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

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Hospital

Ventura County Medical Center - Santa Paula Hospital

Ventura, CA · CCN 050177 · Rates published

6,142 distinct procedures filed
49 distinct payers
246,186 rate rows
2026-03-23 last MRF observed
Data quality

242,385 of 246,186 rate rows are consumer-grade (98.5%)

3,801 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
per-diem day rate — not a per-procedure price 2,672
template filing: same amount across many unrelated codes — excluded 575
exceeds 10× this hospital's gross charge — excluded from medians 195
percent-of-charges filed in the dollar field — excluded from medians 176
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 138
exceeds 3× this hospital's gross charge for a DRG stay — excluded 43
placeholder amount (≤ $0.02) — 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=dbVentura&type=CDMWithoutLabel
Found on page https://hospitals.vchca.org/cms-law-for-price-transparency-chargemaster
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint b3091a4eb52d8bea… · 127,423,339 bytes · first seen 2026-05-04

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $25,017.60 $799,353.49 $234,490.39 nat. median
$202,976
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $3,414.00 $756,424.38 $208,627.01 nat. median
$206,474
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 $90,982.94 $554,774.03 $158,303.36 nat. median
$133,161
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 $33,057.86 $497,018.50 $94,990.82 nat. median
$72,135
1.3× median
L8686
HCPCS 		Implantable Neurostimulator Pulse Generator, Single Array, Non-rechargeable, Inc… 25 $900.00 $165,733.88 $93,371.20 nat. median
$7,058
outlier · 13.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 31 $64,628.32 $691,806.69 $89,946.57 nat. median
$60,185
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 $3,414.00 $352,407.58 $87,931.06 nat. median
$77,570
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 32 $16,913.28 $597,230.73 $86,651.22 nat. median
$57,822
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 $6,828.00 $357,495.40 $85,740.93 nat. median
$65,950
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 31 $53,726.53 $327,600.78 $81,297.37 nat. median
$66,526
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 $22,551.04 $595,421.78 $81,082.66 nat. median
$55,916
1.5× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 37 $6,660.00 $223,011.00 $79,724.10 nat. median
$62,507
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 32 $33,826.56 $354,889.42 $78,274.23 nat. median
$64,732
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 $30,698.77 $187,187.62 $78,071.04 nat. median
$64,023
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 31 $51,427.62 $313,583.04 $77,435.40 nat. median
$62,134
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 31 $52,179.37 $318,166.91 $75,892.89 nat. median
$62,372
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 $59,283.11 $361,482.41 $74,924.49 nat. median
$52,303
1.4× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 $53,959.11 $329,018.94 $72,772.20 nat. median
$56,696
1.3× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 31 $16,809.04 $148,787.78 $72,189.07 nat. median
$65,393
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 32 $13,691.79 $303,519.68 $71,050.82 nat. median
$52,746
1.3× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 $9,396.48 $758,400.68 $70,684.71 nat. median
$49,182
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 $52,141.44 $351,393.60 $69,880.25 nat. median
$48,170
1.5× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $26,646.69 $162,479.82 $64,905.18 nat. median
$58,020
1.1× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 31 $50,896.52 $310,344.64 $64,590.16 nat. median
$49,191
1.3× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 32 $14,094.72 $350,622.45 $64,399.92 nat. median
$46,647
1.4× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 32 $3,382.66 $308,592.05 $62,861.79 nat. median
$48,178
1.3× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 31 $46,378.92 $436,759.92 $62,157.29 nat. median
$42,444
1.5× median
799
MS_DRG 		Splenic Procedures With Mcc 32 $25,370.56 $361,287.83 $61,667.13 nat. median
$45,376
1.4× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 32 $28,414.82 $321,422.09 $59,625.88 nat. median
$41,228
1.4× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 32 $5,637.84 $295,183.17 $58,727.71 nat. median
$45,125
1.3× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 $3,523.68 $238,106.11 $58,488.68 nat. median
$46,084
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 32 $6,765.31 $157,354.76 $57,429.73 nat. median
$51,307
1.1× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 $16,325.54 $314,310.56 $57,420.04 nat. median
$45,112
1.3× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 $43,318.99 $264,140.18 $56,967.92 nat. median
$43,963
1.3× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 $26,497.82 $419,227.29 $56,727.18 nat. median
$37,662
1.5× median
653
MS_DRG 		Major Bladder Procedures With Mcc 31 $15,259.67 $113,829.70 $56,560.06 nat. median
$51,418
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 32 $1,938.00 $221,880.03 $56,000.24 nat. median
$44,810
1.2× median
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 $22,551.68 $401,162.23 $55,352.64 nat. median
$38,489
1.4× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 $34,610.72 $211,041.00 $55,177.18 nat. median
$47,740
1.2× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 31 $8,099.19 $73,774.32 $54,647.66 nat. median
$39,020
1.4× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 32 $14,094.72 $434,209.68 $53,904.81 nat. median
$37,476
1.4× median
163
MS_DRG 		Major Chest Procedures With Mcc 32 $5,637.92 $197,730.15 $53,416.31 nat. median
$44,937
1.2× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 $39,347.33 $294,837.56 $52,733.51 nat. median
$37,234
1.4× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 31 $36,733.11 $223,982.37 $52,635.97 nat. median
$48,483
1.1× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 31 $37,126.81 $226,382.99 $52,134.71 nat. median
$40,454
1.3× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 31 $37,701.35 $316,602.08 $50,527.56 nat. median
$35,058
1.4× median
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 $37,645.39 $434,827.95 $50,452.56 nat. median
$34,943
1.4× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 $37,157.61 $454,954.69 $49,798.84 nat. median
$35,264
1.4× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 32 $9,396.48 $193,740.54 $49,611.86 nat. median
$40,208
1.2× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 $36,473.46 $245,338.07 $48,881.93 nat. median
$33,771
1.4× median

Other procedures at this hospital

Browse this hospital's 6,142 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 32 $888,170.54 $444,085.27 50% off $25,017.60 $799,353.49 $234,490.39 2026-03-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 32 $840,471.53 $420,235.77 50% off $3,414.00 $756,424.38 $208,627.01 2026-03-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 31 $616,415.59 $308,207.80 50% off $90,982.94 $554,774.03 $158,303.36 2026-03-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 32 $497,018.50 $248,509.25 50% off $33,057.86 $497,018.50 $94,990.82 2026-03-23
L8686 HCPCS Implantable Neurostimulator Pulse Generator, Single Array, Non-rechargeable, Inc… 25 25 $116,714.00 $58,357.00 50% off $900.00 $165,733.88 $93,371.20 2026-03-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 31 $768,674.10 $384,337.05 50% off $64,628.32 $691,806.69 $89,946.57 2026-03-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 32 $391,563.98 $195,781.99 50% off $3,414.00 $352,407.58 $87,931.06 2026-03-23
28 MS_DRG Spinal Procedures With Mcc 32 32 $663,589.70 $331,794.85 50% off $16,913.28 $597,230.73 $86,651.22 2026-03-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 32 $397,217.11 $198,608.56 50% off $6,828.00 $357,495.40 $85,740.93 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 31 $364,000.86 $182,000.43 50% off $53,726.53 $327,600.78 $81,297.37 2026-03-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 32 $661,579.75 $330,789.88 50% off $22,551.04 $595,421.78 $81,082.66 2026-03-23
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 37 37 $157,050.00 $78,525.00 50% off $6,660.00 $223,011.00 $79,724.10 2026-03-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 32 $354,889.42 $177,444.71 50% off $33,826.56 $354,889.42 $78,274.23 2026-03-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 32 $207,986.24 $103,993.12 50% off $30,698.77 $187,187.62 $78,071.04 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 31 $348,425.61 $174,212.80 50% off $51,427.62 $313,583.04 $77,435.40 2026-03-23
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 31 31 $353,518.79 $176,759.40 50% off $52,179.37 $318,166.91 $75,892.89 2026-03-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 30 $401,647.12 $200,823.56 50% off $59,283.11 $361,482.41 $74,924.49 2026-03-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 31 $365,576.60 $182,788.30 50% off $53,959.11 $329,018.94 $72,772.20 2026-03-23
459 MS_DRG Spinal Fusion Except Cervical With Mcc 31 31 $165,319.75 $82,659.88 50% off $16,809.04 $148,787.78 $72,189.07 2026-03-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 32 $337,244.09 $168,622.04 50% off $13,691.79 $303,519.68 $71,050.82 2026-03-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 32 $842,667.42 $421,333.71 50% off $9,396.48 $758,400.68 $70,684.71 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 31 $390,437.33 $195,218.67 50% off $52,141.44 $351,393.60 $69,880.25 2026-03-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 31 $180,533.13 $90,266.57 50% off $26,646.69 $162,479.82 $64,905.18 2026-03-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 31 $344,827.38 $172,413.69 50% off $50,896.52 $310,344.64 $64,590.16 2026-03-23
471 MS_DRG Cervical Spinal Fusion With Mcc 32 32 $389,580.51 $194,790.25 50% off $14,094.72 $350,622.45 $64,399.92 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 32 $342,880.05 $171,440.03 50% off $3,382.66 $308,592.05 $62,861.79 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 31 $485,288.80 $242,644.40 50% off $46,378.92 $436,759.92 $62,157.29 2026-03-23
799 MS_DRG Splenic Procedures With Mcc 32 32 $401,430.93 $200,715.46 50% off $25,370.56 $361,287.83 $61,667.13 2026-03-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 32 $357,135.66 $178,567.83 50% off $28,414.82 $321,422.09 $59,625.88 2026-03-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 32 $327,981.30 $163,990.65 50% off $5,637.84 $295,183.17 $58,727.71 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 32 $264,562.35 $132,281.17 50% off $3,523.68 $238,106.11 $58,488.68 2026-03-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 32 $174,838.62 $87,419.31 50% off $6,765.31 $157,354.76 $57,429.73 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 31 $349,233.95 $174,616.98 50% off $16,325.54 $314,310.56 $57,420.04 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 31 $293,489.09 $146,744.55 50% off $43,318.99 $264,140.18 $56,967.92 2026-03-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 32 $465,808.09 $232,904.05 50% off $26,497.82 $419,227.29 $56,727.18 2026-03-23
653 MS_DRG Major Bladder Procedures With Mcc 31 31 $126,477.44 $63,238.72 50% off $15,259.67 $113,829.70 $56,560.06 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 32 $246,533.36 $123,266.68 50% off $1,938.00 $221,880.03 $56,000.24 2026-03-23
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 32 $445,735.81 $222,867.91 50% off $22,551.68 $401,162.23 $55,352.64 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 31 $234,490.00 $117,245.00 50% off $34,610.72 $211,041.00 $55,177.18 2026-03-23
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 31 31 $54,872.58 $27,436.29 50% off $8,099.19 $73,774.32 $54,647.66 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 32 $482,455.21 $241,227.60 50% off $14,094.72 $434,209.68 $53,904.81 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 32 32 $219,700.17 $109,850.09 50% off $5,637.92 $197,730.15 $53,416.31 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 31 $327,597.29 $163,798.64 50% off $39,347.33 $294,837.56 $52,733.51 2026-03-23
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 31 31 $248,869.30 $124,434.65 50% off $36,733.11 $223,982.37 $52,635.97 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 31 $251,536.65 $125,768.33 50% off $37,126.81 $226,382.99 $52,134.71 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 31 $351,780.09 $175,890.05 50% off $37,701.35 $316,602.08 $50,527.56 2026-03-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 31 $483,142.17 $241,571.08 50% off $37,645.39 $434,827.95 $50,452.56 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 25 $505,505.22 $252,752.61 50% off $37,157.61 $454,954.69 $49,798.84 2026-03-23
140 MS_DRG Major Head And Neck Procedures With Mcc 32 32 $215,267.27 $107,633.63 50% off $9,396.48 $193,740.54 $49,611.86 2026-03-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 31 $272,597.86 $136,298.93 50% off $36,473.46 $245,338.07 $48,881.93 2026-03-23
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 31 $67,259.18 $33,629.59 50% off $6,906.07 $67,259.18 $48,767.87 2026-03-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 31 $235,140.96 $117,570.48 50% off $34,706.81 $211,626.86 $48,183.36 2026-03-23
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 31 $259,273.63 $129,636.82 50% off $23,989.27 $233,346.27 $47,956.84 2026-03-23
791 MS_DRG Prematurity With Major Problems 30 30 $217,659.80 $108,829.90 50% off $32,126.59 $195,893.82 $47,249.15 2026-03-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 31 31 $253,663.03 $126,831.51 50% off $36,019.47 $228,296.73 $46,800.83 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 32 $202,765.87 $101,382.93 50% off $14,282.41 $182,489.28 $46,192.32 2026-03-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 31 $91,482.70 $45,741.35 50% off $11,118.04 $82,334.43 $45,967.29 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 31 31 $260,352.97 $130,176.48 50% off $34,153.88 $234,317.67 $45,773.22 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 32 $274,419.27 $137,209.64 50% off $4,027.06 $246,977.35 $45,724.24 2026-03-23
500 MS_DRG Soft Tissue Procedures With Mcc 32 32 $561,164.73 $280,582.37 50% off $28,189.44 $505,048.26 $45,642.49 2026-03-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 31 $144,665.53 $72,332.76 50% off $21,352.63 $130,198.98 $45,416.54 2026-03-23
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 31 $267,902.60 $133,951.30 50% off $14,853.42 $241,112.34 $45,408.27 2026-03-23
793 MS_DRG Full Term Neonate With Major Problems 30 30 $61,214.70 $30,607.35 50% off $9,035.29 $61,268.23 $45,383.89 2026-03-23
245 MS_DRG Aicd Generator Procedures 31 31 $43,758.38 $21,879.19 50% off $6,458.74 $67,040.04 $43,758.38 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 32 32 $215,278.17 $107,639.09 50% off $2,818.94 $193,750.35 $43,485.67 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 31 31 $294,568.35 $147,284.18 50% off $16,172.59 $265,111.52 $43,478.29 2026-03-23
263 MS_DRG Vein Ligation And Stripping 31 31 $299,241.95 $149,620.98 50% off $32,279.85 $269,317.76 $43,261.63 2026-03-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 32 $280,271.64 $140,135.82 50% off $25,370.56 $252,244.48 $43,231.06 2026-03-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 32 $155,674.58 $77,837.29 50% off $2,818.94 $140,107.12 $43,150.66 2026-03-23
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 32 $291,968.46 $145,984.23 50% off $26,310.19 $262,771.62 $42,917.03 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 32 $135,133.60 $67,566.80 50% off $19,945.72 $121,620.24 $42,657.51 2026-03-23
570 MS_DRG Skin Debridement With Mcc 31 31 $288,933.37 $144,466.68 50% off $31,051.96 $260,040.03 $42,646.56 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 31 31 $352,421.85 $176,210.92 50% off $30,470.21 $317,179.66 $42,406.97 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 31 $182,079.91 $91,039.95 50% off $26,874.99 $163,871.92 $41,885.69 2026-03-23
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 26 26 $232,612.50 $116,306.25 50% off $30,068.48 $209,351.25 $41,658.46 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 32 $177,025.27 $88,512.63 50% off $22,551.59 $159,322.74 $41,618.62 2026-03-23
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 31 31 $226,649.73 $113,324.86 50% off $33,363.09 $203,984.75 $41,511.45 2026-03-23
332 MS_DRG Rectal Resection With Mcc 31 31 $207,764.75 $103,882.38 50% off $30,417.76 $186,988.28 $41,379.86 2026-03-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 32 32 $214,914.94 $107,457.47 50% off $31,721.44 $193,423.44 $41,285.50 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 33 33 $301,530.21 $150,765.11 50% off $22,148.85 $271,377.19 $41,208.49 2026-03-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 31 31 $172,081.00 $86,040.50 50% off $24,564.09 $154,872.90 $41,179.12 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 31 $102,499.30 $51,249.65 50% off $15,128.90 $92,249.37 $40,779.76 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 32 $228,504.81 $114,252.41 50% off $10,841.99 $205,654.33 $40,583.82 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 31 $121,298.72 $60,649.36 50% off $17,903.69 $109,168.84 $40,431.35 2026-03-23
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 31 31 $143,390.04 $71,695.02 50% off $21,164.37 $129,051.03 $40,149.21 2026-03-23
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 31 $143,758.05 $71,879.03 50% off $21,218.69 $129,382.25 $40,073.72 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 31 $176,440.92 $88,220.46 50% off $26,042.68 $158,796.83 $39,869.68 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 31 $128,247.70 $64,123.85 50% off $18,929.36 $115,422.93 $39,312.53 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 31 $171,590.68 $85,795.34 50% off $25,326.78 $154,431.61 $39,097.24 2026-03-23
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 31 31 $312,356.45 $156,178.23 50% off $28,084.12 $281,120.81 $39,086.12 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 31 31 $226,847.33 $113,423.66 50% off $31,851.19 $204,162.59 $39,013.76 2026-03-23
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 31 $155,729.74 $77,864.87 50% off $22,985.71 $140,156.76 $38,917.87 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 32 $252,048.26 $126,024.13 50% off $20,940.71 $226,843.44 $38,907.55 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 32 $210,558.59 $105,279.30 50% off $1,610.83 $189,502.74 $38,893.84 2026-03-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 32 $214,072.18 $107,036.09 50% off $26,309.76 $192,664.97 $38,682.75 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 31 31 $246,490.57 $123,245.28 50% off $30,095.41 $221,841.51 $38,414.33 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 31 31 $173,768.61 $86,884.30 50% off $25,648.25 $156,391.74 $38,178.68 2026-03-23
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 32 $283,803.05 $141,901.53 50% off $737.50 $255,422.75 $38,036.37 2026-03-23
800 MS_DRG Splenic Procedures With Cc 32 32 $220,730.93 $110,365.47 50% off $28,189.44 $198,657.84 $37,468.71 2026-03-23
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 32 $426,442.90 $213,221.45 50% off $13,995.00 $383,798.61 $37,388.82 2026-03-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 31 $36,865.51 $18,432.75 50% off $5,441.35 $77,787.26 $36,865.51 2026-03-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 31 31 $247,098.84 $123,549.42 50% off $27,231.04 $222,388.95 $36,495.19 2026-03-23
253 MS_DRG Other Vascular Procedures With Cc 31 31 $199,763.03 $99,881.52 50% off $27,404.19 $179,786.73 $36,366.30 2026-03-23
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 31 31 $219,580.62 $109,790.31 50% off $30,620.14 $197,622.56 $36,322.10 2026-03-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 31 $36,062.51 $18,031.26 50% off $5,322.83 $50,064.03 $36,062.51 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 31 31 $188,433.52 $94,216.76 50% off $27,812.79 $169,590.17 $36,008.89 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 32 32 $152,801.21 $76,400.61 50% off $1,342.35 $137,521.09 $35,997.44 2026-03-23
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 32 $232,782.75 $116,391.38 50% off $22,551.68 $209,504.48 $35,932.82 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 32 $110,845.53 $55,422.77 50% off $16,360.80 $99,760.98 $35,805.68 2026-03-23
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 31 31 $187,870.33 $93,935.16 50% off $27,231.04 $169,083.29 $34,662.08 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 31 $106,410.92 $53,205.46 50% off $15,706.25 $95,769.83 $34,280.64 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 32 $180,065.02 $90,032.51 50% off $7,108.51 $162,058.52 $34,265.71 2026-03-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 31 31 $175,059.74 $87,529.87 50% off $25,838.82 $157,553.77 $34,098.01 2026-03-23
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 32 32 $224,470.48 $112,235.24 50% off $4,027.06 $202,023.43 $33,964.52 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 31 31 $115,372.74 $57,686.37 50% off $17,029.02 $103,835.46 $33,858.34 2026-03-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 26 $207,254.13 $103,627.07 50% off $17,957.74 $186,528.72 $33,823.72 2026-03-23
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 31 31 $306,578.50 $153,289.25 50% off $24,229.42 $275,920.65 $33,721.33 2026-03-23
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 31 31 $527,749.55 $263,874.77 50% off $23,920.07 $474,974.59 $33,290.79 2026-03-23
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 32 32 $260,731.20 $130,365.60 50% off $22,269.54 $234,658.08 $32,962.75 2026-03-23
545 MS_DRG Connective Tissue Disorders With Mcc 31 31 $178,606.82 $89,303.41 50% off $26,201.64 $160,746.14 $32,952.96 2026-03-23
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 32 32 $244,448.45 $122,224.23 50% off $22,551.48 $220,003.61 $32,765.16 2026-03-23
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 31 $32,759.80 $16,379.90 50% off $4,835.35 $58,542.48 $32,759.80 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 31 31 $189,457.55 $94,728.77 50% off $25,195.47 $170,511.79 $32,655.09 2026-03-23
619 MS_DRG O.r. Procedures For Obesity With Mcc 31 31 $85,758.67 $42,879.34 50% off $7,955.53 $141,500.64 $32,370.64 2026-03-23
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 31 31 $130,950.95 $65,475.48 50% off $19,328.36 $117,855.86 $32,307.86 2026-03-23
333 MS_DRG Rectal Resection With Cc 31 31 $180,114.90 $90,057.45 50% off $24,728.81 $162,103.41 $32,109.40 2026-03-23
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 31 31 $140,791.13 $70,395.56 50% off $10,227.10 $126,712.01 $31,679.19 2026-03-23
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 31 31 $158,920.20 $79,460.10 50% off $23,456.62 $143,028.18 $31,596.80 2026-03-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 31 $30,981.35 $15,490.68 50% off $4,572.85 $70,594.53 $30,981.35 2026-03-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 31 31 $160,182.20 $80,091.10 50% off $23,642.89 $144,163.98 $30,928.32 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 32 32 $85,326.12 $42,663.06 50% off $5,637.89 $76,793.51 $30,925.93 2026-03-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 32 32 $160,490.81 $80,245.40 50% off $5,125.35 $144,441.73 $30,648.03 2026-03-23
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 32 32 $134,442.89 $67,221.45 50% off $1,610.83 $120,998.60 $30,433.61 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 31 31 $161,361.61 $80,680.81 50% off $18,776.50 $145,225.45 $30,391.19 2026-03-23
503 MS_DRG Foot Procedures With Mcc 31 31 $80,080.03 $40,040.02 50% off $11,819.81 $72,072.03 $30,379.64 2026-03-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 31 31 $155,695.92 $77,847.96 50% off $22,980.72 $140,126.33 $30,328.37 2026-03-23
935 MS_DRG Non-extensive Burns 32 32 $446,518.19 $223,259.10 50% off $21,749.36 $401,866.37 $29,709.15 2026-03-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 33 33 $188,912.11 $94,456.06 50% off $20,554.83 $170,020.90 $29,636.78 2026-03-23
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 32 32 $195,507.10 $97,753.55 50% off $22,148.94 $175,956.39 $29,410.95 2026-03-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 31 31 $288,653.01 $144,326.50 50% off $21,095.82 $259,787.71 $29,360.14 2026-03-23
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 32 32 $159,490.25 $79,745.12 50% off $1,879.30 $143,541.22 $29,357.29 2026-03-23
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 31 31 $104,767.60 $52,383.80 50% off $15,463.70 $94,290.84 $29,334.93 2026-03-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 32 32 $176,770.10 $88,385.05 50% off $15,504.00 $159,093.09 $29,323.85 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 32 32 $128,313.79 $64,156.89 50% off $831.82 $115,482.41 $29,123.29 2026-03-23
999 MS_DRG Ungroupable 18 18 $135,743.35 $67,871.68 50% off $13,185.83 $122,169.02 $29,102.56 2026-03-23
709 MS_DRG Penis Procedures With Cc/mcc 32 32 $142,662.24 $71,331.12 50% off $14,094.72 $128,396.01 $29,009.97 2026-03-23
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 31 31 $147,067.20 $73,533.60 50% off $21,707.12 $132,360.48 $28,996.96 2026-03-23
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 31 31 $124,902.98 $62,451.49 50% off $18,435.68 $112,412.68 $28,955.77 2026-03-23
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 32 32 $262,759.64 $131,379.82 50% off $9,396.48 $236,483.67 $28,846.72 2026-03-23
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 31 31 $65,575.20 $32,787.60 50% off $5,163.15 $90,349.47 $28,785.36 2026-03-23
164 MS_DRG Major Chest Procedures With Cc 31 31 $129,188.99 $64,594.49 50% off $19,068.29 $116,270.09 $28,759.96 2026-03-23
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 74 38 $52,854.00 $26,427.00 50% off $1,662.91 $79,281.00 $28,629.65 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 31 31 $155,853.33 $77,926.66 50% off $23,003.95 $140,267.99 $28,500.87 2026-03-23
37271 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 37 37 $37,237.00 $18,618.50 50% off $560.00 $52,876.54 $28,293.00 2026-03-23
37292 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 37 37 $35,909.00 $17,954.50 50% off $560.00 $50,990.78 $28,293.00 2026-03-23
37275 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 37 37 $36,157.00 $18,078.50 50% off $560.00 $51,342.94 $28,293.00 2026-03-23
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 31 31 $200,078.23 $100,039.11 50% off $21,060.98 $180,070.40 $28,226.04 2026-03-23
539 MS_DRG Osteomyelitis With Mcc 31 31 $204,907.76 $102,453.88 50% off $20,795.97 $184,416.98 $27,870.88 2026-03-23
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 31 31 $187,085.02 $93,542.51 50% off $20,780.14 $168,376.52 $27,849.66 2026-03-23
196 MS_DRG Interstitial Lung Disease With Mcc 31 31 $220,126.46 $110,063.23 50% off $19,924.94 $198,113.81 $27,730.57 2026-03-23
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 32 32 $172,450.69 $86,225.35 50% off $12,685.23 $155,205.62 $27,715.42 2026-03-23
336 MS_DRG Peritoneal Adhesiolysis With Cc 31 31 $150,155.34 $75,077.67 50% off $22,162.93 $135,139.81 $27,703.66 2026-03-23
902 MS_DRG Wound Debridements For Injuries With Cc 32 32 $417,443.59 $208,721.80 50% off $5,637.92 $375,699.23 $27,610.76 2026-03-23
30 MS_DRG Spinal Procedures Without Cc/mcc 31 31 $183,520.47 $91,760.24 50% off $23,176.79 $165,168.42 $27,492.68 2026-03-23
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 31 31 $161,998.58 $80,999.29 50% off $22,073.12 $145,798.72 $27,450.10 2026-03-23
592 MS_DRG Skin Ulcers With Mcc 32 32 $189,317.63 $94,658.81 50% off $2,062.50 $170,385.86 $27,384.13 2026-03-23
548 MS_DRG Septic Arthritis With Mcc 31 31 $251,554.56 $125,777.28 50% off $20,386.33 $226,399.11 $27,321.87 2026-03-23
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 31 31 $224,886.38 $112,443.19 50% off $19,626.15 $202,397.74 $27,314.73 2026-03-23
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 31 $160,247.21 $80,123.61 50% off $22,987.80 $144,222.49 $27,268.51 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 32 32 $178,162.72 $89,081.36 50% off $21,065.20 $160,346.45 $27,264.26 2026-03-23
141 MS_DRG Major Head And Neck Procedures With Cc 32 32 $134,004.09 $67,002.05 50% off $16,287.29 $120,603.68 $27,189.92 2026-03-23
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 31 31 $143,539.63 $71,769.81 50% off $21,186.45 $129,185.66 $27,148.12 2026-03-23
75 MS_DRG Viral Meningitis With Cc/mcc 31 31 $260,755.90 $130,377.95 50% off $20,244.85 $234,680.31 $27,132.26 2026-03-23
792 MS_DRG Prematurity Without Major Problems 30 30 $92,701.77 $46,350.88 50% off $13,682.78 $83,431.59 $27,058.11 2026-03-23
357 MS_DRG Other Digestive System O.r. Procedures With Cc 31 31 $139,885.44 $69,942.72 50% off $20,647.09 $125,896.90 $27,046.54 2026-03-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 33 33 $182,893.91 $91,446.96 50% off $4,276.97 $164,604.52 $26,995.14 2026-03-23
504 MS_DRG Foot Procedures With Cc 32 32 $200,134.33 $100,067.16 50% off $5,637.92 $180,120.89 $26,957.45 2026-03-23
37242 HCPCS Occlusion Of Artery With Review By Radiologist 37 37 $54,167.00 $27,083.50 50% off $348.43 $76,917.14 $26,878.35 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 31 31 $114,558.82 $57,279.41 50% off $16,908.88 $103,102.93 $26,849.22 2026-03-23
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 31 31 $134,832.51 $67,416.25 50% off $19,901.28 $121,349.26 $26,820.15 2026-03-23
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 31 31 $155,123.93 $77,561.96 50% off $22,601.38 $139,611.53 $26,810.13 2026-03-23
783 MS_DRG Cesarean Section With Sterilization With Mcc 35 35 $119,320.95 $59,660.47 50% off $6,531.15 $107,388.85 $26,722.46 2026-03-23
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 31 31 $135,990.54 $67,995.27 50% off $20,072.20 $122,391.48 $26,709.34 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 31 31 $180,334.10 $90,167.05 50% off $19,391.77 $162,300.69 $26,617.31 2026-03-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 31 31 $107,122.80 $53,561.40 50% off $15,811.32 $96,410.52 $26,549.99 2026-03-23
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 31 31 $142,130.12 $71,065.06 50% off $20,978.41 $127,917.11 $26,506.01 2026-03-23
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 31 31 $280,057.48 $140,028.74 50% off $19,689.50 $252,051.73 $26,387.98 2026-03-23
754 MS_DRG Malignancy, Female Reproductive System With Mcc 31 31 $251,367.63 $125,683.82 50% off $19,444.56 $226,230.87 $26,255.90 2026-03-23
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 31 31 $528,925.05 $264,462.53 50% off $19,071.86 $476,032.55 $26,184.93 2026-03-23
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 92 25 $63,753.50 $31,876.75 50% off $900.00 $288,463.05 $26,031.65 2026-03-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 31 31 $134,134.54 $67,067.27 50% off $19,798.26 $120,721.08 $25,873.79 2026-03-23
347 MS_DRG Anal And Stomal Procedures With Mcc 31 31 $95,324.13 $47,662.07 50% off $12,813.96 $85,791.72 $25,735.97 2026-03-23
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 32 32 $189,753.64 $94,876.82 50% off $9,664.73 $170,778.28 $25,682.56 2026-03-23
883 MS_DRG Disorders Of Personality And Impulse Control 32 32 $150,098.77 $75,049.39 50% off $341.50 $135,088.89 $25,597.49 2026-03-23
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 32 32 $114,203.10 $57,101.55 50% off $9,396.48 $102,782.79 $25,536.59 2026-03-23
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 31 $263,012.80 $131,506.40 50% off $19,045.47 $236,711.52 $25,524.84 2026-03-23
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 31 31 $176,810.81 $88,405.41 50% off $19,043.36 $159,129.73 $25,522.01 2026-03-23
C1778 HCPCS Lead, Neurostimulator (implantable) 25 25 $31,902.00 $15,951.00 50% off $900.00 $45,300.84 $25,521.60 2026-03-23
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 32 32 $190,252.37 $95,126.18 50% off $3,758.61 $171,227.13 $25,476.32 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 31 $151,764.70 $75,882.35 50% off $18,939.89 $136,588.23 $25,383.34 2026-03-23
91 MS_DRG Other Disorders Of Nervous System With Mcc 32 32 $191,797.19 $95,898.60 50% off $9,664.73 $172,617.47 $25,327.78 2026-03-23
964 MS_DRG Other Multiple Significant Trauma With Cc 32 32 $252,563.78 $126,281.89 50% off $16,181.10 $227,307.40 $25,266.10 2026-03-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 31 31 $91,574.63 $45,787.32 50% off $13,516.42 $82,417.17 $25,233.40 2026-03-23
501 MS_DRG Soft Tissue Procedures With Cc 32 32 $199,156.75 $99,578.37 50% off $15,376.06 $179,241.07 $25,210.96 2026-03-23
254 MS_DRG Other Vascular Procedures Without Cc/mcc 31 31 $163,088.80 $81,544.40 50% off $18,811.08 $146,779.92 $25,210.72 2026-03-23
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 31 31 $350,130.46 $175,065.23 50% off $18,048.80 $315,117.41 $25,119.44 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 31 $135,590.48 $67,795.24 50% off $19,746.52 $122,031.43 $25,016.44 2026-03-23
374 MS_DRG Digestive Malignancy With Mcc 31 31 $125,605.48 $62,802.74 50% off $18,539.37 $113,044.93 $24,987.01 2026-03-23
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 35 $24,809.65 $12,404.83 50% off $3,661.90 $46,622.66 $24,809.65 2026-03-23
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 31 31 $137,191.38 $68,595.69 50% off $20,249.45 $123,472.24 $24,807.54 2026-03-23
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 37 37 $27,298.00 $13,649.00 50% off $560.00 $38,763.16 $24,756.38 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 31 31 $167,512.53 $83,756.27 50% off $18,645.32 $150,761.28 $24,724.85 2026-03-23
116 MS_DRG Intraocular Procedures With Cc/mcc 32 32 $130,200.12 $65,100.06 50% off $19,089.81 $117,180.11 $24,696.24 2026-03-23
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 31 31 $34,409.30 $17,204.65 50% off $5,060.09 $34,409.30 $24,588.02 2026-03-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 32 32 $143,106.56 $71,553.28 50% off $14,245.66 $128,795.91 $24,379.86 2026-03-23
380 MS_DRG Complicated Peptic Ulcer With Mcc 31 31 $115,974.75 $57,987.38 50% off $17,117.87 $104,377.28 $24,347.57 2026-03-23
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 33 33 $149,218.03 $74,609.01 50% off $366.09 $134,296.22 $24,327.87 2026-03-23
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 32 32 $104,704.09 $52,352.04 50% off $13,227.40 $94,233.68 $24,273.10 2026-03-23
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 30 30 $155,526.78 $77,763.39 50% off $19,027.52 $139,974.10 $24,228.27 2026-03-23
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 31 31 $163,532.96 $81,766.48 50% off $17,467.06 $147,179.66 $24,137.47 2026-03-23
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 31 31 $65,279.19 $32,639.59 50% off $9,635.21 $58,751.27 $24,061.21 2026-03-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 32 32 $98,491.78 $49,245.89 50% off $14,537.39 $88,642.60 $24,045.96 2026-03-23
100 MS_DRG Seizures With Mcc 33 33 $86,308.47 $43,154.24 50% off $2,312.96 $177,122.29 $24,032.40 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 32 32 $136,495.65 $68,247.83 50% off $1,025.08 $122,846.09 $24,011.74 2026-03-23
165 MS_DRG Major Chest Procedures Without Cc/mcc 31 31 $132,817.78 $66,408.89 50% off $19,603.90 $119,536.00 $23,973.44 2026-03-23
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 31 31 $114,894.68 $57,447.34 50% off $16,958.45 $103,405.21 $23,936.85 2026-03-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 31 31 $91,942.58 $45,971.29 50% off $13,570.72 $82,748.32 $23,922.53 2026-03-23
801 MS_DRG Splenic Procedures Without Cc/mcc 31 31 $134,600.54 $67,300.27 50% off $19,867.04 $121,140.49 $23,907.06 2026-03-23
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 32 32 $156,898.27 $78,449.13 50% off $18,240.95 $141,208.44 $23,802.40 2026-03-23
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 31 $160,932.56 $80,466.28 50% off $19,254.52 $144,839.30 $23,753.65 2026-03-23
205 MS_DRG Other Respiratory System Diagnoses With Mcc 32 32 $131,562.93 $65,781.46 50% off $10,148.22 $118,406.64 $23,602.40 2026-03-23
412 MS_DRG Cholecystectomy With C.d.e. With Cc 31 31 $125,012.49 $62,506.24 50% off $13,144.31 $112,511.24 $23,571.13 2026-03-23
551 MS_DRG Medical Back Problems With Mcc 32 32 $157,372.34 $78,686.17 50% off $17,696.16 $141,635.10 $23,472.33 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 31 31 $126,766.66 $63,383.33 50% off $18,710.76 $114,089.99 $23,457.89 2026-03-23
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 31 31 $131,789.08 $65,894.54 50% off $18,482.03 $118,610.17 $23,280.86 2026-03-23
913 MS_DRG Traumatic Injury With Mcc 32 32 $158,581.11 $79,290.55 50% off $17,258.01 $142,723.00 $23,267.92 2026-03-23
C9797 HCPCS Vascular Embolization Or Occlusion Procedure With Use Of A Pressure-generating C… 32 32 $23,250.00 $11,625.00 50% off $560.00 $35,366.25 $23,250.00 2026-03-23
884 MS_DRG Organic Disturbances And Intellectual Disability 32 32 $177,366.17 $88,683.09 50% off $1,225.63 $159,629.56 $23,203.43 2026-03-23
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 31 31 $56,330.05 $28,165.03 50% off $8,314.32 $50,697.05 $23,193.72 2026-03-23
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 31 31 $86,273.36 $43,136.68 50% off $12,733.95 $77,646.03 $23,173.95 2026-03-23
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 31 31 $98,632.98 $49,316.49 50% off $14,558.23 $88,769.68 $23,101.39 2026-03-23
595 MS_DRG Major Skin Disorders With Mcc 31 31 $41,729.50 $20,864.75 50% off $4,715.74 $37,556.55 $23,082.70 2026-03-23
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 33 33 $154,290.10 $77,145.05 50% off $17,220.00 $138,861.09 $23,078.34 2026-03-23
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 31 31 $81,263.25 $40,631.63 50% off $11,994.46 $73,136.93 $23,046.78 2026-03-23
655 MS_DRG Major Bladder Procedures Without Cc/mcc 31 31 $55,815.54 $27,907.77 50% off $4,658.48 $50,233.99 $23,038.07 2026-03-23
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 31 31 $79,646.25 $39,823.13 50% off $11,755.79 $71,681.63 $23,022.83 2026-03-23
183 MS_DRG Major Chest Trauma With Mcc 32 32 $163,294.98 $81,647.49 50% off $16,152.59 $146,965.48 $23,019.40 2026-03-23
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 31 31 $83,434.13 $41,717.06 50% off $10,385.84 $75,090.71 $22,972.46 2026-03-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 32 32 $384,716.73 $192,358.36 50% off $16,086.08 $346,245.05 $22,968.25 2026-03-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 32 32 $131,468.41 $65,734.20 50% off $7,047.31 $118,321.57 $22,948.69 2026-03-23
37184 HCPCS Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 37 37 $23,500.00 $11,750.00 50% off $560.00 $35,366.25 $22,870.18 2026-03-23
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 37 37 $23,500.00 $11,750.00 50% off $560.00 $35,366.25 $22,870.18 2026-03-23
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 32 32 $76,637.00 $38,318.50 50% off $737.50 $68,973.30 $22,760.52 2026-03-23
L8680 HCPCS Implantable Neurostimulator Electrode, Each 25 25 $28,395.00 $14,197.50 50% off $900.00 $40,320.90 $22,716.00 2026-03-23
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 32 32 $243,393.56 $121,696.78 50% off $16,621.36 $219,054.20 $22,704.43 2026-03-23
711 MS_DRG Testes Procedures With Cc/mcc 31 31 $53,451.76 $26,725.88 50% off $7,889.48 $48,106.58 $22,681.06 2026-03-23
643 MS_DRG Endocrine Disorders With Mcc 32 32 $149,315.19 $74,657.60 50% off $2,818.94 $134,383.67 $22,665.46 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 31 31 $153,471.42 $76,735.71 50% off $16,498.89 $138,124.28 $22,652.38 2026-03-23
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 32 32 $123,641.83 $61,820.91 50% off $2,818.95 $111,277.65 $22,644.37 2026-03-23
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 32 32 $132,114.53 $66,057.26 50% off $17,477.61 $118,903.08 $22,635.24 2026-03-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 31 31 $100,081.67 $50,040.84 50% off $14,772.06 $90,073.51 $22,550.17 2026-03-23
368 MS_DRG Major Esophageal Disorders With Mcc 31 31 $139,767.58 $69,883.79 50% off $16,807.18 $125,790.83 $22,525.08 2026-03-23
906 MS_DRG Hand Procedures For Injuries 32 32 $122,515.30 $61,257.65 50% off $11,275.84 $110,263.77 $22,338.18 2026-03-23
199 MS_DRG Pneumothorax With Mcc 32 32 $102,321.53 $51,160.77 50% off $15,102.66 $92,089.38 $22,322.32 2026-03-23
606 MS_DRG Minor Skin Disorders With Mcc 31 31 $337,378.29 $168,689.14 50% off $15,976.27 $303,640.46 $22,235.01 2026-03-23
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 31 31 $185,269.18 $92,634.59 50% off $15,872.81 $166,742.26 $22,091.00 2026-03-23
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 32 32 $150,446.91 $75,223.46 50% off $12,685.28 $135,402.22 $22,023.81 2026-03-23
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 31 31 $108,823.55 $54,411.78 50% off $16,062.36 $97,941.20 $22,007.17 2026-03-23
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 26 $147,376.73 $73,688.37 50% off $14,094.64 $132,639.06 $21,920.54 2026-03-23
115 MS_DRG Extraocular Procedures Except Orbit 32 32 $124,935.54 $62,467.77 50% off $16,205.38 $112,441.98 $21,508.55 2026-03-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 31 31 $134,240.93 $67,120.46 50% off $17,211.55 $120,816.83 $21,455.62 2026-03-23
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 31 31 $94,677.25 $47,338.63 50% off $13,974.36 $85,209.53 $21,407.40 2026-03-23
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 26 26 $95,385.93 $47,692.96 50% off $8,456.64 $85,847.33 $21,396.40 2026-03-23
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 34 34 $95,742.57 $47,871.29 50% off $2,168.40 $191,784.90 $21,376.72 2026-03-23
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 32 32 $146,180.56 $73,090.28 50% off $4,698.24 $131,562.50 $21,307.80 2026-03-23
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 31 31 $159,784.37 $79,892.18 50% off $15,886.53 $143,805.93 $21,307.71 2026-03-23
505 MS_DRG Foot Procedures Without Cc/mcc 32 32 $80,486.67 $40,243.34 50% off $11,879.83 $72,438.00 $21,235.69 2026-03-23
289 MS_DRG Acute And Subacute Endocarditis With Cc 31 31 $108,996.40 $54,498.20 50% off $16,087.87 $98,096.76 $21,179.73 2026-03-23
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 31 31 $105,806.90 $52,903.45 50% off $15,617.10 $95,226.21 $21,163.06 2026-03-23
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 31 31 $143,225.35 $71,612.68 50% off $16,960.27 $128,902.82 $21,140.06 2026-03-23
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 31 31 $43,093.73 $21,546.87 50% off $4,310.55 $38,784.36 $20,970.02 2026-03-23
571 MS_DRG Skin Debridement With Cc 31 31 $102,224.74 $51,112.37 50% off $15,088.37 $92,002.27 $20,963.82 2026-03-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 26 $22,046.67 $11,023.34 50% off $3,254.09 $60,946.92 $20,944.34 2026-03-23
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 31 31 $98,479.80 $49,239.90 50% off $14,535.62 $88,631.82 $20,915.39 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 31 31 $85,558.28 $42,779.14 50% off $12,628.40 $77,002.45 $20,848.38 2026-03-23
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 31 31 $97,646.09 $48,823.04 50% off $14,412.56 $87,881.48 $20,681.36 2026-03-23
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 31 31 $140,102.27 $70,051.13 50% off $16,637.20 $126,092.04 $20,679.09 2026-03-23
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 32 32 $140,568.36 $70,284.18 50% off $14,736.77 $126,511.52 $20,628.91 2026-03-23
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 31 $98,918.65 $49,459.33 50% off $14,600.39 $89,026.79 $20,621.26 2026-03-23
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 31 31 $60,383.40 $30,191.70 50% off $8,912.59 $54,345.06 $20,577.09 2026-03-23
919 MS_DRG Complications Of Treatment With Mcc 31 31 $78,702.50 $39,351.25 50% off $11,616.49 $70,832.25 $20,525.10 2026-03-23
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 32 32 $77,859.61 $38,929.80 50% off $4,336.84 $70,073.65 $20,428.30 2026-03-23
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 31 31 $89,463.91 $44,731.95 50% off $13,204.87 $80,517.51 $20,291.91 2026-03-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 31 31 $83,093.65 $41,546.83 50% off $12,264.62 $74,784.29 $20,217.92 2026-03-23
54 MS_DRG Nervous System Neoplasms With Mcc 32 32 $115,318.03 $57,659.02 50% off $2,562.68 $103,786.23 $20,199.54 2026-03-23
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 32 32 $135,441.86 $67,720.93 50% off $15,042.95 $121,897.68 $20,160.65 2026-03-23
885 MS_DRG Psychoses 32 32 $170,436.37 $85,218.19 50% off $3,781.73 $153,392.74 $20,144.53 2026-03-23
70 MS_DRG Other Cerebrovascular Disorders With Mcc 31 31 $91,539.45 $45,769.72 50% off $13,511.22 $82,385.50 $20,125.42 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 31 31 $107,652.07 $53,826.04 50% off $13,055.29 $96,886.86 $20,116.28 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 32 32 $110,646.92 $55,323.46 50% off $829.10 $99,582.23 $20,028.50 2026-03-23
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