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 →

Export CSV
Hospital

ST JOSEPH HOSPITAL

Bangor, ME · CCN 200001 · Rates published

402 distinct procedures filed
48 distinct payers
381,734 rate rows
2025-08-01 last MRF observed · ⚠ 14 mo old
Data quality

1,715 of 381,734 rate rows are consumer-grade (0.4%)

380,019 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 379,744
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 275

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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://stjosephbangor.org/CMS%20Files/010212435_st-joseph-hospital_standardcharges.csv
Found on page https://stjosephbangor.org/pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 450d9feefdc47741… · 5,084,549 bytes · first seen 2026-05-09

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
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $185,723.10 $185,723.10 $185,723.10 nat. median
$59,371
outlier · 3.1×
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 $130,637.68 $130,637.68 $130,637.68 nat. median
$35,112
outlier · 3.7×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $116,795.14 $116,795.14 $116,795.14 nat. median
$49,540
outlier · 2.4×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $112,871.84 $112,871.84 $112,871.84 nat. median
$42,641
outlier · 2.6×
5378
OTHER 		Level 8 Urology And Related Services 1 $93,941.44 $93,941.44 $93,941.44 nat. median
$21,216
outlier · 4.4×
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 2 $69,609.69 $69,609.69 $69,609.69 nat. median
$20,790
outlier · 3.3×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 $67,552.97 $67,552.97 $67,552.97 nat. median
$18,642
outlier · 3.6×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 $66,058.74 $66,058.74 $66,058.74 nat. median
$15,476
outlier · 4.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $59,118.52 $59,118.52 $59,118.52 nat. median
$62,655
0.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 1 $57,869.28 $57,869.28 $57,869.28 nat. median
$35,717
1.6× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $56,879.74 $56,879.74 $56,879.74 nat. median
$49,929
1.1× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 1 $53,668.33 $53,668.33 $53,668.33 nat. median
$31,897
1.7× median
9494
OTHER 		Injection, Ocrelizumab 2 $53,129.28 $53,129.28 $53,129.28 nat. median
$61
outlier · 869.5×
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 6 $52,299.76 $52,299.76 $52,299.76 nat. median
$31,925
1.6× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $48,383.15 $48,383.15 $48,383.15 nat. median
$38,810
1.2× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 2 $44,951.40 $44,951.40 $44,951.40 nat. median
$46,376
1.0× median
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 $43,825.27 $43,825.27 $43,825.27 nat. median
$33,273
1.3× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 2 $43,809.71 $43,809.71 $43,809.71 nat. median
$46,239
0.9× median
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $43,697.65 $43,697.65 $43,697.65 nat. median
$49,999
0.9× median
345
MS_DRG 		Minor Small And Large Bowel Procedures With Cc 1 $43,533.82 $43,533.82 $43,533.82 nat. median
$14,850
outlier · 2.9×
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 $43,132.56 $43,132.56 $43,132.56 nat. median
$17,429
outlier · 2.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $43,085.21 $43,085.21 $43,085.21 nat. median
$45,430
0.9× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 $40,670.90 $40,670.90 $40,670.90 nat. median
$12,850
outlier · 3.2×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $40,136.41 $40,136.41 $40,136.41 nat. median
$31,588
1.3× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 2 $39,915.54 $39,915.54 $39,915.54 nat. median
$29,838
1.3× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $39,479.56 $39,479.56 $39,479.56 nat. median
$32,637
1.2× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 $39,225.71 $39,225.71 $39,225.71 nat. median
$29,471
1.3× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 $38,721.15 $38,721.15 $38,721.15 nat. median
$33,640
1.2× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $38,066.09 $38,066.09 $38,066.09 nat. median
$35,993
1.1× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $36,798.21 $36,798.21 $36,798.21 nat. median
$38,022
1.0× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 2 $36,648.96 $36,648.96 $36,648.96 nat. median
$33,110
1.1× median
5115
OTHER 		Level 5 Musculoskeletal Procedures 10 $36,646.00 $36,646.00 $36,646.00 nat. median
$13,582
outlier · 2.7×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 $36,612.43 $36,612.43 $36,612.43 nat. median
$25,388
1.4× median
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 3 $36,455.61 $36,455.61 $36,455.61 nat. median
$13,553
outlier · 2.7×
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 $36,160.98 $36,160.98 $36,160.98 nat. median
$20,394
1.8× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 $35,739.11 $35,739.11 $35,739.11 nat. median
$25,674
1.4× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $35,720.80 $35,720.80 $35,720.80 nat. median
$43,696
0.8× median
398
MS_DRG 		Appendix Procedures With Cc 3 $35,540.03 $35,540.03 $35,540.03 nat. median
$15,021
outlier · 2.4×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $35,157.06 $35,157.06 $35,157.06 nat. median
$31,879
1.1× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 4 $34,944.64 $34,944.64 $34,944.64 nat. median
$28,251
1.2× median
5116
OTHER 		Level 6 Musculoskeletal Procedures 7 $34,351.39 $34,351.39 $34,351.39 nat. median
$18,671
1.8× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 1 $34,154.78 $34,154.78 $34,154.78 nat. median
$38,950
0.9× median
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 1 $33,833.07 $33,833.07 $33,833.07 nat. median
$13,353
outlier · 2.5×
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 2 $31,462.24 $31,462.24 $31,462.24 nat. median
$15,974
2.0× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 $31,406.56 $31,406.56 $31,406.56 nat. median
$10,410
outlier · 3.0×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 $31,225.51 $31,225.51 $31,225.51 nat. median
$27,627
1.1× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 1 $30,163.82 $30,163.82 $30,163.82 nat. median
$23,572
1.3× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 3 $29,889.83 $29,889.83 $29,889.83 nat. median
$8,433
outlier · 3.5×
512
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 $29,776.03 $29,776.03 $29,776.03 nat. median
$16,066
1.9× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 $29,318.33 $29,318.33 $29,318.33 nat. median
$16,454
1.8× median

Other procedures at this hospital

Browse this hospital's 402 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
             
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $185,723.10 $185,723.10 $185,723.10 2025-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $130,637.68 $130,637.68 $130,637.68 2025-08-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $116,795.14 $116,795.14 $116,795.14 2025-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 — — $112,871.84 $112,871.84 $112,871.84 2025-08-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $93,941.44 $93,941.44 $93,941.44 2025-08-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $69,609.69 $69,609.69 $69,609.69 2025-08-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 6 5 — — $67,552.97 $67,552.97 $67,552.97 2025-08-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 — — $66,058.74 $66,058.74 $66,058.74 2025-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 2 — — $59,118.52 $59,118.52 $59,118.52 2025-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $57,869.28 $57,869.28 $57,869.28 2025-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $56,879.74 $56,879.74 $56,879.74 2025-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $53,668.33 $53,668.33 $53,668.33 2025-08-01
9494 OTHER Injection, Ocrelizumab 2 2 — — $53,129.28 $53,129.28 $53,129.28 2025-08-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 6 — — $52,299.76 $52,299.76 $52,299.76 2025-08-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $48,383.15 $48,383.15 $48,383.15 2025-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $44,951.40 $44,951.40 $44,951.40 2025-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $43,825.27 $43,825.27 $43,825.27 2025-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $43,809.71 $43,809.71 $43,809.71 2025-08-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $43,697.65 $43,697.65 $43,697.65 2025-08-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 1 1 — — $43,533.82 $43,533.82 $43,533.82 2025-08-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 — — $43,132.56 $43,132.56 $43,132.56 2025-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 2 — — $43,085.21 $43,085.21 $43,085.21 2025-08-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 4 — — $40,670.90 $40,670.90 $40,670.90 2025-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $40,136.41 $40,136.41 $40,136.41 2025-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $39,915.54 $39,915.54 $39,915.54 2025-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $39,479.56 $39,479.56 $39,479.56 2025-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $39,225.71 $39,225.71 $39,225.71 2025-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $38,721.15 $38,721.15 $38,721.15 2025-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $38,066.09 $38,066.09 $38,066.09 2025-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $36,798.21 $36,798.21 $36,798.21 2025-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $36,648.96 $36,648.96 $36,648.96 2025-08-01
5115 OTHER Level 5 Musculoskeletal Procedures 17 10 — — $36,646.00 $36,646.00 $36,646.00 2025-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 4 — — $36,612.43 $36,612.43 $36,612.43 2025-08-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 3 3 — — $36,455.61 $36,455.61 $36,455.61 2025-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $36,160.98 $36,160.98 $36,160.98 2025-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 4 — — $35,739.11 $35,739.11 $35,739.11 2025-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $35,720.80 $35,720.80 $35,720.80 2025-08-01
398 MS_DRG Appendix Procedures With Cc 3 3 — — $35,540.03 $35,540.03 $35,540.03 2025-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $35,157.06 $35,157.06 $35,157.06 2025-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 — — $34,944.64 $34,944.64 $34,944.64 2025-08-01
5116 OTHER Level 6 Musculoskeletal Procedures 9 7 — — $34,351.39 $34,351.39 $34,351.39 2025-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $34,154.78 $34,154.78 $34,154.78 2025-08-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 1 1 — — $33,833.07 $33,833.07 $33,833.07 2025-08-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 — — $31,462.24 $31,462.24 $31,462.24 2025-08-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 — — $31,406.56 $31,406.56 $31,406.56 2025-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $31,225.51 $31,225.51 $31,225.51 2025-08-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $30,163.82 $30,163.82 $30,163.82 2025-08-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 3 3 — — $29,889.83 $29,889.83 $29,889.83 2025-08-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $29,776.03 $29,776.03 $29,776.03 2025-08-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 5 4 — — $29,318.33 $29,318.33 $29,318.33 2025-08-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 2 2 — — $29,219.72 $29,219.72 $29,219.72 2025-08-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 2 2 — — $28,755.24 $28,755.24 $28,755.24 2025-08-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $28,478.70 $28,478.70 $28,478.70 2025-08-01
637 MS_DRG Diabetes With Mcc 4 3 — — $27,530.17 $27,530.17 $27,530.17 2025-08-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 4 — — $27,365.91 $27,365.91 $27,365.91 2025-08-01
5362 OTHER Level 2 Laparoscopy And Related Services 5 5 — — $27,303.32 $27,303.32 $27,303.32 2025-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 — — $27,244.37 $27,244.37 $27,244.37 2025-08-01
0764 OTHER Ketorolac Tromethamine Inj 1 1 — — $27,039.37 $27,039.37 $27,039.37 2025-08-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $27,013.83 $27,013.83 $27,013.83 2025-08-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 4 — — $26,815.81 $26,815.81 $26,815.81 2025-08-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 1 1 — — $26,701.04 $26,701.04 $26,701.04 2025-08-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 3 3 — — $26,248.88 $26,248.88 $26,248.88 2025-08-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $26,240.18 $26,240.18 $26,240.18 2025-08-01
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 1 1 — — $26,047.44 $26,047.44 $26,047.44 2025-08-01
999 MS_DRG Ungroupable 1 1 — — $25,681.52 $25,681.52 $25,681.52 2025-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $25,437.78 $25,437.78 $25,437.78 2025-08-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $25,114.39 $25,114.39 $25,114.39 2025-08-01
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $25,018.08 $25,018.08 $25,018.08 2025-08-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $24,787.91 $24,787.91 $24,787.91 2025-08-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 6 5 — — $23,996.22 $23,996.22 $23,996.22 2025-08-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $23,619.29 $23,619.29 $23,619.29 2025-08-01
884 MS_DRG Organic Disturbances And Intellectual Disability 2 2 — — $23,508.05 $23,508.05 $23,508.05 2025-08-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $23,406.97 $23,406.97 $23,406.97 2025-08-01
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $23,355.31 $23,355.31 $23,355.31 2025-08-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 4 — — $22,552.76 $22,552.76 $22,552.76 2025-08-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $21,995.21 $21,995.21 $21,995.21 2025-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 — — $21,984.67 $21,984.67 $21,984.67 2025-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $21,911.00 $21,911.00 $21,911.00 2025-08-01
552 MS_DRG Medical Back Problems Without Mcc 2 2 — — $21,858.61 $21,858.61 $21,858.61 2025-08-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $21,724.81 $21,724.81 $21,724.81 2025-08-01
5361 OTHER Level 1 Laparoscopy And Related Services 19 11 — — $21,691.13 $21,691.13 $21,691.13 2025-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $21,447.49 $21,447.49 $21,447.49 2025-08-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 5 5 — — $21,254.89 $21,254.89 $21,254.89 2025-08-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 1 1 — — $21,177.40 $21,177.40 $21,177.40 2025-08-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 7 5 — — $21,025.18 $21,025.18 $21,025.18 2025-08-01
312 MS_DRG Syncope And Collapse 6 5 — — $20,854.96 $20,854.96 $20,854.96 2025-08-01
5331 OTHER Complex Gi Procedures 8 6 — — $20,380.31 $20,380.31 $20,380.31 2025-08-01
693 MS_DRG Urinary Stones With Mcc 1 1 — — $20,365.52 $20,365.52 $20,365.52 2025-08-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $20,319.98 $20,319.98 $20,319.98 2025-08-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 6 5 — — $20,097.65 $20,097.65 $20,097.65 2025-08-01
501 MS_DRG Soft Tissue Procedures With Cc 2 2 — — $20,041.81 $20,041.81 $20,041.81 2025-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $19,435.68 $19,435.68 $19,435.68 2025-08-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 6 5 — — $19,388.33 $19,388.33 $19,388.33 2025-08-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $19,254.60 $19,254.60 $19,254.60 2025-08-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $19,238.20 $19,238.20 $19,238.20 2025-08-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $19,175.00 $19,175.00 $19,175.00 2025-08-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 — — $19,083.88 $19,083.88 $19,083.88 2025-08-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 2 2 — — $18,994.97 $18,994.97 $18,994.97 2025-08-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $18,892.08 $18,892.08 $18,892.08 2025-08-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 — — $18,758.08 $18,758.08 $18,758.08 2025-08-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 1 1 — — $18,755.46 $18,755.46 $18,755.46 2025-08-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — — $18,455.19 $18,455.19 $18,455.19 2025-08-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 2 — — $18,202.62 $18,202.62 $18,202.62 2025-08-01
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $17,968.92 $17,968.92 $17,968.92 2025-08-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 1 1 — — $17,442.17 $17,442.17 $17,442.17 2025-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 — — $17,357.08 $17,357.08 $17,357.08 2025-08-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $17,274.75 $17,274.75 $17,274.75 2025-08-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 2 2 — — $17,125.28 $17,125.28 $17,125.28 2025-08-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $17,035.80 $17,035.80 $17,035.80 2025-08-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $17,000.27 $17,000.27 $17,000.27 2025-08-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $16,991.28 $16,991.28 $16,991.28 2025-08-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $16,722.13 $16,722.13 $16,722.13 2025-08-01
180 MS_DRG Respiratory Neoplasms With Mcc 4 4 — — $16,680.42 $16,680.42 $16,680.42 2025-08-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 3 3 — — $16,623.58 $16,623.58 $16,623.58 2025-08-01
813 MS_DRG Coagulation Disorders 3 3 — — $16,607.88 $16,607.88 $16,607.88 2025-08-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 6 5 — — $16,457.26 $16,457.26 $16,457.26 2025-08-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 5 4 — — $16,400.07 $16,400.07 $16,400.07 2025-08-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $16,356.04 $16,356.04 $16,356.04 2025-08-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 1 1 — — $16,298.32 $16,298.32 $16,298.32 2025-08-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 5 4 — — $16,233.22 $16,233.22 $16,233.22 2025-08-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 — — $16,184.16 $16,184.16 $16,184.16 2025-08-01
5154 OTHER Level 4 Airway Endoscopy 13 8 — — $16,041.52 $16,041.52 $16,041.52 2025-08-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 6 — — $15,978.56 $15,978.56 $15,978.56 2025-08-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 1 1 — — $15,971.96 $15,971.96 $15,971.96 2025-08-01
643 MS_DRG Endocrine Disorders With Mcc 2 2 — — $15,798.62 $15,798.62 $15,798.62 2025-08-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 — — $15,765.24 $15,765.24 $15,765.24 2025-08-01
5165 OTHER Level 5 ENT Procedures 9 8 — — $15,720.11 $15,720.11 $15,720.11 2025-08-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $15,516.02 $15,516.02 $15,516.02 2025-08-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 15 9 — — $15,374.90 $15,374.90 $15,374.90 2025-08-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $15,290.59 $15,290.59 $15,290.59 2025-08-01
539 MS_DRG Osteomyelitis With Mcc 2 1 — — $14,963.88 $14,963.88 $14,963.88 2025-08-01
5461 OTHER Level 1 Neurostimulator And Related Procedures 1 1 — — $14,900.26 $14,900.26 $14,900.26 2025-08-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 2 2 — — $14,769.58 $14,769.58 $14,769.58 2025-08-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 1 — — $14,720.75 $14,720.75 $14,720.75 2025-08-01
548 MS_DRG Septic Arthritis With Mcc 1 1 — — $14,561.89 $14,561.89 $14,561.89 2025-08-01
682 MS_DRG Renal Failure With Mcc 6 5 — — $14,478.47 $14,478.47 $14,478.47 2025-08-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $14,437.57 $14,437.57 $14,437.57 2025-08-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 2 2 — — $14,364.06 $14,364.06 $14,364.06 2025-08-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 4 4 — — $14,332.76 $14,332.76 $14,332.76 2025-08-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 1 1 — — $14,150.72 $14,150.72 $14,150.72 2025-08-01
571 MS_DRG Skin Debridement With Cc 1 1 — — $14,126.24 $14,126.24 $14,126.24 2025-08-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $14,067.11 $14,067.11 $14,067.11 2025-08-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 4 — — $14,010.48 $14,010.48 $14,010.48 2025-08-01
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 — — $13,995.00 $13,995.00 $13,995.00 2025-08-01
865 MS_DRG Viral Illness With Mcc 1 1 — — $13,970.93 $13,970.93 $13,970.93 2025-08-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 1 — — $13,879.28 $13,879.28 $13,879.28 2025-08-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $13,475.74 $13,475.74 $13,475.74 2025-08-01
638 MS_DRG Diabetes With Cc 4 3 — — $13,334.84 $13,334.84 $13,334.84 2025-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $13,319.03 $13,319.03 $13,319.03 2025-08-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 2 2 — — $13,289.18 $13,289.18 $13,289.18 2025-08-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $13,266.01 $13,266.01 $13,266.01 2025-08-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 6 — — $13,259.08 $13,259.08 $13,259.08 2025-08-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 1 1 — — $13,244.39 $13,244.39 $13,244.39 2025-08-01
5375 OTHER Level 5 Urology And Related Services 9 8 — — $13,106.75 $13,106.75 $13,106.75 2025-08-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 2 — — $13,078.48 $13,078.48 $13,078.48 2025-08-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 6 5 — — $13,031.01 $13,031.01 $13,031.01 2025-08-01
394 MS_DRG Other Digestive System Diagnoses With Cc 4 4 — — $12,884.56 $12,884.56 $12,884.56 2025-08-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 3 3 — — $12,855.95 $12,855.95 $12,855.95 2025-08-01
100 MS_DRG Seizures With Mcc 2 2 — — $12,820.19 $12,820.19 $12,820.19 2025-08-01
602 MS_DRG Cellulitis With Mcc 5 4 — — $12,691.94 $12,691.94 $12,691.94 2025-08-01
5462 OTHER Level 2 Neurostimulator And Related Procedures 7 7 — — $12,691.09 $12,691.09 $12,691.09 2025-08-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 6 5 — — $12,585.33 $12,585.33 $12,585.33 2025-08-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 4 4 — — $12,569.47 $12,569.47 $12,569.47 2025-08-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 1 1 — — $12,445.75 $12,445.75 $12,445.75 2025-08-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 3 3 — — $12,404.90 $12,404.90 $12,404.90 2025-08-01
54 MS_DRG Nervous System Neoplasms With Mcc 1 1 — — $12,367.16 $12,367.16 $12,367.16 2025-08-01
181 MS_DRG Respiratory Neoplasms With Cc 3 3 — — $12,148.08 $12,148.08 $12,148.08 2025-08-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 3 3 — — $12,103.88 $12,103.88 $12,103.88 2025-08-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 6 5 — — $12,094.69 $12,094.69 $12,094.69 2025-08-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 6 5 — — $12,073.21 $12,073.21 $12,073.21 2025-08-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 1 — — $12,027.01 $12,027.01 $12,027.01 2025-08-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 5 5 — — $11,998.13 $11,998.13 $11,998.13 2025-08-01
389 MS_DRG Gastrointestinal Obstruction With Cc 3 2 — — $11,990.31 $11,990.31 $11,990.31 2025-08-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 5 4 — — $11,981.24 $11,981.24 $11,981.24 2025-08-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 1 1 — — $11,903.03 $11,903.03 $11,903.03 2025-08-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 6 5 — — $11,739.15 $11,739.15 $11,739.15 2025-08-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 — — $11,722.12 $11,722.12 $11,722.12 2025-08-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 3 3 — — $11,646.25 $11,646.25 $11,646.25 2025-08-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 1 1 — — $11,644.18 $11,644.18 $11,644.18 2025-08-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 1 1 — — $11,529.19 $11,529.19 $11,529.19 2025-08-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 1 1 — — $11,442.75 $11,442.75 $11,442.75 2025-08-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 — — $11,218.66 $11,218.66 $11,218.66 2025-08-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 — — $11,161.68 $11,161.68 $11,161.68 2025-08-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 4 — — $11,007.76 $11,007.76 $11,007.76 2025-08-01
101 MS_DRG Seizures Without Mcc 4 4 — — $10,964.09 $10,964.09 $10,964.09 2025-08-01
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 — — $10,859.92 $10,859.92 $10,859.92 2025-08-01
184 MS_DRG Major Chest Trauma With Cc 2 2 — — $10,829.24 $10,829.24 $10,829.24 2025-08-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 2 2 — — $10,738.67 $10,738.67 $10,738.67 2025-08-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 1 1 — — $10,594.17 $10,594.17 $10,594.17 2025-08-01
1064 OTHER I131 Iodide Cap, Rx 3 3 — — $10,564.04 $10,564.04 $10,564.04 2025-08-01
683 MS_DRG Renal Failure With Cc 5 5 — — $10,509.76 $10,509.76 $10,509.76 2025-08-01
5054 OTHER Level 4 Skin Procedures 6 6 — — $10,507.06 $10,507.06 $10,507.06 2025-08-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 5 4 — — $10,362.84 $10,362.84 $10,362.84 2025-08-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 — — $10,281.67 $10,281.67 $10,281.67 2025-08-01
5303 OTHER Level 3 Upper Gi Procedures 7 6 — — $10,169.31 $10,169.31 $10,169.31 2025-08-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 4 — — $10,130.00 $10,130.00 $10,130.00 2025-08-01
348 MS_DRG Anal And Stomal Procedures With Cc 1 1 — — $10,118.75 $10,118.75 $10,118.75 2025-08-01
550 MS_DRG Septic Arthritis Without Cc/Mcc 1 1 — — $10,099.58 $10,099.58 $10,099.58 2025-08-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $10,035.26 $10,035.26 $10,035.26 2025-08-01
304 MS_DRG Hypertension With Mcc 1 1 — — $9,999.74 $9,999.74 $9,999.74 2025-08-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 3 3 — — $9,930.10 $9,930.10 $9,930.10 2025-08-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 3 3 — — $9,929.43 $9,929.43 $9,929.43 2025-08-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 3 2 — — $9,863.87 $9,863.87 $9,863.87 2025-08-01
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $9,838.11 $9,838.11 $9,838.11 2025-08-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 2 — — $9,794.57 $9,794.57 $9,794.57 2025-08-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 — — $9,754.35 $9,754.35 $9,754.35 2025-08-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 2 2 — — $9,726.89 $9,726.89 $9,726.89 2025-08-01
9186 OTHER Inj., Rituximab, 10 Mg 2 2 — — $9,685.77 $9,685.77 $9,685.77 2025-08-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $9,627.15 $9,627.15 $9,627.15 2025-08-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 5 5 — — $9,577.81 $9,577.81 $9,577.81 2025-08-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 — — $9,501.28 $9,501.28 $9,501.28 2025-08-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $9,410.02 $9,410.02 $9,410.02 2025-08-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 4 4 — — $9,388.78 $9,388.78 $9,388.78 2025-08-01
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 1 1 — — $9,358.11 $9,358.11 $9,358.11 2025-08-01
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 — — $9,342.08 $9,342.08 $9,342.08 2025-08-01
291 MS_DRG Heart Failure And Shock With Mcc 6 5 — — $9,226.19 $9,226.19 $9,226.19 2025-08-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $9,154.44 $9,154.44 $9,154.44 2025-08-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 — — $9,035.61 $9,035.61 $9,035.61 2025-08-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 — — $9,005.35 $9,005.35 $9,005.35 2025-08-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 1 1 — — $8,997.48 $8,997.48 $8,997.48 2025-08-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $8,934.50 $8,934.50 $8,934.50 2025-08-01
600 MS_DRG Non-malignant Breast Disorders With Cc/Mcc 1 1 — — $8,922.18 $8,922.18 $8,922.18 2025-08-01
5374 OTHER Level 4 Urology And Related Services 9 8 — — $8,903.48 $8,903.48 $8,903.48 2025-08-01
375 MS_DRG Digestive Malignancy With Cc 2 1 — — $8,832.19 $8,832.19 $8,832.19 2025-08-01
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 — — $8,774.43 $8,774.43 $8,774.43 2025-08-01
5113 OTHER Level 3 Musculoskeletal Procedures 17 11 — — $8,773.56 $8,773.56 $8,773.56 2025-08-01
176 MS_DRG Pulmonary Embolism Without Mcc 3 3 — — $8,607.18 $8,607.18 $8,607.18 2025-08-01
9466 OTHER Inj., Benralizumab, 1 Mg 3 3 — — $8,594.36 $8,594.36 $8,594.36 2025-08-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 5 4 — — $8,586.47 $8,586.47 $8,586.47 2025-08-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 14 9 — — $8,522.15 $8,522.15 $8,522.15 2025-08-01
5183 OTHER Level 3 Vascular Procedures 8 6 — — $8,507.94 $8,507.94 $8,507.94 2025-08-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 1 1 — — $8,477.75 $8,477.75 $8,477.75 2025-08-01
69 MS_DRG Transient Ischemia Without Thrombolytic 4 4 — — $8,429.97 $8,429.97 $8,429.97 2025-08-01
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $8,380.37 $8,380.37 $8,380.37 2025-08-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 — — $8,361.62 $8,361.62 $8,361.62 2025-08-01
9036 OTHER Injection, Renflexis 10 8 — — $8,348.91 $8,348.91 $8,348.91 2025-08-01
300 MS_DRG Peripheral Vascular Disorders With Cc 2 2 — — $8,338.34 $8,338.34 $8,338.34 2025-08-01
916 MS_DRG Allergic Reactions Without Mcc 1 1 — — $8,317.54 $8,317.54 $8,317.54 2025-08-01
603 MS_DRG Cellulitis Without Mcc 6 5 — — $8,303.91 $8,303.91 $8,303.91 2025-08-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 1 1 — — $8,268.10 $8,268.10 $8,268.10 2025-08-01
9126 OTHER Natalizumab Injection 3 3 — — $8,220.39 $8,220.39 $8,220.39 2025-08-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $8,186.38 $8,186.38 $8,186.38 2025-08-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 7 7 — — $8,164.08 $8,164.08 $8,164.08 2025-08-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $7,842.66 $7,842.66 $7,842.66 2025-08-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 — — $7,788.30 $7,788.30 $7,788.30 2025-08-01
90 MS_DRG Concussion Without Cc/Mcc 1 1 — — $7,765.72 $7,765.72 $7,765.72 2025-08-01
305 MS_DRG Hypertension Without Mcc 3 3 — — $7,682.77 $7,682.77 $7,682.77 2025-08-01
644 MS_DRG Endocrine Disorders With Cc 4 3 — — $7,647.86 $7,647.86 $7,647.86 2025-08-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 — — $7,647.24 $7,647.24 $7,647.24 2025-08-01
369 MS_DRG Major Esophageal Disorders With Cc 1 1 — — $7,556.63 $7,556.63 $7,556.63 2025-08-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 2 — — $7,532.15 $7,532.15 $7,532.15 2025-08-01
684 MS_DRG Renal Failure Without Cc/Mcc 1 1 — — $7,484.63 $7,484.63 $7,484.63 2025-08-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 3 3 — — $7,407.38 $7,407.38 $7,407.38 2025-08-01
103 MS_DRG Headaches Without Mcc 1 1 — — $7,368.30 $7,368.30 $7,368.30 2025-08-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 1 1 — — $7,323.86 $7,323.86 $7,323.86 2025-08-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $7,283.62 $7,283.62 $7,283.62 2025-08-01
7043 OTHER Infliximab Not Biosimil 10mg 9 6 — — $7,263.48 $7,263.48 $7,263.48 2025-08-01
292 MS_DRG Heart Failure And Shock With Cc 1 1 — — $7,211.39 $7,211.39 $7,211.39 2025-08-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $7,194.79 $7,194.79 $7,194.79 2025-08-01
5414 OTHER Level 4 Gynecologic Procedures 1 1 — — $7,110.86 $7,110.86 $7,110.86 2025-08-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 — — $7,094.81 $7,094.81 $7,094.81 2025-08-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 2 — — $6,954.44 $6,954.44 $6,954.44 2025-08-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 1 — — $6,914.85 $6,914.85 $6,914.85 2025-08-01
72 MS_DRG Other Cerebrovascular Disorders Without Cc/Mcc 1 1 — — $6,825.43 $6,825.43 $6,825.43 2025-08-01
9133 OTHER Rabies Ig, Im/sc 7 7 — — $6,720.85 $6,720.85 $6,720.85 2025-08-01
1489 OTHER Inj Vedolizumab IV 1 Mg 4 4 — — $6,688.41 $6,688.41 $6,688.41 2025-08-01
149 MS_DRG Dysequilibrium 3 3 — — $6,631.39 $6,631.39 $6,631.39 2025-08-01
1847 OTHER Injection, Inflectra 8 5 — — $6,597.91 $6,597.91 $6,597.91 2025-08-01
5431 OTHER Level 1 Nerve Procedures 12 9 — — $6,504.84 $6,504.84 $6,504.84 2025-08-01
694 MS_DRG Urinary Stones Without Mcc 3 3 — — $6,336.39 $6,336.39 $6,336.39 2025-08-01
9237 OTHER Inj, Lanreotide Acetate 1 1 — — $6,314.32 $6,314.32 $6,314.32 2025-08-01
303 MS_DRG Atherosclerosis Without Mcc 2 2 — — $6,310.30 $6,310.30 $6,310.30 2025-08-01
201 MS_DRG Pneumothorax Without Cc/Mcc 1 1 — — $6,199.70 $6,199.70 $6,199.70 2025-08-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 1 1 — — $6,188.51 $6,188.51 $6,188.51 2025-08-01
5432 OTHER Level 2 Nerve Procedures 1 1 — — $6,111.35 $6,111.35 $6,111.35 2025-08-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 1 — — $6,041.65 $6,041.65 $6,041.65 2025-08-01
9336 OTHER Inj Truxima 10 Mg 2 2 — — $5,901.54 $5,901.54 $5,901.54 2025-08-01
0948 RC Gamunex-c/gammaked 5 4 — — $5,841.10 $5,841.10 $5,841.10 2025-08-01
313 MS_DRG Chest Pain 1 1 — — $5,819.98 $5,819.98 $5,819.98 2025-08-01
9230 OTHER Abatacept Injection 6 5 — — $5,775.73 $5,775.73 $5,775.73 2025-08-01
639 MS_DRG Diabetes Without Cc/Mcc 1 1 — — $5,688.85 $5,688.85 $5,688.85 2025-08-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 6 5 — — $5,686.11 $5,686.11 $5,686.11 2025-08-01
5373 OTHER Level 3 Urology And Related Services 14 10 — — $5,681.78 $5,681.78 $5,681.78 2025-08-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 1 1 — — $5,620.64 $5,620.64 $5,620.64 2025-08-01
948 MS_DRG Signs And Symptoms Without Mcc 1 1 — — $5,570.35 $5,570.35 $5,570.35 2025-08-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 2 2 — — $5,539.65 $5,539.65 $5,539.65 2025-08-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 2 2 — — $5,525.53 $5,525.53 $5,525.53 2025-08-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $5,486.35 $5,486.35 $5,486.35 2025-08-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 17 11 — — $5,483.44 $5,483.44 $5,483.44 2025-08-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 3 3 — — $5,351.09 $5,351.09 $5,351.09 2025-08-01
311 MS_DRG Angina Pectoris 2 2 — — $5,052.52 $5,052.52 $5,052.52 2025-08-01
951 MS_DRG Other Factors Influencing Health Status 3 3 — — $5,050.90 $5,050.90 $5,050.90 2025-08-01
5372 OTHER Level 2 Urology And Related Services 9 7 — — $4,855.31 $4,855.31 $4,855.31 2025-08-01
5153 OTHER Level 3 Airway Endoscopy 11 9 — — $4,833.68 $4,833.68 $4,833.68 2025-08-01
79 MS_DRG Hypertensive Encephalopathy Without Cc/Mcc 1 1 — — $4,815.20 $4,815.20 $4,815.20 2025-08-01
5312 OTHER Level 2 Lower Gi Procedures 29 14 — — $4,765.08 $4,765.08 $4,765.08 2025-08-01
9200 OTHER Inj, Remdesivir, 1 Mg 2 2 — — $4,585.88 $4,585.88 $4,585.88 2025-08-01
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 1 1 — — $4,545.80 $4,545.80 $4,545.80 2025-08-01
5041 OTHER Critical Care 14 10 — — $4,468.52 $4,468.52 $4,468.52 2025-08-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 4 — — $4,369.99 $4,369.99 $4,369.99 2025-08-01
See an error in this hospital's data? Submit a correction