Hospital

UNITY HEALTH - NEWPORT

Newport, AR · CCN 041332 · Rates published

134 distinct procedures filed

17 distinct payers

10,089 rate rows

2025-03-01 last MRF observed · ⚠ 16 mo old

Data quality

495 of 10,089 rate rows are consumer-grade (4.9%)

9,594 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	9,594

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://res.cloudinary.com/dpmykpsih/raw/upload/unity-health-2024-site-471/media/r/f3268e2c9fd04bae97aa2de23b692104/86-1835149_unity-health-newport_standardcharges.csv
Found on page	https://www.unity-health.org/patients/pricing/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	723413af4ffc9516… · 2,032,505 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
439 MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	1	$18,960.00	$18,960.00	$18,960.00	nat. median $9,521 2.0× median
478 MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	1	$18,960.00	$18,960.00	$18,960.00	nat. median $24,026 0.8× median
617 MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	1	$16,927.50	$16,927.50	$16,927.50	nat. median $19,472 0.9× median
394 MS_DRG	Other Digestive System Diagnoses With Cc	2	$12,077.88	$12,077.88	$12,077.88	nat. median $10,259 1.2× median
444 MS_DRG	Disorders Of The Biliary Tract With Mcc	1	$10,980.47	$10,980.47	$10,980.47	nat. median $16,880 0.7× median
884 MS_DRG	Organic Disturbances And Intellectual Disability	5	$10,891.61	$10,891.61	$10,891.61	nat. median $14,858 0.7× median
885 MS_DRG	Psychoses	12	$10,603.48	$10,603.48	$10,603.48	nat. median $12,884 0.8× median
832 MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures With Cc	1	$9,984.33	$9,984.33	$9,984.33	nat. median $8,034 1.2× median
776 MS_DRG	Postpartum And Post Abortion Diagnoses Without O.r. Procedures	2	$9,943.72	$9,943.72	$9,943.72	nat. median $7,665 1.3× median
689 MS_DRG	Kidney And Urinary Tract Infections With Mcc	1	$9,862.93	$9,862.93	$9,862.93	nat. median $12,152 0.8× median
881 MS_DRG	Depressive Neuroses	9	$9,818.01	$9,818.01	$9,818.01	nat. median $8,971 1.1× median
202 MS_DRG	Bronchitis And Asthma With Cc/Mcc	1	$9,683.92	$9,683.92	$9,683.92	nat. median $10,377 0.9× median
605 MS_DRG	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	1	$9,612.87	$9,612.87	$9,612.87	nat. median $9,920 1.0× median
193 MS_DRG	Simple Pneumonia And Pleurisy With Mcc	5	$9,540.23	$9,540.23	$9,540.23	nat. median $13,648 0.7× median
571 MS_DRG	Skin Debridement With Cc	1	$9,480.00	$9,480.00	$9,480.00	nat. median $17,260 0.5× median
883 MS_DRG	Disorders Of Personality And Impulse Control	3	$9,295.82	$9,295.82	$9,295.82	nat. median $17,090 0.5× median
190 MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	2	$8,403.84	$8,403.84	$8,403.84	nat. median $11,699 0.7× median
882 MS_DRG	Neuroses Except Depressive	1	$7,893.68	$7,893.68	$7,893.68	nat. median $9,789 0.8× median
797 MS_DRG	Vaginal Delivery With Sterilization And/Or D&c With Cc	1	$7,872.92	$7,872.92	$7,872.92	nat. median $9,827 0.8× median
57 MS_DRG	Degenerative Nervous System Disorders Without Mcc	1	$7,668.59	$7,668.59	$7,668.59	nat. median $13,201 0.6× median
880 MS_DRG	Acute Adjustment Reaction And Psychosocial Dysfunction	9	$7,650.07	$7,650.07	$7,650.07	nat. median $9,366 0.8× median
806 MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Cc	2	$7,596.20	$7,596.20	$7,596.20	nat. median $8,000 0.9× median
947 MS_DRG	Signs And Symptoms With Mcc	2	$7,356.10	$7,356.10	$7,356.10	nat. median $12,688 0.6× median
682 MS_DRG	Renal Failure With Mcc	1	$6,986.90	$6,986.90	$6,986.90	nat. median $15,223 outlier · 0.5×
897 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	6	$6,848.10	$6,848.10	$6,848.10	nat. median $8,726 0.8× median
194 MS_DRG	Simple Pneumonia And Pleurisy With Cc	5	$6,716.90	$6,716.90	$6,716.90	nat. median $9,125 0.7× median
603 MS_DRG	Cellulitis Without Mcc	1	$6,715.83	$6,715.83	$6,715.83	nat. median $9,571 0.7× median
812 MS_DRG	Red Blood Cell Disorders Without Mcc	1	$6,532.07	$6,532.07	$6,532.07	nat. median $9,870 0.7× median
684 MS_DRG	Renal Failure Without Cc/Mcc	1	$6,320.00	$6,320.00	$6,320.00	nat. median $7,094 0.9× median
786 MS_DRG	Cesarean Section Without Sterilization With Mcc	1	$6,320.00	$6,320.00	$6,320.00	nat. median $15,316 outlier · 0.4×
783 MS_DRG	Cesarean Section With Sterilization With Mcc	1	$6,320.00	$6,320.00	$6,320.00	nat. median $19,234 outlier · 0.3×
785 MS_DRG	Cesarean Section With Sterilization Without Cc/Mcc	1	$6,280.56	$6,280.56	$6,280.56	nat. median $10,028 0.6× median
418 MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc	1	$5,818.50	$5,818.50	$5,818.50	nat. median $17,482 outlier · 0.3×
788 MS_DRG	Cesarean Section Without Sterilization Without Cc/Mcc	2	$5,717.03	$5,717.03	$5,717.03	nat. median $10,164 0.6× median
195 MS_DRG	Simple Pneumonia And Pleurisy Without Cc/Mcc	1	$5,642.50	$5,642.50	$5,642.50	nat. median $7,338 0.8× median
871 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	1	$5,602.08	$5,602.08	$5,602.08	nat. median $19,634 outlier · 0.3×
9201 OTHER	Rabies Ig Ht&sol Human Im/sc	1	$5,527.86	$5,527.86	$5,527.86	nat. median $263 outlier · 21.0×
784 MS_DRG	Cesarean Section With Sterilization With Cc	2	$5,492.00	$5,492.00	$5,492.00	nat. median $11,116 outlier · 0.5×
886 MS_DRG	Behavioral And Developmental Disorders	1	$5,404.87	$5,404.87	$5,404.87	nat. median $17,368 outlier · 0.3×
66 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc	1	$5,200.85	$5,200.85	$5,200.85	nat. median $8,067 0.6× median
153 MS_DRG	Otitis Media And Uri Without Mcc	1	$5,159.25	$5,159.25	$5,159.25	nat. median $8,180 0.6× median
769 MS_DRG	Postpartum And Post Abortion Diagnoses With O.r. Procedures	1	$5,056.00	$5,056.00	$5,056.00	nat. median $16,182 outlier · 0.3×
552 MS_DRG	Medical Back Problems Without Mcc	3	$4,971.69	$4,971.69	$4,971.69	nat. median $10,422 outlier · 0.5×
948 MS_DRG	Signs And Symptoms Without Mcc	2	$4,946.21	$4,946.21	$4,946.21	nat. median $8,515 0.6× median
638 MS_DRG	Diabetes With Cc	2	$4,782.42	$4,782.42	$4,782.42	nat. median $9,824 outlier · 0.5×
300 MS_DRG	Peripheral Vascular Disorders With Cc	1	$4,651.11	$4,651.11	$4,651.11	nat. median $11,432 outlier · 0.4×
440 MS_DRG	Disorders Of Pancreas Except Malignancy Without Cc/Mcc	1	$4,512.17	$4,512.17	$4,512.17	nat. median $7,343 0.6× median
951 MS_DRG	Other Factors Influencing Health Status	2	$4,380.19	$4,380.19	$4,380.19	nat. median $6,587 0.7× median
189 MS_DRG	Pulmonary Edema And Respiratory Failure	4	$4,184.16	$4,184.16	$4,184.16	nat. median $13,017 outlier · 0.3×
807 MS_DRG	Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc	5	$4,176.05	$4,176.05	$4,176.05	nat. median $7,387 0.6× median

Other procedures at this hospital

Browse this hospital's 134 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

478	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	1	1	—	—	$18,960.00	$18,960.00	$18,960.00	2025-03-01
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	1	1	—	—	$18,960.00	$18,960.00	$18,960.00	2025-03-01
617	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	1	1	—	—	$16,927.50	$16,927.50	$16,927.50	2025-03-01
394	MS_DRG	Other Digestive System Diagnoses With Cc	3	2	—	—	$12,077.88	$12,077.88	$12,077.88	2025-03-01
444	MS_DRG	Disorders Of The Biliary Tract With Mcc	1	1	—	—	$10,980.47	$10,980.47	$10,980.47	2025-03-01
884	MS_DRG	Organic Disturbances And Intellectual Disability	5	5	—	—	$10,891.61	$10,891.61	$10,891.61	2025-03-01
885	MS_DRG	Psychoses	17	12	—	—	$10,603.48	$10,603.48	$10,603.48	2025-03-01
832	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures With Cc	1	1	—	—	$9,984.33	$9,984.33	$9,984.33	2025-03-01
776	MS_DRG	Postpartum And Post Abortion Diagnoses Without O.r. Procedures	2	2	—	—	$9,943.72	$9,943.72	$9,943.72	2025-03-01
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	1	1	—	—	$9,862.93	$9,862.93	$9,862.93	2025-03-01
881	MS_DRG	Depressive Neuroses	11	9	—	—	$9,818.01	$9,818.01	$9,818.01	2025-03-01
202	MS_DRG	Bronchitis And Asthma With Cc/Mcc	1	1	—	—	$9,683.92	$9,683.92	$9,683.92	2025-03-01
605	MS_DRG	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	1	1	—	—	$9,612.87	$9,612.87	$9,612.87	2025-03-01
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	5	5	—	—	$9,540.23	$9,540.23	$9,540.23	2025-03-01
571	MS_DRG	Skin Debridement With Cc	1	1	—	—	$9,480.00	$9,480.00	$9,480.00	2025-03-01
883	MS_DRG	Disorders Of Personality And Impulse Control	5	3	—	—	$9,295.82	$9,295.82	$9,295.82	2025-03-01
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	2	2	—	—	$8,403.84	$8,403.84	$8,403.84	2025-03-01
882	MS_DRG	Neuroses Except Depressive	2	1	—	—	$7,893.68	$7,893.68	$7,893.68	2025-03-01
797	MS_DRG	Vaginal Delivery With Sterilization And/Or D&c With Cc	1	1	—	—	$7,872.92	$7,872.92	$7,872.92	2025-03-01
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	1	1	—	—	$7,668.59	$7,668.59	$7,668.59	2025-03-01
880	MS_DRG	Acute Adjustment Reaction And Psychosocial Dysfunction	12	9	—	—	$7,650.07	$7,650.07	$7,650.07	2025-03-01
806	MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Cc	2	2	—	—	$7,596.20	$7,596.20	$7,596.20	2025-03-01
947	MS_DRG	Signs And Symptoms With Mcc	2	2	—	—	$7,356.10	$7,356.10	$7,356.10	2025-03-01
682	MS_DRG	Renal Failure With Mcc	1	1	—	—	$6,986.90	$6,986.90	$6,986.90	2025-03-01
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	9	6	—	—	$6,848.10	$6,848.10	$6,848.10	2025-03-01
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	5	5	—	—	$6,716.90	$6,716.90	$6,716.90	2025-03-01
603	MS_DRG	Cellulitis Without Mcc	1	1	—	—	$6,715.83	$6,715.83	$6,715.83	2025-03-01
812	MS_DRG	Red Blood Cell Disorders Without Mcc	1	1	—	—	$6,532.07	$6,532.07	$6,532.07	2025-03-01
786	MS_DRG	Cesarean Section Without Sterilization With Mcc	1	1	—	—	$6,320.00	$6,320.00	$6,320.00	2025-03-01
684	MS_DRG	Renal Failure Without Cc/Mcc	1	1	—	—	$6,320.00	$6,320.00	$6,320.00	2025-03-01
783	MS_DRG	Cesarean Section With Sterilization With Mcc	1	1	—	—	$6,320.00	$6,320.00	$6,320.00	2025-03-01
785	MS_DRG	Cesarean Section With Sterilization Without Cc/Mcc	1	1	—	—	$6,280.56	$6,280.56	$6,280.56	2025-03-01
418	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc	1	1	—	—	$5,818.50	$5,818.50	$5,818.50	2025-03-01
788	MS_DRG	Cesarean Section Without Sterilization Without Cc/Mcc	3	2	—	—	$5,717.03	$5,717.03	$5,717.03	2025-03-01
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/Mcc	1	1	—	—	$5,642.50	$5,642.50	$5,642.50	2025-03-01
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	1	1	—	—	$5,602.08	$5,602.08	$5,602.08	2025-03-01
9201	OTHER	Rabies Ig Ht&sol Human Im/sc	1	1	—	—	$5,527.86	$5,527.86	$5,527.86	2025-03-01
784	MS_DRG	Cesarean Section With Sterilization With Cc	2	2	—	—	$5,492.00	$5,492.00	$5,492.00	2025-03-01
886	MS_DRG	Behavioral And Developmental Disorders	1	1	—	—	$5,404.87	$5,404.87	$5,404.87	2025-03-01
66	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc	1	1	—	—	$5,200.85	$5,200.85	$5,200.85	2025-03-01
153	MS_DRG	Otitis Media And Uri Without Mcc	1	1	—	—	$5,159.25	$5,159.25	$5,159.25	2025-03-01
769	MS_DRG	Postpartum And Post Abortion Diagnoses With O.r. Procedures	1	1	—	—	$5,056.00	$5,056.00	$5,056.00	2025-03-01
552	MS_DRG	Medical Back Problems Without Mcc	3	3	—	—	$4,971.69	$4,971.69	$4,971.69	2025-03-01
948	MS_DRG	Signs And Symptoms Without Mcc	3	2	—	—	$4,946.21	$4,946.21	$4,946.21	2025-03-01
638	MS_DRG	Diabetes With Cc	3	2	—	—	$4,782.42	$4,782.42	$4,782.42	2025-03-01
300	MS_DRG	Peripheral Vascular Disorders With Cc	1	1	—	—	$4,651.11	$4,651.11	$4,651.11	2025-03-01
440	MS_DRG	Disorders Of Pancreas Except Malignancy Without Cc/Mcc	1	1	—	—	$4,512.17	$4,512.17	$4,512.17	2025-03-01
951	MS_DRG	Other Factors Influencing Health Status	2	2	—	—	$4,380.19	$4,380.19	$4,380.19	2025-03-01
189	MS_DRG	Pulmonary Edema And Respiratory Failure	4	4	—	—	$4,184.16	$4,184.16	$4,184.16	2025-03-01
807	MS_DRG	Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc	6	5	—	—	$4,176.05	$4,176.05	$4,176.05	2025-03-01
768	MS_DRG	Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c	2	2	—	—	$4,148.91	$4,148.91	$4,148.91	2025-03-01
291	MS_DRG	Heart Failure And Shock With Mcc	2	2	—	—	$4,141.55	$4,141.55	$4,141.55	2025-03-01
798	MS_DRG	Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc	3	2	—	—	$3,867.89	$3,867.89	$3,867.89	2025-03-01
293	MS_DRG	Heart Failure And Shock Without Cc/Mcc	3	3	—	—	$3,764.11	$3,764.11	$3,764.11	2025-03-01
302	MS_DRG	Atherosclerosis With Mcc	1	1	—	—	$3,746.50	$3,746.50	$3,746.50	2025-03-01
815	MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	2	2	—	—	$3,666.35	$3,666.35	$3,666.35	2025-03-01
191	MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	1	1	—	—	$3,661.65	$3,661.65	$3,661.65	2025-03-01
894	MS_DRG	Alcohol, Drug Abuse Or Dependence, Left Ama	4	2	—	—	$3,581.59	$3,581.59	$3,581.59	2025-03-01
158	MS_DRG	Dental And Oral Diseases With Cc	1	1	—	—	$3,554.54	$3,554.54	$3,554.54	2025-03-01
313	MS_DRG	Chest Pain	5	5	—	—	$3,510.89	$3,510.89	$3,510.89	2025-03-01
5113	OTHER	Level 3 Musculoskeletal Procedures	1	1	—	—	$3,474.18	$3,474.18	$3,474.18	2025-03-01
68	MS_DRG	Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc	1	1	—	—	$3,386.58	$3,386.58	$3,386.58	2025-03-01
863	MS_DRG	Postoperative And Post-traumatic Infections Without Mcc	1	1	—	—	$3,386.58	$3,386.58	$3,386.58	2025-03-01
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	1	1	—	—	$3,363.92	$3,363.92	$3,363.92	2025-03-01
419	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc	1	1	—	—	$3,363.92	$3,363.92	$3,363.92	2025-03-01
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	3	3	—	—	$3,271.43	$3,271.43	$3,271.43	2025-03-01
787	MS_DRG	Cesarean Section Without Sterilization With Cc	1	1	—	—	$3,160.00	$3,160.00	$3,160.00	2025-03-01
305	MS_DRG	Hypertension Without Mcc	3	2	—	—	$3,146.94	$3,146.94	$3,146.94	2025-03-01
639	MS_DRG	Diabetes Without Cc/Mcc	1	1	—	—	$3,040.92	$3,040.92	$3,040.92	2025-03-01
312	MS_DRG	Syncope And Collapse	1	1	—	—	$3,040.92	$3,040.92	$3,040.92	2025-03-01
607	MS_DRG	Minor Skin Disorders Without Mcc	1	1	—	—	$2,951.71	$2,951.71	$2,951.71	2025-03-01
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	2	2	—	—	$2,944.24	$2,944.24	$2,944.24	2025-03-01
743	MS_DRG	Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc	2	1	—	—	$2,864.97	$2,864.97	$2,864.97	2025-03-01
759	MS_DRG	Infections, Female Reproductive System Without Cc/Mcc	1	1	—	—	$2,789.55	$2,789.55	$2,789.55	2025-03-01
594	MS_DRG	Skin Ulcers Without Cc/Mcc	1	1	—	—	$2,754.00	$2,754.00	$2,754.00	2025-03-01
5183	OTHER	Level 3 Vascular Procedures	4	4	—	—	$2,672.88	$2,672.88	$2,672.88	2025-03-01
149	MS_DRG	Dysequilibrium	1	1	—	—	$2,545.44	$2,545.44	$2,545.44	2025-03-01
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	1	1	—	—	$2,544.89	$2,544.89	$2,544.89	2025-03-01
918	MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	3	3	—	—	$2,542.74	$2,542.74	$2,542.74	2025-03-01
551	MS_DRG	Medical Back Problems With Mcc	1	1	—	—	$2,528.00	$2,528.00	$2,528.00	2025-03-01
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	1	1	—	—	$2,528.00	$2,528.00	$2,528.00	2025-03-01
5041	OTHER	Critical Care	11	9	—	—	$2,421.69	$2,421.69	$2,421.69	2025-03-01
99	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc	1	1	—	—	$2,405.22	$2,405.22	$2,405.22	2025-03-01
315	MS_DRG	Other Circulatory System Diagnoses With Cc	1	1	—	—	$2,233.98	$2,233.98	$2,233.98	2025-03-01
794	MS_DRG	Neonate With Other Significant Problems	1	1	—	—	$2,221.62	$2,221.62	$2,221.62	2025-03-01
5691	OTHER	Level 1 Drug Administration	11	10	—	—	$2,130.07	$2,130.07	$2,130.07	2025-03-01
5161	OTHER	Level 1 ENT Procedures	2	2	—	—	$2,110.39	$2,110.39	$2,110.39	2025-03-01
789	MS_DRG	Neonates, Died Or Transferred To Another Acute Care Facility	1	1	—	—	$2,057.98	$2,057.98	$2,057.98	2025-03-01
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/Mcc	4	4	—	—	$1,952.61	$1,952.61	$1,952.61	2025-03-01
833	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures Without Cc/Mcc	2	2	—	—	$1,870.71	$1,870.71	$1,870.71	2025-03-01
178	MS_DRG	Respiratory Infections And Inflammations With Cc	2	2	—	—	$1,790.44	$1,790.44	$1,790.44	2025-03-01
5241	OTHER	Level 1 Blood Product Exchange And Related Services	7	6	—	—	$1,765.15	$1,765.15	$1,765.15	2025-03-01
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	1	1	—	—	$1,684.66	$1,684.66	$1,684.66	2025-03-01
795	MS_DRG	Normal Newborn	1	1	—	—	$1,646.21	$1,646.21	$1,646.21	2025-03-01
5182	OTHER	Level 2 Vascular Procedures	1	1	—	—	$1,445.88	$1,445.88	$1,445.88	2025-03-01
793	MS_DRG	Full Term Neonate With Major Problems	2	1	—	—	$1,445.81	$1,445.81	$1,445.81	2025-03-01
5072	OTHER	Level 2 Excision/ Biopsy/ Incision And Drainage	2	2	—	—	$1,410.08	$1,410.08	$1,410.08	2025-03-01
5572	OTHER	Level 2 Imaging With Contrast	11	9	—	—	$1,289.08	$1,289.08	$1,289.08	2025-03-01
5311	OTHER	Level 1 Lower Gi Procedures	9	6	—	—	$1,266.46	$1,266.46	$1,266.46	2025-03-01
5025	OTHER	Level 5 Type A Ed Visits	22	17	—	—	$1,222.73	$1,222.73	$1,222.73	2025-03-01
5071	OTHER	Level 1 Excision/ Biopsy/ Incision And Drainage	3	3	—	—	$1,177.96	$1,177.96	$1,177.96	2025-03-01
5693	OTHER	Level 3 Drug Administration	14	11	—	—	$1,145.40	$1,145.40	$1,145.40	2025-03-01
176	MS_DRG	Pulmonary Embolism Without Mcc	1	1	—	—	$1,111.76	$1,111.76	$1,111.76	2025-03-01
5312	OTHER	Level 2 Lower Gi Procedures	4	4	—	—	$1,106.82	$1,106.82	$1,106.82	2025-03-01
5111	OTHER	Level 1 Musculoskeletal Procedures	1	1	—	—	$1,101.62	$1,101.62	$1,101.62	2025-03-01
5301	OTHER	Level 1 Upper Gi Procedures	5	5	—	—	$1,070.30	$1,070.30	$1,070.30	2025-03-01
5112	OTHER	Level 2 Musculoskeletal Procedures	3	3	—	—	$965.50	$965.50	$965.50	2025-03-01
5024	OTHER	Level 4 Type A Ed Visits	22	17	—	—	$846.27	$846.27	$846.27	2025-03-01
5592	OTHER	Level 2 Nuclear Medicine And Related Services	4	2	—	—	$745.56	$745.56	$745.56	2025-03-01
5523	OTHER	Level 3 Imaging Without Contrast	14	11	—	—	$700.46	$700.46	$700.46	2025-03-01
5591	OTHER	Level 1 Nuclear Medicine And Related Services	1	1	—	—	$662.61	$662.61	$662.61	2025-03-01
5101	OTHER	Level 1 Strapping And Cast Application	1	1	—	—	$632.73	$632.73	$632.73	2025-03-01
5051	OTHER	Level 1 Skin Procedures	10	7	—	—	$421.20	$421.20	$421.20	2025-03-01
5442	OTHER	Level 2 Nerve Injections	3	3	—	—	$380.44	$380.44	$380.44	2025-03-01
5672	OTHER	Level 2 Pathology	1	1	—	—	$343.41	$343.41	$343.41	2025-03-01
5022	OTHER	Level 2 Type A Ed Visits	15	12	—	—	$274.97	$274.97	$274.97	2025-03-01
5021	OTHER	Level 1 Type A Ed Visits	11	7	—	—	$270.57	$270.57	$270.57	2025-03-01
5023	OTHER	Level 3 Type A Ed Visits	20	15	—	—	$268.06	$268.06	$268.06	2025-03-01
5722	OTHER	Level 2 Diagnostic Tests And Related Services	5	4	—	—	$223.10	$223.10	$223.10	2025-03-01
5522	OTHER	Level 2 Imaging Without Contrast	22	17	—	—	$153.10	$153.10	$153.10	2025-03-01
5721	OTHER	Level 1 Diagnostic Tests And Related Services	1	1	—	—	$138.55	$138.55	$138.55	2025-03-01
N907	OTHER	Not Billable To Fi	4	4	—	—	$128.02	$128.02	$128.02	2025-03-01
N804	OTHER	Mammography Services	20	15	—	—	$119.66	$119.66	$119.66	2025-03-01
5731	OTHER	Level 1 Minor Procedures	2	2	—	—	$65.56	$65.56	$65.56	2025-03-01
5733	OTHER	Level 3 Minor Procedures	7	5	—	—	$65.44	$65.44	$65.44	2025-03-01
N800	OTHER	Clinical Diagnostic Lab Services	16	13	—	—	$64.94	$64.94	$64.94	2025-03-01
N812	OTHER	Observation, Non-opps	1	1	—	—	$54.40	$54.40	$54.40	2025-03-01
N801	OTHER	Therapy Services	0	0	—	—	—	—	—	2025-03-01
5791	OTHER	Pulmonary Treatment	0	0	—	—	—	—	—	2025-03-01
5052	OTHER	Level 2 Skin Procedures	0	0	—	—	—	—	—	2025-03-01
5571	OTHER	Level 1 Imaging With Contrast	0	0	—	—	—	—	—	2025-03-01
5734	OTHER	Level 4 Minor Procedures	0	0	—	—	—	—	—	2025-03-01
5692	OTHER	Level 2 Drug Administration	0	0	—	—	—	—	—	2025-03-01
5521	OTHER	Level 1 Imaging Without Contrast	0	0	—	—	—	—	—	2025-03-01

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