Suny/Downstate University Hospital of Brooklyn — Pricing

192 procedures published in this hospital's Machine-Readable File (MRF) — 188 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.

Procedures published 192
Lowest published price $369
Average published price $9,124
Highest published price $95,000

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 192 procedures

Published charges

Showing all 188 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. NY median vs. National median vs Medicare
988 988 - Non-extensive O.R. proc unrelated to principal diagnosis with CC $95,000 $95,000 $27,009 +252% $38,094 +149% —
298 298 - Cardiac arrest, unexplained w/o CC/MCC $94,113 $94,113 $8,927 +954% $8,927 +954% —
004 004 - Trach w MV >96 hrs or PDX exc face, mouth & neck without maj O.R $88,085 $88,085 $227,105 −61% $248,521 −65% —
310 310 - Cardiac arrhythmia & conduction disorders w/o CC/MCC $78,750 $78,750 $12,015 +555% $13,384 +488% —
871 871 - Septicemia or severe sepsis without MV >96 hours with MCC $45,381 $45,381 $36,465 +24% $35,628 +27% ≈155% of Medicare
326 326 - Stomach, esophageal and duodenal procedures with MCC $28,321 $28,321 $69,008 −59% $80,793 −65% —
791 791 - Prematurity w major problems $26,520 $26,520 $39,563 −33% $42,679 −38% —
003 003 - ECMO or trach w MV >96 hrs or PDX exc face, mouth & neck w maj O $21,128 $21,128 $374,499 −94% $371,366 −94% —
957 957 - Other O.R. procedures for multiple significant trauma with MCC $20,868 $20,868 $99,339 −79% $120,573 −83% —
215 215 - Other heart assist system implant $19,586 $19,586 $219,233 −91% $208,939 −91% —
793 793 - Full term neonate w major problems $17,199 $17,199 $13,828 +24% $18,649 −8% —
474 474 - Amputation for musculoskeletal sys & conn tissue dis w MCC $16,862 $16,862 $94,887 −82% $84,692 −80% —
870 870 - Septicemia or severe sepsis with MV >96 hours $16,560 $16,560 $175,904 −91% $148,832 −89% —
207 207 - Respiratory system diagnosis w ventilator support >96 hours $15,871 $15,871 $100,570 −84% $116,058 −86% —
268 268 - Aortic and heart assist procedures except pulsation balloon w MC $15,871 $15,871 $176,641 −91% $125,242 −87% —
454 454 - Combined anterior and posterior spinal fusion w CC $15,871 $15,871 $71,255 −78% $69,101 −77% —
457 457 - Spinal fus exc cerv w spinal curv/malig/infec or ext fus w CC $15,871 $15,871 $111,217 −86% $107,355 −85% —
573 573 - Skin graft for skin ulcer or cellulitis w MCC $15,871 $15,871 $82,731 −81% $98,912 −84% —
463 463 - Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w MCC $14,845 $14,845 $74,690 −80% $89,207 −83% —
790 790 - Extreme immaturity or respiratory distress syndrome, neonate $14,845 $14,845 $66,974 −78% $80,018 −81% —
834 834 - Acute leukemia without major O.R. procedures with MCC $14,845 $14,845 $74,709 −80% $85,566 −83% —
405 405 - Pancreas, liver & shunt procedures w MCC $14,260 $14,260 $81,105 −82% $102,128 −86% —
628 628 - Other endocrine, nutrit & metab O.R. proc w MCC $13,760 $13,760 $68,006 −80% $71,795 −81% —
622 622 - Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC $13,713 $13,713 $51,761 −74% $61,470 −78% —
239 239 - Amputation for circ sys disorders exc upper limb & toe w MCC $12,812 $12,812 $68,473 −81% $93,390 −86% —
270 270 - Other major cardiovascular procedures w MCC $12,812 $12,812 $111,594 −89% $99,423 −87% —
471 471 - Cervical spinal fusion w MCC $12,812 $12,812 $72,015 −82% $92,515 −86% —
853 853 - Infectious and parasitic diseases with O.R. procedures with MCC $12,812 $12,812 $96,196 −87% $93,172 −86% ≈6% of Medicare
981 981 - Extensive O.R. procedure unrelated to principal diagnosis w MCC $12,514 $12,514 $105,908 −88% $90,775 −86% —
163 163 - Major chest procedures w MCC $12,506 $12,506 $90,851 −86% $90,195 −86% —
245 245 - AICD generator procedures $12,506 $12,506 $65,480 −81% $72,076 −83% —
329 329 - Major small & large bowel procedures w MCC $12,506 $12,506 $69,268 −82% $88,050 −86% —
455 455 - Combined anterior and posterior spinal fusion w/o CC/MCC $12,506 $12,506 $63,349 −80% $56,836 −78% —
458 458 - Spinl fus exc cerv w spinl curv/malig/infec or ext fus w/o CC/MC $12,506 $12,506 $79,183 −84% $83,441 −85% —
650 650 - Kidney transplant with hemodialysis with MCC $12,506 $12,506 $62,992 −80% $71,551 −83% —
823 823 - Lymphoma & non-acute leukemia w other proc w MCC $12,506 $12,506 $88,519 −86% $87,761 −86% —
856 856 - Postoperative or post-traumatic infections w O.R. procedure w MC $12,506 $12,506 $61,750 −80% $76,001 −84% —
269 269 - Aortic & heart assist procedures except pulsation balloon w/o MC $12,332 $12,332 $102,713 −88% $85,159 −86% —
460 460 - Spinal fusion except cervical w/o MCC $11,925 $11,925 $50,777 −77% $51,625 −77% —
478 478 - Biopsies of musculoskeletal system & connective tissue w CC $11,438 $11,438 $36,172 −68% $50,139 −77% —
166 166 - Other respiratory system O.R. procedures with MCC $11,282 $11,282 $65,839 −83% $75,573 −85% —
423 423 - Other hepatobiliary or pancreas O.R. procedures w MCC $11,282 $11,282 $55,985 −80% $79,225 −86% —
616 616 - Amputat of lower limb for endocrine, nutrit, & metabol dis w MCC $11,282 $11,282 $54,631 −79% $66,685 −83% —
040 040 - Peripheral, cranial nerve and other nervous system proc with MCC $11,121 $11,121 $58,978 −81% $74,257 −85% —
273 273 - Percutaneous and other intracardiac procedures with MCC $11,121 $11,121 $104,086 −89% $78,852 −86% —
956 956 - Limb reattachment, hip & femur procedures for multiple sig traum $11,121 $11,121 $61,356 −82% $75,103 −85% —
673 673 - Other kidney & urinary tract procedures w MCC $9,587 $9,587 $68,137 −86% $77,990 −88% ≈18% of Medicare
907 907 - Other O.R. procedures for injuries with MCC $9,587 $9,587 $75,408 −87% $77,817 −88% —
100 100 - Seizures w MCC $9,540 $9,540 $30,087 −68% $35,481 −73% —
260 260 - Cardiac pacemaker revision except device replacement w MCC $8,617 $8,617 $78,755 −89% $70,371 −88% —
094 094 - Bacterial & tuberculous infections of nervous system w MCC $8,498 $8,498 $85,236 −90% $68,639 −88% —
335 335 - Peritoneal adhesiolysis w MCC $8,498 $8,498 $56,742 −85% $71,755 −88% —
414 414 - Cholecystectomy except by laparoscope w/o C.D.E. w MCC $8,498 $8,498 $48,670 −83% $69,743 −88% —
467 467 - Revision of hip or knee replacement w CC $8,498 $8,498 $67,788 −87% $70,847 −88% —
492 492 - Lower extrem & humer proc except hip ,foot, femur w MCC $8,387 $8,387 $61,083 −86% $70,564 −88% —
271 271 - Other major cardiovascular procedures w CC $8,040 $8,040 $81,781 −90% $71,014 −89% —
651 651 - kidney transplant with hemodialysis without MCC $8,040 $8,040 $56,242 −86% $56,242 −86% —
095 095 - Bacterial & tuberculous infections of nervous system w CC $8,014 $8,014 $50,347 −84% $47,583 −83% —
029 029 - Spinal procedures with CC or spinal neurostimulators $7,999 $7,999 $71,355 −89% $67,268 −88% —
242 242 - Permanent cardiac pacemaker implant w MCC $7,999 $7,999 $62,843 −87% $70,132 −89% —
987 987 - Non-extensive O.R. proc unrelated to principal diagnosis with MC $7,999 $7,999 $59,880 −87% $66,068 −88% —
037 037 - Extracranial procedures with MCC $7,824 $7,824 $89,423 −91% $66,666 −88% —
143 143 - Other ear, nose, mouth and throat O.R. procedures with MCC $7,805 $7,805 $40,005 −80% $52,908 −85% —
252 252 - Other vascular procedures w MCC $7,805 $7,805 $72,690 −89% $68,508 −89% ≈13% of Medicare
469 469 - Maj hip/knee jnt or tot ank rplcmnt/rattchmnt of low xtrmty w MC $7,805 $7,805 $45,618 −83% $65,788 −88% —
477 477 - Biopsies of musculoskeletal system & connective tissue w MCC $7,805 $7,805 $74,502 −90% $68,653 −89% —
579 579 - Other skin, subcutaneous tissue and breast procedures with MCC $7,805 $7,805 $45,498 −83% $58,745 −87% —
026 026 - Craniotomy & endovascular intracranial procedures with CC $7,690 $7,690 $63,310 −88% $64,523 −88% —
229 229 - Other cardiothoracic procedures w/o MCC $7,690 $7,690 $57,750 −87% $65,325 −88% —
264 264 - Other circulatory system O.R. procedures $7,690 $7,690 $48,557 −84% $51,953 −85% —
274 274 - Percutaneous and other intracardiac procedures without MCC $7,690 $7,690 $57,726 −87% $65,573 −88% —
464 464 - Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC $7,690 $7,690 $56,193 −86% $58,228 −87% —
472 472 - Cervical spinal fusion w CC $7,690 $7,690 $46,404 −83% $59,537 −87% —
515 515 - Other musculoskelet sys & conn tiss O.R. proc w MCC $7,690 $7,690 $92,826 −92% $62,821 −88% —
521 521 - Hip replacement with principal diagnosis of hip fracture with MC $7,690 $7,690 $59,192 −87% $70,467 −89% —
652 652 - Kidney transplant $7,690 $7,690 $54,720 −86% $54,720 −86% —
656 656 - Kidney & ureter procedures for neoplasm w MCC $7,690 $7,690 $45,479 −83% $65,608 −88% —
829 829 - Myeloprolif disord or poorly diff neopl w other OR proc w CC/MCC $7,690 $7,690 $39,286 −80% $53,864 −86% —
840 840 - Lymphoma & non-acute leukemia w MCC $7,690 $7,690 $51,930 −85% $49,710 −85% —
261 261 - Cardiac pacemaker revision except device replacement w CC $7,524 $7,524 $34,861 −78% $42,126 −82% —
240 240 - Amputation for circ sys disorders exc upper limb & toe w CC $7,142 $7,142 $54,475 −87% $59,790 −88% —
406 406 - Pancreas, liver & shunt procedures w CC $7,142 $7,142 $54,796 −87% $58,043 −88% —
411 411 - Cholecystectomy w C.D.E. w MCC $7,142 $7,142 $67,831 −89% $48,358 −85% —
462 462 - Bilateral or multiple maj joint procs of lower extremity w/o MCC $7,142 $7,142 $40,363 −82% $58,975 −88% —
625 625 - Thyroid, parathyroid & thyroglossal procedures w MCC $7,142 $7,142 $40,406 −82% $59,031 −88% —
795 795 - Normal newborn $7,142 $7,142 $4,866 +47% $4,720 +51% —
974 974 - HIV with major related condition with MCC $7,142 $7,142 $39,630 −82% $46,402 −85% —
208 208 - Respiratory system diagnosis w ventilator support <=96 hours $6,826 $6,826 $59,696 −89% $52,405 −87% ≈7% of Medicare
255 255 - Upper limb & toe amputation for circ system disorders w MCC $6,826 $6,826 $49,447 −86% $46,453 −85% —
503 503 - Foot procedures w MCC $6,826 $6,826 $39,757 −83% $47,540 −86% —
849 849 - Radiotherapy $6,826 $6,826 $37,862 −82% $37,862 −82% —
468 468 - Revision of hip or knee replacement w/o CC/MCC $6,784 $6,784 $44,471 −85% $54,929 −88% —
577 577 - Skin graft except for skin ulcer or cellulitis with CC $6,784 $6,784 $37,754 −82% $47,945 −86% —
417 417 - Laparoscopic cholecystectomy w/o C.D.E. w MCC $6,341 $6,341 $42,068 −85% $53,451 −88% —
113 113 - Orbital procedures w CC/MCC $6,198 $6,198 $45,171 −86% $36,167 −83% —
164 164 - Major chest procedures w CC $6,198 $6,198 $62,887 −90% $56,755 −89% —
253 253 - Other vascular procedures w CC $6,198 $6,198 $40,302 −85% $57,454 −89% —
327 327 - Stomach, esophageal and duodenal procedures with CC $6,198 $6,198 $41,622 −85% $59,421 −90% —
498 498 - Local excision & removal int fix devices of hip & femur w CC/MCC $6,198 $6,198 $35,964 −83% $49,423 −87% —
545 545 - Connective tissue disorders w MCC $6,198 $6,198 $38,759 −84% $40,362 −85% —
659 659 - Kidney & ureter procedures for non-neoplasm w MCC $6,198 $6,198 $44,554 −86% $52,178 −88% —
792 792 - Prematurity w/o major problems $6,198 $6,198 $10,208 −39% $12,229 −49% —
982 982 - Extensive O.R. procedure unrelated to principal diagnosis with C $6,198 $6,198 $34,970 −82% $51,985 −88% —
056 056 - Degenerative nervous system disorders with MCC $6,165 $6,165 $38,791 −84% $39,973 −85% —
272 272 - Other major cardiovascular procedures w/o CC/MCC $6,165 $6,165 $42,404 −85% $55,162 −89% —
350 350 - Inguinal & femoral hernia procedures w MCC $6,165 $6,165 $46,352 −87% $50,046 −88% —
473 473 - Cervical spinal fusion w/o CC/MCC $6,165 $6,165 $50,196 −88% $50,624 −88% —
493 493 - Lower extrem & humer proc except hip, foot, femur w CC $6,165 $6,165 $61,840 −90% $59,651 −90% —
570 570 - Skin debridement w MCC $6,086 $6,086 $42,044 −86% $52,435 −88% —
030 030 - Spinal procedures without CC/MCC $6,047 $6,047 $32,077 −81% $45,866 −87% —
494 494 - Lower extrem & humer proc except hip, foot, femur w/o CC/MCC $5,290 $5,290 $41,301 −87% $47,711 −89% —
330 330 - Major small & large bowel procedures w CC $5,181 $5,181 $50,487 −90% $59,500 −91% —
674 674 - Other kidney & urinary tract procedures w CC $5,181 $5,181 $41,721 −88% $50,394 −90% —
833 833 - Other antepartum diagnoses w/o O.R. procedure w/o CC/MCC $5,181 $5,181 $8,048 −36% $9,940 −48% —
243 243 - Permanent cardiac pacemaker implant w CC $5,073 $5,073 $50,655 −90% $50,011 −90% —
250 250 - Perc cardiovasc proc w/o coronary artery stent w MCC $5,073 $5,073 $41,205 −88% $59,629 −91% —
629 629 - Other endocrine, nutrit & metab O.R. proc w CC $5,073 $5,073 $49,188 −90% $47,737 −89% —
817 817 - Other antepartum diagnoses w O.R. procedure w MCC $5,073 $5,073 $30,225 −83% $39,173 −87% —
827 827 - Myeloprolif disord or poorly diff neopl w maj O.R. proc w CC $5,073 $5,073 $47,048 −89% $50,498 −90% —
470 470 - Maj hip/knee joint rplcmnt/reattachment of low extremity w/o MCC $4,746 $4,746 $43,106 −89% $50,607 −91% —
082 082 - Traumatic stupor and coma >1 hour with MCC $4,730 $4,730 $33,308 −86% $36,489 −87% —
975 975 - HIV with major related condition with CC $4,696 $4,696 $25,319 −81% $27,808 −83% —
336 336 - Peritoneal adhesiolysis w CC $4,641 $4,641 $44,395 −90% $50,463 −91% —
146 146 - Ear, nose, mouth & throat malignancy w MCC $4,517 $4,517 $48,893 −91% $40,108 −89% —
821 821 - Lymphoma & leukemia w major O.R. procedure w CC $4,451 $4,451 $32,168 −86% $47,789 −91% —
824 824 - Lymphoma & non-acute leukemia w other proc w CC $4,451 $4,451 $53,048 −92% $41,608 −89% —
488 488 - Knee procedures w/o PDX of infection w CC/MCC $4,182 $4,182 $43,914 −90% $43,631 −90% —
041 041 - Periph/cranial nerv & oth nerv syst proc w CC or periph neurosti $4,179 $4,179 $32,503 −87% $49,418 −92% —
080 080 - Nontraumatic stupor & coma w MCC $4,179 $4,179 $28,993 −86% $36,249 −88% —
096 096 - Bacterial & tuberculous infections of nervous system w/o CC/MCC $4,141 $4,141 $34,307 −88% $41,620 −90% —
098 098 - Non-bacterial infect of nervous sys exc viral meningitis w CC $4,141 $4,141 $39,731 −90% $42,901 −90% —
286 286 - Circulatory disorders except AMI, w card cath w MCC $4,141 $4,141 $44,619 −91% $46,283 −91% —
357 357 - Other digestive system O.R. procedures w CC $4,141 $4,141 $42,646 −90% $48,682 −91% —
475 475 - Amputation for musculoskeletal sys & conn tissue dis w CC $4,141 $4,141 $31,193 −87% $45,877 −91% —
715 715 - Other male reproductive system O.R. proc for malignancy w CC/MCC $4,141 $4,141 $32,504 −87% $38,998 −89% —
808 808 - Major hematol/immun diag exc sickle cell crisis & coagul w MCC $4,141 $4,141 $36,743 −89% $39,181 −89% —
592 592 - Skin ulcers w MCC $3,902 $3,902 $29,882 −87% $33,246 −88% —
711 711 - Testes procedures w CC/MCC $3,836 $3,836 $46,485 −92% $38,343 −90% —
857 857 - Postoperative or post-traumatic infections w O.R. procedures w C $3,836 $3,836 $38,932 −90% $45,333 −92% —
768 768 - Vaginal delivery w O.R. proc except steril &/or D&C $3,684 $3,684 $15,107 −76% $16,846 −78% —
575 575 - Skin graft for skin ulcer or cellulitis w/o CC/MCC $3,672 $3,672 $21,809 −83% $29,611 −88% —
374 374 - Digestive malignancy with MCC $3,445 $3,445 $34,183 −90% $39,958 −91% —
516 516 - Other musculoskelet sys & conn tiss O.R. proc w CC $3,442 $3,442 $40,849 −92% $46,090 −93% —
854 854 - Infectious and parasitic diseases with O.R. procedures with CC $3,442 $3,442 $32,044 −89% $43,943 −92% —
539 539 - Osteomyelitis w MCC $3,439 $3,439 $45,071 −92% $37,609 −91% —
617 617 - Amputat of lower limb for endocrine, nutrit, & metabol dis w CC $3,439 $3,439 $41,821 −92% $42,881 −92% —
064 064 - Intracranial hemorrhage or cerebral infarction w MCC $3,331 $3,331 $42,071 −92% $39,106 −91% —
908 908 - Other O.R. procedures for injuries with CC $3,331 $3,331 $38,919 −91% $42,914 −92% —
722 722 - Malignancy, male reproductive system w MCC $3,155 $3,155 $25,633 −88% $29,826 −89% —
115 115 - Extraocular procedures except orbit $2,914 $2,914 $23,065 −87% $25,703 −89% —
623 623 - Skin grafts & wound debrid for endoc, nutrit & metab dis w CC $2,802 $2,802 $28,020 −90% $34,459 −92% —
353 353 - Hernia procedures except inguinal & femoral w MCC $2,793 $2,793 $43,211 −94% $60,170 −95% —
441 441 - Disorders of liver except malig, cirrhoses or alc hepatitis w MC $2,722 $2,722 $24,768 −89% $33,985 −92% —
062 062 - Ischemic stroke/precerb occl/TIA w use of thrombolytic agnt w CC $2,717 $2,717 $51,445 −95% $52,075 −95% —
052 052 - Spinal disorders and injuries with CC/MCC $2,598 $2,598 $52,533 −95% $32,031 −92% —
196 196 - Interstitial lung disease w MCC $2,598 $2,598 $31,016 −92% $32,637 −92% —
380 380 - Complicated peptic ulcer w MCC $2,598 $2,598 $33,696 −92% $39,627 −93% —
432 432 - Cirrhosis & alcoholic hepatitis w MCC $2,598 $2,598 $48,837 −95% $40,213 −94% —
744 744 - D&c, conization, laparoscopy & tubal interruption w CC/MCC $2,598 $2,598 $29,667 −91% $38,861 −93% —
813 813 - Coagulation disorders $2,556 $2,556 $32,291 −92% $33,296 −92% —
346 346 - Minor small & large bowel procedures w/o CC/MCC $2,536 $2,536 $19,263 −87% $27,297 −91% —
314 314 - Other circulatory system diagnoses w MCC $2,485 $2,485 $33,498 −93% $38,666 −94% —
841 841 - Lymphoma & non-acute leukemia w CC $2,437 $2,437 $36,790 −93% $33,633 −93% —
512 512 - Shoulder, elbow or forearm proc, exc major joint proc w/o CC/MCC $2,395 $2,395 $34,657 −93% $35,692 −93% —
465 465 - Wnd debrid & skn grft exc hand, for musculo-conn tiss w/o CC/MCC $2,363 $2,363 $25,727 −91% $32,443 −93% —
283 283 - Acute myocardial infarction, expired w MCC $2,344 $2,344 $39,782 −94% $39,955 −94% —
794 794 - Neonate w other significant problems $2,233 $2,233 $5,725 −61% $8,445 −74% —
977 977 - HIV with or without other related condition $2,157 $2,157 $21,908 −90% $22,525 −90% —
919 919 - Complications of treatment with MCC $2,127 $2,127 $26,862 −92% $31,105 −93% —
444 444 - Disorders of the biliary tract w MCC $2,111 $2,111 $33,595 −94% $34,273 −94% —
259 259 - Cardiac pacemaker device replacement w/o MCC $2,094 $2,094 $32,289 −94% $39,020 −95% —
282 282 - Acute myocardial infarction, discharged alive w/o CC/MCC $2,093 $2,093 $18,651 −89% $19,227 −89% —
038 038 - Extracranial procedures with CC $1,905 $1,905 $35,924 −95% $35,770 −95% —
835 835 - Acute leukemia without major O.R. procedures with CC $1,839 $1,839 $36,186 −95% $35,569 −95% —
091 091 - Other disorders of nervous system w MCC $1,790 $1,790 $32,465 −94% $37,387 −95% —
205 205 - Other respiratory system diagnoses w MCC $1,557 $1,557 $28,430 −95% $33,255 −95% —
742 742 - Uterine & adnexa proc for non-malignancy w CC/MCC $1,500 $1,500 $34,049 −96% $40,552 −96% —
438 438 - Disorders of pancreas except malignancy w MCC $1,460 $1,460 $21,375 −93% $32,628 −96% —
177 177 - Respiratory infections & inflammations w MCC $1,422 $1,422 $33,707 −96% $33,707 −96% ≈6% of Medicare
582 582 - Mastectomy for malignancy w CC/MCC $1,418 — $25,923 −95% $35,849 −96% —
435 435 - Malignancy of hepatobiliary system or pancreas w MCC $1,388 $1,388 $34,822 −96% $37,950 −96% —
884 884 - Organic disturbances and mental retardation $1,388 $1,388 $24,125 −94% $26,682 −95% —
159 159 - Dental & oral diseases w/o CC/MCC $1,243 $1,243 $11,755 −89% $13,633 −91% —
585 585 - Breast biopsy, local excision & oth breast procedures w/o CC/MCC $1,207 $1,207 $27,965 −96% $32,574 −96% —
544 544 - Pathologic fractures & musculoskelet & conn tiss malig w/o CC/MC $1,125 $1,125 $13,002 −91% $16,776 −93% —
206 206 - Other respiratory system diagnoses w/o MCC $921 $921 $16,722 −94% $18,488 −95% —
868 868 - Other infectious and parasitic diseases diagnoses with CC $921 $921 $17,504 −95% $22,763 −96% —
886 886 - Behavioral and developmental disorders $369 $369 $22,229 −98% $26,510 −99% —

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
885 885 - Psychoses — 22 plans
518 518 - Back & neck proc exc spinal fusion w MCC or disc device/neurosti $4,577 – $10,297 · median $5,034 19 plans
786 786 - Cesarean section w/o sterilization w MCC — 2 plans
789 789 - Neonates, died or transferred to another acute care facility — 1 plans
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