Woodlawn Hospital — Pricing
213 procedures published in this hospital's Machine-Readable File (MRF) — 211 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 213
Lowest published price $955
Average published price $29,714
Highest published price $145,633
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 213 procedures
Published charges
Showing all 211 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 | ||
|---|---|---|---|---|---|---|---|
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $145,633 | $109,225 | $145,633 | +0% | $138,008 | +6% |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $134,787 | $101,090 | $114,847 | +17% | $56,758 | +137% |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $117,818 | $88,363 | $93,613 | +26% | $116,058 | +2% |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $112,971 | $84,728 | $68,953 | +64% | $51,953 | +117% |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $109,447 | $82,085 | $79,486 | +38% | $65,254 | +68% |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $92,428 | $69,321 | $63,374 | +46% | $80,747 | +14% |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $91,983 | $68,987 | $89,207 | +3% | $68,880 | +34% |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $91,934 | $68,950 | $43,105 | +113% | $54,313 | +69% |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $89,427 | $67,070 | $69,008 | +30% | $63,984 | +40% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $82,823 | $62,118 | $62,273 | +33% | $58,832 | +41% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $81,423 | $61,068 | $31,521 | +158% | $37,842 | +115% |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $79,558 | $59,668 | $75,169 | +6% | $88,050 | −10% |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $76,455 | $57,341 | $55,188 | +39% | $46,477 | +65% |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $75,723 | $56,792 | $42,213 | +79% | $52,405 | +44% |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $74,852 | $56,139 | $55,328 | +35% | $51,172 | +46% |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $74,565 | $55,924 | $72,532 | +3% | $54,929 | +36% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $71,307 | $53,481 | $46,490 | +53% | $43,524 | +64% |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $70,817 | $53,113 | $76,170 | −7% | $64,956 | +9% |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $70,361 | $52,771 | $92,818 | −24% | $54,824 | +28% |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $68,526 | $51,394 | $62,488 | +10% | $87,565 | −22% |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $63,512 | $47,634 | $77,001 | −18% | $57,149 | +11% |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $62,646 | $46,985 | $37,975 | +65% | $37,975 | +65% |
| 602 | CELLULITIS WITH MCC | $61,419 | $46,064 | $23,217 | +165% | $29,347 | +109% |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $58,548 | $43,911 | $10,983 | +433% | $13,081 | +348% |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $57,603 | $43,202 | $24,947 | +131% | $38,357 | +50% |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $55,728 | $41,796 | $61,413 | −9% | $49,197 | +13% |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $53,854 | $40,390 | $65,920 | −18% | $56,519 | −5% |
| 834 | ACUTE LEUKEMIA WITH MCC | $53,668 | $40,251 | $32,278 | +66% | $76,583 | −30% |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $53,646 | $40,235 | $42,863 | +25% | $40,563 | +32% |
| 200 | PNEUMOTHORAX WITH CC | $53,374 | $40,030 | $16,159 | +230% | $20,573 | +159% |
| 504 | FOOT PROCEDURES WITH CC | $50,588 | $37,941 | $37,729 | +34% | $36,598 | +38% |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $50,512 | $37,884 | $49,937 | +1% | $60,861 | −17% |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $49,518 | $37,138 | $55,530 | −11% | $30,418 | +63% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $49,399 | $37,050 | $15,496 | +219% | $18,253 | +171% |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $49,330 | $36,997 | $23,975 | +106% | $46,659 | +6% |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $49,012 | $36,759 | $37,285 | +31% | $33,490 | +46% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $47,316 | $35,487 | $52,676 | −10% | $44,117 | +7% |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $44,532 | $33,399 | $33,180 | +34% | $36,375 | +22% |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $44,119 | $33,089 | $49,576 | −11% | $72,859 | −39% |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $43,841 | $32,881 | $43,495 | +1% | $36,239 | +21% |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $42,762 | $32,071 | $34,438 | +24% | $29,729 | +44% |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $42,559 | $31,919 | $26,958 | +58% | $22,560 | +89% |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $42,535 | $31,901 | $35,063 | +21% | $36,242 | +17% |
| 548 | SEPTIC ARTHRITIS WITH MCC | $41,712 | $31,284 | $35,571 | +17% | $31,019 | +34% |
| 637 | DIABETES WITH MCC | $40,999 | $30,750 | $27,419 | +50% | $28,819 | +42% |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $40,816 | $30,612 | $25,211 | +62% | $16,156 | +153% |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $40,749 | $30,561 | $36,219 | +13% | $13,735 | +197% |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $40,593 | $30,445 | $29,263 | +39% | $45,059 | −10% |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $39,842 | $29,882 | $48,275 | −17% | $18,474 | +116% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $39,073 | $29,305 | $29,262 | +34% | $32,689 | +20% |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $38,900 | $29,175 | $49,328 | −21% | $42,119 | −8% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $38,604 | $28,953 | $24,118 | +60% | $29,757 | +30% |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $38,499 | $28,874 | $28,759 | +34% | $33,137 | +16% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $37,993 | $28,495 | $18,211 | +109% | $14,134 | +169% |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $37,940 | $28,455 | $56,394 | −33% | $56,394 | −33% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $37,893 | $28,420 | $25,867 | +46% | $25,704 | +47% |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $37,570 | $28,178 | $22,604 | +66% | $32,399 | +16% |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,291 | $27,968 | $75,004 | −50% | $87,018 | −57% |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $37,035 | $27,776 | $30,544 | +21% | $36,334 | +2% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $35,957 | $26,968 | $27,285 | +32% | $27,934 | +29% |
| 100 | SEIZURES WITH MCC | $35,953 | $26,965 | $24,430 | +47% | $35,194 | +2% |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $35,551 | $26,664 | $45,897 | −23% | $39,747 | −11% |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $34,615 | $25,962 | $35,076 | −1% | $35,692 | −3% |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $34,062 | $25,547 | $40,487 | −16% | $33,564 | +1% |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $33,396 | $25,047 | $39,349 | −15% | $35,459 | −6% |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $33,030 | $24,772 | $31,182 | +6% | $28,375 | +16% |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $32,924 | $24,693 | $40,856 | −19% | $34,900 | −6% |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $32,808 | $24,606 | $28,552 | +15% | $31,716 | +3% |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $32,701 | $24,526 | $28,580 | +14% | $29,409 | +11% |
| 540 | OSTEOMYELITIS WITH CC | $32,348 | $24,261 | $21,491 | +51% | $23,494 | +38% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $32,282 | $24,212 | $15,264 | +111% | $15,070 | +114% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $32,189 | $24,142 | $32,245 | −0% | $35,237 | −9% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $32,158 | $24,118 | $24,427 | +32% | $24,190 | +33% |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $31,881 | $23,911 | $22,848 | +40% | $28,780 | +11% |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $31,799 | $23,849 | $17,133 | +86% | $22,431 | +42% |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $31,269 | $23,452 | $36,188 | −14% | $28,983 | +8% |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $31,091 | $23,319 | $19,534 | +59% | $14,549 | +114% |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $30,562 | $22,922 | $32,403 | −6% | $29,374 | +4% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $30,350 | $22,763 | $29,133 | +4% | $35,714 | −15% |
| 638 | DIABETES WITH CC | $29,705 | $22,279 | $18,826 | +58% | $18,821 | +58% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $29,400 | $22,050 | $24,511 | +20% | $24,136 | +22% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $28,934 | $21,700 | $20,030 | +44% | $20,488 | +41% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $28,354 | $21,265 | $27,589 | +3% | $23,571 | +20% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $28,318 | $21,239 | $17,772 | +59% | $16,865 | +68% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $28,193 | $21,145 | $25,516 | +10% | $20,084 | +40% |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $28,034 | $21,026 | $20,953 | +34% | $24,465 | +15% |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $27,433 | $20,575 | $31,663 | −13% | $28,967 | −5% |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $26,366 | $19,775 | $12,542 | +110% | $14,012 | +88% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $26,160 | $19,620 | $16,674 | +57% | $18,918 | +38% |
| 571 | SKIN DEBRIDEMENT WITH CC | $26,072 | $19,554 | $33,203 | −21% | $34,901 | −25% |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $25,830 | $19,373 | $26,932 | −4% | $25,243 | +2% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $25,341 | $19,006 | $16,977 | +49% | $19,096 | +33% |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $24,994 | $18,746 | $37,923 | −34% | $25,152 | −1% |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,854 | $18,641 | $39,328 | −37% | $31,062 | −20% |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $24,642 | $18,482 | $77,080 | −68% | $60,098 | −59% |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $24,548 | $18,411 | $14,740 | +67% | $14,880 | +65% |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,116 | $18,087 | $21,556 | +12% | $25,854 | −7% |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $23,985 | $17,989 | $19,913 | +20% | $23,350 | +3% |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $23,861 | $17,896 | $24,317 | −2% | $31,128 | −23% |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $23,592 | $17,694 | $15,208 | +55% | $16,837 | +40% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $23,545 | $17,658 | $25,094 | −6% | $26,488 | −11% |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $23,169 | $17,377 | $29,370 | −21% | $27,118 | −15% |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $23,074 | $17,305 | $36,294 | −36% | $41,660 | −45% |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $22,827 | $17,120 | $15,343 | +49% | $17,943 | +27% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $22,160 | $16,620 | $24,740 | −10% | $19,815 | +12% |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $22,051 | $16,538 | $32,184 | −31% | $33,424 | −34% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $21,934 | $16,451 | $15,999 | +37% | $17,322 | +27% |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $21,880 | $16,410 | $19,816 | +10% | $21,449 | +2% |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,764 | $16,323 | $23,510 | −7% | $23,723 | −8% |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,621 | $16,216 | $37,984 | −43% | $36,933 | −41% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $21,539 | $16,154 | $17,693 | +22% | $18,081 | +19% |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $21,498 | $16,124 | $48,892 | −56% | $25,484 | −16% |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $21,434 | $16,076 | $24,245 | −12% | $23,749 | −10% |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $21,420 | $16,065 | $18,351 | +17% | $14,128 | +52% |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $20,607 | $15,455 | $31,357 | −34% | $19,454 | +6% |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $20,603 | $15,452 | $19,474 | +6% | $16,240 | +27% |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $20,597 | $15,448 | $18,760 | +10% | $20,106 | +2% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $20,401 | $15,301 | $24,871 | −18% | $23,469 | −13% |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $20,067 | $15,050 | $23,205 | −14% | $28,134 | −29% |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $19,895 | $14,922 | $17,757 | +12% | $15,600 | +28% |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $19,451 | $14,589 | $29,400 | −34% | $26,634 | −27% |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $19,301 | $14,475 | $14,066 | +37% | $12,279 | +57% |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $19,203 | $14,402 | $19,870 | −3% | $18,238 | +5% |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $18,831 | $14,123 | $15,526 | +21% | $19,305 | −2% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $18,717 | $14,038 | $19,278 | −3% | $22,850 | −18% |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $18,704 | $14,028 | $15,718 | +19% | $14,368 | +30% |
| 950 | AFTERCARE WITHOUT CC/MCC | $18,608 | $13,956 | $14,382 | +29% | $13,527 | +38% |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $18,049 | $13,537 | $18,049 | +0% | $18,017 | +0% |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $17,835 | $13,376 | $18,290 | −2% | $22,231 | −20% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $17,642 | $13,231 | $20,121 | −12% | $14,444 | +22% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $17,446 | $13,085 | $15,157 | +15% | $13,824 | +26% |
| 945 | REHABILITATION WITH CC/MCC | $17,118 | $12,839 | $17,118 | +0% | $23,834 | −28% |
| 949 | AFTERCARE WITH CC/MCC | $17,056 | $12,792 | $20,429 | −17% | $23,953 | −29% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $17,003 | $12,752 | $13,279 | +28% | $13,384 | +27% |
| 683 | RENAL FAILURE WITH CC | $16,986 | $12,740 | $17,473 | −3% | $18,620 | −9% |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $16,609 | $12,457 | $14,603 | +14% | $17,226 | −4% |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $16,518 | $12,388 | $17,207 | −4% | $16,634 | −1% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $16,210 | $12,158 | $17,444 | −7% | $18,204 | −11% |
| 603 | CELLULITIS WITHOUT MCC | $15,952 | $11,964 | $17,246 | −8% | $18,530 | −14% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,803 | $11,852 | $20,735 | −24% | $18,150 | −13% |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,700 | $11,775 | $38,591 | −59% | $43,491 | −64% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $15,194 | $11,395 | $18,396 | −17% | $20,777 | −27% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $15,070 | $11,303 | $14,348 | +5% | $17,367 | −13% |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,045 | $11,284 | $22,350 | −33% | $30,394 | −51% |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,017 | $11,263 | $48,930 | −69% | $49,631 | −70% |
| 644 | ENDOCRINE DISORDERS WITH CC | $14,685 | $11,014 | $18,925 | −22% | $22,941 | −36% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $14,565 | $10,924 | $14,806 | −2% | $18,002 | −19% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,076 | $10,557 | $21,892 | −36% | $30,058 | −53% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $14,040 | $10,530 | $15,535 | −10% | $16,049 | −13% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,024 | $10,518 | $31,150 | −55% | $31,840 | −56% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $13,863 | $10,397 | $19,687 | −30% | $22,982 | −40% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $13,639 | $10,229 | $21,192 | −36% | $22,781 | −40% |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,318 | $9,988 | $22,935 | −42% | $26,020 | −49% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,051 | $9,788 | $20,626 | −37% | $25,020 | −48% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $12,799 | $9,599 | $14,799 | −14% | $15,370 | −17% |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $12,768 | $9,576 | $13,215 | −3% | $17,195 | −26% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,619 | $9,464 | $23,953 | −47% | $26,158 | −52% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $12,528 | $9,396 | $16,290 | −23% | $17,466 | −28% |
| 813 | COAGULATION DISORDERS | $12,505 | $9,378 | $20,984 | −40% | $30,128 | −58% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $12,368 | $9,276 | $19,186 | −36% | $18,278 | −32% |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,241 | $9,181 | $23,906 | −49% | $30,910 | −60% |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,820 | $8,865 | $28,079 | −58% | $36,658 | −68% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,696 | $8,772 | $20,640 | −43% | $21,886 | −47% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $11,630 | $8,722 | $13,194 | −12% | $17,103 | −32% |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $11,560 | $8,670 | $13,818 | −16% | $16,866 | −31% |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,444 | $8,583 | $22,893 | −50% | $24,450 | −53% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $11,277 | $8,458 | $14,751 | −24% | $16,745 | −33% |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,154 | $8,366 | $18,307 | −39% | $25,731 | −57% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,782 | $8,087 | $16,985 | −37% | $25,208 | −57% |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $10,578 | $7,934 | $10,060 | +5% | $15,869 | −33% |
| 999 | UNGROUPABLE | $10,168 | $7,626 | $12,752 | −20% | $28,822 | −65% |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $10,045 | $7,534 | $21,430 | −53% | $15,655 | −36% |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,628 | $7,221 | $17,396 | −45% | $22,032 | −56% |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,549 | $7,161 | $20,583 | −54% | $15,593 | −39% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,395 | $7,047 | $15,045 | −38% | $15,045 | −38% |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,340 | $7,005 | $10,581 | −12% | $18,133 | −48% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,288 | $6,966 | $25,607 | −64% | $20,463 | −55% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,936 | $6,702 | $16,010 | −44% | $24,452 | −63% |
| 539 | OSTEOMYELITIS WITH MCC | $8,642 | $6,481 | $28,715 | −70% | $33,746 | −74% |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,600 | $6,450 | $21,368 | −60% | $37,950 | −77% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $8,192 | $6,144 | $13,914 | −41% | $13,318 | −38% |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,091 | $6,068 | $16,409 | −51% | $23,956 | −66% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,058 | $6,044 | $12,156 | −34% | $12,044 | −33% |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $7,813 | $5,860 | $23,930 | −67% | $35,114 | −78% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,636 | $5,727 | $17,102 | −55% | $17,522 | −56% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,192 | $5,394 | $14,449 | −50% | $13,623 | −47% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,081 | $5,311 | $15,663 | −55% | $17,727 | −60% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,066 | $5,300 | $15,730 | −55% | $16,212 | −56% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,060 | $5,295 | $22,038 | −68% | $19,483 | −64% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,768 | $5,076 | $12,769 | −47% | $13,090 | −48% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,706 | $5,030 | $19,690 | −66% | $22,024 | −70% |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $6,660 | $4,995 | $27,757 | −76% | $28,646 | −77% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,503 | $4,877 | $21,786 | −70% | $27,244 | −76% |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $6,436 | $4,827 | $31,141 | −79% | $27,279 | −76% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,057 | $4,543 | $16,720 | −64% | $19,287 | −69% |
| 639 | DIABETES WITHOUT CC/MCC | $5,954 | $4,466 | $15,521 | −62% | $13,910 | −57% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,924 | $4,443 | $16,523 | −64% | $17,273 | −66% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,452 | $4,089 | $10,272 | −47% | $11,633 | −53% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,258 | $3,944 | $18,441 | −71% | $24,480 | −79% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,241 | $3,931 | $5,619 | −7% | $7,961 | −34% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,156 | $3,867 | $6,470 | −20% | $14,284 | −64% |
| 795 | NORMAL NEWBORN | $4,743 | $3,557 | $4,825 | −2% | $4,530 | +5% |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,685 | $3,514 | $13,963 | −66% | $16,719 | −72% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,265 | $3,199 | $17,659 | −76% | $25,426 | −83% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,998 | $2,999 | $6,130 | −35% | $9,385 | −57% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,558 | $2,669 | $14,848 | −76% | $17,388 | −80% |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,190 | $2,393 | $8,572 | −63% | $9,076 | −65% |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,550 | $1,913 | $14,740 | −83% | $17,412 | −85% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,044 | $1,533 | $8,829 | −77% | $11,955 | −83% |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,546 | $1,160 | $21,896 | −93% | $20,278 | −92% |
| 311 | ANGINA PECTORIS | $955 | $716 | $22,187 | −96% | $15,165 | −94% |
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 |
|---|---|---|---|
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $21,871 – $21,871 · median $21,871 | 1 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,969 – $8,969 · median $8,969 | 1 plans |
No procedures match that keyword.