Price Transparencybeta Hospital negotiated rates

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

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Hospital

Adventhealth Port Charlotte

Port Charlotte, FL · CCN 100077 · Rates published

Your selected procedure

You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $1,029 across 9 payers · range $971-$1,773

Source: https://urldefense.com/v3/__https://hospitalpricedisclosure.com/download.aspx?pi=IbWtvb*_*a78BHfxGDy*_*g7WQ*-*__;KioqKioq!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT7q5ihO3g$ · observed 2026-04-01

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.

7,932 distinct procedures filed
132 distinct payers
147,857 rate rows
2026-04-01 last MRF observed
Data quality

99,603 of 147,857 rate rows are consumer-grade (67.4%)

48,254 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 40,473
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,780
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://urldefense.com/v3/__https://hospitalpricedisclosure.com/download.aspx?pi=IbWtvb*_*a78BHfxGDy*_*g7WQ*-*__;KioqKioq!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT7q5ihO3g$
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch success · 2026-09-28
Content fingerprint edb15da34bf63532… · 36,164,791 bytes · first seen 2026-09-21

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 $322,768.14 $2,106,672.90 $647,860.21 nat. median
$168,055
outlier · 3.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $209,688.04 $1,367,145.96 $420,885.83 nat. median
$186,516
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $159,906.81 $1,041,584.14 $320,964.95 nat. median
$131,925
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $151,232.66 $1,035,471.38 $314,923.48 nat. median
$145,435
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $103,966.14 $675,740.55 $209,334.03 nat. median
$97,418
outlier · 2.1×
7
MS_DRG 		Lung Transplant 16 $97,243.51 $631,775.51 $195,187.17 nat. median
$70,649
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $90,288.87 $586,293.25 $181,227.82 nat. median
$72,715
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $85,170.81 $552,821.86 $170,954.85 nat. median
$65,418
outlier · 2.6×
209
MS_DRG 		Complex Aortic Arch Procedures 16 $85,073.83 $552,187.66 $170,760.19 nat. median
$2,110
outlier · 80.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $82,853.84 $537,669.24 $166,304.23 nat. median
$2,736
outlier · 60.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $81,756.53 $530,492.97 $164,101.71 nat. median
$74,509
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $77,552.27 $502,997.74 $155,662.92 nat. median
$69,922
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $73,615.81 $477,253.90 $147,761.65 nat. median
$69,822
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 17 $71,450.32 $485,752.25 $145,780.44 nat. median
$73,023
2.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $67,848.01 $439,533.34 $136,184.53 nat. median
$2,596
outlier · 52.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $65,236.38 $422,453.71 $130,942.46 nat. median
$2,633
outlier · 49.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $63,523.65 $411,252.67 $127,504.67 nat. median
$60,505
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $63,325.97 $409,959.87 $127,107.89 nat. median
$59,651
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $59,338.04 $383,879.41 $119,103.31 nat. median
$56,428
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $57,481.33 $371,736.82 $115,376.53 nat. median
$52,327
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $53,846.59 $374,585.87 $114,334.46 nat. median
$55,923
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $36,737.34 $372,971.08 $113,844.35 nat. median
$55,935
outlier · 2.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $54,487.77 $352,159.40 $109,367.85 nat. median
$9,905
outlier · 11.0×
10
MS_DRG 		Pancreas Transplant 16 $54,167.75 $350,066.52 $108,725.51 nat. median
$23,080
outlier · 4.7×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 $54,145.38 $349,920.17 $108,680.61 nat. median
$37,013
outlier · 2.9×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $53,861.16 $348,061.46 $108,110.12 nat. median
$45,605
outlier · 2.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $53,829.83 $347,856.56 $108,072.04 nat. median
$51,518
outlier · 2.1×
5117
OTHER 		Level 7 Musculoskeletal Procedures 1 $105,975.30 $105,975.30 $105,975.30 nat. median
$29,383
outlier · 3.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 $51,946.27 $335,538.35 $104,266.55 nat. median
$49,569
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $51,052.19 $337,192.16 $102,984.90 nat. median
$48,611
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 16 $50,851.19 $328,376.71 $102,043.48 nat. median
$47,340
outlier · 2.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 $50,481.94 $325,961.86 $101,293.06 nat. median
$2,958
outlier · 34.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $49,688.98 $320,776.01 $99,681.55 nat. median
$45,446
outlier · 2.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $49,688.98 $320,776.01 $99,681.55 nat. median
$47,458
outlier · 2.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 $49,510.69 $319,610.05 $99,319.22 nat. median
$43,299
outlier · 2.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 16 $46,302.30 $298,627.62 $92,798.91 nat. median
$41,943
outlier · 2.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 16 $45,864.42 $295,763.94 $91,909.02 nat. median
$43,803
outlier · 2.1×
28
MS_DRG 		Spinal Procedures With Mcc 16 $45,459.36 $293,114.92 $91,085.83 nat. median
$41,895
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $45,122.18 $290,909.83 $90,400.60 nat. median
$42,674
outlier · 2.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 16 $44,873.03 $289,280.41 $89,894.25 nat. median
$38,932
outlier · 2.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 16 $30,430.59 $286,299.65 $88,967.98 nat. median
$43,023
outlier · 2.1×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 $44,388.90 $286,114.27 $88,910.37 nat. median
$40,726
outlier · 2.2×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 $43,660.09 $281,347.97 $87,429.24 nat. median
$2,596
outlier · 33.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 $43,385.58 $279,552.69 $86,871.35 nat. median
$40,301
outlier · 2.2×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 16 $43,155.82 $278,050.11 $86,404.42 nat. median
$38,795
outlier · 2.2×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $42,577.70 $274,269.27 $85,229.52 nat. median
$10,799
outlier · 7.9×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 17 $43,211.02 $278,411.12 $85,035.66 nat. median
$2,222
outlier · 38.3×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 16 $42,447.90 $273,420.41 $84,965.74 nat. median
$32,772
outlier · 2.6×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 17 $42,161.45 $271,547.07 $84,505.02 nat. median
$35,985
outlier · 2.3×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 $41,839.19 $269,439.56 $83,728.68 nat. median
$38,844
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 7,932 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 29 16 — — $322,768.14 $2,106,672.90 $647,860.21 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 16 — — $209,688.04 $1,367,145.96 $420,885.83 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 16 — — $159,906.81 $1,041,584.14 $320,964.95 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 16 — — $151,232.66 $1,035,471.38 $314,923.48 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 17 — — $103,966.14 $675,740.55 $209,334.03 2026-04-01
7 MS_DRG Lung Transplant 29 16 — — $97,243.51 $631,775.51 $195,187.17 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 29 16 — — $90,288.87 $586,293.25 $181,227.82 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 16 — — $85,170.81 $552,821.86 $170,954.85 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 29 16 — — $85,073.83 $552,187.66 $170,760.19 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 16 — — $82,853.84 $537,669.24 $166,304.23 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 16 — — $81,756.53 $530,492.97 $164,101.71 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 16 — — $77,552.27 $502,997.74 $155,662.92 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 16 — — $73,615.81 $477,253.90 $147,761.65 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 17 — — $71,450.32 $485,752.25 $145,780.44 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 16 — — $67,848.01 $439,533.34 $136,184.53 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 29 16 — — $65,236.38 $422,453.71 $130,942.46 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 16 — — $63,523.65 $411,252.67 $127,504.67 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 16 — — $63,325.97 $409,959.87 $127,107.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 16 — — $59,338.04 $383,879.41 $119,103.31 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 16 — — $57,481.33 $371,736.82 $115,376.53 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 16 — — $53,846.59 $374,585.87 $114,334.46 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 16 — — $36,737.34 $372,971.08 $113,844.35 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 16 — — $54,487.77 $352,159.40 $109,367.85 2026-04-01
10 MS_DRG Pancreas Transplant 29 16 — — $54,167.75 $350,066.52 $108,725.51 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 29 16 — — $54,145.38 $349,920.17 $108,680.61 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 16 — — $53,861.16 $348,061.46 $108,110.12 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 16 — — $53,829.83 $347,856.56 $108,072.04 2026-04-01
5117 OTHER Level 7 Musculoskeletal Procedures 1 1 — — $105,975.30 $105,975.30 $105,975.30 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 16 — — $51,946.27 $335,538.35 $104,266.55 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 17 — — $51,052.19 $337,192.16 $102,984.90 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 16 — — $50,851.19 $328,376.71 $102,043.48 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 16 — — $50,481.94 $325,961.86 $101,293.06 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 16 — — $49,688.98 $320,776.01 $99,681.55 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 16 — — $49,688.98 $320,776.01 $99,681.55 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 16 — — $49,510.69 $319,610.05 $99,319.22 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 16 — — $46,302.30 $298,627.62 $92,798.91 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 29 16 — — $45,864.42 $295,763.94 $91,909.02 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 29 16 — — $45,459.36 $293,114.92 $91,085.83 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 16 — — $45,122.18 $290,909.83 $90,400.60 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 29 16 — — $44,873.03 $289,280.41 $89,894.25 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 16 — — $30,430.59 $286,299.65 $88,967.98 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 16 — — $44,388.90 $286,114.27 $88,910.37 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 16 — — $43,660.09 $281,347.97 $87,429.24 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 16 — — $43,385.58 $279,552.69 $86,871.35 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 16 — — $43,155.82 $278,050.11 $86,404.42 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 16 — — $42,577.70 $274,269.27 $85,229.52 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 17 — — $43,211.02 $278,411.12 $85,035.66 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 16 — — $42,447.90 $273,420.41 $84,965.74 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 17 — — $42,161.45 $271,547.07 $84,505.02 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 16 — — $41,839.19 $269,439.56 $83,728.68 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 29 16 — — $41,592.28 $267,824.77 $83,226.88 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 16 — — $41,447.56 $266,878.34 $82,932.78 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 16 — — $41,325.22 $266,078.27 $82,684.16 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 29 16 — — $41,162.60 $265,014.76 $82,353.67 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 16 — — $40,012.08 $266,497.82 $81,396.96 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 16 — — $40,396.49 $260,004.54 $80,796.74 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 16 — — $40,129.44 $258,258.03 $80,254.01 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 17 — — $35,603.91 $260,160.65 $79,461.39 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 16 — — $39,470.01 $253,945.44 $78,913.86 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 29 16 — — $39,402.87 $253,506.37 $78,777.42 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 17 — — $26,897.91 $313,916.84 $76,447.90 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $37,377.71 $245,886.16 $75,101.50 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 16 — — $37,200.78 $239,105.04 $74,302.19 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 29 16 — — $36,659.95 $235,568.13 $73,203.09 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 16 — — $36,477.94 $234,377.78 $72,833.19 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 16 — — $36,713.65 $241,358.91 $72,434.88 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 17 — — $36,508.87 $240,105.13 $72,058.61 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 16 — — $35,710.34 $229,357.80 $71,273.22 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 16 — — $35,534.29 $228,206.47 $70,915.45 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 16 — — $400.00 $298,973.99 $70,821.89 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 29 16 — — $35,229.94 $226,216.05 $70,296.92 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 16 — — $35,091.94 $225,313.52 $70,016.46 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 16 — — $34,840.55 $223,669.47 $69,505.57 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 17 — — $16,434.95 $293,031.98 $69,421.46 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 16 — — $34,556.33 $221,810.76 $68,927.97 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 29 16 — — $34,423.55 $220,942.39 $68,658.12 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 17 — — $33,889.38 $222,576.68 $67,982.04 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 29 16 — — $34,062.50 $218,581.19 $67,924.38 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 17 — — $31,982.72 $221,908.33 $67,777.90 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 29 16 — — $33,931.21 $217,722.58 $67,657.56 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 35 17 — — $19,911.05 $218,644.61 $65,618.03 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 17 — — $9,053.68 $214,302.75 $65,454.92 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 16 — — $32,663.07 $209,429.13 $65,080.36 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 29 16 — — $32,457.19 $208,082.66 $64,661.95 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 17 — — $31,961.38 $211,112.21 $64,480.42 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 29 16 — — $32,274.43 $206,887.43 $64,290.53 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 29 16 — — $32,089.43 $205,677.56 $63,914.56 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 16 — — $32,073.76 $205,575.11 $63,882.72 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 29 16 — — $31,944.71 $204,731.13 $63,620.46 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 16 — — $31,765.68 $203,560.29 $63,256.62 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 16 — — $31,619.47 $202,604.11 $62,959.48 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 16 — — $31,893.49 $204,975.06 $61,515.63 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 17 — — $30,540.59 $204,350.61 $61,328.22 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 33 18 — — $1,580.33 $203,413.94 $61,047.11 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 17 — — $37,325.23 $257,404.30 $61,024.54 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 16 — — $30,631.07 $196,140.09 $60,950.78 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 29 16 — — $30,359.53 $194,364.32 $60,398.96 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 16 — — $29,820.95 $190,842.04 $59,304.40 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 16 — — $29,688.91 $189,978.55 $59,036.07 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 16 — — $29,470.34 $188,549.15 $58,591.88 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 29 16 — — $29,442.74 $188,368.64 $58,535.79 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 16 — — $29,279.38 $187,300.25 $58,203.79 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 18 — — $6,156.63 $243,310.31 $57,702.79 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 17 — — $28,856.36 $188,832.10 $57,675.36 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 17 — — $33,878.10 $240,929.60 $57,266.95 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 16 — — $28,710.21 $183,577.96 $57,047.08 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 29 16 — — $28,587.87 $182,777.88 $56,798.46 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 29 16 — — $28,518.49 $182,324.18 $56,657.47 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 17 — — $24,627.71 $326,200.90 $56,580.71 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 29 16 — — $28,283.51 $180,787.45 $56,179.93 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 29 16 — — $28,039.58 $179,192.18 $55,684.20 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 17 — — $27,789.81 $181,811.94 $55,531.18 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 29 16 — — $27,706.88 $177,016.37 $55,008.06 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 16 — — $27,686.00 $176,879.77 $54,965.61 2026-04-01
332 MS_DRG Rectal Resection With Mcc 29 16 — — $27,648.70 $176,635.85 $54,889.81 2026-04-01
265 MS_DRG Aicd Lead Procedures 29 16 — — $27,630.05 $176,513.89 $54,851.91 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 16 — — $27,582.31 $176,201.66 $54,754.89 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 29 16 — — $27,365.98 $174,786.90 $54,315.25 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 16 — — $27,304.06 $174,381.98 $54,189.42 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 16 — — $27,237.67 $173,947.80 $54,054.50 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 29 16 — — $27,189.93 $173,635.57 $53,957.47 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 17 — — $24,060.71 $193,210.97 $53,913.51 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 17 — — $20,110.24 $179,119.01 $53,755.90 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 17 — — $24,566.28 $175,938.22 $53,737.16 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 16 — — $26,893.03 $171,693.93 $53,354.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 17 — — $26,635.22 $173,801.44 $53,084.52 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 29 16 — — $26,534.97 $169,352.25 $52,626.42 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 29 16 — — $26,409.65 $168,532.66 $52,371.74 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 17 — — $26,660.74 $174,206.36 $52,281.55 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 33 17 — — $23,927.29 $168,871.01 $52,129.18 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 16 — — $26,088.88 $166,434.91 $51,719.86 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 16 — — $26,055.32 $166,215.37 $51,651.64 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 17 — — $19,955.71 $172,045.18 $51,632.95 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 31 17 — — $19,544.97 $170,176.72 $51,072.20 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 17 — — $26,085.96 $170,132.81 $51,059.02 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 29 16 — — $25,559.25 $162,971.17 $50,643.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 17 — — $7,205.44 $289,953.65 $50,373.09 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 17 — — $10,257.56 $167,254.49 $50,195.20 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 29 16 — — $25,281.00 $161,151.49 $50,078.03 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 29 16 — — $25,197.46 $160,605.10 $49,908.24 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 29 16 — — $24,770.76 $157,814.60 $49,041.08 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 29 16 — — $24,737.20 $157,595.06 $48,972.86 2026-04-01
652 MS_DRG Kidney Transplant 29 16 — — $24,730.48 $157,551.16 $48,959.22 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 29 16 — — $24,712.58 $157,434.07 $48,922.84 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 17 — — $31,418.90 $206,028.81 $48,916.10 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 29 16 — — $24,665.58 $157,126.73 $48,827.33 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 17 — — $22,620.02 $158,687.85 $48,468.35 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 16 — — $24,389.58 $155,321.68 $48,266.41 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 16 — — $23,231.85 $157,990.22 $48,255.27 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 37 17 — — $24,625.20 $162,646.86 $48,193.78 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 29 16 — — $24,341.83 $155,009.46 $48,169.38 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 29 16 — — $24,247.84 $154,394.77 $47,978.37 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 16 — — $24,212.04 $154,160.60 $47,905.60 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 16 — — $24,044.08 $156,619.36 $47,836.57 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 31 17 — — $23,599.42 $153,721.54 $47,769.16 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 29 16 — — $24,078.51 $153,287.35 $47,634.24 2026-04-01
665 MS_DRG Prostatectomy With Mcc 29 16 — — $23,922.60 $152,267.74 $47,317.39 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 16 — — $23,874.11 $151,950.64 $47,218.85 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 16 — — $23,833.09 $151,682.32 $47,135.47 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 18 — — $3,227.69 $198,018.32 $47,028.13 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 16 — — $24,133.71 $153,648.36 $46,929.12 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 33 17 — — $23,904.16 $155,760.75 $46,745.78 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 18 — — $23,861.15 $155,472.92 $46,659.40 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 29 16 — — $23,477.26 $149,355.28 $46,412.34 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 29 16 — — $23,266.15 $147,974.66 $45,983.31 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 29 16 — — $23,171.41 $147,355.09 $45,790.78 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 29 16 — — $23,168.43 $147,335.58 $45,784.72 2026-04-01
263 MS_DRG Vein Ligation And Stripping 30 17 — — $23,446.68 $149,155.26 $45,556.79 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 29 16 — — $22,842.44 $145,203.67 $45,122.22 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 29 16 — — $22,616.42 $143,725.49 $44,662.88 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 29 16 — — $22,601.50 $143,627.92 $44,632.56 2026-04-01
570 MS_DRG Skin Debridement With Mcc 29 16 — — $22,579.12 $143,481.56 $44,587.08 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 18 — — $19,122.92 $224,240.25 $44,424.43 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 31 16 — — $22,614.93 $147,174.59 $44,168.97 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 29 16 — — $22,274.02 $141,486.26 $43,967.03 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 29 16 — — $22,178.54 $140,861.81 $43,772.98 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 29 16 — — $22,136.76 $140,588.61 $43,688.09 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 16 — — $21,890.35 $142,076.56 $43,394.73 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 17 — — $21,277.21 $182,343.69 $43,333.86 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 16 — — $17,198.84 $141,574.07 $43,241.25 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 30 17 — — $14,185.75 $140,793.51 $43,002.85 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 17 — — $20,351.72 $140,022.71 $42,767.42 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 31 17 — — $7,720.79 $142,452.20 $42,751.72 2026-04-01
800 MS_DRG Splenic Procedures With Cc 29 16 — — $21,596.68 $137,056.58 $42,590.50 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 16 — — $1,400.00 $139,061.64 $42,473.88 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 29 16 — — $21,521.34 $136,563.85 $42,437.39 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 29 16 — — $21,206.54 $134,505.12 $41,797.64 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 29 16 — — $21,138.66 $134,061.18 $41,659.68 2026-04-01
503 MS_DRG Foot Procedures With Mcc 30 17 — — $19,044.18 $136,163.81 $41,588.79 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 29 16 — — $21,032.73 $133,368.43 $41,444.41 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 17 — — $20,838.06 $135,227.14 $41,302.69 2026-04-01
849 MS_DRG Radiotherapy 29 16 — — $20,851.46 $132,182.96 $41,076.02 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 29 16 — — $20,826.85 $132,021.97 $41,025.99 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 29 16 — — $20,761.20 $131,592.66 $40,892.58 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 17 — — $209.62 $232,255.63 $40,491.85 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 29 16 — — $20,482.21 $129,768.10 $40,325.60 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 29 16 — — $20,412.84 $129,314.40 $40,184.61 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 29 16 — — $20,313.62 $128,665.56 $39,982.98 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 17 — — $16,219.14 $228,889.46 $39,915.38 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 36 18 — — $11,217.13 $133,004.05 $39,596.39 2026-04-01
509 MS_DRG Arthroscopy 12 3 — — $25,716.92 $85,690.85 $39,592.39 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 29 16 — — $19,978.68 $126,475.11 $39,302.30 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 29 16 — — $19,906.33 $126,001.90 $39,155.25 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 29 16 — — $19,879.47 $125,826.27 $39,100.67 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 29 16 — — $19,879.47 $125,826.27 $39,100.67 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 29 16 — — $19,792.94 $125,260.37 $38,924.82 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 29 16 — — $19,593.77 $123,957.81 $38,520.04 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 29 16 — — $19,459.49 $123,079.68 $38,247.16 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 35 17 — — $13,627.79 $126,626.35 $38,002.18 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 29 16 — — $19,152.15 $121,069.73 $37,622.57 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 31 17 — — $11,383.94 $124,548.11 $37,378.47 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 29 16 — — $18,953.73 $119,772.05 $37,219.32 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 30 16 — — $19,228.24 $121,567.34 $37,130.56 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 29 16 — — $18,850.78 $119,098.82 $37,010.11 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 31 17 — — $18,557.91 $123,133.34 $36,953.88 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 29 16 — — $18,708.31 $118,167.03 $36,720.55 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 16 — — $16,845.48 $119,937.92 $36,632.88 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 29 16 — — $18,582.24 $117,342.56 $36,464.35 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 29 16 — — $18,504.66 $116,835.20 $36,306.68 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 31 16 — — $14,903.80 $119,972.07 $36,005.15 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 32 17 — — $16,302.74 $126,039.99 $35,974.28 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 31 17 — — $9,769.59 $119,240.30 $35,785.53 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 29 16 — — $18,177.92 $114,698.41 $35,642.68 2026-04-01
333 MS_DRG Rectal Resection With Cc 29 16 — — $18,111.53 $114,264.23 $35,507.75 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 29 16 — — $18,072.00 $114,005.67 $35,427.40 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 29 16 — — $17,998.89 $113,527.57 $35,278.84 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 30 17 — — $17,763.91 $111,990.85 $35,228.51 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 17 — — $14,898.66 $201,262.52 $35,184.05 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 16 — — $17,880.28 $112,751.89 $35,037.79 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 4 4 — — $32,157.40 $47,964.07 $35,017.97 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 12 3 — — $22,637.91 $75,431.37 $34,852.12 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 29 16 — — $17,758.69 $111,956.70 $34,790.68 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 9 — — $32,778.73 $59,853.96 $34,745.46 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 9 9 — — $32,778.73 $59,853.96 $34,745.46 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 9 — — $32,778.73 $59,853.96 $34,745.46 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 9 — — $32,778.73 $59,853.96 $34,745.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 9 — — $32,778.73 $59,853.96 $34,745.46 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 9 — — $32,778.73 $59,853.96 $34,745.46 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 9 — — $32,778.73 $59,853.96 $34,745.46 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 30 16 — — $8,968.13 $113,449.52 $34,651.12 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 29 16 — — $17,689.32 $111,503.00 $34,649.70 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 29 16 — — $17,540.12 $110,527.30 $34,346.50 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 31 17 — — $16,721.04 $114,088.60 $34,239.44 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 31 17 — — $9,758.84 $113,332.43 $34,012.51 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 30 16 — — $17,659.48 $111,307.86 $33,996.99 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 29 16 — — $17,338.71 $109,210.10 $33,937.18 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 29 16 — — $17,329.02 $109,146.68 $33,917.47 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 17 — — $17,615.47 $111,020.02 $33,909.07 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 30 17 — — $7,359.98 $110,834.64 $33,852.44 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 29 16 — — $17,196.98 $108,283.19 $33,649.14 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 29 16 — — $17,129.84 $107,844.12 $33,512.70 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 29 16 — — $17,014.96 $107,092.83 $33,279.23 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 29 16 — — $16,989.60 $106,926.96 $33,227.69 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 29 16 — — $16,960.51 $106,736.70 $33,168.56 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 29 16 — — $16,909.78 $106,404.96 $33,065.48 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 29 16 — — $16,892.63 $106,292.76 $33,030.61 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 16 — — $16,881.44 $106,219.58 $33,007.87 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 16 — — $16,331.65 $107,712.40 $32,898.81 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 29 16 — — $16,826.98 $105,863.45 $32,897.20 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 30 16 — — $15,554.07 $107,263.58 $32,761.73 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 29 16 — — $16,608.41 $104,434.05 $32,453.01 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 31 17 — — $1,607.74 $107,951.45 $32,397.60 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 29 16 — — $16,536.06 $103,960.84 $32,305.96 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 29 16 — — $16,528.60 $103,912.05 $32,290.80 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 29 16 — — $16,434.60 $103,297.36 $32,099.78 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 29 16 — — $16,428.64 $103,258.33 $32,087.66 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 36 18 — — $7,998.29 $134,095.33 $31,962.44 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 31 16 — — $11,106.05 $106,473.26 $31,953.98 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 29 16 — — $16,323.46 $102,570.46 $31,873.90 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 29 16 — — $16,254.08 $102,116.76 $31,732.91 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 30 17 — — $13,926.67 $103,751.06 $31,688.89 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 29 16 — — $16,210.81 $101,833.81 $31,644.98 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 11 6 — — $26,621.02 $234,957.42 $31,635.50 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 30 17 — — $14,407.22 $103,458.35 $31,599.49 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 29 16 — — $16,183.96 $101,658.18 $31,590.41 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 29 16 — — $16,120.55 $101,243.51 $31,461.55 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 31 16 — — $9,298.27 $104,473.08 $31,353.70 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 29 16 — — $16,056.40 $100,823.96 $31,331.17 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 31 16 — — $14,513.94 $104,336.48 $31,312.71 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 29 16 — — $16,010.90 $100,526.37 $31,238.70 2026-04-01
935 MS_DRG Non-extensive Burns 29 16 — — $16,006.42 $100,497.10 $31,229.60 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 30 16 — — $16,238.42 $102,014.31 $31,158.44 2026-04-01
835 MS_DRG Acute Leukemia With Cc 30 16 — — $15,760.97 $101,755.75 $31,079.47 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 32 16 — — $12,970.40 $101,726.48 $31,070.52 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 17 — — $15,773.13 $101,380.11 $30,964.73 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 31 17 — — $11,129.95 $102,872.93 $30,873.48 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 29 16 — — $15,765.47 $98,921.34 $30,739.93 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 35 17 — — $14,328.90 $102,180.18 $30,665.57 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 29 16 — — $15,723.70 $98,648.15 $30,655.04 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 29 16 — — $15,669.24 $98,292.02 $30,544.37 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 30 16 — — $15,003.15 $99,965.34 $30,532.61 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 29 16 — — $15,561.08 $97,584.64 $30,324.55 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 31 16 — — $14,185.55 $97,477.31 $30,291.20 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 9 9 — — $28,335.49 $51,740.60 $30,035.62 2026-04-01
22630 HCPCS Lumbar Spine Fusion 9 9 — — $28,335.49 $51,740.60 $30,035.62 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 9 9 — — $28,335.49 $51,740.60 $30,035.62 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 9 9 — — $28,335.49 $51,740.60 $30,035.62 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 9 9 — — $28,335.49 $51,740.60 $30,035.62 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 9 9 — — $28,335.49 $51,740.60 $30,035.62 2026-04-01
22558 HCPCS Lumbar Spine Fusion 9 9 — — $28,335.49 $51,740.60 $30,035.62 2026-04-01
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