Park Nicollet Methodist Hospital — Pricing
163 procedures published in this hospital's Machine-Readable File (MRF) — 162 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.
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Find your insurer's rate
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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 163 procedures
Published charges
Showing all 162 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.
Across 78 procedures, this hospital's negotiated rates average ≈203% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. MN median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 335 | Peritoneal Adhesiolysis With McC | $88,957 | $46,791 | $36,281 | +145% | $71,755 | +24% | — |
| 653 | Major Bladder Procedures With McC | $78,784 | $41,440 | $77,047 | — | $104,583 | −25% | — |
| 289 | Acute And Subacute Endocarditis With Cc | $78,164 | $41,114 | $47,362 | +65% | $32,697 | +139% | — |
| 331 | Major Small And Large Bowel Procedures Without Cc/McC | $61,136 | $32,158 | $45,540 | +34% | $44,117 | +39% | ≈230% of Medicare |
| 828 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC | $52,387 | $27,555 | $51,022 | +3% | $35,584 | +47% | — |
| 787 | Cesarean Section Without Sterilization With Cc | $51,810 | $27,252 | $33,931 | +53% | $23,571 | +120% | — |
| 522 | Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC | $48,841 | $25,690 | $44,776 | +9% | $58,280 | −16% | ≈181% of Medicare |
| 570 | Skin Debridement With McC | $46,407 | $24,410 | $43,380 | +7% | $52,435 | −11% | — |
| 469 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement | $45,386 | $23,873 | $41,655 | +9% | $65,788 | −31% | — |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With McC | $44,866 | $23,600 | $46,776 | −4% | $53,451 | −16% | ≈221% of Medicare |
| 580 | Other Skin, Subcutaneous Tissue And Breast Procedures With Cc | $44,623 | $23,472 | $26,206 | +70% | $38,101 | +17% | — |
| 256 | Upper Limb And Toe Amputation For Circulatory System Disorders With Cc | $44,450 | $23,381 | $34,144 | +30% | $32,944 | +35% | — |
| 784 | Cesarean Section With Sterilization With Cc | $44,445 | $23,378 | $24,302 | +83% | $23,283 | +91% | — |
| 470 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC | $44,146 | $23,221 | $35,741 | +24% | $50,607 | −13% | ≈214% of Medicare |
| 623 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc | $43,405 | $22,831 | $43,405 | +0% | $34,459 | +26% | — |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $42,735 | $22,479 | $38,347 | +11% | $52,751 | −19% | ≈196% of Medicare |
| 934 | Full Thickness Burn Without Skin Graft Or Inhalation Injury | $42,445 | $22,326 | $31,044 | +37% | $31,044 | +37% | — |
| 157 | Dental And Oral Diseases With McC | $42,383 | $22,293 | $20,706 | +105% | $31,300 | +35% | — |
| 559 | Aftercare, Musculoskeletal System And Connective Tissue With McC | $42,216 | $22,206 | $38,473 | +10% | $33,047 | +28% | — |
| 786 | Cesarean Section Without Sterilization With McC | $41,359 | $21,755 | $24,612 | +68% | $27,152 | +52% | — |
| 783 | Cesarean Section With Sterilization With McC | $40,273 | $21,184 | $25,255 | +59% | $29,221 | +38% | — |
| 785 | Cesarean Section With Sterilization Without Cc/McC | $36,821 | $19,368 | $24,132 | +53% | $19,846 | +86% | — |
| 416 | Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC | $36,478 | $19,187 | $24,825 | +47% | $30,418 | +20% | — |
| 805 | Vaginal Delivery Without Sterilization Or D&C With McC | $34,514 | $18,154 | $14,432 | +139% | $15,370 | +125% | — |
| 166 | Other Respiratory System O.R. Procedures With McC | $34,287 | $18,035 | $45,461 | −25% | $75,573 | −55% | — |
| 433 | Cirrhosis And Alcoholic Hepatitis With Cc | $33,890 | $17,826 | $8,916 | +280% | $23,749 | +43% | — |
| 617 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc | $32,660 | $17,179 | $32,962 | −1% | $42,881 | −24% | ≈186% of Medicare |
| 813 | Coagulation Disorders | $32,554 | $17,123 | $20,283 | +61% | $33,296 | −2% | — |
| 357 | Other Digestive System O.R. Procedures With Cc | $31,779 | $16,716 | $32,423 | −2% | $48,682 | −35% | — |
| 537 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC | $29,361 | $15,444 | $22,241 | — | $18,072 | +62% | — |
| 356 | Other Digestive System O.R. Procedures With McC | $28,677 | $15,084 | $35,289 | −19% | $82,561 | −65% | — |
| 812 | Red Blood Cell Disorders Without McC | $27,853 | $14,651 | $11,112 | +151% | $20,488 | +36% | ≈196% of Medicare |
| 768 | Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C | $27,469 | $14,449 | $15,640 | +76% | $16,846 | +63% | — |
| 640 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC | $26,981 | $14,192 | $16,390 | +65% | $25,463 | +6% | ≈201% of Medicare |
| 329 | Major Small And Large Bowel Procedures With McC | $26,857 | $14,127 | $43,084 | −38% | $88,050 | −69% | ≈288% of Medicare |
| 853 | Infectious And Parasitic Diseases With O.R. Procedures With McC | $25,969 | $13,660 | $36,530 | −29% | $93,172 | −72% | ≈178% of Medicare |
| 377 | Gastrointestinal Hemorrhage With McC | $25,760 | $13,550 | $26,792 | −4% | $37,842 | −32% | ≈173% of Medicare |
| 713 | Transurethral Prostatectomy With Cc/McC | $25,479 | $13,402 | $25,479 | +0% | $32,100 | −21% | — |
| 180 | Respiratory Neoplasms With McC | $25,371 | $13,345 | $21,319 | +19% | $36,658 | −31% | ≈180% of Medicare |
| 963 | Other Multiple Significant Trauma With McC | $25,057 | $13,180 | $25,057 | +0% | $43,491 | −42% | — |
| 315 | Other Circulatory System Diagnoses With Cc | $25,032 | $13,167 | $10,596 | +136% | $21,363 | +17% | ≈201% of Medicare |
| 642 | Inborn And Other Disorders Of Metabolism | $25,009 | $13,155 | $18,978 | +32% | $20,727 | +21% | — |
| 862 | Postoperative And Post-Traumatic Infections With McC | $24,731 | $13,009 | $14,977 | +65% | $32,859 | −25% | ≈183% of Medicare |
| 557 | Tendonitis, Myositis And Bursitis With McC | $24,459 | $12,865 | $23,307 | +5% | $32,877 | −26% | — |
| 068 | Precerebral Occlusion Without Infarction Without McC | $23,262 | $12,236 | $14,635 | +59% | $19,569 | +19% | — |
| 831 | Other Antepartum Diagnoses Without O.R. Procedures With McC | $23,042 | $12,120 | $17,848 | +29% | $18,133 | +27% | — |
| 841 | Lymphoma And Non-Acute Leukemia With Cc | $22,257 | $11,707 | $22,901 | −3% | $33,633 | −34% | — |
| 299 | Peripheral Vascular Disorders With McC | $21,453 | $11,284 | $16,990 | +26% | $27,316 | −21% | ≈86% of Medicare |
| 280 | Acute Myocardial Infarction, Discharged Alive With McC | $21,408 | $11,261 | $12,372 | +73% | $30,828 | −31% | ≈220% of Medicare |
| 056 | Degenerative Nervous System Disorders With McC | $21,283 | $11,195 | $35,694 | −40% | $39,973 | −47% | ≈149% of Medicare |
| 535 | Fractures Of Hip And Pelvis With McC | $20,649 | $10,861 | $20,317 | +2% | $24,552 | −16% | — |
| 390 | Gastrointestinal Obstruction Without Cc/McC | $20,251 | $10,652 | $12,670 | +60% | $13,361 | +52% | ≈250% of Medicare |
| 560 | Aftercare, Musculoskeletal System And Connective Tissue With Cc | $20,064 | $10,554 | $23,034 | −13% | $25,279 | −21% | — |
| 393 | Other Digestive System Diagnoses With McC | $19,828 | $10,430 | $24,687 | −20% | $34,192 | −42% | ≈213% of Medicare |
| 391 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC | $19,703 | $10,364 | $19,703 | +0% | $28,050 | −30% | ≈202% of Medicare |
| 064 | Intracranial Hemorrhage Or Cerebral Infarction With McC | $19,498 | $10,256 | $26,557 | −27% | $39,106 | −50% | ≈191% of Medicare |
| 177 | Respiratory Infections And Inflammations With McC | $18,661 | $9,816 | $23,264 | −20% | $33,707 | −45% | ≈177% of Medicare |
| 571 | Skin Debridement With Cc | $18,378 | $9,667 | $29,329 | −37% | $37,169 | −51% | — |
| 306 | Cardiac Congenital And Valvular Disorders With McC | $18,328 | $9,641 | $16,689 | +10% | $24,586 | −25% | — |
| 103 | Headaches Without McC | $18,251 | $9,600 | $16,046 | +14% | $21,280 | −14% | — |
| 643 | Endocrine Disorders With McC | $17,935 | $6,058 | $13,990 | +28% | $33,563 | −47% | — |
| 948 | Signs And Symptoms Without McC | $17,921 | $9,426 | $18,491 | −3% | $17,921 | +0% | ≈207% of Medicare |
| 065 | Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | $17,594 | $9,254 | $17,594 | +0% | $23,940 | −27% | ≈213% of Medicare |
| 885 | Psychoses | $17,327 | $9,114 | $22,959 | −25% | $21,729 | −20% | — |
| 291 | Heart Failure And Shock With McC | $17,056 | $8,971 | $16,149 | +6% | $26,776 | −36% | ≈192% of Medicare |
| 558 | Tendonitis, Myositis And Bursitis Without McC | $16,757 | $8,814 | $12,087 | +39% | $18,602 | −10% | ≈245% of Medicare |
| 683 | Renal Failure With Cc | $16,658 | $8,762 | $11,136 | +50% | $19,130 | −13% | ≈193% of Medicare |
| 919 | Complications Of Treatment With McC | $16,613 | $8,738 | $15,677 | +6% | $31,105 | −47% | ≈209% of Medicare |
| 372 | Major Gastrointestinal Disorders And Peritoneal Infections With Cc | $16,512 | $8,685 | $16,553 | −0% | $22,850 | −28% | ≈203% of Medicare |
| 699 | Other Kidney And Urinary Tract Diagnoses With Cc | $16,273 | $8,560 | $16,431 | −1% | $21,275 | −24% | ≈196% of Medicare |
| 189 | Pulmonary Edema And Respiratory Failure | $16,174 | $8,508 | $19,254 | −16% | $26,580 | −39% | ≈184% of Medicare |
| 561 | Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC | $15,767 | $8,293 | $11,601 | +36% | $18,150 | −13% | — |
| 074 | Cranial And Peripheral Nerve Disorders Without McC | $15,656 | $8,235 | $11,380 | +38% | $23,141 | −32% | ≈221% of Medicare |
| 301 | Peripheral Vascular Disorders Without Cc/McC | $15,640 | $8,227 | $12,453 | +26% | $15,837 | −1% | — |
| 165 | Major Chest Procedures Without Cc/McC | $15,120 | $7,953 | $13,404 | +13% | $46,340 | −67% | — |
| 069 | Transient Ischemia Without Thrombolytic | $15,060 | $7,922 | $15,773 | −5% | $21,056 | −28% | — |
| 871 | Septicemia Or Severe Sepsis Without Mv >96 Hours With McC | $14,949 | $7,863 | $18,043 | −17% | $35,628 | −58% | ≈187% of Medicare |
| 070 | Other Cerebrovascular Disorders With McC | $14,903 | $7,839 | $14,903 | +0% | $31,951 | −53% | ≈189% of Medicare |
| 698 | Other Kidney And Urinary Tract Diagnoses With McC | $14,800 | $7,785 | $16,577 | −11% | $32,496 | −54% | ≈196% of Medicare |
| 556 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC | $14,769 | $7,768 | $14,769 | +0% | $18,126 | −19% | ≈147% of Medicare |
| 443 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC | $14,222 | $7,481 | $13,268 | — | $15,600 | −9% | — |
| 395 | Other Digestive System Diagnoses Without Cc/McC | $13,971 | $7,349 | $13,769 | +1% | $14,128 | −1% | — |
| 552 | Medical Back Problems Without McC | $13,872 | $7,297 | $13,220 | +5% | $21,396 | −35% | ≈214% of Medicare |
| 638 | Diabetes With Cc | $13,481 | $7,091 | $28,457 | −53% | $19,661 | −31% | ≈242% of Medicare |
| 645 | Endocrine Disorders Without Cc/McC | $13,468 | $7,084 | $13,300 | +1% | $15,428 | −13% | — |
| 689 | Kidney And Urinary Tract Infections With McC | $13,162 | $6,923 | $15,078 | −13% | $23,617 | −44% | ≈209% of Medicare |
| 193 | Simple Pneumonia And Pleurisy With McC | $13,100 | $6,891 | $16,732 | −22% | $27,275 | −52% | ≈198% of Medicare |
| 386 | Inflammatory Bowel Disease With Cc | $13,027 | $5,130 | $17,043 | −24% | $22,033 | −41% | — |
| 389 | Gastrointestinal Obstruction With Cc | $12,989 | $6,832 | $9,799 | +33% | $17,578 | −26% | ≈209% of Medicare |
| 439 | Disorders Of Pancreas Except Malignancy With Cc | $12,936 | $6,804 | $13,749 | −6% | $19,096 | −32% | ≈265% of Medicare |
| 083 | Traumatic Stupor And Coma >1 Hour With Cc | $12,787 | $6,726 | $17,236 | −26% | $27,285 | −53% | — |
| 603 | Cellulitis Without McC | $12,668 | $6,663 | $17,888 | −29% | $18,530 | −32% | ≈219% of Medicare |
| 066 | Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC | $12,177 | $6,405 | $12,721 | −4% | $20,781 | −41% | ≈220% of Medicare |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC | $12,152 | $6,392 | $12,152 | +0% | $16,699 | −27% | ≈217% of Medicare |
| 542 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC | $12,006 | $6,315 | $27,401 | −56% | $36,792 | −67% | ≈186% of Medicare |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $11,866 | $6,242 | $10,082 | +18% | $12,324 | −4% | — |
| 376 | Digestive Malignancy Without Cc/McC | $11,670 | $6,138 | $11,670 | +0% | $16,998 | −31% | — |
| 896 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC | $11,494 | $6,046 | $18,910 | −39% | $31,159 | −63% | ≈179% of Medicare |
| 392 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC | $11,485 | $6,041 | $12,148 | −5% | $17,322 | −34% | ≈213% of Medicare |
| 806 | Vaginal Delivery Without Sterilization Or D&C With Cc | $11,210 | $8,799 | $13,090 | −14% | $13,275 | −16% | — |
| 602 | Cellulitis With McC | $11,192 | $5,887 | $15,739 | −29% | $30,598 | −63% | ≈203% of Medicare |
| 190 | Chronic Obstructive Pulmonary Disease With McC | $10,962 | $5,766 | $16,195 | −32% | $24,386 | −55% | ≈207% of Medicare |
| 555 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC | $10,713 | $5,635 | $17,513 | −39% | $24,127 | −56% | — |
| 690 | Kidney And Urinary Tract Infections Without McC | $10,685 | $5,620 | $10,917 | −2% | $17,674 | −40% | ≈217% of Medicare |
| 292 | Heart Failure And Shock With Cc | $10,644 | $5,599 | $14,372 | −26% | $16,371 | −35% | ≈224% of Medicare |
| 057 | Degenerative Nervous System Disorders Without McC | $10,517 | $5,532 | $16,290 | −35% | $27,543 | −62% | ≈198% of Medicare |
| 917 | Poisoning And Toxic Effects Of Drugs With McC | $10,423 | $5,483 | $11,760 | −11% | $30,235 | −66% | ≈196% of Medicare |
| 641 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC | $10,324 | $5,430 | $10,915 | −5% | $17,038 | −39% | ≈211% of Medicare |
| 394 | Other Digestive System Diagnoses With Cc | $10,078 | $5,301 | $13,185 | −24% | $20,181 | −50% | ≈214% of Medicare |
| 305 | Hypertension Without McC | $10,017 | $5,269 | $12,290 | −18% | $18,086 | −45% | — |
| 544 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC | $9,905 | $5,210 | $26,663 | −63% | $16,776 | −41% | ≈217% of Medicare |
| 312 | Syncope And Collapse | $9,870 | $5,192 | $17,208 | −43% | $19,342 | −49% | ≈211% of Medicare |
| 187 | Pleural Effusion With Cc | $9,742 | $5,124 | $20,502 | −52% | $21,789 | −55% | — |
| 639 | Diabetes Without Cc/McC | $9,559 | $5,028 | $11,060 | −14% | $13,910 | −31% | — |
| 534 | Fractures Of Femur Without McC | $9,487 | $4,990 | $11,623 | −18% | $17,559 | −46% | — |
| 694 | Urinary Stones Without McC | $9,076 | $4,774 | $9,095 | −0% | $17,345 | −48% | — |
| 194 | Simple Pneumonia And Pleurisy With Cc | $8,994 | $4,731 | $12,427 | −28% | $18,204 | −51% | ≈213% of Medicare |
| 440 | Disorders Of Pancreas Except Malignancy Without Cc/McC | $8,411 | $4,424 | $8,310 | +1% | $15,183 | −45% | — |
| 191 | Chronic Obstructive Pulmonary Disease With Cc | $8,300 | $4,366 | $10,034 | −17% | $18,807 | −56% | ≈193% of Medicare |
| 965 | Other Multiple Significant Trauma Without Cc/McC | $7,777 | $4,091 | $7,088 | +10% | $20,259 | −62% | — |
| 198 | Interstitial Lung Disease Without Cc/McC | $7,587 | $3,991 | $9,936 | — | $15,549 | −51% | — |
| 682 | Renal Failure With McC | $7,437 | $3,912 | $14,336 | −48% | $29,064 | −74% | ≈194% of Medicare |
| 788 | Cesarean Section Without Sterilization Without Cc/McC | $7,240 | $19,144 | $25,195 | −71% | $20,084 | −64% | — |
| 283 | Acute Myocardial Infarction, Expired With McC | $7,154 | $3,763 | $12,787 | −44% | $39,955 | −82% | — |
| 551 | Medical Back Problems With McC | $7,113 | $3,741 | $18,416 | −61% | $34,017 | −79% | ≈180% of Medicare |
| 181 | Respiratory Neoplasms With Cc | $6,814 | $3,584 | $3,657 | +86% | $23,573 | −71% | — |
| 388 | Gastrointestinal Obstruction With McC | $6,628 | $3,486 | $11,498 | −42% | $30,571 | −78% | ≈221% of Medicare |
| 536 | Fractures Of Hip And Pelvis Without McC | $6,627 | $3,486 | $8,449 | −22% | $18,002 | −63% | — |
| 176 | Pulmonary Embolism Without McC | $6,585 | $3,464 | $13,754 | −52% | $18,081 | −64% | ≈210% of Medicare |
| 098 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc | $6,555 | $3,448 | $33,518 | −80% | $42,901 | −85% | — |
| 175 | Pulmonary Embolism With McC Or Acute Cor Pulmonale | $6,550 | $3,445 | $17,815 | −63% | $30,959 | −79% | ≈199% of Medicare |
| 807 | Vaginal Delivery Without Sterilization Or D&C Without Cc/McC | $6,529 | $9,597 | $12,028 | −46% | $12,078 | −46% | — |
| 793 | Full Term Neonate With Major Problems | $6,240 | $3,282 | $5,222 | +19% | $18,649 | −67% | — |
| 149 | Dysequilibrium | $5,889 | $3,098 | $8,248 | −29% | $18,096 | −67% | ≈213% of Medicare |
| 563 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC | $5,822 | $3,062 | $10,396 | −44% | $19,842 | −71% | ≈215% of Medicare |
| 833 | Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC | $5,501 | $2,894 | $6,476 | −15% | $9,940 | −45% | — |
| 378 | Gastrointestinal Hemorrhage With Cc | $5,348 | $2,813 | $14,719 | −64% | $22,098 | −76% | ≈207% of Medicare |
| 375 | Digestive Malignancy With Cc | $5,336 | $2,807 | $13,363 | −60% | $27,277 | −80% | — |
| 849 | Radiotherapy | $5,063 | $2,663 | $21,463 | — | $37,862 | −87% | — |
| 309 | Cardiac Arrhythmia And Conduction Disorders With Cc | $4,334 | $2,280 | $13,693 | −68% | $17,303 | −75% | ≈199% of Medicare |
| 792 | Prematurity Without Major Problems | $4,043 | $2,127 | $5,474 | −26% | $12,229 | −67% | — |
| 308 | Cardiac Arrhythmia And Conduction Disorders With McC | $3,941 | $2,073 | $10,600 | −63% | $26,770 | −85% | ≈201% of Medicare |
| 794 | Neonate With Other Significant Problems | $3,927 | $2,066 | $4,608 | −15% | $8,445 | −54% | — |
| 192 | Chronic Obstructive Pulmonary Disease Without Cc/McC | $3,895 | $2,049 | $8,939 | −56% | $14,368 | −73% | — |
| 947 | Signs And Symptoms With McC | $3,792 | $8,551 | $20,180 | −81% | $27,401 | −86% | — |
| 092 | Other Disorders Of Nervous System With Cc | $3,779 | $1,988 | $14,471 | −74% | $24,914 | −85% | ≈192% of Medicare |
| 605 | Trauma To The Skin, Subcutaneous Tissue And Breast Without McC | $3,709 | $1,951 | $15,239 | −76% | $20,506 | −82% | ≈201% of Medicare |
| 087 | Traumatic Stupor And Coma <1 Hour Without Cc/McC | $3,703 | $1,948 | $6,467 | −43% | $16,520 | −78% | — |
| 543 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc | $3,653 | $1,921 | $6,334 | −42% | $23,551 | −84% | ≈204% of Medicare |
| 684 | Renal Failure Without Cc/McC | $3,305 | $1,738 | $8,145 | −59% | $13,642 | −76% | — |
| 178 | Respiratory Infections And Inflammations With Cc | $3,223 | $1,695 | $12,830 | −75% | $22,024 | −85% | ≈214% of Medicare |
| 776 | Postpartum And Post Abortion Diagnoses Without O.R. Procedures | $3,212 | $8,554 | $8,184 | −61% | $12,454 | −74% | — |
| 700 | Other Kidney And Urinary Tract Diagnoses Without Cc/McC | $3,135 | $1,649 | $13,170 | −76% | $14,797 | −79% | — |
| 195 | Simple Pneumonia And Pleurisy Without Cc/McC | $2,936 | $1,544 | $8,115 | −64% | $13,824 | −79% | ≈260% of Medicare |
| 281 | Acute Myocardial Infarction, Discharged Alive With Cc | $2,351 | $1,237 | $8,664 | −73% | $20,463 | −89% | ≈200% of Medicare |
| 872 | Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC | $2,157 | $8,720 | $15,038 | −86% | $22,888 | −91% | ≈208% of Medicare |
| 637 | Diabetes With McC | $1,615 | $1,615 | $28,988 | −94% | $30,100 | −95% | ≈191% of Medicare |
| 546 | Connective Tissue Disorders With Cc | $1,560 | $1,560 | $15,457 | −90% | $25,700 | −94% | — |
| 687 | Kidney And Urinary Tract Neoplasms With Cc | $1,517 | $4,962 | $7,763 | −80% | $20,232 | −92% | — |
| 387 | Inflammatory Bowel Disease Without Cc/McC | $1,284 | $1,835 | $9,439 | −86% | $16,288 | −92% | — |
| 789 | Neonates, Died Or Transferred To Another Acute Care Facility | $1,222 | $2,013 | $3,492 | −65% | $16,351 | −93% | — |
| 795 | Normal Newborn | $922 | $2,004 | $3,006 | −69% | $4,720 | −80% | — |
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 |
|---|---|---|---|
| 351 | Inguinal And Femoral Hernia Procedures With Cc | $19,410 – $19,410 · median $19,410 | 2 plans |
No procedures match that keyword.