University Health System, Inc — Pricing
250 procedures published in this hospital's Machine-Readable File (MRF) — 249 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 250
Lowest published price $4,727
Average published price $46,333
Highest published price $359,148
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 250 procedures
Published charges
Showing all 249 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.
Across 104 procedures, this hospital's negotiated rates average ≈102% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. TN median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 464 | WND DEB & SG EX HAND W CC | $359,148 | $107,744 | $73,014 | +392% | $58,228 | +517% | — |
| 463 | WND DEB & SG EX HAND WMCC | $226,498 | $67,949 | $143,848 | +57% | $89,207 | +154% | — |
| 580 | OT SKIN,SBQ BRST PX W CC | $164,874 | $49,462 | $41,795 | +294% | $38,101 | +333% | — |
| 351 | ING/FEM HERNIA PX W CC | $153,207 | $45,962 | $53,399 | +187% | $36,505 | +320% | — |
| 907 | OTH OR PX FOR INJ W MCC | $152,322 | $45,697 | $98,989 | +54% | $77,817 | +96% | ≈96% of Medicare |
| 870 | SEPTI OR SEPSI W MV >96HRS | $145,509 | $43,653 | $201,416 | −28% | $148,832 | −2% | ≈92% of Medicare |
| 853 | INF & PAR DIS OR PX W MCC | $143,756 | $43,127 | $127,657 | +13% | $93,172 | +54% | ≈90% of Medicare |
| 469 | MAJ JOIN REPL/REATT LE W M | $130,506 | $39,152 | $154,006 | −15% | $65,788 | +98% | — |
| 326 | GASTR, ESOPH,DUO PX W MCC | $125,958 | $37,787 | $125,958 | +0% | $80,793 | +56% | ≈98% of Medicare |
| 854 | INF & PAR DIS OR PX W CC | $123,066 | $36,920 | $69,740 | +76% | $43,943 | +180% | ≈145% of Medicare |
| 486 | KNEE PX W INF PDX W CC | $121,292 | $36,388 | $92,280 | +31% | $49,351 | +146% | — |
| 468 | REV HIP/KNE REPL WO CC/MCC | $117,822 | $35,347 | $71,381 | +65% | $54,929 | +114% | ≈104% of Medicare |
| 329 | MAJ SM/LG BOWEL PX W MCC | $115,479 | $34,644 | $137,306 | −16% | $88,050 | +31% | ≈116% of Medicare |
| 253 | OTH VASC PX W CC | $114,254 | $34,276 | $114,254 | +0% | $57,454 | +99% | ≈100% of Medicare |
| 480 | HIP/FEMUR PX X MJ W MCC | $112,506 | $33,752 | $128,144 | −12% | $65,653 | +71% | ≈84% of Medicare |
| 474 | AMP MUSC/TISS DIS W MCC | $110,074 | $33,022 | $109,914 | +0% | $84,692 | +30% | — |
| 483 | MAJ REATT PX UPPER EXT | $106,332 | $31,900 | $97,667 | +9% | $58,707 | +81% | — |
| 521 | HIP REPL W PDX FX W MCC | $103,489 | $31,047 | $125,800 | −18% | $70,467 | +47% | ≈93% of Medicare |
| 462 | BIL/MULT M/JNT/LE W/OMCC | $102,662 | $30,799 | $84,701 | +21% | $58,975 | +74% | — |
| 957 | OR PX MULT SIG TRAMA W MCC | $101,247 | $30,374 | $118,104 | −14% | $120,573 | −16% | ≈129% of Medicare |
| 510 | UE PX EX MAJ JOINT PX WMCC | $99,419 | $29,826 | $40,289 | +147% | $49,839 | +99% | — |
| 335 | PERITON ADHES W MCC | $98,611 | $29,583 | $88,410 | +12% | $71,755 | +37% | — |
| 470 | MAJ JOIN REP/REAT LE W/O M | $96,833 | $29,050 | $64,995 | +49% | $50,607 | +91% | ≈94% of Medicare |
| 246 | PERC CV PX W DE STNT W MCC | $96,126 | $28,838 | $33,983 | +183% | $33,983 | +183% | — |
| 492 | LE & HUM PX W MCC | $93,112 | $27,934 | $59,017 | +58% | $70,564 | +32% | — |
| 982 | EXT OR PX UNREL PDX W CC | $90,538 | $27,161 | $91,676 | −1% | $51,985 | +74% | ≈112% of Medicare |
| 337 | PERITON ADHES WO CC/MCC | $87,605 | $26,281 | $60,837 | +44% | $39,211 | +123% | — |
| 407 | PANC/LIVER PX WO CC/MCC | $86,578 | $25,974 | $30,914 | +180% | $46,727 | +85% | — |
| 623 | SKN GFT & DEBRIMT W CC | $85,412 | $25,624 | $60,778 | +41% | $34,459 | +148% | — |
| 391 | ESOPH, GE & DIG DIS W MCC | $83,717 | $25,115 | $44,704 | +87% | $28,050 | +198% | ≈52% of Medicare |
| 493 | LE & HUM PX W CC | $83,472 | $25,042 | $64,245 | +30% | $59,651 | +40% | ≈100% of Medicare |
| 481 | HIP/FEMUR PX X MJ W CC | $82,788 | $24,836 | $82,516 | +0% | $52,751 | +57% | ≈104% of Medicare |
| 380 | CMP PEPTIC ULCER W MCC | $81,212 | $24,364 | $42,323 | +92% | $39,627 | +105% | — |
| 981 | EXT OR PX UNREL PDX W MCC | $78,344 | $23,503 | $104,125 | −25% | $90,775 | −14% | ≈112% of Medicare |
| 321 | KIDN/URIN TRCT INFCT >17 | $78,327 | $23,498 | $137,354 | −43% | $81,706 | −4% | ≈101% of Medicare |
| 322 | KIDN/URIN TRCT INFCT <18 | $76,709 | $23,013 | $94,411 | −19% | $58,809 | +30% | ≈124% of Medicare |
| 330 | MAJ SM/LG BOWEL PX W CC | $75,377 | $22,613 | $111,391 | −32% | $59,500 | +27% | ≈126% of Medicare |
| 620 | OR PX FOR OBESITY W CC | $75,375 | $22,612 | $23,921 | +215% | $35,453 | +113% | — |
| 064 | IC HEM OR CEREB INF W MCC | $75,310 | $22,593 | $48,565 | +55% | $39,106 | +93% | ≈103% of Medicare |
| 920 | COMPL OF TREAT W CC | $74,870 | $22,461 | $28,101 | +166% | $22,468 | +233% | ≈90% of Medicare |
| 908 | OTH OR PX FOR INJ W CC | $73,741 | $22,122 | $63,523 | +16% | $42,914 | +72% | — |
| 353 | HERNIA PX X ING/FEM MCC | $73,672 | $22,102 | $84,794 | −13% | $60,170 | +22% | — |
| 522 | HIP REPL W PDX FX WO MCC | $73,246 | $21,974 | $90,228 | −19% | $58,280 | +26% | ≈105% of Medicare |
| 467 | REV HIP/KNEE REPL W CC | $72,690 | $21,807 | $140,647 | −48% | $70,847 | +3% | ≈102% of Medicare |
| 331 | MAJ SM/LG BOWEL PX WO CC | $72,134 | $21,640 | $72,134 | +0% | $44,117 | +64% | ≈141% of Medicare |
| 327 | GASTR, ESOPH,DUO PX W CC | $70,794 | $21,238 | $94,139 | −25% | $59,421 | +19% | ≈104% of Medicare |
| 619 | OR PX FOR OBESITY W MCC | $69,232 | $20,770 | $38,581 | +79% | $51,746 | +34% | — |
| 673 | OTH KID/UT PX W MCC | $68,849 | $20,655 | $111,707 | −38% | $77,990 | −12% | ≈101% of Medicare |
| 504 | FOOT PX W CC | $67,272 | $20,182 | $65,518 | +3% | $38,960 | +73% | — |
| 516 | OT MUS CON TISS OR PX W CC | $66,822 | $20,047 | $82,861 | −19% | $46,090 | +45% | ≈90% of Medicare |
| 438 | DIS PANCR X MALIG W MCC | $65,047 | $19,514 | $49,064 | +33% | $32,628 | +99% | — |
| 247 | PERC CV PX W DE STNT WOMCC | $64,589 | $19,377 | $21,734 | +197% | $21,663 | +198% | — |
| 951 | OT FACTS HEALTH STATUS | $64,503 | $19,351 | $10,553 | +511% | $10,160 | +535% | — |
| 512 | UE PX EX MAJ JNT PX WO CC | $64,441 | $19,332 | $71,909 | −10% | $35,692 | +81% | — |
| 617 | AMP LOW LIMB W CC | $64,432 | $19,330 | $67,828 | −5% | $42,881 | +50% | ≈95% of Medicare |
| 417 | LAP CHOLE WO CDE W MCC | $64,423 | $19,327 | $90,992 | −29% | $53,451 | +21% | ≈133% of Medicare |
| 418 | LAP CHOLE WO CDE W CC | $64,063 | $19,219 | $62,676 | +2% | $44,606 | +44% | ≈107% of Medicare |
| 593 | SKIN ULCERS W CC | $64,028 | $19,208 | $19,063 | +236% | $22,886 | +180% | — |
| 250 | PER CV PX WO ST W MCC | $64,021 | $19,206 | $105,893 | −40% | $59,629 | +7% | — |
| 494 | LE & HUM PX WO CC/MCC | $63,668 | $19,100 | $84,233 | −24% | $47,711 | +33% | ≈101% of Medicare |
| 501 | SOFT TISS PX W CC | $63,624 | $19,087 | $74,943 | −15% | $39,619 | +61% | — |
| 488 | KNEE PX WO INF PDX CC/MCC | $63,090 | $18,927 | $63,008 | +0% | $43,631 | +45% | — |
| 999 | UNGROUPABLE | $61,263 | $18,379 | $61,263 | — | $29,674 | +106% | — |
| 336 | PERITON ADHES W CC | $60,073 | $18,022 | $101,243 | −41% | $50,463 | +19% | ≈103% of Medicare |
| 570 | SKIN DEBRIDEMNT W MCC | $59,089 | $17,727 | $45,372 | +30% | $52,435 | +13% | — |
| 487 | KNEE PX W INF PDX WO CC | $58,969 | $17,691 | $61,697 | −4% | $35,074 | +68% | — |
| 208 | RESP SYS DX W VENT <=96 | $57,923 | $17,377 | $83,023 | −30% | $52,405 | +11% | ≈112% of Medicare |
| 482 | HIP/FEMUR PX W MJ WO CC | $57,770 | $17,331 | $62,575 | −8% | $41,955 | +38% | ≈97% of Medicare |
| 616 | AMP LOW LIMB W MCC | $57,674 | $17,302 | $66,068 | −13% | $66,685 | −14% | — |
| 621 | OR PX FOR OBESITY WO CC | $57,565 | $17,269 | $22,167 | +160% | $32,451 | +77% | — |
| 475 | AMP MUSC/TISS DIS W CC | $55,768 | $16,730 | $51,069 | +9% | $45,877 | +22% | — |
| 419 | LAP CHOLE WO CDE WO CC | $54,909 | $16,473 | $61,418 | −11% | $36,937 | +49% | — |
| 340 | APNDEC/COMP PDX WO CC | $54,845 | $16,453 | $25,199 | +118% | $13,613 | +303% | — |
| 871 | SEPTI/SEPS WO MV>96HR WMCC | $54,816 | $16,445 | $44,293 | +24% | $35,628 | +54% | ≈99% of Medicare |
| 640 | MS DIS NUT,META,ELEC W MC | $54,336 | $16,301 | $52,780 | +3% | $25,463 | +113% | ≈123% of Medicare |
| 251 | PER CV PX WO STNT WO MCC | $53,970 | $16,191 | $82,429 | −35% | $46,295 | +17% | — |
| 397 | COAGULATION DISORDERS | $53,257 | $15,977 | $76,131 | −30% | $53,257 | +0% | — |
| 497 | LOC EX & REM IFD W/O CC | $53,249 | $15,975 | $20,619 | +158% | $29,805 | +79% | — |
| 056 | DEG NRV SYS DIS W MCC | $51,025 | $15,308 | $51,655 | −1% | $39,973 | +28% | ≈195% of Medicare |
| 856 | POSTOP/TRAMA INF WOR W MCC | $50,660 | $15,198 | $82,674 | −39% | $76,001 | −33% | — |
| 296 | CARDIAC ARREST, UNEX W MCC | $50,512 | $15,154 | $50,512 | +0% | $33,661 | +50% | — |
| 983 | EXT OR PX UNREL PDX WO CC | $49,595 | $14,879 | $49,595 | +0% | $34,607 | +43% | — |
| 963 | OTH MULT SIG TRAUMA MCC | $49,369 | $14,811 | $169,637 | −71% | $43,491 | +14% | ≈52% of Medicare |
| 328 | GASTR,ESOPH ,DUO PX WO CC | $49,312 | $14,794 | $69,184 | −29% | $39,006 | +26% | — |
| 399 | RE/IMMUNITY DISORDER | $47,993 | $14,398 | $53,727 | −11% | $31,321 | +53% | — |
| 857 | POSTOP/TRAMA INF WOR W CC | $46,334 | $13,900 | $74,533 | −38% | $45,333 | +2% | — |
| 743 | UTR/ADNEX PX NON MAL WO CC | $45,374 | $13,612 | $63,856 | −29% | $30,784 | +47% | — |
| 914 | TRAUMATIC INJURY W/O MCC | $44,912 | $13,473 | $24,833 | +81% | $15,855 | +183% | — |
| 505 | FOOT PX WO CC/MCC | $44,813 | $13,444 | $76,277 | −41% | $34,937 | +28% | — |
| 554 | BONE DIS & ARTHROP WO MCC | $44,559 | $13,368 | $16,177 | +175% | $18,528 | +141% | — |
| 196 | INTERSTITAL LUNG DIS W MCC | $44,148 | $13,244 | $42,908 | +3% | $32,637 | +35% | — |
| 287 | CIRC DIS NO MI WCATH WOMCC | $43,855 | $13,157 | $42,477 | +3% | $32,021 | +37% | ≈107% of Medicare |
| 855 | INF & PAR DIS OR PX WO CC | $42,696 | $12,809 | $69,645 | −39% | $28,202 | +51% | — |
| 439 | DIS PANCR X MALIG W CC | $42,307 | $12,692 | $32,674 | +29% | $19,096 | +122% | — |
| 343 | APNDEC WO COMP PDX WO CC | $41,667 | $12,500 | $43,172 | −3% | $12,397 | +236% | — |
| 195 | SIMP PNEU/PLEU WO CC/MCC | $40,958 | $12,287 | $27,187 | +51% | $13,824 | +196% | — |
| 314 | OTH CIRC SYS DX W MCC | $40,910 | $12,273 | $48,869 | −16% | $38,666 | +6% | ≈64% of Medicare |
| 637 | DIABETES W MCC | $40,597 | $12,179 | $30,655 | +32% | $30,100 | +35% | ≈107% of Medicare |
| 357 | OTH DIGEST PX W CC | $40,527 | $12,158 | $75,345 | −46% | $48,682 | −17% | — |
| 085 | TRAU STUPOR/COMA <1HR MCC | $39,398 | $11,819 | $66,170 | −40% | $41,892 | −6% | ≈82% of Medicare |
| 308 | CARD ARR/COND DIS W MCC | $39,202 | $11,761 | $39,202 | +0% | $26,770 | +46% | ≈107% of Medicare |
| 489 | KNEE PX WO INF PDX WO CC | $38,848 | $11,654 | $51,552 | −25% | $28,320 | +37% | — |
| 371 | MAJ GI DIS&PERIT INF W MCC | $38,793 | $11,638 | $36,298 | +7% | $33,555 | +16% | ≈110% of Medicare |
| 811 | RBC DIS W MCC | $38,692 | $11,608 | $37,560 | +3% | $28,226 | +37% | ≈98% of Medicare |
| 558 | TEND MYOSTIS BURSTIS WOMCC | $38,596 | $11,579 | $21,587 | +79% | $18,602 | +107% | — |
| 394 | OTH DIGEST DX W CC | $38,189 | $11,457 | $29,126 | +31% | $20,181 | +89% | ≈102% of Medicare |
| 189 | PUL EDEMA/ RESP FAILURE | $38,151 | $11,445 | $37,757 | +1% | $26,580 | +44% | — |
| 432 | CIRR/ALC HEPATITIS MCC | $38,053 | $11,416 | $64,036 | −41% | $40,213 | −5% | ≈50% of Medicare |
| 281 | ACUTE MI, DIS ALIV W CC | $37,714 | $11,314 | $43,996 | −14% | $20,463 | +84% | ≈106% of Medicare |
| 987 | NON-EXT OR UNREL PDX W MCC | $37,549 | $11,265 | $57,662 | −35% | $66,068 | −43% | — |
| 177 | RESP INF/INFLAM W MCC | $37,169 | $11,151 | $43,753 | −15% | $33,707 | +10% | ≈98% of Medicare |
| 125 | OTH DIS EYE W/O MCC | $36,445 | $10,933 | $28,118 | +30% | $17,298 | +111% | ≈131% of Medicare |
| 057 | DEG NRV SYS DIS WO MCC | $36,323 | $10,897 | $39,158 | −7% | $27,543 | +32% | ≈173% of Medicare |
| 377 | GI HEM W MCC | $36,267 | $10,880 | $45,009 | −19% | $37,842 | −4% | ≈68% of Medicare |
| 560 | AFTCARE MUS CONN TISS W CC | $36,009 | $10,803 | $27,687 | +30% | $25,279 | +42% | — |
| 682 | RENAL FAILURE W MCC | $36,002 | $10,801 | $46,893 | −23% | $29,064 | +24% | ≈103% of Medicare |
| 542 | PTH FX/CON TIS MALIG WMCC | $35,520 | $10,656 | $53,719 | −34% | $36,792 | −3% | — |
| 867 | OTH INF/PARA DX W MCC | $35,503 | $10,651 | $45,881 | −23% | $38,070 | −7% | — |
| 092 | OTH DIS NERV SYS W CC | $34,905 | $10,472 | $30,798 | +13% | $24,914 | +40% | ≈104% of Medicare |
| 885 | PSYCHOSES | $34,789 | $10,437 | $29,910 | +16% | $21,729 | +60% | — |
| 881 | DEPRESSIVE NEUROSES | $34,661 | $10,398 | $14,727 | +135% | $15,058 | +130% | — |
| 786 | CESAREAN SEC WO STER WMCC | $34,281 | $10,284 | $43,649 | −21% | $27,152 | +26% | — |
| 309 | CARD ARR/COND DIS W CC | $34,183 | $10,255 | $26,087 | +31% | $17,303 | +98% | ≈102% of Medicare |
| 193 | SIMP PNEU/PLEU W MCC | $33,961 | $10,188 | $56,863 | −40% | $27,275 | +25% | ≈100% of Medicare |
| 689 | KIDNEY/UTI W MCC | $33,751 | $10,125 | $38,715 | −13% | $23,617 | +43% | ≈102% of Medicare |
| 280 | ACUTE MI, DIS ALIV W MCC | $33,559 | $10,068 | $42,250 | −21% | $30,828 | +9% | ≈107% of Medicare |
| 896 | ALC/DRU ABU WO REHAB W MCC | $33,177 | $9,953 | $47,898 | −31% | $31,159 | +6% | — |
| 065 | IC HM OR CB INF W CC/TPA24 | $33,171 | $9,951 | $36,938 | −10% | $23,940 | +39% | ≈98% of Medicare |
| 175 | PULM EMB W MCC OR AC COR P | $32,693 | $9,808 | $43,479 | −25% | $30,959 | +6% | ≈119% of Medicare |
| 880 | AC ADJ REAC & PSY DYS | $32,235 | $9,671 | $30,303 | +6% | $17,733 | +82% | — |
| 199 | PNEUMOTHORAX W MCC | $32,184 | $9,655 | $34,682 | −7% | $33,787 | −5% | — |
| 862 | POSTOP POST TRAM INF W MCC | $31,934 | $9,580 | $64,628 | −51% | $32,859 | −3% | ≈111% of Medicare |
| 581 | SKIN SUBC BRST PX WO CC | $31,789 | $9,537 | $56,971 | −44% | $26,932 | +18% | — |
| 644 | ENDO DIS W CC | $31,248 | $9,375 | $31,330 | −0% | $23,198 | +35% | — |
| 699 | OTH KID & UT DX W CC | $31,042 | $9,313 | $34,781 | −11% | $21,275 | +46% | ≈110% of Medicare |
| 571 | SKIN DEBRIDEMENT W CC | $31,023 | $9,307 | $61,879 | −50% | $37,169 | −17% | — |
| 190 | CH OBST PULM DIS W MCC | $31,019 | $9,306 | $50,457 | −39% | $24,386 | +27% | ≈106% of Medicare |
| 305 | HYPERTENSION WO MCC | $31,013 | $9,304 | $28,872 | +7% | $18,086 | +71% | ≈87% of Medicare |
| 291 | HEART FAIL/SHOCK W MCC | $30,974 | $9,292 | $40,123 | −23% | $26,776 | +16% | ≈103% of Medicare |
| 069 | TRANS ISCHEMIA W/O THROMB | $30,822 | $9,247 | $30,760 | +0% | $21,056 | +46% | ≈107% of Medicare |
| 917 | POIS/TOX EFF OF DRUG W MCC | $30,777 | $9,233 | $30,777 | +0% | $30,235 | +2% | ≈94% of Medicare |
| 071 | NS CEREB DIS W CC | $30,451 | $9,135 | $29,084 | +5% | $23,488 | +30% | ≈96% of Medicare |
| 940 | OR PX PDX OTH SVCS W CC | $30,294 | $9,088 | $83,277 | −64% | $43,650 | −31% | — |
| 757 | INF FEM REPRO SYS W MCC | $30,215 | $9,064 | $38,521 | −22% | $26,280 | +15% | — |
| 349 | ANAL/STOMAL PX WO CC/MCC | $29,571 | $8,871 | $14,627 | +102% | $19,854 | +49% | — |
| 765 | CESAREAN SEC W CC/MCC | $29,230 | $8,769 | $5,336 | +448% | $5,336 | +448% | — |
| 602 | CELLULITIS W MCC | $29,087 | $8,726 | $46,242 | −37% | $30,598 | −5% | — |
| 872 | SEPTI/SEPS WO MV >96 WO MC | $28,573 | $8,572 | $30,281 | −6% | $22,888 | +25% | ≈105% of Medicare |
| 948 | SIGNS & SYMPTOMS W/O MCC | $28,432 | $8,530 | $24,486 | +16% | $17,921 | +59% | ≈114% of Medicare |
| 552 | MED BACK PROB W/O MCC | $28,206 | $8,462 | $27,370 | +3% | $21,396 | +32% | ≈118% of Medicare |
| 551 | MED BACK PROB W MCC | $28,144 | $8,443 | $56,708 | −50% | $34,017 | −17% | ≈101% of Medicare |
| 378 | GI HEM W CC | $28,140 | $8,442 | $33,491 | −16% | $22,098 | +27% | ≈99% of Medicare |
| 194 | SIMP PNEU/PLEU W CC | $28,018 | $8,405 | $33,175 | −16% | $18,204 | +54% | ≈101% of Medicare |
| 282 | ACUTE MI,DIS ALIV WOCC/MC | $27,887 | $8,366 | $32,403 | −14% | $19,227 | +45% | — |
| 605 | TRAM SKN, SUBQ, BST WO MC | $27,611 | $8,283 | $27,649 | −0% | $20,506 | +35% | ≈109% of Medicare |
| 788 | CESAREAN WO STER WO CC/MCC | $27,513 | $8,254 | $27,659 | −1% | $20,084 | +37% | — |
| 536 | HIP/PELVIS FRAC WO MCC | $27,336 | $8,201 | $27,102 | +1% | $18,002 | +52% | ≈103% of Medicare |
| 690 | KIDNEY/UTI WO MCC | $27,239 | $8,172 | $28,774 | −5% | $17,674 | +54% | ≈97% of Medicare |
| 304 | HYPERTENSION W MCC | $26,906 | $8,072 | $61,398 | −56% | $26,080 | +3% | ≈110% of Medicare |
| 066 | IC HEM OR CEREB INF WO CC | $26,865 | $8,060 | $27,876 | −4% | $20,781 | +29% | ≈126% of Medicare |
| 918 | POIS/TOX EFF OF DRUG WO CC | $26,853 | $8,056 | $25,476 | +5% | $15,452 | +74% | — |
| 787 | CESAREAN SEC WO STER W CC | $26,624 | $7,987 | $28,901 | −8% | $23,571 | +13% | — |
| 433 | CIRR/ALC HEPATITIS CC | $26,444 | $7,933 | $30,514 | −13% | $23,749 | +11% | — |
| 557 | TEND MYOSTIS BURSITIS WMCC | $26,434 | $7,930 | $55,450 | −52% | $32,877 | −20% | — |
| 641 | MS DIS NUT/META/ELEC WOMCC | $26,270 | $7,881 | $23,527 | +12% | $17,038 | +54% | ≈103% of Medicare |
| 070 | NS CEREB DIS W MCC | $26,176 | $7,853 | $42,835 | −39% | $31,951 | −18% | ≈84% of Medicare |
| 055 | NERV SYS NEOP WO MCC | $26,043 | $7,813 | $21,626 | +20% | $20,926 | +24% | — |
| 200 | PNEUMOTHORAX W CC | $25,828 | $7,749 | $25,828 | +0% | $21,368 | +21% | ≈105% of Medicare |
| 562 | FX SPN STN DIS EX LE WMCC | $25,787 | $7,736 | $39,320 | −34% | $29,743 | −13% | — |
| 790 | EXT IMMAT OR RD SYN NEONAT | $25,736 | $7,721 | $20,715 | +24% | $80,018 | −68% | — |
| 559 | AFTRCARE MUS CONN TIS WMCC | $25,693 | $7,708 | $44,280 | −42% | $33,047 | −22% | — |
| 638 | DIABETES W CC | $25,678 | $7,703 | $24,658 | +4% | $19,661 | +31% | ≈91% of Medicare |
| 072 | NS CEREB DIS WO CC/MCC | $25,357 | $7,607 | $26,095 | −3% | $19,037 | +33% | — |
| 603 | CELLULITIS W/O MCC | $25,034 | $7,510 | $28,375 | −12% | $18,530 | +35% | ≈102% of Medicare |
| 683 | RENAL FAILURE W CC | $24,421 | $7,326 | $24,421 | +0% | $19,130 | +28% | ≈100% of Medicare |
| 759 | INF FEM REPRO SYS WO CC | $24,405 | $7,322 | $24,405 | +0% | $14,250 | +71% | — |
| 785 | CESAREAN W STER WO CC/MCC | $24,056 | $7,217 | $29,836 | −19% | $19,846 | +21% | — |
| 947 | SIGNS & SYMPTOMS W MCC | $23,965 | $7,190 | $48,840 | −51% | $27,401 | −13% | — |
| 544 | PATH FX/CON TIS MALIG WOCC | $23,823 | $7,147 | $25,621 | −7% | $16,776 | +42% | — |
| 784 | CESAREAN SEC W STERIL W CC | $23,717 | $7,115 | $34,308 | −31% | $23,283 | +2% | — |
| 842 | LYMPH & NON AC LEUK WO CC | $23,667 | $7,100 | $28,032 | −16% | $19,657 | +20% | — |
| 766 | CESAREAN SEC W/O CC/MCC | $23,537 | $7,061 | $5,336 | +341% | $5,336 | +341% | — |
| 392 | ESOPH, GE DIG DIS WO MCC | $23,478 | $7,043 | $26,362 | −11% | $17,322 | +36% | ≈102% of Medicare |
| 884 | ORGAN DIST & INTELL DISAB | $23,419 | $7,026 | $43,100 | −46% | $26,682 | −12% | ≈88% of Medicare |
| 388 | GI OBST W MCC | $23,390 | $7,017 | $52,322 | −55% | $30,571 | −23% | — |
| 793 | FULL TERM NEO W MAJ PROB | $23,278 | $6,983 | $13,360 | +74% | $18,649 | +25% | — |
| 812 | RBC DIS W/O MCC | $22,636 | $6,791 | $28,035 | −19% | $20,488 | +10% | ≈100% of Medicare |
| 372 | MAJ GI DIS&PERIT INF W CC | $22,482 | $6,745 | $22,922 | −2% | $22,850 | −2% | ≈111% of Medicare |
| 384 | UNCMP PEPTC ULCER WO MCC | $22,294 | $6,688 | $24,468 | −9% | $19,305 | +15% | — |
| 292 | HEART FAIL/SHOCK W CC | $22,131 | $6,639 | $30,136 | −27% | $16,371 | +35% | ≈112% of Medicare |
| 866 | VIRAL ILLNESS W/O MCC | $21,951 | $6,585 | $31,738 | −31% | $17,081 | +29% | — |
| 379 | GI HEM WO CC/MCC | $21,579 | $6,474 | $17,249 | +25% | $15,038 | +44% | — |
| 783 | CESAREAN SEC W STERIL W MC | $21,075 | $6,322 | $31,052 | −32% | $29,221 | −28% | — |
| 191 | CH OBST PULM DIS W CC | $20,642 | $6,193 | $40,745 | −49% | $18,807 | +10% | ≈95% of Medicare |
| 373 | MAJ GI DIS&PERIT INF WO CC | $20,520 | $6,156 | $20,073 | +2% | $16,767 | +22% | — |
| 792 | PREMATURITY WO MAJ PROB | $20,481 | $6,144 | $11,361 | +80% | $12,229 | +67% | — |
| 184 | MAJ CHEST TRAUMA W CC | $19,903 | $5,971 | $31,929 | −38% | $22,432 | −11% | ≈105% of Medicare |
| 698 | OTH KID & UT DX W MCC | $19,773 | $5,932 | $59,579 | −67% | $32,496 | −39% | ≈102% of Medicare |
| 310 | CARD COND DIS WO CC/MCC | $19,713 | $5,914 | $19,711 | +0% | $13,384 | +47% | ≈106% of Medicare |
| 312 | SYNCOPE & COLLAPSE | $19,457 | $5,837 | $26,853 | −28% | $19,342 | +1% | ≈98% of Medicare |
| 639 | DIABETES W/O CC/MCC | $19,387 | $5,816 | $19,699 | −2% | $13,910 | +39% | — |
| 187 | PLEURAL EFF W CC | $19,023 | $5,707 | $25,699 | −26% | $21,789 | −13% | — |
| 768 | VAG DEL W OR PX | $18,975 | $5,692 | $26,155 | −27% | $16,846 | +13% | — |
| 301 | PERI VASC DIS WO CC/MCC | $18,784 | $5,635 | $18,704 | +0% | $15,837 | +19% | — |
| 089 | CONCUSSION W CC | $18,369 | $5,511 | $18,369 | +0% | $18,821 | −2% | — |
| 091 | OTH DIS NERV SYS W MCC | $18,350 | $5,505 | $65,828 | −72% | $37,387 | −51% | ≈75% of Medicare |
| 882 | NEUROSES X DEPRESSIVE | $18,338 | $5,501 | $18,025 | +2% | $15,680 | +17% | — |
| 315 | OTH CIRC SYS DX W CC | $18,202 | $5,461 | $23,220 | −22% | $21,363 | −15% | ≈98% of Medicare |
| 816 | RETICUL & IMMUN DIS WO | $17,908 | $5,372 | $23,187 | −23% | $14,638 | +22% | — |
| 390 | GI OBST WO CC/MCC | $17,770 | $5,331 | $17,180 | +3% | $13,361 | +33% | — |
| 441 | DISDRS LIVER W MCC | $17,684 | $5,305 | $37,498 | −53% | $33,985 | −48% | ≈98% of Medicare |
| 916 | ALLERGIC REAC W/O MCC | $17,472 | $5,242 | $17,472 | +0% | $13,942 | +25% | — |
| 192 | CH OBST PULM DIS WO CC/MCC | $17,286 | $5,186 | $18,699 | −8% | $14,368 | +20% | — |
| 386 | INFL BOWEL DIS W CC | $17,206 | $5,162 | $27,597 | −38% | $22,033 | −22% | — |
| 988 | NON-EXT OR UNREL PDX W CC | $17,074 | $5,122 | $58,994 | −71% | $38,094 | −55% | — |
| 293 | HEART FAIL/SHOCK WO CC/MCC | $17,054 | $5,116 | $25,612 | −33% | $12,999 | +31% | — |
| 440 | DIS PANCR X MALIG WO CC | $17,054 | $5,116 | $21,274 | −20% | $15,183 | +12% | — |
| 774 | VAG DELIV W COMP DX | $16,969 | $5,091 | $93,062 | −82% | $3,032 | +460% | — |
| 727 | INF MALE REPROD SYS W MCC | $16,945 | $5,084 | $30,433 | −44% | $26,463 | −36% | — |
| 176 | PULMONARY EMB WO MCC | $16,182 | $4,855 | $29,171 | −45% | $18,081 | −11% | ≈110% of Medicare |
| 760 | MENS/FEMAL REPRO DIS W CC | $15,966 | $4,790 | $24,095 | −34% | $20,895 | −24% | — |
| 074 | CRAN/PERI NRV DIS WO MCC | $15,702 | $4,710 | $33,138 | −53% | $23,141 | −32% | ≈101% of Medicare |
| 313 | CHEST PAIN | $15,673 | $4,702 | $21,819 | −28% | $16,440 | −5% | ≈97% of Medicare |
| 154 | OTHER ENMT DIAG W MCC | $15,488 | $4,646 | $53,002 | −71% | $27,633 | −44% | — |
| 789 | NEON DIED OR TRANS TO ACF | $15,422 | $4,627 | $11,107 | +39% | $16,351 | −6% | — |
| 684 | RENAL FAILURE W/O CC/MCC | $15,416 | $4,625 | $16,007 | −4% | $13,642 | +13% | — |
| 965 | OTH MULT SIG TRAUMA W/O CC | $15,340 | $4,602 | $45,871 | −67% | $20,259 | −24% | — |
| 389 | GI OBST W CC | $15,277 | $4,583 | $23,474 | −35% | $17,578 | −13% | ≈106% of Medicare |
| 989 | NON-EXT OR UNREL PDX WO CC | $15,091 | $4,527 | $18,191 | −17% | $25,652 | −41% | — |
| 805 | VAG DEL WO STER/DC W MCC | $15,041 | $4,512 | $16,841 | −11% | $15,370 | −2% | — |
| 807 | VAG DEL WO STER/DC WOCCMCC | $15,007 | $4,502 | $14,272 | +5% | $12,078 | +24% | — |
| 935 | NON-EXTENSIVE BURNS | $14,954 | $4,486 | $40,847 | −63% | $31,701 | −53% | — |
| 794 | NEON W OTH SIG PROB | $14,730 | $4,419 | $10,849 | +36% | $8,445 | +74% | — |
| 791 | PREMATURITY W MAJ PROB | $14,392 | $4,317 | $15,421 | −7% | $42,679 | −66% | — |
| 806 | VAG DEL WO STER/DC W CC | $14,089 | $4,227 | $14,454 | −3% | $13,275 | +6% | — |
| 775 | VAG DELIV W/O COMP DX | $12,730 | $3,819 | $59,494 | −79% | $3,032 | +320% | — |
| 832 | OTH ANTP DX WO OR W CC | $12,536 | $3,761 | $10,118 | +24% | $12,895 | −3% | — |
| 442 | DISDRS LIVER W CC | $12,244 | $3,673 | $27,046 | −55% | $21,449 | −43% | — |
| 300 | PERI VASC DIS W CC | $11,848 | $3,555 | $39,619 | −70% | $20,422 | −42% | ≈71% of Medicare |
| 897 | ALC/DRU ABU WO REHAB WOMCC | $11,149 | $3,345 | $24,811 | −55% | $16,699 | −33% | — |
| 758 | INF FEM REPRO SYS W CC | $10,546 | $3,164 | $29,592 | −64% | $20,901 | −50% | — |
| 561 | AFTRCARE MUS CON TIS WO CC | $10,527 | $3,158 | $27,139 | −61% | $18,150 | −42% | — |
| 795 | NORMAL NEWBORN | $10,376 | $3,113 | $5,787 | +79% | $4,720 | +120% | — |
| 776 | PP & POST AB DX WO OR PX | $10,228 | $3,068 | $21,818 | −53% | $12,454 | −18% | — |
| 782 | OTHER ANTEPARTUM DX | $10,060 | $3,018 | $10,060 | — | $10,060 | +0% | — |
| 894 | ALC/DRUG ABUSE/DEP AMA | $9,612 | $2,884 | $16,529 | −42% | $12,324 | −22% | — |
| 798 | VAG DEL W STER/DC WO CCMCC | $8,488 | $2,546 | $38,065 | −78% | $18,452 | −54% | — |
| 833 | OTH ANTP DX WO OR WOCCMCC | $7,421 | $2,226 | $11,173 | −34% | $9,940 | −25% | — |
| 895 | ALC/DRUG ABUSE/DEP REHAB | $4,727 | $1,418 | $21,986 | −79% | $21,986 | −79% | — |
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 |
|---|---|---|---|
| 018 | CHIM ANTG REC (CAR) T-CELL | — | 1 plans |
No procedures match that keyword.