Sheridan Memorial Hospital Association — Pricing
170 procedures published in this hospital's Machine-Readable File (MRF) — 157 with a comparable price, 13 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 170
Lowest published price $0
Average published price $36,436
Highest published price $296,892
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 170 procedures
Published charges
Showing all 157 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. MT median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $296,892 | $237,514 | $56,802 | +423% | $41,113 | +622% |
| 472 | CERVICAL SPINAL FUSION WITH CC | $210,825 | $168,660 | $64,633 | +226% | $59,537 | +254% |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $177,951 | $142,361 | $144,603 | +23% | $69,101 | +158% |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $158,341 | $126,672 | $136,710 | +16% | $54,320 | +191% |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $132,364 | $105,891 | $62,179 | +113% | $54,425 | +143% |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $127,702 | $102,161 | $39,906 | +220% | $33,137 | +285% |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $110,878 | $88,702 | $110,878 | +0% | $99,423 | +12% |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $93,241 | $74,593 | $52,159 | +79% | $91,511 | +2% |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $89,620 | $71,696 | $54,032 | +66% | $39,973 | +124% |
| 813 | COAGULATION DISORDERS | $88,472 | $70,777 | $43,313 | +104% | $32,182 | +175% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $84,684 | $67,747 | $16,203 | +423% | $34,920 | +143% |
| 602 | CELLULITIS WITH MCC | $82,568 | $66,055 | $22,252 | +271% | $31,269 | +164% |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $82,351 | $65,881 | $35,654 | +131% | $34,468 | +139% |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $80,131 | $64,105 | $7,793 | +928% | $24,527 | +227% |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $77,084 | $61,668 | $27,989 | +175% | $27,533 | +180% |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $76,906 | $61,525 | $30,701 | +151% | $43,874 | +75% |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $76,140 | $60,912 | $42,071 | +81% | $88,050 | −14% |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $72,795 | $58,236 | $89,112 | −18% | $60,369 | +21% |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $72,783 | $58,227 | $48,938 | +49% | $68,880 | +6% |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $68,084 | $54,467 | $34,120 | +100% | $39,105 | +74% |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $67,619 | $54,095 | $33,267 | +103% | $32,212 | +110% |
| 644 | ENDOCRINE DISORDERS WITH CC | $65,953 | $52,763 | $31,749 | +108% | $23,198 | +184% |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $64,358 | $51,486 | $46,723 | +38% | $52,405 | +23% |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $62,318 | $49,854 | $15,562 | +300% | $16,776 | +271% |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $61,245 | $48,996 | $18,838 | +225% | $38,851 | +58% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $60,366 | $48,293 | $9,230 | +554% | $26,190 | +130% |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $59,370 | $47,496 | $57,476 | +3% | $44,833 | +32% |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $58,329 | $46,663 | $58,329 | +0% | $47,083 | +24% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $54,608 | $43,687 | $21,132 | +158% | $27,002 | +102% |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $53,049 | $42,439 | $50,438 | +5% | $26,179 | +103% |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $53,008 | $42,406 | $53,008 | +0% | $65,788 | −19% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $52,454 | $41,963 | $7,089 | +640% | $13,824 | +279% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $51,923 | $41,539 | $24,986 | +108% | $18,150 | +186% |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $49,344 | $39,475 | $42,798 | +15% | $51,133 | −3% |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $48,688 | $38,950 | $48,688 | +0% | $64,732 | −25% |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $48,348 | $38,678 | $52,190 | −7% | $71,958 | −33% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $48,146 | $38,517 | $18,190 | +165% | $31,789 | +51% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $47,865 | $38,292 | $7,989 | +499% | $18,002 | +166% |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $47,528 | $38,022 | $47,528 | +0% | $52,178 | −9% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $47,158 | $37,726 | $47,158 | +0% | $64,664 | −27% |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $46,547 | $37,238 | $42,460 | +10% | $38,106 | +22% |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $45,916 | $36,733 | $45,916 | +0% | $48,901 | −6% |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $43,442 | $34,753 | $43,442 | — | $50,139 | −13% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $41,932 | $33,545 | $14,359 | +192% | $28,515 | +47% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $41,298 | $33,038 | $35,950 | +15% | $46,249 | −11% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $41,144 | $32,915 | $16,110 | +155% | $25,279 | +63% |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $40,705 | $32,564 | $22,075 | +84% | $33,754 | +21% |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $40,591 | $32,473 | $31,640 | +28% | $25,267 | +61% |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $40,175 | $32,140 | $40,175 | +0% | $43,080 | −7% |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $38,536 | $30,828 | $10,118 | +281% | $21,151 | +82% |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $38,168 | $30,535 | $38,168 | +0% | $50,011 | −24% |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $36,466 | $29,173 | $14,125 | +158% | $21,270 | +71% |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $36,107 | $28,886 | $28,203 | +28% | $27,838 | +30% |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $35,138 | $28,111 | $31,922 | +10% | $43,248 | −19% |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $34,994 | $27,995 | $13,508 | +159% | $33,652 | +4% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $34,732 | $27,786 | $18,509 | +88% | $39,106 | −11% |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $34,194 | $27,355 | $34,194 | +0% | $38,836 | −12% |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $33,085 | $26,468 | $33,085 | +0% | $18,054 | +83% |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $32,835 | $26,268 | $26,801 | +23% | $28,065 | +17% |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $31,677 | $25,342 | $31,677 | +0% | $26,686 | +19% |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $31,586 | $25,268 | $31,586 | +0% | $40,063 | −21% |
| 549 | SEPTIC ARTHRITIS WITH CC | $30,837 | $24,670 | $30,837 | +0% | $21,668 | +42% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $30,345 | $24,276 | $17,588 | +73% | $26,770 | +13% |
| 548 | SEPTIC ARTHRITIS WITH MCC | $30,032 | $24,026 | $30,032 | +0% | $31,019 | −3% |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $29,697 | $23,758 | $29,697 | — | $39,617 | −25% |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $29,217 | $23,374 | $13,852 | +111% | $15,040 | +94% |
| 682 | RENAL FAILURE WITH MCC | $29,054 | $23,243 | $18,633 | +56% | $31,184 | −7% |
| 949 | AFTERCARE WITH CC/MCC | $28,771 | $23,017 | $22,628 | +27% | $23,953 | +20% |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $28,667 | $22,933 | $28,667 | +0% | $33,023 | −13% |
| 638 | DIABETES WITH CC | $28,070 | $22,456 | $13,743 | +104% | $20,361 | +38% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $26,739 | $21,391 | $31,179 | −14% | $44,357 | −40% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $26,452 | $21,162 | $11,209 | +136% | $17,522 | +51% |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $26,309 | $21,047 | $26,309 | +0% | $42,881 | −39% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $25,188 | $20,150 | $25,188 | +0% | $20,463 | +23% |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $25,051 | $20,041 | $23,759 | +5% | $32,593 | −23% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $24,872 | $19,898 | $17,630 | +41% | $19,258 | +29% |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $24,173 | $19,338 | $24,173 | +0% | $27,277 | −11% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $24,150 | $19,320 | $19,466 | +24% | $20,139 | +20% |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $23,681 | $18,945 | $23,081 | +3% | $33,289 | −29% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $23,630 | $18,904 | $15,155 | +56% | $21,905 | +8% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $23,410 | $18,728 | $22,189 | +6% | $38,041 | −38% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $23,348 | $18,678 | $6,308 | +270% | $16,470 | +42% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $23,265 | $18,612 | $18,367 | +27% | $23,571 | −1% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $22,757 | $18,206 | $13,531 | +68% | $33,051 | −31% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $22,670 | $18,136 | $10,346 | +119% | $22,098 | +3% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $21,506 | $17,205 | $12,131 | +77% | $24,914 | −14% |
| 945 | REHABILITATION WITH CC/MCC | $21,284 | $17,027 | $21,284 | — | $23,834 | −11% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $21,010 | $16,808 | $21,010 | +0% | $20,473 | +3% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $20,779 | $16,623 | $15,309 | +36% | $17,958 | +16% |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,043 | $16,034 | $27,662 | −28% | $39,181 | −49% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $19,963 | $15,971 | $15,952 | +25% | $26,044 | −23% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $19,864 | $15,891 | $10,188 | +95% | $25,980 | −24% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $19,789 | $15,831 | $14,508 | +36% | $22,888 | −14% |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $19,128 | $15,303 | $21,782 | −12% | $24,042 | −20% |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $18,979 | $15,183 | $12,595 | +51% | $12,895 | +47% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $18,966 | $15,173 | $23,218 | −18% | $21,363 | −11% |
| 639 | DIABETES WITHOUT CC/MCC | $18,432 | $14,746 | $6,073 | +204% | $14,668 | +26% |
| 637 | DIABETES WITH MCC | $18,088 | $14,470 | $18,088 | +0% | $31,433 | −42% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $17,936 | $14,349 | $9,660 | +86% | $17,322 | +4% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $17,754 | $14,203 | $11,652 | +52% | $21,396 | −17% |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $17,703 | $14,162 | $22,552 | −22% | $31,667 | −44% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $17,547 | $14,037 | $11,914 | +47% | $22,850 | −23% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $17,540 | $14,032 | $17,540 | +0% | $27,470 | −36% |
| 603 | CELLULITIS WITHOUT MCC | $17,397 | $13,918 | $11,801 | +47% | $19,553 | −11% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $17,167 | $13,733 | $11,191 | +53% | $18,961 | −9% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $17,019 | $13,615 | $5,574 | +205% | $17,817 | −4% |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $16,529 | $13,223 | $16,529 | +0% | $23,749 | −30% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $15,921 | $12,737 | $9,079 | +75% | $17,747 | −10% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $15,785 | $12,628 | $9,104 | +73% | $12,758 | +24% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $15,756 | $12,605 | $8,187 | +92% | $20,488 | −23% |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,567 | $12,454 | $20,244 | −23% | $51,985 | −70% |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,417 | $12,334 | $18,658 | −17% | $39,360 | −61% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $15,362 | $12,290 | $10,700 | +44% | $13,384 | +15% |
| 683 | RENAL FAILURE WITH CC | $15,280 | $12,224 | $15,280 | +0% | $19,733 | −23% |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $15,154 | $12,123 | $5,005 | +203% | $23,091 | −34% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $14,924 | $11,939 | $12,197 | +22% | $20,093 | −26% |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $14,515 | $11,612 | $9,374 | +55% | $12,324 | +18% |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $13,992 | $11,194 | $13,992 | +0% | $19,514 | −28% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,701 | $10,961 | $13,701 | +0% | $28,162 | −51% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $13,611 | $10,889 | $7,230 | +88% | $18,887 | −28% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $13,294 | $10,635 | $16,001 | −17% | $16,035 | −17% |
| 312 | SYNCOPE AND COLLAPSE | $13,232 | $10,586 | $13,232 | +0% | $19,517 | −32% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $13,172 | $10,537 | $13,172 | +0% | $15,642 | −16% |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,138 | $10,511 | $13,138 | +0% | $23,515 | −44% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $13,102 | $10,482 | $5,241 | +150% | $17,477 | −25% |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $13,010 | $10,408 | $13,010 | +0% | $16,191 | −20% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $12,873 | $10,299 | $6,120 | +110% | $13,414 | −4% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $12,677 | $10,142 | $11,029 | +15% | $20,635 | −39% |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,280 | $9,824 | $40,998 | −70% | $61,176 | −80% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $12,169 | $9,735 | $8,886 | +37% | $17,186 | −29% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $12,164 | $9,731 | $11,077 | +10% | $13,652 | −11% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $11,747 | $9,397 | $11,747 | +0% | $12,551 | −6% |
| 186 | PLEURAL EFFUSION WITH MCC | $11,636 | $9,309 | $12,936 | −10% | $33,834 | −66% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $11,481 | $9,185 | $6,495 | +77% | $16,765 | −32% |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,346 | $9,076 | $24,913 | −54% | $36,658 | −69% |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $11,041 | $8,832 | $10,787 | +2% | $20,021 | −45% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,606 | $8,485 | $16,094 | −34% | $19,416 | −45% |
| 539 | OSTEOMYELITIS WITH MCC | $10,493 | $8,395 | $19,010 | −45% | $37,126 | −72% |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,373 | $8,298 | $10,373 | +0% | $10,975 | −5% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,105 | $8,084 | $8,295 | +22% | $19,072 | −47% |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,822 | $7,057 | $16,782 | −47% | $51,969 | −83% |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,789 | $7,031 | $6,827 | +29% | $12,511 | −30% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,011 | $6,409 | $18,320 | −56% | $34,448 | −77% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,376 | $5,901 | $7,196 | +2% | $15,256 | −52% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,155 | $5,724 | $11,205 | −36% | $18,081 | −60% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,946 | $5,557 | $7,978 | −13% | $14,843 | −53% |
| 885 | PSYCHOSES | $6,568 | $5,255 | $7,719 | −15% | $21,729 | −70% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,356 | $5,085 | $5,707 | +11% | $15,907 | −60% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,827 | $3,862 | $5,075 | −5% | $18,632 | −74% |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $3,962 | $3,170 | $10,429 | −62% | $30,447 | −87% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $3,807 | $3,045 | $16,612 | −77% | $29,171 | −87% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,121 | $2,497 | $4,110 | −24% | $8,633 | −64% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $2,309 | $1,847 | $16,739 | −86% | $27,864 | −92% |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,581 | $1,265 | $7,052 | −78% | $16,001 | −90% |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $157 | $126 | $8,305 | −98% | $23,084 | −99% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $140 | $112 | $10,499 | −99% | $22,140 | −99% |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $0 | $0 | $34,282 | −100% | $57,107 | −100% |
Procedures with negotiated rates only
These 13 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 | $9,538 – $9,538 · median $9,538 | 1 plans |
| 101 | SEIZURES WITHOUT MCC | $6,645 – $6,645 · median $6,645 | 1 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,112 – $10,112 · median $10,112 | 1 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,155 – $8,155 · median $8,155 | 1 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $22,052 – $22,052 · median $22,052 | 1 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $14,057 – $14,057 · median $14,057 | 1 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,809 – $11,809 · median $11,809 | 1 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,394 – $15,394 · median $15,394 | 1 plans |
| 795 | NORMAL NEWBORN | $1,471 – $1,471 · median $1,471 | 1 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,338 – $10,338 · median $10,338 | 1 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,300 – $14,300 · median $14,300 | 1 plans |
| 881 | DEPRESSIVE NEUROSES | $6,927 – $6,927 · median $6,927 | 1 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,093 – $4,093 · median $4,093 | 1 plans |
No procedures match that keyword.