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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

WEBSTER MEMORIAL HOSPITAL

Webster Springs, WV · CCN 511301 · Rates published

8,992 distinct procedures filed
15 distinct payers
218,848 rate rows
2025-08-07 last MRF observed
Data quality

156,908 of 218,848 rate rows are consumer-grade (71.7%)

61,940 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
professional (physician) fee — not the facility price 58,570
placeholder amount (≤ $0.02) — excluded from medians 3,190
percent-of-charges filed in the dollar field — excluded from medians 144
exceeds 10× this hospital's gross charge — excluded from medians 22
per-diem day rate — not a per-procedure price 8
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8556/871759588_webster-memorial-hospital-inc_standardcharges.csv
Found on page https://www.davishealthsystem.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 58fe22d06078a73e… · 50,636,255 bytes · first seen 2026-05-09

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $246,173.44 $258,482.11 $258,482.11 nat. median
$370,174
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $176,122.48 $184,928.60 $184,928.60 nat. median
$206,474
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $121,246.45 $127,308.77 $127,308.77 nat. median
$265,286
outlier · 0.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 $72,137.76 $75,744.65 $75,744.65 nat. median
$202,976
outlier · 0.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $71,967.29 $75,565.65 $75,565.65 nat. median
$102,358
0.7× median
453
MS_DRG 		Inpatient Ms-DRG 3 $60,066.18 $63,069.49 $63,069.49 nat. median
$87,428
0.7× median
7
MS_DRG 		Lung Transplant 3 $54,883.19 $57,627.35 $57,627.35 nat. median
$122,708
outlier · 0.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $54,783.41 $57,522.58 $57,522.58 nat. median
$108,660
0.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $53,504.22 $56,179.43 $56,179.43 nat. median
$79,312
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $51,279.16 $53,843.12 $53,843.12 nat. median
$117,357
outlier · 0.5×
215
MS_DRG 		Other Heart Assist System Implant 3 $49,275.58 $51,739.36 $51,739.36 nat. median
$99,019
0.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $47,011.60 $49,362.18 $49,362.18 nat. median
$68,886
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $46,481.40 $48,805.47 $48,805.47 nat. median
$93,672
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $46,308.69 $48,624.12 $48,624.12 nat. median
$100,136
outlier · 0.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 3 $46,176.70 $48,485.54 $48,485.54 nat. median
$133,161
outlier · 0.4×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $45,920.78 $48,216.82 $48,216.82 nat. median
$60,185
0.8× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $45,559.25 $47,837.21 $47,837.21 nat. median
$55,736
0.9× median
459
MS_DRG 		Inpatient Ms-DRG 3 $44,315.41 $46,531.18 $46,531.18 nat. median
$65,393
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $43,316.75 $45,482.59 $45,482.59 nat. median
$74,915
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $42,897.96 $45,042.86 $45,042.86 nat. median
$64,508
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $42,411.61 $44,532.19 $44,532.19 nat. median
$59,898
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $41,925.70 $44,021.99 $44,021.99 nat. median
$65,950
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $41,777.15 $43,866.01 $43,866.01 nat. median
$77,570
0.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $41,548.07 $43,625.47 $43,625.47 nat. median
$59,793
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $38,932.86 $40,879.50 $40,879.50 nat. median
$73,807
0.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $38,897.07 $40,841.92 $40,841.92 nat. median
$60,726
0.7× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 $37,973.13 $39,871.79 $39,871.79 nat. median
$49,182
0.8× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 $36,946.28 $38,793.59 $38,793.59 nat. median
$53,268
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $36,785.66 $38,624.94 $38,624.94 nat. median
$61,920
0.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 3 $36,171.79 $37,980.38 $37,980.38 nat. median
$51,418
0.7× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 $35,891.70 $37,686.29 $37,686.29 nat. median
$52,857
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $35,765.08 $37,553.33 $37,553.33 nat. median
$71,271
0.5× median
454
MS_DRG 		Inpatient Ms-DRG 3 $34,436.22 $36,158.03 $36,158.03 nat. median
$62,372
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $33,146.29 $34,803.60 $34,803.60 nat. median
$62,134
0.6× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $32,757.47 $34,395.34 $34,395.34 nat. median
$52,879
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $32,739.13 $34,376.09 $34,376.09 nat. median
$57,424
0.6× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $32,707.36 $34,342.73 $34,342.73 nat. median
$54,045
0.6× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $32,580.29 $34,209.30 $34,209.30 nat. median
$46,647
0.7× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 3 $32,263.96 $33,877.16 $33,877.16 nat. median
$40,005
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $31,685.89 $33,270.18 $33,270.18 nat. median
$64,732
0.5× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 3 $30,921.23 $32,467.29 $32,467.29 nat. median
$46,259
0.7× median
707
MS_DRG 		Major Male Pelvic Procedures With Cc/mcc 3 $30,479.62 $32,003.60 $32,003.60 nat. median
$20,283
1.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $30,448.30 $31,970.72 $31,970.72 nat. median
$56,696
0.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $30,422.35 $31,943.47 $31,943.47 nat. median
$59,099
0.5× median
245
MS_DRG 		Aicd Generator Procedures 3 $30,278.28 $31,792.19 $31,792.19 nat. median
$45,271
0.7× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 3 $29,832.20 $31,323.81 $31,323.81 nat. median
$52,836
0.6× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 3 $29,802.67 $31,292.80 $31,292.80 nat. median
$50,270
0.6× median
834
MS_DRG 		Acute Leukemia With Mcc 3 $29,671.12 $31,154.68 $31,154.68 nat. median
$53,172
0.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $29,653.67 $31,136.35 $31,136.35 nat. median
$81,118
outlier · 0.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $29,197.30 $30,657.17 $30,657.17 nat. median
$66,526
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 8,992 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $246,173.44 $258,482.11 $258,482.11 2025-08-07
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 3 — — $176,122.48 $184,928.60 $184,928.60 2025-08-07
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 3 — — $121,246.45 $127,308.77 $127,308.77 2025-08-07
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 6 3 — — $72,137.76 $75,744.65 $75,744.65 2025-08-07
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 3 — — $71,967.29 $75,565.65 $75,565.65 2025-08-07
453 MS_DRG Inpatient Ms-DRG 6 3 — — $60,066.18 $63,069.49 $63,069.49 2025-08-07
7 MS_DRG Lung Transplant 6 3 — — $54,883.19 $57,627.35 $57,627.35 2025-08-07
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 3 — — $54,783.41 $57,522.58 $57,522.58 2025-08-07
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 3 — — $53,504.22 $56,179.43 $56,179.43 2025-08-07
14 MS_DRG Allogeneic Bone Marrow Transplant 6 3 — — $51,279.16 $53,843.12 $53,843.12 2025-08-07
215 MS_DRG Other Heart Assist System Implant 6 3 — — $49,275.58 $51,739.36 $51,739.36 2025-08-07
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $47,011.60 $49,362.18 $49,362.18 2025-08-07
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $46,481.40 $48,805.47 $48,805.47 2025-08-07
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 3 — — $46,308.69 $48,624.12 $48,624.12 2025-08-07
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 6 3 — — $46,176.70 $48,485.54 $48,485.54 2025-08-07
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 3 — — $45,920.78 $48,216.82 $48,216.82 2025-08-07
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 3 — — $45,559.25 $47,837.21 $47,837.21 2025-08-07
459 MS_DRG Inpatient Ms-DRG 6 3 — — $44,315.41 $46,531.18 $46,531.18 2025-08-07
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $43,316.75 $45,482.59 $45,482.59 2025-08-07
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $42,897.96 $45,042.86 $45,042.86 2025-08-07
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 3 — — $42,411.61 $44,532.19 $44,532.19 2025-08-07
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $41,925.70 $44,021.99 $44,021.99 2025-08-07
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 3 — — $41,777.15 $43,866.01 $43,866.01 2025-08-07
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $41,548.07 $43,625.47 $43,625.47 2025-08-07
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 3 — — $38,932.86 $40,879.50 $40,879.50 2025-08-07
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 3 — — $38,897.07 $40,841.92 $40,841.92 2025-08-07
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $37,973.13 $39,871.79 $39,871.79 2025-08-07
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 3 — — $36,946.28 $38,793.59 $38,793.59 2025-08-07
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $36,785.66 $38,624.94 $38,624.94 2025-08-07
653 MS_DRG Major Bladder Procedures With Mcc 6 3 — — $36,171.79 $37,980.38 $37,980.38 2025-08-07
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 3 — — $35,891.70 $37,686.29 $37,686.29 2025-08-07
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 3 — — $35,765.08 $37,553.33 $37,553.33 2025-08-07
454 MS_DRG Inpatient Ms-DRG 6 3 — — $34,436.22 $36,158.03 $36,158.03 2025-08-07
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 3 — — $33,146.29 $34,803.60 $34,803.60 2025-08-07
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $32,757.47 $34,395.34 $34,395.34 2025-08-07
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 3 — — $32,739.13 $34,376.09 $34,376.09 2025-08-07
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 3 — — $32,707.36 $34,342.73 $34,342.73 2025-08-07
471 MS_DRG Cervical Spinal Fusion With Mcc 6 3 — — $32,580.29 $34,209.30 $34,209.30 2025-08-07
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $32,263.96 $33,877.16 $33,877.16 2025-08-07
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $31,685.89 $33,270.18 $33,270.18 2025-08-07
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $30,921.23 $32,467.29 $32,467.29 2025-08-07
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 6 3 — — $30,479.62 $32,003.60 $32,003.60 2025-08-07
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 3 — — $30,448.30 $31,970.72 $31,970.72 2025-08-07
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 3 — — $30,422.35 $31,943.47 $31,943.47 2025-08-07
245 MS_DRG Aicd Generator Procedures 6 3 — — $30,278.28 $31,792.19 $31,792.19 2025-08-07
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 3 — — $29,832.20 $31,323.81 $31,323.81 2025-08-07
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $29,802.67 $31,292.80 $31,292.80 2025-08-07
834 MS_DRG Acute Leukemia With Mcc 6 3 — — $29,671.12 $31,154.68 $31,154.68 2025-08-07
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $29,653.67 $31,136.35 $31,136.35 2025-08-07
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 3 — — $29,197.30 $30,657.17 $30,657.17 2025-08-07
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 3 — — $29,145.39 $30,602.66 $30,602.66 2025-08-07
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 3 — — $28,948.97 $30,396.42 $30,396.42 2025-08-07
901 MS_DRG Wound Debridements For Injuries With Mcc 6 3 — — $28,917.65 $30,363.53 $30,363.53 2025-08-07
455 MS_DRG Inpatient Ms-DRG 6 3 — — $27,842.04 $29,234.14 $29,234.14 2025-08-07
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 3 — — $27,693.94 $29,078.64 $29,078.64 2025-08-07
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 3 — — $27,637.57 $29,019.45 $29,019.45 2025-08-07
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 3 — — $27,637.57 $29,019.45 $29,019.45 2025-08-07
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 3 — — $26,928.84 $28,275.28 $28,275.28 2025-08-07
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 3 — — $26,780.74 $28,119.78 $28,119.78 2025-08-07
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 3 — — $26,732.87 $28,069.51 $28,069.51 2025-08-07
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $26,614.30 $27,945.02 $27,945.02 2025-08-07
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 3 — — $26,068.44 $27,371.86 $27,371.86 2025-08-07
545 MS_DRG Connective Tissue Disorders With Mcc 6 3 — — $25,703.79 $26,988.98 $26,988.98 2025-08-07
140 MS_DRG Major Head And Neck Procedures With Mcc 6 3 — — $25,243.83 $26,506.02 $26,506.02 2025-08-07
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $25,241.59 $26,503.67 $26,503.67 2025-08-07
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 3 — — $25,100.65 $26,355.68 $26,355.68 2025-08-07
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $25,093.94 $26,348.64 $26,348.64 2025-08-07
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 3 — — $24,932.42 $26,179.04 $26,179.04 2025-08-07
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 3 — — $24,808.48 $26,048.90 $26,048.90 2025-08-07
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $24,743.16 $25,980.32 $25,980.32 2025-08-07
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 3 — — $24,629.07 $25,860.52 $25,860.52 2025-08-07
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 3 — — $24,474.26 $25,697.97 $25,697.97 2025-08-07
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 3 — — $24,399.98 $25,619.98 $25,619.98 2025-08-07
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 3 — — $24,300.66 $25,515.69 $25,515.69 2025-08-07
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 3 — — $24,163.30 $25,371.47 $25,371.47 2025-08-07
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 3 — — $24,035.33 $25,237.10 $25,237.10 2025-08-07
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $23,928.84 $25,125.28 $25,125.28 2025-08-07
265 MS_DRG Aicd Lead Procedures 6 3 — — $23,614.30 $24,795.02 $24,795.02 2025-08-07
332 MS_DRG Rectal Resection With Mcc 6 3 — — $23,596.85 $24,776.69 $24,776.69 2025-08-07
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 3 — — $23,554.79 $24,732.53 $24,732.53 2025-08-07
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 3 — — $23,542.27 $24,719.38 $24,719.38 2025-08-07
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $23,280.52 $24,444.55 $24,444.55 2025-08-07
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $23,263.52 $24,426.70 $24,426.70 2025-08-07
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 3 — — $22,756.58 $23,894.41 $23,894.41 2025-08-07
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $22,668.44 $23,801.86 $23,801.86 2025-08-07
N90 MS_DRG Inpatient Ms-DRG 6 3 — — $22,579.40 $23,708.37 $23,708.37 2025-08-07
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 3 — — $22,568.67 $23,697.10 $23,697.10 2025-08-07
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 3 — — $22,304.24 $23,419.45 $23,419.45 2025-08-07
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 3 — — $22,296.63 $23,411.46 $23,411.46 2025-08-07
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 3 — — $22,276.05 $23,389.85 $23,389.85 2025-08-07
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 3 — — $22,009.83 $23,110.32 $23,110.32 2025-08-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $22,001.33 $23,101.40 $23,101.40 2025-08-07
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 3 — — $21,874.26 $22,967.97 $22,967.97 2025-08-07
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 3 — — $21,757.03 $22,844.88 $22,844.88 2025-08-07
6 MS_DRG Liver Transplant Without Mcc 6 3 — — $21,641.60 $22,723.68 $22,723.68 2025-08-07
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $21,598.64 $22,678.57 $22,678.57 2025-08-07
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 3 — — $21,576.27 $22,655.08 $22,655.08 2025-08-07
10 MS_DRG Pancreas Transplant 6 3 — — $21,537.35 $22,614.22 $22,614.22 2025-08-07
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 3 — — $21,483.21 $22,557.37 $22,557.37 2025-08-07
654 MS_DRG Major Bladder Procedures With Cc 6 3 — — $21,252.78 $22,315.42 $22,315.42 2025-08-07
460 MS_DRG Inpatient Ms-DRG 6 3 — — $21,153.45 $22,211.12 $22,211.12 2025-08-07
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 3 — — $20,964.64 $22,012.87 $22,012.87 2025-08-07
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 3 — — $20,829.07 $21,870.52 $21,870.52 2025-08-07
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 3 — — $20,546.30 $21,573.62 $21,573.62 2025-08-07
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 3 — — $20,427.73 $21,449.12 $21,449.12 2025-08-07
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 3 — — $20,314.53 $21,330.26 $21,330.26 2025-08-07
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 3 — — $20,195.51 $21,205.29 $21,205.29 2025-08-07
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 3 — — $20,123.03 $21,129.18 $21,129.18 2025-08-07
N89 MS_DRG Inpatient Ms-DRG 6 3 — — $20,099.32 $21,104.29 $21,104.29 2025-08-07
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 3 — — $20,007.15 $21,007.51 $21,007.51 2025-08-07
665 MS_DRG Prostatectomy With Mcc 6 3 — — $19,947.19 $20,944.55 $20,944.55 2025-08-07
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 3 — — $19,902.00 $20,897.10 $20,897.10 2025-08-07
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 3 — — $19,835.33 $20,827.10 $20,827.10 2025-08-07
28 MS_DRG Spinal Procedures With Mcc 6 3 — — $19,527.50 $20,503.88 $20,503.88 2025-08-07
662 MS_DRG Minor Bladder Procedures With Mcc 6 3 — — $19,350.32 $20,317.84 $20,317.84 2025-08-07
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 3 — — $19,334.66 $20,301.39 $20,301.39 2025-08-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 3 — — $19,160.17 $20,118.18 $20,118.18 2025-08-07
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 6 3 — — $19,100.66 $20,055.69 $20,055.69 2025-08-07
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 3 — — $19,040.70 $19,992.74 $19,992.74 2025-08-07
263 MS_DRG Vein Ligation And Stripping 6 3 — — $18,877.39 $19,821.26 $19,821.26 2025-08-07
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 3 — — $18,863.07 $19,806.22 $19,806.22 2025-08-07
668 MS_DRG Transurethral Procedures With Mcc 6 3 — — $18,829.07 $19,770.52 $19,770.52 2025-08-07
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 3 — — $18,801.78 $19,741.87 $19,741.87 2025-08-07
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 3 — — $18,792.38 $19,732.00 $19,732.00 2025-08-07
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $18,750.32 $19,687.84 $19,687.84 2025-08-07
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 3 — — $18,711.84 $19,647.43 $19,647.43 2025-08-07
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 3 — — $18,655.02 $19,587.77 $19,587.77 2025-08-07
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 3 — — $18,572.25 $19,500.86 $19,500.86 2025-08-07
472 MS_DRG Cervical Spinal Fusion With Cc 6 3 — — $18,543.16 $19,470.32 $19,470.32 2025-08-07
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 3 — — $18,488.58 $19,413.01 $19,413.01 2025-08-07
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 3 — — $18,311.40 $19,226.97 $19,226.97 2025-08-07
799 MS_DRG Splenic Procedures With Mcc 6 3 — — $18,286.34 $19,200.66 $19,200.66 2025-08-07
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 6 3 — — $18,200.44 $19,110.46 $19,110.46 2025-08-07
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 3 — — $18,178.51 $19,087.44 $19,087.44 2025-08-07
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 — — $18,063.52 $18,966.70 $18,966.70 2025-08-07
503 MS_DRG Foot Procedures With Mcc 6 3 — — $17,920.35 $18,816.37 $18,816.37 2025-08-07
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 3 — — $17,807.59 $18,697.97 $18,697.97 2025-08-07
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 6 3 — — $17,720.79 $18,606.83 $18,606.83 2025-08-07
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 3 — — $17,700.21 $18,585.22 $18,585.22 2025-08-07
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $17,621.02 $18,502.07 $18,502.07 2025-08-07
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 3 — — $17,490.37 $18,364.89 $18,364.89 2025-08-07
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $17,444.28 $18,316.49 $18,316.49 2025-08-07
974 MS_DRG HIV With Major Related Condition With Mcc 6 3 — — $17,425.94 $18,297.24 $18,297.24 2025-08-07
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 3 — — $17,389.25 $18,258.71 $18,258.71 2025-08-07
849 MS_DRG Radiotherapy 6 3 — — $17,378.96 $18,247.91 $18,247.91 2025-08-07
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 3 — — $17,361.06 $18,229.11 $18,229.11 2025-08-07
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 3 — — $17,308.71 $18,174.15 $18,174.15 2025-08-07
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $17,113.19 $17,968.85 $17,968.85 2025-08-07
163 MS_DRG Major Chest Procedures With Mcc 6 3 — — $17,092.61 $17,947.24 $17,947.24 2025-08-07
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 3 — — $17,075.16 $17,928.92 $17,928.92 2025-08-07
347 MS_DRG Anal And Stomal Procedures With Mcc 6 3 — — $17,032.65 $17,884.28 $17,884.28 2025-08-07
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 3 — — $16,979.41 $17,828.38 $17,828.38 2025-08-07
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 6 3 — — $16,920.79 $17,766.83 $17,766.83 2025-08-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $16,915.43 $17,761.20 $17,761.20 2025-08-07
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 3 — — $16,904.24 $17,749.45 $17,749.45 2025-08-07
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 3 — — $16,850.55 $17,693.08 $17,693.08 2025-08-07
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 6 3 — — $16,757.04 $17,594.89 $17,594.89 2025-08-07
113 MS_DRG Orbital Procedures With Cc/mcc 6 3 — — $16,753.46 $17,591.13 $17,591.13 2025-08-07
548 MS_DRG Septic Arthritis With Mcc 6 3 — — $16,507.37 $17,332.74 $17,332.74 2025-08-07
551 MS_DRG Medical Back Problems With Mcc 6 3 — — $16,462.18 $17,285.29 $17,285.29 2025-08-07
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 3 — — $16,302.00 $17,117.10 $17,117.10 2025-08-07
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $16,246.07 $17,058.37 $17,058.37 2025-08-07
141 MS_DRG Major Head And Neck Procedures With Cc 6 3 — — $16,133.77 $16,940.46 $16,940.46 2025-08-07
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 3 — — $16,113.19 $16,918.85 $16,918.85 2025-08-07
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 3 — — $15,834.44 $16,626.16 $16,626.16 2025-08-07
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 3 — — $15,721.24 $16,507.30 $16,507.30 2025-08-07
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 3 — — $15,559.27 $16,337.23 $16,337.23 2025-08-07
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $15,537.80 $16,314.69 $16,314.69 2025-08-07
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 3 — — $15,497.08 $16,271.93 $16,271.93 2025-08-07
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 3 — — $15,473.82 $16,247.51 $16,247.51 2025-08-07
397 MS_DRG Appendix Procedures With Mcc 6 3 — — $15,413.86 $16,184.55 $16,184.55 2025-08-07
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 3 — — $15,324.37 $16,090.59 $16,090.59 2025-08-07
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 3 — — $15,191.49 $15,951.06 $15,951.06 2025-08-07
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 3 — — $15,109.61 $15,865.09 $15,865.09 2025-08-07
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 6 3 — — $15,101.56 $15,856.64 $15,856.64 2025-08-07
252 MS_DRG Other Vascular Procedures With Mcc 6 3 — — $15,047.86 $15,800.25 $15,800.25 2025-08-07
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 3 — — $14,951.67 $15,699.25 $15,699.25 2025-08-07
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 3 — — $14,946.75 $15,694.09 $15,694.09 2025-08-07
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 3 — — $14,914.08 $15,659.78 $15,659.78 2025-08-07
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 3 — — $14,813.86 $15,554.55 $15,554.55 2025-08-07
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 6 3 — — $14,757.93 $15,495.83 $15,495.83 2025-08-07
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $14,751.67 $15,489.25 $15,489.25 2025-08-07
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 3 — — $14,548.98 $15,276.43 $15,276.43 2025-08-07
595 MS_DRG Major Skin Disorders With Mcc 6 3 — — $14,532.88 $15,259.52 $15,259.52 2025-08-07
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 6 3 — — $14,523.03 $15,249.18 $15,249.18 2025-08-07
709 MS_DRG Penis Procedures With Cc/mcc 6 3 — — $14,504.69 $15,229.92 $15,229.92 2025-08-07
164 MS_DRG Major Chest Procedures With Cc 6 3 — — $14,451.44 $15,174.01 $15,174.01 2025-08-07
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 6 3 — — $14,437.13 $15,158.99 $15,158.99 2025-08-07
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 3 — — $14,373.59 $15,092.27 $15,092.27 2025-08-07
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 6 3 — — $14,335.56 $15,052.34 $15,052.34 2025-08-07
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 6 3 — — $14,316.32 $15,032.14 $15,032.14 2025-08-07
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 6 3 — — $14,254.58 $14,967.31 $14,967.31 2025-08-07
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 6 3 — — $14,243.39 $14,955.56 $14,955.56 2025-08-07
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 6 3 — — $14,243.39 $14,955.56 $14,955.56 2025-08-07
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 6 3 — — $14,209.39 $14,919.86 $14,919.86 2025-08-07
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $14,180.75 $14,889.79 $14,889.79 2025-08-07
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $14,171.36 $14,879.93 $14,879.93 2025-08-07
J3101 HCPCS Tenecteplase Inj Bolus For MI(TNKase) 58 15 $19,820.00 $13,874.00 30% off $3,418.95 $19,423.60 $14,865.00 2025-08-07
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 3 — — $14,157.04 $14,864.89 $14,864.89 2025-08-07
655 MS_DRG Major Bladder Procedures Without Cc/mcc 6 3 — — $14,083.66 $14,787.84 $14,787.84 2025-08-07
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 6 3 — — $14,075.61 $14,779.39 $14,779.39 2025-08-07
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 3 — — $14,022.81 $14,723.95 $14,723.95 2025-08-07
333 MS_DRG Rectal Resection With Cc 6 3 — — $13,894.40 $14,589.12 $14,589.12 2025-08-07
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 3 — — $13,858.60 $14,551.53 $14,551.53 2025-08-07
620 MS_DRG O.r. Procedures For Obesity With Cc 6 3 — — $13,819.68 $14,510.66 $14,510.66 2025-08-07
J2997 HCPCS Alteplase-stroke(bolus & Drip)(ACTIVASE) 94 15 $22,282.48 $15,597.74 30% off $93.45 $21,836.83 $14,466.90 2025-08-07
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 6 3 — — $13,727.06 $14,413.41 $14,413.41 2025-08-07
652 MS_DRG Kidney Transplant 6 3 — — $13,442.50 $14,114.63 $14,114.63 2025-08-07
412 MS_DRG Cholecystectomy With C.d.e. With Cc 6 3 — — $13,341.38 $14,008.45 $14,008.45 2025-08-07
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 6 3 — — $13,238.92 $13,900.87 $13,900.87 2025-08-07
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 3 — — $13,234.44 $13,896.16 $13,896.16 2025-08-07
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 6 3 — — $13,211.62 $13,872.20 $13,872.20 2025-08-07
835 MS_DRG Acute Leukemia With Cc 6 3 — — $13,189.25 $13,848.71 $13,848.71 2025-08-07
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 6 3 — — $13,104.69 $13,759.92 $13,759.92 2025-08-07
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 6 3 — — $13,087.24 $13,741.60 $13,741.60 2025-08-07
302 MS_DRG Atherosclerosis With Mcc 6 3 — — $13,082.77 $13,736.91 $13,736.91 2025-08-07
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 3 — — $13,077.84 $13,731.73 $13,731.73 2025-08-07
253 MS_DRG Other Vascular Procedures With Cc 6 3 — — $13,005.81 $13,656.10 $13,656.10 2025-08-07
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 6 3 — — $12,992.83 $13,642.47 $13,642.47 2025-08-07
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 3 — — $12,951.22 $13,598.78 $13,598.78 2025-08-07
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 3 — — $12,889.48 $13,533.95 $13,533.95 2025-08-07
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 3 — — $12,791.94 $13,431.54 $13,431.54 2025-08-07
75 MS_DRG Viral Meningitis With Cc/mcc 6 3 — — $12,787.46 $13,426.83 $13,426.83 2025-08-07
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 3 — — $12,778.96 $13,417.91 $13,417.91 2025-08-07
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 3 — — $12,745.41 $13,382.68 $13,382.68 2025-08-07
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 6 3 — — $12,698.87 $13,333.81 $13,333.81 2025-08-07
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 3 — — $12,673.37 $13,307.04 $13,307.04 2025-08-07
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 3 — — $12,664.87 $13,298.11 $13,298.11 2025-08-07
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 6 3 — — $12,626.39 $13,257.71 $13,257.71 2025-08-07
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 6 3 — — $12,574.04 $13,202.74 $13,202.74 2025-08-07
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 3 — — $12,547.64 $13,175.02 $13,175.02 2025-08-07
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 6 3 — — $12,509.16 $13,134.62 $13,134.62 2025-08-07
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 3 — — $12,491.27 $13,115.83 $13,115.83 2025-08-07
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 6 3 — — $12,472.48 $13,096.10 $13,096.10 2025-08-07
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 3 — — $12,459.50 $13,082.48 $13,082.48 2025-08-07
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 6 3 — — $12,416.10 $13,036.91 $13,036.91 2025-08-07
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 3 — — $12,408.94 $13,029.39 $13,029.39 2025-08-07
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 3 — — $12,355.25 $12,973.01 $12,973.01 2025-08-07
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 3 — — $12,348.09 $12,965.49 $12,965.49 2025-08-07
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 6 3 — — $12,238.02 $12,849.92 $12,849.92 2025-08-07
500 MS_DRG Soft Tissue Procedures With Mcc 6 3 — — $12,218.34 $12,829.26 $12,829.26 2025-08-07
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 6 3 — — $12,211.18 $12,821.74 $12,821.74 2025-08-07
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 6 3 — — $12,119.01 $12,724.96 $12,724.96 2025-08-07
722 MS_DRG Malignancy, Male Reproductive System With Mcc 6 3 — — $12,105.58 $12,710.86 $12,710.86 2025-08-07
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 3 — — $12,097.08 $12,701.93 $12,701.93 2025-08-07
800 MS_DRG Splenic Procedures With Cc 6 3 — — $12,087.24 $12,691.60 $12,691.60 2025-08-07
37 MS_DRG Extracranial Procedures With Mcc 6 3 — — $12,081.42 $12,685.49 $12,685.49 2025-08-07
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 6 3 — — $12,078.29 $12,682.20 $12,682.20 2025-08-07
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $11,952.12 $12,549.73 $12,549.73 2025-08-07
264 MS_DRG Other Circulatory System O.r. Procedures 6 3 — — $11,926.17 $12,522.48 $12,522.48 2025-08-07
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 3 — — $11,898.87 $12,493.81 $12,493.81 2025-08-07
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 3 — — $11,746.30 $12,333.62 $12,333.62 2025-08-07
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 3 — — $11,673.82 $12,257.51 $12,257.51 2025-08-07
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 6 3 — — $11,634.89 $12,216.63 $12,216.63 2025-08-07
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 6 3 — — $11,566.44 $12,144.76 $12,144.76 2025-08-07
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 6 3 — — $11,553.01 $12,130.66 $12,130.66 2025-08-07
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 6 3 — — $11,545.41 $12,122.68 $12,122.68 2025-08-07
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 3 — — $11,490.37 $12,064.89 $12,064.89 2025-08-07
666 MS_DRG Prostatectomy With Cc 6 3 — — $11,475.16 $12,048.92 $12,048.92 2025-08-07
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 6 3 — — $11,471.13 $12,044.69 $12,044.69 2025-08-07
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 3 — — $11,464.87 $12,038.11 $12,038.11 2025-08-07
165 MS_DRG Major Chest Procedures Without Cc/mcc 6 3 — — $11,459.05 $12,032.00 $12,032.00 2025-08-07
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 3 — — $11,350.78 $11,918.32 $11,918.32 2025-08-07
J2506 HCPCS Pegfilgrastim Pfs Inj [6 mg](NEULASTA) 58 15 $15,788.00 $11,051.60 30% off $2,723.43 $15,472.24 $11,841.00 2025-08-07
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 6 3 — — $11,234.89 $11,796.63 $11,796.63 2025-08-07
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 3 — — $11,210.73 $11,771.27 $11,771.27 2025-08-07
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 6 3 — — $11,199.55 $11,759.53 $11,759.53 2025-08-07
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 3 — — $11,189.25 $11,748.71 $11,748.71 2025-08-07
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 3 — — $11,166.88 $11,725.22 $11,725.22 2025-08-07
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 6 3 — — $11,155.25 $11,713.01 $11,713.01 2025-08-07
J0840 HCPCS Crotalidae Polyval Immune Fab(CROFAB) 58 15 $15,580.65 $10,906.46 30% off $2,687.66 $15,269.04 $11,685.49 2025-08-07
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 3 — — $11,105.14 $11,660.40 $11,660.40 2025-08-07
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 3 — — $11,104.69 $11,659.92 $11,659.92 2025-08-07
671 MS_DRG Urethral Procedures With Cc/mcc 6 3 — — $11,054.13 $11,606.84 $11,606.84 2025-08-07
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 6 3 — — $11,024.15 $11,575.36 $11,575.36 2025-08-07
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 3 — — $11,018.78 $11,569.72 $11,569.72 2025-08-07
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 3 — — $11,007.15 $11,557.51 $11,557.51 2025-08-07
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $10,960.62 $11,508.65 $11,508.65 2025-08-07
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 3 — — $10,932.43 $11,479.05 $11,479.05 2025-08-07
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 3 — — $10,914.09 $11,459.79 $11,459.79 2025-08-07
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 6 3 — — $10,906.48 $11,451.80 $11,451.80 2025-08-07
30 MS_DRG Spinal Procedures Without Cc/mcc 6 3 — — $10,901.11 $11,446.17 $11,446.17 2025-08-07
533 MS_DRG Fractures Of Femur With Mcc 6 3 — — $10,900.22 $11,445.23 $11,445.23 2025-08-07
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 6 3 — — $10,859.05 $11,402.00 $11,402.00 2025-08-07
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 3 — — $10,852.79 $11,395.43 $11,395.43 2025-08-07
374 MS_DRG Digestive Malignancy With Mcc 6 3 — — $10,766.44 $11,304.76 $11,304.76 2025-08-07
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 3 — — $10,764.20 $11,302.41 $11,302.41 2025-08-07
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 6 3 — — $10,761.51 $11,299.59 $11,299.59 2025-08-07
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 6 3 — — $10,761.07 $11,299.12 $11,299.12 2025-08-07
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 6 3 — — $10,749.88 $11,287.37 $11,287.37 2025-08-07
334 MS_DRG Rectal Resection Without Cc/mcc 6 3 — — $10,724.83 $11,261.07 $11,261.07 2025-08-07
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 6 3 — — $10,714.98 $11,250.73 $11,250.73 2025-08-07
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 6 3 — — $10,703.35 $11,238.52 $11,238.52 2025-08-07
597 MS_DRG Malignant Breast Disorders With Mcc 6 3 — — $10,694.40 $11,229.12 $11,229.12 2025-08-07
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 3 — — $10,639.37 $11,171.34 $11,171.34 2025-08-07
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $10,634.44 $11,166.16 $11,166.16 2025-08-07
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 6 3 — — $10,624.15 $11,155.36 $11,155.36 2025-08-07
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 6 3 — — $10,600.44 $11,130.46 $11,130.46 2025-08-07
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 6 3 — — $10,581.65 $11,110.73 $11,110.73 2025-08-07
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 6 3 — — $10,502.45 $11,027.57 $11,027.57 2025-08-07
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