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Hospital

CENTRAL PENINSULA GENERAL HOSPITAL

Soldotna, AK · CCN 020024 · Rates published

14,215 distinct procedures filed
14 distinct payers
259,215 rate rows
2026-01-15 last MRF observed
Data quality

259,157 of 259,215 rate rows are consumer-grade (100.0%)

58 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
percent-of-charges filed in the dollar field — excluded from medians 56
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCPGHSOLDOTNAAK&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.cpgh.org/patientfinancialservices/pricing/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint b9723508e7ce9f33… · 129,557,379 bytes · first seen 2026-05-05

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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $407,159.50 $665,027.18 $610,739.24 nat. median
$133,161
outlier · 4.6×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 $170,722.58 $278,846.88 $256,083.87 nat. median
$35,489
outlier · 7.2×
500
MS_DRG 		Soft Tissue Procedures With Mcc 14 $151,511.43 $247,468.67 $227,267.15 nat. median
$31,070
outlier · 7.3×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 14 $141,505.44 $231,125.55 $212,258.16 nat. median
$41,868
outlier · 5.1×
546
MS_DRG 		Connective Tissue Disorders With Cc 14 $140,025.09 $228,707.65 $210,037.64 nat. median
$12,460
outlier · 16.9×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 14 $133,567.38 $218,160.05 $200,351.07 nat. median
$44,810
outlier · 4.5×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 $128,667.99 $210,157.72 $193,001.99 nat. median
$42,295
outlier · 4.6×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 14 $128,513.71 $209,905.72 $192,770.56 nat. median
$49,191
outlier · 3.9×
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 $126,426.48 $206,496.58 $189,639.72 nat. median
$34,948
outlier · 5.4×
813
MS_DRG 		Coagulation Disorders 14 $124,474.86 $203,308.94 $186,712.29 nat. median
$15,711
outlier · 11.9×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $121,531.92 $198,502.14 $182,297.88 nat. median
$58,020
outlier · 3.1×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 14 $115,879.20 $189,269.36 $173,818.80 nat. median
$21,526
outlier · 8.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 14 $104,270.52 $170,308.52 $156,405.78 nat. median
$51,307
outlier · 3.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $101,513.55 $165,805.47 $152,270.33 nat. median
$66,526
outlier · 2.3×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 $101,073.54 $165,086.78 $151,610.31 nat. median
$28,136
outlier · 5.4×
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 14 $99,342.25 $162,259.00 $149,013.37 nat. median
$27,489
outlier · 5.4×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 $99,129.55 $161,911.59 $148,694.32 nat. median
$23,829
outlier · 6.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $95,390.87 $155,805.08 $143,086.30 nat. median
$62,134
outlier · 2.3×
444
MS_DRG 		Disorders Of The Biliary Tract With Mcc 14 $94,060.26 $153,631.76 $141,090.39 nat. median
$16,880
outlier · 8.4×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 14 $92,309.11 $150,771.54 $138,463.66 nat. median
$29,218
outlier · 4.7×
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 14 $92,254.31 $150,682.04 $138,381.46 nat. median
$24,405
outlier · 5.7×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 $90,831.74 $148,358.52 $136,247.62 nat. median
$32,024
outlier · 4.3×
754
MS_DRG 		Malignancy, Female Reproductive System With Mcc 14 $88,000.68 $143,734.44 $132,001.02 nat. median
$18,351
outlier · 7.2×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 14 $85,882.67 $140,275.02 $128,824.00 nat. median
$22,361
outlier · 5.8×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 $85,602.45 $139,817.34 $128,403.68 nat. median
$37,662
outlier · 3.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $84,307.65 $137,702.49 $126,461.47 nat. median
$46,084
outlier · 2.7×
199
MS_DRG 		Pneumothorax With Mcc 14 $82,426.17 $134,629.41 $123,639.26 nat. median
$17,612
outlier · 7.0×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 14 $82,037.01 $133,993.78 $123,055.52 nat. median
$24,638
outlier · 5.0×
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 14 $80,491.65 $131,469.70 $120,737.48 nat. median
$18,074
outlier · 6.7×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $80,414.30 $131,343.36 $120,621.45 nat. median
$48,170
outlier · 2.5×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 14 $79,507.74 $129,862.64 $119,261.61 nat. median
$37,476
outlier · 3.2×
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 $79,213.28 $129,381.69 $118,819.92 nat. median
$28,254
outlier · 4.2×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $78,875.54 $128,830.04 $118,313.30 nat. median
$33,845
outlier · 3.5×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 14 $78,659.49 $128,477.17 $117,989.24 nat. median
$13,400
outlier · 8.8×
264
MS_DRG 		Other Circulatory System O.r. Procedures 14 $78,169.84 $127,677.40 $117,254.76 nat. median
$33,061
outlier · 3.5×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 14 $77,938.45 $127,299.47 $116,907.67 nat. median
$33,835
outlier · 3.5×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 14 $77,823.95 $127,112.45 $116,735.92 nat. median
$48,178
outlier · 2.4×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 $75,483.39 $123,289.53 $113,225.08 nat. median
$28,961
outlier · 3.9×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 14 $74,758.44 $122,105.45 $112,137.66 nat. median
$27,218
outlier · 4.1×
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 $74,540.90 $121,750.14 $111,811.35 nat. median
$22,575
outlier · 5.0×
551
MS_DRG 		Medical Back Problems With Mcc 14 $72,728.54 $118,789.94 $109,092.80 nat. median
$16,881
outlier · 6.5×
28
MS_DRG 		Spinal Procedures With Mcc 14 $71,869.90 $117,387.50 $107,804.84 nat. median
$57,822
1.9× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 14 $71,563.32 $116,886.76 $107,344.98 nat. median
$22,403
outlier · 4.8×
496
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 $71,061.87 $116,067.72 $106,592.81 nat. median
$19,434
outlier · 5.5×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 $71,022.20 $116,002.92 $106,533.30 nat. median
$25,587
outlier · 4.2×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 $70,104.77 $114,504.46 $105,157.16 nat. median
$31,075
outlier · 3.4×
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 14 $68,954.54 $112,625.74 $103,431.80 nat. median
$13,516
outlier · 7.7×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 14 $66,274.36 $108,248.13 $99,411.55 nat. median
$16,145
outlier · 6.2×
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 14 $65,994.51 $107,791.04 $98,991.77 nat. median
$24,026
outlier · 4.1×
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 14 $65,330.36 $106,706.25 $97,995.54 nat. median
$18,292
outlier · 5.4×

Other procedures at this hospital

Browse this hospital's 14,215 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
             
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 14 $678,599.16 $678,599.16 $407,159.50 $665,027.18 $610,739.24 2026-01-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 14 $284,537.63 $284,537.63 $170,722.58 $278,846.88 $256,083.87 2026-01-15
500 MS_DRG Soft Tissue Procedures With Mcc 14 14 $252,519.05 $252,519.05 $151,511.43 $247,468.67 $227,267.15 2026-01-15
901 MS_DRG Wound Debridements For Injuries With Mcc 14 14 $235,842.40 $235,842.40 $141,505.44 $231,125.55 $212,258.16 2026-01-15
546 MS_DRG Connective Tissue Disorders With Cc 14 14 $233,375.15 $233,375.15 $140,025.09 $228,707.65 $210,037.64 2026-01-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 14 $222,612.30 $222,612.30 $133,567.38 $218,160.05 $200,351.07 2026-01-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 14 $214,446.65 $214,446.65 $128,667.99 $210,157.72 $193,001.99 2026-01-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 14 $214,189.51 $214,189.51 $128,513.71 $209,905.72 $192,770.56 2026-01-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 14 $210,710.80 $210,710.80 $126,426.48 $206,496.58 $189,639.72 2026-01-15
813 MS_DRG Coagulation Disorders 14 14 $207,458.10 $207,458.10 $124,474.86 $203,308.94 $186,712.29 2026-01-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 14 $202,553.20 $202,553.20 $121,531.92 $198,502.14 $182,297.88 2026-01-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 14 14 $193,132.00 $193,132.00 $115,879.20 $189,269.36 $173,818.80 2026-01-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 14 $173,784.20 $173,784.20 $104,270.52 $170,308.52 $156,405.78 2026-01-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 14 $169,189.25 $169,189.25 $101,513.55 $165,805.47 $152,270.33 2026-01-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 14 $168,455.90 $168,455.90 $101,073.54 $165,086.78 $151,610.31 2026-01-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 14 14 $165,570.41 $165,570.41 $99,342.25 $162,259.00 $149,013.37 2026-01-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 14 $165,215.91 $165,215.91 $99,129.55 $161,911.59 $148,694.32 2026-01-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 14 $158,984.78 $158,984.78 $95,390.87 $155,805.08 $143,086.30 2026-01-15
444 MS_DRG Disorders Of The Biliary Tract With Mcc 14 14 $156,767.10 $156,767.10 $94,060.26 $153,631.76 $141,090.39 2026-01-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 14 $153,848.52 $153,848.52 $92,309.11 $150,771.54 $138,463.66 2026-01-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 14 $153,757.18 $153,757.18 $92,254.31 $150,682.04 $138,381.46 2026-01-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 14 $151,386.24 $151,386.24 $90,831.74 $148,358.52 $136,247.62 2026-01-15
754 MS_DRG Malignancy, Female Reproductive System With Mcc 14 14 $146,667.80 $146,667.80 $88,000.68 $143,734.44 $132,001.02 2026-01-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 14 14 $143,137.77 $143,137.77 $85,882.67 $140,275.02 $128,824.00 2026-01-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 14 $142,670.76 $142,670.76 $85,602.45 $139,817.34 $128,403.68 2026-01-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 14 $140,512.75 $140,512.75 $84,307.65 $137,702.49 $126,461.47 2026-01-15
199 MS_DRG Pneumothorax With Mcc 14 14 $137,376.95 $137,376.95 $82,426.17 $134,629.41 $123,639.26 2026-01-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 14 14 $136,728.35 $136,728.35 $82,037.01 $133,993.78 $123,055.52 2026-01-15
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 14 14 $134,152.75 $134,152.75 $80,491.65 $131,469.70 $120,737.48 2026-01-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 14 $134,023.83 $134,023.83 $80,414.30 $131,343.36 $120,621.45 2026-01-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 14 $132,512.90 $132,512.90 $79,507.74 $129,862.64 $119,261.61 2026-01-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 14 $132,022.13 $132,022.13 $79,213.28 $129,381.69 $118,819.92 2026-01-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 14 $131,459.23 $131,459.23 $78,875.54 $128,830.04 $118,313.30 2026-01-15
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 14 14 $131,099.15 $131,099.15 $78,659.49 $128,477.17 $117,989.24 2026-01-15
264 MS_DRG Other Circulatory System O.r. Procedures 14 14 $130,283.06 $130,283.06 $78,169.84 $127,677.40 $117,254.76 2026-01-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 14 $129,897.42 $129,897.42 $77,938.45 $127,299.47 $116,907.67 2026-01-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 14 $129,706.58 $129,706.58 $77,823.95 $127,112.45 $116,735.92 2026-01-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 14 $125,805.64 $125,805.64 $75,483.39 $123,289.53 $113,225.08 2026-01-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 14 14 $124,597.40 $124,597.40 $74,758.44 $122,105.45 $112,137.66 2026-01-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 14 $124,234.83 $124,234.83 $74,540.90 $121,750.14 $111,811.35 2026-01-15
551 MS_DRG Medical Back Problems With Mcc 14 14 $121,214.23 $121,214.23 $72,728.54 $118,789.94 $109,092.80 2026-01-15
28 MS_DRG Spinal Procedures With Mcc 14 14 $119,783.16 $119,783.16 $71,869.90 $117,387.50 $107,804.84 2026-01-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 14 14 $119,272.20 $119,272.20 $71,563.32 $116,886.76 $107,344.98 2026-01-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 14 $118,436.45 $118,436.45 $71,061.87 $116,067.72 $106,592.81 2026-01-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 14 $118,370.33 $118,370.33 $71,022.20 $116,002.92 $106,533.30 2026-01-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 14 $116,841.29 $116,841.29 $70,104.77 $114,504.46 $105,157.16 2026-01-15
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 14 14 $114,924.23 $114,924.23 $68,954.54 $112,625.74 $103,431.80 2026-01-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 14 14 $110,457.27 $110,457.27 $66,274.36 $108,248.13 $99,411.55 2026-01-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 14 14 $109,990.86 $109,990.86 $65,994.51 $107,791.04 $98,991.77 2026-01-15
205 MS_DRG Other Respiratory System Diagnoses With Mcc 14 14 $108,883.93 $108,883.93 $65,330.36 $106,706.25 $97,995.54 2026-01-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 14 14 $108,521.84 $108,521.84 $65,113.10 $106,351.40 $97,669.66 2026-01-15
663 MS_DRG Minor Bladder Procedures With Cc 14 14 $106,022.25 $106,022.25 $63,613.35 $103,901.81 $95,420.03 2026-01-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 14 14 $105,152.55 $105,152.55 $63,091.53 $103,049.50 $94,637.30 2026-01-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 14 $105,131.85 $105,131.85 $63,079.11 $103,029.21 $94,618.67 2026-01-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 14 $103,043.70 $103,043.70 $61,826.22 $100,982.82 $92,739.33 2026-01-15
374 MS_DRG Digestive Malignancy With Mcc 14 14 $101,916.66 $101,916.66 $61,150.00 $99,878.33 $91,725.00 2026-01-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 14 14 $100,193.30 $100,193.30 $60,115.98 $98,189.44 $90,173.97 2026-01-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 14 14 $99,016.55 $99,016.55 $59,409.93 $97,036.22 $89,114.90 2026-01-15
643 MS_DRG Endocrine Disorders With Mcc 14 14 $98,529.34 $98,529.34 $59,117.60 $96,558.75 $88,676.40 2026-01-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 14 14 $97,955.14 $97,955.14 $58,773.08 $95,996.03 $88,159.62 2026-01-15
71 MS_DRG Other Cerebrovascular Disorders With Cc 14 14 $97,767.75 $97,767.75 $58,660.65 $95,812.40 $87,990.98 2026-01-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 14 $97,650.75 $97,650.75 $58,590.45 $95,697.74 $87,885.68 2026-01-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 14 $96,680.81 $96,680.81 $58,008.49 $94,747.19 $87,012.73 2026-01-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 14 14 $96,262.22 $96,262.22 $57,757.33 $94,336.98 $86,636.00 2026-01-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 14 14 $95,462.50 $95,462.50 $57,277.50 $93,553.25 $85,916.25 2026-01-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 14 14 $95,126.52 $95,126.52 $57,075.91 $93,223.99 $85,613.87 2026-01-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 14 14 $93,535.17 $93,535.17 $56,121.10 $91,664.47 $84,181.65 2026-01-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 14 14 $93,202.96 $93,202.96 $55,921.78 $91,338.90 $83,882.66 2026-01-15
472 MS_DRG Cervical Spinal Fusion With Cc 14 14 $92,472.96 $92,472.96 $55,483.78 $90,623.50 $83,225.67 2026-01-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 14 $89,996.70 $89,996.70 $53,998.02 $88,196.77 $80,997.03 2026-01-15
398 MS_DRG Appendix Procedures With Cc 14 14 $87,470.44 $87,470.44 $52,482.26 $85,721.03 $78,723.39 2026-01-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 14 14 $87,083.60 $87,083.60 $52,250.16 $85,341.93 $78,375.24 2026-01-15
548 MS_DRG Septic Arthritis With Mcc 14 14 $87,059.65 $87,059.65 $52,235.79 $85,318.46 $78,353.69 2026-01-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 14 $87,031.34 $87,031.34 $52,218.81 $85,290.72 $78,328.21 2026-01-15
757 MS_DRG Infections, Female Reproductive System With Mcc 14 14 $86,692.15 $86,692.15 $52,015.29 $84,958.31 $78,022.94 2026-01-15
30 MS_DRG Spinal Procedures Without Cc/mcc 14 14 $86,023.99 $86,023.99 $51,614.39 $84,303.51 $77,421.59 2026-01-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 14 $85,269.17 $85,269.17 $51,161.50 $83,563.79 $76,742.26 2026-01-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 14 14 $84,293.55 $84,293.55 $50,576.13 $82,607.68 $75,864.20 2026-01-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 14 $83,763.60 $83,763.60 $50,258.16 $82,088.33 $75,387.24 2026-01-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 14 14 $83,377.21 $83,377.21 $50,026.33 $81,709.67 $75,039.49 2026-01-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 14 $83,211.92 $83,211.92 $49,927.15 $81,547.68 $74,890.73 2026-01-15
540 MS_DRG Osteomyelitis With Cc 14 14 $81,958.62 $81,958.62 $49,175.17 $80,319.44 $73,762.75 2026-01-15
501 MS_DRG Soft Tissue Procedures With Cc 14 14 $81,698.05 $81,698.05 $49,018.83 $80,064.09 $73,528.25 2026-01-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 14 14 $81,611.83 $81,611.83 $48,967.10 $79,979.59 $73,450.64 2026-01-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 14 14 $80,154.67 $80,154.67 $48,092.80 $78,551.57 $72,139.20 2026-01-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 14 14 $79,839.31 $79,839.31 $47,903.59 $78,242.52 $71,855.38 2026-01-15
964 MS_DRG Other Multiple Significant Trauma With Cc 14 14 $79,063.20 $79,063.20 $47,437.92 $77,481.94 $71,156.88 2026-01-15
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 14 14 $77,821.23 $77,821.23 $46,692.74 $76,264.80 $70,039.10 2026-01-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 14 14 $77,656.40 $77,656.40 $46,593.84 $76,103.27 $69,890.76 2026-01-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 14 $77,621.24 $77,621.24 $46,572.74 $76,068.81 $69,859.12 2026-01-15
669 MS_DRG Transurethral Procedures With Cc 14 14 $77,580.80 $77,580.80 $46,548.48 $76,029.18 $69,822.72 2026-01-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 14 $76,910.83 $76,910.83 $46,146.50 $75,372.61 $69,219.75 2026-01-15
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 14 14 $76,431.20 $76,431.20 $45,858.72 $74,902.58 $68,788.08 2026-01-15
183 MS_DRG Major Chest Trauma With Mcc 14 14 $75,911.56 $75,911.56 $45,546.94 $74,393.33 $68,320.41 2026-01-15
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 14 $74,982.15 $74,982.15 $44,989.29 $73,482.51 $67,483.94 2026-01-15
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 14 14 $73,274.13 $73,274.13 $43,964.48 $71,808.64 $65,946.71 2026-01-15
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 14 14 $73,214.00 $73,214.00 $43,928.40 $71,749.72 $65,892.60 2026-01-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 14 14 $72,858.24 $72,858.24 $43,714.94 $71,401.08 $65,572.42 2026-01-15
572 MS_DRG Skin Debridement Without Cc/mcc 14 14 $72,258.80 $72,258.80 $43,355.28 $70,813.62 $65,032.92 2026-01-15
180 MS_DRG Respiratory Neoplasms With Mcc 14 14 $71,615.44 $71,615.44 $42,969.27 $70,183.13 $64,453.90 2026-01-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 14 14 $70,991.02 $70,991.02 $42,594.61 $69,571.20 $63,891.92 2026-01-15
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 14 14 $70,830.00 $70,830.00 $42,498.00 $69,413.40 $63,747.00 2026-01-15
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 14 14 $70,287.30 $70,287.30 $42,172.38 $68,881.55 $63,258.57 2026-01-15
549 MS_DRG Septic Arthritis With Cc 14 14 $70,193.60 $70,193.60 $42,116.16 $68,789.73 $63,174.24 2026-01-15
90 MS_DRG Concussion Without Cc/mcc 14 14 $69,171.50 $69,171.50 $41,502.90 $67,788.07 $62,254.35 2026-01-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 14 14 $68,649.73 $68,649.73 $41,189.84 $67,276.73 $61,784.75 2026-01-15
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 14 14 $68,449.35 $68,449.35 $41,069.61 $67,080.36 $61,604.42 2026-01-15
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 14 14 $68,317.30 $68,317.30 $40,990.38 $66,950.95 $61,485.57 2026-01-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 14 $68,258.55 $68,258.55 $40,955.13 $66,893.38 $61,432.70 2026-01-15
722 MS_DRG Malignancy, Male Reproductive System With Mcc 14 14 $68,257.65 $68,257.65 $40,954.59 $66,892.50 $61,431.88 2026-01-15
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 14 14 $67,673.50 $67,673.50 $40,604.10 $66,320.03 $60,906.15 2026-01-15
89 MS_DRG Concussion With Cc 14 14 $67,019.58 $67,019.58 $40,211.75 $65,679.18 $60,317.62 2026-01-15
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 14 14 $66,936.80 $66,936.80 $40,162.08 $65,598.06 $60,243.12 2026-01-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 14 $65,055.55 $65,055.55 $39,033.33 $63,754.44 $58,550.00 2026-01-15
571 MS_DRG Skin Debridement With Cc 14 14 $64,684.10 $64,684.10 $38,810.46 $63,390.42 $58,215.69 2026-01-15
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 14 14 $64,143.00 $64,143.00 $38,485.80 $62,860.14 $57,728.70 2026-01-15
100 MS_DRG Seizures With Mcc 14 14 $64,026.22 $64,026.22 $38,415.73 $62,745.70 $57,623.60 2026-01-15
682 MS_DRG Renal Failure With Mcc 14 14 $63,860.85 $63,860.85 $38,316.51 $62,583.64 $57,474.77 2026-01-15
51595 HCPCS Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation … 14 14 $62,483.00 $62,483.00 $8,738.55 $61,233.34 $57,171.94 2026-01-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 14 14 $63,312.30 $63,312.30 $37,987.38 $62,046.05 $56,981.07 2026-01-15
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 14 14 $63,161.17 $63,161.17 $37,896.70 $61,897.94 $56,845.05 2026-01-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 14 14 $62,735.28 $62,735.28 $37,641.17 $61,480.58 $56,461.76 2026-01-15
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 14 14 $62,582.95 $62,582.95 $37,549.77 $61,331.29 $56,324.66 2026-01-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 14 $62,450.18 $62,450.18 $37,470.11 $61,201.17 $56,205.16 2026-01-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 14 $62,333.28 $62,333.28 $37,399.97 $61,086.61 $56,099.95 2026-01-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 14 14 $62,199.93 $62,199.93 $37,319.96 $60,955.93 $55,979.93 2026-01-15
380 MS_DRG Complicated Peptic Ulcer With Mcc 14 14 $62,167.82 $62,167.82 $37,300.69 $60,924.46 $55,951.03 2026-01-15
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 14 14 $62,143.63 $62,143.63 $37,286.18 $60,900.75 $55,929.26 2026-01-15
300 MS_DRG Peripheral Vascular Disorders With Cc 14 14 $61,844.05 $61,844.05 $37,106.43 $60,607.17 $55,659.65 2026-01-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 14 14 $61,717.67 $61,717.67 $37,030.60 $60,483.32 $55,545.91 2026-01-15
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 14 14 $61,489.12 $61,489.12 $36,893.47 $60,259.33 $55,340.20 2026-01-15
184 MS_DRG Major Chest Trauma With Cc 14 14 $60,600.39 $60,600.39 $36,360.24 $59,388.39 $54,540.35 2026-01-15
54 MS_DRG Nervous System Neoplasms With Mcc 14 14 $60,214.18 $60,214.18 $36,128.51 $59,009.90 $54,192.76 2026-01-15
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 14 14 $60,127.00 $60,127.00 $36,076.20 $58,924.46 $54,114.30 2026-01-15
92943 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 14 14 $60,127.00 $60,127.00 $36,076.20 $58,924.46 $54,114.30 2026-01-15
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 14 14 $60,127.00 $60,127.00 $36,076.20 $58,924.46 $54,114.30 2026-01-15
92933 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 14 14 $60,127.00 $60,127.00 $36,076.20 $58,924.46 $54,114.30 2026-01-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 14 14 $60,069.77 $60,069.77 $36,041.86 $58,868.37 $54,062.79 2026-01-15
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 14 14 $59,611.08 $59,611.08 $35,766.65 $58,418.85 $53,649.97 2026-01-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 14 14 $59,358.83 $59,358.83 $35,615.30 $58,171.65 $53,422.94 2026-01-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 14 $59,355.74 $59,355.74 $35,613.45 $58,168.63 $53,420.17 2026-01-15
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 14 14 $59,218.04 $59,218.04 $35,530.83 $58,033.68 $53,296.24 2026-01-15
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 14 14 $59,211.29 $59,211.29 $35,526.77 $58,027.06 $53,290.16 2026-01-15
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 14 14 $59,071.68 $59,071.68 $35,443.01 $57,890.24 $53,164.51 2026-01-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 14 14 $58,807.61 $58,807.61 $35,284.57 $57,631.46 $52,926.85 2026-01-15
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 14 14 $58,325.14 $58,325.14 $34,995.08 $57,158.63 $52,492.62 2026-01-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 14 14 $57,901.59 $57,901.59 $34,740.95 $56,743.56 $52,111.43 2026-01-15
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 14 14 $57,500.64 $57,500.64 $34,500.39 $56,350.63 $51,750.58 2026-01-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 14 14 $56,906.86 $56,906.86 $34,144.11 $55,768.72 $51,216.17 2026-01-15
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 14 14 $56,822.48 $56,822.48 $34,093.49 $55,686.03 $51,140.23 2026-01-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 14 14 $56,562.40 $56,562.40 $33,937.44 $55,431.15 $50,906.16 2026-01-15
385 MS_DRG Inflammatory Bowel Disease With Mcc 14 14 $56,230.70 $56,230.70 $33,738.42 $55,106.09 $50,607.63 2026-01-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 14 14 $56,229.28 $56,229.28 $33,737.57 $55,104.70 $50,606.36 2026-01-15
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 14 14 $56,115.57 $56,115.57 $33,669.35 $54,993.26 $50,504.02 2026-01-15
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 14 14 $56,071.25 $56,071.25 $33,642.75 $54,949.83 $50,464.13 2026-01-15
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 14 14 $55,780.70 $55,780.70 $33,468.42 $54,665.09 $50,202.63 2026-01-15
645 MS_DRG Endocrine Disorders Without Cc/mcc 14 14 $55,699.80 $55,699.80 $33,419.88 $54,585.80 $50,129.82 2026-01-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 14 14 $55,445.93 $55,445.93 $33,267.56 $54,337.01 $49,901.34 2026-01-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 14 $55,210.30 $55,210.30 $33,126.18 $54,106.09 $49,689.27 2026-01-15
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 14 14 $55,031.28 $55,031.28 $33,018.77 $53,930.65 $49,528.15 2026-01-15
291 MS_DRG Heart Failure And Shock With Mcc 14 14 $54,805.95 $54,805.95 $32,883.57 $53,709.83 $49,325.36 2026-01-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 14 14 $54,708.31 $54,708.31 $32,824.99 $53,614.15 $49,237.48 2026-01-15
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 14 14 $54,633.98 $54,633.98 $32,780.39 $53,541.30 $49,170.58 2026-01-15
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 14 14 $54,613.50 $54,613.50 $32,768.10 $53,521.23 $49,152.15 2026-01-15
758 MS_DRG Infections, Female Reproductive System With Cc 14 14 $53,980.00 $53,980.00 $32,388.00 $52,900.40 $48,582.00 2026-01-15
637 MS_DRG Diabetes With Mcc 14 14 $53,933.96 $53,933.96 $32,360.38 $52,855.28 $48,540.57 2026-01-15
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 14 14 $53,917.88 $53,917.88 $32,350.73 $52,839.52 $48,526.09 2026-01-15
289 MS_DRG Acute And Subacute Endocarditis With Cc 14 14 $53,558.00 $53,558.00 $32,134.80 $52,486.84 $48,202.20 2026-01-15
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 14 14 $53,440.08 $53,440.08 $32,064.05 $52,371.28 $48,096.08 2026-01-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 14 14 $53,202.81 $53,202.81 $31,921.69 $52,138.76 $47,882.53 2026-01-15
253 MS_DRG Other Vascular Procedures With Cc 14 14 $53,083.95 $53,083.95 $31,850.37 $52,022.27 $47,775.56 2026-01-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 14 14 $52,841.85 $52,841.85 $31,705.11 $51,785.01 $47,557.67 2026-01-15
602 MS_DRG Cellulitis With Mcc 14 14 $52,776.86 $52,776.86 $31,666.12 $51,721.32 $47,499.17 2026-01-15
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 14 14 $52,698.06 $52,698.06 $31,618.84 $51,644.10 $47,428.25 2026-01-15
539 MS_DRG Osteomyelitis With Mcc 14 14 $51,804.22 $51,804.22 $31,082.53 $50,768.13 $46,623.79 2026-01-15
755 MS_DRG Malignancy, Female Reproductive System With Cc 14 14 $51,702.70 $51,702.70 $31,021.62 $50,668.65 $46,532.43 2026-01-15
375 MS_DRG Digestive Malignancy With Cc 14 14 $51,540.55 $51,540.55 $30,924.33 $50,509.74 $46,386.49 2026-01-15
37225 HCPCS Removal Of Plaque In Arteries Of Leg 14 14 $50,830.00 $50,830.00 $30,498.00 $49,813.40 $45,747.00 2026-01-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 14 14 $50,213.76 $50,213.76 $30,128.26 $49,209.48 $45,192.38 2026-01-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 14 $49,869.45 $49,869.45 $29,921.67 $48,872.06 $44,882.51 2026-01-15
92937 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 14 14 $49,851.00 $49,851.00 $29,910.60 $48,853.98 $44,865.90 2026-01-15
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 14 14 $49,851.00 $49,851.00 $29,910.60 $48,853.98 $44,865.90 2026-01-15
92928 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A… 14 14 $49,851.00 $49,851.00 $29,910.60 $48,853.98 $44,865.90 2026-01-15
92941 HCPCS Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of … 14 14 $49,851.00 $49,851.00 $29,910.60 $48,853.98 $44,865.90 2026-01-15
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 14 14 $49,851.00 $49,851.00 $29,910.60 $48,853.98 $44,865.90 2026-01-15
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 14 14 $49,851.00 $49,851.00 $29,910.60 $48,853.98 $44,865.90 2026-01-15
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 14 14 $49,636.39 $49,636.39 $29,781.83 $48,643.66 $44,672.75 2026-01-15
948 MS_DRG Signs And Symptoms Without Mcc 14 14 $49,076.99 $49,076.99 $29,446.19 $48,095.45 $44,169.29 2026-01-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 14 14 $48,962.26 $48,962.26 $29,377.35 $47,983.01 $44,066.03 2026-01-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 14 14 $48,915.79 $48,915.79 $29,349.47 $47,937.47 $44,024.21 2026-01-15
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 14 14 $48,848.35 $48,848.35 $29,309.01 $47,871.38 $43,963.52 2026-01-15
33208 HCPCS Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 14 14 $48,790.00 $48,790.00 $29,274.00 $47,814.20 $43,911.00 2026-01-15
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 14 14 $48,618.34 $48,618.34 $29,171.00 $47,645.97 $43,756.50 2026-01-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 14 14 $48,482.81 $48,482.81 $29,089.69 $47,513.15 $43,634.53 2026-01-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 14 $47,745.40 $47,745.40 $28,647.24 $46,790.49 $42,970.86 2026-01-15
304 MS_DRG Hypertension With Mcc 14 14 $47,502.90 $47,502.90 $28,501.74 $46,552.84 $42,752.61 2026-01-15
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 14 14 $47,371.00 $47,371.00 $28,422.60 $46,423.58 $42,633.90 2026-01-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 14 14 $47,258.36 $47,258.36 $28,355.02 $46,313.20 $42,532.53 2026-01-15
92 MS_DRG Other Disorders Of Nervous System With Cc 14 14 $46,978.93 $46,978.93 $28,187.36 $46,039.35 $42,281.04 2026-01-15
78 MS_DRG Hypertensive Encephalopathy With Cc 14 14 $46,945.80 $46,945.80 $28,167.48 $46,006.88 $42,251.22 2026-01-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 14 14 $46,899.91 $46,899.91 $28,139.94 $45,961.91 $42,209.92 2026-01-15
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 14 14 $46,847.75 $46,847.75 $28,108.65 $45,910.80 $42,162.98 2026-01-15
293 MS_DRG Heart Failure And Shock Without Cc/mcc 14 14 $46,675.71 $46,675.71 $28,005.43 $45,742.20 $42,008.14 2026-01-15
51590 HCPCS Removal Of Bladder With Transplantation Of Ureters To Small Or Large Bowel With … 14 14 $45,892.00 $45,892.00 $7,719.30 $44,974.16 $41,991.18 2026-01-15
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 14 14 $46,512.25 $46,512.25 $27,907.35 $45,582.01 $41,861.03 2026-01-15
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 14 14 $46,110.08 $46,110.08 $27,666.05 $45,187.88 $41,499.07 2026-01-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 14 14 $45,856.46 $45,856.46 $27,513.88 $44,939.33 $41,270.82 2026-01-15
712 MS_DRG Testes Procedures Without Cc/mcc 14 14 $45,673.90 $45,673.90 $27,404.34 $44,760.42 $41,106.51 2026-01-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 14 14 $45,627.15 $45,627.15 $27,376.29 $44,714.61 $41,064.43 2026-01-15
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 14 14 $45,361.75 $45,361.75 $27,217.05 $44,454.52 $40,825.58 2026-01-15
545 MS_DRG Connective Tissue Disorders With Mcc 14 14 $44,808.15 $44,808.15 $26,884.89 $43,911.99 $40,327.34 2026-01-15
196 MS_DRG Interstitial Lung Disease With Mcc 14 14 $44,728.20 $44,728.20 $26,836.92 $43,833.64 $40,255.38 2026-01-15
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 14 14 $44,390.35 $44,390.35 $26,634.21 $43,502.54 $39,951.32 2026-01-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 14 14 $44,265.36 $44,265.36 $26,559.22 $43,380.05 $39,838.82 2026-01-15
33206 HCPCS Insertion Of Pacemaker And Upper Heart Chamber Electrode 14 14 $43,704.00 $43,704.00 $26,222.40 $42,829.92 $39,333.60 2026-01-15
123 MS_DRG Neurological Eye Disorders 14 14 $43,517.10 $43,517.10 $26,110.26 $42,646.76 $39,165.39 2026-01-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 14 $43,335.25 $43,335.25 $26,001.15 $42,468.55 $39,001.73 2026-01-15
93461 HCPCS Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass … 14 14 $42,879.00 $42,879.00 $25,727.40 $42,021.42 $38,591.10 2026-01-15
75 MS_DRG Viral Meningitis With Cc/mcc 14 14 $42,817.20 $42,817.20 $25,690.32 $41,960.86 $38,535.48 2026-01-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 14 14 $42,814.80 $42,814.80 $25,688.88 $41,958.50 $38,533.32 2026-01-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 14 $42,563.80 $42,563.80 $25,538.28 $41,712.52 $38,307.42 2026-01-15
305 MS_DRG Hypertension Without Mcc 14 14 $42,469.31 $42,469.31 $25,481.59 $41,619.93 $38,222.38 2026-01-15
811 MS_DRG Red Blood Cell Disorders With Mcc 14 14 $42,400.33 $42,400.33 $25,440.20 $41,552.32 $38,160.30 2026-01-15
33207 HCPCS Insertion Of Pacemaker And Lower Heart Chamber Electrode 14 14 $42,354.00 $42,354.00 $25,412.40 $41,506.92 $38,118.60 2026-01-15
50785 HCPCS Repositioning Of Ureter With Creation Of Bladder Or Muscle Flap 14 14 $41,612.00 $41,612.00 $4,868.10 $40,779.76 $38,074.98 2026-01-15
947 MS_DRG Signs And Symptoms With Mcc 14 14 $41,844.83 $41,844.83 $25,106.90 $41,007.93 $37,660.34 2026-01-15
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 14 14 $41,760.11 $41,760.11 $25,056.07 $40,924.91 $37,584.10 2026-01-15
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 14 14 $41,524.65 $41,524.65 $24,914.79 $40,694.16 $37,372.19 2026-01-15
378 MS_DRG Gastrointestinal Hemorrhage With Cc 14 14 $41,205.32 $41,205.32 $24,723.19 $40,381.22 $37,084.79 2026-01-15
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 14 14 $41,036.81 $41,036.81 $24,622.08 $40,216.07 $36,933.12 2026-01-15
27138 HCPCS Revision Of Thigh Bone Prosthesis 14 14 $40,225.00 $40,225.00 $6,166.80 $39,420.50 $36,805.88 2026-01-15
864 MS_DRG Fever And Inflammatory Conditions 14 14 $40,880.93 $40,880.93 $24,528.56 $40,063.31 $36,792.84 2026-01-15
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 14 14 $40,869.90 $40,869.90 $24,521.94 $40,052.50 $36,782.91 2026-01-15
61645 HCPCS Removal Of Blood Clot And Injection To Dissolve Blood Clot From Head Artery Usin… 14 14 $40,739.00 $40,739.00 $24,443.40 $39,924.22 $36,665.10 2026-01-15
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 14 14 $40,665.97 $40,665.97 $24,399.58 $39,852.65 $36,599.37 2026-01-15
36224 HCPCS Insertion Of Tube Into Internal Neck Artery For Diagnosis Or Treatment With Revi… 14 14 $40,623.00 $40,623.00 $24,373.80 $39,810.54 $36,560.70 2026-01-15
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 14 14 $40,379.91 $40,379.91 $24,227.95 $39,572.31 $36,341.92 2026-01-15
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 14 14 $40,288.40 $40,288.40 $24,173.04 $39,482.63 $36,259.56 2026-01-15
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 28 14 $49,696.50 $49,696.50 $2,006.10 $64,366.40 $36,223.37 2026-01-15
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 14 14 $40,102.00 $40,102.00 $24,061.20 $39,299.96 $36,091.80 2026-01-15
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 14 14 $40,102.00 $40,102.00 $24,061.20 $39,299.96 $36,091.80 2026-01-15
919 MS_DRG Complications Of Treatment With Mcc 14 14 $39,965.83 $39,965.83 $23,979.50 $39,166.51 $35,969.24 2026-01-15
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 14 14 $39,944.03 $39,944.03 $23,966.42 $39,145.15 $35,949.63 2026-01-15
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 14 14 $39,928.30 $39,928.30 $23,956.98 $39,129.73 $35,935.47 2026-01-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 14 14 $39,742.90 $39,742.90 $23,845.74 $38,948.04 $35,768.61 2026-01-15
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 14 14 $39,708.53 $39,708.53 $23,825.12 $38,914.35 $35,737.67 2026-01-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 14 14 $39,572.85 $39,572.85 $23,743.71 $38,781.39 $35,615.56 2026-01-15
J2507 HCPCS Injection, Pegloticase, 1 Mg 14 14 $39,506.16 $39,506.16 $23,703.70 $38,716.04 $35,555.54 2026-01-15
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 14 14 $39,397.73 $39,397.73 $23,638.64 $38,609.78 $35,457.96 2026-01-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 14 14 $38,520.95 $38,520.95 $23,112.57 $37,750.53 $34,668.85 2026-01-15
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 14 14 $38,377.92 $38,377.92 $23,026.75 $37,610.36 $34,540.12 2026-01-15
603 MS_DRG Cellulitis Without Mcc 14 14 $38,370.52 $38,370.52 $23,022.31 $37,603.11 $34,533.47 2026-01-15
552 MS_DRG Medical Back Problems Without Mcc 14 14 $38,283.69 $38,283.69 $22,970.21 $37,518.01 $34,455.32 2026-01-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 14 $38,247.90 $38,247.90 $22,948.74 $37,482.94 $34,423.11 2026-01-15
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 14 14 $38,240.06 $38,240.06 $22,944.04 $37,475.26 $34,416.05 2026-01-15
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 14 14 $38,191.64 $38,191.64 $22,914.98 $37,427.81 $34,372.48 2026-01-15
598 MS_DRG Malignant Breast Disorders With Cc 14 14 $38,035.85 $38,035.85 $22,821.51 $37,275.13 $34,232.27 2026-01-15
151 MS_DRG Epistaxis Without Mcc 14 14 $38,030.50 $38,030.50 $22,818.30 $37,269.89 $34,227.45 2026-01-15
50234 HCPCS Removal Of Kidney And Ureter With Partial Removal Of Bladder Through Same Incisi… 14 14 $37,283.00 $37,283.00 $5,217.75 $36,537.34 $34,113.94 2026-01-15
50081 HCPCS Complex Surgical Treatment Of Kidney Stone With Imaging Guidance 14 14 $37,119.00 $37,119.00 $4,514.40 $36,376.62 $33,963.88 2026-01-15
93460 HCPCS Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 14 14 $37,601.00 $37,601.00 $22,560.60 $36,848.98 $33,840.90 2026-01-15
50240 HCPCS Partial Removal Of Kidney 14 14 $36,951.00 $36,951.00 $5,336.55 $36,211.98 $33,810.17 2026-01-15
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 14 14 $37,436.46 $37,436.46 $22,461.88 $36,687.73 $33,692.81 2026-01-15
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 14 14 $37,292.34 $37,292.34 $22,375.40 $36,546.49 $33,563.11 2026-01-15
50548 HCPCS Removal Of Kidney And Ureter Using An Endoscope 14 14 $36,618.00 $36,618.00 $5,375.70 $35,885.64 $33,505.47 2026-01-15
381 MS_DRG Complicated Peptic Ulcer With Cc 14 14 $36,793.10 $36,793.10 $22,075.86 $36,057.24 $33,113.79 2026-01-15
33214 HCPCS Insertion Of 2 Chamber Pacemaker System 14 14 $36,785.00 $36,785.00 $22,071.00 $36,049.30 $33,106.50 2026-01-15
368 MS_DRG Major Esophageal Disorders With Mcc 14 14 $36,366.15 $36,366.15 $21,819.69 $35,638.83 $32,729.54 2026-01-15
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 14 14 $36,234.34 $36,234.34 $21,740.60 $35,509.65 $32,610.91 2026-01-15
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 14 14 $36,205.47 $36,205.47 $21,723.28 $35,481.37 $32,584.93 2026-01-15
884 MS_DRG Organic Disturbances And Intellectual Disability 14 14 $36,201.71 $36,201.71 $21,721.02 $35,477.67 $32,581.54 2026-01-15
303 MS_DRG Atherosclerosis Without Mcc 14 14 $35,884.62 $35,884.62 $21,530.78 $35,166.93 $32,296.16 2026-01-15
69 MS_DRG Transient Ischemia Without Thrombolytic 14 14 $35,858.73 $35,858.73 $21,515.24 $35,141.55 $32,272.86 2026-01-15
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 14 14 $35,739.41 $35,739.41 $21,443.65 $35,024.62 $32,165.47 2026-01-15
787 MS_DRG Cesarean Section Without Sterilization With Cc 14 14 $35,609.30 $35,609.30 $21,365.58 $34,897.11 $32,048.37 2026-01-15
92924 HCPCS Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch 14 14 $35,515.00 $35,515.00 $21,309.00 $34,804.70 $31,963.50 2026-01-15
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 14 14 $35,502.25 $35,502.25 $21,301.35 $34,792.21 $31,952.03 2026-01-15
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 14 14 $35,394.79 $35,394.79 $21,236.87 $34,686.90 $31,855.31 2026-01-15
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 14 14 $35,377.63 $35,377.63 $21,226.58 $34,670.08 $31,839.87 2026-01-15
315 MS_DRG Other Circulatory System Diagnoses With Cc 14 14 $35,356.78 $35,356.78 $21,214.07 $34,649.65 $31,821.10 2026-01-15
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 14 14 $35,337.50 $35,337.50 $21,202.50 $34,630.75 $31,803.75 2026-01-15
37233 HCPCS Removal Of Plaque In Artery Of Leg, Each Additional Vessel 14 14 $34,948.00 $34,948.00 $20,968.80 $34,249.04 $31,453.20 2026-01-15
102 MS_DRG Headaches With Mcc 14 14 $34,736.10 $34,736.10 $20,841.66 $34,041.38 $31,262.49 2026-01-15
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 14 14 $34,687.51 $34,687.51 $20,812.51 $33,993.76 $31,218.76 2026-01-15
302 MS_DRG Atherosclerosis With Mcc 14 14 $34,669.15 $34,669.15 $20,801.49 $33,975.77 $31,202.24 2026-01-15
50230 HCPCS Removal Of Kidney, Lymph Nodes, And/or Blood Clot From Major Vein With Partial R… 14 14 $34,072.00 $34,072.00 $5,132.70 $33,390.56 $31,175.88 2026-01-15
176 MS_DRG Pulmonary Embolism Without Mcc 14 14 $34,540.55 $34,540.55 $20,724.33 $33,849.74 $31,086.49 2026-01-15
27091 HCPCS Removal Of Hip Prosthesis, Complicated 14 14 $33,893.00 $33,893.00 $6,458.40 $33,215.14 $31,012.10 2026-01-15
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 14 14 $34,395.73 $34,395.73 $20,637.44 $33,707.82 $30,956.16 2026-01-15
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 14 14 $34,200.75 $34,200.75 $20,520.45 $33,516.74 $30,780.68 2026-01-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 14 14 $33,980.00 $33,980.00 $20,388.00 $33,300.40 $30,582.00 2026-01-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 14 14 $33,775.56 $33,775.56 $20,265.34 $33,100.05 $30,398.00 2026-01-15
534 MS_DRG Fractures Of Femur Without Mcc 14 14 $33,672.60 $33,672.60 $20,203.56 $32,999.15 $30,305.34 2026-01-15
784 MS_DRG Cesarean Section With Sterilization With Cc 14 14 $33,299.00 $33,299.00 $19,979.40 $32,633.02 $29,969.10 2026-01-15
389 MS_DRG Gastrointestinal Obstruction With Cc 14 14 $33,071.13 $33,071.13 $19,842.68 $32,409.71 $29,764.02 2026-01-15
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 14 14 $32,941.30 $32,941.30 $19,764.78 $32,282.47 $29,647.17 2026-01-15
101 MS_DRG Seizures Without Mcc 14 14 $32,812.79 $32,812.79 $19,687.67 $32,156.53 $29,531.51 2026-01-15
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 14 14 $32,703.12 $32,703.12 $19,621.87 $32,049.05 $29,432.80 2026-01-15
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 14 14 $32,683.00 $32,683.00 $19,609.80 $32,029.34 $29,414.70 2026-01-15
812 MS_DRG Red Blood Cell Disorders Without Mcc 14 14 $32,640.95 $32,640.95 $19,584.57 $31,988.13 $29,376.86 2026-01-15
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