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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

EL CAMINO HEALTH

Mountain View, CA · CCN 050308 · Rates published

1,096 distinct procedures filed
46 distinct payers
107,418 rate rows
2026-04-01 last MRF observed
Data quality

16,832 of 107,418 rate rows are consumer-grade (15.7%)

90,586 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 90,583
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.elcaminohealth.org/sites/default/files/2025-10/943167314_el-camino-hospital_standardcharges.json
Found on page https://www.elcaminohealth.org/patients-visitors/guide/before-you-arrive/pricing-estimates/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 27fe135905fc8e0a… · 12,092,020 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
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $350,254.95 $350,254.95 $350,254.95 nat. median
$57,804
outlier · 6.1×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $307,683.00 $307,683.00 $307,683.00 nat. median
$53,879
outlier · 5.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $267,990.03 $267,990.03 $267,990.03 nat. median
$97,414
outlier · 2.8×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $264,802.68 $264,802.68 $264,802.68 nat. median
$36,642
outlier · 7.2×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 $249,575.11 $249,645.11 $249,610.11 nat. median
$35,905
outlier · 7.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $907.56 $795,384.26 $249,358.66 nat. median
$62,721
outlier · 4.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $246,634.00 $246,634.00 $246,634.00 nat. median
$66,649
outlier · 3.7×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 $47,010.00 $642,446.41 $228,985.46 nat. median
$42,894
outlier · 5.3×
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 $36,122.47 $451,787.90 $224,975.79 nat. median
$33,321
outlier · 6.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $147,372.00 $362,373.37 $219,103.85 nat. median
$56,686
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $180,336.25 $749,700.00 $211,703.08 nat. median
$126,722
1.7× median
5661
OTHER 		Therapeutic Nuclear Medicine 1 $209,516.94 $209,516.94 $209,516.94 nat. median
$249
outlier · 843.1×
736
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 $22,950.00 $382,066.46 $202,508.23 nat. median
$34,654
outlier · 5.8×
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 1 $196,340.00 $196,340.00 $196,340.00 nat. median
$40,625
outlier · 4.8×
9054
OTHER 		Lutetium Lu 177 Vipivotide 3 $47,351.89 $209,490.89 $188,498.50 nat. median
$259
outlier · 726.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $16,470.56 $866,360.56 $185,456.21 nat. median
$190,557
1.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 7 $40,352.64 $266,600.64 $175,354.49 nat. median
$44,167
outlier · 4.0×
63
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 $19,792.00 $183,297.37 $157,876.96 nat. median
$14,111
outlier · 11.2×
830
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 $152,392.00 $152,392.00 $152,392.00 nat. median
$14,846
outlier · 10.3×
215
MS_DRG 		Other Heart Assist System Implant 4 $146,778.41 $847,199.26 $146,778.41 nat. median
$93,917
1.6× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $32,636.08 $363,381.15 $140,832.26 nat. median
$50,679
outlier · 2.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $56,770.04 $354,931.09 $140,377.90 nat. median
$72,473
1.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $135,919.12 $135,919.12 $135,919.12 nat. median
$62,038
outlier · 2.2×
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/Mcc 1 $132,240.00 $132,240.00 $132,240.00 nat. median
$21,661
outlier · 6.1×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $130,329.23 $130,329.23 $130,329.23 nat. median
$50,083
outlier · 2.6×
422
MS_DRG 		Hepatobiliary Diagnostic Procedures Without Cc/Mcc 2 $130,252.54 $130,252.54 $130,252.54 nat. median
$14,163
outlier · 9.2×
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 4 $35,632.53 $127,537.74 $127,537.74 nat. median
$15,458
outlier · 8.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $126,548.96 $126,548.96 $126,548.96 nat. median
$77,043
1.6× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 7 $31,315.16 $298,624.36 $120,705.56 nat. median
$42,902
outlier · 2.8×
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 $39,814.48 $190,260.00 $118,451.44 nat. median
$33,427
outlier · 3.5×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 $38,077.74 $272,638.62 $115,925.87 nat. median
$26,013
outlier · 4.5×
163
MS_DRG 		Major Chest Procedures With Mcc 16 $19,122.03 $1,858,057.75 $114,552.97 nat. median
$42,735
outlier · 2.7×
998
MS_DRG 		Principal Diagnosis Invalid As Discharge Diagnosis 2 $113,568.05 $113,568.05 $113,568.05 nat. median
$2,556
outlier · 44.4×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 20 $25,691.00 $477,617.08 $111,827.65 nat. median
$71,201
1.6× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 $47,795.85 $379,914.83 $109,078.00 nat. median
$51,613
outlier · 2.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $62,813.31 $121,731.93 $105,001.67 nat. median
$90,581
1.2× median
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/Mcc 11 $14,614.48 $153,162.02 $104,339.78 nat. median
$15,132
outlier · 6.9×
9378
OTHER 		Daratumumab, Hyaluronidase 2 $9,389.14 $185,714.54 $97,551.84 nat. median
$56
outlier · 1755.5×
754
MS_DRG 		Malignancy, Female Reproductive System With Mcc 2 $19,944.56 $126,496.62 $94,872.46 nat. median
$17,591
outlier · 5.4×
769
MS_DRG 		Postpartum And Post Abortion Diagnoses With O.r. Procedures 8 $16,000.00 $244,748.54 $94,029.51 nat. median
$15,430
outlier · 6.1×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 $3,707.26 $558,071.91 $94,020.00 nat. median
$33,188
outlier · 2.8×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 10 $26,667.92 $262,130.87 $92,918.00 nat. median
$23,584
outlier · 3.9×
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 1 $92,779.30 $92,779.30 $92,779.30 nat. median
$19,927
outlier · 4.7×
755
MS_DRG 		Malignancy, Female Reproductive System With Cc 5 $9,237.50 $204,676.16 $92,224.18 nat. median
$11,064
outlier · 8.3×
902
MS_DRG 		Wound Debridements For Injuries With Cc 1 $92,051.63 $92,051.63 $92,051.63 nat. median
$18,451
outlier · 5.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $91,793.83 $91,793.83 $91,793.83 nat. median
$77,696
1.2× median
803
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 4 $76,449.00 $105,874.72 $91,161.86 nat. median
$17,893
outlier · 5.1×
0792
OTHER 		Inj, Glycopyrrolate, 0.1 Mg 1 $88,823.15 $88,823.15 $88,823.15 nat. median
$3,630
outlier · 24.5×
842
MS_DRG 		Lymphoma And Non-acute Leukemia Without Cc/Mcc 4 $11,644.22 $87,800.00 $87,800.00 nat. median
$10,689
outlier · 8.2×
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 1 $26,900.02 $147,270.16 $87,085.09 nat. median
$29,611
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 1,096 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
             
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $350,254.95 $350,254.95 $350,254.95 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $307,683.00 $307,683.00 $307,683.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $267,990.03 $267,990.03 $267,990.03 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $264,802.68 $264,802.68 $264,802.68 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 1 — — $249,575.11 $249,645.11 $249,610.11 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 17 — — $907.56 $795,384.26 $249,358.66 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $246,634.00 $246,634.00 $246,634.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 9 — — $47,010.00 $642,446.41 $228,985.46 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 6 — — $36,122.47 $451,787.90 $224,975.79 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 6 — — $147,372.00 $362,373.37 $219,103.85 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 3 — — $180,336.25 $749,700.00 $211,703.08 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 1 1 — — $209,516.94 $209,516.94 $209,516.94 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $22,950.00 $382,066.46 $202,508.23 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $196,340.00 $196,340.00 $196,340.00 2026-04-01
9054 OTHER Lutetium Lu 177 Vipivotide 3 3 — — $47,351.89 $209,490.89 $188,498.50 2025-10-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 6 — — $16,470.56 $866,360.56 $185,456.21 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 7 — — $40,352.64 $266,600.64 $175,354.49 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $19,792.00 $183,297.37 $157,876.96 2026-04-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $152,392.00 $152,392.00 $152,392.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 5 4 — — $146,778.41 $847,199.26 $146,778.41 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 14 — — $32,636.08 $363,381.15 $140,832.26 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 16 — — $56,770.04 $354,931.09 $140,377.90 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $135,919.12 $135,919.12 $135,919.12 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 1 1 — — $132,240.00 $132,240.00 $132,240.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — — $130,329.23 $130,329.23 $130,329.23 2026-04-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/Mcc 3 2 — — $130,252.54 $130,252.54 $130,252.54 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 5 4 — — $35,632.53 $127,537.74 $127,537.74 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $126,548.96 $126,548.96 $126,548.96 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 7 — — $31,315.16 $298,624.36 $120,705.56 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $39,814.48 $190,260.00 $118,451.44 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $38,077.74 $272,638.62 $115,925.87 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 30 16 — — $19,122.03 $1,858,057.75 $114,552.97 2026-04-01
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 3 2 — — $113,568.05 $113,568.05 $113,568.05 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 49 20 — — $25,691.00 $477,617.08 $111,827.65 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 12 — — $47,795.85 $379,914.83 $109,078.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $62,813.31 $121,731.93 $105,001.67 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 19 11 — — $14,614.48 $153,162.02 $104,339.78 2026-04-01
9378 OTHER Daratumumab, Hyaluronidase 2 2 — — $9,389.14 $185,714.54 $97,551.84 2025-10-31
754 MS_DRG Malignancy, Female Reproductive System With Mcc 4 2 — — $19,944.56 $126,496.62 $94,872.46 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 13 8 — — $16,000.00 $244,748.54 $94,029.51 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 5 — — $3,707.26 $558,071.91 $94,020.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 19 10 — — $26,667.92 $262,130.87 $92,918.00 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $92,779.30 $92,779.30 $92,779.30 2026-04-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 5 5 — — $9,237.50 $204,676.16 $92,224.18 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $92,051.63 $92,051.63 $92,051.63 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $91,793.83 $91,793.83 $91,793.83 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 6 4 — — $76,449.00 $105,874.72 $91,161.86 2026-04-01
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 1 1 — — $88,823.15 $88,823.15 $88,823.15 2025-10-31
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 5 4 — — $11,644.22 $87,800.00 $87,800.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 1 — — $26,900.02 $147,270.16 $87,085.09 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 40 18 — — $31,388.07 $409,910.10 $85,003.12 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 8 6 — — $27,947.34 $112,415.59 $84,549.05 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $84,373.75 $84,373.75 $84,373.75 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 6 5 — — $6,879.50 $119,367.87 $84,268.00 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 20 10 — — $22,024.12 $253,928.63 $81,677.55 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 3 2 — — $81,037.00 $81,037.00 $81,037.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $27,104.00 $84,891.83 $80,692.66 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 41 9 — — $1,887.28 $183,958.87 $80,560.68 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 32 10 — — $45,094.87 $167,373.76 $77,938.43 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 70 20 — — $14,127.04 $349,430.30 $77,855.00 2026-04-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 4 3 — — $44,560.00 $75,548.10 $75,548.10 2026-04-01
90 MS_DRG Concussion Without Cc/Mcc 1 1 — — $75,296.35 $75,296.35 $75,296.35 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 8 — — $56,004.69 $290,984.46 $74,959.89 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 4 — — $50,568.00 $261,551.10 $74,930.59 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $35,265.29 $78,802.33 $74,757.91 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 4 3 — — $3,800.00 $139,102.77 $74,351.38 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 10 — — $11,770.38 $248,033.06 $72,627.51 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $71,933.70 $71,933.70 $71,933.70 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 51 15 — — $36,358.32 $266,350.16 $71,470.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 10 — — $44,129.12 $434,809.96 $71,470.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 7 — — $40,000.00 $788,887.86 $71,257.02 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 18 8 — — $45,659.73 $171,277.69 $71,139.32 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 6 — — $45,908.00 $269,778.48 $69,592.00 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 11 7 — — $43,515.00 $277,740.16 $67,635.99 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 4 — — $67,463.28 $239,686.72 $67,463.28 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 7 — — $17,479.32 $116,074.31 $66,988.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $31,684.03 $220,648.01 $66,570.97 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 14 10 — — $17,645.16 $285,333.31 $66,376.00 2026-04-01
9492 OTHER Inj., Durvalumab, 10 Mg 3 2 — — $19,626.34 $66,329.81 $66,329.81 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 4 — — $29,167.34 $103,379.68 $66,273.51 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 9 — — $64,976.31 $351,514.76 $66,031.88 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 8 7 — — $19,850.88 $101,520.41 $65,238.10 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 85 24 — — $11,598.20 $866,243.72 $64,712.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 52 22 — — $27,959.28 $330,473.97 $64,473.10 2026-04-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/Mcc 1 1 — — $63,807.00 $63,807.00 $63,807.00 2026-04-01
5243 OTHER Level 3 Blood Product Exchange And Related Services 1 1 — — $63,322.07 $63,322.07 $63,322.07 2025-10-31
180 MS_DRG Respiratory Neoplasms With Mcc 36 16 — — $9,320.43 $262,765.12 $63,210.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 9 — — $16,903.95 $289,395.38 $62,357.82 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 61 22 — — $18,991.56 $281,214.18 $61,690.23 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 8 — — $53,768.35 $115,087.78 $61,389.54 2026-04-01
5623 OTHER Level 3 Radiation Therapy 23 7 — — $1,142.37 $160,177.52 $61,305.15 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 8 — — $399.24 $224,571.52 $60,742.11 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $58,617.53 $58,617.53 $58,617.53 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 7 7 — — $27,751.91 $248,331.97 $58,005.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $20,400.00 $367,748.91 $57,315.62 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 12 — — $42,687.02 $625,104.34 $56,412.00 2026-04-01
550 MS_DRG Septic Arthritis Without Cc/Mcc 5 4 — — $6,500.00 $56,412.00 $56,412.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 9 — — $43,161.88 $72,315.75 $56,069.52 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 14 — — $3,953.92 $411,931.40 $55,820.18 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 15 — — $32,084.00 $175,371.16 $55,689.54 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $55,611.52 $55,611.52 $55,611.52 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 22 15 — — $22,470.00 $125,686.00 $55,598.14 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $16,908.23 $55,310.00 $55,310.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 10 — — $21,341.34 $871,804.55 $55,204.29 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 1 1 — — $55,113.53 $55,113.53 $55,113.53 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $54,421.70 $54,421.70 $54,421.70 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $53,472.00 $54,911.54 $54,191.77 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $53,604.00 $53,604.00 $53,604.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 2 — — $53,508.82 $53,508.82 $53,508.82 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 5 — — $21,638.73 $541,753.35 $53,344.66 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 7 5 — — $32,039.56 $284,170.21 $53,315.37 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 14 — — $771.22 $1,137,285.97 $52,786.86 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 32 17 — — $16,836.70 $289,706.72 $52,444.82 2026-04-01
398 MS_DRG Appendix Procedures With Cc 31 14 — — $12,594.93 $136,566.43 $52,427.00 2026-04-01
9369 OTHER Inj, Metronidazole, 10 Mg 2 2 — — $11,665.37 $92,579.36 $52,122.37 2025-10-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 15 — — $51,200.61 $220,225.60 $52,063.46 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $51,964.03 $51,964.03 $51,964.03 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 3 — — $51,521.74 $250,094.26 $51,521.74 2026-04-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/Mcc 6 4 — — $35,434.48 $70,868.95 $51,165.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 10 — — $17,162.44 $148,241.99 $51,004.33 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 2 2 — — $50,878.17 $50,878.17 $50,878.17 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 50 21 — — $11,105.63 $126,093.25 $50,489.94 2026-04-01
5622 OTHER Level 2 Radiation Therapy 11 4 — — $1,151.46 $75,389.17 $49,785.57 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 55 18 — — $19,997.95 $208,427.14 $49,695.30 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 1 1 — — $49,590.00 $49,590.00 $49,590.00 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 78 13 — — $842.36 $134,243.22 $49,525.94 2026-04-01
1490 OTHER Inj Pembrolizumab 3 3 — — $11,775.80 $80,707.22 $49,470.46 2025-10-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 33 17 — — $14,602.17 $212,478.04 $49,410.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 12 — — $23,344.84 $275,733.04 $49,118.37 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 12 5 — — $13,654.35 $111,420.90 $49,092.25 2026-04-01
999 MS_DRG Ungroupable 24 14 — — $771.22 $660,785.81 $48,999.06 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 6 — — $36,515.04 $238,514.34 $48,828.30 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 2 2 — — $48,654.14 $48,654.14 $48,654.14 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 12 9 — — $15,290.51 $98,089.25 $48,632.50 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 9 8 — — $26,947.69 $115,566.49 $48,158.18 2026-04-01
9195 OTHER Injection, Udenyca 0.5 Mg 2 2 — — $35,486.47 $60,588.84 $48,037.65 2025-10-31
5213 OTHER Level 3 Electrophysiologic Procedures 66 11 — — $3,323.28 $230,710.95 $47,565.12 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 23 14 — — $3,919.40 $235,565.67 $47,374.90 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 50 10 — — $1,387.61 $138,295.69 $47,243.61 2026-04-01
9161 OTHER Inj Cefazolin Sodium, Baxter 1 1 — — $47,207.72 $47,207.72 $47,207.72 2025-10-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 11 — — $11,016.56 $292,606.70 $47,165.25 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 12 — — $9,031.94 $1,003,446.96 $46,486.85 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 8 — — $704.86 $57,401.53 $45,944.18 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 8 — — $36,840.51 $126,556.79 $45,908.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 4 2 — — $20,307.88 $45,908.00 $45,908.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 10 — — $30,699.31 $65,426.88 $45,662.66 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 49 11 — — $504.92 $171,705.28 $45,646.00 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 42 11 — — $599.12 $121,810.01 $45,646.00 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 82 16 — — $660.69 $123,524.17 $45,646.00 2026-04-01
0753 OTHER Inj Cefazolin (wg Crit Care) 18 8 — — $359.45 $84,716.15 $45,387.10 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 25 9 — — $3.95 $106,295.82 $45,367.59 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 67 13 — — $201.00 $179,966.21 $44,720.45 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 9 7 — — $23,815.37 $134,081.64 $44,495.35 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 23 6 — — $6,807.52 $118,580.81 $44,425.30 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 15 12 — — $11,653.77 $71,939.74 $44,394.00 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 12 4 — — $12,096.05 $154,259.41 $44,131.39 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 16 9 — — $398.94 $107,208.00 $43,899.00 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 17 5 — — $758.97 $134,994.35 $43,548.67 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 33 15 — — $18,932.83 $248,486.51 $43,515.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 13 — — $14,866.81 $103,222.32 $42,993.96 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 10 — — $16,201.04 $474,560.90 $42,843.94 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 8 — — $41,944.35 $276,788.96 $42,595.70 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 3 3 — — $42,104.87 $151,561.30 $42,104.87 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 75 20 — — $7,526.52 $185,793.52 $41,971.00 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 12 8 — — $27,104.00 $138,949.13 $41,936.12 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 10 — — $12,181.93 $447,229.25 $41,917.88 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 11 4 — — $12,387.39 $88,823.15 $41,613.57 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 6 3 — — $200.00 $40,871.47 $40,821.85 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 5 — — $15,578.27 $42,146.92 $40,811.18 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 12 8 — — $12,695.78 $108,644.95 $40,803.00 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 12 — — $25,073.70 $188,511.28 $40,470.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 6 — — $33,669.08 $41,387.44 $40,356.20 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 60 20 — — $15,000.00 $164,865.40 $40,128.71 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 18 9 — — $6,737.95 $215,133.52 $40,061.00 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 42 11 — — $8,768.99 $140,280.97 $40,050.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 8 — — $14,123.34 $126,993.14 $39,940.68 2026-04-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 7 6 — — $7,765.69 $116,029.18 $39,584.00 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 54 18 — — $8,907.01 $325,782.00 $39,390.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 8 — — $33,862.00 $246,202.54 $38,642.06 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 6 — — $38,604.00 $237,002.67 $38,614.65 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 38 16 — — $11,511.38 $339,903.94 $38,532.54 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 2 — — $38,528.47 $38,528.47 $38,528.47 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 49 18 — — $907.56 $130,986.50 $38,523.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 13 — — $19,038.33 $157,456.58 $38,523.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 5 5 — — $23,843.45 $45,061.73 $38,523.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 49 19 — — $14,030.00 $223,172.65 $38,423.00 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 7 6 — — $19,938.12 $142,673.93 $38,244.08 2026-04-01
2640 OTHER Brachytx, Stranded, P-103 20 7 — — $5,122.21 $62,390.83 $38,080.57 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 1 1 — — $37,926.00 $37,926.00 $37,926.00 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 14 8 — — $6,117.57 $96,510.55 $37,295.81 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 4 — — $35,027.62 $209,499.18 $37,196.15 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 8 — — $33,295.40 $206,059.55 $37,062.88 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $36,918.94 $36,918.94 $36,918.94 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 115 31 — — $11,000.00 $394,947.13 $36,843.64 2026-04-01
598 MS_DRG Malignant Breast Disorders With Cc 4 4 — — $7,656.19 $65,814.00 $36,735.10 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 4 — — $19,341.54 $48,349.00 $36,664.90 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 35 17 — — $5,527.47 $121,736.76 $36,506.00 2026-04-01
906 MS_DRG Hand Procedures For Injuries 4 3 — — $36,506.00 $37,686.81 $36,506.00 2026-04-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc 6 5 — — $13,000.00 $39,200.00 $36,506.00 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 3 2 — — $8,901.24 $53,960.00 $36,493.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 14 — — $20,526.51 $231,514.42 $36,405.21 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 18 12 — — $12,305.00 $69,856.59 $36,321.57 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 4 — — $26,678.19 $49,167.50 $36,293.10 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 12 — — $5,250.00 $87,501.13 $36,281.67 2026-04-01
5624 OTHER Level 4 Radiation Therapy 4 3 — — $2,588.53 $168,892.24 $35,891.82 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 8 — — $34,602.86 $102,561.20 $35,870.30 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 5 — — $33,540.80 $158,782.39 $35,733.96 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 15 12 — — $16,189.00 $42,152.43 $35,733.75 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 36 16 — — $7,284.47 $203,897.70 $35,701.65 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 52 21 — — $11,636.46 $206,581.55 $35,596.58 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 6 — — $29,262.55 $49,800.98 $35,570.24 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 19 7 — — $9,537.79 $55,094.72 $35,368.92 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 6 5 — — $13,306.62 $59,376.00 $35,352.62 2026-04-01
541 MS_DRG Osteomyelitis Without Cc/Mcc 1 1 — — $35,300.00 $35,300.00 $35,300.00 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 9 6 — — $15,889.69 $48,707.77 $35,300.00 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 19 11 — — $30,400.00 $118,721.36 $35,300.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 8 4 — — $21,359.76 $52,407.38 $35,174.59 2026-04-01
5361 OTHER Level 1 Laparoscopy And Related Services 84 16 — — $664.75 $118,225.19 $35,143.38 2026-04-01
921 MS_DRG Complications Of Treatment Without Cc/Mcc 3 2 — — $34,933.98 $34,933.98 $34,933.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 6 — — $100.00 $43,913.49 $34,819.69 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 18 — — $19,907.80 $188,818.92 $34,739.84 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 7 — — $24,029.58 $53,544.65 $34,726.78 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 74 15 — — $72.35 $249,488.51 $34,245.86 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 16 — — $347.30 $80,775.11 $34,129.80 2026-04-01
5378 OTHER Level 8 Urology And Related Services 39 8 — — $854.75 $182,871.69 $33,989.41 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $19,470.38 $91,155.93 $33,976.79 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 18 10 — — $5,980.94 $210,141.51 $33,955.50 2026-04-01
5055 OTHER Level 5 Skin Procedures 13 6 — — $4,898.93 $69,753.82 $33,953.82 2026-04-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $33,928.51 $33,928.51 $33,928.51 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 11 6 — — $13,461.28 $97,149.92 $33,752.91 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 5 — — $22,275.60 $60,379.20 $33,447.26 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 6 — — $24,449.85 $36,678.00 $33,207.96 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 15 11 — — $5,818.82 $42,012.36 $33,160.50 2026-04-01
5165 OTHER Level 5 ENT Procedures 56 12 — — $523.78 $85,904.37 $33,112.00 2026-04-01
570 MS_DRG Skin Debridement With Mcc 11 8 — — $16,116.22 $33,928.35 $32,928.54 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 8 6 — — $24,883.10 $79,309.73 $32,925.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 11 — — $15,832.48 $814,632.24 $32,925.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 6 — — $14,866.81 $207,598.62 $32,827.93 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 19 9 — — $566.97 $67,218.48 $32,741.84 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 7 5 — — $31,960.76 $33,229.34 $32,643.77 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 2 1 — — $32,515.30 $32,515.30 $32,515.30 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 6 4 — — $3,919.40 $52,920.00 $32,372.25 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 4 2 — — $13,942.47 $53,781.42 $32,338.00 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 66 20 — — $8,185.49 $218,515.29 $32,298.46 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 3 2 — — $31,931.57 $31,931.57 $31,931.57 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 18 — — $8,574.45 $209,232.00 $31,414.23 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 14 — — $26,836.08 $117,368.54 $31,393.43 2026-04-01
55 MS_DRG Nervous System Neoplasms Without Mcc 8 3 — — $18,804.00 $107,208.00 $31,225.00 2026-04-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 2 2 — — $8,580.00 $53,604.00 $31,092.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 3 2 — — $31,069.85 $31,069.85 $31,069.85 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 22 13 — — $22,825.87 $146,481.55 $31,042.85 2026-04-01
0822 RC Inj, Romiplostim 1 Microgram 1 1 — — $30,988.04 $30,988.04 $30,988.04 2025-10-31
950 MS_DRG Aftercare Without Cc/Mcc 6 5 — — $26,029.30 $52,966.56 $30,691.03 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 13 8 — — $2,553.38 $103,144.09 $30,682.01 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 2 — — $25,463.08 $35,638.25 $30,550.67 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 10 — — $21,313.87 $52,885.19 $30,525.09 2026-04-01
5191 OTHER Level 1 Endovascular Procedures 59 11 — — $1,354.79 $51,485.03 $30,306.24 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 13 — — $18,990.33 $184,255.90 $29,409.57 2026-04-01
5164 OTHER Level 4 ENT Procedures 44 10 — — $381.76 $57,210.64 $29,016.89 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 45 19 — — $11,483.68 $169,695.74 $28,791.44 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 6 4 — — $11,987.98 $81,598.21 $28,600.06 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 5 4 — — $14,381.32 $92,868.57 $28,527.00 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 46 19 — — $7,390.49 $93,646.87 $28,434.19 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $28,394.39 $28,394.39 $28,394.39 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 10 8 — — $23,703.44 $127,207.64 $28,379.86 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 6 — — $12,222.84 $240,300.00 $28,262.36 2026-04-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 2 2 — — $28,206.00 $28,206.00 $28,206.00 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 49 12 — — $518.61 $79,999.34 $28,002.38 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 6 4 — — $27,104.00 $470,931.58 $27,597.15 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 13 11 — — $16,692.00 $131,419.79 $27,451.30 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 10 6 — — $25.00 $28,209.41 $27,331.97 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 5 4 — — $4,031.34 $27,104.00 $27,104.00 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 52 20 — — $13,868.28 $155,530.14 $27,104.00 2026-04-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 7 4 — — $13,802.00 $76,449.00 $27,104.00 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 4 3 — — $12,075.17 $119,515.81 $26,980.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $26,934.55 $109,594.60 $26,934.55 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 14 — — $11,536.32 $140,863.10 $26,897.38 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 31 10 — — $11,980.44 $60,503.56 $26,868.38 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 12 — — $6,916.43 $669,663.00 $26,858.81 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $26,802.00 $26,802.00 $26,802.00 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 2 — — $12,212.99 $40,203.00 $26,802.00 2026-04-01
5612 OTHER Level 2 Therapeutic Radiation Treatment Preparation 27 9 — — $2,333.15 $135,267.65 $26,770.29 2026-04-01
5504 OTHER Level 4 Extraocular, Repair, And Plastic Eye Procedures 3 2 — — $378.54 $37,244.07 $26,629.40 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 31 17 — — $9,038.50 $174,356.44 $26,597.32 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 34 16 — — $7,911.20 $118,699.52 $26,479.30 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 — — $12,482.96 $26,428.38 $26,428.38 2026-04-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 5 4 — — $10,019.13 $26,410.00 $26,410.00 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 21 10 — — $16,189.00 $201,804.64 $26,410.00 2026-04-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 51 18 — — $4,308.34 $67,450.00 $26,250.00 2026-04-01
848 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 10 7 — — $18,804.00 $49,000.00 $26,154.00 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 85 21 — — $6,677.63 $104,988.00 $26,022.00 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 76 22 — — $7,431.88 $52,308.00 $26,011.00 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 22 12 — — $8,970.80 $256,395.58 $25,686.55 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 36 8 — — $13,640.00 $229,477.09 $25,686.04 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 22 10 — — $14,133.19 $295,466.36 $25,664.90 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 40 16 — — $7,672.50 $127,032.36 $25,500.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 8 6 — — $24,085.57 $88,383.63 $25,424.94 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 1 — — $17,338.09 $33,433.74 $25,385.92 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 2 — — $25,246.70 $25,246.70 $25,246.70 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 21 12 — — $12,349.62 $101,539.06 $25,226.56 2026-04-01
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