Price Transparencybeta 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

DOCTORS MEDICAL CENTER

Modesto, CA · CCN 050464 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $7,198 across 4 payers · range $830-$13,465

Source: https://mrfs.hyvehealthcare.com/TenetHealth/752918774_doctors-medical-center-of-modesto_standardcharges.json · observed 2026-09-02

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,895 distinct procedures filed
27 distinct payers
221,605 rate rows
2026-09-02 last MRF observed
Data quality

154,840 of 221,605 rate rows are consumer-grade (69.9%)

66,765 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 64,207
per-diem day rate — not a per-procedure price 1,616
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 864
exceeds 10× this hospital's gross charge — excluded from medians 37
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 25
placeholder amount (≤ $0.02) — excluded from medians 10
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/752918774_DoctorsMedicalCenterofModesto_standardcharges.json
Found on page https://www.dmc-modesto.com/patients/pricing-info-estimates/hospital-pricing-information
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint ff7a664d8463c150… · 3,474,092 bytes · first seen 2026-05-06

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 $293,888.54 $486,102.72 $389,995.63 nat. median
$190,359
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $282,437.82 $428,508.59 $355,473.21 nat. median
$198,115
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 2 $214,875.38 $425,336.78 $320,106.08 nat. median
$93,787
outlier · 3.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $194,018.63 $302,804.58 $248,411.61 nat. median
$110,084
outlier · 2.3×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 $82,025.99 $479,980.67 $244,212.13 nat. median
$49,944
outlier · 4.9×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $162,432.84 $307,638.08 $235,035.46 nat. median
$70,795
outlier · 3.3×
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 3 $22,596.29 $774,852.65 $229,357.43 nat. median
$16,717
outlier · 13.7×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $129,272.94 $247,792.54 $188,532.74 nat. median
$58,220
outlier · 3.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $101,823.10 $435,893.91 $176,963.65 nat. median
$103,938
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $108,334.14 $220,963.05 $164,648.60 nat. median
$49,522
outlier · 3.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $70,575.00 $262,447.36 $158,405.83 nat. median
$90,512
1.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $121,782.53 $188,635.93 $155,209.23 nat. median
$67,908
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $39,237.00 $259,143.27 $153,483.37 nat. median
$77,487
2.0× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 $101,827.56 $186,056.60 $143,942.08 nat. median
$45,843
outlier · 3.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $100,685.32 $183,766.61 $142,225.96 nat. median
$52,917
outlier · 2.7×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 $95,109.20 $178,103.65 $136,606.42 nat. median
$45,402
outlier · 3.0×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 2 $107,455.37 $161,980.05 $134,717.71 nat. median
$53,841
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $56,978.94 $299,084.39 $132,612.20 nat. median
$126,461
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $101,544.08 $161,754.08 $131,649.08 nat. median
$62,577
outlier · 2.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $90,778.70 $167,587.90 $129,183.30 nat. median
$58,234
outlier · 2.2×
593
MS_DRG 		Skin Ulcers With Cc 3 $17,440.38 $297,445.72 $129,073.77 nat. median
$11,933
outlier · 10.8×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 $84,678.99 $172,239.52 $128,459.26 nat. median
$38,810
outlier · 3.3×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $94,400.51 $161,511.58 $127,956.04 nat. median
$34,024
outlier · 3.8×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $100,553.58 $153,566.89 $127,060.24 nat. median
$61,660
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $70,575.00 $212,373.53 $126,855.06 nat. median
$72,247
1.8× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $92,212.75 $159,714.86 $125,963.80 nat. median
$49,995
outlier · 2.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $95,104.20 $148,311.77 $121,707.98 nat. median
$61,263
2.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $90,338.48 $152,186.29 $121,262.39 nat. median
$53,768
outlier · 2.3×
28
MS_DRG 		Spinal Procedures With Mcc 2 $92,689.65 $148,719.62 $120,704.63 nat. median
$54,377
outlier · 2.2×
7
MS_DRG 		Lung Transplant 3 $72,364.82 $268,519.63 $120,109.47 nat. median
$117,977
1.0× median
834
MS_DRG 		Acute Leukemia With Mcc 2 $91,610.78 $145,321.84 $118,466.31 nat. median
$50,314
outlier · 2.4×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 $90,246.77 $141,279.23 $115,763.00 nat. median
$50,808
outlier · 2.3×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $85,507.73 $143,483.79 $114,495.76 nat. median
$45,362
outlier · 2.5×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 2 $86,958.46 $140,265.13 $113,611.80 nat. median
$43,838
outlier · 2.6×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $39,237.00 $190,347.22 $113,493.38 nat. median
$55,110
outlier · 2.1×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $81,929.28 $139,923.42 $110,926.35 nat. median
$42,609
outlier · 2.6×
799
MS_DRG 		Splenic Procedures With Mcc 2 $81,322.31 $138,146.00 $109,734.15 nat. median
$43,234
outlier · 2.5×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $71,865.92 $137,696.82 $104,781.37 nat. median
$43,609
outlier · 2.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $70,575.00 $174,411.01 $104,767.36 nat. median
$61,995
1.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 $77,465.38 $131,143.76 $104,304.57 nat. median
$45,172
outlier · 2.3×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 $74,225.43 $132,761.36 $103,493.39 nat. median
$41,655
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $66,059.56 $699,727.34 $102,460.74 nat. median
$248,541
outlier · 0.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $32,939.63 $289,274.10 $100,399.78 nat. median
$94,943
1.1× median
6
MS_DRG 		Liver Transplant Without Mcc 3 $70,658.82 $166,654.26 $98,036.08 nat. median
$44,153
outlier · 2.2×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 $71,912.60 $122,964.85 $97,438.73 nat. median
$42,755
outlier · 2.3×
332
MS_DRG 		Rectal Resection With Mcc 2 $63,721.18 $129,650.17 $96,685.67 nat. median
$33,640
outlier · 2.9×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $70,575.00 $157,320.16 $96,358.15 nat. median
$55,425
1.7× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 2 $71,809.22 $119,525.73 $95,667.48 nat. median
$42,767
outlier · 2.2×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 2 $75,504.40 $114,645.39 $95,074.89 nat. median
$50,830
1.9× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 $75,586.11 $114,149.36 $94,867.74 nat. median
$46,626
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 11,895 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 — — $293,888.54 $486,102.72 $389,995.63 2026-09-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $282,437.82 $428,508.59 $355,473.21 2026-09-02
215 MS_DRG Other Heart Assist System Implant 2 2 — — $214,875.38 $425,336.78 $320,106.08 2026-09-02
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $194,018.63 $302,804.58 $248,411.61 2026-09-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 3 — — $82,025.99 $479,980.67 $244,212.13 2026-09-02
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $162,432.84 $307,638.08 $235,035.46 2026-09-02
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 14 3 — — $22,596.29 $774,852.65 $229,357.43 2026-09-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $129,272.94 $247,792.54 $188,532.74 2026-09-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 3 — — $101,823.10 $435,893.91 $176,963.65 2026-09-02
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $108,334.14 $220,963.05 $164,648.60 2026-09-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $70,575.00 $262,447.36 $158,405.83 2026-09-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $121,782.53 $188,635.93 $155,209.23 2026-09-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $39,237.00 $259,143.27 $153,483.37 2026-09-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $101,827.56 $186,056.60 $143,942.08 2026-09-02
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $100,685.32 $183,766.61 $142,225.96 2026-09-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $95,109.20 $178,103.65 $136,606.42 2026-09-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $107,455.37 $161,980.05 $134,717.71 2026-09-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 3 — — $56,978.94 $299,084.39 $132,612.20 2026-09-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $101,544.08 $161,754.08 $131,649.08 2026-09-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $90,778.70 $167,587.90 $129,183.30 2026-09-02
593 MS_DRG Skin Ulcers With Cc 14 3 — — $17,440.38 $297,445.72 $129,073.77 2026-09-02
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $84,678.99 $172,239.52 $128,459.26 2026-09-02
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $94,400.51 $161,511.58 $127,956.04 2026-09-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $100,553.58 $153,566.89 $127,060.24 2026-09-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $70,575.00 $212,373.53 $126,855.06 2026-09-02
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $92,212.75 $159,714.86 $125,963.80 2026-09-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $95,104.20 $148,311.77 $121,707.98 2026-09-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $90,338.48 $152,186.29 $121,262.39 2026-09-02
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $92,689.65 $148,719.62 $120,704.63 2026-09-02
7 MS_DRG Lung Transplant 14 3 — — $72,364.82 $268,519.63 $120,109.47 2026-09-02
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $91,610.78 $145,321.84 $118,466.31 2026-09-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $90,246.77 $141,279.23 $115,763.00 2026-09-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $85,507.73 $143,483.79 $114,495.76 2026-09-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $86,958.46 $140,265.13 $113,611.80 2026-09-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $39,237.00 $190,347.22 $113,493.38 2026-09-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $81,929.28 $139,923.42 $110,926.35 2026-09-02
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $81,322.31 $138,146.00 $109,734.15 2026-09-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $71,865.92 $137,696.82 $104,781.37 2026-09-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $70,575.00 $174,411.01 $104,767.36 2026-09-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $77,465.38 $131,143.76 $104,304.57 2026-09-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $74,225.43 $132,761.36 $103,493.39 2026-09-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 3 — — $66,059.56 $699,727.34 $102,460.74 2026-09-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 3 — — $32,939.63 $289,274.10 $100,399.78 2026-09-02
6 MS_DRG Liver Transplant Without Mcc 14 3 — — $70,658.82 $166,654.26 $98,036.08 2026-09-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $71,912.60 $122,964.85 $97,438.73 2026-09-02
332 MS_DRG Rectal Resection With Mcc 2 2 — — $63,721.18 $129,650.17 $96,685.67 2026-09-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $70,575.00 $157,320.16 $96,358.15 2026-09-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $71,809.22 $119,525.73 $95,667.48 2026-09-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $75,504.40 $114,645.39 $95,074.89 2026-09-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $75,586.11 $114,149.36 $94,867.74 2026-09-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $70,575.00 $153,473.20 $94,780.70 2026-09-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $65,494.40 $122,190.49 $93,842.45 2026-09-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $68,264.12 $118,167.17 $93,215.64 2026-09-02
10 MS_DRG Pancreas Transplant 2 2 — — $72,906.44 $112,567.59 $92,737.01 2026-09-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $67,937.29 $114,342.26 $91,139.77 2026-09-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $67,417.03 $114,667.43 $91,042.23 2026-09-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $70,575.00 $108,834.39 $89,704.70 2026-09-02
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $69,269.62 $110,032.35 $89,650.99 2026-09-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $39,237.00 $145,051.78 $89,473.05 2026-09-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $70,965.46 $106,375.53 $88,670.49 2026-09-02
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $66,948.46 $110,222.49 $88,585.48 2026-09-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $69,569.77 $104,366.63 $86,968.20 2026-09-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $65,814.56 $107,381.36 $86,597.96 2026-09-02
602 MS_DRG Cellulitis With Mcc 14 3 — — $24,118.72 $217,250.27 $86,491.11 2026-09-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $67,758.86 $102,164.82 $84,961.84 2026-09-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $63,466.72 $106,295.62 $84,881.17 2026-09-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 — — $66,563.26 $101,982.95 $84,273.10 2026-09-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $65,142.56 $101,112.14 $83,127.35 2026-09-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $64,415.53 $99,048.13 $81,731.83 2026-09-02
791 MS_DRG Prematurity With Major Problems 2 2 — — $61,635.80 $96,490.84 $79,063.32 2026-09-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $59,142.89 $97,951.36 $78,547.12 2026-09-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $58,766.04 $96,512.88 $77,639.46 2026-09-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $55,000.82 $99,924.44 $77,462.63 2026-09-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $70,575.00 $82,392.84 $76,483.92 2026-09-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $70,575.00 $127,718.43 $76,434.87 2026-09-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 — — $57,992.31 $94,330.37 $76,161.34 2026-09-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $58,519.24 $92,406.89 $75,463.07 2026-09-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $58,756.03 $91,745.52 $75,250.77 2026-09-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $59,634.80 $90,758.98 $75,196.89 2026-09-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $59,051.18 $91,304.61 $75,177.90 2026-09-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $56,910.11 $93,178.48 $75,044.29 2026-09-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $54,270.46 $95,118.50 $74,694.48 2026-09-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $56,913.44 $91,921.88 $74,417.66 2026-09-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $54,208.76 $92,693.48 $73,451.12 2026-09-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $54,258.78 $92,594.28 $73,426.53 2026-09-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $52,206.09 $94,330.37 $73,268.23 2026-09-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $53,963.64 $90,960.15 $72,461.89 2026-09-02
652 MS_DRG Kidney Transplant 2 2 — — $55,356.00 $86,810.06 $71,083.03 2026-09-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $70,575.00 $70,575.00 $70,575.00 2026-09-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $64,762.36 $104,584.33 $70,575.00 2026-09-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $70,575.00 $70,575.00 $70,575.00 2026-09-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $70,575.00 $70,575.00 $70,575.00 2026-09-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $70,575.00 $70,575.00 $70,575.00 2026-09-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $70,575.00 $70,575.00 $70,575.00 2026-09-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $53,913.61 $87,184.84 $70,549.23 2026-09-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $69,294.63 $70,575.00 $69,934.82 2026-09-02
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $52,841.41 $86,691.57 $69,766.49 2026-09-02
665 MS_DRG Prostatectomy With Mcc 2 2 — — $52,081.03 $87,038.78 $69,559.90 2026-09-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $51,347.33 $85,586.53 $68,466.93 2026-09-02
265 MS_DRG Aicd Lead Procedures 2 2 — — $55,657.82 $78,926.00 $67,291.91 2026-09-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $58,064.02 $76,186.84 $67,125.43 2026-09-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $50,226.77 $83,982.71 $67,104.74 2026-09-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $50,356.83 $82,814.30 $66,585.57 2026-09-02
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $46,233.11 $85,352.30 $65,792.71 2026-09-02
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 2 — — $46,088.03 $84,602.75 $65,345.39 2026-09-02
163 MS_DRG Major Chest Procedures With Mcc 14 3 — — $41,785.85 $138,699.89 $65,303.43 2026-09-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $47,420.36 $82,905.23 $65,162.79 2026-09-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $50,190.08 $80,127.49 $65,158.79 2026-09-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 — — $54,288.80 $75,938.82 $65,113.81 2026-09-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $56,421.53 $70,575.00 $63,498.26 2026-09-02
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $46,619.96 $77,344.23 $61,982.10 2026-09-02
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $46,654.98 $75,977.40 $61,316.19 2026-09-02
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 14 3 — — $10,640.32 $137,805.79 $61,081.61 2026-09-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $49,348.00 $72,469.40 $60,908.70 2026-09-02
607 MS_DRG Minor Skin Disorders Without Mcc 14 3 — — $13,171.58 $161,712.71 $60,432.64 2026-09-02
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $46,244.78 $73,987.79 $60,116.28 2026-09-02
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $45,157.57 $74,784.19 $59,970.88 2026-09-02
178 MS_DRG Respiratory Infections And Inflammations With Cc 14 3 — — $21,597.46 $118,688.11 $59,852.00 2026-09-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $44,365.51 $75,128.65 $59,747.08 2026-09-02
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 — — $44,663.99 $74,599.55 $59,631.77 2026-09-02
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $41,419.03 $77,572.96 $59,496.00 2026-09-02
800 MS_DRG Splenic Procedures With Cc 2 2 — — $44,804.06 $72,758.75 $58,781.40 2026-09-02
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 2 — — $39,219.60 $76,947.41 $58,083.51 2026-09-02
77385 CPT Ntsty Modul Rad Tx Dlvr Smpl 1 1 — — $57,545.00 $57,545.00 $57,545.00 2026-09-02
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 2 — — $44,932.45 $70,124.30 $57,528.38 2026-09-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 3 — — $38,169.96 $146,884.32 $57,456.07 2026-09-02
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $42,981.48 $71,675.76 $57,328.62 2026-09-02
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $41,942.63 $71,788.74 $56,865.68 2026-09-02
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $42,973.14 $70,383.33 $56,678.24 2026-09-02
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $43,938.62 $68,862.19 $56,400.40 2026-09-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 2 — — $40,917.12 $70,575.00 $55,746.06 2026-09-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $41,168.91 $70,245.55 $55,707.23 2026-09-02
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $35,306.98 $75,079.05 $55,193.01 2026-09-02
570 MS_DRG Skin Debridement With Mcc 2 2 — — $43,268.29 $66,004.53 $54,636.41 2026-09-02
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $39,409.69 $69,832.19 $54,620.94 2026-09-02
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $41,032.17 $67,969.34 $54,500.75 2026-09-02
299 MS_DRG Peripheral Vascular Disorders With Mcc 14 3 — — $23,531.76 $120,055.96 $54,401.59 2026-09-02
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $35,287.64 $73,114.23 $54,200.93 2026-09-02
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 2 — — $43,935.29 $64,329.06 $54,132.18 2026-09-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 3 — — $38,948.07 $100,886.18 $53,764.87 2026-09-02
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $36,274.13 $70,832.51 $53,553.32 2026-09-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $39,873.26 $67,109.56 $53,491.41 2026-09-02
165 MS_DRG Major Chest Procedures Without Cc/mcc 14 3 — — $30,860.42 $114,082.99 $53,317.07 2026-09-02
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 2 — — $39,591.45 $66,594.25 $53,092.85 2026-09-02
503 MS_DRG Foot Procedures With Mcc 2 2 — — $41,479.06 $64,312.53 $52,895.79 2026-09-02
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $39,873.26 $65,797.85 $52,835.56 2026-09-02
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 2 — — $41,485.73 $62,987.03 $52,236.38 2026-09-02
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 — — $39,014.50 $64,866.42 $51,940.46 2026-09-02
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $39,693.17 $64,108.60 $51,900.88 2026-09-02
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $42,844.74 $60,859.63 $51,852.18 2026-09-02
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $39,488.07 $63,970.82 $51,729.44 2026-09-02
C2616 HCPCS Brachytx, Non-str,yttrium-90 1 1 — — $51,410.58 $51,410.58 $51,410.58 2026-09-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $39,483.06 $63,295.67 $51,389.36 2026-09-02
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $35,288.00 $76,093.14 $51,382.35 2026-09-02
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 2 — — $38,944.46 $63,557.46 $51,250.96 2026-09-02
303 MS_DRG Atherosclerosis Without Mcc 14 3 — — $11,055.53 $132,697.23 $51,079.16 2026-09-02
316T OTHER Replacement Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of… 1 1 — — $50,959.18 $50,959.18 $50,959.18 2026-09-02
333 MS_DRG Rectal Resection With Cc 2 2 — — $33,224.60 $68,142.95 $50,683.77 2026-09-02
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 — — $38,627.64 $62,278.82 $50,453.23 2026-09-02
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $38,614.30 $61,923.33 $50,268.82 2026-09-02
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $38,861.09 $61,226.14 $50,043.61 2026-09-02
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $36,436.54 $63,246.07 $49,841.31 2026-09-02
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 2 — — $40,503.57 $59,016.07 $49,759.82 2026-09-02
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $37,328.65 $61,840.66 $49,584.65 2026-09-02
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 2 — — $40,166.74 $58,853.48 $49,510.11 2026-09-02
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 2 — — $37,148.56 $60,925.77 $49,037.16 2026-09-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $39,237.00 $88,829.99 $48,682.66 2026-09-02
709 MS_DRG Penis Procedures With Cc/mcc 2 2 — — $38,100.71 $58,809.39 $48,455.05 2026-09-02
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $35,494.40 $61,341.88 $48,418.14 2026-09-02
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 2 — — $34,177.08 $62,251.26 $48,214.17 2026-09-02
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $40,728.69 $54,595.93 $47,662.31 2026-09-02
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 2 — — $36,988.49 $57,114.64 $47,051.57 2026-09-02
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $37,058.52 $56,921.74 $46,990.13 2026-09-02
183 MS_DRG Major Chest Trauma With Mcc 14 3 — — $24,625.64 $105,319.21 $46,824.64 2026-09-02
835 MS_DRG Acute Leukemia With Cc 2 2 — — $35,249.28 $57,985.44 $46,617.36 2026-09-02
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $35,017.50 $58,068.11 $46,542.81 2026-09-02
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 2 2 — — $35,894.61 $56,502.87 $46,198.74 2026-09-02
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 14 3 — — $15,507.75 $98,552.12 $46,137.29 2026-09-02
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 2 — — $36,274.79 $55,254.54 $45,764.67 2026-09-02
32 MS_DRG Ventricular Shunt Procedures With Cc 2 2 — — $35,477.73 $56,009.60 $45,743.67 2026-09-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 3 — — $23,893.68 $197,184.11 $45,506.73 2026-09-02
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $34,984.15 $54,992.75 $44,988.45 2026-09-02
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $33,151.57 $56,491.85 $44,821.71 2026-09-02
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $33,700.17 $55,849.77 $44,774.97 2026-09-02
595 MS_DRG Major Skin Disorders With Mcc 2 2 — — $35,334.33 $54,091.64 $44,712.99 2026-09-02
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $39,067.86 $50,357.66 $44,712.76 2026-09-02
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 — — $34,185.42 $54,496.72 $44,341.07 2026-09-02
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $34,147.07 $54,480.19 $44,313.63 2026-09-02
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 2 — — $32,984.82 $55,419.88 $44,202.35 2026-09-02
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 2 — — $32,678.00 $55,659.63 $44,168.82 2026-09-02
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $33,773.54 $53,942.83 $43,858.18 2026-09-02
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 2 2 — — $33,658.49 $53,658.99 $43,658.74 2026-09-02
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 2 — — $32,061.02 $54,422.32 $43,241.67 2026-09-02
603 MS_DRG Cellulitis Without Mcc 14 3 — — $2,744.44 $157,128.88 $43,224.52 2026-09-02
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $39,237.00 $46,768.00 $43,002.50 2026-09-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $39,237.00 $46,768.00 $43,002.50 2026-09-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 2 — — $25,852.00 $59,681.49 $42,766.74 2026-09-02
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 2 2 — — $31,300.64 $52,782.68 $42,041.66 2026-09-02
754 MS_DRG Malignancy, Female Reproductive System With Mcc 2 2 — — $29,856.59 $54,083.37 $41,969.98 2026-09-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 3 — — $17,279.12 $145,884.00 $41,931.06 2026-09-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 3 — — $25,852.00 $82,354.09 $41,785.88 2026-09-02
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 14 3 — — $22,457.68 $249,762.69 $41,742.68 2026-09-02
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $32,217.77 $51,132.01 $41,674.89 2026-09-02
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 14 3 — — $19,653.65 $310,064.46 $41,236.34 2026-09-02
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $30,635.31 $51,369.00 $41,002.15 2026-09-02
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 2 — — $31,020.50 $50,815.11 $40,917.81 2026-09-02
902 MS_DRG Wound Debridements For Injuries With Cc 2 2 — — $33,316.65 $48,040.12 $40,678.39 2026-09-02
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 2 2 — — $32,169.41 $48,822.74 $40,496.07 2026-09-02
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 2 2 — — $28,746.03 $52,165.40 $40,455.71 2026-09-02
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 2 2 — — $33,291.64 $47,466.93 $40,379.29 2026-09-02
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $32,926.46 $47,643.30 $40,284.88 2026-09-02
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $30,396.86 $49,801.01 $40,098.93 2026-09-02
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 2 — — $28,754.37 $51,346.96 $40,050.67 2026-09-02
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 2 2 — — $30,050.02 $50,029.73 $40,039.88 2026-09-02
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 — — $30,945.46 $48,726.29 $39,835.88 2026-09-02
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 14 3 — — $8,446.51 $67,905.96 $39,759.07 2026-09-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 — — $24,321.00 $55,040.84 $39,680.92 2026-09-02
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 14 3 — — $26,135.05 $96,825.21 $39,606.85 2026-09-02
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $28,035.68 $51,132.01 $39,583.85 2026-09-02
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $18,706.00 $82,019.32 $39,237.00 2026-09-02
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $18,706.00 $47,580.44 $39,237.00 2026-09-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $39,237.00 $39,237.00 $39,237.00 2026-09-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $39,237.00 $39,237.00 $39,237.00 2026-09-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $39,237.00 $39,237.00 $39,237.00 2026-09-02
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 3 — — $31,382.35 $56,309.97 $39,237.00 2026-09-02
551 MS_DRG Medical Back Problems With Mcc 3 3 — — $25,901.28 $42,867.67 $39,237.00 2026-09-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 3 — — $20,842.30 $260,201.46 $39,166.93 2026-09-02
304 MS_DRG Hypertension With Mcc 14 3 — — $17,482.07 $97,537.63 $38,928.20 2026-09-02
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $28,580.95 $48,982.57 $38,781.76 2026-09-02
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 2 — — $28,806.06 $48,602.28 $38,704.17 2026-09-02
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 — — $29,489.74 $47,896.82 $38,693.28 2026-09-02
666 MS_DRG Prostatectomy With Cc 2 2 — — $29,006.16 $48,257.82 $38,631.99 2026-09-02
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 2 2 — — $29,459.72 $47,706.68 $38,583.20 2026-09-02
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 2 2 — — $27,440.38 $49,710.07 $38,575.22 2026-09-02
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $28,520.92 $48,618.82 $38,569.87 2026-09-02
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 2 2 — — $29,408.03 $47,709.43 $38,558.73 2026-09-02
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 2 2 — — $28,122.39 $48,797.94 $38,460.17 2026-09-02
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 2 — — $28,337.49 $48,180.66 $38,259.08 2026-09-02
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 3 — — $18,706.00 $39,237.00 $38,212.43 2026-09-02
597 MS_DRG Malignant Breast Disorders With Mcc 2 2 — — $30,070.03 $46,180.02 $38,125.02 2026-09-02
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 2 — — $29,264.62 $46,979.17 $38,121.89 2026-09-02
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 2 — — $28,432.54 $47,783.84 $38,108.19 2026-09-02
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $27,850.58 $48,290.89 $38,070.74 2026-09-02
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 2 — — $30,021.67 $46,047.75 $38,034.71 2026-09-02
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 2 — — $29,066.19 $46,808.32 $37,937.25 2026-09-02
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 2 — — $28,744.37 $46,612.67 $37,678.52 2026-09-02
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $29,192.92 $46,157.97 $37,675.44 2026-09-02
289 MS_DRG Acute And Subacute Endocarditis With Cc 2 2 — — $28,257.46 $46,822.10 $37,539.78 2026-09-02
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 4 — — $21,645.00 $52,937.00 $37,445.65 2026-09-02
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 — — $27,668.83 $46,910.28 $37,289.56 2026-09-02
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 3 — — $34,706.00 $58,531.07 $37,155.24 2026-09-02
300 MS_DRG Peripheral Vascular Disorders With Cc 14 3 — — $16,981.82 $90,780.04 $37,100.65 2026-09-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 14 3 — — $18,130.73 $69,886.04 $37,063.18 2026-09-02
91 MS_DRG Other Disorders Of Nervous System With Mcc 14 3 — — $17,545.42 $96,496.54 $37,059.26 2026-09-02
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 — — $27,360.34 $46,552.04 $36,956.19 2026-09-02
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 2 — — $27,943.97 $45,689.51 $36,816.74 2026-09-02
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 2 — — $27,783.88 $45,744.62 $36,764.25 2026-09-02
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $28,819.40 $44,658.87 $36,739.14 2026-09-02
75 MS_DRG Viral Meningitis With Cc/mcc 2 2 — — $27,518.75 $45,730.84 $36,624.79 2026-09-02
509 MS_DRG Arthroscopy 2 2 — — $30,550.27 $42,696.82 $36,623.54 2026-09-02
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 2 — — $26,034.68 $47,141.76 $36,588.22 2026-09-02
92929 CPT Cor Stnt Angio Add 5 4 $72,993.00 $54,744.75 25% off $1.00 $54,744.75 $36,496.50 2026-09-02
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 2 2 — — $27,490.41 $45,298.20 $36,394.31 2026-09-02
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 2 — — $29,067.86 $43,396.76 $36,232.31 2026-09-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $25,852.00 $46,163.07 $36,007.54 2026-09-02
504 MS_DRG Foot Procedures With Cc 2 2 — — $28,749.37 $43,239.69 $35,994.53 2026-09-02
643 MS_DRG Endocrine Disorders With Mcc 2 2 — — $26,536.59 $45,358.82 $35,947.71 2026-09-02
30 MS_DRG Spinal Procedures Without Cc/mcc 14 3 — — $17,259.70 $67,144.63 $35,727.10 2026-09-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 4 — — $15,707.66 $143,450.72 $35,693.71 2026-09-02
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 2 2 — — $28,334.16 $42,994.43 $35,664.29 2026-09-02
801 MS_DRG Splenic Procedures Without Cc/mcc 2 2 — — $28,394.19 $42,649.97 $35,522.08 2026-09-02
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 2 2 — — $24,012.00 $47,003.97 $35,507.99 2026-09-02
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 2 — — $26,208.10 $44,766.35 $35,487.22 2026-09-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 3 — — $17,621.71 $71,810.54 $35,468.00 2026-09-02
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 2 2 — — $27,672.16 $43,071.59 $35,371.88 2026-09-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 4 — — $18,874.16 $103,217.50 $35,290.57 2026-09-02
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 3 3 — — $34,799.06 $54,904.57 $35,288.00 2026-09-02
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 3 3 — — $27,530.42 $38,519.17 $35,288.00 2026-09-02
92938 CPT Prq Revasc Byp Graft Addl 5 4 $70,440.00 $52,830.00 25% off $1.00 $52,830.00 $35,220.00 2026-09-02
849 MS_DRG Radiotherapy 2 2 — — $30,013.33 $40,390.29 $35,201.81 2026-09-02
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 — — $27,367.01 $42,842.87 $35,104.94 2026-09-02
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 2 2 — — $29,046.18 $41,131.58 $35,088.88 2026-09-02
671 MS_DRG Urethral Procedures With Cc/mcc 2 2 — — $25,586.12 $44,559.67 $35,072.89 2026-09-02
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 2 2 — — $26,983.49 $42,977.90 $34,980.69 2026-09-02
38 MS_DRG Extracranial Procedures With Cc 2 2 — — $26,141.40 $43,732.96 $34,937.18 2026-09-02
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 2 — — $27,328.66 $42,536.99 $34,932.82 2026-09-02
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $25,411.03 $44,366.77 $34,888.90 2026-09-02
100 MS_DRG Seizures With Mcc 2 2 — — $27,477.06 $42,173.23 $34,825.15 2026-09-02
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 2 2 — — $26,478.23 $43,057.81 $34,768.02 2026-09-02
157 MS_DRG Dental And Oral Diseases With Mcc 2 2 — — $25,811.23 $43,578.64 $34,694.93 2026-09-02
915 MS_DRG Allergic Reactions With Mcc 2 2 — — $26,976.81 $42,385.42 $34,681.11 2026-09-02
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 2 — — $27,275.30 $42,007.89 $34,641.60 2026-09-02
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $27,023.51 $42,220.08 $34,621.79 2026-09-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 3 — — $17,998.97 $87,005.72 $34,514.43 2026-09-02
935 MS_DRG Non-extensive Burns 2 2 — — $28,145.73 $40,555.64 $34,350.68 2026-09-02
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $26,961.81 $41,605.56 $34,283.68 2026-09-02
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $30,983.82 $37,287.38 $34,135.60 2026-09-02
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 2 2 — — $26,063.02 $42,159.45 $34,111.24 2026-09-02
186 MS_DRG Pleural Effusion With Mcc 2 2 — — $25,422.70 $42,581.08 $34,001.89 2026-09-02
571 MS_DRG Skin Debridement With Cc 2 2 — — $27,158.57 $40,409.58 $33,784.07 2026-09-02
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