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

BAYSTATE WING HOSPITAL

Palmer, MA · CCN 220030 · Rates published

275 distinct procedures filed
24 distinct payers
20,644 rate rows
2025-10-15 last MRF observed
Data quality

3,608 of 20,644 rate rows are consumer-grade (17.5%)

17,036 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 17,036
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn1-originals.webdamdb.com/13686_164608645?cache=1761101951&response-content-disposition=inline;filename=222519813_baystate-wing-hospital-and-medical-centers_standardcharges.csv&Policy=eyJTdGF0ZW1lbnQiOlt7IlJlc291cmNlIjoiaHR0cCo6Ly9jZG4xLW9yaWdpbmFscy53ZWJkYW1kYi5jb20vMTM2ODZfMTY0NjA4NjQ1P2NhY2hlPTE3NjExMDE5NTEmcmVzcG9uc2UtY29udGVudC1kaXNwb3NpdGlvbj1pbmxpbmU7ZmlsZW5hbWU9MjIyNTE5ODEzX2JheXN0YXRlLXdpbmctaG9zcGl0YWwtYW5kLW1lZGljYWwtY2VudGVyc19zdGFuZGFyZGNoYXJnZXMuY3N2IiwiQ29uZGl0aW9uIjp7IkRhdGVMZXNzVGhhbiI6eyJBV1M6RXBvY2hUaW1lIjoyMTQ3NDE0NDAwfX19XX0_&Signature=btMFFQMo6uX09IAPUpP9sFXNUeGsWaq~ZnEME-8m~JGUqLoG2Nzr7y8YhfPD74xe-xakM2EacQQAiBkVk0fluNsDGIWnkIAWLC6Jk-Ky9bvhRsAQi8P5PIObpF3mUrYSDBQuneDY-mBkdO9KVEE2ece4v6fUz74N1D~jZFw~KBFfBlAOhDIy9I-jOH0fKzEjrZ3XSCSY3neyVZrYnorGFeM1YpsqT0QM6dhZ39N835CtFkhZHrfBxySbYyjnM-p0H8hxq0kq0h7xRrAZCFXX~83es-bkxL4mFaEVBRTEd-~z~A9r-3vaS~KbHXRrrokVyc9DznLGsEtp8fkiGNEXLA__&Key-Pair-Id=APKAI2ASI2IOLRFF2RHA
Found on page https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing/hospital-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 98adde31bf8cb389… · 3,197,085 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
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 5 $46,224.87 $46,224.87 $46,224.87 nat. median
$13,201
outlier · 3.5×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 $40,407.64 $40,407.64 $40,407.64 nat. median
$19,634
outlier · 2.1×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $36,809.80 $36,809.80 $36,809.80 nat. median
$44,810
0.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $31,516.41 $31,516.41 $31,516.41 nat. median
$38,112
0.8× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 $30,479.05 $30,479.05 $30,479.05 nat. median
$31,075
1.0× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 $30,356.22 $30,356.22 $30,356.22 nat. median
$31,571
1.0× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 1 $30,166.84 $30,166.84 $30,166.84 nat. median
$34,720
0.9× median
5231
OTHER 		Level 1 Icd And Similar Procedures 1 $28,946.56 $28,946.56 $28,946.56 nat. median
$23,015
1.3× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 10 $25,197.90 $25,197.90 $25,197.90 nat. median
$13,648
1.8× median
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 7 $23,692.29 $23,692.29 $23,692.29 nat. median
$9,366
outlier · 2.5×
291
MS_DRG 		Heart Failure And Shock With Mcc 11 $23,447.28 $23,447.28 $23,447.28 nat. median
$13,521
1.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 1 $23,388.02 $23,388.02 $23,388.02 nat. median
$21,526
1.1× median
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 1 $23,026.85 $23,026.85 $23,026.85 nat. median
$16,028
1.4× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 $22,847.20 $22,847.20 $22,847.20 nat. median
$37,698
0.6× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $22,668.72 $22,668.72 $22,668.72 nat. median
$46,084
outlier · 0.5×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 $22,133.74 $22,133.74 $22,133.74 nat. median
$20,421
1.1× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $21,535.00 $21,535.00 $21,535.00 nat. median
$37,662
0.6× median
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 6 $19,872.06 $19,872.06 $19,872.06 nat. median
$11,433
1.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 $19,752.82 $19,752.82 $19,752.82 nat. median
$48,170
outlier · 0.4×
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 $19,613.52 $19,613.52 $19,613.52 nat. median
$22,276
0.9× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 1 $18,576.44 $18,576.44 $18,576.44 nat. median
$18,292
1.0× median
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 $18,565.85 $18,565.85 $18,565.85 nat. median
$21,263
0.9× median
342
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis With Cc 1 $18,531.72 $18,531.72 $18,531.72 nat. median
$13,424
1.4× median
813
MS_DRG 		Coagulation Disorders 1 $18,375.83 $18,375.83 $18,375.83 nat. median
$15,711
1.2× median
339
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Cc 1 $17,827.96 $17,827.96 $17,827.96 nat. median
$18,412
1.0× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 $17,740.47 $17,740.47 $17,740.47 nat. median
$17,482
1.0× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 $17,667.01 $17,667.01 $17,667.01 nat. median
$21,760
0.8× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 2 $16,805.85 $16,805.85 $16,805.85 nat. median
$17,703
0.9× median
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 $16,406.68 $16,406.68 $16,406.68 nat. median
$19,627
0.8× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 1 $16,126.86 $16,126.86 $16,126.86 nat. median
$20,752
0.8× median
385
MS_DRG 		Inflammatory Bowel Disease With Mcc 1 $15,945.71 $15,945.71 $15,945.71 nat. median
$16,227
1.0× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 5 $15,613.08 $15,613.08 $15,613.08 nat. median
$21,529
0.7× median
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 4 $15,275.69 $15,275.69 $15,275.69 nat. median
$15,271
1.0× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 $14,960.27 $14,960.27 $14,960.27 nat. median
$13,400
1.1× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 $14,878.53 $14,878.53 $14,878.53 nat. median
$18,498
0.8× median
186
MS_DRG 		Pleural Effusion With Mcc 2 $14,792.12 $14,792.12 $14,792.12 nat. median
$15,980
0.9× median
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 $14,743.34 $14,743.34 $14,743.34 nat. median
$17,322
0.9× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $14,730.30 $14,730.30 $14,730.30 nat. median
$17,807
0.8× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $14,728.80 $14,728.80 $14,728.80 nat. median
$24,346
0.6× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 1 $14,440.17 $14,440.17 $14,440.17 nat. median
$34,345
outlier · 0.4×
5093
OTHER 		Level 3 Breast/Lymphatic Surgery And Related Procedures 1 $14,255.25 $14,255.25 $14,255.25 nat. median
$8,902
1.6× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 1 $14,232.63 $14,232.63 $14,232.63 nat. median
$16,470
0.9× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 6 $14,085.70 $14,085.70 $14,085.70 nat. median
$16,529
0.9× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 8 $14,069.25 $14,069.25 $14,069.25 nat. median
$20,055
0.7× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 2 $13,705.12 $13,705.12 $13,705.12 nat. median
$15,091
0.9× median
373
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 2 $13,651.17 $13,651.17 $13,651.17 nat. median
$8,368
1.6× median
386
MS_DRG 		Inflammatory Bowel Disease With Cc 3 $13,392.01 $13,392.01 $13,392.01 nat. median
$10,778
1.2× median
202
MS_DRG 		Bronchitis And Asthma With Cc/Mcc 7 $13,346.01 $13,346.01 $13,346.01 nat. median
$10,377
1.3× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 10 $13,163.65 $13,163.65 $13,163.65 nat. median
$16,234
0.8× median
539
MS_DRG 		Osteomyelitis With Mcc 1 $12,915.81 $12,915.81 $12,915.81 nat. median
$19,718
0.7× median

Other procedures at this hospital

Browse this hospital's 275 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
             
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 10 5 — — $46,224.87 $46,224.87 $46,224.87 2025-10-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 44 14 — — $40,407.64 $40,407.64 $40,407.64 2025-10-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 — — $36,809.80 $36,809.80 $36,809.80 2025-10-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 — — $31,516.41 $31,516.41 $31,516.41 2025-10-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 1 — — $30,479.05 $30,479.05 $30,479.05 2025-10-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 1 — — $30,356.22 $30,356.22 $30,356.22 2025-10-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 1 — — $30,166.84 $30,166.84 $30,166.84 2025-10-15
5231 OTHER Level 1 Icd And Similar Procedures 2 1 — — $28,946.56 $28,946.56 $28,946.56 2025-10-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 26 10 — — $25,197.90 $25,197.90 $25,197.90 2025-10-15
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 16 7 — — $23,692.29 $23,692.29 $23,692.29 2025-10-15
291 MS_DRG Heart Failure And Shock With Mcc 30 11 — — $23,447.28 $23,447.28 $23,447.28 2025-10-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 — — $23,388.02 $23,388.02 $23,388.02 2025-10-15
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 2 1 — — $23,026.85 $23,026.85 $23,026.85 2025-10-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 1 — — $22,847.20 $22,847.20 $22,847.20 2025-10-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $22,668.72 $22,668.72 $22,668.72 2025-10-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 10 3 — — $22,133.74 $22,133.74 $22,133.74 2025-10-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $21,535.00 $21,535.00 $21,535.00 2025-10-15
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 16 6 — — $19,872.06 $19,872.06 $19,872.06 2025-10-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 7 — — $19,752.82 $19,752.82 $19,752.82 2025-10-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 1 — — $19,613.52 $19,613.52 $19,613.52 2025-10-15
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 1 — — $18,576.44 $18,576.44 $18,576.44 2025-10-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 1 — — $18,565.85 $18,565.85 $18,565.85 2025-10-15
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 2 1 — — $18,531.72 $18,531.72 $18,531.72 2025-10-15
813 MS_DRG Coagulation Disorders 2 1 — — $18,375.83 $18,375.83 $18,375.83 2025-10-15
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 — — $17,827.96 $17,827.96 $17,827.96 2025-10-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 8 4 — — $17,740.47 $17,740.47 $17,740.47 2025-10-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 — — $17,667.01 $17,667.01 $17,667.01 2025-10-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 4 2 — — $16,805.85 $16,805.85 $16,805.85 2025-10-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 1 — — $16,406.68 $16,406.68 $16,406.68 2025-10-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 1 — — $16,126.86 $16,126.86 $16,126.86 2025-10-15
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 1 — — $15,945.71 $15,945.71 $15,945.71 2025-10-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 5 — — $15,613.08 $15,613.08 $15,613.08 2025-10-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 8 4 — — $15,275.69 $15,275.69 $15,275.69 2025-10-15
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 16 5 — — $14,960.27 $14,960.27 $14,960.27 2025-10-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 6 2 — — $14,878.53 $14,878.53 $14,878.53 2025-10-15
186 MS_DRG Pleural Effusion With Mcc 4 2 — — $14,792.12 $14,792.12 $14,792.12 2025-10-15
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $14,743.34 $14,743.34 $14,743.34 2025-10-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 1 — — $14,730.30 $14,730.30 $14,730.30 2025-10-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 — — $14,728.80 $14,728.80 $14,728.80 2025-10-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 — — $14,440.17 $14,440.17 $14,440.17 2025-10-15
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $14,255.25 $14,255.25 $14,255.25 2025-10-15
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 1 — — $14,232.63 $14,232.63 $14,232.63 2025-10-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 6 — — $14,085.70 $14,085.70 $14,085.70 2025-10-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 16 8 — — $14,069.25 $14,069.25 $14,069.25 2025-10-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 2 — — $13,705.12 $13,705.12 $13,705.12 2025-10-15
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 4 2 — — $13,651.17 $13,651.17 $13,651.17 2025-10-15
386 MS_DRG Inflammatory Bowel Disease With Cc 6 3 — — $13,392.01 $13,392.01 $13,392.01 2025-10-15
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 14 7 — — $13,346.01 $13,346.01 $13,346.01 2025-10-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 28 10 — — $13,163.65 $13,163.65 $13,163.65 2025-10-15
539 MS_DRG Osteomyelitis With Mcc 2 1 — — $12,915.81 $12,915.81 $12,915.81 2025-10-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 1 — — $12,888.07 $12,888.07 $12,888.07 2025-10-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 10 5 — — $12,804.15 $12,804.15 $12,804.15 2025-10-15
643 MS_DRG Endocrine Disorders With Mcc 6 3 — — $12,789.32 $12,789.32 $12,789.32 2025-10-15
885 MS_DRG Psychoses 48 13 — — $12,662.29 $12,662.29 $12,662.29 2025-10-15
682 MS_DRG Renal Failure With Mcc 14 5 — — $12,634.71 $12,634.71 $12,634.71 2025-10-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 — — $12,253.74 $12,253.74 $12,253.74 2025-10-15
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 2 1 — — $12,165.13 $12,165.13 $12,165.13 2025-10-15
153 MS_DRG Otitis Media And Uri Without Mcc 6 3 — — $12,080.58 $12,080.58 $12,080.58 2025-10-15
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 2 — — $12,074.20 $12,074.20 $12,074.20 2025-10-15
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $11,996.49 $11,996.49 $11,996.49 2025-10-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 16 7 — — $11,955.08 $11,955.08 $11,955.08 2025-10-15
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 6 2 — — $11,921.04 $11,921.04 $11,921.04 2025-10-15
196 MS_DRG Interstitial Lung Disease With Mcc 6 2 — — $11,871.71 $11,871.71 $11,871.71 2025-10-15
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 2 1 — — $11,768.68 $11,768.68 $11,768.68 2025-10-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 40 13 — — $11,766.10 $11,766.10 $11,766.10 2025-10-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 3 — — $11,726.82 $11,726.82 $11,726.82 2025-10-15
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 2 1 — — $11,671.97 $11,671.97 $11,671.97 2025-10-15
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 1 — — $11,599.53 $11,599.53 $11,599.53 2025-10-15
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 4 — — $11,564.92 $11,564.92 $11,564.92 2025-10-15
602 MS_DRG Cellulitis With Mcc 14 6 — — $11,504.26 $11,504.26 $11,504.26 2025-10-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 2 1 — — $11,386.99 $11,386.99 $11,386.99 2025-10-15
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 2 1 — — $10,893.07 $10,893.07 $10,893.07 2025-10-15
596 MS_DRG Major Skin Disorders Without Mcc 2 1 — — $10,892.71 $10,892.71 $10,892.71 2025-10-15
919 MS_DRG Complications Of Treatment With Mcc 4 2 — — $10,815.56 $10,815.56 $10,815.56 2025-10-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 16 8 — — $10,516.32 $10,516.32 $10,516.32 2025-10-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 1 — — $10,514.96 $10,514.96 $10,514.96 2025-10-15
5115 OTHER Level 5 Musculoskeletal Procedures 14 4 — — $10,420.50 $10,420.50 $10,420.50 2025-10-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 14 5 — — $10,236.55 $10,236.55 $10,236.55 2025-10-15
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 10 5 — — $10,055.80 $10,055.80 $10,055.80 2025-10-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 16 6 — — $10,029.93 $10,029.93 $10,029.93 2025-10-15
638 MS_DRG Diabetes With Cc 18 8 — — $9,949.94 $9,949.94 $9,949.94 2025-10-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 6 — — $9,948.10 $9,948.10 $9,948.10 2025-10-15
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 16 8 — — $9,928.52 $9,928.52 $9,928.52 2025-10-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 20 7 — — $9,848.25 $9,848.25 $9,848.25 2025-10-15
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 6 3 — — $9,819.16 $9,819.16 $9,819.16 2025-10-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 4 1 — — $9,713.95 $9,713.95 $9,713.95 2025-10-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 5 — — $9,634.48 $9,634.48 $9,634.48 2025-10-15
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 6 3 — — $9,605.94 $9,605.94 $9,605.94 2025-10-15
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 8 4 — — $9,534.36 $9,534.36 $9,534.36 2025-10-15
882 MS_DRG Neuroses Except Depressive 14 6 — — $9,502.65 $9,502.65 $9,502.65 2025-10-15
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 6 3 — — $9,480.75 $9,480.75 $9,480.75 2025-10-15
571 MS_DRG Skin Debridement With Cc 2 1 — — $9,455.21 $9,455.21 $9,455.21 2025-10-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 30 11 — — $9,356.17 $9,356.17 $9,356.17 2025-10-15
200 MS_DRG Pneumothorax With Cc 2 1 — — $9,339.56 $9,339.56 $9,339.56 2025-10-15
637 MS_DRG Diabetes With Mcc 8 4 — — $9,323.01 $9,323.01 $9,323.01 2025-10-15
444 MS_DRG Disorders Of The Biliary Tract With Mcc 2 1 — — $9,228.43 $9,228.43 $9,228.43 2025-10-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $9,226.36 $9,226.36 $9,226.36 2025-10-15
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 8 4 — — $9,199.25 $9,199.25 $9,199.25 2025-10-15
184 MS_DRG Major Chest Trauma With Cc 2 1 — — $9,172.16 $9,172.16 $9,172.16 2025-10-15
311 MS_DRG Angina Pectoris 2 1 — — $9,142.47 $9,142.47 $9,142.47 2025-10-15
69 MS_DRG Transient Ischemia Without Thrombolytic 4 2 — — $9,135.95 $9,135.95 $9,135.95 2025-10-15
389 MS_DRG Gastrointestinal Obstruction With Cc 16 6 — — $9,106.67 $9,106.67 $9,106.67 2025-10-15
949 MS_DRG Aftercare With Cc/Mcc 2 1 — — $9,071.23 $9,071.23 $9,071.23 2025-10-15
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 4 2 — — $9,054.97 $9,054.97 $9,054.97 2025-10-15
68 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc 2 1 — — $8,928.73 $8,928.73 $8,928.73 2025-10-15
187 MS_DRG Pleural Effusion With Cc 2 1 — — $8,889.98 $8,889.98 $8,889.98 2025-10-15
864 MS_DRG Fever And Inflammatory Conditions 6 3 — — $8,853.48 $8,853.48 $8,853.48 2025-10-15
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 10 5 — — $8,837.63 $8,837.63 $8,837.63 2025-10-15
100 MS_DRG Seizures With Mcc 6 2 — — $8,835.30 $8,835.30 $8,835.30 2025-10-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $8,831.10 $8,831.10 $8,831.10 2025-10-15
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 6 3 — — $8,759.60 $8,759.60 $8,759.60 2025-10-15
811 MS_DRG Red Blood Cell Disorders With Mcc 8 3 — — $8,621.42 $8,621.42 $8,621.42 2025-10-15
546 MS_DRG Connective Tissue Disorders With Cc 2 1 — — $8,583.94 $8,583.94 $8,583.94 2025-10-15
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 2 1 — — $8,559.40 $8,559.40 $8,559.40 2025-10-15
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 34 11 — — $8,544.30 $8,544.30 $8,544.30 2025-10-15
92 MS_DRG Other Disorders Of Nervous System With Cc 4 2 — — $8,540.26 $8,540.26 $8,540.26 2025-10-15
375 MS_DRG Digestive Malignancy With Cc 2 1 — — $8,329.18 $8,329.18 $8,329.18 2025-10-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 18 9 — — $8,292.14 $8,292.14 $8,292.14 2025-10-15
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 6 2 — — $8,264.12 $8,264.12 $8,264.12 2025-10-15
603 MS_DRG Cellulitis Without Mcc 26 7 — — $8,207.14 $8,207.14 $8,207.14 2025-10-15
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 20 7 — — $8,132.56 $8,132.56 $8,132.56 2025-10-15
812 MS_DRG Red Blood Cell Disorders Without Mcc 16 5 — — $8,132.25 $8,132.25 $8,132.25 2025-10-15
5223 OTHER Level 3 Pacemaker And Similar Procedures 8 3 — — $8,061.48 $8,061.48 $8,061.48 2025-10-15
644 MS_DRG Endocrine Disorders With Cc 4 2 — — $7,983.49 $7,983.49 $7,983.49 2025-10-15
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 2 1 — — $7,973.27 $7,973.27 $7,973.27 2025-10-15
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 16 7 — — $7,962.16 $7,962.16 $7,962.16 2025-10-15
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 26 9 — — $7,947.85 $7,947.85 $7,947.85 2025-10-15
292 MS_DRG Heart Failure And Shock With Cc 2 1 — — $7,921.33 $7,921.33 $7,921.33 2025-10-15
881 MS_DRG Depressive Neuroses 8 4 — — $7,920.86 $7,920.86 $7,920.86 2025-10-15
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 14 7 — — $7,889.43 $7,889.43 $7,889.43 2025-10-15
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 2 1 — — $7,782.62 $7,782.62 $7,782.62 2025-10-15
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 6 2 — — $7,741.45 $7,741.45 $7,741.45 2025-10-15
5416 OTHER Level 6 Gynecologic Procedures 2 1 — — $7,736.04 $7,736.04 $7,736.04 2025-10-15
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 2 1 — — $7,706.39 $7,706.39 $7,706.39 2025-10-15
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 2 — — $7,703.88 $7,703.88 $7,703.88 2025-10-15
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 12 5 — — $7,663.80 $7,663.80 $7,663.80 2025-10-15
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 1 — — $7,595.39 $7,595.39 $7,595.39 2025-10-15
101 MS_DRG Seizures Without Mcc 6 3 — — $7,559.47 $7,559.47 $7,559.47 2025-10-15
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 8 4 — — $7,522.69 $7,522.69 $7,522.69 2025-10-15
552 MS_DRG Medical Back Problems Without Mcc 4 2 — — $7,502.98 $7,502.98 $7,502.98 2025-10-15
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 2 1 — — $7,443.35 $7,443.35 $7,443.35 2025-10-15
5222 OTHER Level 2 Pacemaker And Similar Procedures 10 4 — — $7,255.17 $7,255.17 $7,255.17 2025-10-15
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 4 2 — — $7,240.22 $7,240.22 $7,240.22 2025-10-15
5114 OTHER Level 4 Musculoskeletal Procedures 32 9 — — $7,216.65 $7,216.65 $7,216.65 2025-10-15
607 MS_DRG Minor Skin Disorders Without Mcc 2 1 — — $7,121.25 $7,121.25 $7,121.25 2025-10-15
312 MS_DRG Syncope And Collapse 4 2 — — $7,080.01 $7,080.01 $7,080.01 2025-10-15
394 MS_DRG Other Digestive System Diagnoses With Cc 8 3 — — $7,031.90 $7,031.90 $7,031.90 2025-10-15
550 MS_DRG Septic Arthritis Without Cc/Mcc 2 1 — — $7,011.11 $7,011.11 $7,011.11 2025-10-15
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 2 1 — — $6,950.57 $6,950.57 $6,950.57 2025-10-15
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 2 1 — — $6,933.10 $6,933.10 $6,933.10 2025-10-15
866 MS_DRG Viral Illness Without Mcc 4 2 — — $6,926.17 $6,926.17 $6,926.17 2025-10-15
948 MS_DRG Signs And Symptoms Without Mcc 4 2 — — $6,877.38 $6,877.38 $6,877.38 2025-10-15
886 MS_DRG Behavioral And Developmental Disorders 4 2 — — $6,758.44 $6,758.44 $6,758.44 2025-10-15
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 6 3 — — $6,698.11 $6,698.11 $6,698.11 2025-10-15
305 MS_DRG Hypertension Without Mcc 6 2 — — $6,648.32 $6,648.32 $6,648.32 2025-10-15
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 8 3 — — $6,642.83 $6,642.83 $6,642.83 2025-10-15
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 8 4 — — $6,435.36 $6,435.36 $6,435.36 2025-10-15
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 6 3 — — $6,416.09 $6,416.09 $6,416.09 2025-10-15
197 MS_DRG Interstitial Lung Disease With Cc 2 1 — — $6,397.98 $6,397.98 $6,397.98 2025-10-15
300 MS_DRG Peripheral Vascular Disorders With Cc 2 1 — — $6,317.74 $6,317.74 $6,317.74 2025-10-15
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 2 1 — — $6,247.86 $6,247.86 $6,247.86 2025-10-15
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 4 2 — — $6,016.94 $6,016.94 $6,016.94 2025-10-15
684 MS_DRG Renal Failure Without Cc/Mcc 4 2 — — $6,011.60 $6,011.60 $6,011.60 2025-10-15
639 MS_DRG Diabetes Without Cc/Mcc 18 7 — — $5,918.49 $5,918.49 $5,918.49 2025-10-15
54 MS_DRG Nervous System Neoplasms With Mcc 2 1 — — $5,838.40 $5,838.40 $5,838.40 2025-10-15
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 4 2 — — $5,823.95 $5,823.95 $5,823.95 2025-10-15
149 MS_DRG Dysequilibrium 4 2 — — $5,749.29 $5,749.29 $5,749.29 2025-10-15
947 MS_DRG Signs And Symptoms With Mcc 2 1 — — $5,621.87 $5,621.87 $5,621.87 2025-10-15
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 2 1 — — $5,544.65 $5,544.65 $5,544.65 2025-10-15
683 MS_DRG Renal Failure With Cc 20 6 — — $5,433.27 $5,433.27 $5,433.27 2025-10-15
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 12 6 — — $5,404.21 $5,404.21 $5,404.21 2025-10-15
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 1 — — $5,286.81 $5,286.81 $5,286.81 2025-10-15
5361 OTHER Level 1 Laparoscopy And Related Services 54 17 — — $5,252.49 $5,252.49 $5,252.49 2025-10-15
369 MS_DRG Major Esophageal Disorders With Cc 2 1 — — $5,182.77 $5,182.77 $5,182.77 2025-10-15
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 4 2 — — $5,145.95 $5,145.95 $5,145.95 2025-10-15
176 MS_DRG Pulmonary Embolism Without Mcc 6 3 — — $5,122.49 $5,122.49 $5,122.49 2025-10-15
5415 OTHER Level 5 Gynecologic Procedures 14 4 — — $5,106.18 $5,106.18 $5,106.18 2025-10-15
5113 OTHER Level 3 Musculoskeletal Procedures 34 11 — — $5,061.12 $5,061.12 $5,061.12 2025-10-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $4,846.89 $4,846.89 $4,846.89 2025-10-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 1 — — $4,639.18 $4,639.18 $4,639.18 2025-10-15
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc 2 1 — — $4,585.52 $4,585.52 $4,585.52 2025-10-15
378 MS_DRG Gastrointestinal Hemorrhage With Cc 6 3 — — $4,457.56 $4,457.56 $4,457.56 2025-10-15
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 34 12 — — $4,182.22 $4,182.22 $4,182.22 2025-10-15
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 8 4 — — $4,005.57 $4,005.57 $4,005.57 2025-10-15
5054 OTHER Level 4 Skin Procedures 12 5 — — $3,938.70 $3,938.70 $3,938.70 2025-10-15
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 8 4 — — $3,937.73 $3,937.73 $3,937.73 2025-10-15
5041 OTHER Critical Care 50 17 — — $3,837.62 $3,837.62 $3,837.62 2025-10-15
5694 OTHER Level 4 Drug Administration 6 2 — — $3,833.48 $3,833.48 $3,833.48 2025-10-15
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 1 — — $3,745.35 $3,745.35 $3,745.35 2025-10-15
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 4 2 — — $3,526.32 $3,526.32 $3,526.32 2025-10-15
883 MS_DRG Disorders Of Personality And Impulse Control 6 3 — — $3,401.95 $3,401.95 $3,401.95 2025-10-15
5303 OTHER Level 3 Upper Gi Procedures 2 1 — — $3,271.62 $3,271.62 $3,271.62 2025-10-15
5302 OTHER Level 2 Upper Gi Procedures 34 10 — — $3,235.76 $3,235.76 $3,235.76 2025-10-15
5183 OTHER Level 3 Vascular Procedures 14 7 — — $3,216.72 $3,216.72 $3,216.72 2025-10-15
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 2 1 — — $3,161.25 $3,161.25 $3,161.25 2025-10-15
5593 OTHER Level 3 Nuclear Medicine And Related Services 54 17 — — $3,141.58 $3,141.58 $3,141.58 2025-10-15
5414 OTHER Level 4 Gynecologic Procedures 26 8 — — $3,125.16 $3,125.16 $3,125.16 2025-10-15
374 MS_DRG Digestive Malignancy With Mcc 2 1 — — $3,048.68 $3,048.68 $3,048.68 2025-10-15
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 24 9 — — $3,042.51 $3,042.51 $3,042.51 2025-10-15
303 MS_DRG Atherosclerosis Without Mcc 2 1 — — $2,782.17 $2,782.17 $2,782.17 2025-10-15
5313 OTHER Level 3 Lower Gi Procedures 12 5 — — $2,646.55 $2,646.55 $2,646.55 2025-10-15
5312 OTHER Level 2 Lower Gi Procedures 54 18 — — $2,626.44 $2,626.44 $2,626.44 2025-10-15
5311 OTHER Level 1 Lower Gi Procedures 48 15 — — $2,591.41 $2,591.41 $2,591.41 2025-10-15
5164 OTHER Level 4 ENT Procedures 8 3 — — $2,581.72 $2,581.72 $2,581.72 2025-10-15
5491 OTHER Level 1 Intraocular Procedures 6 3 — — $2,432.47 $2,432.47 $2,432.47 2025-10-15
5112 OTHER Level 2 Musculoskeletal Procedures 40 12 — — $2,388.18 $2,388.18 $2,388.18 2025-10-15
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 2 1 — — $2,381.82 $2,381.82 $2,381.82 2025-10-15
5431 OTHER Level 1 Nerve Procedures 16 6 — — $2,030.59 $2,030.59 $2,030.59 2025-10-15
5153 OTHER Level 3 Airway Endoscopy 2 1 — — $2,015.68 $2,015.68 $2,015.68 2025-10-15
183 MS_DRG Major Chest Trauma With Mcc 2 1 — — $1,870.30 $1,870.30 $1,870.30 2025-10-15
5673 OTHER Level 3 Pathology 6 3 — — $1,766.57 $1,766.57 $1,766.57 2025-10-15
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc 2 1 — — $1,675.42 $1,675.42 $1,675.42 2025-10-15
5301 OTHER Level 1 Upper Gi Procedures 40 12 — — $1,618.61 $1,618.61 $1,618.61 2025-10-15
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 44 15 — — $1,594.23 $1,594.23 $1,594.23 2025-10-15
5442 OTHER Level 2 Nerve Injections 28 10 — — $1,430.13 $1,430.13 $1,430.13 2025-10-15
5025 OTHER Level 5 Type A Ed Visits 68 20 — — $1,379.12 $1,379.12 $1,379.12 2025-10-15
5591 OTHER Level 1 Nuclear Medicine And Related Services 20 7 — — $1,373.30 $1,373.30 $1,373.30 2025-10-15
5162 OTHER Level 2 ENT Procedures 6 3 — — $1,263.92 $1,263.92 $1,263.92 2025-10-15
5053 OTHER Level 3 Skin Procedures 16 6 — — $1,219.85 $1,219.85 $1,219.85 2025-10-15
5441 OTHER Level 1 Nerve Injections 54 17 — — $1,150.70 $1,150.70 $1,150.70 2025-10-15
5182 OTHER Level 2 Vascular Procedures 2 1 — — $1,145.95 $1,145.95 $1,145.95 2025-10-15
5781 OTHER Resuscitation And Cardioversion 28 10 — — $1,069.19 $1,069.19 $1,069.19 2025-10-15
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 42 13 — — $1,053.87 $1,053.87 $1,053.87 2025-10-15
5181 OTHER Level 1 Vascular Procedures 8 3 — — $1,053.82 $1,053.82 $1,053.82 2025-10-15
5592 OTHER Level 2 Nuclear Medicine And Related Services 20 7 — — $934.41 $934.41 $934.41 2025-10-15
5024 OTHER Level 4 Type A Ed Visits 72 20 — — $877.36 $877.36 $877.36 2025-10-15
5572 OTHER Level 2 Imaging With Contrast 52 15 — — $766.77 $766.77 $766.77 2025-10-15
5524 OTHER Level 4 Imaging Without Contrast 60 19 — — $697.48 $697.48 $697.48 2025-10-15
5722 OTHER Level 2 Diagnostic Tests And Related Services 58 18 — — $690.31 $690.31 $690.31 2025-10-15
5023 OTHER Level 3 Type A Ed Visits 74 21 — — $625.00 $625.00 $625.00 2025-10-15
5111 OTHER Level 1 Musculoskeletal Procedures 34 10 — — $620.82 $620.82 $620.82 2025-10-15
5021 OTHER Level 1 Type A Ed Visits 24 11 — — $608.65 $608.65 $608.65 2025-10-15
5371 OTHER Level 1 Urology And Related Services 10 4 — — $577.88 $577.88 $577.88 2025-10-15
5691 OTHER Level 1 Drug Administration 14 7 — — $559.05 $559.05 $559.05 2025-10-15
5052 OTHER Level 2 Skin Procedures 42 13 — — $493.00 $493.00 $493.00 2025-10-15
5051 OTHER Level 1 Skin Procedures 48 14 — — $416.00 $416.00 $416.00 2025-10-15
5411 OTHER Level 1 Gynecologic Procedures 4 2 — — $409.52 $409.52 $409.52 2025-10-15
5571 OTHER Level 1 Imaging With Contrast 46 14 — — $404.08 $404.08 $404.08 2025-10-15
5522 OTHER Level 2 Imaging Without Contrast 62 19 — — $396.50 $396.50 $396.50 2025-10-15
5413 OTHER Level 3 Gynecologic Procedures 2 1 — — $391.36 $391.36 $391.36 2025-10-15
5734 OTHER Level 4 Minor Procedures 48 16 — — $363.18 $363.18 $363.18 2025-10-15
5022 OTHER Level 2 Type A Ed Visits 54 16 — — $357.08 $357.08 $357.08 2025-10-15
5735 OTHER Level 5 Minor Procedures 12 4 — — $341.67 $341.67 $341.67 2025-10-15
N804 OTHER Mammography Services 60 19 — — $325.02 $325.02 $325.02 2025-10-15
5101 OTHER Level 1 Strapping And Cast Application 16 7 — — $272.33 $272.33 $272.33 2025-10-15
5791 OTHER Pulmonary Treatment 20 6 — — $264.96 $264.96 $264.96 2025-10-15
9398 OTHER Covid-19 Vaccine Admin Dose 2 Of 2, Single Dose Product Or Additional Dose 34 11 — — $241.10 $241.10 $241.10 2025-10-15
5733 OTHER Level 3 Minor Procedures 54 17 — — $239.37 $239.37 $239.37 2025-10-15
5721 OTHER Level 1 Diagnostic Tests And Related Services 40 10 — — $235.31 $235.31 $235.31 2025-10-15
5672 OTHER Level 2 Pathology 6 3 — — $216.68 $216.68 $216.68 2025-10-15
N900 OTHER Non-covered Services 20 7 — — $211.96 $211.96 $211.96 2025-10-15
N700 OTHER Non-opps Clinic Services 24 9 — — $196.32 $196.32 $196.32 2025-10-15
5823 OTHER Level 3 Health And Behavior Services 56 16 — — $192.06 $192.06 $192.06 2025-10-15
5741 OTHER Level 1 Electronic Analysis Of Devices 46 16 — — $167.94 $167.94 $167.94 2025-10-15
5521 OTHER Level 1 Imaging Without Contrast 58 18 — — $143.06 $143.06 $143.06 2025-10-15
5012 OTHER Clinic Visits And Related Services 28 10 — — $108.70 $108.70 $108.70 2025-10-15
5822 OTHER Level 2 Health And Behavior Services 14 5 — — $105.47 $105.47 $105.47 2025-10-15
5732 OTHER Level 2 Minor Procedures 38 14 — — $104.63 $104.63 $104.63 2025-10-15
N811 OTHER Observation, Other 2 1 — — $56.86 $56.86 $56.86 2025-10-15
5821 OTHER Level 1 Health And Behavior Services 2 1 — — $36.73 $36.73 $36.73 2025-10-15
N809 OTHER Other Medicine 36 13 — — $26.84 $26.84 $26.84 2025-10-15
N902 OTHER Packaged Services 0 0 — — — — — 2025-10-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 0 0 — — — — — 2025-10-15
884 MS_DRG Organic Disturbances And Intellectual Disability 0 0 — — — — — 2025-10-15
5412 OTHER Level 2 Gynecologic Procedures 0 0 — — — — — 2025-10-15
5692 OTHER Level 2 Drug Administration 0 0 — — — — — 2025-10-15
5693 OTHER Level 3 Drug Administration 0 0 — — — — — 2025-10-15
5241 OTHER Level 1 Blood Product Exchange And Related Services 0 0 — — — — — 2025-10-15
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 0 0 — — — — — 2025-10-15
5723 OTHER Level 3 Diagnostic Tests And Related Services 0 0 — — — — — 2025-10-15
5731 OTHER Level 1 Minor Procedures 0 0 — — — — — 2025-10-15
5102 OTHER Level 2 Strapping And Cast Application 0 0 — — — — — 2025-10-15
N800 OTHER Clinical Diagnostic Lab Services 0 0 — — — — — 2025-10-15
N801 OTHER Therapy Services 0 0 — — — — — 2025-10-15
5523 OTHER Level 3 Imaging Without Contrast 0 0 — — — — — 2025-10-15
See an error in this hospital's data? Submit a correction