Gila Regional Medical Center — Pricing
218 procedures published in this hospital's Machine-Readable File (MRF) — 214 with a comparable price, 4 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
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 218 procedures
Published charges
Showing all 214 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. NM median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 776 | Postpartum & post abortion diagnoses without operating room procedure | $57,848 | $1,227 | $23,714 | +144% | $12,454 | +364% |
| 417 | Laparoscopic cholecystectomy with major complications | $56,781 | $45,425 | $109,239 | −48% | $53,451 | +6% |
| 418 | Laparoscopic cholecystectomy with complications | $52,916 | $32,505 | $88,549 | −40% | $44,606 | +19% |
| 897 | Alcohol or Drug Abuse without rehab or major complications [MSDRG 897] | $50,204 | $1,488 | $36,865 | +36% | $16,699 | +201% |
| 305 | Hypertension without major complications | $47,827 | $1,340 | $27,671 | +73% | $18,086 | +164% |
| 195 | Pneumonia without complications | $42,744 | $1,911 | $17,018 | +151% | $13,824 | +209% |
| 690 | Kidney & urinary Infection without complications | $42,251 | $3,274 | $26,308 | +61% | $17,674 | +139% |
| 872 | Blood infection without major complications | $38,218 | — | $36,484 | +5% | $22,888 | +67% |
| 392 | Stomach Disorder without complications | $36,735 | $4,494 | $25,845 | +42% | $17,322 | +112% |
| 639 | Diabetes without complications | $35,222 | $580 | $20,143 | +75% | $13,910 | +153% |
| 328 | Stomach, esophageal & duodenal proc without complications | $32,783 | $26,227 | $107,254 | −69% | $39,006 | −16% |
| 758 | Infections, female reproductive system with complications | $31,820 | $1,576 | $46,187 | −31% | $20,901 | +52% |
| 603 | Infection of the skin | $30,971 | $2,472 | $29,803 | +4% | $18,530 | +67% |
| 184 | Major chest trauma with complications | $29,903 | $23,922 | $34,718 | −14% | $22,432 | +33% |
| 351 | Inguinal & femoral hernia procedures with complications | $26,331 | $43,055 | $118,784 | −78% | $36,505 | −28% |
| 394 | Other digestive system diagnoses with complications | $26,280 | $14,273 | $26,280 | +0% | $20,181 | +30% |
| 481 | Peripheral, cranial & autonomic nerve disorders [Minor Severity] | $21,761 | $37,870 | $107,470 | −80% | $52,751 | −59% |
| 395 | Other digestive system diagnoses without complications | $21,530 | $4,655 | $27,306 | −21% | $14,128 | +52% |
| 536 | Fractures of hip & pelvis without major complications | $19,562 | $20,866 | $32,126 | −39% | $18,002 | +9% |
| 965 | Other multiple significant trauma without complications | $18,537 | $23,413 | $34,566 | −46% | $20,259 | −9% |
| 060 | Multiple sclerosis & cerebellar ataxia without complications | $17,911 | $23,777 | $40,810 | −56% | $22,148 | −19% |
| 554 | Head trauma w coma >1 hr or hemorrhage [Catastrophic Severity] | $16,985 | $3,594 | $27,131 | −37% | $18,528 | −8% |
| 789 | Neonates, died or transferred to another facility | $15,724 | $12,601 | $16,875 | −7% | $16,351 | −4% |
| 446 | Disorders of the biliary tract without complications | $15,557 | $4,671 | $45,106 | −66% | $17,700 | −12% |
| 308 | Cardiac arrhythmia & conduction disorders with major complications | $15,531 | $18,515 | $39,204 | −60% | $26,770 | −42% |
| 565 | Other musculoskeletal system & connective tissue diagnoses with complications | $14,346 | $13,035 | $39,629 | −64% | $22,506 | −36% |
| 606 | Minor skin disorders with major complications | $13,775 | $12,733 | $15,951 | −14% | $27,975 | −51% |
| 863 | Postoperative & post-traumatic infections without major complications | $13,392 | $8,995 | $30,529 | −56% | $20,957 | −36% |
| 522 | Nontraumatic stupor & coma [Moderate Severity] | $12,466 | $43,801 | $112,301 | −89% | $58,280 | −79% |
| 196 | Interstitial lung disease with major complications | $11,951 | $23,096 | $83,858 | −86% | $32,637 | −63% |
| 866 | Viral illness without major complications | $11,225 | $2,172 | $33,083 | −66% | $17,081 | −34% |
| 393 | Other digestive system diagnoses with major complications | $11,178 | $11,310 | $63,006 | −82% | $34,192 | −67% |
| 442 | Disorders of liver except malignancy with complications | $10,693 | $4,285 | $34,654 | −69% | $21,449 | −50% |
| 810 | Major hematol/immun diag exc sickle cell crisis & coagul without complications | $10,614 | $1,018 | $60,425 | −82% | $18,316 | −42% |
| 382 | Complicated peptic ulcer without complications | $10,421 | $758 | $53,217 | −80% | $16,634 | −37% |
| 189 | Respiratory Failure | $10,314 | $43,035 | $35,775 | −71% | $26,580 | −61% |
| 605 | Trauma to the skin, subcut tiss & breast without major complications | $10,242 | $1,035 | $46,542 | −78% | $20,506 | −50% |
| 291 | Heart Failure with major complications | $9,683 | $26,157 | $34,309 | −72% | $26,776 | −64% |
| 543 | Migraine & other headaches [Major Severity] | $9,624 | $8,554 | $41,481 | −77% | $23,551 | −59% |
| 281 | Acute myocardial infarction, discharged alive with complications | $9,405 | $6,301 | $51,028 | −82% | $20,463 | −54% |
| 813 | Coagulation disorders | $9,379 | $1,116 | $50,318 | −81% | $33,296 | −72% |
| 445 | Disorders of the biliary tract with complications | $9,278 | $11,141 | $45,046 | −79% | $23,319 | −60% |
| 190 | Chronic Lung Disease with major complications | $9,256 | $51,683 | $30,412 | −70% | $24,386 | −62% |
| 871 | Blood Infection with major complications | $9,247 | $8,491 | $31,223 | −70% | $35,628 | −74% |
| 556 | Signs & symptoms of musculoskeletal system & connective tissue without major complications | $9,180 | $1,216 | $38,148 | −76% | $18,126 | −49% |
| 390 | G.I. obstruction without complications | $8,839 | — | $22,389 | −61% | $13,361 | −34% |
| 387 | Inflammatory bowel disease without complications | $8,665 | $2,181 | $49,915 | −83% | $16,288 | −47% |
| 688 | Kidney & urinary tract neoplasms without complications | $8,661 | $4,632 | $16,102 | — | $12,593 | −31% |
| 301 | Peripheral vascular disorders without complications | $8,417 | $1,404 | $19,396 | −57% | $15,837 | −47% |
| 194 | Pneumonia with complications | $8,408 | $5,738 | $23,503 | −64% | $18,204 | −54% |
| 544 | Migraine & other headaches [Catastrophic Severity] | $8,351 | $1,093 | $16,458 | −49% | $16,776 | −50% |
| 842 | Lymphoma & non-acute leukemia without complications | $8,321 | — | $78,016 | −89% | $19,657 | −58% |
| 177 | Respiratory infections and inflammations with major complications | $8,132 | $7,847 | $31,640 | −74% | $33,707 | −76% |
| 882 | Neuroses except depressive | $7,996 | $2,452 | $42,581 | −81% | $15,680 | −49% |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $7,994 | — | $7,994 | +0% | $9,940 | −20% |
| 535 | Fractures of hip & pelvis with major complications | $7,799 | $25,753 | $61,559 | −87% | $24,552 | −68% |
| 561 | Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Minor Severity] | $7,755 | $1,406 | $59,568 | −87% | $18,150 | −57% |
| 056 | Degenerative nervous system disorders with major complications | $7,554 | $7,915 | $92,720 | −92% | $39,973 | −81% |
| 948 | General symptoms of illness such as fever, pain, shortness of breath | $7,504 | $1,352 | $25,827 | −71% | $17,921 | −58% |
| 292 | Heart Failure with complications | $7,369 | $19,932 | $24,972 | −70% | $16,371 | −55% |
| 921 | Complications of treatment without complications | $7,366 | — | $37,398 | −80% | $14,415 | −49% |
| 375 | Digestive malignancy with complications | $7,343 | $2,982 | $52,072 | −86% | $27,277 | −73% |
| 125 | Other disorders of the eye without major complications | $7,324 | $1,553 | $41,102 | −82% | $17,298 | −58% |
| 538 | Sprains, strains, & dislocations of hip, pelvis & thigh without complications | $7,060 | $2,773 | $77,939 | −91% | $11,909 | −41% |
| 599 | Malignant breast disorders without complications | $6,869 | $975 | $17,330 | — | $14,290 | −52% |
| 795 | Normal Newborn | $6,846 | — | $2,234 | +206% | $4,720 | +45% |
| 206 | Other respiratory system diagnoses without major complications | $6,786 | $2,509 | $26,062 | −74% | $18,488 | −63% |
| 191 | Chronic Lung Disease with complications | $6,708 | $3,928 | $23,195 | −71% | $18,807 | −64% |
| 299 | Peripheral vascular disorders with major complications | $6,663 | $16,902 | $76,791 | −91% | $27,316 | −76% |
| 743 | Uterus or Ovary Surgery Not Related to Cancer without complications | $6,494 | $18,665 | $44,890 | −86% | $30,784 | −79% |
| 175 | Pulmonary embolism with major complications | $6,190 | $18,150 | $45,806 | −86% | $30,959 | −80% |
| 176 | Pulmonary embolism without major complications | $6,187 | $5,499 | $26,477 | −77% | $18,081 | −66% |
| 310 | Abnormal or Irregular Heartbeat without complications | $6,131 | $2,249 | $22,357 | −73% | $13,384 | −54% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,099 | $17,433 | $7,486 | −19% | $23,571 | −74% |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,050 | $30,467 | $58,142 | −90% | $31,321 | −81% |
| 598 | Malignant breast disorders with complications | $6,038 | $1,193 | $18,632 | −68% | $19,073 | −68% |
| 724 | Malignancy, male reproductive system without complications | $5,883 | $652 | $14,784 | — | $12,768 | −54% |
| 055 | Nervous system neoplasms without major complications | $5,879 | $4,703 | $86,380 | −93% | $20,926 | −72% |
| 884 | Mental disturbances and retardation [MSDRG 884] | $5,787 | — | $54,290 | −89% | $26,682 | −78% |
| 103 | Headaches without major complications | $5,733 | $631 | $46,287 | −88% | $21,280 | −73% |
| 768 | Vaginal delivery with O.R. procedure except sterilization and/or D&C | $5,662 | $11,067 | $8,642 | −34% | $16,846 | −66% |
| 761 | Menstrual & other female reproductive system disorders without complications | $5,649 | $3,855 | $9,532 | −41% | $11,421 | −51% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,539 | $16,426 | $7,074 | −22% | $20,084 | −72% |
| 696 | Kidney & urinary tract signs & symptoms without major complications | $5,523 | $1,715 | $27,363 | −80% | $14,689 | −62% |
| 560 | Aftercare for muscle and connective tissue injuries with complications | $5,430 | $4,826 | $97,624 | −94% | $25,279 | −79% |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,411 | $569 | $6,677 | −19% | $12,895 | −58% |
| 186 | Pleural effusion with major complications | $5,391 | $5,874 | $65,582 | −92% | $33,834 | −84% |
| 566 | Other musculoskeletal system & connective tissue diagnoses without complications | $5,379 | $1,060 | $6,929 | −22% | $14,716 | −63% |
| 311 | Angina pectoris | $5,361 | $3,848 | $29,317 | −82% | $15,502 | −65% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,356 | $20,998 | $7,160 | −25% | $19,846 | −73% |
| 483 | Peripheral, cranial & autonomic nerve disorders [Major Severity] | $5,354 | $77,644 | $103,962 | −95% | $58,707 | −91% |
| 200 | Pneumothorax with complications | $5,231 | $4,650 | $29,541 | −82% | $21,368 | −76% |
| 563 | Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Major Severity] | $5,189 | $2,159 | $40,496 | −87% | $19,842 | −74% |
| 755 | Malignancy, female reproductive system with complications | $5,171 | $4,597 | $52,602 | −90% | $18,459 | −72% |
| 640 | Nutritional & misc metabolic disorders with major complications | $5,118 | $4,576 | $30,822 | −83% | $25,463 | −80% |
| 580 | Other skin, subcutaneous tissue & breast procedure with complications | $5,087 | $37,790 | $47,029 | −89% | $38,101 | −87% |
| 637 | Diabetes with major complications | $5,087 | $28,177 | $36,053 | −86% | $30,100 | −83% |
| 303 | Atherosclerosis without major complications | $5,069 | $2,528 | $31,131 | −84% | $14,927 | −66% |
| 296 | Cardiac arrest, unexplained with major complications | $5,038 | $4,478 | $63,941 | −92% | $33,661 | −85% |
| 193 | Pneumonia with major complications | $4,841 | $9,450 | $19,298 | −75% | $27,275 | −82% |
| 638 | Diabetes with complications | $4,819 | $19,061 | $28,964 | −83% | $19,661 | −75% |
| 065 | Stroke with complications | $4,761 | — | $28,533 | −83% | $23,940 | −80% |
| 896 | Alcohol/drug abuse or dependence without rehabilitation therapy with major complications | $4,743 | $3,794 | $41,161 | −88% | $31,159 | −85% |
| 558 | Tendonitis, myositis & bursitis without major complications | $4,714 | — | $22,498 | −79% | $18,602 | −75% |
| 315 | Other circulatory system diagnoses with complications | $4,666 | — | $33,771 | −86% | $21,363 | −78% |
| 847 | Chemotherapy without acute leukemia as secondary diagnosis with complications | $4,654 | $4,597 | $61,530 | −92% | $23,498 | −80% |
| 101 | Seizures without major complications | $4,645 | $2,948 | $16,214 | −71% | $20,461 | −77% |
| 156 | Other ear, nose, mouth & throat diagnoses without complications | $4,590 | — | $41,755 | −89% | $14,549 | −68% |
| 894 | Major cranial/facial bone procedures [Catastrophic Severity] | $4,558 | $1,685 | $20,288 | −78% | $12,324 | −63% |
| 914 | Traumatic injury without major complications | $4,482 | — | $75,763 | −94% | $15,855 | −72% |
| 074 | Cranial & peripheral nerve disorders without major complications | $4,450 | $1,755 | $36,061 | −88% | $23,141 | −81% |
| 309 | Abnormal or Irregular Heartbeat with complications | $4,430 | $4,498 | $20,797 | −79% | $17,303 | −74% |
| 300 | Peripheral vascular disorders with complications | $4,418 | $14,103 | $31,078 | −86% | $20,422 | −78% |
| 123 | Neurological eye disorders | $4,409 | $9,185 | $40,678 | −89% | $19,745 | −78% |
| 179 | Respiratory infections & inflammations without complications | $4,227 | $2,390 | $33,007 | −87% | $14,648 | −71% |
| 541 | Migraine & other headaches [Minor Severity] | $4,217 | $4,518 | $43,053 | −90% | $15,215 | −72% |
| 090 | Concussion without complications | $4,213 | $3,371 | $27,865 | −85% | $15,412 | −73% |
| 152 | Otitis media & URI with major complications | $4,156 | $3,325 | $22,321 | −81% | $20,247 | −79% |
| 208 | Ventilator support for 4 days or less | $4,144 | $44,180 | $67,217 | −94% | $52,405 | −92% |
| 434 | Cirrhosis & alcoholic hepatitis without complications | $4,110 | $655 | $22,638 | −82% | $12,460 | −67% |
| 881 | Depression [MSDRG 881] | $3,958 | $3,167 | $31,554 | −87% | $15,058 | −74% |
| 443 | Disorders of liver except malig,cirr,alc hepa without complications | $3,896 | $1,877 | $26,184 | −85% | $15,600 | −75% |
| 849 | Radiotherapy | $3,896 | $2,169 | $34,804 | −89% | $37,862 | −90% |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,885 | $22,950 | $13,205 | −71% | $19,962 | −81% |
| 204 | Craniotomy for trauma [Catastrophic Severity] | $3,776 | $1,555 | $44,917 | −92% | $18,004 | −79% |
| 730 | Other male reproductive system diagnoses without complications | $3,730 | $747 | $49,941 | −93% | $11,071 | −66% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,688 | $14,539 | $4,340 | −15% | $15,370 | −76% |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,645 | $2,721 | $5,271 | −31% | $18,133 | −80% |
| 316 | Other circulatory system diagnoses without complications | $3,610 | $707 | $24,210 | −85% | $13,651 | −74% |
| 373 | Major gastrointestinal disorders & peritoneal infections without complications | $3,608 | $2,886 | $29,663 | −88% | $16,767 | −78% |
| 689 | Kidney & urinary Infection with major complications | $3,606 | $11,722 | $33,508 | −89% | $23,617 | −85% |
| 178 | Respiratory infections & inflammations with complications | $3,590 | $2,872 | $20,498 | −82% | $22,024 | −84% |
| 885 | Mental Illness [MSDRG 885] | $3,570 | $2,248 | $45,819 | −92% | $21,729 | −84% |
| 067 | Nonspecific CVA & precerebral occlusion without infarct with major complications | $3,506 | $3,117 | $40,934 | −91% | $24,941 | −86% |
| 779 | Abortion without D&C | $3,485 | $2,111 | $7,788 | −55% | $15,327 | −77% |
| 068 | Nonspecific CVA & precerebral occlusion without infarct without major complications | $3,435 | $3,054 | $47,999 | −93% | $19,569 | −82% |
| 880 | Acute adjustment reaction & psychosocial dysfunction [MSDRG 880] | $3,410 | $2,505 | $40,423 | −92% | $17,733 | −81% |
| 202 | Craniotomy for trauma [Moderate Severity] | $3,353 | $2,981 | $22,763 | −85% | $17,724 | −81% |
| 153 | Otitis media & URI without major complications | $3,326 | $2,241 | $20,094 | −83% | $14,583 | −77% |
| 093 | Other disorders of nervous system without complications | $3,295 | $1,471 | $33,549 | −90% | $17,620 | −81% |
| 158 | Dental & oral diseases with complications | $3,236 | $2,589 | $14,120 | −77% | $18,466 | −82% |
| 864 | Fever | $3,119 | $1,316 | $48,679 | −94% | $18,640 | −83% |
| 682 | Kidney failure with major complications | $3,113 | $9,040 | $49,596 | −94% | $29,064 | −89% |
| 683 | Kidney failure with complications | $3,101 | $10,452 | $28,896 | −89% | $19,130 | −84% |
| 155 | Other ear, nose, mouth & throat diagnoses with complications | $3,075 | $2,733 | $36,117 | −91% | $16,968 | −82% |
| 436 | Malignancy of hepatobiliary system or pancreas with complications | $3,029 | $6,549 | $55,265 | −95% | $25,034 | −88% |
| 812 | Anemia or other red blood cell disorders without complications | $2,978 | $754 | $30,001 | −90% | $20,488 | −85% |
| 607 | Minor skin disorders without major complications | $2,977 | $1,333 | $37,096 | −92% | $15,889 | −81% |
| 601 | Non-malignant breast disorders without complications | $2,950 | $1,457 | $5,059 | −42% | $10,975 | −73% |
| 198 | Interstitial lung disease without complications | $2,852 | $2,181 | $18,538 | −85% | $15,549 | −82% |
| 756 | Malignancy, female reproductive system without complications | $2,847 | $4,855 | $16,944 | — | $15,589 | −82% |
| 302 | Atherosclerosis with major complications | $2,811 | — | $63,644 | −96% | $22,446 | −87% |
| 596 | Major skin disorders without major complications | $2,809 | — | $14,557 | −81% | $17,226 | −84% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,721 | $12,548 | $2,913 | −7% | $13,275 | −80% |
| 159 | Dental & oral diseases without complications | $2,719 | $2,002 | $15,239 | −82% | $13,633 | −80% |
| 148 | Ear, nose, mouth & throat malignancy without complications | $2,586 | $12,099 | $14,307 | — | $13,586 | −81% |
| 391 | Esophagitis, gastroent & misc digest disorders with major complications | $2,562 | $9,033 | $33,128 | −92% | $28,050 | −91% |
| 071 | Nonspecific cerebrovascular disorders with complications | $2,548 | $12,789 | $30,745 | −92% | $23,488 | −89% |
| 700 | Other kidney & urinary tract diagnoses without complications | $2,493 | $1,713 | $36,614 | −93% | $14,797 | −83% |
| 726 | Benign prostatic hypertrophy without major complications | $2,462 | — | $24,195 | −90% | $15,019 | −84% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,452 | $9,382 | $2,775 | −12% | $12,078 | −80% |
| 645 | Endocrine disorders without complications | $2,416 | — | $21,898 | −89% | $15,428 | −84% |
| 950 | Aftercare without complications | $2,379 | $803 | $10,716 | — | $13,527 | −82% |
| 918 | Drug poisoning without complications | $2,352 | $6,602 | $17,996 | −87% | $15,452 | −85% |
| 188 | Pleural effusion without complications | $2,278 | $1,822 | $13,071 | — | $14,514 | −84% |
| 760 | Menstrual & other female reproductive system disorders with major complications | $2,253 | $2,613 | $17,961 | −87% | $20,895 | −89% |
| 282 | Acute myocardial infarction, discharged alive without complications | $2,250 | $4,192 | $23,571 | −90% | $19,227 | −88% |
| 312 | Syncope & collapse | $2,245 | $2,413 | $28,324 | −92% | $19,342 | −88% |
| 916 | Allergic reactions without major complications | $2,207 | $955 | $21,918 | −90% | $13,942 | −84% |
| 814 | Reticuloendothelial & immunity disorders with major complications | $2,195 | $1,756 | $81,432 | −97% | $33,851 | −94% |
| 205 | Other respiratory system diagnoses with major complications | $2,173 | $5,274 | $54,049 | −96% | $33,255 | −93% |
| 816 | Reticuloendothelial & immunity disorders without complications | $2,125 | $1,277 | $39,856 | −95% | $14,638 | −85% |
| 192 | Chronic Lung Disease without complications | $2,038 | $5,114 | $22,903 | −91% | $14,368 | −86% |
| 151 | Epistaxis without major complications | $2,023 | $788 | $33,191 | −94% | $13,032 | −84% |
| 376 | Digestive malignancy without complications | $1,828 | $4,695 | $52,848 | −97% | $16,998 | −89% |
| 378 | Digestive System Bleeding with complications | $1,757 | $5,320 | $45,996 | −96% | $22,098 | −92% |
| 699 | Other kidney & urinary tract diagnoses with complications | $1,752 | $1,558 | $41,074 | −96% | $21,275 | −92% |
| 057 | Degenerative nervous system disorders without complications | $1,728 | $1,602 | $43,387 | −96% | $27,543 | −94% |
| 644 | Endocrine disorders with complications | $1,721 | $8,702 | $33,596 | −95% | $23,198 | −93% |
| 815 | Reticuloendothelial & immunity disorders with complications | $1,721 | $6,784 | $19,873 | −91% | $19,264 | −91% |
| 181 | Respiratory neoplasms with complications | $1,687 | $2,907 | $85,897 | −98% | $23,573 | −93% |
| 307 | Cardiac congenital & valvular disorders without major complications | $1,649 | $1,649 | $28,181 | −94% | $20,566 | −92% |
| 439 | Disorders of pancreas except malignancy with complications | $1,616 | $1,302 | $34,419 | −95% | $19,096 | −92% |
| 848 | Chemotherapy without acute leukemia as secondary diagnosis without complications | $1,569 | $1,550 | $15,724 | −90% | $14,501 | −89% |
| 072 | Nonspecific cerebrovascular disorders without complications | $1,560 | $4,703 | $28,394 | −95% | $19,037 | −92% |
| 298 | Cardiac arrest, unexplained without complications | $1,541 | $1,233 | $7,948 | — | $8,927 | −83% |
| 313 | Chest pain | $1,511 | $3,614 | $32,569 | −95% | $16,440 | −91% |
| 379 | G.I. hemorrhage without complications | $1,404 | $2,937 | $43,117 | −97% | $15,038 | −91% |
| 759 | Infections, female reproductive system without complications | $1,377 | $1,377 | $45,666 | −97% | $14,250 | −90% |
| 149 | Dysequilibrium | $1,314 | $2,855 | $46,409 | −97% | $18,096 | −93% |
| 728 | Inflammation of the male reproductive system withou major complications | $1,312 | $1,312 | $20,818 | −94% | $17,118 | −92% |
| 440 | Disorders of pancreas except malignancy without complications | $1,276 | $2,859 | $19,995 | −94% | $15,183 | −92% |
| 642 | Inborn errors of metabolism | $1,233 | — | $23,967 | −95% | $20,727 | −94% |
| 923 | Other injury, poisoning & toxic effect diag without major complications | $1,197 | $1,197 | $43,439 | −97% | $17,601 | −93% |
| 182 | Respiratory neoplasms without complications | $1,142 | $914 | $59,741 | −98% | $14,064 | −92% |
| 641 | Nutritional or Metabolic Disorders without major complications | $1,056 | $2,984 | $18,427 | −94% | $17,038 | −94% |
| 694 | Urinary stones without lithotripsy and without major complications | $1,051 | $3,932 | $38,078 | −97% | $17,345 | −94% |
| 203 | Craniotomy for trauma [Major Severity] | $1,024 | $1,894 | $13,771 | −93% | $12,252 | −92% |
| 552 | Head trauma w coma >1 hr or hemorrhage [Moderate Severity] | $1,019 | $1,973 | $31,330 | −97% | $21,396 | −95% |
| 546 | Connective tissue disorders with complications | $1,000 | $1,000 | $112,342 | −99% | $25,700 | −96% |
| 887 | Other mental disorder diagnoses | $934 | $934 | $33,116 | −97% | $20,616 | −95% |
| 845 | Other myeloprolif dis or poorly diff neopl diag without complications | $848 | — | $14,023 | — | $14,055 | −94% |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $820 | $1,137 | $9,000 | — | $15,215 | −95% |
| 293 | Heart failure & shock without complications | $811 | $1,100 | $31,126 | −97% | $12,999 | −94% |
| 886 | Behavioral & developmental disorders | $793 | $472 | $5,132 | −85% | $26,510 | −97% |
| 869 | Other infectious & parasitic diseases diagnoses without complications | $769 | $769 | $7,273 | −89% | $12,559 | −94% |
| 935 | Non-extensive burns | $769 | $769 | $15,875 | −95% | $31,701 | −98% |
| 550 | Septic arthritis without complications | $677 | $677 | $23,250 | −97% | $19,138 | −96% |
| 437 | Malignancy of hepatobiliary system or pancreas without complications | $663 | $663 | $51,874 | −99% | $14,014 | −95% |
| 066 | Intracranial hemorrhage or cerebral infarction without complications | $650 | $4,805 | $22,375 | −97% | $20,781 | −97% |
| 547 | Connective tissue disorders without complications | $646 | $646 | $17,526 | −96% | $16,565 | −96% |
| 951 | Other factors influencing health status | $432 | $1,225 | $5,866 | −93% | $10,160 | −96% |
| 792 | Prematurity without major problems | $256 | $580 | $4,797 | −95% | $12,229 | −98% |
| 794 | Newborn with significant problems | $212 | $237 | $1,230 | −83% | $8,445 | −97% |
Procedures with negotiated rates only
These 4 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 |
|---|---|---|---|
| 092 | Other disorders of nervous system with complications | — | 1 plans |
| 095 | Bacterial & tuberculous infections of nervous system with complications | — | 1 plans |
| 643 | Endocrine disorders with major complications | — | 1 plans |
| 949 | Aftercare with major complications | — | 1 plans |
No procedures match that keyword.