Bayou Bend Hospital — Pricing

183 procedures published in this hospital's Machine-Readable File (MRF) — 179 with a comparable price, 4 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 183
Lowest published price $1,295
Average published price $15,374
Highest published price $199,352

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 183 procedures

Published charges

Showing all 179 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. LA median vs. National median
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $199,352 $139,546 $62,652 +218% $39,409 +406%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $179,114 $125,380 $147,076 +22% $88,050 +103%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $111,669 $78,168 $292,218 −62% $245,241 −54%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $81,987 $57,391 $126,146 −35% $138,008 −41%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $65,494 $45,846 $85,356 −23% $80,747 −19%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $46,940 $32,858 $46,940 +0% $37,842 +24%
999 UNGROUPABLE $37,692 $26,384 $50,768 −26% $28,822 +31%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $36,243 $25,370 $13,652 +165% $23,734 +53%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $33,014 $23,110 $34,870 −5% $25,704 +28%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $32,099 $22,469 $32,099 +0% $46,591 −31%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $31,270 $21,889 $46,939 −33% $30,910 +1%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $31,105 $21,774 $60,767 −49% $52,313 −41%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $29,886 $20,920 $40,636 −26% $31,840 −6%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $29,161 $20,412 $18,139 +61% $37,654 −23%
949 AFTERCARE WITH CC/MCC $27,038 $18,927 $26,724 +1% $23,953 +13%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $26,227 $18,359 $45,283 −42% $43,398 −40%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $25,713 $17,999 $26,439 −3% $24,452 +5%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $25,500 $17,850 $47,280 −46% $35,237 −28%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $25,225 $17,657 $23,318 +8% $17,273 +46%
184 MAJOR CHEST TRAUMA WITH CC $25,156 $17,609 $13,293 +89% $20,842 +21%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $24,313 $17,019 $74,029 −67% $51,172 −52%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $23,893 $16,725 $50,240 −52% $56,519 −58%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,635 $16,545 $60,104 −61% $39,747 −41%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $23,006 $16,105 $75,804 −70% $58,832 −61%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $22,868 $16,008 $31,866 −28% $26,158 −13%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $22,653 $15,857 $54,505 −58% $60,140 −62%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $22,537 $15,776 $104,080 −78% $87,565 −74%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,486 $15,740 $64,282 −65% $67,764 −67%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $22,395 $15,677 $22,395 +0% $36,597 −39%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,162 $15,513 $48,375 −54% $51,985 −57%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $22,122 $15,486 $78,808 −72% $75,103 −71%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $21,179 $14,825 $35,324 −40% $28,134 −25%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $21,129 $14,791 $51,631 −59% $44,117 −52%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,711 $14,498 $37,740 −45% $30,974 −33%
292 HEART FAILURE AND SHOCK WITH CC $20,665 $14,466 $19,922 +4% $16,212 +27%
598 MALIGNANT BREAST DISORDERS WITH CC $20,539 $14,377 $20,539 +0% $19,073 +8%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $20,193 $14,135 $22,186 −9% $23,396 −14%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $20,050 $14,035 $20,050 +0% $24,229 −17%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $20,035 $14,025 $20,035 +0% $23,141 −13%
540 OSTEOMYELITIS WITH CC $18,787 $13,151 $23,875 −21% $23,494 −20%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $18,074 $12,652 $102,538 −82% $87,018 −79%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $17,627 $12,339 $32,819 −46% $25,426 −31%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,619 $12,333 $17,716 −1% $44,973 −61%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $17,574 $12,302 $43,855 −60% $40,552 −57%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $17,454 $12,218 $19,824 −12% $26,488 −34%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $17,318 $12,123 $30,778 −44% $27,369 −37%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $17,220 $12,054 $18,573 −7% $32,204 −47%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $16,905 $11,833 $21,442 −21% $29,757 −43%
153 OTITIS MEDIA AND URI WITHOUT MCC $16,884 $11,819 $14,829 +14% $14,473 +17%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $16,717 $11,702 $30,170 −45% $24,561 −32%
291 HEART FAILURE AND SHOCK WITH MCC $16,522 $11,565 $27,049 −39% $25,020 −34%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $16,382 $11,467 $14,790 +11% $14,368 +14%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,322 $11,425 $43,775 −63% $33,165 −51%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,173 $11,321 $28,244 −43% $32,399 −50%
948 SIGNS AND SYMPTOMS WITHOUT MCC $16,134 $11,294 $19,901 −19% $17,727 −9%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $15,949 $11,164 $19,357 −18% $18,204 −12%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $15,925 $11,148 $28,191 −44% $30,314 −47%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $15,796 $11,057 $24,871 −36% $28,646 −45%
620 O.R. PROCEDURES FOR OBESITY WITH CC $15,615 $10,931 $16,950 −8% $35,453 −56%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,447 $10,813 $23,848 −35% $22,024 −30%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,270 $10,689 $31,559 −52% $36,850 −59%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $15,168 $10,618 $15,565 −3% $32,451 −53%
607 MINOR SKIN DISORDERS WITHOUT MCC $14,510 $10,157 $14,778 −2% $15,284 −5%
865 VIRAL ILLNESS WITH MCC $14,023 $9,816 $15,709 −11% $26,088 −46%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $13,291 $9,304 $24,198 −45% $22,982 −42%
199 PNEUMOTHORAX WITH MCC $13,255 $9,279 $23,280 −43% $31,491 −58%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $13,162 $9,213 $11,169 +18% $13,198 −0%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,017 $9,112 $19,908 −35% $32,981 −61%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $12,876 $9,013 $18,452 −30% $13,824 −7%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $12,694 $8,886 $54,047 −77% $72,859 −83%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $12,466 $8,726 $55,801 −78% $57,855 −78%
539 OSTEOMYELITIS WITH MCC $12,448 $8,714 $27,935 −55% $33,746 −63%
920 COMPLICATIONS OF TREATMENT WITH CC $12,355 $8,649 $21,587 −43% $21,181 −42%
683 RENAL FAILURE WITH CC $12,298 $8,608 $16,875 −27% $18,620 −34%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,219 $8,553 $22,611 −46% $20,278 −40%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,972 $8,380 $25,712 −53% $23,469 −49%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,959 $8,371 $15,999 −25% $18,918 −37%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $11,774 $8,241 $18,365 −36% $18,278 −36%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,751 $8,226 $11,751 +0% $20,741 −43%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $11,617 $8,132 $37,712 −69% $49,710 −77%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,384 $7,969 $28,867 −61% $18,150 −37%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,166 $7,816 $22,942 −51% $27,118 −59%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,082 $7,757 $30,357 −63% $28,967 −62%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $10,940 $7,658 $18,030 −39% $22,560 −52%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,876 $7,613 $21,036 −48% $25,731 −58%
637 DIABETES WITH MCC $10,689 $7,482 $39,314 −73% $28,819 −63%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $10,599 $7,419 $21,730 −51% $28,375 −63%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,530 $7,371 $12,107 −13% $13,318 −21%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,321 $7,225 $28,123 −63% $22,781 −55%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $10,273 $7,191 $36,687 −72% $54,313 −81%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,192 $7,134 $23,860 −57% $19,579 −48%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,904 $6,933 $22,755 −56% $23,571 −58%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,726 $6,808 $10,099 −4% $14,128 −31%
638 DIABETES WITH CC $9,647 $6,753 $21,692 −56% $18,821 −49%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,646 $6,752 $24,373 −60% $20,732 −53%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,640 $6,748 $35,544 −73% $24,480 −61%
919 COMPLICATIONS OF TREATMENT WITH MCC $9,628 $6,740 $31,482 −69% $29,031 −67%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $9,624 $6,737 $19,083 −50% $20,084 −52%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $9,478 $6,634 $18,130 −48% $19,815 −52%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $9,268 $6,488 $39,701 −77% $29,633 −69%
682 RENAL FAILURE WITH MCC $9,237 $6,466 $27,953 −67% $27,854 −67%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,044 $6,331 $11,815 −23% $14,208 −36%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,042 $6,330 $18,582 −51% $17,466 −48%
186 PLEURAL EFFUSION WITH MCC $8,882 $6,217 $39,683 −78% $32,468 −73%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,866 $6,206 $43,300 −80% $33,607 −74%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,836 $6,185 $9,585 — $16,240 −46%
594 SKIN ULCERS WITHOUT CC/MCC $8,763 $6,134 $8,987 −2% $14,209 −38%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $8,585 $6,010 $22,998 −63% $16,865 −49%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $8,549 $5,984 $12,232 −30% $18,803 −55%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $8,492 $5,944 $32,614 −74% $33,424 −75%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $8,450 $5,915 $55,384 −85% $52,405 −84%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $8,427 $5,899 $18,475 −54% $32,936 −74%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,385 $5,870 $14,768 −43% $29,826 −72%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,248 $5,774 $17,026 −52% $17,103 −52%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,120 $5,684 $21,582 −62% $21,886 −63%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,117 $5,682 $16,000 −49% $18,133 −55%
811 RED BLOOD CELL DISORDERS WITH MCC $7,889 $5,522 $23,654 −67% $27,934 −72%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,750 $5,425 $11,377 −32% $15,607 −50%
639 DIABETES WITHOUT CC/MCC $7,664 $5,365 $15,755 −51% $13,910 −45%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,546 $5,282 $25,592 −71% $23,496 −68%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,475 $5,233 $13,087 −43% $16,049 −53%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,453 $5,217 $21,472 −65% $20,488 −64%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,335 $5,135 $21,887 −66% $24,190 −70%
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $7,195 $5,037 $7,195 — $18,474 −61%
603 CELLULITIS WITHOUT MCC $7,105 $4,974 $19,952 −64% $18,530 −62%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,891 $4,824 $26,767 −74% $27,244 −75%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,828 $4,779 $16,479 −59% $17,367 −61%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,736 $4,715 $12,504 −46% $18,191 −63%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,671 $4,670 $9,052 −26% $12,381 −46%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $6,420 $4,494 $26,079 −75% $41,900 −85%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,304 $4,413 $17,413 −64% $17,388 −64%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,255 $4,379 $9,171 −32% $14,166 −56%
885 PSYCHOSES $6,063 $4,244 $16,075 −62% $21,489 −72%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,038 $4,226 $14,302 −58% $15,370 −61%
947 SIGNS AND SYMPTOMS WITH MCC $5,778 $4,045 $26,617 −78% $25,474 −77%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,501 $3,851 $23,582 −77% $23,749 −77%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,432 $3,802 $15,414 −65% $12,044 −55%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,358 $3,751 $10,735 −50% $14,012 −62%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,314 $3,720 $15,247 −65% $13,090 −59%
311 ANGINA PECTORIS $5,277 $3,694 $11,421 −54% $15,165 −65%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,229 $3,660 $16,262 −68% $14,444 −64%
157 DENTAL AND ORAL DISEASES WITH MCC $5,047 $3,533 $17,365 −71% $27,457 −82%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,934 $3,454 $16,702 −70% $16,745 −71%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,894 $3,426 $22,535 −78% $17,322 −72%
684 RENAL FAILURE WITHOUT CC/MCC $4,814 $3,370 $15,085 −68% $13,623 −65%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,731 $3,312 $13,973 −66% $18,623 −75%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $4,351 $3,046 $32,285 −87% $35,692 −88%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,323 $3,026 $11,452 −62% $15,045 −71%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,205 $2,944 $27,017 −84% $29,211 −86%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,166 $2,916 $10,667 −61% $17,731 −77%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,043 $2,830 $19,517 −79% $19,096 −79%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,987 $2,791 $28,929 −86% $21,213 −81%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,902 $2,731 $12,451 −69% $19,091 −80%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,661 $2,563 $24,714 −85% $17,943 −80%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,562 $2,493 $35,519 −90% $28,252 −87%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,535 $2,475 $10,165 −65% $9,076 −61%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,426 $2,398 $10,551 −68% $9,385 −63%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,367 $2,357 $22,925 −85% $16,719 −80%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,280 $2,296 $61,499 −95% $80,018 −96%
950 AFTERCARE WITHOUT CC/MCC $3,258 $2,280 $23,839 −86% $13,527 −76%
101 SEIZURES WITHOUT MCC $3,133 $2,193 $24,986 −87% $19,954 −84%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,910 $2,037 $8,809 −67% $7,961 −63%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $2,862 $2,003 $28,616 −90% $30,058 −90%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $2,739 — $29,910 −91% $36,280 −92%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,604 — $30,411 −91% $25,854 −90%
791 PREMATURITY WITH MAJOR PROBLEMS $2,523 $1,766 $39,169 −94% $39,563 −94%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,436 $1,705 $9,865 −75% $14,284 −83%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,406 $1,684 $16,983 −86% $15,600 −85%
534 FRACTURES OF FEMUR WITHOUT MCC $2,406 $1,684 $7,010 −66% $17,195 −86%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,404 $1,683 $10,349 −77% $11,955 −80%
795 NORMAL NEWBORN $2,101 $1,470 $2,778 −24% $4,530 −54%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,034 $1,424 $13,310 −85% $11,633 −83%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,926 $1,348 $28,888 −93% $20,007 −90%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,694 $1,186 $15,984 −89% $16,654 −90%
200 PNEUMOTHORAX WITH CC $1,614 $1,130 $22,598 −93% $20,573 −92%
779 ABORTION WITHOUT D&C $1,576 $1,103 $8,337 −81% $15,327 −90%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,388 $972 $20,942 −93% $20,777 −93%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,303 $912 $20,702 −94% $18,002 −93%
103 HEADACHES WITHOUT MCC $1,295 $907 $8,786 −85% $20,111 −94%

Procedures with negotiated rates only

These 4 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
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC — 28 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC — 28 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $1,050 – $14,613 · median $3,137 28 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $959 – $13,983 10 plans
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