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 hospital inpatient facility services only. It does not include professional physician services, lab, diagnostic testing or services provided by a third party.
  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:

 

TOP 60 DRG SERVICES GROSS CHARGES
CELLULITIS W/O MCC $25,052.21
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $32,613.47
KIDNEY & URINARY TRACT INFECTIONS W/O MCC $28,467.19
SIMPLE PNEUMONIA & PLEURISY W CC $32,177.49
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $26,682.03
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $36,296.15
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC $31,317.46
NUTRITIONAL & MISC METABOLIC DISORDERS W/O MCC $26,190.46
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $27,380.20
SIMPLE PNEUMONIA & PLEURISY W MCC $29,988.45
KIDNEY & URINARY TRACT INFECTIONS W MCC $30,770.78
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $42,410.28
BRONCHITIS & ASTHMA W CC/MCC $26,097.32
URINARY STONES W/O ESW LITHOTRIPSY W/O MCC $26,334.44
OTITIS MEDIA & URI W/O MCC $29,483.43
HEART FAILURE & SHOCK W CC $26,803.62
PULMONARY EMBOLISM W/O MCC $33,985.64
PULMONARY EDEMA & RESPIRATORY FAILURE $26,728.02
DIABETES W CC $25,094.70
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC $31,215.32
HEART FAILURE & SHOCK W/O CC/MCC $31,043.39
RED BLOOD CELL DISORDERS W/O MCC $25,209.55
G.I. OBSTRUCTION W/O CC/MCC $40,282.67
HYPERTENSION W/O MCC $30,040.17
CELLULITIS W MCC $30,798.13
SYNCOPE & COLLAPSE $32,100.12
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $36,596.02
HEART FAILURE & SHOCK W MCC $29,145.36
MAJOR GASTROINTESTINAL DISORD & PERITONEAL INFECTIONS W/O CC/M $38,817.36
G.I. OBSTRUCTION W CC $42,401.42
HEADACHES W/O MCC $31,372.95
RESPIRATORY SIGNS & SYMPTOMS $25,054.99
FEVER $36,540.71
SIGNS & SYMPTOMS W/O MCC $32,311.99
PULMONARY EMBOLISM W MCC $45,365.92
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $34,726.37
INFLAMMATORY BOWEL DISEASE W/O CC/MCC $26,545.84
OTITIS MEDIA & URI W MCC $30,840.53
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $40,207.64
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC $81,998.01
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $35,625.98
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $27,623.41
DISORDERS OF THE BILIARY TRACT W/O CC/MCC $39,843.96
NUTRITIONAL & MISC METABOLIC DISORDERS W MCC $43,517.55
KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC $34,047.36
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $25,144.75
INFLAMMATORY BOWEL DISEASE W CC $29,189.37
NON-MALIGNANT BREAST DISORDERS W CC/MCC $38,726.58
HYPERTENSION W MCC $27,299.19
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $26,455.08
HIV W OR W/O OTHER RELATED CONDITION $26,025.18
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC $43,241.46
URINARY STONES W/O ESW LITHOTRIPSY W MCC $36,429.75
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC $31,720.91
TRAUMATIC INJURY W/O MCC $28,073.99
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC $26,072.06
ATHEROSCLEROSIS W/O MCC $33,346.19
MEDICAL BACK PROBLEMS W MCC $28,657.83
SKIN ULCERS W/O CC/MCC $37,056.29
ALLERGIC REACTIONS W MCC $33,902.81

Dignity Health – St. Rose Dominican Neighborhood Hospitals makes 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 Dignity Health – St. Rose Dominican 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 Dignity Health – St. Rose Dominican Neighborhood Hospitals may differ substantially from the information provided by this website, and Dignity Health – St. Rose Dominican Neighborhood Hospitals shall not be liable for any inaccuracies.