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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ADVENTIST HEALTH SIERRA VISTA

San Luis Obispo, CA · CCN 050506 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $19,115 across 6 payers · range $19,115-$34,408

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSVRMSANLUISOBISPOCA&type=CDMWithoutLabel&fileType=CSV · observed 2026-01-10

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.

2,406 distinct procedures filed
21 distinct payers
70,383 rate rows
2026-01-10 last MRF observed
Data quality

64,535 of 70,383 rate rows are consumer-grade (91.7%)

5,848 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 3,302
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,494
template filing: same amount across many unrelated codes — excluded 851
exceeds 10× this hospital's gross charge — excluded from medians 140
percent-of-charges filed in the dollar field — excluded from medians 57
exceeds 3× this hospital's gross charge for a DRG stay — excluded 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSVRMSANLUISOBISPOCA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/AdventistHealthSierraVista.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-17
Content fingerprint d0238d36dd9b88e5… · 28,644,482 bytes · first seen 2026-05-09

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… 12 $210,342.16 $1,235,321.88 $285,595.84 nat. median
$199,832
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $137,267.65 $787,064.25 $242,396.45 nat. median
$132,706
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $63,768.01 $365,632.52 $131,049.49 nat. median
$62,218
outlier · 2.1×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 $48,774.15 $288,783.44 $125,950.38 nat. median
$47,513
outlier · 2.7×
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 14 $38,358.71 $687,517.03 $119,010.73 nat. median
$37,851
outlier · 3.1×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 12 $46,357.09 $334,701.60 $116,297.62 nat. median
$45,588
outlier · 2.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $80,122.27 $524,574.63 $108,261.25 nat. median
$80,459
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $68,496.08 $392,742.30 $106,164.35 nat. median
$65,958
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $66,705.34 $559,802.60 $105,269.67 nat. median
$64,357
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $75,513.36 $450,624.59 $97,886.88 nat. median
$71,485
1.4× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $56,787.39 $442,937.19 $84,121.71 nat. median
$55,685
1.5× median
28
MS_DRG 		Spinal Procedures With Mcc 14 $59,542.37 $439,832.60 $83,224.49 nat. median
$56,970
1.5× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 12 $41,637.94 $238,743.32 $83,128.21 nat. median
$39,775
outlier · 2.1×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 $38,264.57 $492,231.60 $82,875.45 nat. median
$37,498
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $64,442.63 $468,808.21 $78,105.41 nat. median
$74,472
1.0× median
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 $27,322.92 $156,663.94 $77,251.24 nat. median
$27,182
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $59,094.44 $405,544.58 $76,822.80 nat. median
$57,394
1.3× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 12 $49,425.23 $291,711.23 $76,228.85 nat. median
$48,124
1.6× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 $25,180.37 $243,440.15 $75,018.66 nat. median
$25,230
outlier · 3.0×
495
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 $35,930.76 $273,343.02 $74,333.92 nat. median
$34,989
outlier · 2.1×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $41,350.55 $372,975.94 $72,527.84 nat. median
$42,100
1.7× median
37
MS_DRG 		Extracranial Procedures With Mcc 14 $32,624.78 $414,919.58 $71,823.50 nat. median
$32,572
outlier · 2.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $48,834.98 $383,320.12 $68,160.13 nat. median
$65,792
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $48,941.62 $285,503.51 $68,100.29 nat. median
$47,707
1.4× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 15 $27,962.67 $367,678.97 $67,809.81 nat. median
$46,518
1.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 $58,900.20 $147,603.99 $67,735.24 nat. median
$51,433
1.3× median
C1822
HCPCS 		Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 15 $38,998.44 $299,988.00 $66,920.40 nat. median
$32,176
outlier · 2.1×
163
MS_DRG 		Major Chest Procedures With Mcc 12 $44,414.73 $260,219.03 $61,017.98 nat. median
$44,914
1.4× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 12 $43,532.74 $256,130.86 $59,225.90 nat. median
$42,341
1.4× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 12 $34,948.68 $231,933.15 $58,360.92 nat. median
$34,366
1.7× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 14 $44,185.10 $273,122.19 $55,861.20 nat. median
$44,841
1.2× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 $37,291.41 $228,786.51 $53,420.18 nat. median
$37,383
1.4× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 12 $28,600.32 $163,988.29 $53,219.28 nat. median
$28,656
1.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 13 $43,989.51 $307,294.77 $52,875.46 nat. median
$50,808
1.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 $41,156.31 $242,759.54 $52,857.49 nat. median
$40,042
1.3× median
653
MS_DRG 		Major Bladder Procedures With Mcc 12 $19,288.65 $151,402.24 $51,496.43 nat. median
$51,176
1.0× median
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 14 $32,028.46 $259,499.13 $51,062.13 nat. median
$42,059
1.2× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 $40,627.44 $279,992.84 $48,834.25 nat. median
$41,285
1.2× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 12 $40,932.84 $261,182.32 $47,932.39 nat. median
$44,514
1.1× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 $28,443.74 $169,803.96 $47,862.87 nat. median
$28,835
1.7× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 $18,733.92 $147,048.00 $47,610.71 nat. median
$46,754
1.0× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $39,529.89 $273,595.50 $47,005.41 nat. median
$45,808
1.0× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $33,975.51 $194,808.54 $46,937.43 nat. median
$33,338
1.4× median
791
MS_DRG 		Prematurity With Major Problems 9 $40,224.77 $72,404.60 $46,907.78 nat. median
$34,510
1.4× median
38
MS_DRG 		Extracranial Procedures With Cc 14 $16,080.00 $270,570.64 $46,836.38 nat. median
$17,015
outlier · 2.8×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 15 $12,059.67 $258,375.00 $46,507.50 nat. median
$23,668
2.0× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 12 $28,860.95 $174,854.10 $46,494.22 nat. median
$29,103
1.6× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 $39,483.01 $243,931.16 $46,234.63 nat. median
$41,643
1.1× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 12 $35,387.69 $202,905.68 $45,405.93 nat. median
$34,738
1.3× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 $23,969.50 $188,143.66 $45,077.71 nat. median
$43,549
1.0× median

Other procedures at this hospital

Browse this hospital's 2,406 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… 12 12 $2,049,720.83 $184,474.87 91% off $210,342.16 $1,235,321.88 $285,595.84 2026-01-10
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 12 $1,865,863.86 $167,927.75 91% off $137,267.65 $787,064.25 $242,396.45 2026-01-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 12 $1,156,330.82 $104,069.77 91% off $63,768.01 $365,632.52 $131,049.49 2026-01-10
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 12 $1,288,126.18 $115,931.36 91% off $48,774.15 $288,783.44 $125,950.38 2026-01-10
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 14 $873,037.50 $78,573.38 91% off $38,358.71 $687,517.03 $119,010.73 2026-01-10
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 12 $1,170,741.36 $105,366.72 91% off $46,357.09 $334,701.60 $116,297.62 2026-01-10
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 $628,903.22 $56,601.29 91% off $80,122.27 $524,574.63 $108,261.25 2026-01-10
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 12 $778,799.21 $70,091.93 91% off $68,496.08 $392,742.30 $106,164.35 2026-01-10
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 14 $710,860.45 $63,977.44 91% off $66,705.34 $559,802.60 $105,269.67 2026-01-10
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 12 $704,917.40 $63,442.57 91% off $75,513.36 $450,624.59 $97,886.88 2026-01-10
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 14 $562,459.92 $50,621.39 91% off $56,787.39 $442,937.19 $84,121.71 2026-01-10
28 MS_DRG Spinal Procedures With Mcc 14 14 $558,517.59 $50,266.58 91% off $59,542.37 $439,832.60 $83,224.49 2026-01-10
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 12 $716,704.24 $64,503.38 91% off $41,637.94 $238,743.32 $83,128.21 2026-01-10
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 14 $625,056.00 $56,255.04 91% off $38,264.57 $492,231.60 $82,875.45 2026-01-10
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 $505,829.10 $45,524.62 91% off $64,442.63 $468,808.21 $78,105.41 2026-01-10
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 12 $892,645.77 $80,338.12 91% off $27,322.92 $156,663.94 $77,251.24 2026-01-10
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 $498,106.36 $44,829.57 91% off $59,094.44 $405,544.58 $76,822.80 2026-01-10
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 12 $566,107.00 $50,949.63 91% off $49,425.23 $291,711.23 $76,228.85 2026-01-10
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 12 $1,589,709.42 $143,073.85 91% off $25,180.37 $243,440.15 $75,018.66 2026-01-10
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 12 $659,281.48 $59,335.33 91% off $35,930.76 $273,343.02 $74,333.92 2026-01-10
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 $473,620.24 $42,625.82 91% off $41,350.55 $372,975.94 $72,527.84 2026-01-10
37 MS_DRG Extracranial Procedures With Mcc 14 14 $526,882.00 $47,419.38 91% off $32,624.78 $414,919.58 $71,823.50 2026-01-10
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 13 $383,320.12 $34,498.81 91% off $48,834.98 $383,320.12 $68,160.13 2026-01-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 12 $499,569.27 $44,961.23 91% off $48,941.62 $285,503.51 $68,100.29 2026-01-10
471 MS_DRG Cervical Spinal Fusion With Mcc 15 15 $466,893.93 $42,020.45 91% off $27,962.67 $367,678.97 $67,809.81 2026-01-10
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 8 $963,881.51 $86,749.34 91% off $58,900.20 $147,603.99 $67,735.24 2026-01-10
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 15 15 $230,760.00 $20,768.40 91% off $38,998.44 $299,988.00 $66,920.40 2026-01-10
163 MS_DRG Major Chest Procedures With Mcc 12 12 $442,705.61 $39,843.51 91% off $44,414.73 $260,219.03 $61,017.98 2026-01-10
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 12 $425,922.25 $38,333.00 91% off $43,532.74 $256,130.86 $59,225.90 2026-01-10
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 12 $428,123.32 $38,531.10 91% off $34,948.68 $231,933.15 $58,360.92 2026-01-10
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 14 $346,821.83 $31,213.96 91% off $44,185.10 $273,122.19 $55,861.20 2026-01-10
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 12 $396,749.15 $35,707.42 91% off $37,291.41 $228,786.51 $53,420.18 2026-01-10
974 MS_DRG HIV With Major Related Condition With Mcc 12 12 $431,381.27 $38,824.31 91% off $28,600.32 $163,988.29 $53,219.28 2026-01-10
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 13 $345,286.55 $31,075.79 91% off $43,989.51 $307,294.77 $52,875.46 2026-01-10
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 12 $359,496.00 $32,354.64 91% off $41,156.31 $242,759.54 $52,857.49 2026-01-10
653 MS_DRG Major Bladder Procedures With Mcc 12 12 $151,402.24 $13,626.20 91% off $19,288.65 $151,402.24 $51,496.43 2026-01-10
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 14 $251,400.75 $22,626.07 91% off $32,028.46 $259,499.13 $51,062.13 2026-01-10
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 13 $318,896.73 $28,700.71 91% off $40,627.44 $279,992.84 $48,834.25 2026-01-10
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 12 $321,293.89 $28,916.45 91% off $40,932.84 $261,182.32 $47,932.39 2026-01-10
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 12 $351,111.89 $31,600.07 91% off $28,443.74 $169,803.96 $47,862.87 2026-01-10
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 12 $147,048.00 $13,234.32 91% off $18,733.92 $147,048.00 $47,610.71 2026-01-10
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 12 $310,281.69 $27,925.35 91% off $39,529.89 $273,595.50 $47,005.41 2026-01-10
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 12 $343,737.42 $30,936.37 91% off $33,975.51 $194,808.54 $46,937.43 2026-01-10
791 MS_DRG Prematurity With Major Problems 9 9 $368,192.96 $33,137.37 91% off $40,224.77 $72,404.60 $46,907.78 2026-01-10
38 MS_DRG Extracranial Procedures With Cc 14 14 $343,581.77 $30,922.36 91% off $16,080.00 $270,570.64 $46,836.38 2026-01-10
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 30 15 $135,054.50 $12,154.90 91% off $12,059.67 $258,375.00 $46,507.50 2026-01-10
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 12 $341,071.77 $30,696.46 91% off $28,860.95 $174,854.10 $46,494.22 2026-01-10
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 12 $309,913.73 $27,892.24 91% off $39,483.01 $243,931.16 $46,234.63 2026-01-10
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 12 $308,517.50 $27,766.58 91% off $35,387.69 $202,905.68 $45,405.93 2026-01-10
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 12 $188,143.66 $16,932.93 91% off $23,969.50 $188,143.66 $45,077.71 2026-01-10
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 12 $326,967.91 $29,427.11 91% off $30,059.07 $194,676.20 $44,571.61 2026-01-10
533 MS_DRG Fractures Of Femur With Mcc 12 12 $585,108.00 $52,659.72 91% off $15,535.94 $89,600.51 $43,925.42 2026-01-10
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 12 $294,999.25 $26,549.93 91% off $34,235.16 $196,297.28 $43,675.12 2026-01-10
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 14 $282,034.07 $25,383.07 91% off $33,809.02 $222,101.83 $43,593.32 2026-01-10
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 12 $290,694.72 $26,162.52 91% off $35,793.01 $205,229.70 $43,367.44 2026-01-10
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 13 $277,417.04 $24,967.53 91% off $35,243.00 $202,076.08 $42,482.26 2026-01-10
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 12 $308,989.85 $27,809.09 91% off $28,741.04 $164,795.16 $42,120.88 2026-01-10
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 12 $271,748.98 $24,457.41 91% off $34,620.82 $239,442.23 $42,009.69 2026-01-10
472 MS_DRG Cervical Spinal Fusion With Cc 15 15 $274,313.95 $24,688.26 91% off $29,195.91 $216,022.23 $41,883.92 2026-01-10
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 12 12 $336,609.87 $30,294.89 91% off $22,514.57 $129,093.90 $41,705.17 2026-01-10
793 MS_DRG Full Term Neonate With Major Problems 8 8 $136,997.52 $12,329.78 91% off $17,453.48 $53,717.08 $41,320.82 2026-01-10
500 MS_DRG Soft Tissue Procedures With Mcc 12 12 $267,034.73 $24,033.13 91% off $31,363.23 $179,830.27 $39,777.63 2026-01-10
906 MS_DRG Hand Procedures For Injuries 12 12 $370,491.99 $33,344.28 91% off $17,465.42 $100,143.09 $39,319.22 2026-01-10
885 MS_DRG Psychoses 12 12 $875,886.00 $78,829.74 91% off $13,842.32 $134,128.80 $39,136.96 2026-01-10
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 12 $258,598.18 $23,273.84 91% off $32,945.41 $225,333.33 $38,904.65 2026-01-10
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 12 $255,622.70 $23,006.04 91% off $32,566.33 $214,735.27 $37,898.13 2026-01-10
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 12 $364,068.24 $32,766.14 91% off $16,155.31 $92,631.22 $37,730.93 2026-01-10
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 12 12 $279,995.28 $25,199.58 91% off $22,650.34 $129,872.36 $37,352.97 2026-01-10
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 12 $176,334.50 $15,870.11 91% off $22,465.02 $176,334.50 $37,040.68 2026-01-10
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 13 $122,750.00 $11,047.50 91% off $15,638.35 $122,750.00 $37,036.72 2026-01-10
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 12 12 $358,040.00 $32,223.60 91% off $14,695.57 $84,261.34 $36,033.17 2026-01-10
90288 HCPCS Botulinum Human Antitoxin For Infusion Into Vein 15 15 $57,300.00 $5,157.00 91% off $5,500.00 $74,490.00 $35,526.00 2026-01-10
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 14 $159,797.17 $14,381.75 91% off $20,358.16 $159,797.17 $35,434.07 2026-01-10
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 12 $236,716.83 $21,304.51 91% off $30,157.72 $192,843.16 $35,314.72 2026-01-10
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 12 12 $302,882.41 $27,259.42 91% off $17,785.51 $101,978.44 $35,300.57 2026-01-10
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 14 $235,650.74 $21,208.57 91% off $21,789.16 $185,574.95 $35,155.68 2026-01-10
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 12 $138,187.00 $12,436.83 91% off $17,605.02 $138,187.00 $34,877.32 2026-01-10
252 MS_DRG Other Vascular Procedures With Mcc 12 12 $189,164.31 $17,024.79 91% off $24,099.53 $194,586.80 $34,569.12 2026-01-10
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 12 12 $230,785.38 $20,770.68 91% off $27,232.74 $187,838.70 $34,429.83 2026-01-10
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 13 13 $236,615.97 $21,295.44 91% off $20,594.01 $135,683.80 $34,365.16 2026-01-10
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 12 $282,398.18 $25,415.84 91% off $18,072.90 $103,626.28 $34,254.38 2026-01-10
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 12 $255,349.73 $22,981.48 91% off $19,929.05 $114,269.04 $34,201.93 2026-01-10
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 12 $285,363.92 $25,682.75 91% off $17,571.46 $100,751.09 $33,992.00 2026-01-10
669 MS_DRG Transurethral Procedures With Cc 12 12 $315,382.71 $28,384.44 91% off $15,380.35 $88,187.74 $33,932.20 2026-01-10
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 12 $248,254.39 $22,342.90 91% off $25,132.80 $151,681.26 $33,916.61 2026-01-10
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 12 $248,752.92 $22,387.76 91% off $19,801.21 $113,536.04 $33,666.65 2026-01-10
199 MS_DRG Pneumothorax With Mcc 12 12 $273,796.16 $24,641.65 91% off $17,482.27 $100,239.69 $33,174.86 2026-01-10
264 MS_DRG Other Circulatory System O.r. Procedures 12 12 $202,220.41 $18,199.84 91% off $25,762.88 $199,883.79 $33,105.41 2026-01-10
964 MS_DRG Other Multiple Significant Trauma With Cc 12 12 $296,352.86 $26,671.76 91% off $15,188.10 $87,085.40 $32,546.97 2026-01-10
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 15 15 $111,952.00 $10,075.68 91% off $18,919.89 $145,537.60 $32,466.08 2026-01-10
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 12 12 $248,076.32 $22,326.87 91% off $18,115.52 $103,870.62 $32,106.43 2026-01-10
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 12 $233,307.06 $20,997.64 91% off $20,664.37 $118,485.23 $31,803.95 2026-01-10
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 12 $244,897.03 $22,040.73 91% off $17,777.58 $111,383.46 $31,599.77 2026-01-10
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 13 $143,083.33 $12,877.50 91% off $18,228.82 $151,600.05 $31,582.24 2026-01-10
884 MS_DRG Organic Disturbances And Intellectual Disability 12 12 $270,222.43 $24,320.02 91% off $15,944.23 $91,420.92 $31,562.98 2026-01-10
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 13 $205,926.55 $18,533.39 91% off $25,300.28 $156,786.12 $31,534.56 2026-01-10
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 15 15 $185,063.87 $16,655.75 91% off $23,577.14 $154,690.38 $31,387.71 2026-01-10
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 12 $199,420.59 $17,947.85 91% off $25,406.18 $179,557.52 $31,315.66 2026-01-10
374 MS_DRG Digestive Malignancy With Mcc 12 12 $229,156.80 $20,624.11 91% off $21,194.56 $121,525.21 $31,238.20 2026-01-10
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 12 $224,693.87 $20,222.45 91% off $19,250.21 $110,376.74 $31,035.85 2026-01-10
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 12 12 $306,524.65 $27,587.22 91% off $12,704.65 $72,845.80 $30,959.81 2026-01-10
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 12 $162,776.27 $14,649.86 91% off $20,737.70 $162,776.27 $30,866.74 2026-01-10
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 12 12 $232,431.00 $20,918.79 91% off $17,647.76 $101,188.62 $30,688.85 2026-01-10
100 MS_DRG Seizures With Mcc 12 12 $224,826.10 $20,234.35 91% off $19,193.73 $110,052.85 $30,647.84 2026-01-10
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 12 $204,813.54 $18,433.22 91% off $26,093.25 $153,271.66 $30,555.21 2026-01-10
180 MS_DRG Respiratory Neoplasms With Mcc 12 12 $226,152.70 $20,353.74 91% off $17,501.10 $100,347.65 $30,156.92 2026-01-10
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 12 $203,163.77 $18,284.74 91% off $23,649.27 $135,600.02 $30,125.38 2026-01-10
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 12 $201,148.75 $18,103.39 91% off $24,222.07 $138,884.33 $30,008.47 2026-01-10
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 12 $157,158.30 $14,144.25 91% off $20,021.97 $157,158.30 $29,896.55 2026-01-10
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 12 12 $258,514.00 $23,266.26 91% off $14,554.85 $83,454.47 $29,566.71 2026-01-10
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 12 $210,969.59 $18,987.26 91% off $21,880.33 $125,457.29 $29,542.41 2026-01-10
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 12 12 $248,988.63 $22,408.98 91% off $15,107.83 $86,625.14 $29,457.62 2026-01-10
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 12 $194,369.46 $17,493.25 91% off $24,762.67 $146,759.86 $28,997.10 2026-01-10
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 12 12 $244,188.15 $21,976.93 91% off $14,735.21 $84,488.63 $28,816.47 2026-01-10
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 14 14 $140,425.26 $12,638.27 91% off $17,890.18 $145,014.30 $28,752.29 2026-01-10
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 12 $205,565.89 $18,500.93 91% off $20,756.54 $125,074.37 $28,688.17 2026-01-10
32 MS_DRG Ventricular Shunt Procedures With Cc 14 14 $192,257.33 $17,303.16 91% off $21,118.25 $151,402.65 $28,682.01 2026-01-10
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 12 12 $194,741.49 $17,526.73 91% off $21,720.78 $124,542.46 $28,260.25 2026-01-10
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 12 $152,251.11 $13,702.60 91% off $19,396.79 $152,251.11 $28,248.51 2026-01-10
30 MS_DRG Spinal Procedures Without Cc/mcc 14 14 $179,939.86 $16,194.59 91% off $21,754.48 $141,702.64 $27,917.96 2026-01-10
800 MS_DRG Splenic Procedures With Cc 12 12 $173,480.00 $15,613.20 91% off $22,101.35 $159,635.73 $27,841.21 2026-01-10
654 MS_DRG Major Bladder Procedures With Cc 12 12 $148,588.00 $13,372.92 91% off $18,930.11 $148,588.00 $27,741.12 2026-01-10
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 12 $203,386.94 $18,304.82 91% off $17,876.69 $107,670.51 $27,725.30 2026-01-10
693 MS_DRG Urinary Stones With Mcc 12 12 $246,445.45 $22,180.09 91% off $13,324.02 $76,397.18 $27,690.19 2026-01-10
35 MS_DRG Carotid Artery Stent Procedures With Cc 14 14 $122,611.30 $11,035.02 91% off $15,620.68 $134,262.67 $27,243.39 2026-01-10
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 12 $150,724.20 $13,565.18 91% off $19,202.26 $150,724.20 $27,239.67 2026-01-10
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 12 $172,667.73 $15,540.10 91% off $21,997.87 $155,339.98 $27,092.01 2026-01-10
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 12 $196,397.07 $17,675.74 91% off $19,504.90 $111,837.06 $26,940.15 2026-01-10
186 MS_DRG Pleural Effusion With Mcc 12 12 $198,511.96 $17,866.08 91% off $15,444.77 $88,557.09 $26,545.50 2026-01-10
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 12 12 $177,297.20 $15,956.75 91% off $21,075.64 $120,843.35 $26,450.17 2026-01-10
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 12 $177,150.56 $15,943.55 91% off $20,986.45 $127,389.92 $26,428.29 2026-01-10
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 12 12 $186,955.11 $16,825.96 91% off $19,884.46 $121,391.95 $26,307.53 2026-01-10
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 12 $175,451.13 $15,790.60 91% off $22,352.47 $132,883.93 $26,174.76 2026-01-10
253 MS_DRG Other Vascular Procedures With Cc 12 12 $163,094.37 $14,678.49 91% off $20,778.22 $147,487.18 $25,722.45 2026-01-10
908 MS_DRG Other O.r. Procedures For Injuries With Cc 12 12 $181,854.14 $16,366.87 91% off $19,772.47 $113,371.25 $25,711.65 2026-01-10
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 12 12 $78,736.00 $7,086.24 91% off $10,030.97 $78,736.00 $25,691.73 2026-01-10
91 MS_DRG Other Disorders Of Nervous System With Mcc 12 12 $187,709.45 $16,893.85 91% off $17,403.98 $99,790.80 $25,588.17 2026-01-10
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 12 $111,460.75 $10,031.47 91% off $14,200.10 $111,460.75 $25,559.92 2026-01-10
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 12 12 $57,845.00 $5,206.05 91% off $7,369.45 $57,845.00 $25,444.97 2026-01-10
164 MS_DRG Major Chest Procedures With Cc 12 12 $167,893.49 $15,110.41 91% off $21,389.63 $143,418.73 $25,361.63 2026-01-10
205 MS_DRG Other Respiratory System Diagnoses With Mcc 12 12 $188,041.05 $16,923.69 91% off $18,145.25 $104,041.08 $24,969.51 2026-01-10
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 12 $152,587.00 $13,732.83 91% off $19,439.58 $141,594.74 $24,694.78 2026-01-10
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 12 12 $174,630.95 $15,716.79 91% off $18,481.20 $105,967.35 $24,694.13 2026-01-10
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 12 $190,955.22 $17,185.97 91% off $13,911.69 $79,766.72 $24,684.37 2026-01-10
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 12 12 $203,255.92 $18,293.03 91% off $12,839.42 $73,618.58 $24,502.88 2026-01-10
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 12 $121,443.26 $10,929.89 91% off $15,471.87 $121,443.26 $24,370.72 2026-01-10
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 12 $146,309.43 $13,167.85 91% off $18,639.82 $139,696.89 $24,363.78 2026-01-10
792 MS_DRG Prematurity Without Major Problems 9 9 $168,076.43 $15,126.88 91% off $21,412.94 $43,688.93 $24,271.62 2026-01-10
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 12 12 $183,665.36 $16,529.88 91% off $13,612.40 $78,050.70 $23,950.65 2026-01-10
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 12 12 $170,253.61 $15,322.82 91% off $17,293.98 $99,160.07 $23,946.88 2026-01-10
811 MS_DRG Red Blood Cell Disorders With Mcc 12 12 $178,841.23 $16,095.71 91% off $13,916.64 $79,795.13 $23,917.17 2026-01-10
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 14 14 $146,869.97 $13,218.30 91% off $18,711.23 $122,602.02 $23,760.04 2026-01-10
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 12 $153,030.88 $13,772.78 91% off $19,496.13 $136,213.70 $23,756.30 2026-01-10
397 MS_DRG Appendix Procedures With Mcc 12 12 $118,620.08 $10,675.81 91% off $15,112.20 $118,620.08 $23,733.51 2026-01-10
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 12 $158,905.10 $14,301.46 91% off $20,244.51 $119,820.55 $23,706.33 2026-01-10
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 12 12 $181,910.64 $16,371.96 91% off $13,235.82 $75,891.46 $23,499.96 2026-01-10
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 12 12 $193,186.00 $17,386.74 91% off $13,008.88 $74,590.24 $23,405.85 2026-01-10
357 MS_DRG Other Digestive System O.r. Procedures With Cc 12 12 $96,089.75 $8,648.08 91% off $12,241.83 $96,089.75 $23,045.75 2026-01-10
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 12 12 $157,214.10 $14,149.27 91% off $17,871.73 $113,140.90 $23,033.21 2026-01-10
56 MS_DRG Degenerative Nervous System Disorders With Mcc 12 12 $149,699.50 $13,472.96 91% off $19,071.72 $132,003.19 $23,021.97 2026-01-10
501 MS_DRG Soft Tissue Procedures With Cc 12 12 $174,277.00 $15,684.93 91% off $17,323.71 $99,330.54 $22,932.65 2026-01-10
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 21 21 $84,893.00 $7,640.37 91% off $14,346.92 $110,360.90 $22,921.11 2026-01-10
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 12 12 $67,411.50 $6,067.04 91% off $8,588.23 $67,411.50 $22,742.50 2026-01-10
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 12 $166,241.42 $14,961.73 91% off $16,395.14 $94,006.32 $22,728.96 2026-01-10
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 12 12 $165,401.26 $14,886.11 91% off $13,682.76 $78,454.14 $22,547.17 2026-01-10
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 12 12 $168,701.00 $15,183.09 91% off $13,099.06 $75,107.32 $22,535.42 2026-01-10
70 MS_DRG Other Cerebrovascular Disorders With Mcc 12 12 $161,366.47 $14,522.98 91% off $16,498.20 $94,597.27 $22,441.94 2026-01-10
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 12 12 $166,408.40 $14,976.76 91% off $13,832.41 $79,312.15 $22,426.93 2026-01-10
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 12 12 $159,924.75 $14,393.23 91% off $16,405.05 $101,507.89 $22,276.70 2026-01-10
141 MS_DRG Major Head And Neck Procedures With Cc 12 12 $149,059.04 $13,415.31 91% off $18,990.12 $132,918.59 $22,237.45 2026-01-10
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 12 12 $100,423.25 $9,038.09 91% off $12,793.92 $100,423.25 $22,184.57 2026-01-10
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 12 $145,671.74 $13,110.46 91% off $18,534.71 $106,274.19 $21,732.11 2026-01-10
551 MS_DRG Medical Back Problems With Mcc 13 13 $162,700.06 $14,643.01 91% off $16,610.18 $95,239.35 $21,593.25 2026-01-10
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 12 $86,930.00 $7,823.70 91% off $11,074.88 $86,930.00 $21,591.95 2026-01-10
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 12 12 $158,200.67 $14,238.06 91% off $15,542.88 $89,119.62 $21,591.08 2026-01-10
643 MS_DRG Endocrine Disorders With Mcc 12 12 $149,011.38 $13,411.02 91% off $16,312.88 $93,534.69 $21,424.29 2026-01-10
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 12 $155,446.65 $13,990.20 91% off $15,486.39 $88,795.74 $21,354.38 2026-01-10
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 12 12 $108,321.84 $9,748.97 91% off $13,800.20 $108,321.84 $21,222.31 2026-01-10
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 12 12 $111,834.76 $10,065.13 91% off $14,247.75 $111,834.76 $21,214.38 2026-01-10
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 12 12 $140,980.93 $12,688.28 91% off $17,960.97 $124,049.91 $21,178.67 2026-01-10
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 12 12 $141,520.00 $12,736.80 91% off $17,336.59 $99,404.41 $21,112.74 2026-01-10
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 12 $141,477.00 $12,732.93 91% off $17,413.89 $99,847.62 $21,106.32 2026-01-10
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 12 $154,772.67 $13,929.54 91% off $12,568.88 $72,067.34 $21,098.30 2026-01-10
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 12 12 $29,528.00 $2,657.52 91% off $3,761.87 $37,770.27 $20,983.48 2026-01-10
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 12 12 $152,152.68 $13,693.74 91% off $14,859.08 $85,198.91 $20,741.15 2026-01-10
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 12 12 $132,442.24 $11,919.80 91% off $16,873.14 $118,820.48 $20,722.84 2026-01-10
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 14 14 $130,306.07 $11,727.55 91% off $16,479.37 $102,616.03 $20,688.81 2026-01-10
165 MS_DRG Major Chest Procedures Without Cc/mcc 12 12 $138,314.30 $12,448.29 91% off $17,621.24 $108,768.67 $20,634.49 2026-01-10
935 MS_DRG Non-extensive Burns 12 12 $72,333.00 $6,509.97 91% off $9,215.22 $72,333.00 $20,414.64 2026-01-10
125 MS_DRG Other Disorders Of The Eye Without Mcc 12 12 $212,562.00 $19,130.58 91% off $7,608.91 $43,627.93 $20,388.22 2026-01-10
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 12 $138,209.05 $12,438.81 91% off $15,896.66 $91,148.17 $20,369.30 2026-01-10
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 12 12 $135,925.28 $12,233.28 91% off $17,316.88 $113,661.05 $20,318.96 2026-01-10
312 MS_DRG Syncope And Collapse 12 12 $194,353.82 $17,491.84 91% off $8,637.57 $49,526.06 $20,154.16 2026-01-10
C1772 HCPCS Infusion Pump, Programmable (implantable) 15 15 $69,331.00 $6,239.79 91% off $11,716.94 $90,130.30 $20,105.99 2026-01-10
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 12 $174,145.74 $15,673.12 91% off $10,012.09 $57,407.27 $20,103.97 2026-01-10
682 MS_DRG Renal Failure With Mcc 12 12 $141,010.18 $12,690.92 91% off $14,676.74 $84,153.38 $20,080.01 2026-01-10
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 12 12 $144,100.00 $12,969.00 91% off $14,588.54 $83,647.67 $19,946.81 2026-01-10
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 12 12 $132,283.00 $11,905.47 91% off $16,852.85 $112,553.02 $19,943.47 2026-01-10
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 13 13 $118,946.27 $10,705.16 91% off $15,153.75 $113,655.36 $19,822.02 2026-01-10
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 12 12 $53,431.00 $4,808.79 91% off $6,807.11 $53,431.00 $19,768.51 2026-01-10
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 12 $130,832.05 $11,774.88 91% off $16,668.00 $118,227.76 $19,575.21 2026-01-10
380 MS_DRG Complicated Peptic Ulcer With Mcc 12 12 $121,259.00 $10,913.31 91% off $15,448.40 $111,496.13 $19,445.44 2026-01-10
592 MS_DRG Skin Ulcers With Mcc 12 12 $56,670.86 $5,100.38 91% off $7,219.87 $56,670.86 $19,178.86 2026-01-10
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 12 12 $127,458.55 $11,471.27 91% off $16,238.22 $102,489.84 $19,014.97 2026-01-10
947 MS_DRG Signs And Symptoms With Mcc 12 12 $137,468.70 $12,372.18 91% off $12,579.78 $72,129.85 $18,739.46 2026-01-10
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 12 12 $79,356.62 $7,142.10 91% off $10,110.03 $79,356.62 $18,734.89 2026-01-10
196 MS_DRG Interstitial Lung Disease With Mcc 12 12 $87,193.07 $7,847.38 91% off $11,108.40 $87,193.07 $18,702.19 2026-01-10
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 12 $127,801.85 $11,502.17 91% off $16,281.96 $93,392.64 $18,695.08 2026-01-10
388 MS_DRG Gastrointestinal Obstruction With Mcc 12 12 $125,689.31 $11,312.04 91% off $14,635.12 $83,914.73 $18,640.14 2026-01-10
385 MS_DRG Inflammatory Bowel Disease With Mcc 12 12 $124,525.17 $11,207.27 91% off $15,680.62 $89,909.45 $18,577.35 2026-01-10
637 MS_DRG Diabetes With Mcc 12 12 $126,800.43 $11,412.04 91% off $14,237.73 $81,636.17 $18,462.52 2026-01-10
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 12 12 $122,058.36 $10,985.25 91% off $15,550.23 $96,904.12 $18,420.18 2026-01-10
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 12 12 $124,722.49 $11,225.02 91% off $14,301.15 $81,999.83 $18,352.85 2026-01-10
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 12 12 $120,113.64 $10,810.23 91% off $15,302.48 $104,364.97 $18,297.67 2026-01-10
71 MS_DRG Other Cerebrovascular Disorders With Cc 12 12 $142,001.00 $12,780.09 91% off $10,167.68 $58,299.37 $18,196.38 2026-01-10
183 MS_DRG Major Chest Trauma With Mcc 12 12 $122,418.85 $11,017.70 91% off $15,161.34 $86,931.98 $18,184.38 2026-01-10
919 MS_DRG Complications Of Treatment With Mcc 12 12 $114,360.44 $10,292.44 91% off $14,569.52 $104,029.72 $18,143.26 2026-01-10
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 12 12 $126,181.18 $11,356.31 91% off $14,119.80 $80,959.99 $18,093.79 2026-01-10
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 12 12 $135,879.35 $12,229.14 91% off $10,466.96 $60,015.40 $18,075.78 2026-01-10
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 12 $66,694.00 $6,002.46 91% off $8,496.82 $66,694.00 $18,072.90 2026-01-10
786 MS_DRG Cesarean Section Without Sterilization With Mcc 16 16 $154,927.20 $13,943.45 91% off $9,200.00 $37,421.00 $18,042.15 2026-01-10
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 8 8 $124,123.89 $11,171.15 91% off $15,813.38 $23,217.80 $17,859.84 2026-01-10
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 12 12 $130,598.43 $11,753.86 91% off $11,931.66 $68,413.69 $17,802.92 2026-01-10
505 MS_DRG Foot Procedures Without Cc/mcc 12 12 $99,338.76 $8,940.49 91% off $12,655.76 $99,338.76 $17,766.68 2026-01-10
291 MS_DRG Heart Failure And Shock With Mcc 12 12 $124,945.06 $11,245.06 91% off $12,722.48 $72,948.08 $17,744.82 2026-01-10
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 12 $118,637.25 $10,677.35 91% off $15,114.39 $96,120.10 $17,698.96 2026-01-10
254 MS_DRG Other Vascular Procedures Without Cc/mcc 12 12 $111,917.03 $10,072.53 91% off $14,258.23 $101,239.76 $17,656.68 2026-01-10
92 MS_DRG Other Disorders Of Nervous System With Cc 12 12 $133,675.48 $12,030.79 91% off $10,137.95 $58,128.91 $17,639.28 2026-01-10
C1874 HCPCS Stent, Coated/covered, With Delivery System 105 15 $24,384.00 $2,194.56 91% off $2,723.60 $189,775.30 $17,634.00 2026-01-10
546 MS_DRG Connective Tissue Disorders With Cc 12 12 $128,853.31 $11,596.80 91% off $11,430.22 $65,538.49 $17,565.03 2026-01-10
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 12 12 $120,424.00 $10,838.16 91% off $13,510.33 $77,465.43 $17,526.67 2026-01-10
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 12 $88,585.00 $7,972.65 91% off $11,285.73 $88,585.00 $17,506.05 2026-01-10
184 MS_DRG Major Chest Trauma With Cc 12 12 $130,488.04 $11,743.92 91% off $10,545.25 $60,464.29 $17,494.46 2026-01-10
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 12 12 $136,620.57 $12,295.85 91% off $9,656.32 $55,367.36 $17,393.42 2026-01-10
593 MS_DRG Skin Ulcers With Cc 12 12 $126,671.70 $11,400.45 91% off $11,756.26 $67,407.94 $17,267.63 2026-01-10
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 12 12 $118,718.95 $10,684.71 91% off $12,909.78 $74,022.02 $17,032.54 2026-01-10
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 12 12 $113,415.77 $10,207.42 91% off $14,449.17 $95,625.74 $17,022.74 2026-01-10
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 12 12 $96,129.90 $8,651.69 91% off $12,246.95 $96,129.90 $16,985.77 2026-01-10
758 MS_DRG Infections, Female Reproductive System With Cc 12 12 $129,231.70 $11,630.85 91% off $9,701.91 $55,628.74 $16,963.78 2026-01-10
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 30 15 $53,253.50 $4,792.81 91% off $5,803.63 $93,815.80 $16,886.84 2026-01-10
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 12 $99,925.60 $8,993.30 91% off $12,730.52 $96,813.32 $16,884.69 2026-01-10
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 12 $111,028.61 $9,992.57 91% off $14,145.04 $94,943.88 $16,780.51 2026-01-10
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 12 12 $67,140.71 $6,042.66 91% off $8,553.73 $67,140.71 $16,745.95 2026-01-10
394 MS_DRG Other Digestive System Diagnoses With Cc 12 12 $129,452.22 $11,650.70 91% off $9,272.81 $53,168.35 $16,591.63 2026-01-10
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 12 12 $113,305.92 $10,197.53 91% off $13,337.90 $76,476.73 $16,419.04 2026-01-10
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 12 12 $120,105.57 $10,809.50 91% off $11,067.51 $71,555.98 $16,372.55 2026-01-10
813 MS_DRG Coagulation Disorders 12 12 $107,857.37 $9,707.16 91% off $13,741.03 $86,670.60 $16,292.68 2026-01-10
299 MS_DRG Peripheral Vascular Disorders With Mcc 12 12 $99,559.50 $8,960.36 91% off $12,683.88 $92,773.28 $16,180.09 2026-01-10
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 12 12 $140,810.62 $12,672.96 91% off $8,003.33 $45,889.45 $16,172.64 2026-01-10
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 12 12 $76,461.00 $6,881.49 91% off $9,741.13 $76,461.00 $16,167.21 2026-01-10
393 MS_DRG Other Digestive System Diagnoses With Mcc 12 12 $107,095.62 $9,638.61 91% off $13,643.98 $90,875.42 $16,124.60 2026-01-10
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 12 12 $129,825.00 $11,684.25 91% off $8,566.22 $49,116.94 $15,979.45 2026-01-10
39 MS_DRG Extracranial Procedures Without Cc/mcc 14 14 $106,696.87 $9,602.72 91% off $11,649.23 $84,023.79 $15,917.63 2026-01-10
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 12 12 $106,693.08 $9,602.38 91% off $13,535.11 $77,607.49 $15,917.07 2026-01-10
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 12 12 $90,470.93 $8,142.38 91% off $11,526.00 $90,470.93 $15,878.83 2026-01-10
368 MS_DRG Major Esophageal Disorders With Mcc 12 12 $75,851.87 $6,826.67 91% off $9,663.53 $75,851.87 $15,775.76 2026-01-10
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 15 15 $46,281.00 $4,165.29 91% off $7,497.52 $60,165.30 $15,735.54 2026-01-10
812 MS_DRG Red Blood Cell Disorders Without Mcc 12 12 $118,068.46 $10,626.16 91% off $9,099.38 $52,173.96 $15,710.40 2026-01-10
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 12 12 $116,944.03 $10,524.96 91% off $9,108.30 $52,225.10 $15,646.81 2026-01-10
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 12 12 $133,155.00 $11,983.95 91% off $9,326.32 $53,475.18 $15,565.47 2026-01-10
375 MS_DRG Digestive Malignancy With Cc 12 12 $106,760.00 $9,608.40 91% off $11,987.16 $68,731.89 $15,544.35 2026-01-10
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 12 12 $17,538.00 $1,578.42 91% off $2,234.34 $27,889.78 $15,494.32 2026-01-10
398 MS_DRG Appendix Procedures With Cc 12 12 $103,410.74 $9,306.97 91% off $13,174.53 $86,005.78 $15,427.38 2026-01-10
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 12 12 $102,167.96 $9,195.12 91% off $13,016.20 $87,176.31 $15,424.72 2026-01-10
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 12 $110,150.79 $9,913.57 91% off $10,140.92 $58,145.95 $15,409.60 2026-01-10
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 12 12 $94,414.50 $8,497.30 91% off $12,028.41 $88,176.38 $15,378.37 2026-01-10
292 MS_DRG Heart Failure And Shock With Cc 12 12 $121,721.69 $10,954.95 91% off $8,413.61 $48,241.88 $15,325.92 2026-01-10
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 12 12 $90,443.85 $8,139.95 91% off $11,522.55 $87,710.44 $15,297.11 2026-01-10
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 13 13 $92,327.81 $8,309.50 91% off $11,762.56 $87,318.37 $15,228.73 2026-01-10
304 MS_DRG Hypertension With Mcc 12 12 $103,491.94 $9,314.27 91% off $11,792.92 $67,618.18 $15,180.78 2026-01-10
369 MS_DRG Major Esophageal Disorders With Cc 12 12 $111,288.80 $10,015.99 91% off $9,912.00 $56,833.36 $15,170.67 2026-01-10
54 MS_DRG Nervous System Neoplasms With Mcc 12 12 $91,674.00 $8,250.66 91% off $11,679.27 $86,761.51 $15,131.61 2026-01-10
69 MS_DRG Transient Ischemia Without Thrombolytic 12 12 $123,960.18 $11,156.42 91% off $7,916.12 $45,389.41 $15,020.78 2026-01-10
602 MS_DRG Cellulitis With Mcc 12 12 $100,534.68 $9,048.12 91% off $12,808.12 $80,761.11 $14,998.31 2026-01-10
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 12 12 $113,635.93 $10,227.23 91% off $9,320.37 $53,441.09 $14,956.40 2026-01-10
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 16 16 $138,371.00 $12,453.39 91% off $9,200.00 $23,888.00 $14,876.75 2026-01-10
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 12 12 $99,597.51 $8,963.78 91% off $11,884.10 $68,140.94 $14,858.50 2026-01-10
865 MS_DRG Viral Illness With Mcc 12 12 $68,985.33 $6,208.68 91% off $8,788.73 $68,985.33 $14,848.18 2026-01-10
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 13 13 $81,904.86 $7,371.44 91% off $10,434.68 $81,904.86 $14,804.58 2026-01-10
552 MS_DRG Medical Back Problems Without Mcc 13 13 $104,263.99 $9,383.76 91% off $9,526.50 $54,622.99 $14,770.92 2026-01-10
794 MS_DRG Neonate With Other Significant Problems 12 12 $20,987.93 $1,888.91 91% off $2,673.86 $59,617.93 $14,626.20 2026-01-10
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 12 $97,723.31 $8,795.10 91% off $12,449.95 $74,686.84 $14,578.90 2026-01-10
445 MS_DRG Disorders Of The Biliary Tract With Cc 12 12 $102,232.86 $9,200.96 91% off $10,845.53 $62,186.00 $14,473.54 2026-01-10
300 MS_DRG Peripheral Vascular Disorders With Cc 12 12 $101,585.56 $9,142.70 91% off $10,578.95 $60,657.49 $14,253.25 2026-01-10
757 MS_DRG Infections, Female Reproductive System With Mcc 12 12 $35,037.00 $3,153.33 91% off $4,463.71 $35,037.00 $14,190.16 2026-01-10
200 MS_DRG Pneumothorax With Cc 12 12 $105,308.67 $9,477.78 91% off $10,894.09 $62,464.42 $14,159.84 2026-01-10
89 MS_DRG Concussion With Cc 12 12 $110,452.00 $9,940.68 91% off $10,887.15 $62,424.65 $14,155.74 2026-01-10
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 12 12 $103,577.66 $9,321.99 91% off $9,082.53 $52,077.36 $14,119.50 2026-01-10
644 MS_DRG Endocrine Disorders With Cc 12 12 $103,411.06 $9,307.00 91% off $10,157.77 $58,242.55 $14,112.06 2026-01-10
642 MS_DRG Inborn And Other Disorders Of Metabolism 12 12 $78,942.67 $7,104.84 91% off $10,057.30 $78,942.67 $14,093.04 2026-01-10
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 12 12 $125,390.19 $11,285.12 91% off $6,782.42 $38,888.98 $14,091.53 2026-01-10
189 MS_DRG Pulmonary Edema And Respiratory Failure 14 14 $62,711.32 $5,644.02 91% off $7,989.42 $138,354.27 $14,079.27 2026-01-10
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 12 12 $94,058.55 $8,465.27 91% off $11,983.06 $70,510.42 $14,032.17 2026-01-10
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 12 12 $101,280.23 $9,115.22 91% off $10,215.25 $58,572.12 $13,994.69 2026-01-10
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 12 12 $100,866.30 $9,077.97 91% off $10,260.83 $58,833.50 $13,994.26 2026-01-10
787 MS_DRG Cesarean Section Without Sterilization With Cc 16 16 $101,258.84 $9,113.30 91% off $9,200.00 $37,421.00 $13,897.39 2026-01-10
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 17 17 $54,142.97 $4,872.87 91% off $6,897.81 $134,008.97 $13,881.56 2026-01-10
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 12 12 $92,812.08 $8,353.09 91% off $11,824.26 $75,101.64 $13,846.22 2026-01-10
185 MS_DRG Major Chest Trauma Without Cc/mcc 12 12 $107,477.50 $9,672.98 91% off $7,794.23 $44,690.50 $13,709.40 2026-01-10
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 12 12 $101,881.90 $9,169.37 91% off $9,472.00 $54,310.47 $13,669.01 2026-01-10
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