Procedures published 112
Lowest published price —
Average published price —
Highest published price —

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 112 procedures

Procedures with negotiated rates only

These 112 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
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $1,845 – $24,812 · median $2,878 43 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $1,845 – $19,348 · median $2,878 43 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $1,845 – $19,741 · median $2,878 43 plans
101 SEIZURES WITHOUT MCC $1,845 – $17,286 · median $2,878 43 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $1,845 – $14,137 · median $2,878 43 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $1,845 – $29,927 · median $2,878 43 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $1,845 – $23,659 · median $2,878 43 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $1,845 – $25,172 · median $2,878 43 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $1,845 – $15,463 · median $2,878 43 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $1,121 – $46,973 43 plans
291 HEART FAILURE AND SHOCK WITH MCC $1,845 – $24,586 · median $2,878 43 plans
292 HEART FAILURE AND SHOCK WITH CC $1,845 – $16,259 · median $2,878 43 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $1,845 – $23,058 · median $2,878 43 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $1,845 – $10,841 · median $2,878 43 plans
312 SYNCOPE AND COLLAPSE $1,845 – $16,692 · median $2,878 43 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $1,845 – $39,934 · median $2,878 43 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $1,845 – $33,957 · median $2,878 43 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $1,845 – $19,553 · median $2,878 43 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $1,845 – $10,418 · median $2,878 43 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $1,845 – $24,289 · median $2,878 43 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $1,845 – $14,930 · median $2,878 43 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $1,845 – $16,110 · median $2,878 43 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $1,845 – $11,900 · median $2,878 43 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $1,845 – $34,370 · median $2,878 43 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $1,845 – $31,999 · median $2,878 43 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $1,845 – $20,959 · median $2,878 43 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $1,845 – $59,650 · median $2,878 43 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 43 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $1,845 – $52,627 · median $2,878 43 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $1,845 – $40,721 · median $2,878 43 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $1,845 – $38,426 · median $2,878 43 plans
549 SEPTIC ARTHRITIS WITH CC $1,845 – $23,119 · median $2,878 43 plans
551 MEDICAL BACK PROBLEMS WITH MCC $1,845 – $32,099 · median $2,878 43 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $1,845 – $17,106 · median $2,878 43 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,845 – $17,150 · median $2,878 43 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $1,845 – $18,661 · median $2,878 43 plans
602 CELLULITIS WITH MCC $1,845 – $27,219 · median $2,878 43 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $1,845 – $35,818 · median $2,878 43 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC — 43 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $1,845 – $71,372 43 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $1,845 – $41,726 · median $2,878 43 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $1,845 – $25,578 · median $2,878 43 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $1,845 – $14,903 · median $2,878 43 plans
644 ENDOCRINE DISORDERS WITH CC $1,845 – $19,630 · median $2,878 43 plans
682 RENAL FAILURE WITH MCC $1,845 – $28,363 · median $2,878 43 plans
683 RENAL FAILURE WITH CC $1,845 – $16,772 · median $2,878 43 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $1,845 – $22,221 · median $2,878 43 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $1,845 – $31,683 · median $2,878 43 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $1,845 – $19,438 · median $2,878 43 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $1,845 – $13,212 · median $2,878 43 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $1,845 – $15,535 · median $2,878 43 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $1,845 – $12,538 · median $2,878 43 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $1,845 – $24,243 · median $2,878 43 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $1,845 – $94,579 43 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $1,845 – $19,747 · median $2,878 43 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $1,845 – $19,597 · median $2,878 43 plans
950 AFTERCARE WITHOUT CC/MCC $1,121 – $10,727 · median $1,857 43 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,212 – $27,494 · median $1,857 42 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,212 – $10,542 · median $1,857 42 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,212 – $15,086 · median $1,857 42 plans
603 CELLULITIS WITHOUT MCC $1,845 – $16,679 · median $2,380 32 plans
637 DIABETES WITH MCC $1,845 – $27,890 · median $2,906 32 plans
194 HEART FAILURE,MODERATE $1,845 – $15,434 · median $8,044 31 plans
638 DIABETES WITH CC $1,845 – $17,565 · median $2,934 31 plans
176 PULMONARY EMBOLISM WITHOUT MCC $1,845 – $15,417 · median $2,906 30 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $1,845 – $18,881 · median $2,380 28 plans
639 DIABETES WITHOUT CC/MCC $1,845 – $11,897 · median $5,780 28 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $1,121 – $13,834 · median $1,620 26 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $1,845 – $12,291 · median $8,491 24 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $1,857 – $31,220 · median $2,906 24 plans
149 DYSEQUILIBRIUM $640 – $12,844 · median $1,620 20 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $640 – $13,738 · median $2,277 20 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $1,121 – $33,195 20 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,121 – $13,651 · median $1,620 19 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $640 – $12,256 · median $1,620 18 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC — 18 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $1,121 – $31,869 18 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $640 – $13,801 · median $2,878 17 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,121 – $19,244 · median $1,620 17 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $1,121 – $39,699 · median $2,249 16 plans
282 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MINOR $2,060 – $9,923 · median $6,040 16 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $1,121 – $14,194 · median $1,620 16 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $640 – $15,691 · median $2,249 16 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $1,121 – $14,186 · median $2,934 15 plans
684 RENAL FAILURE WITHOUT CC/MCC $6,564 – $11,496 · median $10,259 15 plans
947 SIGNS AND SYMPTOMS WITH MCC $1,121 – $21,693 · median $1,620 15 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $640 – $13,680 · median $1,620 13 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,564 – $18,513 · median $16,520 11 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC — 11 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,564 – $18,691 · median $16,635 10 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,060 – $9,923 · median $9,088 9 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,060 – $9,923 · median $9,088 9 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,060 – $9,923 · median $9,088 9 plans
313 CHEST PAIN $2,060 – $9,923 · median $9,088 9 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,060 – $9,923 · median $9,088 9 plans
134 PULMONARY EMBOLISM,MODERATE $7,300 – $7,589 · median $7,589 7 plans
139 OTHER PNEUMONIA,MODERATE $5,533 – $7,248 · median $5,752 7 plans
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MINOR — 7 plans
207 OTHER CIRCULATORY SYSTEM DIAGNOSES,MODERATE — 7 plans
305 AMPUTATION OF LOWER LIMB EXCEPT TOES,MODERATE $16,656 – $17,315 · median $17,315 7 plans
324 ELECTIVE HIP JOINT REPLACEMENT,MODERATE $18,586 – $19,322 · median $19,322 7 plans
383 CELLULITIS AND OTHER SKIN INFECTIONS,MODERATE $7,806 – $11,228 · median $7,806 7 plans
420 DIABETES,MODERATE $6,589 – $6,850 · median $6,850 7 plans
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MODERATE $7,987 – $8,304 · median $8,304 7 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,000 – $9,923 · median $9,923 6 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,000 – $9,923 · median $9,923 6 plans
643 ENDOCRINE DISORDERS WITH MCC $9,000 – $9,923 · median $9,923 6 plans
253 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE $7,799 – $8,108 · median $8,108 5 plans
424 OTHER ENDOCRINE DISORDERS,MINOR $7,222 – $7,362 · median $7,362 4 plans
141 ASTHMA,MODERATE $7,226 – $7,512 · median $7,512 3 plans
463 KIDNEY AND URINARY TRACT INFECTIONS,MINOR — 3 plans
469 ACUTE KIDNEY INJURY,MINOR — 3 plans