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 FY2016 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/price-lists/Diagnosis-Related-Group.csv


AB
1
Diagnosis-Related Group (DRG) DefinitionFY 2016 Average Covered Charges
2
038 - EXTRACRANIAL PROCEDURES W CC$26,930.00
3
039 - EXTRACRANIAL PROCEDURES W/O CC/MCC$15,676.14
4
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$24,811.81
5
064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$26,694.74
6
065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$21,131.75
7
066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$15,532.22
8
069 - TRANSIENT ISCHEMIA$17,873.89
9
086 - TRAUMATIC STUPOR & COMA, COMA <1 HR W CC$18,750.41
10
087 - TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC$11,978.40
11
092 - OTHER DISORDERS OF NERVOUS SYSTEM W CC$15,198.20
12
101 - SEIZURES W/O MCC$21,461.19
13
149 - DYSEQUILIBRIUM$13,635.33
14
176 - PULMONARY EMBOLISM W/O MCC$12,458.07
15
177 - RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$23,826.92
16
180 - RESPIRATORY NEOPLASMS W MCC$35,382.72
17
189 - PULMONARY EDEMA & RESPIRATORY FAILURE$16,688.60
18
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$13,223.13
19
191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$12,339.50
20
192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$7,928.65
21
193 - SIMPLE PNEUMONIA & PLEURISY W MCC$17,424.65
22
194 - SIMPLE PNEUMONIA & PLEURISY W CC$14,896.50
23
195 - SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$9,983.82
24
202 - BRONCHITIS & ASTHMA W CC/MCC$17,194.48
25
208 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$42,072.83
26
247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC$52,446.19
27
252 - OTHER VASCULAR PROCEDURES W MCC$56,324.73
28
253 - OTHER VASCULAR PROCEDURES W CC$37,786.21
29
280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$18,542.39
30
281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$19,369.70
31
282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$17,937.88
32
287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC$24,061.94
33
291 - HEART FAILURE & SHOCK W MCC$18,315.45
34
292 - HEART FAILURE & SHOCK W CC$13,431.81
35
293 - HEART FAILURE & SHOCK W/O CC/MCC$10,282.20
36
308 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$17,105.64
37
309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$13,394.29
38
310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$9,335.40
39
312 - SYNCOPE & COLLAPSE$14,574.67
40
313 - CHEST PAIN$15,110.38
41
315 - OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$11,592.36
42
327 - STOMACH, ESOPHAGEAL & DUODENAL PROC W CC$40,408.09
43
329 - MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$74,453.95
44
330 - MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$37,725.84
45
331 - MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$28,152.92
46
372 - MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$14,579.81
47
375 - DIGESTIVE MALIGNANCY W CC$16,314.75
48
377 - G.I. HEMORRHAGE W MCC$29,387.62
49
378 - G.I. HEMORRHAGE W CC$16,235.11
50
389 - G.I. OBSTRUCTION W CC$13,841.97
51
390 - G.I. OBSTRUCTION W/O CC/MCC$8,760.10
52
391 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$18,303.76
53
392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$12,863.63
54
394 - OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$12,489.94
55
395 - OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$17,056.36
56
418 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$31,216.33
57
433 - CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$21,520.82
58
439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$14,198.54
59
440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$13,877.91
60
441 - DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC$31,636.75
61
442 - DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC$12,561.20
62
460 - SPINAL FUSION EXCEPT CERVICAL W/O MCC$93,766.42
63
469 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC$40,321.38
64
470 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$35,580.54
65
473 - CERVICAL SPINAL FUSION W/O CC/MCC$60,204.36
66
480 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$37,712.07
67
481 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$30,719.23
68
482 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$27,001.58
69
483 - MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$44,448.00
70
493 - LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC$34,083.00
71
494 - LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC$24,312.80
72
536 - FRACTURES OF HIP & PELVIS W/O MCC$11,263.33
73
552 - MEDICAL BACK PROBLEMS W/O MCC$15,468.11
74
563 - FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$18,481.75
75
602 - CELLULITIS W MCC$20,653.15
76
603 - CELLULITIS W/O MCC$12,213.33
77
605 - TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC$12,681.85
78
621 - O.R. PROCEDURES FOR OBESITY W/O CC/MCC$18,808.73
79
638 - DIABETES W CC$12,590.38
80
640 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC$21,618.77
81
641 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC$13,451.40
82
682 - RENAL FAILURE W MCC$19,705.36
83
683 - RENAL FAILURE W CC$12,275.63
84
684 - RENAL FAILURE W/O CC/MCC$12,128.00
85
689 - KIDNEY & URINARY TRACT INFECTIONS W MCC$17,502.94
86
690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC$13,607.59
87
694 - URINARY STONES W/O ESW LITHOTRIPSY W/O MCC$17,448.21
88
698 - OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$18,194.50
89
775 - VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES$10,440.40
90
811 - RED BLOOD CELL DISORDERS W MCC$17,526.60
91
812 - RED BLOOD CELL DISORDERS W/O MCC$13,678.64
92
853 - INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$76,416.14
93
871 - SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$24,672.63
94
872 - SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$17,612.88
95
897 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC
$15,478.88
96
917 - POISONING & TOXIC EFFECTS OF DRUGS W MCC$21,318.28
97
918 - POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$12,792.73
98
948 - SIGNS & SYMPTOMS W/O MCC$18,584.61
99
981 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$55,604.41
100
982 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$43,388.60