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.

Pricing Effective: January 1, 2021

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

 

SERVICE DESCRIPTION GROSS CHARGES
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $27,109.62
KIDNEY & URINARY TRACT INFECTIONS W/O MCC $16,569.50
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $20,189.16
SIMPLE PNEUMONIA & PLEURISY W MCC $15,498.21
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $12,524.29
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $17,451.13
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC $35,688.46
CELLULITIS W/O MCC $18,242.17
NUTRITIONAL & MISC METABOLIC DISORDERS W/O MCC $14,339.30
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $15,259.75
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC $25,292.34
PULMONARY EDEMA & RESPIRATORY FAILURE $19,821.93
SIMPLE PNEUMONIA & PLEURISY W CC $17,339.78
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $18,737.11
DIABETES W/O CC/MCC $15,580.58
RENAL FAILURE W CC $15,554.83
BRONCHITIS & ASTHMA W CC/MCC $10,955.50
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $22,461.03
HEART FAILURE & SHOCK W MCC $16,069.22
G.I. OBSTRUCTION W/O CC/MCC $15,160.87
DIABETES W CC $22,415.19
OTHER FACTORS INFLUENCING HEALTH STATUS $21,920.44
RED BLOOD CELL DISORDERS W/O MCC $9,859.26
DIABETES W MCC $18,131.36
KIDNEY & URINARY TRACT INFECTIONS W MCC $24,856.16
NUTRITIONAL & MISC METABOLIC DISORDERS W MCC $23,682.13
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $20,012.73
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $17,007.44
SYNCOPE & COLLAPSE $16,230.56
PULMONARY EMBOLISM W/O MCC $15,906.81
CELLULITIS W MCC $14,718.89
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERA W/O M $9,892.26
TENDONITIS, MYOSITIS & BURSITIS W/O MCC $9,690.32
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $39,445.83
SIGNS & SYMPTOMS W/O MCC $33,746.09
G.I. OBSTRUCTION W CC $28,940.37
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $21,779.89
HYPERTENSION W/O MCC $17,212.55
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $17,162.16
PERIPHERAL VASCULAR DISORDERS W CC $15,967.03
BRONCHITIS & ASTHMA W/O CC/MCC $15,240.15
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $15,159.34
HEART FAILURE & SHOCK W CC $14,494.56
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $11,410.80
HYPERTENSION W MCC $8,623.87
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $7,432.18
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $34,728.34
DISORDERS OF THE BILIARY TRACT W MCC $27,896.10
INFLAMMATORY BOWEL DISEASE W/O CC/MCC $26,736.04
INFLAMMATORY BOWEL DISEASE W CC $26,440.69
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $21,287.40
TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $9,848.94
AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC  $   131,478.54
OSTEOMYELITIS W CC  $   118,893.76
ACUTE & SUBACUTE ENDOCARDITIS W MCC $94,600.75
OSTEOMYELITIS W/O CC/MCC $75,714.57
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS $66,425.62
SEPTIC ARTHRITIS W/O CC/MCC $62,314.64
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC $33,819.90
MINOR SKIN DISORDERS W/O MCC $32,102.87
PLEURAL EFFUSION W CC $29,198.40
RENAL FAILURE W MCC $27,715.74
SIGNS & SYMPTOMS W MCC $25,341.37
MEDICAL BACK PROBLEMS W/O MCC $25,203.82
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC $24,425.04
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC $24,233.72
OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $22,677.25
RESPIRATORY SIGNS & SYMPTOMS $21,309.32
MAJOR GASTROINTESTINAL DISORD & PERITONEAL INFECTIONS W/O CC/M $19,183.56
ENDOCRINE DISORDERS W/O CC/MCC $19,157.93
PNEUMOTHORAX W MCC $18,000.91
BONE DISEASES & ARTHROPATHIES W/O MCC $17,736.88
COAGULATION DISORDERS $16,250.22
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $16,047.71
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $15,634.19
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC $15,154.32
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC $14,837.65
VIRAL MENINGITIS W/O CC/MCC $14,768.56
HIV W MAJOR RELATED CONDITION W CC $14,443.81
ORGANIC DISTURBANCES & MENTAL RETARDATION $14,244.90
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAG W/O CC/M $13,784.22
TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC $12,920.66
HEART FAILURE & SHOCK W/O CC/MCC $12,138.50
POISONING & TOXIC EFFECTS OF DRUGS W MCC $11,161.69
COMPLICATIONS OF TREATMENT W CC $11,052.04
TENDONITIS, MYOSITIS & BURSITIS W MCC $10,933.40
CHEST PAIN $10,454.09
G.I. HEMORRHAGE W/O CC/MCC $7,757.87
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $5,867.31
MAJOR CHEST TRAUMA W/O CC/MCC $5,772.50
PULMONARY EMBOLISM W MCC $5,508.53
FRACTURES OF HIP & PELVIS W/O MCC $5,027.37

 


INTEGRIS Community 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 INTEGRIS Community 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 INTEGRIS Community Hospitals may differ substantially from the information provided by this website, and INTEGRIS Community Hospitals shall not be liable for any inaccuracies.