Lake Chelan Health Hospital — Pricing
273 procedures published in this hospital's Machine-Readable File (MRF) — 264 with a comparable price, 9 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 273
Lowest published price $458
Average published price $7,506
Highest published price $73,358
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 273 procedures
Published charges
Showing all 264 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 | ||
|---|---|---|---|---|---|---|---|
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $73,358 | $73,358 | $47,400 | +55% | $54,929 | +34% |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $72,333 | $72,333 | $53,273 | +36% | $54,313 | +33% |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $52,516 | $52,516 | $31,922 | +65% | $27,118 | +94% |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $48,580 | $48,580 | $69,285 | −30% | $72,782 | −33% |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $41,488 | $41,488 | $26,980 | +54% | $36,239 | +14% |
| 540 | OSTEOMYELITIS WITH CC | $39,094 | $39,094 | $23,186 | +69% | $23,494 | +66% |
| 946 | REHABILITATION WITHOUT CC/MCC | $38,026 | $38,026 | $19,663 | +93% | $17,685 | +115% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $34,100 | $34,100 | $27,427 | +24% | $27,934 | +22% |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $32,797 | $32,797 | $27,921 | +17% | $32,936 | −0% |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $32,544 | $32,544 | $24,281 | +34% | $16,240 | +100% |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $30,295 | $30,295 | $17,221 | +76% | $18,238 | +66% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $29,691 | $29,691 | $21,169 | +40% | $19,815 | +50% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $29,365 | $29,365 | $20,277 | +45% | $24,452 | +20% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $28,767 | $28,767 | $24,826 | +16% | $23,571 | +22% |
| 945 | REHABILITATION WITH CC/MCC | $27,806 | $27,806 | $26,772 | +4% | $23,834 | +17% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $27,691 | $27,691 | $21,990 | +26% | $20,084 | +38% |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $26,149 | $26,149 | $78,895 | −67% | $72,859 | −64% |
| 100 | SEIZURES WITH MCC | $22,875 | $22,875 | $34,782 | −34% | $35,194 | −35% |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $21,945 | $21,945 | $24,638 | −11% | $25,854 | −15% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $21,364 | $21,364 | $21,229 | +1% | $17,103 | +25% |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $19,572 | $19,572 | $19,335 | +1% | $21,806 | −10% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $19,229 | $19,229 | $18,705 | +3% | $23,396 | −18% |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $18,337 | $18,337 | $23,169 | −21% | $23,115 | −21% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $18,141 | $18,141 | $34,324 | −47% | $35,237 | −49% |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $18,095 | $18,095 | $19,264 | −6% | $24,177 | −25% |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,582 | $17,582 | $33,013 | −47% | $32,204 | −45% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $17,490 | $17,490 | $11,686 | +50% | $12,044 | +45% |
| 199 | PNEUMOTHORAX WITH MCC | $17,181 | $17,181 | $30,912 | −44% | $31,491 | −45% |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $15,680 | $15,680 | $23,902 | −34% | $28,527 | −45% |
| 682 | RENAL FAILURE WITH MCC | $15,620 | $15,620 | $26,337 | −41% | $27,854 | −44% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $15,554 | $15,554 | $15,554 | +0% | $19,096 | −19% |
| 949 | AFTERCARE WITH CC/MCC | $14,996 | $14,996 | $19,180 | −22% | $23,953 | −37% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $14,380 | $14,380 | $14,358 | +0% | $17,388 | −17% |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,000 | $13,000 | $21,673 | −40% | $22,032 | −41% |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,936 | $12,936 | $34,362 | −62% | $36,933 | −65% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $12,919 | $12,919 | $13,194 | −2% | $13,090 | −1% |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $12,782 | $12,782 | $39,700 | −68% | $37,064 | −66% |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,513 | $12,513 | $28,754 | −56% | $28,967 | −57% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,298 | $12,298 | $18,195 | −32% | $23,469 | −48% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,220 | $12,220 | $23,034 | −47% | $25,020 | −51% |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,098 | $12,098 | $18,075 | −33% | $16,418 | −26% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,878 | $11,878 | $29,065 | −59% | $32,689 | −64% |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,691 | $11,691 | $17,986 | −35% | $18,017 | −35% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,584 | $11,584 | $21,511 | −46% | $26,488 | −56% |
| 089 | CONCUSSION WITH CC | $11,359 | $11,359 | $19,749 | −42% | $18,293 | −38% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $11,213 | $11,213 | $15,294 | −27% | $18,278 | −39% |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,198 | $11,198 | $20,054 | −44% | $20,741 | −46% |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $10,945 | $10,945 | $39,726 | −72% | $36,334 | −70% |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $10,487 | $10,487 | $12,815 | −18% | $12,336 | −15% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,318 | $10,318 | $19,002 | −46% | $22,781 | −55% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,124 | $10,124 | $20,658 | −51% | $22,982 | −56% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,086 | $10,086 | $29,960 | −66% | $31,840 | −68% |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,894 | $9,894 | $17,952 | −45% | $20,842 | −53% |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,890 | $9,890 | $31,918 | −69% | $37,950 | −74% |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $9,879 | $9,879 | $37,233 | −73% | $32,483 | −70% |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,605 | $9,605 | $29,209 | −67% | $32,502 | −70% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,396 | $9,396 | $23,672 | −60% | $26,158 | −64% |
| 304 | HYPERTENSION WITH MCC | $9,374 | $9,374 | $20,659 | −55% | $24,185 | −61% |
| 638 | DIABETES WITH CC | $9,181 | $9,181 | $16,272 | −44% | $18,821 | −51% |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,962 | $8,962 | $18,952 | −53% | $17,943 | −50% |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,950 | $8,950 | $29,367 | −70% | $31,128 | −71% |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,772 | $8,772 | $14,328 | −39% | $20,278 | −57% |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,760 | $8,760 | $28,076 | −69% | $31,059 | −72% |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,664 | $8,664 | $24,398 | −64% | $24,118 | −64% |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,653 | $8,653 | $15,063 | −43% | $16,654 | −48% |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,598 | $8,598 | $16,198 | −47% | $15,077 | −43% |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,555 | $8,555 | $14,355 | −40% | $17,700 | −52% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,528 | $8,528 | $23,392 | −64% | $24,480 | −65% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,139 | $8,139 | $11,105 | −27% | $15,070 | −46% |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,137 | $8,137 | $32,678 | −75% | $35,114 | −77% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,025 | $8,025 | $17,527 | −54% | $21,886 | −63% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,007 | $8,007 | $18,601 | −57% | $22,850 | −65% |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,973 | $7,973 | $16,257 | −51% | $17,585 | −55% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $7,930 | $7,930 | $32,066 | −75% | $37,842 | −79% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,801 | $7,801 | $17,673 | −56% | $15,370 | −49% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $7,672 | $7,672 | $10,012 | −23% | $13,318 | −42% |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,469 | $7,469 | $28,674 | −74% | $28,134 | −73% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,457 | $7,457 | $14,731 | −49% | $18,204 | −59% |
| 683 | RENAL FAILURE WITH CC | $7,310 | $7,310 | $16,089 | −55% | $18,620 | −61% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,200 | $7,200 | $13,122 | −45% | $19,483 | −63% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,184 | $7,184 | $18,596 | −61% | $22,024 | −67% |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,168 | $7,168 | $18,849 | −62% | $23,749 | −70% |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,156 | $7,156 | $26,502 | −73% | $28,140 | −75% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,116 | $7,116 | $14,493 | −51% | $18,081 | −61% |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,953 | $6,953 | $21,771 | −68% | $27,219 | −74% |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,953 | $6,953 | $19,527 | −64% | $18,459 | −62% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,887 | $6,887 | $16,390 | −58% | $20,463 | −66% |
| 593 | SKIN ULCERS WITH CC | $6,876 | $6,876 | $21,685 | −68% | $20,470 | −66% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,777 | $6,777 | $22,048 | −69% | $25,704 | −74% |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,667 | $6,667 | $16,183 | −59% | $16,156 | −59% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $6,626 | $6,626 | $34,905 | −81% | $35,714 | −81% |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,557 | $6,557 | $14,388 | −54% | $17,831 | −63% |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,524 | $6,524 | $11,588 | −44% | $14,128 | −54% |
| 637 | DIABETES WITH MCC | $6,463 | $6,463 | $25,918 | −75% | $28,819 | −78% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,402 | $6,402 | $16,797 | −62% | $18,918 | −66% |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,259 | $6,259 | $13,647 | −54% | $15,858 | −61% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,223 | $6,223 | $19,902 | −69% | $24,190 | −74% |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,174 | $6,174 | $13,429 | −54% | $16,634 | −63% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $6,010 | $6,010 | $32,101 | −81% | $11,633 | −48% |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $5,911 | $5,911 | $62,496 | −91% | $57,855 | −90% |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,857 | $5,857 | $19,853 | −70% | $24,017 | −76% |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,770 | $5,770 | $12,179 | −53% | $13,081 | −56% |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,728 | $5,728 | $16,744 | −66% | $16,352 | −65% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,700 | $5,700 | $17,183 | −67% | $17,273 | −67% |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,667 | $5,667 | $17,352 | −67% | $18,428 | −69% |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $5,622 | $5,622 | $37,587 | −85% | $38,357 | −85% |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,267 | $5,267 | $15,816 | −67% | $15,869 | −67% |
| 200 | PNEUMOTHORAX WITH CC | $5,253 | $5,253 | $19,498 | −73% | $20,573 | −74% |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,160 | $5,160 | $12,917 | −60% | $18,623 | −72% |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,104 | $5,104 | $16,622 | −69% | $16,642 | −69% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,102 | $5,102 | $14,363 | −64% | $18,002 | −72% |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,059 | $5,059 | $19,221 | −74% | $19,868 | −75% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,041 | $5,041 | $22,699 | −78% | $27,244 | −81% |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,015 | $5,015 | $16,882 | −70% | $18,191 | −72% |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,015 | $5,015 | $26,364 | −81% | $29,211 | −83% |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,884 | $4,884 | $19,110 | −74% | $23,496 | −79% |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $4,868 | $4,868 | $30,609 | −84% | $36,658 | −87% |
| 779 | ABORTION WITHOUT D&C | $4,858 | $4,858 | $16,608 | −71% | $15,327 | −68% |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,802 | $4,802 | $17,142 | −72% | $21,449 | −78% |
| 101 | SEIZURES WITHOUT MCC | $4,719 | $4,719 | $16,379 | −71% | $19,954 | −76% |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $4,595 | $4,595 | $28,333 | −84% | $25,731 | −82% |
| 913 | TRAUMATIC INJURY WITH MCC | $4,527 | $4,527 | $26,846 | −83% | $24,198 | −81% |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,479 | $4,479 | $15,745 | −72% | $15,608 | −71% |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,385 | $4,385 | $12,809 | −66% | $12,381 | −65% |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,317 | $4,317 | $19,881 | −78% | $19,073 | −77% |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,308 | $4,308 | $12,896 | −67% | $16,104 | −73% |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,294 | $4,294 | $17,976 | −76% | $20,007 | −79% |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,293 | $4,293 | $14,545 | −70% | $17,195 | −75% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,275 | $4,275 | $15,368 | −72% | $16,212 | −74% |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $4,211 | $4,211 | $22,593 | −81% | $25,474 | −83% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,176 | $4,176 | $24,797 | −83% | $29,757 | −86% |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,157 | $4,157 | $21,443 | −81% | $20,938 | −80% |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $4,041 | $4,041 | $37,533 | −89% | $36,850 | −89% |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,020 | $4,020 | $13,342 | −70% | $14,337 | −72% |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,010 | $4,010 | $15,908 | −75% | $21,261 | −81% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $4,007 | $4,007 | $29,263 | −86% | $25,208 | −84% |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,983 | $3,983 | $24,212 | −84% | $25,666 | −84% |
| 694 | URINARY STONES WITHOUT MCC | $3,947 | $3,947 | $14,009 | −72% | $16,531 | −76% |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,787 | $3,787 | $13,199 | −71% | $12,593 | −70% |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,697 | $3,697 | $21,017 | −82% | $20,421 | −82% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,694 | $3,694 | $11,437 | −68% | $14,134 | −74% |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $3,687 | $3,687 | $21,585 | −83% | $19,132 | −81% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,656 | $3,656 | $16,905 | −78% | $7,961 | −54% |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,585 | $3,585 | $13,474 | −73% | $16,776 | −79% |
| 312 | SYNCOPE AND COLLAPSE | $3,553 | $3,553 | $15,506 | −77% | $19,342 | −82% |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,530 | $3,530 | $32,884 | −89% | $29,476 | −88% |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,511 | $3,511 | $12,627 | −72% | $15,072 | −77% |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,501 | $3,501 | $12,363 | −72% | $14,012 | −75% |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,405 | $3,405 | $15,472 | −78% | $14,549 | −77% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,343 | $3,343 | $13,256 | −75% | $16,865 | −80% |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,318 | $3,318 | $23,356 | −86% | $23,350 | −86% |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $3,310 | $3,310 | $43,132 | −92% | $39,409 | −92% |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,259 | $3,259 | $30,881 | −89% | $16,719 | −81% |
| 311 | ANGINA PECTORIS | $3,188 | $3,188 | $12,473 | −74% | $15,165 | −79% |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $3,181 | $3,181 | $28,225 | −89% | $24,465 | −87% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,134 | $3,134 | $10,052 | −69% | $11,955 | −74% |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,132 | $3,132 | $17,981 | −83% | $21,545 | −85% |
| 795 | NORMAL NEWBORN | $3,097 | $3,097 | $3,734 | −17% | $4,530 | −32% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,052 | $3,052 | $15,666 | −81% | $16,049 | −81% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,995 | $2,995 | $10,936 | −73% | $13,623 | −78% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,940 | $2,940 | $23,564 | −88% | $25,426 | −88% |
| 999 | UNGROUPABLE | $2,898 | $2,898 | $16,971 | −83% | $28,822 | −90% |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,896 | $2,896 | $18,047 | −84% | $21,181 | −86% |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,873 | $2,873 | $15,650 | −82% | $19,569 | −85% |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,861 | $2,861 | $12,780 | −78% | $12,537 | −77% |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,805 | $2,805 | $12,145 | −77% | $14,880 | −81% |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,799 | $2,799 | $12,086 | −77% | $11,909 | −76% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,751 | $2,751 | $14,000 | −80% | $16,745 | −84% |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,699 | $2,699 | $27,293 | −90% | $28,646 | −91% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $2,671 | $2,671 | $18,995 | −86% | $19,579 | −86% |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,626 | $2,626 | $11,540 | −77% | $14,368 | −82% |
| 313 | CHEST PAIN | $2,591 | $2,591 | $12,945 | −80% | $15,962 | −84% |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,509 | — | $44,559 | −94% | $43,491 | −94% |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,472 | $2,472 | $15,670 | −84% | $14,873 | −83% |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,459 | $2,459 | $18,661 | −87% | $22,231 | −89% |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,442 | $2,442 | $16,955 | −86% | $20,309 | −88% |
| 103 | HEADACHES WITHOUT MCC | $2,436 | $2,436 | $15,088 | −84% | $20,111 | −88% |
| 602 | CELLULITIS WITH MCC | $2,417 | $2,417 | $25,770 | −91% | $29,347 | −92% |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,404 | $2,404 | $20,324 | −88% | $18,133 | −87% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,375 | $2,375 | $14,965 | −84% | $17,322 | −86% |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,372 | $2,372 | $18,607 | −87% | $17,550 | −86% |
| 149 | DYSEQUILIBRIUM | $2,356 | $2,356 | $13,373 | −82% | $17,203 | −86% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,348 | $2,348 | $15,708 | −85% | $15,045 | −84% |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,340 | $2,340 | $14,080 | −83% | $13,385 | −83% |
| 186 | PLEURAL EFFUSION WITH MCC | $2,318 | $2,318 | $27,817 | −92% | $32,468 | −93% |
| 885 | PSYCHOSES | $2,302 | $2,302 | $24,745 | −91% | $21,489 | −89% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,287 | $2,287 | $17,119 | −87% | $20,777 | −89% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,262 | $2,262 | $14,784 | −85% | $18,253 | −88% |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,239 | $2,239 | $12,756 | −82% | $15,607 | −86% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,218 | $2,218 | $30,728 | −93% | $14,284 | −84% |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,213 | $2,213 | $7,963 | −72% | $8,927 | −75% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,199 | $2,199 | $10,007 | −78% | $13,384 | −84% |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,195 | $2,195 | $41,852 | −95% | $39,093 | −94% |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,184 | $2,184 | $16,497 | −87% | $18,608 | −88% |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,171 | $2,171 | $12,379 | −82% | $12,405 | −82% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,149 | $2,149 | $14,274 | −85% | $17,727 | −88% |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,089 | $2,089 | $12,622 | −83% | $15,600 | −87% |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,079 | $2,079 | $18,533 | −89% | $23,141 | −91% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,069 | $2,069 | $17,016 | −88% | $21,213 | −90% |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,049 | $2,049 | $17,780 | −88% | $18,282 | −89% |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,970 | $1,970 | $11,149 | −82% | $11,421 | −83% |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,967 | $1,967 | $11,045 | −82% | $10,975 | −82% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $1,923 | $1,923 | $17,409 | −89% | $18,803 | −90% |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,895 | $1,895 | $37,481 | −95% | $31,044 | −94% |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,890 | $1,890 | $15,940 | −88% | $15,593 | −88% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,845 | $1,845 | $13,950 | −87% | $17,522 | −89% |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,839 | $1,839 | $14,945 | −88% | $14,055 | −87% |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,838 | $1,838 | $23,042 | −92% | $20,727 | −91% |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,779 | $1,779 | $11,126 | −84% | $12,013 | −85% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,774 | $1,774 | $18,657 | −90% | $24,136 | −93% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,747 | $1,747 | $16,303 | −89% | $20,488 | −91% |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,732 | $1,732 | $14,538 | −88% | $16,837 | −90% |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,731 | $1,731 | $12,048 | −86% | $13,485 | −87% |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,678 | $1,678 | $16,919 | −90% | $15,636 | −89% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,677 | $1,677 | $14,452 | −88% | $18,150 | −91% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,675 | $1,675 | $18,116 | −91% | $20,732 | −92% |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,670 | $1,670 | $15,123 | −89% | $14,290 | −88% |
| 639 | DIABETES WITHOUT CC/MCC | $1,640 | $1,640 | $11,206 | −85% | $13,910 | −88% |
| 603 | CELLULITIS WITHOUT MCC | $1,591 | $1,591 | $15,835 | −90% | $18,530 | −91% |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,561 | $1,561 | $24,319 | −94% | $15,655 | −90% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,544 | $1,544 | $11,236 | −86% | $13,824 | −89% |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,529 | $1,529 | $18,138 | −92% | $16,571 | −91% |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,502 | $1,502 | $9,285 | −84% | $9,076 | −83% |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,433 | $1,433 | $12,566 | −89% | $13,303 | −89% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,407 | $1,407 | $15,680 | −91% | $17,367 | −92% |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,399 | $1,399 | $16,140 | −91% | $17,731 | −92% |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,387 | $1,387 | $16,992 | −92% | $15,589 | −91% |
| 881 | DEPRESSIVE NEUROSES | $1,363 | $1,363 | $16,151 | −92% | $15,058 | −91% |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,343 | $1,343 | $19,709 | −93% | $22,431 | −94% |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,324 | $1,324 | $30,879 | −96% | $24,836 | −95% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,318 | $1,318 | $14,856 | −91% | $17,466 | −92% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,304 | $1,304 | $12,917 | −90% | $9,385 | −86% |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,298 | $1,298 | $14,132 | −91% | $14,861 | −91% |
| 305 | HYPERTENSION WITHOUT MCC | $1,259 | $1,259 | $14,544 | −91% | $17,144 | −93% |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,243 | $1,243 | $11,856 | −90% | $13,890 | −91% |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,240 | $1,240 | $13,064 | −91% | $13,654 | −91% |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,240 | $1,240 | $15,018 | −92% | $14,209 | −91% |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,189 | $1,189 | $11,963 | −90% | $14,927 | −92% |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,183 | $1,183 | $14,823 | −92% | $14,064 | −92% |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,181 | $1,181 | $12,276 | −90% | $12,797 | −91% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,165 | $1,165 | $16,340 | −93% | $19,287 | −94% |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,141 | $1,141 | $10,963 | −90% | $11,071 | −90% |
| 813 | COAGULATION DISORDERS | $1,123 | $1,123 | $27,809 | −96% | $30,128 | −96% |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,113 | $1,113 | $13,270 | −92% | $12,895 | −91% |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,077 | $1,077 | $31,170 | −97% | $30,275 | −96% |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,050 | $1,050 | $15,879 | −93% | $17,412 | −94% |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,046 | $1,046 | $12,553 | −92% | $11,997 | −91% |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,031 | $1,031 | $12,483 | −92% | $12,279 | −92% |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,006 | $1,006 | $15,654 | −94% | $15,284 | −93% |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $915 | $915 | $14,601 | −94% | $16,866 | −95% |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $911 | $911 | $13,805 | −93% | $14,166 | −94% |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $902 | $902 | $14,747 | −94% | $17,715 | −95% |
| 950 | AFTERCARE WITHOUT CC/MCC | $891 | $891 | $10,849 | −92% | $13,527 | −93% |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $870 | $870 | $21,276 | −96% | $24,202 | −96% |
| 151 | EPISTAXIS WITHOUT MCC | $859 | $859 | $13,676 | −94% | $13,032 | −93% |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $834 | — | $14,131 | −94% | $13,445 | −94% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $826 | $826 | $13,650 | −94% | $14,444 | −94% |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $779 | $779 | $13,190 | −94% | $13,892 | −94% |
| 935 | NON-EXTENSIVE BURNS | $723 | $723 | $38,358 | −98% | $29,458 | −98% |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $632 | $632 | $11,969 | −95% | $13,368 | −95% |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $607 | $607 | $16,984 | −96% | $15,680 | −96% |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $562 | — | $13,572 | −96% | $12,650 | −96% |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $551 | $551 | $12,425 | −96% | $14,441 | −96% |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $458 | $458 | $23,335 | −98% | $19,686 | −98% |
Procedures with negotiated rates only
These 9 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 |
|---|---|---|---|
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | — | 12 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $863 – $2,356 · median $988 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $738 – $2,464 · median $844 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | — | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $713 – $2,346 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $979 – $2,583 · median $1,121 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | — | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | — | 9 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | — | 9 plans |
No procedures match that keyword.