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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

LOGAN REGIONAL MEDICAL CENTER

Logan, WV · CCN 510048 · Rates published

198 distinct procedures filed
15 distinct payers
7,502 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

497 of 7,502 rate rows are consumer-grade (6.6%)

7,005 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 7,005

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=ONe08OU5VouZQeeOlB0azA*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=ONe08OU5VouZQeeOlB0azA*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 3fced35c0d5f49d3… · 4,376,818 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $175,127.77 $175,127.77 $175,127.77 nat. median
$202,986
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $56,232.96 $56,232.96 $56,232.96 nat. median
$62,134
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 $50,518.61 $50,518.61 $50,518.61 nat. median
$48,170
1.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $42,556.45 $42,556.45 $42,556.45 nat. median
$49,191
0.9× median
291
MS_DRG 		Heart Failure And Shock With Mcc 7 $36,473.32 $36,473.32 $36,473.32 nat. median
$13,522
outlier · 2.7×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 $33,923.72 $33,923.72 $33,923.72 nat. median
$52,857
0.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $31,909.83 $31,909.83 $31,909.83 nat. median
$66,526
outlier · 0.5×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $28,372.69 $28,372.69 $28,372.69 nat. median
$44,810
0.6× median
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 2 $28,143.19 $28,143.19 $28,143.19 nat. median
$10,714
outlier · 2.6×
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 $27,822.72 $27,822.72 $27,822.72 nat. median
$18,902
1.5× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 2 $27,031.74 $27,031.74 $27,031.74 nat. median
$13,201
outlier · 2.0×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 $26,003.60 $26,003.60 $26,003.60 nat. median
$31,075
0.8× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 2 $25,967.06 $25,967.06 $25,967.06 nat. median
$19,793
1.3× median
769
MS_DRG 		Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 $25,488.80 $25,488.80 $25,488.80 nat. median
$16,182
1.6× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 1 $24,483.18 $24,483.18 $24,483.18 nat. median
$29,218
0.8× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 3 $19,928.81 $19,928.81 $19,928.81 nat. median
$19,682
1.0× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 7 $19,897.58 $19,897.58 $19,897.58 nat. median
$13,021
1.5× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 $19,559.53 $19,559.53 $19,559.53 nat. median
$26,699
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 6 $19,337.35 $19,337.35 $19,337.35 nat. median
$19,635
1.0× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 1 $19,333.48 $19,333.48 $19,333.48 nat. median
$23,466
0.8× median
200
MS_DRG 		Pneumothorax With Cc 1 $19,140.36 $19,140.36 $19,140.36 nat. median
$11,694
1.6× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 $19,081.14 $19,081.14 $19,081.14 nat. median
$24,493
0.8× median
639
MS_DRG 		Diabetes Without Cc/Mcc 2 $19,050.53 $19,050.53 $19,050.53 nat. median
$7,257
outlier · 2.6×
399
MS_DRG 		Appendix Procedures Without Cc/Mcc 1 $18,674.96 $18,674.96 $18,674.96 nat. median
$12,335
1.5× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $18,137.05 $18,137.05 $18,137.05 nat. median
$24,346
0.7× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 $17,734.33 $17,734.33 $17,734.33 nat. median
$18,509
1.0× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 $15,889.94 $15,889.94 $15,889.94 nat. median
$20,254
0.8× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 1 $15,441.59 $15,441.59 $15,441.59 nat. median
$20,059
0.8× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $15,169.65 $15,169.65 $15,169.65 nat. median
$20,421
0.7× median
9131
OTHER 		Inj, Ado-trastuzumab Emt 1mg 1 $14,625.80 $14,625.80 $14,625.80 nat. median
$43
outlier · 343.2×
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 $14,355.24 $14,355.24 $14,355.24 nat. median
$20,538
0.7× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 2 $13,958.50 $13,958.50 $13,958.50 nat. median
$18,249
0.8× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $13,810.34 $13,810.34 $13,810.34 nat. median
$17,809
0.8× median
784
MS_DRG 		Cesarean Section With Sterilization With Cc 1 $13,748.36 $13,748.36 $13,748.36 nat. median
$11,116
1.2× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 $13,504.18 $13,504.18 $13,504.18 nat. median
$19,049
0.7× median
70
MS_DRG 		Nonspecific Cerebrovascular Disorders With Mcc 1 $13,203.11 $13,203.11 $13,203.11 nat. median
$17,286
0.8× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 1 $13,098.72 $13,098.72 $13,098.72 nat. median
$37,476
outlier · 0.3×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 1 $12,941.96 $12,941.96 $12,941.96 nat. median
$16,482
0.8× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 3 $12,930.83 $12,930.83 $12,930.83 nat. median
$21,532
0.6× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 $12,431.20 $12,431.20 $12,431.20 nat. median
$18,499
0.7× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 $12,421.97 $12,421.97 $12,421.97 nat. median
$11,105
1.1× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 1 $12,188.16 $12,188.16 $12,188.16 nat. median
$16,677
0.7× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 2 $12,136.32 $12,136.32 $12,136.32 nat. median
$10,875
1.1× median
555
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 1 $11,622.02 $11,622.02 $11,622.02 nat. median
$13,889
0.8× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 $11,513.79 $11,513.79 $11,513.79 nat. median
$14,625
0.8× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 $11,468.66 $11,468.66 $11,468.66 nat. median
$14,858
0.8× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 1 $11,415.81 $11,415.81 $11,415.81 nat. median
$15,091
0.8× median
682
MS_DRG 		Renal Failure With Mcc 3 $11,408.02 $11,408.02 $11,408.02 nat. median
$15,223
0.7× median
387
MS_DRG 		Inflammatory Bowel Disease Without Cc/Mcc 1 $11,071.43 $11,071.43 $11,071.43 nat. median
$7,938
1.4× median
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 $11,055.75 $11,055.75 $11,055.75 nat. median
$14,838
0.7× median

Other procedures at this hospital

Browse this hospital's 198 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $175,127.77 $175,127.77 $175,127.77 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $56,232.96 $56,232.96 $56,232.96 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $50,518.61 $50,518.61 $50,518.61 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $42,556.45 $42,556.45 $42,556.45 2025-01-01
291 MS_DRG Heart Failure And Shock With Mcc 7 7 — — $36,473.32 $36,473.32 $36,473.32 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $33,923.72 $33,923.72 $33,923.72 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $31,909.83 $31,909.83 $31,909.83 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $28,372.69 $28,372.69 $28,372.69 2025-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 2 — — $28,143.19 $28,143.19 $28,143.19 2025-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 1 — — $27,822.72 $27,822.72 $27,822.72 2025-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 2 — — $27,031.74 $27,031.74 $27,031.74 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $26,003.60 $26,003.60 $26,003.60 2025-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 2 2 — — $25,967.06 $25,967.06 $25,967.06 2025-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $25,488.80 $25,488.80 $25,488.80 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $24,483.18 $24,483.18 $24,483.18 2025-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 3 — — $19,928.81 $19,928.81 $19,928.81 2025-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 7 7 — — $19,897.58 $19,897.58 $19,897.58 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $19,559.53 $19,559.53 $19,559.53 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 6 — — $19,337.35 $19,337.35 $19,337.35 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $19,333.48 $19,333.48 $19,333.48 2025-01-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $19,140.36 $19,140.36 $19,140.36 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $19,081.14 $19,081.14 $19,081.14 2025-01-01
639 MS_DRG Diabetes Without Cc/Mcc 2 2 — — $19,050.53 $19,050.53 $19,050.53 2025-01-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 1 1 — — $18,674.96 $18,674.96 $18,674.96 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $18,137.05 $18,137.05 $18,137.05 2025-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 — — $17,734.33 $17,734.33 $17,734.33 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $15,889.94 $15,889.94 $15,889.94 2025-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 — — $15,441.59 $15,441.59 $15,441.59 2025-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $15,169.65 $15,169.65 $15,169.65 2025-01-01
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 1 1 — — $14,625.80 $14,625.80 $14,625.80 2025-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $14,355.24 $14,355.24 $14,355.24 2025-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $13,958.50 $13,958.50 $13,958.50 2025-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $13,810.34 $13,810.34 $13,810.34 2025-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 1 1 — — $13,748.36 $13,748.36 $13,748.36 2025-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $13,504.18 $13,504.18 $13,504.18 2025-01-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 1 1 — — $13,203.11 $13,203.11 $13,203.11 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $13,098.72 $13,098.72 $13,098.72 2025-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 — — $12,941.96 $12,941.96 $12,941.96 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — — $12,930.83 $12,930.83 $12,930.83 2025-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $12,431.20 $12,431.20 $12,431.20 2025-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 3 2 — — $12,421.97 $12,421.97 $12,421.97 2025-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 — — $12,188.16 $12,188.16 $12,188.16 2025-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 2 — — $12,136.32 $12,136.32 $12,136.32 2025-01-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $11,622.02 $11,622.02 $11,622.02 2025-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 — — $11,513.79 $11,513.79 $11,513.79 2025-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $11,468.66 $11,468.66 $11,468.66 2025-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 — — $11,415.81 $11,415.81 $11,415.81 2025-01-01
682 MS_DRG Renal Failure With Mcc 3 3 — — $11,408.02 $11,408.02 $11,408.02 2025-01-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 1 1 — — $11,071.43 $11,071.43 $11,071.43 2025-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 1 — — $11,055.75 $11,055.75 $11,055.75 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 5 — — $10,751.24 $10,751.24 $10,751.24 2025-01-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 1 1 — — $10,585.46 $10,585.46 $10,585.46 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $10,403.62 $10,403.62 $10,403.62 2025-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 — — $10,263.64 $10,263.64 $10,263.64 2025-01-01
603 MS_DRG Cellulitis Without Mcc 5 5 — — $9,810.40 $9,810.40 $9,810.40 2025-01-01
7048 OTHER Alteplase Recombinant 1 1 — — $9,632.05 $9,632.05 $9,632.05 2025-01-01
9378 OTHER Daratumumab, Hyaluronidase 1 1 — — $9,609.42 $9,609.42 $9,609.42 2025-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 3 3 — — $9,539.14 $9,539.14 $9,539.14 2025-01-01
9453 OTHER Injection, Nivolumab 2 2 — — $9,232.08 $9,232.08 $9,232.08 2025-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 2 — — $8,925.14 $8,925.14 $8,925.14 2025-01-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 3 2 — — $8,873.50 $8,873.50 $8,873.50 2025-01-01
1490 OTHER Inj Pembrolizumab 3 3 — — $8,770.82 $8,770.82 $8,770.82 2025-01-01
593 MS_DRG Skin Ulcers With Cc 1 1 — — $8,754.87 $8,754.87 $8,754.87 2025-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $8,640.73 $8,640.73 $8,640.73 2025-01-01
184 MS_DRG Major Chest Trauma With Cc 1 1 — — $8,603.17 $8,603.17 $8,603.17 2025-01-01
9348 OTHER Inj., Zirabev, 10 Mg 3 3 — — $8,574.23 $8,574.23 $8,574.23 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 3 2 — — $8,358.33 $8,358.33 $8,358.33 2025-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 — — $8,247.31 $8,247.31 $8,247.31 2025-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 2 — — $8,221.14 $8,221.14 $8,221.14 2025-01-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $8,207.53 $8,207.53 $8,207.53 2025-01-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $8,202.21 $8,202.21 $8,202.21 2025-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $8,078.54 $8,078.54 $8,078.54 2025-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 5 4 — — $7,983.51 $7,983.51 $7,983.51 2025-01-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 2 2 — — $7,935.87 $7,935.87 $7,935.87 2025-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 — — $7,840.15 $7,840.15 $7,840.15 2025-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 — — $7,717.19 $7,717.19 $7,717.19 2025-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 6 6 — — $7,631.16 $7,631.16 $7,631.16 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $7,626.89 $7,626.89 $7,626.89 2025-01-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 1 1 — — $7,603.62 $7,603.62 $7,603.62 2025-01-01
5025 OTHER Level 5 Type A Ed Visits 16 11 — — $7,589.86 $7,589.86 $7,589.86 2025-01-01
1476 OTHER Obinutuzumab Inj 1 1 — — $7,427.68 $7,427.68 $7,427.68 2025-01-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $7,334.94 $7,334.94 $7,334.94 2025-01-01
5054 OTHER Level 4 Skin Procedures 7 7 — — $7,329.47 $7,329.47 $7,329.47 2025-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $7,307.72 $7,307.72 $7,307.72 2025-01-01
312 MS_DRG Syncope And Collapse 1 1 — — $7,283.11 $7,283.11 $7,283.11 2025-01-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $7,276.52 $7,276.52 $7,276.52 2025-01-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 4 2 — — $7,201.56 $7,201.56 $7,201.56 2025-01-01
1446 OTHER Visualization Adjunct 1 1 — — $6,906.99 $6,906.99 $6,906.99 2025-01-01
5041 OTHER Critical Care 8 7 — — $6,861.82 $6,861.82 $6,861.82 2025-01-01
292 MS_DRG Heart Failure And Shock With Cc 2 2 — — $6,834.16 $6,834.16 $6,834.16 2025-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 3 — — $6,688.22 $6,688.22 $6,688.22 2025-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 2 — — $6,605.89 $6,605.89 $6,605.89 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $6,602.22 $6,602.22 $6,602.22 2025-01-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 2 2 — — $6,582.23 $6,582.23 $6,582.23 2025-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 2 2 — — $6,551.99 $6,551.99 $6,551.99 2025-01-01
69 MS_DRG Transient Ischemia Without Thrombolytic 1 1 — — $6,490.48 $6,490.48 $6,490.48 2025-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 — — $6,451.80 $6,451.80 $6,451.80 2025-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 3 3 — — $6,449.59 $6,449.59 $6,449.59 2025-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 — — $6,398.20 $6,398.20 $6,398.20 2025-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 1 1 — — $6,236.41 $6,236.41 $6,236.41 2025-01-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 3 3 — — $6,177.06 $6,177.06 $6,177.06 2025-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 — — $6,046.14 $6,046.14 $6,046.14 2025-01-01
683 MS_DRG Renal Failure With Cc 3 3 — — $5,888.10 $5,888.10 $5,888.10 2025-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 — — $5,848.56 $5,848.56 $5,848.56 2025-01-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 1 1 — — $5,798.66 $5,798.66 $5,798.66 2025-01-01
637 MS_DRG Diabetes With Mcc 1 1 — — $5,592.77 $5,592.77 $5,592.77 2025-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 1 1 — — $5,572.04 $5,572.04 $5,572.04 2025-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 — — $5,568.69 $5,568.69 $5,568.69 2025-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $5,463.37 $5,463.37 $5,463.37 2025-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 — — $5,254.45 $5,254.45 $5,254.45 2025-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 4 — — $5,247.22 $5,247.22 $5,247.22 2025-01-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 2 2 — — $5,192.10 $5,192.10 $5,192.10 2025-01-01
948 MS_DRG Signs And Symptoms Without Mcc 1 1 — — $5,044.89 $5,044.89 $5,044.89 2025-01-01
9492 OTHER Inj., Durvalumab, 10 Mg 1 1 — — $5,042.72 $5,042.72 $5,042.72 2025-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 4 — — $4,896.64 $4,896.64 $4,896.64 2025-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 2 2 — — $4,888.97 $4,888.97 $4,888.97 2025-01-01
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $4,825.78 $4,825.78 $4,825.78 2025-01-01
0943 OTHER Octagam Injection 1 1 — — $4,787.92 $4,787.92 $4,787.92 2025-01-01
187 MS_DRG Pleural Effusion With Cc 1 1 — — $4,769.81 $4,769.81 $4,769.81 2025-01-01
9427 OTHER Injection, Oritavancin 10 Mg 3 3 — — $4,743.14 $4,743.14 $4,743.14 2025-01-01
638 MS_DRG Diabetes With Cc 3 3 — — $4,616.53 $4,616.53 $4,616.53 2025-01-01
5594 OTHER Level 4 Nuclear Medicine And Related Services 10 9 — — $4,484.83 $4,484.83 $4,484.83 2025-01-01
5593 OTHER Level 3 Nuclear Medicine And Related Services 15 11 — — $4,389.40 $4,389.40 $4,389.40 2025-01-01
1712 OTHER Paclitaxel Protein Bound 1 1 — — $4,298.13 $4,298.13 $4,298.13 2025-01-01
5732 OTHER Level 2 Minor Procedures 3 3 — — $4,144.65 $4,144.65 $4,144.65 2025-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 — — $4,133.78 $4,133.78 $4,133.78 2025-01-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 1 1 — — $4,129.18 $4,129.18 $4,129.18 2025-01-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 1 1 — — $4,057.67 $4,057.67 $4,057.67 2025-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 2 2 — — $3,780.82 $3,780.82 $3,780.82 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $3,676.99 $3,676.99 $3,676.99 2025-01-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 3 3 — — $3,597.34 $3,597.34 $3,597.34 2025-01-01
5182 OTHER Level 2 Vascular Procedures 2 2 — — $3,375.26 $3,375.26 $3,375.26 2025-01-01
9005 OTHER Reteplase Injection 3 3 — — $3,332.96 $3,332.96 $3,332.96 2025-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 2 2 — — $3,081.20 $3,081.20 $3,081.20 2025-01-01
795 MS_DRG Normal Newborn 1 1 — — $2,976.51 $2,976.51 $2,976.51 2025-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 1 1 — — $2,968.28 $2,968.28 $2,968.28 2025-01-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 1 1 — — $2,800.82 $2,800.82 $2,800.82 2025-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 — — $2,720.48 $2,720.48 $2,720.48 2025-01-01
5024 OTHER Level 4 Type A Ed Visits 22 14 — — $2,517.06 $2,517.06 $2,517.06 2025-01-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 3 3 — — $2,362.18 $2,362.18 $2,362.18 2025-01-01
5724 OTHER Level 4 Diagnostic Tests And Related Services 9 8 — — $2,309.35 $2,309.35 $2,309.35 2025-01-01
602 MS_DRG Cellulitis With Mcc 1 1 — — $2,255.59 $2,255.59 $2,255.59 2025-01-01
9272 OTHER Inj, Denosumab 4 4 — — $2,199.61 $2,199.61 $2,199.61 2025-01-01
9286 OTHER Belatacept Injection 1 1 — — $2,184.52 $2,184.52 $2,184.52 2025-01-01
9367 OTHER Inj Ruxience, 10 Mg 2 2 — — $2,151.95 $2,151.95 $2,151.95 2025-01-01
5191 OTHER Level 1 Endovascular Procedures 4 4 — — $1,822.64 $1,822.64 $1,822.64 2025-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 1 1 — — $1,557.27 $1,557.27 $1,557.27 2025-01-01
5183 OTHER Level 3 Vascular Procedures 4 4 — — $1,541.65 $1,541.65 $1,541.65 2025-01-01
5592 OTHER Level 2 Nuclear Medicine And Related Services 9 6 — — $1,506.25 $1,506.25 $1,506.25 2025-01-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 1 1 — — $1,317.19 $1,317.19 $1,317.19 2025-01-01
949 MS_DRG Aftercare With Cc/Mcc 1 1 — — $1,305.20 $1,305.20 $1,305.20 2025-01-01
5023 OTHER Level 3 Type A Ed Visits 19 14 — — $1,116.62 $1,116.62 $1,116.62 2025-01-01
5591 OTHER Level 1 Nuclear Medicine And Related Services 6 6 — — $1,010.14 $1,010.14 $1,010.14 2025-01-01
N801 OTHER Therapy Services 10 8 — — $952.97 $952.97 $952.97 2025-01-01
9441 OTHER Inj Ferric Carboxymaltos 1mg 1 1 — — $882.10 $882.10 $882.10 2025-01-01
5181 OTHER Level 1 Vascular Procedures 2 2 — — $878.72 $878.72 $878.72 2025-01-01
1847 OTHER Injection, Inflectra 1 1 — — $859.63 $859.63 $859.63 2025-01-01
5781 OTHER Resuscitation And Cardioversion 1 1 — — $817.96 $817.96 $817.96 2025-01-01
5052 OTHER Level 2 Skin Procedures 9 8 — — $802.00 $802.00 $802.00 2025-01-01
5053 OTHER Level 3 Skin Procedures 1 1 — — $715.58 $715.58 $715.58 2025-01-01
5373 OTHER Level 3 Urology And Related Services 2 2 — — $681.08 $681.08 $681.08 2025-01-01
1297 OTHER Ferumoxytol, Non-esrd 3 3 — — $602.10 $602.10 $602.10 2025-01-01
9217 OTHER Leuprolide Acetate Suspnsion 1 1 — — $557.25 $557.25 $557.25 2025-01-01
5061 OTHER Hyperbaric Oxygen 2 2 — — $453.67 $453.67 $453.67 2025-01-01
N804 OTHER Mammography Services 18 12 — — $414.01 $414.01 $414.01 2025-01-01
5522 OTHER Level 2 Imaging Without Contrast 17 12 — — $357.26 $357.26 $357.26 2025-01-01
9207 OTHER Injection, Bortezomib, 0.1mg 3 3 — — $333.91 $333.91 $333.91 2025-01-01
5723 OTHER Level 3 Diagnostic Tests And Related Services 2 2 — — $270.44 $270.44 $270.44 2025-01-01
5431 OTHER Level 1 Nerve Procedures 1 1 — — $241.34 $241.34 $241.34 2025-01-01
9201 OTHER Rabies Ig Ht&sol Human Im/sc 1 1 — — $234.11 $234.11 $234.11 2025-01-01
5731 OTHER Level 1 Minor Procedures 14 11 — — $190.64 $190.64 $190.64 2025-01-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 2 2 — — $133.60 $133.60 $133.60 2025-01-01
N809 OTHER Other Medicine 7 7 — — $92.56 $92.56 $92.56 2025-01-01
5692 OTHER Level 2 Drug Administration 3 3 — — $36.00 $36.00 $36.00 2025-01-01
9002 OTHER Tenecteplase Injection 2 2 — — $35.00 $35.00 $35.00 2025-01-01
5374 OTHER Level 4 Urology And Related Services 1 1 — — $21.45 $21.45 $21.45 2025-01-01
5523 OTHER Level 3 Imaging Without Contrast 0 0 — — — — — 2025-01-01
5521 OTHER Level 1 Imaging Without Contrast 0 0 — — — — — 2025-01-01
5411 OTHER Level 1 Gynecologic Procedures 0 0 — — — — — 2025-01-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 0 0 — — — — — 2025-01-01
5051 OTHER Level 1 Skin Procedures 0 0 — — — — — 2025-01-01
5022 OTHER Level 2 Type A Ed Visits 0 0 — — — — — 2025-01-01
5021 OTHER Level 1 Type A Ed Visits 0 0 — — — — — 2025-01-01
N800 OTHER Clinical Diagnostic Lab Services 0 0 — — — — — 2025-01-01
5012 OTHER Clinic Visits And Related Services 0 0 — — — — — 2025-01-01
5524 OTHER Level 4 Imaging Without Contrast 0 0 — — — — — 2025-01-01
5691 OTHER Level 1 Drug Administration 0 0 — — — — — 2025-01-01
5693 OTHER Level 3 Drug Administration 0 0 — — — — — 2025-01-01
5694 OTHER Level 4 Drug Administration 0 0 — — — — — 2025-01-01
5722 OTHER Level 2 Diagnostic Tests And Related Services 0 0 — — — — — 2025-01-01
5672 OTHER Level 2 Pathology 0 0 — — — — — 2025-01-01
5671 OTHER Level 1 Pathology 0 0 — — — — — 2025-01-01
5733 OTHER Level 3 Minor Procedures 0 0 — — — — — 2025-01-01
5734 OTHER Level 4 Minor Procedures 0 0 — — — — — 2025-01-01
5771 OTHER Cardiac Rehabilitation 0 0 — — — — — 2025-01-01
5572 OTHER Level 2 Imaging With Contrast 0 0 — — — — — 2025-01-01
5571 OTHER Level 1 Imaging With Contrast 0 0 — — — — — 2025-01-01
5673 OTHER Level 3 Pathology 0 0 — — — — — 2025-01-01
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