Putnam County Hospital — Pricing

163 procedures published in this hospital's Machine-Readable File (MRF) — 161 with a comparable price, 2 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 163
Lowest published price $153
Average published price $14,528
Highest published price $47,553

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 163 procedures

Published charges

Showing all 161 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
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $47,553 $40,420 $73,549 −35% $54,929 −13%
375 DIGESTIVE MALIGNANCY WITH CC $45,444 $38,628 $22,647 +101% $27,277 +67%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $44,690 $37,986 $64,448 −31% $50,607 −12%
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $44,624 $37,931 $48,275 −8% $18,474 +142%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $40,670 $34,569 $50,545 −20% $44,606 −9%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $38,117 $32,399 $65,920 −42% $58,280 −35%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,285 $28,292 $63,468 −48% $59,500 −44%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $31,026 $26,372 $52,676 −41% $44,117 −30%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $30,168 $25,642 $30,168 +0% $39,106 −23%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $28,871 $24,540 $36,042 −20% $17,698 +63%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $28,160 $23,936 $27,636 +2% $29,743 −5%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $27,961 $23,767 $84,330 −67% $70,467 −60%
374 DIGESTIVE MALIGNANCY WITH MCC $26,529 $22,550 $30,641 −13% $39,958 −34%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $25,866 $21,986 $25,866 +0% $36,792 −30%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $25,731 $21,872 $25,731 +0% $25,034 +3%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $25,372 $21,567 $43,724 −42% $22,320 +14%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,530 $20,850 $20,603 +19% $13,613 +80%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $24,370 $20,715 $29,266 −17% $33,555 −27%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $24,301 $20,656 $72,364 −66% $65,653 −63%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,183 $20,556 $43,424 −44% $33,047 −27%
947 SIGNS AND SYMPTOMS WITH MCC $24,010 $20,408 $22,019 +9% $27,401 −12%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $23,962 $20,368 $22,927 +5% $32,496 −26%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $23,945 $20,354 $32,245 −26% $35,628 −33%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $23,068 $19,608 $29,263 −21% $47,737 −52%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $22,890 $19,456 $57,107 −60% $52,751 −57%
398 APPENDIX PROCEDURES WITH CC $21,952 $18,659 $48,238 −54% $40,162 −45%
603 CELLULITIS WITHOUT MCC $21,925 $18,636 $17,246 +27% $18,530 +18%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $21,782 $18,515 $16,409 +33% $26,051 −16%
336 PERITONEAL ADHESIOLYSIS WITH CC $21,690 $18,436 $47,006 −54% $50,463 −57%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $21,632 $18,387 $24,026 −10% $27,275 −21%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,229 $18,045 $33,060 −36% $50,046 −58%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $21,112 $17,945 $45,897 −54% $41,955 −50%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $20,857 $17,728 $31,987 −35% $27,297 −24%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $20,837 $17,712 $24,947 −16% $38,666 −46%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $20,393 $17,334 $26,132 −22% $23,940 −15%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $20,253 $17,215 $26,932 −25% $26,932 −25%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $20,127 $17,108 $21,192 −5% $22,888 −12%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,970 $16,975 $50,177 −60% $52,405 −62%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $19,823 $16,850 $19,084 +4% $20,422 −3%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $19,521 $16,593 $22,038 −11% $20,781 −6%
638 DIABETES WITH CC $19,241 $16,355 $18,991 +1% $19,661 −2%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $19,103 $16,238 $18,011 +6% $20,506 −7%
637 DIABETES WITH MCC $19,004 $16,154 $28,920 −34% $30,100 −37%
602 CELLULITIS WITH MCC $18,918 $16,080 $23,631 −20% $30,598 −38%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,797 $15,978 $45,940 −59% $36,505 −49%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $18,471 $15,700 $28,853 −36% $32,877 −44%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $18,320 $15,572 $20,754 −12% $23,488 −22%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $18,092 $15,378 $18,290 −1% $22,763 −21%
535 FRACTURES OF HIP AND PELVIS WITH MCC $18,079 $15,367 $19,485 −7% $24,552 −26%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $18,066 $15,356 $36,069 −50% $26,463 −32%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $17,809 $15,138 $17,659 +1% $27,543 −35%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $17,616 $14,974 $33,180 −47% $37,387 −53%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $17,422 $14,809 $28,849 −40% $31,951 −45%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $17,286 $14,693 $54,909 −69% $47,711 −64%
914 TRAUMATIC INJURY WITHOUT MCC $17,189 $14,611 $21,777 −21% $15,855 +8%
540 OSTEOMYELITIS WITH CC $16,318 $13,871 $22,921 −29% $26,676 −39%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $16,193 $13,764 $24,761 −35% $24,386 −34%
291 HEART FAILURE AND SHOCK WITH MCC $16,006 $13,605 $21,824 −27% $26,776 −40%
204 RESPIRATORY SIGNS AND SYMPTOMS $15,902 $13,516 $17,480 −9% $18,004 −12%
180 RESPIRATORY NEOPLASMS WITH MCC $15,856 $13,477 $30,648 −48% $36,658 −57%
682 RENAL FAILURE WITH MCC $15,820 $13,447 $23,912 −34% $29,064 −46%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $15,661 $13,311 $15,593 +0% $19,305 −19%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $15,577 $13,240 $18,000 −13% $18,204 −14%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $15,405 $13,094 $34,388 −55% $30,828 −50%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,201 $12,921 $52,871 −71% $50,139 −70%
312 SYNCOPE AND COLLAPSE $15,128 $12,859 $20,238 −25% $19,342 −22%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,987 $12,739 $16,174 −7% $21,275 −30%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $14,837 $12,612 $26,643 −44% $26,770 −45%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $14,749 $12,536 $14,548 +1% $18,602 −21%
183 MAJOR CHEST TRAUMA WITH MCC $14,618 $12,425 $21,767 −33% $29,933 −51%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,390 $12,231 $26,030 −45% $26,580 −46%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $13,980 $11,883 $31,452 −56% $33,707 −59%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $13,760 $11,696 $13,400 +3% $13,384 +3%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,563 $11,529 $26,020 −48% $31,159 −56%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $13,532 $11,503 $22,270 −39% $22,098 −39%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,367 $11,362 $40,191 −67% $43,477 −69%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $12,891 $10,958 $16,367 −21% $19,842 −35%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $12,853 $10,925 $18,211 −29% $15,038 −15%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,852 $10,924 $26,390 −51% $25,303 −49%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,736 $10,826 $29,851 −57% $30,010 −58%
813 COAGULATION DISORDERS $12,669 $10,768 $20,984 −40% $33,296 −62%
866 VIRAL ILLNESS WITHOUT MCC $12,563 $10,678 $16,884 −26% $17,081 −26%
541 OSTEOMYELITIS WITHOUT CC/MCC $12,542 $10,661 $20,978 −40% $15,215 −18%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $12,339 $10,489 $16,674 −26% $20,181 −39%
811 RED BLOOD CELL DISORDERS WITH MCC $12,224 $10,390 $27,285 −55% $28,226 −57%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,118 $10,300 $25,326 −52% $23,749 −49%
311 ANGINA PECTORIS $11,862 $10,082 $22,187 −47% $15,502 −23%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $11,741 $9,980 $30,907 −62% $39,181 −70%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,658 $9,909 $27,642 −58% $33,255 −65%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $11,602 $9,861 $19,186 −40% $18,807 −38%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,285 $9,592 $17,772 −36% $17,303 −35%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,261 $9,572 $14,907 −24% $17,578 −36%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,250 $9,562 $10,666 +5% $14,689 −23%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $11,236 $9,550 $21,488 −48% $22,024 −49%
313 CHEST PAIN $11,000 $9,350 $17,984 −39% $16,440 −33%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,000 $9,350 $16,523 −33% $17,724 −38%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $10,805 $9,184 $15,264 −29% $15,183 −29%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,760 $9,146 $34,438 −69% $32,944 −67%
176 PULMONARY EMBOLISM WITHOUT MCC $10,543 $8,961 $17,693 −40% $18,081 −42%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,437 $8,871 $20,244 −48% $21,396 −51%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,177 $8,651 $14,751 −31% $17,038 −40%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $10,132 $8,612 $24,904 −59% $24,914 −59%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,998 $8,498 $23,597 −58% $33,985 −71%
948 SIGNS AND SYMPTOMS WITHOUT MCC $9,851 $8,373 $15,663 −37% $17,921 −45%
683 RENAL FAILURE WITH CC $9,735 $8,275 $17,869 −46% $19,130 −49%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,674 $8,223 $14,463 −33% $22,851 −58%
181 RESPIRATORY NEOPLASMS WITH CC $9,642 $8,196 $19,583 −51% $23,573 −59%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,616 $8,174 $19,278 −50% $22,850 −58%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,603 $8,163 $16,290 −41% $17,674 −46%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,602 $8,162 $15,157 −37% $13,824 −31%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,390 $7,982 $17,731 −47% $18,488 −49%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,279 $7,887 $19,687 −53% $23,617 −61%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,171 $7,796 $13,738 −33% $25,279 −64%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,986 $7,638 $14,449 −38% $18,126 −50%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,791 $7,472 $15,535 −43% $16,699 −47%
950 AFTERCARE WITHOUT CC/MCC $8,735 $7,425 $14,382 −39% $13,527 −35%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,492 $7,218 $25,607 −67% $20,463 −59%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,423 $7,160 $13,914 −39% $13,361 −37%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $8,168 $6,943 $33,307 −75% $33,393 −76%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $8,141 $6,920 $15,999 −49% $17,322 −53%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,012 $6,810 $15,718 −49% $14,368 −44%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,922 $6,734 $20,030 −60% $20,488 −61%
292 HEART FAILURE AND SHOCK WITH CC $7,868 $6,688 $15,730 −50% $16,371 −52%
534 FRACTURES OF FEMUR WITHOUT MCC $7,526 $6,397 $13,215 −43% $17,559 −57%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,431 $6,316 $20,270 −63% $27,316 −73%
184 MAJOR CHEST TRAUMA WITH CC $7,297 $6,202 $20,890 −65% $22,432 −67%
101 SEIZURES WITHOUT MCC $7,085 $6,022 $18,712 −62% $20,461 −65%
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,995 $5,946 $18,645 −62% $22,033 −68%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,986 $5,938 $15,941 −56% $27,285 −74%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,982 $5,934 $17,431 −60% $26,682 −74%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $6,800 $5,780 $19,589 −65% $27,163 −75%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,742 $5,731 $14,806 −54% $18,002 −63%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $6,709 $5,703 $35,359 −81% $33,653 −80%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,643 $5,646 $20,747 −68% $14,648 −55%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,621 $5,628 $23,022 −71% $18,150 −64%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,556 $5,572 $21,690 −70% $12,559 −48%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,535 $5,555 $22,368 −71% $22,506 −71%
305 HYPERTENSION WITHOUT MCC $6,227 $5,293 $16,897 −63% $18,086 −66%
694 URINARY STONES WITHOUT MCC $6,188 $5,260 $14,291 −57% $17,345 −64%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,990 $5,092 $8,829 −32% $12,999 −54%
186 PLEURAL EFFUSION WITH MCC $5,606 $4,765 $25,115 −78% $33,834 −83%
303 ATHEROSCLEROSIS WITHOUT MCC $5,570 $4,734 $14,438 −61% $14,927 −63%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,306 $4,510 $29,037 −82% $39,955 −87%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,866 $4,136 $14,118 −66% $18,528 −74%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,832 $4,107 $19,453 −75% $25,463 −81%
639 DIABETES WITHOUT CC/MCC $4,522 $3,844 $15,521 −71% $13,910 −67%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,346 $3,694 $18,924 −77% $22,458 −81%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,984 $3,386 $24,208 −84% $30,959 −87%
197 INTERSTITIAL LUNG DISEASE WITH CC $3,976 $3,380 $21,269 −81% $21,941 −82%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,804 $3,234 $17,175 −78% $19,096 −80%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,688 $3,134 $18,107 −80% $17,620 −79%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,515 $2,988 $19,292 −82% $19,227 −82%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,397 $2,887 $15,045 −77% $15,452 −78%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,050 $2,593 $20,953 −85% $27,633 −89%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,870 $2,440 $15,247 −81% $15,428 −81%
149 DYSEQUILIBRIUM $2,423 $2,060 $14,987 −84% $18,096 −87%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,858 $1,580 $12,405 −85% $12,460 −85%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,635 $1,390 $21,815 −93% $28,050 −94%
103 HEADACHES WITHOUT MCC $1,040 $1,040 $18,016 −94% $21,280 −95%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,000 $850 $6,968 −86% $10,160 −90%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $153 — $3,055 −95% $10,480 −99%

Procedures with negotiated rates only

These 2 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
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $7,394 – $90,511 · median $48,844 18 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC — 18 plans
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