Adams Memorial Hospital — Pricing
237 procedures published in this hospital's Machine-Readable File (MRF) — 234 with a comparable price, 3 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 237
Lowest published price $878
Average published price $20,896
Highest published price $99,644
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 237 procedures
Published charges
Showing all 234 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. IN median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $99,644 | $99,644 | $58,195 | +71% | $71,701 | +39% |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $73,354 | $73,354 | $69,008 | +6% | $63,984 | +15% |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $70,291 | $70,291 | $75,169 | −6% | $88,050 | −20% |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $68,816 | $68,816 | $80,983 | −15% | $64,465 | +7% |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $68,074 | $68,074 | $59,208 | +15% | $45,817 | +49% |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $61,871 | $61,871 | $60,626 | +2% | $60,140 | +3% |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $61,525 | $61,525 | $62,488 | −2% | $87,565 | −30% |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $55,874 | $55,874 | $49,576 | +13% | $72,859 | −23% |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $55,358 | $55,358 | $58,044 | −5% | $62,961 | −12% |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $53,373 | $53,373 | $47,006 | +14% | $49,470 | +8% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $53,287 | $53,287 | $62,273 | −14% | $58,832 | −9% |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $52,234 | $52,234 | $46,751 | +12% | $72,782 | −28% |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $51,484 | $51,484 | $39,349 | +31% | $35,459 | +45% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $51,028 | $51,028 | $47,007 | +9% | $30,974 | +65% |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $50,764 | $50,764 | $21,896 | +132% | $20,278 | +150% |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $48,967 | $48,967 | $36,294 | +35% | $41,660 | +18% |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $46,479 | $46,479 | $46,479 | +0% | $62,821 | −26% |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $46,417 | $46,417 | $65,920 | −30% | $56,519 | −18% |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $43,986 | $43,986 | $43,105 | +2% | $54,313 | −19% |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $43,152 | $43,152 | $72,742 | −41% | $68,399 | −37% |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $42,943 | $42,943 | $42,892 | +0% | $40,552 | +6% |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $42,634 | $42,634 | $28,759 | +48% | $33,137 | +29% |
| 570 | SKIN DEBRIDEMENT WITH MCC | $42,317 | $42,317 | $42,317 | +0% | $52,435 | −19% |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $42,255 | $42,255 | $59,634 | −29% | $52,313 | −19% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $41,553 | $41,553 | $17,693 | +135% | $18,081 | +130% |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $40,767 | $40,767 | $19,528 | +109% | $30,940 | +32% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $40,556 | $40,556 | $52,676 | −23% | $44,117 | −8% |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $39,767 | $39,767 | $92,818 | −57% | $54,824 | −27% |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $37,942 | $37,942 | $36,099 | +5% | $33,165 | +14% |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $37,392 | $37,392 | $26,049 | +44% | $31,758 | +18% |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $36,661 | $36,661 | $82,635 | −56% | $67,764 | −46% |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $36,327 | $36,327 | $55,328 | −34% | $51,172 | −29% |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $35,451 | $35,451 | $46,086 | −23% | $48,682 | −27% |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $35,067 | $35,067 | $53,141 | −34% | $29,663 | +18% |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $34,873 | $34,873 | $60,746 | −43% | $72,945 | −52% |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $34,648 | $34,648 | $34,648 | +0% | $32,936 | +5% |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $34,275 | $34,275 | $40,191 | −15% | $43,266 | −21% |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $33,527 | $33,527 | $41,471 | −19% | $30,930 | +8% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $33,453 | $33,453 | $46,490 | −28% | $43,524 | −23% |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $33,119 | $33,119 | $62,958 | −47% | $68,006 | −51% |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $33,096 | $33,096 | $38,604 | −14% | $38,836 | −15% |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $32,640 | $32,640 | $45,897 | −29% | $39,747 | −18% |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $32,605 | $32,605 | $31,987 | +2% | $26,146 | +25% |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $32,415 | $32,415 | $40,602 | −20% | $42,881 | −24% |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $32,284 | $32,284 | $30,820 | +5% | $36,097 | −11% |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $32,123 | $32,123 | $36,392 | −12% | $44,553 | −28% |
| 949 | AFTERCARE WITH CC/MCC | $31,683 | $31,683 | $20,429 | +55% | $23,953 | +32% |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $31,669 | $31,669 | $21,087 | +50% | $30,766 | +3% |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $31,589 | $31,589 | $29,027 | +9% | $24,561 | +29% |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $31,551 | $31,551 | $17,876 | +76% | $12,797 | +147% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $31,424 | $31,424 | $15,535 | +102% | $16,049 | +96% |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $30,946 | $30,946 | $23,622 | +31% | $30,275 | +2% |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $30,653 | $30,653 | $41,705 | −27% | $33,792 | −9% |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $30,226 | $30,226 | $13,191 | +129% | $14,337 | +111% |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $29,624 | $29,624 | $43,225 | −31% | $34,887 | −15% |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $29,592 | $29,592 | $75,004 | −61% | $87,018 | −66% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $29,532 | $29,532 | $29,262 | +1% | $32,689 | −10% |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $29,345 | $29,345 | $40,977 | −28% | $30,314 | −3% |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $29,290 | $29,290 | $25,993 | +13% | $32,204 | −9% |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $29,111 | $29,111 | $32,509 | −10% | $24,022 | +21% |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $28,987 | $28,987 | $22,647 | +28% | $27,219 | +6% |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $28,949 | $28,949 | $22,350 | +30% | $30,394 | −5% |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $28,476 | $28,476 | $23,510 | +21% | $23,723 | +20% |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $28,055 | $28,055 | $45,434 | −38% | $35,375 | −21% |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,551 | $27,551 | $77,080 | −64% | $60,098 | −54% |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $26,456 | $26,456 | $30,817 | −14% | $24,941 | +6% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $26,322 | $26,322 | $16,523 | +59% | $17,273 | +52% |
| 945 | REHABILITATION WITH CC/MCC | $25,899 | $25,899 | $17,118 | +51% | $23,834 | +9% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $25,867 | $25,867 | $25,867 | +0% | $25,704 | +1% |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $25,753 | $25,753 | $54,057 | −52% | $50,011 | −49% |
| 313 | CHEST PAIN | $25,095 | $25,095 | $15,899 | +58% | $15,962 | +57% |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $24,947 | $24,947 | $24,947 | +0% | $38,357 | −35% |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $24,745 | $24,745 | $29,037 | −15% | $35,014 | −29% |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $24,412 | $24,412 | $30,079 | −19% | $37,064 | −34% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $24,298 | $24,298 | $24,118 | +1% | $29,757 | −18% |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $24,210 | $24,210 | $35,063 | −31% | $36,242 | −33% |
| 571 | SKIN DEBRIDEMENT WITH CC | $24,135 | $24,135 | $33,203 | −27% | $34,901 | −31% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $23,666 | $23,666 | $23,953 | −1% | $26,158 | −10% |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $23,646 | $23,646 | $22,368 | +6% | $21,545 | +10% |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $23,642 | $23,642 | $43,495 | −46% | $36,239 | −35% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $23,031 | $23,031 | $31,150 | −26% | $31,840 | −28% |
| 813 | COAGULATION DISORDERS | $22,874 | $22,874 | $20,984 | +9% | $30,128 | −24% |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $22,782 | $22,782 | $32,403 | −30% | $29,374 | −22% |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $22,486 | $22,486 | $28,313 | −21% | $56,960 | −61% |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $22,244 | $22,244 | $21,794 | +2% | $25,474 | −13% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $21,757 | $21,757 | $21,786 | −0% | $27,244 | −20% |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $20,903 | $20,903 | $18,307 | +14% | $25,731 | −19% |
| 637 | DIABETES WITH MCC | $20,691 | $20,691 | $27,419 | −25% | $28,819 | −28% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $20,686 | $20,686 | $20,735 | −0% | $18,150 | +14% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $20,619 | $20,619 | $25,094 | −18% | $26,488 | −22% |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $20,576 | $20,576 | $49,328 | −58% | $42,119 | −51% |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $19,975 | $19,975 | $26,747 | −25% | $30,814 | −35% |
| 950 | AFTERCARE WITHOUT CC/MCC | $19,875 | $19,875 | $14,382 | +38% | $13,527 | +47% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $19,459 | $19,459 | $21,892 | −11% | $30,058 | −35% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $19,427 | $19,427 | $20,626 | −6% | $25,020 | −22% |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $19,390 | $19,390 | $19,589 | −1% | $26,322 | −26% |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $19,305 | $19,305 | $19,298 | +0% | $18,623 | +4% |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $19,238 | $19,238 | $29,370 | −34% | $27,118 | −29% |
| 139 | SALIVARY GLAND PROCEDURES | $19,207 | $19,207 | $23,760 | −19% | $21,014 | −9% |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $19,079 | $19,079 | $78,075 | −76% | $96,222 | −80% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $18,815 | $18,815 | $16,674 | +13% | $18,918 | −1% |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $18,749 | $18,749 | $32,184 | −42% | $33,424 | −44% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $18,696 | $18,696 | $32,245 | −42% | $35,237 | −47% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $18,689 | $18,689 | $16,977 | +10% | $19,096 | −2% |
| 304 | HYPERTENSION WITH MCC | $18,360 | $18,360 | $21,606 | −15% | $24,185 | −24% |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $18,241 | $18,241 | $35,300 | −48% | $24,348 | −25% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $18,138 | $18,138 | $31,521 | −42% | $37,842 | −52% |
| 311 | ANGINA PECTORIS | $18,123 | $18,123 | $22,187 | −18% | $15,165 | +20% |
| 305 | HYPERTENSION WITHOUT MCC | $17,817 | $17,817 | $16,571 | +8% | $17,144 | +4% |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $17,815 | $17,815 | $36,194 | −51% | $27,369 | −35% |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $17,581 | $17,581 | $17,757 | −1% | $15,600 | +13% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $17,505 | $17,505 | $15,157 | +15% | $13,824 | +27% |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $17,445 | $17,445 | $10,581 | +65% | $18,133 | −4% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $17,336 | $17,336 | $24,427 | −29% | $24,190 | −28% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,163 | $17,163 | $29,133 | −41% | $35,714 | −52% |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,036 | $17,036 | $37,975 | −55% | $37,975 | −55% |
| 312 | SYNCOPE AND COLLAPSE | $16,790 | $16,790 | $19,855 | −15% | $19,342 | −13% |
| 602 | CELLULITIS WITH MCC | $16,608 | $16,608 | $23,217 | −28% | $29,347 | −43% |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $16,309 | $16,309 | $12,294 | +33% | $21,663 | −25% |
| 638 | DIABETES WITH CC | $16,090 | $16,090 | $18,826 | −15% | $18,821 | −15% |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,886 | $15,886 | $26,999 | −41% | $29,031 | −45% |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $15,779 | $15,779 | $18,909 | −17% | $16,571 | −5% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $15,657 | $15,657 | $19,032 | −18% | $21,213 | −26% |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $15,646 | $15,646 | $15,343 | +2% | $17,943 | −13% |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $15,611 | $15,611 | $31,663 | −51% | $28,967 | −46% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $15,576 | $15,576 | $19,690 | −21% | $22,024 | −29% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $15,454 | $15,454 | $25,607 | −40% | $20,463 | −24% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $15,371 | $15,371 | $19,278 | −20% | $22,850 | −33% |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $15,335 | $15,335 | $19,816 | −23% | $21,449 | −29% |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $15,238 | $15,238 | $49,937 | −69% | $60,861 | −75% |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $15,200 | $15,200 | $16,455 | −8% | $20,007 | −24% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $15,041 | $15,041 | $15,663 | −4% | $17,727 | −15% |
| 539 | OSTEOMYELITIS WITH MCC | $14,001 | $14,001 | $28,715 | −51% | $33,746 | −59% |
| 603 | CELLULITIS WITHOUT MCC | $13,747 | $13,747 | $17,246 | −20% | $18,530 | −26% |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $13,700 | $13,700 | $14,069 | −3% | $14,927 | −8% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $13,512 | $13,512 | $27,589 | −51% | $23,571 | −43% |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $13,429 | $13,429 | $12,784 | +5% | $13,368 | +0% |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $13,377 | $13,377 | $56,986 | −77% | $50,919 | −74% |
| 866 | VIRAL ILLNESS WITHOUT MCC | $13,362 | $13,362 | $16,884 | −21% | $16,391 | −18% |
| 540 | OSTEOMYELITIS WITH CC | $13,361 | $13,361 | $21,491 | −38% | $23,494 | −43% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $12,948 | $12,948 | $19,186 | −33% | $18,278 | −29% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $12,891 | $12,891 | $17,444 | −26% | $18,204 | −29% |
| 913 | TRAUMATIC INJURY WITH MCC | $12,731 | $12,731 | $14,729 | −14% | $24,198 | −47% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,606 | $12,606 | $19,652 | −36% | $23,396 | −46% |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $12,542 | $12,542 | $12,542 | +0% | $14,012 | −10% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,492 | $12,492 | $24,871 | −50% | $23,469 | −47% |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,290 | $12,290 | $26,332 | −53% | $29,211 | −58% |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,288 | $12,288 | $48,892 | −75% | $25,484 | −52% |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $12,284 | $12,284 | $26,958 | −54% | $22,560 | −46% |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $12,087 | $12,087 | $16,973 | −29% | $34,146 | −65% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $12,075 | $12,075 | $13,914 | −13% | $13,318 | −9% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $12,034 | $12,034 | $25,516 | −53% | $20,084 | −40% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,865 | $11,865 | $20,030 | −41% | $20,488 | −42% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,777 | $11,777 | $15,264 | −23% | $15,070 | −22% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $11,726 | $11,726 | $18,396 | −36% | $20,777 | −44% |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,646 | $11,646 | $22,848 | −49% | $28,780 | −60% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $11,545 | $11,545 | $14,751 | −22% | $16,745 | −31% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,527 | $11,527 | $19,687 | −41% | $22,982 | −50% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,515 | $11,515 | $21,192 | −46% | $22,781 | −49% |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $11,496 | $11,496 | $22,179 | −48% | $19,001 | −40% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $11,341 | $11,341 | $14,848 | −24% | $17,388 | −35% |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $11,239 | $11,239 | $42,213 | −73% | $52,405 | −79% |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,122 | $11,122 | $17,133 | −35% | $22,431 | −50% |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,042 | $11,042 | $23,930 | −54% | $35,114 | −69% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $10,996 | $10,996 | $24,740 | −56% | $19,815 | −45% |
| 682 | RENAL FAILURE WITH MCC | $10,766 | $10,766 | $23,404 | −54% | $27,854 | −61% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,722 | $10,722 | $16,290 | −34% | $17,466 | −39% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $10,638 | $10,638 | $15,999 | −34% | $17,322 | −39% |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,637 | $10,637 | $26,927 | −60% | $33,607 | −68% |
| 694 | URINARY STONES WITHOUT MCC | $10,567 | $10,567 | $14,250 | −26% | $16,531 | −36% |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,567 | $10,567 | $18,645 | −43% | $20,968 | −50% |
| 683 | RENAL FAILURE WITH CC | $10,459 | $10,459 | $17,473 | −40% | $18,620 | −44% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $10,198 | $10,198 | $17,772 | −43% | $16,865 | −40% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,189 | $10,189 | $27,285 | −63% | $27,934 | −64% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,148 | $10,148 | $16,010 | −37% | $24,452 | −58% |
| 101 | SEIZURES WITHOUT MCC | $10,105 | $10,105 | $18,712 | −46% | $19,954 | −49% |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,974 | $9,974 | $17,731 | −44% | $17,731 | −44% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,950 | $9,950 | $17,659 | −44% | $25,426 | −61% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,934 | $9,934 | $16,375 | −39% | $19,579 | −49% |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $9,719 | $9,719 | $10,983 | −12% | $13,081 | −26% |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $9,324 | $9,324 | $36,807 | −75% | $78,582 | −88% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,323 | $9,323 | $17,102 | −45% | $17,522 | −47% |
| 885 | PSYCHOSES | $8,956 | $8,956 | $11,724 | −24% | $21,489 | −58% |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $8,839 | $8,839 | $53,543 | −83% | $40,063 | −78% |
| 639 | DIABETES WITHOUT CC/MCC | $8,819 | $8,819 | $15,521 | −43% | $13,910 | −37% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,780 | $8,780 | $16,720 | −47% | $19,287 | −54% |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,650 | $8,650 | $19,885 | −56% | $19,795 | −56% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,414 | $8,414 | $15,045 | −44% | $15,045 | −44% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,352 | $8,352 | $14,348 | −42% | $17,367 | −52% |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,331 | $8,331 | $26,840 | −69% | $20,741 | −60% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,314 | $8,314 | $24,511 | −66% | $24,136 | −66% |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,172 | $8,172 | $21,721 | −62% | $24,177 | −66% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,161 | $8,161 | $16,174 | −50% | $20,732 | −61% |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $8,144 | $8,144 | $22,604 | −64% | $32,399 | −75% |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,077 | $8,077 | $10,666 | −24% | $14,441 | −44% |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $7,992 | $7,992 | $21,430 | −63% | $15,655 | −49% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,972 | $7,972 | $13,279 | −40% | $13,384 | −40% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,953 | $7,953 | $15,496 | −49% | $18,253 | −56% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,739 | $7,739 | $14,806 | −48% | $18,002 | −57% |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,679 | $7,679 | $18,632 | −59% | $23,496 | −67% |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $7,651 | $7,651 | $33,180 | −77% | $36,375 | −79% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,507 | $7,507 | $20,640 | −64% | $21,886 | −66% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,347 | $7,347 | $14,799 | −50% | $15,370 | −52% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,248 | $7,248 | $13,194 | −45% | $17,103 | −58% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,193 | $7,193 | $15,730 | −54% | $16,212 | −56% |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,950 | $6,950 | $23,712 | −71% | $16,776 | −59% |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,912 | $6,912 | $9,888 | −30% | $12,381 | −44% |
| 149 | DYSEQUILIBRIUM | $6,873 | $6,873 | $14,987 | −54% | $17,203 | −60% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,763 | $6,763 | $16,360 | −59% | $18,803 | −64% |
| 593 | SKIN ULCERS WITH CC | $6,732 | $6,732 | $19,852 | −66% | $20,470 | −67% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,355 | $6,355 | $12,156 | −48% | $12,044 | −47% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,854 | $5,854 | $6,130 | −4% | $9,385 | −38% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,688 | $5,688 | $17,266 | −67% | $31,086 | −82% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,525 | $5,525 | $12,769 | −57% | $13,090 | −58% |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,392 | $5,392 | $24,488 | −78% | $24,202 | −78% |
| 200 | PNEUMOTHORAX WITH CC | $5,182 | $5,182 | $16,159 | −68% | $20,573 | −75% |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,796 | $4,796 | $13,967 | −66% | $14,473 | −67% |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,068 | $4,068 | $23,189 | −82% | $39,563 | −90% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $3,901 | $3,901 | $18,441 | −79% | $24,480 | −84% |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,736 | $3,736 | $14,066 | −73% | $12,279 | −70% |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,735 | $3,735 | $13,963 | −73% | $16,719 | −78% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,405 | $3,405 | $10,272 | −67% | $11,633 | −71% |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,324 | $3,324 | $26,932 | −88% | $25,243 | −87% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,302 | $3,302 | $22,038 | −85% | $19,483 | −83% |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $3,170 | $3,170 | $31,141 | −90% | $27,279 | −88% |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $3,044 | $3,044 | $30,263 | −90% | $32,502 | −91% |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,908 | $2,908 | $19,913 | −85% | $23,350 | −88% |
| 795 | NORMAL NEWBORN | $2,708 | $2,708 | $4,825 | −44% | $4,530 | −40% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,614 | $2,614 | $5,619 | −53% | $7,961 | −67% |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,604 | $2,604 | $14,603 | −82% | $17,226 | −85% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,588 | $2,588 | $6,470 | −60% | $14,284 | −82% |
| 302 | ATHEROSCLEROSIS WITH MCC | $1,931 | $1,931 | $27,704 | −93% | $20,844 | −91% |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,780 | $1,780 | $17,464 | −90% | $21,806 | −92% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $878 | $878 | $14,449 | −94% | $13,623 | −94% |
Procedures with negotiated rates only
These 3 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 |
|---|---|---|---|
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | — | 58 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | — | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | — | 28 plans |
No procedures match that keyword.