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

COLQUITT REGIONAL MEDICAL CENTER

Moultrie, GA · CCN 110105 · Rates published

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You selected 93306 (CPT)

COMPLETE ECHOCARDIOGRAM

This hospital’s price: $2,238 across 21 payers · range $61-$2,375

Source: https://colquittregional.com/wp-content/uploads/580607088_hospital-authority-of-colquitt-county_standardcharges.csv · observed 2026-04-13

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.

4,956 distinct procedures filed
21 distinct payers
547,060 rate rows
2026-04-13 last MRF observed
Data quality

545,259 of 547,060 rate rows are consumer-grade (99.7%)

1,801 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 1,392
exceeds 10× this hospital's gross charge — excluded from medians 213
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 98
percent-of-charges filed in the dollar field — excluded from medians 88
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://colquittregional.com/wp-content/uploads/580607088_hospital-authority-of-colquitt-county_standardcharges.csv
Found on page https://colquittregional.com/patient-resources/finance-and-billing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint a75acb50733ce104… · 71,812,480 bytes · first seen 2026-05-11

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
3
OTHER 		Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 21 $531,497.87 $603,974.85 $603,974.85 nat. median
$204,908
outlier · 2.9×
3
MS_DRG 		Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 19 $603,974.85 $603,974.85 $603,974.85 nat. median
$190,359
outlier · 3.2×
4
MS_DRG 		Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 19 $314,957.06 $314,957.06 $314,957.06 nat. median
$126,461
outlier · 2.5×
4
OTHER 		Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 21 $277,162.21 $314,957.06 $314,957.06 nat. median
$141,414
outlier · 2.2×
606
MS_DRG 		Minor Skin Disorders W Mcc 21 $162,162.56 $184,275.64 $184,275.64 nat. median
$14,895
outlier · 12.4×
239
MS_DRG 		Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 21 $149,719.35 $170,135.63 $170,135.63 nat. median
$45,172
outlier · 3.8×
577
MS_DRG 		Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 21 $132,091.12 $150,103.54 $150,103.54 nat. median
$25,133
outlier · 6.0×
356
MS_DRG 		Other Digestive System O.r. Procedures W Mcc 21 $128,299.33 $145,794.69 $145,794.69 nat. median
$40,205
outlier · 3.6×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 21 $125,058.52 $142,111.96 $142,111.96 nat. median
$70,795
outlier · 2.0×
981
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 21 $115,858.80 $131,657.73 $131,657.73 nat. median
$43,609
outlier · 3.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma W Mcc 21 $114,186.83 $129,757.76 $129,757.76 nat. median
$67,908
1.9× median
207
MS_DRG 		Respiratory System Diagnosis W Ventilator Support >96 Hours 21 $112,117.66 $127,406.43 $127,406.43 nat. median
$59,324
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis W Mv >96 Hours 21 $101,546.41 $115,393.65 $115,393.65 nat. median
$62,577
1.8× median
163
MS_DRG 		Major Chest Procedures W Mcc 21 $98,419.51 $111,840.35 $111,840.35 nat. median
$42,636
outlier · 2.6×
270
MS_DRG 		Other Major Cardiovascular Procedures W Mcc 21 $98,181.08 $111,569.41 $111,569.41 nat. median
$49,305
outlier · 2.3×
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Cc 21 $96,577.47 $109,747.12 $109,747.12 nat. median
$49,522
outlier · 2.2×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 21 $92,310.94 $104,898.80 $104,898.80 nat. median
$31,587
outlier · 3.3×
983
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc 21 $91,102.00 $103,525.00 $103,525.00 nat. median
$16,546
outlier · 6.3×
33249
CPT 		Aicd With Lead(s) 21 $908.85 $104,796.00 $98,780.00 nat. median
$31,620
outlier · 3.1×
477
MS_DRG 		Biopsies Of Musculoskeletal System & Connective Tissue W Mcc 21 $86,285.91 $98,052.17 $98,052.17 nat. median
$31,866
outlier · 3.1×
247
MS_DRG 		Perc Cardiovasc Proc W Drug-eluting Stent Without Mcc 21 $85,152.24 $96,763.91 $96,763.91 nat. median
$12,886
outlier · 7.5×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant W Mcc 21 $83,209.83 $94,556.63 $94,556.63 nat. median
$30,977
outlier · 3.1×
934
MS_DRG 		Full Thickness Burn Without Skin Graft Or Inhal Inj 21 $82,652.97 $93,923.83 $93,923.83 nat. median
$20,301
outlier · 4.6×
455
MS_DRG 		Combined Anterior/posterior Spinal Fusion Without Cc/mcc 21 $82,073.43 $93,265.26 $93,265.26 nat. median
$38,810
outlier · 2.4×
Q2043
HCPCS 		Provenge 21 $53,981.46 $98,513.00 $92,858.00 nat. median
$65,720
1.4× median
853
MS_DRG 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 21 $81,519.12 $92,635.36 $92,635.36 nat. median
$45,362
outlier · 2.0×
335
MS_DRG 		Peritoneal Adhesiolysis W Mcc 21 $80,525.50 $91,506.25 $91,506.25 nat. median
$33,064
outlier · 2.8×
246
MS_DRG 		Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 21 $79,914.01 $90,811.37 $90,811.37 nat. median
$20,454
outlier · 4.4×
374
MS_DRG 		Digestive Malignancy W Mcc 21 $78,932.33 $89,695.83 $89,695.83 nat. median
$20,125
outlier · 4.5×
341
MS_DRG 		Appendectomy Without Complicated Principal Diag W Mcc 21 $75,780.20 $86,113.86 $86,113.86 nat. median
$14,666
outlier · 5.9×
252
MS_DRG 		Other Vascular Procedures W Mcc 21 $75,540.33 $85,841.28 $85,841.28 nat. median
$32,644
outlier · 2.6×
329
MS_DRG 		Major Small & Large Bowel Procedures W Mcc 21 $73,056.50 $83,018.75 $83,018.75 nat. median
$42,609
1.9× median
243
MS_DRG 		Permanent Cardiac Pacemaker Implant W Cc 21 $72,684.97 $82,596.56 $82,596.56 nat. median
$21,235
outlier · 3.9×
511
MS_DRG 		Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc W Cc 21 $72,516.78 $82,405.43 $82,405.43 nat. median
$19,647
outlier · 4.2×
497
MS_DRG 		Local Excision & Removal Int Fix Devices Exc Hip & Femur Without Cc/mcc 21 $72,446.48 $82,325.55 $82,325.55 nat. median
$13,000
outlier · 6.3×
664
MS_DRG 		Minor Bladder Procedures Without Cc/mcc 21 $72,406.82 $82,280.48 $82,280.48 nat. median
$11,064
outlier · 7.4×
539
MS_DRG 		Osteomyelitis W Mcc 21 $72,135.45 $81,972.10 $81,972.10 nat. median
$18,822
outlier · 4.4×
33264
CPT 		Rmvl & Rplcmt Defib Gen Mlt Ld 21 $355.88 $81,600.00 $81,600.00 nat. median
$31,574
outlier · 2.6×
467
MS_DRG 		Revision Of Hip Or Knee Replacement W Cc 21 $71,744.39 $81,527.72 $81,527.72 nat. median
$32,585
outlier · 2.5×
164
MS_DRG 		Major Chest Procedures W Cc 21 $68,642.81 $78,003.19 $78,003.19 nat. median
$24,221
outlier · 3.2×
95
OTHER 		Bacterial & Tuberculous Infections Of Nervous System W Cc 21 $66,815.14 $75,926.30 $75,926.30 nat. median
$25,900
outlier · 2.9×
95
MS_DRG 		Bacterial & Tuberculous Infections Of Nervous System W Cc 19 $75,926.30 $75,926.30 $75,926.30 nat. median
$23,568
outlier · 3.2×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 21 $66,121.33 $75,137.87 $75,137.87 nat. median
$25,650
outlier · 2.9×
739
MS_DRG 		Uterine, Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 21 $64,311.18 $73,080.89 $73,080.89 nat. median
$34,633
outlier · 2.1×
385
MS_DRG 		Inflammatory Bowel Disease W Mcc 21 $63,008.61 $71,600.69 $71,600.69 nat. median
$15,345
outlier · 4.7×
856
MS_DRG 		Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 21 $62,660.07 $71,204.62 $71,204.62 nat. median
$41,655
1.7× median
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 19 $70,056.40 $70,056.40 $70,056.40 nat. median
$25,952
outlier · 2.7×
61
OTHER 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 21 $61,649.63 $70,056.40 $70,056.40 nat. median
$29,183
outlier · 2.4×
486
MS_DRG 		Knee Procedures W Pdx Of Infection W Cc 21 $61,250.84 $69,603.23 $69,603.23 nat. median
$20,195
outlier · 3.4×
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/mcc 21 $59,383.57 $67,481.33 $67,481.33 nat. median
$24,816
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 4,956 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 OTHER Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 42 21 $603,974.85 $603,974.85 $531,497.87 $603,974.85 $603,974.85 2026-04-13
3 MS_DRG Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 19 19 $603,974.85 $603,974.85 $603,974.85 $603,974.85 $603,974.85 2023-10-01
4 MS_DRG Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 19 19 $314,957.06 $314,957.06 $314,957.06 $314,957.06 $314,957.06 2023-10-01
4 OTHER Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 42 21 $314,957.06 $314,957.06 $277,162.21 $314,957.06 $314,957.06 2026-04-13
606 MS_DRG Minor Skin Disorders W Mcc 61 21 $184,275.64 $184,275.64 $162,162.56 $184,275.64 $184,275.64 2026-04-13
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 61 21 $170,135.63 $170,135.63 $149,719.35 $170,135.63 $170,135.63 2026-04-13
577 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 61 21 $150,103.54 $150,103.54 $132,091.12 $150,103.54 $150,103.54 2026-04-13
356 MS_DRG Other Digestive System O.r. Procedures W Mcc 61 21 $145,794.69 $145,794.69 $128,299.33 $145,794.69 $145,794.69 2026-04-13
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 61 21 $142,111.96 $142,111.96 $125,058.52 $142,111.96 $142,111.96 2026-04-13
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 61 21 $131,657.73 $131,657.73 $115,858.80 $131,657.73 $131,657.73 2026-04-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma W Mcc 61 21 $129,757.76 $129,757.76 $114,186.83 $129,757.76 $129,757.76 2026-04-13
207 MS_DRG Respiratory System Diagnosis W Ventilator Support >96 Hours 61 21 $127,406.43 $127,406.43 $112,117.66 $127,406.43 $127,406.43 2026-04-13
870 MS_DRG Septicemia Or Severe Sepsis W Mv >96 Hours 61 21 $115,393.65 $115,393.65 $101,546.41 $115,393.65 $115,393.65 2026-04-13
163 MS_DRG Major Chest Procedures W Mcc 61 21 $111,840.35 $111,840.35 $98,419.51 $111,840.35 $111,840.35 2026-04-13
270 MS_DRG Other Major Cardiovascular Procedures W Mcc 61 21 $111,569.41 $111,569.41 $98,181.08 $111,569.41 $111,569.41 2026-04-13
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 61 21 $109,747.12 $109,747.12 $96,577.47 $109,747.12 $109,747.12 2026-04-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 61 21 $104,898.80 $104,898.80 $92,310.94 $104,898.80 $104,898.80 2026-04-13
983 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc 61 21 $103,525.00 $103,525.00 $91,102.00 $103,525.00 $103,525.00 2026-04-13
33249 CPT Aicd With Lead(s) 102 21 $98,780.00 $98,780.00 $908.85 $104,796.00 $98,780.00 2026-04-13
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue W Mcc 61 21 $98,052.17 $98,052.17 $86,285.91 $98,052.17 $98,052.17 2026-04-13
247 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent Without Mcc 61 21 $96,763.91 $96,763.91 $85,152.24 $96,763.91 $96,763.91 2026-04-13
242 MS_DRG Permanent Cardiac Pacemaker Implant W Mcc 61 21 $94,556.63 $94,556.63 $83,209.83 $94,556.63 $94,556.63 2026-04-13
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhal Inj 61 21 $93,923.83 $93,923.83 $82,652.97 $93,923.83 $93,923.83 2026-04-13
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 61 21 $93,265.26 $93,265.26 $82,073.43 $93,265.26 $93,265.26 2026-04-13
Q2043 HCPCS Provenge 102 21 $92,858.00 $92,858.00 $53,981.46 $98,513.00 $92,858.00 2026-04-13
853 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Mcc 61 21 $92,635.36 $92,635.36 $81,519.12 $92,635.36 $92,635.36 2026-04-13
335 MS_DRG Peritoneal Adhesiolysis W Mcc 61 21 $91,506.25 $91,506.25 $80,525.50 $91,506.25 $91,506.25 2026-04-13
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 61 21 $90,811.37 $90,811.37 $79,914.01 $90,811.37 $90,811.37 2026-04-13
374 MS_DRG Digestive Malignancy W Mcc 61 21 $89,695.83 $89,695.83 $78,932.33 $89,695.83 $89,695.83 2026-04-13
341 MS_DRG Appendectomy Without Complicated Principal Diag W Mcc 61 21 $86,113.86 $86,113.86 $75,780.20 $86,113.86 $86,113.86 2026-04-13
252 MS_DRG Other Vascular Procedures W Mcc 61 21 $85,841.28 $85,841.28 $75,540.33 $85,841.28 $85,841.28 2026-04-13
329 MS_DRG Major Small & Large Bowel Procedures W Mcc 61 21 $83,018.75 $83,018.75 $73,056.50 $83,018.75 $83,018.75 2026-04-13
243 MS_DRG Permanent Cardiac Pacemaker Implant W Cc 61 21 $82,596.56 $82,596.56 $72,684.97 $82,596.56 $82,596.56 2026-04-13
511 MS_DRG Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc W Cc 61 21 $82,405.43 $82,405.43 $72,516.78 $82,405.43 $82,405.43 2026-04-13
497 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur Without Cc/mcc 61 21 $82,325.55 $82,325.55 $72,446.48 $82,325.55 $82,325.55 2026-04-13
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 61 21 $82,280.48 $82,280.48 $72,406.82 $82,280.48 $82,280.48 2026-04-13
539 MS_DRG Osteomyelitis W Mcc 61 21 $81,972.10 $81,972.10 $72,135.45 $81,972.10 $81,972.10 2026-04-13
33264 CPT Rmvl & Rplcmt Defib Gen Mlt Ld 44 21 $81,600.00 $81,600.00 $355.88 $81,600.00 $81,600.00 2026-04-13
467 MS_DRG Revision Of Hip Or Knee Replacement W Cc 61 21 $81,527.72 $81,527.72 $71,744.39 $81,527.72 $81,527.72 2026-04-13
164 MS_DRG Major Chest Procedures W Cc 61 21 $78,003.19 $78,003.19 $68,642.81 $78,003.19 $78,003.19 2026-04-13
95 OTHER Bacterial & Tuberculous Infections Of Nervous System W Cc 42 21 $75,926.30 $75,926.30 $66,815.14 $75,926.30 $75,926.30 2026-04-13
95 MS_DRG Bacterial & Tuberculous Infections Of Nervous System W Cc 19 19 $75,926.30 $75,926.30 $75,926.30 $75,926.30 $75,926.30 2023-10-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 61 21 $75,137.87 $75,137.87 $66,121.33 $75,137.87 $75,137.87 2026-04-13
739 MS_DRG Uterine, Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 61 21 $73,080.89 $73,080.89 $64,311.18 $73,080.89 $73,080.89 2026-04-13
385 MS_DRG Inflammatory Bowel Disease W Mcc 61 21 $71,600.69 $71,600.69 $63,008.61 $71,600.69 $71,600.69 2026-04-13
856 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 61 21 $71,204.62 $71,204.62 $62,660.07 $71,204.62 $71,204.62 2026-04-13
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 19 19 $70,056.40 $70,056.40 $70,056.40 $70,056.40 $70,056.40 2023-10-01
61 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 42 21 $70,056.40 $70,056.40 $61,649.63 $70,056.40 $70,056.40 2026-04-13
486 MS_DRG Knee Procedures W Pdx Of Infection W Cc 61 21 $69,603.23 $69,603.23 $61,250.84 $69,603.23 $69,603.23 2026-04-13
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 61 21 $67,481.33 $67,481.33 $59,383.57 $67,481.33 $67,481.33 2026-04-13
271 MS_DRG Other Major Cardiovascular Procedures W Cc 61 21 $67,097.17 $67,097.17 $59,045.51 $67,097.17 $67,097.17 2026-04-13
492 MS_DRG Lower Extrem & Humer Proc Except Hip, Foot, Femur W Mcc 61 21 $66,427.66 $66,427.66 $58,456.34 $66,427.66 $66,427.66 2026-04-13
479 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue Without Cc/mcc 61 21 $66,318.08 $66,318.08 $58,359.91 $66,318.08 $66,318.08 2026-04-13
786 MS_DRG Cesarean Section Without Sterilization W Mcc 61 21 $65,622.43 $65,622.43 $57,747.74 $65,622.43 $65,622.43 2026-04-13
503 MS_DRG Foot Procedures W Mcc 61 21 $65,551.58 $65,551.58 $57,685.39 $65,551.58 $65,551.58 2026-04-13
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 61 21 $64,970.40 $64,970.40 $57,173.95 $64,970.40 $64,970.40 2026-04-13
326 MS_DRG Stomach, Esophageal & Duodenal Proc W Mcc 61 21 $63,365.22 $63,365.22 $55,761.39 $63,365.22 $63,365.22 2026-04-13
551 MS_DRG Medical Back Problems W Mcc 61 21 $63,121.19 $63,121.19 $55,546.65 $63,121.19 $63,121.19 2026-04-13
253 MS_DRG Other Vascular Procedures W Cc 61 21 $62,459.10 $62,459.10 $54,964.01 $62,459.10 $62,459.10 2026-04-13
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 61 21 $61,380.38 $61,380.38 $54,014.73 $61,380.38 $61,380.38 2026-04-13
674 MS_DRG Other Kidney & Urinary Tract Procedures W Cc 61 21 $61,160.97 $61,160.97 $53,821.65 $61,160.97 $61,160.97 2026-04-13
41 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 19 19 $60,269.40 $60,269.40 $60,269.40 $60,269.40 $60,269.40 2023-10-01
41 OTHER Periph/cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 42 21 $60,269.40 $60,269.40 $53,037.07 $60,269.40 $60,269.40 2026-04-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity W Mcc Or… 61 21 $60,116.36 $60,116.36 $52,902.40 $60,116.36 $60,116.36 2026-04-13
68 MS_DRG Nonspecific Cva & Precerebral Occlusion Without Infarct Without Mcc 19 19 $59,635.10 $59,635.10 $59,635.10 $59,635.10 $59,635.10 2023-10-01
68 OTHER Nonspecific Cva & Precerebral Occlusion Without Infarct Without Mcc 42 21 $59,635.10 $59,635.10 $52,478.89 $59,635.10 $59,635.10 2026-04-13
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc 61 21 $58,899.97 $58,899.97 $51,831.97 $58,899.97 $58,899.97 2026-04-13
480 MS_DRG Hip & Femur Procedures Except Major Joint W Mcc 61 21 $58,615.26 $58,615.26 $51,581.43 $58,615.26 $58,615.26 2026-04-13
585 MS_DRG Breast Biopsy, Local Excision & Other Breast Procedures Without Cc/mcc 61 21 $58,475.18 $58,475.18 $51,458.16 $58,475.18 $58,475.18 2026-04-13
350 MS_DRG Inguinal & Femoral Hernia Procedures W Mcc 61 21 $58,310.50 $58,310.50 $51,313.24 $58,310.50 $58,310.50 2026-04-13
33263 CPT Icd Gen Chg Out Dual Lead 102 21 $58,292.00 $58,292.00 $326.57 $61,842.00 $58,292.00 2026-04-13
444 MS_DRG Disorders Of The Biliary Tract W Mcc 61 21 $57,827.97 $57,827.97 $50,888.61 $57,827.97 $57,827.97 2026-04-13
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Cc 61 21 $57,558.32 $57,558.32 $50,651.32 $57,558.32 $57,558.32 2026-04-13
907 MS_DRG Other O.r. Procedures For Injuries W Mcc 61 21 $56,269.92 $56,269.92 $49,517.53 $56,269.92 $56,269.92 2026-04-13
264 MS_DRG Other Circulatory System O.r. Procedures 61 21 $55,841.74 $55,841.74 $49,140.73 $55,841.74 $55,841.74 2026-04-13
740 MS_DRG Uterine, Adnexa Proc For Non-ovarian/adnexal Malig W Cc 61 21 $55,825.08 $55,825.08 $49,126.07 $55,825.08 $55,825.08 2026-04-13
854 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Cc 61 21 $55,502.79 $55,502.79 $48,842.46 $55,502.79 $55,502.79 2026-04-13
579 MS_DRG Other Skin, Subcut Tiss & Breast Proc W Mcc 61 21 $55,116.48 $55,116.48 $48,502.50 $55,116.48 $55,116.48 2026-04-13
C1822 HCPCS Stimq Neurostimulator Receiver 106 21 $55,067.00 $55,067.00 $47,908.29 $58,422.00 $55,067.00 2026-04-13
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 61 21 $53,581.98 $53,581.98 $47,152.14 $53,581.98 $53,581.98 2026-04-13
377 MS_DRG G.i. Hemorrhage W Mcc 61 21 $53,560.70 $53,560.70 $47,133.42 $53,560.70 $53,560.70 2026-04-13
604 MS_DRG Trauma To The Skin, Subcut Tiss & Breast W Mcc 61 21 $53,456.64 $53,456.64 $47,041.84 $53,456.64 $53,456.64 2026-04-13
354 MS_DRG Hernia Procedures Except Inguinal & Femoral W Cc 61 21 $53,171.63 $53,171.63 $46,791.03 $53,171.63 $53,171.63 2026-04-13
64 OTHER Intracranial Hemorrhage Or Cerebral Infarction W Mcc 42 21 $53,086.49 $53,086.49 $46,716.11 $53,086.49 $53,086.49 2026-04-13
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Mcc 19 19 $53,086.49 $53,086.49 $53,086.49 $53,086.49 $53,086.49 2023-10-01
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 61 21 $52,653.84 $52,653.84 $46,335.38 $52,653.84 $52,653.84 2026-04-13
710 MS_DRG Penis Procedures Without Cc/mcc 61 21 $52,647.77 $52,647.77 $46,330.04 $52,647.77 $52,647.77 2026-04-13
342 MS_DRG Appendectomy Without Complicated Principal Diag W Cc 61 21 $52,461.60 $52,461.60 $46,166.21 $52,461.60 $52,461.60 2026-04-13
330 MS_DRG Major Small & Large Bowel Procedures W Cc 61 21 $52,233.66 $52,233.66 $45,965.62 $52,233.66 $52,233.66 2026-04-13
263 MS_DRG Vein Ligation & Stripping 61 21 $52,213.17 $52,213.17 $45,947.59 $52,213.17 $52,213.17 2026-04-13
974 MS_DRG HIV W Major Related Condition W Mcc 61 21 $51,797.56 $51,797.56 $45,581.85 $51,797.56 $51,797.56 2026-04-13
519 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc 61 21 $51,256.30 $51,256.30 $45,105.54 $51,256.30 $51,256.30 2026-04-13
62 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 42 21 $51,076.00 $51,076.00 $44,946.88 $51,076.00 $51,076.00 2026-04-13
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 19 19 $51,076.00 $51,076.00 $51,076.00 $51,076.00 $51,076.00 2023-10-01
522 MS_DRG Tbd 61 21 $50,604.45 $50,604.45 $44,531.92 $50,604.45 $50,604.45 2026-04-13
75 MS_DRG Viral Meningitis W Cc/mcc 19 19 $50,170.99 $50,170.99 $50,170.99 $50,170.99 $50,170.99 2023-10-01
75 OTHER Viral Meningitis W Cc/mcc 42 21 $50,170.99 $50,170.99 $44,150.47 $50,170.99 $50,170.99 2026-04-13
33262 CPT Icd Gen Chg Out Single Lead 102 21 $50,044.00 $50,044.00 $314.21 $53,092.00 $50,044.00 2026-04-13
481 MS_DRG Hip & Femur Procedures Except Major Joint W Cc 61 21 $49,342.52 $49,342.52 $43,421.42 $49,342.52 $49,342.52 2026-04-13
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement W Mcc 61 21 $48,714.17 $48,714.17 $42,868.47 $48,714.17 $48,714.17 2026-04-13
504 MS_DRG Foot Procedures W Cc 61 21 $48,713.99 $48,713.99 $42,868.31 $48,713.99 $48,713.99 2026-04-13
738 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy Without Cc/mcc 61 21 $48,432.58 $48,432.58 $42,620.67 $48,432.58 $48,432.58 2026-04-13
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. W Mcc 61 21 $48,307.61 $48,307.61 $42,510.70 $48,307.61 $48,307.61 2026-04-13
199 MS_DRG Pneumothorax W Mcc 61 21 $48,026.39 $48,026.39 $42,263.22 $48,026.39 $48,026.39 2026-04-13
63 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 42 21 $47,903.33 $47,903.33 $42,154.93 $47,903.33 $47,903.33 2026-04-13
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 19 19 $47,903.33 $47,903.33 $47,903.33 $47,903.33 $47,903.33 2023-10-01
669 MS_DRG Transurethral Procedures W Cc 61 21 $47,898.80 $47,898.80 $42,150.94 $47,898.80 $47,898.80 2026-04-13
C1820 HCPCS Dcs Spectra Generator 362 21 $47,895.00 $47,895.00 $26,642.88 $93,413.00 $47,895.00 2026-04-13
673 MS_DRG Other Kidney & Urinary Tract Procedures W Mcc 61 21 $47,760.69 $47,760.69 $42,029.41 $47,760.69 $47,760.69 2026-04-13
792 MS_DRG Prematurity Without Major Problems 61 21 $47,757.19 $47,757.19 $42,026.33 $47,757.19 $47,757.19 2026-04-13
482 MS_DRG Hip & Femur Procedures Except Major Joint Without Cc/mcc 61 21 $47,600.23 $47,600.23 $41,888.20 $47,600.23 $47,600.23 2026-04-13
896 MS_DRG Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc 61 21 $47,472.33 $47,472.33 $41,775.65 $47,472.33 $47,472.33 2026-04-13
288 MS_DRG Acute & Subacute Endocarditis W Mcc 61 21 $47,342.04 $47,342.04 $41,661.00 $47,342.04 $47,342.04 2026-04-13
488 MS_DRG Knee Procedures Without Pdx Of Infection W Cc/mcc 61 21 $47,171.67 $47,171.67 $41,511.07 $47,171.67 $47,171.67 2026-04-13
67 OTHER Nonspecific Cva & Precerebral Occlusion Without Infarct W Mcc 42 21 $47,143.15 $47,143.15 $41,485.97 $47,143.15 $47,143.15 2026-04-13
67 MS_DRG Nonspecific Cva & Precerebral Occlusion Without Infarct W Mcc 19 19 $47,143.15 $47,143.15 $47,143.15 $47,143.15 $47,143.15 2023-10-01
C1767 HCPCS Interstim Neurogenerator 170 21 $47,071.00 $47,071.00 $26,950.86 $55,620.00 $47,071.00 2026-04-13
183 MS_DRG Major Chest Trauma W Mcc 61 21 $46,443.36 $46,443.36 $40,870.16 $46,443.36 $46,443.36 2026-04-13
52 MS_DRG Spinal Disorders & Injuries W Cc/mcc 19 19 $46,222.33 $46,222.33 $46,222.33 $46,222.33 $46,222.33 2023-10-01
52 OTHER Spinal Disorders & Injuries W Cc/mcc 42 21 $46,222.33 $46,222.33 $40,675.65 $46,222.33 $46,222.33 2026-04-13
876 MS_DRG O.r. Procedure W Principal Diagnoses Of Mental Illness 61 21 $45,740.64 $45,740.64 $40,251.76 $45,740.64 $45,740.64 2026-04-13
917 MS_DRG Poisoning & Toxic Effects Of Drugs W Mcc 61 21 $45,275.99 $45,275.99 $39,842.87 $45,275.99 $45,275.99 2026-04-13
466 MS_DRG Revision Of Hip Or Knee Replacement W Mcc 61 21 $45,182.18 $45,182.18 $39,760.32 $45,182.18 $45,182.18 2026-04-13
C1722 HCPCS Aicd - Single Gen 170 21 $44,940.00 $44,940.00 $9,806.64 $47,678.00 $44,940.00 2026-04-13
C1721 HCPCS Aicd Duan Gen 106 21 $44,940.00 $44,940.00 $39,097.80 $47,678.00 $44,940.00 2026-04-13
37230 CPT Tibial/peroneal Stent 70 21 $44,373.00 $44,373.00 $7,126.76 $44,373.00 $44,373.00 2026-04-13
37231 CPT Tibial/peroneal Stent W/ather 70 21 $44,373.00 $44,373.00 $11,439.45 $44,373.00 $44,373.00 2026-04-13
37229 CPT Tibial/peroneal Atherectomy 70 21 $44,373.00 $44,373.00 $9,072.06 $44,373.00 $44,373.00 2026-04-13
G2170 HCPCS Percut Creation Av Fistula 64 21 $43,884.00 $43,884.00 $38,179.08 $43,884.00 $43,884.00 2026-04-13
42 OTHER Periph/cranial Nerve & Other Nerv Syst Proc Without Cc/mcc 42 21 $43,852.51 $43,852.51 $38,590.21 $43,852.51 $43,852.51 2026-04-13
42 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc Without Cc/mcc 19 19 $43,852.51 $43,852.51 $43,852.51 $43,852.51 $43,852.51 2023-10-01
294 MS_DRG Deep Vein Thrombophlebitis W Cc/mcc 61 21 $43,694.45 $43,694.45 $38,451.12 $43,694.45 $43,694.45 2026-04-13
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement W Cc 61 21 $43,691.28 $43,691.28 $38,448.33 $43,691.28 $43,691.28 2026-04-13
C9774 HCPCS Ivl Tibial/peroneal 97 21 $43,503.00 $43,503.00 $17,177.60 $46,153.00 $43,503.00 2026-04-13
493 MS_DRG Lower Extrem & Humer Proc Except Hip, Foot, Femur W Cc 61 21 $43,399.36 $43,399.36 $38,191.44 $43,399.36 $43,399.36 2026-04-13
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders W Mcc 61 21 $43,364.51 $43,364.51 $38,160.77 $43,364.51 $43,364.51 2026-04-13
286 MS_DRG Circulatory Disorders Except Ami, W Card Cath W Mcc 61 21 $43,227.60 $43,227.60 $38,040.29 $43,227.60 $43,227.60 2026-04-13
654 MS_DRG Major Bladder Procedures W Cc 61 21 $42,869.64 $42,869.64 $37,725.28 $42,869.64 $42,869.64 2026-04-13
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 61 21 $42,622.45 $42,622.45 $37,507.76 $42,622.45 $42,622.45 2026-04-13
919 MS_DRG Complications Of Treatment W Mcc 61 21 $42,618.54 $42,618.54 $37,504.32 $42,618.54 $42,618.54 2026-04-13
543 MS_DRG Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc 61 21 $42,610.11 $42,610.11 $37,496.90 $42,610.11 $42,610.11 2026-04-13
C1882 HCPCS Biventricular Generator 106 21 $42,490.00 $42,490.00 $36,966.30 $45,078.00 $42,490.00 2026-04-13
623 MS_DRG Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc 61 21 $42,484.01 $42,484.01 $37,385.93 $42,484.01 $42,484.01 2026-04-13
0238T OTHER Atherectomy Iliac Artery 74 21 $42,421.00 $42,421.00 $17,177.60 $45,005.00 $42,421.00 2026-04-13
0238T CPT Atherectomy Iliac Artery 23 20 $42,421.00 $42,421.00 $17,177.60 $42,421.00 $42,421.00 2023-10-01
412 MS_DRG Cholecystectomy W C.d.e. W Cc 61 21 $42,225.79 $42,225.79 $37,158.70 $42,225.79 $42,225.79 2026-04-13
296 MS_DRG Cardiac Arrest, Unexplained W Mcc 61 21 $42,138.37 $42,138.37 $37,081.77 $42,138.37 $42,138.37 2026-04-13
339 MS_DRG Appendectomy W Complicated Principal Diag W Cc 61 21 $42,046.48 $42,046.48 $37,000.90 $42,046.48 $42,046.48 2026-04-13
180 MS_DRG Respiratory Neoplasms W Mcc 61 21 $41,970.95 $41,970.95 $36,934.44 $41,970.95 $41,970.95 2026-04-13
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 61 21 $41,851.27 $41,851.27 $36,829.12 $41,851.27 $41,851.27 2026-04-13
388 MS_DRG G.i. Obstruction W Mcc 61 21 $41,553.26 $41,553.26 $36,566.87 $41,553.26 $41,553.26 2026-04-13
36906 CPT Thrombolysis Stent 102 21 $41,523.00 $41,523.00 $5,819.09 $44,052.00 $41,523.00 2026-04-13
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc 61 21 $41,395.48 $41,395.48 $36,428.02 $41,395.48 $41,395.48 2026-04-13
327 MS_DRG Stomach, Esophageal & Duodenal Proc W Cc 61 21 $41,368.67 $41,368.67 $36,404.43 $41,368.67 $41,368.67 2026-04-13
208 MS_DRG Respiratory System Diagnosis W Ventilator Support <=96 Hours 61 21 $41,353.94 $41,353.94 $36,391.47 $41,353.94 $41,353.94 2026-04-13
189 MS_DRG Pulmonary Edema & Respiratory Failure 61 21 $41,178.21 $41,178.21 $36,236.82 $41,178.21 $41,178.21 2026-04-13
844 MS_DRG Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Cc 61 21 $40,854.98 $40,854.98 $35,952.38 $40,854.98 $40,854.98 2026-04-13
496 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc 61 21 $40,797.56 $40,797.56 $35,901.85 $40,797.56 $40,797.56 2026-04-13
340 MS_DRG Appendectomy W Complicated Principal Diag Without Cc/mcc 61 21 $40,486.58 $40,486.58 $35,628.19 $40,486.58 $40,486.58 2026-04-13
562 MS_DRG Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc 61 21 $40,378.04 $40,378.04 $35,532.68 $40,378.04 $40,378.04 2026-04-13
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 61 21 $40,234.50 $40,234.50 $35,406.36 $40,234.50 $40,234.50 2026-04-13
582 MS_DRG Mastectomy For Malignancy W Cc/mcc 61 21 $40,012.05 $40,012.05 $35,210.60 $40,012.05 $40,012.05 2026-04-13
557 MS_DRG Tendonitis, Myositis & Bursitis W Mcc 61 21 $39,705.35 $39,705.35 $34,940.71 $39,705.35 $39,705.35 2026-04-13
501 MS_DRG Soft Tissue Procedures W Cc 61 21 $39,626.30 $39,626.30 $34,871.14 $39,626.30 $39,626.30 2026-04-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours W Mcc 61 21 $39,371.25 $39,371.25 $34,646.70 $39,371.25 $39,371.25 2026-04-13
657 MS_DRG Kidney & Ureter Procedures For Neoplasm W Cc 61 21 $39,190.09 $39,190.09 $34,487.28 $39,190.09 $39,190.09 2026-04-13
147 MS_DRG Ear, Nose, Mouth & Throat Malignancy W Cc 61 21 $39,182.82 $39,182.82 $34,480.88 $39,182.82 $39,182.82 2026-04-13
328 MS_DRG Stomach, Esophageal & Duodenal Proc Without Cc/mcc 61 21 $39,099.99 $39,099.99 $34,407.99 $39,099.99 $39,099.99 2026-04-13
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 61 21 $39,067.55 $39,067.55 $34,379.44 $39,067.55 $39,067.55 2026-04-13
438 MS_DRG Disorders Of Pancreas Except Malignancy W Mcc 61 21 $38,934.07 $38,934.07 $34,261.98 $38,934.07 $38,934.07 2026-04-13
616 MS_DRG Amputat Of Lower Limb For Endocrine, Nutrit, & Metabol Dis W Mcc 61 21 $38,844.25 $38,844.25 $34,182.94 $38,844.25 $38,844.25 2026-04-13
314 MS_DRG Other Circulatory System Diagnoses W Mcc 61 21 $38,703.43 $38,703.43 $34,059.02 $38,703.43 $38,703.43 2026-04-13
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 61 21 $38,529.74 $38,529.74 $33,906.17 $38,529.74 $38,529.74 2026-04-13
592 MS_DRG Skin Ulcers W Mcc 61 21 $38,400.24 $38,400.24 $33,792.21 $38,400.24 $38,400.24 2026-04-13
420 MS_DRG Hepatobiliary Diagnostic Procedures W Mcc 61 21 $38,393.81 $38,393.81 $33,786.55 $38,393.81 $38,393.81 2026-04-13
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. W Cc 61 21 $38,378.15 $38,378.15 $33,772.77 $38,378.15 $38,378.15 2026-04-13
331 MS_DRG Major Small & Large Bowel Procedures Without Cc/mcc 61 21 $38,238.89 $38,238.89 $33,650.22 $38,238.89 $38,238.89 2026-04-13
343 MS_DRG Appendectomy Without Complicated Principal Diag Without Cc/mcc 61 21 $38,177.42 $38,177.42 $33,596.13 $38,177.42 $38,177.42 2026-04-13
629 MS_DRG Other Endocrine, Nutrit & Metab O.r. Proc W Cc 61 21 $37,799.86 $37,799.86 $33,263.88 $37,799.86 $37,799.86 2026-04-13
799 MS_DRG Splenectomy W Mcc 61 21 $37,788.48 $37,788.48 $33,253.86 $37,788.48 $37,788.48 2026-04-13
748 MS_DRG Female Reproductive System Reconstructive Procedures 61 21 $37,327.95 $37,327.95 $32,848.60 $37,327.95 $37,327.95 2026-04-13
988 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Cc 61 21 $37,275.46 $37,275.46 $32,802.40 $37,275.46 $37,275.46 2026-04-13
512 MS_DRG Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc Without Cc/mcc 61 21 $36,935.59 $36,935.59 $32,503.32 $36,935.59 $36,935.59 2026-04-13
868 MS_DRG Other Infectious & Parasitic Diseases Diagnoses W Cc 61 21 $36,898.29 $36,898.29 $32,470.50 $36,898.29 $36,898.29 2026-04-13
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 61 21 $36,620.37 $36,620.37 $32,225.93 $36,620.37 $36,620.37 2026-04-13
906 MS_DRG Hand Procedures For Injuries 61 21 $36,553.02 $36,553.02 $32,166.66 $36,553.02 $36,553.02 2026-04-13
617 MS_DRG Amputat Of Lower Limb For Endocrine, Nutrit, & Metabol Dis W Cc 61 21 $36,466.86 $36,466.86 $32,090.84 $36,466.86 $36,466.86 2026-04-13
754 MS_DRG Malignancy, Female Reproductive System W Mcc 61 21 $36,345.86 $36,345.86 $31,984.36 $36,345.86 $36,345.86 2026-04-13
351 MS_DRG Inguinal & Femoral Hernia Procedures W Cc 61 21 $36,178.44 $36,178.44 $31,837.03 $36,178.44 $36,178.44 2026-04-13
742 MS_DRG Uterine & Adnexa Proc For Non-malignancy W Cc/mcc 61 21 $35,756.06 $35,756.06 $31,465.33 $35,756.06 $35,756.06 2026-04-13
175 MS_DRG Pulmonary Embolism W Mcc Or Acute Cor Pulmonale 61 21 $35,748.01 $35,748.01 $31,458.25 $35,748.01 $35,748.01 2026-04-13
165 MS_DRG Major Chest Procedures Without Cc/mcc 61 21 $35,626.66 $35,626.66 $31,351.46 $35,626.66 $35,626.66 2026-04-13
857 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Cc 61 21 $35,607.06 $35,607.06 $31,334.21 $35,607.06 $35,607.06 2026-04-13
682 MS_DRG Renal Failure W Mcc 61 21 $35,556.87 $35,556.87 $31,290.05 $35,556.87 $35,556.87 2026-04-13
371 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 61 21 $35,397.29 $35,397.29 $31,149.62 $35,397.29 $35,397.29 2026-04-13
347 MS_DRG Anal & Stomal Procedures W Mcc 61 21 $35,389.64 $35,389.64 $31,142.88 $35,389.64 $35,389.64 2026-04-13
770 MS_DRG Abortion W D&c, Aspiration Curettage Or Hysterotomy 61 21 $35,285.28 $35,285.28 $31,051.05 $35,285.28 $35,285.28 2026-04-13
408 MS_DRG Biliary Tract Proc Except Only Cholecyst W Or Without C.d.e. W Mcc 61 21 $35,281.98 $35,281.98 $31,048.14 $35,281.98 $35,281.98 2026-04-13
637 MS_DRG Diabetes W Mcc 61 21 $35,280.48 $35,280.48 $31,046.82 $35,280.48 $35,280.48 2026-04-13
687 MS_DRG Kidney & Urinary Tract Neoplasms W Cc 61 21 $35,113.56 $35,113.56 $30,899.93 $35,113.56 $35,113.56 2026-04-13
535 MS_DRG Fractures Of Hip & Pelvis W Mcc 61 21 $35,041.82 $35,041.82 $30,836.80 $35,041.82 $35,041.82 2026-04-13
478 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue W Cc 61 21 $34,986.77 $34,986.77 $30,788.36 $34,986.77 $34,986.77 2026-04-13
283 MS_DRG Acute Myocardial Infarction, Expired W Mcc 61 21 $34,805.07 $34,805.07 $30,628.46 $34,805.07 $34,805.07 2026-04-13
70 OTHER Nonspecific Cerebrovascular Disorders W Mcc 42 21 $34,787.64 $34,787.64 $30,613.12 $34,787.64 $34,787.64 2026-04-13
70 MS_DRG Nonspecific Cerebrovascular Disorders W Mcc 19 19 $34,787.64 $34,787.64 $34,787.64 $34,787.64 $34,787.64 2023-10-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 61 21 $34,736.51 $34,736.51 $30,568.13 $34,736.51 $34,736.51 2026-04-13
908 MS_DRG Other O.r. Procedures For Injuries W Cc 61 21 $34,539.53 $34,539.53 $30,394.79 $34,539.53 $34,539.53 2026-04-13
494 MS_DRG Lower Extrem & Humer Proc Except Hip, Foot, Femur Without Cc/mcc 61 21 $34,126.52 $34,126.52 $30,031.34 $34,126.52 $34,126.52 2026-04-13
J2350 HCPCS Ocrevus 300mg Inj 102 21 $34,100.00 $34,100.00 $59.65 $36,177.00 $34,100.00 2026-04-13
J9228 HCPCS Yervoy 200mg/40ml Injecti 153 21 $36,498.00 $36,498.00 $165.77 $38,721.00 $34,074.48 2026-04-13
287 MS_DRG Circulatory Disorders Except Ami, W Card Cath Without Mcc 61 21 $33,950.68 $33,950.68 $29,876.60 $33,950.68 $33,950.68 2026-04-13
707 MS_DRG Major Male Pelvic Procedures W Cc/mcc 61 21 $33,918.74 $33,918.74 $29,848.49 $33,918.74 $33,918.74 2026-04-13
280 MS_DRG Acute Myocardial Infarction, Discharged Alive W Mcc 61 21 $33,544.62 $33,544.62 $29,519.27 $33,544.62 $33,544.62 2026-04-13
37227 CPT Femor/popliteal Stent W/ather 102 21 $44,373.00 $44,373.00 $5,776.32 $44,373.00 $33,473.78 2026-04-13
517 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc Without Cc/mcc 61 21 $33,429.07 $33,429.07 $29,417.58 $33,429.07 $33,429.07 2026-04-13
862 MS_DRG Postoperative & Post-traumatic Infections W Mcc 61 21 $33,318.02 $33,318.02 $29,319.86 $33,318.02 $33,318.02 2026-04-13
98 OTHER Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Cc 42 21 $33,018.17 $33,018.17 $29,055.99 $33,018.17 $33,018.17 2026-04-13
98 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Cc 19 19 $33,018.17 $33,018.17 $33,018.17 $33,018.17 $33,018.17 2023-10-01
336 MS_DRG Peritoneal Adhesiolysis W Cc 61 21 $32,922.02 $32,922.02 $28,971.38 $32,922.02 $32,922.02 2026-04-13
622 MS_DRG Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc 61 21 $32,905.66 $32,905.66 $28,956.98 $32,905.66 $32,905.66 2026-04-13
181 MS_DRG Respiratory Neoplasms W Cc 61 21 $32,767.79 $32,767.79 $28,835.66 $32,767.79 $32,767.79 2026-04-13
581 MS_DRG Other Skin, Subcut Tiss & Breast Proc Without Cc/mcc 61 21 $32,724.82 $32,724.82 $28,797.84 $32,724.82 $32,724.82 2026-04-13
290 MS_DRG Acute & Subacute Endocarditis Without Cc/mcc 61 21 $32,482.27 $32,482.27 $28,584.40 $32,482.27 $32,482.27 2026-04-13
698 MS_DRG Other Kidney & Urinary Tract Diagnoses W Mcc 61 21 $32,477.12 $32,477.12 $28,579.87 $32,477.12 $32,477.12 2026-04-13
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 61 21 $32,130.97 $32,130.97 $28,275.25 $32,130.97 $32,130.97 2026-04-13
840 MS_DRG Lymphoma & Non-acute Leukemia W Mcc 61 21 $31,768.54 $31,768.54 $27,956.32 $31,768.54 $31,768.54 2026-04-13
809 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Cc 61 21 $31,682.33 $31,682.33 $27,880.45 $31,682.33 $31,682.33 2026-04-13
C1772 HCPCS Medtronic Pain Pump 106 21 $31,673.00 $31,673.00 $27,555.51 $33,603.00 $31,673.00 2026-04-13
256 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders W Cc 61 21 $31,664.12 $31,664.12 $27,864.43 $31,664.12 $31,664.12 2026-04-13
375 MS_DRG Digestive Malignancy W Cc 61 21 $31,590.04 $31,590.04 $27,799.24 $31,590.04 $31,590.04 2026-04-13
C9766 HCPCS Ivl And Ather With Angioplasty 97 21 $31,588.00 $31,588.00 $17,177.60 $33,512.00 $31,588.00 2026-04-13
518 MS_DRG Back & Neck Proc Exc Spinal Fusion W Mcc Or Disc Device/neurostim 61 21 $31,488.05 $31,488.05 $27,709.48 $31,488.05 $31,488.05 2026-04-13
658 MS_DRG Kidney & Ureter Procedures For Neoplasm Without Cc/mcc 61 21 $31,330.89 $31,330.89 $27,571.18 $31,330.89 $31,330.89 2026-04-13
432 MS_DRG Cirrhosis & Alcoholic Hepatitis W Mcc 61 21 $31,232.84 $31,232.84 $27,484.90 $31,232.84 $31,232.84 2026-04-13
644 MS_DRG Endocrine Disorders W Cc 61 21 $31,142.83 $31,142.83 $27,405.69 $31,142.83 $31,142.83 2026-04-13
91 MS_DRG Other Disorders Of Nervous System W Mcc 19 19 $31,011.94 $31,011.94 $31,011.94 $31,011.94 $31,011.94 2023-10-01
91 OTHER Other Disorders Of Nervous System W Mcc 42 21 $31,011.94 $31,011.94 $27,290.51 $31,011.94 $31,011.94 2026-04-13
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 61 21 $30,980.57 $30,980.57 $27,262.90 $30,980.57 $30,980.57 2026-04-13
516 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Cc 61 21 $30,904.44 $30,904.44 $27,195.91 $30,904.44 $30,904.44 2026-04-13
306 MS_DRG Cardiac Congenital & Valvular Disorders W Mcc 61 21 $30,722.92 $30,722.92 $27,036.17 $30,722.92 $30,722.92 2026-04-13
186 MS_DRG Pleural Effusion W Mcc 61 21 $30,717.65 $30,717.65 $27,031.53 $30,717.65 $30,717.65 2026-04-13
737 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc 61 21 $30,628.37 $30,628.37 $26,952.97 $30,628.37 $30,628.37 2026-04-13
205 MS_DRG Other Respiratory System Diagnoses W Mcc 61 21 $30,579.69 $30,579.69 $26,910.13 $30,579.69 $30,579.69 2026-04-13
620 MS_DRG O.r. Procedures For Obesity W Cc 61 21 $30,451.05 $30,451.05 $26,796.92 $30,451.05 $30,451.05 2026-04-13
281 MS_DRG Acute Myocardial Infarction, Discharged Alive W Cc 61 21 $30,269.50 $30,269.50 $26,637.16 $30,269.50 $30,269.50 2026-04-13
815 MS_DRG Reticuloendothelial & Immunity Disorders W Cc 61 21 $30,170.42 $30,170.42 $26,549.97 $30,170.42 $30,170.42 2026-04-13
90 MS_DRG Concussion Without Cc/mcc 19 19 $30,138.90 $30,138.90 $30,138.90 $30,138.90 $30,138.90 2023-10-01
90 OTHER Concussion Without Cc/mcc 42 21 $30,138.90 $30,138.90 $26,522.23 $30,138.90 $30,138.90 2026-04-13
580 MS_DRG Other Skin, Subcut Tiss & Breast Proc W Cc 61 21 $30,134.16 $30,134.16 $26,518.06 $30,134.16 $30,134.16 2026-04-13
348 MS_DRG Anal & Stomal Procedures W Cc 61 21 $30,007.27 $30,007.27 $26,406.40 $30,007.27 $30,007.27 2026-04-13
391 MS_DRG Esophagitis, Gastroent & Misc Digest Disorders W Mcc 61 21 $29,974.55 $29,974.55 $26,377.60 $29,974.55 $29,974.55 2026-04-13
989 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis Without Cc/mcc 61 21 $29,892.03 $29,892.03 $26,304.99 $29,892.03 $29,892.03 2026-04-13
811 MS_DRG Red Blood Cell Disorders W Mcc 61 21 $29,876.57 $29,876.57 $26,291.38 $29,876.57 $29,876.57 2026-04-13
660 MS_DRG Kidney & Ureter Procedures For Non-neoplasm W Cc 61 21 $29,662.44 $29,662.44 $26,102.95 $29,662.44 $29,662.44 2026-04-13
177 MS_DRG Respiratory Infections & Inflammations W Mcc 61 21 $29,539.50 $29,539.50 $25,994.76 $29,539.50 $29,539.50 2026-04-13
442 MS_DRG Disorders Of Liver Except Malig, Cirr, Alc Hepa W Cc 61 21 $29,428.83 $29,428.83 $25,897.37 $29,428.83 $29,428.83 2026-04-13
628 MS_DRG Other Endocrine, Nutrit & Metab O.r. Proc W Mcc 61 21 $29,068.30 $29,068.30 $25,580.10 $29,068.30 $29,068.30 2026-04-13
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 61 21 $29,036.48 $29,036.48 $25,552.10 $29,036.48 $29,036.48 2026-04-13
602 MS_DRG Cellulitis W Mcc 61 21 $28,980.99 $28,980.99 $25,503.27 $28,980.99 $28,980.99 2026-04-13
713 MS_DRG Transurethral Prostatectomy W Cc/mcc 61 21 $28,942.31 $28,942.31 $25,469.23 $28,942.31 $28,942.31 2026-04-13
166 MS_DRG Other Resp System O.r. Procedures W Mcc 61 21 $28,880.67 $28,880.67 $25,414.99 $28,880.67 $28,880.67 2026-04-13
J9043 HCPCS Jevtana 60 Mg/1.5ml Inj 102 21 $28,855.00 $28,855.00 $199.21 $30,613.00 $28,855.00 2026-04-13
39 OTHER Extracranial Procedures Without Cc/mcc 42 21 $28,702.99 $28,702.99 $25,258.63 $28,702.99 $28,702.99 2026-04-13
39 MS_DRG Extracranial Procedures Without Cc/mcc 19 19 $28,702.99 $28,702.99 $28,702.99 $28,702.99 $28,702.99 2023-10-01
600 MS_DRG Non-malignant Breast Disorders W Cc/mcc 61 21 $28,696.00 $28,696.00 $25,252.48 $28,696.00 $28,696.00 2026-04-13
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 61 21 $28,687.30 $28,687.30 $25,244.82 $28,687.30 $28,687.30 2026-04-13
921 MS_DRG Complications Of Treatment Without Cc/mcc 61 21 $28,670.22 $28,670.22 $25,229.79 $28,670.22 $28,670.22 2026-04-13
372 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections W Cc 61 21 $28,568.80 $28,568.80 $25,140.54 $28,568.80 $28,568.80 2026-04-13
465 MS_DRG Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis Without Cc/mcc 61 21 $28,526.91 $28,526.91 $25,103.68 $28,526.91 $28,526.91 2026-04-13
193 MS_DRG Simple Pneumonia & Pleurisy W Mcc 61 21 $28,498.71 $28,498.71 $25,078.86 $28,498.71 $28,498.71 2026-04-13
196 MS_DRG Interstitial Lung Disease W Mcc 61 21 $28,366.70 $28,366.70 $24,962.70 $28,366.70 $28,366.70 2026-04-13
100 MS_DRG Seizures W Mcc 61 21 $28,270.60 $28,270.60 $24,878.13 $28,270.60 $28,270.60 2026-04-13
548 MS_DRG Septic Arthritis W Mcc 61 21 $28,256.36 $28,256.36 $24,865.60 $28,256.36 $28,256.36 2026-04-13
33213 CPT Insert Pulse Gen Dual Lead 102 21 $28,254.00 $28,254.00 $400.62 $29,975.00 $28,254.00 2026-04-13
513 MS_DRG Hand Or Wrist Proc, Except Major Thumb Or Joint Proc W Cc/mcc 61 21 $28,161.49 $28,161.49 $24,782.11 $28,161.49 $28,161.49 2026-04-13
544 MS_DRG Pathological Fractures & Musculoskelet & Conn Tiss Malig Without Cc/mcc 61 21 $27,922.63 $27,922.63 $24,571.91 $27,922.63 $27,922.63 2026-04-13
304 MS_DRG Hypertension W Mcc 61 21 $27,871.77 $27,871.77 $24,527.16 $27,871.77 $27,871.77 2026-04-13
697 MS_DRG Urethral Stricture 61 21 $27,716.56 $27,716.56 $24,390.57 $27,716.56 $27,716.56 2026-04-13
882 MS_DRG Neuroses Except Depressive 61 21 $27,644.28 $27,644.28 $24,326.97 $27,644.28 $27,644.28 2026-04-13
546 MS_DRG Connective Tissue Disorders W Cc 61 21 $27,633.16 $27,633.16 $24,317.18 $27,633.16 $27,633.16 2026-04-13
37236 CPT Inj Stent - 1st 153 21 $29,390.00 $29,390.00 $1,879.20 $31,180.00 $27,438.40 2026-04-13
33228 CPT Rmvl & Rpl Pm Gen Dual Only 102 21 $27,296.00 $27,296.00 $301.56 $28,958.00 $27,296.00 2026-04-13
33208 CPT Ins Pacer Dual, Atr, Vent Lead 102 21 $27,295.00 $27,295.00 $546.83 $28,957.00 $27,295.00 2026-04-13
33206 CPT Insert Pace Single Atrial Lead 102 21 $27,295.00 $27,295.00 $459.28 $28,957.00 $27,295.00 2026-04-13
33207 CPT Insert Pacer Single Ventr Lead 102 21 $27,295.00 $27,295.00 $538.99 $28,957.00 $27,295.00 2026-04-13
445 MS_DRG Disorders Of The Biliary Tract W Cc 61 21 $27,248.59 $27,248.59 $23,978.76 $27,248.59 $27,248.59 2026-04-13
C9764 HCPCS Ivl Femoral/popliteal Pta 97 21 $27,207.00 $27,207.00 $10,615.31 $28,865.00 $27,207.00 2026-04-13
C9765 HCPCS Ivl Femoral/popliteal Stent 97 21 $27,207.00 $27,207.00 $17,177.60 $43,347.00 $27,207.00 2026-04-13
71 MS_DRG Nonspecific Cerebrovascular Disorders W Cc 19 19 $26,979.80 $26,979.80 $26,979.80 $26,979.80 $26,979.80 2023-10-01
71 OTHER Nonspecific Cerebrovascular Disorders W Cc 42 21 $26,979.80 $26,979.80 $23,742.22 $26,979.80 $26,979.80 2026-04-13
755 MS_DRG Malignancy, Female Reproductive System W Cc 61 21 $26,900.84 $26,900.84 $23,672.74 $26,900.84 $26,900.84 2026-04-13
378 MS_DRG G.i. Hemorrhage W Cc 61 21 $26,873.97 $26,873.97 $23,649.09 $26,873.97 $26,873.97 2026-04-13
352 MS_DRG Inguinal & Femoral Hernia Procedures Without Cc/mcc 61 21 $26,849.60 $26,849.60 $23,627.65 $26,849.60 $26,849.60 2026-04-13
357 MS_DRG Other Digestive System O.r. Procedures W Cc 61 21 $26,767.33 $26,767.33 $23,555.25 $26,767.33 $26,767.33 2026-04-13
743 MS_DRG Uterine & Adnexa Proc For Non-malignancy Without Cc/mcc 61 21 $26,746.67 $26,746.67 $23,537.07 $26,746.67 $26,746.67 2026-04-13
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 61 21 $26,679.63 $26,679.63 $23,478.07 $26,679.63 $26,679.63 2026-04-13
564 MS_DRG Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc 61 21 $26,620.75 $26,620.75 $23,426.26 $26,620.75 $26,620.75 2026-04-13
689 MS_DRG Kidney & Urinary Tract Neoplasms Without Cc/mcc 61 21 $26,574.29 $26,574.29 $23,385.38 $26,574.29 $26,574.29 2026-04-13
552 MS_DRG Medical Back Problems Without Mcc 61 21 $26,503.26 $26,503.26 $23,322.87 $26,503.26 $26,503.26 2026-04-13
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs 19 19 $26,399.04 $26,399.04 $26,399.04 $26,399.04 $26,399.04 2023-10-01
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