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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

TAHOE FOREST HOSPITAL

Truckee, CA · CCN 051328 · Rates published

6,774 distinct procedures filed
25 distinct payers
223,856 rate rows
2025-10-04 last MRF observed
Data quality

218,584 of 223,856 rate rows are consumer-grade (97.6%)

5,272 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
template filing: same amount across many unrelated codes — excluded 4,833
percent-of-charges filed in the dollar field — excluded from medians 306
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 54
exceeds 3× this hospital's gross charge for a DRG stay — excluded 48
exceeds 10× this hospital's gross charge — excluded from medians 20
placeholder amount (≤ $0.02) — excluded from medians 8
per-diem day rate — not a per-procedure price 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbTFHDTruckeeCA&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 3f53469e746e1053… · 76,944,354 bytes · first seen 2026-05-04

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
509
MS_DRG 		Arthroscopy 22 $42,371.26 $242,725.53 $225,209.25 nat. median
$17,756
outlier · 12.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $22,890.10 $187,600.72 $174,062.52 nat. median
$66,526
outlier · 2.6×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 22 $70,477.23 $184,764.63 $171,431.10 nat. median
$49,191
outlier · 3.5×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 $47,508.35 $176,570.06 $163,827.89 nat. median
$55,736
outlier · 2.9×
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 $40,197.91 $161,536.52 $149,879.24 nat. median
$26,349
outlier · 5.7×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 22 $54,931.39 $154,833.83 $143,660.25 nat. median
$48,178
outlier · 3.0×
324
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 $59,017.41 $154,721.31 $143,555.85 nat. median
$30,812
outlier · 4.7×
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 22 $39,837.97 $152,471.39 $141,468.30 nat. median
$25,891
outlier · 5.5×
503
MS_DRG 		Foot Procedures With Mcc 22 $33,772.60 $152,023.25 $141,052.50 nat. median
$26,999
outlier · 5.2×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 22 $40,004.26 $149,536.47 $138,745.18 nat. median
$38,112
outlier · 3.6×
505
MS_DRG 		Foot Procedures Without Cc/mcc 22 $33,772.60 $139,611.65 $129,536.59 nat. median
$18,102
outlier · 7.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 22 $52,147.06 $136,709.86 $126,844.20 nat. median
$62,134
outlier · 2.0×
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 22 $51,280.34 $137,227.30 $124,735.95 nat. median
$19,877
outlier · 6.3×
385
MS_DRG 		Inflammatory Bowel Disease With Mcc 22 $19,822.16 $131,922.43 $122,402.25 nat. median
$16,227
outlier · 7.5×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 $47,508.35 $130,041.11 $120,656.70 nat. median
$32,024
outlier · 3.8×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 22 $46,947.70 $123,079.12 $114,197.12 nat. median
$27,218
outlier · 4.2×
264
MS_DRG 		Other Circulatory System O.r. Procedures 22 $40,350.52 $122,945.08 $114,072.75 nat. median
$33,061
outlier · 3.5×
495
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 $46,072.97 $120,785.89 $112,069.38 nat. median
$35,223
outlier · 3.2×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 $45,626.82 $119,616.27 $110,984.17 nat. median
$37,662
outlier · 2.9×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 22 $45,417.13 $119,066.53 $110,474.10 nat. median
$34,720
outlier · 3.2×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 22 $45,365.11 $118,930.16 $110,347.57 nat. median
$29,218
outlier · 3.8×
711
MS_DRG 		Testes Procedures With Cc/mcc 22 $34,194.64 $115,540.34 $107,202.38 nat. median
$20,443
outlier · 5.2×
497
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 $43,762.50 $114,728.71 $106,449.32 nat. median
$13,861
outlier · 7.7×
500
MS_DRG 		Soft Tissue Procedures With Mcc 22 $34,882.96 $108,882.99 $101,025.45 nat. median
$31,070
outlier · 3.3×
513
MS_DRG 		Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 22 $31,178.27 $106,925.04 $99,208.80 nat. median
$15,878
outlier · 6.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 22 $40,162.81 $105,291.69 $97,693.33 nat. median
$44,810
outlier · 2.2×
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 22 $37,296.26 $103,482.03 $96,014.25 nat. median
$14,421
outlier · 6.7×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 22 $17,625.66 $102,556.65 $95,155.66 nat. median
$30,262
outlier · 3.1×
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 $38,837.15 $101,816.32 $94,468.75 nat. median
$28,254
outlier · 3.3×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 $37,742.26 $98,945.94 $91,805.51 nat. median
$28,961
outlier · 3.2×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 $35,859.04 $94,008.84 $87,224.70 nat. median
$35,489
outlier · 2.5×
263
MS_DRG 		Vein Ligation And Stripping 22 $35,373.30 $92,735.40 $86,043.15 nat. median
$28,155
outlier · 3.1×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 $34,904.89 $91,507.43 $84,903.80 nat. median
$26,699
outlier · 3.2×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 22 $34,535.06 $90,537.86 $84,004.20 nat. median
$20,396
outlier · 4.1×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 $34,435.53 $90,276.93 $83,762.10 nat. median
$31,607
outlier · 2.7×
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 22 $33,629.49 $88,163.79 $81,801.45 nat. median
$20,538
outlier · 4.0×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 $33,168.40 $86,955.00 $80,679.90 nat. median
$31,075
outlier · 2.6×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 22 $32,993.64 $86,496.84 $80,254.80 nat. median
$21,526
outlier · 3.7×
947
MS_DRG 		Signs And Symptoms With Mcc 22 $16,432.16 $85,475.67 $79,307.33 nat. median
$12,688
outlier · 6.3×
320
MS_DRG 		Other Endovascular Cardiac Valve Procedures Without Mcc 22 $31,767.28 $83,281.78 $77,271.75 nat. median
$24,229
outlier · 3.2×
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 22 $31,351.97 $82,192.99 $76,261.54 nat. median
$20,055
outlier · 3.8×
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 22 $31,211.35 $81,824.35 $75,919.50 nat. median
$21,522
outlier · 3.5×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 22 $31,194.74 $81,780.81 $75,879.11 nat. median
$21,529
outlier · 3.5×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 22 $30,833.09 $80,832.70 $74,999.41 nat. median
$24,346
outlier · 3.1×
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 22 $30,752.92 $80,622.52 $74,804.40 nat. median
$21,082
outlier · 3.5×
243
MS_DRG 		Permanent Cardiac Pacemaker Implant With Cc 22 $30,519.44 $89,452.00 $74,236.46 nat. median
$22,669
outlier · 3.3×
374
MS_DRG 		Digestive Malignancy With Mcc 22 $22,799.59 $78,724.72 $73,043.55 nat. median
$21,276
outlier · 3.4×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 22 $29,945.11 $78,504.76 $72,839.46 nat. median
$23,829
outlier · 3.1×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 22 $29,573.36 $79,159.69 $71,935.20 nat. median
$32,825
outlier · 2.2×
654
MS_DRG 		Major Bladder Procedures With Cc 22 $29,415.93 $89,448.78 $71,552.25 nat. median
$27,844
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 6,774 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
509 MS_DRG Arthroscopy 22 22 $250,232.50 $250,232.50 $42,371.26 $242,725.53 $225,209.25 2025-10-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 22 $193,402.80 $193,402.80 $22,890.10 $187,600.72 $174,062.52 2025-10-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 22 $190,479.00 $190,479.00 $70,477.23 $184,764.63 $171,431.10 2025-10-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 22 $182,030.99 $182,030.99 $47,508.35 $176,570.06 $163,827.89 2025-10-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 22 $166,532.49 $166,532.49 $40,197.91 $161,536.52 $149,879.24 2025-10-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 22 $159,622.50 $159,622.50 $54,931.39 $154,833.83 $143,660.25 2025-10-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 22 $159,506.50 $159,506.50 $59,017.41 $154,721.31 $143,555.85 2025-10-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 22 $157,187.00 $157,187.00 $39,837.97 $152,471.39 $141,468.30 2025-10-04
503 MS_DRG Foot Procedures With Mcc 22 22 $156,725.00 $156,725.00 $33,772.60 $152,023.25 $141,052.50 2025-10-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 22 $154,161.31 $154,161.31 $40,004.26 $149,536.47 $138,745.18 2025-10-04
505 MS_DRG Foot Procedures Without Cc/mcc 22 22 $143,929.54 $143,929.54 $33,772.60 $139,611.65 $129,536.59 2025-10-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 22 $140,938.00 $140,938.00 $52,147.06 $136,709.86 $126,844.20 2025-10-04
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 22 22 $138,595.50 $138,595.50 $51,280.34 $137,227.30 $124,735.95 2025-10-04
385 MS_DRG Inflammatory Bowel Disease With Mcc 22 22 $136,002.50 $136,002.50 $19,822.16 $131,922.43 $122,402.25 2025-10-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 22 $134,063.00 $134,063.00 $47,508.35 $130,041.11 $120,656.70 2025-10-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 22 $126,885.69 $126,885.69 $46,947.70 $123,079.12 $114,197.12 2025-10-04
264 MS_DRG Other Circulatory System O.r. Procedures 22 22 $126,747.50 $126,747.50 $40,350.52 $122,945.08 $114,072.75 2025-10-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 22 $124,521.53 $124,521.53 $46,072.97 $120,785.89 $112,069.38 2025-10-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 22 $123,315.74 $123,315.74 $45,626.82 $119,616.27 $110,984.17 2025-10-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 22 $122,749.00 $122,749.00 $45,417.13 $119,066.53 $110,474.10 2025-10-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 22 $122,608.42 $122,608.42 $45,365.11 $118,930.16 $110,347.57 2025-10-04
711 MS_DRG Testes Procedures With Cc/mcc 22 22 $119,113.75 $119,113.75 $34,194.64 $115,540.34 $107,202.38 2025-10-04
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 22 $118,277.02 $118,277.02 $43,762.50 $114,728.71 $106,449.32 2025-10-04
500 MS_DRG Soft Tissue Procedures With Mcc 22 22 $112,250.50 $112,250.50 $34,882.96 $108,882.99 $101,025.45 2025-10-04
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 22 22 $110,232.00 $110,232.00 $31,178.27 $106,925.04 $99,208.80 2025-10-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 22 $108,548.14 $108,548.14 $40,162.81 $105,291.69 $97,693.33 2025-10-04
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 22 22 $106,682.50 $106,682.50 $37,296.26 $103,482.03 $96,014.25 2025-10-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 22 $105,728.51 $105,728.51 $17,625.66 $102,556.65 $95,155.66 2025-10-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 22 $104,965.28 $104,965.28 $38,837.15 $101,816.32 $94,468.75 2025-10-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 22 $102,006.12 $102,006.12 $37,742.26 $98,945.94 $91,805.51 2025-10-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 22 $96,916.33 $96,916.33 $35,859.04 $94,008.84 $87,224.70 2025-10-04
263 MS_DRG Vein Ligation And Stripping 22 22 $95,603.50 $95,603.50 $35,373.30 $92,735.40 $86,043.15 2025-10-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 22 $94,337.55 $94,337.55 $34,904.89 $91,507.43 $84,903.80 2025-10-04
908 MS_DRG Other O.r. Procedures For Injuries With Cc 22 22 $93,338.00 $93,338.00 $34,535.06 $90,537.86 $84,004.20 2025-10-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 22 $93,069.00 $93,069.00 $34,435.53 $90,276.93 $83,762.10 2025-10-04
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 22 22 $90,890.50 $90,890.50 $33,629.49 $88,163.79 $81,801.45 2025-10-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 22 $89,644.33 $89,644.33 $33,168.40 $86,955.00 $80,679.90 2025-10-04
336 MS_DRG Peritoneal Adhesiolysis With Cc 22 22 $89,172.00 $89,172.00 $32,993.64 $86,496.84 $80,254.80 2025-10-04
947 MS_DRG Signs And Symptoms With Mcc 22 22 $88,119.25 $88,119.25 $16,432.16 $85,475.67 $79,307.33 2025-10-04
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 22 $85,857.50 $85,857.50 $31,767.28 $83,281.78 $77,271.75 2025-10-04
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 22 22 $84,735.04 $84,735.04 $31,351.97 $82,192.99 $76,261.54 2025-10-04
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 22 22 $84,355.00 $84,355.00 $31,211.35 $81,824.35 $75,919.50 2025-10-04
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 22 22 $84,310.12 $84,310.12 $31,194.74 $81,780.81 $75,879.11 2025-10-04
330 MS_DRG Major Small And Large Bowel Procedures With Cc 22 22 $83,332.68 $83,332.68 $30,833.09 $80,832.70 $74,999.41 2025-10-04
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 22 22 $83,116.00 $83,116.00 $30,752.92 $80,622.52 $74,804.40 2025-10-04
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 22 22 $82,484.96 $82,484.96 $30,519.44 $89,452.00 $74,236.46 2025-10-04
374 MS_DRG Digestive Malignancy With Mcc 22 22 $81,159.50 $81,159.50 $22,799.59 $78,724.72 $73,043.55 2025-10-04
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 22 22 $80,932.74 $80,932.74 $29,945.11 $78,504.76 $72,839.46 2025-10-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 22 $79,928.00 $79,928.00 $29,573.36 $79,159.69 $71,935.20 2025-10-04
654 MS_DRG Major Bladder Procedures With Cc 22 22 $79,502.50 $79,502.50 $29,415.93 $89,448.78 $71,552.25 2025-10-04
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 22 $79,377.13 $79,377.13 $29,369.54 $76,995.82 $71,439.42 2025-10-04
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 22 $78,629.04 $78,629.04 $29,092.74 $76,270.16 $70,766.13 2025-10-04
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 22 $78,061.25 $78,061.25 $28,882.66 $84,799.21 $70,255.13 2025-10-04
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 22 $77,323.66 $77,323.66 $28,609.75 $75,003.95 $69,591.29 2025-10-04
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 22 22 $76,498.05 $76,498.05 $28,304.28 $78,717.33 $68,848.25 2025-10-04
77371 HCPCS Complete Single Session Course Of Cranial Lesion Surgery Using Radiation 22 22 $76,101.00 $76,101.00 $1,078.50 $73,817.97 $68,490.90 2025-10-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 22 $73,233.83 $73,233.83 $17,625.66 $71,036.81 $65,910.44 2025-10-04
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 22 22 $72,995.50 $72,995.50 $62.81 $70,805.64 $65,695.95 2025-10-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 22 $71,903.50 $71,903.50 $26,604.30 $69,746.40 $64,713.15 2025-10-04
398 MS_DRG Appendix Procedures With Cc 22 22 $71,772.48 $71,772.48 $26,555.82 $69,619.30 $64,595.23 2025-10-04
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 22 22 $70,773.68 $70,773.68 $26,186.26 $68,650.47 $63,696.31 2025-10-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 22 $70,558.50 $70,558.50 $26,106.65 $68,441.75 $63,502.65 2025-10-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 22 $69,427.00 $69,427.00 $25,687.99 $67,344.19 $62,484.30 2025-10-04
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 22 22 $69,009.75 $69,009.75 $25,533.61 $79,455.22 $62,108.78 2025-10-04
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 22 22 $68,974.50 $68,974.50 $25,520.57 $77,708.23 $62,077.05 2025-10-04
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 22 22 $67,400.50 $67,400.50 $10,415.21 $65,378.49 $60,660.45 2025-10-04
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 22 22 $66,833.00 $66,833.00 $24,728.21 $85,260.49 $60,149.70 2025-10-04
919 MS_DRG Complications Of Treatment With Mcc 22 22 $64,497.13 $64,497.13 $18,849.68 $62,562.21 $58,047.41 2025-10-04
801 MS_DRG Splenic Procedures Without Cc/mcc 22 22 $64,063.80 $64,063.80 $23,703.61 $67,784.38 $57,657.42 2025-10-04
786 MS_DRG Cesarean Section Without Sterilization With Mcc 22 22 $63,460.11 $63,460.11 $19,449.58 $61,556.30 $57,114.10 2025-10-04
592 MS_DRG Skin Ulcers With Mcc 22 22 $62,753.00 $62,753.00 $18,708.65 $60,870.41 $56,477.70 2025-10-04
J3241 HCPCS Injection, Teprotumumab-trbw, 10 Mg 21 21 $62,275.50 $62,275.50 $352.56 $60,407.24 $56,047.95 2025-10-04
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 22 22 $61,051.63 $61,051.63 $22,589.10 $59,220.08 $54,946.46 2025-10-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 22 $60,918.00 $60,918.00 $22,539.66 $76,334.65 $54,826.20 2025-10-04
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 22 22 $60,785.53 $60,785.53 $22,490.65 $58,961.96 $54,706.98 2025-10-04
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 22 22 $60,753.95 $60,753.95 $22,478.96 $58,931.33 $54,678.56 2025-10-04
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 22 22 $60,529.00 $60,529.00 $18,020.33 $58,713.13 $54,476.10 2025-10-04
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 22 22 $60,121.38 $60,121.38 $22,244.91 $64,682.51 $54,109.24 2025-10-04
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 22 22 $59,790.45 $59,790.45 $22,122.47 $57,996.74 $53,811.41 2025-10-04
55 MS_DRG Nervous System Neoplasms Without Mcc 22 22 $58,561.61 $58,561.61 $21,667.80 $56,804.76 $52,705.45 2025-10-04
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 22 22 $57,607.00 $57,607.00 $21,314.59 $62,098.74 $51,846.30 2025-10-04
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 22 22 $57,601.85 $57,601.85 $21,312.68 $55,873.79 $51,841.67 2025-10-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 22 $56,833.50 $56,833.50 $21,028.40 $94,310.23 $51,150.15 2025-10-04
315 MS_DRG Other Circulatory System Diagnoses With Cc 22 22 $56,767.09 $56,767.09 $17,751.96 $55,064.07 $51,090.38 2025-10-04
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 22 22 $56,464.50 $56,464.50 $19,662.18 $54,770.57 $50,818.05 2025-10-04
444 MS_DRG Disorders Of The Biliary Tract With Mcc 22 22 $56,231.09 $56,231.09 $20,805.50 $54,544.16 $50,607.98 2025-10-04
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 22 22 $55,988.00 $55,988.00 $20,715.56 $54,308.36 $50,389.20 2025-10-04
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 22 22 $54,823.02 $54,823.02 $20,284.52 $53,178.33 $49,340.72 2025-10-04
906 MS_DRG Hand Procedures For Injuries 22 22 $54,661.00 $54,661.00 $20,224.57 $53,021.17 $49,194.90 2025-10-04
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 22 $54,570.50 $54,570.50 $17,625.66 $52,933.39 $49,113.45 2025-10-04
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 22 22 $54,514.00 $54,514.00 $20,170.18 $67,803.37 $49,062.60 2025-10-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 22 $54,206.06 $54,206.06 $20,056.24 $52,579.88 $48,785.45 2025-10-04
178 MS_DRG Respiratory Infections And Inflammations With Cc 22 22 $53,801.75 $53,801.75 $18,565.51 $52,187.70 $48,421.58 2025-10-04
305 MS_DRG Hypertension Without Mcc 22 22 $53,300.50 $53,300.50 $17,169.94 $51,701.49 $47,970.45 2025-10-04
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 22 22 $53,284.94 $53,284.94 $19,488.53 $51,686.39 $47,956.45 2025-10-04
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 22 22 $53,078.13 $53,078.13 $19,638.91 $59,635.08 $47,770.32 2025-10-04
539 MS_DRG Osteomyelitis With Mcc 22 22 $52,538.67 $52,538.67 $19,439.31 $50,962.51 $47,284.80 2025-10-04
783 MS_DRG Cesarean Section With Sterilization With Mcc 22 22 $51,646.50 $51,646.50 $19,109.21 $50,097.11 $46,481.85 2025-10-04
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 22 22 $51,523.00 $51,523.00 $19,063.51 $57,411.54 $46,370.70 2025-10-04
501 MS_DRG Soft Tissue Procedures With Cc 22 22 $51,245.70 $51,245.70 $18,960.91 $49,708.33 $46,121.13 2025-10-04
545 MS_DRG Connective Tissue Disorders With Mcc 22 22 $50,781.82 $50,781.82 $18,789.27 $49,258.37 $45,703.64 2025-10-04
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 22 22 $50,532.00 $50,532.00 $18,696.84 $49,016.04 $45,478.80 2025-10-04
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 22 22 $50,405.00 $50,405.00 $17,932.98 $48,892.85 $45,364.50 2025-10-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 22 $48,948.00 $48,948.00 $18,110.76 $57,879.52 $44,053.20 2025-10-04
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 22 22 $48,384.17 $48,384.17 $17,902.14 $65,204.83 $43,545.76 2025-10-04
642 MS_DRG Inborn And Other Disorders Of Metabolism 22 22 $48,350.53 $48,350.53 $17,889.70 $46,900.01 $43,515.48 2025-10-04
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 22 22 $47,486.86 $47,486.86 $17,570.14 $46,062.25 $42,738.17 2025-10-04
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 22 22 $47,080.74 $47,080.74 $17,419.87 $53,529.73 $42,372.67 2025-10-04
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 22 22 $46,666.25 $46,666.25 $17,266.51 $45,266.26 $41,999.63 2025-10-04
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 22 22 $46,017.50 $46,017.50 $17,026.48 $56,633.73 $41,415.75 2025-10-04
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 22 22 $45,308.25 $45,308.25 $16,764.05 $43,949.00 $40,777.43 2025-10-04
205 MS_DRG Other Respiratory System Diagnoses With Mcc 22 22 $45,130.86 $45,130.86 $16,698.42 $43,776.94 $40,617.78 2025-10-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 22 $44,731.35 $44,731.35 $16,550.60 $47,224.40 $40,258.22 2025-10-04
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 22 22 $44,199.50 $44,199.50 $16,353.82 $73,058.75 $39,779.55 2025-10-04
784 MS_DRG Cesarean Section With Sterilization With Cc 22 22 $44,134.69 $44,134.69 $16,329.83 $42,810.65 $39,721.22 2025-10-04
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 22 22 $43,827.71 $43,827.71 $16,216.25 $42,537.93 $39,444.94 2025-10-04
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 22 22 $43,589.00 $43,589.00 $16,127.93 $54,394.08 $39,230.10 2025-10-04
540 MS_DRG Osteomyelitis With Cc 22 22 $43,497.42 $43,497.42 $16,094.05 $42,192.50 $39,147.68 2025-10-04
787 MS_DRG Cesarean Section Without Sterilization With Cc 22 22 $43,172.85 $43,172.85 $15,973.95 $41,877.66 $38,855.56 2025-10-04
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 22 22 $42,785.50 $42,785.50 $15,830.64 $41,501.94 $38,506.95 2025-10-04
637 MS_DRG Diabetes With Mcc 22 22 $42,689.50 $42,689.50 $15,795.11 $41,408.81 $38,420.55 2025-10-04
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 22 22 $42,629.50 $42,629.50 $15,772.92 $53,430.80 $38,366.55 2025-10-04
663 MS_DRG Minor Bladder Procedures With Cc 22 22 $42,341.25 $42,341.25 $15,666.26 $47,719.46 $38,107.13 2025-10-04
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 22 $42,195.27 $42,195.27 $15,612.25 $53,566.81 $37,975.74 2025-10-04
139 MS_DRG Salivary Gland Procedures 22 22 $41,591.25 $41,591.25 $15,388.76 $48,022.28 $37,432.13 2025-10-04
102 MS_DRG Headaches With Mcc 22 22 $40,983.70 $40,983.70 $15,163.97 $39,754.19 $36,885.33 2025-10-04
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 22 22 $40,347.50 $40,347.50 $14,928.58 $39,137.08 $36,312.75 2025-10-04
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 22 22 $39,689.50 $39,689.50 $14,685.12 $38,498.82 $35,720.55 2025-10-04
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 22 22 $39,211.67 $39,211.67 $14,508.32 $38,035.32 $35,290.50 2025-10-04
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 22 22 $39,167.93 $39,167.93 $14,492.13 $37,992.89 $35,251.14 2025-10-04
141 MS_DRG Major Head And Neck Procedures With Cc 22 22 $39,140.50 $39,140.50 $14,481.99 $37,966.29 $35,226.45 2025-10-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 22 $39,133.98 $39,133.98 $14,479.57 $64,504.69 $35,220.58 2025-10-04
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 22 22 $38,777.39 $38,777.39 $14,347.63 $37,614.07 $34,899.65 2025-10-04
572 MS_DRG Skin Debridement Without Cc/mcc 22 22 $38,368.99 $38,368.99 $14,196.53 $37,711.49 $34,532.09 2025-10-04
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 22 22 $38,306.30 $38,306.30 $14,173.33 $37,157.11 $34,475.67 2025-10-04
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 22 22 $38,178.17 $38,178.17 $14,125.92 $37,032.82 $34,360.35 2025-10-04
399 MS_DRG Appendix Procedures Without Cc/mcc 22 22 $38,137.00 $38,137.00 $14,110.69 $36,992.89 $34,323.30 2025-10-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 22 $37,772.50 $37,772.50 $13,975.83 $67,203.94 $33,995.25 2025-10-04
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 22 22 $37,637.67 $37,637.67 $13,925.94 $36,508.54 $33,873.90 2025-10-04
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 22 22 $37,136.50 $37,136.50 $13,740.51 $41,979.19 $33,422.85 2025-10-04
864 MS_DRG Fever And Inflammatory Conditions 22 22 $36,835.67 $36,835.67 $13,629.20 $35,730.60 $33,152.10 2025-10-04
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 39 21 $52,119.50 $52,119.50 $107.65 $50,555.92 $33,007.75 2025-10-04
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 22 22 $36,422.69 $36,422.69 $13,476.40 $35,330.01 $32,780.42 2025-10-04
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 22 22 $36,216.83 $36,216.83 $13,400.23 $53,205.66 $32,595.15 2025-10-04
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 22 22 $36,050.00 $36,050.00 $13,338.50 $50,858.23 $32,445.00 2025-10-04
602 MS_DRG Cellulitis With Mcc 22 22 $36,018.00 $36,018.00 $13,326.66 $34,937.46 $32,416.20 2025-10-04
J1930 HCPCS Injection, Lanreotide, 1 Mg 22 22 $35,914.00 $35,914.00 $68.69 $34,836.58 $32,322.60 2025-10-04
834 MS_DRG Acute Leukemia With Mcc 22 22 $35,839.50 $35,839.50 $13,260.62 $65,429.95 $32,255.55 2025-10-04
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 22 22 $35,191.67 $35,191.67 $13,020.92 $34,135.92 $31,672.50 2025-10-04
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 22 $35,190.50 $35,190.50 $13,020.49 $37,711.49 $31,671.45 2025-10-04
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 22 $34,985.90 $34,985.90 $12,944.78 $47,224.40 $31,487.31 2025-10-04
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 22 22 $34,719.69 $34,719.69 $12,846.28 $53,463.22 $31,247.72 2025-10-04
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 21 21 $34,315.00 $34,315.00 $69.30 $33,285.55 $30,883.50 2025-10-04
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 22 22 $34,110.87 $34,110.87 $12,621.02 $33,087.55 $30,699.79 2025-10-04
460000004 CDM Hchg Optime Sup Pacemaker Rev Cd 275 18 18 $34,046.65 $34,046.65 $29,246.07 $33,025.25 $30,641.99 2025-10-04
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 22 22 $33,822.38 $33,822.38 $12,514.28 $33,559.74 $30,440.14 2025-10-04
380 MS_DRG Complicated Peptic Ulcer With Mcc 22 22 $33,574.00 $33,574.00 $12,422.38 $32,566.78 $30,216.60 2025-10-04
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 22 22 $33,399.52 $33,399.52 $12,357.82 $32,397.53 $30,059.57 2025-10-04
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 22 22 $33,065.00 $33,065.00 $12,234.05 $32,073.05 $29,758.50 2025-10-04
551 MS_DRG Medical Back Problems With Mcc 22 22 $32,832.00 $32,832.00 $12,147.84 $31,847.04 $29,548.80 2025-10-04
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 22 22 $32,722.00 $32,722.00 $12,107.14 $31,740.34 $29,449.80 2025-10-04
300 MS_DRG Peripheral Vascular Disorders With Cc 22 22 $32,676.00 $32,676.00 $12,090.12 $31,695.72 $29,408.40 2025-10-04
J9228 HCPCS Injection, Ipilimumab, 1 Mg 22 22 $32,332.00 $32,332.00 $159.88 $31,362.04 $29,098.80 2025-10-04
J2323 HCPCS Injection, Natalizumab, 1 Mg 22 22 $32,222.00 $32,222.00 $25.12 $31,255.34 $28,999.80 2025-10-04
915 MS_DRG Allergic Reactions With Mcc 22 22 $31,990.00 $31,990.00 $11,836.30 $31,030.30 $28,791.00 2025-10-04
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 22 22 $31,892.00 $31,892.00 $11,800.04 $56,353.77 $28,702.80 2025-10-04
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 22 22 $31,888.98 $31,888.98 $11,798.92 $30,932.31 $28,700.08 2025-10-04
722 MS_DRG Malignancy, Male Reproductive System With Mcc 22 22 $31,773.92 $31,773.92 $11,756.35 $30,820.70 $28,596.52 2025-10-04
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 22 22 $31,637.00 $31,637.00 $24.96 $30,687.89 $28,473.30 2025-10-04
694 MS_DRG Urinary Stones Without Mcc 22 22 $31,521.50 $31,521.50 $11,662.96 $30,575.86 $28,369.35 2025-10-04
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 22 22 $30,966.50 $30,966.50 $11,457.61 $30,037.51 $27,869.85 2025-10-04
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 22 22 $30,792.52 $30,792.52 $11,393.23 $41,467.10 $27,713.27 2025-10-04
669 MS_DRG Transurethral Procedures With Cc 22 22 $30,583.95 $30,583.95 $11,316.06 $41,214.68 $27,525.56 2025-10-04
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 22 22 $30,531.50 $30,531.50 $11,296.66 $51,202.46 $27,478.35 2025-10-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 22 22 $30,442.50 $30,442.50 $11,263.73 $29,529.23 $27,398.25 2025-10-04
70 MS_DRG Other Cerebrovascular Disorders With Mcc 22 22 $30,309.00 $30,309.00 $11,214.33 $29,399.73 $27,278.10 2025-10-04
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 22 22 $30,105.00 $30,105.00 $11,138.85 $46,394.33 $27,094.50 2025-10-04
J9022 HCPCS Injection, Atezolizumab, 10 Mg 40 22 $40,395.50 $40,395.50 $82.86 $39,183.64 $26,863.15 2025-10-04
506 MS_DRG Major Thumb Or Joint Procedures 22 22 $29,465.50 $29,465.50 $10,902.24 $41,467.10 $26,518.95 2025-10-04
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 22 22 $29,215.00 $29,215.00 $68.82 $28,338.55 $26,293.50 2025-10-04
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 22 22 $29,052.75 $29,052.75 $10,749.52 $28,181.17 $26,147.47 2025-10-04
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 22 22 $28,900.00 $28,900.00 $10,415.21 $28,033.00 $26,010.00 2025-10-04
504 MS_DRG Foot Procedures With Cc 22 22 $28,886.00 $28,886.00 $10,687.82 $44,917.56 $25,997.40 2025-10-04
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 22 22 $28,712.39 $28,712.39 $10,623.59 $27,851.02 $25,841.15 2025-10-04
393 MS_DRG Other Digestive System Diagnoses With Mcc 22 22 $28,690.56 $28,690.56 $10,615.51 $27,829.84 $25,821.50 2025-10-04
643 MS_DRG Endocrine Disorders With Mcc 22 22 $28,562.00 $28,562.00 $10,567.94 $27,705.14 $25,705.80 2025-10-04
811 MS_DRG Red Blood Cell Disorders With Mcc 22 22 $28,113.17 $28,113.17 $10,401.87 $33,013.83 $25,301.85 2025-10-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 22 $28,054.21 $28,054.21 $10,380.06 $53,463.22 $25,248.79 2025-10-04
189 MS_DRG Pulmonary Edema And Respiratory Failure 22 22 $27,883.71 $27,883.71 $10,316.97 $28,468.74 $25,095.34 2025-10-04
291 MS_DRG Heart Failure And Shock With Mcc 22 22 $27,756.47 $27,756.47 $10,269.89 $26,923.78 $24,980.83 2025-10-04
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 22 22 $27,632.88 $27,632.88 $10,224.17 $53,463.22 $24,869.59 2025-10-04
381 MS_DRG Complicated Peptic Ulcer With Cc 22 22 $27,599.90 $27,599.90 $10,211.96 $29,303.01 $24,839.91 2025-10-04
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 22 22 $27,356.17 $27,356.17 $10,121.78 $26,535.48 $24,620.55 2025-10-04
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 22 22 $27,350.10 $27,350.10 $10,119.54 $75,070.24 $24,615.09 2025-10-04
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 22 22 $27,277.13 $27,277.13 $10,092.54 $26,458.81 $24,549.41 2025-10-04
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 22 22 $27,088.32 $27,088.32 $10,022.68 $26,275.67 $24,379.48 2025-10-04
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 22 22 $27,068.48 $27,068.48 $10,015.34 $26,933.18 $24,361.63 2025-10-04
J9311 HCPCS Injection, Rituximab 10 Mg And Hyaluronidase 22 22 $26,975.00 $26,975.00 $49.51 $26,165.75 $24,277.50 2025-10-04
101 MS_DRG Seizures Without Mcc 22 22 $26,974.85 $26,974.85 $9,980.69 $26,165.60 $24,277.37 2025-10-04
638 MS_DRG Diabetes With Cc 22 22 $26,901.30 $26,901.30 $9,953.48 $26,094.26 $24,211.17 2025-10-04
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 22 22 $26,779.50 $26,779.50 $9,908.42 $25,976.12 $24,101.55 2025-10-04
J9308 HCPCS Injection, Ramucirumab, 5 Mg 22 22 $26,537.00 $26,537.00 $63.79 $25,740.89 $23,883.30 2025-10-04
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 22 22 $25,976.64 $25,976.64 $9,611.36 $25,197.34 $23,378.98 2025-10-04
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 22 22 $25,920.00 $25,920.00 $9,590.40 $53,463.22 $23,328.00 2025-10-04
177 MS_DRG Respiratory Infections And Inflammations With Mcc 22 22 $25,892.31 $25,892.31 $9,580.16 $25,115.54 $23,303.08 2025-10-04
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 22 22 $25,723.50 $25,723.50 $9,517.70 $46,632.29 $23,151.15 2025-10-04
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 22 22 $25,701.60 $25,701.60 $9,509.59 $24,930.55 $23,131.44 2025-10-04
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 22 22 $25,690.00 $25,690.00 $9,505.30 $28,047.41 $23,121.00 2025-10-04
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 22 22 $25,439.90 $25,439.90 $9,412.76 $30,464.75 $22,895.91 2025-10-04
289 MS_DRG Acute And Subacute Endocarditis With Cc 22 22 $25,383.00 $25,383.00 $9,391.71 $41,145.15 $22,844.70 2025-10-04
312 MS_DRG Syncope And Collapse 22 22 $25,253.76 $25,253.76 $9,343.89 $24,496.15 $22,728.38 2025-10-04
77 MS_DRG Hypertensive Encephalopathy With Mcc 22 22 $25,244.00 $25,244.00 $9,340.28 $24,486.68 $22,719.60 2025-10-04
201 MS_DRG Pneumothorax Without Cc/mcc 22 22 $25,107.50 $25,107.50 $9,289.78 $24,354.28 $22,596.75 2025-10-04
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 22 22 $24,846.50 $24,846.50 $9,193.21 $59,500.48 $22,361.85 2025-10-04
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 22 22 $24,505.50 $24,505.50 $9,067.04 $23,770.34 $22,054.95 2025-10-04
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 22 22 $24,160.69 $24,160.69 $8,939.46 $23,435.87 $21,744.62 2025-10-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 21 21 $24,070.00 $24,070.00 $8,905.90 $55,906.57 $21,663.00 2025-10-04
378 MS_DRG Gastrointestinal Hemorrhage With Cc 22 22 $23,982.59 $23,982.59 $8,873.56 $27,126.35 $21,584.33 2025-10-04
292 MS_DRG Heart Failure And Shock With Cc 22 22 $23,953.13 $23,953.13 $8,862.66 $25,950.53 $21,557.81 2025-10-04
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 22 22 $23,842.00 $23,842.00 $8,821.54 $25,842.75 $21,457.80 2025-10-04
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 22 22 $23,786.73 $23,786.73 $8,801.09 $23,073.12 $21,408.05 2025-10-04
47135 HCPCS Transplantation Of Donor Liver 44 22 $23,723.00 $23,723.00 $85.00 $23,011.31 $21,350.70 2025-10-04
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 22 22 $23,722.03 $23,722.03 $8,777.15 $23,010.36 $21,349.82 2025-10-04
J9306 HCPCS Injection, Pertuzumab, 1 Mg 22 22 $23,703.50 $23,703.50 $16.96 $22,992.40 $21,333.15 2025-10-04
394 MS_DRG Other Digestive System Diagnoses With Cc 22 22 $23,655.64 $23,655.64 $8,752.59 $25,085.47 $21,290.08 2025-10-04
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 22 22 $23,449.83 $23,449.83 $8,676.44 $22,746.34 $21,104.85 2025-10-04
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 22 22 $23,403.46 $23,403.46 $8,659.28 $25,085.47 $21,063.11 2025-10-04
375 MS_DRG Digestive Malignancy With Cc 22 22 $23,359.00 $23,359.00 $8,642.83 $30,323.45 $21,023.10 2025-10-04
593 MS_DRG Skin Ulcers With Cc 22 22 $23,244.49 $23,244.49 $8,600.46 $24,882.50 $20,920.04 2025-10-04
603 MS_DRG Cellulitis Without Mcc 22 22 $23,152.04 $23,152.04 $8,566.26 $22,457.48 $20,836.84 2025-10-04
157 MS_DRG Dental And Oral Diseases With Mcc 22 22 $23,044.00 $23,044.00 $8,526.28 $22,352.68 $20,739.60 2025-10-04
571 MS_DRG Skin Debridement With Cc 22 22 $22,983.50 $22,983.50 $8,503.90 $37,711.49 $20,685.15 2025-10-04
445 MS_DRG Disorders Of The Biliary Tract With Cc 22 22 $22,915.75 $22,915.75 $8,478.83 $30,043.09 $20,624.18 2025-10-04
812 MS_DRG Red Blood Cell Disorders Without Mcc 22 22 $22,789.00 $22,789.00 $8,431.93 $33,013.83 $20,510.10 2025-10-04
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 22 22 $22,502.50 $22,502.50 $8,325.93 $23,442.13 $20,252.25 2025-10-04
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 22 22 $22,479.50 $22,479.50 $8,317.42 $53,205.66 $20,231.55 2025-10-04
595 MS_DRG Major Skin Disorders With Mcc 22 22 $22,460.50 $22,460.50 $8,310.39 $23,866.26 $20,214.45 2025-10-04
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 22 22 $22,360.08 $22,360.08 $8,273.23 $21,689.28 $20,124.07 2025-10-04
199 MS_DRG Pneumothorax With Mcc 22 22 $21,997.00 $21,997.00 $8,138.89 $21,337.09 $19,797.30 2025-10-04
369 MS_DRG Major Esophageal Disorders With Cc 22 22 $21,932.50 $21,932.50 $8,115.03 $28,367.96 $19,739.25 2025-10-04
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 22 22 $21,866.00 $21,866.00 $8,090.42 $37,711.49 $19,679.40 2025-10-04
670 MS_DRG Transurethral Procedures Without Cc/mcc 22 22 $21,842.00 $21,842.00 $8,081.54 $40,841.40 $19,657.80 2025-10-04
200 MS_DRG Pneumothorax With Cc 22 22 $21,580.53 $21,580.53 $7,984.80 $20,933.11 $19,422.48 2025-10-04
388 MS_DRG Gastrointestinal Obstruction With Mcc 22 22 $21,427.75 $21,427.75 $7,928.27 $22,368.50 $19,284.97 2025-10-04
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 22 22 $21,277.20 $21,277.20 $7,872.56 $22,795.43 $19,149.48 2025-10-04
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 22 22 $21,059.50 $21,059.50 $54.85 $20,427.72 $18,953.55 2025-10-04
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 22 22 $20,917.00 $20,917.00 $12.78 $20,289.49 $18,825.30 2025-10-04
914 MS_DRG Traumatic Injury Without Mcc 22 22 $20,778.00 $20,778.00 $7,687.86 $27,999.81 $18,700.20 2025-10-04
948 MS_DRG Signs And Symptoms Without Mcc 22 22 $20,621.31 $20,621.31 $7,629.89 $21,854.78 $18,559.18 2025-10-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 22 $20,378.74 $20,378.74 $7,540.13 $30,813.37 $18,340.87 2025-10-04
964 MS_DRG Other Multiple Significant Trauma With Cc 22 22 $20,204.93 $20,204.93 $7,475.82 $36,649.06 $18,184.43 2025-10-04
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 22 22 $20,143.73 $20,143.73 $7,453.18 $21,814.18 $18,129.36 2025-10-04
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 22 22 $20,108.91 $20,108.91 $7,440.30 $25,919.74 $18,098.02 2025-10-04
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 22 22 $20,105.25 $20,105.25 $7,438.94 $25,919.74 $18,094.73 2025-10-04
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 22 22 $20,083.50 $20,083.50 $7,430.90 $53,566.81 $18,075.15 2025-10-04
949 MS_DRG Aftercare With Cc/mcc 22 22 $19,925.17 $19,925.17 $7,372.31 $19,327.41 $17,932.65 2025-10-04
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 22 22 $19,556.00 $19,556.00 $7,235.72 $18,969.32 $17,600.40 2025-10-04
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 22 22 $19,177.00 $19,177.00 $7,095.49 $22,101.14 $17,259.30 2025-10-04
J9356 HCPCS Injection, Trastuzumab, 10 Mg And Hyaluronidase-oysk 22 22 $19,176.00 $19,176.00 $85.99 $18,600.72 $17,258.40 2025-10-04
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 22 22 $19,084.92 $19,084.92 $7,061.42 $20,137.24 $17,176.43 2025-10-04
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 22 22 $19,070.10 $19,070.10 $7,055.94 $25,085.47 $17,163.09 2025-10-04
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 22 22 $19,033.50 $19,033.50 $7,042.40 $23,694.09 $17,130.15 2025-10-04
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 22 22 $19,010.28 $19,010.28 $7,033.81 $21,731.59 $17,109.26 2025-10-04
180 MS_DRG Respiratory Neoplasms With Mcc 22 22 $18,826.84 $18,826.84 $6,965.93 $28,719.30 $16,944.16 2025-10-04
548 MS_DRG Septic Arthritis With Mcc 22 22 $18,779.00 $18,779.00 $6,948.23 $31,636.44 $16,901.10 2025-10-04
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 22 22 $18,748.63 $18,748.63 $6,936.99 $18,186.17 $16,873.76 2025-10-04
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 40 22 $17,492.50 $17,492.50 $212.29 $25,407.70 $16,617.88 2025-10-04
755 MS_DRG Malignancy, Female Reproductive System With Cc 22 22 $18,418.38 $18,418.38 $6,814.80 $27,529.49 $16,576.54 2025-10-04
202 MS_DRG Bronchitis And Asthma With Cc/mcc 22 22 $18,226.50 $18,226.50 $6,743.80 $17,679.70 $16,403.85 2025-10-04
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 22 22 $18,207.90 $18,207.90 $6,736.92 $29,769.14 $16,387.11 2025-10-04
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 19 19 $18,071.44 $18,071.44 $6,686.43 $17,529.30 $16,264.30 2025-10-04
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 22 22 $18,024.50 $18,024.50 $6,669.07 $31,091.93 $16,222.05 2025-10-04
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 22 22 $17,991.11 $17,991.11 $6,656.71 $25,842.75 $16,192.00 2025-10-04
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 22 22 $17,936.00 $17,936.00 $6,636.32 $28,719.30 $16,142.40 2025-10-04
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 22 22 $17,403.00 $17,403.00 $6,439.11 $16,880.91 $15,662.70 2025-10-04
138 MS_DRG Mouth Procedures Without Cc/mcc 22 22 $17,382.50 $17,382.50 $6,431.53 $48,022.28 $15,644.25 2025-10-04
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 21 21 $17,296.50 $17,296.50 $6,399.71 $40,303.01 $15,566.85 2025-10-04
950 MS_DRG Aftercare Without Cc/mcc 22 22 $16,987.00 $16,987.00 $6,285.19 $17,061.93 $15,288.30 2025-10-04
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 22 22 $16,948.00 $16,948.00 $6,270.76 $34,890.93 $15,253.20 2025-10-04
J3101 HCPCS Injection, Tenecteplase, 1 Mg 21 21 $16,826.50 $16,826.50 $14,453.96 $17,163.03 $15,143.85 2025-10-04
J9204 HCPCS Injection, Mogamulizumab-kpkc, 1 Mg 21 21 $16,746.50 $16,746.50 $302.49 $16,244.11 $15,071.85 2025-10-04
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 22 22 $16,722.78 $16,722.78 $6,187.43 $22,197.72 $15,050.50 2025-10-04
881 MS_DRG Depressive Neuroses 22 22 $16,543.00 $16,543.00 $6,120.91 $17,819.21 $14,888.70 2025-10-04
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 22 22 $16,478.00 $16,478.00 $6,096.86 $29,769.14 $14,830.20 2025-10-04
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 22 22 $16,476.42 $16,476.42 $6,096.27 $21,731.59 $14,828.77 2025-10-04
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 22 22 $16,309.84 $16,309.84 $6,034.64 $26,399.86 $14,678.86 2025-10-04
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 22 $16,248.00 $16,248.00 $6,011.76 $28,719.30 $14,623.20 2025-10-04
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 22 22 $16,171.50 $16,171.50 $5,983.46 $26,150.70 $14,554.35 2025-10-04
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 22 22 $16,142.00 $16,142.00 $5,972.54 $30,963.15 $14,527.80 2025-10-04
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 21 21 $16,055.50 $16,055.50 $539.29 $15,573.84 $14,449.95 2025-10-04
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 22 22 $15,946.48 $15,946.48 $5,900.20 $23,159.37 $14,351.83 2025-10-04
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 22 22 $15,842.85 $15,842.85 $5,861.85 $27,796.84 $14,258.57 2025-10-04
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 22 22 $15,790.50 $15,790.50 $5,842.49 $23,324.55 $14,211.45 2025-10-04
J9304 HCPCS Injection, Pemetrexed (pemfexy), 10 Mg 21 21 $15,780.50 $15,780.50 $86.02 $15,307.09 $14,202.45 2025-10-04
758 MS_DRG Infections, Female Reproductive System With Cc 22 22 $15,752.00 $15,752.00 $5,828.24 $23,832.67 $14,176.80 2025-10-04
314 MS_DRG Other Circulatory System Diagnoses With Mcc 22 22 $15,707.20 $15,707.20 $5,811.66 $23,610.10 $14,136.48 2025-10-04
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 22 22 $15,702.58 $15,702.58 $5,809.95 $46,394.33 $14,132.32 2025-10-04
Q5117 HCPCS Injection, Trastuzumab-anns, Biosimilar, (kanjinti), 10 Mg 21 21 $15,620.00 $15,620.00 $110.39 $15,151.40 $14,058.00 2025-10-04
607 MS_DRG Minor Skin Disorders Without Mcc 22 22 $15,493.50 $15,493.50 $5,732.60 $21,856.18 $13,944.15 2025-10-04
J9173 HCPCS Injection, Durvalumab, 10 Mg 22 22 $15,487.00 $15,487.00 $80.51 $15,022.39 $13,938.30 2025-10-04
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