Price Transparency Hospital negotiated rates

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
52 distinct payers
144,262 rate rows
2026-04-01 last MRF observed
Data quality

20,974 of 144,262 rate rows are consumer-grade (14.5%)

123,288 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 123,288
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.elcaminohealth.org/sites/default/files/2026-05/943167314_el-camino-hospital_standardcharges.json
Found on page https://www.elcaminohealth.org/patients-visitors-guide/before-you-arrive/pricing-estimates/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 2cce85d6ac66af81… · 57,914,281 bytes · first seen 2026-05-18

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… 4 $211,703.08 $465,018.12 $465,018.12 nat. median
$133,176
outlier · 3.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $350,254.95 $350,254.95 $350,254.95 nat. median
$59,899
outlier · 5.8×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 $47,010.00 $642,446.41 $345,841.91 nat. median
$45,113
outlier · 7.7×
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
$56,697
outlier · 5.4×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 $3,707.26 $558,071.91 $297,596.18 nat. median
$35,069
outlier · 8.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $267,990.03 $267,990.03 $267,990.03 nat. median
$102,358
outlier · 2.6×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $264,802.68 $264,802.68 $264,802.68 nat. median
$38,489
outlier · 6.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $17,519.17 $866,360.56 $258,478.67 nat. median
$202,986
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 20 $35,265.29 $301,821.75 $251,654.04 nat. median
$87,411
outlier · 2.9×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $907.56 $795,384.26 $249,900.00 nat. median
$66,526
outlier · 3.8×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 $249,575.11 $249,645.11 $249,610.11 nat. median
$37,698
outlier · 6.6×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 10 $44,129.12 $434,809.96 $249,460.86 nat. median
$57,424
outlier · 4.3×
347
MS_DRG 		Anal And Stomal Procedures With Mcc 4 $27,104.00 $249,017.79 $249,017.79 nat. median
$22,982
outlier · 10.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $246,634.00 $246,634.00 $246,634.00 nat. median
$68,887
outlier · 3.6×
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
$34,943
outlier · 6.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $147,372.00 $362,373.37 $219,103.85 nat. median
$59,099
outlier · 3.7×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 $42,687.02 $625,104.34 $217,889.92 nat. median
$40,166
outlier · 5.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 $47,795.85 $379,914.83 $213,855.34 nat. median
$53,268
outlier · 4.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $56,770.04 $339,297.07 $211,493.45 nat. median
$74,915
outlier · 2.8×
5661
OTHER 		Therapeutic Nuclear Medicine 2 $209,516.94 $209,516.94 $209,516.94 nat. median
$252
outlier · 831.7×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 18 $31,388.07 $409,910.10 $202,663.40 nat. median
$62,270
outlier · 3.3×
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
$36,764
outlier · 5.5×
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 2 $196,340.00 $196,340.00 $196,340.00 nat. median
$42,896
outlier · 4.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 22 $28,105.14 $330,473.97 $179,216.62 nat. median
$44,810
outlier · 4.0×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 $21,638.73 $297,549.01 $175,446.83 nat. median
$47,740
outlier · 3.7×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 20 $14,127.04 $349,430.30 $170,643.70 nat. median
$24,346
outlier · 7.0×
63
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 $19,792.00 $170,587.17 $164,232.06 nat. median
$14,997
outlier · 11.0×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 8 $41,944.35 $159,388.68 $159,388.68 nat. median
$37,476
outlier · 4.3×
254
MS_DRG 		Other Vascular Procedures Without Cc/Mcc 5 $32,039.56 $284,170.21 $158,104.89 nat. median
$18,438
outlier · 8.6×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $32,636.08 $363,381.15 $153,550.09 nat. median
$52,879
outlier · 2.9×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 14 $31,315.16 $201,337.35 $153,496.50 nat. median
$45,125
outlier · 3.4×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 7 $144,648.83 $266,600.64 $153,476.64 nat. median
$46,109
outlier · 3.3×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 17 $29,805.01 $289,706.72 $153,271.71 nat. median
$39,075
outlier · 3.9×
834
MS_DRG 		Acute Leukemia With Mcc 9 $16,903.95 $289,395.38 $153,149.67 nat. median
$53,173
outlier · 2.9×
830
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 $152,392.00 $152,392.00 $152,392.00 nat. median
$15,686
outlier · 9.7×
245
MS_DRG 		Aicd Generator Procedures 3 $51,521.74 $150,808.00 $150,808.00 nat. median
$45,271
outlier · 3.3×
215
MS_DRG 		Other Heart Assist System Implant 4 $146,778.41 $847,199.26 $146,778.41 nat. median
$99,019
1.5× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 10 $48,319.00 $144,399.39 $144,399.39 nat. median
$24,638
outlier · 5.9×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 12 $15,861.38 $1,003,446.96 $143,225.88 nat. median
$42,444
outlier · 3.4×
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 8 $36,973.57 $140,032.27 $140,032.27 nat. median
$35,597
outlier · 3.9×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 22 $20,036.39 $281,214.18 $139,804.85 nat. median
$48,483
outlier · 2.9×
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 10 $16,150.64 $260,225.84 $138,188.24 nat. median
$20,499
outlier · 6.7×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 8 $20,160.38 $136,393.04 $136,393.04 nat. median
$18,896
outlier · 7.2×
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
$64,510
outlier · 2.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $40,000.00 $788,887.86 $134,527.60 nat. median
$55,929
outlier · 2.4×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 15 $36,358.32 $266,350.16 $134,482.27 nat. median
$42,002
outlier · 3.2×
717
MS_DRG 		Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 9 $13,402.08 $250,797.57 $132,893.12 nat. median
$19,015
outlier · 7.0×
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/Mcc 1 $132,240.00 $132,240.00 $132,240.00 nat. median
$22,714
outlier · 5.8×
163
MS_DRG 		Major Chest Procedures With Mcc 14 $50,147.96 $243,566.16 $131,786.23 nat. median
$44,938
outlier · 2.9×
769
MS_DRG 		Postpartum And Post Abortion Diagnoses With O.r. Procedures 8 $52,820.00 $244,748.54 $130,374.27 nat. median
$16,182
outlier · 8.1×

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
             
0753 OTHER Inj Cefazolin (wg Crit Care) 6 6 — — $23,802.18 $78,822.14 $45,646.00 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 22 8 — — $12,387.39 $88,823.15 $49,391.50 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 32 18 — — $3.95 $106,295.82 $44,738.76 2026-04-01
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 2 1 — — $88,823.15 $88,823.15 $88,823.15 2025-10-31
103 MS_DRG Headaches Without Mcc 28 11 — — $7,173.69 $148,390.00 $68,225.63 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 2 — — $130,329.23 $130,329.23 $130,329.23 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 2 1 — — $132,240.00 $132,240.00 $132,240.00 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 2 1 — — $55,113.53 $55,113.53 $55,113.53 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
1490 OTHER Inj Pembrolizumab 6 3 — — $46,241.51 $46,241.51 $46,241.51 2025-10-31
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 6 3 — — $60,054.05 $75,548.10 $60,054.05 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 14 — — $50,147.96 $243,566.16 $131,786.23 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 78 20 — — $15,000.00 $164,865.40 $92,729.88 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 44 15 — — $19,993.51 $248,486.51 $63,937.03 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 8 — — $41,944.35 $159,388.68 $159,388.68 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 20 8 — — $20,160.38 $136,393.04 $136,393.04 2026-04-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 22 9 — — $14,089.37 $49,590.00 $49,558.18 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 38 16 — — $8,465.94 $175,370.00 $51,447.97 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 48 17 — — $9,063.30 $96,373.96 $48,104.61 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 50 18 — — $5,000.00 $81,601.31 $69,304.04 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 24 16 — — $12,846.90 $262,765.12 $41,460.25 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 16 8 — — $12,695.78 $108,644.95 $60,338.85 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 96 25 — — $7,512.55 $177,512.83 $52,812.10 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 24 14 — — $6,996.44 $50,504.54 $38,088.52 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 114 26 — — $6,521.87 $142,841.71 $67,450.00 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 92 24 — — $6,521.87 $138,626.36 $44,438.44 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 22 10 — — $9,812.57 $253,386.00 $71,850.01 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 9 — — $49,863.26 $72,315.75 $57,559.01 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 1 — — $267,990.03 $267,990.03 $267,990.03 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 4 — — $146,778.41 $847,199.26 $146,778.41 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 8 — — $62,813.31 $121,731.93 $105,001.67 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $135,919.12 $135,919.12 $135,919.12 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 16 — — $56,770.04 $339,297.07 $211,493.45 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 14 — — $32,636.08 $363,381.15 $153,550.09 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 8 — — $53,768.35 $115,087.78 $74,940.06 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 5 — — $19,470.38 $91,155.93 $55,313.15 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 14 — — $40,000.00 $788,887.86 $134,527.60 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 1 — — $126,548.96 $126,548.96 $126,548.96 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 1 — — $350,254.95 $350,254.95 $350,254.95 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $11,770.38 $248,033.06 $64,383.03 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 12 — — $47,795.85 $379,914.83 $213,855.34 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 10 — — $44,129.12 $434,809.96 $249,460.86 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 68 15 — — $36,358.32 $266,350.16 $134,482.27 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 5 — — $21,638.73 $297,549.01 $175,446.83 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $264,802.68 $264,802.68 $264,802.68 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 6 — — $14,866.81 $207,598.62 $107,860.54 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 8 — — $33,295.40 $206,059.55 $45,177.61 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 13 — — $23,119.44 $107,699.75 $84,653.71 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 18 10 — — $18,287.39 $65,033.10 $41,660.25 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 3 — — $51,521.74 $150,808.00 $150,808.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 14 — — $31,315.16 $201,337.35 $153,496.50 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 6 4 — — $35,632.53 $127,537.74 $127,537.74 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 38 14 — — $21,594.91 $126,020.46 $126,020.46 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 10 5 — — $32,039.56 $284,170.21 $158,104.89 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
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 10 4 — — $19,115.22 $51,602.72 $51,602.72 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 2 — — $26,900.02 $147,270.16 $87,085.09 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 9 — — $6,737.95 $215,133.52 $69,307.98 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 9 — — $65,070.30 $351,514.76 $112,117.65 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 36 15 — — $51,200.61 $220,225.60 $120,593.93 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 10 — — $43,692.07 $65,426.88 $48,063.10 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 8 — — $21,359.76 $52,407.38 $38,073.57 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 14 — — $3,953.92 $361,855.79 $55,819.68 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 8 — — $36,973.57 $140,032.27 $140,032.27 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 16 11 — — $16,692.00 $131,419.79 $51,750.18 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 6 — — $100.00 $43,913.49 $39,348.40 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $246,634.00 $246,634.00 $246,634.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 6 — — $147,372.00 $362,373.37 $219,103.85 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 7 — — $144,648.83 $266,600.64 $153,476.64 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $54,421.70 $54,421.70 $54,421.70 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 4 — — $35,027.62 $122,263.40 $80,814.04 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 42 15 — — $8,287.91 $92,526.28 $42,136.60 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 28 16 — — $11,511.38 $326,505.57 $38,532.54 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 104 26 — — $7,163.84 $113,584.00 $57,465.31 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 24 10 — — $7,163.84 $80,435.68 $43,799.76 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 8 — — $17,519.17 $866,360.56 $258,478.67 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 18 11 — — $6,737.95 $43,838.97 $40,203.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $196,340.00 $196,340.00 $196,340.00 2026-04-01
312 MS_DRG Syncope And Collapse 48 16 — — $403.23 $98,756.42 $51,878.21 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 56 19 — — $6,559.07 $260,051.34 $72,270.20 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 2 — — $53,508.82 $53,508.82 $53,508.82 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 76 18 — — $24,302.89 $198,513.38 $114,212.54 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 96 20 — — $7,526.52 $185,793.52 $90,141.43 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 8 — — $21,341.34 $871,804.55 $55,222.29 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 10 — — $48,319.00 $144,399.39 $144,399.39 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 16 10 — — $18,012.66 $285,333.31 $122,203.62 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 66 22 — — $28,105.14 $330,473.97 $179,216.62 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 90 20 — — $14,127.04 $349,430.30 $170,643.70 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 64 19 — — $14,030.00 $122,898.36 $119,043.40 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 42 17 — — $14,667.00 $138,683.71 $70,442.72 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 24 11 — — $14,614.48 $153,162.02 $83,888.25 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 12 6 — — $7,396.48 $59,499.44 $59,499.44 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 10 4 — — $27,104.00 $249,017.79 $249,017.79 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 20 10 — — $8,315.96 $74,114.00 $41,214.98 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 7 — — $62,227.09 $116,074.31 $66,776.82 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 16 9 — — $15,290.51 $98,089.25 $50,090.07 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 12 — — $15,861.38 $1,003,446.96 $143,225.88 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 26 16 — — $7,284.47 $203,897.70 $45,908.00 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 14 7 — — $19,689.97 $63,825.36 $63,825.36 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 42 17 — — $9,038.50 $174,356.44 $64,560.65 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 56 18 — — $7,284.47 $88,494.00 $48,084.95 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 50 19 — — $8,000.85 $158,625.31 $76,223.60 2026-04-01
398 MS_DRG Appendix Procedures With Cc 42 14 — — $12,594.93 $136,566.43 $75,413.21 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 46 16 — — $7,911.20 $111,977.43 $63,829.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 4 — — $211,703.08 $465,018.12 $465,018.12 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 2 — — $249,575.11 $249,645.11 $249,610.11 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 8 — — $399.24 $224,571.52 $71,813.48 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 36 13 — — $19,038.33 $157,456.58 $88,247.46 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 6 5 — — $23,843.45 $45,061.73 $38,523.00 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
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 44 17 — — $14,602.17 $212,478.04 $68,413.40 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 66 17 — — $6,887.21 $92,665.32 $72,010.12 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 64 18 — — $907.56 $130,986.50 $71,274.17 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 2 — — $38,528.47 $38,528.47 $38,528.47 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 2 1 — — $49,590.00 $49,590.00 $49,590.00 2026-04-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/Mcc 4 2 — — $130,252.54 $130,252.54 $130,252.54 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 12 — — $42,687.02 $625,104.34 $217,889.92 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 44 13 — — $10,871.31 $159,660.03 $93,458.12 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 40 15 — — $7,137.99 $134,008.64 $50,715.50 2026-04-01
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc 8 3 — — $7,503.87 $83,773.40 $46,587.70 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 38 13 — — $11,667.70 $103,422.00 $56,190.86 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 24 9 — — $9,744.93 $123,602.81 $99,101.57 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 50 15 — — $5,252.22 $50,568.00 $42,828.30 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 30 12 — — $10,057.68 $112,824.00 $61,440.84 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 24 12 — — $704.86 $122,688.19 $53,029.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 68 20 — — $35,265.29 $301,821.75 $251,654.04 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 52 18 — — $31,388.07 $409,910.10 $202,663.40 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 80 22 — — $20,036.39 $281,214.18 $139,804.85 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $91,793.83 $91,793.83 $91,793.83 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 7 — — $35,265.29 $78,802.33 $57,033.81 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $84,373.75 $84,373.75 $84,373.75 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 8 — — $56,004.69 $182,972.17 $128,966.03 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 44 17 — — $29,805.01 $289,706.72 $153,271.71 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $26,934.55 $68,264.57 $68,264.57 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $55,997.92 $80,692.66 $55,997.92 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — — $58,617.53 $58,617.53 $58,617.53 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 6 — — $38,604.00 $237,002.67 $46,810.44 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 15 — — $32,084.00 $175,371.16 $99,881.71 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 12 — — $12,305.00 $69,856.59 $44,311.79 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 60 19 — — $15,664.43 $169,695.74 $89,101.95 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 10 8 — — $26,947.69 $115,566.49 $48,158.18 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 6 — — $36,515.04 $238,514.34 $48,828.30 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 4 — — $62,749.29 $261,551.10 $68,839.94 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 46 21 — — $15,078.53 $186,938.00 $73,819.07 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 6 — — $27,947.34 $112,415.59 $98,482.32 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 12 7 — — $23,815.37 $122,074.49 $78,948.51 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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 4 — — $67,463.28 $239,686.72 $67,463.28 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 14 — — $16,618.38 $140,863.10 $76,199.71 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 20 10 — — $15,761.97 $55,310.00 $36,825.31 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 12 5 — — $13,317.11 $41,784.06 $41,784.06 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 52 20 — — $1,387.61 $138,295.69 $48,125.20 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 24 10 — — $13,654.35 $111,420.90 $67,485.22 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 44 18 — — $1,887.28 $164,476.29 $85,681.98 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 76 30 — — $416.36 $249,488.51 $38,350.36 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 82 26 — — $4,850.97 $134,243.22 $49,487.55 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 52 22 — — $504.92 $135,239.45 $38,242.43 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 6 — — $33,023.00 $49,800.98 $39,531.76 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 22 8 — — $16,597.71 $65,048.12 $39,944.42 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 8 — — $15,752.93 $70,558.24 $70,558.24 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 18 10 — — $16,150.64 $260,225.84 $138,188.24 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 70 26 — — $201.00 $179,966.21 $42,807.02 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 46 22 — — $599.12 $121,810.01 $45,646.00 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 16 4 — — $12,096.05 $154,259.41 $63,091.26 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 12 6 — — $200.00 $40,869.47 $40,822.86 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 14 — — $26,836.08 $117,368.54 $72,102.31 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 22 12 — — $15,690.02 $97,149.92 $55,305.60 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 68 22 — — $3,323.28 $230,710.95 $48,385.00 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 26 11 — — $5,000.00 $83,630.87 $60,188.75 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 46 12 — — $19,114.21 $118,580.81 $50,245.64 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 64 20 — — $45,094.87 $167,373.76 $100,156.46 2026-04-01
5243 OTHER Level 3 Blood Product Exchange And Related Services 2 1 — — $63,322.07 $63,322.07 $63,322.07 2025-10-31
5362 OTHER Level 2 Laparoscopy And Related Services 86 30 — — $660.69 $123,524.17 $47,134.26 2026-04-01
5378 OTHER Level 8 Urology And Related Services 78 15 — — $854.75 $182,871.69 $96,550.47 2026-04-01
540 MS_DRG Osteomyelitis With Cc 14 7 — — $907.56 $107,208.00 $58,268.28 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 38 17 — — $566.97 $65,962.78 $38,581.35 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 20 9 — — $19,806.87 $56,412.00 $56,093.05 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 22 13 — — $7,769.21 $213,292.41 $48,989.21 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 18 10 — — $19,098.31 $134,994.35 $43,762.11 2026-04-01
549 MS_DRG Septic Arthritis With Cc 8 6 — — $11,821.65 $65,814.00 $40,113.68 2026-04-01
55 MS_DRG Nervous System Neoplasms Without Mcc 16 6 — — $18,804.00 $107,208.00 $46,499.50 2026-04-01
550 MS_DRG Septic Arthritis Without Cc/Mcc 6 4 — — $6,500.00 $56,412.00 $56,412.00 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 12 4 — — $6,378.52 $94,430.00 $50,404.26 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 6 4 — — $14,551.93 $42,629.58 $42,629.58 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 16 7 — — $4,871.57 $45,604.01 $37,502.01 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 20 12 — — $11,653.77 $71,939.74 $46,353.13 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 30 11 — — $12,222.84 $240,300.00 $119,237.82 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 66 21 — — $24,863.57 $107,814.00 $68,599.44 2026-04-01
5622 OTHER Level 2 Radiation Therapy 22 7 — — $1,151.46 $75,389.17 $41,814.26 2026-04-01
5623 OTHER Level 3 Radiation Therapy 24 12 — — $1,142.37 $160,177.52 $77,841.42 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 26 13 — — $6,445.00 $129,163.77 $67,913.96 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 2 2 — — $209,516.94 $209,516.94 $209,516.94 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 84 20 — — $11,202.42 $140,000.57 $74,524.98 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 4 — — $29,167.34 $103,379.68 $66,273.51 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 18 10 — — $7,360.05 $111,722.00 $64,978.70 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
607 MS_DRG Minor Skin Disorders Without Mcc 18 8 — — $6,117.57 $96,510.55 $40,984.79 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 4 — — $44,693.08 $272,638.62 $112,618.20 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 13 — — $14,866.81 $103,222.32 $59,044.57 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 28 11 — — $31,469.95 $74,560.68 $74,560.68 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 16 8 — — $27,104.00 $138,949.13 $83,026.57 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 28 12 — — $12,981.07 $101,539.06 $56,944.34 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 4 — — $19,792.00 $170,587.17 $164,232.06 2026-04-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/Mcc 2 1 — — $63,807.00 $63,807.00 $63,807.00 2026-04-01
638 MS_DRG Diabetes With Cc 60 16 — — $5,993.25 $95,542.78 $46,894.49 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 72 16 — — $13,846.39 $229,477.09 $121,558.54 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 94 22 — — $2,104.83 $119,962.03 $54,703.08 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 6 3 — — $126,166.02 $126,166.02 $126,166.02 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 8 — — $34,825.53 $102,561.20 $68,582.03 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 28 10 — — $16,189.00 $201,804.64 $79,785.60 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 68 20 — — $13,868.28 $155,530.14 $85,228.63 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 8 — — $12,181.93 $447,229.25 $41,917.88 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 60 20 — — $7,648.94 $179,624.74 $44,437.36 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 58 18 — — $6,162.30 $146,448.62 $78,009.90 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 48 17 — — $5,527.47 $100,280.28 $65,838.23 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 12 — — $5,250.00 $87,501.13 $40,551.00 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 12 — — $3,919.40 $235,565.67 $47,375.66 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 18 9 — — $14,803.14 $84,008.07 $84,008.07 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 8 5 — — $12,075.17 $73,247.90 $50,113.95 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 8 6 — — $19,938.12 $142,673.93 $38,244.08 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 10 4 — — $23,178.74 $144,792.00 $83,985.37 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 24 9 — — $13,402.08 $250,797.57 $132,893.12 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 24 8 — — $45,908.00 $108,468.71 $107,786.94 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
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 28 10 — — $22,024.12 $253,928.63 $84,524.18 2026-04-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 10 4 — — $27,104.00 $45,125.50 $45,125.50 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 8 — — $37,340.51 $126,556.79 $81,698.65 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 14 7 — — $60,685.64 $101,520.41 $60,685.64 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 66 21 — — $11,636.46 $206,581.55 $80,591.90 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 4 2 — — $81,037.00 $81,037.00 $81,037.00 2026-04-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/Mcc 8 4 — — $43,299.74 $70,868.95 $47,232.37 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 10 7 — — $58,005.00 $248,331.97 $111,728.85 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 2 2 — — $36,918.94 $36,918.94 $36,918.94 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 6 2 — — $41,596.43 $126,496.62 $41,596.43 2026-04-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 2 2 — — $92,224.18 $92,224.18 $92,224.18 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 8 5 — — $45,573.75 $119,367.87 $64,920.88 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 16 8 — — $52,820.00 $244,748.54 $130,374.27 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 88 20 — — $8,185.49 $218,515.29 $40,239.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 4 — — $20,400.00 $367,748.91 $57,315.62 2026-04-01
796 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Mcc 10 6 — — $11,735.00 $63,210.00 $43,966.50 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 8 4 — — $76,449.00 $105,874.72 $91,161.86 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 32 12 — — $25,073.70 $132,498.16 $106,838.50 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 15 — — $7,706.66 $99,386.00 $66,669.60 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 36 15 — — $7,375.55 $175,099.85 $39,164.25 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 — — $92,779.30 $92,779.30 $92,779.30 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — — $307,683.00 $307,683.00 $307,683.00 2026-04-01
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/Mcc 8 3 — — $16,189.00 $54,124.50 $54,124.50 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 9 — — $47,010.00 $642,446.41 $345,841.91 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 2 — — $51,964.03 $51,964.03 $51,964.03 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 4 — — $26,678.19 $45,908.00 $37,922.85 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 18 — — $19,907.80 $141,697.52 $111,182.69 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 18 9 — — $13,819.81 $96,019.57 $53,250.65 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
834 MS_DRG Acute Leukemia With Mcc 16 9 — — $16,903.95 $289,395.38 $153,149.67 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 20 9 — — $398.94 $107,208.00 $41,032.00 2026-04-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 8 4 — — $49,722.11 $87,800.00 $49,722.11 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 10 5 — — $13,349.44 $76,205.72 $76,205.72 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 36 18 — — $11,841.05 $209,232.00 $70,101.23 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 58 24 — — $11,598.20 $644,259.49 $64,712.00 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 72 18 — — $8,907.01 $325,782.00 $104,802.38 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 12 — — $23,344.84 $270,327.73 $114,899.59 2026-04-01
866 MS_DRG Viral Illness Without Mcc 12 10 — — $5,494.74 $113,758.47 $37,873.00 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 12 7 — — $10,290.00 $41,605.90 $39,012.82 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 16 — — $907.56 $795,384.26 $249,900.00 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 78 30 — — $11,715.71 $394,947.13 $36,843.64 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 130 26 — — $7,842.06 $184,716.34 $39,286.00 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 16 8 — — $8,981.88 $173,708.95 $57,675.50 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 28 12 — — $6,970.72 $160,812.00 $43,369.43 2026-04-01
90 MS_DRG Concussion Without Cc/Mcc 2 2 — — $75,296.35 $75,296.35 $75,296.35 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 8 6 — — $45,908.00 $269,778.48 $57,750.00 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 2 1 — — $92,051.63 $92,051.63 $92,051.63 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 3 — — $42,104.87 $151,561.30 $96,833.08 2026-04-01
9054 OTHER Lutetium Lu 177 Vipivotide 6 3 — — $128,421.39 $128,421.39 $128,421.39 2025-10-31
906 MS_DRG Hand Procedures For Injuries 6 3 — — $36,506.00 $37,096.40 $37,096.40 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 10 — — $16,201.04 $183,624.91 $42,843.94 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 14 7 — — $53,661.00 $277,740.16 $63,807.00 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 32 13 — — $9,204.65 $96,264.00 $52,954.67 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 2 1 — — $37,926.00 $37,926.00 $37,926.00 2026-04-01
9161 OTHER Inj Cefazolin Sodium, Baxter 2 1 — — $47,207.72 $47,207.72 $47,207.72 2025-10-31
9195 OTHER Injection, Udenyca 0.5 Mg 4 2 — — $48,037.65 $48,037.65 $48,037.65 2025-10-31
9369 OTHER Inj, Metronidazole, 10 Mg 4 2 — — $52,122.36 $52,122.36 $52,122.36 2025-10-31
9378 OTHER Daratumumab, Hyaluronidase 4 2 — — $97,551.84 $97,551.84 $97,551.84 2025-10-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 6 — — $39,814.48 $190,260.00 $118,451.44 2026-04-01
9440 OTHER Instill, Bupivac And Meloxic 10 6 — — $443.44 $47,418.66 $44,638.02 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 14 7 — — $1,262.23 $76,992.01 $39,795.28 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 28 15 — — $22,470.00 $112,016.00 $74,078.00 2026-04-01
9492 OTHER Inj., Durvalumab, 10 Mg 6 3 — — $42,978.07 $66,329.81 $42,978.07 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 2 — — $54,191.77 $54,191.77 $54,191.77 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 6 — — $33,669.08 $41,387.44 $37,528.26 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
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 6 4 — — $8,901.24 $53,960.00 $36,493.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 9 — — $3,707.26 $558,071.91 $297,596.18 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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 14 — — $771.22 $1,137,285.97 $119,155.81 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 10 — — $11,016.56 $292,606.70 $79,545.39 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 8 — — $12,642.00 $110,864.29 $58,104.69 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 12 6 — — $17,969.11 $46,793.10 $46,793.10 2026-04-01
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 4 2 — — $113,568.05 $113,568.05 $113,568.05 2026-04-01
999 MS_DRG Ungroupable 20 14 — — $771.22 $660,785.81 $48,999.06 2026-04-01
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