Hospital

ASPIRUS MERRILL HOSPITAL

Merrill, WI · CCN 521339 · Rates published

162 distinct procedures filed

18 distinct payers

17,988 rate rows

2025-07-01 last MRF observed · ⚠ 12 mo old

Data quality

707 of 17,988 rate rows are consumer-grade (3.9%)

17,281 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 — reason	Rows
professional (physician) fee — not the facility price	9,984
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	7,297

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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/TransparencyFY26/390808503_aspirus-merrill-hospital_standardcharges.json
Found on page	https://www.aspirus.org/price-estimate
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-18
Content fingerprint	8ee21065ec60e772… · 150,465,439 bytes · first seen 2026-05-09

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
57 MS_DRG	Degenerative Nervous System Disorders Without Mcc	1	$82,461.25	$82,461.25	$82,461.25	nat. median $13,201 outlier · 6.2×
557 MS_DRG	Tendonitis, Myositis And Bursitis With Mcc	2	$65,669.41	$65,669.41	$65,669.41	nat. median $15,338 outlier · 4.3×
9494 OTHER	Injection, Ocrelizumab	2	$48,863.40	$48,863.40	$48,863.40	nat. median $61 outlier · 799.7×
5092 OTHER	Level 2 Breast/Lymphatic Surgery And Related Procedures	1	$42,288.43	$42,288.43	$42,288.43	nat. median $7,073 outlier · 6.0×
65 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	1	$35,037.70	$35,037.70	$35,037.70	nat. median $11,174 outlier · 3.1×
947 MS_DRG	Signs And Symptoms With Mcc	2	$31,745.81	$31,745.81	$31,745.81	nat. median $12,688 outlier · 2.5×
694 MS_DRG	Urinary Stones Without Mcc	1	$30,523.63	$30,523.63	$30,523.63	nat. median $8,711 outlier · 3.5×
283 MS_DRG	Acute Myocardial Infarction, Expired With Mcc	2	$29,002.03	$29,002.03	$29,002.03	nat. median $19,748 1.5× median
282 MS_DRG	Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc	1	$27,224.09	$27,224.09	$27,224.09	nat. median $8,518 outlier · 3.2×
469 MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	1	$25,495.99	$25,495.99	$25,495.99	nat. median $31,075 0.8× median
393 MS_DRG	Other Digestive System Diagnoses With Mcc	1	$25,163.17	$25,163.17	$25,163.17	nat. median $16,482 1.5× median
884 MS_DRG	Organic Disturbances And Intellectual Disability	1	$24,914.10	$24,914.10	$24,914.10	nat. median $14,858 1.7× median
948 MS_DRG	Signs And Symptoms Without Mcc	3	$24,650.15	$24,650.15	$24,650.15	nat. median $8,515 outlier · 2.9×
66 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc	1	$24,602.14	$24,602.14	$24,602.14	nat. median $8,067 outlier · 3.0×
689 MS_DRG	Kidney And Urinary Tract Infections With Mcc	2	$24,560.17	$24,560.17	$24,560.17	nat. median $12,152 outlier · 2.0×
178 MS_DRG	Respiratory Infections And Inflammations With Cc	3	$23,854.80	$23,854.80	$23,854.80	nat. median $10,873 outlier · 2.2×
564 MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	1	$22,177.57	$22,177.57	$22,177.57	nat. median $15,782 1.4× median
5164 OTHER	Level 4 ENT Procedures	3	$21,824.83	$21,824.83	$21,824.83	nat. median $3,497 outlier · 6.2×
64 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	1	$20,806.93	$20,806.93	$20,806.93	nat. median $20,254 1.0× median
775 MS_DRG	Vaginal Delivery Without Complicating Diagnoses	2	$20,609.69	$20,609.69	$20,609.69	nat. median $5,276 outlier · 3.9×
385 MS_DRG	Inflammatory Bowel Disease With Mcc	1	$20,092.76	$20,092.76	$20,092.76	nat. median $16,227 1.2× median
87 MS_DRG	Traumatic Stupor And Coma <1 Hour Without Cc/Mcc	1	$19,716.80	$19,716.80	$19,716.80	nat. median $9,868 2.0× median
9143 OTHER	Inj Acetaminophen -fresenius	7	$19,532.74	$19,532.74	$19,532.74	nat. median $0
9282 OTHER	Inj, Acetaminophen (hikma)	2	$18,861.28	$18,861.28	$18,861.28	nat. median $0
442 MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	1	$18,646.13	$18,646.13	$18,646.13	nat. median $10,561 1.8× median
463 MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	2	$18,175.53	$18,175.53	$18,175.53	nat. median $52,746 outlier · 0.3×
964 MS_DRG	Other Multiple Significant Trauma With Cc	1	$18,155.75	$18,155.75	$18,155.75	nat. median $15,735 1.2× median
139 MS_DRG	Salivary Gland Procedures	2	$17,868.78	$17,868.78	$17,868.78	nat. median $13,450 1.3× median
871 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	6	$17,798.17	$17,798.17	$17,798.17	nat. median $19,634 0.9× median
438 MS_DRG	Disorders Of Pancreas Except Malignancy With Mcc	1	$17,729.59	$17,729.59	$17,729.59	nat. median $16,971 1.0× median
137 MS_DRG	Mouth Procedures With Cc/Mcc	2	$17,328.20	$17,328.20	$17,328.20	nat. median $15,040 1.2× median
9221 OTHER	Inj, Vancomycin Hcl (mylan)	1	$17,326.93	$17,326.93	$17,326.93	nat. median $6 outlier · 3055.9×
177 MS_DRG	Respiratory Infections And Inflammations With Mcc	5	$17,145.27	$17,145.27	$17,145.27	nat. median $16,234 1.1× median
560 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	3	$17,006.34	$17,006.34	$17,006.34	nat. median $12,148 1.4× median
896 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	1	$16,955.84	$16,955.84	$16,955.84	nat. median $16,145 1.1× median
194 MS_DRG	Simple Pneumonia And Pleurisy With Cc	4	$16,464.85	$16,464.85	$16,464.85	nat. median $9,125 1.8× median
308 MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	1	$16,331.24	$16,331.24	$16,331.24	nat. median $12,751 1.3× median
951 MS_DRG	Other Factors Influencing Health Status	2	$16,267.75	$16,267.75	$16,267.75	nat. median $6,587 outlier · 2.5×
638 MS_DRG	Diabetes With Cc	3	$16,110.77	$16,110.77	$16,110.77	nat. median $9,824 1.6× median
291 MS_DRG	Heart Failure And Shock With Mcc	4	$15,916.75	$15,916.75	$15,916.75	nat. median $13,521 1.2× median
770 MS_DRG	Abortion With D&c, Aspiration Curettage Or Hysterotomy	1	$15,857.16	$15,857.16	$15,857.16	nat. median $10,795 1.5× median
9002 OTHER	Tenecteplase Injection	3	$15,792.31	$15,792.31	$15,792.31	nat. median $187 outlier · 84.5×
602 MS_DRG	Cellulitis With Mcc	3	$15,152.91	$15,152.91	$15,152.91	nat. median $14,837 1.0× median
641 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	4	$15,149.54	$15,149.54	$15,149.54	nat. median $8,664 1.7× median
439 MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	3	$14,969.02	$14,969.02	$14,969.02	nat. median $9,521 1.6× median
254 MS_DRG	Other Vascular Procedures Without Cc/Mcc	1	$14,601.48	$14,601.48	$14,601.48	nat. median $18,438 0.8× median
682 MS_DRG	Renal Failure With Mcc	1	$14,539.99	$14,539.99	$14,539.99	nat. median $15,223 1.0× median
392 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	4	$14,357.16	$14,357.16	$14,357.16	nat. median $8,728 1.6× median
637 MS_DRG	Diabetes With Mcc	1	$14,196.66	$14,196.66	$14,196.66	nat. median $14,787 1.0× median
441 MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	3	$13,644.69	$13,644.69	$13,644.69	nat. median $18,509 0.7× median

Other procedures at this hospital

Browse this hospital's 162 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	1	1	—	—	$82,461.25	$82,461.25	$82,461.25	2025-07-01
557	MS_DRG	Tendonitis, Myositis And Bursitis With Mcc	2	2	—	—	$65,669.41	$65,669.41	$65,669.41	2025-07-01
9494	OTHER	Injection, Ocrelizumab	2	2	—	—	$48,863.40	$48,863.40	$48,863.40	2025-07-01
5092	OTHER	Level 2 Breast/Lymphatic Surgery And Related Procedures	1	1	—	—	$42,288.43	$42,288.43	$42,288.43	2025-07-01
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	1	1	—	—	$35,037.70	$35,037.70	$35,037.70	2025-07-01
947	MS_DRG	Signs And Symptoms With Mcc	2	2	—	—	$31,745.81	$31,745.81	$31,745.81	2025-07-01
694	MS_DRG	Urinary Stones Without Mcc	1	1	—	—	$30,523.63	$30,523.63	$30,523.63	2025-07-01
283	MS_DRG	Acute Myocardial Infarction, Expired With Mcc	2	2	—	—	$29,002.03	$29,002.03	$29,002.03	2025-07-01
282	MS_DRG	Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc	1	1	—	—	$27,224.09	$27,224.09	$27,224.09	2025-07-01
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	1	1	—	—	$25,495.99	$25,495.99	$25,495.99	2025-07-01
393	MS_DRG	Other Digestive System Diagnoses With Mcc	1	1	—	—	$25,163.17	$25,163.17	$25,163.17	2025-07-01
884	MS_DRG	Organic Disturbances And Intellectual Disability	1	1	—	—	$24,914.10	$24,914.10	$24,914.10	2025-07-01
948	MS_DRG	Signs And Symptoms Without Mcc	5	3	—	—	$24,650.15	$24,650.15	$24,650.15	2025-07-01
66	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc	1	1	—	—	$24,602.14	$24,602.14	$24,602.14	2025-07-01
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	2	2	—	—	$24,560.17	$24,560.17	$24,560.17	2025-07-01
178	MS_DRG	Respiratory Infections And Inflammations With Cc	3	3	—	—	$23,854.80	$23,854.80	$23,854.80	2025-07-01
564	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	1	1	—	—	$22,177.57	$22,177.57	$22,177.57	2025-07-01
5164	OTHER	Level 4 ENT Procedures	8	3	—	—	$21,824.83	$21,824.83	$21,824.83	2025-07-01
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	1	1	—	—	$20,806.93	$20,806.93	$20,806.93	2025-07-01
775	MS_DRG	Vaginal Delivery Without Complicating Diagnoses	2	2	—	—	$20,609.69	$20,609.69	$20,609.69	2025-07-01
385	MS_DRG	Inflammatory Bowel Disease With Mcc	1	1	—	—	$20,092.76	$20,092.76	$20,092.76	2025-07-01
87	MS_DRG	Traumatic Stupor And Coma <1 Hour Without Cc/Mcc	1	1	—	—	$19,716.80	$19,716.80	$19,716.80	2025-07-01
9143	OTHER	Inj Acetaminophen -fresenius	17	7	—	—	$19,532.74	$19,532.74	$19,532.74	2025-07-01
9282	OTHER	Inj, Acetaminophen (hikma)	2	2	—	—	$18,861.28	$18,861.28	$18,861.28	2025-07-01
442	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	2	1	—	—	$18,646.13	$18,646.13	$18,646.13	2025-07-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	2	2	—	—	$18,175.53	$18,175.53	$18,175.53	2025-07-01
964	MS_DRG	Other Multiple Significant Trauma With Cc	1	1	—	—	$18,155.75	$18,155.75	$18,155.75	2025-07-01
139	MS_DRG	Salivary Gland Procedures	2	2	—	—	$17,868.78	$17,868.78	$17,868.78	2025-07-01
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	11	6	—	—	$17,798.17	$17,798.17	$17,798.17	2025-07-01
438	MS_DRG	Disorders Of Pancreas Except Malignancy With Mcc	1	1	—	—	$17,729.59	$17,729.59	$17,729.59	2025-07-01
137	MS_DRG	Mouth Procedures With Cc/Mcc	2	2	—	—	$17,328.20	$17,328.20	$17,328.20	2025-07-01
9221	OTHER	Inj, Vancomycin Hcl (mylan)	1	1	—	—	$17,326.93	$17,326.93	$17,326.93	2025-07-01
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	7	5	—	—	$17,145.27	$17,145.27	$17,145.27	2025-07-01
560	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	3	3	—	—	$17,006.34	$17,006.34	$17,006.34	2025-07-01
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	1	1	—	—	$16,955.84	$16,955.84	$16,955.84	2025-07-01
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	5	4	—	—	$16,464.85	$16,464.85	$16,464.85	2025-07-01
308	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	1	1	—	—	$16,331.24	$16,331.24	$16,331.24	2025-07-01
951	MS_DRG	Other Factors Influencing Health Status	2	2	—	—	$16,267.75	$16,267.75	$16,267.75	2025-07-01
638	MS_DRG	Diabetes With Cc	4	3	—	—	$16,110.77	$16,110.77	$16,110.77	2025-07-01
291	MS_DRG	Heart Failure And Shock With Mcc	8	4	—	—	$15,916.75	$15,916.75	$15,916.75	2025-07-01
770	MS_DRG	Abortion With D&c, Aspiration Curettage Or Hysterotomy	1	1	—	—	$15,857.16	$15,857.16	$15,857.16	2025-07-01
9002	OTHER	Tenecteplase Injection	3	3	—	—	$15,792.31	$15,792.31	$15,792.31	2025-07-01
602	MS_DRG	Cellulitis With Mcc	4	3	—	—	$15,152.91	$15,152.91	$15,152.91	2025-07-01
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	5	4	—	—	$15,149.54	$15,149.54	$15,149.54	2025-07-01
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	4	3	—	—	$14,969.02	$14,969.02	$14,969.02	2025-07-01
254	MS_DRG	Other Vascular Procedures Without Cc/Mcc	1	1	—	—	$14,601.48	$14,601.48	$14,601.48	2025-07-01
682	MS_DRG	Renal Failure With Mcc	1	1	—	—	$14,539.99	$14,539.99	$14,539.99	2025-07-01
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	7	4	—	—	$14,357.16	$14,357.16	$14,357.16	2025-07-01
637	MS_DRG	Diabetes With Mcc	1	1	—	—	$14,196.66	$14,196.66	$14,196.66	2025-07-01
441	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	3	3	—	—	$13,644.69	$13,644.69	$13,644.69	2025-07-01
196	MS_DRG	Interstitial Lung Disease With Mcc	1	1	—	—	$13,605.09	$13,605.09	$13,605.09	2025-07-01
552	MS_DRG	Medical Back Problems Without Mcc	2	2	—	—	$13,194.17	$13,194.17	$13,194.17	2025-07-01
189	MS_DRG	Pulmonary Edema And Respiratory Failure	6	4	—	—	$13,141.44	$13,141.44	$13,141.44	2025-07-01
9290	OTHER	Inj, Bupivacaine, Nos, 0.5mg	16	7	—	—	$12,816.30	$12,816.30	$12,816.30	2025-07-01
388	MS_DRG	Gastrointestinal Obstruction With Mcc	1	1	—	—	$12,725.11	$12,725.11	$12,725.11	2025-07-01
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc	3	3	—	—	$12,693.55	$12,693.55	$12,693.55	2025-07-01
153	MS_DRG	Otitis Media And Uri Without Mcc	2	2	—	—	$12,664.77	$12,664.77	$12,664.77	2025-07-01
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	4	3	—	—	$12,622.68	$12,622.68	$12,622.68	2025-07-01
814	MS_DRG	Reticuloendothelial And Immunity Disorders With Mcc	1	1	—	—	$12,531.71	$12,531.71	$12,531.71	2025-07-01
312	MS_DRG	Syncope And Collapse	1	1	—	—	$12,138.03	$12,138.03	$12,138.03	2025-07-01
645	MS_DRG	Endocrine Disorders Without Cc/Mcc	1	1	—	—	$12,040.12	$12,040.12	$12,040.12	2025-07-01
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	1	1	—	—	$12,014.64	$12,014.64	$12,014.64	2025-07-01
114	MS_DRG	Orbital Procedures Without Cc/Mcc	1	1	—	—	$11,946.16	$11,946.16	$11,946.16	2025-07-01
314	MS_DRG	Other Circulatory System Diagnoses With Mcc	2	2	—	—	$11,929.33	$11,929.33	$11,929.33	2025-07-01
205	MS_DRG	Other Respiratory System Diagnoses With Mcc	1	1	—	—	$11,856.57	$11,856.57	$11,856.57	2025-07-01
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	1	1	—	—	$11,776.07	$11,776.07	$11,776.07	2025-07-01
549	MS_DRG	Septic Arthritis With Cc	1	1	—	—	$11,701.75	$11,701.75	$11,701.75	2025-07-01
603	MS_DRG	Cellulitis Without Mcc	5	3	—	—	$11,536.58	$11,536.58	$11,536.58	2025-07-01
811	MS_DRG	Red Blood Cell Disorders With Mcc	1	1	—	—	$11,494.62	$11,494.62	$11,494.62	2025-07-01
202	MS_DRG	Bronchitis And Asthma With Cc/Mcc	2	2	—	—	$11,486.13	$11,486.13	$11,486.13	2025-07-01
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	1	1	—	—	$11,227.82	$11,227.82	$11,227.82	2025-07-01
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	2	2	—	—	$11,203.02	$11,203.02	$11,203.02	2025-07-01
292	MS_DRG	Heart Failure And Shock With Cc	2	2	—	—	$10,988.61	$10,988.61	$10,988.61	2025-07-01
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	6	3	—	—	$10,708.86	$10,708.86	$10,708.86	2025-07-01
605	MS_DRG	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	1	1	—	—	$10,698.87	$10,698.87	$10,698.87	2025-07-01
300	MS_DRG	Peripheral Vascular Disorders With Cc	1	1	—	—	$10,500.48	$10,500.48	$10,500.48	2025-07-01
5671	OTHER	Level 1 Pathology	16	7	—	—	$9,978.33	$9,978.33	$9,978.33	2025-07-01
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	5	4	—	—	$9,956.19	$9,956.19	$9,956.19	2025-07-01
684	MS_DRG	Renal Failure Without Cc/Mcc	1	1	—	—	$9,949.26	$9,949.26	$9,949.26	2025-07-01
180	MS_DRG	Respiratory Neoplasms With Mcc	1	1	—	—	$9,888.71	$9,888.71	$9,888.71	2025-07-01
592	MS_DRG	Skin Ulcers With Mcc	1	1	—	—	$9,840.74	$9,840.74	$9,840.74	2025-07-01
699	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Cc	3	3	—	—	$9,671.31	$9,671.31	$9,671.31	2025-07-01
71	MS_DRG	Nonspecific Cerebrovascular Disorders With Cc	1	1	—	—	$9,500.86	$9,500.86	$9,500.86	2025-07-01
813	MS_DRG	Coagulation Disorders	1	1	—	—	$9,480.76	$9,480.76	$9,480.76	2025-07-01
9132	OTHER	Prothrombin Complex Kcentra	2	2	—	—	$9,340.67	$9,340.67	$9,340.67	2025-07-01
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	1	1	—	—	$9,316.56	$9,316.56	$9,316.56	2025-07-01
179	MS_DRG	Respiratory Infections And Inflammations Without Cc/Mcc	1	1	—	—	$9,248.50	$9,248.50	$9,248.50	2025-07-01
543	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	1	1	—	—	$9,187.87	$9,187.87	$9,187.87	2025-07-01
894	MS_DRG	Alcohol, Drug Abuse Or Dependence, Left Ama	1	1	—	—	$9,154.85	$9,154.85	$9,154.85	2025-07-01
554	MS_DRG	Bone Diseases And Arthropathies Without Mcc	1	1	—	—	$9,110.96	$9,110.96	$9,110.96	2025-07-01
433	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	1	1	—	—	$9,104.11	$9,104.11	$9,104.11	2025-07-01
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	2	2	—	—	$8,744.08	$8,744.08	$8,744.08	2025-07-01
812	MS_DRG	Red Blood Cell Disorders Without Mcc	2	2	—	—	$8,434.38	$8,434.38	$8,434.38	2025-07-01
5692	OTHER	Level 2 Drug Administration	1	1	—	—	$8,141.26	$8,141.26	$8,141.26	2025-07-01
5674	OTHER	Level 4 Pathology	1	1	—	—	$7,941.50	$7,941.50	$7,941.50	2025-07-01
9133	OTHER	Rabies Ig, Im/sc	1	1	—	—	$7,657.45	$7,657.45	$7,657.45	2025-07-01
5442	OTHER	Level 2 Nerve Injections	4	4	—	—	$7,569.92	$7,569.92	$7,569.92	2025-07-01
383	MS_DRG	Uncomplicated Peptic Ulcer With Mcc	2	2	—	—	$7,325.96	$7,325.96	$7,325.96	2025-07-01
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	1	1	—	—	$7,287.58	$7,287.58	$7,287.58	2025-07-01
5041	OTHER	Critical Care	19	9	—	—	$7,178.32	$7,178.32	$7,178.32	2025-07-01
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	4	3	—	—	$6,791.21	$6,791.21	$6,791.21	2025-07-01
5691	OTHER	Level 1 Drug Administration	8	6	—	—	$6,687.39	$6,687.39	$6,687.39	2025-07-01
5313	OTHER	Level 3 Lower Gi Procedures	1	1	—	—	$6,662.20	$6,662.20	$6,662.20	2025-07-01
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	1	1	—	—	$6,658.63	$6,658.63	$6,658.63	2025-07-01
683	MS_DRG	Renal Failure With Cc	2	2	—	—	$6,608.60	$6,608.60	$6,608.60	2025-07-01
445	MS_DRG	Disorders Of The Biliary Tract With Cc	1	1	—	—	$6,590.56	$6,590.56	$6,590.56	2025-07-01
249	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc	1	1	—	—	$6,577.04	$6,577.04	$6,577.04	2025-07-01
5673	OTHER	Level 3 Pathology	6	6	—	—	$6,490.53	$6,490.53	$6,490.53	2025-07-01
5672	OTHER	Level 2 Pathology	2	2	—	—	$6,411.50	$6,411.50	$6,411.50	2025-07-01
5025	OTHER	Level 5 Type A Ed Visits	37	16	—	—	$6,363.74	$6,363.74	$6,363.74	2025-07-01
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	2	2	—	—	$6,284.41	$6,284.41	$6,284.41	2025-07-01
394	MS_DRG	Other Digestive System Diagnoses With Cc	2	2	—	—	$6,217.89	$6,217.89	$6,217.89	2025-07-01
92	MS_DRG	Other Disorders Of Nervous System With Cc	1	1	—	—	$5,618.30	$5,618.30	$5,618.30	2025-07-01
305	MS_DRG	Hypertension Without Mcc	1	1	—	—	$5,350.40	$5,350.40	$5,350.40	2025-07-01
5791	OTHER	Pulmonary Treatment	2	2	—	—	$5,335.98	$5,335.98	$5,335.98	2025-07-01
5112	OTHER	Level 2 Musculoskeletal Procedures	6	5	—	—	$5,090.15	$5,090.15	$5,090.15	2025-07-01
5072	OTHER	Level 2 Excision/ Biopsy/ Incision And Drainage	5	4	—	—	$4,761.39	$4,761.39	$4,761.39	2025-07-01
5054	OTHER	Level 4 Skin Procedures	2	2	—	—	$4,741.56	$4,741.56	$4,741.56	2025-07-01
540	MS_DRG	Osteomyelitis With Cc	1	1	—	—	$4,546.98	$4,546.98	$4,546.98	2025-07-01
5183	OTHER	Level 3 Vascular Procedures	6	3	—	—	$4,411.06	$4,411.06	$4,411.06	2025-07-01
556	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	1	1	—	—	$3,865.88	$3,865.88	$3,865.88	2025-07-01
639	MS_DRG	Diabetes Without Cc/Mcc	1	1	—	—	$3,720.09	$3,720.09	$3,720.09	2025-07-01
5024	OTHER	Level 4 Type A Ed Visits	33	13	—	—	$3,682.37	$3,682.37	$3,682.37	2025-07-01
N905	OTHER	Not Recognized By Opps	4	4	—	—	$3,607.39	$3,607.39	$3,607.39	2025-07-01
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/Mcc	2	2	—	—	$3,550.28	$3,550.28	$3,550.28	2025-07-01
N811	OTHER	Observation, Other	1	1	—	—	$3,249.57	$3,249.57	$3,249.57	2025-07-01
5571	OTHER	Level 1 Imaging With Contrast	23	9	—	—	$3,235.66	$3,235.66	$3,235.66	2025-07-01
206	MS_DRG	Other Respiratory System Diagnoses Without Mcc	1	1	—	—	$3,015.18	$3,015.18	$3,015.18	2025-07-01
5724	OTHER	Level 4 Diagnostic Tests And Related Services	15	6	—	—	$2,851.68	$2,851.68	$2,851.68	2025-07-01
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	1	1	—	—	$2,490.50	$2,490.50	$2,490.50	2025-07-01
5573	OTHER	Level 3 Imaging With Contrast	13	7	—	—	$2,278.05	$2,278.05	$2,278.05	2025-07-01
5781	OTHER	Resuscitation And Cardioversion	11	5	—	—	$2,273.53	$2,273.53	$2,273.53	2025-07-01
5052	OTHER	Level 2 Skin Procedures	9	6	—	—	$1,888.74	$1,888.74	$1,888.74	2025-07-01
5301	OTHER	Level 1 Upper Gi Procedures	1	1	—	—	$1,878.93	$1,878.93	$1,878.93	2025-07-01
5801	OTHER	Ventilation Initiation And Management	1	1	—	—	$1,768.11	$1,768.11	$1,768.11	2025-07-01
5241	OTHER	Level 1 Blood Product Exchange And Related Services	2	2	—	—	$1,672.90	$1,672.90	$1,672.90	2025-07-01
5524	OTHER	Level 4 Imaging Without Contrast	24	11	—	—	$1,633.82	$1,633.82	$1,633.82	2025-07-01
5071	OTHER	Level 1 Excision/ Biopsy/ Incision And Drainage	2	2	—	—	$1,555.07	$1,555.07	$1,555.07	2025-07-01
5053	OTHER	Level 3 Skin Procedures	2	2	—	—	$1,324.67	$1,324.67	$1,324.67	2025-07-01
1440	OTHER	Inj Desmopressin Acetate	1	1	—	—	$1,111.11	$1,111.11	$1,111.11	2025-07-01
5023	OTHER	Level 3 Type A Ed Visits	29	13	—	—	$955.30	$955.30	$955.30	2025-07-01
5522	OTHER	Level 2 Imaging Without Contrast	30	14	—	—	$624.38	$624.38	$624.38	2025-07-01
N809	OTHER	Other Medicine	1	1	—	—	$601.86	$601.86	$601.86	2025-07-01
5101	OTHER	Level 1 Strapping And Cast Application	7	4	—	—	$560.43	$560.43	$560.43	2025-07-01
5732	OTHER	Level 2 Minor Procedures	2	2	—	—	$551.62	$551.62	$551.62	2025-07-01
5734	OTHER	Level 4 Minor Procedures	12	6	—	—	$539.90	$539.90	$539.90	2025-07-01
5441	OTHER	Level 1 Nerve Injections	5	5	—	—	$493.17	$493.17	$493.17	2025-07-01
5721	OTHER	Level 1 Diagnostic Tests And Related Services	22	9	—	—	$427.57	$427.57	$427.57	2025-07-01
5723	OTHER	Level 3 Diagnostic Tests And Related Services	2	2	—	—	$420.27	$420.27	$420.27	2025-07-01
5051	OTHER	Level 1 Skin Procedures	16	6	—	—	$390.32	$390.32	$390.32	2025-07-01
N804	OTHER	Mammography Services	34	14	—	—	$330.85	$330.85	$330.85	2025-07-01
N800	OTHER	Clinical Diagnostic Lab Services	28	13	—	—	$273.20	$273.20	$273.20	2025-07-01
5021	OTHER	Level 1 Type A Ed Visits	1	1	—	—	$230.50	$230.50	$230.50	2025-07-01
5521	OTHER	Level 1 Imaging Without Contrast	0	0	—	—	—	—	—	2025-07-01
N801	OTHER	Therapy Services	0	0	—	—	—	—	—	2025-07-01
N902	OTHER	Packaged Services	0	0	—	—	—	—	—	2025-07-01
5572	OTHER	Level 2 Imaging With Contrast	0	0	—	—	—	—	—	2025-07-01
5523	OTHER	Level 3 Imaging Without Contrast	0	0	—	—	—	—	—	2025-07-01
5693	OTHER	Level 3 Drug Administration	0	0	—	—	—	—	—	2025-07-01
5733	OTHER	Level 3 Minor Procedures	0	0	—	—	—	—	—	2025-07-01
5022	OTHER	Level 2 Type A Ed Visits	0	0	—	—	—	—	—	2025-07-01
5731	OTHER	Level 1 Minor Procedures	0	0	—	—	—	—	—	2025-07-01

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