Price Transparency 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 RIVERVIEW HOSPITAL & CLINICS INC

Wisconsin Rapids, WI · CCN 520033 · Rates published

453 distinct procedures filed
21 distinct payers
59,176 rate rows
2025-07-01 last MRF observed
Data quality

4,439 of 59,176 rate rows are consumer-grade (7.5%)

54,737 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 39,416
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15,321
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY26/390868982_aspirus-wisconsin-rapids-hospital_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint a4917735680057d6… · 157,221,499 bytes · first seen 2026-05-08

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
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 1 $122,249.70 $122,249.70 $122,249.70 nat. median
$21,380
outlier · 5.7×
28
MS_DRG 		Spinal Procedures With Mcc 1 $102,868.44 $102,868.44 $102,868.44 nat. median
$57,823
1.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $51,204.62 $103,184.05 $77,194.34 nat. median
$62,270
1.2× median
512
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 $66,604.00 $66,604.00 $66,604.00 nat. median
$16,947
outlier · 3.9×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $38,581.67 $86,786.80 $62,684.24 nat. median
$48,483
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $55,915.45 $59,717.84 $57,816.64 nat. median
$68,090
0.8× median
100
MS_DRG 		Seizures With Mcc 2 $16,424.50 $97,900.13 $57,162.32 nat. median
$19,360
outlier · 3.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $54,238.60 $57,580.44 $55,909.52 nat. median
$62,134
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 $38,477.46 $67,346.54 $52,912.00 nat. median
$48,170
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $32,719.86 $69,244.79 $50,982.32 nat. median
$44,810
1.1× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 1 $49,563.15 $49,563.15 $49,563.15 nat. median
$31,723
1.6× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 $20,231.02 $76,930.03 $48,580.53 nat. median
$26,699
1.8× median
9494
OTHER 		Injection, Ocrelizumab 1 $48,064.70 $48,064.70 $48,064.70 nat. median
$61
outlier · 786.7×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 $47,026.58 $47,026.58 $47,026.58 nat. median
$28,136
1.7× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $46,531.73 $46,531.73 $46,531.73 nat. median
$54,211
0.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $45,708.08 $45,708.08 $45,708.08 nat. median
$52,753
0.9× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $43,485.58 $43,485.58 $43,485.58 nat. median
$49,191
0.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $28,912.96 $49,768.42 $39,340.69 nat. median
$34,721
1.1× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 $38,069.82 $38,069.82 $38,069.82 nat. median
$13,246
outlier · 2.9×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 6 $19,981.97 $54,984.78 $37,483.38 nat. median
$24,346
1.5× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 3 $21,906.92 $50,455.44 $36,181.18 nat. median
$27,218
1.3× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $35,495.90 $35,495.90 $35,495.90 nat. median
$40,457
0.9× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 4 $13,139.52 $56,134.63 $34,637.07 nat. median
$17,704
2.0× median
710
MS_DRG 		Penis Procedures Without Cc/Mcc 1 $34,593.42 $34,593.42 $34,593.42 nat. median
$15,115
outlier · 2.3×
9287
OTHER 		Brentuximab Vedotin Inj 1 $34,279.80 $34,279.80 $34,279.80 nat. median
$268
outlier · 127.7×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 $1,659.07 $83,183.73 $33,834.10 nat. median
$39,420
0.9× median
9284
OTHER 		Ipilimumab Injection 2 $24,736.06 $41,824.90 $33,280.48 nat. median
$188
outlier · 177.5×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 $13,844.20 $51,895.05 $32,869.62 nat. median
$17,483
1.9× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $32,800.28 $32,800.28 $32,800.28 nat. median
$37,664
0.9× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 $20,051.42 $45,378.90 $32,715.16 nat. median
$24,757
1.3× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 $21,770.50 $39,988.10 $30,879.30 nat. median
$26,748
1.2× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $30,732.22 $30,732.22 $30,732.22 nat. median
$35,325
0.9× median
863
MS_DRG 		Postoperative And Post-traumatic Infections Without Mcc 1 $30,470.79 $30,470.79 $30,470.79 nat. median
$10,815
outlier · 2.8×
9057
OTHER 		Inj Nivol Relatlimab 3mg/1mg 1 $30,176.34 $30,176.34 $30,176.34 nat. median
$202
outlier · 149.5×
398
MS_DRG 		Appendix Procedures With Cc 3 $23,466.72 $36,039.13 $29,752.92 nat. median
$15,924
1.9× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 $17,515.58 $41,885.64 $29,700.61 nat. median
$23,832
1.2× median
385
MS_DRG 		Inflammatory Bowel Disease With Mcc 1 $29,614.41 $29,614.41 $29,614.41 nat. median
$16,227
1.8× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 $7,853.65 $51,120.28 $29,486.97 nat. median
$19,635
1.5× median
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 1 $29,447.38 $29,447.38 $29,447.38 nat. median
$14,195
outlier · 2.1×
487
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 1 $29,198.61 $29,198.61 $29,198.61 nat. median
$16,418
1.8× median
374
MS_DRG 		Digestive Malignancy With Mcc 3 $17,847.76 $39,671.05 $28,759.40 nat. median
$21,277
1.4× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $17,017.58 $40,405.70 $28,711.64 nat. median
$46,084
0.6× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 3 $17,279.57 $37,786.99 $27,533.28 nat. median
$20,397
1.3× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $26,205.17 $28,003.27 $27,104.22 nat. median
$33,061
0.8× median
9109
OTHER 		Inj, Elahere, 1 Mg 1 $26,598.39 $26,598.39 $26,598.39 nat. median
$71
outlier · 373.7×
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 $15,798.99 $36,151.92 $25,975.46 nat. median
$18,744
1.4× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 $25,957.71 $25,957.71 $25,957.71 nat. median
$32,031
0.8× median
1848
OTHER 		Artiss Fibrin Sealant 1 $25,575.73 $25,575.73 $25,575.73 nat. median
$145
outlier · 176.1×
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 3 $16,118.51 $34,134.67 $25,126.59 nat. median
$18,509
1.4× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 2 $23,886.70 $25,740.05 $24,813.38 nat. median
$30,264
0.8× median

Other procedures at this hospital

Browse this hospital's 453 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
             
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 1 — — $122,249.70 $122,249.70 $122,249.70 2025-07-01
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $102,868.44 $102,868.44 $102,868.44 2025-07-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 4 — — $51,204.62 $103,184.05 $77,194.34 2025-07-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 2 1 — — $66,604.00 $66,604.00 $66,604.00 2025-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 3 — — $38,581.67 $86,786.80 $62,684.24 2025-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $55,915.45 $59,717.84 $57,816.64 2025-07-01
100 MS_DRG Seizures With Mcc 4 2 — — $16,424.50 $97,900.13 $57,162.32 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 3 — — $54,238.60 $57,580.44 $55,909.52 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 3 — — $38,477.46 $67,346.54 $52,912.00 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 3 — — $32,719.86 $69,244.79 $50,982.32 2025-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $49,563.15 $49,563.15 $49,563.15 2025-07-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 4 — — $20,231.02 $76,930.03 $48,580.53 2025-07-01
9494 OTHER Injection, Ocrelizumab 2 1 — — $48,064.70 $48,064.70 $48,064.70 2025-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 1 — — $47,026.58 $47,026.58 $47,026.58 2025-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $46,531.73 $46,531.73 $46,531.73 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $45,708.08 $45,708.08 $45,708.08 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $43,485.58 $43,485.58 $43,485.58 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 3 — — $28,912.96 $49,768.42 $39,340.69 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 1 — — $38,069.82 $38,069.82 $38,069.82 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 6 — — $19,981.97 $54,984.78 $37,483.38 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 10 3 — — $21,906.92 $50,455.44 $36,181.18 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $35,495.90 $35,495.90 $35,495.90 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 10 4 — — $13,139.52 $56,134.63 $34,637.07 2025-07-01
710 MS_DRG Penis Procedures Without Cc/Mcc 2 1 — — $34,593.42 $34,593.42 $34,593.42 2025-07-01
9287 OTHER Brentuximab Vedotin Inj 2 1 — — $34,279.80 $34,279.80 $34,279.80 2025-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 3 — — $1,659.07 $83,183.73 $33,834.10 2025-07-01
9284 OTHER Ipilimumab Injection 6 2 — — $24,736.06 $41,824.90 $33,280.48 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 6 2 — — $13,844.20 $51,895.05 $32,869.62 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $32,800.28 $32,800.28 $32,800.28 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 3 — — $20,051.42 $45,378.90 $32,715.16 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 2 — — $21,770.50 $39,988.10 $30,879.30 2025-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $30,732.22 $30,732.22 $30,732.22 2025-07-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 1 — — $30,470.79 $30,470.79 $30,470.79 2025-07-01
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 2 1 — — $30,176.34 $30,176.34 $30,176.34 2025-07-01
398 MS_DRG Appendix Procedures With Cc 6 3 — — $23,466.72 $36,039.13 $29,752.92 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 3 — — $17,515.58 $41,885.64 $29,700.61 2025-07-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 1 — — $29,614.41 $29,614.41 $29,614.41 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 32 8 — — $7,853.65 $51,120.28 $29,486.97 2025-07-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 1 — — $29,447.38 $29,447.38 $29,447.38 2025-07-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 2 1 — — $29,198.61 $29,198.61 $29,198.61 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 6 3 — — $17,847.76 $39,671.05 $28,759.40 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 1 — — $17,017.58 $40,405.70 $28,711.64 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 10 3 — — $17,279.57 $37,786.99 $27,533.28 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 2 — — $26,205.17 $28,003.27 $27,104.22 2025-07-01
9109 OTHER Inj, Elahere, 1 Mg 2 1 — — $26,598.39 $26,598.39 $26,598.39 2025-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 2 — — $15,798.99 $36,151.92 $25,975.46 2025-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — — $25,957.71 $25,957.71 $25,957.71 2025-07-01
1848 OTHER Artiss Fibrin Sealant 2 1 — — $25,575.73 $25,575.73 $25,575.73 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 6 3 — — $16,118.51 $34,134.67 $25,126.59 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — — $23,886.70 $25,740.05 $24,813.38 2025-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 1 — — $24,499.71 $24,499.71 $24,499.71 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 8 3 — — $12,392.14 $36,566.92 $24,479.53 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 2 — — $23,550.30 $24,768.87 $24,159.58 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 16 7 — — $13,757.64 $34,549.04 $24,153.34 2025-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 8 4 — — $16,402.71 $31,872.43 $24,137.57 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 2 — — $23,435.23 $23,945.53 $23,690.38 2025-07-01
5626 OTHER Level 6 Radiation Therapy 14 4 — — $3,747.52 $43,360.98 $23,554.25 2025-07-01
570 MS_DRG Skin Debridement With Mcc 2 1 — — $23,545.80 $23,545.80 $23,545.80 2025-07-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 2 1 — — $23,224.81 $23,224.81 $23,224.81 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 20 6 — — $6,976.89 $38,641.03 $22,808.96 2025-07-01
369 MS_DRG Major Esophageal Disorders With Cc 2 1 — — $22,093.95 $22,093.95 $22,093.95 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 1 — — $11,788.95 $31,949.11 $21,869.03 2025-07-01
834 MS_DRG Acute Leukemia With Mcc 2 1 — — $21,827.50 $21,827.50 $21,827.50 2025-07-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 4 2 — — $16,662.08 $26,487.60 $21,574.84 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 6 3 — — $20,647.89 $22,069.18 $21,358.53 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 1 — — $21,029.53 $21,029.53 $21,029.53 2025-07-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 6 3 — — $10,623.79 $30,558.38 $20,591.08 2025-07-01
637 MS_DRG Diabetes With Mcc 10 4 — — $11,741.40 $29,197.51 $20,469.46 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $20,418.02 $20,418.02 $20,418.02 2025-07-01
9483 OTHER Inj, Atezolizumab,10 Mg 12 6 — — $9,176.17 $31,484.93 $20,330.55 2025-07-01
304 MS_DRG Hypertension With Mcc 4 2 — — $17,914.79 $22,485.36 $20,200.08 2025-07-01
186 MS_DRG Pleural Effusion With Mcc 4 2 — — $15,352.96 $25,045.99 $20,199.47 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 10 5 — — $11,439.66 $28,772.92 $20,106.29 2025-07-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 8 4 — — $7,904.57 $31,685.85 $19,795.21 2025-07-01
5674 OTHER Level 4 Pathology 3 2 — — $847.29 $42,575.92 $19,740.47 2025-07-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 2 1 — — $19,488.18 $19,488.18 $19,488.18 2025-07-01
9291 OTHER Inj, Clindamycin Phosp 300mg 14 4 — — $2,685.91 $35,978.28 $19,332.10 2025-07-01
638 MS_DRG Diabetes With Cc 14 4 — — $3,674.90 $34,447.91 $19,061.40 2025-07-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 8 3 — — $2,675.88 $35,328.76 $19,002.32 2025-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 8 3 — — $10,897.45 $27,058.84 $18,978.15 2025-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 1 — — $18,759.14 $18,759.14 $18,759.14 2025-07-01
312 MS_DRG Syncope And Collapse 6 3 — — $7,525.74 $29,843.50 $18,684.62 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 8 3 — — $18,346.82 $18,950.40 $18,648.61 2025-07-01
5164 OTHER Level 4 ENT Procedures 30 6 — — $3,621.32 $33,528.27 $18,574.79 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — — $18,463.09 $18,463.09 $18,463.09 2025-07-01
1433 OTHER Calcitonin Salmon Injection 2 1 — — $18,398.46 $18,398.46 $18,398.46 2025-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 2 — — $17,650.65 $18,267.29 $17,958.97 2025-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 1 — — $17,952.53 $17,952.53 $17,952.53 2025-07-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 1 — — $17,733.55 $17,733.55 $17,733.55 2025-07-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 16 7 — — $11,550.00 $22,942.30 $17,246.15 2025-07-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 10 2 — — $4,605.26 $29,852.03 $17,228.65 2025-07-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 6 3 — — $16,240.78 $18,127.00 $17,183.89 2025-07-01
9495 OTHER Gemtuzumab Ozogamicin Inj 2 1 — — $17,118.37 $17,118.37 $17,118.37 2025-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — — $17,047.01 $17,047.01 $17,047.01 2025-07-01
9237 OTHER Inj, Lanreotide Acetate 6 3 — — $6,060.58 $27,914.92 $16,987.75 2025-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 3 — — $15,224.34 $18,682.91 $16,953.62 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 1 — — $16,879.12 $16,879.12 $16,879.12 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 4 — — $16,239.07 $17,360.10 $16,799.58 2025-07-01
0932 OTHER Factor Ix Recombinant Nos 2 1 — — $16,750.06 $16,750.06 $16,750.06 2025-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 4 — — $11,309.39 $22,146.24 $16,727.81 2025-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 2 1 — — $16,703.31 $16,703.31 $16,703.31 2025-07-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 4 2 — — $8,209.15 $24,600.59 $16,404.87 2025-07-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 1 — — $16,311.18 $16,311.18 $16,311.18 2025-07-01
592 MS_DRG Skin Ulcers With Mcc 2 1 — — $16,304.62 $16,304.62 $16,304.62 2025-07-01
784 MS_DRG Cesarean Section With Sterilization With Cc 10 4 — — $10,395.02 $22,134.76 $16,264.89 2025-07-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 12 5 — — $11,550.00 $20,732.49 $16,141.25 2025-07-01
196 MS_DRG Interstitial Lung Disease With Mcc 4 2 — — $15,835.05 $16,364.37 $16,099.71 2025-07-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 6 2 — — $15,883.80 $16,265.79 $16,074.80 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $15,561.52 $16,204.43 $15,882.98 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 — — $15,809.25 $15,809.25 $15,809.25 2025-07-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 4 2 — — $12,404.02 $18,840.43 $15,622.23 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 28 8 — — $3,282.12 $27,830.53 $15,556.33 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 1 — — $15,434.02 $15,434.02 $15,434.02 2025-07-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $15,234.94 $15,234.94 $15,234.94 2025-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 6 3 — — $14,885.44 $15,035.54 $14,960.49 2025-07-01
9329 OTHER Inj Mvasi 10 Mg 16 7 — — $1,604.94 $28,224.74 $14,914.84 2025-07-01
9215 OTHER Cetuximab Injection 2 1 — — $14,849.62 $14,849.62 $14,849.62 2025-07-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 1 — — $14,834.23 $14,834.23 $14,834.23 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 12 3 — — $6,870.19 $22,791.51 $14,830.85 2025-07-01
571 MS_DRG Skin Debridement With Cc 2 1 — — $14,803.06 $14,803.06 $14,803.06 2025-07-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 3 — — $10,269.76 $19,198.91 $14,734.33 2025-07-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 4 2 — — $5,400.14 $23,512.63 $14,456.39 2025-07-01
694 MS_DRG Urinary Stones Without Mcc 2 1 — — $14,370.75 $14,370.75 $14,370.75 2025-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 8 2 — — $7,842.01 $20,867.73 $14,354.87 2025-07-01
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 — — $14,274.66 $14,274.66 $14,274.66 2025-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 22 5 — — $4,818.45 $23,266.49 $14,042.47 2025-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 2 — — $12,863.66 $15,044.53 $13,954.09 2025-07-01
9431 OTHER Inj, Dostarlimab-gxly, 10 Mg 2 1 — — $13,941.78 $13,941.78 $13,941.78 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 4 2 — — $13,091.63 $14,724.50 $13,908.07 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 2 — — $13,762.72 $14,008.23 $13,885.48 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 2 — — $13,860.61 $13,876.38 $13,868.50 2025-07-01
1488 OTHER Injection, Ramucirumab 4 1 — — $11,650.40 $16,075.30 $13,862.85 2025-07-01
9400 OTHER Inj, Labetalol Hcl, 5mg 8 4 — — $5,246.90 $22,448.16 $13,847.53 2025-07-01
9453 OTHER Injection, Nivolumab 16 6 — — $7,927.97 $19,670.94 $13,799.45 2025-07-01
9143 OTHER Inj Acetaminophen -fresenius 2 1 — — $13,798.68 $13,798.68 $13,798.68 2025-07-01
935 MS_DRG Non-extensive Burns 2 1 — — $13,684.99 $13,684.99 $13,684.99 2025-07-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 4 2 — — $8,598.51 $18,680.00 $13,639.25 2025-07-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 10 3 — — $8,493.51 $18,633.51 $13,563.51 2025-07-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 20 7 — — $4,713.58 $22,406.48 $13,560.03 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 4 — — $12,668.97 $14,289.28 $13,479.12 2025-07-01
606 MS_DRG Minor Skin Disorders With Mcc 2 1 — — $13,418.87 $13,418.87 $13,418.87 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 6 3 — — $1,945.08 $24,890.23 $13,417.66 2025-07-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 20 7 — — $1,612.87 $25,084.41 $13,348.64 2025-07-01
5113 OTHER Level 3 Musculoskeletal Procedures 6 3 — — $2,887.96 $23,605.71 $13,246.83 2025-07-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 8 4 — — $6,180.52 $20,251.53 $13,216.02 2025-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 1 — — $13,193.26 $13,193.26 $13,193.26 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 1 — — $13,173.22 $13,173.22 $13,173.22 2025-07-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 2 — — $8,306.56 $17,983.35 $13,144.95 2025-07-01
9480 OTHER Injection Trabectedin 0.1mg 2 1 — — $13,140.15 $13,140.15 $13,140.15 2025-07-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 1 — — $13,050.95 $13,050.95 $13,050.95 2025-07-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 2 — — $11,902.47 $14,197.01 $13,049.74 2025-07-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 2 1 — — $13,027.91 $13,027.91 $13,027.91 2025-07-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 1 — — $13,010.19 $13,010.19 $13,010.19 2025-07-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 4 2 — — $5,402.71 $20,611.91 $13,007.31 2025-07-01
9363 OTHER Inj, Esmolol Hcl, 10mg 4 3 — — $542.06 $23,799.52 $12,964.36 2025-07-01
913 MS_DRG Traumatic Injury With Mcc 2 1 — — $12,925.79 $12,925.79 $12,925.79 2025-07-01
506 MS_DRG Major Thumb Or Joint Procedures 2 1 — — $12,852.19 $12,852.19 $12,852.19 2025-07-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 1 — — $12,789.37 $12,789.37 $12,789.37 2025-07-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 6 3 — — $12,265.74 $13,270.97 $12,768.35 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 8 3 — — $7,950.89 $17,565.97 $12,758.43 2025-07-01
813 MS_DRG Coagulation Disorders 12 4 — — $11,861.39 $13,574.57 $12,717.98 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 6 2 — — $10,295.61 $15,083.43 $12,689.52 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 6 2 — — $12,563.03 $12,732.24 $12,647.64 2025-07-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 6 3 — — $11,503.40 $13,453.53 $12,478.47 2025-07-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 6 3 — — $8,038.05 $16,678.84 $12,358.44 2025-07-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $12,357.19 $12,357.19 $12,357.19 2025-07-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 2 — — $9,139.09 $15,462.34 $12,300.72 2025-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 26 7 — — $1,283.55 $23,284.80 $12,284.17 2025-07-01
88 MS_DRG Concussion With Mcc 2 1 — — $12,169.26 $12,169.26 $12,169.26 2025-07-01
9186 OTHER Inj., Rituximab, 10 Mg 2 1 — — $11,836.67 $11,836.67 $11,836.67 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 3 — — $7,348.65 $16,159.54 $11,754.09 2025-07-01
9367 OTHER Inj Ruxience, 10 Mg 8 4 — — $2,134.76 $21,276.82 $11,705.79 2025-07-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 8 4 — — $5,576.10 $17,765.91 $11,671.00 2025-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 2 — — $11,667.09 $11,667.09 $11,667.09 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 8 2 — — $7,606.32 $15,548.08 $11,577.20 2025-07-01
683 MS_DRG Renal Failure With Cc 16 3 — — $6,090.15 $17,025.12 $11,557.64 2025-07-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 4 2 — — $7,015.65 $15,984.59 $11,500.12 2025-07-01
1490 OTHER Inj Pembrolizumab 28 7 — — $3,104.36 $19,843.31 $11,473.83 2025-07-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 2 1 — — $11,416.36 $11,416.36 $11,416.36 2025-07-01
199 MS_DRG Pneumothorax With Mcc 8 3 — — $3,664.80 $18,816.04 $11,240.42 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 3 — — $7,452.74 $14,646.78 $11,049.76 2025-07-01
9277 OTHER Altuviiio Per Factor Viii Iu 2 1 — — $10,958.98 $10,958.98 $10,958.98 2025-07-01
9002 OTHER Tenecteplase Injection 12 4 — — $4,340.54 $17,479.70 $10,910.12 2025-07-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 8 4 — — $6,156.36 $15,495.48 $10,825.92 2025-07-01
375 MS_DRG Digestive Malignancy With Cc 4 2 — — $10,579.71 $11,060.05 $10,819.88 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 6 2 — — $9,748.04 $11,821.77 $10,784.91 2025-07-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 4 2 — — $312.88 $18,939.96 $10,638.03 2025-07-01
313 MS_DRG Chest Pain 4 2 — — $9,421.58 $11,747.21 $10,584.40 2025-07-01
176 MS_DRG Pulmonary Embolism Without Mcc 6 3 — — $4,842.04 $16,049.71 $10,445.88 2025-07-01
546 MS_DRG Connective Tissue Disorders With Cc 2 1 — — $10,372.53 $10,372.53 $10,372.53 2025-07-01
693 MS_DRG Urinary Stones With Mcc 4 2 — — $10,224.10 $10,516.42 $10,370.26 2025-07-01
5622 OTHER Level 2 Radiation Therapy 20 5 — — $1,067.77 $19,348.72 $10,208.25 2025-07-01
1476 OTHER Obinutuzumab Inj 4 2 — — $7,828.88 $12,484.01 $10,156.44 2025-07-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 1 — — $10,128.49 $10,128.49 $10,128.49 2025-07-01
9304 OTHER Inj., Cemiplimab-rwlc, 1 Mg 2 1 — — $10,127.48 $10,127.48 $10,127.48 2025-07-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 8 3 — — $7,254.00 $12,980.71 $10,117.35 2025-07-01
1352 OTHER Wilate Injection 2 1 — — $10,047.48 $10,047.48 $10,047.48 2025-07-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $10,041.61 $10,041.61 $10,041.61 2025-07-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 2 1 — — $9,701.82 $9,701.82 $9,701.82 2025-07-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 4 2 — — $9,395.85 $9,973.47 $9,684.66 2025-07-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 4 2 — — $7,565.20 $11,600.38 $9,582.79 2025-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 4 — — $5,780.86 $13,335.56 $9,558.21 2025-07-01
181 MS_DRG Respiratory Neoplasms With Cc 2 1 — — $9,537.22 $9,537.22 $9,537.22 2025-07-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 6 2 — — $2,578.93 $16,310.32 $9,444.62 2025-07-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 2 1 — — $9,437.88 $9,437.88 $9,437.88 2025-07-01
682 MS_DRG Renal Failure With Mcc 10 4 — — $5,970.26 $12,747.14 $9,358.70 2025-07-01
9512 OTHER Rbc Leukocytes Reduced 4 1 — — $2,342.96 $16,317.21 $9,330.08 2025-07-01
603 MS_DRG Cellulitis Without Mcc 16 5 — — $3,220.96 $15,432.01 $9,326.49 2025-07-01
89 MS_DRG Concussion With Cc 4 2 — — $8,582.74 $10,029.85 $9,306.30 2025-07-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 4 2 — — $2,826.56 $15,785.51 $9,306.03 2025-07-01
184 MS_DRG Major Chest Trauma With Cc 2 1 — — $9,211.46 $9,211.46 $9,211.46 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 6 3 — — $7,938.04 $10,438.24 $9,188.14 2025-07-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 30 10 — — $2,697.45 $15,449.41 $9,073.43 2025-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 6 3 — — $8,665.14 $9,470.60 $9,067.87 2025-07-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 2 1 — — $9,061.75 $9,061.75 $9,061.75 2025-07-01
5313 OTHER Level 3 Lower Gi Procedures 2 1 — — $9,049.73 $9,049.73 $9,049.73 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 2 — — $6,806.30 $11,253.95 $9,030.12 2025-07-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 2 1 — — $8,863.29 $8,863.29 $8,863.29 2025-07-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 2 1 — — $8,814.07 $8,814.07 $8,814.07 2025-07-01
364 MS_DRG D&c, Conization Except For Malignancy 4 2 — — $5,438.60 $12,168.31 $8,803.45 2025-07-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 8 3 — — $8,123.96 $9,474.75 $8,799.35 2025-07-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 20 7 — — $2,546.49 $15,034.00 $8,790.25 2025-07-01
137 MS_DRG Mouth Procedures With Cc/Mcc 4 2 — — $5,821.96 $11,619.42 $8,720.69 2025-07-01
200 MS_DRG Pneumothorax With Cc 2 1 — — $8,689.38 $8,689.38 $8,689.38 2025-07-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 — — $8,596.44 $8,596.44 $8,596.44 2025-07-01
9492 OTHER Inj., Durvalumab, 10 Mg 14 5 — — $866.39 $16,161.64 $8,514.01 2025-07-01
951 MS_DRG Other Factors Influencing Health Status 12 4 — — $4,853.33 $12,174.00 $8,513.67 2025-07-01
965 MS_DRG Other Multiple Significant Trauma Without Cc/Mcc 2 1 — — $8,501.23 $8,501.23 $8,501.23 2025-07-01
386 MS_DRG Inflammatory Bowel Disease With Cc 2 1 — — $8,474.25 $8,474.25 $8,474.25 2025-07-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 8 3 — — $7,285.07 $9,331.72 $8,308.40 2025-07-01
9378 OTHER Daratumumab, Hyaluronidase 12 4 — — $1,872.05 $14,550.94 $8,211.50 2025-07-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 2 1 — — $8,155.80 $8,155.80 $8,155.80 2025-07-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 2 1 — — $8,047.98 $8,047.98 $8,047.98 2025-07-01
639 MS_DRG Diabetes Without Cc/Mcc 8 3 — — $4,563.68 $11,376.47 $7,970.07 2025-07-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 12 5 — — $1,041.57 $14,768.46 $7,905.02 2025-07-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 10 3 — — $6,615.00 $9,115.08 $7,865.04 2025-07-01
394 MS_DRG Other Digestive System Diagnoses With Cc 10 4 — — $4,780.19 $10,946.14 $7,863.16 2025-07-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 6 3 — — $7,076.30 $8,534.99 $7,805.65 2025-07-01
552 MS_DRG Medical Back Problems Without Mcc 4 2 — — $7,129.76 $8,448.43 $7,789.10 2025-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 1 — — $7,781.81 $7,781.81 $7,781.81 2025-07-01
9491 OTHER Injection, Avelumab, 10 Mg 4 1 — — $7,755.74 $7,798.41 $7,777.07 2025-07-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 6 3 — — $4,892.35 $10,649.58 $7,770.97 2025-07-01
389 MS_DRG Gastrointestinal Obstruction With Cc 16 5 — — $3,739.13 $11,758.14 $7,748.64 2025-07-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 2 1 — — $7,689.17 $7,689.17 $7,689.17 2025-07-01
1861 OTHER Inj., Bendeka 1 Mg 4 2 — — $7,482.95 $7,859.56 $7,671.26 2025-07-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/Mcc 2 1 — — $7,620.06 $7,620.06 $7,620.06 2025-07-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 8 2 — — $4,980.82 $10,249.80 $7,615.31 2025-07-01
300 MS_DRG Peripheral Vascular Disorders With Cc 4 2 — — $6,049.28 $9,133.84 $7,591.56 2025-07-01
793 MS_DRG Full Term Neonate With Major Problems 12 5 — — $3,966.70 $11,074.08 $7,520.39 2025-07-01
794 MS_DRG Neonate With Other Significant Problems 18 6 — — $2,106.65 $12,879.36 $7,493.01 2025-07-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 2 1 — — $7,444.80 $7,444.80 $7,444.80 2025-07-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 10 4 — — $6,594.28 $8,236.74 $7,415.51 2025-07-01
5183 OTHER Level 3 Vascular Procedures 16 3 — — $877.99 $13,507.01 $7,192.50 2025-07-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 6 3 — — $6,485.21 $7,856.74 $7,170.98 2025-07-01
920 MS_DRG Complications Of Treatment With Cc 2 1 — — $7,137.22 $7,137.22 $7,137.22 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 4 2 — — $5,958.05 $8,169.83 $7,063.94 2025-07-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 2 — — $6,147.32 $7,970.81 $7,059.06 2025-07-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 2 1 — — $7,043.24 $7,043.24 $7,043.24 2025-07-01
9336 OTHER Inj Truxima 10 Mg 2 1 — — $6,980.42 $6,980.42 $6,980.42 2025-07-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 8 3 — — $4,446.09 $9,487.57 $6,966.83 2025-07-01
101 MS_DRG Seizures Without Mcc 6 3 — — $6,507.20 $7,369.44 $6,938.32 2025-07-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 4 1 — — $6,156.78 $7,570.99 $6,863.89 2025-07-01
9051 OTHER Inj, Lanreotide, (cipla) 1mg 4 2 — — $5,346.94 $8,303.24 $6,825.09 2025-07-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 8 3 — — $4,192.50 $9,315.10 $6,753.80 2025-07-01
9430 OTHER Piflu F-18, Dia 1 Millicurie 14 6 — — $475.68 $19,638.12 $6,707.98 2025-07-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 2 1 — — $6,704.68 $6,704.68 $6,704.68 2025-07-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 6 3 — — $6,300.90 $7,060.10 $6,680.50 2025-07-01
0944 OTHER Gammagard Liquid Injection 10 5 — — $1,882.43 $11,432.56 $6,657.49 2025-07-01
791 MS_DRG Prematurity With Major Problems 2 1 — — $6,537.16 $6,537.16 $6,537.16 2025-07-01
305 MS_DRG Hypertension Without Mcc 2 1 — — $6,517.28 $6,517.28 $6,517.28 2025-07-01
245 MS_DRG Aicd Generator Procedures 4 2 — — $5,145.91 $7,732.79 $6,439.35 2025-07-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 1 — — $6,408.53 $6,408.53 $6,408.53 2025-07-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 6 2 — — $5,288.02 $7,490.31 $6,389.16 2025-07-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 4 2 — — $4,642.90 $8,102.34 $6,372.62 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 16 5 — — $1,325.29 $11,387.46 $6,356.38 2025-07-01
948 MS_DRG Signs And Symptoms Without Mcc 2 1 — — $6,307.54 $6,307.54 $6,307.54 2025-07-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 2 1 — — $6,211.28 $6,211.28 $6,211.28 2025-07-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 2 1 — — $6,194.07 $6,194.07 $6,194.07 2025-07-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 6 3 — — $5,161.10 $7,153.61 $6,157.35 2025-07-01
921 MS_DRG Complications Of Treatment Without Cc/Mcc 2 1 — — $6,096.61 $6,096.61 $6,096.61 2025-07-01
792 MS_DRG Prematurity Without Major Problems 10 4 — — $3,780.00 $8,154.32 $5,967.16 2025-07-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 18 4 — — $3,432.88 $8,472.97 $5,952.93 2025-07-01
139 MS_DRG Salivary Gland Procedures 6 3 — — $2,167.78 $9,634.34 $5,901.06 2025-07-01
303 MS_DRG Atherosclerosis Without Mcc 2 1 — — $5,846.44 $5,846.44 $5,846.44 2025-07-01
9132 OTHER Prothrombin Complex Kcentra 8 5 — — $851.46 $23,510.77 $5,819.78 2025-07-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 8 4 — — $4,052.00 $7,480.55 $5,766.27 2025-07-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 10 4 — — $2,587.10 $8,790.73 $5,688.91 2025-07-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 2 1 — — $5,658.27 $5,658.27 $5,658.27 2025-07-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 2 1 — — $5,588.69 $5,588.69 $5,588.69 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 4 — — $2,107.31 $8,952.35 $5,529.83 2025-07-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 6 3 — — $3,744.91 $7,199.82 $5,472.36 2025-07-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 2 1 — — $5,442.57 $5,442.57 $5,442.57 2025-07-01
5623 OTHER Level 3 Radiation Therapy 17 9 — — $696.76 $50,105.21 $5,356.10 2025-07-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 6 2 — — $4,135.87 $6,552.09 $5,343.98 2025-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 1 — — $5,295.58 $5,295.58 $5,295.58 2025-07-01
9221 OTHER Inj, Vancomycin Hcl (mylan) 4 2 — — $562.34 $9,700.99 $5,131.66 2025-07-01
9466 OTHER Inj., Benralizumab, 1 Mg 2 1 — — $5,110.72 $5,110.72 $5,110.72 2025-07-01
1207 OTHER Octreotide Injection, Depot 2 1 — — $5,102.64 $5,102.64 $5,102.64 2025-07-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 6 3 — — $2,350.01 $7,811.05 $5,080.53 2025-07-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 4 2 — — $3,223.80 $6,905.61 $5,064.70 2025-07-01
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