Missouri Baptist Sullivan Hospital — Pricing
230 procedures published in this hospital's Machine-Readable File (MRF) — 229 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 230
Lowest published price $2,089
Average published price $26,168
Highest published price $223,502
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 230 procedures
Published charges
Showing all 229 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. MO median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $223,502 | $134,101 | $47,038 | +375% | $54,129 | +313% |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $146,901 | $88,140 | $34,668 | +324% | $47,546 | +209% |
| 799 | SPLENIC PROCEDURES WITH MCC | $123,253 | $73,952 | $72,060 | +71% | $78,821 | +56% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $95,856 | $57,513 | $49,081 | +95% | $44,117 | +117% |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $94,984 | $56,990 | $75,448 | +26% | $88,050 | +8% |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $94,478 | $56,687 | $40,946 | +131% | $44,973 | +110% |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $89,854 | $53,912 | $89,854 | +0% | $86,390 | +4% |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $88,563 | $53,138 | $132,218 | −33% | $138,008 | −36% |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $88,213 | $52,928 | $68,473 | +29% | $87,565 | +1% |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $85,787 | $51,472 | $61,750 | +39% | $72,859 | +18% |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $77,284 | $46,370 | $23,543 | +228% | $27,457 | +181% |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $71,083 | $42,650 | $47,703 | +49% | $41,660 | +71% |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $69,609 | $41,765 | $52,834 | +32% | $62,961 | +11% |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $63,434 | $38,060 | $33,893 | +87% | $41,520 | +53% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $61,611 | $36,966 | $60,051 | +3% | $58,832 | +5% |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $61,178 | $36,707 | $26,823 | +128% | $28,924 | +112% |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $58,957 | $35,374 | $62,076 | −5% | $80,747 | −27% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $58,541 | $35,124 | $43,948 | +33% | $43,524 | +35% |
| 570 | SKIN DEBRIDEMENT WITH MCC | $56,990 | $34,194 | $43,190 | +32% | $52,435 | +9% |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $56,319 | $33,791 | $36,269 | +55% | $44,053 | +28% |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $56,314 | $33,789 | $56,314 | +0% | $41,380 | +36% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $55,832 | $33,499 | $27,974 | +100% | $30,974 | +80% |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $55,370 | $33,222 | $60,873 | −9% | $44,989 | +23% |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $55,353 | $33,212 | $77,429 | −29% | $87,018 | −36% |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $51,420 | $30,852 | $43,331 | +19% | $46,591 | +10% |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $51,176 | $30,705 | $51,176 | +0% | $43,266 | +18% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $50,330 | $30,198 | $13,557 | +271% | $19,287 | +161% |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $47,499 | $28,500 | $23,921 | +99% | $35,453 | +34% |
| 602 | CELLULITIS WITH MCC | $47,398 | $28,439 | $21,559 | +120% | $29,347 | +62% |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $46,729 | $28,038 | $58,467 | −20% | $57,855 | −19% |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $45,641 | $27,385 | $60,197 | −24% | $62,821 | −27% |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $45,601 | $27,361 | $41,991 | +9% | $49,470 | −8% |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $44,520 | $26,712 | $26,219 | +70% | $27,219 | +64% |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $44,308 | $26,585 | $47,117 | −6% | $46,066 | −4% |
| 571 | SKIN DEBRIDEMENT WITH CC | $44,026 | $26,416 | $29,818 | +48% | $34,901 | +26% |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $43,113 | $25,868 | $39,040 | +10% | $31,978 | +35% |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $42,878 | $25,727 | $52,411 | −18% | $52,313 | −18% |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $41,480 | $24,888 | $22,167 | +87% | $32,451 | +28% |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $41,348 | $24,809 | $58,613 | −29% | $71,755 | −42% |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $40,528 | $24,317 | $22,892 | +77% | $26,020 | +56% |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $40,379 | $24,227 | $22,302 | +81% | $27,279 | +48% |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $40,107 | $24,064 | $35,825 | +12% | $48,682 | −18% |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $39,628 | $23,777 | $41,231 | −4% | $52,405 | −24% |
| 089 | CONCUSSION WITH CC | $38,107 | $22,864 | $18,362 | +108% | $18,293 | +108% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $37,224 | $22,334 | $14,238 | +161% | $17,103 | +118% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $37,018 | $22,211 | $27,782 | +33% | $25,426 | +46% |
| 539 | OSTEOMYELITIS WITH MCC | $36,959 | $22,175 | $35,286 | +5% | $33,746 | +10% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $36,855 | $22,113 | $32,284 | +14% | $27,934 | +32% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $35,467 | $21,280 | $23,798 | +49% | $20,732 | +71% |
| 866 | VIRAL ILLNESS WITHOUT MCC | $35,290 | $21,174 | $17,492 | +102% | $16,391 | +115% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $34,138 | $20,483 | $28,568 | +19% | $37,842 | −10% |
| 150 | EPISTAXIS WITH MCC | $34,078 | $20,447 | $22,949 | +48% | $21,133 | +61% |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $33,681 | $20,208 | $35,601 | −5% | $34,887 | −3% |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $32,669 | $19,601 | $17,613 | +85% | $27,118 | +20% |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $32,593 | $19,556 | $28,283 | +15% | $37,950 | −14% |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $32,425 | $19,455 | $32,252 | +1% | $31,758 | +2% |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,281 | $18,768 | $62,225 | −50% | $82,561 | −62% |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $31,281 | $18,768 | $44,306 | −29% | $51,142 | −39% |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $30,825 | $18,495 | $37,463 | −18% | $42,119 | −27% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $30,821 | $18,493 | $24,360 | +27% | $25,208 | +22% |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $30,559 | $18,336 | $16,402 | +86% | $22,713 | +35% |
| 779 | ABORTION WITHOUT D&C | $30,244 | $18,146 | $8,057 | +275% | $15,327 | +97% |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $30,040 | $18,024 | $15,902 | +89% | $22,560 | +33% |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $30,000 | $18,000 | $21,228 | +41% | $24,561 | +22% |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $29,583 | $17,750 | $30,262 | −2% | $32,502 | −9% |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $29,311 | $17,587 | $12,765 | +130% | $13,485 | +117% |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $28,987 | $17,392 | $30,228 | −4% | $30,314 | −4% |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $28,737 | $17,242 | $36,149 | −21% | $36,239 | −21% |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $28,620 | $17,172 | $35,572 | −20% | $32,538 | −12% |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $28,442 | $17,065 | $32,152 | −12% | $32,936 | −14% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $28,405 | $17,043 | $16,752 | +70% | $23,571 | +21% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $28,170 | $16,902 | $14,126 | +99% | $19,815 | +42% |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $28,090 | $16,854 | $29,127 | −4% | $42,881 | −34% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $27,453 | $16,472 | $25,578 | +7% | $32,689 | −16% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $27,034 | $16,220 | $14,276 | +89% | $20,084 | +35% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $26,699 | $16,019 | $25,926 | +3% | $26,488 | +1% |
| 885 | PSYCHOSES | $26,640 | $15,984 | $22,477 | +19% | $21,489 | +24% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $26,550 | $15,930 | $24,621 | +8% | $21,886 | +21% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $26,141 | $15,685 | $24,936 | +5% | $29,757 | −12% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $25,341 | $15,204 | $29,138 | −13% | $35,237 | −28% |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $25,274 | $15,164 | $38,722 | −35% | $54,824 | −54% |
| 302 | ATHEROSCLEROSIS WITH MCC | $24,786 | $14,872 | $24,786 | +0% | $20,844 | +19% |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $24,648 | $14,789 | $16,723 | +47% | $23,141 | +7% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $24,634 | $14,781 | $40,831 | −40% | $35,714 | −31% |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $24,563 | $14,738 | $20,226 | +21% | $20,968 | +17% |
| 305 | HYPERTENSION WITHOUT MCC | $24,530 | $14,718 | $18,086 | +36% | $17,144 | +43% |
| 637 | DIABETES WITH MCC | $24,117 | $14,470 | $23,106 | +4% | $28,819 | −16% |
| 304 | HYPERTENSION WITH MCC | $24,032 | $14,419 | $22,669 | +6% | $24,185 | −1% |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,911 | $14,346 | $47,664 | −50% | $49,710 | −52% |
| 187 | PLEURAL EFFUSION WITH CC | $23,815 | $14,289 | $20,943 | +14% | $21,467 | +11% |
| 881 | DEPRESSIVE NEUROSES | $23,714 | $14,228 | $15,058 | +57% | $15,058 | +57% |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $23,667 | $14,200 | $25,993 | −9% | $25,731 | −8% |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $23,552 | $14,131 | $20,777 | +13% | $21,449 | +10% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $23,107 | $13,864 | $23,581 | −2% | $31,840 | −27% |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $22,759 | $13,655 | $27,834 | −18% | $30,814 | −26% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $22,637 | $13,582 | $24,816 | −9% | $30,058 | −25% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $22,594 | $13,557 | $15,072 | +50% | $20,488 | +10% |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $22,547 | $13,528 | $25,525 | −12% | $31,128 | −28% |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $22,532 | $13,519 | $24,216 | −7% | $33,165 | −32% |
| 200 | PNEUMOTHORAX WITH CC | $22,333 | $13,400 | $19,414 | +15% | $20,573 | +9% |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $21,872 | $13,123 | $21,872 | +0% | $19,305 | +13% |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $21,649 | $12,989 | $22,855 | −5% | $28,967 | −25% |
| 813 | COAGULATION DISORDERS | $21,512 | $12,907 | $22,196 | −3% | $30,128 | −29% |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,358 | $12,815 | $30,256 | −29% | $36,933 | −42% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $21,246 | $12,748 | $21,246 | +0% | $26,158 | −19% |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $20,964 | $12,579 | $17,608 | +19% | $24,432 | −14% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $20,379 | $12,227 | $20,333 | +0% | $23,469 | −13% |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,943 | $11,966 | $28,604 | −30% | $32,204 | −38% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $19,815 | $11,889 | $19,972 | −1% | $25,020 | −21% |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $19,310 | $11,586 | $13,837 | +40% | $15,858 | +22% |
| 149 | DYSEQUILIBRIUM | $19,141 | $11,484 | $18,504 | +3% | $17,203 | +11% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $18,556 | $11,133 | $16,472 | +13% | $13,824 | +34% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $18,455 | $11,073 | $26,727 | −31% | $25,704 | −28% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $18,406 | $11,044 | $20,485 | −10% | $24,190 | −24% |
| 313 | CHEST PAIN | $18,383 | $11,030 | $12,453 | +48% | $15,962 | +15% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $18,127 | $10,876 | $13,766 | +32% | $15,045 | +20% |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $18,019 | $10,811 | $14,403 | +25% | $15,636 | +15% |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $17,903 | $10,742 | $17,360 | +3% | $20,278 | −12% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $17,871 | $10,722 | $14,121 | +27% | $14,134 | +26% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $17,821 | $10,693 | $15,129 | +18% | $15,070 | +18% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $17,597 | $10,558 | $17,597 | +0% | $22,781 | −23% |
| 312 | SYNCOPE AND COLLAPSE | $17,576 | $10,546 | $17,019 | +3% | $19,342 | −9% |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $17,303 | $10,382 | $14,197 | +22% | $14,473 | +20% |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,205 | $10,323 | $26,949 | −36% | $35,114 | −51% |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,105 | $10,263 | $34,082 | −50% | $38,357 | −55% |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,758 | $10,055 | $29,858 | −44% | $30,766 | −46% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $16,624 | $9,974 | $19,443 | −14% | $21,213 | −22% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $16,351 | $9,810 | $21,799 | −25% | $18,081 | −10% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $16,200 | $9,720 | $20,187 | −20% | $18,204 | −11% |
| 100 | SEIZURES WITH MCC | $16,104 | $9,662 | $28,935 | −44% | $35,194 | −54% |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $16,078 | $9,647 | $8,060 | +99% | $11,421 | +41% |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,904 | $9,542 | $33,119 | −52% | $36,334 | −56% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $15,878 | $9,527 | $19,483 | −19% | $19,483 | −19% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $15,795 | $9,477 | $14,346 | +10% | $17,322 | −9% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $15,737 | $9,442 | $19,155 | −18% | $24,480 | −36% |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,736 | $9,441 | $37,235 | −58% | $36,375 | −57% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $15,586 | $9,352 | $15,987 | −3% | $18,278 | −15% |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,525 | $9,315 | $22,988 | −32% | $31,059 | −50% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $15,508 | $9,305 | $17,526 | −12% | $19,579 | −21% |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $15,261 | $9,157 | $25,771 | −41% | $30,275 | −50% |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $15,220 | $9,132 | $14,966 | +2% | $18,623 | −18% |
| 683 | RENAL FAILURE WITH CC | $15,201 | $9,121 | $14,966 | +2% | $18,620 | −18% |
| 682 | RENAL FAILURE WITH MCC | $14,790 | $8,874 | $22,451 | −34% | $27,854 | −47% |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $14,568 | $8,741 | $6,528 | +123% | $12,381 | +18% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $14,368 | $8,621 | $24,298 | −41% | $17,273 | −17% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $14,140 | $8,484 | $13,097 | +8% | $15,370 | −8% |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,952 | $8,371 | $27,175 | −49% | $36,242 | −62% |
| 639 | DIABETES WITHOUT CC/MCC | $13,673 | $8,204 | $14,109 | −3% | $13,910 | −2% |
| 638 | DIABETES WITH CC | $13,641 | $8,184 | $14,856 | −8% | $18,821 | −28% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $13,599 | $8,160 | $16,262 | −16% | $23,396 | −42% |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $13,570 | $8,142 | $15,701 | −14% | $16,104 | −16% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $13,552 | $8,131 | $13,955 | −3% | $19,096 | −29% |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $13,358 | $8,015 | $11,921 | +12% | $13,198 | +1% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $13,329 | $7,997 | $17,400 | −23% | $16,865 | −21% |
| 644 | ENDOCRINE DISORDERS WITH CC | $13,033 | $7,820 | $19,755 | −34% | $22,941 | −43% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,011 | $7,807 | $25,341 | −49% | $31,086 | −58% |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $12,919 | $7,751 | $16,903 | −24% | $17,700 | −27% |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,845 | $7,707 | $26,013 | −51% | $32,996 | −61% |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $12,753 | $7,652 | $23,049 | −45% | $24,177 | −47% |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $12,295 | $7,377 | $23,785 | −48% | $23,496 | −48% |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,209 | $7,325 | $17,138 | −29% | $20,007 | −39% |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,085 | $7,251 | $18,624 | −35% | $19,868 | −39% |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,996 | $7,198 | $25,131 | −52% | $23,749 | −49% |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,852 | $7,111 | $22,010 | −46% | $22,032 | −46% |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,664 | $6,998 | $22,272 | −48% | $28,780 | −59% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $11,438 | $6,863 | $17,038 | −33% | $16,745 | −32% |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,185 | $6,711 | $12,813 | −13% | $28,134 | −60% |
| 593 | SKIN ULCERS WITH CC | $11,125 | $6,675 | $14,310 | −22% | $20,470 | −46% |
| 603 | CELLULITIS WITHOUT MCC | $10,942 | $6,565 | $15,793 | −31% | $18,530 | −41% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $10,882 | $6,529 | $11,017 | −1% | $13,090 | −17% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,760 | $6,456 | $17,111 | −37% | $24,136 | −55% |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,554 | $6,332 | $19,541 | −46% | $23,115 | −54% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,448 | $6,269 | $17,409 | −40% | $16,212 | −36% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,392 | $6,235 | $15,875 | −35% | $18,803 | −45% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $10,310 | $6,186 | $10,372 | −1% | $12,044 | −14% |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $10,304 | $6,182 | $16,905 | −39% | $39,563 | −74% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,196 | $6,117 | $19,025 | −46% | $27,244 | −63% |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,142 | $6,085 | $29,558 | −66% | $29,031 | −65% |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,102 | $6,061 | $33,069 | −69% | $36,658 | −72% |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,087 | $6,052 | $16,431 | −39% | $16,571 | −39% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $10,083 | $6,050 | $10,836 | −7% | $11,633 | −13% |
| 103 | HEADACHES WITHOUT MCC | $9,742 | $5,845 | $21,901 | −56% | $20,111 | −52% |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,717 | $5,830 | $13,483 | −28% | $16,837 | −42% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,702 | $5,821 | $15,666 | −38% | $17,466 | −44% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,581 | $5,749 | $20,988 | −54% | $16,049 | −40% |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $9,450 | $5,670 | $13,604 | −31% | $19,001 | −50% |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $9,304 | $5,582 | $11,804 | −21% | $16,719 | −44% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $9,232 | $5,539 | $11,908 | −22% | $13,384 | −31% |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $9,227 | $5,536 | $16,498 | −44% | $12,279 | −25% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,220 | $5,532 | $27,837 | −67% | $22,024 | −58% |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,902 | $5,341 | $30,598 | −71% | $38,885 | −77% |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $8,753 | $5,252 | $29,198 | −70% | $40,552 | −78% |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $8,604 | $5,163 | $20,643 | −58% | $35,139 | −76% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,507 | $5,104 | $13,719 | −38% | $18,002 | −53% |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,401 | $5,041 | $11,404 | −26% | $15,589 | −46% |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,232 | $4,939 | $16,644 | −51% | $15,607 | −47% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,172 | $4,903 | $18,587 | −56% | $22,982 | −64% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,037 | $4,822 | $15,684 | −49% | $20,777 | −61% |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,688 | $4,613 | $11,173 | −31% | $14,128 | −46% |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $7,631 | $4,579 | $35,694 | −79% | $39,409 | −81% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $7,598 | $4,559 | $14,028 | −46% | $13,318 | −43% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,509 | $4,505 | $13,598 | −45% | $17,388 | −57% |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,382 | $4,429 | $7,382 | +0% | $12,013 | −39% |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,313 | $4,388 | $17,176 | −57% | $17,700 | −59% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,272 | $4,363 | $16,249 | −55% | $17,367 | −58% |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,177 | $4,306 | $14,407 | −50% | $13,081 | −45% |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,959 | $4,175 | $15,113 | −54% | $18,282 | −62% |
| 101 | SEIZURES WITHOUT MCC | $6,897 | $4,138 | $15,076 | −54% | $19,954 | −65% |
| 865 | VIRAL ILLNESS WITH MCC | $6,825 | $4,095 | $22,927 | −70% | $26,088 | −74% |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $6,764 | $4,058 | $27,207 | −75% | $30,394 | −78% |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,544 | $3,926 | $11,822 | −45% | $14,549 | −55% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,454 | $3,872 | $8,202 | −21% | $7,961 | −19% |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,297 | $3,778 | $23,963 | −74% | $20,842 | −70% |
| 540 | OSTEOMYELITIS WITH CC | $6,216 | $3,730 | $19,990 | −69% | $23,494 | −74% |
| 795 | NORMAL NEWBORN | $6,197 | $3,718 | $5,787 | +7% | $4,530 | +37% |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,707 | $3,424 | $5,861 | −3% | $12,895 | −56% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,047 | $3,028 | $11,085 | −54% | $14,284 | −65% |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,971 | $2,383 | $23,818 | −83% | $21,545 | −82% |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,542 | $2,125 | $11,950 | −70% | $15,284 | −77% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,515 | $2,109 | $15,923 | −78% | $18,918 | −81% |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,105 | $1,863 | $20,040 | −85% | $23,350 | −87% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,096 | $1,858 | $10,480 | −70% | $13,623 | −77% |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,954 | $1,772 | $5,877 | −50% | $9,076 | −67% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,867 | $1,720 | $13,438 | −79% | $17,522 | −84% |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,600 | $1,560 | $16,967 | −85% | $24,017 | −89% |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,282 | $1,369 | $13,766 | −83% | $19,091 | −88% |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,134 | $1,280 | $20,798 | −90% | $22,431 | −90% |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,095 | $1,257 | $16,379 | −87% | $21,181 | −90% |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,089 | $1,254 | $20,937 | −90% | $24,118 | −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 |
|---|---|---|---|
| 397 | APPENDIX PROCEDURES WITH MCC | $14,434 – $40,139 · median $30,496 | 14 plans |
No procedures match that keyword.