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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

HARDIN MEDICAL CENTER

Savannah, TN · CCN 440109 · Rates published

242 distinct procedures filed
42 distinct payers
2,636 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old
Data quality

1,849 of 2,636 rate rows are consumer-grade (70.1%)

787 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 778
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 9

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/626002428_hardin-medical-center_standardcharges.json
Found on page https://hospitalpricedisclosure.com/Default.aspx?ci=p5EKWLAR4Xid5jaFklYAFw*-*
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint cc8349cd4f7696ba… · 5,734,563 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
9378
OTHER 		Daratumumab, Hyaluronidase 1 $81,558.20 $81,558.20 $81,558.20 nat. median
$54
outlier · 1510.9×
0800
RC 		Leuprolide Acetate 1 $59,983.18 $59,983.18 $59,983.18 nat. median
$612
outlier · 98.0×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 1 $44,912.59 $44,912.59 $44,912.59 nat. median
$23,970
1.9× median
597
MS_DRG 		Malignant Breast Disorders With Mcc 1 $42,169.05 $42,169.05 $42,169.05 nat. median
$11,920
outlier · 3.5×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $41,697.24 $41,697.24 $41,697.24 nat. median
$35,986
1.2× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $28,339.70 $28,339.70 $28,339.70 nat. median
$24,316
1.2× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 $24,751.61 $45,771.93 $25,793.26 nat. median
$34,733
0.7× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 $25,347.22 $25,347.22 $25,347.22 nat. median
$21,753
1.2× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $23,199.30 $23,199.30 $23,199.30 nat. median
$21,906
1.1× median
800
MS_DRG 		Splenic Procedures With Cc 1 $21,513.80 $21,513.80 $21,513.80 nat. median
$19,759
1.1× median
5694
OTHER 		Level 4 Drug Administration 24 $867.42 $227,796.19 $19,774.29 nat. median
$551
outlier · 35.9×
243
MS_DRG 		Permanent Cardiac Pacemaker Implant With Cc 1 $18,963.63 $18,963.63 $18,963.63 nat. median
$16,535
1.1× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 $17,122.95 $32,583.36 $18,433.73 nat. median
$15,839
1.2× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 1 $18,030.42 $18,030.42 $18,030.42 nat. median
$21,963
0.8× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 $15,499.86 $19,215.72 $17,357.79 nat. median
$15,832
1.1× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 $15,089.01 $19,572.28 $17,330.65 nat. median
$19,623
0.9× median
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 $16,922.82 $17,746.82 $17,189.81 nat. median
$14,941
1.2× median
204
MS_DRG 		Respiratory Signs And Symptoms 1 $16,399.35 $16,399.35 $16,399.35 nat. median
$6,018
outlier · 2.7×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 4 $12,422.51 $28,630.93 $16,393.94 nat. median
$15,706
1.0× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 $2,511.53 $20,780.34 $15,690.31 nat. median
$15,758
1.0× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 6 $12,365.26 $25,391.39 $15,593.28 nat. median
$14,330
1.1× median
922
MS_DRG 		Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 $15,388.66 $15,388.66 $15,388.66 nat. median
$12,029
1.3× median
9502
OTHER 		Platelet Pheresis Irradiated 1 $15,251.78 $15,251.78 $15,251.78 nat. median
$599
outlier · 25.5×
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 3 $13,889.42 $22,428.65 $15,194.64 nat. median
$14,553
1.0× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/Mcc 3 $14,398.11 $15,036.05 $14,983.38 nat. median
$12,280
1.2× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 1 $14,765.44 $14,765.44 $14,765.44 nat. median
$13,124
1.1× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 $8,258.69 $21,190.21 $14,724.45 nat. median
$18,426
0.8× median
643
MS_DRG 		Endocrine Disorders With Mcc 1 $13,877.24 $13,877.24 $13,877.24 nat. median
$11,920
1.2× median
186
MS_DRG 		Pleural Effusion With Mcc 1 $13,614.45 $13,614.45 $13,614.45 nat. median
$11,243
1.2× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 21 $4,276.54 $17,124.69 $13,397.86 nat. median
$14,442
0.9× median
9272
OTHER 		Inj, Denosumab 2 $10,494.11 $15,477.46 $12,985.78 nat. median
$29
outlier · 450.1×
9120
OTHER 		Injection, Fulvestrant 1 $12,805.02 $12,805.02 $12,805.02 nat. median
$8
outlier · 1656.5×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 1 $12,680.92 $12,680.92 $12,680.92 nat. median
$11,985
1.1× median
398
MS_DRG 		Appendix Procedures With Cc 2 $12,666.04 $12,679.03 $12,672.53 nat. median
$11,334
1.1× median
540
MS_DRG 		Osteomyelitis With Cc 2 $11,471.14 $13,146.12 $12,308.63 nat. median
$9,457
1.3× median
399
MS_DRG 		Appendix Procedures Without Cc/Mcc 1 $12,040.54 $12,040.54 $12,040.54 nat. median
$8,689
1.4× median
296
MS_DRG 		Cardiac Arrest, Unexplained With Mcc 1 $12,001.26 $12,001.26 $12,001.26 nat. median
$11,574
1.0× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 1 $11,895.16 $11,895.16 $11,895.16 nat. median
$11,794
1.0× median
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/Mcc 2 $9,432.42 $13,785.38 $11,608.90 nat. median
$11,501
1.0× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 12 $2,371.43 $17,995.37 $11,468.90 nat. median
$11,701
1.0× median
809
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 $11,438.64 $11,438.64 $11,438.64 nat. median
$9,154
1.2× median
725
MS_DRG 		Benign Prostatic Hypertrophy With Mcc 1 $11,404.98 $11,404.98 $11,404.98 nat. median
$8,432
1.4× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 1 $11,319.99 $11,319.99 $11,319.99 nat. median
$10,670
1.1× median
682
MS_DRG 		Renal Failure With Mcc 10 $1,426.80 $18,094.49 $11,272.78 nat. median
$11,096
1.0× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 4 $8,006.10 $16,697.93 $11,261.05 nat. median
$10,250
1.1× median
206
MS_DRG 		Other Respiratory System Diagnoses Without Mcc 2 $9,104.31 $12,725.59 $10,914.95 nat. median
$6,811
1.6× median
291
MS_DRG 		Heart Failure And Shock With Mcc 7 $2,375.76 $15,907.01 $10,574.43 nat. median
$9,572
1.1× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 1 $10,456.05 $10,456.05 $10,456.05 nat. median
$7,651
1.4× median
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 1 $10,437.56 $10,437.56 $10,437.56 nat. median
$9,602
1.1× median
592
MS_DRG 		Skin Ulcers With Mcc 1 $10,188.15 $10,188.15 $10,188.15 nat. median
$13,680
0.7× median

Other procedures at this hospital

Browse this hospital's 242 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
             
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 1 1 — — $1,635.00 $1,635.00 $1,635.00 2025-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 1 1 — — $8,625.19 $8,625.19 $8,625.19 2025-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $2,568.32 $17,380.16 $9,974.24 2025-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 15 15 — — $1,375.89 $8,382.97 $5,559.80 2025-01-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 4 4 — — $2,080.52 $7,541.84 $5,068.84 2025-01-01
311 MS_DRG Angina Pectoris 3 3 — — $6,537.22 $12,126.07 $6,987.87 2025-01-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $3,830.70 $3,830.70 $3,830.70 2025-01-01
398 MS_DRG Appendix Procedures With Cc 2 2 — — $12,666.04 $12,679.03 $12,672.53 2025-01-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 1 1 — — $12,040.54 $12,040.54 $12,040.54 2025-01-01
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 1 1 — — $11,404.98 $11,404.98 $11,404.98 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $12,001.26 $12,001.26 $12,001.26 2025-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 5 5 — — $4,928.30 $11,916.31 $6,724.44 2025-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 5 — — $6,059.09 $11,153.17 $9,646.31 2025-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 3 3 — — $1,441.25 $5,536.03 $1,666.14 2025-01-01
5771 OTHER Cardiac Rehabilitation 21 21 — — $102.45 $9,208.76 $1,951.75 2025-01-01
603 MS_DRG Cellulitis Without Mcc 6 6 — — $2,048.54 $7,449.01 $3,133.28 2025-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 2 2 — — $3,477.57 $5,457.89 $4,467.73 2025-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 5 5 — — $1,326.00 $9,807.29 $6,034.97 2025-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 7 7 — — $3,503.24 $13,436.17 $7,299.82 2025-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 1 1 — — $3,503.24 $3,503.24 $3,503.24 2025-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 12 12 — — $2,472.00 $9,062.27 $4,525.25 2025-01-01
313 MS_DRG Chest Pain 1 1 — — $2,142.54 $2,142.54 $2,142.54 2025-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $8,909.93 $8,909.93 $8,909.93 2025-01-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 1 1 — — $4,905.00 $4,905.00 $4,905.00 2025-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 — — $1,231.02 $12,865.96 $7,048.49 2025-01-01
5012 OTHER Clinic Visits And Related Services 30 30 — — $25.41 $280.08 $107.00 2025-01-01
N800 OTHER Clinical Diagnostic Lab Services 38 38 — — $9.18 $385.18 $32.07 2025-01-01
813 MS_DRG Coagulation Disorders 3 3 — — $2,342.10 $9,864.44 $2,516.53 2025-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $10,456.05 $10,456.05 $10,456.05 2025-01-01
5041 OTHER Critical Care 12 12 — — $269.31 $6,426.85 $1,671.41 2025-01-01
9378 OTHER Daratumumab, Hyaluronidase 1 1 — — $81,558.20 $81,558.20 $81,558.20 2025-01-01
638 MS_DRG Diabetes With Cc 10 10 — — $2,272.42 $8,636.09 $4,490.04 2025-01-01
637 MS_DRG Diabetes With Mcc 7 7 — — $1,763.38 $12,379.60 $6,778.38 2025-01-01
639 MS_DRG Diabetes Without Cc/Mcc 6 6 — — $1,910.46 $6,283.36 $4,107.27 2025-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 2 2 — — $6,055.65 $9,162.78 $7,609.22 2025-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 — — $2,183.28 $8,495.90 $5,339.59 2025-01-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 1 1 — — $4,092.79 $4,092.79 $4,092.79 2025-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 3 3 — — $3,470.14 $6,765.68 $4,357.06 2025-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 4 4 — — $2,474.87 $7,212.73 $4,230.58 2025-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $7,776.35 $7,776.35 $7,776.35 2025-01-01
643 MS_DRG Endocrine Disorders With Mcc 1 1 — — $13,877.24 $13,877.24 $13,877.24 2025-01-01
645 MS_DRG Endocrine Disorders Without Cc/Mcc 1 1 — — $6,477.47 $6,477.47 $6,477.47 2025-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 5 — — $1,828.21 $6,333.90 $2,625.10 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $2,029.12 $2,029.12 $2,029.12 2025-01-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 4 4 — — $4,905.00 $19,989.17 $9,066.26 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $3,386.79 $8,882.56 $6,134.67 2025-01-01
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $4,905.00 $4,905.00 $4,905.00 2025-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $10,437.56 $10,437.56 $10,437.56 2025-01-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 — — $6,337.39 $7,769.72 $7,053.56 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 6 6 — — $1,756.67 $11,998.00 $4,298.60 2025-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 2 — — $3,160.57 $8,214.88 $5,687.73 2025-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 — — $14,765.44 $14,765.44 $14,765.44 2025-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 4 4 — — $3,698.08 $8,323.82 $6,972.86 2025-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 — — $11,319.99 $11,319.99 $11,319.99 2025-01-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 5 5 — — $1,910.45 $9,683.19 $5,037.02 2025-01-01
291 MS_DRG Heart Failure And Shock With Mcc 7 7 — — $2,375.76 $15,907.01 $10,574.43 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 4 — — $12,422.51 $28,630.93 $16,393.94 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $18,030.42 $18,030.42 $18,030.42 2025-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 3 3 — — $14,398.11 $15,036.05 $14,983.38 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $25,347.22 $25,347.22 $25,347.22 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 5 — — $17,122.95 $32,583.36 $18,433.73 2025-01-01
5061 OTHER Hyperbaric Oxygen 5 5 — — $150.69 $1,821.25 $833.66 2025-01-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 2 2 — — $2,283.56 $4,276.74 $3,280.15 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $24,751.61 $45,771.93 $25,793.26 2025-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 2 2 — — $5,360.27 $9,600.13 $7,480.20 2025-01-01
9419 OTHER Inj Fensolvi 0.25 Mg 1 1 — — $699.81 $699.81 $699.81 2025-01-01
9436 OTHER Inj Pegfilgrast Ex Bio 0.5mg 1 1 — — $2,434.42 $2,434.42 $2,434.42 2025-01-01
9272 OTHER Inj, Denosumab 2 2 — — $10,494.11 $15,477.46 $12,985.78 2025-01-01
9406 OTHER Inj, Nyvepria 1 1 — — $6,270.76 $6,270.76 $6,270.76 2025-01-01
9120 OTHER Injection, Fulvestrant 1 1 — — $12,805.02 $12,805.02 $12,805.02 2025-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 7 7 — — $2,142.52 $9,586.42 $2,671.76 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 — — $6,758.93 $15,265.60 $9,884.59 2025-01-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 3 3 — — $7,124.58 $10,744.06 $7,162.71 2025-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 6 6 — — $2,115.38 $10,303.46 $5,386.10 2025-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 5 — — $1,989.27 $7,627.57 $4,265.58 2025-01-01
0800 RC Leuprolide Acetate 1 1 — — $59,983.18 $59,983.18 $59,983.18 2025-01-01
9217 OTHER Leuprolide Acetate Suspnsion 4 4 — — $488.83 $7,829.83 $2,456.69 2025-01-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 20 20 — — $1,314.34 $6,141.17 $3,269.74 2025-01-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 16 16 — — $137.49 $2,404.90 $850.94 2025-01-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 6 6 — — $1,243.56 $8,373.40 $2,540.89 2025-01-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 14 14 — — $32.24 $425.69 $109.61 2025-01-01
5691 OTHER Level 1 Drug Administration 11 11 — — $43.70 $5,231.27 $615.89 2025-01-01
5741 OTHER Level 1 Electronic Analysis Of Devices 9 9 — — $10.15 $572.80 $46.53 2025-01-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 8 8 — — $213.34 $1,075.00 $541.43 2025-01-01
5411 OTHER Level 1 Gynecologic Procedures 14 14 — — $3.68 $516.51 $94.14 2025-01-01
5821 OTHER Level 1 Health And Behavior Services 1 1 — — $2,344.06 $2,344.06 $2,344.06 2025-01-01
5571 OTHER Level 1 Imaging With Contrast 30 30 — — $122.63 $1,199.22 $161.35 2025-01-01
5521 OTHER Level 1 Imaging Without Contrast 37 37 — — $19.18 $229.00 $75.35 2025-01-01
5491 OTHER Level 1 Intraocular Procedures 23 23 — — $200.00 $4,600.82 $1,840.48 2025-01-01
5361 OTHER Level 1 Laparoscopy And Related Services 24 24 — — $1,535.46 $9,724.88 $4,908.31 2025-01-01
5311 OTHER Level 1 Lower Gi Procedures 24 24 — — $471.23 $2,060.25 $909.32 2025-01-01
5111 OTHER Level 1 Musculoskeletal Procedures 2 2 — — $42.32 $220.27 $131.30 2025-01-01
5441 OTHER Level 1 Nerve Injections 4 4 — — $271.97 $1,526.73 $464.50 2025-01-01
5431 OTHER Level 1 Nerve Procedures 5 5 — — $1,464.59 $4,809.44 $2,463.42 2025-01-01
5591 OTHER Level 1 Nuclear Medicine And Related Services 18 18 — — $44.76 $815.00 $321.62 2025-01-01
5671 OTHER Level 1 Pathology 4 4 — — $42.62 $234.00 $108.41 2025-01-01
5051 OTHER Level 1 Skin Procedures 22 22 — — $48.62 $1,251.07 $184.72 2025-01-01
5101 OTHER Level 1 Strapping And Cast Application 14 14 — — $7.92 $735.02 $145.38 2025-01-01
5021 OTHER Level 1 Type A Ed Visits 22 22 — — $25.90 $402.00 $111.00 2025-01-01
5301 OTHER Level 1 Upper Gi Procedures 23 23 — — $255.94 $2,556.01 $1,295.58 2025-01-01
5181 OTHER Level 1 Vascular Procedures 3 3 — — $412.79 $2,847.27 $751.31 2025-01-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $5,209.33 $13,165.54 $6,760.75 2025-01-01
5722 OTHER Level 2 Diagnostic Tests And Related Services 19 19 — — $111.05 $835.56 $277.08 2025-01-01
5692 OTHER Level 2 Drug Administration 25 25 — — $87.16 $5,015.44 $1,332.08 2025-01-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 21 21 — — $113.50 $6,010.95 $1,359.59 2025-01-01
5412 OTHER Level 2 Gynecologic Procedures 3 3 — — $228.10 $440.12 $325.03 2025-01-01
5572 OTHER Level 2 Imaging With Contrast 32 32 — — $21.87 $1,376.08 $328.56 2025-01-01
5522 OTHER Level 2 Imaging Without Contrast 39 39 — — $44.91 $443.27 $92.69 2025-01-01
5492 OTHER Level 2 Intraocular Procedures 6 6 — — $2,092.54 $6,446.86 $3,087.98 2025-01-01
5362 OTHER Level 2 Laparoscopy And Related Services 1 1 — — $2,358.59 $2,358.59 $2,358.59 2025-01-01
5312 OTHER Level 2 Lower Gi Procedures 26 26 — — $831.83 $4,190.45 $1,221.63 2025-01-01
5732 OTHER Level 2 Minor Procedures 18 18 — — $8.47 $243.00 $78.86 2025-01-01
5112 OTHER Level 2 Musculoskeletal Procedures 7 7 — — $361.00 $2,264.52 $1,287.31 2025-01-01
5442 OTHER Level 2 Nerve Injections 5 5 — — $275.78 $1,610.05 $454.40 2025-01-01
5592 OTHER Level 2 Nuclear Medicine And Related Services 19 19 — — $50.00 $1,102.31 $453.96 2025-01-01
5052 OTHER Level 2 Skin Procedures 27 27 — — $102.20 $1,037.18 $358.71 2025-01-01
5102 OTHER Level 2 Strapping And Cast Application 4 4 — — $31.85 $367.47 $137.64 2025-01-01
5022 OTHER Level 2 Type A Ed Visits 33 33 — — $16.73 $488.00 $122.00 2025-01-01
5302 OTHER Level 2 Upper Gi Procedures 8 8 — — $971.09 $4,143.85 $1,712.38 2025-01-01
5182 OTHER Level 2 Vascular Procedures 14 14 — — $276.10 $12,871.56 $1,566.66 2025-01-01
5693 OTHER Level 3 Drug Administration 33 33 — — $117.00 $17,364.92 $865.90 2025-01-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 11 11 — — $169.23 $4,663.72 $1,978.65 2025-01-01
5503 OTHER Level 3 Extraocular, Repair, And Plastic Eye Procedures 1 1 — — $1,547.05 $1,547.05 $1,547.05 2025-01-01
5573 OTHER Level 3 Imaging With Contrast 4 4 — — $487.31 $2,230.25 $595.75 2025-01-01
5523 OTHER Level 3 Imaging Without Contrast 37 37 — — $154.82 $1,056.00 $208.61 2025-01-01
5313 OTHER Level 3 Lower Gi Procedures 8 8 — — $619.54 $5,453.00 $3,482.59 2025-01-01
5733 OTHER Level 3 Minor Procedures 30 30 — — $12.09 $475.74 $66.58 2025-01-01
5113 OTHER Level 3 Musculoskeletal Procedures 9 9 — — $1,850.35 $8,019.72 $2,874.82 2025-01-01
5443 OTHER Level 3 Nerve Injections 3 3 — — $988.56 $9,319.38 $1,962.82 2025-01-01
5593 OTHER Level 3 Nuclear Medicine And Related Services 28 28 — — $29.07 $4,882.62 $1,234.74 2025-01-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 4 4 — — $7,180.58 $9,483.96 $8,496.14 2025-01-01
5053 OTHER Level 3 Skin Procedures 15 15 — — $68.69 $1,694.10 $659.42 2025-01-01
5023 OTHER Level 3 Type A Ed Visits 37 37 — — $113.50 $688.00 $221.34 2025-01-01
5183 OTHER Level 3 Vascular Procedures 16 16 — — $135.00 $7,416.20 $2,448.26 2025-01-01
5724 OTHER Level 4 Diagnostic Tests And Related Services 19 19 — — $425.13 $5,962.38 $928.44 2025-01-01
5694 OTHER Level 4 Drug Administration 24 24 — — $867.42 $227,796.19 $19,774.29 2025-01-01
5414 OTHER Level 4 Gynecologic Procedures 16 16 — — $953.01 $5,250.05 $1,999.12 2025-01-01
5524 OTHER Level 4 Imaging Without Contrast 33 33 — — $243.86 $3,064.20 $501.98 2025-01-01
5734 OTHER Level 4 Minor Procedures 33 33 — — $32.70 $625.35 $104.92 2025-01-01
5114 OTHER Level 4 Musculoskeletal Procedures 6 6 — — $3,916.59 $14,587.14 $7,424.13 2025-01-01
5674 OTHER Level 4 Pathology 1 1 — — $1,061.75 $1,061.75 $1,061.75 2025-01-01
5054 OTHER Level 4 Skin Procedures 4 4 — — $164.91 $5,668.30 $4,483.92 2025-01-01
5024 OTHER Level 4 Type A Ed Visits 37 37 — — $218.00 $3,613.68 $533.36 2025-01-01
5165 OTHER Level 5 ENT Procedures 1 1 — — $698.20 $698.20 $698.20 2025-01-01
5415 OTHER Level 5 Gynecologic Procedures 6 6 — — $436.99 $9,398.40 $3,199.40 2025-01-01
5735 OTHER Level 5 Minor Procedures 1 1 — — $327.46 $327.46 $327.46 2025-01-01
5115 OTHER Level 5 Musculoskeletal Procedures 4 4 — — $2,561.56 $10,104.30 $8,500.58 2025-01-01
5025 OTHER Level 5 Type A Ed Visits 38 38 — — $269.31 $3,361.60 $727.42 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $8,258.69 $21,190.21 $14,724.45 2025-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 3 3 — — $13,889.42 $22,428.65 $15,194.64 2025-01-01
184 MS_DRG Major Chest Trauma With Cc 1 1 — — $1,774.30 $1,774.30 $1,774.30 2025-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 — — $5,058.75 $8,419.28 $6,739.02 2025-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $2,511.53 $20,780.34 $15,690.31 2025-01-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $11,438.64 $11,438.64 $11,438.64 2025-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 6 6 — — $12,365.26 $25,391.39 $15,593.28 2025-01-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 1 1 — — $2,400.38 $2,400.38 $2,400.38 2025-01-01
597 MS_DRG Malignant Breast Disorders With Mcc 1 1 — — $42,169.05 $42,169.05 $42,169.05 2025-01-01
N804 OTHER Mammography Services 34 34 — — $59.35 $412.50 $106.58 2025-01-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $2,472.55 $2,472.55 $2,472.55 2025-01-01
552 MS_DRG Medical Back Problems Without Mcc 1 1 — — $2,063.06 $2,063.06 $2,063.06 2025-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 7 7 — — $3,990.48 $15,558.39 $8,522.95 2025-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 11 11 — — $1,358.52 $12,415.91 $2,289.00 2025-01-01
794 MS_DRG Neonate With Other Significant Problems 7 7 — — $1,101.60 $3,366.00 $1,594.58 2025-01-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 3 3 — — $2,547.50 $5,178.00 $4,207.00 2025-01-01
N900 OTHER Non-covered Services 19 19 — — $65.24 $337.24 $100.91 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $28,339.70 $28,339.70 $28,339.70 2025-01-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $9,517.23 $9,517.23 $9,517.23 2025-01-01
600 MS_DRG Non-malignant Breast Disorders With Cc/Mcc 1 1 — — $8,702.77 $8,702.77 $8,702.77 2025-01-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 3 3 — — $5,638.75 $9,395.75 $8,859.02 2025-01-01
795 MS_DRG Normal Newborn 3 3 — — $1,150.00 $2,822.32 $1,945.68 2025-01-01
540 MS_DRG Osteomyelitis With Cc 2 2 — — $11,471.14 $13,146.12 $12,308.63 2025-01-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 1 1 — — $3,923.52 $3,923.52 $3,923.52 2025-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 — — $5,528.36 $10,020.04 $7,774.20 2025-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 — — $12,680.92 $12,680.92 $12,680.92 2025-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 1 1 — — $3,270.00 $3,270.00 $3,270.00 2025-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $7,831.84 $7,831.84 $7,831.84 2025-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $15,499.86 $19,215.72 $17,357.79 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 3 — — $16,922.82 $17,746.82 $17,189.81 2025-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $15,388.66 $15,388.66 $15,388.66 2025-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 4 4 — — $2,363.80 $8,394.10 $5,127.65 2025-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 — — $2,578.95 $2,578.95 $2,578.95 2025-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $1,960.13 $12,537.46 $7,248.79 2025-01-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 2 2 — — $9,104.31 $12,725.59 $10,914.95 2025-01-01
N902 OTHER Packaged Services 5 5 — — $6.49 $2,231.84 $938.92 2025-01-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $9,398.91 $9,398.91 $9,398.91 2025-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 — — $9,286.99 $9,286.99 $9,286.99 2025-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 — — $11,895.16 $11,895.16 $11,895.16 2025-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 2 — — $9,432.42 $13,785.38 $11,608.90 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $18,963.63 $18,963.63 $18,963.63 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $44,912.59 $44,912.59 $44,912.59 2025-01-01
9502 OTHER Platelet Pheresis Irradiated 1 1 — — $15,251.78 $15,251.78 $15,251.78 2025-01-01
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $13,614.45 $13,614.45 $13,614.45 2025-01-01
188 MS_DRG Pleural Effusion Without Cc/Mcc 1 1 — — $8,482.95 $8,482.95 $8,482.95 2025-01-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $3,555.62 $3,555.62 $3,555.62 2025-01-01
201 MS_DRG Pneumothorax Without Cc/Mcc 1 1 — — $4,648.75 $4,648.75 $4,648.75 2025-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 — — $2,219.80 $2,219.80 $2,219.80 2025-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $9,294.29 $9,294.29 $9,294.29 2025-01-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 2 2 — — $2,052.37 $3,997.97 $3,025.17 2025-01-01
791 MS_DRG Prematurity With Major Problems 2 2 — — $2,400.00 $6,345.22 $4,372.61 2025-01-01
792 MS_DRG Prematurity Without Major Problems 4 4 — — $1,017.39 $11,950.46 $6,100.58 2025-01-01
885 MS_DRG Psychoses 1 1 — — $2,060.82 $2,060.82 $2,060.82 2025-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 12 12 — — $3,241.42 $10,465.76 $8,602.49 2025-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 2 — — $6,395.61 $12,067.56 $9,231.58 2025-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 — — $6,992.70 $6,992.70 $6,992.70 2025-01-01
9133 OTHER Rabies Ig, Im/sc 2 2 — — $462.00 $1,059.64 $760.82 2025-01-01
9139 OTHER Rabies Vaccine, IM 2 2 — — $33.85 $667.80 $350.82 2025-01-01
9512 OTHER Rbc Leukocytes Reduced 10 10 — — $71.80 $4,247.70 $441.93 2025-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 — — $8,006.10 $16,697.93 $11,261.05 2025-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 8 8 — — $1,344.40 $8,663.16 $2,284.78 2025-01-01
683 MS_DRG Renal Failure With Cc 6 6 — — $4,146.52 $8,182.30 $5,726.16 2025-01-01
682 MS_DRG Renal Failure With Mcc 10 10 — — $1,426.80 $18,094.49 $11,272.78 2025-01-01
684 MS_DRG Renal Failure Without Cc/Mcc 1 1 — — $4,395.38 $4,395.38 $4,395.38 2025-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 4 4 — — $1,588.86 $9,871.91 $8,960.45 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 12 — — $2,371.43 $17,995.37 $11,468.90 2025-01-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $16,399.35 $16,399.35 $16,399.35 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $15,089.01 $19,572.28 $17,330.65 2025-01-01
5781 OTHER Resuscitation And Cardioversion 1 1 — — $1,207.62 $1,207.62 $1,207.62 2025-01-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 3 3 — — $2,280.54 $10,380.18 $7,470.16 2025-01-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $1,130.77 $1,130.77 $1,130.77 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 21 21 — — $4,276.54 $17,124.69 $13,397.86 2025-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 12 — — $3,462.07 $10,476.74 $7,824.35 2025-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 9 9 — — $1,944.06 $10,825.26 $6,630.04 2025-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 18 18 — — $3,457.34 $14,681.39 $10,150.26 2025-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 4 4 — — $1,856.39 $5,839.58 $3,729.17 2025-01-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $10,188.15 $10,188.15 $10,188.15 2025-01-01
800 MS_DRG Splenic Procedures With Cc 1 1 — — $21,513.80 $21,513.80 $21,513.80 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $41,697.24 $41,697.24 $41,697.24 2025-01-01
312 MS_DRG Syncope And Collapse 3 3 — — $2,378.82 $7,393.21 $6,572.19 2025-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 4 4 — — $2,160.77 $14,418.97 $10,042.18 2025-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 4 — — $3,408.79 $11,863.78 $7,289.40 2025-01-01
1670 OTHER Tetanus Immune Globulin Inj 1 1 — — $218.00 $218.00 $218.00 2025-01-01
N801 OTHER Therapy Services 31 31 — — $100.00 $2,049.86 $488.27 2025-01-01
69 MS_DRG Transient Ischemia Without Thrombolytic 1 1 — — $1,966.76 $1,966.76 $1,966.76 2025-01-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/Mcc 1 1 — — $8,861.20 $8,861.20 $8,861.20 2025-01-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 1 1 — — $4,001.42 $4,001.42 $4,001.42 2025-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 4 4 — — $3,233.82 $10,505.64 $4,595.62 2025-01-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 6 6 — — $1,389.00 $8,834.86 $4,850.69 2025-01-01
797 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Cc 1 1 — — $4,207.29 $4,207.29 $4,207.29 2025-01-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 9 9 — — $3,026.20 $4,932.38 $4,270.68 2025-01-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 1 1 — — $4,270.68 $4,270.68 $4,270.68 2025-01-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 15 15 — — $1,326.00 $6,548.07 $4,096.22 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $23,199.30 $23,199.30 $23,199.30 2025-01-01
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