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

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Hospital

ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL

Sebastian, FL · CCN 100217 · Rates published

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This hospital’s price: $611 across 9 payers · range $561-$1,113

Source: https://hospitalpricedisclosure.com/download.aspx?pi=AEq1Okiq8l6y84nlCfk8rw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-* · 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.

1,594 distinct procedures filed
63 distinct payers
42,728 rate rows
2026-04-01 last MRF observed
Data quality

23,224 of 42,728 rate rows are consumer-grade (54.4%)

19,504 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 18,971
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 513
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 19
percent-of-charges filed in the dollar field — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=AEq1Okiq8l6y84nlCfk8rw*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=AEq1Okiq8l6y84nlCfk8rw*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint d743ffa81958ccaa… · 48,322,626 bytes · first seen 2026-05-18

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 5 $170,790.72 $1,276,616.49 $473,405.68 nat. median
$359,358
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $187,209.53 $762,783.66 $355,265.78 nat. median
$198,433
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $150,017.10 $1,337,658.87 $292,685.07 nat. median
$249,124
1.2× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 3 $121,120.27 $439,314.31 $267,116.49 nat. median
$229
outlier · 1164.9×
9489
OTHER 		Inj, Nusinersen, 0.1mg 2 $148,061.96 $365,961.57 $257,011.77 nat. median
$1,286
outlier · 199.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $5,577.29 $990,000.00 $246,832.24 nat. median
$190,557
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $50,343.46 $1,092,734.82 $202,860.00 nat. median
$126,722
1.6× median
9257
OTHER 		Inj., Emicizumab-kxwh 0.5 Mg 1 $197,486.36 $197,486.36 $197,486.36 nat. median
$57
outlier · 3494.1×
1809
OTHER 		Injection, Alemtuzumab 1 $181,845.95 $181,845.95 $181,845.95 nat. median
$2,486
outlier · 73.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $167,010.43 $167,010.43 $167,010.43 nat. median
$59,558
outlier · 2.8×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $111,699.52 $205,969.76 $165,963.53 nat. median
$57,560
outlier · 2.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $74,674.47 $738,537.76 $158,384.00 nat. median
$78,262
outlier · 2.0×
9394
OTHER 		Inj. Inebilizumab-cdon, 1 Mg 1 $150,277.95 $150,277.95 $150,277.95 nat. median
$505
outlier · 297.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $74,883.17 $971,044.67 $139,014.23 nat. median
$110,192
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $71,468.22 $736,343.62 $137,540.46 nat. median
$90,581
1.5× median
800
MS_DRG 		Splenic Procedures With Cc 3 $23,432.61 $243,368.90 $133,325.80 nat. median
$26,970
outlier · 4.9×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 $24,967.69 $788,986.45 $129,693.26 nat. median
$50,905
outlier · 2.5×
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 8 $19,370.85 $658,176.73 $119,289.40 nat. median
$16,213
outlier · 7.4×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 $43,099.07 $144,768.66 $115,662.46 nat. median
$51,243
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $29,435.53 $293,091.12 $108,748.35 nat. median
$72,473
1.5× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 $46,332.06 $377,427.00 $106,226.42 nat. median
$53,879
2.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $33,080.92 $314,667.54 $103,381.00 nat. median
$71,758
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $35,895.80 $317,086.20 $102,601.71 nat. median
$61,711
1.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $47,576.11 $261,717.72 $101,358.29 nat. median
$55,188
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $39,288.04 $332,990.67 $100,912.00 nat. median
$77,696
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $10,170.80 $347,817.51 $97,085.18 nat. median
$68,004
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $57,067.46 $285,373.94 $96,900.17 nat. median
$63,648
1.5× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $45,998.32 $190,437.36 $95,712.51 nat. median
$56,686
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $3,143.94 $496,640.97 $94,509.64 nat. median
$74,460
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $40,917.11 $489,545.48 $91,948.98 nat. median
$66,649
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 11 $4,132.11 $456,946.65 $91,700.55 nat. median
$93,917
1.0× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 3 $36,200.56 $187,810.44 $90,373.26 nat. median
$43,916
outlier · 2.1×
9331
OTHER 		Inj, Polatuzumab Vedotin 1mg 2 $30,013.22 $223,076.39 $88,956.02 nat. median
$138
outlier · 644.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $45,196.94 $266,947.49 $88,738.36 nat. median
$93,270
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $59,587.07 $214,830.64 $87,964.99 nat. median
$77,043
1.1× median
9287
OTHER 		Brentuximab Vedotin Inj 6 $1,353.00 $148,546.46 $87,589.49 nat. median
$268
outlier · 326.3×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 $47,131.64 $211,920.62 $87,329.14 nat. median
$51,590
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 14 $14,134.98 $215,397.04 $85,562.13 nat. median
$49,639
1.7× median
1233
OTHER 		Inj, Vasopressin, 1 Unit 1 $84,935.85 $84,935.85 $84,935.85 nat. median
$2
outlier · 51166.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $83,614.15 $83,614.15 $83,614.15 nat. median
$97,414
0.9× median
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 $28,616.60 $227,441.65 $83,174.90 nat. median
$34,656
outlier · 2.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $12,780.05 $451,744.33 $81,248.06 nat. median
$62,038
1.3× median
834
MS_DRG 		Acute Leukemia With Mcc 10 $42,745.58 $492,077.36 $81,216.31 nat. median
$50,391
1.6× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 12 $21,348.71 $207,973.64 $78,714.49 nat. median
$55,491
1.4× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $37,444.61 $179,820.48 $78,114.12 nat. median
$53,532
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 13 $22,513.89 $468,625.52 $77,091.23 nat. median
$71,201
1.1× median
799
MS_DRG 		Splenic Procedures With Mcc 4 $38,418.36 $387,913.18 $76,889.85 nat. median
$43,294
1.8× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 11 $15,094.07 $191,206.97 $75,693.96 nat. median
$39,085
1.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $29,217.67 $137,075.42 $75,381.08 nat. median
$58,216
1.3× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $32,288.56 $209,877.46 $75,003.57 nat. median
$50,679
1.5× median

Other procedures at this hospital

Browse this hospital's 1,594 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 9 5 — — $170,790.72 $1,276,616.49 $473,405.68 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 5 — — $187,209.53 $762,783.66 $355,265.78 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $150,017.10 $1,337,658.87 $292,685.07 2025-11-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 4 3 — — $121,120.27 $439,314.31 $267,116.49 2025-11-01
9489 OTHER Inj, Nusinersen, 0.1mg 2 2 — — $148,061.96 $365,961.57 $257,011.77 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 14 — — $5,577.29 $990,000.00 $246,832.24 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 11 — — $50,343.46 $1,092,734.82 $202,860.00 2025-11-01
9257 OTHER Inj., Emicizumab-kxwh 0.5 Mg 1 1 — — $197,486.36 $197,486.36 $197,486.36 2025-11-01
1809 OTHER Injection, Alemtuzumab 1 1 — — $181,845.95 $181,845.95 $181,845.95 2025-11-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $167,010.43 $167,010.43 $167,010.43 2025-11-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 1 — — $111,699.52 $205,969.76 $165,963.53 2025-11-01
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $74,674.47 $738,537.76 $158,384.00 2025-11-01
9394 OTHER Inj. Inebilizumab-cdon, 1 Mg 1 1 — — $150,277.95 $150,277.95 $150,277.95 2025-11-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 6 — — $74,883.17 $971,044.67 $139,014.23 2025-11-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $71,468.22 $736,343.62 $137,540.46 2025-11-01
800 MS_DRG Splenic Procedures With Cc 4 3 — — $23,432.61 $243,368.90 $133,325.80 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 13 — — $24,967.69 $788,986.45 $129,693.26 2025-11-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 13 8 — — $19,370.85 $658,176.73 $119,289.40 2025-11-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 5 — — $43,099.07 $144,768.66 $115,662.46 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $29,435.53 $293,091.12 $108,748.35 2025-11-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 6 — — $46,332.06 $377,427.00 $106,226.42 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 12 — — $33,080.92 $314,667.54 $103,381.00 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $35,895.80 $317,086.20 $102,601.71 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 11 — — $47,576.11 $261,717.72 $101,358.29 2025-11-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $39,288.04 $332,990.67 $100,912.00 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 12 — — $10,170.80 $347,817.51 $97,085.18 2025-11-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $57,067.46 $285,373.94 $96,900.17 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 10 — — $45,998.32 $190,437.36 $95,712.51 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $3,143.94 $496,640.97 $94,509.64 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 7 — — $40,917.11 $489,545.48 $91,948.98 2025-11-01
215 MS_DRG Other Heart Assist System Implant 18 11 — — $4,132.11 $456,946.65 $91,700.55 2025-11-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $36,200.56 $187,810.44 $90,373.26 2025-11-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 5 2 — — $30,013.22 $223,076.39 $88,956.02 2025-11-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 5 — — $45,196.94 $266,947.49 $88,738.36 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 6 — — $59,587.07 $214,830.64 $87,964.99 2025-11-01
9287 OTHER Brentuximab Vedotin Inj 10 6 — — $1,353.00 $148,546.46 $87,589.49 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 5 — — $47,131.64 $211,920.62 $87,329.14 2025-11-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 27 14 — — $14,134.98 $215,397.04 $85,562.13 2025-11-01
1233 OTHER Inj, Vasopressin, 1 Unit 1 1 — — $84,935.85 $84,935.85 $84,935.85 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $83,614.15 $83,614.15 $83,614.15 2025-11-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 2 — — $28,616.60 $227,441.65 $83,174.90 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 6 — — $12,780.05 $451,744.33 $81,248.06 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 19 10 — — $42,745.58 $492,077.36 $81,216.31 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 12 — — $21,348.71 $207,973.64 $78,714.49 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 15 — — $37,444.61 $179,820.48 $78,114.12 2025-11-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 23 13 — — $22,513.89 $468,625.52 $77,091.23 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 6 4 — — $38,418.36 $387,913.18 $76,889.85 2025-11-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 11 — — $15,094.07 $191,206.97 $75,693.96 2025-11-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $29,217.67 $137,075.42 $75,381.08 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $32,288.56 $209,877.46 $75,003.57 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 9 — — $24,262.99 $243,467.00 $74,476.27 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $44,542.33 $276,866.55 $70,928.12 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 9 6 — — $46,775.92 $99,447.28 $70,584.31 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $9,836.65 $305,690.67 $70,158.54 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 6 — — $26,009.88 $172,875.00 $69,999.00 2025-11-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 9 — — $24,366.79 $272,465.39 $69,428.79 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 13 — — $29,087.22 $864,582.76 $68,815.00 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 5 — — $35,085.67 $127,703.49 $68,771.89 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 8 — — $52,440.43 $435,083.30 $68,661.25 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 4 — — $23,617.31 $125,208.86 $68,463.48 2025-11-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 4 — — $20,720.00 $83,322.10 $68,409.02 2025-11-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 — — $35,884.87 $95,936.45 $68,009.20 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $26,090.66 $91,885.45 $67,542.17 2025-11-01
332 MS_DRG Rectal Resection With Mcc 2 2 — — $29,728.96 $102,594.00 $66,161.48 2025-11-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 27 14 — — $1,783.09 $336,899.53 $65,200.36 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $45,082.67 $148,992.96 $65,005.56 2025-11-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 3 — — $33,477.30 $88,392.23 $64,887.37 2025-11-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 8 6 — — $1,800.00 $111,816.32 $64,232.69 2025-11-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 5 — — $25,717.38 $84,555.08 $64,144.03 2025-11-01
263 MS_DRG Vein Ligation And Stripping 1 1 — — $64,039.92 $64,039.92 $64,039.92 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 16 — — $12,966.46 $214,473.83 $64,026.50 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 7 — — $3,177.10 $873,813.89 $62,435.17 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 21 — — $1,513.00 $125,158.43 $62,338.07 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 6 — — $29,377.48 $127,150.00 $60,257.71 2025-11-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 12 — — $13,667.24 $108,031.96 $60,232.18 2025-11-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 9 — — $11,244.57 $158,172.71 $59,629.18 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 4 — — $30,896.55 $79,958.54 $59,196.21 2025-11-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 7 4 — — $19,009.43 $182,576.26 $59,036.35 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 14 — — $14,751.73 $165,870.93 $58,677.32 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 8 — — $5,466.64 $149,837.12 $58,321.75 2025-11-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 12 — — $30,471.78 $313,726.22 $58,202.05 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 9 — — $24,785.70 $128,892.87 $58,120.24 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 9 — — $28,547.94 $204,906.43 $57,741.12 2025-11-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 6 — — $26,827.53 $522,450.00 $57,619.59 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 11 — — $10,845.08 $208,505.02 $57,517.51 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 5 — — $28,444.46 $87,140.53 $57,242.48 2025-11-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $25,341.40 $80,535.88 $57,064.25 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 15 — — $10,880.71 $422,811.90 $56,754.82 2025-11-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $42,183.90 $69,799.14 $55,991.52 2025-11-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $35,575.70 $81,079.60 $55,865.44 2025-11-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 — — $29,196.03 $61,588.04 $55,219.44 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 14 — — $13,820.56 $803,394.70 $54,044.10 2025-11-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 13 7 — — $27,596.28 $249,648.12 $53,759.52 2025-11-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 6 — — $23,145.12 $56,068.35 $53,360.07 2025-11-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $42,271.91 $504,102.05 $52,863.71 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 12 — — $13,635.89 $307,726.46 $52,471.87 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 5 — — $25,791.09 $90,786.83 $51,746.29 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 8 — — $32,469.09 $161,080.34 $50,757.27 2025-11-01
9054 OTHER Lutetium Lu 177 Vipivotide 9 7 — — $179.56 $95,062.96 $50,739.90 2025-11-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 1 1 — — $50,723.00 $50,723.00 $50,723.00 2025-11-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 10 — — $23,145.12 $220,744.80 $50,446.25 2025-11-01
791 MS_DRG Prematurity With Major Problems 21 11 — — $3,502.02 $147,534.49 $49,687.00 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 8 — — $23,373.68 $122,392.70 $49,415.68 2025-11-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 2 2 — — $14,659.77 $83,612.57 $49,136.17 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 17 9 — — $16,797.15 $187,093.58 $48,600.00 2025-11-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 3 — — $39,975.09 $84,464.58 $48,130.07 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 13 — — $9,121.38 $154,225.26 $47,613.48 2025-11-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $35,818.85 $82,064.48 $47,547.46 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 12 — — $16,288.30 $82,149.84 $47,433.96 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $47,025.02 $47,447.94 $47,236.48 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 11 — — $1,211.50 $239,972.70 $46,844.42 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 5 4 — — $28,549.66 $140,761.41 $46,474.78 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 10 — — $17,579.42 $453,194.01 $46,179.56 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 11 — — $8,832.73 $357,409.82 $45,621.50 2025-11-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 7 — — $15,515.29 $405,315.00 $45,368.53 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $21,726.37 $286,686.10 $45,290.16 2025-11-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 8 — — $23,601.27 $307,787.86 $44,709.29 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 8 — — $7,104.10 $187,780.63 $44,608.38 2025-11-01
9111 OTHER Inj Teclistamab Cqyv 0.5 Mg 1 1 — — $44,482.02 $44,482.02 $44,482.02 2025-11-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 5 — — $19,601.46 $79,682.65 $44,131.16 2025-11-01
595 MS_DRG Major Skin Disorders With Mcc 5 5 — — $7,065.71 $50,506.47 $44,080.83 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 15 — — $4,026.20 $162,992.61 $43,969.42 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 15 — — $16,597.65 $305,225.94 $43,175.08 2025-11-01
9236 OTHER Eculizumab Injection 5 2 — — $34,281.94 $69,936.56 $43,014.80 2025-11-01
9276 OTHER Cabazitaxel Injection 2 1 — — $38,663.81 $47,179.13 $42,921.47 2025-11-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 5 — — $23,202.29 $55,475.00 $42,598.96 2025-11-01
9150 OTHER Inj Mosunetuzumab-axgb, 1 Mg 1 1 — — $42,553.72 $42,553.72 $42,553.72 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 12 — — $8,878.06 $108,777.20 $42,331.73 2025-11-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $16,314.59 $76,123.92 $42,013.86 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 7 — — $25,238.68 $67,745.80 $41,859.86 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 15 — — $13,192.94 $219,191.74 $41,806.69 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 8 — — $13,086.42 $96,734.50 $41,322.73 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 12 — — $1,825.06 $120,970.15 $41,170.86 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 28 16 — — $16,537.53 $140,211.00 $40,557.88 2025-11-01
5166 OTHER Cochlear Implant Procedure 7 5 — — $16,749.50 $102,211.42 $40,553.75 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 14 — — $37,878.96 $217,813.23 $40,538.39 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 13 — — $13,055.08 $174,700.55 $40,362.80 2025-11-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 12 6 — — $6,738.34 $69,569.67 $40,123.57 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 13 8 — — $22,016.87 $131,816.93 $39,840.60 2025-11-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 2 — — $31,914.41 $47,520.30 $39,717.36 2025-11-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 8 4 — — $4,557.41 $85,021.00 $39,530.20 2025-11-01
5213 OTHER Level 3 Electrophysiologic Procedures 36 20 — — $12,019.95 $253,939.54 $39,476.80 2025-11-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 7 4 — — $25,211.12 $98,931.71 $38,819.54 2025-11-01
75 MS_DRG Viral Meningitis With Cc/Mcc 3 3 — — $5,643.88 $54,580.13 $38,786.04 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $35,842.18 $136,369.30 $38,720.02 2025-11-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 13 — — $1,149.99 $344,605.43 $38,330.05 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 6 — — $19,722.55 $412,066.51 $38,226.43 2025-11-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 27 16 — — $12,617.38 $110,712.65 $37,955.00 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 5 — — $14,389.45 $244,861.64 $37,941.08 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 11 — — $9,551.03 $382,543.64 $37,913.92 2025-11-01
9472 OTHER Inj Talimogene Laherparepvec 1 1 — — $37,758.08 $37,758.08 $37,758.08 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 6 5 — — $24,144.52 $47,212.30 $37,236.65 2025-11-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $37,163.88 $37,163.88 $37,163.88 2025-11-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 11 7 — — $16,948.22 $92,221.38 $36,602.56 2025-11-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 5 4 — — $5,824.74 $76,909.81 $36,475.14 2025-11-01
1488 OTHER Injection, Ramucirumab 1 1 — — $36,398.21 $36,398.21 $36,398.21 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 14 — — $11,229.04 $184,211.66 $36,366.06 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 9 — — $25,170.02 $114,837.50 $36,292.56 2025-11-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 5 4 — — $3,599.21 $42,739.37 $36,023.90 2025-11-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 9 — — $15,049.54 $134,877.77 $35,869.98 2025-11-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 17 9 — — $6,805.66 $161,605.34 $35,799.00 2025-11-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 17 12 — — $2,949.41 $261,550.43 $35,724.46 2025-11-01
9309 OTHER Inj. Tagraxofusp-erzs 10 Mcg 1 1 — — $35,634.32 $35,634.32 $35,634.32 2025-11-01
245 MS_DRG Aicd Generator Procedures 11 8 — — $1,665.81 $83,135.95 $35,629.06 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 11 — — $32,446.20 $335,053.70 $35,349.30 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 15 — — $15,285.32 $85,130.12 $35,331.30 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 8 — — $23,411.90 $158,932.01 $34,979.92 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 11 — — $29,206.55 $88,561.50 $34,720.48 2025-11-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 9 3 — — $7,954.79 $64,887.37 $34,695.18 2025-11-01
9182 OTHER Inj Mogamulizumab-kpkc, 1 Mg 1 1 — — $34,656.70 $34,656.70 $34,656.70 2025-11-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 1 1 — — $34,603.07 $34,603.07 $34,603.07 2025-11-01
0720 RC Inj Glofitamab Gxbm, 2.5 Mg 1 1 — — $34,498.56 $34,498.56 $34,498.56 2025-11-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 12 — — $12,515.20 $143,468.96 $34,348.35 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 10 — — $17,441.02 $133,026.04 $33,997.94 2025-11-01
570 MS_DRG Skin Debridement With Mcc 5 5 — — $12,099.40 $81,036.36 $33,547.92 2025-11-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 10 — — $22,942.98 $84,860.96 $33,407.60 2025-11-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 33 16 — — $11,674.15 $136,473.46 $33,331.93 2025-11-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 5 — — $30,567.73 $76,725.70 $33,280.59 2025-11-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 9 7 — — $16,840.80 $92,745.25 $33,125.26 2025-11-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 11 — — $13,635.89 $118,258.49 $33,106.90 2025-11-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 18 9 — — $17,320.03 $203,529.94 $32,935.75 2025-11-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 25 16 — — $10,653.02 $298,304.64 $32,910.17 2025-11-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 1 1 — — $32,789.74 $32,789.74 $32,789.74 2025-11-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 12 8 — — $3,105.48 $64,849.92 $32,654.54 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 4 4 — — $7,239.54 $57,042.00 $32,623.94 2025-11-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 2 2 — — $27,882.46 $37,174.51 $32,528.49 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 8 — — $11,958.77 $181,305.00 $32,434.74 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 13 — — $8,838.16 $105,971.37 $32,398.28 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 5 — — $10,911.76 $80,468.88 $32,361.47 2025-11-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $20,519.74 $63,190.20 $32,265.89 2025-11-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 12 5 — — $9,886.21 $61,631.00 $31,888.70 2025-11-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 17 11 — — $8,547.17 $50,838.34 $31,860.76 2025-11-01
5232 OTHER Level 2 Icd And Similar Procedures 36 18 — — $15,098.85 $191,574.57 $31,780.04 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 22 10 — — $9,653.73 $100,046.26 $31,527.79 2025-11-01
666 MS_DRG Prostatectomy With Cc 7 5 — — $13,372.20 $39,335.88 $31,521.23 2025-11-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $14,237.65 $45,587.52 $31,257.54 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 13 — — $1,000.04 $91,834.57 $31,221.86 2025-11-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 4 3 — — $20,520.22 $62,011.10 $31,088.22 2025-11-01
9378 OTHER Daratumumab, Hyaluronidase 14 10 — — $18,037.38 $102,754.30 $30,948.85 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 12 — — $12,326.47 $262,614.58 $30,717.20 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 11 — — $16,226.89 $87,010.50 $30,669.65 2025-11-01
9284 OTHER Ipilimumab Injection 13 9 — — $1,327.60 $106,380.70 $30,645.56 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 26 14 — — $10,621.90 $87,017.44 $30,385.28 2025-11-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 4 — — $29,102.70 $194,400.00 $30,346.50 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 8 — — $14,285.55 $176,670.94 $30,235.62 2025-11-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 21 14 — — $102.86 $99,008.11 $29,982.00 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 8 6 — — $17,477.71 $49,269.00 $29,893.29 2025-11-01
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $29,891.66 $29,891.66 $29,891.66 2025-11-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 7 — — $13,815.73 $100,146.62 $29,879.55 2025-11-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/Mcc 5 3 — — $13,069.60 $66,723.81 $29,870.86 2025-11-01
113 MS_DRG Orbital Procedures With Cc/Mcc 5 4 — — $18,749.84 $56,067.90 $29,798.10 2025-11-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 35 18 — — $6,131.69 $206,594.25 $29,651.25 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 6 — — $6,909.11 $88,850.19 $29,492.33 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 7 — — $21,571.65 $94,514.00 $29,448.60 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 24 13 — — $11,539.55 $128,931.47 $29,247.92 2025-11-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 2 2 — — $20,706.01 $37,564.48 $29,135.25 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 10 — — $8,570.30 $84,799.10 $29,103.38 2025-11-01
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc 2 1 — — $24,446.10 $33,753.00 $29,099.55 2025-11-01
265 MS_DRG Aicd Lead Procedures 5 4 — — $26,912.74 $84,730.96 $28,910.14 2025-11-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 9 6 — — $8,937.71 $94,837.32 $28,780.99 2025-11-01
397 MS_DRG Appendix Procedures With Mcc 8 5 — — $17,725.24 $56,706.05 $28,496.72 2025-11-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 7 4 — — $10,345.76 $64,837.37 $28,482.35 2025-11-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 2 — — $13,580.92 $103,634.12 $28,452.55 2025-11-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 4 4 — — $10,201.64 $49,601.00 $28,423.65 2025-11-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 25 14 — — $8,685.50 $187,967.34 $28,420.00 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 11 — — $19,872.74 $73,319.84 $28,358.46 2025-11-01
711 MS_DRG Testes Procedures With Cc/Mcc 2 2 — — $25,659.84 $30,760.21 $28,210.03 2025-11-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 17 12 — — $9,102.69 $62,842.26 $28,146.17 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 7 — — $5,547.94 $85,366.01 $28,079.22 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 21 11 — — $1,035.16 $97,978.00 $28,045.72 2025-11-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 7 — — $9,384.06 $70,603.72 $27,975.42 2025-11-01
1848 OTHER Artiss Fibrin Sealant 11 6 — — $548.44 $81,729.91 $27,947.74 2025-11-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 10 — — $13,343.07 $76,585.40 $27,842.53 2025-11-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 11 — — $5,523.96 $158,794.98 $27,679.00 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 5 5 — — $25,083.69 $49,274.08 $27,628.09 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 7 — — $16,486.51 $110,572.63 $27,426.22 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 29 15 — — $9,969.55 $74,538.40 $27,362.99 2025-11-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 12 7 — — $11,306.81 $38,904.18 $27,145.83 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 15 11 — — $17,332.65 $113,526.00 $27,119.02 2025-11-01
849 MS_DRG Radiotherapy 9 8 — — $11,499.28 $42,403.27 $27,013.60 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 4 — — $14,702.18 $118,161.08 $26,935.95 2025-11-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 3 3 — — $11,738.97 $39,351.00 $26,870.68 2025-11-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 5 3 — — $10,655.77 $93,741.28 $26,837.57 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $21,709.47 $31,793.20 $26,751.33 2025-11-01
164 MS_DRG Major Chest Procedures With Cc 25 15 — — $5,900.78 $85,423.50 $26,728.75 2025-11-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 14 7 — — $6,673.22 $102,799.09 $26,537.53 2025-11-01
883 MS_DRG Disorders Of Personality And Impulse Control 7 5 — — $5,015.84 $36,937.17 $26,520.14 2025-11-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 12 9 — — $6,343.83 $104,526.74 $26,492.71 2025-11-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 7 5 — — $4,549.55 $73,893.89 $26,456.81 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 11 — — $15,071.23 $51,784.26 $26,280.92 2025-11-01
0768 OTHER Inj, Tarlatamab-dlle, 1 Mg 2 2 — — $23,995.80 $28,503.58 $26,249.69 2025-11-01
9390 OTHER Pertuzu, Trastuzu, 10 Mg 17 10 — — $4,779.55 $48,557.45 $26,244.00 2025-11-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 25 15 — — $6,085.80 $85,688.68 $26,241.00 2025-11-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 3 3 — — $16,261.50 $26,456.15 $26,171.21 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 22 12 — — $10,872.26 $91,176.00 $26,123.62 2025-11-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 13 — — $3,559.86 $90,691.34 $26,105.19 2025-11-01
902 MS_DRG Wound Debridements For Injuries With Cc 18 11 — — $10,586.45 $54,865.42 $26,091.81 2025-11-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 14 10 — — $16,322.26 $55,472.53 $26,056.70 2025-11-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/Mcc 8 5 — — $12,478.83 $52,156.65 $25,939.46 2025-11-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 34 16 — — $5,655.06 $102,823.25 $25,917.14 2025-11-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/Mcc 3 3 — — $13,767.45 $31,664.61 $25,912.10 2025-11-01
9431 OTHER Inj, Dostarlimab-gxly, 10 Mg 1 1 — — $25,793.83 $25,793.83 $25,793.83 2025-11-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 27 14 — — $300.00 $125,341.92 $25,659.60 2025-11-01
505 MS_DRG Foot Procedures Without Cc/Mcc 5 4 — — $11,703.94 $35,838.40 $25,646.68 2025-11-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 15 11 — — $17,226.68 $164,178.44 $25,642.34 2025-11-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 10 7 — — $9,201.06 $68,178.30 $25,615.28 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 14 — — $12,970.27 $90,217.91 $25,570.32 2025-11-01
5116 OTHER Level 6 Musculoskeletal Procedures 49 24 — — $7,952.04 $124,683.78 $25,463.36 2026-04-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 4 4 — — $15,541.55 $31,162.00 $25,434.00 2025-11-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 6 — — $22,254.07 $81,841.13 $25,342.58 2025-11-01
665 MS_DRG Prostatectomy With Mcc 3 3 — — $25,267.96 $71,049.30 $25,316.95 2025-11-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 25 14 — — $4,700.42 $80,666.50 $24,901.50 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 8 — — $22,315.94 $28,018.60 $24,773.64 2025-11-01
115 MS_DRG Extraocular Procedures Except Orbit 7 6 — — $12,300.36 $45,410.54 $24,676.37 2025-11-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 14 7 — — $15,401.00 $45,123.70 $24,642.25 2025-11-01
9389 OTHER Inj. Lurbinectedin, 0.1 Mg 8 6 — — $16,104.76 $50,061.82 $24,316.12 2025-11-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 18 11 — — $13,472.62 $46,797.81 $24,283.90 2025-11-01
398 MS_DRG Appendix Procedures With Cc 15 8 — — $3,797.48 $40,276.48 $24,170.06 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 8 7 — — $10,714.20 $53,512.49 $24,152.10 2025-11-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 11 — — $3,762.76 $61,672.28 $24,122.70 2025-11-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/Mcc 6 5 — — $12,755.40 $30,657.18 $24,069.31 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $21,392.69 $26,575.92 $23,984.31 2025-11-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 15 9 — — $15,299.88 $73,151.33 $23,921.23 2025-11-01
503 MS_DRG Foot Procedures With Mcc 7 6 — — $10,637.52 $40,191.19 $23,911.90 2025-11-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 17 11 — — $13,195.00 $65,740.19 $23,670.74 2025-11-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 8 — — $21,512.41 $195,795.69 $23,578.44 2025-11-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 12 — — $7,746.74 $73,949.53 $23,543.34 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 4 — — $21,560.73 $57,373.38 $23,541.72 2025-11-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 15 — — $11,706.27 $215,827.85 $23,505.85 2025-11-01
137 MS_DRG Mouth Procedures With Cc/Mcc 7 4 — — $12,474.68 $51,884.00 $23,492.83 2025-11-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 14 11 — — $6,548.00 $67,200.00 $23,455.10 2025-11-01
334 MS_DRG Rectal Resection Without Cc/Mcc 4 3 — — $13,851.10 $34,266.00 $23,441.53 2025-11-01
253 MS_DRG Other Vascular Procedures With Cc 23 14 — — $10,443.80 $100,668.57 $23,366.91 2025-11-01
905 MS_DRG Skin Grafts For Injuries Without Cc/Mcc 3 3 — — $13,735.94 $49,229.01 $23,332.14 2025-11-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 11 7 — — $6,719.91 $51,534.96 $23,193.21 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 29 17 — — $7,305.69 $88,912.70 $23,181.65 2025-11-01
836 MS_DRG Acute Leukemia Without Cc/Mcc 8 5 — — $6,103.58 $95,604.98 $23,151.54 2025-11-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 3 3 — — $12,877.03 $28,372.00 $23,118.19 2025-11-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 5 5 — — $12,174.19 $28,375.39 $23,117.84 2025-11-01
945 MS_DRG Rehabilitation With Cc/Mcc 24 13 — — $1,373.00 $117,862.48 $23,098.26 2025-11-01
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