Coalinga Regional Medical Center — Pricing

191 procedures published in this hospital's Machine-Readable File (MRF) — 190 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 191
Lowest published price $62
Average published price $48,951
Highest published price $581,272

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 191 procedures

Published charges

Showing all 190 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. CA median vs. National median
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $581,272 $348,763 $38,187 +1422% $32,792 +1673%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $497,612 $298,567 $22,575 +2104% $26,044 +1811%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $483,877 $290,326 $101,662 +376% $89,207 +442%
592 SKIN ULCERS WITH MCC $468,873 $281,324 $41,848 +1020% $33,246 +1310%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $466,158 $279,695 $23,749 +1863% $23,749 +1863%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $411,421 $246,853 $36,661 +1022% $35,017 +1075%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $362,091 $217,254 $90,775 +299% $87,201 +315%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $346,287 $207,772 $49,382 +601% $39,973 +766%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $340,577 $204,346 $32,490 +948% $27,394 +1143%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $289,726 $173,836 $33,325 +769% $33,325 +769%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $280,090 $168,054 $18,592 +1407% $14,064 +1892%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $251,898 $151,139 $16,654 +1413% $18,054 +1295%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $242,115 $145,269 $39,013 +521% $33,894 +614%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $239,857 $143,914 $35,243 +581% $33,814 +609%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $235,398 $141,239 $25,279 +831% $25,279 +831%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $224,552 $134,731 $33,653 +567% $33,653 +567%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $189,109 $113,466 $65,631 +188% $56,769 +233%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $184,578 $110,747 $40,719 +353% $39,106 +372%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $145,066 $87,040 $41,111 +253% $31,319 +363%
947 SIGNS AND SYMPTOMS WITH MCC $141,654 $84,992 $28,553 +396% $27,070 +423%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $127,957 $76,774 $18,002 +611% $18,002 +611%
682 RENAL FAILURE WITH MCC $115,701 $69,421 $32,520 +256% $31,184 +271%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $112,064 $67,238 $29,623 +278% $27,621 +306%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $107,225 $64,335 $33,256 +222% $29,635 +262%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $104,713 $62,828 $36,506 +187% $33,652 +211%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $99,209 $59,525 $38,541 +157% $34,528 +187%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $95,386 $57,232 $28,515 +235% $28,515 +235%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $90,442 $54,265 $24,930 +263% $24,930 +263%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $87,273 $52,364 $27,470 +218% $27,470 +218%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $83,772 $50,263 $43,328 +93% $39,461 +112%
683 RENAL FAILURE WITH CC $79,741 $47,845 $19,733 +304% $19,733 +304%
302 ATHEROSCLEROSIS WITH MCC $73,230 $43,938 $25,825 +184% $22,223 +230%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $73,049 $43,830 $18,150 +302% $18,150 +302%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $71,700 $43,020 $25,980 +176% $25,980 +176%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $69,767 $41,860 $60,402 +16% $60,402 +16%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $68,254 $40,953 $23,396 +192% $26,190 +161%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $65,437 $39,262 $35,591 +84% $35,591 +84%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $57,648 $34,589 $37,921 +52% $37,921 +52%
570 SKIN DEBRIDEMENT WITH MCC $55,821 $33,493 $63,709 −12% $59,564 −6%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $46,330 $27,798 $35,352 +31% $27,002 +72%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $45,920 $27,552 $18,528 +148% $18,528 +148%
291 HEART FAILURE AND SHOCK WITH MCC $41,058 $24,635 $28,966 +42% $27,864 +47%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $39,608 $23,765 $31,166 +27% $27,741 +43%
540 OSTEOMYELITIS WITH CC $37,376 $22,426 $28,728 +30% $27,453 +36%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $33,734 $20,240 $40,263 −16% $37,479 −10%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $30,518 $18,311 $29,481 +4% $28,162 +8%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $30,166 $18,099 $18,204 +66% $18,961 +59%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $28,400 $17,040 $23,971 +18% $19,371 +47%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $28,158 $16,895 $34,448 −18% $34,448 −18%
602 CELLULITIS WITH MCC $26,890 $16,134 $31,970 −16% $31,269 −14%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $25,095 $15,057 $19,096 +31% $20,093 +25%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $24,974 $14,984 $22,888 +9% $22,888 +9%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $24,705 $14,823 $29,252 −16% $29,171 −15%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $22,349 $13,409 $34,467 −35% $26,686 −16%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $22,334 $13,401 $23,767 −6% $19,416 +15%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $22,202 $13,321 $16,412 +35% $17,477 +27%
184 MAJOR CHEST TRAUMA WITH CC $21,517 $12,910 $23,711 −9% $22,688 −5%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,527 $12,316 $29,894 −31% $26,179 −22%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $20,100 $12,060 $19,072 +5% $19,072 +5%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $19,900 $11,940 $13,683 +45% $15,907 +25%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $19,408 $11,645 $20,463 −5% $20,463 −5%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $18,954 $11,372 $43,483 −56% $40,916 −54%
158 DENTAL AND ORAL DISEASES WITH CC $17,841 $10,705 $20,881 −15% $18,267 −2%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $17,666 $10,599 $46,477 −62% $47,529 −63%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $17,303 $10,382 $23,141 −25% $24,527 −29%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $16,947 $10,168 $20,488 −17% $20,488 −17%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $16,681 $10,009 $24,644 −32% $19,510 −15%
292 HEART FAILURE AND SHOCK WITH CC $15,497 $9,298 $19,118 −19% $17,958 −14%
948 SIGNS AND SYMPTOMS WITHOUT MCC $14,991 $8,995 $17,638 −15% $17,962 −17%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,948 $8,969 $34,839 −57% $33,289 −55%
915 ALLERGIC REACTIONS WITH MCC $13,978 $8,387 $36,491 −62% $32,645 −57%
386 INFLAMMATORY BOWEL DISEASE WITH CC $13,720 $8,232 $22,033 −38% $22,033 −38%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $13,122 $7,873 $15,280 −14% $21,905 −40%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $13,085 $7,851 $14,880 −12% $16,453 −20%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $12,475 $7,485 $15,058 −17% $11,997 +4%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $12,469 $7,481 $20,455 −39% $20,313 −39%
546 CONNECTIVE TISSUE DISORDERS WITH CC $12,034 $7,220 $25,700 −53% $25,700 −53%
311 ANGINA PECTORIS $11,996 $7,197 $15,502 −23% $15,502 −23%
638 DIABETES WITH CC $11,870 $7,122 $20,361 −42% $20,361 −42%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $11,716 $7,030 $15,267 −23% $14,565 −20%
637 DIABETES WITH MCC $11,217 $6,730 $31,753 −65% $31,433 −64%
312 SYNCOPE AND COLLAPSE $11,147 $6,688 $19,342 −42% $19,517 −43%
176 PULMONARY EMBOLISM WITHOUT MCC $10,963 $6,578 $18,081 −39% $18,081 −39%
551 MEDICAL BACK PROBLEMS WITH MCC $10,384 $6,230 $35,961 −71% $34,920 −70%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,028 $6,017 $24,220 −59% $20,926 −52%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,923 $5,954 $22,557 −56% $18,601 −47%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,590 $5,754 $22,641 −58% $17,111 −44%
101 SEIZURES WITHOUT MCC $9,362 $5,617 $20,461 −54% $20,461 −54%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,328 $5,597 $17,522 −47% $17,522 −47%
603 CELLULITIS WITHOUT MCC $9,011 $5,407 $19,553 −54% $19,553 −54%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,399 $5,039 $19,584 −57% $16,765 −50%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,309 $4,985 $17,265 −52% $16,983 −51%
694 URINARY STONES WITHOUT MCC $8,151 $4,890 $17,347 −53% $17,347 −53%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,845 $4,707 $17,795 −56% $17,747 −56%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,700 $4,620 $17,762 −57% $21,254 −64%
305 HYPERTENSION WITHOUT MCC $7,612 $4,567 $16,665 −54% $17,930 −58%
813 COAGULATION DISORDERS $7,437 $4,462 $33,296 −78% $32,182 −77%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,340 $4,404 $16,097 −54% $21,270 −65%
864 FEVER AND INFLAMMATORY CONDITIONS $7,194 $4,316 $19,935 −64% $18,591 −61%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,883 $4,130 $17,347 −60% $17,186 −60%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,638 $3,983 $14,208 −53% $14,208 −53%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,946 $3,568 $28,993 −79% $26,765 −78%
090 CONCUSSION WITHOUT CC/MCC $5,791 $3,475 $19,032 −70% $15,534 −63%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,742 $3,445 $13,318 −57% $13,414 −57%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,652 $3,391 $17,817 −68% $17,817 −68%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,446 $3,268 $14,368 −62% $14,368 −62%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,377 $3,226 $22,024 −76% $22,140 −76%
183 MAJOR CHEST TRAUMA WITH MCC $5,246 $3,148 $33,957 −85% $31,295 −83%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,661 $2,797 $13,326 −65% $12,758 −63%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,648 $2,789 $21,396 −78% $21,396 −78%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,367 $2,620 $13,824 −68% $13,824 −68%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,291 $2,575 $14,638 −71% $13,613 −68%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,262 $2,557 $13,384 −68% $13,384 −68%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,222 $2,533 $17,322 −76% $17,322 −76%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,076 $2,445 $18,139 −78% $18,139 −78%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,000 $2,400 $15,837 −75% $15,837 −75%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,991 $2,394 $14,128 −72% $14,128 −72%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,908 $2,345 $17,700 −78% $17,700 −78%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,855 $2,313 $22,628 −83% $21,407 −82%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,744 $2,246 $14,927 −75% $13,497 −72%
684 RENAL FAILURE WITHOUT CC/MCC $3,633 $2,180 $13,642 −73% $13,642 −73%
149 DYSEQUILIBRIUM $3,417 $2,050 $16,594 −79% $17,203 −80%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,322 $1,993 $15,156 −78% $12,840 −74%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,114 $1,868 $13,425 −77% $10,553 −70%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,938 $1,763 $15,411 −81% $13,303 −78%
313 CHEST PAIN $2,928 $1,757 $15,837 −82% $16,440 −82%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,870 $1,722 $16,565 −83% $16,565 −83%
103 HEADACHES WITHOUT MCC $2,858 $1,715 $18,874 −85% $20,630 −86%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,764 $1,658 $21,225 −87% $20,226 −86%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,691 $1,614 $15,600 −83% $15,600 −83%
187 PLEURAL EFFUSION WITH CC $2,662 $1,597 $22,288 −88% $22,288 −88%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,578 $1,547 $18,330 −86% $16,191 −84%
644 ENDOCRINE DISORDERS WITH CC $2,525 $1,515 $22,941 −89% $23,198 −89%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,295 $1,377 $18,126 −87% $18,126 −87%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,211 $1,327 $14,072 −84% $11,421 −81%
639 DIABETES WITHOUT CC/MCC $2,160 $1,296 $13,910 −84% $14,668 −85%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,045 $1,227 $15,358 −87% $15,040 −86%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,039 $1,223 $19,176 −89% $18,602 −89%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $1,934 $1,160 $14,643 −87% $13,987 −86%
596 MAJOR SKIN DISORDERS WITHOUT MCC $1,927 $1,156 $24,000 −92% $17,226 −89%
914 TRAUMATIC INJURY WITHOUT MCC $1,905 $1,143 $20,344 −91% $16,295 −88%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $1,840 $1,104 $21,363 −91% $21,363 −91%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,807 $1,084 $20,506 −91% $20,506 −91%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $1,736 $1,042 $16,592 −90% $12,895 −87%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $1,674 $1,004 $19,638 −91% $15,642 −89%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $1,571 $943 $17,287 −91% $15,428 −90%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $1,539 $924 $19,842 −92% $19,842 −92%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $1,512 $907 $17,087 −91% $16,470 −91%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $1,478 $887 $37,842 −96% $38,041 −96%
642 INBORN AND OTHER DISORDERS OF METABOLISM $1,440 $864 $27,552 −95% $20,727 −93%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,369 $821 $16,607 −92% $14,716 −91%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $1,240 $744 $20,108 −94% $18,722 −93%
881 DEPRESSIVE NEUROSES $1,221 $732 $20,293 −94% $15,058 −92%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $1,203 $722 $21,460 −94% $18,887 −94%
204 RESPIRATORY SIGNS AND SYMPTOMS $1,127 $676 $18,004 −94% $17,498 −94%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,090 $654 $37,579 −97% $18,632 −94%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $1,080 $648 $31,511 −97% $22,525 −95%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $984 $590 $16,776 −94% $16,776 −94%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $977 $586 $13,639 −93% $11,071 −91%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $944 $567 $11,539 −92% $9,940 −90%
866 VIRAL ILLNESS WITHOUT MCC $912 $547 $19,642 −95% $17,294 −95%
999 UNGROUPABLE $906 $543 $17,953 −95% $29,674 −97%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $905 $543 $15,462 −94% $12,381 −93%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $891 $535 $15,464 −94% $12,511 −93%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $870 $522 $21,280 −96% $16,001 −95%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $847 $508 $16,077 −95% $12,593 −93%
697 URETHRAL STRICTURE $807 $484 $22,239 −96% $17,705 −95%
153 OTITIS MEDIA AND URI WITHOUT MCC $751 $450 $15,799 −95% $14,684 −95%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $697 $418 $14,907 −95% $11,909 −94%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $628 $377 $20,566 −97% $19,532 −97%
188 PLEURAL EFFUSION WITHOUT CC/MCC $621 $373 $16,299 −96% $14,514 −96%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $595 $357 $21,129 −97% $19,270 −97%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $592 $355 $14,134 −96% $14,843 −96%
303 ATHEROSCLEROSIS WITHOUT MCC $591 $355 $14,927 −96% $14,927 −96%
152 OTITIS MEDIA AND URI WITH MCC $562 $337 $25,192 −98% $19,971 −97%
935 NON-EXTENSIVE BURNS $549 $329 $43,274 −99% $31,701 −98%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $538 $323 $37,477 −99% $26,510 −98%
779 ABORTION WITHOUT D&C $531 $318 $20,752 −97% $15,327 −97%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $490 $294 $22,266 −98% $16,212 −97%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $490 $294 $15,975 −97% $12,559 −96%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $481 $289 $13,599 −96% $10,975 −96%
151 EPISTAXIS WITHOUT MCC $466 $279 $16,827 −97% $13,119 −96%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $465 $279 $13,855 −97% $12,324 −96%
594 SKIN ULCERS WITHOUT CC/MCC $442 $265 $18,841 −98% $14,209 −97%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $402 $241 $24,439 −98% $17,483 −98%
607 MINOR SKIN DISORDERS WITHOUT MCC $388 $233 $19,185 −98% $16,097 −98%
950 AFTERCARE WITHOUT CC/MCC $339 $204 $13,527 −97% $13,527 −97%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $309 $186 $16,525 −98% $14,249 −98%
916 ALLERGIC REACTIONS WITHOUT MCC $156 $94 $14,743 −99% $13,890 −99%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $62 $37 $16,175 −100% $12,650 −100%

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
100 SEIZURES WITH MCC $2,000 – $4,533 · median $3,494 8 plans
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