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $33,993 | $23,795 | $28,265 | +20% | $31,951 | +6% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $33,400 | $23,380 | $53,534 | −38% | $44,117 | −24% |
| 539 | OSTEOMYELITIS WITH MCC | $33,161 | $23,213 | $25,097 | +32% | $37,609 | −12% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $32,948 | $23,063 | $74,535 | −56% | $59,500 | −45% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $32,810 | $22,967 | $17,664 | +86% | $19,846 | +65% |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $32,728 | $22,909 | $32,947 | −1% | $34,459 | −5% |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $32,688 | $22,881 | $25,978 | +26% | $32,451 | +1% |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $30,206 | $21,144 | $41,100 | −27% | $65,325 | −54% |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $29,992 | $20,995 | $62,426 | −52% | $96,507 | −69% |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $28,091 | $19,664 | $24,788 | +13% | $44,139 | −36% |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $27,922 | $19,545 | $13,219 | +111% | $20,232 | +38% |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $27,820 | $19,474 | $25,878 | +8% | $41,955 | −34% |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $27,565 | $19,295 | $40,078 | −31% | $36,658 | −25% |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $27,125 | $18,988 | $140,214 | −81% | $27,277 | −1% |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $26,095 | $18,266 | $15,570 | +68% | $18,452 | +41% |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $25,856 | $18,099 | $8,929 | +190% | $15,837 | +63% |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $25,627 | $17,939 | $15,861 | +62% | $27,297 | −6% |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $24,372 | $17,061 | $39,973 | −39% | $39,973 | −39% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $23,742 | $16,619 | $32,241 | −26% | $30,959 | −23% |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $23,350 | $16,345 | $94,481 | −75% | $144,569 | −84% |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $22,927 | $16,049 | $21,836 | +5% | $32,944 | −30% |
| 503 | FOOT PROCEDURES WITH MCC | $22,887 | $16,021 | $35,027 | −35% | $47,540 | −52% |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $22,703 | $15,892 | $34,094 | −33% | $52,751 | −57% |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $22,632 | $15,842 | $21,668 | +4% | $24,586 | −8% |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $22,298 | $15,608 | $36,166 | −38% | $19,227 | +16% |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,166 | $15,516 | $77,936 | −72% | $59,651 | −63% |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $22,119 | $15,483 | $14,034 | +58% | $25,652 | −14% |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $22,044 | $15,431 | $22,292 | −1% | $32,859 | −33% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $22,008 | $15,405 | $39,406 | −44% | $43,943 | −50% |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $21,742 | $15,219 | $22,112 | −2% | $39,619 | −45% |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $21,403 | $14,982 | $52,334 | −59% | $36,937 | −42% |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $20,637 | $14,446 | $66,219 | −69% | $44,606 | −54% |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $20,389 | $14,272 | $16,982 | +20% | $25,700 | −21% |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $20,006 | $14,004 | $14,627 | +37% | $18,956 | +6% |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $19,899 | $13,929 | $14,290 | +39% | $24,552 | −19% |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $19,594 | $13,716 | $18,992 | +3% | $33,103 | −41% |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $19,475 | $13,633 | $37,457 | −48% | $17,118 | +14% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $19,320 | $13,524 | $24,979 | −23% | $22,024 | −12% |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,286 | $13,500 | $36,052 | −47% | $44,546 | −57% |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,093 | $13,365 | $70,707 | −73% | $42,881 | −55% |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $19,026 | $13,318 | $22,580 | −16% | $33,555 | −43% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $18,384 | $12,869 | $19,013 | −3% | $20,084 | −8% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $18,299 | $12,809 | $26,108 | −30% | $18,528 | −1% |
| 100 | SEIZURES WITH MCC | $18,191 | $12,734 | $35,194 | −48% | $35,481 | −49% |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $18,041 | $12,628 | $16,865 | +7% | $27,285 | −34% |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $18,023 | $12,616 | $51,352 | −65% | $39,211 | −54% |
| 540 | OSTEOMYELITIS WITH CC | $17,737 | $12,416 | $50,483 | −65% | $26,676 | −34% |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $17,651 | $12,356 | $15,010 | +18% | $16,450 | +7% |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $17,296 | $12,107 | $10,822 | +60% | $16,487 | +5% |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $17,189 | $12,032 | $10,950 | +57% | $22,506 | −24% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $17,117 | $11,982 | $18,500 | −7% | $17,322 | −1% |
| 637 | DIABETES WITH MCC | $17,039 | $11,927 | $25,497 | −33% | $30,100 | −43% |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,825 | $11,778 | $20,953 | −20% | $30,553 | −45% |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $16,688 | $11,682 | $12,832 | +30% | $19,264 | −13% |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $16,401 | $11,481 | $8,836 | +86% | $14,638 | +12% |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,038 | $11,227 | $27,118 | −41% | $41,892 | −62% |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,702 | $10,991 | $64,322 | −76% | $52,435 | −70% |
| 187 | PLEURAL EFFUSION WITH CC | $15,396 | $10,777 | $13,249 | +16% | $21,789 | −29% |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $15,282 | $10,698 | $39,577 | −61% | $62,821 | −76% |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $15,144 | $10,601 | $9,410 | +61% | $12,768 | +19% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $14,940 | $10,458 | $21,623 | −31% | $26,580 | −44% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $14,856 | $10,399 | $21,475 | −31% | $24,386 | −39% |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,852 | $10,397 | $43,477 | −66% | $43,477 | −66% |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $14,723 | $10,306 | $11,432 | +29% | $19,138 | −23% |
| 949 | AFTERCARE WITH CC/MCC | $14,715 | $10,300 | $15,037 | −2% | $23,953 | −39% |
| 593 | SKIN ULCERS WITH CC | $14,662 | $10,263 | $14,519 | +1% | $22,886 | −36% |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $14,262 | $9,983 | $34,352 | −58% | $68,508 | −79% |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,942 | $9,759 | $16,802 | −17% | $31,264 | −55% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $13,893 | $9,725 | $3,427 | +305% | $10,160 | +37% |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,867 | $9,707 | $26,751 | −48% | $45,333 | −69% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $13,867 | $9,707 | $17,777 | −22% | $18,204 | −24% |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,571 | $9,500 | $19,585 | −31% | $32,031 | −58% |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,524 | $9,467 | $22,473 | −40% | $38,836 | −65% |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,408 | $9,386 | $22,676 | −41% | $36,167 | −63% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,361 | $9,352 | $51,860 | −74% | $37,842 | −65% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,321 | $9,325 | $22,634 | −41% | $27,275 | −51% |
| 602 | CELLULITIS WITH MCC | $13,297 | $9,308 | $31,269 | −57% | $30,598 | −57% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $13,187 | $9,231 | $22,291 | −41% | $21,396 | −38% |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,910 | $9,037 | $20,427 | −37% | $27,617 | −53% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $12,837 | $8,986 | $10,847 | +18% | $14,648 | −12% |
| 304 | HYPERTENSION WITH MCC | $12,697 | $8,888 | $21,174 | −40% | $26,080 | −51% |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,617 | $8,832 | $28,961 | −56% | $40,213 | −69% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $12,604 | $8,823 | $14,790 | −15% | $18,807 | −33% |
| 139 | SALIVARY GLAND PROCEDURES | $12,416 | $8,691 | $17,109 | −27% | $23,612 | −47% |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,392 | $8,675 | $20,962 | −41% | $37,169 | −67% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $12,334 | $8,634 | $31,660 | −61% | $19,842 | −38% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,331 | $8,632 | $18,314 | −33% | $28,226 | −56% |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,272 | $8,591 | $25,599 | −52% | $27,426 | −55% |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $12,263 | $8,584 | $9,051 | +35% | $14,053 | −13% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,185 | $8,529 | $19,102 | −36% | $26,776 | −54% |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,058 | $8,440 | $60,373 | −80% | $46,090 | −74% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,906 | $8,334 | $22,615 | −47% | $22,888 | −48% |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,849 | $8,294 | $20,457 | −42% | $33,661 | −65% |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,822 | $8,276 | $23,258 | −49% | $39,955 | −70% |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $11,773 | $8,241 | $3,500 | +236% | $12,895 | −9% |
| 311 | ANGINA PECTORIS | $11,616 | $8,131 | $7,358 | +58% | $15,502 | −25% |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,570 | $8,099 | $59,434 | −81% | $36,505 | −68% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,469 | $8,028 | $43,173 | −73% | $22,850 | −50% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,385 | $7,970 | $26,112 | −56% | $23,617 | −52% |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $11,379 | $7,966 | $11,971 | −5% | $19,569 | −42% |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,358 | $7,951 | $15,746 | −28% | $28,156 | −60% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,336 | $7,935 | $23,337 | −51% | $33,707 | −66% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,287 | $7,901 | $31,381 | −64% | $39,106 | −71% |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $11,274 | $7,892 | $19,313 | −42% | $50,919 | −78% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,257 | $7,880 | $38,797 | −71% | $23,940 | −53% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,237 | $7,866 | $24,382 | −54% | $35,628 | −68% |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,100 | $7,770 | $23,684 | −53% | $36,792 | −70% |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,042 | $7,730 | $13,981 | −21% | $18,459 | −40% |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,990 | $7,693 | $12,396 | −11% | $20,926 | −47% |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,929 | $7,651 | $17,434 | −37% | $30,828 | −65% |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,854 | $7,598 | $38,156 | −72% | $23,551 | −54% |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,757 | $7,530 | $14,257 | −25% | $23,319 | −54% |
| 638 | DIABETES WITH CC | $10,633 | $7,443 | $17,301 | −39% | $19,661 | −46% |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,633 | $7,443 | $39,603 | −73% | $30,571 | −65% |
| 682 | RENAL FAILURE WITH MCC | $10,608 | $7,425 | $24,005 | −56% | $29,064 | −64% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,546 | $7,382 | $16,132 | −35% | $21,275 | −50% |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,540 | $7,378 | $90,554 | −88% | $22,763 | −54% |
| 245 | AICD GENERATOR PROCEDURES | $10,329 | $7,230 | $26,096 | −60% | $72,076 | −86% |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,090 | $7,063 | $23,884 | −58% | $41,591 | −76% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $9,941 | $6,959 | $17,657 | −44% | $34,017 | −71% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,881 | $6,917 | $23,054 | −57% | $18,081 | −45% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,838 | $6,887 | $28,168 | −65% | $24,914 | −61% |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,628 | $6,740 | $45,920 | −79% | $33,653 | −71% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,537 | $6,676 | $31,379 | −70% | $22,098 | −57% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,503 | $6,652 | $14,651 | −35% | $20,422 | −53% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $9,501 | $6,651 | $8,123 | +17% | $13,824 | −31% |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,452 | $6,617 | $13,671 | −31% | $17,404 | −46% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,448 | $6,614 | $22,972 | −59% | $26,770 | −65% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,408 | $6,586 | $19,393 | −51% | $16,699 | −44% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $9,307 | $6,515 | $27,229 | −66% | $20,781 | −55% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,129 | $6,391 | $13,271 | −31% | $17,303 | −47% |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,654 | $6,058 | $17,626 | −51% | $29,743 | −71% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,589 | $6,013 | $18,727 | −54% | $17,578 | −51% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,588 | $6,011 | $9,491 | −10% | $17,724 | −52% |
| 305 | HYPERTENSION WITHOUT MCC | $8,238 | $5,767 | $35,347 | −77% | $18,086 | −54% |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,175 | $5,723 | $11,315 | −28% | $18,488 | −56% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $8,112 | $5,678 | $30,215 | −73% | $15,038 | −46% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,093 | $5,665 | $46,585 | −83% | $26,682 | −70% |
| 200 | PNEUMOTHORAX WITH CC | $8,092 | $5,664 | $23,046 | −65% | $21,368 | −62% |
| 999 | UNGROUPABLE | $8,053 | $5,637 | $9,438 | −15% | $29,674 | −73% |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,042 | $5,629 | $10,279 | −22% | $15,412 | −48% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,987 | $5,591 | $18,497 | −57% | $27,543 | −71% |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $7,907 | $5,535 | $15,166 | −48% | $40,548 | −80% |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,799 | $5,459 | $28,803 | −73% | $21,449 | −64% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,690 | $5,383 | $10,947 | −30% | $13,275 | −42% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,664 | $5,365 | $13,921 | −45% | $16,846 | −55% |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,608 | $5,325 | $9,823 | −23% | $18,126 | −58% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,604 | $5,323 | $15,370 | −51% | $15,370 | −51% |
| 398 | APPENDIX PROCEDURES WITH CC | $7,505 | $5,254 | $71,822 | −90% | $40,162 | −81% |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,444 | $5,211 | $37,654 | −80% | $89,207 | −92% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,194 | $5,036 | $16,164 | −55% | $12,999 | −45% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,081 | $4,957 | $21,890 | −68% | $20,506 | −65% |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,051 | $4,936 | $8,548 | −18% | $14,368 | −51% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,021 | $4,915 | $17,723 | −60% | $18,002 | −61% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,967 | $4,877 | $15,845 | −56% | $25,279 | −72% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,946 | $4,862 | $13,014 | −47% | $20,463 | −66% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,917 | $4,842 | $10,081 | −31% | $17,921 | −61% |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $6,913 | $4,839 | $31,113 | −78% | $42,186 | −84% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,861 | $4,803 | $7,182 | −4% | $13,361 | −49% |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,707 | $4,695 | $9,985 | −33% | $18,004 | −63% |
| 151 | EPISTAXIS WITHOUT MCC | $6,676 | $4,673 | $8,941 | −25% | $13,032 | −49% |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,621 | $4,634 | $34,002 | −81% | $21,056 | −69% |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,570 | $4,599 | $8,317 | −21% | $15,680 | −58% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,484 | $4,539 | $33,923 | −81% | $28,050 | −77% |
| 199 | PNEUMOTHORAX WITH MCC | $6,441 | $4,509 | $41,198 | −84% | $33,787 | −81% |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $6,296 | $4,407 | $81,227 | −92% | $33,255 | −81% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,233 | $4,363 | $16,312 | −62% | $17,038 | −63% |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,114 | $4,280 | $6,001 | +2% | $8,927 | −32% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,071 | $4,250 | $23,992 | −75% | $20,488 | −70% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,942 | $4,159 | $10,333 | −42% | $12,078 | −51% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,874 | $4,112 | $14,965 | −61% | $16,371 | −64% |
| 881 | DEPRESSIVE NEUROSES | $5,843 | $4,090 | $7,417 | −21% | $15,058 | −61% |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,737 | $4,016 | $10,815 | −47% | $19,745 | −71% |
| 149 | DYSEQUILIBRIUM | $5,666 | $3,966 | $41,713 | −86% | $18,096 | −69% |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,648 | $3,954 | $8,461 | −33% | $14,797 | −62% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,647 | $3,953 | $24,088 | −77% | $13,384 | −58% |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,620 | $3,934 | $9,203 | −39% | $15,855 | −65% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,593 | $3,915 | $32,496 | −83% | $32,496 | −83% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,525 | $3,868 | $12,946 | −57% | $17,674 | −69% |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,490 | $3,843 | $29,609 | −81% | $30,243 | −82% |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,397 | $3,778 | $7,668 | −30% | $19,073 | −72% |
| 603 | CELLULITIS WITHOUT MCC | $5,321 | $3,725 | $17,813 | −70% | $18,530 | −71% |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,256 | $3,679 | $12,221 | −57% | $42,679 | −88% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,223 | $3,656 | $7,484 | −30% | $12,229 | −57% |
| 639 | DIABETES WITHOUT CC/MCC | $5,147 | $3,603 | $16,195 | −68% | $13,910 | −63% |
| 313 | CHEST PAIN | $5,053 | $3,537 | $17,432 | −71% | $16,440 | −69% |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,940 | $3,458 | $11,126 | −56% | $14,055 | −65% |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,827 | $3,379 | $17,452 | −72% | $80,018 | −94% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,777 | $3,344 | $8,633 | −45% | $8,445 | −43% |
| 089 | CONCUSSION WITH CC | $4,756 | $3,329 | $11,495 | −59% | $18,821 | −75% |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,614 | $3,230 | $11,789 | −61% | $16,968 | −73% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,408 | $3,086 | $4,646 | −5% | $16,351 | −73% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,282 | $2,997 | $11,488 | −63% | $18,150 | −76% |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,225 | $2,957 | $10,697 | −61% | $17,733 | −76% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,154 | $2,908 | $27,526 | −85% | $25,463 | −84% |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,099 | $2,869 | $116,255 | −96% | $25,094 | −84% |
| 795 | NORMAL NEWBORN | $3,994 | $2,796 | $5,662 | −29% | $4,720 | −15% |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $3,980 | $2,786 | $20,278 | −80% | $39,958 | −90% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,952 | $2,766 | $15,430 | −74% | $20,181 | −80% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,795 | $2,657 | $17,820 | −79% | $13,642 | −72% |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,764 | $2,635 | $7,042 | −47% | $23,573 | −84% |
| 683 | RENAL FAILURE WITH CC | $3,730 | $2,611 | $16,135 | −77% | $19,130 | −81% |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,473 | $2,431 | $13,405 | −74% | $14,583 | −76% |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,401 | $2,381 | $25,623 | −87% | $17,601 | −81% |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $3,344 | $2,341 | $9,906 | −66% | $33,454 | −90% |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,256 | $2,279 | $13,425 | −76% | $26,932 | −88% |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,839 | $1,987 | $16,935 | −83% | $17,700 | −84% |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,827 | $1,979 | $14,349 | −80% | $19,412 | −85% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $2,696 | $1,887 | $35,562 | −92% | $23,488 | −89% |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,557 | $1,790 | $7,906 | −68% | $14,415 | −82% |
| 312 | SYNCOPE AND COLLAPSE | $2,529 | $1,770 | $25,232 | −90% | $19,342 | −87% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,512 | $1,758 | $33,241 | −92% | $15,452 | −84% |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,455 | $1,718 | $7,332 | −67% | $14,689 | −83% |
| 935 | NON-EXTENSIVE BURNS | $2,278 | $1,595 | $10,416 | −78% | $31,701 | −93% |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,102 | $1,471 | $16,584 | −87% | $27,401 | −92% |
| 592 | SKIN ULCERS WITH MCC | $1,416 | $1,416 | $21,950 | −94% | $33,246 | −96% |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,046 | $732 | $7,925 | −87% | $13,527 | −92% |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $827 | $827 | $9,216 | −91% | $14,716 | −94% |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $642 | $642 | $9,338 | −93% | $12,336 | −95% |
Procedures with negotiated rates only
These 4 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 |
|---|---|---|---|
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | — | 23 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | — | 23 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | — | 23 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,584 – $7,735 · median $7,659 | 2 plans |
No procedures match that keyword.