Decatur Health — Pricing
78 procedures published in this hospital's Machine-Readable File (MRF) — 77 with a comparable price, 1 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
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 78 procedures
Published charges
Showing all 77 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. KS median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $114,563 | $103,107 | $20,758 | +452% | $31,754 | +261% |
| 602 | CELLULITIS WITH MCC | $56,960 | $51,264 | $18,739 | +204% | $29,347 | +94% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $38,867 | $34,981 | $26,634 | +46% | $24,277 | +60% |
| 949 | AFTERCARE WITH CC/MCC | $31,258 | $28,132 | $30,481 | +3% | $23,953 | +30% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $30,279 | $27,251 | $32,995 | −8% | $30,681 | −1% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $30,263 | $27,236 | $7,581 | +299% | $13,384 | +126% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $30,257 | $27,231 | $17,429 | +74% | $16,645 | +82% |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $29,950 | $26,955 | $28,727 | +4% | $25,474 | +18% |
| 540 | OSTEOMYELITIS WITH CC | $28,322 | $25,490 | $23,866 | +19% | $23,494 | +21% |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $27,246 | $24,521 | $25,926 | +5% | $38,166 | −29% |
| 638 | DIABETES WITH CC | $21,720 | $19,548 | $15,219 | +43% | $18,763 | +16% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $21,650 | $19,485 | $13,908 | +56% | $13,747 | +57% |
| 313 | CHEST PAIN | $20,804 | $18,724 | $11,332 | +84% | $15,837 | +31% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,249 | $17,324 | $24,514 | −21% | $18,150 | +6% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $19,042 | $17,138 | $14,527 | +31% | $17,754 | +7% |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $18,523 | $16,671 | $8,701 | +113% | $14,927 | +24% |
| 593 | SKIN ULCERS WITH CC | $17,693 | $15,924 | $36,848 | −52% | $20,470 | −14% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $16,581 | $14,923 | $15,190 | +9% | $22,870 | −27% |
| 637 | DIABETES WITH MCC | $15,234 | $13,710 | $16,490 | −8% | $28,772 | −47% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $14,541 | $13,087 | $17,297 | −16% | $17,183 | −15% |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $14,183 | $12,765 | $11,833 | +20% | $15,586 | −9% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,769 | $11,492 | $16,909 | −24% | $22,623 | −44% |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $12,738 | $11,464 | $12,738 | +0% | $14,251 | −11% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $12,423 | $11,181 | $13,210 | −6% | $15,878 | −22% |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,391 | $9,352 | $20,733 | −50% | $27,125 | −62% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $10,376 | $9,338 | $9,493 | +9% | $11,826 | −12% |
| 304 | HYPERTENSION WITH MCC | $9,987 | $8,989 | $10,316 | −3% | $23,945 | −58% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,759 | $8,783 | $10,452 | −7% | $20,463 | −52% |
| 682 | RENAL FAILURE WITH MCC | $9,536 | $8,582 | $13,262 | −28% | $27,640 | −66% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,185 | $8,267 | $19,076 | −52% | $24,603 | −63% |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,162 | $8,245 | $7,627 | +20% | $16,804 | −45% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,995 | $8,095 | $11,609 | −23% | $14,770 | −39% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,913 | $8,021 | $16,211 | −45% | $37,842 | −76% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,912 | $8,021 | $14,528 | −39% | $18,243 | −51% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $8,690 | $7,821 | $11,052 | −21% | $13,455 | −35% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,458 | $7,612 | $18,808 | −55% | $22,024 | −62% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $8,327 | $7,494 | $10,546 | −21% | $13,318 | −37% |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,304 | $7,473 | $13,367 | −38% | $23,141 | −64% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,270 | $7,443 | $13,076 | −37% | $19,483 | −58% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,249 | $7,424 | $11,063 | −25% | $14,411 | −43% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,126 | $7,314 | $11,139 | −27% | $20,632 | −61% |
| 103 | HEADACHES WITHOUT MCC | $8,025 | $7,222 | $8,932 | −10% | $20,076 | −60% |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,921 | $7,129 | $17,125 | −54% | $18,323 | −57% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,784 | $7,006 | $12,168 | −36% | $17,322 | −55% |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,697 | $6,927 | $18,608 | −59% | $28,252 | −73% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,608 | $6,847 | $18,069 | −58% | $25,766 | −70% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,343 | $6,608 | $23,601 | −69% | $29,521 | −75% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,128 | $6,415 | $12,782 | −44% | $19,096 | −63% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,886 | $6,198 | $12,930 | −47% | $18,204 | −62% |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,758 | $6,083 | $6,758 | +0% | $12,794 | −47% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,720 | $6,048 | $11,715 | −43% | $16,718 | −60% |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,715 | $6,044 | $11,154 | −40% | $17,731 | −62% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $6,363 | $5,726 | $22,857 | −72% | $31,067 | −80% |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,292 | $5,663 | $21,419 | −71% | $25,596 | −75% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,264 | $5,638 | $13,452 | −53% | $22,850 | −73% |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,184 | $5,566 | $20,106 | −69% | $20,105 | −69% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,959 | $5,363 | $8,445 | −29% | $15,923 | −63% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,481 | $4,933 | $12,960 | −58% | $17,719 | −69% |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,473 | $4,926 | $10,251 | −47% | $14,128 | −61% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,298 | $4,768 | $5,374 | −1% | $14,134 | −63% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,234 | $4,711 | $10,623 | −51% | $19,287 | −73% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,717 | $4,246 | $15,569 | −70% | $27,041 | −83% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,712 | $4,241 | $17,310 | −73% | $24,244 | −81% |
| 603 | CELLULITIS WITHOUT MCC | $4,589 | $4,130 | $15,184 | −70% | $18,359 | −75% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $4,450 | $4,005 | $18,689 | −76% | $34,876 | −87% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,302 | $3,872 | $16,868 | −74% | $20,732 | −79% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,817 | $3,435 | $11,534 | −67% | $17,379 | −78% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,808 | $3,427 | $18,585 | −80% | $24,932 | −85% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,571 | $3,214 | $6,993 | −49% | $9,385 | −62% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,160 | $2,844 | $25,420 | −88% | $27,674 | −89% |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,955 | $2,659 | $9,982 | −70% | $18,288 | −84% |
| 311 | ANGINA PECTORIS | $2,643 | $2,379 | $9,265 | −71% | $15,165 | −83% |
| 694 | URINARY STONES WITHOUT MCC | $2,554 | $2,299 | $18,833 | −86% | $16,451 | −84% |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,524 | $2,271 | $18,072 | −86% | $17,700 | −86% |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $2,314 | $2,083 | $8,373 | −72% | $16,352 | −86% |
| 101 | SEIZURES WITHOUT MCC | $1,804 | $1,624 | $9,473 | −81% | $19,930 | −91% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,665 | $1,498 | $12,041 | −86% | $18,104 | −91% |
Procedures with negotiated rates only
These 1 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 |
|---|---|---|---|
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $709 – $8,007 · median $2,467 | 6 plans |
No procedures match that keyword.