Wayne County Hospital — Pricing

199 procedures published in this hospital's Machine-Readable File (MRF) — 174 with a comparable price, 25 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 199
Lowest published price $311
Average published price $7,688
Highest published price $73,162

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 199 procedures

Published charges

Showing all 174 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
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $73,162 $73,162 $51,909 +41% $70,467 +4%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $65,639 $65,639 $109,301 −40% $58,280 +13%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $57,641 $57,641 $34,094 +69% $52,751 +9%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $56,647 $56,647 $74,535 −24% $59,500 −5%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $54,852 $54,852 $39,973 +37% $39,973 +37%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $46,577 $46,577 $41,219 +13% $65,788 −29%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $37,395 $37,395 $58,965 −37% $50,607 −26%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $29,472 $29,472 $63,984 −54% $65,653 −55%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $29,172 $29,172 $16,802 +74% $31,264 −7%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $29,030 $29,030 $28,441 +2% $45,877 −37%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $22,577 $22,577 $70,707 −68% $42,881 −47%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $22,241 $22,241 $10,914 +104% $19,962 +11%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $18,457 $18,457 $19,959 −8% $23,571 −22%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $17,540 $17,540 $16,132 +9% $21,275 −18%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $16,931 $16,931 $18,433 −8% $29,221 −42%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,856 $16,856 $15,845 +6% $25,279 −33%
304 HYPERTENSION WITH MCC $16,605 $16,605 $21,174 −22% $26,080 −36%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $16,244 $16,244 $14,321 +13% $23,283 −30%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $16,034 $16,034 $19,013 −16% $20,084 −20%
949 AFTERCARE WITH CC/MCC $15,150 $15,150 $15,037 +1% $23,953 −37%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $14,509 $14,509 $17,664 −18% $19,846 −27%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $13,470 $13,470 $38,797 −65% $23,940 −44%
811 RED BLOOD CELL DISORDERS WITH MCC $12,823 $12,823 $18,314 −30% $28,226 −55%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,744 $12,744 $24,382 −48% $35,628 −64%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,141 $12,141 $22,634 −46% $27,275 −55%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,794 $11,794 $26,112 −55% $23,617 −50%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,133 $11,133 $23,469 −53% $33,047 −66%
445 DISORDERS OF THE BILIARY TRACT WITH CC $11,044 $11,044 $14,257 −23% $23,319 −53%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $10,813 $10,813 $15,370 −30% $15,370 −30%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,613 $10,613 $43,173 −75% $22,850 −54%
947 SIGNS AND SYMPTOMS WITH MCC $10,263 $10,263 $16,584 −38% $27,401 −63%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,884 $9,884 $22,615 −56% $22,888 −57%
637 DIABETES WITH MCC $9,369 $9,369 $25,497 −63% $30,100 −69%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,292 $9,292 $13,222 −30% $22,458 −59%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,157 $9,157 $17,626 −48% $29,743 −69%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,091 $9,091 $14,651 −38% $20,422 −55%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,950 $8,950 $17,777 −50% $18,204 −51%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,866 $8,866 $27,526 −68% $25,463 −65%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,826 $8,826 $18,727 −53% $17,578 −50%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,799 $8,799 $24,979 −65% $22,024 −60%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $8,701 $8,701 $9,663 −10% $19,037 −54%
375 DIGESTIVE MALIGNANCY WITH CC $8,486 $8,486 $140,214 −94% $27,277 −69%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,470 $8,470 $36,353 −77% $30,235 −72%
644 ENDOCRINE DISORDERS WITH CC $7,940 $7,940 $44,407 −82% $23,198 −66%
186 PLEURAL EFFUSION WITH MCC $7,887 $7,887 $39,888 −80% $33,834 −77%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,802 $7,802 $10,947 −29% $13,275 −41%
176 PULMONARY EMBOLISM WITHOUT MCC $7,798 $7,798 $23,054 −66% $18,081 −57%
683 RENAL FAILURE WITH CC $7,786 $7,786 $16,135 −52% $19,130 −59%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,597 $7,597 $16,323 −53% $15,183 −50%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $7,318 $7,318 $10,333 −29% $12,078 −39%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,225 $7,225 $10,062 −28% $16,565 −56%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,148 $7,148 $13,921 −49% $16,846 −58%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,137 $7,137 $37,457 −81% $17,118 −58%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,112 $7,112 $12,887 −45% $20,455 −65%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,016 $7,016 $15,430 −55% $20,181 −65%
181 RESPIRATORY NEOPLASMS WITH CC $7,009 $7,009 $7,042 −0% $23,573 −70%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,788 $6,788 $6,675 +2% $19,657 −65%
603 CELLULITIS WITHOUT MCC $6,667 $6,667 $17,813 −63% $18,530 −64%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,367 $6,367 $25,330 −75% $19,096 −67%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,284 $6,284 $7,182 −13% $13,361 −53%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,195 $6,195 $9,478 −35% $12,593 −51%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,091 $6,091 $27,229 −78% $20,781 −71%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $6,039 $6,039 $20,443 −70% $33,633 −82%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,979 $5,979 $7,473 −20% $25,034 −76%
291 HEART FAILURE AND SHOCK WITH MCC $5,935 $5,935 $19,102 −69% $26,776 −78%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,732 $5,732 $23,337 −75% $33,707 −83%
638 DIABETES WITH CC $5,686 $5,686 $17,301 −67% $19,661 −71%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,301 $5,301 $9,491 −44% $17,724 −70%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,146 $5,146 $16,312 −68% $17,038 −70%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,111 $5,111 $7,906 −35% $14,415 −65%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,049 $5,049 $28,667 −82% $23,749 −79%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,822 $4,822 $17,434 −72% $30,828 −84%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,822 $4,822 $13,014 −63% $20,463 −76%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,804 $4,804 $22,972 −79% $26,770 −82%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $4,795 $4,795 $15,127 −68% $18,649 −74%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,767 $4,767 $13,164 −64% $19,815 −76%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,586 $4,586 $10,945 −58% $14,064 −67%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,468 $4,468 $21,475 −79% $24,386 −82%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,351 $4,351 $26,630 −84% $21,363 −80%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,328 $4,328 $34,002 −87% $21,056 −79%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,238 $4,238 $10,603 −60% $14,290 −70%
950 AFTERCARE WITHOUT CC/MCC $4,236 $4,236 $7,925 −47% $13,527 −69%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,154 $4,154 $17,723 −77% $18,002 −77%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,125 $4,125 $22,580 −82% $33,555 −88%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,058 $4,058 $23,992 −83% $20,488 −80%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,046 $4,046 $21,623 −81% $26,580 −85%
398 APPENDIX PROCEDURES WITH CC $4,035 $4,035 $71,822 −94% $40,162 −90%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,996 $3,996 $8,633 −54% $8,445 −53%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,901 $3,901 $12,396 −69% $20,926 −81%
123 NEUROLOGICAL EYE DISORDERS $3,901 $3,901 $10,815 −64% $19,745 −80%
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,848 $3,848 $18,732 −79% $32,637 −88%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,833 $3,833 $18,497 −79% $27,543 −86%
292 HEART FAILURE AND SHOCK WITH CC $3,799 $3,799 $14,965 −75% $16,371 −77%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,764 $3,764 $37,463 −90% $16,288 −77%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,763 $3,763 $34,788 −89% $23,141 −84%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,573 $3,573 $13,068 −73% $14,128 −75%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,562 $3,562 $19,393 −82% $16,699 −79%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,558 $3,558 $11,169 −68% $16,998 −79%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,501 $3,501 $11,126 −69% $14,055 −75%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,498 $3,498 $36,166 −90% $19,227 −82%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,488 $3,488 $8,461 −59% $14,797 −76%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,358 $3,358 $6,001 −44% $8,927 −62%
795 NORMAL NEWBORN $3,250 $3,250 $5,662 −43% $4,720 −31%
684 RENAL FAILURE WITHOUT CC/MCC $3,010 $3,010 $17,820 −83% $13,642 −78%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,891 $2,891 $18,428 −84% $32,877 −91%
534 FRACTURES OF FEMUR WITHOUT MCC $2,764 $2,764 $9,636 −71% $17,559 −84%
694 URINARY STONES WITHOUT MCC $2,761 $2,761 $7,774 −64% $17,345 −84%
311 ANGINA PECTORIS $2,742 $2,742 $7,358 −63% $15,502 −82%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,729 $2,729 $30,215 −91% $15,038 −82%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,667 $2,667 $8,371 −68% $15,600 −83%
948 SIGNS AND SYMPTOMS WITHOUT MCC $2,647 $2,647 $10,081 −74% $17,921 −85%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,646 $2,646 $13,271 −80% $17,303 −85%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,634 $2,634 $4,646 −43% $16,351 −84%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,633 $2,633 $9,285 −72% $16,552 −84%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,562 $2,562 $7,332 −65% $14,689 −83%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $2,537 $2,537 $5,994 −58% $12,454 −80%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,508 $2,508 $7,484 −66% $12,229 −79%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,500 $2,500 $9,672 −74% $17,298 −86%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $2,434 $2,434 $11,760 −79% $20,566 −88%
149 DYSEQUILIBRIUM $2,428 $2,428 $41,713 −94% $18,096 −87%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,391 $2,391 $16,164 −85% $12,999 −82%
305 HYPERTENSION WITHOUT MCC $2,366 $2,366 $35,347 −93% $18,086 −87%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $2,349 $2,349 $26,108 −91% $18,528 −87%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,339 $2,339 $8,440 −72% $17,124 −86%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,287 $2,287 $6,645 −66% $13,651 −83%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,169 $2,169 $33,923 −94% $28,050 −92%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,158 $2,158 $16,935 −87% $17,700 −88%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $2,142 $2,142 $24,406 −91% $31,044 −93%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,121 $2,121 $9,169 −77% $15,019 −86%
313 CHEST PAIN $2,058 $2,058 $17,432 −88% $16,440 −87%
312 SYNCOPE AND COLLAPSE $2,040 $2,040 $25,232 −92% $19,342 −89%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $2,037 $2,037 $12,946 −84% $17,674 −88%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,022 $2,022 $3,500 −42% $12,895 −84%
598 MALIGNANT BREAST DISORDERS WITH CC $1,842 $1,842 $7,668 −76% $19,073 −90%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,808 $1,808 $46,585 −96% $26,682 −93%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,752 $1,752 $1,920 −9% $15,215 −88%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $1,733 $1,733 $22,291 −92% $21,396 −92%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $1,711 $1,711 $8,929 −81% $15,837 −89%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,698 $1,698 $28,803 −94% $21,449 −92%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,655 $1,655 $24,088 −93% $13,384 −88%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,654 $1,654 $8,819 −81% $15,428 −89%
864 FEVER AND INFLAMMATORY CONDITIONS $1,643 $1,643 $11,155 −85% $18,640 −91%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,618 $1,618 $33,241 −95% $15,452 −90%
101 SEIZURES WITHOUT MCC $1,604 $1,604 $32,731 −95% $20,461 −92%
607 MINOR SKIN DISORDERS WITHOUT MCC $1,595 $1,595 $10,404 −85% $15,889 −90%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $1,593 $1,593 $116,255 −99% $25,094 −94%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,592 $1,592 $7,863 −80% $9,940 −84%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,576 $1,576 $11,315 −86% $18,488 −91%
303 ATHEROSCLEROSIS WITHOUT MCC $1,565 $1,565 $8,734 −82% $14,927 −90%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,519 $1,519 $18,500 −92% $17,322 −91%
103 HEADACHES WITHOUT MCC $1,490 $1,490 $9,676 −85% $21,280 −93%
204 RESPIRATORY SIGNS AND SYMPTOMS $1,477 $1,477 $9,985 −85% $18,004 −92%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $1,416 $1,416 $8,194 −83% $14,014 −90%
188 PLEURAL EFFUSION WITHOUT CC/MCC $1,398 $1,398 $9,151 −85% $14,514 −90%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $1,330 $1,330 $8,761 −85% $14,549 −91%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $1,299 $1,299 $8,836 −85% $14,638 −91%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $1,297 $1,297 $11,971 −89% $19,569 −93%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $1,258 $1,258 $7,624 −83% $11,421 −89%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,232 $1,232 $7,599 −84% $12,460 −90%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,213 $1,213 $8,548 −86% $14,368 −92%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,133 $1,133 $31,159 −96% $18,602 −94%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,045 $1,045 $10,697 −90% $17,733 −94%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $930 $930 $3,427 −73% $10,160 −91%
935 NON-EXTENSIVE BURNS $929 $929 $10,416 −91% $31,701 −97%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $887 $887 $16,870 −95% $26,510 −97%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $876 $876 $7,277 −88% $10,975 −92%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $840 $840 $6,345 −87% $17,620 −95%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $790 $790 $8,559 −91% $12,252 −94%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $740 $740 $7,916 −91% $11,071 −93%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $700 $700 $9,823 −93% $18,126 −96%
639 DIABETES WITHOUT CC/MCC $662 $662 $16,195 −96% $13,910 −95%
881 DEPRESSIVE NEUROSES $527 $527 $7,417 −93% $15,058 −96%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $412 $412 $9,057 −95% $11,909 −97%
779 ABORTION WITHOUT D&C $311 $311 $10,999 −97% $15,327 −98%

Procedures with negotiated rates only

These 25 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
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC — 6 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC — 6 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC — 6 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC — 6 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC — 3 plans
152 OTITIS MEDIA AND URI WITH MCC — 3 plans
153 OTITIS MEDIA AND URI WITHOUT MCC — 3 plans
158 DENTAL AND ORAL DISEASES WITH CC — 3 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC — 3 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC — 3 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC — 3 plans
539 OSTEOMYELITIS WITH MCC — 3 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC — 3 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC — 3 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC — 3 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC — 3 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM — 3 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC — 3 plans
866 VIRAL ILLNESS WITHOUT MCC — 3 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC — 3 plans
882 NEUROSES EXCEPT DEPRESSIVE $279 – $4,180 3 plans
885 PSYCHOSES $348 – $5,872 3 plans
914 TRAUMATIC INJURY WITHOUT MCC — 3 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC — 3 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 3 plans
← Back to Wayne County Hospital profile