Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HOWARD YOUNG MEDICAL CENTER

Woodruff, WI · CCN 520091 · Rates published

223 distinct procedures filed
18 distinct payers
18,648 rate rows
2025-07-01 last MRF observed · ⚠ 12 mo old
Data quality

782 of 18,648 rate rows are consumer-grade (4.2%)

17,866 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 10,243
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,623

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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 · 2026-05-15
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
637
MS_DRG 		Diabetes With Mcc 3 $70,086.07 $70,086.07 $70,086.07 nat. median
$14,787
outlier · 4.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $59,542.46 $59,542.46 $59,542.46 nat. median
$66,526
0.9× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 $58,518.74 $58,518.74 $58,518.74 nat. median
$22,198
outlier · 2.6×
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
$18,744
outlier · 2.7×
153
MS_DRG 		Otitis Media And Uri Without Mcc 1 $50,779.21 $50,779.21 $50,779.21 nat. median
$8,180
outlier · 6.2×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 $46,512.75 $46,512.75 $46,512.75 nat. median
$26,748
1.7× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $43,955.17 $43,955.17 $43,955.17 nat. median
$38,112
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
$48,178
0.9× median
645
MS_DRG 		Endocrine Disorders Without Cc/Mcc 1 $33,599.48 $33,599.48 $33,599.48 nat. median
$8,658
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
$35,264
0.9× median
70
MS_DRG 		Nonspecific Cerebrovascular Disorders With Mcc 3 $31,875.79 $31,875.79 $31,875.79 nat. median
$17,281
1.8× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 $28,472.37 $28,472.37 $28,472.37 nat. median
$19,472
1.5× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 $28,147.77 $28,147.77 $28,147.77 nat. median
$19,634
1.4× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 1 $27,665.95 $27,665.95 $27,665.95 nat. median
$33,061
0.8× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 5 $27,322.19 $27,322.19 $27,322.19 nat. median
$14,623
1.9× 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
$28,136
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
$13,226
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
$24,493
0.9× median
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 3 $21,160.73 $21,160.73 $21,160.73 nat. median
$15,271
1.4× median
551
MS_DRG 		Medical Back Problems With Mcc 1 $21,110.45 $21,110.45 $21,110.45 nat. median
$16,881
1.3× median
304
MS_DRG 		Hypertension With Mcc 2 $20,572.90 $20,572.90 $20,572.90 nat. median
$12,521
1.6× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 1 $18,288.04 $18,288.04 $18,288.04 nat. median
$20,752
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
$21,263
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
$11,117
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
$22,403
0.8× median
710
MS_DRG 		Penis Procedures Without Cc/Mcc 1 $17,501.63 $17,501.63 $17,501.63 nat. median
$15,113
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
$20,421
0.9× median
100
MS_DRG 		Seizures With Mcc 2 $17,318.29 $17,318.29 $17,318.29 nat. median
$19,360
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
$20,396
0.8× 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
$48,170
outlier · 0.4×
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 1 $16,905.28 $16,905.28 $16,905.28 nat. median
$20,887
0.8× median
9002
OTHER 		Tenecteplase Injection 4 $16,856.55 $16,856.55 $16,856.55 nat. median
$187
outlier · 90.2×
185
MS_DRG 		Major Chest Trauma Without Cc/Mcc 1 $16,398.20 $16,398.20 $16,398.20 nat. median
$8,725
1.9× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 4 $16,188.88 $16,188.88 $16,188.88 nat. median
$13,017
1.2× median
866
MS_DRG 		Viral Illness Without Mcc 1 $16,183.74 $16,183.74 $16,183.74 nat. median
$9,533
1.7× median
379
MS_DRG 		Gastrointestinal Hemorrhage Without Cc/Mcc 1 $15,562.33 $15,562.33 $15,562.33 nat. median
$7,417
outlier · 2.1×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 $15,412.50 $15,412.50 $15,412.50 nat. median
$13,245
1.2× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 $15,402.78 $15,402.78 $15,402.78 nat. median
$11,103
1.4× median
603
MS_DRG 		Cellulitis Without Mcc 5 $15,314.82 $15,314.82 $15,314.82 nat. median
$9,571
1.6× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 1 $15,306.64 $15,306.64 $15,306.64 nat. median
$18,227
0.8× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 2 $15,238.28 $15,238.28 $15,238.28 nat. median
$18,249
0.8× median
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 5 $15,030.65 $15,030.65 $15,030.65 nat. median
$8,726
1.7× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 $14,886.57 $14,886.57 $14,886.57 nat. median
$18,498
0.8× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 $14,636.48 $14,636.48 $14,636.48 nat. median
$16,145
0.9× median
291
MS_DRG 		Heart Failure And Shock With Mcc 5 $14,621.48 $14,621.48 $14,621.48 nat. median
$13,521
1.1× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $14,424.56 $14,424.56 $14,424.56 nat. median
$17,807
0.8× median
180
MS_DRG 		Respiratory Neoplasms With Mcc 1 $14,278.48 $14,278.48 $14,278.48 nat. median
$17,981
0.8× median
643
MS_DRG 		Endocrine Disorders With Mcc 1 $14,087.28 $14,087.28 $14,087.28 nat. median
$16,781
0.8× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 1 $14,024.17 $14,024.17 $14,024.17 nat. median
$17,985
0.8× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 1 $13,491.59 $13,491.59 $13,491.59 nat. median
$16,645
0.8× 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.

Slice
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
             
0944 OTHER Gammagard Liquid Injection 1 1 — — $5,376.92 $5,376.92 $5,376.92 2025-07-01
100 MS_DRG Seizures With Mcc 2 2 — — $17,318.29 $17,318.29 $17,318.29 2025-07-01
101 MS_DRG Seizures Without Mcc 1 1 — — $4,703.57 $4,703.57 $4,703.57 2025-07-01
1237 OTHER Inj Iron Dextran 6 4 — — $1,698.73 $1,698.73 $1,698.73 2025-07-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 4 4 — — $9,015.00 $9,015.00 $9,015.00 2025-07-01
139 MS_DRG Salivary Gland Procedures 3 3 — — $4,950.29 $4,950.29 $4,950.29 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
1489 OTHER Inj Vedolizumab IV 1 Mg 1 1 — — $8,733.81 $8,733.81 $8,733.81 2025-07-01
149 MS_DRG Dysequilibrium 2 1 — — $4,672.60 $4,672.60 $4,672.60 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
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 6 5 — — $27,322.19 $27,322.19 $27,322.19 2025-07-01
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 — — $6,889.00 $6,889.00 $6,889.00 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 9 5 — — $13,097.44 $13,097.44 $13,097.44 2025-07-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 3 — — $8,034.37 $8,034.37 $8,034.37 2025-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 — — $14,278.48 $14,278.48 $14,278.48 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
1847 OTHER Injection, Inflectra 1 1 — — $747.18 $747.18 $747.18 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
189 MS_DRG Pulmonary Edema And Respiratory Failure 8 4 — — $16,188.88 $16,188.88 $16,188.88 2025-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 2 — — $11,100.12 $11,100.12 $11,100.12 2025-07-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 2 — — $5,742.47 $5,742.47 $5,742.47 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
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 8 6 — — $8,903.40 $8,903.40 $8,903.40 2025-07-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 5 3 — — $5,385.88 $5,385.88 $5,385.88 2025-07-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 2 2 — — $5,413.27 $5,413.27 $5,413.27 2025-07-01
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 — — $12,356.35 $12,356.35 $12,356.35 2025-07-01
201 MS_DRG Pneumothorax Without Cc/Mcc 2 2 — — $5,253.11 $5,253.11 $5,253.11 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 0 0 — — — — — 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 2 — — $46,512.75 $46,512.75 $46,512.75 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
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $7,330.92 $7,330.92 $7,330.92 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
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $27,665.95 $27,665.95 $27,665.95 2025-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 7 5 — — $9,175.62 $9,175.62 $9,175.62 2025-07-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 3 3 — — $7,411.22 $7,411.22 $7,411.22 2025-07-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 4 4 — — $7,783.40 $7,783.40 $7,783.40 2025-07-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $11,968.24 $11,968.24 $11,968.24 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 9 5 — — $14,621.48 $14,621.48 $14,621.48 2025-07-01
292 MS_DRG Heart Failure And Shock With Cc 4 4 — — $4,510.93 $4,510.93 $4,510.93 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
300 MS_DRG Peripheral Vascular Disorders With Cc 2 1 — — $11,269.15 $11,269.15 $11,269.15 2025-07-01
304 MS_DRG Hypertension With Mcc 2 2 — — $20,572.90 $20,572.90 $20,572.90 2025-07-01
305 MS_DRG Hypertension Without Mcc 3 2 — — $9,943.44 $9,943.44 $9,943.44 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 — — $10,137.83 $10,137.83 $10,137.83 2025-07-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 — — $8,723.64 $8,723.64 $8,723.64 2025-07-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 6 4 — — $12,692.50 $12,692.50 $12,692.50 2025-07-01
311 MS_DRG Angina Pectoris 1 1 — — $8,819.92 $8,819.92 $8,819.92 2025-07-01
312 MS_DRG Syncope And Collapse 1 1 — — $7,398.36 $7,398.36 $7,398.36 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
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 — — $4,170.91 $4,170.91 $4,170.91 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
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 1 1 — — $4,379.88 $4,379.88 $4,379.88 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
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
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 — — $7,595.81 $7,595.81 $7,595.81 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $15,238.28 $15,238.28 $15,238.28 2025-07-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 3 3 — — $8,315.30 $8,315.30 $8,315.30 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
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $4,892.28 $4,892.28 $4,892.28 2025-07-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 2 2 — — $5,284.24 $5,284.24 $5,284.24 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
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 1 1 — — $4,332.16 $4,332.16 $4,332.16 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $12,573.62 $12,573.62 $12,573.62 2025-07-01
389 MS_DRG Gastrointestinal Obstruction With Cc 3 3 — — $10,959.70 $10,959.70 $10,959.70 2025-07-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 2 2 — — $4,819.70 $4,819.70 $4,819.70 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 3 — — $15,412.50 $15,412.50 $15,412.50 2025-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 6 4 — — $10,334.02 $10,334.02 $10,334.02 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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $5,336.32 $5,336.32 $5,336.32 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
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 — — $14,886.57 $14,886.57 $14,886.57 2025-07-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 3 2 — — $9,901.68 $9,901.68 $9,901.68 2025-07-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 3 3 — — $4,094.09 $4,094.09 $4,094.09 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
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
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 2 2 — — $6,004.56 $6,004.56 $6,004.56 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
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
5012 OTHER Clinic Visits And Related Services 2 2 — — $127.53 $127.53 $127.53 2025-07-01
5021 OTHER Level 1 Type A Ed Visits 2 2 — — $207.79 $207.79 $207.79 2025-07-01
5022 OTHER Level 2 Type A Ed Visits 25 12 — — $384.68 $384.68 $384.68 2025-07-01
5023 OTHER Level 3 Type A Ed Visits 0 0 — — — — — 2025-07-01
5024 OTHER Level 4 Type A Ed Visits 0 0 — — — — — 2025-07-01
5025 OTHER Level 5 Type A Ed Visits 0 0 — — — — — 2025-07-01
5041 OTHER Critical Care 0 0 — — — — — 2025-07-01
5045 OTHER Trauma Response With Critical Care 3 3 — — $2,639.21 $2,639.21 $2,639.21 2025-07-01
5051 OTHER Level 1 Skin Procedures 16 9 — — $240.31 $240.31 $240.31 2025-07-01
5052 OTHER Level 2 Skin Procedures 13 4 — — $828.64 $828.64 $828.64 2025-07-01
5053 OTHER Level 3 Skin Procedures 2 2 — — $781.83 $781.83 $781.83 2025-07-01
5054 OTHER Level 4 Skin Procedures 3 3 — — $2,520.46 $2,520.46 $2,520.46 2025-07-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 19 9 — — $5,240.94 $5,240.94 $5,240.94 2025-07-01
5101 OTHER Level 1 Strapping And Cast Application 12 6 — — $477.50 $477.50 $477.50 2025-07-01
5102 OTHER Level 2 Strapping And Cast Application 4 3 — — $169.22 $169.22 $169.22 2025-07-01
5112 OTHER Level 2 Musculoskeletal Procedures 0 0 — — — — — 2025-07-01
5183 OTHER Level 3 Vascular Procedures 2 1 — — $3,103.08 $3,103.08 $3,103.08 2025-07-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 5 4 — — $1,155.03 $1,155.03 $1,155.03 2025-07-01
5301 OTHER Level 1 Upper Gi Procedures 21 10 — — $1,875.83 $1,875.83 $1,875.83 2025-07-01
5302 OTHER Level 2 Upper Gi Procedures 0 0 — — — — — 2025-07-01
5311 OTHER Level 1 Lower Gi Procedures 20 8 — — $2,006.67 $2,006.67 $2,006.67 2025-07-01
5312 OTHER Level 2 Lower Gi Procedures 0 0 — — — — — 2025-07-01
5313 OTHER Level 3 Lower Gi Procedures 4 4 — — $6,705.23 $6,705.23 $6,705.23 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
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 4 4 — — $6,937.85 $6,937.85 $6,937.85 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
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
5431 OTHER Level 1 Nerve Procedures 7 5 — — $5,130.32 $5,130.32 $5,130.32 2025-07-01
5441 OTHER Level 1 Nerve Injections 0 0 — — — — — 2025-07-01
5442 OTHER Level 2 Nerve Injections 15 7 — — $1,702.90 $1,702.90 $1,702.90 2025-07-01
5443 OTHER Level 3 Nerve Injections 19 10 — — $2,972.25 $2,972.25 $2,972.25 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
552 MS_DRG Medical Back Problems Without Mcc 3 2 — — $13,188.74 $13,188.74 $13,188.74 2025-07-01
5521 OTHER Level 1 Imaging Without Contrast 0 0 — — — — — 2025-07-01
5522 OTHER Level 2 Imaging Without Contrast 0 0 — — — — — 2025-07-01
5523 OTHER Level 3 Imaging Without Contrast 0 0 — — — — — 2025-07-01
5524 OTHER Level 4 Imaging Without Contrast 22 10 — — $1,319.66 $1,319.66 $1,319.66 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
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 — — $12,748.71 $12,748.71 $12,748.71 2025-07-01
5571 OTHER Level 1 Imaging With Contrast 0 0 — — — — — 2025-07-01
5572 OTHER Level 2 Imaging With Contrast 0 0 — — — — — 2025-07-01
5573 OTHER Level 3 Imaging With Contrast 0 0 — — — — — 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
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
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 3 — — $13,063.48 $13,063.48 $13,063.48 2025-07-01
5671 OTHER Level 1 Pathology 0 0 — — — — — 2025-07-01
5672 OTHER Level 2 Pathology 0 0 — — — — — 2025-07-01
5673 OTHER Level 3 Pathology 0 0 — — — — — 2025-07-01
5691 OTHER Level 1 Drug Administration 3 3 — — $2,355.32 $2,355.32 $2,355.32 2025-07-01
5692 OTHER Level 2 Drug Administration 0 0 — — — — — 2025-07-01
5693 OTHER Level 3 Drug Administration 13 6 — — $836.15 $836.15 $836.15 2025-07-01
5694 OTHER Level 4 Drug Administration 2 2 — — $301.18 $301.18 $301.18 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 3 2 — — $11,823.70 $11,823.70 $11,823.70 2025-07-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 25 12 — — $431.74 $431.74 $431.74 2025-07-01
5723 OTHER Level 3 Diagnostic Tests And Related Services 7 5 — — $1,333.73 $1,333.73 $1,333.73 2025-07-01
5724 OTHER Level 4 Diagnostic Tests And Related Services 19 11 — — $2,415.64 $2,415.64 $2,415.64 2025-07-01
5731 OTHER Level 1 Minor Procedures 0 0 — — — — — 2025-07-01
5732 OTHER Level 2 Minor Procedures 5 4 — — $467.33 $467.33 $467.33 2025-07-01
5733 OTHER Level 3 Minor Procedures 0 0 — — — — — 2025-07-01
5734 OTHER Level 4 Minor Procedures 20 10 — — $442.83 $442.83 $442.83 2025-07-01
5771 OTHER Cardiac Rehabilitation 13 5 — — $1,108.81 $1,108.81 $1,108.81 2025-07-01
5781 OTHER Resuscitation And Cardioversion 6 5 — — $2,261.51 $2,261.51 $2,261.51 2025-07-01
5791 OTHER Pulmonary Treatment 1 1 — — $338.83 $338.83 $338.83 2025-07-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $12,555.41 $12,555.41 $12,555.41 2025-07-01
603 MS_DRG Cellulitis Without Mcc 6 5 — — $15,314.82 $15,314.82 $15,314.82 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 — — $28,472.37 $28,472.37 $28,472.37 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
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — — $58,518.74 $58,518.74 $58,518.74 2025-07-01
637 MS_DRG Diabetes With Mcc 4 3 — — $70,086.07 $70,086.07 $70,086.07 2025-07-01
638 MS_DRG Diabetes With Cc 7 5 — — $11,844.50 $11,844.50 $11,844.50 2025-07-01
639 MS_DRG Diabetes Without Cc/Mcc 3 3 — — $9,505.58 $9,505.58 $9,505.58 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 — — $11,645.82 $11,645.82 $11,645.82 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 — — $6,848.53 $6,848.53 $6,848.53 2025-07-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 8 6 — — $8,649.86 $8,649.86 $8,649.86 2025-07-01
643 MS_DRG Endocrine Disorders With Mcc 1 1 — — $14,087.28 $14,087.28 $14,087.28 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 1 1 — — $9,089.13 $9,089.13 $9,089.13 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
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 8 6 — — $13,427.49 $13,427.49 $13,427.49 2025-07-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 4 4 — — $5,711.75 $5,711.75 $5,711.75 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
682 MS_DRG Renal Failure With Mcc 3 3 — — $12,863.48 $12,863.48 $12,863.48 2025-07-01
683 MS_DRG Renal Failure With Cc 5 4 — — $6,462.60 $6,462.60 $6,462.60 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
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 — — $6,674.90 $6,674.90 $6,674.90 2025-07-01
69 MS_DRG Transient Ischemia Without Thrombolytic 2 2 — — $7,024.67 $7,024.67 $7,024.67 2025-07-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 4 — — $6,082.07 $6,082.07 $6,082.07 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 5 4 — — $11,971.74 $11,971.74 $11,971.74 2025-07-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $8,686.02 $8,686.02 $8,686.02 2025-07-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 3 3 — — $31,875.79 $31,875.79 $31,875.79 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
710 MS_DRG Penis Procedures Without Cc/Mcc 1 1 — — $17,501.63 $17,501.63 $17,501.63 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
775 MS_DRG Vaginal Delivery Without Complicating Diagnoses 3 3 — — $5,170.74 $5,170.74 $5,170.74 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
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $9,774.94 $9,774.94 $9,774.94 2025-07-01
813 MS_DRG Coagulation Disorders 1 1 — — $12,285.24 $12,285.24 $12,285.24 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
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
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $13,491.59 $13,491.59 $13,491.59 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
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
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 — — $15,306.64 $15,306.64 $15,306.64 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
866 MS_DRG Viral Illness Without Mcc 1 1 — — $16,183.74 $16,183.74 $16,183.74 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
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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $59,542.46 $59,542.46 $59,542.46 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 15 7 — — $28,147.77 $28,147.77 $28,147.77 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 6 5 — — $15,402.78 $15,402.78 $15,402.78 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 2 — — $14,636.48 $14,636.48 $14,636.48 2025-07-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 9 5 — — $15,030.65 $15,030.65 $15,030.65 2025-07-01
9002 OTHER Tenecteplase Injection 4 4 — — $16,856.55 $16,856.55 $16,856.55 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
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
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 — — $14,024.17 $14,024.17 $14,024.17 2025-07-01
9108 OTHER Thyrotropin Injection 1 1 — — $5,314.26 $5,314.26 $5,314.26 2025-07-01
9132 OTHER Prothrombin Complex Kcentra 6 5 — — $4,891.32 $4,891.32 $4,891.32 2025-07-01
9133 OTHER Rabies Ig, Im/sc 0 0 — — — — — 2025-07-01
9139 OTHER Rabies Vaccine, IM 1 1 — — $1,100.89 $1,100.89 $1,100.89 2025-07-01
916 MS_DRG Allergic Reactions Without Mcc 2 2 — — $5,937.01 $5,937.01 $5,937.01 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 3 3 — — $21,160.73 $21,160.73 $21,160.73 2025-07-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 — — $6,175.11 $6,175.11 $6,175.11 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
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 — — $8,895.58 $8,895.58 $8,895.58 2025-07-01
9218 OTHER Chloroprocaine Hcl Injection 1 1 — — $4,493.75 $4,493.75 $4,493.75 2025-07-01
9245 OTHER Romiplostim Injection 1 1 — — $5,447.94 $5,447.94 $5,447.94 2025-07-01
9272 OTHER Inj, Denosumab 5 4 — — $1,831.89 $1,831.89 $1,831.89 2025-07-01
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 16 8 — — $6,767.09 $6,767.09 $6,767.09 2025-07-01
9291 OTHER Inj, Clindamycin Phosp 300mg 0 0 — — — — — 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
9441 OTHER Inj Ferric Carboxymaltos 1mg 2 2 — — $969.49 $969.49 $969.49 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
948 MS_DRG Signs And Symptoms Without Mcc 2 1 — — $6,066.16 $6,066.16 $6,066.16 2025-07-01
9487 OTHER Ustekinumab, IV Inject,1 Mg 1 1 — — $6,679.19 $6,679.19 $6,679.19 2025-07-01
951 MS_DRG Other Factors Influencing Health Status 3 2 — — $4,729.19 $4,729.19 $4,729.19 2025-07-01
9530 OTHER Plate Pheres Leukoredu Irrad 3 2 — — $4,198.62 $4,198.62 $4,198.62 2025-07-01
9536 OTHER Platelets Pheresis Path Redu 2 2 — — $1,328.09 $1,328.09 $1,328.09 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
N800 OTHER Clinical Diagnostic Lab Services 0 0 — — — — — 2025-07-01
N801 OTHER Therapy Services 29 13 — — $749.60 $749.60 $749.60 2025-07-01
N804 OTHER Mammography Services 0 0 — — — — — 2025-07-01
N900 OTHER Non-covered Services 3 3 — — $375.20 $375.20 $375.20 2025-07-01
N902 OTHER Packaged Services 0 0 — — — — — 2025-07-01
N905 OTHER Not Recognized By Opps 0 0 — — — — — 2025-07-01
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