Yoakum Community Hospital — Pricing

174 procedures published in this hospital's Machine-Readable File (MRF) — 171 with a comparable price, 3 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 174
Lowest published price $826
Average published price $18,702
Highest published price $203,330

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 174 procedures

Published charges

Showing all 171 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. TX median vs. National median
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $203,330 $132,165 $31,349 +549% $42,901 +374%
540 OSTEOMYELITIS WITH CC $89,726 $58,322 $19,990 +349% $26,676 +236%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $75,403 $49,012 $27,058 +179% $32,859 +129%
949 AFTERCARE WITH CC/MCC $64,051 $41,633 $17,496 +266% $23,953 +167%
181 RESPIRATORY NEOPLASMS WITH CC $58,436 $37,983 $17,604 +232% $23,573 +148%
472 CERVICAL SPINAL FUSION WITH CC $54,313 $35,304 $40,797 +33% $59,537 −9%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $52,784 $34,310 $32,647 +62% $38,094 +39%
381 COMPLICATED PEPTIC ULCER WITH CC $49,645 $32,269 $35,404 +40% $24,177 +105%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $49,357 $32,082 $20,672 +139% $24,127 +105%
252 OTHER VASCULAR PROCEDURES WITH MCC $48,710 $31,661 $47,717 +2% $68,508 −29%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $48,087 $31,257 $98,765 −51% $75,573 −36%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $46,004 $29,902 $34,307 +34% $47,583 −3%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $45,184 $29,370 $45,184 +0% $42,881 +5%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $44,170 $28,711 $39,887 +11% $34,192 +29%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $40,645 $26,419 $74,889 −46% $88,050 −54%
535 FRACTURES OF HIP AND PELVIS WITH MCC $39,831 $25,890 $21,244 +87% $24,552 +62%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $39,586 $25,731 $41,952 −6% $46,402 −15%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $39,352 $25,579 $28,020 +40% $34,459 +14%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $38,673 $25,137 $20,636 +87% $16,776 +131%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $37,326 $24,262 $27,196 +37% $20,957 +78%
153 OTITIS MEDIA AND URI WITHOUT MCC $35,539 $23,100 $12,822 +177% $14,583 +144%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $35,487 $23,067 $26,035 +36% $25,463 +39%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $35,333 $22,967 $37,479 −6% $35,628 −1%
866 VIRAL ILLNESS WITHOUT MCC $34,651 $22,523 $15,599 +122% $17,081 +103%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $34,564 $22,467 $40,675 −15% $36,937 −6%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $32,617 $21,201 $26,578 +23% $18,150 +80%
183 MAJOR CHEST TRAUMA WITH MCC $32,274 $20,978 $23,796 +36% $29,933 +8%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $32,138 $20,890 $71,920 −55% $59,500 −46%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $31,130 $20,234 $40,840 −24% $30,959 +1%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $28,090 $18,259 $23,780 +18% $20,488 +37%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $27,812 $18,078 $17,354 +60% $20,926 +33%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,584 $17,930 $27,287 +1% $33,047 −17%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $26,526 $17,242 $29,734 −11% $31,321 −15%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $26,237 $17,054 $24,482 +7% $19,842 +32%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $25,352 $16,479 $40,991 −38% $59,790 −58%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $25,030 $16,270 $23,431 +7% $23,617 +6%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $24,876 $16,169 $13,438 +85% $17,620 +41%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $24,869 $16,165 $24,869 +0% $33,653 −26%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $24,864 $16,162 $24,787 +0% $32,628 −24%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $24,631 $16,010 $13,317 +85% $15,428 +60%
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $24,572 $15,972 $25,628 −4% $25,628 −4%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $23,110 $15,021 $25,590 −10% $22,850 +1%
948 SIGNS AND SYMPTOMS WITHOUT MCC $23,033 $14,971 $21,286 +8% $17,921 +29%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $22,841 $14,846 $34,882 −35% $38,101 −40%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $22,684 $14,744 $29,768 −24% $33,707 −33%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $22,682 $14,743 $25,933 −13% $26,580 −15%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $22,673 $14,737 $25,666 −12% $18,807 +21%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $22,636 $14,713 $25,881 −13% $33,555 −33%
637 DIABETES WITH MCC $22,197 $14,428 $35,028 −37% $30,100 −26%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $22,137 $14,389 $16,427 +35% $22,635 −2%
602 CELLULITIS WITH MCC $21,849 $14,202 $33,339 −34% $30,598 −29%
541 OSTEOMYELITIS WITHOUT CC/MCC $21,429 $13,929 $14,549 +47% $15,215 +41%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $21,227 $13,797 $25,704 −17% $22,024 −4%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $21,194 $13,776 $34,624 −39% $33,985 −38%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $20,759 $13,493 $22,344 −7% $24,566 −15%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,502 $13,326 $17,973 +14% $25,279 −19%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,175 $13,114 $36,333 −44% $51,985 −61%
534 FRACTURES OF FEMUR WITHOUT MCC $20,024 $13,015 $23,132 −13% $17,559 +14%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $19,596 $12,737 $28,821 −32% $36,670 −47%
881 DEPRESSIVE NEUROSES $19,076 $12,399 $15,058 +27% $15,058 +27%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,075 $12,399 $32,208 −41% $24,386 −22%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $18,751 $12,188 $31,484 −40% $30,571 −39%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $18,736 $12,178 $17,752 +6% $13,361 +40%
292 HEART FAILURE AND SHOCK WITH CC $18,682 $12,143 $14,525 +29% $16,371 +14%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,522 $12,040 $37,153 −50% $46,453 −60%
204 RESPIRATORY SIGNS AND SYMPTOMS $18,241 $11,857 $13,720 +33% $18,004 +1%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $17,908 $11,640 $26,542 −33% $18,126 −1%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $17,799 $11,569 $27,695 −36% $33,255 −46%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $17,480 $11,362 $21,039 −17% $14,368 +22%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $17,179 $11,167 $26,307 −35% $31,159 −45%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $17,178 $11,165 $23,675 −27% $17,303 −1%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,877 $10,970 $20,369 −17% $21,275 −21%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $16,704 $10,858 $31,081 −46% $22,098 −24%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $16,530 $10,744 $13,136 +26% $12,252 +35%
291 HEART FAILURE AND SHOCK WITH MCC $15,886 $10,326 $25,917 −39% $26,776 −41%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,594 $10,136 $27,853 −44% $27,275 −43%
947 SIGNS AND SYMPTOMS WITH MCC $15,262 $9,920 $19,887 −23% $27,401 −44%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $14,922 $9,699 $12,119 +23% $14,638 +2%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $14,848 $9,651 $15,741 −6% $17,724 −16%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,758 $9,593 $20,930 −29% $17,578 −16%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $14,390 $9,353 $19,268 −25% $22,458 −36%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $14,278 $9,281 $22,739 −37% $19,096 −25%
598 MALIGNANT BREAST DISORDERS WITH CC $14,146 $9,195 $17,197 −18% $19,073 −26%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $14,066 $9,143 $21,255 −34% $18,002 −22%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $13,913 $9,044 $15,223 −9% $15,837 −12%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,624 $8,855 $25,653 −47% $18,204 −25%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $13,413 $8,718 $24,189 −45% $27,316 −51%
694 URINARY STONES WITHOUT MCC $13,278 $8,631 $19,522 −32% $17,345 −23%
865 VIRAL ILLNESS WITH MCC $13,210 $8,587 $22,350 −41% $26,910 −51%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $13,183 $8,569 $17,235 −24% $20,506 −36%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $13,061 $8,490 $19,336 −32% $13,824 −6%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $12,789 $8,313 $24,139 −47% $22,888 −44%
551 MEDICAL BACK PROBLEMS WITH MCC $12,563 $8,166 $25,341 −50% $34,017 −63%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,562 $8,165 $25,176 −50% $32,944 −62%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $11,551 $7,508 $17,483 −34% $17,483 −34%
603 CELLULITIS WITHOUT MCC $11,492 $7,470 $21,536 −47% $18,530 −38%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $11,488 $7,467 $14,064 −18% $14,064 −18%
864 FEVER AND INFLAMMATORY CONDITIONS $11,347 $7,375 $14,849 −24% $18,640 −39%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,287 $7,337 $14,675 −23% $15,452 −27%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,225 $7,296 $15,493 −28% $15,183 −26%
920 COMPLICATIONS OF TREATMENT WITH CC $10,927 $7,102 $18,678 −42% $22,468 −51%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,856 $7,056 $10,878 −0% $12,999 −16%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,854 $7,055 $30,786 −65% $28,050 −61%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $10,446 $6,790 $56,690 −82% $50,607 −79%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,201 $6,631 $14,371 −29% $13,384 −24%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,152 $6,599 $22,694 −55% $17,674 −43%
950 AFTERCARE WITHOUT CC/MCC $9,926 $6,452 $10,801 −8% $13,527 −27%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $9,472 $6,157 $15,729 −40% $17,038 −44%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,369 $6,090 $15,583 −40% $14,648 −36%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $9,299 $6,044 $55,830 −83% $52,405 −82%
304 HYPERTENSION WITH MCC $9,285 $6,035 $27,407 −66% $26,080 −64%
639 DIABETES WITHOUT CC/MCC $9,136 $5,938 $15,635 −42% $13,910 −34%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,019 $5,863 $25,280 −64% $23,551 −62%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $8,873 $5,768 $32,631 −73% $38,666 −77%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $8,863 $5,761 $17,450 −49% $17,322 −49%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,784 $5,710 $34,268 −74% $24,914 −65%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,770 $5,700 $14,937 −41% $16,552 −47%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $8,745 $5,684 $19,342 −55% $18,602 −53%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,441 $5,487 $18,855 −55% $17,118 −51%
811 RED BLOOD CELL DISORDERS WITH MCC $8,277 $5,380 $21,454 −61% $28,226 −71%
101 SEIZURES WITHOUT MCC $8,172 $5,312 $16,271 −50% $20,461 −60%
501 SOFT TISSUE PROCEDURES WITH CC $7,634 $4,962 $32,809 −77% $39,619 −81%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,601 $4,941 $23,067 −67% $17,700 −57%
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,593 $4,935 $17,226 −56% $17,226 −56%
090 CONCUSSION WITHOUT CC/MCC $7,439 $4,835 $14,321 −48% $15,412 −52%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,428 $4,828 $29,846 −75% $21,396 −65%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,202 $4,681 $30,153 −76% $23,940 −70%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,072 $4,597 $15,553 −55% $16,699 −58%
638 DIABETES WITH CC $6,967 $4,528 $24,114 −71% $19,661 −65%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $6,935 $4,508 $21,345 −68% $20,422 −66%
546 CONNECTIVE TISSUE DISORDERS WITH CC $6,434 $4,182 $18,220 −65% $25,700 −75%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,175 $4,014 $29,044 −79% $22,506 −73%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $6,143 $3,993 $30,855 −80% $37,387 −84%
607 MINOR SKIN DISORDERS WITHOUT MCC $6,140 $3,991 $14,410 −57% $15,889 −61%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $6,112 $3,973 $32,604 −81% $41,892 −85%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,984 $3,890 $12,609 −53% $16,767 −64%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,526 $3,592 $16,134 −66% $21,056 −74%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,207 $3,384 $29,965 −83% $20,463 −75%
305 HYPERTENSION WITHOUT MCC $5,180 $3,367 $17,880 −71% $18,086 −71%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $5,113 $3,323 $24,871 −79% $26,682 −81%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,032 $3,271 $12,936 −61% $16,565 −70%
684 RENAL FAILURE WITHOUT CC/MCC $4,907 $3,190 $12,380 −60% $13,642 −64%
312 SYNCOPE AND COLLAPSE $4,900 $3,185 $23,071 −79% $19,342 −75%
913 TRAUMATIC INJURY WITH MCC $4,683 $3,044 $24,198 −81% $24,198 −81%
375 DIGESTIVE MALIGNANCY WITH CC $4,665 $3,033 $25,270 −82% $27,277 −83%
835 ACUTE LEUKEMIA WITH CC $4,018 $2,611 $30,915 −87% $35,569 −89%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,918 $2,547 $18,537 −79% $20,181 −81%
197 INTERSTITIAL LUNG DISEASE WITH CC $3,900 $2,535 $16,043 −76% $21,941 −82%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,821 $2,484 $32,707 −88% $30,828 −88%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,563 $2,316 $16,212 −78% $16,212 −78%
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,504 $2,278 $20,434 −83% $23,319 −85%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,498 $2,274 $6,035 −42% $10,160 −66%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,224 $2,096 $19,350 −83% $22,851 −86%
914 TRAUMATIC INJURY WITHOUT MCC $2,891 $1,879 $15,088 −81% $15,855 −82%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,844 $1,848 $19,759 −86% $20,781 −86%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,702 — $22,435 −88% $36,988 −93%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,516 $1,635 $13,622 −82% $12,895 −80%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,469 $1,605 $11,421 −78% $11,421 −78%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,376 $1,544 $18,366 −87% $14,128 −83%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,278 $1,481 $15,636 −85% $17,733 −87%
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,232 $1,451 $23,876 −91% $22,033 −90%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,228 $1,448 $21,873 −90% $26,932 −92%
885 PSYCHOSES $1,959 $1,273 $21,489 −91% $21,729 −91%
103 HEADACHES WITHOUT MCC $1,922 $1,249 $25,397 −92% $21,280 −91%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $1,818 $1,182 $22,434 −92% $21,449 −92%
916 ALLERGIC REACTIONS WITHOUT MCC $1,807 $1,175 $11,813 −85% $13,942 −87%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $1,759 $1,143 $9,940 −82% $9,940 −82%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $1,346 $1,346 $22,477 −94% $28,140 −95%
935 NON-EXTENSIVE BURNS $1,178 $766 $31,701 −96% $31,701 −96%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,072 $697 $12,055 −91% $13,651 −92%
779 ABORTION WITHOUT D&C $826 $826 $15,327 −95% $15,327 −95%

Procedures with negotiated rates only

These 3 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
377 GASTROINTESTINAL HEMORRHAGE WITH MCC — 37 plans
151 EPISTAXIS WITHOUT MCC — 23 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $726 – $2,386 · median $823 23 plans
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