Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ST CLOUD HOSPITAL

Saint Cloud, MN · CCN 240036 · Rates published

2,976 distinct procedures filed
8 distinct payers
116,357 rate rows
2024-12-30 last MRF observed · ⚠ 18 mo old
Data quality

25,544 of 116,357 rate rows are consumer-grade (22.0%)

90,813 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 89,184
per-diem day rate — not a per-procedure price 1,628
placeholder amount (≤ $0.02) — excluded from medians 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://www.centracare.com/app/files/public/f420426d-7940-495f-88ca-aba344457e49/920754820_centracare-benson-hospital_standardcharges.csv
Found on page https://www.centracare.com/patient-resources/estimates/pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 139fe920c5da7368… · 50,899,970 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J2350
HCPCS 		Ocrelizumab 30 Mg/ml IV Soln 8 $22,810.33 $45,620.65 $34,215.49 nat. median
$712
outlier · 48.1×
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml IV Soln 8 $6,772.86 $49,667.61 $28,220.24 nat. median
$4,664
outlier · 6.1×
J9022
HCPCS 		Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 8 $16,620.00 $16,620.00 $16,620.00 nat. median
$6,951
outlier · 2.4×
J3380
HCPCS 		Vedolizumab 300 Mg IV Solr 8 $8,422.93 $16,845.86 $13,681.50 nat. median
$288
outlier · 47.5×
J3101
HCPCS 		Tenecteplase 50 Mg IV Solr 8 $12,631.50 $12,631.50 $12,631.50 nat. median
$5,949
outlier · 2.1×
J2323
HCPCS 		Natalizumab 300 Mg/15 Ml IV Soln 8 $11,994.00 $11,994.00 $11,994.00 nat. median
$201
outlier · 59.8×
J9271
HCPCS 		Pembrolizumab 25 Mg/ml IV Soln 8 $5,957.34 $11,914.67 $8,936.00 nat. median
$736
outlier · 12.1×
J0517
HCPCS 		Benralizumab 30 Mg/ml Subq Syrg 8 $8,179.80 $8,179.80 $8,179.80 nat. median
$919
outlier · 8.9×
J1950
HCPCS 		Leuprolide (3 Month) 11.25 Mg IM Sykt 8 $7,801.80 $7,801.80 $7,801.80 nat. median
$4,345
1.8× median
J9173
HCPCS 		Durvalumab 50 Mg/ml IV Soln 8 $6,643.00 $6,643.00 $6,643.00 nat. median
$1,153
outlier · 5.8×
J0896
HCPCS 		Luspatercept-aamt 25 Mg Subq Solr 8 $6,597.00 $19,791.00 $6,597.00 nat. median
$4,612
1.4× median
J7168
HCPCS 		Hum Prothrombin Cplx(pcc)4fact 1,000 Unit (800-1240 Unit) IV Solr 8 $5,640.00 $5,640.00 $5,640.00 nat. median
$18
outlier · 318.8×
J2426
HCPCS 		Paliperidone Palmitate 234 Mg/1.5 Ml IM Syrg 8 $5,513.04 $5,513.04 $5,513.04 nat. median
$2,748
outlier · 2.0×
10
MS_DRG 		Pancreas Transplant 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$68,882
outlier · 0.1×
142
MS_DRG 		Major Head And Neck Procedures Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$16,535
outlier · 0.3×
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$12,674
outlier · 0.4×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$8,777
0.6× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$40,208
outlier · 0.1×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$13,305
outlier · 0.4×
150
MS_DRG 		Epistaxis With Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$13,970
outlier · 0.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$117,303
outlier · 0.0×
137
MS_DRG 		Mouth Procedures With Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$15,040
outlier · 0.4×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$12,358
outlier · 0.4×
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$13,811
outlier · 0.4×
122
MS_DRG 		Acute Major Eye Infections Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$8,314
0.6× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$40,916
outlier · 0.1×
139
MS_DRG 		Salivary Gland Procedures 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$13,450
outlier · 0.4×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$21,758
outlier · 0.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$265,286
outlier · 0.0×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$17,976
outlier · 0.3×
123
MS_DRG 		Neurological Eye Disorders 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$9,001
0.6× median
141
MS_DRG 		Major Head And Neck Procedures With Cc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$21,442
outlier · 0.2×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$9,128
0.6× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$27,767
outlier · 0.2×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$52,857
outlier · 0.1×
138
MS_DRG 		Mouth Procedures Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$9,553
0.6× median
102
MS_DRG 		Headaches With Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$12,128
outlier · 0.4×
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$11,112
outlier · 0.5×
117
MS_DRG 		Intraocular Procedures Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$11,651
outlier · 0.5×
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$22,714
outlier · 0.2×
101
MS_DRG 		Seizures Without Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$9,814
0.5× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$34,133
outlier · 0.2×
103
MS_DRG 		Headaches Without Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$9,337
0.6× median
113
MS_DRG 		Orbital Procedures With Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$22,772
outlier · 0.2×
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$17,652
outlier · 0.3×
115
MS_DRG 		Extraocular Procedures Except Orbit 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$15,714
outlier · 0.3×
100
MS_DRG 		Seizures With Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$19,360
outlier · 0.3×
114
MS_DRG 		Orbital Procedures Without Cc/mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$13,594
outlier · 0.4×
149
MS_DRG 		Dysequilibrium 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$8,478
0.6× median
151
MS_DRG 		Epistaxis Without Mcc 5 $5,345.51 $5,345.51 $5,345.51 nat. median
$8,441
0.6× median

Other procedures at this hospital

Browse this hospital's 2,976 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
             
386 MS_DRG Inflammatory Bowel Disease With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
412 MS_DRG Cholecystectomy With C.d.e. With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
378 MS_DRG Gastrointestinal Hemorrhage With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
399 MS_DRG Appendix Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
380 MS_DRG Complicated Peptic Ulcer With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
397 MS_DRG Appendix Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
389 MS_DRG Gastrointestinal Obstruction With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
368 MS_DRG Major Esophageal Disorders With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
315 MS_DRG Other Circulatory System Diagnoses With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
305 MS_DRG Hypertension Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
376 MS_DRG Digestive Malignancy Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
333 MS_DRG Rectal Resection With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
38 MS_DRG Extracranial Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
245 MS_DRG Aicd Generator Procedures 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
398 MS_DRG Appendix Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
374 MS_DRG Digestive Malignancy With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
394 MS_DRG Other Digestive System Diagnoses With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
393 MS_DRG Other Digestive System Diagnoses With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
381 MS_DRG Complicated Peptic Ulcer With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
375 MS_DRG Digestive Malignancy With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
37 MS_DRG Extracranial Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
369 MS_DRG Major Esophageal Disorders With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
39 MS_DRG Extracranial Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
314 MS_DRG Other Circulatory System Diagnoses With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
215 MS_DRG Other Heart Assist System Implant 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
196 MS_DRG Interstitial Lung Disease With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
252 MS_DRG Other Vascular Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
165 MS_DRG Major Chest Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
348 MS_DRG Anal And Stomal Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
293 MS_DRG Heart Failure And Shock Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
304 MS_DRG Hypertension With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
30 MS_DRG Spinal Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
32 MS_DRG Ventricular Shunt Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
184 MS_DRG Major Chest Trauma With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
334 MS_DRG Rectal Resection Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
385 MS_DRG Inflammatory Bowel Disease With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
313 MS_DRG Chest Pain 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
263 MS_DRG Vein Ligation And Stripping 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
265 MS_DRG Aicd Lead Procedures 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
311 MS_DRG Angina Pectoris 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
347 MS_DRG Anal And Stomal Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
264 MS_DRG Other Circulatory System O.r. Procedures 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
336 MS_DRG Peritoneal Adhesiolysis With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
163 MS_DRG Major Chest Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
254 MS_DRG Other Vascular Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
180 MS_DRG Respiratory Neoplasms With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
117 MS_DRG Intraocular Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
188 MS_DRG Pleural Effusion Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
202 MS_DRG Bronchitis And Asthma With Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
176 MS_DRG Pulmonary Embolism Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
292 MS_DRG Heart Failure And Shock With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
199 MS_DRG Pneumothorax With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
164 MS_DRG Major Chest Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
149 MS_DRG Dysequilibrium 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
139 MS_DRG Salivary Gland Procedures 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
187 MS_DRG Pleural Effusion With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
121 MS_DRG Acute Major Eye Infections With Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
141 MS_DRG Major Head And Neck Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
291 MS_DRG Heart Failure And Shock With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
152 MS_DRG Otitis Media And Uri With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
101 MS_DRG Seizures Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
189 MS_DRG Pulmonary Edema And Respiratory Failure 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
125 MS_DRG Other Disorders Of The Eye Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
140 MS_DRG Major Head And Neck Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
201 MS_DRG Pneumothorax Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
103 MS_DRG Headaches Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
300 MS_DRG Peripheral Vascular Disorders With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
100 MS_DRG Seizures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
253 MS_DRG Other Vascular Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
137 MS_DRG Mouth Procedures With Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
28 MS_DRG Spinal Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
138 MS_DRG Mouth Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
158 MS_DRG Dental And Oral Diseases With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
299 MS_DRG Peripheral Vascular Disorders With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
113 MS_DRG Orbital Procedures With Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
178 MS_DRG Respiratory Infections And Inflammations With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
123 MS_DRG Neurological Eye Disorders 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
157 MS_DRG Dental And Oral Diseases With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
200 MS_DRG Pneumothorax With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
332 MS_DRG Rectal Resection With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
183 MS_DRG Major Chest Trauma With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
114 MS_DRG Orbital Procedures Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
289 MS_DRG Acute And Subacute Endocarditis With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
302 MS_DRG Atherosclerosis With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
388 MS_DRG Gastrointestinal Obstruction With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
204 MS_DRG Respiratory Signs And Symptoms 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
102 MS_DRG Headaches With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
14 MS_DRG Allogeneic Bone Marrow Transplant 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
151 MS_DRG Epistaxis Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
150 MS_DRG Epistaxis With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
181 MS_DRG Respiratory Neoplasms With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
297 MS_DRG Cardiac Arrest, Unexplained With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
10 MS_DRG Pancreas Transplant 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
115 MS_DRG Extraocular Procedures Except Orbit 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
205 MS_DRG Other Respiratory System Diagnoses With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
303 MS_DRG Atherosclerosis Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
116 MS_DRG Intraocular Procedures With Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
153 MS_DRG Otitis Media And Uri Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
312 MS_DRG Syncope And Collapse 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
186 MS_DRG Pleural Effusion With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
185 MS_DRG Major Chest Trauma Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
197 MS_DRG Interstitial Lung Disease With Cc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 10 5 — — $5,345.51 $5,345.51 $5,345.51 2024-12-30
J2426 HCPCS Paliperidone Palmitate 234 Mg/1.5 Ml IM Syrg 24 8 $6,516.30 $4,887.22 25% off $5,513.04 $5,513.04 $5,513.04 2024-12-30
J7168 HCPCS Hum Prothrombin Cplx(pcc)4fact 1,000 Unit (800-1240 Unit) IV Solr 24 8 $8,920.33 $6,690.25 25% off $5,640.00 $5,640.00 $5,640.00 2024-12-30
J0896 HCPCS Luspatercept-aamt 25 Mg Subq Solr 25 8 $7,405.54 $5,554.15 25% off $6,597.00 $19,791.00 $6,597.00 2024-12-30
J9173 HCPCS Durvalumab 50 Mg/ml IV Soln 24 8 $7,732.38 $5,799.28 25% off $6,643.00 $6,643.00 $6,643.00 2024-12-30
J1950 HCPCS Leuprolide (3 Month) 11.25 Mg IM Sykt 24 8 $10,269.50 $7,702.12 25% off $7,801.80 $7,801.80 $7,801.80 2024-12-30
J0517 HCPCS Benralizumab 30 Mg/ml Subq Syrg 24 8 $11,328.52 $8,496.39 25% off $8,179.80 $8,179.80 $8,179.80 2024-12-30
J9271 HCPCS Pembrolizumab 25 Mg/ml IV Soln 24 8 $11,538.72 $8,654.04 25% off $5,957.34 $11,914.67 $8,936.00 2024-12-30
J2323 HCPCS Natalizumab 300 Mg/15 Ml IV Soln 24 8 $17,037.89 $12,778.42 25% off $11,994.00 $11,994.00 $11,994.00 2024-12-30
J3101 HCPCS Tenecteplase 50 Mg IV Solr 24 8 $15,620.76 $11,715.57 25% off $12,631.50 $12,631.50 $12,631.50 2024-12-30
J3380 HCPCS Vedolizumab 300 Mg IV Solr 24 8 $17,295.03 $12,971.27 25% off $8,422.93 $16,845.86 $13,681.50 2024-12-30
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 24 8 $21,800.10 $16,350.07 25% off $16,620.00 $16,620.00 $16,620.00 2024-12-30
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml IV Soln 28 8 $46,859.35 $35,144.51 25% off $6,772.86 $49,667.61 $28,220.24 2024-12-30
J2350 HCPCS Ocrelizumab 30 Mg/ml IV Soln 24 8 $39,342.02 $29,506.51 25% off $22,810.33 $45,620.65 $34,215.49 2024-12-30
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