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

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Hospital

ST JOSEPH HOSPITAL

Nashua, NH · CCN 300011 · Rates published

490 distinct procedures filed
53 distinct payers
382,859 rate rows
2025-08-01 last MRF observed · ⚠ 12 mo old
Data quality

2,133 of 382,859 rate rows are consumer-grade (0.6%)

380,726 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 380,526
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 200

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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://stjosephhospital.com/CMS%20Files/020222215_st-joseph-hospital-of-nashua_standardcharges.csv
Found on page https://stjosephhospital.com/pricing/
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint 73fd4f3dcbae128d… · 5,104,889 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
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $200,339.59 $200,339.59 $200,339.59 nat. median
$68,581
outlier · 2.9×
9343
OTHER 		Inj Givosiran 0.5 Mg 2 $125,764.74 $125,764.74 $125,764.74 nat. median
$121
outlier · 1042.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $112,809.76 $112,809.76 $112,809.76 nat. median
$132,706
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $102,186.76 $102,186.76 $102,186.76 nat. median
$62,218
1.6× median
9494
OTHER 		Injection, Ocrelizumab 4 $97,175.12 $97,175.12 $97,175.12 nat. median
$61
outlier · 1590.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $84,493.51 $84,493.51 $84,493.51 nat. median
$65,958
1.3× median
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 $83,655.10 $83,655.10 $83,655.10 nat. median
$22,336
outlier · 3.7×
9492
OTHER 		Inj., Durvalumab, 10 Mg 1 $77,999.96 $77,999.96 $77,999.96 nat. median
$87
outlier · 894.0×
813
MS_DRG 		Coagulation Disorders 3 $74,336.46 $74,336.46 $74,336.46 nat. median
$15,573
outlier · 4.8×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $71,111.91 $71,111.91 $71,111.91 nat. median
$47,513
1.5× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 $63,797.60 $63,797.60 $63,797.60 nat. median
$47,707
1.3× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 1 $63,256.57 $63,256.57 $63,256.57 nat. median
$40,773
1.6× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 1 $59,073.88 $59,073.88 $59,073.88 nat. median
$28,364
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $55,247.36 $55,247.36 $55,247.36 nat. median
$71,485
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 2 $53,202.76 $53,202.76 $53,202.76 nat. median
$98,002
0.5× median
9276
OTHER 		Cabazitaxel Injection 1 $50,445.68 $50,445.68 $50,445.68 nat. median
$232
outlier · 217.8×
570
MS_DRG 		Skin Debridement With Mcc 1 $49,807.70 $49,807.70 $49,807.70 nat. median
$29,069
1.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 $47,520.37 $47,520.37 $47,520.37 nat. median
$24,391
1.9× median
5093
OTHER 		Level 3 Breast/Lymphatic Surgery And Related Procedures 1 $46,885.70 $46,885.70 $46,885.70 nat. median
$8,962
outlier · 5.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $46,297.43 $46,297.43 $46,297.43 nat. median
$44,514
1.0× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 $46,226.33 $46,226.33 $46,226.33 nat. median
$22,178
outlier · 2.1×
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 2 $45,925.30 $45,925.30 $45,925.30 nat. median
$16,222
outlier · 2.8×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $45,840.15 $45,840.15 $45,840.15 nat. median
$60,294
0.8× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $45,513.30 $45,513.30 $45,513.30 nat. median
$34,366
1.3× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/Mcc 3 $44,903.16 $44,903.16 $44,903.16 nat. median
$24,413
1.8× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 6 $44,817.75 $44,817.75 $44,817.75 nat. median
$19,883
outlier · 2.3×
55
MS_DRG 		Nervous System Neoplasms Without Mcc 1 $44,120.96 $44,120.96 $44,120.96 nat. median
$11,231
outlier · 3.9×
983
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 1 $43,875.30 $43,875.30 $43,875.30 nat. median
$17,327
outlier · 2.5×
793
MS_DRG 		Full Term Neonate With Major Problems 3 $43,031.62 $43,031.62 $43,031.62 nat. median
$33,329
1.3× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 $43,005.24 $43,005.24 $43,005.24 nat. median
$33,473
1.3× median
9186
OTHER 		Inj., Rituximab, 10 Mg 1 $40,222.72 $40,222.72 $40,222.72 nat. median
$78
outlier · 512.4×
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 $40,062.58 $40,062.58 $40,062.58 nat. median
$27,918
1.4× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 5 $39,704.15 $39,704.15 $39,704.15 nat. median
$29,471
1.3× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 $37,996.93 $37,996.93 $37,996.93 nat. median
$26,590
1.4× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 7 $37,660.72 $37,660.72 $37,660.72 nat. median
$21,418
1.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $37,638.01 $37,638.01 $37,638.01 nat. median
$50,808
0.7× median
9287
OTHER 		Brentuximab Vedotin Inj 1 $37,421.03 $37,421.03 $37,421.03 nat. median
$268
outlier · 139.4×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 $37,217.35 $37,217.35 $37,217.35 nat. median
$41,285
0.9× median
244
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Cc/Mcc 4 $37,073.03 $37,073.03 $37,073.03 nat. median
$18,912
2.0× median
9284
OTHER 		Ipilimumab Injection 2 $36,861.78 $36,861.78 $36,861.78 nat. median
$189
outlier · 195.3×
5231
OTHER 		Level 1 Icd And Similar Procedures 2 $35,726.28 $35,726.28 $35,726.28 nat. median
$23,228
1.5× median
322
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 7 $35,298.02 $35,298.02 $35,298.02 nat. median
$18,719
1.9× median
243
MS_DRG 		Permanent Cardiac Pacemaker Implant With Cc 3 $34,099.24 $34,099.24 $34,099.24 nat. median
$22,401
1.5× median
62
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 $32,407.51 $32,407.51 $32,407.51 nat. median
$18,311
1.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $32,364.31 $32,364.31 $32,364.31 nat. median
$45,808
0.7× median
5223
OTHER 		Level 3 Pacemaker And Similar Procedures 3 $31,347.11 $31,347.11 $31,347.11 nat. median
$10,915
outlier · 2.9×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 5 $31,085.37 $31,085.37 $31,085.37 nat. median
$17,453
1.8× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 3 $30,801.19 $30,801.19 $30,801.19 nat. median
$20,500
1.5× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 2 $30,722.38 $30,722.38 $30,722.38 nat. median
$42,341
0.7× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 2 $30,645.17 $30,645.17 $30,645.17 nat. median
$27,037
1.1× median

Other procedures at this hospital

Browse this hospital's 490 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
             
5183 OTHER Level 3 Vascular Procedures 19 12 — — $7,406.44 $7,406.44 $7,406.44 2025-08-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 1 — — $7,503.88 $7,503.88 $7,503.88 2025-08-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 2 2 — — $7,517.28 $7,517.28 $7,517.28 2025-08-01
883 MS_DRG Disorders Of Personality And Impulse Control 5 5 — — $7,580.86 $7,580.86 $7,580.86 2025-08-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 6 5 — — $7,611.38 $7,611.38 $7,611.38 2025-08-01
5113 OTHER Level 3 Musculoskeletal Procedures 18 8 — — $7,617.82 $7,617.82 $7,617.82 2025-08-01
5161 OTHER Level 1 ENT Procedures 5 5 — — $7,642.36 $7,642.36 $7,642.36 2025-08-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 1 — — $7,648.19 $7,648.19 $7,648.19 2025-08-01
882 MS_DRG Neuroses Except Depressive 4 4 — — $7,689.29 $7,689.29 $7,689.29 2025-08-01
305 MS_DRG Hypertension Without Mcc 4 4 — — $7,702.50 $7,702.50 $7,702.50 2025-08-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 1 1 — — $7,710.79 $7,710.79 $7,710.79 2025-08-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 3 3 — — $7,763.65 $7,763.65 $7,763.65 2025-08-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 5 4 — — $7,780.60 $7,780.60 $7,780.60 2025-08-01
1471 OTHER Injection, Pertuzumab, 1 Mg 1 1 — — $7,788.30 $7,788.30 $7,788.30 2025-08-01
152 MS_DRG Otitis Media And Uri With Mcc 2 2 — — $7,805.29 $7,805.29 $7,805.29 2025-08-01
639 MS_DRG Diabetes Without Cc/Mcc 3 3 — — $7,807.44 $7,807.44 $7,807.44 2025-08-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 2 2 — — $7,808.97 $7,808.97 $7,808.97 2025-08-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 5 5 — — $7,935.64 $7,935.64 $7,935.64 2025-08-01
1476 OTHER Obinutuzumab Inj 2 2 — — $7,951.28 $7,951.28 $7,951.28 2025-08-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 11 8 — — $7,971.44 $7,971.44 $7,971.44 2025-08-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 12 8 — — $7,973.72 $7,973.72 $7,973.72 2025-08-01
5313 OTHER Level 3 Lower Gi Procedures 7 5 — — $8,032.15 $8,032.15 $8,032.15 2025-08-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 1 1 — — $8,081.76 $8,081.76 $8,081.76 2025-08-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 3 3 — — $8,097.83 $8,097.83 $8,097.83 2025-08-01
9367 OTHER Inj Ruxience, 10 Mg 1 1 — — $8,163.14 $8,163.14 $8,163.14 2025-08-01
9160 OTHER Inj, Acetaminophen (b Braun) 1 1 — — $8,260.62 $8,260.62 $8,260.62 2025-08-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 12 10 — — $8,334.45 $8,334.45 $8,334.45 2025-08-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 2 2 — — $8,368.51 $8,368.51 $8,368.51 2025-08-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 4 4 — — $8,375.14 $8,375.14 $8,375.14 2025-08-01
797 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Cc 1 1 — — $8,480.89 $8,480.89 $8,480.89 2025-08-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $8,486.82 $8,486.82 $8,486.82 2025-08-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $8,504.84 $8,504.84 $8,504.84 2025-08-01
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 1 1 — — $8,528.05 $8,528.05 $8,528.05 2025-08-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 3 3 — — $8,558.58 $8,558.58 $8,558.58 2025-08-01
603 MS_DRG Cellulitis Without Mcc 9 9 — — $8,558.68 $8,558.68 $8,558.68 2025-08-01
5414 OTHER Level 4 Gynecologic Procedures 17 10 — — $8,594.30 $8,594.30 $8,594.30 2025-08-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 3 3 — — $8,623.35 $8,623.35 $8,623.35 2025-08-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 11 10 — — $8,661.32 $8,661.32 $8,661.32 2025-08-01
602 MS_DRG Cellulitis With Mcc 5 5 — — $8,663.97 $8,663.97 $8,663.97 2025-08-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 1 1 — — $8,732.29 $8,732.29 $8,732.29 2025-08-01
5055 OTHER Level 5 Skin Procedures 2 1 — — $8,736.30 $8,736.30 $8,736.30 2025-08-01
551 MS_DRG Medical Back Problems With Mcc 5 5 — — $8,836.85 $8,836.85 $8,836.85 2025-08-01
9483 OTHER Inj, Atezolizumab,10 Mg 1 1 — — $8,842.09 $8,842.09 $8,842.09 2025-08-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $8,883.49 $8,883.49 $8,883.49 2025-08-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 6 6 — — $8,912.68 $8,912.68 $8,912.68 2025-08-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 1 1 — — $8,964.32 $8,964.32 $8,964.32 2025-08-01
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/Mcc 3 3 — — $9,035.98 $9,035.98 $9,035.98 2025-08-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 18 12 — — $9,074.27 $9,074.27 $9,074.27 2025-08-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 — — $9,121.07 $9,121.07 $9,121.07 2025-08-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 1 1 — — $9,148.98 $9,148.98 $9,148.98 2025-08-01
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc 1 1 — — $9,182.51 $9,182.51 $9,182.51 2025-08-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $9,257.02 $9,257.02 $9,257.02 2025-08-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $9,311.43 $9,311.43 $9,311.43 2025-08-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 18 10 — — $9,327.76 $9,327.76 $9,327.76 2025-08-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 4 3 — — $9,330.38 $9,330.38 $9,330.38 2025-08-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 1 1 — — $9,435.45 $9,435.45 $9,435.45 2025-08-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/Mcc 1 1 — — $9,522.18 $9,522.18 $9,522.18 2025-08-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 1 1 — — $9,542.67 $9,542.67 $9,542.67 2025-08-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $9,571.59 $9,571.59 $9,571.59 2025-08-01
552 MS_DRG Medical Back Problems Without Mcc 7 6 — — $9,577.42 $9,577.42 $9,577.42 2025-08-01
5154 OTHER Level 4 Airway Endoscopy 11 10 — — $9,627.14 $9,627.14 $9,627.14 2025-08-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 9 8 — — $9,700.15 $9,700.15 $9,700.15 2025-08-01
5165 OTHER Level 5 ENT Procedures 5 4 — — $9,749.69 $9,749.69 $9,749.69 2025-08-01
196 MS_DRG Interstitial Lung Disease With Mcc 4 4 — — $9,770.56 $9,770.56 $9,770.56 2025-08-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 7 7 — — $9,901.26 $9,901.26 $9,901.26 2025-08-01
176 MS_DRG Pulmonary Embolism Without Mcc 6 3 — — $9,935.46 $9,935.46 $9,935.46 2025-08-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 1 — — $9,977.73 $9,977.73 $9,977.73 2025-08-01
9378 OTHER Daratumumab, Hyaluronidase 3 3 — — $9,992.43 $9,992.43 $9,992.43 2025-08-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 5 4 — — $10,150.92 $10,150.92 $10,150.92 2025-08-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 7 6 — — $10,248.79 $10,248.79 $10,248.79 2025-08-01
9200 OTHER Inj, Remdesivir, 1 Mg 2 2 — — $10,274.54 $10,274.54 $10,274.54 2025-08-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 1 1 — — $10,388.04 $10,388.04 $10,388.04 2025-08-01
638 MS_DRG Diabetes With Cc 8 7 — — $10,491.61 $10,491.61 $10,491.61 2025-08-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $10,505.65 $10,505.65 $10,505.65 2025-08-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 5 3 — — $10,581.06 $10,581.06 $10,581.06 2025-08-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $10,631.38 $10,631.38 $10,631.38 2025-08-01
683 MS_DRG Renal Failure With Cc 5 5 — — $10,698.90 $10,698.90 $10,698.90 2025-08-01
9443 OTHER Gallium Illuccix 1 Millicure 9 6 — — $10,727.01 $10,727.01 $10,727.01 2025-08-01
186 MS_DRG Pleural Effusion With Mcc 2 2 — — $10,781.90 $10,781.90 $10,781.90 2025-08-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 6 5 — — $10,817.36 $10,817.36 $10,817.36 2025-08-01
794 MS_DRG Neonate With Other Significant Problems 11 8 — — $10,885.57 $10,885.57 $10,885.57 2025-08-01
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 1 1 — — $10,968.85 $10,968.85 $10,968.85 2025-08-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 4 2 — — $11,090.48 $11,090.48 $11,090.48 2025-08-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $11,165.35 $11,165.35 $11,165.35 2025-08-01
935 MS_DRG Non-extensive Burns 1 1 — — $11,221.80 $11,221.80 $11,221.80 2025-08-01
103 MS_DRG Headaches Without Mcc 2 2 — — $11,254.56 $11,254.56 $11,254.56 2025-08-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $11,273.28 $11,273.28 $11,273.28 2025-08-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 19 9 — — $11,278.08 $11,278.08 $11,278.08 2025-08-01
964 MS_DRG Other Multiple Significant Trauma With Cc 1 1 — — $11,343.25 $11,343.25 $11,343.25 2025-08-01
547 MS_DRG Connective Tissue Disorders Without Cc/Mcc 1 1 — — $11,375.43 $11,375.43 $11,375.43 2025-08-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 4 3 — — $11,509.99 $11,509.99 $11,509.99 2025-08-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 4 — — $11,527.18 $11,527.18 $11,527.18 2025-08-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 1 1 — — $11,530.38 $11,530.38 $11,530.38 2025-08-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 10 9 — — $11,617.41 $11,617.41 $11,617.41 2025-08-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 7 5 — — $11,618.07 $11,618.07 $11,618.07 2025-08-01
389 MS_DRG Gastrointestinal Obstruction With Cc 6 6 — — $11,714.31 $11,714.31 $11,714.31 2025-08-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $11,752.49 $11,752.49 $11,752.49 2025-08-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 9 — — $11,753.35 $11,753.35 $11,753.35 2025-08-01
1490 OTHER Inj Pembrolizumab 9 8 — — $11,800.76 $11,800.76 $11,800.76 2025-08-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 — — $11,818.11 $11,818.11 $11,818.11 2025-08-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $11,907.12 $11,907.12 $11,907.12 2025-08-01
101 MS_DRG Seizures Without Mcc 9 7 — — $12,050.02 $12,050.02 $12,050.02 2025-08-01
9133 OTHER Rabies Ig, Im/sc 9 6 — — $12,099.70 $12,099.70 $12,099.70 2025-08-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $12,231.39 $12,231.39 $12,231.39 2025-08-01
394 MS_DRG Other Digestive System Diagnoses With Cc 9 6 — — $12,347.43 $12,347.43 $12,347.43 2025-08-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 1 1 — — $12,399.18 $12,399.18 $12,399.18 2025-08-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 3 3 — — $12,417.27 $12,417.27 $12,417.27 2025-08-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 8 7 — — $12,490.47 $12,490.47 $12,490.47 2025-08-01
369 MS_DRG Major Esophageal Disorders With Cc 1 1 — — $12,617.16 $12,617.16 $12,617.16 2025-08-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $12,647.32 $12,647.32 $12,647.32 2025-08-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 3 3 — — $12,673.80 $12,673.80 $12,673.80 2025-08-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 2 2 — — $12,706.29 $12,706.29 $12,706.29 2025-08-01
375 MS_DRG Digestive Malignancy With Cc 2 1 — — $12,727.67 $12,727.67 $12,727.67 2025-08-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 3 — — $12,773.21 $12,773.21 $12,773.21 2025-08-01
864 MS_DRG Fever And Inflammatory Conditions 2 2 — — $12,780.93 $12,780.93 $12,780.93 2025-08-01
38 MS_DRG Extracranial Procedures With Cc 3 3 — — $12,782.06 $12,782.06 $12,782.06 2025-08-01
1488 OTHER Injection, Ramucirumab 1 1 — — $12,802.53 $12,802.53 $12,802.53 2025-08-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 1 1 — — $12,825.16 $12,825.16 $12,825.16 2025-08-01
5191 OTHER Level 1 Endovascular Procedures 18 10 — — $12,924.75 $12,924.75 $12,924.75 2025-08-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 — — $12,937.54 $12,937.54 $12,937.54 2025-08-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 2 — — $12,989.00 $12,989.00 $12,989.00 2025-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $13,134.37 $13,134.37 $13,134.37 2025-08-01
884 MS_DRG Organic Disturbances And Intellectual Disability 3 2 — — $13,147.81 $13,147.81 $13,147.81 2025-08-01
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 2 2 — — $13,214.75 $13,214.75 $13,214.75 2025-08-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $13,412.08 $13,412.08 $13,412.08 2025-08-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 2 2 — — $13,457.79 $13,457.79 $13,457.79 2025-08-01
313 MS_DRG Chest Pain 4 2 — — $13,549.68 $13,549.68 $13,549.68 2025-08-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 9 6 — — $13,568.99 $13,568.99 $13,568.99 2025-08-01
398 MS_DRG Appendix Procedures With Cc 3 2 — — $13,576.47 $13,576.47 $13,576.47 2025-08-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 1 1 — — $13,579.47 $13,579.47 $13,579.47 2025-08-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 2 — — $13,604.89 $13,604.89 $13,604.89 2025-08-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $13,607.92 $13,607.92 $13,607.92 2025-08-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $13,696.70 $13,696.70 $13,696.70 2025-08-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 — — $13,713.82 $13,713.82 $13,713.82 2025-08-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 11 8 — — $13,764.38 $13,764.38 $13,764.38 2025-08-01
811 MS_DRG Red Blood Cell Disorders With Mcc 5 4 — — $14,014.92 $14,014.92 $14,014.92 2025-08-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 14 9 — — $14,029.26 $14,029.26 $14,029.26 2025-08-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $14,043.94 $14,043.94 $14,043.94 2025-08-01
5375 OTHER Level 5 Urology And Related Services 19 11 — — $14,108.82 $14,108.82 $14,108.82 2025-08-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 13 9 — — $14,163.57 $14,163.57 $14,163.57 2025-08-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 — — $14,282.81 $14,282.81 $14,282.81 2025-08-01
886 MS_DRG Behavioral And Developmental Disorders 1 1 — — $14,325.60 $14,325.60 $14,325.60 2025-08-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $14,352.08 $14,352.08 $14,352.08 2025-08-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 — — $14,399.50 $14,399.50 $14,399.50 2025-08-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $14,629.54 $14,629.54 $14,629.54 2025-08-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 6 5 — — $14,857.85 $14,857.85 $14,857.85 2025-08-01
291 MS_DRG Heart Failure And Shock With Mcc 15 11 — — $14,931.03 $14,931.03 $14,931.03 2025-08-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $14,964.60 $14,964.60 $14,964.60 2025-08-01
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 3 2 — — $15,111.85 $15,111.85 $15,111.85 2025-08-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 10 6 — — $15,159.20 $15,159.20 $15,159.20 2025-08-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 1 1 — — $15,195.65 $15,195.65 $15,195.65 2025-08-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 5 2 — — $15,201.10 $15,201.10 $15,201.10 2025-08-01
682 MS_DRG Renal Failure With Mcc 10 7 — — $15,201.99 $15,201.99 $15,201.99 2025-08-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 2 — — $15,301.29 $15,301.29 $15,301.29 2025-08-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 2 2 — — $15,352.25 $15,352.25 $15,352.25 2025-08-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 1 1 — — $15,509.49 $15,509.49 $15,509.49 2025-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $15,556.45 $15,556.45 $15,556.45 2025-08-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $15,567.51 $15,567.51 $15,567.51 2025-08-01
92 MS_DRG Other Disorders Of Nervous System With Cc 7 6 — — $15,602.83 $15,602.83 $15,602.83 2025-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $15,805.37 $15,805.37 $15,805.37 2025-08-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $15,885.28 $15,885.28 $15,885.28 2025-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 6 — — $16,002.26 $16,002.26 $16,002.26 2025-08-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $16,026.77 $16,026.77 $16,026.77 2025-08-01
669 MS_DRG Transurethral Procedures With Cc 2 2 — — $16,048.31 $16,048.31 $16,048.31 2025-08-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 5 4 — — $16,142.20 $16,142.20 $16,142.20 2025-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $16,237.11 $16,237.11 $16,237.11 2025-08-01
381 MS_DRG Complicated Peptic Ulcer With Cc 5 3 — — $16,286.59 $16,286.59 $16,286.59 2025-08-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 5 4 — — $16,495.15 $16,495.15 $16,495.15 2025-08-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $16,527.24 $16,527.24 $16,527.24 2025-08-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 6 4 — — $16,555.26 $16,555.26 $16,555.26 2025-08-01
950 MS_DRG Aftercare Without Cc/Mcc 1 1 — — $16,565.33 $16,565.33 $16,565.33 2025-08-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 7 — — $16,641.74 $16,641.74 $16,641.74 2025-08-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $16,647.19 $16,647.19 $16,647.19 2025-08-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 — — $16,666.28 $16,666.28 $16,666.28 2025-08-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 7 4 — — $17,006.41 $17,006.41 $17,006.41 2025-08-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $17,156.37 $17,156.37 $17,156.37 2025-08-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 1 1 — — $17,325.04 $17,325.04 $17,325.04 2025-08-01
100 MS_DRG Seizures With Mcc 5 5 — — $17,394.58 $17,394.58 $17,394.58 2025-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $17,498.32 $17,498.32 $17,498.32 2025-08-01
5376 OTHER Level 6 Urology And Related Services 2 2 — — $17,553.83 $17,553.83 $17,553.83 2025-08-01
885 MS_DRG Psychoses 12 10 — — $17,555.78 $17,555.78 $17,555.78 2025-08-01
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $17,621.63 $17,621.63 $17,621.63 2025-08-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $17,974.24 $17,974.24 $17,974.24 2025-08-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $18,108.57 $18,108.57 $18,108.57 2025-08-01
374 MS_DRG Digestive Malignancy With Mcc 3 3 — — $18,178.08 $18,178.08 $18,178.08 2025-08-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 12 9 — — $18,276.45 $18,276.45 $18,276.45 2025-08-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 5 — — $18,434.08 $18,434.08 $18,434.08 2025-08-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $18,502.27 $18,502.27 $18,502.27 2025-08-01
919 MS_DRG Complications Of Treatment With Mcc 4 4 — — $18,526.74 $18,526.74 $18,526.74 2025-08-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 9 6 — — $18,631.10 $18,631.10 $18,631.10 2025-08-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 9 — — $18,766.08 $18,766.08 $18,766.08 2025-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $18,823.09 $18,823.09 $18,823.09 2025-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $18,864.77 $18,864.77 $18,864.77 2025-08-01
9336 OTHER Inj Truxima 10 Mg 6 3 — — $18,905.17 $18,905.17 $18,905.17 2025-08-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $19,314.28 $19,314.28 $19,314.28 2025-08-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 — — $19,397.11 $19,397.11 $19,397.11 2025-08-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 — — $19,476.54 $19,476.54 $19,476.54 2025-08-01
5193 OTHER Level 3 Endovascular Procedures 5 5 — — $19,505.07 $19,505.07 $19,505.07 2025-08-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $19,548.92 $19,548.92 $19,548.92 2025-08-01
5114 OTHER Level 4 Musculoskeletal Procedures 21 12 — — $19,665.61 $19,665.61 $19,665.61 2025-08-01
637 MS_DRG Diabetes With Mcc 11 7 — — $19,668.10 $19,668.10 $19,668.10 2025-08-01
643 MS_DRG Endocrine Disorders With Mcc 7 6 — — $19,755.90 $19,755.90 $19,755.90 2025-08-01
0764 OTHER Ketorolac Tromethamine Inj 1 1 — — $19,767.91 $19,767.91 $19,767.91 2025-08-01
5361 OTHER Level 1 Laparoscopy And Related Services 25 13 — — $19,768.22 $19,768.22 $19,768.22 2025-08-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 4 3 — — $20,122.35 $20,122.35 $20,122.35 2025-08-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 1 1 — — $20,521.07 $20,521.07 $20,521.07 2025-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $20,618.02 $20,618.02 $20,618.02 2025-08-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 5 4 — — $20,673.14 $20,673.14 $20,673.14 2025-08-01
947 MS_DRG Signs And Symptoms With Mcc 2 2 — — $20,707.54 $20,707.54 $20,707.54 2025-08-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 19 12 — — $20,823.56 $20,823.56 $20,823.56 2025-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $21,055.73 $21,055.73 $21,055.73 2025-08-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 2 2 — — $21,190.20 $21,190.20 $21,190.20 2025-08-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 1 1 — — $21,337.07 $21,337.07 $21,337.07 2025-08-01
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $21,543.01 $21,543.01 $21,543.01 2025-08-01
9434 OTHER Inj Anifrolumab-fnia 1mg 1 1 — — $21,735.70 $21,735.70 $21,735.70 2025-08-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 6 5 — — $22,055.64 $22,055.64 $22,055.64 2025-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $22,306.83 $22,306.83 $22,306.83 2025-08-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 — — $22,840.11 $22,840.11 $22,840.11 2025-08-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 15 9 — — $22,847.17 $22,847.17 $22,847.17 2025-08-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 5 — — $22,891.46 $22,891.46 $22,891.46 2025-08-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 3 — — $23,334.65 $23,334.65 $23,334.65 2025-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 1 1 — — $23,462.13 $23,462.13 $23,462.13 2025-08-01
949 MS_DRG Aftercare With Cc/Mcc 4 4 — — $23,561.38 $23,561.38 $23,561.38 2025-08-01
9453 OTHER Injection, Nivolumab 4 3 — — $23,779.65 $23,779.65 $23,779.65 2025-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $24,114.14 $24,114.14 $24,114.14 2025-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $24,161.78 $24,161.78 $24,161.78 2025-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 — — $24,284.99 $24,284.99 $24,284.99 2025-08-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 1 1 — — $24,339.21 $24,339.21 $24,339.21 2025-08-01
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $24,417.35 $24,417.35 $24,417.35 2025-08-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 1 1 — — $24,576.47 $24,576.47 $24,576.47 2025-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $24,804.49 $24,804.49 $24,804.49 2025-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $24,823.28 $24,823.28 $24,823.28 2025-08-01
180 MS_DRG Respiratory Neoplasms With Mcc 2 2 — — $24,876.06 $24,876.06 $24,876.06 2025-08-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 1 1 — — $25,019.37 $25,019.37 $25,019.37 2025-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $25,022.85 $25,022.85 $25,022.85 2025-08-01
9237 OTHER Inj, Lanreotide Acetate 2 2 — — $25,194.04 $25,194.04 $25,194.04 2025-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $25,847.28 $25,847.28 $25,847.28 2025-08-01
1847 OTHER Injection, Inflectra 1 1 — — $26,495.70 $26,495.70 $26,495.70 2025-08-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 10 8 — — $26,691.09 $26,691.09 $26,691.09 2025-08-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 1 1 — — $27,590.01 $27,590.01 $27,590.01 2025-08-01
252 MS_DRG Other Vascular Procedures With Mcc 4 4 — — $27,710.35 $27,710.35 $27,710.35 2025-08-01
9369 OTHER Inj, Metronidazole, 10 Mg 3 1 — — $27,887.43 $27,887.43 $27,887.43 2025-08-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 3 — — $28,475.49 $28,475.49 $28,475.49 2025-08-01
72 MS_DRG Other Cerebrovascular Disorders Without Cc/Mcc 1 1 — — $28,526.58 $28,526.58 $28,526.58 2025-08-01
397 MS_DRG Appendix Procedures With Mcc 3 1 — — $29,196.65 $29,196.65 $29,196.65 2025-08-01
5116 OTHER Level 6 Musculoskeletal Procedures 9 7 — — $29,371.88 $29,371.88 $29,371.88 2025-08-01
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $29,645.14 $29,645.14 $29,645.14 2025-08-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 1 1 — — $29,840.89 $29,840.89 $29,840.89 2025-08-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $30,122.45 $30,122.45 $30,122.45 2025-08-01
0813 RC Injection, Imetelstat, 1 Mg 5 3 — — $30,304.99 $30,304.99 $30,304.99 2025-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 2 2 — — $30,645.17 $30,645.17 $30,645.17 2025-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $30,722.38 $30,722.38 $30,722.38 2025-08-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 — — $30,801.19 $30,801.19 $30,801.19 2025-08-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 7 5 — — $31,085.37 $31,085.37 $31,085.37 2025-08-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 3 3 — — $31,347.11 $31,347.11 $31,347.11 2025-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $32,364.31 $32,364.31 $32,364.31 2025-08-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 2 — — $32,407.51 $32,407.51 $32,407.51 2025-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 3 — — $34,099.24 $34,099.24 $34,099.24 2025-08-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 13 7 — — $35,298.02 $35,298.02 $35,298.02 2025-08-01
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $35,726.28 $35,726.28 $35,726.28 2025-08-01
9284 OTHER Ipilimumab Injection 2 2 — — $36,861.78 $36,861.78 $36,861.78 2025-08-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 4 4 — — $37,073.03 $37,073.03 $37,073.03 2025-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $37,217.35 $37,217.35 $37,217.35 2025-08-01
9287 OTHER Brentuximab Vedotin Inj 1 1 — — $37,421.03 $37,421.03 $37,421.03 2025-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $37,638.01 $37,638.01 $37,638.01 2025-08-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 9 7 — — $37,660.72 $37,660.72 $37,660.72 2025-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $37,996.93 $37,996.93 $37,996.93 2025-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 6 5 — — $39,704.15 $39,704.15 $39,704.15 2025-08-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 7 5 — — $40,062.58 $40,062.58 $40,062.58 2025-08-01
9186 OTHER Inj., Rituximab, 10 Mg 1 1 — — $40,222.72 $40,222.72 $40,222.72 2025-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $43,005.24 $43,005.24 $43,005.24 2025-08-01
793 MS_DRG Full Term Neonate With Major Problems 3 3 — — $43,031.62 $43,031.62 $43,031.62 2025-08-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $43,875.30 $43,875.30 $43,875.30 2025-08-01
55 MS_DRG Nervous System Neoplasms Without Mcc 1 1 — — $44,120.96 $44,120.96 $44,120.96 2025-08-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 8 6 — — $44,817.75 $44,817.75 $44,817.75 2025-08-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 5 3 — — $44,903.16 $44,903.16 $44,903.16 2025-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 3 — — $45,513.30 $45,513.30 $45,513.30 2025-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $45,840.15 $45,840.15 $45,840.15 2025-08-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $45,925.30 $45,925.30 $45,925.30 2025-08-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $46,226.33 $46,226.33 $46,226.33 2025-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 2 — — $46,297.43 $46,297.43 $46,297.43 2025-08-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $46,885.70 $46,885.70 $46,885.70 2025-08-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $47,520.37 $47,520.37 $47,520.37 2025-08-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $49,807.70 $49,807.70 $49,807.70 2025-08-01
9276 OTHER Cabazitaxel Injection 2 1 — — $50,445.68 $50,445.68 $50,445.68 2025-08-01
215 MS_DRG Other Heart Assist System Implant 3 2 — — $53,202.76 $53,202.76 $53,202.76 2025-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $55,247.36 $55,247.36 $55,247.36 2025-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $59,073.88 $59,073.88 $59,073.88 2025-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $63,256.57 $63,256.57 $63,256.57 2025-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 9 — — $63,797.60 $63,797.60 $63,797.60 2025-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $71,111.91 $71,111.91 $71,111.91 2025-08-01
813 MS_DRG Coagulation Disorders 3 3 — — $74,336.46 $74,336.46 $74,336.46 2025-08-01
9492 OTHER Inj., Durvalumab, 10 Mg 3 1 — — $77,999.96 $77,999.96 $77,999.96 2025-08-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $83,655.10 $83,655.10 $83,655.10 2025-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 5 — — $84,493.51 $84,493.51 $84,493.51 2025-08-01
9494 OTHER Injection, Ocrelizumab 5 4 — — $97,175.12 $97,175.12 $97,175.12 2025-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $102,186.76 $102,186.76 $102,186.76 2025-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $112,809.76 $112,809.76 $112,809.76 2025-08-01
9343 OTHER Inj Givosiran 0.5 Mg 2 2 — — $125,764.74 $125,764.74 $125,764.74 2025-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 1 — — $200,339.59 $200,339.59 $200,339.59 2025-08-01
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