Perham Health — Pricing
208 procedures published in this hospital's Machine-Readable File (MRF) — 207 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.
Procedures published 208
Lowest published price $2,902
Average published price $20,515
Highest published price $100,196
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 208 procedures
Published charges
Showing all 207 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. MN median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $100,196 | $65,127 | $37,179 | +169% | $36,239 | +176% |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $92,741 | $60,282 | $61,440 | — | $30,138 | +208% |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $86,357 | $56,132 | $50,449 | +71% | $33,424 | +158% |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $83,261 | $54,120 | $34,970 | +138% | $51,985 | +60% |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $72,495 | $47,122 | $47,795 | +52% | $35,584 | +104% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $69,833 | $45,391 | $45,540 | +53% | $44,117 | +58% |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $69,251 | $45,013 | $68,604 | +1% | $32,213 | +115% |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $69,169 | $44,960 | $30,536 | +127% | $29,924 | +131% |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $66,889 | $43,478 | $58,570 | +14% | $45,963 | +46% |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $62,135 | $40,388 | $13,979 | +344% | $36,097 | +72% |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $53,743 | $34,933 | $39,874 | — | $39,018 | +38% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $53,624 | $34,856 | $35,750 | +50% | $43,524 | +23% |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $53,522 | $34,789 | $16,230 | +230% | $16,571 | +223% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $45,724 | $29,721 | $34,968 | +31% | $30,974 | +48% |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $44,322 | $28,809 | $64,811 | −32% | $146,474 | −70% |
| 593 | SKIN ULCERS WITH CC | $44,195 | $28,727 | $19,063 | +132% | $20,470 | +116% |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $41,890 | $27,229 | $21,736 | +93% | $28,924 | +45% |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $41,053 | $26,684 | $41,053 | +0% | $65,325 | −37% |
| 186 | PLEURAL EFFUSION WITH MCC | $40,734 | $26,477 | $15,582 | +161% | $32,468 | +25% |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $39,933 | $25,956 | $30,368 | +31% | $54,475 | −27% |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $38,064 | $24,742 | $24,612 | +55% | $27,118 | +40% |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $37,872 | $24,617 | $45,498 | −17% | $54,129 | −30% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $37,570 | $24,420 | $16,290 | +131% | $25,426 | +48% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $37,002 | $24,051 | $13,123 | +182% | $26,488 | +40% |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $35,869 | $23,315 | $35,007 | — | $34,146 | +5% |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $35,687 | $23,196 | $65,831 | −46% | $37,902 | −6% |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $34,982 | $22,738 | $21,855 | +60% | $52,405 | −33% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $34,782 | $22,608 | $33,931 | +3% | $23,571 | +48% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $34,343 | $22,323 | $23,034 | +49% | $24,452 | +40% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $33,839 | $21,996 | $20,023 | +69% | $22,850 | +48% |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $33,414 | $21,719 | $41,936 | −20% | $39,409 | −15% |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $33,080 | $21,502 | $30,078 | +10% | $34,887 | −5% |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $32,542 | $21,152 | $23,862 | +36% | $24,561 | +32% |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $31,154 | $20,250 | $34,499 | −10% | $34,089 | −9% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $30,451 | $19,793 | $28,904 | +5% | $20,084 | +52% |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $29,978 | $19,486 | $44,592 | — | $59,206 | −49% |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,114 | $18,924 | $29,114 | +0% | $60,098 | −52% |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $28,672 | $18,637 | $25,469 | — | $25,152 | +14% |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $28,619 | $18,602 | $24,948 | — | $25,666 | +12% |
| 949 | AFTERCARE WITH CC/MCC | $27,547 | $17,905 | $37,221 | −26% | $23,953 | +15% |
| 263 | VEIN LIGATION AND STRIPPING | $27,469 | $17,855 | $38,005 | −28% | $44,938 | −39% |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $26,998 | $17,549 | $24,302 | +11% | $22,560 | +20% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $26,539 | $17,250 | $9,944 | +167% | $18,150 | +46% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $26,114 | $16,974 | $25,144 | +4% | $31,840 | −18% |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $26,006 | $16,904 | $30,324 | −14% | $32,502 | −20% |
| 602 | CELLULITIS WITH MCC | $25,951 | $16,868 | $16,979 | +53% | $29,347 | −12% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $25,862 | $16,810 | $24,132 | +7% | $19,815 | +31% |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $25,287 | $16,436 | $27,904 | −9% | $35,114 | −28% |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $25,247 | $16,410 | $25,247 | +0% | $41,380 | −39% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $24,809 | $16,126 | $19,865 | +25% | $27,244 | −9% |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $24,525 | $15,941 | $24,525 | +0% | $14,549 | +69% |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,197 | $15,728 | $51,088 | −53% | $38,094 | −36% |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $24,118 | $15,677 | $18,386 | +31% | $20,968 | +15% |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $24,022 | $15,614 | $32,173 | −25% | $64,776 | −63% |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $23,492 | $15,270 | $17,985 | +31% | $19,305 | +22% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $22,271 | $14,476 | $26,213 | −15% | $32,689 | −32% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $22,196 | $14,427 | $15,078 | +47% | $22,982 | −3% |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $21,922 | $14,249 | $16,715 | +31% | $18,459 | +19% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $21,405 | $13,913 | $15,110 | +42% | $15,045 | +42% |
| 149 | DYSEQUILIBRIUM | $20,715 | $13,465 | $10,581 | +96% | $17,203 | +20% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $20,592 | $13,385 | $16,575 | +24% | $22,781 | −10% |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $20,317 | $13,206 | $20,317 | +0% | $23,350 | −13% |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $20,269 | $13,175 | $20,253 | +0% | $20,278 | −0% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,209 | $13,136 | $20,662 | −2% | $35,237 | −43% |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $20,180 | $13,117 | $25,474 | −21% | $25,474 | −21% |
| 312 | SYNCOPE AND COLLAPSE | $19,883 | $12,924 | $17,208 | +16% | $19,342 | +3% |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,790 | $12,863 | $27,139 | — | $40,065 | −51% |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $19,749 | $12,837 | $21,407 | −8% | $24,879 | −21% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $19,609 | $12,746 | $14,719 | +33% | $21,886 | −10% |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $19,407 | $12,615 | $24,448 | −21% | $36,333 | −47% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $19,185 | $12,470 | $16,732 | +15% | $26,158 | −27% |
| 639 | DIABETES WITHOUT CC/MCC | $19,167 | $12,458 | $11,193 | +71% | $13,910 | +38% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $19,083 | $12,404 | $13,220 | +44% | $21,213 | −10% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $18,963 | $12,326 | $19,442 | −2% | $29,757 | −36% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,582 | $12,078 | $16,617 | +12% | $25,208 | −26% |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $18,476 | $12,010 | $19,471 | −5% | $19,454 | −5% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $18,282 | $11,883 | $16,527 | +11% | $25,020 | −27% |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $18,275 | $11,879 | $17,061 | +7% | $16,104 | +13% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $18,264 | $11,871 | $13,754 | +33% | $18,081 | +1% |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $18,132 | $11,785 | $13,170 | +38% | $13,303 | +36% |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $18,079 | $11,752 | $10,983 | +65% | $21,545 | −16% |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,924 | $11,651 | $25,385 | −29% | $41,660 | −57% |
| 638 | DIABETES WITH CC | $17,776 | $11,554 | $28,457 | −38% | $18,821 | −6% |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $17,420 | $11,323 | $23,590 | −26% | $20,007 | −13% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $17,304 | $11,247 | $9,799 | +77% | $17,388 | −0% |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $17,272 | $11,227 | $14,849 | +16% | $17,412 | −1% |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,091 | $11,109 | $17,091 | +0% | $40,548 | −58% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $17,072 | $11,097 | $10,494 | +63% | $17,273 | −1% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $16,990 | $11,044 | $16,708 | +2% | $24,190 | −30% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $16,924 | $11,000 | $11,141 | +52% | $18,803 | −10% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $16,902 | $10,986 | $14,385 | +17% | $18,918 | −11% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $16,868 | $10,964 | $14,026 | +20% | $16,865 | +0% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $16,831 | $10,940 | $9,033 | +86% | $15,070 | +12% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $16,768 | $10,899 | $11,320 | +48% | $17,466 | −4% |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $16,707 | $10,859 | $11,357 | +47% | $12,797 | +31% |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $16,623 | $10,805 | $17,159 | −3% | $17,943 | −7% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $16,457 | $10,697 | $17,662 | −7% | $23,469 | −30% |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $16,407 | $10,664 | $18,023 | −9% | $28,140 | −42% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $16,385 | $10,650 | $18,730 | −13% | $18,253 | −10% |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $16,347 | $10,625 | $16,347 | +0% | $12,650 | +29% |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,098 | $10,463 | $12,372 | +30% | $28,967 | −44% |
| 139 | SALIVARY GLAND PROCEDURES | $15,967 | $10,379 | $18,231 | −12% | $21,014 | −24% |
| 603 | CELLULITIS WITHOUT MCC | $15,884 | $10,324 | $17,888 | −11% | $18,530 | −14% |
| 950 | AFTERCARE WITHOUT CC/MCC | $15,848 | $10,301 | $15,848 | +0% | $13,527 | +17% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $15,834 | $10,292 | $25,062 | −37% | $23,396 | −32% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,556 | $10,112 | $23,309 | −33% | $31,086 | −50% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $15,452 | $10,044 | $12,830 | +20% | $22,024 | −30% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $15,407 | $10,014 | $12,200 | +26% | $17,322 | −11% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $15,379 | $9,996 | $12,672 | +21% | $14,444 | +6% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $15,302 | $9,946 | $12,988 | +18% | $18,278 | −16% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,228 | $9,898 | $18,048 | −16% | $17,522 | −13% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $15,172 | $9,862 | $20,119 | −25% | $25,704 | −41% |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,171 | $9,861 | $32,433 | −53% | $50,011 | −70% |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $15,066 | $9,793 | $15,849 | −5% | $24,202 | −38% |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $15,064 | $9,792 | $23,379 | −36% | $19,073 | −21% |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $15,051 | $9,783 | $9,618 | +56% | $23,496 | −36% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $15,013 | $9,758 | $11,458 | +31% | $14,134 | +6% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $14,956 | $9,722 | $12,670 | +18% | $13,318 | +12% |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $14,783 | $9,609 | $21,927 | −33% | $30,814 | −52% |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $14,760 | $9,594 | $14,936 | −1% | $22,032 | −33% |
| 683 | RENAL FAILURE WITH CC | $14,436 | $9,383 | $11,136 | +30% | $18,620 | −22% |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $14,386 | $9,351 | $19,602 | −27% | $26,634 | −46% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $14,216 | $9,241 | $15,296 | −7% | $16,212 | −12% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $14,131 | $9,185 | $14,245 | −1% | $19,096 | −26% |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,817 | $8,981 | $14,977 | −8% | $30,394 | −55% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $13,681 | $8,893 | $11,112 | +23% | $20,488 | −33% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $13,668 | $8,884 | $12,427 | +10% | $18,204 | −25% |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $13,615 | $8,850 | $17,652 | −23% | $24,022 | −43% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $13,469 | $8,755 | $15,640 | −14% | $17,103 | −21% |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,468 | $8,754 | $25,970 | −48% | $29,853 | −55% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $13,438 | $8,735 | $11,050 | +22% | $16,745 | −20% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $13,382 | $8,698 | $14,432 | −7% | $15,370 | −13% |
| 539 | OSTEOMYELITIS WITH MCC | $13,318 | $8,657 | $29,443 | −55% | $33,746 | −61% |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $13,201 | $8,581 | $47,596 | −72% | $78,582 | −83% |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $12,991 | $8,444 | $19,309 | — | $25,628 | −49% |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $12,980 | $8,437 | $10,061 | +29% | $12,895 | +1% |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $12,971 | $8,431 | $41,771 | −69% | $65,254 | −80% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $12,859 | $8,358 | $18,491 | −30% | $17,727 | −27% |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,787 | $8,311 | $14,585 | −12% | $35,014 | −63% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $12,728 | $8,273 | $15,239 | −16% | $19,287 | −34% |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,628 | $8,208 | $18,082 | −30% | $20,842 | −39% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $12,610 | $8,197 | $13,090 | −4% | $13,090 | −4% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,609 | $8,196 | $21,276 | −41% | $20,732 | −39% |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $12,483 | $8,114 | $14,947 | −16% | $17,715 | −30% |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $12,392 | $8,055 | $16,501 | — | $20,610 | −40% |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $12,300 | $7,995 | $14,285 | −14% | $15,284 | −20% |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $12,214 | $7,939 | $12,851 | −5% | $21,449 | −43% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $12,087 | $7,857 | $12,087 | +0% | $17,367 | −30% |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,651 | $7,573 | $23,840 | −51% | $38,357 | −70% |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $11,650 | $7,573 | $12,453 | −6% | $15,607 | −25% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,634 | $7,562 | $17,060 | −32% | $30,058 | −61% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $11,506 | $7,479 | $12,774 | −10% | $12,044 | −4% |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $11,474 | $7,458 | $6,693 | +71% | $16,654 | −31% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $11,322 | $7,359 | $13,233 | −14% | $11,955 | −5% |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $11,269 | $7,325 | $14,614 | −23% | $50,919 | −78% |
| 245 | AICD GENERATOR PROCEDURES | $11,085 | $7,205 | $38,825 | — | $72,076 | −85% |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,992 | $7,145 | $16,250 | −32% | $17,700 | −38% |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,976 | $7,134 | $18,304 | — | $29,826 | −63% |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $10,645 | $6,919 | $62,466 | −83% | $68,508 | −84% |
| 682 | RENAL FAILURE WITH MCC | $10,557 | $6,862 | $16,560 | −36% | $27,854 | −62% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,142 | $6,592 | $16,935 | −40% | $24,136 | −58% |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,092 | $6,560 | $25,808 | −61% | $40,063 | −75% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $10,079 | $6,552 | $9,112 | +11% | $13,623 | −26% |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,068 | $6,544 | $17,768 | −43% | $19,317 | −48% |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,938 | $6,459 | $21,346 | −53% | $24,348 | −59% |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,777 | $6,355 | $34,226 | −71% | $33,792 | −71% |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,717 | $6,316 | $9,717 | +0% | $18,478 | −47% |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,649 | $6,272 | $23,107 | −58% | $38,836 | −75% |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,630 | $6,259 | $8,916 | +8% | $23,749 | −59% |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $9,502 | $6,176 | $46,049 | −79% | $52,908 | −82% |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,440 | $6,136 | $19,465 | −52% | $35,139 | −73% |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,404 | $6,112 | $18,786 | −50% | $28,134 | −67% |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,127 | $5,932 | $21,052 | −57% | $44,839 | −80% |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,939 | $5,810 | $9,285 | −4% | $14,368 | −38% |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,790 | $5,713 | $18,783 | −53% | $14,012 | −37% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,695 | $5,652 | $13,266 | −34% | $19,483 | −55% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,578 | $5,576 | $9,330 | −8% | $20,463 | −58% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $8,515 | $5,534 | $8,886 | −4% | $13,824 | −38% |
| 592 | SKIN ULCERS WITH MCC | $7,857 | $5,107 | $42,310 | −81% | $32,662 | −76% |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,824 | $5,085 | $21,256 | −63% | $18,608 | −58% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,482 | $4,863 | $10,596 | −29% | $20,777 | −64% |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,329 | $4,764 | $10,704 | −32% | $17,731 | −59% |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,269 | $4,725 | $5,222 | +39% | $16,719 | −57% |
| 694 | URINARY STONES WITHOUT MCC | $7,192 | $4,675 | $10,535 | −32% | $16,531 | −56% |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $6,559 | $4,264 | $19,694 | — | $39,253 | −83% |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $6,450 | $4,192 | $8,842 | −27% | $39,563 | −84% |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $6,277 | $4,080 | $29,009 | −78% | $31,059 | −80% |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,015 | $3,910 | $25,885 | −77% | $23,723 | −75% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,772 | $3,752 | $3,492 | +65% | $14,284 | −60% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,386 | $3,501 | $7,551 | −29% | $11,633 | −54% |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,168 | $3,359 | $13,300 | −61% | $14,166 | −64% |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,166 | $3,358 | $19,806 | −74% | $37,950 | −86% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,978 | $3,236 | $4,645 | +7% | $7,961 | −37% |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,867 | $3,164 | $17,922 | −73% | $19,795 | −75% |
| 795 | NORMAL NEWBORN | $4,842 | $3,148 | $3,098 | +56% | $4,530 | +7% |
| 313 | CHEST PAIN | $4,825 | $3,136 | $12,682 | −62% | $15,962 | −70% |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,768 | $3,099 | $9,341 | −49% | $13,368 | −64% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,745 | $3,084 | $6,354 | −25% | $9,385 | −49% |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,477 | $2,910 | $13,981 | −68% | $13,890 | −68% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,468 | $2,904 | $9,824 | −55% | $13,384 | −67% |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,429 | $2,879 | $10,009 | — | $15,589 | −72% |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $4,029 | $2,619 | $26,880 | −85% | $27,279 | −85% |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $3,917 | $2,546 | $12,790 | — | $21,663 | −82% |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,416 | $2,220 | $11,364 | −70% | $25,243 | −86% |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,208 | $2,085 | $8,462 | −62% | $12,381 | −74% |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,969 | $1,930 | $80,018 | −96% | $80,018 | −96% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,902 | $1,886 | $9,719 | −70% | $18,002 | −84% |
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 |
|---|---|---|---|
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,239 – $85,742 | 28 plans |
No procedures match that keyword.