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

OSF HEART OF MARY MEDICAL CENTER

Urbana, IL · CCN 140113 · Rates published

332 distinct procedures filed
45 distinct payers
7,307 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

1,906 of 7,307 rate rows are consumer-grade (26.1%)

5,401 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 5,376
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 23
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1659884476_osf-healthcare-system_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-17
Content fingerprint 39a4c8d0f7db8c87… · 6,649,044 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
9149
OTHER 		Inj Ublituximab-xiiy, 1 Mg 1 $100,192.65 $100,192.65 $100,192.65 nat. median
$72
outlier · 1399.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $84,789.21 $84,789.21 $84,789.21 nat. median
$92,900
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 3 $73,717.00 $133,532.47 $80,980.64 nat. median
$98,002
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $76,374.85 $76,374.85 $76,374.85 nat. median
$62,218
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $49,044.59 $76,033.06 $62,538.82 nat. median
$65,958
0.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 6 $24,584.16 $114,496.52 $56,169.20 nat. median
$41,718
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $54,890.25 $54,890.25 $54,890.25 nat. median
$73,475
0.7× median
828
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $52,185.58 $52,185.58 $52,185.58 nat. median
$17,192
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $48,785.24 $48,785.24 $48,785.24 nat. median
$65,792
0.7× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 1 $43,097.73 $43,097.73 $43,097.73 nat. median
$14,291
outlier · 3.0×
9494
OTHER 		Injection, Ocrelizumab 3 $17,037.22 $152,550.73 $42,958.18 nat. median
$61
outlier · 703.1×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 $24,247.02 $75,364.40 $41,959.95 nat. median
$47,707
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $39,810.35 $108,878.80 $41,547.84 nat. median
$57,082
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $40,898.48 $40,898.48 $40,898.48 nat. median
$60,895
0.7× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $35,420.00 $135,839.06 $37,135.00 nat. median
$52,372
0.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $36,337.42 $36,337.42 $36,337.42 nat. median
$47,513
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $35,706.37 $35,706.37 $35,706.37 nat. median
$50,071
0.7× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $34,571.41 $35,508.96 $34,950.18 nat. median
$47,266
0.7× median
397
MS_DRG 		Appendix Procedures With Mcc 1 $34,662.79 $34,662.79 $34,662.79 nat. median
$23,887
1.5× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 2 $33,458.36 $34,091.72 $33,775.04 nat. median
$50,808
0.7× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 $31,229.80 $75,063.13 $32,695.96 nat. median
$53,013
0.6× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 $9,841.75 $34,876.32 $32,486.50 nat. median
$26,590
1.2× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 $13,099.49 $41,877.39 $30,830.23 nat. median
$27,955
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 5 $29,689.22 $32,085.18 $30,468.56 nat. median
$44,514
0.7× median
5232
OTHER 		Level 2 Icd And Similar Procedures 12 $25,791.77 $62,646.85 $30,286.13 nat. median
$32,779
0.9× median
754
MS_DRG 		Malignancy, Female Reproductive System With Mcc 1 $29,867.86 $29,867.86 $29,867.86 nat. median
$18,173
1.6× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 $27,684.86 $29,656.59 $29,604.82 nat. median
$41,285
0.7× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 $27,984.94 $30,182.37 $28,982.74 nat. median
$41,045
0.7× median
5165
OTHER 		Level 5 ENT Procedures 3 $21,843.50 $44,989.04 $28,667.60 nat. median
$6,222
outlier · 4.6×
254
MS_DRG 		Other Vascular Procedures Without Cc/Mcc 1 $27,974.02 $27,974.02 $27,974.02 nat. median
$18,231
1.5× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 3 $5,445.10 $28,900.44 $27,030.83 nat. median
$37,053
0.7× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $26,818.95 $26,818.95 $26,818.95 nat. median
$37,685
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $19,865.90 $33,668.62 $26,767.26 nat. median
$45,808
0.6× median
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 4 $11,619.14 $35,494.69 $25,987.07 nat. median
$17,146
1.5× median
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/Mcc 1 $25,443.99 $25,443.99 $25,443.99 nat. median
$24,796
1.0× median
265
MS_DRG 		Aicd Lead Procedures 1 $25,280.77 $25,280.77 $25,280.77 nat. median
$34,974
0.7× median
306
MS_DRG 		Cardiac Congenital And Valvular Disorders With Mcc 1 $24,976.26 $24,976.26 $24,976.26 nat. median
$15,696
1.6× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 5 $15,889.73 $141,371.86 $24,966.95 nat. median
$35,053
0.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 3 $24,768.71 $59,622.85 $24,946.67 nat. median
$39,775
0.6× median
163
MS_DRG 		Major Chest Procedures With Mcc 2 $17,893.21 $31,980.67 $24,936.94 nat. median
$44,914
0.6× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 4 $23,346.63 $24,851.35 $24,301.72 nat. median
$32,539
0.7× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 $23,884.23 $23,884.23 $23,884.23 nat. median
$30,860
0.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 5 $5,214.88 $35,412.54 $23,525.19 nat. median
$21,951
1.1× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 $23,396.57 $23,396.57 $23,396.57 nat. median
$23,528
1.0× median
274
MS_DRG 		Percutaneous And Other Intracardiac Procedures Without Mcc 5 $14,308.38 $33,801.54 $23,247.88 nat. median
$31,997
0.7× median
5213
OTHER 		Level 3 Electrophysiologic Procedures 24 $6,963.32 $62,318.99 $22,623.19 nat. median
$26,520
0.9× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 $22,606.86 $22,606.86 $22,606.86 nat. median
$31,313
0.7× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 $20,167.33 $44,950.33 $22,271.62 nat. median
$27,918
0.8× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 $22,251.61 $22,251.61 $22,251.61 nat. median
$18,860
1.2× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 $12,166.67 $31,468.88 $21,817.78 nat. median
$43,549
0.5× median

Other procedures at this hospital

Browse this hospital's 332 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
9149 OTHER Inj Ublituximab-xiiy, 1 Mg 1 1 — — $100,192.65 $100,192.65 $100,192.65 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $84,789.21 $84,789.21 $84,789.21 2025-01-01
215 MS_DRG Other Heart Assist System Implant 3 3 — — $73,717.00 $133,532.47 $80,980.64 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $76,374.85 $76,374.85 $76,374.85 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $49,044.59 $76,033.06 $62,538.82 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 6 — — $24,584.16 $114,496.52 $56,169.20 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $54,890.25 $54,890.25 $54,890.25 2025-01-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $52,185.58 $52,185.58 $52,185.58 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $48,785.24 $48,785.24 $48,785.24 2025-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $43,097.73 $43,097.73 $43,097.73 2025-01-01
9494 OTHER Injection, Ocrelizumab 4 3 — — $17,037.22 $152,550.73 $42,958.18 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 5 — — $24,247.02 $75,364.40 $41,959.95 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $39,810.35 $108,878.80 $41,547.84 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $40,898.48 $40,898.48 $40,898.48 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $35,420.00 $135,839.06 $37,135.00 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $36,337.42 $36,337.42 $36,337.42 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $35,706.37 $35,706.37 $35,706.37 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 — — $34,571.41 $35,508.96 $34,950.18 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $34,662.79 $34,662.79 $34,662.79 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $33,458.36 $34,091.72 $33,775.04 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $31,229.80 $75,063.13 $32,695.96 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 — — $9,841.75 $34,876.32 $32,486.50 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $13,099.49 $41,877.39 $30,830.23 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 5 — — $29,689.22 $32,085.18 $30,468.56 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 13 12 — — $25,791.77 $62,646.85 $30,286.13 2025-01-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 1 1 — — $29,867.86 $29,867.86 $29,867.86 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $27,684.86 $29,656.59 $29,604.82 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $27,984.94 $30,182.37 $28,982.74 2025-01-01
5165 OTHER Level 5 ENT Procedures 4 3 — — $21,843.50 $44,989.04 $28,667.60 2025-01-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 1 1 — — $27,974.02 $27,974.02 $27,974.02 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $5,445.10 $28,900.44 $27,030.83 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $26,818.95 $26,818.95 $26,818.95 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $19,865.90 $33,668.62 $26,767.26 2025-01-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 4 — — $11,619.14 $35,494.69 $25,987.07 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 1 1 — — $25,443.99 $25,443.99 $25,443.99 2025-01-01
265 MS_DRG Aicd Lead Procedures 1 1 — — $25,280.77 $25,280.77 $25,280.77 2025-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 1 1 — — $24,976.26 $24,976.26 $24,976.26 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 5 — — $15,889.73 $141,371.86 $24,966.95 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $24,768.71 $59,622.85 $24,946.67 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $17,893.21 $31,980.67 $24,936.94 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 4 — — $23,346.63 $24,851.35 $24,301.72 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $23,884.23 $23,884.23 $23,884.23 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 5 — — $5,214.88 $35,412.54 $23,525.19 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $23,396.57 $23,396.57 $23,396.57 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 5 — — $14,308.38 $33,801.54 $23,247.88 2025-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 29 24 — — $6,963.32 $62,318.99 $22,623.19 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $22,606.86 $22,606.86 $22,606.86 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 6 — — $20,167.33 $44,950.33 $22,271.62 2025-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $22,251.61 $22,251.61 $22,251.61 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $12,166.67 $31,468.88 $21,817.78 2025-01-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $21,700.18 $21,700.18 $21,700.18 2025-01-01
947 MS_DRG Signs And Symptoms With Mcc 4 4 — — $9,126.04 $26,175.55 $21,558.01 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $20,559.54 $22,403.57 $21,481.56 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $10,840.82 $21,552.12 $21,361.98 2025-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 4 4 — — $11,125.54 $44,973.73 $21,360.72 2025-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 2 — — $14,431.05 $27,697.92 $21,064.49 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $15,223.06 $26,047.88 $20,635.47 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $19,638.40 $42,254.80 $20,398.06 2025-01-01
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $13,570.70 $26,560.96 $20,065.83 2025-01-01
9013 OTHER Inj Risankizumab-rzaa?1 Mg 1 1 — — $19,657.57 $19,657.57 $19,657.57 2025-01-01
5115 OTHER Level 5 Musculoskeletal Procedures 3 3 — — $12,269.34 $22,333.04 $19,594.43 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 3 3 — — $18,559.51 $27,985.17 $18,855.68 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 8 8 — — $15,721.95 $30,449.19 $18,833.28 2025-01-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $18,669.82 $18,669.82 $18,669.82 2025-01-01
113 MS_DRG Orbital Procedures With Cc/Mcc 1 1 — — $18,321.49 $18,321.49 $18,321.49 2025-01-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 3 3 — — $17,922.99 $18,300.24 $17,934.24 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $17,913.40 $17,913.40 $17,913.40 2025-01-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc 1 1 — — $17,705.89 $17,705.89 $17,705.89 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $16,982.38 $17,674.79 $17,328.58 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 5 — — $10,046.92 $35,187.35 $17,234.27 2025-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 11 10 — — $4,592.65 $49,913.16 $17,205.63 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $17,197.09 $17,197.09 $17,197.09 2025-01-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 1 1 — — $17,174.02 $17,174.02 $17,174.02 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $16,303.14 $17,989.08 $17,146.11 2025-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 — — $15,629.33 $18,630.29 $17,129.81 2025-01-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 5 5 — — $13,292.83 $46,329.43 $17,081.31 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 4 — — $16,368.73 $30,516.86 $16,781.32 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $16,710.55 $16,710.55 $16,710.55 2025-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 — — $16,570.28 $16,570.28 $16,570.28 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $16,352.13 $16,352.13 $16,352.13 2025-01-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $10,254.29 $22,236.27 $16,245.28 2025-01-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 2 2 — — $12,669.60 $19,569.85 $16,119.72 2025-01-01
949 MS_DRG Aftercare With Cc/Mcc 5 5 — — $3,989.88 $105,679.70 $16,029.08 2025-01-01
571 MS_DRG Skin Debridement With Cc 1 1 — — $15,797.22 $15,797.22 $15,797.22 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $15,773.08 $15,773.08 $15,773.08 2025-01-01
55 MS_DRG Nervous System Neoplasms Without Mcc 1 1 — — $15,644.64 $15,644.64 $15,644.64 2025-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $9,262.63 $21,944.10 $15,603.36 2025-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $15,568.24 $15,568.24 $15,568.24 2025-01-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $15,553.53 $15,553.53 $15,553.53 2025-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 3 3 — — $3,555.60 $18,661.36 $15,528.00 2025-01-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 1 1 — — $15,262.03 $15,262.03 $15,262.03 2025-01-01
5114 OTHER Level 4 Musculoskeletal Procedures 21 15 — — $4,263.00 $58,675.17 $15,014.96 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — — $14,354.22 $15,177.19 $14,894.98 2025-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 4 — — $9,295.25 $69,994.08 $14,883.66 2025-01-01
5493 OTHER Level 3 Intraocular Procedures 9 7 — — $4,815.52 $27,606.47 $14,823.80 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 — — $12,406.51 $14,821.45 $14,642.65 2025-01-01
881 MS_DRG Depressive Neuroses 1 1 — — $14,615.50 $14,615.50 $14,615.50 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 11 11 — — $6,706.15 $31,392.01 $14,498.36 2025-01-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 2 2 — — $6,569.10 $22,102.50 $14,335.80 2025-01-01
948 MS_DRG Signs And Symptoms Without Mcc 3 3 — — $6,518.60 $22,406.85 $14,258.52 2025-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 — — $4,989.05 $23,153.78 $14,071.42 2025-01-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 11 11 — — $9,712.48 $64,085.88 $13,968.97 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 15 13 — — $6,785.95 $38,452.29 $13,950.71 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 14 13 — — $12,571.14 $64,076.14 $13,910.55 2025-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 2 2 — — $10,161.17 $17,561.35 $13,861.26 2025-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 — — $12,195.10 $20,804.08 $13,813.74 2025-01-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 1 1 — — $13,724.81 $13,724.81 $13,724.81 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 2 — — $13,199.56 $14,115.40 $13,657.48 2025-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 — — $13,547.78 $13,547.78 $13,547.78 2025-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $13,527.29 $13,527.29 $13,527.29 2025-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 — — $13,526.22 $13,526.22 $13,526.22 2025-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 8 — — $6,844.53 $23,368.69 $13,502.39 2025-01-01
5194 OTHER Level 4 Endovascular Procedures 5 5 — — $5,122.88 $16,475.72 $13,469.18 2025-01-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 4 4 — — $8,482.71 $21,352.79 $13,467.45 2025-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 1 — — $13,464.64 $13,464.64 $13,464.64 2025-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 — — $13,460.46 $13,460.46 $13,460.46 2025-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 1 1 — — $13,452.73 $13,452.73 $13,452.73 2025-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 — — $13,407.97 $13,407.97 $13,407.97 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $13,315.06 $13,315.06 $13,315.06 2025-01-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 1 1 — — $13,046.05 $13,046.05 $13,046.05 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $7,819.96 $17,771.33 $12,795.65 2025-01-01
72 MS_DRG Other Cerebrovascular Disorders Without Cc/Mcc 1 1 — — $12,624.31 $12,624.31 $12,624.31 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 5 — — $7,928.04 $12,640.03 $12,515.96 2025-01-01
200 MS_DRG Pneumothorax With Cc 2 2 — — $6,618.93 $18,390.41 $12,504.67 2025-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 1 1 — — $12,436.70 $12,436.70 $12,436.70 2025-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 — — $12,242.40 $12,242.40 $12,242.40 2025-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 6 6 — — $8,711.43 $28,865.01 $12,235.69 2025-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 1 1 — — $12,225.31 $12,225.31 $12,225.31 2025-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 — — $12,108.17 $12,108.17 $12,108.17 2025-01-01
5055 OTHER Level 5 Skin Procedures 1 1 — — $11,977.97 $11,977.97 $11,977.97 2025-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 — — $11,702.32 $11,996.94 $11,849.63 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 7 7 — — $5,427.11 $33,447.98 $11,792.03 2025-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 2 2 — — $10,174.52 $13,393.74 $11,784.13 2025-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $11,731.94 $11,731.94 $11,731.94 2025-01-01
304 MS_DRG Hypertension With Mcc 2 2 — — $8,209.76 $15,226.30 $11,718.03 2025-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $11,572.38 $11,572.38 $11,572.38 2025-01-01
0944 RC Gammagard Liquid Injection 1 1 — — $11,483.54 $11,483.54 $11,483.54 2025-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $11,389.79 $11,389.79 $11,389.79 2025-01-01
398 MS_DRG Appendix Procedures With Cc 1 1 — — $11,360.18 $11,360.18 $11,360.18 2025-01-01
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $11,253.69 $11,253.69 $11,253.69 2025-01-01
5303 OTHER Level 3 Upper Gi Procedures 1 1 — — $11,206.38 $11,206.38 $11,206.38 2025-01-01
158 MS_DRG Dental And Oral Diseases With Cc 2 2 — — $7,257.32 $15,131.44 $11,194.38 2025-01-01
682 MS_DRG Renal Failure With Mcc 7 7 — — $9,603.96 $19,358.82 $11,153.06 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 14 13 — — $3,679.23 $34,486.50 $11,138.46 2025-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 1 1 — — $11,127.44 $11,127.44 $11,127.44 2025-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $7,423.52 $14,650.93 $11,037.23 2025-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 1 1 — — $10,950.42 $10,950.42 $10,950.42 2025-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 — — $10,818.71 $10,818.71 $10,818.71 2025-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $10,666.80 $10,666.80 $10,666.80 2025-01-01
123 MS_DRG Neurological Eye Disorders 1 1 — — $10,370.80 $10,370.80 $10,370.80 2025-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $10,237.89 $10,237.89 $10,237.89 2025-01-01
5193 OTHER Level 3 Endovascular Procedures 17 16 — — $6,778.08 $40,384.63 $10,131.49 2025-01-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 1 1 — — $9,986.73 $9,986.73 $9,986.73 2025-01-01
38 MS_DRG Extracranial Procedures With Cc 2 2 — — $8,268.82 $11,633.43 $9,951.12 2025-01-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $9,841.75 $9,841.75 $9,841.75 2025-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 3 3 — — $6,406.12 $20,673.22 $9,705.57 2025-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 10 10 — — $7,253.09 $20,468.11 $9,693.75 2025-01-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $9,689.86 $9,689.86 $9,689.86 2025-01-01
291 MS_DRG Heart Failure And Shock With Mcc 9 9 — — $6,138.90 $20,700.32 $9,657.15 2025-01-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 1 1 — — $9,486.43 $9,486.43 $9,486.43 2025-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $9,370.34 $9,370.34 $9,370.34 2025-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 7 7 — — $3,929.45 $19,008.53 $9,308.76 2025-01-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 4 4 — — $6,456.05 $18,617.87 $9,278.15 2025-01-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 11 10 — — $5,139.00 $17,703.50 $9,252.58 2025-01-01
885 MS_DRG Psychoses 32 24 — — $1,859.10 $14,977.87 $9,180.44 2025-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 7 7 — — $4,844.96 $12,449.55 $9,130.98 2025-01-01
0927 OTHER Factor Viii Recombinant 1 1 — — $9,045.32 $9,045.32 $9,045.32 2025-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 — — $6,748.90 $11,104.23 $8,926.56 2025-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 8 8 — — $4,686.18 $64,605.81 $8,814.58 2025-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 9 8 — — $4,168.20 $15,724.99 $8,249.90 2025-01-01
638 MS_DRG Diabetes With Cc 6 5 — — $6,202.03 $14,501.03 $8,241.22 2025-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 8 8 — — $5,869.01 $17,002.76 $8,074.32 2025-01-01
5113 OTHER Level 3 Musculoskeletal Procedures 18 16 — — $1,568.77 $33,981.57 $8,056.20 2025-01-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 1 1 — — $8,051.30 $8,051.30 $8,051.30 2025-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 — — $5,835.05 $10,805.97 $8,036.38 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $7,986.06 $7,986.06 $7,986.06 2025-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 8 8 — — $6,161.27 $27,513.12 $7,932.43 2025-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 2 — — $6,843.28 $8,894.09 $7,868.68 2025-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 — — $7,867.57 $7,867.57 $7,867.57 2025-01-01
596 MS_DRG Major Skin Disorders Without Mcc 1 1 — — $7,832.91 $7,832.91 $7,832.91 2025-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 5 — — $7,313.54 $8,175.89 $7,780.20 2025-01-01
593 MS_DRG Skin Ulcers With Cc 1 1 — — $7,587.54 $7,587.54 $7,587.54 2025-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 — — $7,568.04 $7,568.04 $7,568.04 2025-01-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 1 1 — — $7,539.00 $7,539.00 $7,539.00 2025-01-01
197 MS_DRG Interstitial Lung Disease With Cc 1 1 — — $7,388.30 $7,388.30 $7,388.30 2025-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $7,353.14 $7,353.14 $7,353.14 2025-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 1 1 — — $7,340.66 $7,340.66 $7,340.66 2025-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 5 5 — — $4,933.56 $7,772.28 $7,322.87 2025-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 3 3 — — $6,997.64 $12,162.29 $7,260.21 2025-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 2 2 — — $6,590.02 $7,849.64 $7,219.83 2025-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 7 7 — — $6,376.12 $28,519.03 $7,092.19 2025-01-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $6,978.30 $6,978.30 $6,978.30 2025-01-01
69 MS_DRG Transient Ischemia Without Thrombolytic 2 2 — — $5,119.58 $8,830.43 $6,975.01 2025-01-01
603 MS_DRG Cellulitis Without Mcc 5 5 — — $6,062.09 $12,297.38 $6,957.79 2025-01-01
312 MS_DRG Syncope And Collapse 2 2 — — $6,764.05 $6,791.09 $6,777.57 2025-01-01
5192 OTHER Level 2 Endovascular Procedures 8 8 — — $3,921.80 $13,825.54 $6,704.06 2025-01-01
683 MS_DRG Renal Failure With Cc 6 6 — — $5,280.72 $11,619.42 $6,674.68 2025-01-01
N811 OTHER Observation, Other 1 1 — — $6,645.21 $6,645.21 $6,645.21 2025-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 4 — — $5,707.31 $11,315.36 $6,596.33 2025-01-01
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 1 1 — — $6,592.83 $6,592.83 $6,592.83 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $6,518.60 $6,518.60 $6,518.60 2025-01-01
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $6,518.60 $6,518.60 $6,518.60 2025-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 2 — — $6,056.10 $6,953.84 $6,504.97 2025-01-01
5212 OTHER Level 2 Electrophysiologic Procedures 5 4 — — $4,672.49 $14,902.74 $6,486.80 2025-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 4 — — $6,332.20 $8,161.95 $6,457.96 2025-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $6,343.43 $6,343.43 $6,343.43 2025-01-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $3,522.65 $9,124.04 $6,323.35 2025-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 5 4 — — $5,451.13 $12,452.75 $6,280.87 2025-01-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $6,222.99 $6,222.99 $6,222.99 2025-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 3 — — $2,679.02 $9,348.70 $6,218.43 2025-01-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 — — $6,167.98 $6,167.98 $6,167.98 2025-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 4 — — $5,422.44 $13,127.83 $6,120.61 2025-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 3 3 — — $4,590.03 $8,916.02 $6,096.82 2025-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 — — $5,863.79 $6,168.24 $6,016.01 2025-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 3 — — $5,630.36 $6,818.51 $6,005.10 2025-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 6 6 — — $4,310.44 $9,615.96 $6,004.34 2025-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 5 5 — — $4,690.23 $6,163.09 $6,001.42 2025-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 4 — — $2,489.53 $20,585.51 $5,994.64 2025-01-01
149 MS_DRG Dysequilibrium 1 1 — — $5,947.64 $5,947.64 $5,947.64 2025-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 3 3 — — $5,735.41 $11,079.56 $5,882.67 2025-01-01
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 1 1 — — $5,826.10 $5,826.10 $5,826.10 2025-01-01
313 MS_DRG Chest Pain 1 1 — — $5,762.87 $5,762.87 $5,762.87 2025-01-01
639 MS_DRG Diabetes Without Cc/Mcc 2 2 — — $5,070.10 $6,309.31 $5,689.70 2025-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 1 1 — — $5,566.45 $5,566.45 $5,566.45 2025-01-01
292 MS_DRG Heart Failure And Shock With Cc 2 2 — — $4,301.84 $6,690.09 $5,495.97 2025-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 — — $5,470.30 $5,470.30 $5,470.30 2025-01-01
305 MS_DRG Hypertension Without Mcc 1 1 — — $5,353.84 $5,353.84 $5,353.84 2025-01-01
9133 OTHER Rabies Ig, Im/sc 3 3 — — $4,469.14 $9,441.50 $5,304.75 2025-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 1 1 — — $5,271.40 $5,271.40 $5,271.40 2025-01-01
5361 OTHER Level 1 Laparoscopy And Related Services 22 19 — — $2,815.49 $47,024.99 $5,259.62 2025-01-01
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $5,250.36 $5,250.36 $5,250.36 2025-01-01
637 MS_DRG Diabetes With Mcc 3 3 — — $4,770.72 $36,084.89 $5,173.41 2025-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 2 2 — — $3,713.68 $6,614.58 $5,164.13 2025-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 1 1 — — $5,129.77 $5,129.77 $5,129.77 2025-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 — — $5,114.13 $5,114.13 $5,114.13 2025-01-01
5491 OTHER Level 1 Intraocular Procedures 24 19 — — $1,399.59 $15,718.48 $4,739.30 2025-01-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 3 3 — — $3,037.65 $6,180.30 $4,584.94 2025-01-01
5164 OTHER Level 4 ENT Procedures 3 3 — — $3,044.73 $9,834.45 $4,538.66 2025-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 1 1 — — $4,472.82 $4,472.82 $4,472.82 2025-01-01
5191 OTHER Level 1 Endovascular Procedures 28 25 — — $1,769.28 $17,795.83 $4,252.93 2025-01-01
950 MS_DRG Aftercare Without Cc/Mcc 2 2 — — $2,607.44 $5,625.19 $4,116.31 2025-01-01
5492 OTHER Level 2 Intraocular Procedures 15 10 — — $1,399.59 $15,540.48 $4,013.00 2025-01-01
5312 OTHER Level 2 Lower Gi Procedures 28 22 — — $808.12 $11,735.75 $4,006.51 2025-01-01
5184 OTHER Level 4 Vascular Procedures 6 6 — — $3,339.94 $6,591.06 $3,974.95 2025-01-01
9200 OTHER Inj, Remdesivir, 1 Mg 1 1 — — $3,951.77 $3,951.77 $3,951.77 2025-01-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $3,924.43 $3,924.43 $3,924.43 2025-01-01
5311 OTHER Level 1 Lower Gi Procedures 25 19 — — $132.46 $9,319.87 $3,763.53 2025-01-01
9441 OTHER Inj Ferric Carboxymaltos 1mg 1 1 — — $3,246.70 $3,246.70 $3,246.70 2025-01-01
5154 OTHER Level 4 Airway Endoscopy 4 4 — — $2,677.96 $15,713.17 $3,160.49 2025-01-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 1 1 — — $3,107.42 $3,107.42 $3,107.42 2025-01-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 5 5 — — $2,569.04 $7,829.97 $3,096.80 2025-01-01
5301 OTHER Level 1 Upper Gi Procedures 17 14 — — $707.33 $10,635.37 $3,043.65 2025-01-01
1468 OTHER Inj, Abilify Maintena, 1 Mg 1 1 — — $2,964.92 $2,964.92 $2,964.92 2025-01-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 9 9 — — $2,690.04 $4,143.41 $2,939.28 2025-01-01
5431 OTHER Level 1 Nerve Procedures 7 6 — — $1,394.74 $12,170.30 $2,893.61 2025-01-01
5183 OTHER Level 3 Vascular Procedures 14 13 — — $1,737.61 $8,211.00 $2,876.31 2025-01-01
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $2,789.05 $2,789.05 $2,789.05 2025-01-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 6 6 — — $1,176.44 $23,991.40 $2,663.11 2025-01-01
759 MS_DRG Infections, Female Reproductive System Without Cc/Mcc 1 1 — — $2,642.61 $2,642.61 $2,642.61 2025-01-01
5313 OTHER Level 3 Lower Gi Procedures 6 5 — — $818.08 $8,077.57 $2,407.56 2025-01-01
9300 OTHER Omalizumab Injection 1 1 — — $2,361.91 $2,361.91 $2,361.91 2025-01-01
5503 OTHER Level 3 Extraocular, Repair, And Plastic Eye Procedures 1 1 — — $2,159.57 $2,159.57 $2,159.57 2025-01-01
5724 OTHER Level 4 Diagnostic Tests And Related Services 24 19 — — $579.72 $4,226.34 $1,793.41 2025-01-01
5302 OTHER Level 2 Upper Gi Procedures 6 6 — — $1,186.30 $4,338.59 $1,756.11 2025-01-01
5054 OTHER Level 4 Skin Procedures 3 3 — — $1,426.88 $1,880.94 $1,682.47 2025-01-01
5524 OTHER Level 4 Imaging Without Contrast 35 26 — — $336.34 $3,389.26 $1,596.08 2025-01-01
5592 OTHER Level 2 Nuclear Medicine And Related Services 10 8 — — $340.60 $2,433.77 $1,557.65 2025-01-01
5153 OTHER Level 3 Airway Endoscopy 1 1 — — $1,533.24 $1,533.24 $1,533.24 2025-01-01
9536 OTHER Platelets Pheresis Path Redu 2 2 — — $1,491.28 $1,537.58 $1,514.43 2025-01-01
5572 OTHER Level 2 Imaging With Contrast 31 25 — — $58.09 $13,330.28 $1,501.42 2025-01-01
9272 OTHER Inj, Denosumab 4 4 — — $1,487.38 $3,087.94 $1,500.16 2025-01-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 11 10 — — $976.46 $5,237.00 $1,488.87 2025-01-01
5112 OTHER Level 2 Musculoskeletal Procedures 9 9 — — $1,348.39 $9,864.13 $1,484.78 2025-01-01
5182 OTHER Level 2 Vascular Procedures 5 5 — — $1,101.89 $1,478.57 $1,426.07 2025-01-01
5161 OTHER Level 1 ENT Procedures 2 2 — — $1,325.78 $1,485.08 $1,405.43 2025-01-01
5414 OTHER Level 4 Gynecologic Procedures 1 1 — — $1,380.85 $1,380.85 $1,380.85 2025-01-01
5593 OTHER Level 3 Nuclear Medicine And Related Services 19 15 — — $813.24 $8,907.99 $1,306.94 2025-01-01
1847 OTHER Injection, Inflectra 1 1 — — $1,291.42 $1,291.42 $1,291.42 2025-01-01
5523 OTHER Level 3 Imaging Without Contrast 33 25 — — $176.96 $4,353.36 $1,230.60 2025-01-01
5024 OTHER Level 4 Type A Ed Visits 42 32 — — $339.14 $5,269.20 $1,129.70 2025-01-01
5025 OTHER Level 5 Type A Ed Visits 39 29 — — $218.00 $9,067.29 $1,117.86 2025-01-01
N900 OTHER Non-covered Services 2 2 — — $581.31 $1,640.10 $1,110.70 2025-01-01
5691 OTHER Level 1 Drug Administration 7 7 — — $853.48 $18,169.69 $1,082.95 2025-01-01
9530 OTHER Plate Pheres Leukoredu Irrad 4 4 — — $665.38 $2,225.04 $1,031.72 2025-01-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 12 9 — — $337.52 $6,565.86 $999.39 2025-01-01
5041 OTHER Critical Care 16 15 — — $218.00 $7,833.90 $944.86 2025-01-01
5771 OTHER Cardiac Rehabilitation 9 5 — — $646.06 $2,069.52 $932.02 2025-01-01
5181 OTHER Level 1 Vascular Procedures 2 2 — — $584.70 $1,188.60 $886.65 2025-01-01
9501 OTHER Platelet Pheres Leukoreduced 5 4 — — $576.35 $2,277.85 $880.03 2025-01-01
5443 OTHER Level 3 Nerve Injections 18 15 — — $97.81 $3,099.82 $844.62 2025-01-01
5401 OTHER Dialysis 3 3 — — $747.57 $1,047.41 $841.77 2025-01-01
1829 OTHER Penicillin G Benzathine Inj 4 4 — — $166.85 $1,485.16 $838.04 2025-01-01
5723 OTHER Level 3 Diagnostic Tests And Related Services 13 10 — — $135.91 $6,124.51 $784.61 2025-01-01
5573 OTHER Level 3 Imaging With Contrast 13 13 — — $589.56 $5,977.09 $737.35 2025-01-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 8 8 — — $288.08 $19,283.96 $640.95 2025-01-01
5442 OTHER Level 2 Nerve Injections 9 9 — — $442.72 $1,078.43 $636.50 2025-01-01
5591 OTHER Level 1 Nuclear Medicine And Related Services 10 8 — — $303.33 $1,274.39 $622.98 2025-01-01
5781 OTHER Resuscitation And Cardioversion 11 11 — — $435.85 $1,610.92 $604.02 2025-01-01
N905 OTHER Not Recognized By Opps 1 1 — — $564.35 $564.35 $564.35 2025-01-01
5023 OTHER Level 3 Type A Ed Visits 42 30 — — $60.85 $1,665.96 $546.87 2025-01-01
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