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Hospital

Emanate Health Queen Of The Valley Hospital

West Covina, CA · CCN 050369 · Rates published

651 distinct procedures filed
29 distinct payers
10,188 rate rows
2026-01-15 last MRF observed
Data quality

3,081 of 10,188 rate rows are consumer-grade (30.2%)

7,107 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 7,107
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.emanatehealth.org/media/p/22036/956006469_emanate-health-queen-of-the-valley-hospital_standardcharges.csv
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 12aabb33e513dca1… · 6,982,300 bytes · first seen 2026-05-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $188,848.71 $188,848.71 $188,848.71 nat. median
$202,976
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $159,718.05 $159,718.05 $159,718.05 nat. median
$133,161
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $154,608.35 $154,608.35 $154,608.35 nat. median
$93,672
1.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 9 $139,144.08 $139,144.08 $139,144.08 nat. median
$51,307
outlier · 2.7×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 $131,220.00 $131,220.00 $131,220.00 nat. median
$52,303
outlier · 2.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $129,700.10 $129,700.10 $129,700.10 nat. median
$79,312
1.6× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $115,476.96 $115,476.96 $115,476.96 nat. median
$57,424
outlier · 2.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $112,921.59 $112,921.59 $112,921.59 nat. median
$77,570
1.5× median
9284
OTHER 		Ipilimumab Injection 1 $111,464.20 $111,464.20 $111,464.20 nat. median
$188
outlier · 594.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $101,867.81 $101,867.81 $101,867.81 nat. median
$73,807
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $94,286.48 $94,286.48 $94,286.48 nat. median
$102,358
0.9× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $91,672.68 $91,672.68 $91,672.68 nat. median
$53,268
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $91,641.76 $91,641.76 $91,641.76 nat. median
$99,019
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $90,482.82 $90,482.82 $90,482.82 nat. median
$56,696
1.6× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $88,724.87 $88,724.87 $88,724.87 nat. median
$52,879
1.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $88,669.67 $88,669.67 $88,669.67 nat. median
$60,691
1.5× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 11 $86,617.60 $86,617.60 $86,617.60 nat. median
$13,201
outlier · 6.6×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $86,055.08 $86,055.08 $86,055.08 nat. median
$59,898
1.4× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 3 $81,156.41 $81,156.41 $81,156.41 nat. median
$19,047
outlier · 4.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $81,076.96 $81,076.96 $81,076.96 nat. median
$62,134
1.3× median
163
MS_DRG 		Major Chest Procedures With Mcc 4 $81,012.19 $81,012.19 $81,012.19 nat. median
$44,937
1.8× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 $78,815.75 $78,815.75 $78,815.75 nat. median
$36,123
outlier · 2.2×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $77,767.65 $77,767.65 $77,767.65 nat. median
$55,916
1.4× median
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 2 $76,262.88 $76,262.88 $76,262.88 nat. median
$42,896
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $74,903.52 $74,903.52 $74,903.52 nat. median
$68,090
1.1× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 $73,134.55 $73,134.55 $73,134.55 nat. median
$41,524
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $72,948.93 $72,948.93 $72,948.93 nat. median
$66,526
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $69,034.25 $69,034.25 $69,034.25 nat. median
$48,170
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $68,494.15 $68,494.15 $68,494.15 nat. median
$74,915
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $68,163.84 $68,163.84 $68,163.84 nat. median
$64,508
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 3 $68,157.44 $68,157.44 $68,157.44 nat. median
$57,822
1.2× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 7 $67,738.74 $67,738.74 $67,738.74 nat. median
$42,002
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $67,649.64 $67,649.64 $67,649.64 nat. median
$65,950
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $67,143.97 $67,143.97 $67,143.97 nat. median
$65,393
1.0× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 $66,078.32 $66,078.32 $66,078.32 nat. median
$35,069
1.9× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $66,025.70 $66,025.70 $66,025.70 nat. median
$45,112
1.5× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 10 $63,660.15 $63,660.15 $63,660.15 nat. median
$40,454
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $63,108.76 $63,108.76 $63,108.76 nat. median
$60,726
1.0× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 10 $62,122.36 $62,122.36 $62,122.36 nat. median
$45,125
1.4× median
834
MS_DRG 		Acute Leukemia With Mcc 1 $61,484.18 $61,484.18 $61,484.18 nat. median
$53,172
1.2× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 2 $60,099.90 $60,099.90 $60,099.90 nat. median
$37,476
1.6× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $59,893.93 $59,893.93 $59,893.93 nat. median
$47,651
1.3× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 12 $59,255.26 $59,255.26 $59,255.26 nat. median
$14,380
outlier · 4.1×
180
MS_DRG 		Respiratory Neoplasms With Mcc 5 $58,779.98 $58,779.98 $58,779.98 nat. median
$17,981
outlier · 3.3×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 $57,910.40 $57,910.40 $57,910.40 nat. median
$46,084
1.3× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 $57,516.88 $57,516.88 $57,516.88 nat. median
$35,264
1.6× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 3 $57,123.82 $57,123.82 $57,123.82 nat. median
$46,109
1.2× median
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 $55,391.90 $55,391.90 $55,391.90 nat. median
$34,943
1.6× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 $54,932.00 $54,932.00 $54,932.00 nat. median
$43,963
1.2× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 2 $53,973.42 $53,973.42 $53,973.42 nat. median
$39,075
1.4× median

Other procedures at this hospital

Browse this hospital's 651 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $188,848.71 $188,848.71 $188,848.71 2026-01-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 5 — — $159,718.05 $159,718.05 $159,718.05 2026-01-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $154,608.35 $154,608.35 $154,608.35 2026-01-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 9 — — $139,144.08 $139,144.08 $139,144.08 2026-01-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 8 — — $131,220.00 $131,220.00 $131,220.00 2026-01-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $129,700.10 $129,700.10 $129,700.10 2026-01-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $115,476.96 $115,476.96 $115,476.96 2026-01-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 6 — — $112,921.59 $112,921.59 $112,921.59 2026-01-15
9284 OTHER Ipilimumab Injection 1 1 — — $111,464.20 $111,464.20 $111,464.20 2026-01-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 7 — — $101,867.81 $101,867.81 $101,867.81 2026-01-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $94,286.48 $94,286.48 $94,286.48 2026-01-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 8 — — $91,672.68 $91,672.68 $91,672.68 2026-01-15
215 MS_DRG Other Heart Assist System Implant 3 3 — — $91,641.76 $91,641.76 $91,641.76 2026-01-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $90,482.82 $90,482.82 $90,482.82 2026-01-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $88,724.87 $88,724.87 $88,724.87 2026-01-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $88,669.67 $88,669.67 $88,669.67 2026-01-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 14 11 — — $86,617.60 $86,617.60 $86,617.60 2026-01-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $86,055.08 $86,055.08 $86,055.08 2026-01-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $81,156.41 $81,156.41 $81,156.41 2026-01-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 7 — — $81,076.96 $81,076.96 $81,076.96 2026-01-15
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $81,012.19 $81,012.19 $81,012.19 2026-01-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $78,815.75 $78,815.75 $78,815.75 2026-01-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 7 — — $77,767.65 $77,767.65 $77,767.65 2026-01-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $76,262.88 $76,262.88 $76,262.88 2026-01-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $74,903.52 $74,903.52 $74,903.52 2026-01-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $73,134.55 $73,134.55 $73,134.55 2026-01-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 11 — — $72,948.93 $72,948.93 $72,948.93 2026-01-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 14 — — $69,034.25 $69,034.25 $69,034.25 2026-01-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $68,494.15 $68,494.15 $68,494.15 2026-01-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $68,163.84 $68,163.84 $68,163.84 2026-01-15
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $68,157.44 $68,157.44 $68,157.44 2026-01-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 7 — — $67,738.74 $67,738.74 $67,738.74 2026-01-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $67,649.64 $67,649.64 $67,649.64 2026-01-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $67,143.97 $67,143.97 $67,143.97 2026-01-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $66,078.32 $66,078.32 $66,078.32 2026-01-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $66,025.70 $66,025.70 $66,025.70 2026-01-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 10 — — $63,660.15 $63,660.15 $63,660.15 2026-01-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 1 — — $63,108.76 $63,108.76 $63,108.76 2026-01-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 10 — — $62,122.36 $62,122.36 $62,122.36 2026-01-15
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $61,484.18 $61,484.18 $61,484.18 2026-01-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $60,099.90 $60,099.90 $60,099.90 2026-01-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $59,893.93 $59,893.93 $59,893.93 2026-01-15
811 MS_DRG Red Blood Cell Disorders With Mcc 13 12 — — $59,255.26 $59,255.26 $59,255.26 2026-01-15
180 MS_DRG Respiratory Neoplasms With Mcc 6 5 — — $58,779.98 $58,779.98 $58,779.98 2026-01-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $57,910.40 $57,910.40 $57,910.40 2026-01-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $57,516.88 $57,516.88 $57,516.88 2026-01-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $57,123.82 $57,123.82 $57,123.82 2026-01-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $55,391.90 $55,391.90 $55,391.90 2026-01-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $54,932.00 $54,932.00 $54,932.00 2026-01-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $53,973.42 $53,973.42 $53,973.42 2026-01-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $53,534.25 $53,534.25 $53,534.25 2026-01-15
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $52,905.49 $52,905.49 $52,905.49 2026-01-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $52,696.72 $52,696.72 $52,696.72 2026-01-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 13 10 — — $52,417.69 $52,417.69 $52,417.69 2026-01-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $51,377.21 $51,377.21 $51,377.21 2026-01-15
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 14 12 — — $51,335.88 $51,335.88 $51,335.88 2026-01-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 19 14 — — $50,608.35 $50,608.35 $50,608.35 2026-01-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $50,398.65 $50,398.65 $50,398.65 2026-01-15
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 1 1 — — $50,247.70 $50,247.70 $50,247.70 2026-01-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $49,186.87 $49,186.87 $49,186.87 2026-01-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $48,764.86 $48,764.86 $48,764.86 2026-01-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 — — $47,677.17 $47,677.17 $47,677.17 2026-01-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $47,646.76 $47,646.76 $47,646.76 2026-01-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $46,928.96 $46,928.96 $46,928.96 2026-01-15
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $44,821.02 $44,821.02 $44,821.02 2026-01-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $44,782.01 $44,782.01 $44,782.01 2026-01-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $44,634.35 $44,634.35 $44,634.35 2026-01-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 2 — — $44,564.31 $44,564.31 $44,564.31 2026-01-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 5 — — $44,100.60 $44,100.60 $44,100.60 2026-01-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 3 3 — — $44,051.09 $44,051.09 $44,051.09 2026-01-15
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $44,003.97 $44,003.97 $44,003.97 2026-01-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $43,982.50 $43,982.50 $43,982.50 2026-01-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 10 — — $43,972.99 $43,972.99 $43,972.99 2026-01-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $43,891.45 $43,891.45 $43,891.45 2026-01-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $43,112.04 $43,112.04 $43,112.04 2026-01-15
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $43,026.06 $43,026.06 $43,026.06 2026-01-15
570 MS_DRG Skin Debridement With Mcc 1 1 — — $42,755.35 $42,755.35 $42,755.35 2026-01-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 9 — — $42,694.06 $42,694.06 $42,694.06 2026-01-15
187 MS_DRG Pleural Effusion With Cc 1 1 — — $41,916.29 $41,916.29 $41,916.29 2026-01-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $41,535.44 $41,535.44 $41,535.44 2026-01-15
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 — — $41,266.55 $41,266.55 $41,266.55 2026-01-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 9 8 — — $40,739.12 $40,739.12 $40,739.12 2026-01-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $40,473.56 $40,473.56 $40,473.56 2026-01-15
125 MS_DRG Other Disorders Of The Eye Without Mcc 2 2 — — $40,410.64 $40,410.64 $40,410.64 2026-01-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $40,010.18 $40,010.18 $40,010.18 2026-01-15
264 MS_DRG Other Circulatory System O.r. Procedures 5 5 — — $39,514.30 $39,514.30 $39,514.30 2026-01-15
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 14 11 — — $39,147.24 $39,147.24 $39,147.24 2026-01-15
642 MS_DRG Inborn And Other Disorders Of Metabolism 4 4 — — $38,882.02 $38,882.02 $38,882.02 2026-01-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $38,825.06 $38,825.06 $38,825.06 2026-01-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 6 4 — — $38,797.62 $38,797.62 $38,797.62 2026-01-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $38,756.75 $38,756.75 $38,756.75 2026-01-15
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $38,154.79 $38,154.79 $38,154.79 2026-01-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 — — $38,083.57 $38,083.57 $38,083.57 2026-01-15
5232 OTHER Level 2 Icd And Similar Procedures 5 4 — — $37,904.51 $37,904.51 $37,904.51 2026-01-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 4 — — $37,724.95 $37,724.95 $37,724.95 2026-01-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 1 1 — — $37,422.77 $37,422.77 $37,422.77 2026-01-15
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 6 6 — — $37,138.26 $37,138.26 $37,138.26 2026-01-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $37,106.46 $37,106.46 $37,106.46 2026-01-15
252 MS_DRG Other Vascular Procedures With Mcc 7 6 — — $36,975.25 $36,975.25 $36,975.25 2026-01-15
949 MS_DRG Aftercare With Cc/Mcc 7 6 — — $36,758.98 $36,758.98 $36,758.98 2026-01-15
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 — — $36,619.90 $36,619.90 $36,619.90 2026-01-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 2 — — $36,509.70 $36,509.70 $36,509.70 2026-01-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $36,473.61 $36,473.61 $36,473.61 2026-01-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 17 12 — — $36,361.50 $36,361.50 $36,361.50 2026-01-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 9 8 — — $35,552.69 $35,552.69 $35,552.69 2026-01-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 8 — — $35,158.89 $35,158.89 $35,158.89 2026-01-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 11 — — $34,920.11 $34,920.11 $34,920.11 2026-01-15
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 1 1 — — $34,704.15 $34,704.15 $34,704.15 2026-01-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $34,652.75 $34,652.75 $34,652.75 2026-01-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 3 — — $34,092.00 $34,092.00 $34,092.00 2026-01-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 5 — — $33,934.76 $33,934.76 $33,934.76 2026-01-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $33,836.17 $33,836.17 $33,836.17 2026-01-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $33,626.89 $33,626.89 $33,626.89 2026-01-15
5213 OTHER Level 3 Electrophysiologic Procedures 11 8 — — $33,598.33 $33,598.33 $33,598.33 2026-01-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $33,429.63 $33,429.63 $33,429.63 2026-01-15
385 MS_DRG Inflammatory Bowel Disease With Mcc 4 4 — — $33,296.09 $33,296.09 $33,296.09 2026-01-15
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 1 — — $33,240.00 $33,240.00 $33,240.00 2026-01-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $33,104.42 $33,104.42 $33,104.42 2026-01-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $32,772.36 $32,772.36 $32,772.36 2026-01-15
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 2 2 — — $32,721.94 $32,721.94 $32,721.94 2026-01-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 10 — — $32,246.80 $32,246.80 $32,246.80 2026-01-15
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $31,927.37 $31,927.37 $31,927.37 2026-01-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 4 — — $31,822.87 $31,822.87 $31,822.87 2026-01-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 9 6 — — $31,706.03 $31,706.03 $31,706.03 2026-01-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 4 — — $31,378.92 $31,378.92 $31,378.92 2026-01-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $31,247.73 $31,247.73 $31,247.73 2026-01-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 8 — — $31,236.10 $31,236.10 $31,236.10 2026-01-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 18 13 — — $30,964.87 $30,964.87 $30,964.87 2026-01-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $30,931.24 $30,931.24 $30,931.24 2026-01-15
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 3 3 — — $30,829.94 $30,829.94 $30,829.94 2026-01-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 9 8 — — $30,797.26 $30,797.26 $30,797.26 2026-01-15
398 MS_DRG Appendix Procedures With Cc 8 8 — — $30,730.37 $30,730.37 $30,730.37 2026-01-15
545 MS_DRG Connective Tissue Disorders With Mcc 3 3 — — $30,201.92 $30,201.92 $30,201.92 2026-01-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 5 — — $30,078.25 $30,078.25 $30,078.25 2026-01-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $30,076.78 $30,076.78 $30,076.78 2026-01-15
711 MS_DRG Testes Procedures With Cc/Mcc 1 1 — — $30,008.80 $30,008.80 $30,008.80 2026-01-15
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $29,910.00 $29,910.00 $29,910.00 2026-01-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 13 11 — — $29,406.91 $29,406.91 $29,406.91 2026-01-15
245 MS_DRG Aicd Generator Procedures 1 1 — — $29,133.55 $29,133.55 $29,133.55 2026-01-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $29,077.50 $29,077.50 $29,077.50 2026-01-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 3 3 — — $28,735.33 $28,735.33 $28,735.33 2026-01-15
5626 OTHER Level 6 Radiation Therapy 2 2 — — $28,402.44 $28,402.44 $28,402.44 2026-01-15
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 6 5 — — $28,110.64 $28,110.64 $28,110.64 2026-01-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 4 — — $28,008.26 $28,008.26 $28,008.26 2026-01-15
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $27,886.88 $27,886.88 $27,886.88 2026-01-15
164 MS_DRG Major Chest Procedures With Cc 3 3 — — $27,595.54 $27,595.54 $27,595.54 2026-01-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 27 15 — — $27,397.12 $27,397.12 $27,397.12 2026-01-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 5 — — $27,335.03 $27,335.03 $27,335.03 2026-01-15
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $27,099.85 $27,099.85 $27,099.85 2026-01-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 9 — — $27,006.81 $27,006.81 $27,006.81 2026-01-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 3 — — $26,925.08 $26,925.08 $26,925.08 2026-01-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 4 — — $26,869.75 $26,869.75 $26,869.75 2026-01-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $26,503.21 $26,503.21 $26,503.21 2026-01-15
548 MS_DRG Septic Arthritis With Mcc 1 1 — — $26,106.85 $26,106.85 $26,106.85 2026-01-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $26,032.55 $26,032.55 $26,032.55 2026-01-15
100 MS_DRG Seizures With Mcc 11 8 — — $25,836.28 $25,836.28 $25,836.28 2026-01-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $25,707.90 $25,707.90 $25,707.90 2026-01-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 5 — — $25,687.83 $25,687.83 $25,687.83 2026-01-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $25,658.07 $25,658.07 $25,658.07 2026-01-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 8 — — $25,589.30 $25,589.30 $25,589.30 2026-01-15
906 MS_DRG Hand Procedures For Injuries 2 2 — — $25,430.31 $25,430.31 $25,430.31 2026-01-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 8 — — $25,258.53 $25,258.53 $25,258.53 2026-01-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 18 14 — — $25,256.93 $25,256.93 $25,256.93 2026-01-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 4 — — $25,236.95 $25,236.95 $25,236.95 2026-01-15
368 MS_DRG Major Esophageal Disorders With Mcc 3 3 — — $25,068.24 $25,068.24 $25,068.24 2026-01-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 19 13 — — $25,041.61 $25,041.61 $25,041.61 2026-01-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $24,896.91 $24,896.91 $24,896.91 2026-01-15
722 MS_DRG Malignancy, Male Reproductive System With Mcc 1 1 — — $24,693.53 $24,693.53 $24,693.53 2026-01-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 11 9 — — $24,534.49 $24,534.49 $24,534.49 2026-01-15
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 1 1 — — $24,291.89 $24,291.89 $24,291.89 2026-01-15
754 MS_DRG Malignancy, Female Reproductive System With Mcc 2 2 — — $24,196.40 $24,196.40 $24,196.40 2026-01-15
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 3 3 — — $24,190.85 $24,190.85 $24,190.85 2026-01-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 7 — — $24,100.35 $24,100.35 $24,100.35 2026-01-15
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 5 5 — — $24,075.72 $24,075.72 $24,075.72 2026-01-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 — — $23,966.60 $23,966.60 $23,966.60 2026-01-15
5378 OTHER Level 8 Urology And Related Services 1 1 — — $23,946.57 $23,946.57 $23,946.57 2026-01-15
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $23,942.61 $23,942.61 $23,942.61 2026-01-15
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 5 5 — — $23,870.94 $23,870.94 $23,870.94 2026-01-15
501 MS_DRG Soft Tissue Procedures With Cc 3 3 — — $23,816.40 $23,816.40 $23,816.40 2026-01-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 3 — — $23,774.47 $23,774.47 $23,774.47 2026-01-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 3 — — $23,759.12 $23,759.12 $23,759.12 2026-01-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $23,696.28 $23,696.28 $23,696.28 2026-01-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 — — $23,650.88 $23,650.88 $23,650.88 2026-01-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 6 6 — — $23,640.78 $23,640.78 $23,640.78 2026-01-15
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 1 1 — — $23,634.13 $23,634.13 $23,634.13 2026-01-15
5116 OTHER Level 6 Musculoskeletal Procedures 6 6 — — $23,622.83 $23,622.83 $23,622.83 2026-01-15
539 MS_DRG Osteomyelitis With Mcc 2 2 — — $23,449.81 $23,449.81 $23,449.81 2026-01-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 — — $23,386.74 $23,386.74 $23,386.74 2026-01-15
947 MS_DRG Signs And Symptoms With Mcc 6 4 — — $23,342.03 $23,342.03 $23,342.03 2026-01-15
5622 OTHER Level 2 Radiation Therapy 6 4 — — $23,286.47 $23,286.47 $23,286.47 2026-01-15
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 7 7 — — $23,261.29 $23,261.29 $23,261.29 2026-01-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 13 10 — — $23,159.92 $23,159.92 $23,159.92 2026-01-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 5 4 — — $23,083.85 $23,083.85 $23,083.85 2026-01-15
919 MS_DRG Complications Of Treatment With Mcc 7 7 — — $22,937.44 $22,937.44 $22,937.44 2026-01-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 7 — — $22,922.49 $22,922.49 $22,922.49 2026-01-15
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 9 7 — — $22,893.19 $22,893.19 $22,893.19 2026-01-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $22,658.99 $22,658.99 $22,658.99 2026-01-15
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 19 13 — — $22,331.86 $22,331.86 $22,331.86 2026-01-15
935 MS_DRG Non-extensive Burns 1 1 — — $22,312.96 $22,312.96 $22,312.96 2026-01-15
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 2 2 — — $22,302.97 $22,302.97 $22,302.97 2026-01-15
9051 OTHER Inj, Lanreotide, (cipla) 1mg 2 2 — — $22,248.73 $22,248.73 $22,248.73 2026-01-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 4 2 — — $22,191.47 $22,191.47 $22,191.47 2026-01-15
334 MS_DRG Rectal Resection Without Cc/Mcc 2 2 — — $22,163.24 $22,163.24 $22,163.24 2026-01-15
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 1 1 — — $22,160.00 $22,160.00 $22,160.00 2026-01-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $21,815.00 $21,815.00 $21,815.00 2026-01-15
394 MS_DRG Other Digestive System Diagnoses With Cc 14 10 — — $21,796.68 $21,796.68 $21,796.68 2026-01-15
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 5 5 — — $21,733.97 $21,733.97 $21,733.97 2026-01-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $21,695.44 $21,695.44 $21,695.44 2026-01-15
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $21,673.37 $21,673.37 $21,673.37 2026-01-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 3 2 — — $21,407.42 $21,407.42 $21,407.42 2026-01-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 7 — — $21,346.60 $21,346.60 $21,346.60 2026-01-15
199 MS_DRG Pneumothorax With Mcc 3 3 — — $21,315.21 $21,315.21 $21,315.21 2026-01-15
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 1 1 — — $21,285.99 $21,285.99 $21,285.99 2026-01-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 — — $21,276.60 $21,276.60 $21,276.60 2026-01-15
948 MS_DRG Signs And Symptoms Without Mcc 9 7 — — $21,096.53 $21,096.53 $21,096.53 2026-01-15
664 MS_DRG Minor Bladder Procedures Without Cc/Mcc 1 1 — — $21,070.23 $21,070.23 $21,070.23 2026-01-15
637 MS_DRG Diabetes With Mcc 11 10 — — $21,010.00 $21,010.00 $21,010.00 2026-01-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 4 — — $20,925.20 $20,925.20 $20,925.20 2026-01-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 3 — — $20,720.74 $20,720.74 $20,720.74 2026-01-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $20,571.63 $20,571.63 $20,571.63 2026-01-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 2 2 — — $20,515.35 $20,515.35 $20,515.35 2026-01-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 1 1 — — $20,325.68 $20,325.68 $20,325.68 2026-01-15
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $20,178.69 $20,178.69 $20,178.69 2026-01-15
5464 OTHER Level 4 Neurostimulator And Related Procedures 5 4 — — $20,109.35 $20,109.35 $20,109.35 2026-01-15
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 19 14 — — $20,087.05 $20,087.05 $20,087.05 2026-01-15
253 MS_DRG Other Vascular Procedures With Cc 4 3 — — $20,039.65 $20,039.65 $20,039.65 2026-01-15
348 MS_DRG Anal And Stomal Procedures With Cc 4 4 — — $19,964.76 $19,964.76 $19,964.76 2026-01-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 8 7 — — $19,932.34 $19,932.34 $19,932.34 2026-01-15
54 MS_DRG Nervous System Neoplasms With Mcc 2 2 — — $19,842.85 $19,842.85 $19,842.85 2026-01-15
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $19,820.51 $19,820.51 $19,820.51 2026-01-15
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 3 3 — — $19,797.05 $19,797.05 $19,797.05 2026-01-15
196 MS_DRG Interstitial Lung Disease With Mcc 5 5 — — $19,539.31 $19,539.31 $19,539.31 2026-01-15
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $19,460.58 $19,460.58 $19,460.58 2026-01-15
835 MS_DRG Acute Leukemia With Cc 2 2 — — $19,421.97 $19,421.97 $19,421.97 2026-01-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $19,146.60 $19,146.60 $19,146.60 2026-01-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $19,139.19 $19,139.19 $19,139.19 2026-01-15
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 7 7 — — $19,100.47 $19,100.47 $19,100.47 2026-01-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $18,732.00 $18,732.00 $18,732.00 2026-01-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 17 11 — — $18,698.15 $18,698.15 $18,698.15 2026-01-15
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 2 2 — — $18,667.58 $18,667.58 $18,667.58 2026-01-15
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 2 — — $18,661.87 $18,661.87 $18,661.87 2026-01-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 2 2 — — $18,566.19 $18,566.19 $18,566.19 2026-01-15
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/Mcc 1 1 — — $18,462.56 $18,462.56 $18,462.56 2026-01-15
638 MS_DRG Diabetes With Cc 23 15 — — $18,417.01 $18,417.01 $18,417.01 2026-01-15
764 OTHER Ketorolac Tromethamine Inj 5 5 — — $18,349.87 $18,349.87 $18,349.87 2026-01-15
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $18,342.41 $18,342.41 $18,342.41 2026-01-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 9 8 — — $18,161.85 $18,161.85 $18,161.85 2026-01-15
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 1 — — $18,115.75 $18,115.75 $18,115.75 2026-01-15
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $18,039.80 $18,039.80 $18,039.80 2026-01-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 2 1 — — $18,005.80 $18,005.80 $18,005.80 2026-01-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 5 5 — — $17,989.63 $17,989.63 $17,989.63 2026-01-15
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 2 2 — — $17,963.94 $17,963.94 $17,963.94 2026-01-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 1 1 — — $17,927.62 $17,927.62 $17,927.62 2026-01-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $17,815.43 $17,815.43 $17,815.43 2026-01-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 5 5 — — $17,796.43 $17,796.43 $17,796.43 2026-01-15
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 8 7 — — $17,786.58 $17,786.58 $17,786.58 2026-01-15
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $17,734.36 $17,734.36 $17,734.36 2026-01-15
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 8 8 — — $17,603.63 $17,603.63 $17,603.63 2026-01-15
571 MS_DRG Skin Debridement With Cc 4 4 — — $17,547.59 $17,547.59 $17,547.59 2026-01-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 6 5 — — $17,523.99 $17,523.99 $17,523.99 2026-01-15
5212 OTHER Level 2 Electrophysiologic Procedures 4 4 — — $17,480.29 $17,480.29 $17,480.29 2026-01-15
382 MS_DRG Complicated Peptic Ulcer Without Cc/Mcc 1 1 — — $17,463.19 $17,463.19 $17,463.19 2026-01-15
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 2 2 — — $17,463.18 $17,463.18 $17,463.18 2026-01-15
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 5 5 — — $17,442.95 $17,442.95 $17,442.95 2026-01-15
552 MS_DRG Medical Back Problems Without Mcc 8 7 — — $17,253.94 $17,253.94 $17,253.94 2026-01-15
551 MS_DRG Medical Back Problems With Mcc 6 6 — — $17,245.69 $17,245.69 $17,245.69 2026-01-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 11 8 — — $17,243.43 $17,243.43 $17,243.43 2026-01-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 21 12 — — $17,127.35 $17,127.35 $17,127.35 2026-01-15
444 MS_DRG Disorders Of The Biliary Tract With Mcc 6 5 — — $17,091.16 $17,091.16 $17,091.16 2026-01-15
38 MS_DRG Extracranial Procedures With Cc 1 1 — — $17,073.90 $17,073.90 $17,073.90 2026-01-15
5471 OTHER Implantation Of Drug Infusion Device 2 2 — — $17,050.22 $17,050.22 $17,050.22 2026-01-15
549 MS_DRG Septic Arthritis With Cc 1 1 — — $16,968.19 $16,968.19 $16,968.19 2026-01-15
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 2 2 — — $16,773.21 $16,773.21 $16,773.21 2026-01-15
291 MS_DRG Heart Failure And Shock With Mcc 26 15 — — $16,725.81 $16,725.81 $16,725.81 2026-01-15
792 OTHER Inj, Glycopyrrolate, 0.1 Mg 1 1 — — $16,724.45 $16,724.45 $16,724.45 2026-01-15
644 MS_DRG Endocrine Disorders With Cc 5 4 — — $16,719.96 $16,719.96 $16,719.96 2026-01-15
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $16,704.64 $16,704.64 $16,704.64 2026-01-15
714 MS_DRG Transurethral Prostatectomy Without Cc/Mcc 1 1 — — $16,623.97 $16,623.97 $16,623.97 2026-01-15
643 MS_DRG Endocrine Disorders With Mcc 5 4 — — $16,514.40 $16,514.40 $16,514.40 2026-01-15
787 MS_DRG Cesarean Section Without Sterilization With Cc 14 11 — — $16,403.45 $16,403.45 $16,403.45 2026-01-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 8 8 — — $16,383.22 $16,383.22 $16,383.22 2026-01-15
71 MS_DRG Other Cerebrovascular Disorders With Cc 5 4 — — $16,353.89 $16,353.89 $16,353.89 2026-01-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 2 — — $16,351.75 $16,351.75 $16,351.75 2026-01-15
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 2 2 — — $16,345.63 $16,345.63 $16,345.63 2026-01-15
5194 OTHER Level 4 Endovascular Procedures 15 9 — — $16,331.08 $16,331.08 $16,331.08 2026-01-15
682 MS_DRG Renal Failure With Mcc 13 9 — — $16,327.56 $16,327.56 $16,327.56 2026-01-15
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 — — $16,297.29 $16,297.29 $16,297.29 2026-01-15
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 2 1 — — $16,147.77 $16,147.77 $16,147.77 2026-01-15
598 MS_DRG Malignant Breast Disorders With Cc 1 1 — — $16,144.66 $16,144.66 $16,144.66 2026-01-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 4 4 — — $16,081.08 $16,081.08 $16,081.08 2026-01-15
299 MS_DRG Peripheral Vascular Disorders With Mcc 8 5 — — $16,064.53 $16,064.53 $16,064.53 2026-01-15
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/Mcc 1 1 — — $16,000.59 $16,000.59 $16,000.59 2026-01-15
92 MS_DRG Other Disorders Of Nervous System With Cc 8 7 — — $15,982.83 $15,982.83 $15,982.83 2026-01-15
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 — — $15,977.35 $15,977.35 $15,977.35 2026-01-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $15,843.35 $15,843.35 $15,843.35 2026-01-15
813 MS_DRG Coagulation Disorders 7 7 — — $15,805.97 $15,805.97 $15,805.97 2026-01-15
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 1 1 — — $15,679.66 $15,679.66 $15,679.66 2026-01-15
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 4 4 — — $15,677.48 $15,677.48 $15,677.48 2026-01-15
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 1 1 — — $15,535.00 $15,535.00 $15,535.00 2026-01-15
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 2 2 — — $15,476.55 $15,476.55 $15,476.55 2026-01-15
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