Myrtue Medical Center — Pricing

208 procedures published in this hospital's Machine-Readable File (MRF) — 205 with a comparable price, 3 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 208
Lowest published price $858
Average published price $16,455
Highest published price $321,752

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 208 procedures

Published charges

Showing all 205 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
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $321,752 $186,616 $10,586 +2939% $30,138 +968%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $190,369 $110,414 $31,272 +509% $45,541 +318%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $165,104 $95,760 $70,707 +134% $42,881 +285%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $152,033 $88,179 $47,689 +219% $55,084 +176%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $110,809 $64,269 $37,727 +194% $80,793 +37%
571 SKIN DEBRIDEMENT WITH CC $101,246 $58,723 $20,962 +383% $37,012 +174%
302 ATHEROSCLEROSIS WITH MCC $90,908 $52,727 $34,434 +164% $22,223 +309%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $61,173 $35,480 $109,301 −44% $61,176 −0%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $57,181 $33,165 $60,373 −5% $47,347 +21%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $43,925 $25,477 $58,965 −26% $51,133 −14%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $39,521 $22,922 $32,017 +23% $48,682 −19%
539 OSTEOMYELITIS WITH MCC $37,112 $21,525 $25,097 +48% $37,126 −0%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $34,265 $19,874 $32,241 +6% $30,959 +11%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $33,952 $19,692 $22,473 +51% $38,836 −13%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $33,350 $19,343 $33,350 +0% $39,360 −15%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $33,053 $19,171 $17,664 +87% $20,473 +61%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,531 $17,708 $35,042 −13% $57,107 −47%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $28,139 $16,321 $20,007 +41% $21,151 +33%
375 DIGESTIVE MALIGNANCY WITH CC $27,219 $15,787 $140,214 −81% $27,277 −0%
231 CORONARY BYPASS WITH PTCA WITH MCC $25,789 $14,958 $105,698 −76% $147,083 −82%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $25,599 $14,847 $25,599 +0% $28,065 −9%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $25,255 $14,648 $25,667 −2% $43,913 −42%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $25,208 $14,621 $25,208 +0% $20,488 +23%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $24,313 $14,102 $13,921 +75% $19,258 +26%
252 OTHER VASCULAR PROCEDURES WITH MCC $23,585 $13,679 $45,120 −48% $68,508 −66%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $23,294 $13,511 $14,651 +59% $19,416 +20%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $23,199 $13,456 $71,694 −68% $56,005 −59%
139 SALIVARY GLAND PROCEDURES $23,061 $13,376 $17,109 +35% $21,014 +10%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $22,582 $13,097 $18,428 +23% $33,325 −32%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $22,299 $12,933 $52,814 −58% $60,098 −63%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $21,891 $12,697 $22,292 −2% $32,792 −33%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $21,527 $12,486 $16,501 +30% $20,021 +8%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $21,382 $12,402 $85,369 −75% $41,113 −48%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,200 $11,716 $23,469 −14% $31,789 −36%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $19,888 $11,535 $22,580 −12% $35,017 −43%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $19,115 $11,087 $10,847 +76% $16,470 +16%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $17,885 $10,374 $18,852 −5% $33,424 −46%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $17,876 $10,368 $42,740 −58% $51,904 −66%
535 FRACTURES OF HIP AND PELVIS WITH MCC $17,636 $10,229 $16,539 +7% $23,311 −24%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $17,259 $10,010 $10,945 +58% $14,064 +23%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $17,097 $9,916 $11,971 +43% $19,569 −13%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $16,231 $9,414 $27,049 −40% $39,106 −58%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $15,221 $8,828 $45,920 −67% $33,653 −55%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $14,781 $8,573 $38,156 −61% $23,551 −37%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $14,638 $8,490 $14,638 +0% $25,774 −43%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,619 $8,479 $51,860 −72% $38,041 −62%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,570 $8,450 $26,250 −44% $34,448 −58%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $14,414 $8,360 $73,631 −80% $32,212 −55%
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $14,342 $8,318 $14,342 +0% $16,487 −13%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,137 $8,199 $19,013 −26% $20,139 −30%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $14,002 $8,121 $36,166 −61% $21,270 −34%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $13,964 $8,099 $13,679 +2% $24,957 −44%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,949 $8,090 $32,496 −57% $33,051 −58%
291 HEART FAILURE AND SHOCK WITH MCC $13,680 $7,934 $19,371 −29% $27,864 −51%
603 CELLULITIS WITHOUT MCC $13,670 $7,928 $18,063 −24% $19,553 −30%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,451 $7,802 $19,959 −33% $23,571 −43%
380 COMPLICATED PEPTIC ULCER WITH MCC $12,811 $7,430 $60,675 −79% $39,627 −68%
947 SIGNS AND SYMPTOMS WITH MCC $12,739 $7,389 $16,584 −23% $27,070 −53%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,573 $7,292 $16,130 −22% $13,613 −8%
593 SKIN ULCERS WITH CC $12,476 $7,236 $14,519 −14% $23,072 −46%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $12,463 $7,229 $68,774 −82% $102,573 −88%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $12,431 $7,210 $22,170 −44% $24,930 −50%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $12,420 $7,204 $39,973 −69% $39,973 −69%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,392 $7,187 $27,045 −54% $20,093 −38%
201 PNEUMOTHORAX WITHOUT CC/MCC $12,299 $7,134 $9,120 +35% $13,405 −8%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,285 $7,126 $17,819 −31% $30,537 −60%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,052 $6,990 $17,434 −31% $32,530 −63%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,028 $6,976 $19,807 −39% $27,838 −57%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $11,884 $6,892 $25,604 −54% $22,888 −48%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $11,862 $6,880 $35,562 −67% $26,190 −55%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,833 $6,863 $15,515 −24% $17,477 −32%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $11,806 $6,847 $39,046 −70% $34,987 −66%
204 RESPIRATORY SIGNS AND SYMPTOMS $11,710 $6,792 $9,985 +17% $17,498 −33%
540 OSTEOMYELITIS WITH CC $11,632 $6,746 $50,483 −77% $27,453 −58%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $11,550 $6,699 $14,779 −22% $19,968 −42%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,539 $6,693 $23,884 −52% $40,063 −71%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $11,439 $6,635 $18,531 −38% $17,322 −34%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,414 $6,620 $16,323 −30% $15,907 −28%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,157 $6,471 $20,457 −45% $33,031 −66%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,974 $6,365 $26,825 −59% $21,396 −49%
920 COMPLICATIONS OF TREATMENT WITH CC $10,968 $6,361 $13,362 −18% $20,764 −47%
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $10,941 $6,346 $18,752 −42% $34,146 −68%
153 OTITIS MEDIA AND URI WITHOUT MCC $10,896 $6,320 $13,115 −17% $14,684 −26%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,843 $6,289 $43,173 −75% $22,850 −53%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,672 $6,190 $14,790 −28% $19,072 −44%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $10,662 $6,184 $9,209 +16% $16,983 −37%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,644 $6,173 $29,298 −64% $26,770 −60%
682 RENAL FAILURE WITH MCC $10,502 $6,091 $24,645 −57% $31,184 −66%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,500 $6,090 $18,105 −42% $25,766 −59%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $10,471 $6,073 $8,123 +29% $13,824 −24%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,349 $6,002 $16,164 −36% $12,758 −19%
253 OTHER VASCULAR PROCEDURES WITH CC $10,282 $5,963 $33,538 −69% $54,009 −81%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,269 $5,956 $17,866 −43% $18,961 −46%
948 SIGNS AND SYMPTOMS WITHOUT MCC $10,243 $5,941 $10,243 +0% $17,962 −43%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $10,229 $5,933 $8,559 +20% $12,511 −18%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $10,180 $5,904 $31,660 −68% $19,842 −49%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,088 $5,851 $11,433 −12% $18,150 −44%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,958 $5,776 $24,692 −60% $37,479 −73%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,834 $5,704 $18,117 −46% $18,002 −45%
176 PULMONARY EMBOLISM WITHOUT MCC $9,692 $5,621 $23,054 −58% $18,081 −46%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,649 $5,596 $27,304 −65% $22,140 −56%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $9,640 $5,591 $63,877 −85% $52,405 −82%
551 MEDICAL BACK PROBLEMS WITH MCC $9,622 $5,581 $17,537 −45% $34,920 −72%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,616 $5,577 $23,467 −59% $29,171 −67%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,602 $5,569 $40,986 −77% $26,044 −63%
181 RESPIRATORY NEOPLASMS WITH CC $9,326 $5,409 $6,486 +44% $23,084 −60%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,255 $5,368 $42,454 −78% $40,916 −77%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,222 $5,349 $15,222 −39% $17,817 −48%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,197 $5,334 $15,314 −40% $26,179 −65%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,092 $5,273 $21,890 −58% $20,506 −56%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,064 $5,257 $5,979 +52% $25,034 −64%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,972 $5,204 $26,112 −66% $25,980 −65%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,927 $5,178 $28,803 −69% $21,449 −58%
184 MAJOR CHEST TRAUMA WITH CC $8,728 $5,062 $33,806 −74% $22,688 −62%
292 HEART FAILURE AND SHOCK WITH CC $8,574 $4,973 $15,246 −44% $17,958 −52%
949 AFTERCARE WITH CC/MCC $8,557 $4,963 $15,037 −43% $23,953 −64%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,533 $4,949 $12,832 −34% $18,601 −54%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,454 $4,904 $16,132 −48% $21,275 −60%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,451 $4,901 $15,845 −47% $25,279 −67%
180 RESPIRATORY NEOPLASMS WITH MCC $8,441 $4,896 $40,078 −79% $36,658 −77%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,375 $4,857 $10,493 −20% $16,545 −49%
639 DIABETES WITHOUT CC/MCC $8,304 $4,817 $17,006 −51% $14,668 −43%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,270 $4,797 $9,823 −16% $18,126 −54%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,076 $4,684 $12,230 −34% $20,259 −60%
305 HYPERTENSION WITHOUT MCC $8,003 $4,642 $35,347 −77% $17,930 −55%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $7,698 $4,465 $10,333 −25% $12,551 −39%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,696 $4,464 $10,874 −29% $15,159 −49%
101 SEIZURES WITHOUT MCC $7,596 $4,405 $32,731 −77% $20,461 −63%
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,510 $4,356 $23,440 −68% $33,507 −78%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,399 $4,291 $26,630 −72% $21,363 −65%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,346 $4,261 $8,450 −13% $14,565 −50%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $7,331 $4,252 $70,133 −90% $27,002 −73%
935 NON-EXTENSIVE BURNS $7,222 $4,189 $23,994 −70% $31,701 −77%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,183 $4,166 $8,819 −19% $15,428 −53%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,157 $4,151 $39,603 −82% $30,897 −77%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,139 $4,141 $31,379 −77% $22,098 −68%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,091 $4,113 $9,143 −22% $16,776 −58%
200 PNEUMOTHORAX WITH CC $6,931 $4,020 $23,046 −70% $22,059 −69%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,903 $4,004 $8,548 −19% $14,368 −52%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,689 $3,879 $22,235 −70% $27,470 −76%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,640 $3,851 $16,753 −60% $17,186 −61%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,550 $3,799 $25,623 −74% $17,111 −62%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,550 $3,799 $34,089 −81% $28,515 −77%
303 ATHEROSCLEROSIS WITHOUT MCC $6,531 $3,788 $8,734 −25% $14,927 −56%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,454 $3,743 $7,238 −11% $10,480 −38%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,289 $3,648 $8,836 −29% $13,613 −54%
683 RENAL FAILURE WITH CC $6,187 $3,589 $20,789 −70% $19,733 −69%
643 ENDOCRINE DISORDERS WITH MCC $5,959 $3,456 $20,254 −71% $33,909 −82%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,871 $3,405 $9,663 −39% $18,054 −67%
637 DIABETES WITH MCC $5,830 $3,381 $25,497 −77% $31,433 −81%
311 ANGINA PECTORIS $5,828 $3,380 $8,435 −31% $15,502 −62%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $5,455 $3,164 $17,650 −69% $32,100 −83%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,440 $3,155 $10,947 −50% $13,652 −60%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,416 $3,141 $24,088 −78% $13,384 −60%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,374 $3,117 $8,761 −39% $13,497 −60%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,353 $3,105 $30,969 −83% $14,843 −64%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,321 $3,086 $9,696 −45% $22,005 −76%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,193 $3,012 $13,219 −61% $19,514 −73%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,085 $2,949 $12,507 −59% $17,607 −71%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,085 $2,949 $4,646 +9% $18,632 −73%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,826 $2,799 $8,461 −43% $13,303 −64%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,793 $2,780 $15,430 −69% $20,635 −77%
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,591 $2,663 $14,257 −68% $24,075 −81%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,517 $2,620 $9,491 −52% $18,887 −76%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,496 $2,608 $29,985 −85% $17,527 −74%
149 DYSEQUILIBRIUM $4,411 $2,559 $41,713 −89% $17,203 −74%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,405 $2,555 $11,315 −61% $18,722 −76%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,382 $2,542 $15,861 −72% $27,645 −84%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,372 $2,536 $13,014 −66% $20,463 −79%
312 SYNCOPE AND COLLAPSE $4,346 $2,521 $25,317 −83% $19,517 −78%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,310 $2,500 $15,370 −72% $16,035 −73%
607 MINOR SKIN DISORDERS WITHOUT MCC $4,239 $2,459 $10,404 −59% $16,097 −74%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $4,221 $2,448 $92,897 −95% $144,569 −97%
245 AICD GENERATOR PROCEDURES $4,047 $2,347 $26,096 −84% $72,076 −94%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,045 $2,346 $8,929 −55% $15,837 −74%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,947 $2,289 $18,727 −79% $17,747 −78%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,869 $2,244 $9,838 −61% $16,634 −77%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,861 $2,239 $19,517 −80% $35,591 −89%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,722 $2,159 $27,085 −86% $33,851 −89%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,541 $2,054 $65,803 −95% $37,921 −91%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,475 $2,016 $6,488 −46% $17,522 −80%
882 NEUROSES EXCEPT DEPRESSIVE $3,437 $1,994 $9,540 −64% $15,680 −78%
950 AFTERCARE WITHOUT CC/MCC $3,423 $1,985 $7,925 −57% $13,527 −75%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,404 $1,974 $15,127 −77% $23,091 −85%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,281 $1,903 $16,865 −81% $26,398 −88%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,274 $1,899 $19,188 −83% $26,850 −88%
638 DIABETES WITH CC $3,144 $1,823 $17,346 −82% $20,361 −85%
199 PNEUMOTHORAX WITH MCC $3,085 $1,790 $41,198 −93% $34,228 −91%
694 URINARY STONES WITHOUT MCC $3,047 $1,767 $7,774 −61% $17,347 −82%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,007 $1,744 $8,633 −65% $8,633 −65%
684 RENAL FAILURE WITHOUT CC/MCC $2,977 $1,727 $17,820 −83% $13,642 −78%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,913 $1,689 $29,162 −90% $28,162 −90%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,885 $1,673 $13,068 −78% $14,128 −80%
313 CHEST PAIN $2,737 $1,587 $17,432 −84% $16,440 −83%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $2,192 $1,272 $16,938 −87% $26,765 −92%
795 NORMAL NEWBORN $2,066 $1,198 $6,720 −69% $5,293 −61%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,027 $1,176 $7,182 −72% $13,414 −85%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $1,901 $1,102 $37,713 −95% $59,790 −97%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $1,867 $1,083 $34,002 −95% $21,254 −91%
386 INFLAMMATORY BOWEL DISEASE WITH CC $1,661 $964 $38,013 −96% $22,033 −92%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $1,612 $935 $17,626 −91% $30,328 −95%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $1,493 $866 $27,330 −95% $21,905 −93%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $1,059 $614 $8,667 −88% $12,840 −92%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,056 $612 $9,216 −89% $14,716 −93%
602 CELLULITIS WITH MCC $858 $498 $31,269 −97% $31,269 −97%

Procedures with negotiated rates only

These 3 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
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,627 – $32,647 · median $9,099 4 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $3,627 – $32,080 · median $8,973 4 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,627 – $8,622 · median $3,738 4 plans
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