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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

NATIVIDAD MEDICAL CENTER

Salinas, CA · CCN 050248 · Rates published

7,423 distinct procedures filed
14 distinct payers
93,817 rate rows
2026-01-24 last MRF observed
Data quality

88,684 of 93,817 rate rows are consumer-grade (94.5%)

5,133 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 4,500
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 468
percent-of-charges filed in the dollar field — excluded from medians 108
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 52
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbNMCSALINASCA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Natividad_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint ba6c292341189e8e… · 40,613,703 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $352,684.17 $352,684.17 $352,684.17 nat. median
$133,161
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $347,472.50 $347,472.50 $347,472.50 nat. median
$202,976
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $201,896.07 $201,896.07 $201,896.07 nat. median
$72,135
outlier · 2.8×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $201,141.51 $201,141.51 $201,141.51 nat. median
$62,372
outlier · 3.2×
915
MS_DRG 		Allergic Reactions With Mcc 1 $186,530.11 $186,530.11 $186,530.11 nat. median
$17,183
outlier · 10.9×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 $174,815.54 $174,815.54 $174,815.54 nat. median
$34,132
outlier · 5.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $156,155.67 $156,155.67 $156,155.67 nat. median
$55,916
outlier · 2.8×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $144,782.64 $144,782.64 $144,782.64 nat. median
$64,732
outlier · 2.2×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 $140,298.51 $140,298.51 $140,298.51 nat. median
$36,123
outlier · 3.9×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $138,103.25 $138,103.25 $138,103.25 nat. median
$51,307
outlier · 2.7×
800
MS_DRG 		Splenic Procedures With Cc 1 $133,484.16 $133,484.16 $133,484.16 nat. median
$28,322
outlier · 4.7×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 1 $129,851.60 $129,851.60 $129,851.60 nat. median
$28,775
outlier · 4.5×
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 $129,775.36 $129,775.36 $129,775.36 nat. median
$33,771
outlier · 3.8×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $121,951.94 $121,951.94 $121,951.94 nat. median
$87,428
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $117,136.83 $117,136.83 $117,136.83 nat. median
$65,393
1.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $116,081.87 $116,081.87 $116,081.87 nat. median
$48,178
outlier · 2.4×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $116,011.51 $116,011.51 $116,011.51 nat. median
$37,662
outlier · 3.1×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $112,482.93 $112,482.93 $112,482.93 nat. median
$42,730
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $112,038.07 $112,038.07 $112,038.07 nat. median
$66,526
1.7× median
736
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 $103,141.42 $103,141.42 $103,141.42 nat. median
$36,764
outlier · 2.8×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 1 $101,630.57 $101,630.57 $101,630.57 nat. median
$45,125
outlier · 2.3×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $99,828.34 $99,828.34 $99,828.34 nat. median
$52,303
1.9× median
577
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 $96,741.91 $96,741.91 $96,741.91 nat. median
$26,342
outlier · 3.7×
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 1 $94,365.26 $94,365.26 $94,365.26 nat. median
$26,957
outlier · 3.5×
406
MS_DRG 		Pancreas, Liver And Shunt Procedures With Cc 1 $94,203.64 $94,203.64 $94,203.64 nat. median
$28,771
outlier · 3.3×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $91,079.58 $91,079.58 $91,079.58 nat. median
$39,075
outlier · 2.3×
85
MS_DRG 		Traumatic Stupor And Coma <1 Hour With Mcc 1 $90,070.57 $90,070.57 $90,070.57 nat. median
$22,316
outlier · 4.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $89,948.34 $89,948.34 $89,948.34 nat. median
$62,134
1.4× median
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 $89,446.46 $89,446.46 $89,446.46 nat. median
$36,815
outlier · 2.4×
472
MS_DRG 		Cervical Spinal Fusion With Cc 1 $88,045.87 $88,045.87 $88,045.87 nat. median
$29,858
outlier · 2.9×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 1 $87,069.41 $87,069.41 $87,069.41 nat. median
$41,228
outlier · 2.1×
263
MS_DRG 		Vein Ligation And Stripping 1 $86,000.59 $86,000.59 $86,000.59 nat. median
$28,155
outlier · 3.1×
507
MS_DRG 		Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 $84,637.23 $84,637.23 $84,637.23 nat. median
$19,275
outlier · 4.4×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $82,560.31 $82,560.31 $82,560.31 nat. median
$30,262
outlier · 2.7×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $81,604.08 $81,604.08 $81,604.08 nat. median
$40,208
outlier · 2.0×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 $80,516.33 $80,516.33 $80,516.33 nat. median
$37,698
outlier · 2.1×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $80,292.64 $80,292.64 $80,292.64 nat. median
$47,740
1.7× median
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 1 $79,743.13 $79,743.13 $79,743.13 nat. median
$20,494
outlier · 3.9×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 $78,983.62 $78,983.62 $78,983.62 nat. median
$43,963
1.8× median
37
MS_DRG 		Extracranial Procedures With Mcc 1 $78,628.16 $78,628.16 $78,628.16 nat. median
$32,921
outlier · 2.4×
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 $77,993.20 $77,993.20 $77,993.20 nat. median
$27,489
outlier · 2.8×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $75,136.13 $75,136.13 $75,136.13 nat. median
$52,857
1.4× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $74,665.49 $74,665.49 $74,665.49 nat. median
$35,324
outlier · 2.1×
163
MS_DRG 		Major Chest Procedures With Mcc 1 $73,777.45 $73,777.45 $73,777.45 nat. median
$44,937
1.6× median
348
MS_DRG 		Anal And Stomal Procedures With Cc 1 $73,322.21 $73,322.21 $73,322.21 nat. median
$13,700
outlier · 5.4×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $70,894.93 $70,894.93 $70,894.93 nat. median
$48,170
1.5× median
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 1 $70,624.98 $70,624.98 $70,624.98 nat. median
$19,858
outlier · 3.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $69,921.12 $69,921.12 $69,921.12 nat. median
$44,810
1.6× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 $68,321.60 $68,321.60 $68,321.60 nat. median
$31,607
outlier · 2.2×
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 $67,528.55 $67,528.55 $67,528.55 nat. median
$22,208
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 7,423 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… 1 1 $1,330,883.68 $1,330,883.68 $352,684.17 $352,684.17 $352,684.17 2026-01-24
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 $1,311,216.98 $1,311,216.98 $347,472.50 $347,472.50 $347,472.50 2026-01-24
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 $761,871.97 $761,871.97 $201,896.07 $201,896.07 $201,896.07 2026-01-24
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 $759,024.56 $759,024.56 $201,141.51 $201,141.51 $201,141.51 2026-01-24
915 MS_DRG Allergic Reactions With Mcc 1 1 $703,887.21 $703,887.21 $186,530.11 $186,530.11 $186,530.11 2026-01-24
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 $659,681.30 $659,681.30 $174,815.54 $174,815.54 $174,815.54 2026-01-24
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 $589,266.70 $589,266.70 $156,155.67 $156,155.67 $156,155.67 2026-01-24
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 $546,349.57 $546,349.57 $144,782.64 $144,782.64 $144,782.64 2026-01-24
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 $529,428.34 $529,428.34 $140,298.51 $140,298.51 $140,298.51 2026-01-24
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 $521,144.33 $521,144.33 $138,103.25 $138,103.25 $138,103.25 2026-01-24
800 MS_DRG Splenic Procedures With Cc 1 1 $503,713.81 $503,713.81 $133,484.16 $133,484.16 $133,484.16 2026-01-24
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 $490,006.05 $490,006.05 $129,851.60 $129,851.60 $129,851.60 2026-01-24
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 $489,718.32 $489,718.32 $129,775.36 $129,775.36 $129,775.36 2026-01-24
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 $460,196.00 $460,196.00 $121,951.94 $121,951.94 $121,951.94 2026-01-24
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 $442,025.78 $442,025.78 $117,136.83 $117,136.83 $117,136.83 2026-01-24
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 $438,044.81 $438,044.81 $116,081.87 $116,081.87 $116,081.87 2026-01-24
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 $437,779.27 $437,779.27 $116,011.51 $116,011.51 $116,011.51 2026-01-24
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $424,463.89 $424,463.89 $112,482.93 $112,482.93 $112,482.93 2026-01-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 $422,785.16 $422,785.16 $112,038.07 $112,038.07 $112,038.07 2026-01-24
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 $389,212.92 $389,212.92 $103,141.42 $103,141.42 $103,141.42 2026-01-24
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 $383,511.60 $383,511.60 $101,630.57 $101,630.57 $101,630.57 2026-01-24
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 $376,710.70 $376,710.70 $99,828.34 $99,828.34 $99,828.34 2026-01-24
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 $365,063.83 $365,063.83 $96,741.91 $96,741.91 $96,741.91 2026-01-24
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 $356,095.31 $356,095.31 $94,365.26 $94,365.26 $94,365.26 2026-01-24
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 $355,485.44 $355,485.44 $94,203.64 $94,203.64 $94,203.64 2026-01-24
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 $343,696.53 $343,696.53 $91,079.58 $91,079.58 $91,079.58 2026-01-24
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 $339,888.93 $339,888.93 $90,070.57 $90,070.57 $90,070.57 2026-01-24
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 $339,427.71 $339,427.71 $89,948.34 $89,948.34 $89,948.34 2026-01-24
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 $337,533.80 $337,533.80 $89,446.46 $89,446.46 $89,446.46 2026-01-24
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 $332,248.57 $332,248.57 $88,045.87 $88,045.87 $88,045.87 2026-01-24
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 $328,563.82 $328,563.82 $87,069.41 $87,069.41 $87,069.41 2026-01-24
263 MS_DRG Vein Ligation And Stripping 1 1 $324,530.52 $324,530.52 $86,000.59 $86,000.59 $86,000.59 2026-01-24
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 1 $319,385.79 $319,385.79 $84,637.23 $84,637.23 $84,637.23 2026-01-24
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $311,548.36 $311,548.36 $82,560.31 $82,560.31 $82,560.31 2026-01-24
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 $307,939.92 $307,939.92 $81,604.08 $81,604.08 $81,604.08 2026-01-24
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 $303,835.20 $303,835.20 $80,516.33 $80,516.33 $80,516.33 2026-01-24
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 $302,991.10 $302,991.10 $80,292.64 $80,292.64 $80,292.64 2026-01-24
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 1 1 $300,917.49 $300,917.49 $79,743.13 $79,743.13 $79,743.13 2026-01-24
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 $298,051.40 $298,051.40 $78,983.62 $78,983.62 $78,983.62 2026-01-24
37 MS_DRG Extracranial Procedures With Mcc 1 1 $296,710.03 $296,710.03 $78,628.16 $78,628.16 $78,628.16 2026-01-24
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 $294,313.95 $294,313.95 $77,993.20 $77,993.20 $77,993.20 2026-01-24
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 $283,532.56 $283,532.56 $75,136.13 $75,136.13 $75,136.13 2026-01-24
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 $281,756.58 $281,756.58 $74,665.49 $74,665.49 $74,665.49 2026-01-24
163 MS_DRG Major Chest Procedures With Mcc 1 1 $278,405.48 $278,405.48 $73,777.45 $73,777.45 $73,777.45 2026-01-24
348 MS_DRG Anal And Stomal Procedures With Cc 1 1 $276,687.60 $276,687.60 $73,322.21 $73,322.21 $73,322.21 2026-01-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 $267,528.05 $267,528.05 $70,894.93 $70,894.93 $70,894.93 2026-01-24
165 MS_DRG Major Chest Procedures Without Cc/mcc 1 1 $266,509.35 $266,509.35 $70,624.98 $70,624.98 $70,624.98 2026-01-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 $263,853.27 $263,853.27 $69,921.12 $69,921.12 $69,921.12 2026-01-24
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 $257,817.37 $257,817.37 $68,321.60 $68,321.60 $68,321.60 2026-01-24
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 $254,824.71 $254,824.71 $67,528.55 $67,528.55 $67,528.55 2026-01-24
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 $254,586.66 $254,586.66 $67,465.47 $67,465.47 $67,465.47 2026-01-24
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 $252,465.23 $252,465.23 $66,903.29 $66,903.29 $66,903.29 2026-01-24
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 $247,647.33 $247,647.33 $65,626.54 $65,626.54 $65,626.54 2026-01-24
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $247,288.88 $247,288.88 $65,531.55 $65,531.55 $65,531.55 2026-01-24
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 $242,604.83 $242,604.83 $64,290.28 $64,290.28 $64,290.28 2026-01-24
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 1 1 $242,281.13 $242,281.13 $64,204.50 $64,204.50 $64,204.50 2026-01-24
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 $238,085.93 $238,085.93 $63,092.77 $63,092.77 $63,092.77 2026-01-24
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 $235,531.90 $235,531.90 $62,415.95 $62,415.95 $62,415.95 2026-01-24
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 $233,467.53 $233,467.53 $61,868.90 $61,868.90 $61,868.90 2026-01-24
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 $233,246.85 $233,246.85 $61,810.41 $61,810.41 $61,810.41 2026-01-24
540 MS_DRG Osteomyelitis With Cc 1 1 $233,181.46 $233,181.46 $61,793.09 $61,793.09 $61,793.09 2026-01-24
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 $231,699.10 $231,699.10 $61,400.26 $61,400.26 $61,400.26 2026-01-24
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 $230,481.23 $230,481.23 $61,077.52 $61,077.52 $61,077.52 2026-01-24
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 $230,466.06 $230,466.06 $61,073.51 $61,073.51 $61,073.51 2026-01-24
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 $229,656.28 $229,656.28 $60,858.91 $60,858.91 $60,858.91 2026-01-24
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 $225,689.97 $225,689.97 $59,807.84 $59,807.84 $59,807.84 2026-01-24
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 $225,665.76 $225,665.76 $59,801.42 $59,801.42 $59,801.42 2026-01-24
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 $225,623.13 $225,623.13 $59,790.13 $59,790.13 $59,790.13 2026-01-24
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 $220,497.35 $220,497.35 $58,431.80 $58,431.80 $58,431.80 2026-01-24
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 $219,137.62 $219,137.62 $58,071.47 $58,071.47 $58,071.47 2026-01-24
504 MS_DRG Foot Procedures With Cc 1 1 $218,935.34 $218,935.34 $58,017.86 $58,017.86 $58,017.86 2026-01-24
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 $218,651.70 $218,651.70 $57,942.70 $57,942.70 $57,942.70 2026-01-24
252 MS_DRG Other Vascular Procedures With Mcc 1 1 $215,745.62 $215,745.62 $57,172.59 $57,172.59 $57,172.59 2026-01-24
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 $213,526.90 $213,526.90 $56,584.63 $56,584.63 $56,584.63 2026-01-24
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 1 1 $212,873.07 $212,873.07 $56,411.36 $56,411.36 $56,411.36 2026-01-24
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 $212,577.39 $212,577.39 $56,333.01 $56,333.01 $56,333.01 2026-01-24
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 $211,676.11 $211,676.11 $56,094.17 $56,094.17 $56,094.17 2026-01-24
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 $210,923.10 $210,923.10 $55,894.62 $55,894.62 $55,894.62 2026-01-24
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 $210,432.60 $210,432.60 $55,764.64 $55,764.64 $55,764.64 2026-01-24
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 $209,919.94 $209,919.94 $55,628.78 $55,628.78 $55,628.78 2026-01-24
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 1 1 $205,961.85 $205,961.85 $54,579.89 $54,579.89 $54,579.89 2026-01-24
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 $205,864.73 $205,864.73 $54,554.15 $54,554.15 $54,554.15 2026-01-24
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 $204,678.44 $204,678.44 $54,239.79 $54,239.79 $54,239.79 2026-01-24
884 MS_DRG Organic Disturbances And Intellectual Disability 1 1 $202,783.51 $202,783.51 $53,737.63 $53,737.63 $53,737.63 2026-01-24
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $199,365.99 $199,365.99 $52,831.99 $52,831.99 $52,831.99 2026-01-24
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 $198,597.06 $198,597.06 $52,628.22 $52,628.22 $52,628.22 2026-01-24
186 MS_DRG Pleural Effusion With Mcc 1 1 $197,109.67 $197,109.67 $52,234.06 $52,234.06 $52,234.06 2026-01-24
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 $196,924.54 $196,924.54 $52,185.00 $52,185.00 $52,185.00 2026-01-24
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 $195,987.57 $195,987.57 $51,936.71 $51,936.71 $51,936.71 2026-01-24
164 MS_DRG Major Chest Procedures With Cc 1 1 $195,016.15 $195,016.15 $51,679.28 $51,679.28 $51,679.28 2026-01-24
38 MS_DRG Extracranial Procedures With Cc 1 1 $194,509.10 $194,509.10 $51,544.91 $51,544.91 $51,544.91 2026-01-24
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 $193,947.34 $193,947.34 $51,396.05 $51,396.05 $51,396.05 2026-01-24
253 MS_DRG Other Vascular Procedures With Cc 1 1 $188,763.15 $188,763.15 $50,022.23 $50,022.23 $50,022.23 2026-01-24
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 $187,575.34 $187,575.34 $49,707.47 $49,707.47 $49,707.47 2026-01-24
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 $186,526.93 $186,526.93 $49,429.64 $49,429.64 $49,429.64 2026-01-24
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 $185,855.84 $185,855.84 $49,251.80 $49,251.80 $49,251.80 2026-01-24
799 MS_DRG Splenic Procedures With Mcc 1 1 $184,152.66 $184,152.66 $48,800.45 $48,800.45 $48,800.45 2026-01-24
199 MS_DRG Pneumothorax With Mcc 1 1 $182,616.61 $182,616.61 $48,393.40 $48,393.40 $48,393.40 2026-01-24
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 1 1 $181,407.36 $181,407.36 $48,072.95 $48,072.95 $48,072.95 2026-01-24
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 $180,679.40 $180,679.40 $47,880.04 $47,880.04 $47,880.04 2026-01-24
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 $180,597.44 $180,597.44 $47,858.32 $47,858.32 $47,858.32 2026-01-24
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 $180,322.54 $180,322.54 $47,785.47 $47,785.47 $47,785.47 2026-01-24
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 $180,073.79 $180,073.79 $47,719.55 $47,719.55 $47,719.55 2026-01-24
100 MS_DRG Seizures With Mcc 1 1 $179,618.82 $179,618.82 $47,598.99 $47,598.99 $47,598.99 2026-01-24
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 $179,513.04 $179,513.04 $47,570.96 $47,570.96 $47,570.96 2026-01-24
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $179,346.31 $179,346.31 $47,526.77 $47,526.77 $47,526.77 2026-01-24
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 $175,562.10 $175,562.10 $46,523.96 $46,523.96 $46,523.96 2026-01-24
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 $174,997.31 $174,997.31 $46,374.29 $46,374.29 $46,374.29 2026-01-24
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 $174,995.40 $174,995.40 $46,373.78 $46,373.78 $46,373.78 2026-01-24
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 1 1 $174,232.99 $174,232.99 $46,171.74 $46,171.74 $46,171.74 2026-01-24
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 1 1 $174,145.87 $174,145.87 $46,148.66 $46,148.66 $46,148.66 2026-01-24
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 $171,563.33 $171,563.33 $45,464.28 $45,464.28 $45,464.28 2026-01-24
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 $170,118.14 $170,118.14 $45,081.31 $45,081.31 $45,081.31 2026-01-24
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 $168,610.14 $168,610.14 $44,681.69 $44,681.69 $44,681.69 2026-01-24
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 $167,428.88 $167,428.88 $44,368.65 $44,368.65 $44,368.65 2026-01-24
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 $165,874.68 $165,874.68 $43,956.79 $43,956.79 $43,956.79 2026-01-24
70 MS_DRG Other Cerebrovascular Disorders With Mcc 1 1 $165,281.23 $165,281.23 $43,799.53 $43,799.53 $43,799.53 2026-01-24
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 $164,179.89 $164,179.89 $43,507.67 $43,507.67 $43,507.67 2026-01-24
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 $163,279.85 $163,279.85 $43,269.16 $43,269.16 $43,269.16 2026-01-24
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 $160,224.82 $160,224.82 $42,459.58 $42,459.58 $42,459.58 2026-01-24
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 $158,384.48 $158,384.48 $41,971.89 $41,971.89 $41,971.89 2026-01-24
55 MS_DRG Nervous System Neoplasms Without Mcc 1 1 $156,540.93 $156,540.93 $41,483.34 $41,483.34 $41,483.34 2026-01-24
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 $154,403.00 $154,403.00 $40,916.80 $40,916.80 $40,916.80 2026-01-24
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 $154,153.58 $154,153.58 $40,850.70 $40,850.70 $40,850.70 2026-01-24
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 $152,460.14 $152,460.14 $40,401.94 $40,401.94 $40,401.94 2026-01-24
115 MS_DRG Extraocular Procedures Except Orbit 1 1 $152,092.09 $152,092.09 $40,304.40 $40,304.40 $40,304.40 2026-01-24
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 $149,570.89 $149,570.89 $39,636.29 $39,636.29 $39,636.29 2026-01-24
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 $148,869.21 $148,869.21 $39,450.34 $39,450.34 $39,450.34 2026-01-24
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 $147,819.17 $147,819.17 $39,172.08 $39,172.08 $39,172.08 2026-01-24
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 $147,713.74 $147,713.74 $39,144.14 $39,144.14 $39,144.14 2026-01-24
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 $147,670.55 $147,670.55 $39,132.70 $39,132.70 $39,132.70 2026-01-24
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 1 1 $145,453.82 $145,453.82 $38,545.26 $38,545.26 $38,545.26 2026-01-24
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 $144,415.44 $144,415.44 $38,270.09 $38,270.09 $38,270.09 2026-01-24
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 $144,238.73 $144,238.73 $38,223.26 $38,223.26 $38,223.26 2026-01-24
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 $143,801.42 $143,801.42 $38,107.38 $38,107.38 $38,107.38 2026-01-24
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 1 1 $141,609.50 $141,609.50 $37,526.52 $37,526.52 $37,526.52 2026-01-24
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 $140,484.18 $140,484.18 $37,228.31 $37,228.31 $37,228.31 2026-01-24
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 $140,296.34 $140,296.34 $37,178.53 $37,178.53 $37,178.53 2026-01-24
758 MS_DRG Infections, Female Reproductive System With Cc 1 1 $140,151.40 $140,151.40 $37,140.12 $37,140.12 $37,140.12 2026-01-24
551 MS_DRG Medical Back Problems With Mcc 1 1 $140,134.12 $140,134.12 $37,135.54 $37,135.54 $37,135.54 2026-01-24
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 $139,405.22 $139,405.22 $36,942.38 $36,942.38 $36,942.38 2026-01-24
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 $139,217.39 $139,217.39 $36,892.61 $36,892.61 $36,892.61 2026-01-24
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 1 $139,027.71 $139,027.71 $36,842.34 $36,842.34 $36,842.34 2026-01-24
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 $138,970.76 $138,970.76 $36,827.25 $36,827.25 $36,827.25 2026-01-24
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 $138,789.29 $138,789.29 $36,779.16 $36,779.16 $36,779.16 2026-01-24
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 1 1 $138,556.63 $138,556.63 $36,717.51 $36,717.51 $36,717.51 2026-01-24
546 MS_DRG Connective Tissue Disorders With Cc 1 1 $137,384.85 $137,384.85 $36,406.98 $36,406.98 $36,406.98 2026-01-24
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 $135,901.29 $135,901.29 $36,013.84 $36,013.84 $36,013.84 2026-01-24
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 $132,988.38 $132,988.38 $35,241.92 $35,241.92 $35,241.92 2026-01-24
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 $132,736.76 $132,736.76 $35,175.24 $35,175.24 $35,175.24 2026-01-24
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 1 1 $131,925.07 $131,925.07 $34,960.14 $34,960.14 $34,960.14 2026-01-24
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 1 1 $131,664.76 $131,664.76 $34,891.16 $34,891.16 $34,891.16 2026-01-24
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 $130,385.55 $130,385.55 $34,552.17 $34,552.17 $34,552.17 2026-01-24
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 1 1 $130,329.75 $130,329.75 $34,537.38 $34,537.38 $34,537.38 2026-01-24
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 $130,008.60 $130,008.60 $34,452.28 $34,452.28 $34,452.28 2026-01-24
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 1 1 $129,922.16 $129,922.16 $34,429.37 $34,429.37 $34,429.37 2026-01-24
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 $129,459.00 $129,459.00 $34,306.64 $34,306.64 $34,306.64 2026-01-24
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 $129,038.21 $129,038.21 $34,195.13 $34,195.13 $34,195.13 2026-01-24
682 MS_DRG Renal Failure With Mcc 1 1 $129,037.15 $129,037.15 $34,194.84 $34,194.84 $34,194.84 2026-01-24
644 MS_DRG Endocrine Disorders With Cc 1 1 $128,813.77 $128,813.77 $34,135.65 $34,135.65 $34,135.65 2026-01-24
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 1 1 $127,804.10 $127,804.10 $33,868.09 $33,868.09 $33,868.09 2026-01-24
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 1 1 $127,124.30 $127,124.30 $33,687.94 $33,687.94 $33,687.94 2026-01-24
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 1 1 $126,826.38 $126,826.38 $33,608.99 $33,608.99 $33,608.99 2026-01-24
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 $126,578.72 $126,578.72 $33,543.36 $33,543.36 $33,543.36 2026-01-24
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 1 1 $125,995.24 $125,995.24 $33,388.74 $33,388.74 $33,388.74 2026-01-24
549 MS_DRG Septic Arthritis With Cc 1 1 $125,828.44 $125,828.44 $33,344.54 $33,344.54 $33,344.54 2026-01-24
184 MS_DRG Major Chest Trauma With Cc 1 1 $123,092.77 $123,092.77 $32,619.58 $32,619.58 $32,619.58 2026-01-24
597 MS_DRG Malignant Breast Disorders With Mcc 1 1 $122,877.43 $122,877.43 $32,562.52 $32,562.52 $32,562.52 2026-01-24
964 MS_DRG Other Multiple Significant Trauma With Cc 1 1 $122,807.08 $122,807.08 $32,543.88 $32,543.88 $32,543.88 2026-01-24
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 $122,551.50 $122,551.50 $32,476.15 $32,476.15 $32,476.15 2026-01-24
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 $122,539.02 $122,539.02 $32,472.84 $32,472.84 $32,472.84 2026-01-24
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 1 1 $122,377.07 $122,377.07 $32,429.92 $32,429.92 $32,429.92 2026-01-24
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 $121,927.46 $121,927.46 $32,310.78 $32,310.78 $32,310.78 2026-01-24
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 $121,686.30 $121,686.30 $32,246.87 $32,246.87 $32,246.87 2026-01-24
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 $120,407.42 $120,407.42 $31,907.97 $31,907.97 $31,907.97 2026-01-24
539 MS_DRG Osteomyelitis With Mcc 1 1 $120,166.42 $120,166.42 $31,844.10 $31,844.10 $31,844.10 2026-01-24
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 1 1 $119,213.87 $119,213.87 $31,591.68 $31,591.68 $31,591.68 2026-01-24
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 1 1 $119,177.55 $119,177.55 $31,582.05 $31,582.05 $31,582.05 2026-01-24
501 MS_DRG Soft Tissue Procedures With Cc 1 1 $118,970.90 $118,970.90 $31,527.29 $31,527.29 $31,527.29 2026-01-24
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 $117,868.11 $117,868.11 $31,235.05 $31,235.05 $31,235.05 2026-01-24
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 1 1 $116,943.63 $116,943.63 $30,990.06 $30,990.06 $30,990.06 2026-01-24
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 1 1 $116,555.36 $116,555.36 $30,887.17 $30,887.17 $30,887.17 2026-01-24
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 $116,129.03 $116,129.03 $30,774.19 $30,774.19 $30,774.19 2026-01-24
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 1 1 $115,701.66 $115,701.66 $30,660.94 $30,660.94 $30,660.94 2026-01-24
71 MS_DRG Other Cerebrovascular Disorders With Cc 1 1 $115,581.25 $115,581.25 $30,629.03 $30,629.03 $30,629.03 2026-01-24
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $115,246.72 $115,246.72 $30,540.38 $30,540.38 $30,540.38 2026-01-24
375 MS_DRG Digestive Malignancy With Cc 1 1 $114,951.16 $114,951.16 $30,462.06 $30,462.06 $30,462.06 2026-01-24
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 1 $114,644.73 $114,644.73 $30,380.85 $30,380.85 $30,380.85 2026-01-24
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 $113,322.81 $113,322.81 $30,030.54 $30,030.54 $30,030.54 2026-01-24
254 MS_DRG Other Vascular Procedures Without Cc/mcc 1 1 $112,084.52 $112,084.52 $29,702.40 $29,702.40 $29,702.40 2026-01-24
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 $112,025.74 $112,025.74 $29,686.82 $29,686.82 $29,686.82 2026-01-24
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 1 1 $111,983.83 $111,983.83 $29,675.72 $29,675.72 $29,675.72 2026-01-24
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 $111,923.61 $111,923.61 $29,659.76 $29,659.76 $29,659.76 2026-01-24
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 1 1 $110,969.49 $110,969.49 $29,406.91 $29,406.91 $29,406.91 2026-01-24
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $110,945.57 $110,945.57 $29,400.58 $29,400.58 $29,400.58 2026-01-24
200 MS_DRG Pneumothorax With Cc 1 1 $109,965.73 $109,965.73 $29,140.92 $29,140.92 $29,140.92 2026-01-24
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 1 1 $109,469.75 $109,469.75 $29,009.48 $29,009.48 $29,009.48 2026-01-24
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 $108,863.45 $108,863.45 $28,848.81 $28,848.81 $28,848.81 2026-01-24
791 MS_DRG Prematurity With Major Problems 1 1 $107,600.63 $107,600.63 $28,514.17 $28,514.17 $28,514.17 2026-01-24
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 $107,215.31 $107,215.31 $28,412.06 $28,412.06 $28,412.06 2026-01-24
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 $105,061.49 $105,061.49 $27,841.29 $27,841.29 $27,841.29 2026-01-24
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $104,603.42 $104,603.42 $27,719.91 $27,719.91 $27,719.91 2026-01-24
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 $104,565.34 $104,565.34 $27,709.81 $27,709.81 $27,709.81 2026-01-24
949 MS_DRG Aftercare With Cc/mcc 1 1 $104,479.07 $104,479.07 $27,686.95 $27,686.95 $27,686.95 2026-01-24
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $104,183.04 $104,183.04 $27,608.50 $27,608.50 $27,608.50 2026-01-24
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 1 1 $103,988.51 $103,988.51 $27,556.95 $27,556.95 $27,556.95 2026-01-24
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 $103,223.21 $103,223.21 $27,354.15 $27,354.15 $27,354.15 2026-01-24
637 MS_DRG Diabetes With Mcc 1 1 $103,199.06 $103,199.06 $27,347.75 $27,347.75 $27,347.75 2026-01-24
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 $102,151.69 $102,151.69 $27,070.20 $27,070.20 $27,070.20 2026-01-24
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 $101,885.84 $101,885.84 $26,999.75 $26,999.75 $26,999.75 2026-01-24
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 $101,073.90 $101,073.90 $26,784.58 $26,784.58 $26,784.58 2026-01-24
90 MS_DRG Concussion Without Cc/mcc 1 1 $101,000.96 $101,000.96 $26,765.25 $26,765.25 $26,765.25 2026-01-24
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 $100,500.87 $100,500.87 $26,632.73 $26,632.73 $26,632.73 2026-01-24
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 $100,399.01 $100,399.01 $26,605.74 $26,605.74 $26,605.74 2026-01-24
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 1 1 $99,610.51 $99,610.51 $26,396.79 $26,396.79 $26,396.79 2026-01-24
683 MS_DRG Renal Failure With Cc 1 1 $99,189.93 $99,189.93 $26,285.33 $26,285.33 $26,285.33 2026-01-24
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 1 1 $98,794.83 $98,794.83 $26,180.63 $26,180.63 $26,180.63 2026-01-24
602 MS_DRG Cellulitis With Mcc 1 1 $97,438.40 $97,438.40 $25,821.18 $25,821.18 $25,821.18 2026-01-24
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 $95,964.62 $95,964.62 $25,430.62 $25,430.62 $25,430.62 2026-01-24
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 $95,641.85 $95,641.85 $25,345.09 $25,345.09 $25,345.09 2026-01-24
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 1 1 $95,538.63 $95,538.63 $25,317.74 $25,317.74 $25,317.74 2026-01-24
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 $95,528.19 $95,528.19 $25,314.97 $25,314.97 $25,314.97 2026-01-24
607 MS_DRG Minor Skin Disorders Without Mcc 1 1 $95,337.59 $95,337.59 $25,264.46 $25,264.46 $25,264.46 2026-01-24
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 $95,271.73 $95,271.73 $25,247.01 $25,247.01 $25,247.01 2026-01-24
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 1 1 $95,206.00 $95,206.00 $25,229.59 $25,229.59 $25,229.59 2026-01-24
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 $95,192.06 $95,192.06 $25,225.89 $25,225.89 $25,225.89 2026-01-24
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 1 1 $94,833.07 $94,833.07 $25,130.76 $25,130.76 $25,130.76 2026-01-24
157 MS_DRG Dental And Oral Diseases With Mcc 1 1 $94,431.55 $94,431.55 $25,024.36 $25,024.36 $25,024.36 2026-01-24
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 1 1 $93,931.93 $93,931.93 $24,891.96 $24,891.96 $24,891.96 2026-01-24
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 $93,875.31 $93,875.31 $24,876.96 $24,876.96 $24,876.96 2026-01-24
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/mcc 1 1 $93,530.62 $93,530.62 $24,785.62 $24,785.62 $24,785.62 2026-01-24
374 MS_DRG Digestive Malignancy With Mcc 1 1 $92,463.63 $92,463.63 $24,502.86 $24,502.86 $24,502.86 2026-01-24
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 1 1 $92,285.12 $92,285.12 $24,455.56 $24,455.56 $24,455.56 2026-01-24
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 1 1 $91,879.82 $91,879.82 $24,348.15 $24,348.15 $24,348.15 2026-01-24
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 1 1 $91,866.95 $91,866.95 $24,344.74 $24,344.74 $24,344.74 2026-01-24
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 1 1 $91,843.88 $91,843.88 $24,338.63 $24,338.63 $24,338.63 2026-01-24
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 $91,115.21 $91,115.21 $24,145.53 $24,145.53 $24,145.53 2026-01-24
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 $90,197.43 $90,197.43 $23,902.32 $23,902.32 $23,902.32 2026-01-24
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 $90,048.98 $90,048.98 $23,862.98 $23,862.98 $23,862.98 2026-01-24
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 $89,966.87 $89,966.87 $23,841.22 $23,841.22 $23,841.22 2026-01-24
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 $88,888.69 $88,888.69 $23,555.50 $23,555.50 $23,555.50 2026-01-24
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 $88,888.38 $88,888.38 $23,555.42 $23,555.42 $23,555.42 2026-01-24
920 MS_DRG Complications Of Treatment With Cc 1 1 $88,732.73 $88,732.73 $23,514.17 $23,514.17 $23,514.17 2026-01-24
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 $88,635.44 $88,635.44 $23,488.39 $23,488.39 $23,488.39 2026-01-24
378 MS_DRG Gastrointestinal Hemorrhage With Cc 1 1 $88,422.95 $88,422.95 $23,432.08 $23,432.08 $23,432.08 2026-01-24
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 $87,657.04 $87,657.04 $23,229.12 $23,229.12 $23,229.12 2026-01-24
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 1 1 $87,478.34 $87,478.34 $23,181.76 $23,181.76 $23,181.76 2026-01-24
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 1 1 $87,465.58 $87,465.58 $23,178.38 $23,178.38 $23,178.38 2026-01-24
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $86,862.47 $86,862.47 $23,018.55 $23,018.55 $23,018.55 2026-01-24
89 MS_DRG Concussion With Cc 1 1 $86,646.21 $86,646.21 $22,961.25 $22,961.25 $22,961.25 2026-01-24
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 1 1 $86,571.20 $86,571.20 $22,941.37 $22,941.37 $22,941.37 2026-01-24
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 $85,735.23 $85,735.23 $22,719.84 $22,719.84 $22,719.84 2026-01-24
784 MS_DRG Cesarean Section With Sterilization With Cc 1 1 $85,068.04 $85,068.04 $22,543.03 $22,543.03 $22,543.03 2026-01-24
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 $84,342.44 $84,342.44 $22,350.75 $22,350.75 $22,350.75 2026-01-24
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 $84,333.05 $84,333.05 $22,348.26 $22,348.26 $22,348.26 2026-01-24
948 MS_DRG Signs And Symptoms Without Mcc 1 1 $84,204.18 $84,204.18 $22,314.11 $22,314.11 $22,314.11 2026-01-24
552 MS_DRG Medical Back Problems Without Mcc 1 1 $84,145.50 $84,145.50 $22,298.56 $22,298.56 $22,298.56 2026-01-24
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 1 1 $84,082.65 $84,082.65 $22,281.90 $22,281.90 $22,281.90 2026-01-24
187 MS_DRG Pleural Effusion With Cc 1 1 $83,647.23 $83,647.23 $22,166.51 $22,166.51 $22,166.51 2026-01-24
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 1 1 $83,415.14 $83,415.14 $22,105.01 $22,105.01 $22,105.01 2026-01-24
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 $82,960.65 $82,960.65 $21,984.57 $21,984.57 $21,984.57 2026-01-24
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 1 1 $82,940.72 $82,940.72 $21,979.29 $21,979.29 $21,979.29 2026-01-24
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 $82,901.86 $82,901.86 $21,968.99 $21,968.99 $21,968.99 2026-01-24
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 $82,828.03 $82,828.03 $21,949.43 $21,949.43 $21,949.43 2026-01-24
33610157_1 CDM Stimulator Neuro Proclaim DRG 6 6 $91,135.00 $91,135.00 $50,124.25 $77,464.75 $63,794.50 2026-01-24
31620043_1 CDM Implant Cardiac Defibrillator 6 6 $62,438.00 $62,438.00 $34,340.90 $53,072.30 $43,706.60 2026-01-24
33610153_1 CDM Simulator Prodigy MRI Ipg 6 6 $51,104.00 $51,104.00 $28,107.20 $43,438.40 $35,772.80 2026-01-24
33620441_1 CDM Proclaim 5 Elite 6 6 $46,956.00 $46,956.00 $25,825.80 $39,912.60 $32,869.20 2026-01-24
33610152_1 CDM Stimulator Neuro Spinal Cord 6 6 $45,656.00 $45,656.00 $25,110.80 $38,807.60 $31,959.20 2026-01-24
33610017_1 CDM Ipg Spinal Cord Stimulator 6 6 $38,594.00 $38,594.00 $21,226.70 $32,804.90 $27,015.80 2026-01-24
66330041_1 CDM Generator Pacemaker Tier 1 6 6 $36,477.00 $36,477.00 $20,062.35 $31,005.45 $25,533.90 2026-01-24
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 10 8 $70,543.44 $70,543.44 $1,812.20 $71,954.31 $49,380.41 2026-01-24
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 10 8 $67,472.00 $67,472.00 $1,717.00 $68,821.44 $47,230.40 2026-01-24
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 10 8 $67,472.00 $67,472.00 $1,862.35 $68,821.44 $47,230.40 2026-01-24
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 64 8 $55,535.50 $55,535.50 $12,533.40 $76,194.00 $40,792.88 2026-01-24
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 8 8 $47,635.00 $47,635.00 $26,199.25 $48,587.70 $36,440.78 2026-01-24
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 32 8 $42,650.00 $42,650.00 $18,150.00 $50,610.36 $32,127.65 2026-01-24
C1787 HCPCS Patient Programmer, Neurostimulator 8 8 $40,560.00 $40,560.00 $22,308.00 $41,371.20 $31,028.40 2026-01-24
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 8 8 $40,352.00 $40,352.00 $22,193.60 $41,159.04 $30,869.28 2026-01-24
37225 HCPCS Removal Of Plaque In Arteries Of Leg 10 8 $39,673.00 $39,673.00 $1,559.75 $40,466.46 $27,771.10 2026-01-24
37226 HCPCS Insertion Of Stent In Arteries Of Leg 10 8 $39,673.00 $39,673.00 $1,346.40 $40,466.46 $27,771.10 2026-01-24
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 10 8 $39,673.00 $39,673.00 $1,177.25 $40,466.46 $27,771.10 2026-01-24
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 10 8 $39,673.00 $39,673.00 $1,692.35 $40,466.46 $27,771.10 2026-01-24
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 10 10 $94,319.00 $94,319.00 $31,629.20 $96,205.38 $66,023.30 2026-01-24
J3101 HCPCS Injection, Tenecteplase, 1 Mg 10 10 $80,086.35 $80,086.35 $172.22 $81,688.08 $56,060.44 2026-01-24
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 10 10 $73,680.00 $73,680.00 $26,066.60 $75,153.60 $51,576.00 2026-01-24
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 10 10 $73,677.00 $73,677.00 $26,066.60 $75,150.54 $51,573.90 2026-01-24
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 10 10 $73,677.00 $73,677.00 $26,066.60 $75,150.54 $51,573.90 2026-01-24
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 10 10 $73,677.00 $73,677.00 $26,066.60 $75,150.54 $51,573.90 2026-01-24
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 10 10 $73,677.00 $73,677.00 $26,066.60 $75,150.54 $51,573.90 2026-01-24
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 10 10 $73,677.00 $73,677.00 $26,066.60 $75,150.54 $51,573.90 2026-01-24
0238T HCPCS Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 10 10 $71,105.00 $71,105.00 $26,066.60 $72,527.10 $49,773.50 2026-01-24
0525T HCPCS Insertion Or Replacement Of Complete Monitoring System For Deficient Blood Flow … 10 10 $45,618.00 $45,618.00 $25,089.90 $46,530.36 $34,224.94 2026-01-24
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 10 10 $46,884.00 $46,884.00 $16,415.20 $47,821.68 $32,818.80 2026-01-24
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 10 10 $46,530.00 $46,530.00 $16,415.20 $47,460.60 $32,571.00 2026-01-24
37241 HCPCS Occlusion Of Vein With Review By Radiologist 10 10 $38,469.00 $38,469.00 $16,415.20 $39,238.38 $26,928.30 2026-01-24
61623 HCPCS Balloon Occlusion Of Head Or Neck Artery With Review By Radiologist 10 10 $38,469.00 $38,469.00 $16,415.20 $39,238.38 $26,928.30 2026-01-24
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 26 10 $32,448.00 $32,448.00 $1,895.33 $49,645.44 $26,039.52 2026-01-24
33249 HCPCS Insertion Of Implantable Defibrillator System 20 10 $48,605.98 $48,605.98 $791.24 $96,205.38 $23,763.13 2026-01-24
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 10 10 $33,355.32 $33,355.32 $1,828.71 $34,022.43 $23,348.72 2026-01-24
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