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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

FIRELANDS REGIONAL MEDICAL CENTER

Sandusky, OH · CCN 360025 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This facility filed a payer-negotiated range for this code ($2,989 to $9,934), not a single rate. The comparison board shows the midpoint estimate.

591 distinct procedures filed
15 distinct payers
11,407 rate rows
2025-03-01 last MRF observed · ⚠ 17 mo old
Data quality

2,319 of 11,407 rate rows are consumer-grade (20.3%)

9,088 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 9,064
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 24

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://stmlfirelandsncus001.blob.core.windows.net/public/341401659_firelands-regional-health-system_standard%20charges.csv
Found on page https://www.firelands.com/patients-guests/billing-insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 4d1a1a04220b2e9b… · 21,078,243 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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $84,108.32 $84,108.32 $84,108.32 nat. median
$132,706
0.6× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 $55,226.01 $55,226.01 $55,226.01 nat. median
$27,037
outlier · 2.0×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $51,990.45 $51,990.45 $51,990.45 nat. median
$46,399
1.1× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 4 $47,466.58 $47,466.58 $47,466.58 nat. median
$50,808
0.9× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 $46,971.29 $46,971.29 $46,971.29 nat. median
$41,285
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $46,708.07 $46,708.07 $46,708.07 nat. median
$62,767
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $45,683.32 $45,683.32 $45,683.32 nat. median
$65,958
0.7× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 1 $45,073.17 $45,073.17 $45,073.17 nat. median
$30,787
1.5× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $44,990.32 $44,990.32 $44,990.32 nat. median
$37,051
1.2× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 4 $42,262.69 $42,262.69 $42,262.69 nat. median
$31,928
1.3× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 3 $42,233.07 $42,233.07 $42,233.07 nat. median
$35,053
1.2× median
813
MS_DRG 		Coagulation Disorders 3 $41,792.25 $41,792.25 $41,792.25 nat. median
$15,573
outlier · 2.7×
50
MS_DRG 		Sialoadenectomy 1 $38,941.83 $38,941.83 $38,941.83 nat. median
$15,263
outlier · 2.6×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 $38,515.85 $38,515.85 $38,515.85 nat. median
$28,835
1.3× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $37,762.08 $37,762.08 $37,762.08 nat. median
$57,394
0.7× median
844
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 $37,671.29 $37,671.29 $37,671.29 nat. median
$12,564
outlier · 3.0×
834
MS_DRG 		Acute Leukemia With Mcc 1 $36,572.56 $36,572.56 $36,572.56 nat. median
$52,155
0.7× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 $33,004.06 $33,004.06 $33,004.06 nat. median
$26,590
1.2× median
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 $32,920.72 $32,920.72 $32,920.72 nat. median
$21,959
1.5× median
9483
OTHER 		Inj, Atezolizumab,10 Mg 1 $31,085.19 $31,085.19 $31,085.19 nat. median
$94
outlier · 331.0×
9331
OTHER 		Inj, Polatuzumab Vedotin 1mg 1 $31,042.04 $31,042.04 $31,042.04 nat. median
$138
outlier · 224.7×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $30,885.30 $30,885.30 $30,885.30 nat. median
$47,513
0.7× median
163
MS_DRG 		Major Chest Procedures With Mcc 2 $30,689.31 $30,689.31 $30,689.31 nat. median
$44,914
0.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $30,497.99 $30,497.99 $30,497.99 nat. median
$47,707
0.6× median
355
MS_DRG 		Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 $30,302.16 $30,302.16 $30,302.16 nat. median
$14,075
outlier · 2.2×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $29,821.97 $29,821.97 $29,821.97 nat. median
$45,588
0.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $29,729.53 $29,729.53 $29,729.53 nat. median
$44,514
0.7× median
130
MS_DRG 		Major Head & Neck Procedures Without Cc/Mcc 1 $27,954.97 $27,954.97 $27,954.97 nat. median
$10,707
outlier · 2.6×
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 7 $27,461.96 $27,461.96 $27,461.96 nat. median
$27,918
1.0× median
5232
OTHER 		Level 2 Icd And Similar Procedures 3 $27,114.85 $27,114.85 $27,114.85 nat. median
$32,779
0.8× median
784
MS_DRG 		Cesarean Section With Sterilization With Cc 1 $27,088.99 $27,088.99 $27,088.99 nat. median
$11,063
outlier · 2.4×
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc/Mcc 6 $27,084.58 $27,084.58 $27,084.58 nat. median
$8,650
outlier · 3.1×
30
MS_DRG 		Spinal Procedures Without Cc/Mcc 1 $27,044.98 $27,044.98 $27,044.98 nat. median
$22,255
1.2× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 1 $26,827.35 $26,827.35 $26,827.35 nat. median
$40,579
0.7× median
322
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 8 $26,678.69 $26,678.69 $26,678.69 nat. median
$18,719
1.4× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 $26,366.28 $26,366.28 $26,366.28 nat. median
$21,911
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $26,293.85 $26,293.85 $26,293.85 nat. median
$62,218
outlier · 0.4×
59
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Cc 1 $25,849.86 $25,849.86 $25,849.86 nat. median
$12,890
outlier · 2.0×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 2 $25,844.60 $25,844.60 $25,844.60 nat. median
$39,775
0.6× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $25,450.27 $25,450.27 $25,450.27 nat. median
$37,383
0.7× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $25,332.78 $25,332.78 $25,332.78 nat. median
$34,945
0.7× median
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 $25,096.69 $25,096.69 $25,096.69 nat. median
$18,578
1.4× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 $24,725.35 $24,725.35 $24,725.35 nat. median
$34,805
0.7× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 1 $24,376.83 $24,376.83 $24,376.83 nat. median
$34,738
0.7× median
252
MS_DRG 		Other Vascular Procedures With Mcc 2 $23,627.67 $23,627.67 $23,627.67 nat. median
$33,823
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $23,534.04 $23,534.04 $23,534.04 nat. median
$45,808
0.5× median
9374
OTHER 		Mitomycin Instillation 1 $23,275.71 $23,275.71 $23,275.71 nat. median
$326
outlier · 71.4×
5231
OTHER 		Level 1 Icd And Similar Procedures 4 $23,221.17 $23,221.17 $23,221.17 nat. median
$23,228
1.0× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 2 $23,202.37 $23,202.37 $23,202.37 nat. median
$27,435
0.8× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 $23,035.74 $23,035.74 $23,035.74 nat. median
$25,230
0.9× median

Other procedures at this hospital

Browse this hospital's 591 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
             
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $84,108.32 $84,108.32 $84,108.32 2025-03-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 5 — — $55,226.01 $55,226.01 $55,226.01 2025-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $51,990.45 $51,990.45 $51,990.45 2025-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $47,466.58 $47,466.58 $47,466.58 2025-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $46,971.29 $46,971.29 $46,971.29 2025-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $46,708.07 $46,708.07 $46,708.07 2025-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $45,683.32 $45,683.32 $45,683.32 2025-03-01
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $45,073.17 $45,073.17 $45,073.17 2025-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 4 — — $44,990.32 $44,990.32 $44,990.32 2025-03-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 4 — — $42,262.69 $42,262.69 $42,262.69 2025-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $42,233.07 $42,233.07 $42,233.07 2025-03-01
813 MS_DRG Coagulation Disorders 3 3 — — $41,792.25 $41,792.25 $41,792.25 2025-03-01
50 MS_DRG Sialoadenectomy 1 1 — — $38,941.83 $38,941.83 $38,941.83 2025-03-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $38,515.85 $38,515.85 $38,515.85 2025-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $37,762.08 $37,762.08 $37,762.08 2025-03-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $37,671.29 $37,671.29 $37,671.29 2025-03-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $36,572.56 $36,572.56 $36,572.56 2025-03-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 5 — — $33,004.06 $33,004.06 $33,004.06 2025-03-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $32,920.72 $32,920.72 $32,920.72 2025-03-01
9483 OTHER Inj, Atezolizumab,10 Mg 1 1 — — $31,085.19 $31,085.19 $31,085.19 2025-03-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 1 1 — — $31,042.04 $31,042.04 $31,042.04 2025-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $30,885.30 $30,885.30 $30,885.30 2025-03-01
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $30,689.31 $30,689.31 $30,689.31 2025-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 — — $30,497.99 $30,497.99 $30,497.99 2025-03-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 1 — — $30,302.16 $30,302.16 $30,302.16 2025-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $29,821.97 $29,821.97 $29,821.97 2025-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $29,729.53 $29,729.53 $29,729.53 2025-03-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 1 1 — — $27,954.97 $27,954.97 $27,954.97 2025-03-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 7 — — $27,461.96 $27,461.96 $27,461.96 2025-03-01
5232 OTHER Level 2 Icd And Similar Procedures 3 3 — — $27,114.85 $27,114.85 $27,114.85 2025-03-01
784 MS_DRG Cesarean Section With Sterilization With Cc 1 1 — — $27,088.99 $27,088.99 $27,088.99 2025-03-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 6 6 — — $27,084.58 $27,084.58 $27,084.58 2025-03-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $27,044.98 $27,044.98 $27,044.98 2025-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $26,827.35 $26,827.35 $26,827.35 2025-03-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 8 8 — — $26,678.69 $26,678.69 $26,678.69 2025-03-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $26,366.28 $26,366.28 $26,366.28 2025-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $26,293.85 $26,293.85 $26,293.85 2025-03-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 — — $25,849.86 $25,849.86 $25,849.86 2025-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $25,844.60 $25,844.60 $25,844.60 2025-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $25,450.27 $25,450.27 $25,450.27 2025-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $25,332.78 $25,332.78 $25,332.78 2025-03-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 1 — — $25,096.69 $25,096.69 $25,096.69 2025-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $24,725.35 $24,725.35 $24,725.35 2025-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $24,376.83 $24,376.83 $24,376.83 2025-03-01
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $23,627.67 $23,627.67 $23,627.67 2025-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $23,534.04 $23,534.04 $23,534.04 2025-03-01
9374 OTHER Mitomycin Instillation 1 1 — — $23,275.71 $23,275.71 $23,275.71 2025-03-01
5231 OTHER Level 1 Icd And Similar Procedures 4 4 — — $23,221.17 $23,221.17 $23,221.17 2025-03-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 2 2 — — $23,202.37 $23,202.37 $23,202.37 2025-03-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $23,035.74 $23,035.74 $23,035.74 2025-03-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 4 — — $22,520.81 $22,520.81 $22,520.81 2025-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $22,480.88 $22,480.88 $22,480.88 2025-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $22,162.13 $22,162.13 $22,162.13 2025-03-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 6 6 — — $22,042.72 $22,042.72 $22,042.72 2025-03-01
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $21,863.88 $21,863.88 $21,863.88 2025-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $21,843.52 $21,843.52 $21,843.52 2025-03-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $21,786.91 $21,786.91 $21,786.91 2025-03-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $21,778.51 $21,778.51 $21,778.51 2025-03-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 1 1 — — $21,507.00 $21,507.00 $21,507.00 2025-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $21,504.80 $21,504.80 $21,504.80 2025-03-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 5 5 — — $21,437.84 $21,437.84 $21,437.84 2025-03-01
949 MS_DRG Aftercare With Cc/Mcc 3 3 — — $21,396.99 $21,396.99 $21,396.99 2025-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $21,161.49 $21,161.49 $21,161.49 2025-03-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $21,121.57 $21,121.57 $21,121.57 2025-03-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 4 — — $20,909.81 $20,909.81 $20,909.81 2025-03-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 2 2 — — $20,736.69 $20,736.69 $20,736.69 2025-03-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $20,565.25 $20,565.25 $20,565.25 2025-03-01
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 1 1 — — $20,370.63 $20,370.63 $20,370.63 2025-03-01
5194 OTHER Level 4 Endovascular Procedures 3 3 — — $20,169.83 $20,169.83 $20,169.83 2025-03-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 2 2 — — $19,642.65 $19,642.65 $19,642.65 2025-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $19,555.99 $19,555.99 $19,555.99 2025-03-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $19,346.12 $19,346.12 $19,346.12 2025-03-01
291 MS_DRG Heart Failure And Shock With Mcc 8 8 — — $19,224.19 $19,224.19 $19,224.19 2025-03-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $19,204.52 $19,204.52 $19,204.52 2025-03-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $19,203.02 $19,203.02 $19,203.02 2025-03-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $19,144.45 $19,144.45 $19,144.45 2025-03-01
76 MS_DRG Viral Meningitis Without Cc/Mcc 1 1 — — $19,061.38 $19,061.38 $19,061.38 2025-03-01
950 MS_DRG Aftercare Without Cc/Mcc 3 3 — — $18,988.46 $18,988.46 $18,988.46 2025-03-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 2 — — $18,933.42 $18,933.42 $18,933.42 2025-03-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $18,800.95 $18,800.95 $18,800.95 2025-03-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 5 — — $18,790.69 $18,790.69 $18,790.69 2025-03-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 4 — — $18,720.63 $18,720.63 $18,720.63 2025-03-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 1 1 — — $18,699.75 $18,699.75 $18,699.75 2025-03-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 1 1 — — $18,517.45 $18,517.45 $18,517.45 2025-03-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 — — $18,461.38 $18,461.38 $18,461.38 2025-03-01
1471 OTHER Injection, Pertuzumab, 1 Mg 3 3 — — $17,869.77 $17,869.77 $17,869.77 2025-03-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $17,863.81 $17,863.81 $17,863.81 2025-03-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 — — $17,605.88 $17,605.88 $17,605.88 2025-03-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 2 2 — — $17,531.71 $17,531.71 $17,531.71 2025-03-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 11 8 — — $17,505.06 $17,505.06 $17,505.06 2025-03-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 1 1 — — $17,468.87 $17,468.87 $17,468.87 2025-03-01
169 MS_DRG Mouth Procedures Without Cc 1 1 — — $17,288.05 $17,288.05 $17,288.05 2025-03-01
607 MS_DRG Minor Skin Disorders Without Mcc 1 1 — — $17,245.64 $17,245.64 $17,245.64 2025-03-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 5 5 — — $17,186.49 $17,186.49 $17,186.49 2025-03-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $17,088.19 $17,088.19 $17,088.19 2025-03-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $16,955.13 $16,955.13 $16,955.13 2025-03-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $16,943.99 $16,943.99 $16,943.99 2025-03-01
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $16,922.26 $16,922.26 $16,922.26 2025-03-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $16,886.34 $16,886.34 $16,886.34 2025-03-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 3 3 — — $16,879.74 $16,879.74 $16,879.74 2025-03-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 5 — — $16,853.97 $16,853.97 $16,853.97 2025-03-01
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $16,644.31 $16,644.31 $16,644.31 2025-03-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 2 2 — — $16,529.59 $16,529.59 $16,529.59 2025-03-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $16,371.23 $16,371.23 $16,371.23 2025-03-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 6 6 — — $16,307.08 $16,307.08 $16,307.08 2025-03-01
368 MS_DRG Major Esophageal Disorders With Mcc 1 1 — — $16,120.64 $16,120.64 $16,120.64 2025-03-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 6 6 — — $16,097.28 $16,097.28 $16,097.28 2025-03-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 3 3 — — $16,028.76 $16,028.76 $16,028.76 2025-03-01
540 MS_DRG Osteomyelitis With Cc 6 4 — — $16,020.74 $16,020.74 $16,020.74 2025-03-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $15,968.42 $15,968.42 $15,968.42 2025-03-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 3 3 — — $15,879.58 $15,879.58 $15,879.58 2025-03-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $15,866.47 $15,866.47 $15,866.47 2025-03-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 5 5 — — $15,751.30 $15,751.30 $15,751.30 2025-03-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $15,649.48 $15,649.48 $15,649.48 2025-03-01
123 MS_DRG Neurological Eye Disorders 1 1 — — $15,621.40 $15,621.40 $15,621.40 2025-03-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $15,363.52 $15,363.52 $15,363.52 2025-03-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 3 3 — — $15,329.86 $15,329.86 $15,329.86 2025-03-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $15,322.89 $15,322.89 $15,322.89 2025-03-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $15,166.54 $15,166.54 $15,166.54 2025-03-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 3 3 — — $15,069.16 $15,069.16 $15,069.16 2025-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 2 2 — — $14,940.21 $14,940.21 $14,940.21 2025-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $14,928.27 $14,928.27 $14,928.27 2025-03-01
181 MS_DRG Respiratory Neoplasms With Cc 5 5 — — $14,921.33 $14,921.33 $14,921.33 2025-03-01
884 MS_DRG Organic Disturbances And Intellectual Disability 2 2 — — $14,877.82 $14,877.82 $14,877.82 2025-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $14,862.75 $14,862.75 $14,862.75 2025-03-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 1 1 — — $14,737.54 $14,737.54 $14,737.54 2025-03-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $14,607.23 $14,607.23 $14,607.23 2025-03-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $14,586.20 $14,586.20 $14,586.20 2025-03-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 1 1 — — $14,495.72 $14,495.72 $14,495.72 2025-03-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $14,332.74 $14,332.74 $14,332.74 2025-03-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 5 5 — — $14,227.39 $14,227.39 $14,227.39 2025-03-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 — — $14,215.64 $14,215.64 $14,215.64 2025-03-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 1 1 — — $14,163.54 $14,163.54 $14,163.54 2025-03-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 5 5 — — $14,141.40 $14,141.40 $14,141.40 2025-03-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 4 4 — — $14,135.57 $14,135.57 $14,135.57 2025-03-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $14,103.10 $14,103.10 $14,103.10 2025-03-01
5193 OTHER Level 3 Endovascular Procedures 14 8 — — $14,067.65 $14,067.65 $14,067.65 2025-03-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $13,985.99 $13,985.99 $13,985.99 2025-03-01
694 MS_DRG Urinary Stones Without Mcc 3 3 — — $13,900.00 $13,900.00 $13,900.00 2025-03-01
304 MS_DRG Hypertension With Mcc 7 5 — — $13,648.68 $13,648.68 $13,648.68 2025-03-01
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $13,634.93 $13,634.93 $13,634.93 2025-03-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $13,603.91 $13,603.91 $13,603.91 2025-03-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 1 — — $13,583.55 $13,583.55 $13,583.55 2025-03-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $13,464.16 $13,464.16 $13,464.16 2025-03-01
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $13,324.19 $13,324.19 $13,324.19 2025-03-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 5 — — $13,262.25 $13,262.25 $13,262.25 2025-03-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $13,204.80 $13,204.80 $13,204.80 2025-03-01
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $13,190.27 $13,190.27 $13,190.27 2025-03-01
100 MS_DRG Seizures With Mcc 1 1 — — $13,097.70 $13,097.70 $13,097.70 2025-03-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 — — $13,002.76 $13,002.76 $13,002.76 2025-03-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 3 3 — — $12,881.98 $12,881.98 $12,881.98 2025-03-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 2 — — $12,785.35 $12,785.35 $12,785.35 2025-03-01
865 MS_DRG Viral Illness With Mcc 1 1 — — $12,768.88 $12,768.88 $12,768.88 2025-03-01
638 MS_DRG Diabetes With Cc 6 6 — — $12,602.45 $12,602.45 $12,602.45 2025-03-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 2 2 — — $12,457.68 $12,457.68 $12,457.68 2025-03-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $12,450.31 $12,450.31 $12,450.31 2025-03-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 — — $12,436.34 $12,436.34 $12,436.34 2025-03-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 2 — — $12,435.07 $12,435.07 $12,435.07 2025-03-01
682 MS_DRG Renal Failure With Mcc 7 7 — — $12,433.97 $12,433.97 $12,433.97 2025-03-01
951 MS_DRG Other Factors Influencing Health Status 2 2 — — $12,428.05 $12,428.05 $12,428.05 2025-03-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 — — $12,419.05 $12,419.05 $12,419.05 2025-03-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $12,359.75 $12,359.75 $12,359.75 2025-03-01
43 MS_DRG Hyphema 2 2 — — $12,351.84 $12,351.84 $12,351.84 2025-03-01
9132 OTHER Prothrombin Complex Kcentra 2 2 — — $12,215.05 $12,215.05 $12,215.05 2025-03-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 — — $12,118.97 $12,118.97 $12,118.97 2025-03-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 — — $12,100.80 $12,100.80 $12,100.80 2025-03-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 1 1 — — $11,988.70 $11,988.70 $11,988.70 2025-03-01
197 MS_DRG Interstitial Lung Disease With Cc 4 3 — — $11,906.06 $11,906.06 $11,906.06 2025-03-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 10 8 — — $11,879.92 $11,879.92 $11,879.92 2025-03-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $11,848.34 $11,848.34 $11,848.34 2025-03-01
603 MS_DRG Cellulitis Without Mcc 9 7 — — $11,833.09 $11,833.09 $11,833.09 2025-03-01
5114 OTHER Level 4 Musculoskeletal Procedures 19 12 — — $11,822.01 $11,822.01 $11,822.01 2025-03-01
684 MS_DRG Renal Failure Without Cc/Mcc 5 5 — — $11,791.16 $11,791.16 $11,791.16 2025-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $11,672.53 $11,672.53 $11,672.53 2025-03-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 2 — — $11,667.42 $11,667.42 $11,667.42 2025-03-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/Mcc 1 1 — — $11,606.61 $11,606.61 $11,606.61 2025-03-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 5 — — $11,602.29 $11,602.29 $11,602.29 2025-03-01
571 MS_DRG Skin Debridement With Cc 1 1 — — $11,585.52 $11,585.52 $11,585.52 2025-03-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 2 2 — — $11,365.65 $11,365.65 $11,365.65 2025-03-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 3 3 — — $11,360.17 $11,360.17 $11,360.17 2025-03-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 — — $11,293.02 $11,293.02 $11,293.02 2025-03-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 1 1 — — $11,204.23 $11,204.23 $11,204.23 2025-03-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 4 3 — — $11,177.49 $11,177.49 $11,177.49 2025-03-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 4 — — $11,085.78 $11,085.78 $11,085.78 2025-03-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 5 4 — — $11,045.52 $11,045.52 $11,045.52 2025-03-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 — — $11,019.70 $11,019.70 $11,019.70 2025-03-01
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $10,955.60 $10,955.60 $10,955.60 2025-03-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 5 5 — — $10,941.33 $10,941.33 $10,941.33 2025-03-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $10,923.23 $10,923.23 $10,923.23 2025-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $10,891.06 $10,891.06 $10,891.06 2025-03-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 — — $10,877.75 $10,877.75 $10,877.75 2025-03-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $10,876.55 $10,876.55 $10,876.55 2025-03-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 4 4 — — $10,790.41 $10,790.41 $10,790.41 2025-03-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 3 3 — — $10,757.08 $10,757.08 $10,757.08 2025-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $10,730.68 $10,730.68 $10,730.68 2025-03-01
174 MS_DRG G.i. Hemorrhage W Cc 5 5 — — $10,720.98 $10,720.98 $10,720.98 2025-03-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 7 6 — — $10,696.80 $10,696.80 $10,696.80 2025-03-01
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 — — $10,668.23 $10,668.23 $10,668.23 2025-03-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 10 8 — — $10,628.33 $10,628.33 $10,628.33 2025-03-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 2 2 — — $10,574.49 $10,574.49 $10,574.49 2025-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $10,543.04 $10,543.04 $10,543.04 2025-03-01
964 MS_DRG Other Multiple Significant Trauma With Cc 1 1 — — $10,521.42 $10,521.42 $10,521.42 2025-03-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 2 2 — — $10,516.36 $10,516.36 $10,516.36 2025-03-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $10,514.04 $10,514.04 $10,514.04 2025-03-01
948 MS_DRG Signs And Symptoms Without Mcc 6 6 — — $10,462.45 $10,462.45 $10,462.45 2025-03-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 6 6 — — $10,454.91 $10,454.91 $10,454.91 2025-03-01
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/Mcc 2 2 — — $10,420.92 $10,420.92 $10,420.92 2025-03-01
5623 OTHER Level 3 Radiation Therapy 8 7 — — $10,373.18 $10,373.18 $10,373.18 2025-03-01
375 MS_DRG Digestive Malignancy With Cc 3 3 — — $10,356.50 $10,356.50 $10,356.50 2025-03-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $10,342.93 $10,342.93 $10,342.93 2025-03-01
305 MS_DRG Hypertension Without Mcc 11 9 — — $10,325.00 $10,325.00 $10,325.00 2025-03-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 7 5 — — $10,311.95 $10,311.95 $10,311.95 2025-03-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 1 1 — — $10,290.91 $10,290.91 $10,290.91 2025-03-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $10,282.59 $10,282.59 $10,282.59 2025-03-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 1 — — $10,277.80 $10,277.80 $10,277.80 2025-03-01
669 MS_DRG Transurethral Procedures With Cc 2 2 — — $10,241.59 $10,241.59 $10,241.59 2025-03-01
149 MS_DRG Dysequilibrium 3 3 — — $10,174.08 $10,174.08 $10,174.08 2025-03-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $10,162.92 $10,162.92 $10,162.92 2025-03-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 — — $10,162.15 $10,162.15 $10,162.15 2025-03-01
398 MS_DRG Appendix Procedures With Cc 1 1 — — $10,148.78 $10,148.78 $10,148.78 2025-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 — — $10,123.15 $10,123.15 $10,123.15 2025-03-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 2 — — $10,076.42 $10,076.42 $10,076.42 2025-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $10,057.55 $10,057.55 $10,057.55 2025-03-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 — — $9,982.54 $9,982.54 $9,982.54 2025-03-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $9,922.92 $9,922.92 $9,922.92 2025-03-01
313 MS_DRG Chest Pain 1 1 — — $9,920.08 $9,920.08 $9,920.08 2025-03-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 2 2 — — $9,865.33 $9,865.33 $9,865.33 2025-03-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $9,860.06 $9,860.06 $9,860.06 2025-03-01
9304 OTHER Inj., Cemiplimab-rwlc, 1 Mg 1 1 — — $9,851.81 $9,851.81 $9,851.81 2025-03-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 7 6 — — $9,794.26 $9,794.26 $9,794.26 2025-03-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 — — $9,778.82 $9,778.82 $9,778.82 2025-03-01
101 MS_DRG Seizures Without Mcc 6 6 — — $9,767.70 $9,767.70 $9,767.70 2025-03-01
5372 OTHER Level 2 Urology And Related Services 1 1 — — $9,701.49 $9,701.49 $9,701.49 2025-03-01
551 MS_DRG Medical Back Problems With Mcc 3 3 — — $9,578.33 $9,578.33 $9,578.33 2025-03-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $9,550.23 $9,550.23 $9,550.23 2025-03-01
5375 OTHER Level 5 Urology And Related Services 11 8 — — $9,501.70 $9,501.70 $9,501.70 2025-03-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 1 1 — — $9,495.35 $9,495.35 $9,495.35 2025-03-01
759 MS_DRG Infections, Female Reproductive System Without Cc/Mcc 1 1 — — $9,493.91 $9,493.91 $9,493.91 2025-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 — — $9,454.42 $9,454.42 $9,454.42 2025-03-01
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $9,424.86 $9,424.86 $9,424.86 2025-03-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 2 2 — — $9,386.56 $9,386.56 $9,386.56 2025-03-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 2 2 — — $9,347.55 $9,347.55 $9,347.55 2025-03-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 — — $9,335.40 $9,335.40 $9,335.40 2025-03-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 4 4 — — $9,259.50 $9,259.50 $9,259.50 2025-03-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 3 3 — — $9,230.10 $9,230.10 $9,230.10 2025-03-01
9430 OTHER Piflu F-18, Dia 1 Millicurie 5 5 — — $9,209.74 $9,209.74 $9,209.74 2025-03-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $9,141.83 $9,141.83 $9,141.83 2025-03-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 2 — — $9,135.40 $9,135.40 $9,135.40 2025-03-01
364 MS_DRG D&c, Conization Except For Malignancy 2 2 — — $9,066.55 $9,066.55 $9,066.55 2025-03-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 5 5 — — $9,047.20 $9,047.20 $9,047.20 2025-03-01
921 MS_DRG Complications Of Treatment Without Cc/Mcc 1 1 — — $9,044.71 $9,044.71 $9,044.71 2025-03-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 3 3 — — $9,008.08 $9,008.08 $9,008.08 2025-03-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 3 3 — — $8,978.33 $8,978.33 $8,978.33 2025-03-01
348 MS_DRG Anal And Stomal Procedures With Cc 1 1 — — $8,971.98 $8,971.98 $8,971.98 2025-03-01
253 MS_DRG Other Vascular Procedures With Cc 6 5 — — $8,958.56 $8,958.56 $8,958.56 2025-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $8,938.06 $8,938.06 $8,938.06 2025-03-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 4 — — $8,920.77 $8,920.77 $8,920.77 2025-03-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 1 1 — — $8,915.22 $8,915.22 $8,915.22 2025-03-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 2 2 — — $8,914.38 $8,914.38 $8,914.38 2025-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 2 — — $8,784.21 $8,784.21 $8,784.21 2025-03-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 1 1 — — $8,781.12 $8,781.12 $8,781.12 2025-03-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 5 5 — — $8,724.83 $8,724.83 $8,724.83 2025-03-01
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $8,658.07 $8,658.07 $8,658.07 2025-03-01
176 MS_DRG Pulmonary Embolism Without Mcc 2 2 — — $8,643.04 $8,643.04 $8,643.04 2025-03-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 — — $8,631.97 $8,631.97 $8,631.97 2025-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $8,627.79 $8,627.79 $8,627.79 2025-03-01
1489 OTHER Inj Vedolizumab IV 1 Mg 1 1 — — $8,557.70 $8,557.70 $8,557.70 2025-03-01
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $8,477.39 $8,477.39 $8,477.39 2025-03-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 2 2 — — $8,421.19 $8,421.19 $8,421.19 2025-03-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 6 5 — — $8,353.35 $8,353.35 $8,353.35 2025-03-01
196 MS_DRG Interstitial Lung Disease With Mcc 4 4 — — $8,337.10 $8,337.10 $8,337.10 2025-03-01
5415 OTHER Level 5 Gynecologic Procedures 8 8 — — $8,319.97 $8,319.97 $8,319.97 2025-03-01
389 MS_DRG Gastrointestinal Obstruction With Cc 6 6 — — $8,314.35 $8,314.35 $8,314.35 2025-03-01
549 MS_DRG Septic Arthritis With Cc 2 2 — — $8,257.30 $8,257.30 $8,257.30 2025-03-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 7 6 — — $8,149.45 $8,149.45 $8,149.45 2025-03-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 3 3 — — $8,134.55 $8,134.55 $8,134.55 2025-03-01
54 MS_DRG Nervous System Neoplasms With Mcc 4 3 — — $8,031.40 $8,031.40 $8,031.40 2025-03-01
199 MS_DRG Pneumothorax With Mcc 4 3 — — $8,023.95 $8,023.95 $8,023.95 2025-03-01
9254 OTHER Flotufolastat F18 Diag 1 Mci 9 8 — — $8,021.60 $8,021.60 $8,021.60 2025-03-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 2 — — $7,991.31 $7,991.31 $7,991.31 2025-03-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 2 2 — — $7,943.93 $7,943.93 $7,943.93 2025-03-01
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 — — $7,938.41 $7,938.41 $7,938.41 2025-03-01
187 MS_DRG Pleural Effusion With Cc 2 2 — — $7,905.64 $7,905.64 $7,905.64 2025-03-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 1 1 — — $7,903.85 $7,903.85 $7,903.85 2025-03-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $7,777.79 $7,777.79 $7,777.79 2025-03-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 2 — — $7,723.57 $7,723.57 $7,723.57 2025-03-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 6 — — $7,712.48 $7,712.48 $7,712.48 2025-03-01
5155 OTHER Level 5 Airway Endoscopy 1 1 — — $7,623.10 $7,623.10 $7,623.10 2025-03-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $7,570.23 $7,570.23 $7,570.23 2025-03-01
1823 OTHER Injection, Dalbavancin 11 9 — — $7,528.06 $7,528.06 $7,528.06 2025-03-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $7,492.95 $7,492.95 $7,492.95 2025-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $7,491.84 $7,491.84 $7,491.84 2025-03-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 1 — — $7,487.62 $7,487.62 $7,487.62 2025-03-01
643 MS_DRG Endocrine Disorders With Mcc 1 1 — — $7,448.93 $7,448.93 $7,448.93 2025-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $7,425.85 $7,425.85 $7,425.85 2025-03-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 5 5 — — $7,415.22 $7,415.22 $7,415.22 2025-03-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $7,398.64 $7,398.64 $7,398.64 2025-03-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 7 6 — — $7,388.82 $7,388.82 $7,388.82 2025-03-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 2 2 — — $7,387.22 $7,387.22 $7,387.22 2025-03-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/Mcc 6 6 — — $7,368.33 $7,368.33 $7,368.33 2025-03-01
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