Stoughton Health — Pricing
154 procedures published in this hospital's Machine-Readable File (MRF) — 152 with a comparable price, 2 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 154
Lowest published price $2,470
Average published price $28,747
Highest published price $141,417
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 154 procedures
Published charges
Showing all 152 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. WI median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $141,417 | $77,779 | $49,285 | +187% | $70,540 | +100% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $129,765 | $71,371 | $82,494 | +57% | $58,713 | +121% |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $116,414 | $64,028 | $33,264 | +250% | $42,881 | +171% |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $101,315 | $55,723 | $34,357 | +195% | $56,394 | +80% |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $83,346 | $45,840 | $35,290 | +136% | $38,094 | +119% |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $72,365 | $39,801 | $41,365 | +75% | $63,984 | +13% |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $67,907 | $37,349 | $71,571 | −5% | $46,477 | +46% |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $67,182 | $36,950 | $52,805 | +27% | $75,103 | −11% |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $60,741 | $33,408 | $61,949 | −2% | $45,916 | +32% |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $59,436 | $32,690 | $67,279 | −12% | $50,139 | +19% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $58,478 | $32,163 | $54,401 | +7% | $44,087 | +33% |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $58,354 | $32,095 | $25,881 | +125% | $31,627 | +85% |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $57,609 | $31,685 | $54,989 | +5% | $50,998 | +13% |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $56,523 | $31,088 | $56,523 | +0% | $55,147 | +2% |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $55,559 | $30,558 | $21,460 | +159% | $14,549 | +282% |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $55,273 | $30,400 | $14,668 | +277% | $15,818 | +249% |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $53,849 | $29,617 | $23,703 | +127% | $33,425 | +61% |
| 304 | HYPERTENSION WITH MCC | $53,841 | $29,613 | $14,043 | +283% | $23,945 | +125% |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $53,785 | $29,582 | $36,267 | +48% | $56,197 | −4% |
| 504 | FOOT PROCEDURES WITH CC | $52,510 | $28,880 | $29,543 | +78% | $36,519 | +44% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $51,719 | $28,446 | $41,114 | +26% | $24,000 | +115% |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $51,618 | $28,390 | $43,248 | +19% | $39,675 | +30% |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $51,100 | $28,105 | $60,483 | −16% | $84,825 | −40% |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $50,602 | $27,831 | $50,602 | +0% | $48,801 | +4% |
| 885 | PSYCHOSES | $48,683 | $26,776 | $23,878 | +104% | $21,489 | +127% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $47,770 | $26,274 | $21,112 | +126% | $25,146 | +90% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $45,547 | $25,051 | $33,960 | +34% | $23,396 | +95% |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $44,919 | $24,705 | $25,761 | +74% | $30,814 | +46% |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $43,547 | $23,951 | $24,721 | +76% | $32,213 | +35% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $41,585 | $22,872 | $22,413 | +86% | $34,876 | +19% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $41,151 | $22,633 | $27,060 | +52% | $24,244 | +70% |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $39,692 | $21,830 | $30,860 | +29% | $37,654 | +5% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $39,271 | $21,599 | $16,290 | +141% | $25,412 | +55% |
| 682 | RENAL FAILURE WITH MCC | $38,242 | $21,033 | $16,581 | +131% | $27,640 | +38% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $38,095 | $20,952 | $13,806 | +176% | $18,150 | +110% |
| 881 | DEPRESSIVE NEUROSES | $37,963 | $20,880 | $15,694 | +142% | $15,058 | +152% |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $37,445 | $20,595 | $28,169 | +33% | $36,537 | +2% |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $37,411 | $20,576 | $25,972 | +44% | $31,716 | +18% |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $36,923 | $20,307 | $21,381 | +73% | $23,456 | +57% |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $36,292 | $19,961 | $35,960 | +1% | $23,646 | +53% |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $35,768 | $19,673 | $17,079 | +109% | $23,749 | +51% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $35,036 | $19,270 | $24,728 | +42% | $27,041 | +30% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $34,252 | $18,838 | $20,296 | +69% | $25,766 | +33% |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $33,591 | $18,475 | $28,993 | +16% | $35,139 | −4% |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $33,587 | $18,473 | $33,587 | +0% | $34,564 | −3% |
| 398 | APPENDIX PROCEDURES WITH CC | $33,520 | $18,436 | $24,091 | +39% | $38,574 | −13% |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $33,458 | $18,402 | $47,279 | −29% | $42,119 | −21% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $33,381 | $18,359 | $16,575 | +101% | $22,623 | +48% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $33,038 | $18,171 | $28,862 | +14% | $32,689 | +1% |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $32,184 | $17,701 | $25,474 | +26% | $25,474 | +26% |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $31,388 | $17,263 | $25,611 | +23% | $52,405 | −40% |
| 548 | SEPTIC ARTHRITIS WITH MCC | $31,306 | $17,218 | $29,341 | +7% | $31,019 | +1% |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $31,177 | $17,148 | $27,401 | +14% | $34,886 | −11% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $30,382 | $16,710 | $18,321 | +66% | $17,719 | +71% |
| 184 | MAJOR CHEST TRAUMA WITH CC | $28,721 | $15,797 | $17,057 | +68% | $20,842 | +38% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $28,562 | $15,709 | $27,653 | +3% | $24,603 | +16% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $28,555 | $15,705 | $11,177 | +155% | $14,770 | +93% |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $28,050 | $15,427 | $11,921 | +135% | $14,927 | +88% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $27,783 | $15,281 | $14,344 | +94% | $18,104 | +53% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $27,769 | $15,273 | $17,973 | +55% | $24,277 | +14% |
| 683 | RENAL FAILURE WITH CC | $27,199 | $14,960 | $8,178 | +233% | $18,322 | +48% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $26,792 | $14,736 | $16,442 | +63% | $24,932 | +7% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $26,109 | $14,360 | $15,327 | +70% | $22,870 | +14% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,785 | $14,182 | $17,858 | +44% | $17,522 | +47% |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $25,304 | $13,917 | $22,272 | +14% | $28,403 | −11% |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $25,278 | $13,903 | $17,236 | +47% | $24,118 | +5% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $24,954 | $13,724 | $24,954 | +0% | $31,067 | −20% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $24,819 | $13,650 | $17,662 | +41% | $22,610 | +10% |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $24,687 | $13,578 | $23,796 | +4% | $28,924 | −15% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $24,566 | $13,511 | $14,525 | +69% | $19,096 | +29% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $24,488 | $13,468 | $14,644 | +67% | $15,923 | +54% |
| 312 | SYNCOPE AND COLLAPSE | $24,121 | $13,267 | $14,502 | +66% | $19,342 | +25% |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $24,005 | $13,203 | $10,443 | +130% | $15,636 | +54% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $22,727 | $12,500 | $14,372 | +58% | $15,878 | +43% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $22,281 | $12,255 | $17,741 | +26% | $22,850 | −2% |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $21,828 | $12,006 | $15,683 | +39% | $15,680 | +39% |
| 602 | CELLULITIS WITH MCC | $21,788 | $11,984 | $22,262 | −2% | $29,347 | −26% |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $20,959 | $11,527 | $20,176 | +4% | $28,802 | −27% |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $20,346 | $11,190 | $20,346 | +0% | $30,259 | −33% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $20,328 | $11,181 | $15,172 | +34% | $20,408 | −0% |
| 813 | COAGULATION DISORDERS | $20,220 | $11,121 | $23,285 | −13% | $30,128 | −33% |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $20,037 | $11,020 | $12,234 | +64% | $12,405 | +62% |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $19,879 | $10,934 | $12,609 | +58% | $16,104 | +23% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $19,856 | $10,921 | $18,845 | +5% | $26,098 | −24% |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $19,625 | $10,794 | $21,145 | −7% | $25,854 | −24% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $19,448 | $10,696 | $13,754 | +41% | $17,693 | +10% |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $19,296 | $10,613 | $13,791 | +40% | $17,562 | +10% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $18,859 | $10,372 | $14,100 | +34% | $20,463 | −8% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $18,753 | $10,314 | $19,980 | −6% | $24,103 | −22% |
| 638 | DIABETES WITH CC | $18,621 | $10,241 | $18,430 | +1% | $18,763 | −1% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $18,570 | $10,214 | $12,986 | +43% | $17,183 | +8% |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $18,465 | $10,156 | $11,335 | +63% | $12,275 | +50% |
| 313 | CHEST PAIN | $18,384 | $10,111 | $12,453 | +48% | $15,837 | +16% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,272 | $10,050 | $27,287 | −33% | $30,681 | −40% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,929 | $9,861 | $19,691 | −9% | $27,674 | −35% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $17,846 | $9,816 | $13,837 | +29% | $18,204 | −2% |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $17,388 | $9,563 | $20,455 | −15% | $22,874 | −24% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $17,262 | $9,494 | $9,495 | +82% | $13,747 | +26% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,216 | $9,469 | $24,174 | −29% | $31,754 | −46% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $16,397 | $9,018 | $12,789 | +28% | $16,645 | −1% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $15,942 | $8,768 | $13,457 | +18% | $17,322 | −8% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $15,794 | $8,686 | $10,316 | +53% | $11,826 | +34% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $15,661 | $8,613 | $10,994 | +42% | $18,243 | −14% |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,208 | $8,364 | $21,319 | −29% | $36,658 | −59% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $14,971 | $8,234 | $12,044 | +24% | $17,754 | −16% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $14,918 | $8,205 | $13,220 | +13% | $20,632 | −28% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,808 | $8,145 | $20,277 | −27% | $29,521 | −50% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $14,714 | $8,092 | $11,854 | +24% | $16,718 | −12% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $14,691 | $8,080 | $11,967 | +23% | $17,379 | −15% |
| 603 | CELLULITIS WITHOUT MCC | $14,691 | $8,080 | $15,073 | −3% | $18,359 | −20% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $14,660 | $8,063 | $12,830 | +14% | $22,024 | −33% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $14,650 | $8,058 | $13,184 | +11% | $14,411 | +2% |
| 101 | SEIZURES WITHOUT MCC | $14,434 | $7,939 | $14,434 | +0% | $19,930 | −28% |
| 637 | DIABETES WITH MCC | $14,231 | $7,827 | $22,095 | −36% | $28,772 | −51% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $13,639 | $7,502 | $16,431 | −17% | $20,732 | −34% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $12,886 | $7,087 | $13,658 | −6% | $19,483 | −34% |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $12,839 | $7,061 | $12,839 | +0% | $23,400 | −45% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $12,757 | $7,016 | $17,089 | −25% | $19,448 | −34% |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $12,738 | $7,006 | $12,595 | +1% | $15,598 | −18% |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,557 | $6,906 | $22,651 | −45% | $29,049 | −57% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $12,481 | $6,864 | $14,405 | −13% | $17,296 | −28% |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $11,546 | $6,350 | $14,849 | −22% | $17,412 | −34% |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $11,504 | $6,327 | $11,294 | +2% | $12,013 | −4% |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $11,429 | $6,286 | $12,358 | −8% | $15,858 | −28% |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $11,411 | $6,276 | $10,594 | +8% | $13,081 | −13% |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,320 | $6,226 | $12,312 | −8% | $17,731 | −36% |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $11,200 | $6,160 | $16,786 | −33% | $20,253 | −45% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $10,996 | $6,048 | $12,416 | −11% | $13,318 | −17% |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $10,921 | $6,006 | $11,763 | −7% | $18,288 | −40% |
| 639 | DIABETES WITHOUT CC/MCC | $10,914 | $6,002 | $11,327 | −4% | $13,910 | −22% |
| 305 | HYPERTENSION WITHOUT MCC | $10,824 | $5,953 | $14,505 | −25% | $16,897 | −36% |
| 149 | DYSEQUILIBRIUM | $10,340 | $5,687 | $10,340 | +0% | $17,203 | −40% |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,277 | $5,652 | $12,166 | −16% | $14,055 | −27% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,933 | $5,463 | $14,529 | −32% | $17,579 | −43% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,912 | $5,451 | $14,675 | −32% | $15,045 | −34% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $9,869 | $5,428 | $10,025 | −2% | $13,384 | −26% |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,814 | $5,397 | $15,217 | −36% | $18,323 | −46% |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,675 | $5,321 | $13,053 | −26% | $16,431 | −41% |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,582 | $5,270 | $12,919 | −26% | $16,634 | −42% |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,789 | $4,834 | $21,986 | −60% | $21,986 | −60% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $8,720 | $4,796 | $29,012 | −70% | $35,714 | −76% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,219 | $4,520 | $10,572 | −22% | $17,345 | −53% |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,668 | $4,218 | $18,631 | −59% | $20,557 | −63% |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,454 | $4,100 | $8,761 | −15% | $21,666 | −66% |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,182 | $3,950 | $11,292 | −36% | $17,751 | −60% |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,580 | $3,619 | $11,594 | −43% | $14,368 | −54% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,065 | $3,336 | $15,411 | −61% | $18,815 | −68% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,150 | $2,833 | $14,719 | −65% | $21,886 | −76% |
| 540 | OSTEOMYELITIS WITH CC | $4,856 | $2,671 | $10,716 | −55% | $23,494 | −79% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,713 | $2,592 | $15,684 | −70% | $20,716 | −77% |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,551 | $1,953 | $15,986 | −78% | $18,199 | −80% |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,470 | $1,359 | $8,667 | −71% | $13,455 | −82% |
Procedures with negotiated rates only
These 2 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 |
|---|---|---|---|
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $1,917 – $43,057 | 21 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | — | 13 plans |
No procedures match that keyword.