MS DRG V39 (FY2022) 175 — Pulmonary Embolism With McC Or Acute Cor Pulmonale
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Pulmonary Embolism With McC Or Acute Cor Pulmonale (OTHER MS DRG V39 (FY2022) 175) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 175?code_type=OTHER
MLA (9th ed.)
“Pulmonary Embolism With McC Or Acute Cor Pulmonale (OTHER MS DRG V39 (FY2022) 175) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 175?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Pulmonary Embolism With McC Or Acute Cor Pulmonale (OTHER MS DRG V39 (FY2022) 175) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS DRG V39 (FY2022) 175?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,298–$22,642 (25th–75th percentile) across 7 hospitals · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS DRG V39 (FY2022) 175 — 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 |
|---|---|---|---|---|---|---|---|
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $7,627.31 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $7,804.69 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Anthem Blue Cross Blue Shield Blue Access/ Traditional - Ppo/Par | — | $7,804.69 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | First Health Group Corp National Rental Ppo Network | — | $7,982.07 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $8,159.45 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Health Eos Ppo Networks | — | $8,248.14 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Phcs Ppo Networks | — | $8,248.14 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $8,425.52 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $8,514.21 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC | Cigna Ppo And Open Access Plus Benefits | — | $8,691.59 | $8,868.97 | $5,764.83 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial Hmo/Ppo/Pos/Epo (Aca On/Off Exchange Plans) | — | $12,192.17 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial - United Behavioral Health | — | $12,728.42 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial - United Behavioral Health | — | $14,689.36 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Blue Cross Blue Shield Of Michigan Commercial And Medicare Wrap-Around Products | — | $14,902.96 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Traditional - Ppo/Par | — | $16,069.06 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $16,069.06 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Blue Cross Blue Shield Of Michigancommercial Plans | — | $16,181.67 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial Hmo/Ppo/Pos/Epo (Aca On/Off Exchange Plans) | — | $16,253.22 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| LANGLADE HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $16,434.26 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Hmo/Pos/Ppo | — | $16,449.04 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $16,449.04 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $16,644.86 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| LANGLADE HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $16,799.47 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | United Healthcare Commercial Hmo/Ppo/Pos/ Epo (Aca On/Off Exchange) | — | $16,854.25 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Health Eos Ppo Networks | — | $17,347.28 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Phcs Ppo Networks | — | $17,347.28 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $17,347.28 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| LANGLADE HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $17,529.88 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $17,623.97 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $17,623.97 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| LANGLADE HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $17,895.08 | $18,260.29 | $11,869.19 | 2026-07-31 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Multiplan, Inc. Health Eos Ppo/Phcs Ppo Networks | — | $18,211.44 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Multiplan, Inc. Multiplan Ppo Networks | — | $18,603.08 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $18,766.75 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $18,798.90 | $19,582.19 | $12,728.42 | 2026-08-01 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Hmo/Pos/Ppo | — | $18,983.17 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $18,983.17 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $19,209.16 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $20,153.42 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $20,339.11 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $20,339.11 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Aetna (Through Uphp) Aetna Funding Advantage (Afa) | — | $20,402.78 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Health Eos Ppo/Phcs Ppo Networks | — | $21,017.08 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Traditional - Ppo/Par | — | $21,362.60 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $21,362.60 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Multiplan Ppo Networks | — | $21,469.06 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Priority Health Managed Benefits And Priority Health Insurance Company (Through Uphp) Commercial Plan | — | $21,536.27 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Health Alliance Plan (Hap) Preferred, Inc. (Through Uphp) Automobile Accident Insurance /Workers Compensation | — | $21,536.27 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Cigna (Through Uphp) Commercial Plans | — | $21,536.27 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $21,695.05 | $22,599.01 | $14,689.36 | 2026-07-30 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Priority Health Managed Benefits And Priority Health Insurance Company (Through Uphp) Commercial Plan | — | $22,379.87 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $22,557.89 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | First Health (Through Uphp) National Rental Ppo Network | — | $22,669.76 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Cofinity (Through Uphp) Preferred Provider Of Michigan Insurance Company Plan | — | $22,669.76 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS KEWEENAW HOSPITAL AND CLINICS | Aetna (Through Uphp) Aetna Commercial | — | $22,669.76 | $22,669.76 | $14,735.34 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Cofinity (Through Uphp) Preferred Provider Of Michigan Insurance Company Plan | — | $22,888.50 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Cigna (Through Uphp) Commercial Plans | — | $22,888.50 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Aetna (Through Uphp) Aetna Commercial | — | $22,888.50 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | First Health (Through Uphp) National Rental Ppo Network | — | $22,888.50 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Aetna (Through Uphp) Aetna Funding Advantage (Afa) | — | $22,888.50 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL | Health Alliance Plan (Hap) Preferred, Inc. (Through Uphp) Automobile Accident Insurance /Workers Compensation | — | $24,160.09 | $25,431.67 | $16,530.59 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Anthem Blue Cross Blue Shield Blue Access/ Traditional - Ppo/Par | — | $28,243.38 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $30,292.27 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | First Health Group Corp National Rental Ppo Network | — | $30,563.95 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $31,243.14 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Phcs Ppo Networks | — | $31,582.74 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Health Eos Ppo Networks | — | $31,582.74 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $32,261.94 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $32,601.54 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Cigna Ppo And Open Access Plus Benefits | — | $32,941.14 | $33,959.94 | $22,073.96 | 2026-07-31 | MRF ↗ |