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.

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 $63,964 +56% $77,817 +28%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $73,354 $73,354 $72,364 +1% $65,653 +12%
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 $68,816 +0% $65,608 +5%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $68,074 $68,074 $61,982 +10% $46,090 +48%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $61,871 $61,871 $60,626 +2% $60,170 +3%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $61,525 $61,525 $62,979 −2% $93,390 −34%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $55,874 $55,874 $49,576 +13% $76,001 −26%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $55,358 $55,358 $58,044 −5% $66,685 −17%
336 PERITONEAL ADHESIOLYSIS WITH CC $53,373 $53,373 $47,006 +14% $50,463 +6%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $53,287 $53,287 $63,468 −16% $59,500 −10%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $52,234 $52,234 $51,435 +2% $75,573 −31%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $51,484 $51,484 $39,349 +31% $40,562 +27%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $51,028 $51,028 $43,424 +18% $33,047 +54%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $50,764 $50,764 $22,628 +124% $21,056 +141%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $48,967 $48,967 $36,294 +35% $42,914 +14%
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% $58,280 −20%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $43,986 $43,986 $43,545 +1% $58,228 −24%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $43,152 $43,152 $72,742 −41% $69,743 −38%
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 $33,307 +28% $33,393 +28%
570 SKIN DEBRIDEMENT WITH MCC $42,317 $42,317 $35,795 +18% $52,435 −19%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $42,255 $42,255 $59,634 −29% $53,451 −21%
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% $32,031 +27%
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% $59,421 −33%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $37,942 $37,942 $37,942 +0% $34,459 +10%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $37,392 $37,392 $29,266 +28% $33,555 +11%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $36,661 $36,661 $84,330 −57% $70,467 −48%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $36,327 $36,327 $57,107 −36% $52,751 −31%
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 $56,607 −38% $32,100 +9%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $34,873 $34,873 $60,746 −43% $77,990 −55%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $34,648 $34,648 $35,359 −2% $33,653 +3%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $34,275 $34,275 $40,191 −15% $43,477 −21%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $33,527 $33,527 $41,471 −19% $34,607 −3%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $33,453 $33,453 $46,231 −28% $43,943 −24%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $33,119 $33,119 $62,958 −47% $71,795 −54%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $33,096 $33,096 $38,879 −15% $38,836 −15%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $32,640 $32,640 $45,897 −29% $41,955 −22%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $32,605 $32,605 $31,987 +2% $27,297 +19%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $32,415 $32,415 $40,727 −20% $42,881 −24%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $32,284 $32,284 $32,284 +0% $39,173 −18%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $32,123 $32,123 $36,392 −12% $45,877 −30%
949 AFTERCARE WITH CC/MCC $31,683 $31,683 $19,197 +65% $23,953 +32%
196 INTERSTITIAL LUNG DISEASE WITH MCC $31,669 $31,669 $22,484 +41% $32,637 −3%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $31,589 $31,589 $29,027 +9% $25,094 +26%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $31,551 $31,551 $17,876 +76% $13,651 +131%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $31,424 $31,424 $15,535 +102% $16,699 +88%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $30,946 $30,946 $26,020 +19% $31,159 −1%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $30,653 $30,653 $45,940 −33% $36,505 −16%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $30,226 $30,226 $13,191 +129% $14,716 +105%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $29,624 $29,624 $44,694 −34% $36,937 −20%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $29,592 $29,592 $75,669 −61% $93,172 −68%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $29,532 $29,532 $29,532 +0% $34,192 −14%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $29,345 $29,345 $40,977 −28% $31,321 −6%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $29,290 $29,290 $27,642 +6% $33,255 −12%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $29,111 $29,111 $32,509 −10% $25,970 +12%
375 DIGESTIVE MALIGNANCY WITH CC $28,987 $28,987 $22,647 +28% $27,277 +6%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $28,949 $28,949 $22,350 +30% $32,859 −12%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $28,476 $28,476 $23,510 +21% $24,127 +18%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $28,055 $28,055 $45,434 −38% $39,006 −28%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $27,551 $27,551 $31,950 −14% $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% $17,724 +49%
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 $26,030 −1% $26,580 −3%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $25,753 $25,753 $54,057 −52% $50,011 −49%
313 CHEST PAIN $25,095 $25,095 $17,984 +40% $16,440 +53%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $24,947 $24,947 $24,947 +0% $38,666 −35%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $24,745 $24,745 $29,037 −15% $39,955 −38%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $24,412 $24,412 $30,079 −19% $41,892 −42%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $24,298 $24,298 $24,208 +0% $30,959 −22%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $24,210 $24,210 $35,063 −31% $38,101 −36%
571 SKIN DEBRIDEMENT WITH CC $24,135 $24,135 $36,148 −33% $37,169 −35%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $23,666 $23,666 $24,026 −1% $27,275 −13%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $23,646 $23,646 $22,368 +6% $22,506 +5%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $23,642 $23,642 $43,841 −46% $39,211 −40%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $23,031 $23,031 $31,452 −27% $33,707 −32%
813 COAGULATION DISORDERS $22,874 $22,874 $20,984 +9% $33,296 −31%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $22,782 $22,782 $34,243 −33% $30,083 −24%
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 $22,019 +1% $27,401 −19%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $21,757 $21,757 $21,815 −0% $28,050 −22%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $20,903 $20,903 $20,270 +3% $27,316 −23%
637 DIABETES WITH MCC $20,691 $20,691 $28,920 −28% $30,100 −31%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $20,686 $20,686 $23,022 −10% $18,150 +14%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $20,619 $20,619 $26,643 −23% $26,770 −23%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $20,576 $20,576 $50,545 −59% $44,606 −54%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $19,975 $19,975 $28,849 −31% $31,951 −37%
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 $22,927 −15% $32,496 −40%
291 HEART FAILURE AND SHOCK WITH MCC $19,427 $19,427 $21,824 −11% $26,776 −27%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,390 $19,390 $19,589 −1% $27,163 −29%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $19,305 $19,305 $19,292 +0% $19,227 +0%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $19,238 $19,238 $29,397 −35% $27,152 −29%
139 SALIVARY GLAND PROCEDURES $19,207 $19,207 $29,160 −34% $23,612 −19%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $19,079 $19,079 $78,075 −76% $96,507 −80%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $18,815 $18,815 $16,674 +13% $20,181 −7%
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% $35,628 −48%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $18,689 $18,689 $17,175 +9% $19,096 −2%
304 HYPERTENSION WITH MCC $18,360 $18,360 $21,606 −15% $26,080 −30%
137 MOUTH PROCEDURES WITH CC/MCC $18,241 $18,241 $40,250 −55% $27,861 −35%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $18,138 $18,138 $33,778 −46% $37,842 −52%
311 ANGINA PECTORIS $18,123 $18,123 $22,187 −18% $15,502 +17%
305 HYPERTENSION WITHOUT MCC $17,817 $17,817 $16,897 +5% $18,086 −1%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $17,815 $17,815 $36,194 −51% $30,784 −42%
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 $12,861 +36% $18,133 −4%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,336 $17,336 $24,761 −30% $24,386 −29%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $17,163 $17,163 $30,168 −43% $39,106 −56%
501 SOFT TISSUE PROCEDURES WITH CC $17,036 $17,036 $37,975 −55% $39,619 −57%
312 SYNCOPE AND COLLAPSE $16,790 $16,790 $20,238 −17% $19,342 −13%
602 CELLULITIS WITH MCC $16,608 $16,608 $23,631 −30% $30,598 −46%
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $16,309 $16,309 $13,820 +18% $21,663 −25%
638 DIABETES WITH CC $16,090 $16,090 $18,991 −15% $19,661 −18%
919 COMPLICATIONS OF TREATMENT WITH MCC $15,886 $15,886 $26,999 −41% $31,105 −49%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $15,779 $15,779 $18,909 −17% $17,601 −10%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $15,657 $15,657 $20,244 −23% $21,396 −27%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $15,646 $15,646 $15,343 +2% $18,956 −17%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $15,611 $15,611 $34,388 −55% $30,828 −49%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,576 $15,576 $21,488 −28% $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 $50,224 −70% $61,470 −75%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $15,200 $15,200 $16,455 −8% $20,957 −27%
948 SIGNS AND SYMPTOMS WITHOUT MCC $15,041 $15,041 $15,663 −4% $17,921 −16%
539 OSTEOMYELITIS WITH MCC $14,001 $14,001 $28,715 −51% $37,609 −63%
603 CELLULITIS WITHOUT MCC $13,747 $13,747 $17,246 −20% $18,530 −26%
303 ATHEROSCLEROSIS WITHOUT MCC $13,700 $13,700 $14,438 −5% $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% $13,633 −2%
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% $17,081 −22%
540 OSTEOMYELITIS WITH CC $13,361 $13,361 $22,921 −42% $26,676 −50%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $12,948 $12,948 $19,186 −33% $18,807 −31%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $12,891 $12,891 $18,000 −28% $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 $20,754 −39% $23,488 −46%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,542 $12,542 $15,836 −21% $14,415 −13%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,492 $12,492 $26,132 −52% $23,940 −48%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $12,290 $12,290 $27,636 −56% $29,743 −59%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,288 $12,288 $63,327 −81% $26,598 −54%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,284 $12,284 $26,958 −54% $23,283 −47%
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $12,087 $12,087 $18,104 −33% $34,146 −65%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $12,075 $12,075 $13,914 −13% $13,361 −10%
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% $15,183 −22%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,726 $11,726 $18,396 −36% $21,363 −45%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,646 $11,646 $23,231 −50% $30,571 −62%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $11,545 $11,545 $14,751 −22% $17,038 −32%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,527 $11,527 $19,687 −41% $23,617 −51%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $11,515 $11,515 $21,192 −46% $22,888 −50%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $11,496 $11,496 $22,179 −48% $19,962 −42%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,341 $11,341 $14,907 −24% $17,578 −35%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $11,239 $11,239 $50,177 −78% $52,405 −79%
181 RESPIRATORY NEOPLASMS WITH CC $11,122 $11,122 $19,583 −43% $23,573 −53%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,042 $11,042 $25,866 −57% $36,792 −70%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $10,996 $10,996 $26,502 −59% $19,846 −45%
682 RENAL FAILURE WITH MCC $10,766 $10,766 $23,912 −55% $29,064 −63%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,722 $10,722 $16,290 −34% $17,674 −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% $33,876 −69%
694 URINARY STONES WITHOUT MCC $10,567 $10,567 $14,291 −26% $17,345 −39%
386 INFLAMMATORY BOWEL DISEASE WITH CC $10,567 $10,567 $18,645 −43% $22,033 −52%
683 RENAL FAILURE WITH CC $10,459 $10,459 $17,869 −41% $19,130 −45%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,198 $10,198 $17,772 −43% $17,303 −41%
811 RED BLOOD CELL DISORDERS WITH MCC $10,189 $10,189 $27,285 −63% $28,226 −64%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,148 $10,148 $13,738 −26% $25,279 −60%
101 SEIZURES WITHOUT MCC $10,105 $10,105 $18,712 −46% $20,461 −51%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,974 $9,974 $17,731 −44% $18,488 −46%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,950 $9,950 $17,659 −44% $27,543 −64%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,934 $9,934 $19,084 −48% $20,422 −51%
201 PNEUMOTHORAX WITHOUT CC/MCC $9,719 $9,719 $12,006 −19% $14,053 −31%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $9,324 $9,324 $41,310 −77% $89,207 −90%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,323 $9,323 $18,107 −49% $17,620 −47%
885 PSYCHOSES $8,956 $8,956 $11,724 −24% $21,729 −59%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $8,839 $8,839 $53,543 −83% $41,591 −79%
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 $18,011 −51% $20,506 −57%
152 OTITIS MEDIA AND URI WITH MCC $8,650 $8,650 $19,885 −56% $20,247 −57%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,414 $8,414 $15,045 −44% $15,452 −46%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $8,352 $8,352 $14,548 −43% $18,602 −55%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,331 $8,331 $27,338 −70% $24,566 −66%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,314 $8,314 $24,904 −67% $24,914 −67%
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% $21,275 −62%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $8,144 $8,144 $23,597 −65% $33,985 −76%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,077 $8,077 $10,666 −24% $14,689 −45%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $7,992 $7,992 $21,430 −63% $15,215 −47%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,972 $7,972 $13,400 −41% $13,384 −40%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,953 $7,953 $14,118 −44% $18,528 −57%
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 $21,369 −64% $23,551 −67%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,651 $7,651 $33,180 −77% $37,387 −80%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,507 $7,507 $22,270 −66% $22,098 −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 $14,064 −48% $16,846 −57%
292 HEART FAILURE AND SHOCK WITH CC $7,193 $7,193 $15,730 −54% $16,371 −56%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,950 $6,950 $24,209 −71% $16,776 −59%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,912 $6,912 $10,601 −35% $12,454 −45%
149 DYSEQUILIBRIUM $6,873 $6,873 $14,987 −54% $18,096 −62%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,763 $6,763 $16,367 −59% $19,842 −66%
593 SKIN ULCERS WITH CC $6,732 $6,732 $20,208 −67% $22,886 −71%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,355 $6,355 $12,519 −49% $12,078 −47%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,854 $5,854 $6,968 −16% $10,160 −42%
551 MEDICAL BACK PROBLEMS WITH MCC $5,688 $5,688 $18,567 −69% $34,017 −83%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,525 $5,525 $15,345 −64% $13,275 −58%
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,392 $5,392 $24,488 −78% $25,700 −79%
200 PNEUMOTHORAX WITH CC $5,182 $5,182 $16,159 −68% $21,368 −76%
153 OTITIS MEDIA AND URI WITHOUT MCC $4,796 $4,796 $13,967 −66% $14,583 −67%
791 PREMATURITY WITH MAJOR PROBLEMS $4,068 $4,068 $19,305 −79% $42,679 −90%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $3,901 $3,901 $19,453 −80% $25,463 −85%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,736 $3,736 $14,066 −73% $12,252 −70%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,735 $3,735 $13,839 −73% $18,649 −80%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,405 $3,405 $10,367 −67% $12,229 −72%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,324 $3,324 $26,932 −88% $26,932 −88%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,302 $3,302 $22,038 −85% $20,781 −84%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,170 $3,170 $31,141 −90% $33,454 −91%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,044 $3,044 $31,233 −90% $32,628 −91%
535 FRACTURES OF HIP AND PELVIS WITH MCC $2,908 $2,908 $19,485 −85% $24,552 −88%
795 NORMAL NEWBORN $2,708 $2,708 $4,894 −45% $4,720 −43%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,614 $2,614 $5,773 −55% $8,445 −69%
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 $9,040 −71% $16,351 −84%
302 ATHEROSCLEROSIS WITH MCC $1,931 $1,931 $27,704 −93% $22,446 −91%
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,780 $1,780 $17,464 −90% $23,319 −92%
684 RENAL FAILURE WITHOUT CC/MCC $878 $878 $14,449 −94% $13,642 −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
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