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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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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
             
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
9343 OTHER Inj Givosiran 0.5 Mg 2 2 — — $125,764.74 $125,764.74 $125,764.74 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
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
9494 OTHER Injection, Ocrelizumab 5 4 — — $97,175.12 $97,175.12 $97,175.12 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
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
9492 OTHER Inj., Durvalumab, 10 Mg 3 1 — — $77,999.96 $77,999.96 $77,999.96 2025-08-01
813 MS_DRG Coagulation Disorders 3 3 — — $74,336.46 $74,336.46 $74,336.46 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
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
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
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
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
215 MS_DRG Other Heart Assist System Implant 3 2 — — $53,202.76 $53,202.76 $53,202.76 2025-08-01
9276 OTHER Cabazitaxel Injection 2 1 — — $50,445.68 $50,445.68 $50,445.68 2025-08-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $49,807.70 $49,807.70 $49,807.70 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
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $46,885.70 $46,885.70 $46,885.70 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
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
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $45,925.30 $45,925.30 $45,925.30 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
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
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 5 3 — — $44,903.16 $44,903.16 $44,903.16 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
55 MS_DRG Nervous System Neoplasms Without Mcc 1 1 — — $44,120.96 $44,120.96 $44,120.96 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
793 MS_DRG Full Term Neonate With Major Problems 3 3 — — $43,031.62 $43,031.62 $43,031.62 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
9186 OTHER Inj., Rituximab, 10 Mg 1 1 — — $40,222.72 $40,222.72 $40,222.72 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
472 MS_DRG Cervical Spinal Fusion With Cc 6 5 — — $39,704.15 $39,704.15 $39,704.15 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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $37,638.01 $37,638.01 $37,638.01 2025-08-01
9287 OTHER Brentuximab Vedotin Inj 1 1 — — $37,421.03 $37,421.03 $37,421.03 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
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 4 4 — — $37,073.03 $37,073.03 $37,073.03 2025-08-01
9284 OTHER Ipilimumab Injection 2 2 — — $36,861.78 $36,861.78 $36,861.78 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
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
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 3 — — $34,099.24 $34,099.24 $34,099.24 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
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
5223 OTHER Level 3 Pacemaker And Similar Procedures 3 3 — — $31,347.11 $31,347.11 $31,347.11 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
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 — — $30,801.19 $30,801.19 $30,801.19 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
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
0813 RC Injection, Imetelstat, 1 Mg 5 3 — — $30,304.99 $30,304.99 $30,304.99 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
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
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $29,645.14 $29,645.14 $29,645.14 2025-08-01
5116 OTHER Level 6 Musculoskeletal Procedures 9 7 — — $29,371.88 $29,371.88 $29,371.88 2025-08-01
397 MS_DRG Appendix Procedures With Mcc 3 1 — — $29,196.65 $29,196.65 $29,196.65 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
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
9369 OTHER Inj, Metronidazole, 10 Mg 3 1 — — $27,887.43 $27,887.43 $27,887.43 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
165 MS_DRG Major Chest Procedures Without Cc/Mcc 1 1 — — $27,590.01 $27,590.01 $27,590.01 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
1847 OTHER Injection, Inflectra 1 1 — — $26,495.70 $26,495.70 $26,495.70 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
9237 OTHER Inj, Lanreotide Acetate 2 2 — — $25,194.04 $25,194.04 $25,194.04 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
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
180 MS_DRG Respiratory Neoplasms With Mcc 2 2 — — $24,876.06 $24,876.06 $24,876.06 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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $24,804.49 $24,804.49 $24,804.49 2025-08-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 1 1 — — $24,576.47 $24,576.47 $24,576.47 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
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
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
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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $24,114.14 $24,114.14 $24,114.14 2025-08-01
9453 OTHER Injection, Nivolumab 4 3 — — $23,779.65 $23,779.65 $23,779.65 2025-08-01
949 MS_DRG Aftercare With Cc/Mcc 4 4 — — $23,561.38 $23,561.38 $23,561.38 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
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
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 5 — — $22,891.46 $22,891.46 $22,891.46 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
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 — — $22,840.11 $22,840.11 $22,840.11 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
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
9434 OTHER Inj Anifrolumab-fnia 1mg 1 1 — — $21,735.70 $21,735.70 $21,735.70 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
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
786 MS_DRG Cesarean Section Without Sterilization With Mcc 2 2 — — $21,190.20 $21,190.20 $21,190.20 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
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
947 MS_DRG Signs And Symptoms With Mcc 2 2 — — $20,707.54 $20,707.54 $20,707.54 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
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
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 1 1 — — $20,521.07 $20,521.07 $20,521.07 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
5361 OTHER Level 1 Laparoscopy And Related Services 25 13 — — $19,768.22 $19,768.22 $19,768.22 2025-08-01
0764 OTHER Ketorolac Tromethamine Inj 1 1 — — $19,767.91 $19,767.91 $19,767.91 2025-08-01
643 MS_DRG Endocrine Disorders With Mcc 7 6 — — $19,755.90 $19,755.90 $19,755.90 2025-08-01
637 MS_DRG Diabetes With Mcc 11 7 — — $19,668.10 $19,668.10 $19,668.10 2025-08-01
5114 OTHER Level 4 Musculoskeletal Procedures 21 12 — — $19,665.61 $19,665.61 $19,665.61 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
5193 OTHER Level 3 Endovascular Procedures 5 5 — — $19,505.07 $19,505.07 $19,505.07 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
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
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
9336 OTHER Inj Truxima 10 Mg 6 3 — — $18,905.17 $18,905.17 $18,905.17 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
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
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 9 — — $18,766.08 $18,766.08 $18,766.08 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
919 MS_DRG Complications Of Treatment With Mcc 4 4 — — $18,526.74 $18,526.74 $18,526.74 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
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
787 MS_DRG Cesarean Section Without Sterilization With Cc 12 9 — — $18,276.45 $18,276.45 $18,276.45 2025-08-01
374 MS_DRG Digestive Malignancy With Mcc 3 3 — — $18,178.08 $18,178.08 $18,178.08 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
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
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $17,621.63 $17,621.63 $17,621.63 2025-08-01
885 MS_DRG Psychoses 12 10 — — $17,555.78 $17,555.78 $17,555.78 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
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
100 MS_DRG Seizures With Mcc 5 5 — — $17,394.58 $17,394.58 $17,394.58 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
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $17,156.37 $17,156.37 $17,156.37 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
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 — — $16,666.28 $16,666.28 $16,666.28 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
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 7 — — $16,641.74 $16,641.74 $16,641.74 2025-08-01
950 MS_DRG Aftercare Without Cc/Mcc 1 1 — — $16,565.33 $16,565.33 $16,565.33 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
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
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
381 MS_DRG Complicated Peptic Ulcer With Cc 5 3 — — $16,286.59 $16,286.59 $16,286.59 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
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
669 MS_DRG Transurethral Procedures With Cc 2 2 — — $16,048.31 $16,048.31 $16,048.31 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
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 6 — — $16,002.26 $16,002.26 $16,002.26 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
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
92 MS_DRG Other Disorders Of Nervous System With Cc 7 6 — — $15,602.83 $15,602.83 $15,602.83 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
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
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
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 2 2 — — $15,352.25 $15,352.25 $15,352.25 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
682 MS_DRG Renal Failure With Mcc 10 7 — — $15,201.99 $15,201.99 $15,201.99 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
70 MS_DRG Other Cerebrovascular Disorders With Mcc 1 1 — — $15,195.65 $15,195.65 $15,195.65 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
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 3 2 — — $15,111.85 $15,111.85 $15,111.85 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
291 MS_DRG Heart Failure And Shock With Mcc 15 11 — — $14,931.03 $14,931.03 $14,931.03 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
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $14,629.54 $14,629.54 $14,629.54 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
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
886 MS_DRG Behavioral And Developmental Disorders 1 1 — — $14,325.60 $14,325.60 $14,325.60 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
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 13 9 — — $14,163.57 $14,163.57 $14,163.57 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
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
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 14 9 — — $14,029.26 $14,029.26 $14,029.26 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
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
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
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
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $13,607.92 $13,607.92 $13,607.92 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
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 1 1 — — $13,579.47 $13,579.47 $13,579.47 2025-08-01
398 MS_DRG Appendix Procedures With Cc 3 2 — — $13,576.47 $13,576.47 $13,576.47 2025-08-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 9 6 — — $13,568.99 $13,568.99 $13,568.99 2025-08-01
313 MS_DRG Chest Pain 4 2 — — $13,549.68 $13,549.68 $13,549.68 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
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
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
884 MS_DRG Organic Disturbances And Intellectual Disability 3 2 — — $13,147.81 $13,147.81 $13,147.81 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
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
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 — — $12,937.54 $12,937.54 $12,937.54 2025-08-01
5191 OTHER Level 1 Endovascular Procedures 18 10 — — $12,924.75 $12,924.75 $12,924.75 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
1488 OTHER Injection, Ramucirumab 1 1 — — $12,802.53 $12,802.53 $12,802.53 2025-08-01
38 MS_DRG Extracranial Procedures With Cc 3 3 — — $12,782.06 $12,782.06 $12,782.06 2025-08-01
864 MS_DRG Fever And Inflammatory Conditions 2 2 — — $12,780.93 $12,780.93 $12,780.93 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
375 MS_DRG Digestive Malignancy With Cc 2 1 — — $12,727.67 $12,727.67 $12,727.67 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
445 MS_DRG Disorders Of The Biliary Tract With Cc 3 3 — — $12,673.80 $12,673.80 $12,673.80 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
369 MS_DRG Major Esophageal Disorders With Cc 1 1 — — $12,617.16 $12,617.16 $12,617.16 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
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 3 3 — — $12,417.27 $12,417.27 $12,417.27 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
394 MS_DRG Other Digestive System Diagnoses With Cc 9 6 — — $12,347.43 $12,347.43 $12,347.43 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
9133 OTHER Rabies Ig, Im/sc 9 6 — — $12,099.70 $12,099.70 $12,099.70 2025-08-01
101 MS_DRG Seizures Without Mcc 9 7 — — $12,050.02 $12,050.02 $12,050.02 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
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 — — $11,818.11 $11,818.11 $11,818.11 2025-08-01
1490 OTHER Inj Pembrolizumab 9 8 — — $11,800.76 $11,800.76 $11,800.76 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
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
389 MS_DRG Gastrointestinal Obstruction With Cc 6 6 — — $11,714.31 $11,714.31 $11,714.31 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
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 10 9 — — $11,617.41 $11,617.41 $11,617.41 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
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
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
547 MS_DRG Connective Tissue Disorders Without Cc/Mcc 1 1 — — $11,375.43 $11,375.43 $11,375.43 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
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 19 9 — — $11,278.08 $11,278.08 $11,278.08 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
103 MS_DRG Headaches Without Mcc 2 2 — — $11,254.56 $11,254.56 $11,254.56 2025-08-01
935 MS_DRG Non-extensive Burns 1 1 — — $11,221.80 $11,221.80 $11,221.80 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
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
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 1 1 — — $10,968.85 $10,968.85 $10,968.85 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
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
186 MS_DRG Pleural Effusion With Mcc 2 2 — — $10,781.90 $10,781.90 $10,781.90 2025-08-01
9443 OTHER Gallium Illuccix 1 Millicure 9 6 — — $10,727.01 $10,727.01 $10,727.01 2025-08-01
683 MS_DRG Renal Failure With Cc 5 5 — — $10,698.90 $10,698.90 $10,698.90 2025-08-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $10,631.38 $10,631.38 $10,631.38 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
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
638 MS_DRG Diabetes With Cc 8 7 — — $10,491.61 $10,491.61 $10,491.61 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
9200 OTHER Inj, Remdesivir, 1 Mg 2 2 — — $10,274.54 $10,274.54 $10,274.54 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
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
9378 OTHER Daratumumab, Hyaluronidase 3 3 — — $9,992.43 $9,992.43 $9,992.43 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
176 MS_DRG Pulmonary Embolism Without Mcc 6 3 — — $9,935.46 $9,935.46 $9,935.46 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
196 MS_DRG Interstitial Lung Disease With Mcc 4 4 — — $9,770.56 $9,770.56 $9,770.56 2025-08-01
5165 OTHER Level 5 ENT Procedures 5 4 — — $9,749.69 $9,749.69 $9,749.69 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
5154 OTHER Level 4 Airway Endoscopy 11 10 — — $9,627.14 $9,627.14 $9,627.14 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
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $9,571.59 $9,571.59 $9,571.59 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
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
71 MS_DRG Other Cerebrovascular Disorders With Cc 1 1 — — $9,435.45 $9,435.45 $9,435.45 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
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
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $9,311.43 $9,311.43 $9,311.43 2025-08-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $9,257.02 $9,257.02 $9,257.02 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
9347 OTHER Inj Luspatercept-aamt 0.25mg 1 1 — — $9,148.98 $9,148.98 $9,148.98 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
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
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
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
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 6 6 — — $8,912.68 $8,912.68 $8,912.68 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
9483 OTHER Inj, Atezolizumab,10 Mg 1 1 — — $8,842.09 $8,842.09 $8,842.09 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
5055 OTHER Level 5 Skin Procedures 2 1 — — $8,736.30 $8,736.30 $8,736.30 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
602 MS_DRG Cellulitis With Mcc 5 5 — — $8,663.97 $8,663.97 $8,663.97 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
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
5414 OTHER Level 4 Gynecologic Procedures 17 10 — — $8,594.30 $8,594.30 $8,594.30 2025-08-01
603 MS_DRG Cellulitis Without Mcc 9 9 — — $8,558.68 $8,558.68 $8,558.68 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
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
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
200 MS_DRG Pneumothorax With Cc 1 1 — — $8,486.82 $8,486.82 $8,486.82 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
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
5222 OTHER Level 2 Pacemaker And Similar Procedures 2 2 — — $8,368.51 $8,368.51 $8,368.51 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
9160 OTHER Inj, Acetaminophen (b Braun) 1 1 — — $8,260.62 $8,260.62 $8,260.62 2025-08-01
9367 OTHER Inj Ruxience, 10 Mg 1 1 — — $8,163.14 $8,163.14 $8,163.14 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
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 1 1 — — $8,081.76 $8,081.76 $8,081.76 2025-08-01
5313 OTHER Level 3 Lower Gi Procedures 7 5 — — $8,032.15 $8,032.15 $8,032.15 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
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 11 8 — — $7,971.44 $7,971.44 $7,971.44 2025-08-01
1476 OTHER Obinutuzumab Inj 2 2 — — $7,951.28 $7,951.28 $7,951.28 2025-08-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 5 5 — — $7,935.64 $7,935.64 $7,935.64 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
639 MS_DRG Diabetes Without Cc/Mcc 3 3 — — $7,807.44 $7,807.44 $7,807.44 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
1471 OTHER Injection, Pertuzumab, 1 Mg 1 1 — — $7,788.30 $7,788.30 $7,788.30 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
39 MS_DRG Extracranial Procedures Without Cc/Mcc 3 3 — — $7,763.65 $7,763.65 $7,763.65 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
305 MS_DRG Hypertension Without Mcc 4 4 — — $7,702.50 $7,702.50 $7,702.50 2025-08-01
882 MS_DRG Neuroses Except Depressive 4 4 — — $7,689.29 $7,689.29 $7,689.29 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
5161 OTHER Level 1 ENT Procedures 5 5 — — $7,642.36 $7,642.36 $7,642.36 2025-08-01
5113 OTHER Level 3 Musculoskeletal Procedures 18 8 — — $7,617.82 $7,617.82 $7,617.82 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
883 MS_DRG Disorders Of Personality And Impulse Control 5 5 — — $7,580.86 $7,580.86 $7,580.86 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
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 1 — — $7,503.88 $7,503.88 $7,503.88 2025-08-01
5183 OTHER Level 3 Vascular Procedures 19 12 — — $7,406.44 $7,406.44 $7,406.44 2025-08-01
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