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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

HOWARD YOUNG MEDICAL CENTER

Woodruff, WI · CCN 520091 · Rates published

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You selected 469 (MS_DRG)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

223 distinct procedures filed
18 distinct payers
2,548 rate rows
2025-07-01 last MRF observed · ⚠ 13 mo old
Data quality

1,282 of 2,548 rate rows are consumer-grade (50.3%)

1,266 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 1,264
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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/TransparencyFY26/390873606_howard-young-medical-center_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-16
Content fingerprint 2593f58fd546ec2b… · 150,860,533 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
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $4,830.11 $107,458.42 $59,949.55 nat. median
$62,218
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $59,266.24 $59,818.68 $59,542.46 nat. median
$65,958
0.9× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 $19,759.09 $97,278.38 $58,518.74 nat. median
$21,911
outlier · 2.7×
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $51,079.07 $51,079.07 $51,079.07 nat. median
$18,576
outlier · 2.7×
153
MS_DRG 		Otitis Media And Uri Without Mcc 1 $50,779.21 $50,779.21 $50,779.21 nat. median
$8,052
outlier · 6.3×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $43,955.17 $43,955.17 $43,955.17 nat. median
$37,685
1.2× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $42,263.00 $42,263.00 $42,263.00 nat. median
$48,124
0.9× median
645
MS_DRG 		Endocrine Disorders Without Cc/Mcc 1 $33,599.48 $33,599.48 $33,599.48 nat. median
$8,566
outlier · 3.9×
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 $32,546.13 $32,546.13 $32,546.13 nat. median
$34,805
0.9× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 1 $27,665.95 $27,665.95 $27,665.95 nat. median
$32,666
0.8× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 $14,172.24 $78,853.25 $23,186.01 nat. median
$26,590
0.9× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 $16,383.33 $40,561.41 $23,182.06 nat. median
$19,257
1.2× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 $22,792.17 $22,792.17 $22,792.17 nat. median
$27,955
0.8× median
809
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 $22,763.16 $22,763.16 $22,763.16 nat. median
$13,098
1.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 $21,405.37 $21,405.37 $21,405.37 nat. median
$24,391
0.9× median
551
MS_DRG 		Medical Back Problems With Mcc 1 $21,110.45 $21,110.45 $21,110.45 nat. median
$16,668
1.3× median
304
MS_DRG 		Hypertension With Mcc 2 $10,038.82 $31,106.97 $20,572.90 nat. median
$12,433
1.7× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 1 $18,288.04 $18,288.04 $18,288.04 nat. median
$20,500
0.9× median
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 $18,277.55 $18,277.55 $18,277.55 nat. median
$21,017
0.9× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 1 $17,911.59 $17,911.59 $17,911.59 nat. median
$11,005
1.6× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 $17,630.94 $17,630.94 $17,630.94 nat. median
$22,178
0.8× median
710
MS_DRG 		Penis Procedures Without Cc/Mcc 1 $17,501.63 $17,501.63 $17,501.63 nat. median
$14,879
1.2× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $17,481.49 $17,481.49 $17,481.49 nat. median
$20,254
0.9× median
100
MS_DRG 		Seizures With Mcc 2 $16,977.02 $17,659.56 $17,318.29 nat. median
$19,081
0.9× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 1 $17,180.94 $17,180.94 $17,180.94 nat. median
$20,272
0.8× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 $9,880.17 $46,415.37 $17,004.32 nat. median
$19,136
0.9× median
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 3 $13,668.37 $28,653.09 $16,992.29 nat. median
$15,188
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $16,921.45 $16,921.45 $16,921.45 nat. median
$47,707
outlier · 0.4×
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 1 $16,905.28 $16,905.28 $16,905.28 nat. median
$20,611
0.8× median
185
MS_DRG 		Major Chest Trauma Without Cc/Mcc 1 $16,398.20 $16,398.20 $16,398.20 nat. median
$8,636
1.9× median
866
MS_DRG 		Viral Illness Without Mcc 1 $16,183.74 $16,183.74 $16,183.74 nat. median
$9,395
1.7× median
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 5 $4,101.15 $25,960.14 $15,756.75 nat. median
$8,661
1.8× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 $6,138.12 $17,153.51 $15,677.46 nat. median
$20,032
0.8× median
70
MS_DRG 		Nonspecific Cerebrovascular Disorders With Mcc 3 $14,668.61 $49,082.98 $15,626.15 nat. median
$17,146
0.9× median
379
MS_DRG 		Gastrointestinal Hemorrhage Without Cc/Mcc 1 $15,562.33 $15,562.33 $15,562.33 nat. median
$7,380
outlier · 2.1×
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 1 $15,306.64 $15,306.64 $15,306.64 nat. median
$18,015
0.8× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 2 $14,531.86 $15,944.70 $15,238.28 nat. median
$18,028
0.8× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 $13,437.09 $16,336.05 $14,886.57 nat. median
$18,185
0.8× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 $14,562.43 $14,710.52 $14,636.48 nat. median
$16,012
0.9× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $14,424.56 $14,424.56 $14,424.56 nat. median
$17,605
0.8× median
180
MS_DRG 		Respiratory Neoplasms With Mcc 1 $14,278.48 $14,278.48 $14,278.48 nat. median
$17,700
0.8× median
643
MS_DRG 		Endocrine Disorders With Mcc 1 $14,087.28 $14,087.28 $14,087.28 nat. median
$16,558
0.9× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 $3,475.55 $17,192.49 $14,065.34 nat. median
$8,659
1.6× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 1 $14,024.17 $14,024.17 $14,024.17 nat. median
$17,843
0.8× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 5 $11,574.62 $14,620.26 $13,955.44 nat. median
$16,167
0.9× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 1 $13,491.59 $13,491.59 $13,491.59 nat. median
$16,539
0.8× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 4 $9,331.19 $14,612.28 $13,428.18 nat. median
$16,480
0.8× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 $13,234.34 $13,234.34 $13,234.34 nat. median
$18,320
0.7× median
9002
OTHER 		Tenecteplase Injection 4 $9,034.87 $24,678.23 $13,187.30 nat. median
$187
outlier · 70.5×
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 $13,042.58 $13,042.58 $13,042.58 nat. median
$14,618
0.9× median

Other procedures at this hospital

Browse this hospital's 223 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 5 4 — — $4,830.11 $107,458.42 $59,949.55 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $59,266.24 $59,818.68 $59,542.46 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — — $19,759.09 $97,278.38 $58,518.74 2025-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $51,079.07 $51,079.07 $51,079.07 2025-07-01
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 — — $50,779.21 $50,779.21 $50,779.21 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $43,955.17 $43,955.17 $43,955.17 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $42,263.00 $42,263.00 $42,263.00 2025-07-01
645 MS_DRG Endocrine Disorders Without Cc/Mcc 1 1 — — $33,599.48 $33,599.48 $33,599.48 2025-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $32,546.13 $32,546.13 $32,546.13 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $27,665.95 $27,665.95 $27,665.95 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 2 — — $14,172.24 $78,853.25 $23,186.01 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 — — $16,383.33 $40,561.41 $23,182.06 2025-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $22,792.17 $22,792.17 $22,792.17 2025-07-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $22,763.16 $22,763.16 $22,763.16 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $21,405.37 $21,405.37 $21,405.37 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $21,110.45 $21,110.45 $21,110.45 2025-07-01
304 MS_DRG Hypertension With Mcc 2 2 — — $10,038.82 $31,106.97 $20,572.90 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 — — $18,288.04 $18,288.04 $18,288.04 2025-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $18,277.55 $18,277.55 $18,277.55 2025-07-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $17,911.59 $17,911.59 $17,911.59 2025-07-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $17,630.94 $17,630.94 $17,630.94 2025-07-01
710 MS_DRG Penis Procedures Without Cc/Mcc 1 1 — — $17,501.63 $17,501.63 $17,501.63 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $17,481.49 $17,481.49 $17,481.49 2025-07-01
100 MS_DRG Seizures With Mcc 2 2 — — $16,977.02 $17,659.56 $17,318.29 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $17,180.94 $17,180.94 $17,180.94 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 15 7 — — $9,880.17 $46,415.37 $17,004.32 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 3 3 — — $13,668.37 $28,653.09 $16,992.29 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $16,921.45 $16,921.45 $16,921.45 2025-07-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $16,905.28 $16,905.28 $16,905.28 2025-07-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 1 1 — — $16,398.20 $16,398.20 $16,398.20 2025-07-01
866 MS_DRG Viral Illness Without Mcc 1 1 — — $16,183.74 $16,183.74 $16,183.74 2025-07-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 9 5 — — $4,101.15 $25,960.14 $15,756.75 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 — — $6,138.12 $17,153.51 $15,677.46 2025-07-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 3 3 — — $14,668.61 $49,082.98 $15,626.15 2025-07-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 1 1 — — $15,562.33 $15,562.33 $15,562.33 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 — — $15,306.64 $15,306.64 $15,306.64 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $14,531.86 $15,944.70 $15,238.28 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 — — $13,437.09 $16,336.05 $14,886.57 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 2 — — $14,562.43 $14,710.52 $14,636.48 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $14,424.56 $14,424.56 $14,424.56 2025-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 — — $14,278.48 $14,278.48 $14,278.48 2025-07-01
643 MS_DRG Endocrine Disorders With Mcc 1 1 — — $14,087.28 $14,087.28 $14,087.28 2025-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 6 4 — — $3,475.55 $17,192.49 $14,065.34 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 — — $14,024.17 $14,024.17 $14,024.17 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 9 5 — — $11,574.62 $14,620.26 $13,955.44 2025-07-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $13,491.59 $13,491.59 $13,491.59 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 5 4 — — $9,331.19 $14,612.28 $13,428.18 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 — — $13,234.34 $13,234.34 $13,234.34 2025-07-01
9002 OTHER Tenecteplase Injection 4 4 — — $9,034.87 $24,678.23 $13,187.30 2025-07-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $13,042.58 $13,042.58 $13,042.58 2025-07-01
919 MS_DRG Complications Of Treatment With Mcc 1 1 — — $12,846.18 $12,846.18 $12,846.18 2025-07-01
682 MS_DRG Renal Failure With Mcc 3 3 — — $12,592.27 $13,134.68 $12,781.45 2025-07-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 — — $12,656.82 $12,840.60 $12,748.71 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $12,450.00 $12,697.24 $12,573.62 2025-07-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $12,121.76 $12,989.06 $12,555.41 2025-07-01
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 — — $7,852.46 $16,860.25 $12,356.35 2025-07-01
813 MS_DRG Coagulation Disorders 1 1 — — $12,285.24 $12,285.24 $12,285.24 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 6 5 — — $6,092.19 $48,552.18 $12,140.08 2025-07-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $7,059.49 $16,876.99 $11,968.24 2025-07-01
637 MS_DRG Diabetes With Mcc 4 3 — — $9,919.47 $130,252.68 $11,940.06 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 3 2 — — $11,700.23 $11,947.17 $11,903.65 2025-07-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 1 1 — — $11,692.99 $11,692.99 $11,692.99 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 3 — — $10,939.17 $19,885.83 $11,635.85 2025-07-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 1 1 — — $11,597.10 $11,597.10 $11,597.10 2025-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 7 5 — — $4,745.36 $13,605.89 $11,554.20 2025-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 8 6 — — $5,456.05 $12,350.75 $11,462.41 2025-07-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $11,308.66 $11,308.66 $11,308.66 2025-07-01
300 MS_DRG Peripheral Vascular Disorders With Cc 2 1 — — $9,320.92 $13,217.37 $11,269.15 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 9 5 — — $6,974.28 $22,268.68 $11,006.36 2025-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 8 4 — — $3,718.82 $28,658.94 $10,633.58 2025-07-01
639 MS_DRG Diabetes Without Cc/Mcc 3 3 — — $5,342.58 $13,668.58 $10,618.08 2025-07-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 1 1 — — $10,492.83 $10,492.83 $10,492.83 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 6 5 — — $8,235.92 $22,569.64 $10,392.83 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 — — $9,630.48 $10,645.19 $10,255.12 2025-07-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 — — $3,059.40 $10,290.41 $9,808.94 2025-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $9,774.94 $9,774.94 $9,774.94 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 — — $9,547.42 $9,547.42 $9,547.42 2025-07-01
305 MS_DRG Hypertension Without Mcc 3 2 — — $5,645.74 $14,241.15 $9,487.39 2025-07-01
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $9,467.55 $9,467.55 $9,467.55 2025-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 2 — — $8,151.66 $14,048.59 $9,440.83 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 8 6 — — $7,914.04 $18,940.93 $9,140.61 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 1 1 — — $9,089.13 $9,089.13 $9,089.13 2025-07-01
184 MS_DRG Major Chest Trauma With Cc 1 1 — — $9,020.23 $9,020.23 $9,020.23 2025-07-01
552 MS_DRG Medical Back Problems Without Mcc 3 2 — — $8,464.41 $17,913.07 $8,998.92 2025-07-01
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 — — $8,801.51 $8,989.64 $8,895.58 2025-07-01
311 MS_DRG Angina Pectoris 1 1 — — $8,819.92 $8,819.92 $8,819.92 2025-07-01
1489 OTHER Inj Vedolizumab IV 1 Mg 1 1 — — $8,733.81 $8,733.81 $8,733.81 2025-07-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $8,427.88 $8,944.16 $8,686.02 2025-07-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc 1 1 — — $8,677.15 $8,677.15 $8,677.15 2025-07-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 3 — — $7,452.74 $8,616.00 $8,453.06 2025-07-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 3 — — $7,238.29 $18,888.66 $8,450.87 2025-07-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 3 3 — — $8,026.52 $8,604.08 $8,388.59 2025-07-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 1 1 — — $8,364.37 $8,364.37 $8,364.37 2025-07-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 6 4 — — $4,615.88 $20,769.13 $8,146.70 2025-07-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 — — $5,916.90 $11,530.38 $8,001.29 2025-07-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 3 3 — — $6,462.59 $8,359.84 $7,818.20 2025-07-01
603 MS_DRG Cellulitis Without Mcc 6 5 — — $4,556.15 $26,073.48 $7,700.88 2025-07-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 4 4 — — $4,892.35 $13,137.65 $7,600.73 2025-07-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 — — $6,256.57 $8,935.05 $7,595.81 2025-07-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $7,585.64 $7,585.64 $7,585.64 2025-07-01
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 — — $7,488.76 $7,488.76 $7,488.76 2025-07-01
364 MS_DRG D&c, Conization Except For Malignancy 1 1 — — $7,422.95 $7,422.95 $7,422.95 2025-07-01
683 MS_DRG Renal Failure With Cc 5 4 — — $5,056.15 $7,869.05 $7,417.67 2025-07-01
312 MS_DRG Syncope And Collapse 1 1 — — $7,398.36 $7,398.36 $7,398.36 2025-07-01
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $7,330.92 $7,330.92 $7,330.92 2025-07-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 8 6 — — $3,488.19 $13,811.54 $7,329.67 2025-07-01
534 MS_DRG Fractures Of Femur Without Mcc 1 1 — — $7,128.77 $7,128.77 $7,128.77 2025-07-01
389 MS_DRG Gastrointestinal Obstruction With Cc 3 3 — — $6,420.34 $15,499.06 $7,040.81 2025-07-01
638 MS_DRG Diabetes With Cc 7 5 — — $4,309.42 $19,379.57 $7,038.97 2025-07-01
69 MS_DRG Transient Ischemia Without Thrombolytic 2 2 — — $6,992.05 $7,057.29 $7,024.67 2025-07-01
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 — — $6,889.00 $6,889.00 $6,889.00 2025-07-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 4 4 — — $6,746.30 $7,129.41 $6,857.59 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 — — $2,004.20 $11,692.86 $6,848.53 2025-07-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 4 — — $5,115.36 $7,048.78 $6,839.40 2025-07-01
292 MS_DRG Heart Failure And Shock With Cc 4 4 — — $1,542.78 $7,479.08 $6,692.58 2025-07-01
9487 OTHER Ustekinumab, IV Inject,1 Mg 1 1 — — $6,679.19 $6,679.19 $6,679.19 2025-07-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 5 3 — — $3,456.23 $7,315.52 $6,282.46 2025-07-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 — — $5,545.58 $6,804.65 $6,175.11 2025-07-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 4 4 — — $3,259.64 $12,307.16 $6,068.26 2025-07-01
948 MS_DRG Signs And Symptoms Without Mcc 2 1 — — $5,135.08 $6,997.24 $6,066.16 2025-07-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 2 2 — — $5,494.55 $6,514.58 $6,004.57 2025-07-01
5112 OTHER Level 2 Musculoskeletal Procedures 7 6 — — $305.92 $7,177.68 $5,997.31 2025-07-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 4 4 — — $5,297.63 $6,125.87 $5,954.14 2025-07-01
916 MS_DRG Allergic Reactions Without Mcc 2 2 — — $5,736.53 $6,137.49 $5,937.01 2025-07-01
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc 1 1 — — $5,925.03 $5,925.03 $5,925.03 2025-07-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 — — $5,901.88 $5,901.88 $5,901.88 2025-07-01
139 MS_DRG Salivary Gland Procedures 3 3 — — $4,078.62 $5,821.96 $5,821.96 2025-07-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 2 — — $5,482.98 $6,001.96 $5,742.47 2025-07-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 3 2 — — $3,640.08 $16,163.28 $5,695.48 2025-07-01
5313 OTHER Level 3 Lower Gi Procedures 4 4 — — $2,679.84 $10,730.62 $5,576.57 2025-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $5,536.59 $5,536.59 $5,536.59 2025-07-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 1 1 — — $5,507.81 $5,507.81 $5,507.81 2025-07-01
54 MS_DRG Nervous System Neoplasms With Mcc 1 1 — — $5,506.34 $5,506.34 $5,506.34 2025-07-01
9245 OTHER Romiplostim Injection 1 1 — — $5,447.94 $5,447.94 $5,447.94 2025-07-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 2 2 — — $5,355.71 $5,470.83 $5,413.27 2025-07-01
0944 RC Gammagard Liquid Injection 1 1 — — $5,376.92 $5,376.92 $5,376.92 2025-07-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $4,778.14 $5,894.50 $5,336.32 2025-07-01
9108 OTHER Thyrotropin Injection 1 1 — — $5,314.26 $5,314.26 $5,314.26 2025-07-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 2 2 — — $4,064.71 $6,503.77 $5,284.24 2025-07-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 3 3 — — $2,812.68 $5,375.50 $5,282.10 2025-07-01
201 MS_DRG Pneumothorax Without Cc/Mcc 2 2 — — $4,566.40 $5,939.82 $5,253.11 2025-07-01
684 MS_DRG Renal Failure Without Cc/Mcc 1 1 — — $5,221.32 $5,221.32 $5,221.32 2025-07-01
951 MS_DRG Other Factors Influencing Health Status 3 2 — — $4,304.36 $5,154.02 $5,055.94 2025-07-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $4,892.28 $4,892.28 $4,892.28 2025-07-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 2 2 — — $4,797.57 $4,841.84 $4,819.70 2025-07-01
101 MS_DRG Seizures Without Mcc 1 1 — — $4,703.57 $4,703.57 $4,703.57 2025-07-01
149 MS_DRG Dysequilibrium 2 1 — — $2,839.76 $6,505.43 $4,672.60 2025-07-01
5731 OTHER Level 1 Minor Procedures 2 2 — — $238.09 $8,923.74 $4,580.91 2025-07-01
9218 OTHER Chloroprocaine Hcl Injection 1 1 — — $4,493.75 $4,493.75 $4,493.75 2025-07-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 1 1 — — $4,379.88 $4,379.88 $4,379.88 2025-07-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 1 1 — — $4,332.16 $4,332.16 $4,332.16 2025-07-01
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 — — $4,224.52 $4,224.52 $4,224.52 2025-07-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 — — $4,170.91 $4,170.91 $4,170.91 2025-07-01
5312 OTHER Level 2 Lower Gi Procedures 29 13 — — $409.48 $10,789.94 $3,848.40 2025-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $3,729.68 $3,729.68 $3,729.68 2025-07-01
775 MS_DRG Vaginal Delivery Without Complicating Diagnoses 3 3 — — $3,654.86 $6,686.62 $3,654.86 2025-07-01
9133 OTHER Rabies Ig, Im/sc 2 1 — — $94.23 $7,192.98 $3,643.61 2025-07-01
9132 OTHER Prothrombin Complex Kcentra 6 5 — — $1,196.80 $8,585.84 $3,527.03 2025-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $3,472.06 $3,472.06 $3,472.06 2025-07-01
663 MS_DRG Minor Bladder Procedures With Cc 1 1 — — $3,130.64 $3,130.64 $3,130.64 2025-07-01
5183 OTHER Level 3 Vascular Procedures 2 1 — — $3,103.08 $3,103.08 $3,103.08 2025-07-01
5045 OTHER Trauma Response With Critical Care 3 3 — — $2,059.28 $3,219.14 $3,001.83 2025-07-01
5691 OTHER Level 1 Drug Administration 3 3 — — $1,991.53 $2,719.11 $2,611.70 2025-07-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $2,465.02 $2,465.02 $2,465.02 2025-07-01
9530 OTHER Plate Pheres Leukoredu Irrad 3 2 — — $1,472.42 $6,924.83 $2,425.05 2025-07-01
5671 OTHER Level 1 Pathology 18 10 — — $48.29 $19,753.86 $2,342.62 2025-07-01
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 16 8 — — $888.02 $12,646.16 $2,093.91 2025-07-01
5041 OTHER Critical Care 19 10 — — $513.23 $12,048.86 $2,092.32 2025-07-01
5024 OTHER Level 4 Type A Ed Visits 33 14 — — $254.93 $6,205.64 $2,071.34 2025-07-01
5723 OTHER Level 3 Diagnostic Tests And Related Services 7 5 — — $328.43 $2,339.03 $1,924.18 2025-07-01
5431 OTHER Level 1 Nerve Procedures 7 5 — — $1,759.00 $8,501.64 $1,880.40 2025-07-01
5311 OTHER Level 1 Lower Gi Procedures 20 8 — — $409.48 $3,603.87 $1,870.93 2025-07-01
5302 OTHER Level 2 Upper Gi Procedures 15 7 — — $400.73 $10,753.47 $1,857.43 2025-07-01
9291 OTHER Inj, Clindamycin Phosp 300mg 4 4 — — $199.29 $7,004.55 $1,847.31 2025-07-01
5054 OTHER Level 4 Skin Procedures 3 3 — — $956.18 $4,084.74 $1,775.32 2025-07-01
5301 OTHER Level 1 Upper Gi Procedures 21 10 — — $400.73 $3,350.92 $1,707.40 2025-07-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 19 9 — — $572.57 $9,909.32 $1,686.05 2025-07-01
5025 OTHER Level 5 Type A Ed Visits 33 15 — — $322.98 $10,511.05 $1,658.32 2025-07-01
9272 OTHER Inj, Denosumab 5 4 — — $1,586.64 $2,077.14 $1,645.86 2025-07-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 5 4 — — $604.31 $1,705.74 $1,537.36 2025-07-01
N905 OTHER Not Recognized By Opps 3 3 — — $63.95 $2,077.37 $1,440.96 2025-07-01
5673 OTHER Level 3 Pathology 9 5 — — $343.87 $12,174.98 $1,393.04 2025-07-01
5781 OTHER Resuscitation And Cardioversion 6 5 — — $1,236.01 $3,287.02 $1,374.39 2025-07-01
5443 OTHER Level 3 Nerve Injections 19 10 — — $396.76 $5,547.74 $1,331.55 2025-07-01
9536 OTHER Platelets Pheresis Path Redu 2 2 — — $1,283.12 $1,373.06 $1,328.09 2025-07-01
9139 OTHER Rabies Vaccine, IM 1 1 — — $1,100.89 $1,100.89 $1,100.89 2025-07-01
5724 OTHER Level 4 Diagnostic Tests And Related Services 19 11 — — $328.43 $4,502.85 $1,038.63 2025-07-01
9441 OTHER Inj Ferric Carboxymaltos 1mg 2 2 — — $502.89 $1,436.08 $969.48 2025-07-01
5692 OTHER Level 2 Drug Administration 3 3 — — $123.03 $2,691.25 $886.64 2025-07-01
5053 OTHER Level 3 Skin Procedures 2 2 — — $499.78 $1,063.88 $781.83 2025-07-01
5573 OTHER Level 3 Imaging With Contrast 18 7 — — $179.94 $3,861.37 $780.13 2025-07-01
1237 OTHER Inj Iron Dextran 6 4 — — $394.71 $3,002.75 $764.93 2025-07-01
1847 OTHER Injection, Inflectra 1 1 — — $747.18 $747.18 $747.18 2025-07-01
5442 OTHER Level 2 Nerve Injections 15 7 — — $317.41 $3,088.39 $683.61 2025-07-01
5771 OTHER Cardiac Rehabilitation 13 5 — — $263.24 $1,954.37 $583.56 2025-07-01
5572 OTHER Level 2 Imaging With Contrast 28 12 — — $132.64 $10,325.69 $550.78 2025-07-01
5524 OTHER Level 4 Imaging Without Contrast 22 10 — — $179.94 $2,459.38 $536.84 2025-07-01
5023 OTHER Level 3 Type A Ed Visits 29 14 — — $95.42 $3,653.43 $494.68 2025-07-01
N804 OTHER Mammography Services 34 14 — — $29.73 $599.45 $492.29 2025-07-01
N900 OTHER Non-covered Services 3 3 — — $296.67 $453.74 $421.94 2025-07-01
5571 OTHER Level 1 Imaging With Contrast 22 12 — — $138.19 $5,275.39 $391.88 2025-07-01
5052 OTHER Level 2 Skin Procedures 13 4 — — $234.35 $1,422.93 $388.19 2025-07-01
5522 OTHER Level 2 Imaging Without Contrast 34 14 — — $39.10 $2,800.80 $366.05 2025-07-01
5791 OTHER Pulmonary Treatment 1 1 — — $338.83 $338.83 $338.83 2025-07-01
5694 OTHER Level 4 Drug Administration 2 2 — — $266.74 $335.61 $301.18 2025-07-01
5441 OTHER Level 1 Nerve Injections 13 8 — — $2.33 $1,357.50 $289.60 2025-07-01
5523 OTHER Level 3 Imaging Without Contrast 30 13 — — $100.26 $7,601.98 $287.56 2025-07-01
5733 OTHER Level 3 Minor Procedures 14 8 — — $28.38 $1,657.80 $266.28 2025-07-01
5693 OTHER Level 3 Drug Administration 13 6 — — $85.16 $1,587.14 $249.90 2025-07-01
N800 OTHER Clinical Diagnostic Lab Services 39 15 — — $19.72 $541.04 $239.02 2025-07-01
5101 OTHER Level 1 Strapping And Cast Application 12 6 — — $76.20 $878.80 $230.75 2025-07-01
N801 OTHER Therapy Services 29 13 — — $127.03 $1,372.17 $224.38 2025-07-01
5021 OTHER Level 1 Type A Ed Visits 2 2 — — $142.19 $273.39 $207.79 2025-07-01
5102 OTHER Level 2 Strapping And Cast Application 4 3 — — $76.20 $262.24 $202.87 2025-07-01
5051 OTHER Level 1 Skin Procedures 16 9 — — $77.24 $403.38 $192.95 2025-07-01
5732 OTHER Level 2 Minor Procedures 5 4 — — $73.02 $861.65 $174.39 2025-07-01
5022 OTHER Level 2 Type A Ed Visits 25 12 — — $62.14 $707.22 $161.02 2025-07-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 25 12 — — $63.08 $800.40 $153.97 2025-07-01
5012 OTHER Clinic Visits And Related Services 2 2 — — $126.33 $128.74 $127.53 2025-07-01
5734 OTHER Level 4 Minor Procedures 20 10 — — $65.17 $820.50 $126.44 2025-07-01
5672 OTHER Level 2 Pathology 3 2 — — $71.55 $2,693.68 $124.36 2025-07-01
5521 OTHER Level 1 Imaging Without Contrast 34 15 — — $23.33 $1,455.02 $124.16 2025-07-01
N902 OTHER Packaged Services 22 10 — — $3.43 $11,211.50 $50.49 2025-07-01
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