Myrtue Medical Center — Pricing

208 procedures published in this hospital's Machine-Readable File (MRF) — 200 with a comparable price, 8 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 208
Lowest published price $1,056
Average published price $16,803
Highest published price $321,752

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 208 procedures

Published charges

Showing all 200 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
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $321,752 $186,616 $10,586 +2939% $30,138 +968%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $190,369 $110,414 $31,272 +509% $43,697 +336%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $165,104 $95,760 $70,707 +134% $42,881 +285%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $152,033 $88,179 $47,689 +219% $55,097 +176%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $110,809 $64,269 $37,727 +194% $80,747 +37%
571 SKIN DEBRIDEMENT WITH CC $101,246 $58,723 $20,962 +383% $34,901 +190%
302 ATHEROSCLEROSIS WITH MCC $90,908 $52,727 $34,434 +164% $20,844 +336%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $61,173 $35,480 $109,301 −44% $56,519 +8%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $57,181 $33,165 $60,373 −5% $45,817 +25%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $43,925 $25,477 $58,965 −26% $49,197 −11%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $39,521 $22,922 $30,670 +29% $48,682 −19%
539 OSTEOMYELITIS WITH MCC $37,112 $21,525 $25,097 +48% $33,746 +10%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $34,265 $19,874 $32,241 +6% $29,757 +15%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $33,952 $19,692 $22,473 +51% $38,836 −13%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $33,350 $19,343 $33,350 +0% $36,242 −8%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $33,053 $19,171 $17,664 +87% $19,815 +67%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,531 $17,708 $34,094 −10% $51,172 −40%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $28,139 $16,321 $20,007 +41% $20,007 +41%
375 DIGESTIVE MALIGNANCY WITH CC $27,219 $15,787 $140,214 −81% $27,219 +0%
231 CORONARY BYPASS WITH PTCA WITH MCC $25,789 $14,958 $105,698 −76% $146,474 −82%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $25,599 $14,847 $25,599 +0% $26,634 −4%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $25,255 $14,648 $25,667 −2% $43,398 −42%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $25,208 $14,621 $23,992 +5% $20,488 +23%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $24,313 $14,102 $13,921 +75% $17,103 +42%
252 OTHER VASCULAR PROCEDURES WITH MCC $23,585 $13,679 $34,352 −31% $68,508 −66%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $23,294 $13,511 $14,651 +59% $19,579 +19%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $23,199 $13,456 $71,694 −68% $52,313 −56%
139 SALIVARY GLAND PROCEDURES $23,061 $13,376 $17,109 +35% $21,014 +10%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $22,582 $13,097 $18,428 +23% $28,646 −21%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $22,299 $12,933 $52,814 −58% $60,098 −63%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $21,891 $12,697 $22,292 −2% $30,394 −28%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $21,527 $12,486 $15,570 +38% $18,238 +18%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $21,382 $12,402 $85,369 −75% $40,552 −47%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,200 $11,716 $23,469 −14% $30,974 −35%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $19,888 $11,535 $22,580 −12% $31,758 −37%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $19,115 $11,087 $10,847 +76% $14,444 +32%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $17,885 $10,374 $18,852 −5% $33,424 −46%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $17,876 $10,368 $33,356 −46% $51,142 −65%
535 FRACTURES OF HIP AND PELVIS WITH MCC $17,636 $10,229 $14,290 +23% $23,350 −24%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $17,259 $10,010 $10,945 +58% $14,064 +23%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $17,097 $9,916 $11,971 +43% $19,569 −13%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $16,231 $9,414 $31,381 −48% $35,714 −55%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $15,221 $8,828 $45,920 −67% $32,936 −54%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $14,781 $8,573 $38,156 −61% $23,496 −37%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $14,638 $8,490 $14,000 +5% $22,713 −36%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,619 $8,479 $51,860 −72% $37,842 −61%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,570 $8,450 $23,337 −38% $31,840 −54%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $14,414 $8,360 $73,631 −80% $30,275 −52%
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $14,342 $8,318 $10,822 +33% $19,454 −26%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,137 $8,199 $19,013 −26% $20,084 −30%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $14,002 $8,121 $36,166 −61% $18,623 −25%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $13,964 $8,099 $13,679 +2% $25,162 −45%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,949 $8,090 $32,496 −57% $30,058 −54%
291 HEART FAILURE AND SHOCK WITH MCC $13,680 $7,934 $19,102 −28% $25,020 −45%
603 CELLULITIS WITHOUT MCC $13,670 $7,928 $17,813 −23% $18,530 −26%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,451 $7,802 $19,959 −33% $23,571 −43%
380 COMPLICATED PEPTIC ULCER WITH MCC $12,811 $7,430 $60,675 −79% $36,641 −65%
947 SIGNS AND SYMPTOMS WITH MCC $12,739 $7,389 $16,584 −23% $25,474 −50%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,573 $7,292 $14,352 −12% $16,240 −23%
593 SKIN ULCERS WITH CC $12,476 $7,236 $14,519 −14% $20,470 −39%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $12,463 $7,229 $68,774 −82% $102,573 −88%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $12,431 $7,210 $21,475 −42% $24,190 −49%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $12,420 $7,204 $39,973 −69% $39,409 −68%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,392 $7,187 $25,330 −51% $19,096 −35%
201 PNEUMOTHORAX WITHOUT CC/MCC $12,299 $7,134 $9,051 +36% $13,081 −6%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,285 $7,126 $17,819 −31% $28,140 −56%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,052 $6,990 $17,434 −31% $28,967 −58%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,028 $6,976 $19,807 −39% $27,118 −56%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $11,884 $6,892 $22,615 −47% $22,781 −48%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $11,862 $6,880 $35,562 −67% $23,396 −49%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,833 $6,863 $13,271 −11% $16,865 −30%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $11,806 $6,847 $39,046 −70% $32,399 −64%
204 RESPIRATORY SIGNS AND SYMPTOMS $11,710 $6,792 $9,985 +17% $16,866 −31%
540 OSTEOMYELITIS WITH CC $11,632 $6,746 $50,483 −77% $23,494 −50%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $11,550 $6,699 $13,164 −12% $19,317 −40%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,539 $6,693 $23,884 −52% $40,063 −71%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $11,439 $6,635 $18,500 −38% $17,322 −34%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,414 $6,620 $16,323 −30% $15,070 −24%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,157 $6,471 $20,457 −45% $30,910 −64%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,974 $6,365 $22,291 −51% $21,213 −48%
920 COMPLICATIONS OF TREATMENT WITH CC $10,968 $6,361 $13,362 −18% $21,181 −48%
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $10,941 $6,346 $18,752 −42% $34,146 −68%
153 OTITIS MEDIA AND URI WITHOUT MCC $10,896 $6,320 $13,405 −19% $14,473 −25%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,843 $6,289 $43,173 −75% $22,850 −53%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,672 $6,190 $14,790 −28% $18,278 −42%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $10,662 $6,184 $8,440 +26% $15,858 −33%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,644 $6,173 $22,972 −54% $26,488 −60%
682 RENAL FAILURE WITH MCC $10,502 $6,091 $24,005 −56% $27,854 −62%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,500 $6,090 $18,105 −42% $25,152 −58%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $10,471 $6,073 $8,123 +29% $13,824 −24%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,349 $6,002 $16,164 −36% $11,955 −13%
253 OTHER VASCULAR PROCEDURES WITH CC $10,282 $5,963 $33,538 −69% $53,746 −81%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,269 $5,956 $17,777 −42% $18,204 −44%
948 SIGNS AND SYMPTOMS WITHOUT MCC $10,243 $5,941 $10,081 +2% $17,727 −42%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $10,229 $5,933 $8,559 +20% $12,279 −17%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $10,180 $5,904 $25,704 −60% $18,803 −46%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,088 $5,851 $11,488 −12% $18,150 −44%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,958 $5,776 $24,382 −59% $35,237 −72%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,834 $5,704 $17,723 −45% $18,002 −45%
176 PULMONARY EMBOLISM WITHOUT MCC $9,692 $5,621 $23,054 −58% $18,081 −46%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,649 $5,596 $24,979 −61% $22,024 −56%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $9,640 $5,591 $63,877 −85% $52,405 −82%
551 MEDICAL BACK PROBLEMS WITH MCC $9,622 $5,581 $17,657 −46% $31,086 −69%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,616 $5,577 $22,634 −58% $26,158 −63%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,602 $5,569 $38,797 −75% $23,469 −59%
181 RESPIRATORY NEOPLASMS WITH CC $9,326 $5,409 $7,042 +32% $22,431 −58%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,255 $5,368 $42,454 −78% $38,357 −76%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,222 $5,349 $12,946 −29% $17,466 −47%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,197 $5,334 $14,555 −37% $23,723 −61%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,092 $5,273 $21,890 −58% $19,287 −53%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,064 $5,257 $7,473 +21% $24,017 −62%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,972 $5,204 $26,112 −66% $22,982 −61%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,927 $5,178 $28,803 −69% $21,449 −58%
184 MAJOR CHEST TRAUMA WITH CC $8,728 $5,062 $33,806 −74% $20,842 −58%
292 HEART FAILURE AND SHOCK WITH CC $8,574 $4,973 $14,965 −43% $16,212 −47%
949 AFTERCARE WITH CC/MCC $8,557 $4,963 $15,037 −43% $23,953 −64%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,533 $4,949 $12,832 −34% $18,017 −53%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,454 $4,904 $16,132 −48% $20,732 −59%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,451 $4,901 $15,845 −47% $24,452 −65%
180 RESPIRATORY NEOPLASMS WITH MCC $8,441 $4,896 $40,078 −79% $36,658 −77%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,375 $4,857 $10,493 −20% $15,869 −47%
639 DIABETES WITHOUT CC/MCC $8,304 $4,817 $16,601 −50% $13,910 −40%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,270 $4,797 $9,823 −16% $17,715 −53%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,076 $4,684 $10,425 −23% $17,585 −54%
305 HYPERTENSION WITHOUT MCC $8,003 $4,642 $35,347 −77% $17,144 −53%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $7,698 $4,465 $10,333 −25% $12,044 −36%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,696 $4,464 $9,285 −17% $15,077 −49%
101 SEIZURES WITHOUT MCC $7,596 $4,405 $32,731 −77% $19,954 −62%
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,510 $4,356 $18,732 −60% $30,766 −76%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,399 $4,291 $26,630 −72% $20,777 −64%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,346 $4,261 $7,906 −7% $14,012 −48%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $7,331 $4,252 $46,585 −84% $25,208 −71%
935 NON-EXTENSIVE BURNS $7,222 $4,189 $10,416 −31% $29,458 −75%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,183 $4,166 $8,819 −19% $14,166 −49%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,157 $4,151 $39,603 −82% $28,780 −75%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,139 $4,141 $31,379 −77% $21,886 −67%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,091 $4,113 $9,143 −22% $16,776 −58%
200 PNEUMOTHORAX WITH CC $6,931 $4,020 $23,046 −70% $20,573 −66%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,903 $4,004 $8,548 −19% $14,368 −52%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,689 $3,879 $21,623 −69% $25,704 −74%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,640 $3,851 $16,312 −59% $16,745 −60%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,550 $3,799 $25,623 −74% $16,571 −60%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,550 $3,799 $33,923 −81% $27,244 −76%
303 ATHEROSCLEROSIS WITHOUT MCC $6,531 $3,788 $8,734 −25% $14,927 −56%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,454 $3,743 $7,238 −11% $10,039 −36%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,289 $3,648 $8,836 −29% $13,485 −53%
683 RENAL FAILURE WITH CC $6,187 $3,589 $16,135 −62% $18,620 −67%
643 ENDOCRINE DISORDERS WITH MCC $5,959 $3,456 $20,254 −71% $32,996 −82%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,871 $3,405 $9,663 −39% $16,654 −65%
637 DIABETES WITH MCC $5,830 $3,381 $25,497 −77% $28,819 −80%
311 ANGINA PECTORIS $5,828 $3,380 $7,358 −21% $15,165 −62%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $5,455 $3,164 $17,650 −69% $29,663 −82%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,440 $3,155 $10,947 −50% $13,090 −58%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,416 $3,141 $24,088 −78% $13,384 −60%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,374 $3,117 $8,761 −39% $13,198 −59%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,353 $3,105 $30,215 −82% $14,134 −62%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,321 $3,086 $10,950 −51% $21,545 −75%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,193 $3,012 $13,219 −61% $18,478 −72%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,085 $2,949 $12,507 −59% $17,434 −71%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,085 $2,949 $4,646 +9% $14,284 −64%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,826 $2,799 $8,461 −43% $13,303 −64%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,793 $2,780 $15,430 −69% $18,918 −75%
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,591 $2,663 $14,257 −68% $21,806 −79%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,517 $2,620 $9,491 −52% $17,273 −74%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,496 $2,608 $27,855 −84% $16,104 −72%
149 DYSEQUILIBRIUM $4,411 $2,559 $41,713 −89% $17,203 −74%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,405 $2,555 $11,315 −61% $17,731 −75%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,382 $2,542 $15,861 −72% $26,146 −83%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,372 $2,536 $13,014 −66% $20,463 −79%
312 SYNCOPE AND COLLAPSE $4,346 $2,521 $25,232 −83% $19,342 −78%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,310 $2,500 $15,370 −72% $15,370 −72%
607 MINOR SKIN DISORDERS WITHOUT MCC $4,239 $2,459 $10,404 −59% $15,284 −72%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,045 $2,346 $8,929 −55% $15,607 −74%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,947 $2,289 $18,727 −79% $17,388 −77%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,869 $2,244 $9,838 −61% $16,634 −77%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,861 $2,239 $17,938 −78% $31,128 −88%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,722 $2,159 $27,085 −86% $32,483 −89%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,541 $2,054 $65,803 −95% $36,375 −90%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,475 $2,016 $6,345 −45% $17,522 −80%
882 NEUROSES EXCEPT DEPRESSIVE $3,437 $1,994 $7,094 −52% $15,680 −78%
950 AFTERCARE WITHOUT CC/MCC $3,423 $1,985 $7,925 −57% $13,527 −75%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,404 $1,974 $15,127 −77% $16,719 −80%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,281 $1,903 $16,865 −81% $24,118 −86%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,274 $1,899 $19,188 −83% $24,879 −87%
638 DIABETES WITH CC $3,144 $1,823 $17,301 −82% $18,821 −83%
199 PNEUMOTHORAX WITH MCC $3,085 $1,790 $41,198 −93% $31,491 −90%
694 URINARY STONES WITHOUT MCC $3,047 $1,767 $7,774 −61% $16,531 −82%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,007 $1,744 $8,633 −65% $7,961 −62%
684 RENAL FAILURE WITHOUT CC/MCC $2,977 $1,727 $17,820 −83% $13,623 −78%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,913 $1,689 $27,526 −89% $24,480 −88%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,885 $1,673 $13,068 −78% $14,128 −80%
313 CHEST PAIN $2,737 $1,587 $17,432 −84% $15,962 −83%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $2,192 — $16,938 −87% $23,956 −91%
795 NORMAL NEWBORN $2,066 $1,198 $5,662 −64% $4,530 −54%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,027 $1,176 $7,182 −72% $13,318 −85%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,867 $1,083 $34,002 −95% $20,278 −91%
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,661 — $38,013 −96% $20,968 −92%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,493 $866 $27,229 −95% $19,483 −92%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,059 $614 $6,645 −84% $12,797 −92%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,056 — $9,216 −89% $14,337 −93%

Procedures with negotiated rates only

These 8 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
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $2,406 – $106,031 9 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 9 plans
245 AICD GENERATOR PROCEDURES $2,307 – $88,104 9 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $919 – $17,595 · median $1,531 9 plans
602 CELLULITIS WITH MCC — 7 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,627 – $32,647 · median $9,099 4 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $3,627 – $32,080 · median $8,973 4 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,627 – $8,622 · median $3,738 4 plans
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