Bonner General Hospital — Pricing

244 procedures published in this hospital's Machine-Readable File (MRF) — 243 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 244
Lowest published price $1,358
Average published price $17,005
Highest published price $124,973

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 244 procedures

Published charges

Showing all 243 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. ID median vs. National median
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $124,973 $99,978 $48,481 +158% $43,650 +186%
380 COMPLICATED PEPTIC ULCER WITH MCC $116,745 $93,396 $42,258 +176% $39,627 +195%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $98,782 $79,026 $230,961 −57% $116,058 −15%
570 SKIN DEBRIDEMENT WITH MCC $90,423 $72,339 $123,974 −27% $52,435 +72%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $76,756 $61,405 $72,002 +7% $39,973 +92%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $74,512 $59,610 $162,772 −54% $101,576 −27%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $71,042 $56,834 $175,629 −60% $96,507 −26%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $68,608 $54,886 $114,656 −40% $77,817 −12%
397 APPENDIX PROCEDURES WITH MCC $62,546 $50,037 $61,092 +2% $53,257 +17%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $53,698 $42,959 $114,964 −53% $58,228 −8%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $49,277 $39,422 $112,473 −56% $70,467 −30%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $49,104 $39,283 $123,587 −60% $58,707 −16%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,992 $39,193 $133,553 −63% $90,775 −46%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $45,756 $36,605 $75,989 −40% $50,607 −10%
834 ACUTE LEUKEMIA WITH MCC $45,212 $36,169 $185,984 −76% $85,566 −47%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $43,135 $34,508 $101,769 −58% $58,280 −26%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $42,057 $33,646 $125,340 −66% $50,624 −17%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $40,374 $32,299 $100,800 −60% $75,103 −46%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $39,514 $31,611 $173,505 −77% $89,207 −56%
164 MAJOR CHEST PROCEDURES WITH CC $37,230 $29,784 $181,800 −80% $56,755 −34%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $37,224 $29,779 $45,301 −18% $33,661 +11%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $37,030 $29,624 $90,936 −59% $53,451 −31%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $36,254 $29,004 $48,349 −25% $39,955 −9%
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $34,669 $27,735 $34,669 — $30,138 +15%
534 FRACTURES OF FEMUR WITHOUT MCC $34,550 $27,640 $28,900 +20% $17,559 +97%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $33,628 $26,902 $208,213 −84% $82,561 −59%
398 APPENDIX PROCEDURES WITH CC $32,100 $25,680 $59,745 −46% $40,162 −20%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $31,481 $25,184 $154,131 −80% $88,050 −64%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $30,718 $24,575 $90,766 −66% $65,653 −53%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $30,518 $24,415 $129,720 −76% $59,500 −49%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $29,680 $23,744 $222,310 −87% $43,174 −31%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $29,094 $23,276 $94,498 −69% $49,351 −41%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $29,056 $23,245 $29,232 −1% $27,297 +6%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $28,651 $22,920 $55,746 −49% $27,617 +4%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $28,621 $22,897 $81,983 −65% $59,651 −52%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $28,122 $22,498 $58,699 −52% $35,692 −21%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $27,417 $21,934 $77,232 −64% $52,751 −48%
654 MAJOR BLADDER PROCEDURES WITH CC $27,265 $21,812 $239,787 −89% $58,274 −53%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $27,046 $21,637 $142,720 −81% $75,573 −64%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $27,024 $21,619 $48,321 −44% $28,156 −4%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $26,979 $21,583 $69,178 −61% $34,607 −22%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $26,665 $21,332 $81,808 −67% $18,126 +47%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $26,198 $20,959 $62,586 −58% $36,489 −28%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $25,283 $20,227 $45,497 −44% $50,618 −50%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $25,180 $20,144 $57,698 −56% $47,711 −47%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $25,084 $20,067 $67,569 −63% $47,583 −47%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $24,729 $19,783 $81,838 −70% $44,606 −45%
335 PERITONEAL ADHESIOLYSIS WITH MCC $24,664 $19,732 $83,337 −70% $71,755 −66%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $23,652 $18,922 $31,008 −24% $30,010 −21%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $22,838 $18,270 $26,126 −13% $21,396 +7%
505 FOOT PROCEDURES WITHOUT CC/MCC $22,290 $17,832 $40,320 −45% $34,937 −36%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $22,136 $17,709 $73,453 −70% $39,211 −44%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $20,571 $16,456 $32,606 −37% $24,914 −17%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,518 $16,414 $80,792 −75% $52,405 −61%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $20,498 $16,399 $115,661 −82% $33,393 −39%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $20,262 $16,210 $74,085 −73% $45,333 −55%
571 SKIN DEBRIDEMENT WITH CC $20,114 $16,092 $76,277 −74% $37,169 −46%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $19,858 $15,886 $61,192 −68% $38,070 −48%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,567 $15,654 $95,606 −80% $44,117 −56%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $19,264 $15,411 $46,923 −59% $32,628 −41%
638 DIABETES WITH CC $18,680 $14,944 $26,373 −29% $19,661 −5%
375 DIGESTIVE MALIGNANCY WITH CC $18,575 $14,860 $39,995 −54% $27,277 −32%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $18,372 $14,698 $59,393 −69% $41,955 −56%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $18,242 $14,593 $110,562 −84% $66,685 −73%
336 PERITONEAL ADHESIOLYSIS WITH CC $18,130 $14,504 $84,195 −78% $50,463 −64%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $17,711 $14,169 $81,471 −78% $40,552 −56%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,690 $14,152 $77,266 −77% $29,949 −41%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $17,623 $14,098 $79,016 −78% $36,937 −52%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $17,415 $13,932 $42,534 −59% $35,074 −50%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $17,044 $13,635 $51,491 −67% $25,712 −34%
503 FOOT PROCEDURES WITH MCC $17,013 $13,611 $94,537 −82% $47,540 −64%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,930 $13,544 $78,265 −78% $51,985 −67%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $16,867 $13,494 $56,466 −70% $36,505 −54%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $16,357 $13,085 $38,036 −57% $23,488 −30%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $16,096 $12,877 $57,058 −72% $31,321 −49%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $15,974 $12,779 $122,532 −87% $93,172 −83%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $15,855 $12,684 $57,461 −72% $39,515 −60%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $15,818 $12,654 $83,234 −81% $40,642 −61%
546 CONNECTIVE TISSUE DISORDERS WITH CC $15,748 $12,598 $40,709 −61% $25,700 −39%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $15,592 $12,473 $83,283 −81% $39,006 −60%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $15,567 $12,454 $30,093 −48% $28,140 −45%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,448 $12,358 $38,248 −60% $22,024 −30%
914 TRAUMATIC INJURY WITHOUT MCC $14,788 $11,831 $10,763 +37% $15,855 −7%
644 ENDOCRINE DISORDERS WITH CC $14,731 $11,785 $30,261 −51% $23,198 −36%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,592 $11,674 $81,825 −82% $42,906 −66%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $14,475 $11,580 $41,403 −65% $43,491 −67%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $14,384 $11,507 $39,528 −64% $30,959 −54%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,272 $11,417 $45,593 −69% $33,707 −58%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $14,054 $11,243 $22,200 −37% $15,019 −6%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $13,958 $11,166 $66,090 −79% $31,017 −55%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $13,944 $11,155 $22,723 −39% $16,767 −17%
348 ANAL AND STOMAL PROCEDURES WITH CC $13,826 $11,061 $67,303 −79% $27,947 −51%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $13,804 $11,043 $29,808 −54% $30,571 −55%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $13,800 $11,040 $39,157 −65% $23,617 −42%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,628 $10,903 $57,121 −76% $35,628 −62%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $13,578 $10,862 $49,696 −73% $30,828 −56%
506 MAJOR THUMB OR JOINT PROCEDURES $13,505 $10,804 $34,213 −61% $30,557 −56%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,356 $10,685 $71,220 −81% $39,106 −66%
183 MAJOR CHEST TRAUMA WITH MCC $13,317 $10,653 $28,924 −54% $29,933 −56%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,264 $10,611 $38,875 −66% $20,463 −35%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,188 $10,551 $78,910 −83% $38,094 −65%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $13,106 $10,485 $13,696 −4% $26,682 −51%
602 CELLULITIS WITH MCC $13,072 $10,458 $40,667 −68% $30,598 −57%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,917 $10,334 $4,603 +181% $14,689 −12%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,885 $10,308 $80,167 −84% $43,538 −70%
100 SEIZURES WITH MCC $12,835 $10,268 $51,298 −75% $35,481 −64%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,823 $10,259 $33,697 −62% $23,749 −46%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,656 $10,125 $83,804 −85% $32,841 −61%
312 SYNCOPE AND COLLAPSE $12,538 $10,030 $33,454 −63% $19,342 −35%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,462 $9,970 $34,787 −64% $27,275 −54%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $12,350 $9,880 $25,275 −51% $22,458 −45%
637 DIABETES WITH MCC $12,336 $9,869 $37,282 −67% $30,100 −59%
291 HEART FAILURE AND SHOCK WITH MCC $12,309 $9,847 $43,912 −72% $26,776 −54%
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,272 $9,818 $31,298 −61% $22,033 −44%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $12,167 $9,734 $22,348 −46% $14,368 −15%
948 SIGNS AND SYMPTOMS WITHOUT MCC $12,163 $9,731 $21,917 −45% $17,921 −32%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $12,007 $9,606 $9,710 +24% $19,264 −38%
186 PLEURAL EFFUSION WITH MCC $11,983 $9,586 $50,141 −76% $33,834 −65%
500 SOFT TISSUE PROCEDURES WITH MCC $11,907 $9,525 $106,820 −89% $61,872 −81%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,810 $9,448 $52,968 −78% $37,842 −69%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $11,808 $9,446 $65,167 −82% $39,181 −70%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,700 $9,360 $30,836 −62% $26,580 −56%
101 SEIZURES WITHOUT MCC $11,683 $9,346 $25,784 −55% $20,461 −43%
292 HEART FAILURE AND SHOCK WITH CC $11,667 $9,334 $23,326 −50% $16,371 −29%
200 PNEUMOTHORAX WITH CC $11,616 $9,293 $24,427 −52% $21,368 −46%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $11,322 $9,058 $57,909 −80% $27,285 −59%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,147 $8,918 $38,714 −71% $23,940 −53%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $11,026 $8,821 $78,303 −86% $42,914 −74%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,968 $8,774 $64,603 −83% $30,418 −64%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $10,904 $8,723 $29,606 −63% $20,957 −48%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $10,899 $8,719 $60,878 −82% $49,418 −78%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $10,881 $8,705 $62,023 −82% $40,213 −73%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,792 $8,633 $45,051 −76% $32,496 −67%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,781 $8,625 $28,123 −62% $16,699 −35%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,701 $8,561 $44,904 −76% $26,770 −60%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,495 $8,396 $90,081 −88% $45,877 −77%
184 MAJOR CHEST TRAUMA WITH CC $10,434 $8,347 $20,842 −50% $22,432 −53%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $10,232 $8,185 $65,111 −84% $41,892 −76%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,210 $8,168 $38,538 −74% $30,235 −66%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,199 $8,159 $33,379 −69% $32,859 −69%
381 COMPLICATED PEPTIC ULCER WITH CC $10,083 $8,066 $23,573 −57% $24,177 −58%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,952 $7,961 $43,134 −77% $24,386 −59%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $9,934 $7,947 $42,888 −77% $36,792 −73%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,931 $7,945 $29,719 −67% $22,888 −57%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $9,831 $7,865 $29,015 −66% $21,449 −54%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,723 $7,779 $24,538 −60% $18,002 −46%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,679 $7,743 $40,041 −76% $23,551 −59%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $9,664 $7,731 $29,151 −67% $16,552 −42%
811 RED BLOOD CELL DISORDERS WITH MCC $9,633 $7,707 $43,074 −78% $28,226 −66%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,285 $7,428 $24,598 −62% $20,926 −56%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $9,255 $7,404 $40,883 −77% $17,698 −48%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,187 $7,350 $30,124 −70% $16,776 −45%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $9,138 $7,311 $22,186 −59% $17,038 −46%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,124 $7,299 $41,263 −78% $33,985 −73%
539 OSTEOMYELITIS WITH MCC $9,003 $7,202 $58,493 −85% $37,609 −76%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $8,956 $7,165 $63,744 −86% $42,901 −79%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $8,952 $7,162 $33,773 −73% $14,716 −39%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,943 $7,154 $34,371 −74% $23,141 −61%
947 SIGNS AND SYMPTOMS WITH MCC $8,910 $7,128 $31,670 −72% $27,401 −67%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,910 $7,128 $40,391 −78% $25,463 −65%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,866 $7,093 $38,400 −77% $20,232 −56%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $8,845 $7,076 $69,007 −87% $31,951 −72%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,843 $7,074 $12,511 −29% $12,252 −28%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,799 $7,039 $49,069 −82% $32,944 −73%
551 MEDICAL BACK PROBLEMS WITH MCC $8,722 $6,977 $48,131 −82% $34,017 −74%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,612 $6,890 $38,663 −78% $24,566 −65%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,490 $6,792 $26,577 −68% $25,303 −66%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $8,475 $6,780 $29,170 −71% $17,303 −51%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $8,472 $6,777 $29,467 −71% $19,842 −57%
603 CELLULITIS WITHOUT MCC $8,448 $6,759 $22,130 −62% $18,530 −54%
643 ENDOCRINE DISORDERS WITH MCC $8,266 $6,613 $46,446 −82% $33,563 −75%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,238 $6,591 $64,476 −87% $33,048 −75%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $8,197 $6,558 $42,717 −81% $31,159 −74%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,133 $6,506 $59,380 −86% $25,652 −68%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $8,129 $6,504 $20,680 −61% $19,037 −57%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,121 $6,497 $12,473 −35% $12,454 −35%
920 COMPLICATIONS OF TREATMENT WITH CC $8,095 $6,476 $37,651 −79% $22,468 −64%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $8,005 $6,404 $54,075 −85% $25,094 −68%
683 RENAL FAILURE WITH CC $7,995 $6,396 $26,459 −70% $19,130 −58%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,889 $6,311 $33,625 −77% $22,098 −64%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,886 $6,309 $37,771 −79% $18,807 −58%
549 SEPTIC ARTHRITIS WITH CC $7,817 $6,254 $33,767 −77% $24,056 −68%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $7,798 $6,238 $33,891 −77% $28,050 −72%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,724 $6,179 $19,162 −60% $17,322 −55%
197 INTERSTITIAL LUNG DISEASE WITH CC $7,657 $6,126 $13,477 −43% $21,941 −65%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,628 $6,102 $34,256 −78% $16,565 −54%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $7,386 $5,908 $40,845 −82% $32,877 −78%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,355 $5,884 $47,990 −85% $34,273 −79%
180 RESPIRATORY NEOPLASMS WITH MCC $7,308 $5,847 $53,725 −86% $36,658 −80%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,163 $5,730 $21,139 −66% $15,183 −53%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,093 $5,674 $31,422 −77% $21,056 −66%
682 RENAL FAILURE WITH MCC $7,052 $5,642 $40,777 −83% $29,064 −76%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,049 $5,639 $27,718 −75% $20,181 −65%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,013 $5,611 $52,808 −87% $27,843 −75%
313 CHEST PAIN $6,953 $5,563 $22,657 −69% $16,440 −58%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,936 $5,549 $26,974 −74% $18,488 −62%
305 HYPERTENSION WITHOUT MCC $6,899 $5,519 $29,390 −77% $18,086 −62%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,898 $5,519 $15,568 −56% $17,118 −60%
201 PNEUMOTHORAX WITHOUT CC/MCC $6,849 $5,479 $22,049 −69% $14,053 −51%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,728 $5,382 $29,591 −77% $20,488 −67%
597 MALIGNANT BREAST DISORDERS WITH MCC $6,665 $5,332 $57,547 −88% $33,386 −80%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,643 $5,315 $22,623 −71% $17,674 −62%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,590 $5,272 $26,491 −75% $20,781 −68%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,546 $5,237 $30,385 −78% $21,363 −69%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,215 $4,972 $25,673 −76% $19,096 −67%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,085 $4,868 $36,536 −83% $20,506 −70%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,065 $4,852 $20,117 −70% $17,578 −65%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,936 $4,748 $49,043 −88% $27,543 −78%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,866 $4,692 $21,394 −73% $18,602 −68%
153 OTITIS MEDIA AND URI WITHOUT MCC $5,746 $4,597 $14,499 −60% $14,583 −61%
639 DIABETES WITHOUT CC/MCC $5,653 $4,522 $19,867 −72% $13,910 −59%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,511 $4,409 $28,697 −81% $22,850 −76%
607 MINOR SKIN DISORDERS WITHOUT MCC $5,297 $4,237 $24,858 −79% $15,889 −67%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,155 $4,124 $17,394 −70% $13,361 −61%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,105 $4,084 $50,071 −90% $24,127 −79%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,089 $4,071 $9,641 −47% $17,298 −71%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,059 $4,047 $19,680 −74% $13,384 −62%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,730 $3,784 $44,874 −89% $33,555 −86%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,694 $3,755 $11,211 −58% $14,648 −68%
311 ANGINA PECTORIS $4,566 $3,653 $15,151 −70% $15,502 −71%
694 URINARY STONES WITHOUT MCC $4,440 $3,552 $22,594 −80% $17,345 −74%
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,367 $3,494 $46,553 −91% $24,552 −82%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,315 $3,452 $14,733 −71% $15,452 −72%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $4,305 $3,444 $52,125 −92% $37,387 −88%
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,250 $3,400 $31,796 −87% $14,514 −71%
684 RENAL FAILURE WITHOUT CC/MCC $4,211 $3,369 $22,185 −81% $13,642 −69%
158 DENTAL AND ORAL DISEASES WITH CC $3,961 $3,169 $18,524 −79% $18,466 −79%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,812 $3,050 $26,569 −86% $18,204 −79%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,795 $3,036 $31,743 −88% $27,426 −86%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,711 $2,969 $31,073 −88% $20,422 −82%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,110 $2,488 $36,699 −92% $18,150 −83%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,886 $2,309 $15,141 −81% $18,649 −85%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,852 $2,282 $7,045 −60% $8,445 −66%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,836 $2,269 $23,914 −88% $14,128 −80%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,681 $2,145 $11,050 −76% $12,229 −78%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,600 $2,080 $30,997 −92% $20,259 −87%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,247 $1,797 $15,134 −85% $12,895 −83%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,853 $1,482 $111,416 −98% $16,351 −89%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,583 $1,266 $20,577 −92% $17,733 −91%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,516 $1,213 $30,275 −95% $18,528 −92%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $1,508 $1,207 $9,019 −83% $18,459 −92%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $1,379 $1,379 $157,653 −99% $66,711 −98%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,358 $1,087 $10,535 −87% $9,940 −86%

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
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,108 – $10,373 · median $1,477 21 plans
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