Lower Umpqua Hospital — Pricing
183 procedures published in this hospital's Machine-Readable File (MRF) — 182 with a comparable price, 1 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 183
Lowest published price $5,677
Average published price $40,015
Highest published price $266,398
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 183 procedures
Published charges
Showing all 182 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. OR median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 540 | OSTEOMYELITIS WITH CC | $266,398 | $143,855 | $42,077 | +533% | $26,676 | +899% |
| 539 | OSTEOMYELITIS WITH MCC | $159,011 | $85,866 | $65,752 | +142% | $37,609 | +323% |
| 593 | SKIN ULCERS WITH CC | $137,783 | $74,403 | $39,743 | +247% | $22,886 | +502% |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $120,237 | $64,928 | $45,195 | +166% | $27,285 | +341% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $118,174 | $63,814 | $25,827 | +358% | $17,921 | +559% |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $109,686 | $59,230 | $118,599 | −8% | $68,639 | +60% |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $109,302 | $59,023 | $40,920 | +167% | $27,947 | +291% |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $108,733 | $58,716 | $51,569 | +111% | $41,955 | +159% |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $106,160 | $57,326 | $131,742 | −19% | $88,050 | +21% |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $105,854 | $57,161 | $68,532 | +54% | $58,280 | +82% |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $104,891 | $56,641 | $78,931 | +33% | $59,421 | +77% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $102,740 | $55,479 | $25,404 | +304% | $17,038 | +503% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $97,413 | $52,603 | $43,387 | +125% | $27,543 | +254% |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $96,563 | $52,144 | $95,604 | +1% | $65,653 | +47% |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $94,029 | $50,776 | $52,766 | +78% | $27,617 | +240% |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $90,206 | $48,711 | $67,449 | +34% | $52,751 | +71% |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $85,628 | $46,239 | $81,398 | +5% | $39,973 | +114% |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $84,887 | $45,839 | $45,549 | +86% | $22,393 | +279% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $83,992 | $45,356 | $76,837 | +9% | $59,500 | +41% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $82,342 | $44,465 | $37,019 | +122% | $25,279 | +226% |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $82,107 | $44,338 | $128,338 | −36% | $93,172 | −12% |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $80,546 | $43,495 | $77,253 | +4% | $53,451 | +51% |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $74,692 | $40,334 | $61,292 | +22% | $47,711 | +57% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $73,525 | $39,703 | $60,337 | +22% | $33,047 | +122% |
| 549 | SEPTIC ARTHRITIS WITH CC | $70,605 | $38,127 | $39,171 | +80% | $24,056 | +194% |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $69,336 | $37,442 | $48,296 | +44% | $28,140 | +146% |
| 949 | AFTERCARE WITH CC/MCC | $69,267 | $37,404 | $35,072 | +97% | $23,953 | +189% |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $65,684 | $35,469 | $104,803 | −37% | $69,743 | −6% |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $65,233 | $35,226 | $91,319 | −29% | $49,710 | +31% |
| 186 | PLEURAL EFFUSION WITH MCC | $61,312 | $33,108 | $51,361 | +19% | $33,834 | +81% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $59,487 | $32,123 | $20,246 | +194% | $13,824 | +330% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $59,370 | $32,060 | $31,282 | +90% | $21,363 | +178% |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $58,330 | $31,498 | $65,392 | −11% | $46,090 | +27% |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $58,057 | $31,351 | $116,109 | −50% | $71,755 | −19% |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $57,336 | $30,961 | $61,019 | −6% | $42,881 | +34% |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $56,004 | $30,242 | $55,298 | +1% | $43,477 | +29% |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $55,700 | $30,078 | $73,203 | −24% | $48,682 | +14% |
| 397 | APPENDIX PROCEDURES WITH MCC | $53,907 | $29,110 | $65,909 | −18% | $53,257 | +1% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $52,139 | $28,155 | $28,080 | +86% | $18,602 | +180% |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $51,133 | $27,612 | $103,171 | −50% | $55,289 | −8% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $50,951 | $27,514 | $26,656 | +91% | $18,204 | +180% |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $50,582 | $27,314 | $44,047 | +15% | $30,083 | +68% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $49,647 | $26,809 | $36,515 | +36% | $24,386 | +104% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $48,947 | $26,431 | $27,927 | +75% | $18,807 | +160% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $48,842 | $26,375 | $34,790 | +40% | $26,580 | +84% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $48,515 | $26,198 | $33,460 | +45% | $22,850 | +112% |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $48,062 | $25,953 | $125,185 | −62% | $75,573 | −36% |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $47,337 | $25,562 | $64,618 | −27% | $36,249 | +31% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $47,272 | $25,527 | $34,256 | +38% | $23,488 | +101% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $47,182 | $25,478 | $44,951 | +5% | $33,707 | +40% |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $47,142 | $25,457 | $23,577 | +100% | $16,767 | +181% |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $46,980 | $25,369 | $46,639 | +1% | $31,951 | +47% |
| 504 | FOOT PROCEDURES WITH CC | $46,897 | $25,324 | $56,013 | −16% | $38,960 | +20% |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $46,878 | $25,314 | $36,881 | +27% | $16,487 | +184% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $46,652 | $25,192 | $38,046 | +23% | $23,617 | +98% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $46,650 | $25,191 | $26,578 | +76% | $18,150 | +157% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $44,409 | $23,981 | $19,748 | +125% | $13,642 | +226% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $42,443 | $22,919 | $27,963 | +52% | $19,096 | +122% |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $42,435 | $22,915 | $44,259 | −4% | $27,633 | +54% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $42,407 | $22,900 | $32,974 | +29% | $20,422 | +108% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $42,364 | $22,877 | $63,977 | −34% | $39,106 | +8% |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $42,329 | $22,858 | $134,976 | −69% | $90,775 | −53% |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $41,997 | $22,678 | $112,550 | −63% | $70,564 | −40% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $41,625 | $22,478 | $40,504 | +3% | $34,192 | +22% |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $41,179 | $22,237 | $39,942 | +3% | $27,277 | +51% |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $40,107 | $21,658 | $54,225 | −26% | $34,607 | +16% |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $39,573 | $21,369 | $69,751 | −43% | $31,044 | +27% |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $39,238 | $21,189 | $45,979 | −15% | $37,387 | +5% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $38,380 | $20,725 | $32,453 | +18% | $22,888 | +68% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $38,321 | $20,693 | $27,998 | +37% | $16,371 | +134% |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $38,030 | $20,536 | $57,675 | −34% | $37,950 | +0% |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $37,339 | $20,163 | $55,054 | −32% | $32,944 | +13% |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $37,336 | $20,161 | $54,086 | −31% | $32,628 | +14% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $37,280 | $20,131 | $64,735 | −42% | $43,943 | −15% |
| 603 | CELLULITIS WITHOUT MCC | $36,402 | $19,657 | $26,980 | +35% | $18,530 | +96% |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $35,556 | $19,200 | $53,100 | −33% | $38,666 | −8% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $35,155 | $18,984 | $30,027 | +17% | $20,506 | +71% |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $35,118 | $18,964 | $111,506 | −69% | $68,508 | −49% |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $34,815 | $18,800 | $84,345 | −59% | $59,790 | −42% |
| 683 | RENAL FAILURE WITH CC | $34,413 | $18,583 | $28,240 | +22% | $19,130 | +80% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $34,380 | $18,565 | $53,669 | −36% | $44,117 | −22% |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $34,313 | $18,529 | $36,655 | −6% | $25,034 | +37% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $33,925 | $18,320 | $31,330 | +8% | $21,396 | +59% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $33,305 | $17,985 | $52,469 | −37% | $35,628 | −7% |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $32,835 | $17,731 | $30,111 | +9% | $20,566 | +60% |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $32,740 | $17,680 | $29,445 | +11% | $18,488 | +77% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $32,534 | $17,568 | $23,926 | +36% | $14,648 | +122% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $32,440 | $17,518 | $29,472 | +10% | $20,181 | +61% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $31,307 | $16,906 | $34,484 | −9% | $27,275 | +15% |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $31,070 | $16,778 | $82,196 | −62% | $57,454 | −46% |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $30,856 | $16,662 | $63,721 | −52% | $50,394 | −39% |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $30,702 | $16,579 | $40,478 | −24% | $27,297 | +12% |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $30,148 | $16,280 | $22,635 | +33% | $12,252 | +146% |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $28,860 | $15,584 | $50,246 | −43% | $26,598 | +9% |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $28,740 | $15,520 | $46,004 | −38% | $26,280 | +9% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $28,719 | $15,508 | $26,360 | +9% | $18,002 | +60% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $28,645 | $15,468 | $33,060 | −13% | $23,940 | +20% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $28,186 | $15,220 | $24,033 | +17% | $17,303 | +63% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $27,967 | $15,102 | $25,365 | +10% | $17,322 | +61% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $27,814 | $15,019 | $26,477 | +5% | $18,081 | +54% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $27,279 | $14,731 | $38,613 | −29% | $26,776 | +2% |
| 101 | SEIZURES WITHOUT MCC | $27,251 | $14,716 | $27,251 | +0% | $20,461 | +33% |
| 533 | FRACTURES OF FEMUR WITH MCC | $25,894 | $13,983 | $49,567 | −48% | $25,945 | −0% |
| 571 | SKIN DEBRIDEMENT WITH CC | $25,754 | $13,907 | $53,438 | −52% | $37,169 | −31% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $25,654 | $13,853 | $43,123 | −41% | $32,496 | −21% |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,624 | $13,837 | $84,783 | −70% | $52,405 | −51% |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $25,328 | $13,677 | $21,039 | +20% | $14,368 | +76% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $25,123 | $13,566 | $38,880 | −35% | $25,463 | −1% |
| 638 | DIABETES WITH CC | $25,020 | $13,511 | $27,612 | −9% | $19,661 | +27% |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $24,705 | $13,340 | $68,668 | −64% | $50,463 | −51% |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $24,620 | $13,295 | $60,607 | −59% | $40,213 | −39% |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $24,450 | $13,203 | $30,785 | −21% | $23,573 | +4% |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $24,292 | $13,118 | $26,301 | −8% | $18,126 | +34% |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $24,198 | $13,067 | $24,198 | +0% | $17,118 | +41% |
| 644 | ENDOCRINE DISORDERS WITH CC | $23,862 | $12,886 | $30,559 | −22% | $23,198 | +3% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $23,514 | $12,698 | $23,522 | −0% | $17,578 | +34% |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $22,911 | $12,372 | $32,260 | −29% | $22,033 | +4% |
| 199 | PNEUMOTHORAX WITH MCC | $22,899 | $12,366 | $57,382 | −60% | $33,787 | −32% |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $22,610 | $12,210 | $46,173 | −51% | $38,101 | −41% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $22,586 | $12,197 | $29,052 | −22% | $19,842 | +14% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $22,536 | $12,170 | $34,419 | −35% | $24,914 | −10% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $22,448 | $12,122 | $19,995 | +12% | $15,183 | +48% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $22,236 | $12,008 | $20,694 | +7% | $15,038 | +48% |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,787 | $11,765 | $79,594 | −73% | $51,985 | −58% |
| 312 | SYNCOPE AND COLLAPSE | $21,620 | $11,675 | $28,324 | −24% | $19,342 | +12% |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $21,613 | $11,671 | $53,913 | −60% | $44,606 | −52% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $21,313 | $11,509 | $30,025 | −29% | $22,024 | −3% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $21,251 | $11,476 | $26,090 | −19% | $17,674 | +20% |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $21,043 | $11,363 | $31,408 | −33% | $21,449 | −2% |
| 682 | RENAL FAILURE WITH MCC | $20,998 | $11,339 | $40,410 | −48% | $29,064 | −28% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,955 | $10,776 | $25,658 | −22% | $17,620 | +13% |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $19,614 | $10,591 | $46,781 | −58% | $26,932 | −27% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $19,352 | $10,450 | $50,501 | −62% | $34,017 | −43% |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $19,215 | $10,376 | $26,458 | −27% | $17,559 | +9% |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $18,940 | $10,227 | $51,797 | −63% | $39,006 | −51% |
| 606 | MINOR SKIN DISORDERS WITH MCC | $18,850 | $10,179 | $52,340 | −64% | $27,975 | −33% |
| 865 | VIRAL ILLNESS WITH MCC | $18,841 | $10,174 | $47,977 | −61% | $26,910 | −30% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $18,532 | $10,007 | $25,087 | −26% | $15,452 | +20% |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $18,150 | $9,801 | $50,866 | −64% | $34,273 | −47% |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $17,963 | $9,700 | $22,638 | −21% | $12,460 | +44% |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,926 | $9,680 | $40,701 | −56% | $30,571 | −41% |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,621 | $9,515 | $55,782 | −68% | $38,094 | −54% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $17,600 | $9,504 | $17,785 | −1% | $13,361 | +32% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $17,594 | $9,501 | $41,624 | −58% | $30,959 | −43% |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $17,127 | $9,248 | $36,502 | −53% | $19,815 | −14% |
| 637 | DIABETES WITH MCC | $16,969 | $9,163 | $43,946 | −61% | $30,100 | −44% |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $16,939 | $9,147 | $20,288 | −17% | $12,324 | +37% |
| 184 | MAJOR CHEST TRAUMA WITH CC | $16,869 | $9,109 | $31,652 | −47% | $22,432 | −25% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,790 | $9,066 | $55,111 | −70% | $37,842 | −56% |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $16,240 | $8,770 | $21,914 | −26% | $13,613 | +19% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $15,666 | $8,459 | $17,846 | −12% | $12,999 | +21% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $14,758 | $7,969 | $17,584 | −16% | $10,160 | +45% |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $14,537 | $7,850 | $28,096 | −48% | $15,889 | −9% |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,460 | $7,809 | $61,364 | −76% | $33,255 | −57% |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $12,944 | $6,990 | $33,886 | −62% | $23,141 | −44% |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $12,805 | $6,914 | $28,268 | −55% | $19,305 | −34% |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $12,775 | $6,899 | $23,187 | −45% | $15,837 | −19% |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,743 | $6,881 | $49,296 | −74% | $32,859 | −61% |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,412 | $6,702 | $67,730 | −82% | $33,851 | −63% |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $12,334 | $6,660 | $24,085 | −49% | $16,450 | −25% |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,064 | $6,515 | $62,219 | −81% | $34,459 | −65% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $11,734 | $6,336 | $27,131 | −57% | $18,528 | −37% |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $11,469 | $6,193 | $22,189 | −48% | $13,651 | −16% |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $11,215 | $6,056 | $24,566 | −54% | $16,776 | −33% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,927 | $5,900 | $38,659 | −72% | $26,770 | −59% |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,843 | $5,855 | $37,053 | −71% | $22,446 | −52% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,728 | $5,793 | $30,001 | −64% | $20,488 | −48% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,720 | $5,789 | $26,321 | −59% | $16,699 | −36% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,414 | $5,624 | $29,965 | −65% | $20,463 | −49% |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,239 | $5,529 | $31,161 | −67% | $17,733 | −42% |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,109 | $5,459 | $48,517 | −79% | $33,563 | −70% |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,690 | $5,233 | $30,933 | −69% | $22,458 | −57% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,542 | $5,153 | $36,428 | −74% | $26,682 | −64% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,508 | $5,134 | $32,049 | −70% | $22,098 | −57% |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,415 | $5,084 | $22,667 | −58% | $17,081 | −45% |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,149 | $4,940 | $34,978 | −74% | $20,727 | −56% |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,988 | $4,853 | $23,864 | −62% | $14,514 | −38% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $8,372 | $4,521 | $18,188 | −54% | $13,384 | −37% |
| 305 | HYPERTENSION WITHOUT MCC | $8,130 | $4,390 | $24,403 | −67% | $18,086 | −55% |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,122 | $3,846 | $27,790 | −74% | $14,290 | −50% |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,726 | $3,092 | $26,360 | −78% | $18,004 | −68% |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,677 | $3,066 | $64,592 | −91% | $39,958 | −86% |
Procedures with negotiated rates only
These 1 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 |
|---|---|---|---|
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | — | 4 plans |
No procedures match that keyword.