Price Transparencybeta Hospital negotiated rates

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

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Hospital

PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL

Hood River, OR · CCN 381318 · Rates published

Your selected procedure

You selected 481 (MS_DRG)

Hip And Femur Procedures Except Major Joint With Cc

This hospital’s price: $18,528 across 2 payers · range $17,275-$19,781

Source: https://pricetransparency.providence.org/oregon/live/931265038_providence-hood-river-memorial-hospital_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,006 distinct procedures filed
13 distinct payers
18,565 rate rows
2026-04-01 last MRF observed
Data quality

1,227 of 18,565 rate rows are consumer-grade (6.6%)

17,338 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 12,008
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,330
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/oregon/live/931265038_providence-hood-river-memorial-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-21
Content fingerprint 763b9593d5c295d4… · 168,208,302 bytes · first seen 2026-05-13

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
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 2 $82,268.83 $85,350.56 $83,809.70 nat. median
$16,222
outlier · 5.2×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 $78,848.34 $78,848.34 $78,848.34 nat. median
$25,333
outlier · 3.1×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $75,560.95 $75,560.95 $75,560.95 nat. median
$22,935
outlier · 3.3×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 1 $74,742.15 $74,742.15 $74,742.15 nat. median
$21,142
outlier · 3.5×
502
MS_DRG 		Soft Tissue Procedures Without Cc/Mcc 1 $71,851.70 $71,851.70 $71,851.70 nat. median
$13,530
outlier · 5.3×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 1 $70,514.00 $70,514.00 $70,514.00 nat. median
$20,286
outlier · 3.5×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $60,079.64 $60,079.64 $60,079.64 nat. median
$28,649
outlier · 2.1×
412
MS_DRG 		Cholecystectomy With C.d.e. With Cc 1 $58,345.67 $58,345.67 $58,345.67 nat. median
$20,492
outlier · 2.8×
413
MS_DRG 		Cholecystectomy With C.d.e. Without Cc/Mcc 1 $57,727.57 $57,727.57 $57,727.57 nat. median
$16,447
outlier · 3.5×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 $52,393.93 $52,393.93 $52,393.93 nat. median
$22,548
outlier · 2.3×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 1 $51,116.63 $51,116.63 $51,116.63 nat. median
$10,189
outlier · 5.0×
796
MS_DRG 		Vaginal Delivery With Sterilization And/Or D&c With Mcc 1 $49,162.80 $49,162.80 $49,162.80 nat. median
$11,352
outlier · 4.3×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $39,884.37 $56,523.80 $48,204.09 nat. median
$45,362
1.1× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 1 $45,924.04 $45,924.04 $45,924.04 nat. median
$16,522
outlier · 2.8×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $42,833.52 $42,833.52 $42,833.52 nat. median
$19,195
outlier · 2.2×
5116
OTHER 		Level 6 Musculoskeletal Procedures 3 $25,203.24 $66,748.75 $38,304.39 nat. median
$18,671
outlier · 2.1×
5362
OTHER 		Level 2 Laparoscopy And Related Services 7 $421.04 $49,914.02 $38,216.05 nat. median
$11,101
outlier · 3.4×
787
MS_DRG 		Cesarean Section Without Sterilization With Cc 2 $36,562.53 $39,478.27 $38,020.40 nat. median
$10,903
outlier · 3.5×
5092
OTHER 		Level 2 Breast/Lymphatic Surgery And Related Procedures 3 $31,886.80 $38,311.32 $37,769.52 nat. median
$7,071
outlier · 5.3×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 $37,462.56 $37,462.56 $37,462.56 nat. median
$16,451
outlier · 2.3×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 1 $36,403.98 $36,403.98 $36,403.98 nat. median
$14,836
outlier · 2.5×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 $35,815.78 $35,815.78 $35,815.78 nat. median
$12,524
outlier · 2.9×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $35,785.83 $35,785.83 $35,785.83 nat. median
$33,559
1.1× median
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 1 $33,882.80 $33,882.80 $33,882.80 nat. median
$13,549
outlier · 2.5×
399
MS_DRG 		Appendix Procedures Without Cc/Mcc 1 $33,820.62 $33,820.62 $33,820.62 nat. median
$11,658
outlier · 2.9×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 1 $33,400.14 $33,400.14 $33,400.14 nat. median
$17,042
2.0× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 1 $32,754.75 $32,754.75 $32,754.75 nat. median
$15,951
outlier · 2.1×
637
MS_DRG 		Diabetes With Mcc 2 $9,724.29 $55,067.72 $32,396.01 nat. median
$13,945
outlier · 2.3×
805
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Mcc 1 $32,239.76 $32,239.76 $32,239.76 nat. median
$9,881
outlier · 3.3×
788
MS_DRG 		Cesarean Section Without Sterilization Without Cc/Mcc 3 $3,607.44 $40,186.92 $31,581.73 nat. median
$9,598
outlier · 3.3×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $31,111.17 $31,111.17 $31,111.17 nat. median
$33,713
0.9× median
5115
OTHER 		Level 5 Musculoskeletal Procedures 8 $7,951.47 $41,642.60 $30,679.04 nat. median
$13,584
outlier · 2.3×
921
MS_DRG 		Complications Of Treatment Without Cc/Mcc 1 $30,144.65 $30,144.65 $30,144.65 nat. median
$7,445
outlier · 4.0×
5093
OTHER 		Level 3 Breast/Lymphatic Surgery And Related Procedures 1 $30,059.90 $30,059.90 $30,059.90 nat. median
$8,950
outlier · 3.4×
951
MS_DRG 		Other Factors Influencing Health Status 3 $11,396.57 $41,428.95 $30,031.88 nat. median
$6,223
outlier · 4.8×
918
MS_DRG 		Poisoning And Toxic Effects Of Drugs Without Mcc 1 $29,271.49 $29,271.49 $29,271.49 nat. median
$8,368
outlier · 3.5×
307
MS_DRG 		Cardiac Congenital And Valvular Disorders Without Mcc 1 $12,309.78 $45,389.31 $28,849.54 nat. median
$9,535
outlier · 3.0×
785
MS_DRG 		Cesarean Section With Sterilization Without Cc/Mcc 2 $24,010.16 $33,602.78 $28,806.47 nat. median
$9,457
outlier · 3.0×
373
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 1 $27,821.85 $27,821.85 $27,821.85 nat. median
$7,836
outlier · 3.6×
863
MS_DRG 		Postoperative And Post-traumatic Infections Without Mcc 2 $13,695.98 $39,547.26 $26,621.62 nat. median
$10,218
outlier · 2.6×
76
MS_DRG 		Viral Meningitis Without Cc/Mcc 1 $25,924.81 $25,924.81 $25,924.81 nat. median
$9,087
outlier · 2.9×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 2 $15,026.57 $30,974.56 $25,924.59 nat. median
$12,858
outlier · 2.0×
710
MS_DRG 		Penis Procedures Without Cc/Mcc 1 $25,564.94 $25,564.94 $25,564.94 nat. median
$14,402
1.8× median
593
MS_DRG 		Skin Ulcers With Cc 1 $25,334.81 $25,334.81 $25,334.81 nat. median
$11,933
outlier · 2.1×
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 $16,270.68 $33,793.17 $25,031.92 nat. median
$8,342
outlier · 3.0×
758
MS_DRG 		Infections, Female Reproductive System With Cc 1 $24,648.79 $24,648.79 $24,648.79 nat. median
$10,101
outlier · 2.4×
693
MS_DRG 		Urinary Stones With Mcc 1 $24,014.79 $24,014.79 $24,014.79 nat. median
$13,694
1.8× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 $1,018.37 $45,050.38 $23,034.37 nat. median
$12,833
1.8× median
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 1 $22,635.40 $22,635.40 $22,635.40 nat. median
$8,925
outlier · 2.5×
5155
OTHER 		Level 5 Airway Endoscopy 4 $5,831.44 $42,739.20 $22,488.38 nat. median
$7,420
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 1,006 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
             
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $82,268.83 $85,350.56 $83,809.70 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $78,848.34 $78,848.34 $78,848.34 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $75,560.95 $75,560.95 $75,560.95 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $74,742.15 $74,742.15 $74,742.15 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 1 1 — — $71,851.70 $71,851.70 $71,851.70 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $70,514.00 $70,514.00 $70,514.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $60,079.64 $60,079.64 $60,079.64 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $58,345.67 $58,345.67 $58,345.67 2026-04-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/Mcc 1 1 — — $57,727.57 $57,727.57 $57,727.57 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $52,393.93 $52,393.93 $52,393.93 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 — — $51,116.63 $51,116.63 $51,116.63 2026-04-01
796 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Mcc 1 1 — — $49,162.80 $49,162.80 $49,162.80 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $39,884.37 $56,523.80 $48,204.09 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 1 1 — — $45,924.04 $45,924.04 $45,924.04 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $42,833.52 $42,833.52 $42,833.52 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 3 3 — — $25,203.24 $66,748.75 $38,304.39 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 8 7 — — $421.04 $49,914.02 $38,216.05 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 2 2 — — $36,562.53 $39,478.27 $38,020.40 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $31,886.80 $38,311.32 $37,769.52 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 — — $37,462.56 $37,462.56 $37,462.56 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 1 1 — — $36,403.98 $36,403.98 $36,403.98 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 — — $35,815.78 $35,815.78 $35,815.78 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $35,785.83 $35,785.83 $35,785.83 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 1 1 — — $33,882.80 $33,882.80 $33,882.80 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 1 1 — — $33,820.62 $33,820.62 $33,820.62 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 — — $33,400.14 $33,400.14 $33,400.14 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 — — $32,754.75 $32,754.75 $32,754.75 2026-04-01
637 MS_DRG Diabetes With Mcc 2 2 — — $9,724.29 $55,067.72 $32,396.01 2026-04-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 1 1 — — $32,239.76 $32,239.76 $32,239.76 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 3 3 — — $3,607.44 $40,186.92 $31,581.73 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $31,111.17 $31,111.17 $31,111.17 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 11 8 — — $7,951.47 $41,642.60 $30,679.04 2026-04-01
921 MS_DRG Complications Of Treatment Without Cc/Mcc 1 1 — — $30,144.65 $30,144.65 $30,144.65 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $30,059.90 $30,059.90 $30,059.90 2026-04-01
951 MS_DRG Other Factors Influencing Health Status 3 3 — — $11,396.57 $41,428.95 $30,031.88 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 — — $29,271.49 $29,271.49 $29,271.49 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 2 1 — — $12,309.78 $45,389.31 $28,849.54 2026-04-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 2 2 — — $24,010.16 $33,602.78 $28,806.47 2026-04-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 1 1 — — $27,821.85 $27,821.85 $27,821.85 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 — — $13,695.98 $39,547.26 $26,621.62 2026-04-01
76 MS_DRG Viral Meningitis Without Cc/Mcc 1 1 — — $25,924.81 $25,924.81 $25,924.81 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 3 2 — — $15,026.57 $30,974.56 $25,924.59 2026-04-01
710 MS_DRG Penis Procedures Without Cc/Mcc 1 1 — — $25,564.94 $25,564.94 $25,564.94 2026-04-01
593 MS_DRG Skin Ulcers With Cc 1 1 — — $25,334.81 $25,334.81 $25,334.81 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 2 — — $16,270.68 $33,793.17 $25,031.92 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 1 1 — — $24,648.79 $24,648.79 $24,648.79 2026-04-01
693 MS_DRG Urinary Stones With Mcc 1 1 — — $24,014.79 $24,014.79 $24,014.79 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 — — $1,018.37 $45,050.38 $23,034.37 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 — — $22,635.40 $22,635.40 $22,635.40 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 4 4 — — $5,831.44 $42,739.20 $22,488.38 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $22,272.54 $22,272.54 $22,272.54 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 9 7 — — $4,962.44 $54,879.67 $21,729.61 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $21,116.88 $21,116.88 $21,116.88 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 — — $21,066.39 $21,066.39 $21,066.39 2026-04-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 3 3 — — $15,709.55 $22,601.18 $21,029.47 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 1 — — $21,026.64 $21,026.64 $21,026.64 2026-04-01
602 MS_DRG Cellulitis With Mcc 3 2 — — $5,696.81 $58,218.04 $20,335.61 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 4 3 — — $8,167.48 $22,074.08 $20,186.72 2026-04-01
5361 OTHER Level 1 Laparoscopy And Related Services 12 8 — — $4,532.03 $31,500.48 $19,363.42 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 — — $17,275.09 $19,781.46 $18,528.28 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 1 1 — — $18,434.40 $18,434.40 $18,434.40 2026-04-01
682 MS_DRG Renal Failure With Mcc 3 2 — — $13,867.94 $106,758.01 $18,423.56 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $18,307.77 $18,307.77 $18,307.77 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $18,215.89 $18,215.89 $18,215.89 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 1 1 — — $17,964.47 $17,964.47 $17,964.47 2026-04-01
694 MS_DRG Urinary Stones Without Mcc 1 1 — — $17,901.02 $17,901.02 $17,901.02 2026-04-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $17,732.16 $17,732.16 $17,732.16 2026-04-01
5493 OTHER Level 3 Intraocular Procedures 1 1 — — $17,621.72 $17,621.72 $17,621.72 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 1 — — $15,436.31 $18,926.53 $17,181.42 2026-04-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 2 2 — — $11,043.42 $23,303.12 $17,173.27 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 4 3 — — $4,169.26 $20,337.10 $17,060.58 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 — — $17,058.80 $17,058.80 $17,058.80 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $16,961.02 $16,961.02 $16,961.02 2026-04-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 4 4 — — $14,244.80 $30,827.30 $16,685.20 2026-04-01
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 1 1 — — $16,652.65 $16,652.65 $16,652.65 2026-04-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 1 1 — — $16,643.30 $16,643.30 $16,643.30 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 2 1 — — $13,290.35 $19,633.04 $16,461.69 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 — — $16,249.59 $16,249.59 $16,249.59 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 — — $16,241.73 $16,241.73 $16,241.73 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 2 1 — — $11,719.13 $20,515.87 $16,117.50 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 1 1 — — $15,940.50 $15,940.50 $15,940.50 2026-04-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 1 1 — — $15,867.56 $15,867.56 $15,867.56 2026-04-01
5161 OTHER Level 1 ENT Procedures 7 6 — — $180.15 $21,809.38 $15,866.48 2026-04-01
5415 OTHER Level 5 Gynecologic Procedures 6 6 — — $10,775.49 $25,679.67 $15,792.69 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 2 — — $10,015.94 $16,696.51 $15,669.26 2026-04-01
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 2 2 — — $812.13 $30,387.09 $15,599.61 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $8,329.44 $22,860.61 $15,595.03 2026-04-01
305 MS_DRG Hypertension Without Mcc 2 2 — — $9,881.87 $21,088.57 $15,485.22 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 1 — — $14,221.34 $16,341.92 $15,281.63 2026-04-01
5694 OTHER Level 4 Drug Administration 11 7 — — $3,380.46 $85,738.50 $15,209.63 2026-04-01
5045 OTHER Trauma Response With Critical Care 1 1 — — $14,947.38 $14,947.38 $14,947.38 2026-04-01
975 MS_DRG HIV With Major Related Condition With Cc 1 1 — — $14,863.37 $14,863.37 $14,863.37 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 — — $14,862.27 $14,862.27 $14,862.27 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $14,833.22 $14,833.22 $14,833.22 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 — — $14,742.04 $14,742.04 $14,742.04 2026-04-01
5871 OTHER Dental Procedures 2 2 — — $14,075.07 $15,024.08 $14,549.58 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 — — $14,469.00 $14,469.00 $14,469.00 2026-04-01
683 MS_DRG Renal Failure With Cc 3 2 — — $7,852.00 $17,488.27 $14,228.93 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $14,227.97 $14,227.97 $14,227.97 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 — — $14,031.33 $14,031.33 $14,031.33 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 4 — — $434.53 $16,448.02 $13,865.75 2026-04-01
603 MS_DRG Cellulitis Without Mcc 5 4 — — $10,206.62 $15,592.90 $13,803.77 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 1 — — $10,993.10 $16,168.82 $13,580.96 2026-04-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 7 5 — — $6,368.41 $43,609.75 $13,538.40 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 2 1 — — $9,524.80 $16,845.06 $13,184.93 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 2 1 — — $9,620.20 $16,520.48 $13,070.34 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $13,029.48 $13,029.48 $13,029.48 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $13,020.67 $13,020.67 $13,020.67 2026-04-01
638 MS_DRG Diabetes With Cc 2 1 — — $3,601.89 $22,335.08 $12,968.49 2026-04-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $12,963.82 $12,963.82 $12,963.82 2026-04-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 1 1 — — $12,847.90 $12,847.90 $12,847.90 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 2 — — $357.87 $24,869.24 $12,613.56 2026-04-01
5164 OTHER Level 4 ENT Procedures 6 5 — — $8,120.73 $13,353.85 $12,583.17 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $11,281.32 $13,765.35 $12,523.33 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 2 — — $1,532.86 $12,541.44 $12,304.33 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 — — $12,281.19 $12,281.19 $12,281.19 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 1 1 — — $12,224.40 $12,224.40 $12,224.40 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 1 — — $11,371.48 $13,062.80 $12,217.14 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 1 — — $9,002.12 $15,166.71 $12,084.42 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 — — $12,009.03 $12,009.03 $12,009.03 2026-04-01
5413 OTHER Level 3 Gynecologic Procedures 1 1 — — $11,984.97 $11,984.97 $11,984.97 2026-04-01
5374 OTHER Level 4 Urology And Related Services 3 3 — — $5,341.88 $14,501.66 $11,716.65 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 4 3 — — $9,036.42 $15,395.10 $11,597.08 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 2 1 — — $8,789.75 $14,162.57 $11,476.16 2026-04-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 6 5 — — $5,214.79 $14,030.76 $11,159.35 2026-04-01
5183 OTHER Level 3 Vascular Procedures 8 6 — — $2,129.91 $15,393.94 $11,134.78 2026-04-01
5375 OTHER Level 5 Urology And Related Services 2 2 — — $7,503.86 $14,426.39 $10,965.12 2026-04-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 7 6 — — $1,862.87 $15,678.32 $10,913.36 2026-04-01
639 MS_DRG Diabetes Without Cc/Mcc 2 2 — — $10,492.01 $11,318.73 $10,905.37 2026-04-01
55 MS_DRG Nervous System Neoplasms Without Mcc 1 1 — — $10,768.81 $10,768.81 $10,768.81 2026-04-01
5414 OTHER Level 4 Gynecologic Procedures 11 8 — — $1,829.25 $17,410.60 $10,595.37 2026-04-01
263 MS_DRG Vein Ligation And Stripping 1 1 — — $10,531.06 $10,531.06 $10,531.06 2026-04-01
684 MS_DRG Renal Failure Without Cc/Mcc 2 2 — — $9,770.32 $11,125.52 $10,447.92 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 — — $10,389.75 $10,389.75 $10,389.75 2026-04-01
5313 OTHER Level 3 Lower Gi Procedures 9 7 — — $2,010.21 $12,025.92 $10,061.26 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 1 1 — — $10,022.47 $10,022.47 $10,022.47 2026-04-01
5165 OTHER Level 5 ENT Procedures 4 4 — — $8,269.98 $13,895.84 $10,004.58 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 2 2 — — $3,726.83 $16,267.78 $9,997.31 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 3 2 — — $3,853.78 $11,916.71 $9,970.28 2026-04-01
5113 OTHER Level 3 Musculoskeletal Procedures 10 7 — — $201.64 $19,817.35 $9,919.06 2026-04-01
5431 OTHER Level 1 Nerve Procedures 5 4 — — $4,342.21 $11,004.47 $9,902.28 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $9,769.45 $9,769.45 $9,769.45 2026-04-01
5053 OTHER Level 3 Skin Procedures 2 2 — — $2,468.24 $16,795.41 $9,631.83 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 — — $9,596.73 $9,596.73 $9,596.73 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $9,360.00 $9,360.00 $9,360.00 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 — — $9,330.63 $9,330.63 $9,330.63 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 1 — — $6,128.28 $12,270.48 $9,199.38 2026-04-01
887 MS_DRG Other Mental Disorder Diagnoses 1 1 — — $9,190.02 $9,190.02 $9,190.02 2026-04-01
149 MS_DRG Dysequilibrium 1 1 — — $9,152.90 $9,152.90 $9,152.90 2026-04-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 — — $9,033.21 $9,033.21 $9,033.21 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 — — $8,980.14 $8,980.14 $8,980.14 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $8,976.04 $8,976.04 $8,976.04 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 2 2 — — $4,779.88 $12,932.83 $8,856.35 2026-04-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $8,792.38 $8,792.38 $8,792.38 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 3 2 — — $3,784.08 $9,607.62 $8,478.69 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 1 1 — — $8,402.89 $8,402.89 $8,402.89 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 4 — — $4,476.03 $22,398.95 $8,392.96 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 3 2 — — $469.58 $22,096.75 $8,361.00 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 2 — — $3,853.78 $12,659.51 $8,256.65 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 3 3 — — $378.39 $13,841.17 $8,072.57 2026-04-01
139 MS_DRG Salivary Gland Procedures 1 1 — — $8,043.07 $8,043.07 $8,043.07 2026-04-01
312 MS_DRG Syncope And Collapse 2 2 — — $4,411.35 $10,900.89 $7,656.12 2026-04-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 1 1 — — $7,581.71 $7,581.71 $7,581.71 2026-04-01
5302 OTHER Level 2 Upper Gi Procedures 6 4 — — $3,453.32 $11,846.38 $7,579.82 2026-04-01
540 MS_DRG Osteomyelitis With Cc 1 1 — — $7,423.44 $7,423.44 $7,423.44 2026-04-01
5412 OTHER Level 2 Gynecologic Procedures 2 2 — — $3,481.91 $11,030.22 $7,256.06 2026-04-01
792 MS_DRG Prematurity Without Major Problems 2 2 — — $3,763.05 $10,739.99 $7,251.52 2026-04-01
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/Mcc 1 1 — — $7,179.66 $7,179.66 $7,179.66 2026-04-01
5163 OTHER Level 3 ENT Procedures 8 6 — — $416.12 $9,429.48 $6,886.94 2026-04-01
1482 OTHER Darbepoetin Alfa, Esrd Use 5 4 — — $3,378.93 $25,874.75 $6,878.82 2026-04-01
5054 OTHER Level 4 Skin Procedures 1 1 — — $6,716.62 $6,716.62 $6,716.62 2026-04-01
5491 OTHER Level 1 Intraocular Procedures 12 7 — — $1,312.39 $10,232.33 $6,622.70 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 1 1 — — $6,606.97 $6,606.97 $6,606.97 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $6,548.33 $6,548.33 $6,548.33 2026-04-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 7 5 — — $2,748.60 $9,087.55 $6,518.51 2026-04-01
5311 OTHER Level 1 Lower Gi Procedures 11 8 — — $881.55 $7,354.78 $6,504.97 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 2 1 — — $2,425.06 $10,546.35 $6,485.70 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $6,450.00 $6,450.00 $6,450.00 2026-04-01
5055 OTHER Level 5 Skin Procedures 1 1 — — $6,320.86 $6,320.86 $6,320.86 2026-04-01
5041 OTHER Critical Care 12 8 — — $577.81 $10,707.16 $6,269.31 2026-04-01
9031 OTHER Inj, Etelcalcetide, 0.1 Mg 1 1 — — $6,245.62 $6,245.62 $6,245.62 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $6,229.80 $6,229.80 $6,229.80 2026-04-01
5312 OTHER Level 2 Lower Gi Procedures 14 9 — — $910.92 $8,878.46 $6,226.50 2026-04-01
5153 OTHER Level 3 Airway Endoscopy 1 1 — — $5,992.02 $5,992.02 $5,992.02 2026-04-01
541 MS_DRG Osteomyelitis Without Cc/Mcc 1 1 — — $5,933.55 $5,933.55 $5,933.55 2026-04-01
5301 OTHER Level 1 Upper Gi Procedures 10 7 — — $168.04 $9,546.23 $5,809.89 2026-04-01
7048 OTHER Alteplase Recombinant 2 2 — — $3,708.10 $7,397.81 $5,552.95 2026-04-01
794 MS_DRG Neonate With Other Significant Problems 3 3 — — $3,058.80 $9,123.87 $5,535.05 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 1 1 — — $5,500.93 $5,500.93 $5,500.93 2026-04-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 1 1 — — $5,468.89 $5,468.89 $5,468.89 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 2 — — $4,238.69 $6,625.53 $5,432.11 2026-04-01
5401 OTHER Dialysis 1 1 — — $5,304.20 $5,304.20 $5,304.20 2026-04-01
797 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Cc 1 1 — — $5,198.92 $5,198.92 $5,198.92 2026-04-01
5112 OTHER Level 2 Musculoskeletal Procedures 15 10 — — $2,075.08 $11,495.60 $5,192.27 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $5,160.25 $5,217.56 $5,188.91 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 2 — — $765.86 $9,540.30 $5,153.08 2026-04-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/Mcc 3 3 — — $3,913.33 $5,716.57 $5,125.56 2026-04-01
5373 OTHER Level 3 Urology And Related Services 1 1 — — $5,055.87 $5,055.87 $5,055.87 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 — — $4,079.56 $5,823.97 $4,951.77 2026-04-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $4,933.98 $4,933.98 $4,933.98 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 2 2 — — $1,451.13 $7,873.83 $4,662.48 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $4,657.13 $4,657.13 $4,657.13 2026-04-01
795 MS_DRG Normal Newborn 5 5 — — $1,018.37 $5,107.87 $4,644.02 2026-04-01
101 MS_DRG Seizures Without Mcc 1 1 — — $4,622.68 $4,622.68 $4,622.68 2026-04-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 1 1 — — $4,520.31 $4,520.31 $4,520.31 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 1 1 — — $4,375.41 $4,375.41 $4,375.41 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 — — $4,367.86 $4,367.86 $4,367.86 2026-04-01
5594 OTHER Level 4 Nuclear Medicine And Related Services 3 3 — — $4,196.51 $6,640.12 $4,322.40 2026-04-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 1 1 — — $4,223.74 $4,223.74 $4,223.74 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 1 1 — — $4,108.57 $4,108.57 $4,108.57 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $3,932.79 $3,932.79 $3,932.79 2026-04-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 8 6 — — $447.12 $33,119.40 $3,911.27 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 2 2 — — $3,778.27 $4,000.73 $3,889.50 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 — — $2,512.80 $4,799.86 $3,656.33 2026-04-01
5025 OTHER Level 5 Type A Ed Visits 21 13 — — $418.50 $5,850.52 $3,512.72 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 1 1 — — $3,386.13 $3,386.13 $3,386.13 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $3,327.65 $3,327.65 $3,327.65 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 2 — — $1,989.44 $4,507.48 $3,248.46 2026-04-01
103 MS_DRG Headaches Without Mcc 1 1 — — $3,242.34 $3,242.34 $3,242.34 2026-04-01
5593 OTHER Level 3 Nuclear Medicine And Related Services 10 7 — — $660.50 $4,275.75 $3,224.12 2026-04-01
313 MS_DRG Chest Pain 1 1 — — $3,074.55 $3,074.55 $3,074.55 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 1 1 — — $3,026.81 $3,026.81 $3,026.81 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 1 1 — — $2,986.87 $2,986.87 $2,986.87 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 3 3 — — $997.30 $29,789.53 $2,968.70 2026-04-01
5182 OTHER Level 2 Vascular Procedures 2 2 — — $255.87 $5,335.67 $2,795.77 2026-04-01
5572 OTHER Level 2 Imaging With Contrast 14 8 — — $305.64 $3,645.96 $2,615.66 2026-04-01
5781 OTHER Resuscitation And Cardioversion 9 5 — — $1,140.20 $3,532.71 $2,592.42 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 2 2 — — $320.25 $4,792.98 $2,556.61 2026-04-01
5592 OTHER Level 2 Nuclear Medicine And Related Services 7 6 — — $668.40 $3,066.60 $2,508.80 2026-04-01
5573 OTHER Level 3 Imaging With Contrast 11 9 — — $359.18 $3,397.86 $2,394.46 2026-04-01
5181 OTHER Level 1 Vascular Procedures 2 2 — — $1,626.23 $2,605.83 $2,116.03 2026-04-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 9 7 — — $432.54 $4,480.06 $2,081.58 2026-04-01
5524 OTHER Level 4 Imaging Without Contrast 16 10 — — $359.47 $3,992.59 $1,912.00 2026-04-01
5691 OTHER Level 1 Drug Administration 3 3 — — $791.13 $23,882.67 $1,737.40 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 2 2 — — $375.53 $3,023.53 $1,699.53 2026-04-01
5591 OTHER Level 1 Nuclear Medicine And Related Services 7 5 — — $30.00 $2,411.28 $1,686.73 2026-04-01
5024 OTHER Level 4 Type A Ed Visits 21 13 — — $193.25 $3,315.02 $1,621.58 2026-04-01
5052 OTHER Level 2 Skin Procedures 9 7 — — $278.21 $2,086.90 $1,592.83 2026-04-01
5674 OTHER Level 4 Pathology 1 1 — — $1,477.68 $1,477.68 $1,477.68 2026-04-01
9530 OTHER Plate Pheres Leukoredu Irrad 1 1 — — $1,436.34 $1,436.34 $1,436.34 2026-04-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc 2 2 — — $87.26 $2,780.97 $1,434.11 2026-04-01
5442 OTHER Level 2 Nerve Injections 5 5 — — $636.13 $2,740.45 $1,414.86 2026-04-01
5693 OTHER Level 3 Drug Administration 14 10 — — $201.50 $21,604.26 $1,381.74 2026-04-01
5523 OTHER Level 3 Imaging Without Contrast 17 11 — — $169.95 $3,430.13 $1,357.25 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 1 1 — — $1,344.89 $1,344.89 $1,344.89 2026-04-01
5571 OTHER Level 1 Imaging With Contrast 15 10 — — $80.28 $2,893.23 $1,301.84 2026-04-01
5673 OTHER Level 3 Pathology 6 6 — — $201.94 $5,157.31 $1,189.58 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 — — $1,093.83 $1,093.83 $1,093.83 2026-04-01
5672 OTHER Level 2 Pathology 9 8 — — $233.60 $2,485.60 $1,023.93 2026-04-01
5101 OTHER Level 1 Strapping And Cast Application 5 4 — — $203.22 $1,288.20 $993.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $961.35 $961.35 $961.35 2026-04-01
5441 OTHER Level 1 Nerve Injections 12 6 — — $164.77 $1,480.55 $896.78 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $895.85 $895.85 $895.85 2026-04-01
5023 OTHER Level 3 Type A Ed Visits 19 11 — — $179.12 $1,243.93 $759.00 2026-04-01
5723 OTHER Level 3 Diagnostic Tests And Related Services 1 1 — — $737.14 $737.14 $737.14 2026-04-01
5411 OTHER Level 1 Gynecologic Procedures 14 10 — — $93.45 $1,544.76 $733.62 2026-04-01
5671 OTHER Level 1 Pathology 11 8 — — $55.02 $1,182.92 $727.57 2026-04-01
5371 OTHER Level 1 Urology And Related Services 2 2 — — $406.67 $982.04 $694.36 2026-04-01
5823 OTHER Level 3 Health And Behavior Services 13 8 — — $107.54 $1,023.33 $616.00 2026-04-01
9011 OTHER Mmrv Vaccine Sc 3 2 — — $151.12 $705.35 $610.60 2026-04-01
5111 OTHER Level 1 Musculoskeletal Procedures 6 4 — — $42.00 $5,134.70 $601.08 2026-04-01
9398 OTHER Covid-19 Vaccine Administration 9 6 — — $205.57 $757.37 $561.79 2026-04-01
N903 OTHER Influenza Vaccines & Pneumococcal Pneumonia Vaccines 2 2 — — $142.15 $981.05 $561.60 2026-04-01
5722 OTHER Level 2 Diagnostic Tests And Related Services 9 7 — — $80.05 $1,298.24 $522.68 2026-04-01
5022 OTHER Level 2 Type A Ed Visits 17 11 — — $102.73 $1,071.61 $517.78 2026-04-01
5522 OTHER Level 2 Imaging Without Contrast 18 12 — — $79.90 $814.15 $515.83 2026-04-01
N905 OTHER Not Recognized By Opps 11 9 — — $72.42 $3,452.90 $469.00 2026-04-01
N804 OTHER Mammography Services 15 9 — — $52.04 $514.45 $445.22 2026-04-01
5692 OTHER Level 2 Drug Administration 16 11 — — $53.29 $537.31 $384.98 2026-04-01
5733 OTHER Level 3 Minor Procedures 15 10 — — $124.73 $568.84 $379.23 2026-04-01
0790 RC Inj, Methylpred Acetate 1 Mg 9 7 — — $75.06 $480.14 $357.52 2026-04-01
5734 OTHER Level 4 Minor Procedures 14 9 — — $46.04 $579.60 $355.77 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $340.24 $340.24 $340.24 2026-04-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 12 8 — — $79.68 $436.27 $330.77 2026-04-01
N801 OTHER Therapy Services 16 10 — — $62.32 $417.65 $330.27 2026-04-01
5012 OTHER Clinic Visits And Related Services 18 11 — — $83.39 $990.00 $327.74 2026-04-01
N902 OTHER Packaged Services 16 10 — — $84.02 $629.08 $313.44 2026-04-01
N900 OTHER Non-covered Services 12 9 — — $104.06 $1,149.36 $296.74 2026-04-01
5051 OTHER Level 1 Skin Procedures 10 7 — — $128.04 $1,405.62 $294.33 2026-04-01
5732 OTHER Level 2 Minor Procedures 13 9 — — $61.31 $1,110.96 $292.36 2026-04-01
5162 OTHER Level 2 ENT Procedures 1 1 — — $287.91 $287.91 $287.91 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 — — $287.34 $287.34 $287.34 2026-04-01
N907 OTHER Not Billable To Fi 5 4 — — $141.14 $341.10 $277.49 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 — — $260.98 $260.98 $260.98 2026-04-01
N700 OTHER Non-opps Clinic Services 16 9 — — $83.47 $358.00 $252.09 2026-04-01
5151 OTHER Level 1 Airway Endoscopy 4 3 — — $208.03 $1,535.64 $241.07 2026-04-01
5821 OTHER Level 1 Health And Behavior Services 6 4 — — $15.10 $640.50 $212.77 2026-04-01
5021 OTHER Level 1 Type A Ed Visits 18 12 — — $112.32 $710.76 $196.81 2026-04-01
0874 RC Synvisc Or Synvisc-one 2 2 — — $157.87 $233.93 $195.90 2026-04-01
N805 OTHER Durable Medical Equipment 2 2 — — $111.32 $275.52 $193.42 2026-04-01
881 MS_DRG Depressive Neuroses 1 1 — — $193.20 $193.20 $193.20 2026-04-01
5521 OTHER Level 1 Imaging Without Contrast 19 11 — — $20.97 $281.27 $182.44 2026-04-01
N999 OTHER Other Non-covered Services 1 1 — — $158.09 $158.09 $158.09 2026-04-01
N809 OTHER Other Medicine 6 5 — — $20.16 $324.99 $136.55 2026-04-01
N800 OTHER Clinical Diagnostic Lab Services 17 10 — — $9.91 $355.88 $115.00 2026-04-01
5741 OTHER Level 1 Electronic Analysis Of Devices 10 7 — — $35.73 $303.34 $107.23 2026-04-01
5822 OTHER Level 2 Health And Behavior Services 11 8 — — $26.03 $318.49 $72.01 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 1 — — $63.06 $63.06 $63.06 2026-04-01
5791 OTHER Pulmonary Treatment 3 3 — — $9.15 $361.80 $35.23 2026-04-01
5102 OTHER Level 2 Strapping And Cast Application 1 1 — — $35.00 $35.00 $35.00 2026-04-01
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