Central Montana Medical Center — Pricing
156 procedures published in this hospital's Machine-Readable File (MRF) — 154 with a comparable price, 2 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 156
Lowest published price $580
Average published price $17,264
Highest published price $131,602
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 156 procedures
Published charges
Showing all 154 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. MT median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $131,602 | $111,862 | $53,008 | +148% | $65,788 | +100% |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $101,989 | $86,691 | $14,239 | +616% | $29,933 | +241% |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $100,865 | $85,735 | $80,953 | +25% | $58,707 | +72% |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $69,160 | $58,786 | $136,710 | −49% | $56,836 | +22% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $58,576 | $49,790 | $9,230 | +535% | $23,488 | +149% |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $51,540 | $43,809 | $55,353 | −7% | $71,755 | −28% |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $47,694 | $40,540 | $28,081 | +70% | $45,877 | +4% |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $43,089 | $36,626 | $48,938 | −12% | $70,847 | −39% |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $43,024 | $36,570 | $43,024 | +0% | $33,454 | +29% |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $42,661 | $36,262 | $50,839 | −16% | $93,172 | −54% |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $40,998 | $34,848 | $40,998 | +0% | $58,280 | −30% |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $38,995 | $33,146 | $34,282 | +14% | $52,751 | −26% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $38,943 | $33,102 | $47,158 | −17% | $59,500 | −35% |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $35,585 | $30,247 | $35,585 | +0% | $62,821 | −43% |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $35,374 | $30,067 | $10,493 | +237% | $32,628 | +8% |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $34,919 | $29,681 | $30,550 | +14% | $39,211 | −11% |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $33,053 | $28,095 | $30,873 | +7% | $50,463 | −35% |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $32,956 | $28,012 | $50,269 | −34% | $70,467 | −53% |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,659 | $27,760 | $35,734 | −9% | $84,692 | −61% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $32,291 | $27,447 | $35,950 | −10% | $44,117 | −27% |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $30,980 | $26,333 | $24,589 | — | $52,908 | −41% |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $29,802 | $25,332 | $25,039 | +19% | $42,881 | −30% |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,727 | $24,418 | $28,727 | +0% | $70,564 | −59% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $26,568 | $22,583 | $28,959 | −8% | $43,943 | −40% |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $26,546 | $22,564 | $42,798 | −38% | $50,607 | −48% |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $25,757 | $21,893 | $28,839 | −11% | $41,955 | −39% |
| 200 | PNEUMOTHORAX WITH CC | $25,544 | $21,712 | $12,231 | +109% | $21,368 | +20% |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $24,379 | $20,722 | $24,379 | +0% | $59,651 | −59% |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $24,040 | $20,434 | $19,501 | +23% | $34,459 | −30% |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $23,886 | $20,303 | $28,643 | −17% | $32,443 | −26% |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $22,912 | $19,475 | $39,906 | −43% | $33,393 | −31% |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,941 | $18,650 | $34,016 | −35% | $46,090 | −52% |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $21,917 | $18,630 | $27,265 | −20% | $27,947 | −22% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $21,132 | $17,963 | $18,761 | +13% | $26,682 | −21% |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $20,972 | $17,826 | $11,714 | +79% | $34,273 | −39% |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $20,869 | $17,739 | $15,882 | +31% | $27,401 | −24% |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,094 | $17,080 | $47,396 | −58% | $65,653 | −69% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $20,080 | $17,068 | $18,634 | +8% | $27,543 | −27% |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,002 | $17,002 | $28,793 | −31% | $59,421 | −66% |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $19,909 | $16,922 | $18,658 | +7% | $38,101 | −48% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $19,330 | $16,430 | $19,703 | −2% | $35,628 | −46% |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $19,212 | $16,330 | $19,212 | +0% | $20,566 | −7% |
| 539 | OSTEOMYELITIS WITH MCC | $19,010 | $16,159 | $17,220 | +10% | $37,609 | −49% |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,838 | $16,012 | $18,838 | +0% | $40,213 | −53% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,509 | $15,733 | $18,509 | +0% | $39,106 | −53% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $18,320 | $15,572 | $18,255 | +0% | $33,707 | −46% |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $18,228 | $15,493 | $18,664 | −2% | $25,712 | −29% |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,964 | $15,269 | $35,507 | −49% | $47,711 | −62% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $17,751 | $15,088 | $17,540 | +1% | $26,580 | −33% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $17,628 | $14,983 | $5,241 | +236% | $17,303 | +2% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $17,013 | $14,461 | $11,299 | +51% | $22,850 | −26% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,739 | $14,228 | $16,739 | +0% | $26,776 | −37% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $16,203 | $13,773 | $14,087 | +15% | $34,017 | −52% |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $15,578 | $13,241 | $15,578 | +0% | $19,264 | −19% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $15,079 | $12,817 | $7,890 | +91% | $17,578 | −14% |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $14,913 | $12,676 | $5,597 | +166% | $16,767 | −11% |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $14,680 | $12,478 | $16,811 | −13% | $36,937 | −60% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $14,577 | $12,390 | $6,308 | +131% | $14,648 | −0% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $14,499 | $12,324 | $7,089 | +105% | $13,824 | +5% |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $14,411 | $12,249 | $10,517 | +37% | $21,056 | −32% |
| 312 | SYNCOPE AND COLLAPSE | $14,388 | $12,230 | $13,232 | +9% | $19,342 | −26% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $14,143 | $12,022 | $15,048 | −6% | $23,940 | −41% |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $14,009 | $11,908 | $10,640 | +32% | $17,118 | −18% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $13,996 | $11,897 | $14,252 | −2% | $22,888 | −39% |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $13,852 | $11,774 | $13,852 | +0% | $14,689 | −6% |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,747 | $11,685 | $13,905 | −1% | $26,932 | −49% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $13,661 | $11,612 | $15,309 | −11% | $16,371 | −17% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,531 | $11,502 | $12,851 | +5% | $32,496 | −58% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $13,244 | $11,257 | $8,187 | +62% | $20,488 | −35% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $13,221 | $11,238 | $9,956 | +33% | $24,386 | −46% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $13,148 | $11,176 | $8,187 | +61% | $18,807 | −30% |
| 638 | DIABETES WITH CC | $13,123 | $11,155 | $13,743 | −5% | $19,661 | −33% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $13,036 | $11,080 | $10,776 | +21% | $18,081 | −28% |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $12,860 | $10,931 | $37,345 | −66% | $75,573 | −83% |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,711 | $10,805 | $10,926 | +16% | $22,432 | −43% |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $12,631 | $10,737 | $14,947 | −15% | $14,583 | −13% |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $12,328 | $10,478 | $9,794 | +26% | $23,551 | −48% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $12,299 | $10,454 | $5,574 | +121% | $17,674 | −30% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,153 | $10,330 | $15,618 | −22% | $33,047 | −63% |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $11,933 | $10,143 | $42,071 | −72% | $88,050 | −86% |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $11,768 | $10,003 | $6,241 | +89% | $14,128 | −17% |
| 683 | RENAL FAILURE WITH CC | $11,709 | $9,953 | $15,280 | −23% | $19,130 | −39% |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,225 | $9,541 | $17,642 | −36% | $42,901 | −74% |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,140 | $9,469 | $12,080 | −8% | $31,017 | −64% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,017 | $9,364 | $10,422 | +6% | $21,275 | −48% |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,840 | $9,214 | $15,002 | −28% | $36,249 | −70% |
| 311 | ANGINA PECTORIS | $10,779 | $9,162 | $9,334 | +15% | $15,502 | −30% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,742 | $9,131 | $11,652 | −8% | $21,396 | −50% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,571 | $8,985 | $16,189 | −35% | $27,275 | −61% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,495 | $8,921 | $8,256 | +27% | $19,842 | −47% |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,426 | $8,862 | $10,426 | +0% | $22,468 | −54% |
| 949 | AFTERCARE WITH CC/MCC | $10,309 | $8,762 | $20,965 | −51% | $23,953 | −57% |
| 813 | COAGULATION DISORDERS | $10,202 | $8,672 | $43,313 | −76% | $33,296 | −69% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,146 | $8,624 | $17,493 | −42% | $37,842 | −73% |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $10,054 | $8,546 | $7,666 | +31% | $18,004 | −44% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,051 | $8,543 | $11,836 | −15% | $24,914 | −60% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,012 | $8,510 | $13,514 | −26% | $28,226 | −65% |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,893 | $8,409 | $17,888 | −45% | $18,466 | −46% |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,885 | $8,402 | $9,397 | +5% | $19,073 | −48% |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,731 | $8,271 | $13,001 | −25% | $16,776 | −42% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,457 | $8,039 | $10,042 | −6% | $30,959 | −69% |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,390 | $7,981 | $14,510 | −35% | $17,601 | −47% |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,662 | $7,363 | $11,075 | −22% | $18,126 | −52% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,655 | $7,357 | $9,835 | −12% | $18,528 | −53% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,653 | $7,355 | $17,588 | −51% | $26,770 | −68% |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,641 | $7,345 | $10,582 | −18% | $29,743 | −71% |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,554 | $7,271 | $15,754 | −46% | $21,941 | −61% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,514 | $7,237 | $13,625 | −38% | $22,024 | −61% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,441 | $7,175 | $7,665 | +10% | $17,921 | −53% |
| 603 | CELLULITIS WITHOUT MCC | $8,440 | $7,174 | $11,801 | −28% | $18,530 | −54% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $8,211 | $6,979 | $7,940 | +3% | $10,160 | −19% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,158 | $6,934 | $16,572 | −51% | $18,150 | −55% |
| 593 | SKIN ULCERS WITH CC | $7,868 | $6,688 | $8,958 | −12% | $22,886 | −66% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,858 | $6,679 | $15,453 | −49% | $25,279 | −69% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,807 | $6,636 | $12,779 | −39% | $20,781 | −62% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,778 | $6,611 | $9,421 | −17% | $20,181 | −61% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,751 | $6,588 | $9,048 | −14% | $22,098 | −65% |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,696 | $6,542 | $23,044 | −67% | $24,056 | −68% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,678 | $6,526 | $8,669 | −11% | $17,322 | −56% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,342 | $6,241 | $10,700 | −31% | $13,384 | −45% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,124 | $6,055 | $10,188 | −30% | $23,617 | −70% |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,097 | $6,032 | $6,254 | +13% | $17,559 | −60% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,899 | $5,864 | $6,120 | +13% | $13,361 | −48% |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,850 | $5,823 | $6,429 | — | $19,138 | −64% |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,730 | $5,721 | $14,096 | −52% | $23,206 | −71% |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $6,722 | $5,714 | $12,802 | −47% | $42,679 | −84% |
| 865 | VIRAL ILLNESS WITH MCC | $6,598 | $5,609 | $6,736 | −2% | $26,910 | −75% |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,595 | $5,606 | $6,595 | +0% | $12,454 | −47% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,442 | $5,476 | $10,376 | −38% | $18,204 | −65% |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,340 | $5,389 | $7,478 | −15% | $25,034 | −75% |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $6,235 | $5,300 | $9,548 | −35% | $32,877 | −81% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,792 | $4,923 | $13,378 | −57% | $28,050 | −79% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,756 | $4,893 | $13,350 | −57% | $20,422 | −72% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,263 | $4,474 | $7,196 | −27% | $12,229 | −57% |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $5,164 | $4,389 | $22,416 | −77% | $31,159 | −83% |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,020 | $4,267 | $6,445 | −22% | $17,700 | −72% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,512 | $3,835 | $9,104 | −50% | $12,999 | −65% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,492 | $3,818 | $4,110 | +9% | $8,445 | −47% |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,833 | $3,258 | $6,543 | −41% | $19,815 | −81% |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,794 | $3,225 | $5,138 | — | $14,064 | −73% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $3,783 | $3,216 | $10,162 | −63% | $34,192 | −89% |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,746 | $3,184 | $11,882 | −68% | $29,826 | −87% |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,653 | $3,105 | $10,772 | −66% | $22,506 | −84% |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,642 | $3,096 | $5,005 | −27% | $18,649 | −80% |
| 795 | NORMAL NEWBORN | $3,487 | $2,964 | $2,630 | +33% | $4,720 | −26% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,462 | $2,943 | $5,130 | −33% | $16,699 | −79% |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,205 | $2,725 | $5,750 | −44% | $13,527 | −76% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,135 | $2,665 | $4,951 | −37% | $16,351 | −81% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,131 | $2,662 | $8,886 | −65% | $17,038 | −82% |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,766 | $2,351 | $13,010 | −79% | $17,298 | −84% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,329 | $1,980 | $7,253 | −68% | $18,602 | −87% |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,876 | $1,595 | $3,156 | −41% | $9,940 | −81% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $1,496 | $1,272 | $12,721 | −88% | $25,463 | −94% |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $580 | $580 | $6,812 | −91% | $17,733 | −97% |
Procedures with negotiated rates only
These 2 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 |
|---|---|---|---|
| 637 | DIABETES WITH MCC | — | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | — | 4 plans |
No procedures match that keyword.