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

BOCA RATON REGIONAL HOSPITAL

Boca Raton, FL · CCN 100168 · Rates published

Your selected procedure

You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $4,482 across 5 payers · range $2,622-$7,458

Source: https://baptisthealth.net/-/media/Documents/Patient-Resources/Patient-Pricing/Apr-2026/591006663_boca-raton-regional-hospital_standardcharges.zip · observed 2026-03-30

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.

5,021 distinct procedures filed
6 distinct payers
333,571 rate rows
2026-03-30 last MRF observed
Data quality

331,743 of 333,571 rate rows are consumer-grade (99.5%)

1,828 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,609
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 139
placeholder amount (≤ $0.02) — excluded from medians 37
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 30
per-diem day rate — not a per-procedure price 7
exceeds 10× this hospital's gross charge — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://baptisthealth.net/-/media/Documents/Patient-Resources/Patient-Pricing/Apr-2026/591006663_boca-raton-regional-hospital_standardcharges.zip
Found on page https://baptisthealth.net/locations/hospitals/boca-raton-regional-hospital-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-01
Content fingerprint bb2bd0f272e7764a… · 7,983,207 bytes · first seen 2026-05-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $574,936.05 $574,936.05 $574,936.05 nat. median
$248,541
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $367,740.98 $378,200.15 $367,740.98 nat. median
$190,359
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $352,840.38 $352,840.38 $352,840.38 nat. median
$93,226
outlier · 3.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $290,459.48 $290,459.48 $290,459.48 nat. median
$126,461
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $221,074.12 $221,074.12 $221,074.12 nat. median
$90,512
outlier · 2.4×
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 3 $210,589.25 $210,589.25 $210,589.25 nat. median
$34,740
outlier · 6.1×
215
MS_DRG 		Other Heart Assist System Implant 3 $209,245.26 $209,245.26 $209,245.26 nat. median
$93,787
outlier · 2.2×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $205,381.67 $205,381.67 $205,381.67 nat. median
$49,873
outlier · 4.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $62,161.50 $188,792.46 $188,792.46 nat. median
$76,979
outlier · 2.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $184,665.40 $184,665.40 $184,665.40 nat. median
$61,995
outlier · 3.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $180,547.70 $180,547.70 $180,547.70 nat. median
$63,564
outlier · 2.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $176,324.62 $176,324.62 $176,324.62 nat. median
$66,584
outlier · 2.6×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $172,810.83 $172,810.83 $172,810.83 nat. median
$57,798
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $167,361.68 $167,361.68 $167,361.68 nat. median
$78,164
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $165,330.39 $165,330.39 $165,330.39 nat. median
$72,247
outlier · 2.3×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 $160,175.76 $160,175.76 $160,175.76 nat. median
$49,944
outlier · 3.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $158,743.86 $158,743.86 $158,743.86 nat. median
$57,485
outlier · 2.8×
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 $158,732.77 $158,732.77 $158,732.77 nat. median
$32,064
outlier · 5.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $157,661.12 $157,661.12 $157,661.12 nat. median
$71,737
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $148,078.90 $148,078.90 $148,078.90 nat. median
$74,298
2.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 $144,660.18 $144,660.18 $144,660.18 nat. median
$45,172
outlier · 3.2×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $141,120.99 $141,120.99 $141,120.99 nat. median
$50,496
outlier · 2.8×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $138,409.62 $138,409.62 $138,409.62 nat. median
$46,440
outlier · 3.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $134,458.18 $134,458.18 $134,458.18 nat. median
$58,220
outlier · 2.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $55,190.74 $131,234.82 $131,234.82 nat. median
$55,425
outlier · 2.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 $41,123.99 $127,763.59 $127,763.59 nat. median
$51,559
outlier · 2.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $45,439.89 $127,252.82 $127,252.82 nat. median
$56,633
outlier · 2.2×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 $122,814.90 $122,814.90 $122,814.90 nat. median
$33,159
outlier · 3.7×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $120,874.09 $196,482.71 $120,874.09 nat. median
$50,558
outlier · 2.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $120,273.12 $120,273.12 $120,273.12 nat. median
$55,110
outlier · 2.2×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 $117,549.79 $117,549.79 $117,549.79 nat. median
$33,713
outlier · 3.5×
258
MS_DRG 		Cardiac Pacemaker Device Replacement With Mcc 3 $117,476.33 $117,476.33 $117,476.33 nat. median
$28,394
outlier · 4.1×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 $117,453.99 $117,453.99 $117,453.99 nat. median
$45,843
outlier · 2.6×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $112,471.95 $112,471.95 $112,471.95 nat. median
$47,347
outlier · 2.4×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $112,071.08 $112,071.08 $112,071.08 nat. median
$53,768
outlier · 2.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $111,601.93 $111,601.93 $111,601.93 nat. median
$59,324
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $109,985.04 $109,985.04 $109,985.04 nat. median
$62,577
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $109,298.07 $109,298.07 $109,298.07 nat. median
$63,829
1.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $106,113.35 $106,113.35 $106,113.35 nat. median
$49,305
outlier · 2.2×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 3 $105,969.85 $105,969.85 $105,969.85 nat. median
$44,088
outlier · 2.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $103,377.35 $103,377.35 $103,377.35 nat. median
$53,419
1.9× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 3 $102,346.65 $102,346.65 $102,346.65 nat. median
$33,064
outlier · 3.1×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 $102,241.24 $102,241.24 $102,241.24 nat. median
$41,655
outlier · 2.5×
245
MS_DRG 		Aicd Generator Procedures 3 $102,096.88 $102,096.88 $102,096.88 nat. median
$42,812
outlier · 2.4×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 3 $101,495.80 $101,495.80 $101,495.80 nat. median
$50,728
outlier · 2.0×
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 3 $101,352.90 $101,352.90 $101,352.90 nat. median
$38,057
outlier · 2.7×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 3 $99,626.59 $99,626.59 $99,626.59 nat. median
$46,347
outlier · 2.1×
163
MS_DRG 		Major Chest Procedures With Mcc 3 $99,079.24 $99,079.24 $99,079.24 nat. median
$42,636
outlier · 2.3×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 3 $99,006.25 $99,006.25 $99,006.25 nat. median
$46,201
outlier · 2.1×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $98,850.55 $98,850.55 $98,850.55 nat. median
$44,798
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 5,021 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 3 — — $574,936.05 $574,936.05 $574,936.05 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 3 — — $367,740.98 $378,200.15 $367,740.98 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 3 — — $352,840.38 $352,840.38 $352,840.38 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 3 — — $290,459.48 $290,459.48 $290,459.48 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 — — $221,074.12 $221,074.12 $221,074.12 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 7 3 — — $210,589.25 $210,589.25 $210,589.25 2026-03-30
215 MS_DRG Other Heart Assist System Implant 7 3 — — $209,245.26 $209,245.26 $209,245.26 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 — — $205,381.67 $205,381.67 $205,381.67 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 3 — — $62,161.50 $188,792.46 $188,792.46 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 3 — — $184,665.40 $184,665.40 $184,665.40 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 3 — — $180,547.70 $180,547.70 $180,547.70 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 3 — — $176,324.62 $176,324.62 $176,324.62 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 3 — — $172,810.83 $172,810.83 $172,810.83 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 7 3 — — $167,361.68 $167,361.68 $167,361.68 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $165,330.39 $165,330.39 $165,330.39 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 3 — — $160,175.76 $160,175.76 $160,175.76 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 3 — — $158,743.86 $158,743.86 $158,743.86 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 3 — — $158,732.77 $158,732.77 $158,732.77 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 3 — — $157,661.12 $157,661.12 $157,661.12 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 3 — — $148,078.90 $148,078.90 $148,078.90 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 — — $144,660.18 $144,660.18 $144,660.18 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 3 — — $141,120.99 $141,120.99 $141,120.99 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $138,409.62 $138,409.62 $138,409.62 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 3 — — $134,458.18 $134,458.18 $134,458.18 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 3 — — $55,190.74 $131,234.82 $131,234.82 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 3 — — $41,123.99 $127,763.59 $127,763.59 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 3 — — $45,439.89 $127,252.82 $127,252.82 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 3 — — $122,814.90 $122,814.90 $122,814.90 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $120,874.09 $196,482.71 $120,874.09 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 3 — — $120,273.12 $120,273.12 $120,273.12 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 3 — — $117,549.79 $117,549.79 $117,549.79 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 3 — — $117,476.33 $117,476.33 $117,476.33 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 3 — — $117,453.99 $117,453.99 $117,453.99 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 3 — — $112,471.95 $112,471.95 $112,471.95 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 3 — — $112,071.08 $112,071.08 $112,071.08 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 — — $111,601.93 $111,601.93 $111,601.93 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 3 — — $109,985.04 $109,985.04 $109,985.04 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 3 — — $109,298.07 $109,298.07 $109,298.07 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 3 — — $106,113.35 $106,113.35 $106,113.35 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 3 — — $105,969.85 $105,969.85 $105,969.85 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 3 — — $103,377.35 $103,377.35 $103,377.35 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 3 — — $102,346.65 $102,346.65 $102,346.65 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 — — $102,241.24 $102,241.24 $102,241.24 2026-03-30
245 MS_DRG Aicd Generator Procedures 7 3 — — $102,096.88 $102,096.88 $102,096.88 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 3 — — $101,495.80 $101,495.80 $101,495.80 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 3 — — $101,352.90 $101,352.90 $101,352.90 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 3 — — $99,626.59 $99,626.59 $99,626.59 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 7 3 — — $99,079.24 $99,079.24 $99,079.24 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 3 — — $99,006.25 $99,006.25 $99,006.25 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 7 3 — — $98,850.55 $98,850.55 $98,850.55 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 3 — — $39,405.55 $345,402.48 $97,917.46 2026-03-30
663 MS_DRG Minor Bladder Procedures With Cc 7 3 — — $96,018.49 $96,018.49 $96,018.49 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 3 — — $95,958.07 $95,958.07 $95,958.07 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 3 — — $95,929.09 $95,929.09 $95,929.09 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 3 — — $31,550.47 $95,354.19 $95,354.19 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 3 — — $32,521.57 $94,678.73 $94,678.73 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 7 3 — — $94,577.32 $94,577.32 $94,577.32 2026-03-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 3 — — $94,308.37 $94,308.37 $94,308.37 2026-03-30
545 MS_DRG Connective Tissue Disorders With Mcc 7 3 — — $93,977.67 $93,977.67 $93,977.67 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 3 — — $93,580.30 $93,580.30 $93,580.30 2026-03-30
347 MS_DRG Anal And Stomal Procedures With Mcc 7 3 — — $92,675.38 $92,675.38 $92,675.38 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 3 — — $92,219.88 $96,226.34 $92,219.88 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 7 3 — — $90,658.96 $90,658.96 $90,658.96 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 3 — — $90,298.30 $90,298.30 $90,298.30 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 5 — — $89,769.65 $89,769.65 $89,769.65 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 3 — — $88,808.19 $88,808.19 $88,808.19 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 5 — — $87,557.65 $87,557.65 $87,557.65 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 3 — — $29,016.34 $87,199.70 $87,199.70 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 5 — — $86,181.23 $86,181.23 $86,181.23 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 — — $85,162.35 $85,162.35 $85,162.35 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $84,067.87 $84,067.87 $84,067.87 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 4 — — $83,275.24 $83,275.24 $83,275.24 2026-03-30
503 MS_DRG Foot Procedures With Mcc 9 4 — — $82,674.55 $82,674.55 $82,674.55 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $81,319.14 $81,319.14 $81,319.14 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 5 — — $81,267.96 $81,267.96 $81,267.96 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 5 — — $80,641.23 $80,641.23 $80,641.23 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 10 5 — — $79,873.74 $79,873.74 $79,873.74 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 4 — — $79,642.96 $79,642.96 $79,642.96 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $79,452.18 $79,452.18 $79,452.18 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $79,162.71 $79,162.71 $79,162.71 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 5 — — $79,033.99 $79,033.99 $79,033.99 2026-03-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 8 4 — — $78,713.02 $78,713.02 $78,713.02 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $78,702.47 $78,702.47 $78,702.47 2026-03-30
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 10 5 — — $77,795.21 $77,795.21 $77,795.21 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 8 4 — — $77,528.51 $77,528.51 $77,528.51 2026-03-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 5 — — $76,823.59 $76,823.59 $76,823.59 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 10 5 — — $76,698.20 $76,698.20 $76,698.20 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $76,584.41 $76,584.41 $76,584.41 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $31,176.61 $76,544.71 $76,544.71 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 4 — — $75,676.93 $75,676.93 $75,676.93 2026-03-30
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 8 4 — — $75,063.48 $75,063.48 $75,063.48 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 — — $74,187.14 $74,187.14 $74,187.14 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 5 — — $74,041.60 $74,041.60 $74,041.60 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 5 — — $73,638.42 $73,638.42 $73,638.42 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 4 — — $70,643.71 $70,643.71 $70,643.71 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $70,381.57 $70,381.57 $70,381.57 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 5 — — $70,256.74 $70,256.74 $70,256.74 2026-03-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 5 — — $70,254.34 $70,254.34 $70,254.34 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 4 — — $69,502.51 $69,502.51 $69,502.51 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 5 — — $68,895.43 $68,895.43 $68,895.43 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 10 5 — — $68,838.21 $68,838.21 $68,838.21 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 5 — — $50,253.92 $68,735.27 $68,735.27 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 — — $68,733.84 $68,733.84 $68,733.84 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 5 — — $21,842.34 $68,255.35 $68,255.35 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $32,301.47 $68,239.97 $68,239.97 2026-03-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 5 — — $67,126.94 $67,126.94 $67,126.94 2026-03-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 5 — — $66,651.29 $66,651.29 $66,651.29 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $66,098.85 $66,098.85 $66,098.85 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 5 — — $65,563.43 $65,563.43 $65,563.43 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 5 — — $65,429.00 $65,429.00 $65,429.00 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 4 — — $64,873.25 $64,873.25 $64,873.25 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 4 — — $64,627.53 $64,627.53 $64,627.53 2026-03-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $64,534.32 $64,534.32 $64,534.32 2026-03-30
642 MS_DRG Inborn And Other Disorders Of Metabolism 10 5 — — $64,248.79 $64,248.79 $64,248.79 2026-03-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 5 — — $63,128.11 $63,128.11 $63,128.11 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 5 — — $63,067.93 $63,067.93 $63,067.93 2026-03-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 10 5 — — $62,659.22 $62,659.22 $62,659.22 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 5 — — $62,427.40 $62,427.40 $62,427.40 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 4 — — $61,534.90 $61,534.90 $61,534.90 2026-03-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 5 — — $61,295.83 $61,295.83 $61,295.83 2026-03-30
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 10 5 — — $60,678.97 $60,678.97 $60,678.97 2026-03-30
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 10 5 — — $59,879.18 $59,879.18 $59,879.18 2026-03-30
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 10 5 — — $59,772.86 $59,772.86 $59,772.86 2026-03-30
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 10 5 — — $59,495.18 $59,495.18 $59,495.18 2026-03-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 8 4 — — $20,130.44 $59,394.99 $59,394.99 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $58,328.91 $58,328.91 $58,328.91 2026-03-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 10 5 — — $58,060.81 $58,060.81 $58,060.81 2026-03-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 9 4 — — $30,020.14 $57,623.04 $57,623.04 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 5 — — $57,394.96 $57,394.96 $57,394.96 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 — — $57,364.39 $57,364.39 $57,364.39 2026-03-30
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 8 4 — — $57,194.99 $57,194.99 $57,194.99 2026-03-30
533 MS_DRG Fractures Of Femur With Mcc 10 5 — — $57,168.42 $57,168.42 $57,168.42 2026-03-30
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 8 4 — — $57,066.81 $57,066.81 $57,066.81 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 10 5 — — $56,704.39 $56,704.39 $56,704.39 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 9 4 — — $21,252.82 $56,007.71 $56,007.71 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 5 — — $55,493.18 $55,493.18 $55,493.18 2026-03-30
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 8 4 — — $54,925.75 $54,925.75 $54,925.75 2026-03-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 5 — — $54,683.65 $54,683.65 $54,683.65 2026-03-30
906 MS_DRG Hand Procedures For Injuries 10 5 — — $54,589.07 $54,589.07 $54,589.07 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 10 5 — — $54,139.79 $54,139.79 $54,139.79 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 5 — — $54,133.82 $54,133.82 $54,133.82 2026-03-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 8 4 — — $53,347.15 $53,347.15 $53,347.15 2026-03-30
32 MS_DRG Ventricular Shunt Procedures With Cc 8 4 — — $53,128.97 $53,128.97 $53,128.97 2026-03-30
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 4 — — $13,937.40 $52,957.86 $52,957.86 2026-03-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 4 — — $18,369.18 $52,671.82 $52,671.82 2026-03-30
C1824 HCPCS Gen Pulse Smart Mini Implan Optim 9 5 $184,597.00 $119,988.05 35% off $50,764.18 $120,541.84 $52,655.90 2026-03-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 5 — — $52,502.13 $52,502.13 $52,502.13 2026-03-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 5 — — $52,296.59 $52,296.59 $52,296.59 2026-03-30
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 10 5 — — $52,200.89 $52,200.89 $52,200.89 2026-03-30
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 8 4 — — $51,811.17 $51,811.17 $51,811.17 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 5 — — $39,666.56 $51,356.48 $51,356.48 2026-03-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 5 — — $51,332.92 $51,332.92 $51,332.92 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 10 5 — — $50,897.44 $50,897.44 $50,897.44 2026-03-30
665 MS_DRG Prostatectomy With Mcc 10 5 — — $50,723.69 $50,723.69 $50,723.69 2026-03-30
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 10 5 — — $50,330.03 $50,330.03 $50,330.03 2026-03-30
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 8 4 — — $49,680.94 $49,680.94 $49,680.94 2026-03-30
915 MS_DRG Allergic Reactions With Mcc 10 5 — — $49,539.55 $49,539.55 $49,539.55 2026-03-30
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 4 — — $49,527.43 $49,527.43 $49,527.43 2026-03-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 5 — — $49,428.76 $49,428.76 $49,428.76 2026-03-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 — — $49,263.48 $49,263.48 $49,263.48 2026-03-30
397 MS_DRG Appendix Procedures With Mcc 10 5 — — $49,250.42 $49,250.42 $49,250.42 2026-03-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 8 4 — — $17,366.39 $48,933.16 $48,933.16 2026-03-30
336 MS_DRG Peritoneal Adhesiolysis With Cc 10 5 — — $16,825.53 $48,616.14 $48,616.14 2026-03-30
570 MS_DRG Skin Debridement With Mcc 10 5 — — $48,533.86 $48,533.86 $48,533.86 2026-03-30
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 10 5 — — $13,186.07 $48,416.75 $48,416.75 2026-03-30
368 MS_DRG Major Esophageal Disorders With Mcc 10 5 — — $48,393.06 $48,393.06 $48,393.06 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 5 — — $47,893.58 $47,893.58 $47,893.58 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 — — $47,841.65 $47,841.65 $47,841.65 2026-03-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 5 — — $34,935.49 $47,765.53 $47,765.53 2026-03-30
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 10 5 — — $47,571.21 $47,571.21 $47,571.21 2026-03-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 5 — — $47,455.28 $47,455.28 $47,455.28 2026-03-30
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 10 5 — — $47,069.51 $47,069.51 $47,069.51 2026-03-30
A9543 HCPCS Zz Y90 Ibritumomab Zevalin 12 5 $156,348.00 $101,626.20 35% off $476.00 $102,095.24 $47,060.75 2026-03-30
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 10 5 — — $47,010.00 $47,010.00 $47,010.00 2026-03-30
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 10 5 — — $46,956.83 $46,956.83 $46,956.83 2026-03-30
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 10 5 — — $46,902.05 $46,902.05 $46,902.05 2026-03-30
165 MS_DRG Major Chest Procedures Without Cc/mcc 10 5 — — $46,835.21 $46,835.21 $46,835.21 2026-03-30
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $46,654.34 $46,654.34 $46,654.34 2026-03-30
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 10 5 — — $46,516.28 $46,516.28 $46,516.28 2026-03-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $46,196.80 $46,196.80 $46,196.80 2026-03-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 5 — — $45,980.57 $45,980.57 $45,980.57 2026-03-30
253 MS_DRG Other Vascular Procedures With Cc 10 5 — — $45,969.71 $45,969.71 $45,969.71 2026-03-30
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 8 4 — — $45,913.36 $45,913.36 $45,913.36 2026-03-30
754 MS_DRG Malignancy, Female Reproductive System With Mcc 10 5 — — $45,897.96 $45,897.96 $45,897.96 2026-03-30
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $45,433.15 $45,433.15 $45,433.15 2026-03-30
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 10 5 — — $45,269.97 $45,269.97 $45,269.97 2026-03-30
0275 RC — 18 5 $116,717.50 $75,866.38 35% off $19,236.25 $106,755.71 $44,958.38 2026-03-30
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 10 5 — — $44,796.32 $44,796.32 $44,796.32 2026-03-30
333 MS_DRG Rectal Resection With Cc 10 5 — — $44,779.61 $44,779.61 $44,779.61 2026-03-30
949 MS_DRG Aftercare With Cc/mcc 10 5 — — $44,529.60 $44,529.60 $44,529.60 2026-03-30
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 5 — — $44,521.37 $44,521.37 $44,521.37 2026-03-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 5 — — $44,444.24 $44,444.24 $44,444.24 2026-03-30
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 5 — — $16,235.97 $44,348.06 $44,348.06 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 10 5 — — $44,242.91 $44,242.91 $44,242.91 2026-03-30
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 10 5 — — $44,181.62 $44,181.62 $44,181.62 2026-03-30
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 10 5 — — $44,099.64 $44,099.64 $44,099.64 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $43,989.68 $43,989.68 $43,989.68 2026-03-30
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 8 4 — — $43,851.18 $43,851.18 $43,851.18 2026-03-30
141 MS_DRG Major Head And Neck Procedures With Cc 10 5 — — $43,841.56 $43,841.56 $43,841.56 2026-03-30
374 MS_DRG Digestive Malignancy With Mcc 10 5 — — $43,795.92 $43,795.92 $43,795.92 2026-03-30
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 5 — — $15,220.72 $42,767.56 $42,767.56 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 5 — — $42,761.45 $42,761.45 $42,761.45 2026-03-30
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 8 4 — — $42,759.21 $42,759.21 $42,759.21 2026-03-30
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 11 5 — — $15,464.27 $42,741.47 $42,741.47 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 5 — — $42,725.59 $42,725.59 $42,725.59 2026-03-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 8 4 — — $14,431.12 $42,591.82 $42,591.82 2026-03-30
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 10 5 — — $42,562.04 $42,562.04 $42,562.04 2026-03-30
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 8 4 — — $8,157.86 $42,179.25 $42,179.25 2026-03-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 8 4 — — $42,076.82 $42,076.82 $42,076.82 2026-03-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 5 — — $41,954.42 $41,954.42 $41,954.42 2026-03-30
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 10 5 — — $41,733.04 $41,733.04 $41,733.04 2026-03-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 5 — — $41,582.38 $41,582.38 $41,582.38 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 — — $17,458.45 $41,573.68 $41,573.68 2026-03-30
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 10 5 — — $41,383.32 $41,383.32 $41,383.32 2026-03-30
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 5 — — $41,374.46 $41,374.46 $41,374.46 2026-03-30
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 10 5 — — $41,297.12 $41,297.12 $41,297.12 2026-03-30
70 MS_DRG Other Cerebrovascular Disorders With Mcc 8 4 — — $12,755.20 $41,238.86 $41,238.86 2026-03-30
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 10 5 — — $41,122.28 $41,122.28 $41,122.28 2026-03-30
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 10 5 — — $40,897.49 $40,897.49 $40,897.49 2026-03-30
444 MS_DRG Disorders Of The Biliary Tract With Mcc 10 5 — — $12,356.15 $40,817.53 $40,817.53 2026-03-30
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 10 5 — — $40,565.55 $40,565.55 $40,565.55 2026-03-30
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 10 5 — — $40,529.21 $40,529.21 $40,529.21 2026-03-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 5 — — $40,498.89 $40,498.89 $40,498.89 2026-03-30
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 4 — — $14,592.07 $40,411.29 $40,411.29 2026-03-30
666 MS_DRG Prostatectomy With Cc 10 5 — — $40,390.33 $40,390.33 $40,390.33 2026-03-30
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 10 5 — — $40,289.78 $40,289.78 $40,289.78 2026-03-30
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 10 5 — — $40,241.15 $40,241.15 $40,241.15 2026-03-30
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 10 5 — — $40,171.22 $40,171.22 $40,171.22 2026-03-30
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 10 5 — — $40,113.00 $40,113.00 $40,113.00 2026-03-30
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 10 5 — — $40,109.13 $40,109.13 $40,109.13 2026-03-30
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 10 5 — — $39,883.67 $39,883.67 $39,883.67 2026-03-30
205 MS_DRG Other Respiratory System Diagnoses With Mcc 11 5 — — $22,929.61 $39,667.11 $39,667.11 2026-03-30
100 MS_DRG Seizures With Mcc 8 4 — — $39,666.68 $39,666.68 $39,666.68 2026-03-30
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 10 5 — — $39,612.68 $39,612.68 $39,612.68 2026-03-30
504 MS_DRG Foot Procedures With Cc 10 5 — — $39,582.04 $39,582.04 $39,582.04 2026-03-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 10 5 — — $39,291.96 $39,291.96 $39,291.96 2026-03-30
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 11 5 — — $20,675.47 $39,277.14 $39,277.14 2026-03-30
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 10 5 — — $28,220.66 $39,236.07 $39,236.07 2026-03-30
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 10 5 — — $39,213.33 $39,213.33 $39,213.33 2026-03-30
157 MS_DRG Dental And Oral Diseases With Mcc 10 5 — — $39,192.96 $39,192.96 $39,192.96 2026-03-30
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 9 4 — — $10,238.31 $38,907.08 $38,907.08 2026-03-30
30 MS_DRG Spinal Procedures Without Cc/mcc 8 4 — — $38,335.14 $38,335.14 $38,335.14 2026-03-30
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 10 5 — — $38,050.51 $38,050.51 $38,050.51 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 5 — — $38,012.20 $38,012.20 $38,012.20 2026-03-30
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 10 5 — — $37,627.37 $37,627.37 $37,627.37 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 5 — — $37,612.67 $37,612.67 $37,612.67 2026-03-30
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 10 5 — — $37,592.63 $37,592.63 $37,592.63 2026-03-30
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $37,246.47 $37,246.47 $37,246.47 2026-03-30
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 10 5 — — $37,222.12 $37,222.12 $37,222.12 2026-03-30
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 10 5 — — $14,393.27 $37,215.79 $37,215.79 2026-03-30
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 10 5 — — $37,061.14 $37,061.14 $37,061.14 2026-03-30
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 5 — — $37,003.19 $37,003.19 $37,003.19 2026-03-30
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 10 5 — — $36,817.80 $36,817.80 $36,817.80 2026-03-30
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 10 5 — — $36,546.56 $36,546.56 $36,546.56 2026-03-30
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 10 5 — — $36,471.57 $36,471.57 $36,471.57 2026-03-30
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 10 5 — — $36,421.74 $36,421.74 $36,421.74 2026-03-30
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 10 5 — — $36,271.88 $36,271.88 $36,271.88 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 5 — — $21,376.84 $36,263.71 $36,263.71 2026-03-30
380 MS_DRG Complicated Peptic Ulcer With Mcc 10 5 — — $36,251.85 $36,251.85 $36,251.85 2026-03-30
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 10 5 — — $36,200.86 $38,894.40 $36,200.86 2026-03-30
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 10 5 — — $36,195.72 $36,195.72 $36,195.72 2026-03-30
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 10 5 — — $36,119.32 $36,119.32 $36,119.32 2026-03-30
501 MS_DRG Soft Tissue Procedures With Cc 10 5 — — $36,029.47 $36,029.47 $36,029.47 2026-03-30
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 10 5 — — $35,987.72 $35,987.72 $35,987.72 2026-03-30
398 MS_DRG Appendix Procedures With Cc 10 5 — — $11,100.29 $35,942.26 $35,942.26 2026-03-30
908 MS_DRG Other O.r. Procedures For Injuries With Cc 10 5 — — $35,919.39 $35,919.39 $35,919.39 2026-03-30
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 10 5 — — $35,778.61 $35,778.61 $35,778.61 2026-03-30
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 10 5 — — $35,616.17 $35,616.17 $35,616.17 2026-03-30
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 10 5 — — $35,569.53 $35,569.53 $35,569.53 2026-03-30
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 10 5 — — $35,475.90 $35,475.90 $35,475.90 2026-03-30
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 10 5 — — $35,447.96 $35,447.96 $35,447.96 2026-03-30
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 10 5 — — $35,314.02 $35,314.02 $35,314.02 2026-03-30
334 MS_DRG Rectal Resection Without Cc/mcc 10 5 — — $35,191.65 $35,191.65 $35,191.65 2026-03-30
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 10 5 — — $35,179.82 $35,179.82 $35,179.82 2026-03-30
C1826 HCPCS Gen, Neuro, Clo Loop, Rechg 54 5 $116,691.00 $75,849.15 35% off $27,192.00 $90,396.10 $35,072.74 2026-03-30
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 8 4 — — $35,045.34 $35,045.34 $35,045.34 2026-03-30
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 10 5 — — $35,032.40 $35,032.40 $35,032.40 2026-03-30
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 10 5 — — $34,660.32 $34,660.32 $34,660.32 2026-03-30
571 MS_DRG Skin Debridement With Cc 10 5 — — $34,651.57 $34,651.57 $34,651.57 2026-03-30
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 10 5 — — $34,584.73 $34,584.73 $34,584.73 2026-03-30
199 MS_DRG Pneumothorax With Mcc 10 5 — — $34,479.36 $34,479.36 $34,479.36 2026-03-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 5 — — $34,472.72 $34,472.72 $34,472.72 2026-03-30
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 10 5 — — $34,427.19 $34,427.19 $34,427.19 2026-03-30
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 10 5 — — $27,688.02 $34,393.88 $34,393.88 2026-03-30
314 MS_DRG Other Circulatory System Diagnoses With Mcc 10 5 — — $34,375.78 $34,375.78 $34,375.78 2026-03-30
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 10 5 — — $12,128.03 $34,279.66 $34,279.66 2026-03-30
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 8 4 — — $34,253.78 $34,253.78 $34,253.78 2026-03-30
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 10 5 — — $34,134.61 $34,134.61 $34,134.61 2026-03-30
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 10 5 — — $28,955.50 $33,947.96 $33,947.96 2026-03-30
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 10 5 — — $33,933.42 $33,933.42 $33,933.42 2026-03-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 10 5 — — $33,858.18 $33,858.18 $33,858.18 2026-03-30
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 10 5 — — $25,929.52 $33,792.82 $33,792.82 2026-03-30
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 10 5 — — $33,640.99 $33,640.99 $33,640.99 2026-03-30
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 10 5 — — $33,430.89 $33,430.89 $33,430.89 2026-03-30
180 MS_DRG Respiratory Neoplasms With Mcc 10 5 — — $33,426.04 $33,426.04 $33,426.04 2026-03-30
539 MS_DRG Osteomyelitis With Mcc 10 5 — — $33,317.11 $33,317.11 $33,317.11 2026-03-30
551 MS_DRG Medical Back Problems With Mcc 8 4 — — $33,201.65 $33,201.65 $33,201.65 2026-03-30
671 MS_DRG Urethral Procedures With Cc/mcc 10 5 — — $32,688.12 $32,688.12 $32,688.12 2026-03-30
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 8 4 — — $32,650.18 $32,650.18 $32,650.18 2026-03-30
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 10 5 — — $32,565.04 $32,565.04 $32,565.04 2026-03-30
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