Jefferson County Health Center — Pricing

182 procedures published in this hospital's Machine-Readable File (MRF) — 181 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 182
Lowest published price $1,514
Average published price $17,216
Highest published price $112,795

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 182 procedures

Published charges

Showing all 181 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
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $112,795 $67,677 $58,965 +91% $50,607 +123%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $92,897 $55,738 $94,481 −2% $144,569 −36%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $76,065 $45,639 $11,432 +565% $19,138 +297%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $60,798 $36,479 $21,668 +181% $24,586 +147%
231 CORONARY BYPASS WITH PTCA WITH MCC $58,312 $34,987 $105,698 −45% $147,227 −60%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $57,600 $34,560 $61,111 −6% $90,775 −37%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $56,906 $34,143 $34,094 +67% $52,751 +8%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $54,439 $32,663 $43,477 +25% $43,477 +25%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $54,354 $32,613 $51,909 +5% $70,467 −23%
663 MINOR BLADDER PROCEDURES WITH CC $48,874 $29,324 $18,992 +157% $33,103 +48%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $41,779 $25,067 $37,727 +11% $80,793 −48%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $39,428 $23,657 $33,560 +17% $49,351 −20%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $39,209 $23,525 $63,984 −39% $65,653 −40%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $35,679 $21,407 $25,599 +39% $27,426 +30%
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $33,865 $20,319 $47,121 −28% $86,864 −61%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $33,183 $19,910 $29,038 +14% $49,418 −33%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $33,165 $19,899 $32,947 +1% $34,459 −4%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $32,891 $19,735 $50,390 −35% $77,990 −58%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $32,478 $19,487 $63,877 −49% $52,405 −38%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $31,859 $19,115 $24,686 +29% $30,083 +6%
380 COMPLICATED PEPTIC ULCER WITH MCC $31,507 $18,904 $60,675 −48% $39,627 −20%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $30,929 $18,557 $19,393 +59% $16,699 +85%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $30,551 $18,331 $77,936 −61% $59,651 −49%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $30,460 $18,276 $35,705 −15% $32,628 −7%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,240 $18,144 $79,686 −62% $98,912 −69%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $30,072 $18,043 $51,860 −42% $37,842 −21%
602 CELLULITIS WITH MCC $29,320 $17,592 $31,269 −6% $30,598 −4%
501 SOFT TISSUE PROCEDURES WITH CC $28,641 $17,185 $22,112 +30% $39,619 −28%
644 ENDOCRINE DISORDERS WITH CC $27,585 $16,551 $44,407 −38% $23,198 +19%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $27,364 $16,419 $39,722 −31% $34,192 −20%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $26,825 $16,095 $22,291 +20% $21,396 +25%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $26,628 $15,977 $22,580 +18% $33,555 −21%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $26,121 $15,672 $66,219 −61% $44,606 −41%
245 AICD GENERATOR PROCEDURES $26,096 $15,657 $26,096 +0% $72,076 −64%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $24,398 $14,639 $23,337 +5% $33,707 −28%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $24,039 $14,423 $37,654 −36% $89,207 −73%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $23,614 $14,169 $25,330 −7% $19,096 +24%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $23,464 $14,078 $21,890 +7% $20,506 +14%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $23,024 $13,814 $52,334 −56% $36,937 −38%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $22,572 $13,543 $29,609 −24% $30,243 −25%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $22,412 $13,447 $22,615 −1% $22,888 −2%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $22,018 $13,211 $15,845 +39% $25,279 −13%
643 ENDOCRINE DISORDERS WITH MCC $21,742 $13,045 $20,254 +7% $33,563 −35%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $21,516 $12,909 $23,884 −10% $41,591 −48%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $20,876 $12,526 $24,382 −14% $35,628 −41%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $20,777 $12,466 $8,123 +156% $13,824 +50%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $20,582 $12,349 $45,920 −55% $33,653 −39%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $20,232 $12,139 $22,972 −12% $26,770 −24%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $20,168 $12,101 $21,623 −7% $26,580 −24%
540 OSTEOMYELITIS WITH CC $19,941 $11,965 $50,483 −60% $26,676 −25%
638 DIABETES WITH CC $19,770 $11,862 $17,301 +14% $19,661 +1%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $19,768 $11,861 $25,938 −24% $42,901 −54%
252 OTHER VASCULAR PROCEDURES WITH MCC $19,556 $11,733 $34,352 −43% $68,508 −71%
139 SALIVARY GLAND PROCEDURES $19,331 $11,599 $17,109 +13% $23,612 −18%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,277 $11,566 $23,469 −18% $33,047 −42%
682 RENAL FAILURE WITH MCC $19,153 $11,492 $24,005 −20% $29,064 −34%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $19,144 $11,486 $38,156 −50% $23,551 −19%
592 SKIN ULCERS WITH MCC $19,031 $11,418 $21,950 −13% $33,246 −43%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,875 $11,325 $27,394 −31% $27,394 −31%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $18,669 $11,202 $11,352 +64% $19,924 −6%
549 SEPTIC ARTHRITIS WITH CC $18,512 $11,107 $13,891 +33% $24,056 −23%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,433 $11,060 $26,112 −29% $23,617 −22%
100 SEIZURES WITH MCC $18,369 $11,021 $35,194 −48% $35,481 −48%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $18,189 $10,914 $45,630 −60% $66,685 −73%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $17,466 $10,479 $26,108 −33% $18,528 −6%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $17,403 $10,442 $11,488 +51% $18,150 −4%
548 SEPTIC ARTHRITIS WITH MCC $17,134 $10,280 $26,752 −36% $31,346 −45%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $16,554 $9,932 $28,667 −42% $23,749 −30%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $16,520 $9,912 $33,350 −50% $38,101 −57%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $16,142 $9,685 $14,000 +15% $25,303 −36%
570 SKIN DEBRIDEMENT WITH MCC $15,610 $9,366 $64,322 −76% $52,435 −70%
183 MAJOR CHEST TRAUMA WITH MCC $15,509 $9,306 $19,154 −19% $29,933 −48%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,419 $9,251 $28,961 −47% $40,213 −62%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $15,222 $9,133 $12,946 +18% $17,674 −14%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,191 $9,115 $20,466 −26% $32,697 −54%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $15,165 $9,099 $30,277 −50% $47,583 −68%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,126 $9,076 $31,113 −51% $42,186 −64%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,841 $8,905 $23,258 −36% $39,955 −63%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,615 $8,769 $81,227 −82% $33,255 −56%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,683 $8,210 $31,381 −56% $39,106 −65%
949 AFTERCARE WITH CC/MCC $13,431 $8,059 $15,037 −11% $23,953 −44%
149 DYSEQUILIBRIUM $13,407 $8,044 $41,713 −68% $18,096 −26%
200 PNEUMOTHORAX WITH CC $13,292 $7,975 $23,046 −42% $21,368 −38%
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,196 $7,918 $19,190 −31% $24,941 −47%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,129 $7,877 $39,046 −66% $33,985 −61%
153 OTITIS MEDIA AND URI WITHOUT MCC $13,115 $7,869 $13,405 −2% $14,583 −10%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,012 $7,807 $21,079 −38% $31,563 −59%
571 SKIN DEBRIDEMENT WITH CC $13,004 $7,803 $20,962 −38% $37,169 −65%
304 HYPERTENSION WITH MCC $12,979 $7,787 $21,174 −39% $26,080 −50%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $12,939 $7,764 $47,999 −73% $68,639 −81%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $12,804 $7,682 $36,166 −65% $19,227 −33%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,801 $7,681 $8,461 +51% $14,797 −13%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $12,635 $7,581 $40,761 −69% $59,533 −79%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $12,503 $7,502 $9,823 +27% $18,126 −31%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,256 $7,353 $17,938 −32% $34,273 −64%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $12,163 $7,298 $18,727 −35% $17,578 −31%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,049 $7,229 $38,797 −69% $23,940 −50%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $11,950 $7,170 $20,576 −42% $37,267 −68%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $11,890 $7,134 $36,052 −67% $44,546 −73%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,392 $6,835 $22,634 −50% $27,275 −58%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,286 $6,772 $18,497 −39% $27,543 −59%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,058 $6,635 $32,496 −66% $32,496 −66%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,840 $6,504 $17,568 −38% $26,463 −59%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $10,812 $6,487 $37,622 −71% $58,228 −81%
292 HEART FAILURE AND SHOCK WITH CC $10,803 $6,482 $14,965 −28% $16,371 −34%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,783 $6,470 $16,312 −34% $17,038 −37%
603 CELLULITIS WITHOUT MCC $10,600 $6,360 $17,813 −40% $18,530 −43%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $10,535 $6,321 $12,804 −18% $16,700 −37%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $10,426 $6,255 $23,992 −57% $20,488 −49%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,344 $6,207 $17,434 −41% $30,828 −66%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,235 $6,141 $14,668 −30% $27,043 −62%
199 PNEUMOTHORAX WITH MCC $10,152 $6,091 $41,198 −75% $33,787 −70%
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $10,150 $6,090 $10,733 −5% $21,663 −53%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,148 $6,089 $17,777 −43% $18,204 −44%
864 FEVER AND INFLAMMATORY CONDITIONS $10,116 $6,070 $11,155 −9% $18,640 −46%
305 HYPERTENSION WITHOUT MCC $9,985 $5,991 $35,347 −72% $18,086 −45%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $9,852 $5,911 $27,229 −64% $20,781 −53%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,813 $5,888 $21,475 −54% $24,386 −60%
312 SYNCOPE AND COLLAPSE $9,654 $5,792 $25,232 −62% $19,342 −50%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,544 $5,727 $13,271 −28% $17,303 −45%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $9,406 $5,644 $35,562 −74% $23,488 −60%
683 RENAL FAILURE WITH CC $9,321 $5,593 $16,135 −42% $19,130 −51%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,149 $5,490 $10,847 −16% $14,648 −38%
811 RED BLOOD CELL DISORDERS WITH MCC $9,086 $5,452 $18,314 −50% $28,226 −68%
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,951 $5,370 $14,290 −37% $24,552 −64%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,924 $5,355 $34,788 −74% $23,141 −61%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $8,831 $5,298 $41,184 −79% $52,908 −83%
607 MINOR SKIN DISORDERS WITHOUT MCC $8,764 $5,258 $10,404 −16% $15,889 −45%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,753 $5,252 $17,723 −51% $18,002 −51%
597 MALIGNANT BREAST DISORDERS WITH MCC $8,660 $5,196 $36,032 −76% $33,386 −74%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,611 $5,167 $15,430 −44% $20,181 −57%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,475 $5,085 $16,323 −48% $15,183 −44%
291 HEART FAILURE AND SHOCK WITH MCC $8,171 $4,903 $19,102 −57% $26,776 −69%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $8,036 $4,822 $18,428 −56% $32,877 −76%
684 RENAL FAILURE WITHOUT CC/MCC $7,998 $4,799 $17,820 −55% $13,642 −41%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $7,942 $4,765 $33,923 −77% $28,050 −72%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,786 $4,671 $31,379 −75% $22,098 −65%
694 URINARY STONES WITHOUT MCC $7,774 $4,664 $7,774 +0% $17,345 −55%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,684 $4,610 $10,950 −30% $22,506 −66%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $7,672 $4,603 $19,313 −60% $50,919 −85%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,287 $4,372 $65,803 −89% $37,387 −81%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,277 $4,366 $32,241 −77% $30,959 −76%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,066 $4,240 $13,222 −47% $22,458 −69%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,021 $4,213 $16,935 −59% $17,700 −60%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,615 $3,969 $46,585 −86% $26,682 −75%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,534 $3,921 $24,979 −74% $22,024 −70%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,463 $3,878 $8,559 −24% $12,252 −47%
639 DIABETES WITHOUT CC/MCC $6,406 $3,844 $16,195 −60% $13,910 −54%
184 MAJOR CHEST TRAUMA WITH CC $6,285 $3,771 $33,806 −81% $22,432 −72%
201 PNEUMOTHORAX WITHOUT CC/MCC $6,239 $3,744 $9,051 −31% $14,053 −56%
176 PULMONARY EMBOLISM WITHOUT MCC $5,809 $3,485 $23,054 −75% $18,081 −68%
637 DIABETES WITH MCC $5,734 $3,440 $25,497 −78% $30,100 −81%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,688 $3,413 $70,707 −92% $42,881 −87%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,438 $3,263 $6,345 −14% $17,620 −69%
311 ANGINA PECTORIS $5,235 $3,141 $7,358 −29% $15,502 −66%
598 MALIGNANT BREAST DISORDERS WITH CC $5,199 $3,119 $7,668 −32% $19,073 −73%
950 AFTERCARE WITHOUT CC/MCC $5,184 $3,110 $7,925 −35% $13,527 −62%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,120 $3,072 $24,088 −79% $13,384 −62%
374 DIGESTIVE MALIGNANCY WITH MCC $5,034 $3,020 $20,278 −75% $39,958 −87%
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,030 $3,018 $10,081 −50% $17,921 −72%
595 MAJOR SKIN DISORDERS WITH MCC $5,026 $3,015 $27,715 −82% $34,598 −85%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,622 $2,773 $6,645 −30% $13,651 −66%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,542 $2,725 $31,159 −85% $18,602 −76%
180 RESPIRATORY NEOPLASMS WITH MCC $4,518 $2,711 $40,078 −89% $36,658 −88%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,295 $2,577 $25,968 −83% $39,181 −89%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,028 $2,417 $27,526 −85% $25,463 −84%
101 SEIZURES WITHOUT MCC $4,004 $2,402 $32,731 −88% $20,461 −80%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,920 $2,352 $7,182 −45% $13,361 −71%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,531 $2,119 $42,454 −92% $38,666 −91%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,279 $1,967 $18,500 −82% $17,322 −81%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,951 $1,771 $28,803 −90% $21,449 −86%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,879 $1,727 $3,427 −16% $10,160 −72%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,690 $1,614 $72,880 −96% $32,433 −92%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,638 $1,583 $27,855 −91% $16,767 −84%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,539 $1,523 $16,132 −84% $21,275 −88%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,366 $1,419 $13,068 −82% $14,128 −83%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $2,258 $1,355 $31,660 −93% $19,842 −89%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $1,632 $1,632 $33,589 −95% $50,618 −97%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $1,610 — $16,448 −90% $19,132 −92%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,551 $931 $9,491 −84% $17,724 −91%
303 ATHEROSCLEROSIS WITHOUT MCC $1,514 $908 $8,734 −83% $14,927 −90%

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
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC — 22 plans
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