Portage, WI
1 known revision on file.
| Revision date | Payer-specific rates |
|---|---|
| Apr 1, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Aspirus Divine Savior Hospital’s price for it.
The codes Aspirus Divine Savior Hospital has the most pricing samples for.
| Procedure | ||||||
|---|---|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCCMS-DRG 871 | $18.2k | $25.7k | $12.4k | 29–164 | $9.1k | $44.3k |
| Heart Failure And Shock With MccMS-DRG 291 | $11.0k | $16.2k | $8.0k | 28–145 | $2.7k | $29.3k |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCCMS-DRG 193 | $15.2k | $17.5k | $8.1k | 12–120 | $5.2k | $30.0k |
| VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC MS-DRG 807 | $9.7k | $9.6k | $3.8k | 11–110 | $2.6k | $15.4k |
| NORMAL NEWBORNMS-DRG 795 | $3.3k | $3.3k | $1.1k | 11–110 | $1.3k | $6.8k |
| PULMONARY EDEMA AND RESPIRATORY FAILUREMS-DRG 189 | $16.6k | $17.6k | $8.2k | 20–101 | $7.3k | $40.4k |
| Septicemia Or Severe Sepsis Without Mv >96 Hours Without MccMS-DRG 872 | $15.5k | $14.6k | $6.3k | 10–100 | $7.3k | $25.0k |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCCMS-DRG 640 | $18.6k | $17.4k | $9.8k | 28–73 | $1.5k | $30.5k |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCCMS-DRG 392 | $11.8k | $10.9k | $5.0k | 8–80 | $1.4k | $17.8k |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCCMS-DRG 641 | $11.8k | $11.5k | $5.4k | 8–80 | $2.7k | $28.3k |
EIN: 390806250
Last updated: Apr 1, 2026
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Hospital ID: 66c7c1e77445215cb99f6cc71dbaaefe24ebf2082062c33c4b30218107e558a4