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 $14,530
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 $72,532 −34% $54,929 −13%
375 DIGESTIVE MALIGNANCY WITH CC $45,444 $38,628 $22,647 +101% $27,219 +67%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $44,690 $37,986 $61,413 −27% $49,197 −9%
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 $49,328 −18% $42,119 −3%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $38,117 $32,399 $65,920 −42% $56,519 −33%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,285 $28,292 $62,273 −47% $58,832 −43%
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 $29,133 +4% $35,714 −16%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $28,871 $24,540 $36,042 −20% $17,434 +66%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $28,160 $23,936 $26,332 +7% $29,211 −4%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $27,961 $23,767 $82,635 −66% $67,764 −59%
374 DIGESTIVE MALIGNANCY WITH MCC $26,529 $22,550 $30,641 −13% $38,885 −32%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $25,866 $21,986 $23,930 +8% $35,114 −26%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $25,731 $21,872 $25,731 +0% $24,017 +7%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $25,372 $21,567 $43,724 −42% $19,894 +28%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,530 $20,850 $19,474 +26% $16,240 +51%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $24,370 $20,715 $26,049 −6% $31,758 −23%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $24,301 $20,656 $69,008 −65% $63,984 −62%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,183 $20,556 $47,007 −49% $30,974 −22%
947 SIGNS AND SYMPTOMS WITH MCC $24,010 $20,408 $21,794 +10% $25,474 −6%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $23,962 $20,368 $21,892 +9% $30,058 −20%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $23,945 $20,354 $32,245 −26% $35,237 −32%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $23,068 $19,608 $29,263 −21% $45,059 −49%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $22,890 $19,456 $55,328 −59% $51,172 −55%
398 APPENDIX PROCEDURES WITH CC $21,952 $18,659 $48,238 −54% $39,107 −44%
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% $23,956 −9%
336 PERITONEAL ADHESIOLYSIS WITH CC $21,690 $18,436 $47,006 −54% $49,470 −56%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $21,632 $18,387 $23,953 −10% $26,158 −17%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,229 $18,045 $33,060 −36% $46,591 −54%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $21,112 $17,945 $45,897 −54% $39,747 −47%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $20,857 $17,728 $31,987 −35% $26,146 −20%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $20,837 $17,712 $24,947 −16% $38,357 −46%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $20,393 $17,334 $24,871 −18% $23,469 −13%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $20,253 $17,215 $26,932 −25% $25,243 −20%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $20,127 $17,108 $21,192 −5% $22,781 −12%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,970 $16,975 $42,213 −53% $52,405 −62%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $19,823 $16,850 $16,375 +21% $19,579 +1%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $19,521 $16,593 $22,038 −11% $19,483 +0%
638 DIABETES WITH CC $19,241 $16,355 $18,826 +2% $18,821 +2%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $19,103 $16,238 $16,720 +14% $19,287 −1%
637 DIABETES WITH MCC $19,004 $16,154 $27,419 −31% $28,819 −34%
602 CELLULITIS WITH MCC $18,918 $16,080 $23,217 −19% $29,347 −36%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,797 $15,978 $41,705 −55% $33,792 −44%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $18,471 $15,700 $27,757 −33% $28,646 −36%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $18,320 $15,572 $19,652 −7% $23,396 −22%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $18,092 $15,378 $18,290 −1% $22,231 −19%
535 FRACTURES OF HIP AND PELVIS WITH MCC $18,079 $15,367 $19,913 −9% $23,350 −23%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $18,066 $15,356 $36,069 −50% $25,786 −30%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $17,809 $15,138 $17,659 +1% $25,426 −30%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $17,616 $14,974 $33,180 −47% $36,375 −52%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $17,422 $14,809 $26,747 −35% $30,814 −43%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $17,286 $14,693 $54,909 −69% $45,963 −62%
914 TRAUMATIC INJURY WITHOUT MCC $17,189 $14,611 $20,583 −16% $15,593 +10%
540 OSTEOMYELITIS WITH CC $16,318 $13,871 $21,491 −24% $23,494 −31%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $16,193 $13,764 $24,427 −34% $24,190 −33%
291 HEART FAILURE AND SHOCK WITH MCC $16,006 $13,605 $20,626 −22% $25,020 −36%
204 RESPIRATORY SIGNS AND SYMPTOMS $15,902 $13,516 $13,818 +15% $16,866 −6%
180 RESPIRATORY NEOPLASMS WITH MCC $15,856 $13,477 $28,079 −44% $36,658 −57%
682 RENAL FAILURE WITH MCC $15,820 $13,447 $23,404 −32% $27,854 −43%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $15,661 $13,311 $15,526 +1% $19,305 −19%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $15,577 $13,240 $17,444 −11% $18,204 −14%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $15,405 $13,094 $31,663 −51% $28,967 −47%
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 $19,855 −24% $19,342 −22%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,987 $12,739 $16,174 −7% $20,732 −28%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $14,837 $12,612 $25,094 −41% $26,488 −44%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $14,749 $12,536 $14,348 +3% $17,367 −15%
183 MAJOR CHEST TRAUMA WITH MCC $14,618 $12,425 $21,767 −33% $28,924 −49%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,390 $12,231 $25,867 −44% $25,704 −44%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $13,980 $11,883 $31,150 −55% $31,840 −56%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $13,760 $11,696 $13,279 +4% $13,384 +3%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,563 $11,529 $23,622 −43% $30,275 −55%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $13,532 $11,503 $20,640 −34% $21,886 −38%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,367 $11,362 $40,191 −67% $43,266 −69%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $12,891 $10,958 $16,360 −21% $18,803 −31%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $12,853 $10,925 $18,211 −29% $14,134 −9%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,852 $10,924 $24,866 −48% $22,713 −43%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,736 $10,826 $29,851 −57% $28,252 −55%
813 COAGULATION DISORDERS $12,669 $10,768 $20,984 −40% $30,128 −58%
866 VIRAL ILLNESS WITHOUT MCC $12,563 $10,678 $16,884 −26% $16,391 −23%
541 OSTEOMYELITIS WITHOUT CC/MCC $12,542 $10,661 $19,534 −36% $14,549 −14%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $12,339 $10,489 $16,674 −26% $18,918 −35%
811 RED BLOOD CELL DISORDERS WITH MCC $12,224 $10,390 $27,285 −55% $27,934 −56%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,118 $10,300 $24,245 −50% $23,749 −49%
311 ANGINA PECTORIS $11,862 $10,082 $22,187 −47% $15,165 −22%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $11,741 $9,980 $30,544 −62% $36,334 −68%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,658 $9,909 $25,993 −55% $32,204 −64%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $11,602 $9,861 $19,186 −40% $18,278 −37%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,285 $9,592 $17,772 −36% $16,865 −33%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,261 $9,572 $14,848 −24% $17,388 −35%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,250 $9,562 $10,666 +5% $14,441 −22%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $11,236 $9,550 $19,690 −43% $22,024 −49%
313 CHEST PAIN $11,000 $9,350 $15,899 −31% $15,962 −31%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,000 $9,350 $16,523 −33% $17,273 −36%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $10,805 $9,184 $15,264 −29% $15,070 −28%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,760 $9,146 $34,438 −69% $29,729 −64%
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 $19,032 −45% $21,213 −51%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,177 $8,651 $14,751 −31% $16,745 −39%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $10,132 $8,612 $24,511 −59% $24,136 −58%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,998 $8,498 $22,604 −56% $32,399 −69%
948 SIGNS AND SYMPTOMS WITHOUT MCC $9,851 $8,373 $15,663 −37% $17,727 −44%
683 RENAL FAILURE WITH CC $9,735 $8,275 $17,473 −44% $18,620 −48%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,674 $8,223 $8,813 +10% $21,860 −56%
181 RESPIRATORY NEOPLASMS WITH CC $9,642 $8,196 $17,133 −44% $22,431 −57%
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% $17,466 −45%
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% $17,731 −47%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,279 $7,887 $19,687 −53% $22,982 −60%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,171 $7,796 $16,010 −43% $24,452 −62%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,986 $7,638 $14,449 −38% $17,715 −49%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,791 $7,472 $15,535 −43% $16,049 −45%
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% $13,318 −37%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $8,168 $6,943 $28,759 −72% $33,137 −75%
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% $16,212 −51%
534 FRACTURES OF FEMUR WITHOUT MCC $7,526 $6,397 $13,215 −43% $17,195 −56%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,431 $6,316 $18,307 −59% $25,731 −71%
184 MAJOR CHEST TRAUMA WITH CC $7,297 $6,202 $20,759 −65% $20,842 −65%
101 SEIZURES WITHOUT MCC $7,085 $6,022 $18,712 −62% $19,954 −64%
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,995 $5,946 $18,645 −62% $20,968 −67%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,986 $5,938 $15,941 −56% $24,118 −71%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,982 $5,934 $16,985 −59% $25,208 −72%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $6,800 $5,780 $19,589 −65% $26,322 −74%
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 $34,648 −81% $32,936 −80%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,643 $5,646 $20,121 −67% $14,444 −54%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,621 $5,628 $20,735 −68% $18,150 −64%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,556 $5,572 $21,690 −70% $12,537 −48%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,535 $5,555 $22,368 −71% $21,545 −70%
305 HYPERTENSION WITHOUT MCC $6,227 $5,293 $16,571 −62% $17,144 −64%
694 URINARY STONES WITHOUT MCC $6,188 $5,260 $14,250 −57% $16,531 −63%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,990 $5,092 $8,829 −32% $11,955 −50%
186 PLEURAL EFFUSION WITH MCC $5,606 $4,765 $25,115 −78% $32,468 −83%
303 ATHEROSCLEROSIS WITHOUT MCC $5,570 $4,734 $14,069 −60% $14,927 −63%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,306 $4,510 $29,037 −82% $35,014 −85%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,866 $4,136 $15,496 −69% $18,253 −73%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,832 $4,107 $18,441 −74% $24,480 −80%
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 $17,396 −75% $22,032 −80%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,984 $3,386 $24,118 −83% $29,757 −87%
197 INTERSTITIAL LUNG DISEASE WITH CC $3,976 $3,380 $18,760 −79% $20,106 −80%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,804 $3,234 $16,977 −78% $19,096 −80%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,688 $3,134 $17,102 −78% $17,522 −79%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,515 $2,988 $19,298 −82% $18,623 −81%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,397 $2,887 $15,045 −77% $15,045 −77%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,050 $2,593 $20,953 −85% $24,465 −88%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,870 $2,440 $15,247 −81% $14,166 −80%
149 DYSEQUILIBRIUM $2,423 $2,060 $14,987 −84% $17,203 −86%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $1,858 $1,580 $12,405 −85% $12,405 −85%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,635 $1,390 $21,786 −92% $27,244 −94%
103 HEADACHES WITHOUT MCC $1,223 $1,040 $17,438 −93% $20,111 −94%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,000 $850 $6,130 −84% $9,385 −89%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $153 — $3,055 −95% $10,039 −98%

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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