Cass County Memorial Hospital — Pricing

251 procedures published in this hospital's Machine-Readable File (MRF) — 250 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 251
Lowest published price $916
Average published price $17,269
Highest published price $150,496

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 251 procedures

Published charges

Showing all 250 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. IA median vs. National median
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $150,496 $105,347 $41,184 +265% $52,908 +184%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $149,738 $104,817 $53,186 +182% $82,561 +81%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $106,916 $74,841 $39,466 +171% $60,369 +77%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $83,810 $58,667 $23,394 +258% $34,468 +143%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $73,337 $51,336 $60,749 +21% $59,668 +23%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $70,080 $49,056 $30,277 +131% $47,583 +47%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $68,961 $48,273 $71,694 −4% $56,005 +23%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $64,438 $45,107 $38,516 +67% $56,769 +14%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $61,147 $42,803 $32,017 +91% $48,682 +26%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $60,523 $42,366 $25,729 +135% $30,097 +101%
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $53,866 $37,706 $9,782 +451% $18,474 +192%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $52,346 $36,643 $86,898 −40% $51,985 +1%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $48,623 $34,036 $48,623 +0% $54,929 −11%
548 SEPTIC ARTHRITIS WITH MCC $47,850 $33,495 $26,752 +79% $31,019 +54%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $46,615 $32,631 $43,703 +7% $71,464 −35%
263 VEIN LIGATION AND STRIPPING $44,502 $31,152 $37,851 +18% $49,774 −11%
302 ATHEROSCLEROSIS WITH MCC $42,778 $29,945 $34,434 +24% $22,223 +92%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $41,994 $29,396 $37,727 +11% $80,793 −48%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $40,733 $28,513 $109,301 −63% $61,176 −33%
541 OSTEOMYELITIS WITHOUT CC/MCC $39,188 $27,432 $14,292 +174% $14,549 +169%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $39,106 $27,374 $63,984 −39% $64,732 −40%
137 MOUTH PROCEDURES WITH CC/MCC $39,085 $27,360 $26,783 +46% $24,906 +57%
813 COAGULATION DISORDERS $39,030 $27,321 $35,406 +10% $32,182 +21%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $36,768 $25,738 $58,965 −38% $51,133 −28%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $36,203 $25,342 $27,045 +34% $20,093 +80%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $35,813 $25,069 $28,441 +26% $47,089 −24%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $34,425 $24,097 $19,959 +72% $23,571 +46%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $34,160 $23,912 $33,350 +2% $39,360 −13%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $33,993 $23,795 $28,265 +20% $33,652 +1%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $33,400 $23,380 $53,534 −38% $46,249 −28%
539 OSTEOMYELITIS WITH MCC $33,161 $23,213 $25,097 +32% $37,126 −11%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $32,948 $23,063 $74,535 −56% $64,664 −49%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $32,810 $22,967 $17,664 +86% $20,473 +60%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $32,728 $22,909 $33,165 −1% $37,223 −12%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $32,688 $22,881 $32,688 +0% $32,451 +1%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $30,206 $21,144 $41,100 −27% $65,325 −54%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $29,992 $20,995 $62,426 −52% $96,507 −69%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $28,091 $19,664 $28,091 +0% $44,132 −36%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $27,922 $19,545 $13,219 +111% $19,514 +43%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $27,820 $19,474 $27,820 +0% $43,248 −36%
180 RESPIRATORY NEOPLASMS WITH MCC $27,565 $19,295 $40,078 −31% $36,658 −25%
375 DIGESTIVE MALIGNANCY WITH CC $27,125 $18,988 $140,214 −81% $27,277 −1%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $26,095 $18,266 $16,501 +58% $20,021 +30%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $25,856 $18,099 $8,929 +190% $15,837 +63%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $25,627 $17,939 $15,861 +62% $27,645 −7%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $24,372 $17,061 $39,973 −39% $39,973 −39%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $23,742 $16,619 $32,241 −26% $30,959 −23%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $23,350 $16,345 $92,897 −75% $144,569 −84%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $22,927 $16,049 $21,836 +5% $31,216 −27%
503 FOOT PROCEDURES WITH MCC $22,887 $16,021 $35,027 −35% $46,155 −50%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $22,703 $15,892 $35,042 −35% $57,107 −60%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,632 $15,842 $22,632 +0% $25,599 −12%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $22,298 $15,608 $36,166 −38% $21,270 +5%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $22,166 $15,516 $77,936 −72% $58,203 −62%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,119 $15,483 $16,911 +31% $25,652 −14%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $22,044 $15,431 $22,292 −1% $32,792 −33%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $22,008 $15,405 $39,406 −44% $44,357 −50%
501 SOFT TISSUE PROCEDURES WITH CC $21,742 $15,219 $22,112 −2% $39,619 −45%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $21,403 $14,982 $52,334 −59% $36,937 −42%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $20,637 $14,446 $66,219 −69% $47,027 −56%
546 CONNECTIVE TISSUE DISORDERS WITH CC $20,389 $14,272 $18,441 +11% $25,700 −21%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $20,006 $14,004 $16,426 +22% $18,817 +6%
535 FRACTURES OF HIP AND PELVIS WITH MCC $19,899 $13,929 $16,539 +20% $23,311 −15%
663 MINOR BLADDER PROCEDURES WITH CC $19,594 $13,716 $19,594 +0% $32,018 −39%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $19,475 $13,633 $37,457 −48% $18,139 +7%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $19,320 $13,524 $27,304 −29% $22,140 −13%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,286 $13,500 $36,052 −47% $47,362 −59%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $19,093 $13,365 $70,707 −73% $42,881 −55%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $19,026 $13,318 $22,580 −16% $35,017 −46%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $18,384 $12,869 $19,013 −3% $20,139 −9%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $18,299 $12,809 $26,108 −30% $18,528 −1%
100 SEIZURES WITH MCC $18,191 $12,734 $35,194 −48% $36,405 −50%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $18,041 $12,628 $16,865 +7% $26,398 −32%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $18,023 $12,616 $51,352 −65% $39,857 −55%
540 OSTEOMYELITIS WITH CC $17,737 $12,416 $50,483 −65% $27,453 −35%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $17,651 $12,356 $15,010 +18% $14,343 +23%
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $17,296 $12,107 $14,342 +21% $16,487 +5%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $17,189 $12,032 $9,696 +77% $22,005 −22%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $17,117 $11,982 $18,531 −8% $17,322 −1%
637 DIABETES WITH MCC $17,039 $11,927 $25,497 −33% $31,433 −46%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $16,825 $11,778 $20,953 −20% $30,033 −44%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,688 $11,682 $12,832 +30% $18,601 −10%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $16,401 $11,481 $8,836 +86% $13,613 +20%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,038 $11,227 $27,118 −41% $41,892 −62%
570 SKIN DEBRIDEMENT WITH MCC $15,702 $10,991 $64,322 −76% $59,564 −74%
187 PLEURAL EFFUSION WITH CC $15,396 $10,777 $13,249 +16% $22,288 −31%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $15,282 $10,698 $39,577 −61% $62,821 −76%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,144 $10,601 $10,660 +42% $12,650 +20%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,940 $10,458 $22,235 −33% $27,470 −46%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $14,856 $10,399 $22,170 −33% $24,930 −40%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $14,852 $10,397 $43,477 −66% $43,477 −66%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $14,723 $10,306 $11,432 +29% $16,156 −9%
949 AFTERCARE WITH CC/MCC $14,715 $10,300 $15,037 −2% $23,953 −39%
593 SKIN ULCERS WITH CC $14,662 $10,263 $14,519 +1% $23,072 −36%
252 OTHER VASCULAR PROCEDURES WITH MCC $14,262 $9,983 $45,120 −68% $68,508 −79%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $13,942 $9,759 $16,802 −17% $31,667 −56%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $13,893 $9,725 $3,427 +305% $10,553 +32%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $13,867 $9,707 $26,751 −48% $47,426 −71%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,867 $9,707 $17,866 −22% $18,961 −27%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,571 $9,500 $25,599 −47% $31,319 −57%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,524 $9,467 $22,473 −40% $38,836 −65%
113 ORBITAL PROCEDURES WITH CC/MCC $13,408 $9,386 $29,710 −55% $39,880 −66%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,361 $9,352 $51,860 −74% $38,041 −65%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $13,321 $9,325 $23,467 −43% $29,171 −54%
602 CELLULITIS WITH MCC $13,297 $9,308 $31,269 −57% $31,269 −57%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $13,187 $9,231 $26,825 −51% $21,396 −38%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,910 $9,037 $20,427 −37% $27,617 −53%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $12,837 $8,986 $10,847 +18% $16,470 −22%
304 HYPERTENSION WITH MCC $12,697 $8,888 $21,174 −40% $26,080 −51%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,617 $8,832 $28,961 −56% $38,851 −68%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $12,604 $8,823 $14,790 −15% $19,072 −34%
139 SALIVARY GLAND PROCEDURES $12,416 $8,691 $17,109 −27% $21,014 −41%
571 SKIN DEBRIDEMENT WITH CC $12,392 $8,675 $20,962 −41% $37,012 −67%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $12,334 $8,634 $31,660 −61% $19,842 −38%
811 RED BLOOD CELL DISORDERS WITH MCC $12,331 $8,632 $18,314 −33% $28,113 −56%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,272 $8,591 $25,599 −52% $28,065 −56%
201 PNEUMOTHORAX WITHOUT CC/MCC $12,263 $8,584 $9,120 +34% $13,405 −9%
291 HEART FAILURE AND SHOCK WITH MCC $12,185 $8,529 $19,371 −37% $27,864 −56%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $12,058 $8,440 $60,373 −80% $47,347 −75%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $11,906 $8,334 $25,604 −53% $22,888 −48%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,849 $8,294 $20,457 −42% $33,031 −64%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $11,822 $8,276 $23,258 −49% $38,837 −70%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $11,773 $8,241 $3,500 +236% $12,895 −9%
311 ANGINA PECTORIS $11,616 $8,131 $8,435 +38% $15,502 −25%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,570 $8,099 $59,434 −81% $34,748 −67%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $11,469 $8,028 $43,173 −73% $22,850 −50%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,385 $7,970 $26,112 −56% $25,980 −56%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $11,379 $7,966 $11,971 −5% $19,569 −42%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,358 $7,951 $15,746 −28% $28,156 −60%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,336 $7,935 $26,250 −57% $34,448 −67%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $11,287 $7,901 $27,049 −58% $39,106 −71%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $11,274 $7,892 $16,117 −30% $50,919 −78%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,257 $7,880 $40,986 −73% $26,044 −57%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $11,237 $7,866 $24,692 −54% $37,479 −70%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,100 $7,770 $23,684 −53% $36,792 −70%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $11,042 $7,730 $13,981 −21% $19,510 −43%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,990 $7,693 $13,802 −20% $20,926 −47%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,929 $7,651 $17,434 −37% $32,530 −66%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $10,854 $7,598 $38,156 −72% $23,551 −54%
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,757 $7,530 $14,257 −25% $24,075 −55%
638 DIABETES WITH CC $10,633 $7,443 $17,346 −39% $20,361 −48%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,633 $7,443 $39,603 −73% $30,897 −66%
682 RENAL FAILURE WITH MCC $10,608 $7,425 $24,645 −57% $31,184 −66%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,546 $7,382 $16,132 −35% $21,275 −50%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,540 $7,378 $90,554 −88% $23,312 −55%
245 AICD GENERATOR PROCEDURES $10,329 $7,230 $26,096 −60% $72,076 −86%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $10,090 $7,063 $23,884 −58% $40,063 −75%
551 MEDICAL BACK PROBLEMS WITH MCC $9,941 $6,959 $17,537 −43% $34,920 −72%
176 PULMONARY EMBOLISM WITHOUT MCC $9,881 $6,917 $23,054 −57% $18,081 −45%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,838 $6,887 $28,168 −65% $24,914 −61%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $9,628 $6,740 $45,920 −79% $33,653 −71%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,537 $6,676 $31,379 −70% $22,098 −57%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,503 $6,652 $14,651 −35% $19,416 −51%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,501 $6,651 $8,123 +17% $13,824 −31%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,452 $6,617 $13,671 −31% $17,411 −46%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,448 $6,614 $29,298 −68% $26,770 −65%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $9,408 $6,586 $19,393 −51% $16,765 −44%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $9,307 $6,515 $27,330 −66% $21,905 −58%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,129 $6,391 $15,515 −41% $17,477 −48%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $8,654 $6,058 $17,626 −51% $30,328 −71%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,589 $6,013 $18,727 −54% $17,747 −52%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,588 $6,011 $9,491 −10% $18,887 −55%
305 HYPERTENSION WITHOUT MCC $8,238 $5,767 $35,347 −77% $17,930 −54%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,175 $5,723 $11,315 −28% $18,722 −56%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,112 $5,678 $30,969 −74% $14,843 −45%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,093 $5,665 $70,133 −88% $27,002 −70%
200 PNEUMOTHORAX WITH CC $8,092 $5,664 $23,046 −65% $22,059 −63%
999 UNGROUPABLE $8,053 $5,637 $10,822 −26% $29,674 −73%
090 CONCUSSION WITHOUT CC/MCC $8,042 $5,629 $10,279 −22% $15,534 −48%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,987 $5,591 $18,497 −57% $27,621 −71%
347 ANAL AND STOMAL PROCEDURES WITH MCC $7,907 $5,535 $31,671 −75% $40,548 −80%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,799 $5,459 $28,803 −73% $21,449 −64%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,690 $5,383 $10,947 −30% $13,652 −44%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,664 $5,365 $13,921 −45% $19,258 −60%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,608 $5,325 $9,823 −23% $18,126 −58%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,604 $5,323 $15,370 −51% $16,035 −53%
398 APPENDIX PROCEDURES WITH CC $7,505 $5,254 $71,822 −90% $41,614 −82%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $7,444 $5,211 $24,039 −69% $89,207 −92%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,194 $5,036 $16,164 −55% $12,758 −44%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,081 $4,957 $21,890 −68% $20,506 −65%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $7,051 $4,936 $8,548 −18% $14,368 −51%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,021 $4,915 $18,117 −61% $18,002 −61%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $6,967 $4,877 $15,845 −56% $25,279 −72%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,946 $4,862 $13,014 −47% $20,463 −66%
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,917 $4,842 $10,243 −32% $17,962 −61%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $6,913 $4,839 $31,113 −78% $42,186 −84%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,861 $4,803 $7,182 −4% $13,414 −49%
204 RESPIRATORY SIGNS AND SYMPTOMS $6,707 $4,695 $9,985 −33% $17,498 −62%
151 EPISTAXIS WITHOUT MCC $6,676 $4,673 $8,941 −25% $13,119 −49%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,621 $4,634 $34,002 −81% $21,254 −69%
882 NEUROSES EXCEPT DEPRESSIVE $6,570 $4,599 $9,540 −31% $15,680 −58%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,484 $4,539 $34,089 −81% $28,515 −77%
199 PNEUMOTHORAX WITH MCC $6,441 $4,509 $41,198 −84% $34,228 −81%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $6,296 $4,407 $81,227 −92% $33,894 −81%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,233 $4,363 $16,753 −63% $17,186 −64%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,114 $4,280 $6,001 +2% $8,927 −32%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,071 $4,250 $25,208 −76% $20,488 −70%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,942 $4,159 $10,333 −42% $12,551 −53%
292 HEART FAILURE AND SHOCK WITH CC $5,874 $4,112 $15,246 −61% $17,958 −67%
881 DEPRESSIVE NEUROSES $5,843 $4,090 $11,063 −47% $15,058 −61%
123 NEUROLOGICAL EYE DISORDERS $5,737 $4,016 $10,815 −47% $17,831 −68%
149 DYSEQUILIBRIUM $5,666 $3,966 $41,713 −86% $17,203 −67%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,648 $3,954 $8,461 −33% $13,303 −58%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,647 $3,953 $24,088 −77% $13,384 −58%
914 TRAUMATIC INJURY WITHOUT MCC $5,620 $3,934 $7,411 −24% $16,295 −66%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,593 $3,915 $32,496 −83% $33,051 −83%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,525 $3,868 $15,222 −64% $17,817 −69%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,490 $3,843 $29,609 −81% $29,609 −81%
598 MALIGNANT BREAST DISORDERS WITH CC $5,397 $3,778 $7,862 −31% $19,150 −72%
603 CELLULITIS WITHOUT MCC $5,321 $3,725 $18,063 −71% $19,553 −73%
791 PREMATURITY WITH MAJOR PROBLEMS $5,256 $3,679 $12,221 −57% $51,969 −90%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,223 $3,656 $7,484 −30% $15,256 −66%
639 DIABETES WITHOUT CC/MCC $5,147 $3,603 $17,006 −70% $14,668 −65%
313 CHEST PAIN $5,053 $3,537 $17,432 −71% $16,440 −69%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,940 $3,458 $11,126 −56% $14,055 −65%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,827 $3,379 $17,452 −72% $80,018 −94%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,777 $3,344 $8,633 −45% $8,633 −45%
089 CONCUSSION WITH CC $4,756 $3,329 $13,664 −65% $18,821 −75%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,614 $3,230 $11,789 −61% $16,899 −73%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,408 $3,086 $4,646 −5% $18,632 −76%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,282 $2,997 $11,433 −63% $18,150 −76%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,225 $2,957 $10,697 −61% $16,001 −74%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,154 $2,908 $29,162 −86% $28,162 −85%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $4,120 $2,884 $52,201 −92% $75,103 −95%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $4,099 $2,869 $116,255 −96% $25,347 −84%
795 NORMAL NEWBORN $3,994 $2,796 $6,720 −41% $5,293 −25%
374 DIGESTIVE MALIGNANCY WITH MCC $3,980 $2,786 $26,427 −85% $42,775 −91%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,952 $2,766 $15,430 −74% $20,635 −81%
684 RENAL FAILURE WITHOUT CC/MCC $3,795 $2,657 $17,820 −79% $13,642 −72%
181 RESPIRATORY NEOPLASMS WITH CC $3,764 $2,635 $6,486 −42% $23,084 −84%
683 RENAL FAILURE WITH CC $3,730 $2,611 $20,789 −82% $19,733 −81%
153 OTITIS MEDIA AND URI WITHOUT MCC $3,473 $2,431 $13,115 −74% $14,684 −76%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,401 $2,381 $25,623 −87% $17,111 −80%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,344 $2,341 $20,431 −84% $32,093 −90%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,256 $2,279 $17,317 −81% $26,932 −88%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,839 $1,987 $16,935 −83% $17,700 −84%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,827 $1,979 $14,349 −80% $18,291 −85%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $2,696 $1,887 $35,562 −92% $26,190 −90%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $2,557 $1,790 $8,450 −70% $14,565 −82%
312 SYNCOPE AND COLLAPSE $2,529 $1,770 $25,317 −90% $19,517 −87%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,512 $1,758 $33,241 −92% $15,642 −84%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,455 $1,718 $8,365 −71% $15,040 −84%
935 NON-EXTENSIVE BURNS $2,278 $1,595 $23,994 −91% $31,701 −93%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $2,208 $1,546 $16,309 −86% $22,726 −90%
947 SIGNS AND SYMPTOMS WITH MCC $2,102 $1,471 $16,584 −87% $27,070 −92%
592 SKIN ULCERS WITH MCC $2,023 $1,416 $23,946 −92% $33,246 −94%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $1,744 $1,221 $65,803 −97% $37,921 −95%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,182 $827 $9,216 −87% $14,716 −92%
950 AFTERCARE WITHOUT CC/MCC $1,046 $732 $7,925 −87% $13,527 −92%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $916 $642 $9,338 −90% $12,336 −93%

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
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,584 – $7,735 · median $7,659 2 plans
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