Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

Diagnosis-Related Group (DRG) Charges

The information provided is a comprehensive list of DRGs provided at Elliot Hospital and the average charges associated with each. Every inpatient stay is unique based on patient needs, diagnosis, level of care needed, and therefore charges relate to inpatient stays can differ on an individual patient basis. This list does not necessarily reflect what a patient ultimately pays for services and therefore may not be a helpful tool to estimate out of pocket responsibility or to compare hospital costs.

The file contains FY2017 data from the Centers for Medicare & Medicaid Services’ Input Utilization and Payment Public Use File. Patients are encouraged to contact our patient financial services staff.




Access to csv file
https://www.elliothospital.org/website/ehs-2020-price-lists/DRG-Charges.csv


AB
1
Diagnosis-Related Group (DRG) DefinitionAverage Covered Charges FY2017
2
025 - CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC$104,613.13
3
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC$34,335.01
4
054 - NERVOUS SYSTEM NEOPLASMS W MCC$52,294.79
5
055 - NERVOUS SYSTEM NEOPLASMS W/O MCC$30,142.60
6
056 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$47,854.69
7
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$27,214.09
8
064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$45,297.36
9
065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$28,866.92
10
066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$25,071.13
11
069 - TRANSIENT ISCHEMIA$26,065.49
12
071 - NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$26,147.80
13
074 - CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$27,489.27
14
091 - OTHER DISORDERS OF NERVOUS SYSTEM W MCC$41,656.66
15
092 - OTHER DISORDERS OF NERVOUS SYSTEM W CC$24,699.37
16
093 - OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$19,589.65
17
100 - SEIZURES W MCC$49,331.72
18
101 - SEIZURES W/O MCC$25,477.04
19
103 - HEADACHES W/O MCC$23,260.86
20
149 - DYSEQUILIBRIUM$22,457.74
21
153 - OTITIS MEDIA & URI W/O MCC$18,365.23
22
163 - MAJOR CHEST PROCEDURES W MCC$111,059.87
23
164 - MAJOR CHEST PROCEDURES W CC$60,321.65
24
166 - OTHER RESP SYSTEM O.R. PROCEDURES W MCC$94,315.51
25
167 - OTHER RESP SYSTEM O.R. PROCEDURES W CC$42,419.49
26
175 - PULMONARY EMBOLISM W MCC$33,462.41
27
176 - PULMONARY EMBOLISM W/O MCC$26,167.59
28
177 - RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$37,756.94
29
180 - RESPIRATORY NEOPLASMS W MCC$39,024.02
30
184 - MAJOR CHEST TRAUMA W CC$25,121.63
31
189 - PULMONARY EDEMA & RESPIRATORY FAILURE$26,462.03
32
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$23,687.04
33
191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$20,071.97
34
192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$16,505.84
35
193 - SIMPLE PNEUMONIA & PLEURISY W MCC$26,381.26
36
194 - SIMPLE PNEUMONIA & PLEURISY W CC$19,928.26
37
195 - SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$16,161.86
38
202 - BRONCHITIS & ASTHMA W CC/MCC$18,979.41
39
203 - BRONCHITIS & ASTHMA W/O CC/MCC$14,757.07
40
208 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$66,265.72
41
243 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC$64,855.38
42
244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC$57,573.43
43
246 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS$98,326.15
44
247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC$75,036.46
45
253 - OTHER VASCULAR PROCEDURES W CC$72,781.62
46
280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$37,498.73
47
281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$27,437.28
48
282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$27,240.86
49
286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC$55,338.75
50
287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC$37,259.55
51
291 - HEART FAILURE & SHOCK W MCC$28,806.45
52
292 - HEART FAILURE & SHOCK W CC$21,831.94
53
305 - HYPERTENSION W/O MCC$20,858.25
54
308 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$30,181.05
55
309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$20,276.83
56
310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$14,739.72
57
312 - SYNCOPE & COLLAPSE$23,331.04
58
313 - CHEST PAIN$22,676.04
59
314 - OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$45,767.42
60
315 - OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$28,264.13
61
329 - MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$109,576.47
62
330 - MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$66,613.48
63
331 - MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$47,854.13
64
340 - APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC$32,037.29
65
372 - MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$23,338.53
66
373 - MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC$18,493.14
67
377 - G.I. HEMORRHAGE W MCC$44,104.00
68
378 - G.I. HEMORRHAGE W CC$23,520.09
69
386 - INFLAMMATORY BOWEL DISEASE W CC$23,382.83
70
387 - INFLAMMATORY BOWEL DISEASE W/O CC/MCC$18,305.68
71
389 - G.I. OBSTRUCTION W CC$19,175.51
72
390 - G.I. OBSTRUCTION W/O CC/MCC$15,767.81
73
391 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$34,084.25
74
392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$20,112.19
75
394 - OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$22,380.16
76
418 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$49,970.66
77
419 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$38,484.40
78
433 - CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$27,125.98
79
439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$23,505.98
80
440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$16,506.59
81
441 - DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC$37,290.16
82
442 - DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC$22,466.04
83
460 - SPINAL FUSION EXCEPT CERVICAL W/O MCC$109,123.84
84
468 - REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC$66,815.76
85
469 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM$80,529.41
86
470 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$54,780.36
87
472 - CERVICAL SPINAL FUSION W CC$79,306.20
88
477 - BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$62,472.71
89
478 - BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$54,090.80
90
480 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$65,832.00
91
481 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$47,589.00
92
482 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$38,921.47
93
483 - MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$70,135.05
94
493 - LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC$57,988.29
95
494 - LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC$46,059.33
96
517 - OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC$39,354.06
97
552 - MEDICAL BACK PROBLEMS W/O MCC$24,612.59
98
563 - FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$20,420.70
99
602 - CELLULITIS W MCC$29,882.45
100
603 - CELLULITIS W/O MCC$17,795.08
101
620 - O.R. PROCEDURES FOR OBESITY W CC$56,220.60
102
621 - O.R. PROCEDURES FOR OBESITY W/O CC/MCC$56,290.64
103
638 - DIABETES W CC$19,360.13
104
639 - DIABETES W/O CC/MCC$13,870.04
105
640 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC$30,309.49
106
641 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC$18,257.68
107
660 - KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC$54,979.93
108
661 - KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC$44,157.54
109
682 - RENAL FAILURE W MCC$34,745.72
110
683 - RENAL FAILURE W CC$20,656.11
111
689 - KIDNEY & URINARY TRACT INFECTIONS W MCC$26,123.33
112
690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC$18,995.34
113
698 - OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$33,716.13
114
743 - UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC$39,575.13
115
809 - MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$33,880.04
116
811 - RED BLOOD CELL DISORDERS W MCC$29,005.17
117
812 - RED BLOOD CELL DISORDERS W/O MCC$20,492.58
118
813 - COAGULATION DISORDERS$39,589.23
119
853 - INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$132,689.64
120
854 - INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$60,152.49
121
866 - VIRAL ILLNESS W/O MCC$17,354.14
122
871 - SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$40,273.94
123
872 - SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$24,442.33
124
884 - ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$35,118.33
125
885 - PSYCHOSES$31,195.98
126
896 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$42,591.06
127
897 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$21,790.89
128
917 - POISONING & TOXIC EFFECTS OF DRUGS W MCC$35,412.90
129
918 - POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$18,917.32
130
948 - SIGNS & SYMPTOMS W/O MCC$20,931.03