Price Transparencybeta Hospital negotiated rates

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

ASPIRUS RHINELANDER HOSPITAL

Rhinelander, WI · CCN 520019 · Rates published

474 distinct procedures filed
20 distinct payers
22,581 rate rows
2025-07-01 last MRF observed · ⚠ 13 mo old
Data quality

2,868 of 22,581 rate rows are consumer-grade (12.7%)

19,713 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 19,704
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 7
placeholder amount (≤ $0.02) — excluded from medians 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY26/391390638_aspirus-rhinelander-hospital_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 776c93a5e30164a9… · 162,330,195 bytes · first seen 2026-05-06

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
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $52,959.90 $214,518.00 $133,738.95 nat. median
$62,218
outlier · 2.1×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 $77,919.76 $77,919.76 $77,919.76 nat. median
$35,279
outlier · 2.2×
5153
OTHER 		Level 3 Airway Endoscopy 1 $61,299.44 $61,299.44 $61,299.44 nat. median
$1,877
outlier · 32.7×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 1 $60,331.89 $60,331.89 $60,331.89 nat. median
$28,364
outlier · 2.1×
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 $60,114.60 $60,114.60 $60,114.60 nat. median
$36,182
1.7× median
9284
OTHER 		Ipilimumab Injection 1 $59,224.53 $59,224.53 $59,224.53 nat. median
$189
outlier · 313.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $57,279.39 $59,098.32 $58,188.85 nat. median
$65,958
0.9× median
818
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Cc 1 $54,992.20 $54,992.20 $54,992.20 nat. median
$12,579
outlier · 4.4×
5194
OTHER 		Level 4 Endovascular Procedures 1 $48,316.97 $48,316.97 $48,316.97 nat. median
$18,966
outlier · 2.5×
864
MS_DRG 		Fever And Inflammatory Conditions 1 $45,919.45 $45,919.45 $45,919.45 nat. median
$9,670
outlier · 4.7×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $45,217.99 $45,217.99 $45,217.99 nat. median
$48,652
0.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $44,099.35 $44,099.35 $44,099.35 nat. median
$50,808
0.9× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $43,039.04 $43,039.04 $43,039.04 nat. median
$48,124
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 $26,639.02 $109,002.26 $41,966.71 nat. median
$47,707
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $41,341.11 $41,341.11 $41,341.11 nat. median
$45,808
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $37,968.31 $67,675.04 $40,366.22 nat. median
$44,514
0.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 $38,627.10 $39,927.41 $39,277.26 nat. median
$43,549
0.9× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 $30,004.56 $33,819.41 $33,304.43 nat. median
$37,383
0.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 2 $31,255.41 $35,259.04 $33,257.22 nat. median
$37,685
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 $11,392.65 $44,183.75 $31,844.79 nat. median
$20,254
1.6× median
9110
OTHER 		Inj, Tremelimumab-actl, 1 Mg 1 $31,130.09 $31,130.09 $31,130.09 nat. median
$144
outlier · 215.8×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 5 $14,621.00 $41,853.16 $31,023.69 nat. median
$17,341
1.8× median
5184
OTHER 		Level 4 Vascular Procedures 1 $30,815.21 $30,815.21 $30,815.21 nat. median
$5,843
outlier · 5.3×
334
MS_DRG 		Rectal Resection Without Cc/Mcc 1 $30,336.39 $30,336.39 $30,336.39 nat. median
$16,995
1.8× median
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 $25,059.30 $35,165.34 $30,112.32 nat. median
$19,350
1.6× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 2 $27,570.85 $30,389.78 $28,980.31 nat. median
$34,366
0.8× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 $16,106.76 $41,002.80 $28,554.78 nat. median
$18,185
1.6× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 1 $28,189.48 $28,189.48 $28,189.48 nat. median
$35,053
0.8× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $27,967.63 $27,967.63 $27,967.63 nat. median
$33,338
0.8× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 2 $17,742.82 $36,904.47 $27,323.65 nat. median
$19,883
1.4× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 4 $14,311.17 $45,479.86 $27,017.11 nat. median
$17,453
1.5× median
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 1 $26,406.45 $26,406.45 $26,406.45 nat. median
$12,568
outlier · 2.1×
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 $25,867.25 $25,867.25 $25,867.25 nat. median
$28,696
0.9× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 $24,264.06 $25,617.60 $24,935.85 nat. median
$28,835
0.9× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 $14,594.66 $52,018.98 $24,078.97 nat. median
$16,012
1.5× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 4 $18,361.31 $50,123.79 $24,000.68 nat. median
$29,103
0.8× median
501
MS_DRG 		Soft Tissue Procedures With Cc 2 $14,841.66 $32,804.73 $23,823.19 nat. median
$17,709
1.3× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 $23,586.67 $23,586.67 $23,586.67 nat. median
$26,590
0.9× median
9494
OTHER 		Injection, Ocrelizumab 2 $9,279.54 $45,689.22 $23,285.52 nat. median
$61
outlier · 381.1×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 2 $22,822.34 $23,274.20 $23,048.27 nat. median
$27,037
0.9× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 $20,265.62 $38,673.89 $22,920.33 nat. median
$24,545
0.9× median
465
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 2 $19,373.88 $26,291.15 $22,832.51 nat. median
$18,213
1.3× median
201
MS_DRG 		Pneumothorax Without Cc/Mcc 1 $22,422.68 $22,422.68 $22,422.68 nat. median
$7,936
outlier · 2.8×
99
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 1 $21,941.14 $21,941.14 $21,941.14 nat. median
$14,166
1.5× median
399
MS_DRG 		Appendix Procedures Without Cc/Mcc 6 $16,231.80 $32,613.93 $21,333.53 nat. median
$12,315
1.7× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $18,552.03 $44,482.69 $21,042.92 nat. median
$24,077
0.9× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 $20,946.92 $20,946.92 $20,946.92 nat. median
$26,451
0.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 2 $18,984.14 $21,167.85 $20,900.96 nat. median
$21,951
1.0× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 $20,658.82 $24,599.13 $20,753.77 nat. median
$24,391
0.9× median
784
MS_DRG 		Cesarean Section With Sterilization With Cc 1 $20,564.49 $20,564.49 $20,564.49 nat. median
$11,063
1.9× median

Other procedures at this hospital

Browse this hospital's 474 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
             
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $52,959.90 $214,518.00 $133,738.95 2025-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $77,919.76 $77,919.76 $77,919.76 2025-07-01
5153 OTHER Level 3 Airway Endoscopy 1 1 — — $61,299.44 $61,299.44 $61,299.44 2025-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $60,331.89 $60,331.89 $60,331.89 2025-07-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $60,114.60 $60,114.60 $60,114.60 2025-07-01
9284 OTHER Ipilimumab Injection 1 1 — — $59,224.53 $59,224.53 $59,224.53 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $57,279.39 $59,098.32 $58,188.85 2025-07-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 1 1 — — $54,992.20 $54,992.20 $54,992.20 2025-07-01
5194 OTHER Level 4 Endovascular Procedures 1 1 — — $48,316.97 $48,316.97 $48,316.97 2025-07-01
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $45,919.45 $45,919.45 $45,919.45 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $45,217.99 $45,217.99 $45,217.99 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $44,099.35 $44,099.35 $44,099.35 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $43,039.04 $43,039.04 $43,039.04 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $26,639.02 $109,002.26 $41,966.71 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $41,341.11 $41,341.11 $41,341.11 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $37,968.31 $67,675.04 $40,366.22 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $38,627.10 $39,927.41 $39,277.26 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $30,004.56 $33,819.41 $33,304.43 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $31,255.41 $35,259.04 $33,257.22 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 3 — — $11,392.65 $44,183.75 $31,844.79 2025-07-01
9110 OTHER Inj, Tremelimumab-actl, 1 Mg 1 1 — — $31,130.09 $31,130.09 $31,130.09 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 6 5 — — $14,621.00 $41,853.16 $31,023.69 2025-07-01
5184 OTHER Level 4 Vascular Procedures 1 1 — — $30,815.21 $30,815.21 $30,815.21 2025-07-01
334 MS_DRG Rectal Resection Without Cc/Mcc 1 1 — — $30,336.39 $30,336.39 $30,336.39 2025-07-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 1 — — $25,059.30 $35,165.34 $30,112.32 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 — — $27,570.85 $30,389.78 $28,980.31 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $16,106.76 $41,002.80 $28,554.78 2025-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $28,189.48 $28,189.48 $28,189.48 2025-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $27,967.63 $27,967.63 $27,967.63 2025-07-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 2 — — $17,742.82 $36,904.47 $27,323.65 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 4 4 — — $14,311.17 $45,479.86 $27,017.11 2025-07-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 1 1 — — $26,406.45 $26,406.45 $26,406.45 2025-07-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $25,867.25 $25,867.25 $25,867.25 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $24,264.06 $25,617.60 $24,935.85 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 5 4 — — $14,594.66 $52,018.98 $24,078.97 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 4 — — $18,361.31 $50,123.79 $24,000.68 2025-07-01
501 MS_DRG Soft Tissue Procedures With Cc 2 2 — — $14,841.66 $32,804.73 $23,823.19 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $23,586.67 $23,586.67 $23,586.67 2025-07-01
9494 OTHER Injection, Ocrelizumab 3 2 — — $9,279.54 $45,689.22 $23,285.52 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 2 2 — — $22,822.34 $23,274.20 $23,048.27 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 3 — — $20,265.62 $38,673.89 $22,920.33 2025-07-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $19,373.88 $26,291.15 $22,832.51 2025-07-01
201 MS_DRG Pneumothorax Without Cc/Mcc 1 1 — — $22,422.68 $22,422.68 $22,422.68 2025-07-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 1 1 — — $21,941.14 $21,941.14 $21,941.14 2025-07-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 6 6 — — $16,231.80 $32,613.93 $21,333.53 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 7 4 — — $18,552.03 $44,482.69 $21,042.92 2025-07-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $20,946.92 $20,946.92 $20,946.92 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 2 — — $18,984.14 $21,167.85 $20,900.96 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $20,658.82 $24,599.13 $20,753.77 2025-07-01
784 MS_DRG Cesarean Section With Sterilization With Cc 1 1 — — $20,564.49 $20,564.49 $20,564.49 2025-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $20,385.35 $20,385.35 $20,385.35 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $20,331.77 $20,331.77 $20,331.77 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 3 — — $20,212.68 $28,678.03 $20,318.27 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 1 1 — — $20,246.68 $20,246.68 $20,246.68 2025-07-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 2 2 — — $12,736.53 $27,052.34 $19,894.44 2025-07-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $19,228.38 $19,735.88 $19,482.13 2025-07-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 2 — — $12,791.10 $26,157.62 $19,474.36 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $19,466.49 $19,466.49 $19,466.49 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 2 — — $11,990.64 $26,516.70 $19,253.67 2025-07-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 3 — — $6,507.30 $57,446.53 $18,921.60 2025-07-01
682 MS_DRG Renal Failure With Mcc 4 4 — — $9,966.99 $25,373.84 $18,902.00 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 1 — — $15,915.40 $21,772.12 $18,843.76 2025-07-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 6 — — $11,152.44 $54,371.60 $18,615.84 2025-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $18,431.50 $18,431.50 $18,431.50 2025-07-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $18,229.04 $18,229.04 $18,229.04 2025-07-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $18,202.40 $18,202.40 $18,202.40 2025-07-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 2 2 — — $17,795.92 $18,358.60 $18,077.26 2025-07-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $17,923.34 $17,923.34 $17,923.34 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 6 — — $13,699.58 $39,215.61 $17,869.51 2025-07-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 1 1 — — $17,752.82 $17,752.82 $17,752.82 2025-07-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 3 3 — — $11,926.98 $22,554.95 $17,664.53 2025-07-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 — — $6,983.34 $28,295.85 $17,639.60 2025-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $17,397.34 $17,397.34 $17,397.34 2025-07-01
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc/Mcc 3 3 — — $1,063.41 $24,880.79 $17,240.63 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 17 8 — — $4,824.07 $49,545.42 $17,096.62 2025-07-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 3 3 — — $16,887.07 $17,205.56 $16,907.87 2025-07-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $16,527.86 $16,527.86 $16,527.86 2025-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 3 2 — — $10,594.26 $33,623.21 $16,500.69 2025-07-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 1 1 — — $16,481.50 $16,481.50 $16,481.50 2025-07-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 8 7 — — $11,425.00 $31,683.26 $16,355.97 2025-07-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 1 — — $16,180.92 $16,180.92 $16,180.92 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 — — $12,283.20 $17,143.46 $16,090.35 2025-07-01
9304 OTHER Inj., Cemiplimab-rwlc, 1 Mg 1 1 — — $15,839.28 $15,839.28 $15,839.28 2025-07-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 — — $15,799.16 $15,799.16 $15,799.16 2025-07-01
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $15,198.08 $16,146.71 $15,672.40 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 3 3 — — $15,522.99 $16,584.52 $15,669.36 2025-07-01
9111 OTHER Inj Teclistamab Cqyv 0.5 Mg 1 1 — — $15,622.36 $15,622.36 $15,622.36 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 — — $15,606.99 $15,606.99 $15,606.99 2025-07-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 2 2 — — $15,376.71 $15,631.33 $15,504.02 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $13,411.16 $17,498.84 $15,455.00 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 6 4 — — $3,892.29 $21,192.17 $15,452.13 2025-07-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 1 — — $15,302.75 $15,302.75 $15,302.75 2025-07-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $15,253.25 $15,253.25 $15,253.25 2025-07-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 1 1 — — $15,213.48 $15,213.48 $15,213.48 2025-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 8 6 — — $6,716.90 $52,434.60 $15,202.01 2025-07-01
123 MS_DRG Neurological Eye Disorders 1 1 — — $15,195.60 $15,195.60 $15,195.60 2025-07-01
1488 OTHER Injection, Ramucirumab 4 4 — — $10,083.51 $28,068.54 $15,131.35 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $14,944.50 $14,944.50 $14,944.50 2025-07-01
9453 OTHER Injection, Nivolumab 5 5 — — $2,110.31 $18,772.86 $14,657.06 2025-07-01
368 MS_DRG Major Esophageal Disorders With Mcc 1 1 — — $14,402.61 $14,402.61 $14,402.61 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 7 4 — — $11,334.59 $14,807.39 $14,371.54 2025-07-01
884 MS_DRG Organic Disturbances And Intellectual Disability 4 2 — — $3,397.42 $35,522.64 $14,142.09 2025-07-01
300 MS_DRG Peripheral Vascular Disorders With Cc 2 2 — — $8,131.45 $20,107.21 $14,119.33 2025-07-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 2 — — $13,312.30 $14,876.63 $14,094.47 2025-07-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $14,069.49 $14,069.49 $14,069.49 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 4 — — $2,612.47 $31,298.40 $13,995.35 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 5 5 — — $5,482.01 $14,439.98 $13,992.30 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 4 — — $7,894.69 $16,684.92 $13,913.43 2025-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $13,780.27 $13,780.27 $13,780.27 2025-07-01
533 MS_DRG Fractures Of Femur With Mcc 1 1 — — $13,721.37 $13,721.37 $13,721.37 2025-07-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 3 3 — — $6,705.87 $13,670.75 $13,599.32 2025-07-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 5 3 — — $3,938.02 $29,162.34 $13,558.17 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 3 2 — — $11,747.42 $17,509.98 $13,492.68 2025-07-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $13,482.41 $13,482.41 $13,482.41 2025-07-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 1 1 — — $13,469.96 $13,469.96 $13,469.96 2025-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 11 6 — — $2,155.42 $54,666.04 $13,460.44 2025-07-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 1 1 — — $13,436.66 $13,436.66 $13,436.66 2025-07-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 — — $8,606.31 $18,250.72 $13,428.51 2025-07-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 2 — — $13,344.74 $13,374.74 $13,359.74 2025-07-01
1446 OTHER Visualization Adjunct 2 2 — — $3,580.19 $22,930.15 $13,255.17 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 3 3 — — $2,473.58 $13,756.11 $13,198.90 2025-07-01
866 MS_DRG Viral Illness Without Mcc 1 1 — — $13,154.88 $13,154.88 $13,154.88 2025-07-01
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $13,085.71 $13,085.71 $13,085.71 2025-07-01
9474 OTHER Inj Irinotecan Liposome 1 Mg 1 1 — — $13,060.18 $13,060.18 $13,060.18 2025-07-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 6 4 — — $1,996.00 $34,422.28 $13,028.30 2025-07-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $13,021.28 $13,021.28 $13,021.28 2025-07-01
5164 OTHER Level 4 ENT Procedures 18 8 — — $1,832.64 $35,307.14 $13,000.20 2025-07-01
153 MS_DRG Otitis Media And Uri Without Mcc 2 2 — — $11,915.93 $13,887.72 $12,901.83 2025-07-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $12,864.24 $12,864.24 $12,864.24 2025-07-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $12,835.52 $12,835.52 $12,835.52 2025-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 3 — — $2,265.71 $18,839.18 $12,830.80 2025-07-01
813 MS_DRG Coagulation Disorders 8 5 — — $4,606.06 $19,570.99 $12,783.17 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 1 1 — — $12,720.64 $12,720.64 $12,720.64 2025-07-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 1 1 — — $12,658.27 $12,658.27 $12,658.27 2025-07-01
9400 OTHER Inj, Labetalol Hcl, 5mg 1 1 — — $12,532.26 $12,532.26 $12,532.26 2025-07-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 2 — — $8,558.43 $16,388.89 $12,473.66 2025-07-01
9002 OTHER Tenecteplase Injection 7 6 — — $3,380.58 $23,545.65 $12,414.98 2025-07-01
9492 OTHER Inj., Durvalumab, 10 Mg 12 7 — — $870.42 $32,081.80 $12,320.51 2025-07-01
5114 OTHER Level 4 Musculoskeletal Procedures 6 4 — — $6,675.51 $36,172.53 $12,289.35 2025-07-01
552 MS_DRG Medical Back Problems Without Mcc 2 2 — — $6,279.52 $18,263.07 $12,271.30 2025-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $12,265.59 $12,265.59 $12,265.59 2025-07-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $12,247.01 $12,247.01 $12,247.01 2025-07-01
9108 OTHER Thyrotropin Injection 1 1 — — $12,048.47 $12,048.47 $12,048.47 2025-07-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 1 1 — — $12,008.05 $12,008.05 $12,008.05 2025-07-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 1 — — $11,874.78 $11,874.78 $11,874.78 2025-07-01
1490 OTHER Inj Pembrolizumab 14 8 — — $185.43 $31,518.46 $11,846.74 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 5 5 — — $9,644.51 $12,454.59 $11,833.68 2025-07-01
313 MS_DRG Chest Pain 3 3 — — $6,306.80 $11,799.97 $11,799.97 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 1 — — $8,827.48 $14,551.79 $11,689.64 2025-07-01
885 MS_DRG Psychoses 19 12 — — $5,449.34 $33,131.30 $11,679.92 2025-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 — — $11,663.80 $11,663.80 $11,663.80 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 3 2 — — $9,633.69 $11,888.84 $11,639.78 2025-07-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 1 1 — — $11,511.27 $11,511.27 $11,511.27 2025-07-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 1 1 — — $11,460.26 $11,460.26 $11,460.26 2025-07-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 1 1 — — $11,454.01 $11,454.01 $11,454.01 2025-07-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 5 3 — — $8,951.48 $27,194.18 $11,450.20 2025-07-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 1 — — $11,398.84 $11,398.84 $11,398.84 2025-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $11,393.20 $11,393.20 $11,393.20 2025-07-01
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 3 3 — — $10,321.58 $25,394.67 $11,290.06 2025-07-01
54 MS_DRG Nervous System Neoplasms With Mcc 1 1 — — $11,113.98 $11,113.98 $11,113.98 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 10 5 — — $2,291.05 $43,584.84 $11,042.80 2025-07-01
915 MS_DRG Allergic Reactions With Mcc 2 2 — — $8,712.80 $13,335.16 $11,023.98 2025-07-01
5623 OTHER Level 3 Radiation Therapy 21 9 — — $640.34 $74,286.40 $10,996.02 2025-07-01
398 MS_DRG Appendix Procedures With Cc 4 3 — — $4,477.93 $23,907.91 $10,973.52 2025-07-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 — — $3,133.48 $18,795.89 $10,964.68 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 3 — — $5,035.72 $22,524.27 $10,934.35 2025-07-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 2 2 — — $10,793.80 $11,056.85 $10,925.33 2025-07-01
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $10,802.55 $10,802.55 $10,802.55 2025-07-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 5 3 — — $6,006.43 $17,797.47 $10,775.40 2025-07-01
9245 OTHER Romiplostim Injection 1 1 — — $10,597.52 $10,597.52 $10,597.52 2025-07-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 1 1 — — $10,577.16 $10,577.16 $10,577.16 2025-07-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $10,496.11 $10,496.11 $10,496.11 2025-07-01
1861 OTHER Inj., Bendeka 1 Mg 3 2 — — $7,333.41 $12,253.21 $10,452.21 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 3 — — $2,762.99 $31,687.55 $10,432.55 2025-07-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 5 5 — — $8,080.81 $21,802.71 $10,387.02 2025-07-01
5674 OTHER Level 4 Pathology 3 3 — — $3,248.00 $33,594.78 $10,364.12 2025-07-01
9477 OTHER Injection, Elotuzumab, 1mg 1 1 — — $10,348.90 $10,348.90 $10,348.90 2025-07-01
950 MS_DRG Aftercare Without Cc/Mcc 1 1 — — $10,323.48 $10,323.48 $10,323.48 2025-07-01
386 MS_DRG Inflammatory Bowel Disease With Cc 2 2 — — $7,190.69 $13,236.94 $10,213.82 2025-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 10 5 — — $6,694.08 $17,845.12 $10,199.88 2025-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 15 8 — — $4,440.44 $24,259.02 $10,187.65 2025-07-01
9483 OTHER Inj, Atezolizumab,10 Mg 3 3 — — $9,997.63 $30,947.09 $10,136.50 2025-07-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $10,086.71 $10,086.71 $10,086.71 2025-07-01
5362 OTHER Level 2 Laparoscopy And Related Services 3 2 — — $9,826.91 $10,092.64 $10,022.71 2025-07-01
5801 OTHER Ventilation Initiation And Management 2 2 — — $1,999.08 $18,013.75 $10,006.42 2025-07-01
792 MS_DRG Prematurity Without Major Problems 1 1 — — $9,978.04 $9,978.04 $9,978.04 2025-07-01
101 MS_DRG Seizures Without Mcc 1 1 — — $9,935.35 $9,935.35 $9,935.35 2025-07-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 3 2 — — $3,161.78 $14,228.98 $9,807.61 2025-07-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 2 2 — — $6,992.92 $12,166.85 $9,579.89 2025-07-01
89 MS_DRG Concussion With Cc 1 1 — — $9,579.65 $9,579.65 $9,579.65 2025-07-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/Mcc 1 1 — — $9,485.65 $9,485.65 $9,485.65 2025-07-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 2 2 — — $7,738.48 $11,144.15 $9,441.31 2025-07-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $9,426.16 $9,426.16 $9,426.16 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 3 2 — — $9,099.90 $12,129.67 $9,342.15 2025-07-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $9,327.35 $9,327.35 $9,327.35 2025-07-01
50 MS_DRG Sialoadenectomy 1 1 — — $9,305.90 $9,305.90 $9,305.90 2025-07-01
9378 OTHER Daratumumab, Hyaluronidase 5 3 — — $9,062.93 $15,255.85 $9,247.98 2025-07-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/Mcc 4 4 — — $6,588.36 $9,651.48 $9,219.39 2025-07-01
9389 OTHER Inj. Lurbinectedin, 0.1 Mg 2 2 — — $8,395.17 $9,952.83 $9,174.00 2025-07-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 3 2 — — $7,504.52 $19,293.12 $9,147.40 2025-07-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 — — $7,900.88 $9,355.01 $9,135.64 2025-07-01
9013 OTHER Inj Risankizumab-rzaa?1 Mg 2 1 — — $8,987.95 $9,196.69 $9,092.32 2025-07-01
181 MS_DRG Respiratory Neoplasms With Cc 1 1 — — $9,038.23 $9,038.23 $9,038.23 2025-07-01
638 MS_DRG Diabetes With Cc 5 5 — — $3,842.59 $17,335.08 $9,003.91 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 9 6 — — $7,948.66 $65,176.94 $8,984.39 2025-07-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 1 1 — — $8,893.96 $8,893.96 $8,893.96 2025-07-01
5193 OTHER Level 3 Endovascular Procedures 1 1 — — $8,844.68 $8,844.68 $8,844.68 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 9 6 — — $4,362.90 $24,119.28 $8,836.88 2025-07-01
920 MS_DRG Complications Of Treatment With Cc 3 2 — — $8,353.63 $9,002.29 $8,832.70 2025-07-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 2 2 — — $5,662.76 $11,912.59 $8,787.67 2025-07-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $8,781.16 $8,781.16 $8,781.16 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $8,720.98 $8,720.98 $8,720.98 2025-07-01
187 MS_DRG Pleural Effusion With Cc 1 1 — — $8,702.49 $8,702.49 $8,702.49 2025-07-01
113 MS_DRG Orbital Procedures With Cc/Mcc 1 1 — — $8,698.01 $8,698.01 $8,698.01 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 — — $7,904.56 $39,481.28 $8,677.76 2025-07-01
883 MS_DRG Disorders Of Personality And Impulse Control 3 3 — — $4,990.47 $13,212.43 $8,644.39 2025-07-01
9143 OTHER Inj Acetaminophen -fresenius 24 12 — — $998.79 $41,347.22 $8,633.93 2025-07-01
9295 OTHER Injection, Carfilzomib, 1 Mg 1 1 — — $8,469.51 $8,469.51 $8,469.51 2025-07-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 3 — — $3,883.16 $34,098.86 $8,448.89 2025-07-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 — — $8,391.39 $8,442.71 $8,417.05 2025-07-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 8 4 — — $6,716.90 $17,519.38 $8,411.27 2025-07-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 2 — — $7,775.87 $8,992.10 $8,383.99 2025-07-01
1352 OTHER Wilate Injection 1 1 — — $8,373.12 $8,373.12 $8,373.12 2025-07-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc 3 3 — — $3,007.41 $24,735.77 $8,335.54 2025-07-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 — — $8,292.13 $8,292.13 $8,292.13 2025-07-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 3 2 — — $6,413.83 $17,785.17 $8,207.60 2025-07-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 15 9 — — $3,194.21 $42,926.72 $8,189.40 2025-07-01
305 MS_DRG Hypertension Without Mcc 3 3 — — $3,770.05 $19,076.88 $8,159.01 2025-07-01
1471 OTHER Injection, Pertuzumab, 1 Mg 6 5 — — $2,242.90 $15,757.44 $8,141.48 2025-07-01
9376 OTHER Sacituzumab Govitecan-hziy 1 1 — — $7,976.24 $7,976.24 $7,976.24 2025-07-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 2 2 — — $6,490.00 $9,373.48 $7,931.74 2025-07-01
881 MS_DRG Depressive Neuroses 8 5 — — $5,056.46 $14,756.51 $7,906.72 2025-07-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 7 4 — — $3,887.93 $29,801.74 $7,818.60 2025-07-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 — — $7,708.91 $7,885.48 $7,797.19 2025-07-01
603 MS_DRG Cellulitis Without Mcc 5 3 — — $6,166.48 $13,952.55 $7,795.17 2025-07-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 — — $7,769.72 $7,769.72 $7,769.72 2025-07-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 1 1 — — $7,762.80 $7,762.80 $7,762.80 2025-07-01
683 MS_DRG Renal Failure With Cc 7 4 — — $5,919.68 $14,700.37 $7,702.36 2025-07-01
312 MS_DRG Syncope And Collapse 4 4 — — $7,407.67 $9,097.38 $7,638.75 2025-07-01
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 14 7 — — $1,682.08 $27,534.51 $7,637.73 2025-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $6,397.21 $8,874.26 $7,635.74 2025-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 4 3 — — $4,776.93 $9,492.62 $7,616.83 2025-07-01
5622 OTHER Level 2 Radiation Therapy 8 4 — — $357.38 $25,921.60 $7,526.53 2025-07-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $7,467.21 $7,467.21 $7,467.21 2025-07-01
292 MS_DRG Heart Failure And Shock With Cc 1 1 — — $7,464.22 $7,464.22 $7,464.22 2025-07-01
9430 OTHER Piflu F-18, Dia 1 Millicurie 13 5 — — $575.89 $20,611.52 $7,455.36 2025-07-01
9195 OTHER Injection, Udenyca 0.5 Mg 1 1 — — $7,407.90 $7,407.90 $7,407.90 2025-07-01
1233 OTHER Inj, Vasopressin, 1 Unit 1 1 — — $7,356.43 $7,356.43 $7,356.43 2025-07-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 12 9 — — $6,365.52 $18,093.01 $7,290.93 2025-07-01
9126 OTHER Natalizumab Injection 3 3 — — $1,982.94 $7,476.25 $7,282.03 2025-07-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $7,253.44 $7,253.44 $7,253.44 2025-07-01
103 MS_DRG Headaches Without Mcc 1 1 — — $7,205.40 $7,205.40 $7,205.40 2025-07-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $7,171.24 $7,171.24 $7,171.24 2025-07-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 3 1 — — $5,619.32 $7,177.65 $7,170.88 2025-07-01
394 MS_DRG Other Digestive System Diagnoses With Cc 3 3 — — $4,653.04 $8,311.91 $7,137.49 2025-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $7,137.05 $7,137.05 $7,137.05 2025-07-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $7,103.53 $7,103.53 $7,103.53 2025-07-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 — — $7,057.82 $7,057.82 $7,057.82 2025-07-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 7 3 — — $4,477.93 $23,339.81 $7,028.72 2025-07-01
389 MS_DRG Gastrointestinal Obstruction With Cc 10 6 — — $4,252.68 $18,978.54 $7,025.90 2025-07-01
69 MS_DRG Transient Ischemia Without Thrombolytic 4 2 — — $5,334.66 $26,510.34 $6,956.70 2025-07-01
916 MS_DRG Allergic Reactions Without Mcc 1 1 — — $6,936.08 $6,936.08 $6,936.08 2025-07-01
9487 OTHER Ustekinumab, IV Inject,1 Mg 3 2 — — $5,300.50 $8,590.33 $6,885.72 2025-07-01
5112 OTHER Level 2 Musculoskeletal Procedures 11 7 — — $308.88 $31,970.89 $6,883.53 2025-07-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $6,877.92 $6,877.92 $6,877.92 2025-07-01
948 MS_DRG Signs And Symptoms Without Mcc 1 1 — — $6,873.66 $6,873.66 $6,873.66 2025-07-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 9 8 — — $3,538.83 $18,148.80 $6,805.03 2025-07-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 7 5 — — $6,378.38 $12,312.80 $6,793.52 2025-07-01
663 MS_DRG Minor Bladder Procedures With Cc 1 1 — — $6,793.20 $6,793.20 $6,793.20 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $6,788.13 $6,788.13 $6,788.13 2025-07-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 2 2 — — $6,207.87 $7,177.15 $6,692.51 2025-07-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 4 4 — — $5,301.96 $11,357.98 $6,672.30 2025-07-01
45 MS_DRG Neurological Eye Disorders 1 1 — — $6,654.20 $6,654.20 $6,654.20 2025-07-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 1 1 — — $6,619.36 $6,619.36 $6,619.36 2025-07-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $6,617.14 $6,617.14 $6,617.14 2025-07-01
775 MS_DRG Vaginal Delivery Without Complicating Diagnoses 4 4 — — $6,608.30 $6,740.47 $6,608.30 2025-07-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 3 3 — — $4,168.06 $8,869.22 $6,471.53 2025-07-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/Mcc 1 1 — — $6,470.50 $6,470.50 $6,470.50 2025-07-01
9173 OTHER Injection, Fulphila 2 2 — — $6,281.68 $6,644.65 $6,463.16 2025-07-01
5626 OTHER Level 6 Radiation Therapy 13 6 — — $1,171.44 $73,643.93 $6,433.20 2025-07-01
182 MS_DRG Respiratory Neoplasms Without Cc/Mcc 1 1 — — $6,432.06 $6,432.06 $6,432.06 2025-07-01
9132 OTHER Prothrombin Complex Kcentra 4 3 — — $2,013.48 $8,242.69 $6,431.99 2025-07-01
756 MS_DRG Malignancy, Female Reproductive System Without Cc/Mcc 4 4 — — $4,917.25 $7,471.69 $6,385.40 2025-07-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 8 6 — — $1,927.72 $12,208.67 $6,376.22 2025-07-01
1489 OTHER Inj Vedolizumab IV 1 Mg 4 3 — — $1,973.51 $9,154.22 $6,360.80 2025-07-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 2 2 — — $6,014.94 $6,705.82 $6,360.38 2025-07-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 3 2 — — $5,502.57 $13,295.63 $6,319.22 2025-07-01
882 MS_DRG Neuroses Except Depressive 8 6 — — $5,145.49 $9,775.39 $6,312.70 2025-07-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 4 3 — — $4,697.51 $12,449.24 $6,255.01 2025-07-01
139 MS_DRG Salivary Gland Procedures 3 3 — — $5,848.11 $10,362.94 $6,140.51 2025-07-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 2 — — $5,657.37 $6,406.41 $6,031.89 2025-07-01
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 1 1 — — $5,994.58 $5,994.58 $5,994.58 2025-07-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $5,932.58 $5,932.58 $5,932.58 2025-07-01
9292 OTHER Inj, Clindamycin (baxter) 3 3 — — $3,135.61 $10,156.54 $5,897.83 2025-07-01
9215 OTHER Cetuximab Injection 1 1 — — $5,809.47 $5,809.47 $5,809.47 2025-07-01
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 — — $5,792.42 $5,792.42 $5,792.42 2025-07-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 2 2 — — $1,263.59 $10,128.26 $5,695.93 2025-07-01
1433 OTHER Calcitonin Salmon Injection 1 1 — — $5,649.60 $5,649.60 $5,649.60 2025-07-01
51 MS_DRG Salivary Gland Procedures Except Sialoadenectomy 1 1 — — $5,596.24 $5,596.24 $5,596.24 2025-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 3 3 — — $3,497.09 $10,827.62 $5,561.46 2025-07-01
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