Uninsured Inpatient Services DRG

INSURED PATIENTS ARE STRONGLY ENCOURAGED TO CONSULT WITH YOUR INSURANCE CARRIER TO DETERMINE ACCURATE INFORMATION ABOUT YOUR FINANCIAL RESPONSIBILITY FOR A PARTICULAR HEALTH CARE SERVICE PROVIDED AT THIS HOSPITAL. IF YOU ARE NOT COVERED BY HEALTH INSURANCE PLEASE NOTE THAT THE POSTED HEALTHCARE SERVICES MAY NOT REFLECT THE ACTUAL AMOUNT OF YOUR FINANCIAL RESPONSIBILITY. THE AMOUNTS ARE BASED ON A SPECIFIC GROUP OF SERVICE IN WHICH MAY NOT BE APPLICABLE TO YOU.

Note:

  1. The pricing on this page is for inpatient care only
  2. Charging is based on the length of stay, amount of supplies used, therapies provided, testing given as well as other care provided
  3. This pricing is an average charge and not intended to be the exact charge for any particular patient
  4. The average charge shown is an estimate and actual charges for the service depend on the circumstances at the time the service is provided
  5. Most insurance providers should be able to tell their members what financial responsibility they will have based on their benefits.

Diagnosis-Related Group (DRG)

A system that classifies inpatient cases into the one of 999 groups. A single patient may have from 1 to 30 diagnosis’ which can be grouped into a single DRG. The purpose of the DRG grouping is to aid in providing statistical, epidemiological and reimbursement data for a user of the data. It is mostly commonly used for reimbursement by most government and commercial payers (insurance companies). The DRG list reflects the specific DRGs and its average. It is in no way an indication of what is really charged or paid overall due to each case is unique based on its diagnosis’ and other services performed.

Click on the checkbox below to download Top 60 DRG Pricing:

SERVICE GROSS CHARGES
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $17,090.65
OTITIS MEDIA & URI W MCC $17,484.74
OTITIS MEDIA & URI W/O MCC $21,765.77
DENTAL & ORAL DISEASES W CC $14,836.88
PULMONARY EMBOLISM W/O MCC $24,332.54
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $24,573.56
PULMONARY EDEMA & RESPIRATORY FAILURE $20,144.11
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $24,315.90
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $21,088.46
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $15,138.47
SIMPLE PNEUMONIA & PLEURISY W MCC $28,823.09
SIMPLE PNEUMONIA & PLEURISY W CC $22,288.08
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $18,720.88
BRONCHITIS & ASTHMA W CC/MCC $25,048.89
BRONCHITIS & ASTHMA W/O CC/MCC $14,191.78
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $15,306.73
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC $15,337.33
HEART FAILURE & SHOCK W MCC $25,009.14
HEART FAILURE & SHOCK W CC $18,345.90
HEART FAILURE & SHOCK W/O CC/MCC $15,056.38
PERIPHERAL VASCULAR DISORDERS W MCC $27,109.20
PERIPHERAL VASCULAR DISORDERS W CC $24,782.51
HYPERTENSION W/O MCC $15,495.49
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $11,901.85
CHEST PAIN $16,082.59
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $11,293.80
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC $18,625.15
G.I. OBSTRUCTION W CC $16,535.75
G.I. OBSTRUCTION W/O CC/MCC $16,675.89
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $16,205.59
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $18,293.20
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $19,702.89
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $19,276.23
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $20,686.38
CONNECTIVE TISSUE DISORDERS W CC $   3,413.04
SEPTIC ARTHRITIS W MCC $46,277.14
TENDONITIS, MYOSITIS & BURSITIS W/O MCC $17,167.57
FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC $38,971.78
CELLULITIS W MCC $14,832.49
CELLULITIS W/O MCC $17,674.53
DIABETES W MCC $14,352.58
NUTRITIONAL & MISC METABOLIC DISORDERS W/O MCC $15,242.43
ENDOCRINE DISORDERS W/O CC/MCC $40,724.32
OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC $17,931.73
RENAL FAILURE W MCC $16,990.08
KIDNEY & URINARY TRACT INFECTIONS W MCC $26,863.34
KIDNEY & URINARY TRACT INFECTIONS W/O MCC $19,484.82
URINARY STONES W/O ESW LITHOTRIPSY W/O MCC $17,107.45
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $24,223.57
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $25,660.06
RED BLOOD CELL DISORDERS W/O MCC $15,980.15
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC $23,056.54
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC $22,586.84
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERA W/O M $14,681.72
ALLERGIC REACTIONS W/O MCC $7,056.89
SIGNS & SYMPTOMS W/O MCC $15,199.13
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $11,471.59
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $20,744.79
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $15,948.71
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $16,753.56

AHN Neighborhood Hospitals make no guarantees regarding the accuracy of the pricing information provided herein. The pricing information provided by this website is strictly an estimate of prices, and AHN Neighborhood Hospitals cannot guarantee the accuracy of any estimates. All estimates are based on information provided by a prospective patient and do not include, among other things, any unforeseen complications, additional tests or procedures, and non-hospital related charges, any of which may increase the ultimate cost of the services provided. Any prospective patient should understand that a final bill for services rendered at AHN Neighborhood Hospitals may differ substantially from the information provided by this website, and AHN Neighborhood Hospitals shall not be liable for any inaccuracies.