Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HAMILTON MEDICAL CENTER

Dalton, GA · CCN 110001 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $7,972 across 16 payers · range $2,008-$20,988

Source: https://vitruvianhealth.com/wp-content/uploads/2026/04/581519911_hamilton-medical-center_standardcharges.csv.zip · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

379 distinct procedures filed
31 distinct payers
46,423 rate rows
2024-07-01 last MRF observed · ⚠ 27 mo old
Data quality

27,556 of 46,423 rate rows are consumer-grade (59.4%)

18,867 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 — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,188
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
placeholder amount (≤ $0.02) — excluded from medians 10
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 27 months old.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://vitruvianhealth.com/wp-content/uploads/2024/11/hamilton-medical-center_standardcharges.csv
Found on page https://vitruvianhealth.com/patients-visitors/patient-resources/billing-insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint f7f666c92f790db8… · 2,422,799 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $544,624.73 $544,624.73 $544,624.73 nat. median
$145,435
outlier · 3.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $426,861.16 $426,861.16 $426,861.16 nat. median
$97,418
outlier · 4.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $375,632.24 $375,632.24 $375,632.24 nat. median
$55,923
outlier · 6.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $266,251.76 $266,251.76 $266,251.76 nat. median
$47,458
outlier · 5.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $98,082.37 $273,271.89 $239,300.47 nat. median
$48,611
outlier · 4.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $34,328.54 $284,097.90 $235,969.58 nat. median
$55,935
outlier · 4.2×
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 1 $228,793.17 $228,793.17 $228,793.17 nat. median
$25,964
outlier · 8.8×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 4 $134,652.48 $288,380.82 $228,773.10 nat. median
$30,358
outlier · 7.5×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $181,571.89 $268,040.44 $224,806.17 nat. median
$38,832
outlier · 5.8×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $141,103.88 $247,433.28 $194,268.58 nat. median
$35,297
outlier · 5.5×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $191,476.45 $191,476.45 $191,476.45 nat. median
$34,615
outlier · 5.5×
9287
OTHER 		Brentuximab Vedotin Inj 2 $81,233.80 $286,570.37 $183,902.09 nat. median
$252
outlier · 730.2×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 $64,508.19 $209,003.75 $136,755.97 nat. median
$31,991
outlier · 4.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $134,744.09 $134,744.09 $134,744.09 nat. median
$47,121
outlier · 2.9×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $133,296.35 $133,296.35 $133,296.35 nat. median
$2,024
outlier · 65.9×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 $129,640.08 $129,640.08 $129,640.08 nat. median
$34,616
outlier · 3.7×
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/Mcc 1 $120,472.80 $120,472.80 $120,472.80 nat. median
$18,784
outlier · 6.4×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $118,796.56 $118,796.56 $118,796.56 nat. median
$25,616
outlier · 4.6×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 $35,248.00 $186,992.28 $116,015.60 nat. median
$39,159
outlier · 3.0×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 2 $67,250.32 $137,751.82 $102,501.07 nat. median
$35,986
outlier · 2.8×
918
MS_DRG 		Poisoning And Toxic Effects Of Drugs Without Mcc 2 $26,133.90 $172,089.91 $99,111.90 nat. median
$5,899
outlier · 16.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $89,647.17 $107,042.37 $98,344.77 nat. median
$69,822
1.4× median
9494
OTHER 		Injection, Ocrelizumab 3 $56,797.08 $95,149.70 $94,838.45 nat. median
$62
outlier · 1525.0×
5232
OTHER 		Level 2 Icd And Similar Procedures 6 $1,732.81 $122,530.88 $91,380.59 nat. median
$32,102
outlier · 2.8×
9214
OTHER 		Bevacizumab Injection 1 $91,042.91 $91,042.91 $91,042.91 nat. median
$75
outlier · 1215.7×
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 1 $89,002.48 $89,002.48 $89,002.48 nat. median
$11,732
outlier · 7.6×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $84,836.22 $84,836.22 $84,836.22 nat. median
$33,546
outlier · 2.5×
626
MS_DRG 		Thyroid, Parathyroid And Thyroglossal Procedures With Cc 1 $84,319.80 $84,319.80 $84,319.80 nat. median
$11,103
outlier · 7.6×
253
MS_DRG 		Other Vascular Procedures With Cc 3 $49,877.72 $104,296.65 $84,267.48 nat. median
$19,118
outlier · 4.4×
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 1 $78,534.17 $78,534.17 $78,534.17 nat. median
$29,055
outlier · 2.7×
304
MS_DRG 		Hypertension With Mcc 1 $78,149.70 $78,149.70 $78,149.70 nat. median
$8,742
outlier · 8.9×
658
MS_DRG 		Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 1 $76,956.75 $76,956.75 $76,956.75 nat. median
$11,301
outlier · 6.8×
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 $3,372.69 $142,935.92 $73,287.02 nat. median
$2,024
outlier · 36.2×
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 2 $64,486.78 $77,117.11 $70,801.95 nat. median
$17,612
outlier · 4.0×
141
MS_DRG 		Major Head And Neck Procedures With Cc 1 $70,273.62 $70,273.62 $70,273.62 nat. median
$14,978
outlier · 4.7×
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 $35,640.65 $103,638.29 $69,639.47 nat. median
$15,832
outlier · 4.4×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 $47,175.92 $89,660.40 $68,418.16 nat. median
$17,369
outlier · 3.9×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $68,266.54 $68,266.54 $68,266.54 nat. median
$28,105
outlier · 2.4×
5194
OTHER 		Level 4 Endovascular Procedures 4 $21,848.13 $106,810.42 $67,403.62 nat. median
$17,756
outlier · 3.8×
1476
OTHER 		Obinutuzumab Inj 1 $66,195.00 $66,195.00 $66,195.00 nat. median
$78
outlier · 845.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 1 $66,170.42 $66,170.42 $66,170.42 nat. median
$26,952
outlier · 2.5×
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 3 $49,907.19 $66,186.26 $65,120.83 nat. median
$20,658
outlier · 3.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $64,802.44 $64,802.44 $64,802.44 nat. median
$29,327
outlier · 2.2×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 6 $37,955.96 $98,776.99 $63,192.96 nat. median
$17,741
outlier · 3.6×
708
MS_DRG 		Major Male Pelvic Procedures Without Cc/Mcc 1 $62,472.50 $62,472.50 $62,472.50 nat. median
$10,990
outlier · 5.7×
244
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 $61,384.32 $61,384.32 $61,384.32 nat. median
$13,640
outlier · 4.5×
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 $60,134.77 $60,134.77 $60,134.77 nat. median
$15,861
outlier · 3.8×
294
MS_DRG 		Deep Vein Thrombophlebitis With Cc/Mcc 1 $59,399.66 $59,399.66 $59,399.66 nat. median
$2,338
outlier · 25.4×
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 $58,431.70 $58,431.70 $58,431.70 nat. median
$13,132
outlier · 4.4×
811
MS_DRG 		Red Blood Cell Disorders With Mcc 2 $10,172.28 $105,862.42 $58,017.35 nat. median
$10,250
outlier · 5.7×

Other procedures at this hospital

Browse this hospital's 379 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $544,624.73 $544,624.73 $544,624.73 2024-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $426,861.16 $426,861.16 $426,861.16 2024-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $375,632.24 $375,632.24 $375,632.24 2024-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $266,251.76 $266,251.76 $266,251.76 2024-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $98,082.37 $273,271.89 $239,300.47 2024-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 4 — — $34,328.54 $284,097.90 $235,969.58 2024-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $228,793.17 $228,793.17 $228,793.17 2024-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 4 — — $134,652.48 $288,380.82 $228,773.10 2024-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $181,571.89 $268,040.44 $224,806.17 2024-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $141,103.88 $247,433.28 $194,268.58 2024-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $191,476.45 $191,476.45 $191,476.45 2024-07-01
9287 OTHER Brentuximab Vedotin Inj 2 2 — — $81,233.80 $286,570.37 $183,902.09 2024-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $64,508.19 $209,003.75 $136,755.97 2024-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $134,744.09 $134,744.09 $134,744.09 2024-07-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $133,296.35 $133,296.35 $133,296.35 2024-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $129,640.08 $129,640.08 $129,640.08 2024-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 1 1 — — $120,472.80 $120,472.80 $120,472.80 2024-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $118,796.56 $118,796.56 $118,796.56 2024-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 4 — — $35,248.00 $186,992.28 $116,015.60 2024-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $67,250.32 $137,751.82 $102,501.07 2024-07-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 — — $26,133.90 $172,089.91 $99,111.90 2024-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $89,647.17 $107,042.37 $98,344.77 2024-07-01
9494 OTHER Injection, Ocrelizumab 3 3 — — $56,797.08 $95,149.70 $94,838.45 2024-07-01
5232 OTHER Level 2 Icd And Similar Procedures 6 6 — — $1,732.81 $122,530.88 $91,380.59 2024-07-01
9214 OTHER Bevacizumab Injection 1 1 — — $91,042.91 $91,042.91 $91,042.91 2024-07-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $89,002.48 $89,002.48 $89,002.48 2024-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $84,836.22 $84,836.22 $84,836.22 2024-07-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 1 1 — — $84,319.80 $84,319.80 $84,319.80 2024-07-01
253 MS_DRG Other Vascular Procedures With Cc 3 3 — — $49,877.72 $104,296.65 $84,267.48 2024-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $78,534.17 $78,534.17 $78,534.17 2024-07-01
304 MS_DRG Hypertension With Mcc 1 1 — — $78,149.70 $78,149.70 $78,149.70 2024-07-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 1 1 — — $76,956.75 $76,956.75 $76,956.75 2024-07-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 5 — — $3,372.69 $142,935.92 $73,287.02 2024-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 2 2 — — $64,486.78 $77,117.11 $70,801.95 2024-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $70,273.62 $70,273.62 $70,273.62 2024-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $35,640.65 $103,638.29 $69,639.47 2024-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $47,175.92 $89,660.40 $68,418.16 2024-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $68,266.54 $68,266.54 $68,266.54 2024-07-01
5194 OTHER Level 4 Endovascular Procedures 4 4 — — $21,848.13 $106,810.42 $67,403.62 2024-07-01
1476 OTHER Obinutuzumab Inj 1 1 — — $66,195.00 $66,195.00 $66,195.00 2024-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $66,170.42 $66,170.42 $66,170.42 2024-07-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 3 — — $49,907.19 $66,186.26 $65,120.83 2024-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $64,802.44 $64,802.44 $64,802.44 2024-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 6 — — $37,955.96 $98,776.99 $63,192.96 2024-07-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 1 1 — — $62,472.50 $62,472.50 $62,472.50 2024-07-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 1 — — $61,384.32 $61,384.32 $61,384.32 2024-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $60,134.77 $60,134.77 $60,134.77 2024-07-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 1 1 — — $59,399.66 $59,399.66 $59,399.66 2024-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $58,431.70 $58,431.70 $58,431.70 2024-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 2 2 — — $10,172.28 $105,862.42 $58,017.35 2024-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $57,978.25 $57,978.25 $57,978.25 2024-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $22,204.14 $93,097.61 $57,650.88 2024-07-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 9 9 — — $8,074.54 $119,530.18 $57,547.85 2024-07-01
368 MS_DRG Major Esophageal Disorders With Mcc 3 3 — — $39,203.82 $98,721.66 $57,409.85 2024-07-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 1 1 — — $56,594.07 $56,594.07 $56,594.07 2024-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 — — $9,509.76 $89,193.28 $54,014.00 2024-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $53,402.00 $53,402.00 $53,402.00 2024-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $53,236.68 $53,236.68 $53,236.68 2024-07-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $52,547.50 $52,547.50 $52,547.50 2024-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $51,801.08 $51,801.08 $51,801.08 2024-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $51,719.61 $51,719.61 $51,719.61 2024-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 — — $51,570.29 $51,570.29 $51,570.29 2024-07-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 3 3 — — $32,602.94 $93,865.10 $51,244.09 2024-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $49,971.79 $49,971.79 $49,971.79 2024-07-01
305 MS_DRG Hypertension Without Mcc 1 1 — — $49,771.61 $49,771.61 $49,771.61 2024-07-01
9378 OTHER Daratumumab, Hyaluronidase 1 1 — — $49,327.98 $49,327.98 $49,327.98 2024-07-01
570 MS_DRG Skin Debridement With Mcc 2 2 — — $6,656.80 $91,988.34 $49,322.57 2024-07-01
1613 OTHER Trastuzumab Injection 1 1 — — $49,182.41 $49,182.41 $49,182.41 2024-07-01
1214 OTHER Inj Ivig Privigen 500 Mg 3 3 — — $300.00 $78,850.29 $48,522.86 2024-07-01
9336 OTHER Inj Truxima 10 Mg 2 2 — — $21,496.68 $74,819.95 $48,158.32 2024-07-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $47,700.73 $47,700.73 $47,700.73 2024-07-01
9483 OTHER Inj, Atezolizumab,10 Mg 1 1 — — $47,051.87 $47,051.87 $47,051.87 2024-07-01
1471 OTHER Injection, Pertuzumab, 1 Mg 3 3 — — $26,793.99 $81,078.40 $46,710.25 2024-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $39,051.69 $52,896.36 $45,974.03 2024-07-01
9186 OTHER Inj., Rituximab, 10 Mg 4 4 — — $15,997.18 $107,921.28 $45,639.32 2024-07-01
1861 OTHER Inj., Bendeka 1 Mg 2 2 — — $41,980.38 $48,818.86 $45,399.62 2024-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 — — $45,362.83 $45,362.83 $45,362.83 2024-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $45,357.83 $45,357.83 $45,357.83 2024-07-01
682 MS_DRG Renal Failure With Mcc 3 3 — — $5,251.40 $48,903.10 $45,043.67 2024-07-01
602 MS_DRG Cellulitis With Mcc 1 1 — — $44,826.43 $44,826.43 $44,826.43 2024-07-01
5193 OTHER Level 3 Endovascular Procedures 7 7 — — $6,708.15 $48,086.60 $44,573.94 2024-07-01
9436 OTHER Inj Pegfilgrast Ex Bio 0.5mg 4 4 — — $29,407.30 $62,436.24 $44,520.94 2024-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 — — $38,589.82 $47,407.70 $42,998.76 2024-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $40,289.86 $45,626.06 $42,957.96 2024-07-01
1490 OTHER Inj Pembrolizumab 9 9 — — $24,448.49 $85,055.49 $42,073.61 2024-07-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $41,775.71 $41,775.71 $41,775.71 2024-07-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $41,395.18 $41,395.18 $41,395.18 2024-07-01
1712 OTHER Paclitaxel Protein Bound 2 2 — — $33,574.85 $48,781.05 $41,177.95 2024-07-01
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $17,962.96 $64,313.56 $41,138.26 2024-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 — — $12,497.95 $68,451.95 $40,474.95 2024-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $40,134.27 $40,134.27 $40,134.27 2024-07-01
9029 OTHER Inj., Guselkumab, 1 Mg 1 1 — — $39,738.05 $39,738.05 $39,738.05 2024-07-01
5461 OTHER Level 1 Neurostimulator And Related Procedures 2 2 — — $4,809.11 $74,100.35 $39,454.73 2024-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 — — $38,706.65 $38,706.65 $38,706.65 2024-07-01
639 MS_DRG Diabetes Without Cc/Mcc 3 3 — — $29,383.80 $41,743.82 $38,645.46 2024-07-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $38,351.57 $38,351.57 $38,351.57 2024-07-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 1 1 — — $37,683.66 $37,683.66 $37,683.66 2024-07-01
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 3 3 — — $28,601.93 $71,889.52 $37,517.40 2024-07-01
9198 OTHER Inj Andexxa, 10 Mg 1 1 — — $37,137.37 $37,137.37 $37,137.37 2024-07-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 3 — — $32,204.20 $75,215.60 $36,481.37 2024-07-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 — — $36,099.08 $36,099.08 $36,099.08 2024-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 5 5 — — $13,212.58 $44,839.73 $35,568.99 2024-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 1 — — $35,497.48 $35,497.48 $35,497.48 2024-07-01
9215 OTHER Cetuximab Injection 2 2 — — $26,402.43 $44,176.19 $35,289.31 2024-07-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 5 5 — — $4,625.88 $60,580.75 $34,027.33 2024-07-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 — — $33,912.40 $33,912.40 $33,912.40 2024-07-01
5213 OTHER Level 3 Electrophysiologic Procedures 7 7 — — $1,764.55 $91,055.12 $33,750.84 2024-07-01
38 MS_DRG Extracranial Procedures With Cc 1 1 — — $33,239.64 $33,239.64 $33,239.64 2024-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $33,212.14 $33,212.14 $33,212.14 2024-07-01
5623 OTHER Level 3 Radiation Therapy 7 7 — — $4,864.30 $64,035.75 $33,207.34 2024-07-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $33,075.96 $33,075.96 $33,075.96 2024-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $14,941.78 $116,496.27 $32,805.28 2024-07-01
176 MS_DRG Pulmonary Embolism Without Mcc 3 3 — — $3,415.54 $39,550.55 $32,747.14 2024-07-01
5115 OTHER Level 5 Musculoskeletal Procedures 12 12 — — $1,452.84 $54,039.94 $32,228.63 2024-07-01
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 2 2 — — $24,667.96 $39,497.38 $32,082.67 2024-07-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 1 — — $30,957.90 $30,957.90 $30,957.90 2024-07-01
394 MS_DRG Other Digestive System Diagnoses With Cc 2 2 — — $6,831.08 $53,839.45 $30,335.26 2024-07-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 4 — — $25,402.92 $36,252.27 $30,230.22 2024-07-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 1 1 — — $30,218.44 $30,218.44 $30,218.44 2024-07-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 1 1 — — $29,949.68 $29,949.68 $29,949.68 2024-07-01
5622 OTHER Level 2 Radiation Therapy 10 10 — — $14,707.20 $49,824.61 $29,244.60 2024-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 4 — — $8,811.20 $49,499.08 $28,945.27 2024-07-01
1823 OTHER Injection, Dalbavancin 8 8 — — $17,001.80 $40,807.99 $28,827.62 2024-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 4 — — $6,608.40 $40,326.04 $28,304.55 2024-07-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $28,252.18 $28,252.18 $28,252.18 2024-07-01
975 MS_DRG HIV With Major Related Condition With Cc 1 1 — — $28,194.38 $28,194.38 $28,194.38 2024-07-01
5376 OTHER Level 6 Urology And Related Services 2 2 — — $25,656.52 $29,860.80 $27,758.66 2024-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 — — $8,474.22 $46,949.01 $27,711.61 2024-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 4 — — $2,544.00 $62,830.68 $27,467.06 2024-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 — — $27,352.88 $27,352.88 $27,352.88 2024-07-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 3 3 — — $6,831.08 $33,163.40 $26,889.85 2024-07-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 2 2 — — $14,016.35 $39,718.34 $26,867.35 2024-07-01
9487 OTHER Ustekinumab, IV Inject,1 Mg 2 2 — — $21,521.59 $31,870.45 $26,696.02 2024-07-01
1489 OTHER Inj Vedolizumab IV 1 Mg 3 3 — — $18,519.99 $34,082.61 $26,280.83 2024-07-01
9348 OTHER Inj., Zirabev, 10 Mg 4 4 — — $10,870.46 $38,826.96 $26,278.18 2024-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 3 — — $15,927.11 $45,029.21 $25,430.70 2024-07-01
7043 OTHER Infliximab Not Biosimil 10mg 3 3 — — $9,961.11 $50,154.11 $24,742.86 2024-07-01
9126 OTHER Natalizumab Injection 4 4 — — $21,442.74 $28,325.04 $24,707.53 2024-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 6 6 — — $3,415.54 $68,511.92 $24,684.40 2024-07-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 5 5 — — $13,951.10 $36,963.26 $24,597.24 2024-07-01
9492 OTHER Inj., Durvalumab, 10 Mg 1 1 — — $24,556.50 $24,556.50 $24,556.50 2024-07-01
5362 OTHER Level 2 Laparoscopy And Related Services 10 10 — — $3,067.59 $29,636.03 $24,510.65 2024-07-01
866 MS_DRG Viral Illness Without Mcc 1 1 — — $24,494.71 $24,494.71 $24,494.71 2024-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 4 4 — — $3,324.44 $49,765.66 $24,447.63 2024-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 3 3 — — $10,441.14 $41,810.90 $24,245.20 2024-07-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 1 1 — — $24,188.87 $24,188.87 $24,188.87 2024-07-01
5165 OTHER Level 5 ENT Procedures 7 7 — — $19,997.72 $30,287.71 $23,924.64 2024-07-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 — — $23,578.07 $23,578.07 $23,578.07 2024-07-01
291 MS_DRG Heart Failure And Shock With Mcc 7 7 — — $3,500.93 $34,643.42 $23,393.43 2024-07-01
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $23,286.20 $23,286.20 $23,286.20 2024-07-01
694 MS_DRG Urinary Stones Without Mcc 2 2 — — $14,312.09 $32,149.79 $23,230.94 2024-07-01
9245 OTHER Romiplostim Injection 1 1 — — $23,091.57 $23,091.57 $23,091.57 2024-07-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 — — $22,860.69 $22,860.69 $22,860.69 2024-07-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $22,720.75 $22,720.75 $22,720.75 2024-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 5 — — $5,123.31 $46,639.17 $21,861.04 2024-07-01
9453 OTHER Injection, Nivolumab 3 3 — — $18,643.90 $50,278.02 $21,662.25 2024-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 — — $8,180.65 $35,108.53 $21,644.59 2024-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 3 — — $6,608.40 $65,383.52 $21,185.86 2024-07-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 2 2 — — $20,318.32 $22,041.22 $21,179.77 2024-07-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc 1 1 — — $21,074.16 $21,074.16 $21,074.16 2024-07-01
9195 OTHER Injection, Udenyca 0.5 Mg 3 3 — — $18,677.40 $36,207.58 $20,931.10 2024-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 8 — — $7,364.76 $40,099.00 $20,572.97 2024-07-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 2 — — $16,318.16 $24,104.05 $20,211.10 2024-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 6 — — $6,070.76 $78,869.57 $20,202.29 2024-07-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 1 — — $20,059.27 $20,059.27 $20,059.27 2024-07-01
103 MS_DRG Headaches Without Mcc 1 1 — — $19,841.67 $19,841.67 $19,841.67 2024-07-01
5114 OTHER Level 4 Musculoskeletal Procedures 10 10 — — $3,595.44 $31,938.78 $19,685.42 2024-07-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 1 1 — — $19,502.25 $19,502.25 $19,502.25 2024-07-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 4 — — $14,328.80 $39,095.53 $18,904.81 2024-07-01
9350 OTHER Inj., Trazimera, 10 Mg 3 3 — — $10,993.73 $23,243.25 $18,442.01 2024-07-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 12 12 — — $2,967.99 $39,608.78 $17,994.29 2024-07-01
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $17,787.76 $17,787.76 $17,787.76 2024-07-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 1 1 — — $17,770.18 $17,770.18 $17,770.18 2024-07-01
1847 OTHER Injection, Inflectra 2 2 — — $14,242.84 $21,223.83 $17,733.33 2024-07-01
1168 OTHER Inj, Temsirolimus 1 1 — — $17,419.84 $17,419.84 $17,419.84 2024-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $17,106.30 $17,106.30 $17,106.30 2024-07-01
637 MS_DRG Diabetes With Mcc 2 2 — — $6,831.08 $27,332.38 $17,081.73 2024-07-01
5361 OTHER Level 1 Laparoscopy And Related Services 13 13 — — $2,171.93 $25,209.78 $16,897.38 2024-07-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $16,815.31 $16,815.31 $16,815.31 2024-07-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 8 8 — — $2,008.00 $19,644.07 $16,498.72 2024-07-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 1 1 — — $16,485.46 $16,485.46 $16,485.46 2024-07-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 — — $16,433.80 $16,433.80 $16,433.80 2024-07-01
5184 OTHER Level 4 Vascular Procedures 4 4 — — $3,601.96 $31,633.04 $16,387.11 2024-07-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 4 4 — — $9,593.19 $18,953.94 $16,383.68 2024-07-01
369 MS_DRG Major Esophageal Disorders With Cc 2 2 — — $6,938.82 $25,679.65 $16,309.24 2024-07-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 9 9 — — $1,210.00 $23,671.04 $15,984.27 2024-07-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 3 3 — — $3,700.69 $22,674.54 $15,836.68 2024-07-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 1 1 — — $15,807.39 $15,807.39 $15,807.39 2024-07-01
312 MS_DRG Syncope And Collapse 3 3 — — $12,160.96 $31,477.19 $15,748.04 2024-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 3 — — $14,603.38 $19,721.39 $15,710.00 2024-07-01
638 MS_DRG Diabetes With Cc 6 6 — — $6,054.94 $27,237.63 $15,503.60 2024-07-01
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 — — $15,287.74 $15,287.74 $15,287.74 2024-07-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 7 7 — — $4,295.34 $39,367.50 $15,091.25 2024-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 2 — — $4,240.00 $25,524.03 $14,882.01 2024-07-01
5415 OTHER Level 5 Gynecologic Procedures 5 5 — — $3,063.85 $19,664.12 $14,832.96 2024-07-01
9383 OTHER Copper Cu 64 Dotatate Diag 1 1 — — $14,614.82 $14,614.82 $14,614.82 2024-07-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 2 — — $1,793.16 $27,363.49 $14,578.33 2024-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 — — $2,864.66 $20,646.48 $14,470.71 2024-07-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 2 — — $1,863.22 $26,645.09 $14,254.15 2024-07-01
9235 OTHER Panitumumab Injection 1 1 — — $14,224.87 $14,224.87 $14,224.87 2024-07-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 3 3 — — $3,636.36 $49,802.08 $14,210.23 2024-07-01
5191 OTHER Level 1 Endovascular Procedures 10 10 — — $11,082.17 $20,984.93 $14,026.02 2024-07-01
5413 OTHER Level 3 Gynecologic Procedures 1 1 — — $13,910.46 $13,910.46 $13,910.46 2024-07-01
1207 OTHER Octreotide Injection, Depot 1 1 — — $13,890.76 $13,890.76 $13,890.76 2024-07-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 11 11 — — $2,007.99 $18,447.54 $13,814.50 2024-07-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $13,662.16 $13,662.16 $13,662.16 2024-07-01
5221 OTHER Level 1 Pacemaker And Similar Procedures 1 1 — — $13,269.18 $13,269.18 $13,269.18 2024-07-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 4 4 — — $3,027.47 $35,769.01 $13,256.78 2024-07-01
784 MS_DRG Cesarean Section With Sterilization With Cc 4 4 — — $1,516.37 $23,330.30 $13,216.75 2024-07-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 3 3 — — $12,360.98 $15,664.19 $13,077.93 2024-07-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 8 8 — — $2,179.41 $24,411.80 $12,994.53 2024-07-01
5375 OTHER Level 5 Urology And Related Services 8 8 — — $5,009.09 $16,092.59 $12,925.27 2024-07-01
9443 OTHER Gallium Illuccix 1 Millicure 1 1 — — $12,905.12 $12,905.12 $12,905.12 2024-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 6 6 — — $4,780.00 $54,324.12 $12,894.72 2024-07-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 3 3 — — $11,973.83 $19,288.95 $12,591.22 2024-07-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 1 1 — — $12,497.95 $12,497.95 $12,497.95 2024-07-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 — — $11,014.00 $13,864.56 $12,439.28 2024-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 — — $3,415.54 $21,362.10 $12,388.82 2024-07-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 1 1 — — $12,333.13 $12,333.13 $12,333.13 2024-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 — — $4,405.60 $44,610.08 $12,295.95 2024-07-01
5164 OTHER Level 4 ENT Procedures 5 5 — — $2,875.88 $13,189.43 $11,991.82 2024-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $11,954.39 $11,954.39 $11,954.39 2024-07-01
9108 OTHER Thyrotropin Injection 3 3 — — $10,663.60 $14,657.83 $11,813.92 2024-07-01
603 MS_DRG Cellulitis Without Mcc 7 7 — — $3,180.00 $25,292.67 $11,639.42 2024-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $11,564.88 $11,564.88 $11,564.88 2024-07-01
5313 OTHER Level 3 Lower Gi Procedures 8 8 — — $1,223.84 $12,768.04 $11,541.43 2024-07-01
5612 OTHER Level 2 Therapeutic Radiation Treatment Preparation 10 10 — — $521.95 $51,896.86 $11,377.08 2024-07-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 8 8 — — $3,228.20 $23,687.58 $11,228.58 2024-07-01
5303 OTHER Level 3 Upper Gi Procedures 1 1 — — $11,195.31 $11,195.31 $11,195.31 2024-07-01
313 MS_DRG Chest Pain 5 5 — — $1,707.77 $28,213.70 $11,168.65 2024-07-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 1 1 — — $11,034.25 $11,034.25 $11,034.25 2024-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 3 3 — — $2,840.00 $25,672.33 $11,014.00 2024-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 6 6 — — $1,707.77 $28,821.89 $10,988.89 2024-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $8,607.18 $13,315.37 $10,961.28 2024-07-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 — — $10,883.23 $10,883.23 $10,883.23 2024-07-01
5414 OTHER Level 4 Gynecologic Procedures 8 8 — — $1,247.38 $14,516.11 $10,841.36 2024-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $10,816.58 $10,816.58 $10,816.58 2024-07-01
5373 OTHER Level 3 Urology And Related Services 4 4 — — $8,730.94 $12,953.00 $10,815.66 2024-07-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $10,246.62 $10,246.62 $10,246.62 2024-07-01
683 MS_DRG Renal Failure With Cc 4 4 — — $8,127.52 $31,774.58 $10,197.52 2024-07-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 3 3 — — $2,869.06 $16,600.67 $10,043.32 2024-07-01
5374 OTHER Level 4 Urology And Related Services 11 11 — — $4,200.72 $20,949.90 $9,811.45 2024-07-01
5163 OTHER Level 3 ENT Procedures 1 1 — — $9,734.65 $9,734.65 $9,734.65 2024-07-01
5694 OTHER Level 4 Drug Administration 10 10 — — $460.34 $34,727.64 $9,713.86 2024-07-01
9441 OTHER Inj Ferric Carboxymaltos 1mg 7 7 — — $8,232.33 $11,629.06 $9,678.80 2024-07-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 2 2 — — $3,415.54 $15,794.95 $9,605.24 2024-07-01
5492 OTHER Level 2 Intraocular Procedures 1 1 — — $9,559.57 $9,559.57 $9,559.57 2024-07-01
9300 OTHER Omalizumab Injection 1 1 — — $9,491.37 $9,491.37 $9,491.37 2024-07-01
5183 OTHER Level 3 Vascular Procedures 10 10 — — $2,214.83 $11,843.92 $9,377.75 2024-07-01
5431 OTHER Level 1 Nerve Procedures 2 2 — — $9,184.35 $9,556.92 $9,370.64 2024-07-01
5041 OTHER Critical Care 8 8 — — $2,914.06 $11,597.02 $9,316.64 2024-07-01
5691 OTHER Level 1 Drug Administration 7 7 — — $3,316.53 $21,510.39 $9,313.69 2024-07-01
5155 OTHER Level 5 Airway Endoscopy 3 3 — — $171.41 $28,444.50 $9,284.90 2024-07-01
389 MS_DRG Gastrointestinal Obstruction With Cc 4 4 — — $5,123.31 $13,075.84 $9,145.16 2024-07-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 — — $6,831.08 $11,442.60 $9,136.84 2024-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $3,180.00 $14,802.76 $8,991.38 2024-07-01
5153 OTHER Level 3 Airway Endoscopy 3 3 — — $8,421.14 $12,555.30 $8,809.33 2024-07-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/Mcc 1 1 — — $8,799.14 $8,799.14 $8,799.14 2024-07-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 6 6 — — $1,707.77 $27,436.95 $8,636.23 2024-07-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 1 1 — — $8,538.85 $8,538.85 $8,538.85 2024-07-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 — — $7,900.24 $8,607.18 $8,253.71 2024-07-01
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $8,242.12 $8,242.12 $8,242.12 2024-07-01
5593 OTHER Level 3 Nuclear Medicine And Related Services 11 11 — — $3,315.19 $9,527.52 $8,054.54 2024-07-01
101 MS_DRG Seizures Without Mcc 4 4 — — $4,250.84 $11,622.91 $8,025.26 2024-07-01
1469 OTHER Inj Filgrastim Excl Biosimil 1 1 — — $7,946.39 $7,946.39 $7,946.39 2024-07-01
5192 OTHER Level 2 Endovascular Procedures 3 3 — — $7,069.03 $13,656.49 $7,920.55 2024-07-01
5113 OTHER Level 3 Musculoskeletal Procedures 8 8 — — $4,595.78 $13,644.94 $7,839.83 2024-07-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 4 4 — — $11.70 $45,793.76 $7,820.34 2024-07-01
1297 OTHER Ferumoxytol, Non-esrd 1 1 — — $7,461.13 $7,461.13 $7,461.13 2024-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 — — $7,416.33 $7,416.33 $7,416.33 2024-07-01
9327 OTHER Inj. Romosozumab-aqqg 1 Mg 1 1 — — $7,406.24 $7,406.24 $7,406.24 2024-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 2 — — $6,054.94 $8,522.69 $7,288.82 2024-07-01
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $6,831.08 $6,831.08 $6,831.08 2024-07-01
1408 OTHER Cyclophosphamide 100 Mg Inj 1 1 — — $6,614.94 $6,614.94 $6,614.94 2024-07-01
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $6,608.40 $6,608.40 $6,608.40 2024-07-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 2 2 — — $5,421.40 $7,753.84 $6,587.62 2024-07-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 1 1 — — $6,404.36 $6,404.36 $6,404.36 2024-07-01
9272 OTHER Inj, Denosumab 8 8 — — $1,491.46 $17,091.74 $6,251.20 2024-07-01
5401 OTHER Dialysis 2 2 — — $4,580.97 $7,879.31 $6,230.14 2024-07-01
5302 OTHER Level 2 Upper Gi Procedures 10 10 — — $3,428.54 $11,527.46 $6,218.76 2024-07-01
5154 OTHER Level 4 Airway Endoscopy 6 6 — — $2,318.97 $14,276.69 $6,190.86 2024-07-01
5054 OTHER Level 4 Skin Procedures 5 5 — — $1,819.59 $10,986.93 $6,110.55 2024-07-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 1 1 — — $6,054.94 $6,054.94 $6,054.94 2024-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 3 3 — — $5,123.31 $33,623.54 $6,019.89 2024-07-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 11 11 — — $2,673.50 $34,314.74 $5,966.91 2024-07-01
9286 OTHER Belatacept Injection 4 4 — — $2,955.66 $7,981.53 $5,940.50 2024-07-01
5312 OTHER Level 2 Lower Gi Procedures 13 13 — — $1,917.25 $7,101.53 $5,782.80 2024-07-01
9004 OTHER Injection, Inclisiran, 1 Mg 2 2 — — $1,159.56 $9,571.50 $5,365.53 2024-07-01
5112 OTHER Level 2 Musculoskeletal Procedures 9 9 — — $1,337.50 $10,341.20 $5,320.25 2024-07-01
5182 OTHER Level 2 Vascular Procedures 6 6 — — $3,903.87 $21,125.50 $5,253.68 2024-07-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 — — $5,123.31 $5,123.31 $5,123.31 2024-07-01
948 MS_DRG Signs And Symptoms Without Mcc 1 1 — — $5,123.31 $5,123.31 $5,123.31 2024-07-01
9501 OTHER Platelet Pheres Leukoreduced 3 3 — — $3,601.70 $5,405.36 $4,943.95 2024-07-01
792 MS_DRG Prematurity Without Major Problems 1 1 — — $4,805.74 $4,805.74 $4,805.74 2024-07-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 4 4 — — $2,089.02 $26,559.08 $4,778.01 2024-07-01
5724 OTHER Level 4 Diagnostic Tests And Related Services 12 12 — — $873.10 $5,496.88 $4,764.36 2024-07-01
5781 OTHER Resuscitation And Cardioversion 6 6 — — $3,220.58 $6,199.88 $4,754.05 2024-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $4,735.24 $4,735.24 $4,735.24 2024-07-01
5102 OTHER Level 2 Strapping And Cast Application 5 5 — — $491.34 $5,287.02 $4,479.28 2024-07-01
5594 OTHER Level 4 Nuclear Medicine And Related Services 12 12 — — $1,394.30 $5,193.93 $4,471.29 2024-07-01
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