East Adams Rural Healthcare — Pricing
13 procedures published in this hospital's Machine-Readable File (MRF) — 12 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.
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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
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.
Published charges
Showing all 12 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. WA median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $23,063 | $17,297 | $19,002 | +21% | $22,623 | +2% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,678 | $12,508 | $32,606 | −49% | $30,681 | −46% |
| 602 | CELLULITIS WITH MCC | $16,465 | $12,349 | $25,770 | −36% | $29,347 | −44% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,271 | $6,953 | $14,274 | −35% | $17,719 | −48% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,415 | $6,311 | $23,034 | −63% | $24,932 | −66% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $7,592 | $5,694 | $34,324 | −78% | $34,876 | −78% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,397 | $5,548 | $29,960 | −75% | $31,754 | −77% |
| 603 | CELLULITIS WITHOUT MCC | $7,015 | $5,261 | $15,835 | −56% | $18,359 | −62% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,665 | $4,998 | $19,902 | −67% | $24,103 | −72% |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,615 | $4,962 | $13,474 | −51% | $16,776 | −61% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,476 | $4,857 | $10,936 | −41% | $13,455 | −52% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,360 | $4,020 | $11,105 | −52% | $14,770 | −64% |
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 |
|---|---|---|---|
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | — | 15 plans |