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 $907
Average published price $15,368
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 $286,532 −30% $39,973 +399%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $179,114 $125,380 $384,955 −53% $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 $1,005,203 −89% $248,521 −55%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $81,987 $57,391 $250,791 −67% $148,832 −45%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $65,494 $45,846 $492,239 −87% $80,793 −19%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $46,940 $32,858 $209,237 −78% $37,842 +24%
999 UNGROUPABLE $37,692 $26,384 $37,692 +0% $29,674 +27%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $36,243 $25,370 $39,591 −8% $26,280 +38%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $33,014 $23,110 $102,906 −68% $26,580 +24%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $32,099 $22,469 $89,893 −64% $50,046 −36%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $31,270 $21,889 $154,866 −80% $33,661 −7%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $31,105 $21,774 $150,911 −79% $53,451 −42%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $29,886 $20,920 $133,347 −78% $33,707 −11%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $29,161 $20,412 $104,036 −72% $42,906 −32%
949 AFTERCARE WITH CC/MCC $27,038 $18,927 $97,907 −72% $23,953 +13%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $26,227 $18,359 $160,820 −84% $43,913 −40%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $25,713 $17,999 $95,774 −73% $25,279 +2%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $25,500 $17,850 $92,934 −73% $35,628 −28%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $25,225 $17,657 $62,112 −59% $17,724 +42%
184 MAJOR CHEST TRAUMA WITH CC $25,156 $17,609 $74,949 −66% $22,432 +12%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $24,313 $17,019 $257,016 −91% $52,751 −54%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $23,893 $16,725 $168,718 −86% $58,280 −59%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,635 $16,545 $216,580 −89% $41,955 −44%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $23,006 $16,105 $249,802 −91% $59,500 −61%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $22,868 $16,008 $107,403 −79% $27,275 −16%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $22,653 $15,857 $171,200 −87% $60,170 −62%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $22,537 $15,776 $1,413,275 −98% $93,390 −76%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,486 $15,740 $226,342 −90% $70,467 −68%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $22,395 $15,677 $150,629 −85% $40,365 −45%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,162 $15,513 $428,102 −95% $51,985 −57%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $22,122 $15,486 $447,555 −95% $75,103 −71%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $21,179 $14,825 $213,288 −90% $30,235 −30%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $21,129 $14,791 $180,960 −88% $44,117 −52%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,711 $14,498 $134,434 −85% $33,047 −37%
292 HEART FAILURE AND SHOCK WITH CC $20,665 $14,466 $60,069 −66% $16,371 +26%
598 MALIGNANT BREAST DISORDERS WITH CC $20,539 $14,377 $19,544 +5% $19,073 +8%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $20,193 $14,135 $70,088 −71% $23,488 −14%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $20,050 $14,035 $96,667 −79% $30,770 −35%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $20,035 $14,025 $78,362 −74% $23,141 −13%
540 OSTEOMYELITIS WITH CC $18,787 $13,151 $89,908 −79% $26,676 −30%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $18,074 $12,652 $348,342 −95% $93,172 −81%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $17,627 $12,339 $276,837 −94% $27,543 −36%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,619 $12,333 $309,626 −94% $51,746 −66%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $17,574 $12,302 $364,868 −95% $40,552 −57%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $17,454 $12,218 $145,163 −88% $26,770 −35%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $17,318 $12,123 $126,156 −86% $30,784 −44%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $17,220 $12,054 $26,426 −35% $33,255 −48%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $16,905 $11,833 $143,594 −88% $30,959 −45%
153 OTITIS MEDIA AND URI WITHOUT MCC $16,884 $11,819 $35,818 −53% $14,583 +16%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $16,717 $11,702 $209,425 −92% $25,094 −33%
291 HEART FAILURE AND SHOCK WITH MCC $16,522 $11,565 $67,590 −76% $26,776 −38%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $16,382 $11,467 $22,391 −27% $14,368 +14%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,322 $11,425 $213,782 −92% $34,459 −53%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,173 $11,321 $236,158 −93% $33,985 −52%
948 SIGNS AND SYMPTOMS WITHOUT MCC $16,134 $11,294 $62,318 −74% $17,921 −10%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $15,949 $11,164 $47,281 −66% $18,204 −12%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $15,925 $11,148 $111,490 −86% $31,321 −49%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $15,796 $11,057 $47,964 −67% $32,877 −52%
620 O.R. PROCEDURES FOR OBESITY WITH CC $15,615 $10,931 $166,940 −91% $35,453 −56%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,447 $10,813 $48,338 −68% $22,024 −30%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,270 $10,689 $271,356 −94% $38,070 −60%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $15,168 $10,618 $124,759 −88% $32,451 −53%
607 MINOR SKIN DISORDERS WITHOUT MCC $14,510 $10,157 $117,221 −88% $15,889 −9%
865 VIRAL ILLNESS WITH MCC $14,023 $9,816 $148,597 −91% $26,910 −48%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $13,291 $9,304 $73,031 −82% $23,617 −44%
199 PNEUMOTHORAX WITH MCC $13,255 $9,279 $31,070 −57% $33,787 −61%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $13,162 $9,213 $29,427 −55% $14,549 −10%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,017 $9,112 $162,540 −92% $37,844 −66%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $12,876 $9,013 $27,139 −53% $13,824 −7%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $12,694 $8,886 $520,524 −98% $76,001 −83%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $12,466 $8,726 $294,964 −96% $59,533 −79%
539 OSTEOMYELITIS WITH MCC $12,448 $8,714 $218,362 −94% $37,609 −67%
920 COMPLICATIONS OF TREATMENT WITH CC $12,355 $8,649 $97,752 −87% $22,468 −45%
683 RENAL FAILURE WITH CC $12,298 $8,608 $41,074 −70% $19,130 −36%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,219 $8,553 $34,504 −65% $21,056 −42%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,972 $8,380 $135,490 −91% $23,940 −50%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,959 $8,371 $78,675 −85% $20,181 −41%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $11,774 $8,241 $55,118 −79% $18,807 −37%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,751 $8,226 $32,430 −64% $24,566 −52%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $11,617 $8,132 $153,517 −92% $49,710 −77%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,384 $7,969 $71,630 −84% $18,150 −37%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,166 $7,816 $223,254 −95% $27,152 −59%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,082 $7,757 $334,962 −97% $30,828 −64%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $10,940 $7,658 $25,692 −57% $23,283 −53%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,876 $7,613 $236,161 −95% $27,316 −60%
637 DIABETES WITH MCC $10,689 $7,482 $129,948 −92% $30,100 −64%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $10,599 $7,419 $264,377 −96% $29,221 −64%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,530 $7,371 $34,102 −69% $13,361 −21%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,321 $7,225 $74,416 −86% $22,888 −55%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $10,273 $7,191 $494,134 −98% $58,228 −82%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,192 $7,134 $54,551 −81% $20,422 −50%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,904 $6,933 $61,820 −84% $23,571 −58%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,726 $6,808 $41,820 −77% $14,128 −31%
638 DIABETES WITH CC $9,647 $6,753 $63,262 −85% $19,661 −51%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,646 $6,752 $98,595 −90% $21,275 −55%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,640 $6,748 $147,870 −93% $25,463 −62%
919 COMPLICATIONS OF TREATMENT WITH MCC $9,628 $6,740 $138,256 −93% $31,105 −69%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $9,624 $6,737 $20,889 −54% $20,084 −52%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $9,478 $6,634 $22,041 −57% $19,846 −52%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $9,268 $6,488 $56,909 −84% $32,574 −72%
682 RENAL FAILURE WITH MCC $9,237 $6,466 $158,676 −94% $29,064 −68%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,044 $6,331 $22,243 −59% $14,250 −37%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,042 $6,330 $41,097 −78% $17,674 −49%
186 PLEURAL EFFUSION WITH MCC $8,882 $6,217 $147,253 −94% $33,834 −74%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,866 $6,206 $347,267 −97% $33,876 −74%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,836 $6,185 $9,585 — $13,613 −35%
594 SKIN ULCERS WITHOUT CC/MCC $8,763 $6,134 $8,763 +0% $14,209 −38%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $8,585 $6,010 $227,494 −96% $17,303 −50%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $8,549 $5,984 $54,703 −84% $19,842 −57%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $8,492 $5,944 $72,883 −88% $33,424 −75%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $8,450 $5,915 $108,930 −92% $52,405 −84%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $8,427 $5,899 $239,900 −96% $33,653 −75%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,385 $5,870 $117,722 −93% $29,826 −72%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,248 $5,774 $21,465 −62% $16,846 −51%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,120 $5,684 $95,171 −91% $22,098 −63%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,117 $5,682 $105,995 −92% $18,133 −55%
811 RED BLOOD CELL DISORDERS WITH MCC $7,889 $5,522 $161,382 −95% $28,226 −72%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,750 $5,425 $27,413 −72% $15,837 −51%
639 DIABETES WITHOUT CC/MCC $7,664 $5,365 $21,390 −64% $13,910 −45%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,546 $5,282 $128,736 −94% $23,551 −68%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,475 $5,233 $69,213 −89% $16,699 −55%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,453 $5,217 $153,995 −95% $20,488 −64%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,335 $5,135 $47,005 −84% $24,386 −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 $46,504 −85% $18,530 −62%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,891 $4,824 $110,558 −94% $28,050 −75%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,828 $4,779 $71,357 −90% $18,602 −63%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,736 $4,715 $19,924 −66% $19,924 −66%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,671 $4,670 $50,682 −87% $12,454 −46%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $6,420 $4,494 $128,327 −95% $45,333 −86%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,304 $4,413 $109,448 −94% $17,578 −64%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,255 $4,379 $48,189 −87% $15,428 −59%
885 PSYCHOSES $6,063 $4,244 $116,056 −95% $21,729 −72%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,038 $4,226 $19,758 −69% $15,370 −61%
947 SIGNS AND SYMPTOMS WITH MCC $5,778 $4,045 $140,469 −96% $27,401 −79%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,501 $3,851 $76,673 −93% $23,749 −77%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,432 $3,802 $15,757 −66% $12,078 −55%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,358 $3,751 $42,618 −87% $14,415 −63%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,314 $3,720 $38,790 −86% $13,275 −60%
311 ANGINA PECTORIS $5,277 $3,694 $19,260 −73% $15,502 −66%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,229 $3,660 $39,034 −87% $14,648 −64%
157 DENTAL AND ORAL DISEASES WITH MCC $5,047 $3,533 $32,079 −84% $31,300 −84%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,934 $3,454 $42,879 −88% $17,038 −71%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,894 $3,426 $52,123 −91% $17,322 −72%
684 RENAL FAILURE WITHOUT CC/MCC $4,814 $3,370 $25,884 −81% $13,642 −65%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,731 $3,312 $54,642 −91% $19,227 −75%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $4,351 $3,046 $79,484 −95% $35,692 −88%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,323 $3,026 $81,727 −95% $15,452 −72%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,205 $2,944 $52,998 −92% $29,743 −86%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,166 $2,916 $53,173 −92% $18,488 −77%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,043 $2,830 $54,571 −93% $19,096 −79%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,987 $2,791 $56,281 −93% $21,396 −81%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,902 $2,731 $26,760 −85% $20,901 −81%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,661 $2,563 $50,491 −93% $18,956 −81%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,562 $2,493 $246,991 −99% $30,010 −88%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,535 $2,475 $26,874 −87% $9,940 −64%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,426 $2,398 $123,297 −97% $10,160 −66%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,367 $2,357 $1,416,698 −100% $18,649 −82%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,280 $2,296 $565,814 −99% $80,018 −96%
950 AFTERCARE WITHOUT CC/MCC $3,258 $2,280 $97,908 −97% $13,527 −76%
101 SEIZURES WITHOUT MCC $3,133 $2,193 $58,792 −95% $20,461 −85%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,910 $2,037 $57,563 −95% $8,445 −66%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $2,862 $2,003 $97,575 −97% $32,496 −91%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,604 — $139,113 −98% $27,394 −90%
791 PREMATURITY WITH MAJOR PROBLEMS $2,523 $1,766 $149,542 −98% $42,679 −94%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,436 $1,705 $155,072 −98% $16,351 −85%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,406 $1,684 $28,576 −92% $15,600 −85%
534 FRACTURES OF FEMUR WITHOUT MCC $2,406 $1,684 $20,216 −88% $17,559 −86%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,404 $1,683 $45,905 −95% $12,999 −82%
795 NORMAL NEWBORN $2,101 $1,470 $3,920 −46% $4,720 −56%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,034 $1,424 $19,847 −90% $12,229 −83%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $1,926 $1,348 $41,567 −95% $20,957 −91%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $1,917 $1,917 $31,511 −94% $36,431 −95%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $1,694 $1,186 $38,495 −96% $19,037 −91%
200 PNEUMOTHORAX WITH CC $1,614 $1,130 $28,409 −94% $21,368 −92%
779 ABORTION WITHOUT D&C $1,576 $1,103 $13,254 −88% $15,327 −90%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,388 $972 $274,069 −99% $21,363 −94%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $1,303 $912 $47,378 −97% $18,002 −93%
103 HEADACHES WITHOUT MCC $907 $907 $119,195 −99% $21,280 −96%

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 — 28 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $959 – $13,983 10 plans
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