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
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $19,535.60
KIDNEY & URINARY TRACT INFECTIONS W/O MCC $18,223.11
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC $19,881.10
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $22,094.24
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC $19,800.75
SIMPLE PNEUMONIA & PLEURISY W CC $18,811.96
SIMPLE PNEUMONIA & PLEURISY W MCC $19,654.41
PULMONARY EDEMA & RESPIRATORY FAILURE $18,284.37
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $22,565.36
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $18,331.22
RENAL FAILURE W CC $21,968.44
PULMONARY EMBOLISM W/O MCC $22,508.98
G.I. OBSTRUCTION W/O CC/MCC $18,230.05
KIDNEY & URINARY TRACT INFECTIONS W MCC $18,767.75
DIABETES W CC $21,019.53
INFLAMMATORY BOWEL DISEASE W/O CC/MCC $20,122.43
SYNCOPE & COLLAPSE $19,882.85
RENAL FAILURE W MCC $25,334.79
HEADACHES W/O MCC $17,544.41
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $36,459.41
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $18,098.86
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $20,081.87
PERIPHERAL VASCULAR DISORDERS W MCC $18,939.45
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $18,022.03
INFLAMMATORY BOWEL DISEASE W CC $25,431.95
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $29,060.26
CELLULITIS W MCC $23,293.43
NUTRITIONAL & MISC METABOLIC DISORDERS W MCC $22,163.54
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $21,559.60
PULMONARY EMBOLISM W MCC $34,816.74
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $20,776.79
G.I. OBSTRUCTION W MCC $18,845.75
G.I. OBSTRUCTION W CC $19,320.46
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $22,905.77
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $23,431.97
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC $20,469.87
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC $28,632.33
INTERSTITIAL LUNG DISEASE W MCC $20,697.18
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC $17,912.36
DIGESTIVE MALIGNANCY W/O CC/MCC $18,816.05
G.I. HEMORRHAGE W CC $23,902.50
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $32,415.34
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $19,160.79
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC $25,188.73
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC $19,430.91
DISORDERS OF THE BILIARY TRACT W CC $33,596.48
FRACTURES OF HIP & PELVIS W/O MCC $23,672.63
OSTEOMYELITIS W/O CC/MCC $25,877.02
MEDICAL BACK PROBLEMS W/O MCC $18,148.30
TENDONITIS, MYOSITIS & BURSITIS W MCC $21,566.71
OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC $21,497.21
NON-MALIGNANT BREAST DISORDERS W CC/MCC $18,591.34
INBORN ERRORS OF METABOLISM $17,697.23
URINARY STONES W/O ESW LITHOTRIPSY W MCC $35,008.85
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $19,671.65
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $24,438.14
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC $55,137.74
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $25,447.42
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC $23,548.97
FEVER $20,281.47

Baylor Scott & White Emergency 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 Baylor Scott & White Emergency 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 Baylor Scott & White Emergency Hospitals may differ substantially from the information provided by this website, and Baylor Scott & White Emergency Hospitals shall not be liable for any inaccuracies.