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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

ASPIRUS WAUSAU HOSPITAL

Wausau, WI · CCN 520030 · Rates published

883 distinct procedures filed
18 distinct payers
100,759 rate rows
2025-07-01 last MRF observed
Data quality

11,648 of 100,759 rate rows are consumer-grade (11.6%)

89,111 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 65,549
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 23,561
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY26/391138241_aspirus-plover-hospital_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint cbf782cd5239051c… · 149,888,369 bytes · first seen 2026-05-18

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… 6 $132,587.52 $669,891.17 $401,239.34 nat. median
$202,986
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $150,884.81 $254,167.46 $202,526.14 nat. median
$81,118
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $48,944.05 $314,067.07 $181,505.56 nat. median
$133,176
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $48,328.53 $312,921.05 $180,624.79 nat. median
$74,915
outlier · 2.4×
9309
OTHER 		Inj. Tagraxofusp-erzs 10 Mcg 1 $161,668.05 $161,668.05 $161,668.05 nat. median
$357
outlier · 452.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $155,282.47 $155,282.47 $155,282.47 nat. median
$58,024
outlier · 2.7×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $42,236.62 $252,512.70 $147,374.66 nat. median
$60,726
outlier · 2.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $50,466.84 $233,274.09 $141,870.46 nat. median
$72,138
2.0× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 6 $17,499.84 $260,003.69 $138,751.77 nat. median
$45,125
outlier · 3.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $71,846.19 $194,054.06 $132,950.12 nat. median
$93,672
1.4× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 7 $28,281.70 $190,633.88 $109,457.79 nat. median
$41,228
outlier · 2.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $47,495.40 $159,165.34 $103,330.37 nat. median
$66,526
1.6× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $103,081.22 $103,081.22 $103,081.22 nat. median
$46,259
outlier · 2.2×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 $36,156.33 $169,004.18 $102,580.26 nat. median
$53,268
1.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $40,294.54 $160,513.28 $100,403.91 nat. median
$59,899
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $9,222.38 $183,111.61 $96,166.99 nat. median
$73,807
1.3× median
5092
OTHER 		Level 2 Breast/Lymphatic Surgery And Related Procedures 1 $95,512.53 $95,512.53 $95,512.53 nat. median
$7,073
outlier · 13.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 $13,935.00 $387,186.73 $93,258.18 nat. median
$52,278
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $47,613.19 $124,847.84 $86,230.51 nat. median
$65,950
1.3× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 3 $15,261.16 $157,036.73 $86,148.95 nat. median
$28,775
outlier · 3.0×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $85,517.99 $85,517.99 $85,517.99 nat. median
$59,793
1.4× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $43,424.00 $125,529.52 $84,476.76 nat. median
$59,099
1.4× median
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 5 $19,369.33 $145,935.37 $82,652.35 nat. median
$26,957
outlier · 3.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 6 $21,885.74 $139,516.78 $80,701.26 nat. median
$51,307
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $44,584.24 $116,293.04 $80,438.64 nat. median
$65,381
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $35,926.35 $124,221.79 $80,074.07 nat. median
$57,424
1.4× median
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 4 $8,820.00 $146,587.00 $77,703.50 nat. median
$16,477
outlier · 4.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $74,455.76 $76,436.42 $75,446.09 nat. median
$102,358
0.7× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $42,071.70 $108,183.45 $75,127.57 nat. median
$56,697
1.3× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 $12,623.00 $132,647.79 $72,635.40 nat. median
$16,145
outlier · 4.5×
264
MS_DRG 		Other Circulatory System O.r. Procedures 4 $9,589.71 $135,121.05 $72,355.38 nat. median
$33,061
outlier · 2.2×
162
MS_DRG 		Inguinal & Femoral Hernia Procedures Age >17 Without Cc 1 $72,065.86 $72,065.86 $72,065.86 nat. median
$100,457
0.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $27,286.90 $115,446.61 $71,366.76 nat. median
$55,929
1.3× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 $29,777.27 $112,620.40 $71,198.84 nat. median
$43,966
1.6× median
9284
OTHER 		Ipilimumab Injection 2 $47,095.71 $93,723.22 $70,409.46 nat. median
$188
outlier · 375.5×
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 4 $10,462.32 $128,919.96 $69,691.14 nat. median
$16,973
outlier · 4.1×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 3 $13,141.31 $125,377.69 $69,259.50 nat. median
$24,991
outlier · 2.8×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $33,233.18 $103,089.34 $68,161.26 nat. median
$47,651
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 $15,243.78 $120,289.99 $67,766.88 nat. median
$48,170
1.4× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $23,858.46 $110,786.93 $67,322.70 nat. median
$52,879
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $48,860.18 $83,256.86 $66,058.52 nat. median
$68,887
1.0× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 5 $11,867.27 $118,884.03 $65,375.65 nat. median
$19,235
outlier · 3.4×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 3 $33,216.49 $95,219.30 $64,217.89 nat. median
$46,109
1.4× median
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 1 $63,273.91 $63,273.91 $63,273.91 nat. median
$30,452
outlier · 2.1×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 $20,769.34 $104,585.47 $62,677.40 nat. median
$31,607
2.0× median
503
MS_DRG 		Foot Procedures With Mcc 1 $61,438.78 $61,438.78 $61,438.78 nat. median
$26,999
outlier · 2.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $43,320.61 $75,076.99 $59,198.80 nat. median
$62,270
1.0× median
9287
OTHER 		Brentuximab Vedotin Inj 1 $59,164.64 $59,164.64 $59,164.64 nat. median
$268
outlier · 220.4×
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 5 $26,212.47 $90,645.14 $58,428.81 nat. median
$40,005
1.5× median
164
MS_DRG 		Major Chest Procedures With Cc 12 $13,605.71 $101,960.77 $57,783.24 nat. median
$25,707
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 883 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… 20 6 — — $132,587.52 $669,891.17 $401,239.34 2025-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 8 — — $13,935.00 $387,186.73 $93,258.18 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 6 — — $48,944.05 $314,067.07 $181,505.56 2025-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 6 — — $48,328.53 $312,921.05 $180,624.79 2025-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 6 — — $17,499.84 $260,003.69 $138,751.77 2025-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $150,884.81 $254,167.46 $202,526.14 2025-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 5 — — $42,236.62 $252,512.70 $147,374.66 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 — — $5,036.89 $248,001.01 $49,391.25 2025-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 4 — — $50,466.84 $233,274.09 $141,870.46 2025-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $71,846.19 $194,054.06 $132,950.12 2025-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 7 — — $28,281.70 $190,633.88 $109,457.79 2025-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 9 — — $9,222.38 $183,111.61 $96,166.99 2025-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 9 — — $36,156.33 $169,004.18 $102,580.26 2025-07-01
9309 OTHER Inj. Tagraxofusp-erzs 10 Mcg 2 1 — — $161,668.05 $161,668.05 $161,668.05 2025-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 2 — — $40,294.54 $160,513.28 $100,403.91 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 5 — — $47,495.40 $159,165.34 $103,330.37 2025-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 8 3 — — $15,261.16 $157,036.73 $86,148.95 2025-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $155,282.47 $155,282.47 $155,282.47 2025-07-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 8 4 — — $8,820.00 $146,587.00 $77,703.50 2025-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 5 — — $19,369.33 $145,935.37 $82,652.35 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 6 — — $21,885.74 $139,516.78 $80,701.26 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 4 — — $9,589.71 $135,121.05 $72,355.38 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 16 4 — — $12,623.00 $132,647.79 $72,635.40 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 18 4 — — $10,462.32 $128,919.96 $69,691.14 2025-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 2 — — $43,424.00 $125,529.52 $84,476.76 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 3 — — $13,141.31 $125,377.69 $69,259.50 2025-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $47,613.19 $124,847.84 $86,230.51 2025-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 5 — — $35,926.35 $124,221.79 $80,074.07 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 7 5 — — $5,586.50 $121,257.58 $24,429.71 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 8 — — $15,243.78 $120,289.99 $67,766.88 2025-07-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 10 5 — — $11,867.27 $118,884.03 $65,375.65 2025-07-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 3 — — $44,584.24 $116,293.04 $80,438.64 2025-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 3 — — $27,286.90 $115,446.61 $71,366.76 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 4 — — $29,777.27 $112,620.40 $71,198.84 2025-07-01
9494 OTHER Injection, Ocrelizumab 12 7 — — $422.84 $111,271.22 $34,351.23 2025-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 8 — — $23,858.46 $110,786.93 $67,322.70 2025-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 1 — — $42,071.70 $108,183.45 $75,127.57 2025-07-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 4 — — $20,769.34 $104,585.47 $62,677.40 2025-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 4 — — $33,233.18 $103,089.34 $68,161.26 2025-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $103,081.22 $103,081.22 $103,081.22 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 3 — — $8,882.74 $102,925.94 $55,904.34 2025-07-01
164 MS_DRG Major Chest Procedures With Cc 42 12 — — $13,605.71 $101,960.77 $57,783.24 2025-07-01
602 MS_DRG Cellulitis With Mcc 14 4 — — $9,431.18 $100,989.06 $55,210.12 2025-07-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 6 — — $9,010.48 $96,886.37 $52,948.43 2025-07-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $95,512.53 $95,512.53 $95,512.53 2025-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 3 — — $33,216.49 $95,219.30 $64,217.89 2025-07-01
9284 OTHER Ipilimumab Injection 4 2 — — $47,095.71 $93,723.22 $70,409.46 2025-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 4 — — $8,750.52 $92,594.09 $50,672.31 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 5 — — $22,652.18 $92,003.34 $57,327.76 2025-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 5 — — $26,212.47 $90,645.14 $58,428.81 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 4 — — $1,104.16 $87,286.98 $35,890.59 2025-07-01
638 MS_DRG Diabetes With Cc 26 9 — — $5,757.87 $85,759.81 $45,758.84 2025-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $85,517.99 $85,517.99 $85,517.99 2025-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 8 — — $15,148.86 $85,366.31 $50,257.58 2025-07-01
5213 OTHER Level 3 Electrophysiologic Procedures 42 9 — — $7,547.25 $84,419.87 $45,983.56 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 36 9 — — $4,475.39 $83,861.74 $44,168.57 2025-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $48,860.18 $83,256.86 $66,058.52 2025-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 5 — — $15,173.10 $82,752.13 $48,962.61 2025-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 6 — — $28,971.16 $82,108.01 $55,539.58 2025-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $10,792.58 $81,913.19 $46,352.89 2025-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 5 — — $8,114.95 $81,619.06 $44,867.00 2025-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 30 10 — — $25,516.05 $81,020.85 $53,268.45 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 4 — — $26,482.19 $80,383.84 $53,433.01 2025-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 3 — — $20,389.48 $79,282.28 $49,835.88 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 16 6 — — $10,891.57 $79,123.41 $45,007.49 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 7 — — $14,286.14 $78,069.32 $46,177.73 2025-07-01
835 MS_DRG Acute Leukemia With Cc 6 3 — — $16,768.21 $78,039.29 $47,403.75 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 36 10 — — $6,346.86 $78,002.07 $42,174.46 2025-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 38 10 — — $4,848.04 $77,930.22 $41,389.13 2025-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 2 — — $74,455.76 $76,436.42 $75,446.09 2025-07-01
163 MS_DRG Major Chest Procedures With Mcc 28 7 — — $27,524.88 $76,365.67 $51,945.28 2025-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 18 6 — — $10,686.57 $75,762.38 $43,224.47 2025-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $38,316.38 $75,560.31 $56,938.35 2025-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 50 11 — — $12,306.72 $75,275.89 $43,791.31 2025-07-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $43,320.61 $75,076.99 $59,198.80 2025-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 12 4 — — $14,659.72 $74,966.56 $44,813.14 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 7 — — $15,291.91 $74,712.20 $45,002.06 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $15,128.45 $73,890.70 $44,509.57 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 18 6 — — $6,459.76 $72,732.92 $39,596.34 2025-07-01
500 MS_DRG Soft Tissue Procedures With Mcc 8 3 — — $15,762.34 $72,467.62 $44,114.98 2025-07-01
162 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 Without Cc 2 1 — — $72,065.86 $72,065.86 $72,065.86 2025-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 4 — — $23,877.66 $71,965.07 $47,921.36 2025-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 5 — — $13,689.95 $71,931.37 $42,810.66 2025-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 5 — — $12,813.64 $70,851.74 $41,832.69 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 9 — — $23,112.64 $70,649.87 $46,881.25 2025-07-01
711 MS_DRG Testes Procedures With Cc/Mcc 4 2 — — $44,844.14 $69,584.10 $57,214.12 2025-07-01
799 MS_DRG Splenic Procedures With Mcc 4 2 — — $35,189.84 $69,039.49 $52,114.67 2025-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 1 — — $39,250.91 $68,684.08 $53,967.50 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 7 — — $24,562.47 $68,120.80 $46,341.64 2025-07-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 6 3 — — $17,120.97 $67,756.87 $42,438.92 2025-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 9 — — $22,146.38 $67,733.36 $44,939.87 2025-07-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 16 5 — — $11,989.72 $67,557.12 $39,773.42 2025-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 4 — — $23,824.96 $66,882.05 $45,353.50 2025-07-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 4 — — $11,643.66 $66,658.19 $39,150.93 2025-07-01
9281 OTHER Injection, Pegloticase 6 3 — — $24,504.17 $66,051.48 $45,277.82 2025-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $21,843.46 $65,773.23 $43,808.35 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 6 — — $1,009.17 $65,406.92 $32,862.36 2025-07-01
570 MS_DRG Skin Debridement With Mcc 6 1 — — $21,369.67 $63,587.46 $42,478.57 2025-07-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 1 — — $63,273.91 $63,273.91 $63,273.91 2025-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 4 — — $21,868.67 $62,537.79 $42,203.23 2025-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 12 5 — — $12,632.32 $62,394.55 $37,513.43 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 36 8 — — $6,722.57 $62,391.61 $34,557.09 2025-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 3 — — $19,619.33 $62,381.28 $41,000.31 2025-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 3 — — $21,456.76 $62,040.73 $41,748.75 2025-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 26 7 — — $20,551.28 $61,878.36 $41,214.82 2025-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 3 — — $14,287.03 $61,743.62 $38,015.32 2025-07-01
950 MS_DRG Aftercare Without Cc/Mcc 6 2 — — $10,717.29 $61,740.00 $36,228.64 2025-07-01
503 MS_DRG Foot Procedures With Mcc 2 1 — — $61,438.78 $61,438.78 $61,438.78 2025-07-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 10 4 — — $10,641.17 $61,366.67 $36,003.92 2025-07-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 2 — — $10,547.41 $61,353.99 $35,950.70 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 5 — — $3,509.60 $61,195.32 $32,352.46 2025-07-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 44 11 — — $11,989.38 $60,076.20 $36,032.79 2025-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 5 — — $9,890.81 $59,619.75 $34,755.28 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 4 — — $15,117.44 $59,599.37 $37,358.40 2025-07-01
9287 OTHER Brentuximab Vedotin Inj 2 1 — — $59,164.64 $59,164.64 $59,164.64 2025-07-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 26 6 — — $4,784.06 $58,317.48 $31,550.77 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 4 — — $21,214.32 $57,674.98 $39,444.65 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 6 — — $15,040.80 $56,837.80 $35,939.30 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 28 7 — — $13,332.02 $56,733.65 $35,032.83 2025-07-01
710 MS_DRG Penis Procedures Without Cc/Mcc 8 4 — — $26,673.06 $56,493.82 $41,583.44 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 16 4 — — $4,965.68 $55,564.99 $30,265.33 2025-07-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 3 — — $17,924.00 $55,490.71 $36,707.36 2025-07-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 14 4 — — $8,861.04 $55,192.30 $32,026.67 2025-07-01
793 MS_DRG Full Term Neonate With Major Problems 20 6 — — $3,150.00 $54,337.04 $28,743.52 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 38 8 — — $7,864.84 $54,223.84 $31,044.34 2025-07-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 4 2 — — $11,386.52 $54,196.20 $32,791.36 2025-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 4 — — $21,433.20 $53,954.23 $37,693.71 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 22 7 — — $6,392.87 $53,261.19 $29,827.03 2025-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 2 — — $28,793.38 $53,033.55 $40,913.46 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 4 — — $12,064.15 $52,941.49 $32,502.82 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 4 — — $17,004.53 $52,464.06 $34,734.29 2025-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 4 — — $15,782.66 $51,977.71 $33,880.18 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 14 6 — — $8,044.70 $51,886.36 $29,965.53 2025-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 4 — — $32,684.53 $51,718.98 $42,201.75 2025-07-01
253 MS_DRG Other Vascular Procedures With Cc 32 6 — — $4,127.71 $51,717.30 $27,922.51 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 20 5 — — $5,773.87 $51,639.09 $28,706.48 2025-07-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 14 6 — — $4,341.10 $51,098.35 $27,719.72 2025-07-01
791 MS_DRG Prematurity With Major Problems 8 3 — — $7,350.00 $50,963.00 $29,156.50 2025-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 12 4 — — $17,136.45 $50,707.08 $33,921.76 2025-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 1 — — $50,667.88 $50,667.88 $50,667.88 2025-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 1 — — $50,565.16 $50,565.16 $50,565.16 2025-07-01
123 MS_DRG Neurological Eye Disorders 8 4 — — $13,942.22 $50,493.54 $32,217.88 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 4 — — $12,298.47 $50,132.18 $31,215.33 2025-07-01
834 MS_DRG Acute Leukemia With Mcc 8 3 — — $38,602.91 $50,083.64 $44,343.28 2025-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 4 — — $15,044.34 $49,126.14 $32,085.24 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 7 — — $15,715.85 $49,024.63 $32,370.24 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 6 — — $10,396.74 $48,966.57 $29,681.65 2025-07-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 1 — — $48,851.36 $48,851.36 $48,851.36 2025-07-01
637 MS_DRG Diabetes With Mcc 20 4 — — $9,022.60 $48,581.12 $28,801.86 2025-07-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 8 3 — — $4,268.41 $48,548.64 $26,408.53 2025-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 12 4 — — $15,593.75 $47,865.60 $31,729.67 2025-07-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 1 — — $16,042.90 $47,167.78 $31,605.34 2025-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 18 6 — — $6,342.55 $47,121.31 $26,731.93 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 8 3 — — $15,497.84 $46,405.20 $30,951.52 2025-07-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 2 — — $14,916.32 $46,121.38 $30,518.85 2025-07-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 12 4 — — $10,933.74 $46,096.06 $28,514.90 2025-07-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 4 2 — — $12,678.21 $46,035.03 $29,356.62 2025-07-01
539 MS_DRG Osteomyelitis With Mcc 14 5 — — $3,990.85 $45,869.59 $24,930.22 2025-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $45,536.54 $45,536.54 $45,536.54 2025-07-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 1 — — $31,718.92 $45,304.64 $38,511.78 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 5 — — $11,525.00 $45,114.53 $28,319.76 2025-07-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 26 6 — — $3,905.23 $45,113.72 $24,509.47 2025-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 12 5 — — $13,297.35 $45,057.25 $29,177.30 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 8 4 — — $16,665.52 $44,953.18 $30,809.35 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 28 7 — — $8,195.76 $44,827.95 $26,511.85 2025-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 1 — — $44,592.76 $44,592.76 $44,592.76 2025-07-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 14 6 — — $10,649.65 $44,472.36 $27,561.01 2025-07-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 32 7 — — $2,482.24 $44,418.14 $23,450.19 2025-07-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 18 5 — — $8,052.75 $44,152.64 $26,102.69 2025-07-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 10 4 — — $5,064.96 $44,148.70 $24,606.83 2025-07-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 36 8 — — $12,690.62 $44,147.63 $28,419.12 2025-07-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 4 2 — — $19,556.67 $43,490.51 $31,523.59 2025-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 10 4 — — $10,824.39 $43,410.80 $27,117.60 2025-07-01
28 MS_DRG Spinal Procedures With Mcc 8 3 — — $27,026.69 $43,373.50 $35,200.10 2025-07-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 8 3 — — $16,721.90 $43,200.46 $29,961.18 2025-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 4 — — $21,891.12 $42,762.42 $32,326.77 2025-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $42,702.07 $42,702.07 $42,702.07 2025-07-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 4 2 — — $12,332.42 $42,611.86 $27,472.14 2025-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $42,525.36 $42,525.36 $42,525.36 2025-07-01
0961 OTHER Albumin (human),5%, 50ml 22 5 — — $2,881.43 $42,375.88 $22,628.65 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 16 5 — — $7,599.28 $42,334.61 $24,966.94 2025-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 2 — — $23,464.24 $41,848.83 $32,656.53 2025-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $41,818.51 $41,818.51 $41,818.51 2025-07-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 8 3 — — $13,975.53 $41,736.80 $27,856.17 2025-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 8 3 — — $16,021.60 $41,351.82 $28,686.71 2025-07-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 10 5 — — $2,103.52 $41,286.98 $21,695.25 2025-07-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 6 2 — — $15,538.84 $41,268.21 $28,403.53 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 5 — — $15,454.06 $41,197.75 $28,325.90 2025-07-01
504 MS_DRG Foot Procedures With Cc 2 1 — — $41,160.00 $41,160.00 $41,160.00 2025-07-01
949 MS_DRG Aftercare With Cc/Mcc 16 6 — — $3,006.21 $41,160.00 $22,083.10 2025-07-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 20 5 — — $5,540.14 $41,095.20 $23,317.67 2025-07-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 8 3 — — $11,164.41 $41,061.96 $26,113.19 2025-07-01
5232 OTHER Level 2 Icd And Similar Procedures 28 9 — — $11,143.53 $40,821.00 $25,982.26 2025-07-01
196 MS_DRG Interstitial Lung Disease With Mcc 18 3 — — $3,075.99 $40,465.66 $21,770.83 2025-07-01
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 4 2 — — $38,166.63 $40,461.26 $39,313.94 2025-07-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 30 8 — — $3,122.54 $40,236.63 $21,679.58 2025-07-01
100 MS_DRG Seizures With Mcc 12 4 — — $13,973.94 $40,232.10 $27,103.02 2025-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 6 — — $5,366.54 $40,128.80 $22,747.67 2025-07-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 4 2 — — $39,244.94 $40,029.84 $39,637.39 2025-07-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 6 3 — — $33,492.62 $39,794.89 $36,643.75 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 42 10 — — $10,861.55 $39,761.96 $25,311.76 2025-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 2 — — $18,414.43 $39,672.87 $29,043.65 2025-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $39,512.34 $39,512.34 $39,512.34 2025-07-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 14 5 — — $13,235.71 $39,484.98 $26,360.35 2025-07-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 22 6 — — $13,126.35 $39,375.14 $26,250.74 2025-07-01
653 MS_DRG Major Bladder Procedures With Mcc 2 1 — — $39,251.82 $39,251.82 $39,251.82 2025-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 2 — — $37,290.62 $39,071.29 $38,180.96 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 16 6 — — $5,399.59 $39,012.38 $22,205.99 2025-07-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 24 6 — — $4,913.32 $38,646.36 $21,779.84 2025-07-01
607 MS_DRG Minor Skin Disorders Without Mcc 6 3 — — $6,684.97 $38,561.87 $22,623.42 2025-07-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 10 4 — — $12,253.44 $38,312.60 $25,283.02 2025-07-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 1 — — $38,024.94 $38,024.94 $38,024.94 2025-07-01
197 MS_DRG Interstitial Lung Disease With Cc 6 3 — — $7,455.70 $37,918.71 $22,687.21 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 34 8 — — $11,272.62 $37,871.54 $24,572.08 2025-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $22,540.00 $37,711.40 $30,125.70 2025-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 3 — — $13,016.00 $37,619.73 $25,317.87 2025-07-01
184 MS_DRG Major Chest Trauma With Cc 16 4 — — $6,182.69 $37,385.63 $21,784.16 2025-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 14 4 — — $5,101.90 $37,298.97 $21,200.44 2025-07-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 20 6 — — $5,283.95 $37,174.01 $21,228.98 2025-07-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 2 — — $15,713.82 $36,967.44 $26,340.63 2025-07-01
964 MS_DRG Other Multiple Significant Trauma With Cc 20 6 — — $10,799.04 $36,952.36 $23,875.70 2025-07-01
397 MS_DRG Appendix Procedures With Mcc 4 3 — — $1,352.35 $36,950.92 $21,339.53 2025-07-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $36,926.18 $36,926.18 $36,926.18 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 5 — — $8,182.23 $36,924.75 $22,553.49 2025-07-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 16 5 — — $12,223.89 $36,921.52 $24,572.71 2025-07-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 14 4 — — $6,741.20 $36,878.25 $21,809.72 2025-07-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 8 2 — — $10,205.88 $36,854.84 $23,530.36 2025-07-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 12 4 — — $6,272.02 $36,680.29 $21,476.15 2025-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 1 — — $35,127.18 $36,492.29 $35,809.74 2025-07-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 10 4 — — $13,886.89 $36,453.83 $25,170.36 2025-07-01
199 MS_DRG Pneumothorax With Mcc 12 3 — — $6,588.89 $35,952.14 $21,270.51 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 18 4 — — $10,887.22 $35,929.85 $23,408.53 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 5 — — $9,905.12 $35,783.14 $22,844.13 2025-07-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 6 1 — — $15,339.14 $35,510.31 $25,424.72 2025-07-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 6 3 — — $12,737.90 $35,378.92 $24,058.41 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 20 5 — — $12,121.82 $35,313.20 $23,717.51 2025-07-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 3 — — $12,041.26 $34,774.74 $23,408.00 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 16 5 — — $7,692.39 $34,755.79 $21,224.09 2025-07-01
159 MS_DRG Dental And Oral Diseases Without Cc/Mcc 4 1 — — $9,739.42 $34,592.36 $22,165.89 2025-07-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 8 4 — — $21,135.29 $34,585.48 $27,860.38 2025-07-01
501 MS_DRG Soft Tissue Procedures With Cc 12 5 — — $10,381.65 $34,526.10 $22,453.88 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 6 3 — — $12,091.15 $34,489.00 $23,290.08 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 16 6 — — $11,390.94 $34,411.09 $22,901.01 2025-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 — — $34,358.43 $34,358.43 $34,358.43 2025-07-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $10,141.10 $34,329.64 $22,235.37 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 26 7 — — $9,587.00 $34,308.30 $21,947.65 2025-07-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 4 2 — — $12,430.58 $34,235.69 $23,333.13 2025-07-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 4 2 — — $25,462.87 $34,173.26 $29,818.06 2025-07-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 20 6 — — $14,169.35 $34,121.57 $24,145.46 2025-07-01
545 MS_DRG Connective Tissue Disorders With Mcc 14 5 — — $10,065.67 $34,086.69 $22,076.18 2025-07-01
505 MS_DRG Foot Procedures Without Cc/Mcc 2 1 — — $34,026.64 $34,026.64 $34,026.64 2025-07-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 2 — — $12,717.16 $33,982.96 $23,350.06 2025-07-01
571 MS_DRG Skin Debridement With Cc 14 4 — — $10,294.85 $33,769.73 $22,032.29 2025-07-01
620 MS_DRG O.r. Procedures For Obesity With Cc 4 2 — — $11,466.46 $33,735.30 $22,600.88 2025-07-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 10 4 — — $10,809.34 $33,553.36 $22,181.35 2025-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 4 — — $15,288.01 $33,538.50 $24,413.26 2025-07-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 8 4 — — $11,135.99 $33,099.20 $22,117.60 2025-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 2 — — $17,952.20 $33,021.65 $25,486.92 2025-07-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 6 2 — — $11,583.29 $33,005.78 $22,294.53 2025-07-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 10 5 — — $10,963.08 $32,810.75 $21,886.92 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 22 6 — — $11,116.24 $31,682.49 $21,399.37 2025-07-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 10 3 — — $10,795.34 $31,521.24 $21,158.29 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 10 3 — — $11,208.53 $31,503.54 $21,356.03 2025-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 2 — — $29,644.21 $31,259.31 $30,451.76 2025-07-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 18 8 — — $13,125.00 $31,093.93 $22,109.47 2025-07-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/Mcc 2 1 — — $31,028.67 $31,028.67 $31,028.67 2025-07-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 4 2 — — $26,490.25 $31,020.77 $28,755.51 2025-07-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $16,518.18 $30,828.27 $23,673.22 2025-07-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 6 3 — — $14,404.46 $30,506.37 $22,455.42 2025-07-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 14 4 — — $11,760.00 $30,476.56 $21,118.28 2025-07-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 2 1 — — $30,156.84 $30,156.84 $30,156.84 2025-07-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 6 3 — — $27,310.71 $29,881.67 $28,596.19 2025-07-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 4 2 — — $29,473.50 $29,858.93 $29,666.22 2025-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $1,375.20 $29,580.67 $28,172.07 2025-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 5 — — $15,218.81 $29,308.51 $22,263.66 2025-07-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 4 2 — — $16,123.95 $29,073.91 $22,598.93 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 10 5 — — $16,015.45 $29,065.08 $22,540.26 2025-07-01
37 MS_DRG Extracranial Procedures With Mcc 10 3 — — $23,623.61 $28,704.72 $26,164.17 2025-07-01
49 MS_DRG Major Head & Neck Procedures 2 1 — — $28,259.07 $28,259.07 $28,259.07 2025-07-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 6 3 — — $15,106.26 $28,020.42 $21,563.34 2025-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $27,796.98 $27,796.98 $27,796.98 2025-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 1 — — $27,754.58 $27,754.58 $27,754.58 2025-07-01
9236 OTHER Eculizumab Injection 2 1 — — $27,325.26 $27,325.26 $27,325.26 2025-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 1 — — $27,313.49 $27,313.49 $27,313.49 2025-07-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc 4 2 — — $23,853.49 $27,279.53 $25,566.51 2025-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $27,045.06 $27,045.06 $27,045.06 2025-07-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 4 1 — — $22,466.69 $26,238.79 $24,352.74 2025-07-01
348 MS_DRG Anal And Stomal Procedures With Cc 4 2 — — $24,326.26 $25,948.80 $25,137.53 2025-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — — $25,607.23 $25,607.23 $25,607.23 2025-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 1 — — $25,410.78 $25,410.78 $25,410.78 2025-07-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 2 — — $23,327.05 $25,037.62 $24,182.33 2025-07-01
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/Mcc 2 1 — — $24,837.60 $24,837.60 $24,837.60 2025-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 2 — — $22,834.48 $24,246.37 $23,540.42 2025-07-01
9109 OTHER Inj, Elahere, 1 Mg 2 1 — — $23,506.91 $23,506.91 $23,506.91 2025-07-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 2 1 — — $23,192.98 $23,192.98 $23,192.98 2025-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — — $23,123.42 $23,123.42 $23,123.42 2025-07-01
265 MS_DRG Aicd Lead Procedures 2 1 — — $22,513.78 $22,513.78 $22,513.78 2025-07-01
665 MS_DRG Prostatectomy With Mcc 2 1 — — $22,359.80 $22,359.80 $22,359.80 2025-07-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 2 1 — — $21,637.71 $21,637.71 $21,637.71 2025-07-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — — $21,492.16 $21,492.16 $21,492.16 2025-07-01
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