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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

MUSC Health Black River Medical Center

Cades, SC · CCN 420117 · Rates published

253 distinct procedures filed
15 distinct payers
21,793 rate rows
2025-07-01 last MRF observed
Data quality

1,021 of 21,793 rate rows are consumer-grade (4.7%)

20,772 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 20,772
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://muschealth.org/-/sm/health/patients-visitors/billing/f/571098556_musc-health-black-river-medical-center_standardcharges.xlsx
Found on page https://muschealth.org/patients-visitors/billing/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 3fd4dbb179ba23cb… · 12,362,631 bytes · first seen 2026-05-05

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
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $64,416.00 $64,416.00 $64,416.00 nat. median
$35,856
1.8× median
5115
OTHER 		Level 5 Musculoskeletal Procedures 6 $45,204.43 $45,204.43 $45,204.43 nat. median
$13,542
outlier · 3.3×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $38,943.64 $38,943.64 $38,943.64 nat. median
$44,810
0.9× median
5093
OTHER 		Level 3 Breast/Lymphatic Surgery And Related Procedures 1 $35,987.67 $35,987.67 $35,987.67 nat. median
$8,902
outlier · 4.0×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $35,792.66 $35,792.66 $35,792.66 nat. median
$48,178
0.7× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 2 $35,366.12 $35,366.12 $35,366.12 nat. median
$16,303
outlier · 2.2×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 1 $35,216.56 $35,216.56 $35,216.56 nat. median
$24,991
1.4× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 $34,406.66 $34,406.66 $34,406.66 nat. median
$20,421
1.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $31,180.49 $31,180.49 $31,180.49 nat. median
$48,170
0.6× median
934
MS_DRG 		Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 $30,526.95 $30,526.95 $30,526.95 nat. median
$21,218
1.4× median
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 1 $28,486.71 $28,486.71 $28,486.71 nat. median
$9,145
outlier · 3.1×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $26,701.59 $26,701.59 $26,701.59 nat. median
$24,346
1.1× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 1 $26,621.79 $26,621.79 $26,621.79 nat. median
$34,720
0.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $25,921.83 $25,921.83 $25,921.83 nat. median
$33,061
0.8× median
5114
OTHER 		Level 4 Musculoskeletal Procedures 6 $24,493.05 $24,493.05 $24,493.05 nat. median
$8,090
outlier · 3.0×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 4 $24,137.12 $24,137.12 $24,137.12 nat. median
$10,873
outlier · 2.2×
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 1 $23,838.20 $23,838.20 $23,838.20 nat. median
$13,516
1.8× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 1 $23,366.00 $23,366.00 $23,366.00 nat. median
$26,895
0.9× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 $22,425.97 $22,425.97 $22,425.97 nat. median
$19,472
1.2× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 1 $22,063.81 $22,063.81 $22,063.81 nat. median
$23,466
0.9× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 1 $20,630.19 $20,630.19 $20,630.19 nat. median
$29,015
0.7× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 $20,289.23 $20,289.23 $20,289.23 nat. median
$24,757
0.8× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 2 $18,969.79 $18,969.79 $18,969.79 nat. median
$22,940
0.8× median
77
MS_DRG 		Hypertensive Encephalopathy With Mcc 1 $17,103.40 $17,103.40 $17,103.40 nat. median
$15,952
1.1× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 $17,102.71 $17,102.71 $17,102.71 nat. median
$14,623
1.2× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 2 $16,953.31 $16,953.31 $16,953.31 nat. median
$17,703
1.0× median
571
MS_DRG 		Skin Debridement With Cc 1 $16,659.03 $16,659.03 $16,659.03 nat. median
$17,260
1.0× median
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 1 $16,565.30 $16,565.30 $16,565.30 nat. median
$16,028
1.0× median
682
MS_DRG 		Renal Failure With Mcc 4 $16,252.64 $16,252.64 $16,252.64 nat. median
$15,223
1.1× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 $16,183.00 $16,183.00 $16,183.00 nat. median
$17,921
0.9× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $15,904.33 $15,904.33 $15,904.33 nat. median
$30,262
0.5× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 $14,837.92 $14,837.92 $14,837.92 nat. median
$17,482
0.8× median
399
MS_DRG 		Appendix Procedures Without Cc/Mcc 1 $14,581.00 $14,581.00 $14,581.00 nat. median
$12,332
1.2× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 $14,185.65 $14,185.65 $14,185.65 nat. median
$19,634
0.7× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 $13,566.27 $13,566.27 $13,566.27 nat. median
$18,509
0.7× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 $13,335.41 $13,335.41 $13,335.41 nat. median
$16,145
0.8× median
442
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 2 $13,270.42 $13,270.42 $13,270.42 nat. median
$10,561
1.3× median
100
MS_DRG 		Seizures With Mcc 2 $12,659.11 $12,659.11 $12,659.11 nat. median
$19,360
0.7× median
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 1 $12,542.10 $12,542.10 $12,542.10 nat. median
$17,599
0.7× median
355
MS_DRG 		Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 2 $12,538.57 $12,538.57 $12,538.57 nat. median
$14,203
0.9× median
638
MS_DRG 		Diabetes With Cc 5 $12,494.36 $12,494.36 $12,494.36 nat. median
$9,824
1.3× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 3 $12,327.25 $12,327.25 $12,327.25 nat. median
$16,676
0.7× median
602
MS_DRG 		Cellulitis With Mcc 2 $12,204.46 $12,204.46 $12,204.46 nat. median
$14,837
0.8× median
394
MS_DRG 		Other Digestive System Diagnoses With Cc 2 $12,110.83 $12,110.83 $12,110.83 nat. median
$10,259
1.2× median
504
MS_DRG 		Foot Procedures With Cc 1 $12,084.93 $12,084.93 $12,084.93 nat. median
$18,582
0.7× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 7 $12,068.23 $12,068.23 $12,068.23 nat. median
$16,234
0.7× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 1 $11,924.00 $11,924.00 $11,924.00 nat. median
$14,380
0.8× median
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 $11,778.64 $11,778.64 $11,778.64 nat. median
$10,731
1.1× median
543
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 $11,547.57 $11,547.57 $11,547.57 nat. median
$11,221
1.0× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 1 $11,116.00 $11,116.00 $11,116.00 nat. median
$16,971
0.7× median

Other procedures at this hospital

Browse this hospital's 253 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
             
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $64,416.00 $64,416.00 $64,416.00 2025-07-01
5115 OTHER Level 5 Musculoskeletal Procedures 12 6 — — $45,204.43 $45,204.43 $45,204.43 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $38,943.64 $38,943.64 $38,943.64 2025-07-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $35,987.67 $35,987.67 $35,987.67 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $35,792.66 $35,792.66 $35,792.66 2025-07-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 3 2 — — $35,366.12 $35,366.12 $35,366.12 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $35,216.56 $35,216.56 $35,216.56 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $34,406.66 $34,406.66 $34,406.66 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 — — $31,180.49 $31,180.49 $31,180.49 2025-07-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 — — $30,526.95 $30,526.95 $30,526.95 2025-07-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 1 1 — — $28,486.71 $28,486.71 $28,486.71 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $26,701.59 $26,701.59 $26,701.59 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $26,621.79 $26,621.79 $26,621.79 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $25,921.83 $25,921.83 $25,921.83 2025-07-01
5114 OTHER Level 4 Musculoskeletal Procedures 9 6 — — $24,493.05 $24,493.05 $24,493.05 2025-07-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 4 — — $24,137.12 $24,137.12 $24,137.12 2025-07-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $23,838.20 $23,838.20 $23,838.20 2025-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $23,366.00 $23,366.00 $23,366.00 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 2 — — $22,425.97 $22,425.97 $22,425.97 2025-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $22,063.81 $22,063.81 $22,063.81 2025-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $20,630.19 $20,630.19 $20,630.19 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $20,289.23 $20,289.23 $20,289.23 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $18,969.79 $18,969.79 $18,969.79 2025-07-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $17,103.40 $17,103.40 $17,103.40 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 — — $17,102.71 $17,102.71 $17,102.71 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 2 2 — — $16,953.31 $16,953.31 $16,953.31 2025-07-01
571 MS_DRG Skin Debridement With Cc 1 1 — — $16,659.03 $16,659.03 $16,659.03 2025-07-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $16,565.30 $16,565.30 $16,565.30 2025-07-01
682 MS_DRG Renal Failure With Mcc 4 4 — — $16,252.64 $16,252.64 $16,252.64 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 — — $16,183.00 $16,183.00 $16,183.00 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $15,904.33 $15,904.33 $15,904.33 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 3 — — $14,837.92 $14,837.92 $14,837.92 2025-07-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 1 1 — — $14,581.00 $14,581.00 $14,581.00 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 17 7 — — $14,185.65 $14,185.65 $14,185.65 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 — — $13,566.27 $13,566.27 $13,566.27 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 — — $13,335.41 $13,335.41 $13,335.41 2025-07-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 2 2 — — $13,270.42 $13,270.42 $13,270.42 2025-07-01
100 MS_DRG Seizures With Mcc 2 2 — — $12,659.11 $12,659.11 $12,659.11 2025-07-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 1 — — $12,542.10 $12,542.10 $12,542.10 2025-07-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 2 2 — — $12,538.57 $12,538.57 $12,538.57 2025-07-01
638 MS_DRG Diabetes With Cc 7 5 — — $12,494.36 $12,494.36 $12,494.36 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 3 — — $12,327.25 $12,327.25 $12,327.25 2025-07-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $12,204.46 $12,204.46 $12,204.46 2025-07-01
394 MS_DRG Other Digestive System Diagnoses With Cc 2 2 — — $12,110.83 $12,110.83 $12,110.83 2025-07-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $12,084.93 $12,084.93 $12,084.93 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 7 — — $12,068.23 $12,068.23 $12,068.23 2025-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $11,924.00 $11,924.00 $11,924.00 2025-07-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 1 — — $11,778.64 $11,778.64 $11,778.64 2025-07-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $11,547.57 $11,547.57 $11,547.57 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 — — $11,116.00 $11,116.00 $11,116.00 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 5 — — $10,933.22 $10,933.22 $10,933.22 2025-07-01
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc 1 1 — — $10,747.96 $10,747.96 $10,747.96 2025-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 7 5 — — $10,642.75 $10,642.75 $10,642.75 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 1 1 — — $10,446.25 $10,446.25 $10,446.25 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 — — $10,424.55 $10,424.55 $10,424.55 2025-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $10,334.03 $10,334.03 $10,334.03 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 13 7 — — $10,332.67 $10,332.67 $10,332.67 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 10 7 — — $10,185.14 $10,185.14 $10,185.14 2025-07-01
5165 OTHER Level 5 ENT Procedures 2 2 — — $10,118.50 $10,118.50 $10,118.50 2025-07-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $9,898.85 $9,898.85 $9,898.85 2025-07-01
884 MS_DRG Organic Disturbances And Intellectual Disability 1 1 — — $9,779.02 $9,779.02 $9,779.02 2025-07-01
552 MS_DRG Medical Back Problems Without Mcc 1 1 — — $9,705.88 $9,705.88 $9,705.88 2025-07-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 — — $9,531.00 $9,531.00 $9,531.00 2025-07-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 1 1 — — $9,495.95 $9,495.95 $9,495.95 2025-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $9,440.74 $9,440.74 $9,440.74 2025-07-01
348 MS_DRG Anal And Stomal Procedures With Cc 1 1 — — $9,431.62 $9,431.62 $9,431.62 2025-07-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 1 1 — — $9,224.28 $9,224.28 $9,224.28 2025-07-01
9363 OTHER Inj, Esmolol Hcl, 10mg 3 3 — — $9,093.98 $9,093.98 $9,093.98 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $9,091.49 $9,091.49 $9,091.49 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 — — $8,966.58 $8,966.58 $8,966.58 2025-07-01
5193 OTHER Level 3 Endovascular Procedures 1 1 — — $8,834.48 $8,834.48 $8,834.48 2025-07-01
643 MS_DRG Endocrine Disorders With Mcc 1 1 — — $8,790.52 $8,790.52 $8,790.52 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $8,684.83 $8,684.83 $8,684.83 2025-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 5 — — $8,486.36 $8,486.36 $8,486.36 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 1 — — $8,412.25 $8,412.25 $8,412.25 2025-07-01
951 MS_DRG Other Factors Influencing Health Status 3 3 — — $8,293.11 $8,293.11 $8,293.11 2025-07-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $8,089.53 $8,089.53 $8,089.53 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 3 3 — — $8,046.93 $8,046.93 $8,046.93 2025-07-01
975 MS_DRG HIV With Major Related Condition With Cc 1 1 — — $7,891.49 $7,891.49 $7,891.49 2025-07-01
304 MS_DRG Hypertension With Mcc 1 1 — — $7,842.20 $7,842.20 $7,842.20 2025-07-01
920 MS_DRG Complications Of Treatment With Cc 1 1 — — $7,835.93 $7,835.93 $7,835.93 2025-07-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 — — $7,583.82 $7,583.82 $7,583.82 2025-07-01
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $7,516.69 $7,516.69 $7,516.69 2025-07-01
683 MS_DRG Renal Failure With Cc 9 8 — — $7,495.99 $7,495.99 $7,495.99 2025-07-01
5181 OTHER Level 1 Vascular Procedures 1 1 — — $7,446.02 $7,446.02 $7,446.02 2025-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 8 5 — — $7,443.94 $7,443.94 $7,443.94 2025-07-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 — — $7,426.06 $7,426.06 $7,426.06 2025-07-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 1 1 — — $7,401.91 $7,401.91 $7,401.91 2025-07-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $7,336.26 $7,336.26 $7,336.26 2025-07-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $7,174.27 $7,174.27 $7,174.27 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 — — $7,020.09 $7,020.09 $7,020.09 2025-07-01
68 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc 1 1 — — $7,006.96 $7,006.96 $7,006.96 2025-07-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 6 6 — — $6,999.10 $6,999.10 $6,999.10 2025-07-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 — — $6,763.68 $6,763.68 $6,763.68 2025-07-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 8 6 — — $6,751.56 $6,751.56 $6,751.56 2025-07-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 3 3 — — $6,745.20 $6,745.20 $6,745.20 2025-07-01
948 MS_DRG Signs And Symptoms Without Mcc 4 4 — — $6,699.40 $6,699.40 $6,699.40 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $6,662.86 $6,662.86 $6,662.86 2025-07-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 5 5 — — $6,654.82 $6,654.82 $6,654.82 2025-07-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 7 6 — — $6,498.16 $6,498.16 $6,498.16 2025-07-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 5 3 — — $6,391.17 $6,391.17 $6,391.17 2025-07-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 1 1 — — $6,375.88 $6,375.88 $6,375.88 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 — — $6,332.44 $6,332.44 $6,332.44 2025-07-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 4 4 — — $6,323.10 $6,323.10 $6,323.10 2025-07-01
5791 OTHER Pulmonary Treatment 2 2 — — $6,314.18 $6,314.18 $6,314.18 2025-07-01
201 MS_DRG Pneumothorax Without Cc/Mcc 1 1 — — $6,299.72 $6,299.72 $6,299.72 2025-07-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 4 4 — — $6,294.95 $6,294.95 $6,294.95 2025-07-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc 2 2 — — $6,271.98 $6,271.98 $6,271.98 2025-07-01
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc/Mcc 1 1 — — $6,206.86 $6,206.86 $6,206.86 2025-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 — — $6,202.00 $6,202.00 $6,202.00 2025-07-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 — — $6,157.43 $6,157.43 $6,157.43 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 6 6 — — $6,086.38 $6,086.38 $6,086.38 2025-07-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 8 6 — — $6,045.49 $6,045.49 $6,045.49 2025-07-01
5183 OTHER Level 3 Vascular Procedures 18 9 — — $6,000.72 $6,000.72 $6,000.72 2025-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $5,961.70 $5,961.70 $5,961.70 2025-07-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 4 — — $5,951.85 $5,951.85 $5,951.85 2025-07-01
292 MS_DRG Heart Failure And Shock With Cc 3 3 — — $5,930.24 $5,930.24 $5,930.24 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $5,916.40 $5,916.40 $5,916.40 2025-07-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 1 1 — — $5,862.61 $5,862.61 $5,862.61 2025-07-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc 1 1 — — $5,856.27 $5,856.27 $5,856.27 2025-07-01
5594 OTHER Level 4 Nuclear Medicine And Related Services 1 1 — — $5,822.49 $5,822.49 $5,822.49 2025-07-01
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $5,806.00 $5,806.00 $5,806.00 2025-07-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 1 1 — — $5,672.44 $5,672.44 $5,672.44 2025-07-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 1 1 — — $5,662.37 $5,662.37 $5,662.37 2025-07-01
639 MS_DRG Diabetes Without Cc/Mcc 7 6 — — $5,637.11 $5,637.11 $5,637.11 2025-07-01
311 MS_DRG Angina Pectoris 1 1 — — $5,584.15 $5,584.15 $5,584.15 2025-07-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 1 1 — — $5,434.40 $5,434.40 $5,434.40 2025-07-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 — — $5,377.16 $5,377.16 $5,377.16 2025-07-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $5,290.66 $5,290.66 $5,290.66 2025-07-01
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc 1 1 — — $5,259.45 $5,259.45 $5,259.45 2025-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 7 — — $5,257.99 $5,257.99 $5,257.99 2025-07-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 8 5 — — $5,215.15 $5,215.15 $5,215.15 2025-07-01
1233 OTHER Inj, Vasopressin, 1 Unit 5 4 — — $5,211.37 $5,211.37 $5,211.37 2025-07-01
303 MS_DRG Atherosclerosis Without Mcc 1 1 — — $5,199.67 $5,199.67 $5,199.67 2025-07-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 4 — — $5,194.70 $5,194.70 $5,194.70 2025-07-01
603 MS_DRG Cellulitis Without Mcc 8 6 — — $5,187.83 $5,187.83 $5,187.83 2025-07-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 — — $5,182.35 $5,182.35 $5,182.35 2025-07-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 1 1 — — $5,026.54 $5,026.54 $5,026.54 2025-07-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 5 5 — — $4,973.15 $4,973.15 $4,973.15 2025-07-01
305 MS_DRG Hypertension Without Mcc 7 4 — — $4,868.86 $4,868.86 $4,868.86 2025-07-01
313 MS_DRG Chest Pain 5 5 — — $4,836.43 $4,836.43 $4,836.43 2025-07-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 1 1 — — $4,791.47 $4,791.47 $4,791.47 2025-07-01
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $4,639.37 $4,639.37 $4,639.37 2025-07-01
5431 OTHER Level 1 Nerve Procedures 10 7 — — $4,605.27 $4,605.27 $4,605.27 2025-07-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 1 1 — — $4,519.59 $4,519.59 $4,519.59 2025-07-01
684 MS_DRG Renal Failure Without Cc/Mcc 4 2 — — $4,517.89 $4,517.89 $4,517.89 2025-07-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 3 2 — — $4,513.35 $4,513.35 $4,513.35 2025-07-01
637 MS_DRG Diabetes With Mcc 3 3 — — $4,471.81 $4,471.81 $4,471.81 2025-07-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 2 2 — — $4,460.15 $4,460.15 $4,460.15 2025-07-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 — — $4,442.68 $4,442.68 $4,442.68 2025-07-01
758 MS_DRG Infections, Female Reproductive System With Cc 1 1 — — $4,416.63 $4,416.63 $4,416.63 2025-07-01
5313 OTHER Level 3 Lower Gi Procedures 5 4 — — $4,377.99 $4,377.99 $4,377.99 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $4,333.38 $4,333.38 $4,333.38 2025-07-01
8011 OTHER Comprehensive Observation Services 19 9 — — $4,265.90 $4,265.90 $4,265.90 2025-07-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 5 5 — — $4,167.12 $4,167.12 $4,167.12 2025-07-01
947 MS_DRG Signs And Symptoms With Mcc 2 2 — — $4,142.52 $4,142.52 $4,142.52 2025-07-01
5312 OTHER Level 2 Lower Gi Procedures 20 9 — — $4,101.19 $4,101.19 $4,101.19 2025-07-01
187 MS_DRG Pleural Effusion With Cc 1 1 — — $4,062.45 $4,062.45 $4,062.45 2025-07-01
300 MS_DRG Peripheral Vascular Disorders With Cc 2 2 — — $4,015.03 $4,015.03 $4,015.03 2025-07-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 1 1 — — $3,985.37 $3,985.37 $3,985.37 2025-07-01
176 MS_DRG Pulmonary Embolism Without Mcc 3 3 — — $3,930.88 $3,930.88 $3,930.88 2025-07-01
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 — — $3,874.71 $3,874.71 $3,874.71 2025-07-01
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 5 4 — — $3,856.11 $3,856.11 $3,856.11 2025-07-01
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 — — $3,808.57 $3,808.57 $3,808.57 2025-07-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 1 1 — — $3,718.82 $3,718.82 $3,718.82 2025-07-01
312 MS_DRG Syncope And Collapse 2 2 — — $3,562.99 $3,562.99 $3,562.99 2025-07-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 3 3 — — $3,371.55 $3,371.55 $3,371.55 2025-07-01
5331 OTHER Complex Gi Procedures 2 2 — — $3,308.32 $3,308.32 $3,308.32 2025-07-01
302 MS_DRG Atherosclerosis With Mcc 1 1 — — $3,279.22 $3,279.22 $3,279.22 2025-07-01
149 MS_DRG Dysequilibrium 2 2 — — $3,222.49 $3,222.49 $3,222.49 2025-07-01
69 MS_DRG Transient Ischemia Without Thrombolytic 2 2 — — $3,210.10 $3,210.10 $3,210.10 2025-07-01
5112 OTHER Level 2 Musculoskeletal Procedures 12 5 — — $3,108.79 $3,108.79 $3,108.79 2025-07-01
5311 OTHER Level 1 Lower Gi Procedures 20 9 — — $3,108.58 $3,108.58 $3,108.58 2025-07-01
101 MS_DRG Seizures Without Mcc 3 2 — — $3,107.04 $3,107.04 $3,107.04 2025-07-01
375 MS_DRG Digestive Malignancy With Cc 1 1 — — $3,070.23 $3,070.23 $3,070.23 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $2,947.11 $2,947.11 $2,947.11 2025-07-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 1 1 — — $2,904.27 $2,904.27 $2,904.27 2025-07-01
5054 OTHER Level 4 Skin Procedures 1 1 — — $2,887.44 $2,887.44 $2,887.44 2025-07-01
5442 OTHER Level 2 Nerve Injections 1 1 — — $2,875.00 $2,875.00 $2,875.00 2025-07-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 1 1 — — $2,636.23 $2,636.23 $2,636.23 2025-07-01
5055 OTHER Level 5 Skin Procedures 1 1 — — $2,414.78 $2,414.78 $2,414.78 2025-07-01
5593 OTHER Level 3 Nuclear Medicine And Related Services 20 10 — — $2,345.06 $2,345.06 $2,345.06 2025-07-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 1 1 — — $2,274.14 $2,274.14 $2,274.14 2025-07-01
8008 OTHER MRI And MRA With Contrast Composite 10 7 — — $2,107.64 $2,107.64 $2,107.64 2025-07-01
5302 OTHER Level 2 Upper Gi Procedures 2 2 — — $2,106.30 $2,106.30 $2,106.30 2025-07-01
5373 OTHER Level 3 Urology And Related Services 1 1 — — $1,703.72 $1,703.72 $1,703.72 2025-07-01
5053 OTHER Level 3 Skin Procedures 7 4 — — $1,692.67 $1,692.67 $1,692.67 2025-07-01
9238 OTHER Calcium Glucon (wg Critical) 1 1 — — $1,615.34 $1,615.34 $1,615.34 2025-07-01
8007 OTHER MRI And MRA Without Contrast Composite 9 5 — — $1,589.99 $1,589.99 $1,589.99 2025-07-01
5572 OTHER Level 2 Imaging With Contrast 24 10 — — $1,546.57 $1,546.57 $1,546.57 2025-07-01
5182 OTHER Level 2 Vascular Procedures 1 1 — — $1,451.15 $1,451.15 $1,451.15 2025-07-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 1 1 — — $1,430.06 $1,430.06 $1,430.06 2025-07-01
5025 OTHER Level 5 Type A Ed Visits 26 11 — — $1,272.83 $1,272.83 $1,272.83 2025-07-01
5524 OTHER Level 4 Imaging Without Contrast 25 11 — — $1,206.15 $1,206.15 $1,206.15 2025-07-01
5441 OTHER Level 1 Nerve Injections 3 3 — — $1,137.73 $1,137.73 $1,137.73 2025-07-01
5592 OTHER Level 2 Nuclear Medicine And Related Services 16 9 — — $1,094.99 $1,094.99 $1,094.99 2025-07-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 — — $1,018.42 $1,018.42 $1,018.42 2025-07-01
5591 OTHER Level 1 Nuclear Medicine And Related Services 16 9 — — $936.64 $936.64 $936.64 2025-07-01
5024 OTHER Level 4 Type A Ed Visits 26 10 — — $924.23 $924.23 $924.23 2025-07-01
5691 OTHER Level 1 Drug Administration 1 1 — — $883.59 $883.59 $883.59 2025-07-01
5411 OTHER Level 1 Gynecologic Procedures 1 1 — — $779.97 $779.97 $779.97 2025-07-01
9097 OTHER Inj Retacrit Non-esrd Use 1 1 — — $762.89 $762.89 $762.89 2025-07-01
9139 OTHER Rabies Vaccine, IM 5 5 — — $711.77 $711.77 $711.77 2025-07-01
5412 OTHER Level 2 Gynecologic Procedures 5 4 — — $701.50 $701.50 $701.50 2025-07-01
5111 OTHER Level 1 Musculoskeletal Procedures 2 1 — — $684.75 $684.75 $684.75 2025-07-01
5371 OTHER Level 1 Urology And Related Services 3 3 — — $663.50 $663.50 $663.50 2025-07-01
5731 OTHER Level 1 Minor Procedures 9 5 — — $629.60 $629.60 $629.60 2025-07-01
5722 OTHER Level 2 Diagnostic Tests And Related Services 9 6 — — $588.73 $588.73 $588.73 2025-07-01
5051 OTHER Level 1 Skin Procedures 13 8 — — $538.49 $538.49 $538.49 2025-07-01
5023 OTHER Level 3 Type A Ed Visits 26 10 — — $511.50 $511.50 $511.50 2025-07-01
N804 OTHER Mammography Services 26 10 — — $480.95 $480.95 $480.95 2025-07-01
5734 OTHER Level 4 Minor Procedures 12 8 — — $415.03 $415.03 $415.03 2025-07-01
5623 OTHER Level 3 Radiation Therapy 2 2 — — $381.40 $381.40 $381.40 2025-07-01
8004 OTHER Ultrasound Composite 4 4 — — $359.23 $359.23 $359.23 2025-07-01
5021 OTHER Level 1 Type A Ed Visits 12 6 — — $264.19 $264.19 $264.19 2025-07-01
5522 OTHER Level 2 Imaging Without Contrast 26 10 — — $228.48 $228.48 $228.48 2025-07-01
5733 OTHER Level 3 Minor Procedures 21 9 — — $193.91 $193.91 $193.91 2025-07-01
N905 OTHER Not Recognized By Opps 2 2 — — $190.84 $190.84 $190.84 2025-07-01
5521 OTHER Level 1 Imaging Without Contrast 26 11 — — $177.42 $177.42 $177.42 2025-07-01
N801 OTHER Therapy Services 25 9 — — $165.20 $165.20 $165.20 2025-07-01
5672 OTHER Level 2 Pathology 3 3 — — $165.01 $165.01 $165.01 2025-07-01
N700 OTHER Non-opps Clinic Services 2 2 — — $105.05 $105.05 $105.05 2025-07-01
N800 OTHER Clinical Diagnostic Lab Services 25 10 — — $80.13 $80.13 $80.13 2025-07-01
5732 OTHER Level 2 Minor Procedures 1 1 — — $34.23 $34.23 $34.23 2025-07-01
5693 OTHER Level 3 Drug Administration 0 0 — — — — — 2025-07-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 0 0 — — — — — 2025-07-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 0 0 — — — — — 2025-07-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 0 0 — — — — — 2025-07-01
5571 OTHER Level 1 Imaging With Contrast 0 0 — — — — — 2025-07-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 0 0 — — — — — 2025-07-01
5041 OTHER Critical Care 0 0 — — — — — 2025-07-01
5523 OTHER Level 3 Imaging Without Contrast 0 0 — — — — — 2025-07-01
8005 OTHER CT And CTA Without Contrast Composite 0 0 — — — — — 2025-07-01
8006 OTHER CT And CTA With Contrast Composite 0 0 — — — — — 2025-07-01
5022 OTHER Level 2 Type A Ed Visits 0 0 — — — — — 2025-07-01
5113 OTHER Level 3 Musculoskeletal Procedures 0 0 — — — — — 2025-07-01
5184 OTHER Level 4 Vascular Procedures 0 0 — — — — — 2025-07-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 0 0 — — — — — 2025-07-01
40"""" To 42"""" (27.07)""" OTHER "Hb Bra Mln Medmamcomp5 Post Surgical Compression 2Xl 0 0 — $145.27 — — — 2025-07-01
2041 OTHER Cath, Bladed, Vasc Prep 0 0 — — — — — 2025-07-01
9291 OTHER Inj, Clindamycin Phosp 300mg 0 0 — — — — — 2025-07-01
L1830 HCPCS "Hb Immobilizer Mln Ort2431018 Knee 0 0 — — — — — 2025-07-01
9400 OTHER Inj, Labetalol Hcl, 5mg 0 0 — — — — — 2025-07-01
Micro Allig Serr 2 3/4"""" Sklar (63.31""" OTHER "Hb Forcep Mck 275418 Forcep 0 0 — $320.20 — — — 2025-07-01
Micro Alligator Serr 23/4"""" (42.50)""" OTHER "Hb Forcep Mck 1084525 Forcep 0 0 — $228.13 — — — 2025-07-01
5301 OTHER Level 1 Upper Gi Procedures 0 0 — — — — — 2025-07-01
5052 OTHER Level 2 Skin Procedures 0 0 — — — — — 2025-07-01
5361 OTHER Level 1 Laparoscopy And Related Services 0 0 — — — — — 2025-07-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 0 0 — — — — — 2025-07-01
5671 OTHER Level 1 Pathology 0 0 — — — — — 2025-07-01
5673 OTHER Level 3 Pathology 0 0 — — — — — 2025-07-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 0 0 — — — — — 2025-07-01
5692 OTHER Level 2 Drug Administration 0 0 — — — — — 2025-07-01
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