Frances Mahon Deaconess Hospital — Pricing

208 procedures published in this hospital's Machine-Readable File (MRF) — 206 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 208
Lowest published price $588
Average published price $13,805
Highest published price $209,442

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 208 procedures

Published charges

Showing all 206 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
642 INBORN AND OTHER DISORDERS OF METABOLISM $209,442 — $32,167 +551% $20,727 +910%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $118,595 $106,735 $33,464 +254% $41,900 +183%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $116,340 $104,706 $79,772 +46% $86,390 +35%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $72,013 $64,812 $65,127 +11% $54,129 +33%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $67,244 $60,520 $50,269 +34% $67,764 −1%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $50,859 $45,773 $38,854 +31% $33,607 +51%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $46,723 $42,051 $46,723 +0% $52,405 −11%
075 VIRAL MENINGITIS WITH CC/MCC $45,010 $40,509 $44,240 +2% $29,853 +51%
375 DIGESTIVE MALIGNANCY WITH CC $39,534 $35,581 $24,173 +64% $27,219 +45%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $38,911 $35,020 $28,391 +37% $31,059 +25%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $35,950 $32,355 $35,950 +0% $44,117 −19%
549 SEPTIC ARTHRITIS WITH CC $35,419 $31,877 $23,044 +54% $20,938 +69%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $34,778 $31,301 $34,778 +0% $35,692 −3%
920 COMPLICATIONS OF TREATMENT WITH CC $34,383 $30,945 $10,426 +230% $21,181 +62%
866 VIRAL ILLNESS WITHOUT MCC $32,931 $29,638 $27,034 +22% $16,391 +101%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $32,527 $29,274 $42,798 −24% $49,197 −34%
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $31,466 $28,319 $21,782 — $13,735 +129%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $30,944 $27,850 $9,835 +215% $18,253 +70%
637 DIABETES WITH MCC $30,181 $27,163 $24,134 +25% $28,819 +5%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $30,064 $27,057 $22,337 +35% $26,322 +14%
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $28,756 $25,881 $28,756 — $19,454 +48%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $27,221 $24,499 $47,158 −42% $58,832 −54%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $26,723 $24,051 $23,270 +15% $32,483 −18%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $26,074 $23,467 $26,074 +0% $31,758 −18%
684 RENAL FAILURE WITHOUT CC/MCC $25,032 $22,529 $12,193 +105% $13,623 +84%
606 MINOR SKIN DISORDERS WITH MCC $24,508 $22,057 $24,508 +0% $25,434 −4%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $24,356 $21,921 $7,253 +236% $17,367 +40%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $24,341 $21,907 $16,529 +47% $23,749 +2%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $23,941 $21,547 $19,811 +21% $38,357 −38%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $23,483 $21,135 $19,887 — $16,240 +45%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $23,218 $20,896 $21,092 +10% $20,777 +12%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $21,669 $19,502 $23,081 −6% $28,134 −23%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $20,183 $18,165 $42,071 −52% $88,050 −77%
089 CONCUSSION WITH CC $19,914 $17,923 $15,100 — $18,293 +9%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $19,756 $17,780 $11,013 +79% $28,780 −31%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,604 $16,744 $18,817 −1% $28,967 −36%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $18,520 $16,668 $48,938 −62% $68,880 −73%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,240 $16,416 $15,453 +18% $24,452 −25%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $16,996 $15,297 $24,379 −30% $56,394 −70%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,854 $15,169 $33,646 −50% $23,723 −29%
811 RED BLOOD CELL DISORDERS WITH MCC $16,672 $15,004 $13,514 +23% $27,934 −40%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $16,541 $14,887 $14,031 +18% $18,428 −10%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $16,389 $14,750 $18,761 −13% $25,208 −35%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $16,117 $14,505 $7,047 +129% $18,191 −11%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $16,094 $14,485 $13,350 +21% $19,579 −18%
374 DIGESTIVE MALIGNANCY WITH MCC $15,463 $13,917 $18,407 −16% $38,885 −60%
643 ENDOCRINE DISORDERS WITH MCC $15,048 $13,543 $15,048 +0% $32,996 −54%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,790 $13,311 $10,919 — $18,291 −19%
153 OTITIS MEDIA AND URI WITHOUT MCC $14,786 $13,307 $14,947 −1% $14,473 +2%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,767 $13,290 $19,466 −24% $20,084 −26%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,701 $13,231 $21,751 −32% $38,420 −62%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $14,654 $13,188 $14,510 +1% $16,571 −12%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $14,286 $12,857 $18,367 −22% $23,571 −39%
183 MAJOR CHEST TRAUMA WITH MCC $14,239 $12,815 $14,239 +0% $28,924 −51%
103 HEADACHES WITHOUT MCC $14,225 $12,802 $10,537 +35% $20,111 −29%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,108 $12,697 $28,839 −51% $39,747 −65%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $14,105 $12,694 $15,048 −6% $23,469 −40%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,910 $12,519 $40,998 −66% $56,519 −75%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $13,581 $12,223 $10,772 +26% $21,545 −37%
644 ENDOCRINE DISORDERS WITH CC $13,529 $12,176 $22,639 −40% $22,941 −41%
186 PLEURAL EFFUSION WITH MCC $13,458 $12,112 $12,286 +10% $32,468 −59%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $13,305 $11,974 $8,682 — $10,039 +33%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,046 $11,741 $15,618 −16% $30,974 −58%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,460 $11,214 $12,528 −1% $12,895 −3%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $12,396 $11,156 $13,378 −7% $27,244 −55%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,197 $10,977 $9,693 +26% $19,096 −36%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,142 $10,928 $30,550 −60% $36,239 −66%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,131 $10,918 $11,836 +2% $24,136 −50%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $12,070 $10,863 $34,282 −65% $51,172 −76%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $12,000 $10,800 $7,262 +65% $21,449 −44%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $11,987 $10,789 $12,150 −1% $30,394 −61%
540 OSTEOMYELITIS WITH CC $11,736 $10,562 $21,846 −46% $23,494 −50%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,654 $10,489 $10,042 +16% $29,757 −61%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $11,546 $10,392 $48,882 −76% $80,747 −86%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $11,531 $10,378 $6,445 +79% $17,700 −35%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,313 $10,182 $18,634 −39% $25,426 −56%
176 PULMONARY EMBOLISM WITHOUT MCC $11,205 $10,085 $10,776 +4% $18,081 −38%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,133 $10,019 $11,075 +1% $17,715 −37%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,041 $9,937 $11,714 −6% $31,128 −65%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,943 $9,849 $10,013 — $19,132 −43%
864 FEVER AND INFLAMMATORY CONDITIONS $10,895 $9,806 $10,141 +7% $17,412 −37%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $10,747 $9,672 $11,077 −3% $13,090 −18%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,517 $9,466 $10,517 +0% $20,278 −48%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,403 $9,363 $12,779 −19% $19,483 −47%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,327 $9,294 $11,652 −11% $21,213 −51%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,327 $9,294 $10,378 −0% $29,484 −65%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,220 $9,198 $6,876 +49% $18,002 −43%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,188 $9,169 $10,188 +0% $22,982 −56%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,973 $8,976 $19,703 −49% $35,237 −72%
157 DENTAL AND ORAL DISEASES WITH MCC $9,969 $8,972 $14,596 −32% $27,457 −64%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $9,923 $8,930 $35,507 −72% $45,963 −78%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,663 $8,697 $11,299 −14% $22,850 −58%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,654 $8,689 $13,094 −26% $32,399 −70%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $9,361 $8,425 $29,264 −68% $42,119 −78%
187 PLEURAL EFFUSION WITH CC $9,345 $8,411 $13,223 −29% $21,467 −56%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $9,091 $8,182 $7,448 — $15,077 −40%
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,963 $8,067 $9,914 −10% $21,806 −59%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,843 $7,959 $14,868 −41% $17,103 −48%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,652 $7,787 $12,721 −32% $24,480 −65%
607 MINOR SKIN DISORDERS WITHOUT MCC $8,575 $7,718 $8,575 +0% $15,284 −44%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,527 $7,674 $22,723 −62% $19,287 −56%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $8,520 $7,668 $8,256 +3% $18,803 −55%
149 DYSEQUILIBRIUM $8,491 $7,642 $7,675 +11% $17,203 −51%
694 URINARY STONES WITHOUT MCC $8,434 $7,591 $8,434 +0% $16,531 −49%
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $8,345 $7,510 $18,106 — $30,138 −72%
949 AFTERCARE WITH CC/MCC $8,310 $7,479 $20,965 −60% $23,953 −65%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,270 $7,443 $16,189 −49% $26,158 −68%
291 HEART FAILURE AND SHOCK WITH MCC $8,254 $7,429 $16,739 −51% $25,020 −67%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,187 $7,368 $8,187 +0% $20,488 −60%
683 RENAL FAILURE WITH CC $8,125 $7,313 $15,280 −47% $18,620 −56%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,051 $7,246 $11,747 −31% $12,044 −33%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,004 $7,204 $17,588 −54% $26,488 −70%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $7,978 $7,180 $7,462 +7% $14,134 −44%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $7,930 $7,137 $17,493 −55% $37,842 −79%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,818 $7,036 $12,455 −37% $12,797 −39%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,814 $7,032 $9,421 −17% $18,918 −59%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $7,802 $7,022 $17,454 −55% $37,064 −79%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,600 $6,840 $14,252 −47% $22,781 −67%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,475 $6,728 $7,475 +0% $20,732 −64%
682 RENAL FAILURE WITH MCC $7,446 $6,701 $14,892 −50% $27,854 −73%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,329 $6,596 $9,048 −19% $21,886 −67%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,289 $6,560 $9,956 −27% $24,190 −70%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $7,284 $6,555 $18,658 −61% $36,242 −80%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,281 $6,553 $6,241 +17% $14,128 −48%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $7,245 $6,521 $3,156 +130% $9,076 −20%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $7,105 $6,394 $18,509 −62% $35,714 −80%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $7,087 $6,378 $13,189 −46% $30,814 −77%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,026 $6,323 $6,273 +12% $17,731 −60%
196 INTERSTITIAL LUNG DISEASE WITH MCC $6,985 $6,287 $12,287 −43% $30,766 −77%
312 SYNCOPE AND COLLAPSE $6,969 $6,272 $13,232 −47% $19,342 −64%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $6,812 $6,131 $13,138 −48% $22,032 −69%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,702 $6,031 $7,890 −15% $17,388 −61%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $6,568 $5,911 $10,493 −37% $32,502 −80%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,567 $5,911 $10,376 −37% $18,204 −64%
292 HEART FAILURE AND SHOCK WITH CC $6,432 $5,789 $15,309 −58% $16,212 −60%
865 VIRAL ILLNESS WITH MCC $6,382 $5,744 $6,736 −5% $26,088 −76%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $6,093 $5,483 $18,255 −67% $31,840 −81%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,927 $5,334 $7,940 −25% $9,385 −37%
602 CELLULITIS WITH MCC $5,897 $5,307 $22,252 −73% $29,347 −80%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,887 $5,298 $8,669 −32% $17,322 −66%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,873 $5,286 $17,175 −66% $38,094 −85%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,870 $5,283 $10,118 −42% $20,007 −71%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,781 $5,203 $14,125 −59% $18,623 −69%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,768 $5,191 $13,390 −57% $32,204 −82%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,599 $5,039 $6,120 −9% $13,318 −58%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,564 $5,007 $8,886 −37% $16,745 −67%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,556 $5,001 $13,625 −59% $22,024 −75%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,531 $4,978 $5,574 −1% $17,466 −68%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,466 $4,919 $10,162 −46% $32,689 −83%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,258 $4,732 $7,230 −27% $17,273 −70%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,222 $4,699 $5,396 −3% $14,368 −64%
551 MEDICAL BACK PROBLEMS WITH MCC $5,183 $4,665 $14,087 −63% $31,086 −83%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,075 $4,567 $4,951 +3% $14,284 −64%
639 DIABETES WITHOUT CC/MCC $5,035 $4,531 $6,073 −17% $13,910 −64%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,955 $4,459 $7,793 −36% $23,141 −79%
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,720 $4,248 $7,520 −37% $20,968 −77%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,711 $4,240 $13,852 −66% $14,441 −67%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,667 $4,200 $5,707 −18% $15,070 −69%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,543 $4,089 $8,187 −45% $18,278 −75%
123 NEUROLOGICAL EYE DISORDERS $4,452 $4,006 $6,510 −32% $17,831 −75%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,376 $3,938 $20,244 −78% $51,985 −92%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,332 $3,899 $6,232 −30% $18,133 −76%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,321 $3,889 $5,241 −18% $16,865 −74%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,293 $3,864 $6,812 −37% $15,636 −73%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,157 $3,741 $5,310 — $13,654 −70%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,092 $3,683 $6,595 −38% $12,381 −67%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,951 $3,556 $16,868 −77% $35,014 −89%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,910 $3,519 $13,905 −72% $25,243 −85%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,845 $3,460 $6,827 −44% $12,279 −69%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,828 $3,445 $6,308 −39% $14,444 −73%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,773 $3,396 $6,118 −38% $18,282 −79%
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,753 $3,378 $6,632 −43% $17,226 −78%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,735 $3,361 $5,005 −25% $16,719 −78%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,634 $3,271 $5,597 −35% $16,104 −77%
950 AFTERCARE WITHOUT CC/MCC $3,623 $3,261 $5,750 −37% $13,527 −73%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,592 $3,233 $16,572 −78% $18,150 −80%
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,571 $3,213 $18,311 −81% $23,350 −85%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,518 $3,166 $11,005 −68% $24,561 −86%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,296 $2,966 $10,307 −68% $24,118 −86%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,226 $2,904 $7,089 −54% $13,824 −77%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,134 $2,820 $11,123 −72% $33,490 −91%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,920 $2,628 $5,764 — $17,585 −83%
101 SEIZURES WITHOUT MCC $2,711 $2,440 $4,621 −41% $19,954 −86%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,643 $2,379 $4,250 −38% $11,421 −77%
398 APPENDIX PROCEDURES WITH CC $2,642 $2,378 $14,967 −82% $39,107 −93%
534 FRACTURES OF FEMUR WITHOUT MCC $2,482 $2,234 $6,254 −60% $17,195 −86%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,416 $2,174 $6,662 −64% $12,013 −80%
882 NEUROSES EXCEPT DEPRESSIVE $2,412 $2,171 $5,825 −59% $15,680 −85%
603 CELLULITIS WITHOUT MCC $2,399 $2,159 $11,801 −80% $18,530 −87%
638 DIABETES WITH CC $2,368 $2,131 $13,743 −83% $18,821 −87%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,321 $2,089 $10,700 −78% $13,384 −83%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,230 $2,007 $13,172 −83% $15,045 −85%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,167 $1,950 $6,373 −66% $14,337 −85%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,847 $1,662 $17,540 −89% $25,704 −93%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $1,842 $1,658 $9,230 −80% $23,396 −92%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $1,839 — $16,811 −89% $34,887 −95%
305 HYPERTENSION WITHOUT MCC $1,801 $1,621 $4,706 −62% $17,144 −89%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,789 $1,610 $5,130 −65% $16,049 −89%
885 PSYCHOSES $1,458 $1,312 $7,144 −80% $21,489 −93%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,457 $1,311 $7,196 −80% $11,633 −87%
881 DEPRESSIVE NEUROSES $1,423 $1,281 $3,882 −63% $15,058 −91%
948 SIGNS AND SYMPTOMS WITHOUT MCC $1,305 $1,174 $7,665 −83% $17,727 −93%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $1,156 $1,156 $9,794 −88% $23,496 −95%
887 OTHER MENTAL DISORDER DIAGNOSES $977 $977 $7,218 — $20,602 −95%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $965 $869 $3,554 — $13,282 −93%
795 NORMAL NEWBORN $588 $529 $2,630 −78% $4,530 −87%

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
501 SOFT TISSUE PROCEDURES WITH CC — 14 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,239 – $6,239 · median $6,239 4 plans
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