104 — Head Trauma With Deep Coma
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEAD TRAUMA WITH DEEP COMA (APR_DRG 104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/104?code_type=APR_DRG
MLA (9th ed.)
“HEAD TRAUMA WITH DEEP COMA (APR_DRG 104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/104?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“HEAD TRAUMA WITH DEEP COMA (APR_DRG 104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/104?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $30,549–$105,040 (25th–75th percentile) across 26 hospitals · 30 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 104 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $29,352.84 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $29,352.84 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $29,352.84 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $29,352.84 | — | — | 2026-02-18 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $29,365.88 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $29,365.88 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $29,365.88 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $29,365.88 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $29,659.54 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $29,953.23 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $29,953.23 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $30,246.86 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $30,246.86 | — | — | 2025-04-24 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $30,649.43 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $30,649.43 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $30,649.43 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $30,649.43 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $30,649.43 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $30,649.43 | — | — | 2026-02-13 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $30,834.17 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $30,834.17 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $31,127.83 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $31,704.92 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $31,704.92 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $31,704.92 | — | — | 2026-05-05 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $36,553.76 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $36,553.76 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource HIP | Managed Medicaid | $36,553.76 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $36,553.76 | — | — | 2026-02-13 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $43,008.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $43,008.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Managed Medicaid | $43,008.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Community Care | Managed Medicaid | $43,008.11 | — | — | 2026-04-15 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | MHS Hoosier Care Connect | Managed Medicaid | $104,064.11 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Anthem | Managed Medicaid | $104,064.11 | — | — | 2026-02-13 | MRF ↗ |
| GIBSON GENERAL HOSPITAL InpatientFacility | MHS | Managed Medicaid | $104,064.11 | — | — | 2026-02-11 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | MDWise | Managed Medicaid | $104,064.11 | — | — | 2026-02-13 | MRF ↗ |
| GIBSON GENERAL HOSPITAL InpatientFacility | Caresource | Managed Medicaid | $104,064.11 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL InpatientFacility | MDWISE Plans | Managed Medicaid | $104,064.11 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL InpatientFacility | United Healthcare IN Medicaid | Managed Medicaid | $104,064.11 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL InpatientFacility | Anthem IN Medicaid | Managed Medicaid | $104,064.11 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $104,064.11 | — | — | 2026-02-11 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Inpatient | CareSource | MCD | $104,836.22 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Inpatient | CareSource | MCD | $104,836.22 | — | — | 2024-10-01 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Caresource IN | Managed Medicaid | $105,040.01 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | MD Wise IN Medicaid | Managed Medicaid | $105,040.01 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | MHS IN Medicaid | Managed Medicaid | $105,040.01 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | United Healthcare IN Medicaid | Managed Medicaid | $105,040.01 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Anthem IN Medicaid | Managed Medicaid | $105,040.01 | — | — | 2026-02-11 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Inpatient | MDwise Hoosier Alliance | HoosierHealthwise | $105,864.02 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Inpatient | MDwise Hoosier Alliance | HoosierCareConnect | $105,864.02 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Inpatient | MDwise Hoosier Alliance | HoosierHealthwise | $105,864.02 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Inpatient | MDwise Hoosier Alliance | HoosierCareConnect | $105,864.02 | — | — | 2024-10-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | MDWise HIP | Managed Medicaid | $109,968.49 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $109,968.49 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $109,968.49 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | MHS Behavioral | Managed Medicaid | $109,968.49 | — | — | 2026-02-13 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Inpatient | Molina | MCD | $109,975.25 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Inpatient | Molina | MCD | $109,975.25 | — | — | 2024-10-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $174,225.00 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $174,225.00 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL InpatientFacility | Bcbs | Hmo | $219,521.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL InpatientFacility | Bcbs | Hmo | $219,521.03 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Bcbs | Hmo | $223,542.04 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Bcbs | Hmo | $223,542.04 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL InpatientFacility | Bcbs | Ppo | $243,912.27 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL InpatientFacility | Bcbs | Ppo | $243,912.27 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Bcbs | Ppo | $248,379.99 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Bcbs | Ppo | $248,379.99 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Bcbs | Ppo | $248,892.83 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Bcbs | Hmo | $248,892.83 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Bcbs | Ppo | $248,892.83 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Bcbs | Hmo | $248,892.83 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Canopy | COMM | $324,518.90 | — | — | 2024-10-01 | MRF ↗ |
| Children's National Medical Center InpatientFacility | MedStar Family Choice | Managed Medicaid | $379,631.29 | — | — | 2026-04-02 | MRF ↗ |