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Hospital

BAYSTATE FRANKLIN MEDICAL CENTER

Greenfield, MA · CCN 220016 · Rates published

331 distinct procedures filed
23 distinct payers
21,854 rate rows
2025-10-15 last MRF observed
Data quality

3,554 of 21,854 rate rows are consumer-grade (16.3%)

18,300 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 18,294
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://baystatehealth.canto.com/direct/document/9mbno6q5r534b6hsjqngtc1v2e/5K1Dd9MOsvrv8GzWqh3GmAZK3bU/original?content-type=text%2Fcsv&name=042103575_baystate-franklin-medical-center_standardcharges.csv
Found on page https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing/hospital-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint a1ed79d56e876426… · 3,416,147 bytes · first seen 2026-05-08

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
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $80,097.63 $80,097.63 $80,097.63 nat. median
$33,845
outlier · 2.4×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 6 $46,148.83 $46,148.83 $46,148.83 nat. median
$16,145
outlier · 2.9×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $37,760.71 $37,760.71 $37,760.71 nat. median
$40,454
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 $37,723.94 $37,723.94 $37,723.94 nat. median
$20,421
1.8× median
791
MS_DRG 		Prematurity With Major Problems 1 $33,441.63 $33,441.63 $33,441.63 nat. median
$35,271
0.9× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 1 $32,406.45 $32,406.45 $32,406.45 nat. median
$35,058
0.9× median
355
MS_DRG 		Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 $31,676.20 $31,676.20 $31,676.20 nat. median
$14,203
outlier · 2.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $31,028.26 $31,028.26 $31,028.26 nat. median
$48,170
0.6× median
342
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis With Cc 1 $30,481.00 $30,481.00 $30,481.00 nat. median
$13,424
outlier · 2.3×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 $30,406.42 $30,406.42 $30,406.42 nat. median
$17,482
1.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 $29,443.42 $29,443.42 $29,443.42 nat. median
$19,634
1.5× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 2 $28,512.22 $28,512.22 $28,512.22 nat. median
$15,091
1.9× median
864
MS_DRG 		Fever And Inflammatory Conditions 1 $27,958.63 $27,958.63 $27,958.63 nat. median
$9,803
outlier · 2.9×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 2 $26,250.97 $26,250.97 $26,250.97 nat. median
$17,703
1.5× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 3 $25,874.19 $25,874.19 $25,874.19 nat. median
$31,382
0.8× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 2 $25,854.70 $25,854.70 $25,854.70 nat. median
$13,201
2.0× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 3 $25,344.28 $25,344.28 $25,344.28 nat. median
$24,346
1.0× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 1 $25,144.32 $25,144.32 $25,144.32 nat. median
$33,061
0.8× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 2 $24,663.40 $24,663.40 $24,663.40 nat. median
$11,432
outlier · 2.2×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 $24,351.05 $24,351.05 $24,351.05 nat. median
$25,587
1.0× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 5 $23,906.19 $23,906.19 $23,906.19 nat. median
$20,254
1.2× median
776
MS_DRG 		Postpartum And Post Abortion Diagnoses Without O.r. Procedures 7 $23,782.20 $23,782.20 $23,782.20 nat. median
$7,665
outlier · 3.1×
813
MS_DRG 		Coagulation Disorders 2 $23,213.80 $23,213.80 $23,213.80 nat. median
$15,711
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $22,211.26 $22,211.26 $22,211.26 nat. median
$44,810
outlier · 0.5×
312
MS_DRG 		Syncope And Collapse 3 $22,107.37 $22,107.37 $22,107.37 nat. median
$9,478
outlier · 2.3×
755
MS_DRG 		Malignancy, Female Reproductive System With Cc 1 $22,075.70 $22,075.70 $22,075.70 nat. median
$11,694
1.9× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 $21,766.44 $21,766.44 $21,766.44 nat. median
$22,208
1.0× median
343
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 1 $21,337.67 $21,337.67 $21,337.67 nat. median
$12,397
1.7× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 1 $21,319.95 $21,319.95 $21,319.95 nat. median
$24,638
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $20,335.89 $20,335.89 $20,335.89 nat. median
$52,303
outlier · 0.4×
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $19,742.94 $19,742.94 $19,742.94 nat. median
$19,472
1.0× median
339
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Cc 1 $19,532.84 $19,532.84 $19,532.84 nat. median
$18,412
1.1× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 $19,398.29 $19,398.29 $19,398.29 nat. median
$23,829
0.8× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 5 $19,258.29 $19,258.29 $19,258.29 nat. median
$14,623
1.3× median
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 2 $18,513.80 $18,513.80 $18,513.80 nat. median
$16,641
1.1× median
442
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 5 $18,365.94 $18,365.94 $18,365.94 nat. median
$10,561
1.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $18,144.24 $18,144.24 $18,144.24 nat. median
$46,084
outlier · 0.4×
884
MS_DRG 		Organic Disturbances And Intellectual Disability 2 $17,489.65 $17,489.65 $17,489.65 nat. median
$14,858
1.2× median
810
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 $17,310.87 $17,310.87 $17,310.87 nat. median
$10,938
1.6× median
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 1 $17,186.81 $17,186.81 $17,186.81 nat. median
$14,195
1.2× median
358
MS_DRG 		Other Digestive System O.r. Procedures Without Cc/Mcc 1 $17,137.12 $17,137.12 $17,137.12 nat. median
$14,524
1.2× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/Mcc 3 $16,400.03 $16,400.03 $16,400.03 nat. median
$16,153
1.0× median
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 3 $16,385.32 $16,385.32 $16,385.32 nat. median
$15,316
1.1× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 1 $16,371.30 $16,371.30 $16,371.30 nat. median
$19,681
0.8× median
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $16,132.07 $16,132.07 $16,132.07 nat. median
$18,744
0.9× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 $15,758.60 $15,758.60 $15,758.60 nat. median
$17,807
0.9× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 4 $15,617.09 $15,617.09 $15,617.09 nat. median
$18,227
0.9× median
100
MS_DRG 		Seizures With Mcc 1 $15,320.89 $15,320.89 $15,320.89 nat. median
$19,360
0.8× median
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 1 $15,272.43 $15,272.43 $15,272.43 nat. median
$16,482
0.9× median
865
MS_DRG 		Viral Illness With Mcc 2 $15,238.38 $15,238.38 $15,238.38 nat. median
$15,232
1.0× median

Other procedures at this hospital

Browse this hospital's 331 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
             
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $80,097.63 $80,097.63 $80,097.63 2025-10-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $37,760.71 $37,760.71 $37,760.71 2025-10-15
791 MS_DRG Prematurity With Major Problems 2 1 — — $33,441.63 $33,441.63 $33,441.63 2025-10-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $32,406.45 $32,406.45 $32,406.45 2025-10-15
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 2 1 — — $31,676.20 $31,676.20 $31,676.20 2025-10-15
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 2 1 — — $30,481.00 $30,481.00 $30,481.00 2025-10-15
864 MS_DRG Fever And Inflammatory Conditions 2 1 — — $27,958.63 $27,958.63 $27,958.63 2025-10-15
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — — $25,144.32 $25,144.32 $25,144.32 2025-10-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 1 — — $24,351.05 $24,351.05 $24,351.05 2025-10-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 — — $22,211.26 $22,211.26 $22,211.26 2025-10-15
755 MS_DRG Malignancy, Female Reproductive System With Cc 2 1 — — $22,075.70 $22,075.70 $22,075.70 2025-10-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — — $21,319.95 $21,319.95 $21,319.95 2025-10-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 1 — — $20,335.89 $20,335.89 $20,335.89 2025-10-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $19,742.94 $19,742.94 $19,742.94 2025-10-15
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 — — $19,532.84 $19,532.84 $19,532.84 2025-10-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 1 — — $19,398.29 $19,398.29 $19,398.29 2025-10-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $18,144.24 $18,144.24 $18,144.24 2025-10-15
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 — — $17,310.87 $17,310.87 $17,310.87 2025-10-15
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 1 — — $17,186.81 $17,186.81 $17,186.81 2025-10-15
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 2 1 — — $17,137.12 $17,137.12 $17,137.12 2025-10-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 1 — — $16,371.30 $16,371.30 $16,371.30 2025-10-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $16,132.07 $16,132.07 $16,132.07 2025-10-15
100 MS_DRG Seizures With Mcc 2 1 — — $15,320.89 $15,320.89 $15,320.89 2025-10-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 1 — — $15,272.43 $15,272.43 $15,272.43 2025-10-15
196 MS_DRG Interstitial Lung Disease With Mcc 2 1 — — $15,175.07 $15,175.07 $15,175.07 2025-10-15
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 2 1 — — $14,179.81 $14,179.81 $14,179.81 2025-10-15
374 MS_DRG Digestive Malignancy With Mcc 2 1 — — $14,067.09 $14,067.09 $14,067.09 2025-10-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 1 — — $14,017.60 $14,017.60 $14,017.60 2025-10-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 1 — — $13,499.99 $13,499.99 $13,499.99 2025-10-15
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 2 1 — — $13,309.32 $13,309.32 $13,309.32 2025-10-15
69 MS_DRG Transient Ischemia Without Thrombolytic 2 1 — — $13,165.71 $13,165.71 $13,165.71 2025-10-15
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 2 1 — — $13,044.40 $13,044.40 $13,044.40 2025-10-15
183 MS_DRG Major Chest Trauma With Mcc 2 1 — — $12,842.35 $12,842.35 $12,842.35 2025-10-15
540 MS_DRG Osteomyelitis With Cc 2 1 — — $12,784.63 $12,784.63 $12,784.63 2025-10-15
180 MS_DRG Respiratory Neoplasms With Mcc 2 1 — — $12,736.99 $12,736.99 $12,736.99 2025-10-15
758 MS_DRG Infections, Female Reproductive System With Cc 2 1 — — $12,421.24 $12,421.24 $12,421.24 2025-10-15
54 MS_DRG Nervous System Neoplasms With Mcc 2 1 — — $12,207.40 $12,207.40 $12,207.40 2025-10-15
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 1 — — $11,959.69 $11,959.69 $11,959.69 2025-10-15
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 2 1 — — $11,883.23 $11,883.23 $11,883.23 2025-10-15
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc 2 1 — — $11,834.29 $11,834.29 $11,834.29 2025-10-15
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 1 — — $11,766.39 $11,766.39 $11,766.39 2025-10-15
198 MS_DRG Interstitial Lung Disease Without Cc/Mcc 2 1 — — $11,562.57 $11,562.57 $11,562.57 2025-10-15
643 MS_DRG Endocrine Disorders With Mcc 2 1 — — $11,407.73 $11,407.73 $11,407.73 2025-10-15
887 MS_DRG Other Mental Disorder Diagnoses 2 1 — — $11,271.05 $11,271.05 $11,271.05 2025-10-15
669 MS_DRG Transurethral Procedures With Cc 2 1 — — $11,115.01 $11,115.01 $11,115.01 2025-10-15
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 2 1 — — $10,922.82 $10,922.82 $10,922.82 2025-10-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 1 — — $10,286.10 $10,286.10 $10,286.10 2025-10-15
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 1 — — $10,179.91 $10,179.91 $10,179.91 2025-10-15
845 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 1 — — $10,019.16 $10,019.16 $10,019.16 2025-10-15
723 MS_DRG Malignancy, Male Reproductive System With Cc 2 1 — — $9,913.58 $9,913.58 $9,913.58 2025-10-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 1 — — $9,668.32 $9,668.32 $9,668.32 2025-10-15
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 2 1 — — $9,634.73 $9,634.73 $9,634.73 2025-10-15
593 MS_DRG Skin Ulcers With Cc 2 1 — — $9,391.62 $9,391.62 $9,391.62 2025-10-15
369 MS_DRG Major Esophageal Disorders With Cc 2 1 — — $9,167.14 $9,167.14 $9,167.14 2025-10-15
920 MS_DRG Complications Of Treatment With Cc 2 1 — — $9,164.97 $9,164.97 $9,164.97 2025-10-15
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 2 1 — — $9,152.98 $9,152.98 $9,152.98 2025-10-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 1 — — $9,124.04 $9,124.04 $9,124.04 2025-10-15
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/Mcc 2 1 — — $9,114.12 $9,114.12 $9,114.12 2025-10-15
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 2 1 — — $8,833.85 $8,833.85 $8,833.85 2025-10-15
797 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Cc 2 1 — — $8,536.35 $8,536.35 $8,536.35 2025-10-15
607 MS_DRG Minor Skin Disorders Without Mcc 2 1 — — $8,517.21 $8,517.21 $8,517.21 2025-10-15
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 2 1 — — $8,440.26 $8,440.26 $8,440.26 2025-10-15
549 MS_DRG Septic Arthritis With Cc 2 1 — — $8,402.61 $8,402.61 $8,402.61 2025-10-15
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 1 — — $8,269.58 $8,269.58 $8,269.58 2025-10-15
78 MS_DRG Hypertensive Encephalopathy With Cc 2 1 — — $7,918.37 $7,918.37 $7,918.37 2025-10-15
197 MS_DRG Interstitial Lung Disease With Cc 2 1 — — $7,622.49 $7,622.49 $7,622.49 2025-10-15
76 MS_DRG Viral Meningitis Without Cc/Mcc 2 1 — — $7,533.15 $7,533.15 $7,533.15 2025-10-15
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 2 1 — — $7,503.00 $7,503.00 $7,503.00 2025-10-15
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 1 — — $7,427.80 $7,427.80 $7,427.80 2025-10-15
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 2 1 — — $7,397.74 $7,397.74 $7,397.74 2025-10-15
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 2 1 — — $7,383.61 $7,383.61 $7,383.61 2025-10-15
541 MS_DRG Osteomyelitis Without Cc/Mcc 2 1 — — $7,365.45 $7,365.45 $7,365.45 2025-10-15
292 MS_DRG Heart Failure And Shock With Cc 2 1 — — $7,318.30 $7,318.30 $7,318.30 2025-10-15
125 MS_DRG Other Disorders Of The Eye Without Mcc 2 1 — — $7,308.28 $7,308.28 $7,308.28 2025-10-15
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 2 1 — — $6,834.36 $6,834.36 $6,834.36 2025-10-15
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc 2 1 — — $6,708.52 $6,708.52 $6,708.52 2025-10-15
184 MS_DRG Major Chest Trauma With Cc 2 1 — — $6,703.15 $6,703.15 $6,703.15 2025-10-15
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc 2 1 — — $6,688.34 $6,688.34 $6,688.34 2025-10-15
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 1 — — $6,441.18 $6,441.18 $6,441.18 2025-10-15
152 MS_DRG Otitis Media And Uri With Mcc 2 1 — — $6,128.69 $6,128.69 $6,128.69 2025-10-15
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 2 1 — — $6,048.95 $6,048.95 $6,048.95 2025-10-15
534 MS_DRG Fractures Of Femur Without Mcc 2 1 — — $5,899.04 $5,899.04 $5,899.04 2025-10-15
916 MS_DRG Allergic Reactions Without Mcc 2 1 — — $5,886.83 $5,886.83 $5,886.83 2025-10-15
759 MS_DRG Infections, Female Reproductive System Without Cc/Mcc 2 1 — — $4,793.51 $4,793.51 $4,793.51 2025-10-15
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 2 1 — — $4,695.69 $4,695.69 $4,695.69 2025-10-15
303 MS_DRG Atherosclerosis Without Mcc 2 1 — — $4,323.68 $4,323.68 $4,323.68 2025-10-15
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 2 1 — — $4,196.96 $4,196.96 $4,196.96 2025-10-15
5416 OTHER Level 6 Gynecologic Procedures 2 1 — — $4,156.73 $4,156.73 $4,156.73 2025-10-15
779 MS_DRG Abortion Without D&c 2 1 — — $3,940.00 $3,940.00 $3,940.00 2025-10-15
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 2 1 — — $2,779.38 $2,779.38 $2,779.38 2025-10-15
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 2 1 — — $2,561.86 $2,561.86 $2,561.86 2025-10-15
123 MS_DRG Neurological Eye Disorders 2 1 — — $2,050.51 $2,050.51 $2,050.51 2025-10-15
5432 OTHER Level 2 Nerve Procedures 2 1 — — $1,837.30 $1,837.30 $1,837.30 2025-10-15
5443 OTHER Level 3 Nerve Injections 2 1 — — $1,545.57 $1,545.57 $1,545.57 2025-10-15
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 2 1 — — $1,304.62 $1,304.62 $1,304.62 2025-10-15
5061 OTHER Hyperbaric Oxygen 2 1 — — $667.71 $667.71 $667.71 2025-10-15
5101 OTHER Level 1 Strapping And Cast Application 2 1 — — $581.05 $581.05 $581.05 2025-10-15
5182 OTHER Level 2 Vascular Procedures 2 1 — — $449.28 $449.28 $449.28 2025-10-15
9397 OTHER Covid-19 Vaccine Admin Dose 1 Of 2 2 1 — — $196.24 $196.24 $196.24 2025-10-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 1 — — $30,406.42 $30,406.42 $30,406.42 2025-10-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 4 2 — — $26,250.97 $26,250.97 $26,250.97 2025-10-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 2 — — $25,854.70 $25,854.70 $25,854.70 2025-10-15
300 MS_DRG Peripheral Vascular Disorders With Cc 4 2 — — $24,663.40 $24,663.40 $24,663.40 2025-10-15
813 MS_DRG Coagulation Disorders 4 2 — — $23,213.80 $23,213.80 $23,213.80 2025-10-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 2 — — $21,766.44 $21,766.44 $21,766.44 2025-10-15
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 4 1 — — $21,337.67 $21,337.67 $21,337.67 2025-10-15
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 4 2 — — $18,513.80 $18,513.80 $18,513.80 2025-10-15
884 MS_DRG Organic Disturbances And Intellectual Disability 4 2 — — $17,489.65 $17,489.65 $17,489.65 2025-10-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 2 — — $15,758.60 $15,758.60 $15,758.60 2025-10-15
865 MS_DRG Viral Illness With Mcc 4 2 — — $15,238.38 $15,238.38 $15,238.38 2025-10-15
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 4 2 — — $15,002.57 $15,002.57 $15,002.57 2025-10-15
539 MS_DRG Osteomyelitis With Mcc 4 2 — — $12,889.18 $12,889.18 $12,889.18 2025-10-15
886 MS_DRG Behavioral And Developmental Disorders 4 2 — — $12,823.78 $12,823.78 $12,823.78 2025-10-15
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 4 2 — — $12,575.73 $12,575.73 $12,575.73 2025-10-15
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 4 2 — — $11,862.61 $11,862.61 $11,862.61 2025-10-15
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 4 2 — — $11,790.95 $11,790.95 $11,790.95 2025-10-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 4 2 — — $10,998.59 $10,998.59 $10,998.59 2025-10-15
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 2 — — $10,836.10 $10,836.10 $10,836.10 2025-10-15
811 MS_DRG Red Blood Cell Disorders With Mcc 4 2 — — $10,377.81 $10,377.81 $10,377.81 2025-10-15
919 MS_DRG Complications Of Treatment With Mcc 4 2 — — $10,186.57 $10,186.57 $10,186.57 2025-10-15
313 MS_DRG Chest Pain 4 1 — — $10,100.02 $10,100.02 $10,100.02 2025-10-15
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 4 2 — — $9,372.41 $9,372.41 $9,372.41 2025-10-15
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 4 2 — — $8,689.01 $8,689.01 $8,689.01 2025-10-15
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 2 — — $8,676.73 $8,676.73 $8,676.73 2025-10-15
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 4 2 — — $8,432.51 $8,432.51 $8,432.51 2025-10-15
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 4 2 — — $7,753.46 $7,753.46 $7,753.46 2025-10-15
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 4 2 — — $7,648.76 $7,648.76 $7,648.76 2025-10-15
552 MS_DRG Medical Back Problems Without Mcc 4 2 — — $7,527.14 $7,527.14 $7,527.14 2025-10-15
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 4 2 — — $6,801.62 $6,801.62 $6,801.62 2025-10-15
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 4 2 — — $6,128.53 $6,128.53 $6,128.53 2025-10-15
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 4 2 — — $5,875.98 $5,875.98 $5,875.98 2025-10-15
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 4 2 — — $5,867.55 $5,867.55 $5,867.55 2025-10-15
311 MS_DRG Angina Pectoris 4 2 — — $5,764.46 $5,764.46 $5,764.46 2025-10-15
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 4 2 — — $5,689.33 $5,689.33 $5,689.33 2025-10-15
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 4 2 — — $5,107.49 $5,107.49 $5,107.49 2025-10-15
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/Mcc 4 2 — — $5,023.60 $5,023.60 $5,023.60 2025-10-15
149 MS_DRG Dysequilibrium 4 2 — — $4,886.41 $4,886.41 $4,886.41 2025-10-15
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 4 2 — — $4,885.77 $4,885.77 $4,885.77 2025-10-15
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 4 2 — — $2,307.50 $2,307.50 $2,307.50 2025-10-15
5102 OTHER Level 2 Strapping And Cast Application 4 2 — — $356.55 $356.55 $356.55 2025-10-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 6 2 — — $28,512.22 $28,512.22 $28,512.22 2025-10-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 3 — — $25,874.19 $25,874.19 $25,874.19 2025-10-15
312 MS_DRG Syncope And Collapse 6 3 — — $22,107.37 $22,107.37 $22,107.37 2025-10-15
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 6 3 — — $14,268.24 $14,268.24 $14,268.24 2025-10-15
299 MS_DRG Peripheral Vascular Disorders With Mcc 6 3 — — $14,116.75 $14,116.75 $14,116.75 2025-10-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 3 — — $14,037.92 $14,037.92 $14,037.92 2025-10-15
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 6 3 — — $13,583.65 $13,583.65 $13,583.65 2025-10-15
602 MS_DRG Cellulitis With Mcc 6 3 — — $12,796.36 $12,796.36 $12,796.36 2025-10-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 2 — — $12,457.50 $12,457.50 $12,457.50 2025-10-15
5183 OTHER Level 3 Vascular Procedures 6 3 — — $10,850.34 $10,850.34 $10,850.34 2025-10-15
315 MS_DRG Other Circulatory System Diagnoses With Cc 6 2 — — $10,607.22 $10,607.22 $10,607.22 2025-10-15
92 MS_DRG Other Disorders Of Nervous System With Cc 6 3 — — $9,892.25 $9,892.25 $9,892.25 2025-10-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 6 3 — — $9,771.86 $9,771.86 $9,771.86 2025-10-15
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 6 3 — — $8,989.50 $8,989.50 $8,989.50 2025-10-15
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 6 3 — — $8,948.50 $8,948.50 $8,948.50 2025-10-15
644 MS_DRG Endocrine Disorders With Cc 6 3 — — $8,256.33 $8,256.33 $8,256.33 2025-10-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 6 3 — — $8,044.44 $8,044.44 $8,044.44 2025-10-15
694 MS_DRG Urinary Stones Without Mcc 6 3 — — $7,946.61 $7,946.61 $7,946.61 2025-10-15
444 MS_DRG Disorders Of The Biliary Tract With Mcc 6 3 — — $7,817.89 $7,817.89 $7,817.89 2025-10-15
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 6 3 — — $7,438.82 $7,438.82 $7,438.82 2025-10-15
684 MS_DRG Renal Failure Without Cc/Mcc 6 3 — — $7,290.82 $7,290.82 $7,290.82 2025-10-15
948 MS_DRG Signs And Symptoms Without Mcc 6 3 — — $6,657.38 $6,657.38 $6,657.38 2025-10-15
812 MS_DRG Red Blood Cell Disorders Without Mcc 6 3 — — $6,324.45 $6,324.45 $6,324.45 2025-10-15
792 MS_DRG Prematurity Without Major Problems 6 3 — — $4,461.94 $4,461.94 $4,461.94 2025-10-15
5781 OTHER Resuscitation And Cardioversion 6 3 — — $2,394.86 $2,394.86 $2,394.86 2025-10-15
5871 OTHER Dental Procedures 6 2 — — $1,094.54 $1,094.54 $1,094.54 2025-10-15
N805 OTHER Durable Medical Equipment 6 3 — — $370.60 $370.60 $370.60 2025-10-15
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 8 3 — — $16,400.03 $16,400.03 $16,400.03 2025-10-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 8 3 — — $16,385.32 $16,385.32 $16,385.32 2025-10-15
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 8 4 — — $15,617.09 $15,617.09 $15,617.09 2025-10-15
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 8 4 — — $15,222.18 $15,222.18 $15,222.18 2025-10-15
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 8 3 — — $15,098.35 $15,098.35 $15,098.35 2025-10-15
784 MS_DRG Cesarean Section With Sterilization With Cc 8 3 — — $14,329.89 $14,329.89 $14,329.89 2025-10-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 8 3 — — $12,803.16 $12,803.16 $12,803.16 2025-10-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 8 4 — — $11,486.00 $11,486.00 $11,486.00 2025-10-15
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 8 3 — — $10,110.95 $10,110.95 $10,110.95 2025-10-15
639 MS_DRG Diabetes Without Cc/Mcc 8 4 — — $8,010.37 $8,010.37 $8,010.37 2025-10-15
305 MS_DRG Hypertension Without Mcc 8 4 — — $7,682.40 $7,682.40 $7,682.40 2025-10-15
5161 OTHER Level 1 ENT Procedures 8 4 — — $3,939.59 $3,939.59 $3,939.59 2025-10-15
5054 OTHER Level 4 Skin Procedures 8 3 — — $3,536.95 $3,536.95 $3,536.95 2025-10-15
5672 OTHER Level 2 Pathology 8 2 — — $1,483.57 $1,483.57 $1,483.57 2025-10-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 4 — — $31,028.26 $31,028.26 $31,028.26 2025-10-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 10 5 — — $23,906.19 $23,906.19 $23,906.19 2025-10-15
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 10 5 — — $19,258.29 $19,258.29 $19,258.29 2025-10-15
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 10 5 — — $18,365.94 $18,365.94 $18,365.94 2025-10-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 10 5 — — $12,229.94 $12,229.94 $12,229.94 2025-10-15
378 MS_DRG Gastrointestinal Hemorrhage With Cc 10 5 — — $12,210.12 $12,210.12 $12,210.12 2025-10-15
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 10 3 — — $12,179.55 $12,179.55 $12,179.55 2025-10-15
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 10 5 — — $11,508.48 $11,508.48 $11,508.48 2025-10-15
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 10 3 — — $11,485.22 $11,485.22 $11,485.22 2025-10-15
637 MS_DRG Diabetes With Mcc 10 4 — — $11,436.50 $11,436.50 $11,436.50 2025-10-15
682 MS_DRG Renal Failure With Mcc 10 5 — — $11,399.64 $11,399.64 $11,399.64 2025-10-15
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 10 4 — — $9,650.48 $9,650.48 $9,650.48 2025-10-15
882 MS_DRG Neuroses Except Depressive 10 4 — — $9,568.00 $9,568.00 $9,568.00 2025-10-15
389 MS_DRG Gastrointestinal Obstruction With Cc 10 5 — — $8,922.07 $8,922.07 $8,922.07 2025-10-15
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 10 4 — — $8,182.49 $8,182.49 $8,182.49 2025-10-15
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 10 5 — — $7,768.74 $7,768.74 $7,768.74 2025-10-15
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 10 5 — — $6,670.11 $6,670.11 $6,670.11 2025-10-15
101 MS_DRG Seizures Without Mcc 10 5 — — $6,568.12 $6,568.12 $6,568.12 2025-10-15
445 MS_DRG Disorders Of The Biliary Tract With Cc 10 5 — — $6,052.62 $6,052.62 $6,052.62 2025-10-15
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 10 5 — — $4,672.61 $4,672.61 $4,672.61 2025-10-15
5181 OTHER Level 1 Vascular Procedures 10 4 — — $1,489.16 $1,489.16 $1,489.16 2025-10-15
1503 OTHER New Technology - Level 3 ($101 - $200) 10 4 — — $346.88 $346.88 $346.88 2025-10-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 12 6 — — $46,148.83 $46,148.83 $46,148.83 2025-10-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 3 — — $37,723.94 $37,723.94 $37,723.94 2025-10-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 3 — — $25,344.28 $25,344.28 $25,344.28 2025-10-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 12 5 — — $12,716.24 $12,716.24 $12,716.24 2025-10-15
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 6 — — $12,233.42 $12,233.42 $12,233.42 2025-10-15
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 12 5 — — $11,692.80 $11,692.80 $11,692.80 2025-10-15
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 12 5 — — $11,082.13 $11,082.13 $11,082.13 2025-10-15
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 12 4 — — $9,743.69 $9,743.69 $9,743.69 2025-10-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 12 6 — — $9,042.75 $9,042.75 $9,042.75 2025-10-15
793 MS_DRG Full Term Neonate With Major Problems 12 3 — — $8,309.11 $8,309.11 $8,309.11 2025-10-15
394 MS_DRG Other Digestive System Diagnoses With Cc 12 3 — — $6,922.03 $6,922.03 $6,922.03 2025-10-15
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 12 5 — — $6,274.78 $6,274.78 $6,274.78 2025-10-15
5573 OTHER Level 3 Imaging With Contrast 12 6 — — $1,452.77 $1,452.77 $1,452.77 2025-10-15
5731 OTHER Level 1 Minor Procedures 12 5 — — $105.00 $105.00 $105.00 2025-10-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 14 5 — — $14,176.03 $14,176.03 $14,176.03 2025-10-15
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 14 5 — — $12,633.31 $12,633.31 $12,633.31 2025-10-15
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 14 7 — — $11,595.42 $11,595.42 $11,595.42 2025-10-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 14 5 — — $9,220.78 $9,220.78 $9,220.78 2025-10-15
683 MS_DRG Renal Failure With Cc 14 6 — — $9,184.42 $9,184.42 $9,184.42 2025-10-15
176 MS_DRG Pulmonary Embolism Without Mcc 14 4 — — $8,354.14 $8,354.14 $8,354.14 2025-10-15
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 14 6 — — $8,230.25 $8,230.25 $8,230.25 2025-10-15
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 14 4 — — $5,693.65 $5,693.65 $5,693.65 2025-10-15
5313 OTHER Level 3 Lower Gi Procedures 14 6 — — $4,643.52 $4,643.52 $4,643.52 2025-10-15
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 16 5 — — $10,861.11 $10,861.11 $10,861.11 2025-10-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 16 7 — — $10,825.16 $10,825.16 $10,825.16 2025-10-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 16 6 — — $10,366.73 $10,366.73 $10,366.73 2025-10-15
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 16 8 — — $8,698.75 $8,698.75 $8,698.75 2025-10-15
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 16 8 — — $6,707.24 $6,707.24 $6,707.24 2025-10-15
5691 OTHER Level 1 Drug Administration 16 7 — — $307.37 $307.37 $307.37 2025-10-15
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 18 7 — — $23,782.20 $23,782.20 $23,782.20 2025-10-15
5362 OTHER Level 2 Laparoscopy And Related Services 18 7 — — $15,045.85 $15,045.85 $15,045.85 2025-10-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 18 8 — — $11,624.88 $11,624.88 $11,624.88 2025-10-15
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 18 6 — — $5,050.63 $5,050.63 $5,050.63 2025-10-15
5791 OTHER Pulmonary Treatment 18 5 — — $530.47 $530.47 $530.47 2025-10-15
5371 OTHER Level 1 Urology And Related Services 18 5 — — $374.39 $374.39 $374.39 2025-10-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 20 8 — — $12,668.76 $12,668.76 $12,668.76 2025-10-15
291 MS_DRG Heart Failure And Shock With Mcc 20 8 — — $11,822.00 $11,822.00 $11,822.00 2025-10-15
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 20 7 — — $10,814.50 $10,814.50 $10,814.50 2025-10-15
5375 OTHER Level 5 Urology And Related Services 20 8 — — $6,724.66 $6,724.66 $6,724.66 2025-10-15
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 20 6 — — $3,150.74 $3,150.74 $3,150.74 2025-10-15
N900 OTHER Non-covered Services 20 9 — — $180.93 $180.93 $180.93 2025-10-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 22 8 — — $29,443.42 $29,443.42 $29,443.42 2025-10-15
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 22 9 — — $10,235.00 $10,235.00 $10,235.00 2025-10-15
794 MS_DRG Neonate With Other Significant Problems 22 7 — — $7,553.81 $7,553.81 $7,553.81 2025-10-15
638 MS_DRG Diabetes With Cc 22 10 — — $7,427.77 $7,427.77 $7,427.77 2025-10-15
795 MS_DRG Normal Newborn 22 7 — — $2,744.55 $2,744.55 $2,744.55 2025-10-15
5053 OTHER Level 3 Skin Procedures 22 8 — — $1,055.82 $1,055.82 $1,055.82 2025-10-15
5592 OTHER Level 2 Nuclear Medicine And Related Services 22 8 — — $885.62 $885.62 $885.62 2025-10-15
5012 OTHER Clinic Visits And Related Services 22 9 — — $148.16 $148.16 $148.16 2025-10-15
5735 OTHER Level 5 Minor Procedures 24 9 — — $1,567.27 $1,567.27 $1,567.27 2025-10-15
5413 OTHER Level 3 Gynecologic Procedures 24 7 — — $992.40 $992.40 $992.40 2025-10-15
5591 OTHER Level 1 Nuclear Medicine And Related Services 24 9 — — $499.00 $499.00 $499.00 2025-10-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 26 8 — — $14,162.85 $14,162.85 $14,162.85 2025-10-15
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 26 10 — — $9,316.76 $9,316.76 $9,316.76 2025-10-15
881 MS_DRG Depressive Neuroses 26 9 — — $8,469.04 $8,469.04 $8,469.04 2025-10-15
N700 OTHER Non-opps Clinic Services 26 10 — — $189.75 $189.75 $189.75 2025-10-15
603 MS_DRG Cellulitis Without Mcc 28 11 — — $9,889.37 $9,889.37 $9,889.37 2025-10-15
5492 OTHER Level 2 Intraocular Procedures 28 11 — — $5,793.49 $5,793.49 $5,793.49 2025-10-15
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 30 9 — — $11,564.09 $11,564.09 $11,564.09 2025-10-15
787 MS_DRG Cesarean Section Without Sterilization With Cc 30 10 — — $11,522.59 $11,522.59 $11,522.59 2025-10-15
5415 OTHER Level 5 Gynecologic Procedures 30 10 — — $11,488.60 $11,488.60 $11,488.60 2025-10-15
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 30 9 — — $7,012.94 $7,012.94 $7,012.94 2025-10-15
N905 OTHER Not Recognized By Opps 30 10 — — $82.08 $82.08 $82.08 2025-10-15
885 MS_DRG Psychoses 32 12 — — $9,644.06 $9,644.06 $9,644.06 2025-10-15
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 32 11 — — $9,604.99 $9,604.99 $9,604.99 2025-10-15
5491 OTHER Level 1 Intraocular Procedures 32 12 — — $2,998.23 $2,998.23 $2,998.23 2025-10-15
5442 OTHER Level 2 Nerve Injections 32 11 — — $1,385.88 $1,385.88 $1,385.88 2025-10-15
9398 OTHER Covid-19 Vaccine Admin Dose 2 Of 2, Single Dose Product Or Additional Dose 32 10 — — $167.29 $167.29 $167.29 2025-10-15
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 34 11 — — $7,445.64 $7,445.64 $7,445.64 2025-10-15
5112 OTHER Level 2 Musculoskeletal Procedures 34 11 — — $2,731.26 $2,731.26 $2,731.26 2025-10-15
5431 OTHER Level 1 Nerve Procedures 34 11 — — $2,684.26 $2,684.26 $2,684.26 2025-10-15
5414 OTHER Level 4 Gynecologic Procedures 36 13 — — $3,288.72 $3,288.72 $3,288.72 2025-10-15
5372 OTHER Level 2 Urology And Related Services 36 11 — — $1,407.45 $1,407.45 $1,407.45 2025-10-15
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 36 11 — — $1,021.61 $1,021.61 $1,021.61 2025-10-15
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 38 12 — — $6,302.08 $6,302.08 $6,302.08 2025-10-15
5373 OTHER Level 3 Urology And Related Services 40 13 — — $2,905.96 $2,905.96 $2,905.96 2025-10-15
5724 OTHER Level 4 Diagnostic Tests And Related Services 40 13 — — $2,251.00 $2,251.00 $2,251.00 2025-10-15
5113 OTHER Level 3 Musculoskeletal Procedures 42 13 — — $3,541.43 $3,541.43 $3,541.43 2025-10-15
5441 OTHER Level 1 Nerve Injections 42 14 — — $2,271.26 $2,271.26 $2,271.26 2025-10-15
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 44 14 — — $3,265.05 $3,265.05 $3,265.05 2025-10-15
5411 OTHER Level 1 Gynecologic Procedures 44 15 — — $329.36 $329.36 $329.36 2025-10-15
5302 OTHER Level 2 Upper Gi Procedures 46 15 — — $5,554.77 $5,554.77 $5,554.77 2025-10-15
5301 OTHER Level 1 Upper Gi Procedures 46 15 — — $2,360.76 $2,360.76 $2,360.76 2025-10-15
5524 OTHER Level 4 Imaging Without Contrast 48 17 — — $918.53 $918.53 $918.53 2025-10-15
5052 OTHER Level 2 Skin Procedures 48 17 — — $769.41 $769.41 $769.41 2025-10-15
5692 OTHER Level 2 Drug Administration 48 16 — — $626.20 $626.20 $626.20 2025-10-15
5733 OTHER Level 3 Minor Procedures 48 16 — — $301.38 $301.38 $301.38 2025-10-15
5523 OTHER Level 3 Imaging Without Contrast 50 18 — — $491.17 $491.17 $491.17 2025-10-15
5721 OTHER Level 1 Diagnostic Tests And Related Services 50 18 — — $222.45 $222.45 $222.45 2025-10-15
5521 OTHER Level 1 Imaging Without Contrast 52 19 — — $200.69 $200.69 $200.69 2025-10-15
5041 OTHER Critical Care 54 17 — — $2,876.53 $2,876.53 $2,876.53 2025-10-15
5734 OTHER Level 4 Minor Procedures 54 18 — — $445.64 $445.64 $445.64 2025-10-15
5311 OTHER Level 1 Lower Gi Procedures 56 19 — — $2,583.24 $2,583.24 $2,583.24 2025-10-15
N804 OTHER Mammography Services 56 19 — — $351.61 $351.61 $351.61 2025-10-15
5312 OTHER Level 2 Lower Gi Procedures 58 18 — — $2,432.68 $2,432.68 $2,432.68 2025-10-15
5023 OTHER Level 3 Type A Ed Visits 64 17 — — $545.91 $545.91 $545.91 2025-10-15
5522 OTHER Level 2 Imaging Without Contrast 66 20 — — $272.10 $272.10 $272.10 2025-10-15
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