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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

UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK

Bolingbrook, IL · CCN 140304 · Rates published

444 distinct procedures filed
26 distinct payers
5,708 rate rows
2025-08-01 last MRF observed
Data quality

1,509 of 5,708 rate rows are consumer-grade (26.4%)

4,199 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 4,199
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/651219504_uchicago-medicine-adventhealth-bolingbrook_standardcharges.json
Found on page https://www.uchicagomedicineadventhealth.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 3bdd64a101145d92… · 11,441,165 bytes · first seen 2026-05-06

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
503
MS_DRG 		Foot Procedures With Mcc 1 $212,771.58 $212,771.58 $212,771.58 nat. median
$26,999
outlier · 7.9×
505
MS_DRG 		Foot Procedures Without Cc/Mcc 1 $152,641.75 $152,641.75 $152,641.75 nat. median
$18,102
outlier · 8.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $152,168.70 $152,168.70 $152,168.70 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $105,110.60 $105,110.60 $105,110.60 nat. median
$133,161
0.8× median
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 $90,438.62 $90,438.62 $90,438.62 nat. median
$18,899
outlier · 4.8×
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 2 $88,840.78 $88,840.78 $88,840.78 nat. median
$229
outlier · 387.4×
88
MS_DRG 		Concussion With Mcc 1 $82,445.64 $82,445.64 $82,445.64 nat. median
$14,496
outlier · 5.7×
496
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 $81,941.60 $81,941.60 $81,941.60 nat. median
$19,434
outlier · 4.2×
2026
OTHER 		Orth/devic/drug Bn/bn,tis/bn 1 $80,111.57 $80,111.57 $80,111.57 nat. median
$476
outlier · 168.2×
9284
OTHER 		Ipilimumab Injection 1 $77,600.37 $77,600.37 $77,600.37 nat. median
$188
outlier · 413.9×
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 $72,806.43 $72,806.43 $72,806.43 nat. median
$22,208
outlier · 3.3×
63
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 $71,380.36 $71,380.36 $71,380.36 nat. median
$14,997
outlier · 4.8×
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 $66,469.01 $66,469.01 $66,469.01 nat. median
$17,334
outlier · 3.8×
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 $65,814.63 $65,814.63 $65,814.63 nat. median
$27,489
outlier · 2.4×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $61,606.55 $61,606.55 $61,606.55 nat. median
$33,845
1.8× median
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 $58,881.16 $58,881.16 $58,881.16 nat. median
$22,575
outlier · 2.6×
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 2 $56,145.90 $56,145.90 $56,145.90 nat. median
$20,658
outlier · 2.7×
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 $54,382.38 $54,382.38 $54,382.38 nat. median
$17,322
outlier · 3.1×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 $53,112.10 $53,112.10 $53,112.10 nat. median
$23,829
outlier · 2.2×
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 1 $52,778.03 $52,778.03 $52,778.03 nat. median
$14,195
outlier · 3.7×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 1 $52,583.79 $52,583.79 $52,583.79 nat. median
$27,946
1.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $52,394.28 $52,394.28 $52,394.28 nat. median
$39,075
1.3× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 2 $51,781.39 $51,781.39 $51,781.39 nat. median
$40,454
1.3× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 3 $51,208.75 $51,208.75 $51,208.75 nat. median
$24,346
outlier · 2.1×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 $50,783.67 $50,783.67 $50,783.67 nat. median
$48,170
1.1× median
77
MS_DRG 		Hypertensive Encephalopathy With Mcc 1 $50,164.43 $50,164.43 $50,164.43 nat. median
$15,952
outlier · 3.1×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 5 $49,867.61 $49,867.61 $49,867.61 nat. median
$44,810
1.1× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 $47,213.92 $47,213.92 $47,213.92 nat. median
$17,482
outlier · 2.7×
9236
OTHER 		Eculizumab Injection 1 $46,909.30 $46,909.30 $46,909.30 nat. median
$231
outlier · 203.2×
5462
OTHER 		Level 2 Neurostimulator And Related Procedures 5 $45,321.09 $45,321.09 $45,321.09 nat. median
$6,711
outlier · 6.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $45,112.85 $45,112.85 $45,112.85 nat. median
$66,526
0.7× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 1 $44,581.35 $44,581.35 $44,581.35 nat. median
$33,835
1.3× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 6 $44,542.37 $44,542.37 $44,542.37 nat. median
$17,703
outlier · 2.5×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 $43,973.07 $43,973.07 $43,973.07 nat. median
$24,757
1.8× median
713
MS_DRG 		Transurethral Prostatectomy With Cc/Mcc 1 $43,022.57 $43,022.57 $43,022.57 nat. median
$15,398
outlier · 2.8×
5461
OTHER 		Level 1 Neurostimulator And Related Procedures 2 $42,511.36 $42,511.36 $42,511.36 nat. median
$3,548
outlier · 12.0×
398
MS_DRG 		Appendix Procedures With Cc 1 $40,117.84 $40,117.84 $40,117.84 nat. median
$15,921
outlier · 2.5×
304
MS_DRG 		Hypertension With Mcc 1 $40,009.71 $40,009.71 $40,009.71 nat. median
$12,521
outlier · 3.2×
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 1 $39,718.49 $39,718.49 $39,718.49 nat. median
$16,641
outlier · 2.4×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $39,623.79 $39,623.79 $39,623.79 nat. median
$49,191
0.8× median
5115
OTHER 		Level 5 Musculoskeletal Procedures 6 $38,777.92 $38,777.92 $38,777.92 nat. median
$13,542
outlier · 2.9×
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $36,600.32 $36,600.32 $36,600.32 nat. median
$33,061
1.1× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 $36,340.68 $36,340.68 $36,340.68 nat. median
$28,170
1.3× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 2 $35,966.41 $35,966.41 $35,966.41 nat. median
$16,645
outlier · 2.2×
322
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 2 $35,204.89 $35,204.89 $35,204.89 nat. median
$19,070
1.8× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/Mcc 4 $35,055.82 $35,055.82 $35,055.82 nat. median
$16,153
outlier · 2.2×
62
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 $34,942.43 $34,942.43 $34,942.43 nat. median
$18,436
1.9× median
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 1 $33,807.04 $33,807.04 $33,807.04 nat. median
$25,891
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $33,797.72 $33,797.72 $33,797.72 nat. median
$52,746
0.6× median
5114
OTHER 		Level 4 Musculoskeletal Procedures 7 $32,720.62 $32,720.62 $32,720.62 nat. median
$8,090
outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 444 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
             
503 MS_DRG Foot Procedures With Mcc 1 1 — — $212,771.58 $212,771.58 $212,771.58 2025-08-01
505 MS_DRG Foot Procedures Without Cc/Mcc 1 1 — — $152,641.75 $152,641.75 $152,641.75 2025-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $152,168.70 $152,168.70 $152,168.70 2025-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $105,110.60 $105,110.60 $105,110.60 2025-08-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 1 — — $90,438.62 $90,438.62 $90,438.62 2025-08-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 2 2 — — $88,840.78 $88,840.78 $88,840.78 2025-08-01
88 MS_DRG Concussion With Mcc 1 1 — — $82,445.64 $82,445.64 $82,445.64 2025-08-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $81,941.60 $81,941.60 $81,941.60 2025-08-01
2026 OTHER Orth/devic/drug Bn/bn,tis/bn 1 1 — — $80,111.57 $80,111.57 $80,111.57 2025-08-01
9284 OTHER Ipilimumab Injection 1 1 — — $77,600.37 $77,600.37 $77,600.37 2025-08-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $72,806.43 $72,806.43 $72,806.43 2025-08-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $71,380.36 $71,380.36 $71,380.36 2025-08-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $66,469.01 $66,469.01 $66,469.01 2025-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 1 — — $65,814.63 $65,814.63 $65,814.63 2025-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $61,606.55 $61,606.55 $61,606.55 2025-08-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $58,881.16 $58,881.16 $58,881.16 2025-08-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $56,145.90 $56,145.90 $56,145.90 2025-08-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $54,382.38 $54,382.38 $54,382.38 2025-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 2 — — $53,112.10 $53,112.10 $53,112.10 2025-08-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 1 — — $52,778.03 $52,778.03 $52,778.03 2025-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $52,583.79 $52,583.79 $52,583.79 2025-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $52,394.28 $52,394.28 $52,394.28 2025-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $51,781.39 $51,781.39 $51,781.39 2025-08-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 3 — — $51,208.75 $51,208.75 $51,208.75 2025-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 7 — — $50,783.67 $50,783.67 $50,783.67 2025-08-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 1 — — $50,164.43 $50,164.43 $50,164.43 2025-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 5 — — $49,867.61 $49,867.61 $49,867.61 2025-08-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 — — $47,213.92 $47,213.92 $47,213.92 2025-08-01
9236 OTHER Eculizumab Injection 1 1 — — $46,909.30 $46,909.30 $46,909.30 2025-08-01
5462 OTHER Level 2 Neurostimulator And Related Procedures 8 5 — — $45,321.09 $45,321.09 $45,321.09 2025-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — — $45,112.85 $45,112.85 $45,112.85 2025-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $44,581.35 $44,581.35 $44,581.35 2025-08-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 7 6 — — $44,542.37 $44,542.37 $44,542.37 2025-08-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $43,973.07 $43,973.07 $43,973.07 2025-08-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 1 1 — — $43,022.57 $43,022.57 $43,022.57 2025-08-01
5461 OTHER Level 1 Neurostimulator And Related Procedures 2 2 — — $42,511.36 $42,511.36 $42,511.36 2025-08-01
398 MS_DRG Appendix Procedures With Cc 1 1 — — $40,117.84 $40,117.84 $40,117.84 2025-08-01
304 MS_DRG Hypertension With Mcc 1 1 — — $40,009.71 $40,009.71 $40,009.71 2025-08-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 1 1 — — $39,718.49 $39,718.49 $39,718.49 2025-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $39,623.79 $39,623.79 $39,623.79 2025-08-01
5115 OTHER Level 5 Musculoskeletal Procedures 15 6 — — $38,777.92 $38,777.92 $38,777.92 2025-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $36,600.32 $36,600.32 $36,600.32 2025-08-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 3 — — $36,340.68 $36,340.68 $36,340.68 2025-08-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $35,966.41 $35,966.41 $35,966.41 2025-08-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 3 2 — — $35,204.89 $35,204.89 $35,204.89 2025-08-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 8 4 — — $35,055.82 $35,055.82 $35,055.82 2025-08-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 2 — — $34,942.43 $34,942.43 $34,942.43 2025-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $33,807.04 $33,807.04 $33,807.04 2025-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $33,797.72 $33,797.72 $33,797.72 2025-08-01
5114 OTHER Level 4 Musculoskeletal Procedures 14 7 — — $32,720.62 $32,720.62 $32,720.62 2025-08-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 5 2 — — $32,540.41 $32,540.41 $32,540.41 2025-08-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/Mcc 1 1 — — $32,274.75 $32,274.75 $32,274.75 2025-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $32,086.60 $32,086.60 $32,086.60 2025-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $31,467.28 $31,467.28 $31,467.28 2025-08-01
620 MS_DRG O.r. Procedures For Obesity With Cc 3 2 — — $31,074.42 $31,074.42 $31,074.42 2025-08-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 2 — — $31,012.54 $31,012.54 $31,012.54 2025-08-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 9 6 — — $30,566.08 $30,566.08 $30,566.08 2025-08-01
2027 OTHER Probe, Robotic, Water-jet 2 2 — — $30,447.57 $30,447.57 $30,447.57 2025-08-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 4 — — $30,343.46 $30,343.46 $30,343.46 2025-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $29,798.45 $29,798.45 $29,798.45 2025-08-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 6 3 — — $29,170.86 $29,170.86 $29,170.86 2025-08-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 2 — — $29,168.15 $29,168.15 $29,168.15 2025-08-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 19 9 — — $29,119.08 $29,119.08 $29,119.08 2025-08-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 2 — — $28,914.94 $28,914.94 $28,914.94 2025-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $28,658.02 $28,658.02 $28,658.02 2025-08-01
5116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $28,630.09 $28,630.09 $28,630.09 2025-08-01
791 MS_DRG Prematurity With Major Problems 4 4 — — $28,251.19 $28,251.19 $28,251.19 2025-08-01
643 MS_DRG Endocrine Disorders With Mcc 2 2 — — $27,780.63 $27,780.63 $27,780.63 2025-08-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $27,325.34 $27,325.34 $27,325.34 2025-08-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 — — $27,210.66 $27,210.66 $27,210.66 2025-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $26,095.02 $26,095.02 $26,095.02 2025-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $25,903.24 $25,903.24 $25,903.24 2025-08-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 — — $25,494.62 $25,494.62 $25,494.62 2025-08-01
637 MS_DRG Diabetes With Mcc 5 3 — — $25,482.90 $25,482.90 $25,482.90 2025-08-01
5331 OTHER Complex Gi Procedures 1 1 — — $25,276.00 $25,276.00 $25,276.00 2025-08-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 — — $25,173.90 $25,173.90 $25,173.90 2025-08-01
394 MS_DRG Other Digestive System Diagnoses With Cc 5 3 — — $24,645.88 $24,645.88 $24,645.88 2025-08-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 6 4 — — $24,568.40 $24,568.40 $24,568.40 2025-08-01
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $24,340.60 $24,340.60 $24,340.60 2025-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $24,157.08 $24,157.08 $24,157.08 2025-08-01
5375 OTHER Level 5 Urology And Related Services 10 5 — — $24,051.88 $24,051.88 $24,051.88 2025-08-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 1 1 — — $23,984.45 $23,984.45 $23,984.45 2025-08-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 — — $23,556.67 $23,556.67 $23,556.67 2025-08-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 1 1 — — $23,339.86 $23,339.86 $23,339.86 2025-08-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $23,167.51 $23,167.51 $23,167.51 2025-08-01
149 MS_DRG Dysequilibrium 1 1 — — $22,841.88 $22,841.88 $22,841.88 2025-08-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 4 — — $22,804.04 $22,804.04 $22,804.04 2025-08-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $22,765.05 $22,765.05 $22,765.05 2025-08-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 5 4 — — $22,076.93 $22,076.93 $22,076.93 2025-08-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 2 2 — — $22,019.47 $22,019.47 $22,019.47 2025-08-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 — — $21,476.15 $21,476.15 $21,476.15 2025-08-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 9 6 — — $21,418.78 $21,418.78 $21,418.78 2025-08-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $21,291.68 $21,291.68 $21,291.68 2025-08-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $20,922.26 $20,922.26 $20,922.26 2025-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $20,736.93 $20,736.93 $20,736.93 2025-08-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 5 4 — — $20,694.87 $20,694.87 $20,694.87 2025-08-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 4 — — $20,561.12 $20,561.12 $20,561.12 2025-08-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 8 4 — — $20,367.35 $20,367.35 $20,367.35 2025-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $20,313.83 $20,313.83 $20,313.83 2025-08-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $20,290.85 $20,290.85 $20,290.85 2025-08-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $20,223.54 $20,223.54 $20,223.54 2025-08-01
348 MS_DRG Anal And Stomal Procedures With Cc 2 2 — — $20,203.40 $20,203.40 $20,203.40 2025-08-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 6 4 — — $20,202.96 $20,202.96 $20,202.96 2025-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $19,940.51 $19,940.51 $19,940.51 2025-08-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 1 1 — — $19,695.40 $19,695.40 $19,695.40 2025-08-01
919 MS_DRG Complications Of Treatment With Mcc 3 2 — — $19,691.49 $19,691.49 $19,691.49 2025-08-01
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $19,538.36 $19,538.36 $19,538.36 2025-08-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 2 — — $19,190.58 $19,190.58 $19,190.58 2025-08-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 6 5 — — $19,166.76 $19,166.76 $19,166.76 2025-08-01
9150 OTHER Inj Mosunetuzumab-axgb, 1 Mg 1 1 — — $19,163.84 $19,163.84 $19,163.84 2025-08-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 6 4 — — $19,087.31 $19,087.31 $19,087.31 2025-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $18,874.05 $18,874.05 $18,874.05 2025-08-01
5303 OTHER Level 3 Upper Gi Procedures 1 1 — — $18,833.66 $18,833.66 $18,833.66 2025-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $18,689.05 $18,689.05 $18,689.05 2025-08-01
5731 OTHER Level 1 Minor Procedures 1 1 — — $18,503.09 $18,503.09 $18,503.09 2025-08-01
570 MS_DRG Skin Debridement With Mcc 3 3 — — $18,235.01 $18,235.01 $18,235.01 2025-08-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 8 5 — — $18,181.88 $18,181.88 $18,181.88 2025-08-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 9 7 — — $17,932.58 $17,932.58 $17,932.58 2025-08-01
184 MS_DRG Major Chest Trauma With Cc 2 2 — — $17,923.00 $17,923.00 $17,923.00 2025-08-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $17,844.97 $17,844.97 $17,844.97 2025-08-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 5 3 — — $17,701.63 $17,701.63 $17,701.63 2025-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $17,659.57 $17,659.57 $17,659.57 2025-08-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $17,508.93 $17,508.93 $17,508.93 2025-08-01
947 MS_DRG Signs And Symptoms With Mcc 2 2 — — $17,488.68 $17,488.68 $17,488.68 2025-08-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 5 3 — — $17,433.92 $17,433.92 $17,433.92 2025-08-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 3 3 — — $17,428.42 $17,428.42 $17,428.42 2025-08-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 1 — — $17,374.98 $17,374.98 $17,374.98 2025-08-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 — — $17,364.90 $17,364.90 $17,364.90 2025-08-01
682 MS_DRG Renal Failure With Mcc 7 4 — — $17,174.65 $17,174.65 $17,174.65 2025-08-01
920 MS_DRG Complications Of Treatment With Cc 2 2 — — $17,084.19 $17,084.19 $17,084.19 2025-08-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 8 5 — — $16,887.61 $16,887.61 $16,887.61 2025-08-01
291 MS_DRG Heart Failure And Shock With Mcc 17 10 — — $16,600.78 $16,600.78 $16,600.78 2025-08-01
313 MS_DRG Chest Pain 2 2 — — $16,596.67 $16,596.67 $16,596.67 2025-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $16,506.12 $16,506.12 $16,506.12 2025-08-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 2 2 — — $16,373.91 $16,373.91 $16,373.91 2025-08-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 3 3 — — $16,355.67 $16,355.67 $16,355.67 2025-08-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $16,231.15 $16,231.15 $16,231.15 2025-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $16,098.33 $16,098.33 $16,098.33 2025-08-01
5045 OTHER Trauma Response With Critical Care 1 1 — — $15,973.46 $15,973.46 $15,973.46 2025-08-01
92 MS_DRG Other Disorders Of Nervous System With Cc 3 2 — — $15,880.33 $15,880.33 $15,880.33 2025-08-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 3 3 — — $15,801.72 $15,801.72 $15,801.72 2025-08-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 11 7 — — $15,742.45 $15,742.45 $15,742.45 2025-08-01
69 MS_DRG Transient Ischemia Without Thrombolytic 5 3 — — $15,731.75 $15,731.75 $15,731.75 2025-08-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 3 — — $15,622.49 $15,622.49 $15,622.49 2025-08-01
501 MS_DRG Soft Tissue Procedures With Cc 2 1 — — $15,551.01 $15,551.01 $15,551.01 2025-08-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $15,503.23 $15,503.23 $15,503.23 2025-08-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 6 — — $15,497.58 $15,497.58 $15,497.58 2025-08-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $15,486.46 $15,486.46 $15,486.46 2025-08-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 12 8 — — $15,385.76 $15,385.76 $15,385.76 2025-08-01
916 MS_DRG Allergic Reactions Without Mcc 1 1 — — $15,287.13 $15,287.13 $15,287.13 2025-08-01
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 1 1 — — $15,258.32 $15,258.32 $15,258.32 2025-08-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $15,228.86 $15,228.86 $15,228.86 2025-08-01
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $15,166.30 $15,166.30 $15,166.30 2025-08-01
5165 OTHER Level 5 ENT Procedures 1 1 — — $15,151.37 $15,151.37 $15,151.37 2025-08-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 2 2 — — $15,133.47 $15,133.47 $15,133.47 2025-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 — — $15,078.91 $15,078.91 $15,078.91 2025-08-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 6 5 — — $15,061.00 $15,061.00 $15,061.00 2025-08-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 3 2 — — $15,025.02 $15,025.02 $15,025.02 2025-08-01
300 MS_DRG Peripheral Vascular Disorders With Cc 4 4 — — $15,007.49 $15,007.49 $15,007.49 2025-08-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 — — $14,990.17 $14,990.17 $14,990.17 2025-08-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 3 2 — — $14,955.21 $14,955.21 $14,955.21 2025-08-01
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 — — $14,694.54 $14,694.54 $14,694.54 2025-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $14,487.06 $14,487.06 $14,487.06 2025-08-01
784 MS_DRG Cesarean Section With Sterilization With Cc 3 3 — — $14,421.72 $14,421.72 $14,421.72 2025-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $14,407.07 $14,407.07 $14,407.07 2025-08-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 7 4 — — $14,362.11 $14,362.11 $14,362.11 2025-08-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 2 2 — — $14,338.12 $14,338.12 $14,338.12 2025-08-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $14,240.78 $14,240.78 $14,240.78 2025-08-01
813 MS_DRG Coagulation Disorders 3 3 — — $14,126.92 $14,126.92 $14,126.92 2025-08-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 2 — — $14,098.27 $14,098.27 $14,098.27 2025-08-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 3 3 — — $14,046.97 $14,046.97 $14,046.97 2025-08-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 7 5 — — $13,918.85 $13,918.85 $13,918.85 2025-08-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 1 1 — — $13,897.84 $13,897.84 $13,897.84 2025-08-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 3 — — $13,799.22 $13,799.22 $13,799.22 2025-08-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 1 1 — — $13,789.27 $13,789.27 $13,789.27 2025-08-01
5153 OTHER Level 3 Airway Endoscopy 1 1 — — $13,769.85 $13,769.85 $13,769.85 2025-08-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 2 2 — — $13,760.11 $13,760.11 $13,760.11 2025-08-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 1 1 — — $13,733.82 $13,733.82 $13,733.82 2025-08-01
598 MS_DRG Malignant Breast Disorders With Cc 1 1 — — $13,713.00 $13,713.00 $13,713.00 2025-08-01
5184 OTHER Level 4 Vascular Procedures 5 3 — — $13,599.09 $13,599.09 $13,599.09 2025-08-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 2 2 — — $13,532.76 $13,532.76 $13,532.76 2025-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $13,510.94 $13,510.94 $13,510.94 2025-08-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 3 3 — — $13,500.05 $13,500.05 $13,500.05 2025-08-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 6 4 — — $13,458.78 $13,458.78 $13,458.78 2025-08-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 5 3 — — $13,417.84 $13,417.84 $13,417.84 2025-08-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $13,296.40 $13,296.40 $13,296.40 2025-08-01
921 MS_DRG Complications Of Treatment Without Cc/Mcc 1 1 — — $13,241.59 $13,241.59 $13,241.59 2025-08-01
1207 OTHER Octreotide Injection, Depot 5 3 — — $13,194.98 $13,194.98 $13,194.98 2025-08-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $12,990.47 $12,990.47 $12,990.47 2025-08-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 2 2 — — $12,927.72 $12,927.72 $12,927.72 2025-08-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 1 1 — — $12,823.25 $12,823.25 $12,823.25 2025-08-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 2 — — $12,773.37 $12,773.37 $12,773.37 2025-08-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 12 7 — — $12,706.36 $12,706.36 $12,706.36 2025-08-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 2 2 — — $12,665.98 $12,665.98 $12,665.98 2025-08-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 2 2 — — $12,610.95 $12,610.95 $12,610.95 2025-08-01
389 MS_DRG Gastrointestinal Obstruction With Cc 6 5 — — $12,511.41 $12,511.41 $12,511.41 2025-08-01
101 MS_DRG Seizures Without Mcc 6 4 — — $12,463.53 $12,463.53 $12,463.53 2025-08-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 19 10 — — $12,462.13 $12,462.13 $12,462.13 2025-08-01
100 MS_DRG Seizures With Mcc 1 1 — — $12,445.05 $12,445.05 $12,445.05 2025-08-01
176 MS_DRG Pulmonary Embolism Without Mcc 7 5 — — $12,385.62 $12,385.62 $12,385.62 2025-08-01
157 MS_DRG Dental And Oral Diseases With Mcc 1 1 — — $12,336.66 $12,336.66 $12,336.66 2025-08-01
9390 OTHER Pertuzu, Trastuzu, 10 Mg 2 2 — — $12,312.73 $12,312.73 $12,312.73 2025-08-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 4 4 — — $12,237.15 $12,237.15 $12,237.15 2025-08-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/Mcc 4 2 — — $12,186.51 $12,186.51 $12,186.51 2025-08-01
102 MS_DRG Headaches With Mcc 2 2 — — $12,186.17 $12,186.17 $12,186.17 2025-08-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 5 5 — — $12,029.93 $12,029.93 $12,029.93 2025-08-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 5 4 — — $11,971.89 $11,971.89 $11,971.89 2025-08-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 6 3 — — $11,966.34 $11,966.34 $11,966.34 2025-08-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 8 6 — — $11,870.11 $11,870.11 $11,870.11 2025-08-01
793 MS_DRG Full Term Neonate With Major Problems 4 3 — — $11,857.77 $11,857.77 $11,857.77 2025-08-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 2 2 — — $11,687.85 $11,687.85 $11,687.85 2025-08-01
603 MS_DRG Cellulitis Without Mcc 7 5 — — $11,518.86 $11,518.86 $11,518.86 2025-08-01
913 MS_DRG Traumatic Injury With Mcc 1 1 — — $11,497.35 $11,497.35 $11,497.35 2025-08-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 5 3 — — $11,420.14 $11,420.14 $11,420.14 2025-08-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 5 4 — — $11,370.02 $11,370.02 $11,370.02 2025-08-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 5 4 — — $11,326.19 $11,326.19 $11,326.19 2025-08-01
948 MS_DRG Signs And Symptoms Without Mcc 4 3 — — $11,324.42 $11,324.42 $11,324.42 2025-08-01
639 MS_DRG Diabetes Without Cc/Mcc 4 3 — — $11,269.04 $11,269.04 $11,269.04 2025-08-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 6 5 — — $11,246.72 $11,246.72 $11,246.72 2025-08-01
187 MS_DRG Pleural Effusion With Cc 1 1 — — $11,200.61 $11,200.61 $11,200.61 2025-08-01
552 MS_DRG Medical Back Problems Without Mcc 8 5 — — $11,081.41 $11,081.41 $11,081.41 2025-08-01
638 MS_DRG Diabetes With Cc 11 7 — — $10,880.60 $10,880.60 $10,880.60 2025-08-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 2 2 — — $10,864.85 $10,864.85 $10,864.85 2025-08-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 4 2 — — $10,759.66 $10,759.66 $10,759.66 2025-08-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 3 3 — — $10,578.70 $10,578.70 $10,578.70 2025-08-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 — — $10,575.68 $10,575.68 $10,575.68 2025-08-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 1 1 — — $10,573.08 $10,573.08 $10,573.08 2025-08-01
153 MS_DRG Otitis Media And Uri Without Mcc 3 2 — — $10,563.75 $10,563.75 $10,563.75 2025-08-01
5183 OTHER Level 3 Vascular Procedures 10 6 — — $10,478.61 $10,478.61 $10,478.61 2025-08-01
504 MS_DRG Foot Procedures With Cc 2 2 — — $10,460.57 $10,460.57 $10,460.57 2025-08-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 — — $10,290.53 $10,290.53 $10,290.53 2025-08-01
5164 OTHER Level 4 ENT Procedures 5 4 — — $10,282.46 $10,282.46 $10,282.46 2025-08-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 6 3 — — $10,262.61 $10,262.61 $10,262.61 2025-08-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 2 2 — — $10,046.41 $10,046.41 $10,046.41 2025-08-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $10,018.54 $10,018.54 $10,018.54 2025-08-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 8 6 — — $9,895.10 $9,895.10 $9,895.10 2025-08-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 1 1 — — $9,858.90 $9,858.90 $9,858.90 2025-08-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 2 — — $9,833.89 $9,833.89 $9,833.89 2025-08-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 1 — — $9,760.48 $9,760.48 $9,760.48 2025-08-01
5374 OTHER Level 4 Urology And Related Services 15 7 — — $9,688.58 $9,688.58 $9,688.58 2025-08-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 7 4 — — $9,564.38 $9,564.38 $9,564.38 2025-08-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 5 4 — — $9,523.59 $9,523.59 $9,523.59 2025-08-01
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $9,485.37 $9,485.37 $9,485.37 2025-08-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 5 4 — — $9,426.73 $9,426.73 $9,426.73 2025-08-01
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $9,362.60 $9,362.60 $9,362.60 2025-08-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 6 4 — — $9,313.09 $9,313.09 $9,313.09 2025-08-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 — — $9,307.98 $9,307.98 $9,307.98 2025-08-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $9,264.69 $9,264.69 $9,264.69 2025-08-01
694 MS_DRG Urinary Stones Without Mcc 2 1 — — $9,187.43 $9,187.43 $9,187.43 2025-08-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 15 8 — — $9,132.64 $9,132.64 $9,132.64 2025-08-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $9,003.58 $9,003.58 $9,003.58 2025-08-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 7 5 — — $9,000.77 $9,000.77 $9,000.77 2025-08-01
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 — — $8,827.53 $8,827.53 $8,827.53 2025-08-01
5376 OTHER Level 6 Urology And Related Services 1 1 — — $8,581.09 $8,581.09 $8,581.09 2025-08-01
697 MS_DRG Urethral Stricture 1 1 — — $8,562.28 $8,562.28 $8,562.28 2025-08-01
375 MS_DRG Digestive Malignancy With Cc 2 2 — — $8,512.65 $8,512.65 $8,512.65 2025-08-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $8,498.95 $8,498.95 $8,498.95 2025-08-01
915 MS_DRG Allergic Reactions With Mcc 2 2 — — $8,371.08 $8,371.08 $8,371.08 2025-08-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 — — $8,348.79 $8,348.79 $8,348.79 2025-08-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 4 4 — — $8,163.89 $8,163.89 $8,163.89 2025-08-01
5163 OTHER Level 3 ENT Procedures 6 4 — — $8,163.84 $8,163.84 $8,163.84 2025-08-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 4 3 — — $8,144.16 $8,144.16 $8,144.16 2025-08-01
881 MS_DRG Depressive Neuroses 3 3 — — $8,067.48 $8,067.48 $8,067.48 2025-08-01
5373 OTHER Level 3 Urology And Related Services 11 8 — — $7,980.26 $7,980.26 $7,980.26 2025-08-01
794 MS_DRG Neonate With Other Significant Problems 7 5 — — $7,843.49 $7,843.49 $7,843.49 2025-08-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $7,715.01 $7,715.01 $7,715.01 2025-08-01
302 MS_DRG Atherosclerosis With Mcc 1 1 — — $7,650.29 $7,650.29 $7,650.29 2025-08-01
596 MS_DRG Major Skin Disorders Without Mcc 1 1 — — $7,624.49 $7,624.49 $7,624.49 2025-08-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 — — $7,602.34 $7,602.34 $7,602.34 2025-08-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 2 — — $7,551.35 $7,551.35 $7,551.35 2025-08-01
5503 OTHER Level 3 Extraocular, Repair, And Plastic Eye Procedures 3 2 — — $7,467.15 $7,467.15 $7,467.15 2025-08-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $7,453.44 $7,453.44 $7,453.44 2025-08-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 1 1 — — $7,401.75 $7,401.75 $7,401.75 2025-08-01
811 MS_DRG Red Blood Cell Disorders With Mcc 6 4 — — $7,346.57 $7,346.57 $7,346.57 2025-08-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 1 1 — — $7,313.60 $7,313.60 $7,313.60 2025-08-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 1 1 — — $7,222.11 $7,222.11 $7,222.11 2025-08-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 1 1 — — $7,186.24 $7,186.24 $7,186.24 2025-08-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 2 2 — — $7,148.52 $7,148.52 $7,148.52 2025-08-01
644 MS_DRG Endocrine Disorders With Cc 2 2 — — $6,995.16 $6,995.16 $6,995.16 2025-08-01
714 MS_DRG Transurethral Prostatectomy Without Cc/Mcc 1 1 — — $6,972.26 $6,972.26 $6,972.26 2025-08-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 5 5 — — $6,971.73 $6,971.73 $6,971.73 2025-08-01
9436 OTHER Inj Pegfilgrast Ex Bio 0.5mg 2 2 — — $6,954.44 $6,954.44 $6,954.44 2025-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $6,817.91 $6,817.91 $6,817.91 2025-08-01
683 MS_DRG Renal Failure With Cc 8 5 — — $6,726.15 $6,726.15 $6,726.15 2025-08-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 1 — — $6,659.05 $6,659.05 $6,659.05 2025-08-01
5502 OTHER Level 2 Extraocular, Repair, And Plastic Eye Procedures 2 2 — — $6,507.17 $6,507.17 $6,507.17 2025-08-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $6,475.33 $6,475.33 $6,475.33 2025-08-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 2 2 — — $6,474.23 $6,474.23 $6,474.23 2025-08-01
292 MS_DRG Heart Failure And Shock With Cc 2 2 — — $6,438.02 $6,438.02 $6,438.02 2025-08-01
312 MS_DRG Syncope And Collapse 7 7 — — $6,381.10 $6,381.10 $6,381.10 2025-08-01
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc/Mcc 1 1 — — $6,380.92 $6,380.92 $6,380.92 2025-08-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 6 5 — — $6,283.57 $6,283.57 $6,283.57 2025-08-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $6,280.19 $6,280.19 $6,280.19 2025-08-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 2 2 — — $6,178.89 $6,178.89 $6,178.89 2025-08-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $6,159.65 $6,159.65 $6,159.65 2025-08-01
9300 OTHER Omalizumab Injection 2 1 — — $5,995.24 $5,995.24 $5,995.24 2025-08-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 — — $5,979.00 $5,979.00 $5,979.00 2025-08-01
534 MS_DRG Fractures Of Femur Without Mcc 1 1 — — $5,953.60 $5,953.60 $5,953.60 2025-08-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 2 2 — — $5,817.01 $5,817.01 $5,817.01 2025-08-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 3 2 — — $5,661.82 $5,661.82 $5,661.82 2025-08-01
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