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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

Penn Highlands Clearfield

Clearfield, PA · CCN 390052 · Rates published

747 distinct procedures filed
102 distinct payers
11,082 rate rows
2025-08-01 last MRF observed
Data quality

2,896 of 11,082 rate rows are consumer-grade (26.1%)

8,186 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 7,588
professional (physician) fee — not the facility price 598
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.phhealthcare.org/download/?id=15370
Found on page https://www.phhealthcare.org/patients-visitors/patient-billing-services
Discovered viaCMS hospital list
Last fetch success · 2026-05-17
Content fingerprint 57f38bc06af97a12… · 7,568,841 bytes · first seen 2026-05-15

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
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 5 $232,085.42 $232,085.42 $232,085.42 nat. median
$41,228
outlier · 5.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $97,746.70 $97,746.70 $97,746.70 nat. median
$79,312
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $73,459.72 $73,459.72 $73,459.72 nat. median
$64,508
1.1× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 1 $71,595.40 $71,595.40 $71,595.40 nat. median
$229
outlier · 312.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $67,693.85 $67,693.85 $67,693.85 nat. median
$59,099
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $64,484.22 $64,484.22 $64,484.22 nat. median
$65,393
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 $60,534.00 $60,534.00 $60,534.00 nat. median
$52,303
1.2× median
9109
OTHER 		Inj, Elahere, 1 Mg 1 $58,025.34 $58,025.34 $58,025.34 nat. median
$71
outlier · 815.3×
9302
OTHER 		Inj Daunorubicin, Cytarabine 1 $57,139.86 $57,139.86 $57,139.86 nat. median
$266
outlier · 215.1×
9494
OTHER 		Injection, Ocrelizumab 6 $56,300.79 $56,300.79 $56,300.79 nat. median
$61
outlier · 921.5×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 3 $55,313.54 $55,313.54 $55,313.54 nat. median
$32,825
1.7× median
9110
OTHER 		Inj, Tremelimumab-actl, 1 Mg 1 $54,906.48 $54,906.48 $54,906.48 nat. median
$143
outlier · 383.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $49,160.07 $49,160.07 $49,160.07 nat. median
$64,732
0.8× median
9284
OTHER 		Ipilimumab Injection 2 $48,587.98 $48,587.98 $48,587.98 nat. median
$188
outlier · 259.1×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 3 $48,500.83 $48,500.83 $48,500.83 nat. median
$39,075
1.2× median
504
MS_DRG 		Foot Procedures With Cc 1 $47,864.33 $47,864.33 $47,864.33 nat. median
$18,582
outlier · 2.6×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 $46,867.53 $46,867.53 $46,867.53 nat. median
$36,123
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $46,772.17 $46,772.17 $46,772.17 nat. median
$65,950
0.7× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 $45,073.65 $45,073.65 $45,073.65 nat. median
$33,674
1.3× median
791
MS_DRG 		Prematurity With Major Problems 2 $44,472.28 $44,472.28 $44,472.28 nat. median
$35,271
1.3× median
9261
OTHER 		Ustekinumab Sub Cu Inj, 1 Mg 1 $44,313.44 $44,313.44 $44,313.44 nat. median
$163
outlier · 271.7×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 8 $44,172.01 $44,172.01 $44,172.01 nat. median
$42,002
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $43,949.45 $43,949.45 $43,949.45 nat. median
$59,898
0.7× median
5222
OTHER 		Level 2 Pacemaker And Similar Procedures 10 $42,654.29 $42,654.29 $42,654.29 nat. median
$8,603
outlier · 5.0×
0813
OTHER 		Injection, Imetelstat, 1 Mg 1 $42,584.95 $42,584.95 $42,584.95 nat. median
$57
outlier · 746.7×
322
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 $41,326.08 $41,326.08 $41,326.08 nat. median
$19,070
outlier · 2.2×
834
MS_DRG 		Acute Leukemia With Mcc 1 $41,210.97 $41,210.97 $41,210.97 nat. median
$53,172
0.8× median
9287
OTHER 		Brentuximab Vedotin Inj 2 $40,773.61 $40,773.61 $40,773.61 nat. median
$268
outlier · 151.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $40,467.60 $40,467.60 $40,467.60 nat. median
$61,920
0.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 9 $39,530.53 $39,530.53 $39,530.53 nat. median
$40,454
1.0× median
9281
OTHER 		Injection, Pegloticase 2 $38,461.22 $38,461.22 $38,461.22 nat. median
$3,769
outlier · 10.2×
5232
OTHER 		Level 2 Icd And Similar Procedures 8 $38,209.72 $38,209.72 $38,209.72 nat. median
$32,531
1.2× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $38,102.18 $38,102.18 $38,102.18 nat. median
$51,418
0.7× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 4 $37,944.97 $37,944.97 $37,944.97 nat. median
$31,106
1.2× median
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 1 $37,704.56 $37,704.56 $37,704.56 nat. median
$26,957
1.4× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/Mcc 1 $37,325.77 $37,325.77 $37,325.77 nat. median
$36,505
1.0× median
244
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 $36,664.80 $36,664.80 $36,664.80 nat. median
$19,104
1.9× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 9 $36,369.01 $36,369.01 $36,369.01 nat. median
$18,249
2.0× median
0720
OTHER 		Inj Glofitamab Gxbm, 2.5 Mg 1 $34,655.66 $34,655.66 $34,655.66 nat. median
$1,061
outlier · 32.7×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $34,638.03 $34,638.03 $34,638.03 nat. median
$49,191
0.7× median
165
MS_DRG 		Major Chest Procedures Without Cc/Mcc 3 $34,456.84 $34,456.84 $34,456.84 nat. median
$19,858
1.7× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 $34,216.94 $34,216.94 $34,216.94 nat. median
$35,489
1.0× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 7 $34,042.18 $34,042.18 $34,042.18 nat. median
$17,703
1.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $33,891.94 $33,891.94 $33,891.94 nat. median
$52,746
0.6× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 $33,005.40 $33,005.40 $33,005.40 nat. median
$34,132
1.0× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 $32,266.99 $32,266.99 $32,266.99 nat. median
$31,607
1.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $32,180.56 $32,180.56 $32,180.56 nat. median
$40,166
0.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $31,205.87 $31,205.87 $31,205.87 nat. median
$37,662
0.8× median
828
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 2 $30,799.78 $30,799.78 $30,799.78 nat. median
$17,402
1.8× median
9057
OTHER 		Inj Nivol Relatlimab 3mg/1mg 1 $30,192.27 $30,192.27 $30,192.27 nat. median
$202
outlier · 149.6×

Other procedures at this hospital

Browse this hospital's 747 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
             
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 5 — — $232,085.42 $232,085.42 $232,085.42 2025-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $97,746.70 $97,746.70 $97,746.70 2025-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $73,459.72 $73,459.72 $73,459.72 2025-08-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 1 1 — — $71,595.40 $71,595.40 $71,595.40 2025-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $67,693.85 $67,693.85 $67,693.85 2025-08-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $64,484.22 $64,484.22 $64,484.22 2025-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $60,534.00 $60,534.00 $60,534.00 2025-08-01
9109 OTHER Inj, Elahere, 1 Mg 1 1 — — $58,025.34 $58,025.34 $58,025.34 2025-08-01
9302 OTHER Inj Daunorubicin, Cytarabine 1 1 — — $57,139.86 $57,139.86 $57,139.86 2025-08-01
9494 OTHER Injection, Ocrelizumab 6 6 — — $56,300.79 $56,300.79 $56,300.79 2025-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $55,313.54 $55,313.54 $55,313.54 2025-08-01
9110 OTHER Inj, Tremelimumab-actl, 1 Mg 1 1 — — $54,906.48 $54,906.48 $54,906.48 2025-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $49,160.07 $49,160.07 $49,160.07 2025-08-01
9284 OTHER Ipilimumab Injection 2 2 — — $48,587.98 $48,587.98 $48,587.98 2025-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $48,500.83 $48,500.83 $48,500.83 2025-08-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $47,864.33 $47,864.33 $47,864.33 2025-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 4 — — $46,867.53 $46,867.53 $46,867.53 2025-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $46,772.17 $46,772.17 $46,772.17 2025-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $45,073.65 $45,073.65 $45,073.65 2025-08-01
791 MS_DRG Prematurity With Major Problems 2 2 — — $44,472.28 $44,472.28 $44,472.28 2025-08-01
9261 OTHER Ustekinumab Sub Cu Inj, 1 Mg 1 1 — — $44,313.44 $44,313.44 $44,313.44 2025-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 8 — — $44,172.01 $44,172.01 $44,172.01 2025-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $43,949.45 $43,949.45 $43,949.45 2025-08-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 10 10 — — $42,654.29 $42,654.29 $42,654.29 2025-08-01
0813 OTHER Injection, Imetelstat, 1 Mg 1 1 — — $42,584.95 $42,584.95 $42,584.95 2025-08-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 15 — — $41,326.08 $41,326.08 $41,326.08 2025-08-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $41,210.97 $41,210.97 $41,210.97 2025-08-01
9287 OTHER Brentuximab Vedotin Inj 2 2 — — $40,773.61 $40,773.61 $40,773.61 2025-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $40,467.60 $40,467.60 $40,467.60 2025-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 9 — — $39,530.53 $39,530.53 $39,530.53 2025-08-01
9281 OTHER Injection, Pegloticase 2 2 — — $38,461.22 $38,461.22 $38,461.22 2025-08-01
5232 OTHER Level 2 Icd And Similar Procedures 8 8 — — $38,209.72 $38,209.72 $38,209.72 2025-08-01
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $38,102.18 $38,102.18 $38,102.18 2025-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 4 — — $37,944.97 $37,944.97 $37,944.97 2025-08-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $37,704.56 $37,704.56 $37,704.56 2025-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 1 1 — — $37,325.77 $37,325.77 $37,325.77 2025-08-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 1 — — $36,664.80 $36,664.80 $36,664.80 2025-08-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 9 9 — — $36,369.01 $36,369.01 $36,369.01 2025-08-01
0720 OTHER Inj Glofitamab Gxbm, 2.5 Mg 1 1 — — $34,655.66 $34,655.66 $34,655.66 2025-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $34,638.03 $34,638.03 $34,638.03 2025-08-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 3 3 — — $34,456.84 $34,456.84 $34,456.84 2025-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $34,216.94 $34,216.94 $34,216.94 2025-08-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 7 7 — — $34,042.18 $34,042.18 $34,042.18 2025-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $33,891.94 $33,891.94 $33,891.94 2025-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 — — $33,005.40 $33,005.40 $33,005.40 2025-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $32,266.99 $32,266.99 $32,266.99 2025-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $32,180.56 $32,180.56 $32,180.56 2025-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $31,205.87 $31,205.87 $31,205.87 2025-08-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $30,799.78 $30,799.78 $30,799.78 2025-08-01
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 1 1 — — $30,192.27 $30,192.27 $30,192.27 2025-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $28,883.06 $28,883.06 $28,883.06 2025-08-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 2 2 — — $28,436.23 $28,436.23 $28,436.23 2025-08-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 10 — — $28,348.33 $28,348.33 $28,348.33 2025-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $28,200.58 $28,200.58 $28,200.58 2025-08-01
5231 OTHER Level 1 Icd And Similar Procedures 5 5 — — $27,954.90 $27,954.90 $27,954.90 2025-08-01
2070 OTHER Inj, Eculizumab, 2 Mg 1 1 — — $27,746.02 $27,746.02 $27,746.02 2025-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $27,068.06 $27,068.06 $27,068.06 2025-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $27,066.14 $27,066.14 $27,066.14 2025-08-01
9236 OTHER Eculizumab Injection 1 1 — — $26,882.63 $26,882.63 $26,882.63 2025-08-01
164 MS_DRG Major Chest Procedures With Cc 7 7 — — $26,371.58 $26,371.58 $26,371.58 2025-08-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 7 7 — — $26,291.44 $26,291.44 $26,291.44 2025-08-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 1 1 — — $26,072.19 $26,072.19 $26,072.19 2025-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 6 — — $26,047.92 $26,047.92 $26,047.92 2025-08-01
113 MS_DRG Orbital Procedures With Cc/Mcc 2 2 — — $25,930.59 $25,930.59 $25,930.59 2025-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $25,909.98 $25,909.98 $25,909.98 2025-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $25,608.65 $25,608.65 $25,608.65 2025-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 7 — — $25,276.76 $25,276.76 $25,276.76 2025-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $25,007.05 $25,007.05 $25,007.05 2025-08-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 2 — — $24,966.58 $24,966.58 $24,966.58 2025-08-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 6 6 — — $24,513.77 $24,513.77 $24,513.77 2025-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $24,220.19 $24,220.19 $24,220.19 2025-08-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $24,129.06 $24,129.06 $24,129.06 2025-08-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $23,610.98 $23,610.98 $23,610.98 2025-08-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 3 3 — — $23,553.85 $23,553.85 $23,553.85 2025-08-01
9483 OTHER Inj, Atezolizumab,10 Mg 7 7 — — $23,453.35 $23,453.35 $23,453.35 2025-08-01
9364 OTHER Inj Enfort Vedo-ejfv 0.25mg 1 1 — — $23,378.27 $23,378.27 $23,378.27 2025-08-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $23,373.00 $23,373.00 $23,373.00 2025-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $23,208.51 $23,208.51 $23,208.51 2025-08-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 2 2 — — $23,189.99 $23,189.99 $23,189.99 2025-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 9 — — $23,118.94 $23,118.94 $23,118.94 2025-08-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 3 3 — — $23,101.21 $23,101.21 $23,101.21 2025-08-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $22,755.19 $22,755.19 $22,755.19 2025-08-01
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 3 3 — — $22,681.26 $22,681.26 $22,681.26 2025-08-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 3 3 — — $22,599.14 $22,599.14 $22,599.14 2025-08-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $22,594.02 $22,594.02 $22,594.02 2025-08-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 3 3 — — $22,474.31 $22,474.31 $22,474.31 2025-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $22,437.80 $22,437.80 $22,437.80 2025-08-01
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $22,396.87 $22,396.87 $22,396.87 2025-08-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $22,304.18 $22,304.18 $22,304.18 2025-08-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 3 3 — — $22,197.78 $22,197.78 $22,197.78 2025-08-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 5 5 — — $22,193.03 $22,193.03 $22,193.03 2025-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 — — $22,191.37 $22,191.37 $22,191.37 2025-08-01
9330 OTHER Inj., Kanjinti, 10 Mg 1 1 — — $22,190.46 $22,190.46 $22,190.46 2025-08-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $22,055.61 $22,055.61 $22,055.61 2025-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $22,050.00 $22,050.00 $22,050.00 2025-08-01
253 MS_DRG Other Vascular Procedures With Cc 3 3 — — $21,971.34 $21,971.34 $21,971.34 2025-08-01
1488 OTHER Injection, Ramucirumab 3 3 — — $21,876.76 $21,876.76 $21,876.76 2025-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $21,530.60 $21,530.60 $21,530.60 2025-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 6 — — $21,464.01 $21,464.01 $21,464.01 2025-08-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $21,449.74 $21,449.74 $21,449.74 2025-08-01
9013 OTHER Inj Risankizumab-rzaa?1 Mg 3 3 — — $21,388.21 $21,388.21 $21,388.21 2025-08-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 — — $21,079.22 $21,079.22 $21,079.22 2025-08-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 8 8 — — $21,005.96 $21,005.96 $21,005.96 2025-08-01
141 MS_DRG Major Head And Neck Procedures With Cc 2 2 — — $20,881.97 $20,881.97 $20,881.97 2025-08-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 5 5 — — $20,707.53 $20,707.53 $20,707.53 2025-08-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 — — $20,530.47 $20,530.47 $20,530.47 2025-08-01
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $20,427.30 $20,427.30 $20,427.30 2025-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 — — $20,292.57 $20,292.57 $20,292.57 2025-08-01
375 MS_DRG Digestive Malignancy With Cc 5 5 — — $20,195.03 $20,195.03 $20,195.03 2025-08-01
9390 OTHER Pertuzu, Trastuzu, 10 Mg 1 1 — — $20,187.20 $20,187.20 $20,187.20 2025-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $20,037.92 $20,037.92 $20,037.92 2025-08-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 2 2 — — $19,919.03 $19,919.03 $19,919.03 2025-08-01
252 MS_DRG Other Vascular Procedures With Mcc 5 5 — — $19,913.08 $19,913.08 $19,913.08 2025-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $19,888.14 $19,888.14 $19,888.14 2025-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $19,518.35 $19,518.35 $19,518.35 2025-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $19,425.15 $19,425.15 $19,425.15 2025-08-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 4 — — $19,171.10 $19,171.10 $19,171.10 2025-08-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $19,115.18 $19,115.18 $19,115.18 2025-08-01
9214 OTHER Bevacizumab Injection 4 4 — — $19,097.66 $19,097.66 $19,097.66 2025-08-01
643 MS_DRG Endocrine Disorders With Mcc 4 4 — — $18,811.35 $18,811.35 $18,811.35 2025-08-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 — — $18,786.04 $18,786.04 $18,786.04 2025-08-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 8 8 — — $18,745.49 $18,745.49 $18,745.49 2025-08-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 3 3 — — $18,743.94 $18,743.94 $18,743.94 2025-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $18,631.64 $18,631.64 $18,631.64 2025-08-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 7 7 — — $18,614.31 $18,614.31 $18,614.31 2025-08-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 2 2 — — $18,556.62 $18,556.62 $18,556.62 2025-08-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 1 1 — — $18,470.66 $18,470.66 $18,470.66 2025-08-01
999 MS_DRG Ungroupable 7 7 — — $18,455.42 $18,455.42 $18,455.42 2025-08-01
5194 OTHER Level 4 Endovascular Procedures 10 10 — — $18,453.55 $18,453.55 $18,453.55 2025-08-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 4 — — $18,437.46 $18,437.46 $18,437.46 2025-08-01
602 MS_DRG Cellulitis With Mcc 4 4 — — $18,401.20 $18,401.20 $18,401.20 2025-08-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 5 5 — — $18,265.00 $18,265.00 $18,265.00 2025-08-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 2 2 — — $18,083.19 $18,083.19 $18,083.19 2025-08-01
552 MS_DRG Medical Back Problems Without Mcc 11 11 — — $18,017.99 $18,017.99 $18,017.99 2025-08-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 3 3 — — $18,013.74 $18,013.74 $18,013.74 2025-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 3 3 — — $17,962.69 $17,962.69 $17,962.69 2025-08-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 2 — — $17,799.22 $17,799.22 $17,799.22 2025-08-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 11 11 — — $17,794.44 $17,794.44 $17,794.44 2025-08-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 4 — — $17,786.45 $17,786.45 $17,786.45 2025-08-01
199 MS_DRG Pneumothorax With Mcc 5 5 — — $17,638.61 $17,638.61 $17,638.61 2025-08-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 5 5 — — $17,636.12 $17,636.12 $17,636.12 2025-08-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 5 5 — — $17,635.99 $17,635.99 $17,635.99 2025-08-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 2 2 — — $17,595.55 $17,595.55 $17,595.55 2025-08-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 5 — — $17,458.42 $17,458.42 $17,458.42 2025-08-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $17,304.26 $17,304.26 $17,304.26 2025-08-01
505 MS_DRG Foot Procedures Without Cc/Mcc 1 1 — — $17,069.13 $17,069.13 $17,069.13 2025-08-01
947 MS_DRG Signs And Symptoms With Mcc 5 5 — — $16,947.24 $16,947.24 $16,947.24 2025-08-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 7 7 — — $16,904.33 $16,904.33 $16,904.33 2025-08-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 4 4 — — $16,816.47 $16,816.47 $16,816.47 2025-08-01
374 MS_DRG Digestive Malignancy With Mcc 4 4 — — $16,801.03 $16,801.03 $16,801.03 2025-08-01
369 MS_DRG Major Esophageal Disorders With Cc 4 4 — — $16,767.33 $16,767.33 $16,767.33 2025-08-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $16,716.39 $16,716.39 $16,716.39 2025-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 5 — — $16,574.97 $16,574.97 $16,574.97 2025-08-01
38 MS_DRG Extracranial Procedures With Cc 3 3 — — $16,526.64 $16,526.64 $16,526.64 2025-08-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $16,526.38 $16,526.38 $16,526.38 2025-08-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $16,475.74 $16,475.74 $16,475.74 2025-08-01
5376 OTHER Level 6 Urology And Related Services 6 6 — — $16,458.79 $16,458.79 $16,458.79 2025-08-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $16,458.35 $16,458.35 $16,458.35 2025-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $16,446.96 $16,446.96 $16,446.96 2025-08-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 9 9 — — $16,429.83 $16,429.83 $16,429.83 2025-08-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 5 5 — — $16,244.89 $16,244.89 $16,244.89 2025-08-01
180 MS_DRG Respiratory Neoplasms With Mcc 4 4 — — $16,215.08 $16,215.08 $16,215.08 2025-08-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 1 — — $16,206.38 $16,206.38 $16,206.38 2025-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $16,107.70 $16,107.70 $16,107.70 2025-08-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 6 — — $16,085.05 $16,085.05 $16,085.05 2025-08-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 3 3 — — $16,039.84 $16,039.84 $16,039.84 2025-08-01
1471 OTHER Injection, Pertuzumab, 1 Mg 7 7 — — $16,003.69 $16,003.69 $16,003.69 2025-08-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 6 6 — — $15,988.10 $15,988.10 $15,988.10 2025-08-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 5 5 — — $15,867.28 $15,867.28 $15,867.28 2025-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $15,814.47 $15,814.47 $15,814.47 2025-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $15,800.51 $15,800.51 $15,800.51 2025-08-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $15,793.22 $15,793.22 $15,793.22 2025-08-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $15,791.05 $15,791.05 $15,791.05 2025-08-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 9 9 — — $15,663.71 $15,663.71 $15,663.71 2025-08-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 8 8 — — $15,531.32 $15,531.32 $15,531.32 2025-08-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 1 1 — — $15,518.32 $15,518.32 $15,518.32 2025-08-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 7 7 — — $15,480.94 $15,480.94 $15,480.94 2025-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 4 — — $15,387.45 $15,387.45 $15,387.45 2025-08-01
9186 OTHER Inj., Rituximab, 10 Mg 14 14 — — $15,287.73 $15,287.73 $15,287.73 2025-08-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 10 10 — — $15,254.08 $15,254.08 $15,254.08 2025-08-01
9492 OTHER Inj., Durvalumab, 10 Mg 8 8 — — $15,241.07 $15,241.07 $15,241.07 2025-08-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $15,101.93 $15,101.93 $15,101.93 2025-08-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 13 13 — — $15,050.90 $15,050.90 $15,050.90 2025-08-01
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $15,045.71 $15,045.71 $15,045.71 2025-08-01
9453 OTHER Injection, Nivolumab 11 11 — — $15,008.97 $15,008.97 $15,008.97 2025-08-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 1 1 — — $14,967.46 $14,967.46 $14,967.46 2025-08-01
885 MS_DRG Psychoses 19 19 — — $14,939.33 $14,939.33 $14,939.33 2025-08-01
501 MS_DRG Soft Tissue Procedures With Cc 4 4 — — $14,892.72 $14,892.72 $14,892.72 2025-08-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 2 — — $14,810.24 $14,810.24 $14,810.24 2025-08-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 3 3 — — $14,772.58 $14,772.58 $14,772.58 2025-08-01
9491 OTHER Injection, Avelumab, 10 Mg 2 2 — — $14,679.22 $14,679.22 $14,679.22 2025-08-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 2 2 — — $14,443.41 $14,443.41 $14,443.41 2025-08-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $14,420.34 $14,420.34 $14,420.34 2025-08-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 7 7 — — $14,320.74 $14,320.74 $14,320.74 2025-08-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 2 — — $14,314.92 $14,314.92 $14,314.92 2025-08-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 4 4 — — $14,295.83 $14,295.83 $14,295.83 2025-08-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 — — $14,219.44 $14,219.44 $14,219.44 2025-08-01
183 MS_DRG Major Chest Trauma With Mcc 7 7 — — $14,049.82 $14,049.82 $14,049.82 2025-08-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 2 — — $14,036.46 $14,036.46 $14,036.46 2025-08-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 5 5 — — $14,027.11 $14,027.11 $14,027.11 2025-08-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $13,985.73 $13,985.73 $13,985.73 2025-08-01
975 MS_DRG HIV With Major Related Condition With Cc 1 1 — — $13,951.83 $13,951.83 $13,951.83 2025-08-01
551 MS_DRG Medical Back Problems With Mcc 3 3 — — $13,936.72 $13,936.72 $13,936.72 2025-08-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 — — $13,818.35 $13,818.35 $13,818.35 2025-08-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 1 1 — — $13,802.44 $13,802.44 $13,802.44 2025-08-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 6 6 — — $13,773.86 $13,773.86 $13,773.86 2025-08-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 10 10 — — $13,722.12 $13,722.12 $13,722.12 2025-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $13,431.53 $13,431.53 $13,431.53 2025-08-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 5 — — $13,418.03 $13,418.03 $13,418.03 2025-08-01
540 MS_DRG Osteomyelitis With Cc 2 2 — — $13,330.24 $13,330.24 $13,330.24 2025-08-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 5 5 — — $13,303.75 $13,303.75 $13,303.75 2025-08-01
9126 OTHER Natalizumab Injection 7 7 — — $13,285.20 $13,285.20 $13,285.20 2025-08-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 8 8 — — $13,257.44 $13,257.44 $13,257.44 2025-08-01
9378 OTHER Daratumumab, Hyaluronidase 6 6 — — $13,255.18 $13,255.18 $13,255.18 2025-08-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 1 1 — — $13,183.97 $13,183.97 $13,183.97 2025-08-01
196 MS_DRG Interstitial Lung Disease With Mcc 3 3 — — $13,140.64 $13,140.64 $13,140.64 2025-08-01
101 MS_DRG Seizures Without Mcc 9 9 — — $13,118.64 $13,118.64 $13,118.64 2025-08-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 2 2 — — $13,021.03 $13,021.03 $13,021.03 2025-08-01
9002 OTHER Tenecteplase Injection 3 3 — — $13,007.41 $13,007.41 $13,007.41 2025-08-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 — — $12,987.48 $12,987.48 $12,987.48 2025-08-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $12,925.47 $12,925.47 $12,925.47 2025-08-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 2 2 — — $12,917.35 $12,917.35 $12,917.35 2025-08-01
9010 OTHER Inj Efgartigimod 2mg 2 2 — — $12,904.31 $12,904.31 $12,904.31 2025-08-01
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $12,788.07 $12,788.07 $12,788.07 2025-08-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 8 8 — — $12,727.65 $12,727.65 $12,727.65 2025-08-01
539 MS_DRG Osteomyelitis With Mcc 2 2 — — $12,717.45 $12,717.45 $12,717.45 2025-08-01
137 MS_DRG Mouth Procedures With Cc/Mcc 1 1 — — $12,589.31 $12,589.31 $12,589.31 2025-08-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $12,401.97 $12,401.97 $12,401.97 2025-08-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 2 2 — — $12,376.65 $12,376.65 $12,376.65 2025-08-01
1489 OTHER Inj Vedolizumab IV 1 Mg 6 6 — — $12,327.50 $12,327.50 $12,327.50 2025-08-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $12,306.55 $12,306.55 $12,306.55 2025-08-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 3 3 — — $12,305.07 $12,305.07 $12,305.07 2025-08-01
0768 OTHER Inj, Tarlatamab-dlle, 1 Mg 2 2 — — $12,292.92 $12,292.92 $12,292.92 2025-08-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 4 — — $12,276.41 $12,276.41 $12,276.41 2025-08-01
919 MS_DRG Complications Of Treatment With Mcc 3 3 — — $12,259.23 $12,259.23 $12,259.23 2025-08-01
948 MS_DRG Signs And Symptoms Without Mcc 5 5 — — $12,174.18 $12,174.18 $12,174.18 2025-08-01
965 MS_DRG Other Multiple Significant Trauma Without Cc/Mcc 1 1 — — $12,162.85 $12,162.85 $12,162.85 2025-08-01
398 MS_DRG Appendix Procedures With Cc 1 1 — — $12,155.78 $12,155.78 $12,155.78 2025-08-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 1 1 — — $12,146.83 $12,146.83 $12,146.83 2025-08-01
9235 OTHER Panitumumab Injection 4 4 — — $12,140.42 $12,140.42 $12,140.42 2025-08-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $12,118.70 $12,118.70 $12,118.70 2025-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $12,093.89 $12,093.89 $12,093.89 2025-08-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 5 5 — — $11,994.33 $11,994.33 $11,994.33 2025-08-01
389 MS_DRG Gastrointestinal Obstruction With Cc 10 10 — — $11,992.35 $11,992.35 $11,992.35 2025-08-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 1 1 — — $11,991.24 $11,991.24 $11,991.24 2025-08-01
9274 OTHER Crotalidae Poly Immune Fab 1 1 — — $11,937.37 $11,937.37 $11,937.37 2025-08-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $11,907.70 $11,907.70 $11,907.70 2025-08-01
666 MS_DRG Prostatectomy With Cc 3 3 — — $11,870.51 $11,870.51 $11,870.51 2025-08-01
204 MS_DRG Respiratory Signs And Symptoms 3 3 — — $11,863.23 $11,863.23 $11,863.23 2025-08-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 7 7 — — $11,857.45 $11,857.45 $11,857.45 2025-08-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $11,779.20 $11,779.20 $11,779.20 2025-08-01
964 MS_DRG Other Multiple Significant Trauma With Cc 4 4 — — $11,775.81 $11,775.81 $11,775.81 2025-08-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $11,730.13 $11,730.13 $11,730.13 2025-08-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 18 18 — — $11,535.22 $11,535.22 $11,535.22 2025-08-01
291 MS_DRG Heart Failure And Shock With Mcc 7 7 — — $11,479.10 $11,479.10 $11,479.10 2025-08-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 7 7 — — $11,459.33 $11,459.33 $11,459.33 2025-08-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 16 16 — — $11,428.10 $11,428.10 $11,428.10 2025-08-01
644 MS_DRG Endocrine Disorders With Cc 3 3 — — $11,386.63 $11,386.63 $11,386.63 2025-08-01
5432 OTHER Level 2 Nerve Procedures 2 2 — — $11,222.89 $11,222.89 $11,222.89 2025-08-01
54 MS_DRG Nervous System Neoplasms With Mcc 4 4 — — $11,215.12 $11,215.12 $11,215.12 2025-08-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 2 2 — — $11,153.02 $11,153.02 $11,153.02 2025-08-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/Mcc 3 3 — — $11,079.57 $11,079.57 $11,079.57 2025-08-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $11,008.25 $11,008.25 $11,008.25 2025-08-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 1 1 — — $10,897.08 $10,897.08 $10,897.08 2025-08-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 6 6 — — $10,848.52 $10,848.52 $10,848.52 2025-08-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 8 8 — — $10,833.26 $10,833.26 $10,833.26 2025-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $10,831.46 $10,831.46 $10,831.46 2025-08-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 — — $10,808.92 $10,808.92 $10,808.92 2025-08-01
100 MS_DRG Seizures With Mcc 7 7 — — $10,790.68 $10,790.68 $10,790.68 2025-08-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 3 3 — — $10,764.11 $10,764.11 $10,764.11 2025-08-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 3 3 — — $10,703.06 $10,703.06 $10,703.06 2025-08-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $10,668.29 $10,668.29 $10,668.29 2025-08-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 — — $10,579.30 $10,579.30 $10,579.30 2025-08-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 7 7 — — $10,541.07 $10,541.07 $10,541.07 2025-08-01
9245 OTHER Romiplostim Injection 3 3 — — $10,519.66 $10,519.66 $10,519.66 2025-08-01
663 MS_DRG Minor Bladder Procedures With Cc 1 1 — — $10,431.64 $10,431.64 $10,431.64 2025-08-01
302 MS_DRG Atherosclerosis With Mcc 1 1 — — $10,323.09 $10,323.09 $10,323.09 2025-08-01
5627 OTHER Level 7 Radiation Therapy 5 5 — — $10,317.00 $10,317.00 $10,317.00 2025-08-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 1 1 — — $10,313.58 $10,313.58 $10,313.58 2025-08-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 5 5 — — $10,281.52 $10,281.52 $10,281.52 2025-08-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 1 1 — — $10,233.16 $10,233.16 $10,233.16 2025-08-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 1 — — $10,189.13 $10,189.13 $10,189.13 2025-08-01
381 MS_DRG Complicated Peptic Ulcer With Cc 3 3 — — $10,148.00 $10,148.00 $10,148.00 2025-08-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 6 6 — — $10,035.20 $10,035.20 $10,035.20 2025-08-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 7 — — $10,011.19 $10,011.19 $10,011.19 2025-08-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 4 4 — — $9,985.98 $9,985.98 $9,985.98 2025-08-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 5 5 — — $9,975.10 $9,975.10 $9,975.10 2025-08-01
181 MS_DRG Respiratory Neoplasms With Cc 2 2 — — $9,838.48 $9,838.48 $9,838.48 2025-08-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 4 — — $9,821.24 $9,821.24 $9,821.24 2025-08-01
710 MS_DRG Penis Procedures Without Cc/Mcc 1 1 — — $9,785.09 $9,785.09 $9,785.09 2025-08-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $9,768.89 $9,768.89 $9,768.89 2025-08-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $9,758.92 $9,758.92 $9,758.92 2025-08-01
683 MS_DRG Renal Failure With Cc 8 8 — — $9,747.55 $9,747.55 $9,747.55 2025-08-01
92 MS_DRG Other Disorders Of Nervous System With Cc 7 7 — — $9,741.70 $9,741.70 $9,741.70 2025-08-01
9434 OTHER Inj Anifrolumab-fnia 1mg 7 7 — — $9,713.60 $9,713.60 $9,713.60 2025-08-01
603 MS_DRG Cellulitis Without Mcc 10 10 — — $9,700.08 $9,700.08 $9,700.08 2025-08-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 8 — — $9,579.51 $9,579.51 $9,579.51 2025-08-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 6 6 — — $9,551.35 $9,551.35 $9,551.35 2025-08-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $9,543.70 $9,543.70 $9,543.70 2025-08-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 5 — — $9,542.41 $9,542.41 $9,542.41 2025-08-01
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