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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

OPTIM MEDICAL CENTER - TATTNALL

Reidsville, GA · CCN 111323 · Rates published

3,269 distinct procedures filed
13 distinct payers
55,209 rate rows
2026-07-15 last MRF observed
Data quality

32,157 of 55,209 rate rows are consumer-grade (58.2%)

23,052 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 14,363
per-diem day rate — not a per-procedure price 6,287
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,323
exceeds 10× this hospital's gross charge — excluded from medians 79
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/7b88b29118a26bcb25380d0d437b999c/charges/mrf
Found on page https://optimhealthsystem.com/about-us/cms-hospital-standard-charges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-09
Content fingerprint 71d3ab9a75d019a2… · 47,847,802 bytes · first seen 2026-05-08

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
22856
CPT 		Insertion Of Artificial Upper Spine Disc; Anterior Approach 8 $7,414.00 $44,400.00 $89,810.43 nat. median
$17,078
outlier · 5.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $11,041.38 $423,691.05 $80,957.27 nat. median
$168,055
outlier · 0.5×
22551
CPT 		Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 7 $25,367.00 $25,367.00 $64,211.07 nat. median
$11,647
outlier · 5.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $11,041.38 $311,633.90 $62,281.08 nat. median
$186,516
outlier · 0.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $11,041.38 $303,125.05 $60,862.93 nat. median
$131,925
outlier · 0.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $11,041.38 $245,183.45 $51,206.00 nat. median
$145,435
outlier · 0.4×
22633
CPT 		Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 7 $44,400.00 $44,400.00 $50,000.00 nat. median
$15,119
outlier · 3.3×
63655
CPT 		Implant Neuroelectrodes 7 $48,000.00 $48,000.00 $48,000.00 nat. median
$18,350
outlier · 2.6×
27447
CPT 		Replacement Of Knee Joint; Both Sides Of Knee 8 $1,330.00 $25,367.00 $44,512.07 nat. median
$12,374
outlier · 3.6×
22586
CPT 		Arthrd Pre-sac Ntrbdy L5-s1 7 $44,400.00 $44,400.00 $44,400.00 nat. median
$13,073
outlier · 3.4×
22857
CPT 		Insertion Of Artificial Lower Spine Disc; Anterior Approach 7 $44,400.00 $44,400.00 $44,400.00 nat. median
$10,371
outlier · 4.3×
27829
CPT 		Treatment Of Ligament Tear At Ankle Joint 8 $2,106.00 $7,414.00 $39,931.10 nat. median
$6,837
outlier · 5.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $11,041.38 $169,050.00 $38,517.09 nat. median
$97,418
outlier · 0.4×
27130
CPT 		Total Hip Arthroplasty 8 $1,330.00 $8,659.00 $35,614.98 nat. median
$12,734
outlier · 2.8×
23473
CPT 		Revis Reconst Shoulder Joint 7 $35,282.00 $35,282.00 $35,282.00 nat. median
$12,689
outlier · 2.8×
23470
CPT 		Reconstruct Shoulder Joint 7 $35,282.00 $35,282.00 $35,282.00 nat. median
$12,505
outlier · 2.8×
7
MS_DRG 		Lung Transplant 10 $11,041.38 $141,063.60 $33,852.69 nat. median
$70,649
outlier · 0.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $11,041.38 $140,807.15 $33,809.95 nat. median
$65,418
0.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $11,041.38 $131,800.35 $32,308.82 nat. median
$72,715
outlier · 0.4×
29916
CPT 		Repair Of Hip Joint Socket Cartilage Using An Endoscope 7 $7,414.00 $7,414.00 $31,753.21 nat. median
$7,218
outlier · 4.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $11,041.38 $123,863.05 $30,985.94 nat. median
$74,509
outlier · 0.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $11,041.38 $119,025.00 $30,179.59 nat. median
$69,922
outlier · 0.4×
215
MS_DRG 		Other Heart Assist System Implant 10 $11,041.38 $117,470.20 $29,920.46 nat. median
$73,023
outlier · 0.4×
96368
CPT 		Infusion Into A Vein For Therapy; Prevention; Or Diagnosis Concurrent With Anoth… 6 $29,300.00 $29,300.00 $29,300.00 nat. median
$94
outlier · 310.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $11,041.38 $111,610.95 $28,943.92 nat. median
$69,822
outlier · 0.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $11,041.38 $97,202.60 $26,542.53 nat. median
$56,428
outlier · 0.5×
456
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 10 $11,041.38 $96,938.10 $26,498.44 nat. median
$59,651
outlier · 0.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $11,041.38 $93,324.80 $25,896.23 nat. median
$60,505
outlier · 0.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $11,041.38 $91,925.25 $25,662.97 nat. median
$45,605
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $11,041.38 $89,695.40 $25,291.33 nat. median
$55,935
outlier · 0.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $11,041.38 $88,678.80 $25,121.89 nat. median
$55,923
outlier · 0.4×
25447
CPT 		Removal Of Bone Joints Between Wrist And Fingers 8 $4,030.00 $5,332.00 $24,812.96 nat. median
$3,534
outlier · 7.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $11,041.38 $83,173.75 $24,204.38 nat. median
$52,327
outlier · 0.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $11,041.38 $80,911.70 $23,827.38 nat. median
$51,518
outlier · 0.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $11,041.38 $80,096.35 $23,691.49 nat. median
$48,611
outlier · 0.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $11,041.38 $79,576.55 $23,604.85 nat. median
$37,013
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $11,041.38 $79,442.00 $23,582.43 nat. median
$47,121
0.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $11,041.38 $79,034.90 $23,514.58 nat. median
$41,943
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $11,041.38 $78,829.05 $23,480.27 nat. median
$49,569
outlier · 0.5×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 $11,041.38 $78,412.75 $23,410.88 nat. median
$38,844
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $11,041.38 $73,200.95 $22,542.25 nat. median
$47,458
outlier · 0.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $11,041.38 $71,830.15 $22,313.78 nat. median
$44,036
0.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $11,041.38 $71,508.15 $22,260.12 nat. median
$43,299
0.5× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $11,041.38 $71,417.30 $22,244.98 nat. median
$43,533
0.5× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 10 $11,041.38 $71,035.50 $22,181.34 nat. median
$29,295
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 10 $11,041.38 $71,035.50 $22,181.34 nat. median
$38,932
0.6× median
27698
CPT 		Secondary Repair Of Disrupted Collateral Ligament Of Ankle 8 $2,106.00 $3,770.00 $22,164.82 nat. median
$6,466
outlier · 3.4×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 $11,041.38 $70,626.10 $22,113.11 nat. median
$38,173
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $11,041.38 $70,037.30 $22,014.98 nat. median
$47,340
outlier · 0.5×
457
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 10 $11,041.38 $69,865.95 $21,986.42 nat. median
$42,674
0.5× median

Other procedures at this hospital

Browse this hospital's 3,269 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
             
22856 CPT Insertion Of Artificial Upper Spine Disc; Anterior Approach 17 8 $134,325.62 $134,325.62 $7,414.00 $44,400.00 $89,810.43 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 10 — — $11,041.38 $423,691.05 $80,957.27 2026-07-15
22551 CPT Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 23 7 $104,659.20 $104,659.20 $25,367.00 $25,367.00 $64,211.07 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 10 — — $11,041.38 $311,633.90 $62,281.08 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 10 — — $11,041.38 $303,125.05 $60,862.93 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 10 — — $11,041.38 $245,183.45 $51,206.00 2026-07-15
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 8 7 $104,659.20 $104,659.20 $44,400.00 $44,400.00 $50,000.00 2026-07-15
63655 CPT Implant Neuroelectrodes 8 7 $131,980.65 $131,980.65 $48,000.00 $48,000.00 $48,000.00 2026-07-15
27447 CPT Replacement Of Knee Joint; Both Sides Of Knee 53 8 $157,038.63 $157,038.63 $1,330.00 $25,367.00 $44,512.07 2026-07-15
22857 CPT Insertion Of Artificial Lower Spine Disc; Anterior Approach 8 7 $134,325.62 $134,325.62 $44,400.00 $44,400.00 $44,400.00 2026-07-15
22586 CPT Arthrd Pre-sac Ntrbdy L5-s1 8 7 $17,443.20 $17,443.20 $44,400.00 $44,400.00 $44,400.00 2026-07-15
27829 CPT Treatment Of Ligament Tear At Ankle Joint 26 8 $54,604.28 $54,604.28 $2,106.00 $7,414.00 $39,931.10 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 10 — — $11,041.38 $169,050.00 $38,517.09 2026-07-15
27130 CPT Total Hip Arthroplasty 44 8 $104,659.20 $104,659.20 $1,330.00 $8,659.00 $35,614.98 2026-07-15
23473 CPT Revis Reconst Shoulder Joint 23 7 $80,040.24 $80,040.24 $35,282.00 $35,282.00 $35,282.00 2026-07-15
23470 CPT Reconstruct Shoulder Joint 15 7 $104,659.20 $104,659.20 $35,282.00 $35,282.00 $35,282.00 2026-07-15
7 MS_DRG Lung Transplant 16 10 — — $11,041.38 $141,063.60 $33,852.69 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 10 — — $11,041.38 $140,807.15 $33,809.95 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 16 10 — — $11,041.38 $131,800.35 $32,308.82 2026-07-15
29916 CPT Repair Of Hip Joint Socket Cartilage Using An Endoscope 31 7 $40,575.78 $40,575.78 $7,414.00 $7,414.00 $31,753.21 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 10 — — $11,041.38 $123,863.05 $30,985.94 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 10 — — $11,041.38 $119,025.00 $30,179.59 2026-07-15
215 MS_DRG Other Heart Assist System Implant 16 10 — — $11,041.38 $117,470.20 $29,920.46 2026-07-15
96368 CPT Infusion Into A Vein For Therapy; Prevention; Or Diagnosis Concurrent With Anoth… 13 6 $69.60 $69.60 $29,300.00 $29,300.00 $29,300.00 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $11,041.38 $111,610.95 $28,943.92 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 10 — — $11,041.38 $97,202.60 $26,542.53 2026-07-15
456 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 16 10 — — $11,041.38 $96,938.10 $26,498.44 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 10 — — $11,041.38 $93,324.80 $25,896.23 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 10 — — $11,041.38 $91,925.25 $25,662.97 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 10 — — $11,041.38 $89,695.40 $25,291.33 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $11,041.38 $88,678.80 $25,121.89 2026-07-15
25447 CPT Removal Of Bone Joints Between Wrist And Fingers 26 8 $29,072.00 $29,072.00 $4,030.00 $5,332.00 $24,812.96 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 10 — — $11,041.38 $83,173.75 $24,204.38 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 10 — — $11,041.38 $80,911.70 $23,827.38 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 10 — — $11,041.38 $80,096.35 $23,691.49 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 10 — — $11,041.38 $79,576.55 $23,604.85 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 10 — — $11,041.38 $79,442.00 $23,582.43 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 10 — — $11,041.38 $79,034.90 $23,514.58 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 10 — — $11,041.38 $78,829.05 $23,480.27 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 10 — — $11,041.38 $78,412.75 $23,410.88 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $11,041.38 $73,200.95 $22,542.25 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 10 — — $11,041.38 $71,830.15 $22,313.78 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 10 — — $11,041.38 $71,508.15 $22,260.12 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 10 — — $11,041.38 $71,417.30 $22,244.98 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 10 — — $11,041.38 $71,035.50 $22,181.34 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 10 — — $11,041.38 $71,035.50 $22,181.34 2026-07-15
27698 CPT Secondary Repair Of Disrupted Collateral Ligament Of Ankle 26 8 $40,575.78 $40,575.78 $2,106.00 $3,770.00 $22,164.82 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 10 — — $11,041.38 $70,626.10 $22,113.11 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 10 — — $11,041.38 $70,037.30 $22,014.98 2026-07-15
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 16 10 — — $11,041.38 $69,865.95 $21,986.42 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 10 — — $11,041.38 $69,537.05 $21,931.60 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 16 10 — — $11,041.38 $69,300.15 $21,892.12 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 10 — — $11,041.38 $69,001.15 $21,842.28 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 10 — — $11,041.38 $68,408.90 $21,743.58 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 10 — — $11,041.38 $67,626.90 $21,613.24 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $11,041.38 $65,512.05 $21,260.77 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 10 — — $11,041.38 $65,355.65 $21,234.70 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 10 — — $11,041.38 $65,191.20 $21,207.29 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 10 — — $11,041.38 $65,132.55 $21,197.52 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 16 10 — — $11,041.38 $64,388.50 $21,073.51 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 10 — — $11,041.38 $63,309.80 $20,893.73 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 16 10 — — $11,041.38 $62,256.40 $20,718.16 2026-07-15
27650 CPT Repair Of Ruptured Achilles Tendon 26 8 $40,575.78 $40,575.78 $1,259.00 $5,332.00 $20,493.73 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 10 — — $11,041.38 $60,509.55 $20,427.02 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $11,041.38 $60,312.90 $20,394.24 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 10 — — $11,041.38 $59,775.85 $20,304.74 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 10 — — $11,041.38 $59,645.90 $20,283.08 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 10 — — $11,041.38 $59,297.45 $20,225.00 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 10 — — $11,041.38 $58,408.50 $20,076.84 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 10 — — $11,041.38 $58,154.35 $20,034.49 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 10 — — $11,041.38 $57,945.05 $19,999.60 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 10 — — $11,041.38 $57,491.95 $19,924.08 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 16 10 — — $11,041.38 $56,977.90 $19,838.41 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Comorbity 16 10 — — $11,041.38 $56,568.50 $19,770.18 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 10 — — $11,041.38 $56,122.30 $19,695.81 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 16 10 — — $11,041.38 $55,624.35 $19,612.82 2026-07-15
10 MS_DRG Pancreas Transplant 16 10 — — $11,041.38 $55,356.40 $19,568.16 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 10 — — $11,041.38 $55,278.20 $19,555.13 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 10 — — $11,041.38 $54,997.60 $19,508.36 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 10 — — $11,041.38 $54,700.90 $19,458.91 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 10 — — $11,041.38 $54,514.60 $19,427.86 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 16 10 — — $11,041.38 $54,206.40 $19,376.49 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $11,041.38 $53,458.90 $19,251.91 2026-07-15
24515 CPT Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 26 8 $100,454.06 $100,454.06 $1,330.00 $7,414.00 $19,088.21 2026-07-15
245 MS_DRG Aicd Generator Procedures 16 10 — — $11,041.38 $52,111.10 $19,027.28 2026-07-15
458 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 16 10 — — $11,041.38 $52,106.50 $19,026.51 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 10 — — $11,041.38 $51,943.20 $18,999.29 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 10 — — $11,041.38 $51,771.85 $18,970.74 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 10 — — $11,041.38 $51,721.25 $18,962.30 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $11,041.38 $51,294.60 $18,891.19 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 10 — — $11,041.38 $50,926.60 $18,829.86 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 10 — — $11,041.38 $50,784.00 $18,806.09 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 10 — — $11,041.38 $50,471.20 $18,753.96 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 10 — — $11,041.38 $50,161.85 $18,702.40 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 16 10 — — $11,041.38 $49,769.70 $18,637.04 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 10 — — $11,041.38 $49,482.20 $18,589.13 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 10 — — $11,041.38 $49,205.05 $18,542.94 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 16 10 — — $11,041.38 $48,406.95 $18,409.92 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 10 — — $11,041.38 $47,823.90 $18,312.74 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 10 — — $11,041.38 $47,610.00 $18,277.09 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 10 — — $11,041.38 $47,340.90 $18,232.24 2026-07-15
791 MS_DRG Prematurity With Major Problems 16 10 — — $11,041.38 $47,123.55 $18,196.02 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 10 — — $11,041.38 $46,664.70 $18,119.54 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 10 — — $11,041.38 $46,515.20 $18,094.63 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 10 — — $11,041.38 $46,473.80 $18,087.73 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 10 — — $11,041.38 $46,166.75 $18,036.55 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 10 — — $11,041.38 $46,056.35 $18,018.15 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 10 — — $11,041.38 $45,513.55 $17,927.69 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 10 — — $11,041.38 $44,975.35 $17,837.99 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 10 — — $11,041.38 $44,866.10 $17,819.78 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 10 — — $11,041.38 $44,815.50 $17,811.34 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 10 — — $11,041.38 $44,702.80 $17,792.56 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 10 — — $11,041.38 $44,599.30 $17,775.31 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 10 — — $11,041.38 $44,280.75 $17,722.22 2026-07-15
24342 CPT Repair Of Ruptured Tendon 26 8 $40,953.20 $40,953.20 $1,259.00 $5,332.00 $17,719.17 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 10 — — $11,041.38 $43,994.40 $17,674.49 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 10 — — $11,041.38 $43,571.20 $17,603.96 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 16 10 — — $11,041.38 $43,448.15 $17,583.45 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 10 — — $11,041.38 $42,912.25 $17,494.13 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 10 — — $11,041.38 $42,805.30 $17,476.31 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 10 — — $11,041.38 $42,774.25 $17,471.13 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 10 — — $11,041.38 $42,527.00 $17,429.93 2026-07-15
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 16 10 — — $11,041.38 $41,995.70 $17,341.38 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 10 — — $11,041.38 $41,824.35 $17,312.82 2026-07-15
332 MS_DRG Rectal Resection With Mcc 16 10 — — $11,041.38 $41,717.40 $17,294.99 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 10 — — $11,041.38 $41,661.05 $17,285.60 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 10 — — $11,041.38 $41,587.45 $17,273.33 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 10 — — $11,041.38 $41,183.80 $17,206.06 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 10 — — $11,041.38 $41,112.50 $17,194.18 2026-07-15
C1776 HCPCS Joint Device (implantable) 7 6 $39,524.80 $39,524.80 — — $17,136.00 2026-07-15
265 MS_DRG Aicd Lead Procedures 16 10 — — $11,041.38 $40,642.15 $17,115.78 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 10 — — $11,041.38 $40,539.80 $17,098.73 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 16 10 — — $11,041.38 $40,092.45 $17,024.17 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 10 — — $11,041.38 $39,982.05 $17,005.77 2026-07-15
63030 CPT Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or… 35 8 $103,500.00 $103,500.00 $10,710.00 $13,789.00 $17,003.41 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 10 — — $11,041.38 $39,814.15 $16,977.78 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 10 — — $11,041.38 $39,771.60 $16,970.69 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 10 — — $11,041.38 $39,746.30 $16,966.48 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 10 — — $11,041.38 $39,733.65 $16,964.37 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 10 — — $11,041.38 $39,424.30 $16,912.81 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 10 — — $11,041.38 $39,166.70 $16,869.88 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 10 — — $11,041.38 $38,988.45 $16,840.17 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 10 — — $11,041.38 $38,832.05 $16,814.10 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 16 10 — — $11,041.38 $38,819.40 $16,811.99 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 10 — — $11,041.38 $38,743.50 $16,799.34 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 16 10 — — $11,041.38 $38,568.70 $16,770.21 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 10 — — $11,041.38 $38,435.30 $16,747.98 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 16 10 — — $11,041.38 $38,292.70 $16,724.21 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 10 — — $11,041.38 $38,244.40 $16,716.16 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 10 — — $11,041.38 $38,124.80 $16,696.23 2026-07-15
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 16 10 — — $11,041.38 $37,881.00 $16,655.59 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 16 10 — — $11,041.38 $37,559.00 $16,601.93 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Complication/comorbity 16 10 — — $11,041.38 $37,446.30 $16,583.14 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 16 10 — — $11,041.38 $37,292.20 $16,557.46 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 10 — — $11,041.38 $37,269.20 $16,553.63 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 10 — — $11,041.38 $36,978.25 $16,505.13 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 10 — — $11,041.38 $36,975.95 $16,504.75 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 10 — — $11,041.38 $36,809.20 $16,476.96 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $11,041.38 $36,806.90 $16,476.58 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 10 — — $11,041.38 $36,565.40 $16,436.33 2026-07-15
23472 CPT Reconstruct Shoulder Joint 44 8 $104,659.20 $104,659.20 $1,330.00 $35,282.00 $16,419.78 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 10 — — $11,041.38 $36,357.25 $16,401.63 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 10 — — $11,041.38 $36,268.70 $16,386.88 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 10 — — $11,041.38 $36,082.40 $16,355.83 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 10 — — $11,041.38 $35,939.80 $16,332.06 2026-07-15
665 MS_DRG Prostatectomy With Mcc 16 10 — — $11,041.38 $35,524.65 $16,262.87 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 10 — — $11,041.38 $35,362.50 $16,235.84 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 10 — — $11,041.38 $34,868.00 $16,153.43 2026-07-15
652 MS_DRG Kidney Transplant 16 10 — — $11,041.38 $34,550.60 $16,100.53 2026-07-15
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 16 10 — — $11,041.38 $34,516.10 $16,094.78 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 16 10 — — $11,041.38 $34,462.05 $16,085.77 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 10 — — $11,041.38 $34,433.30 $16,080.98 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 10 — — $11,041.38 $34,138.90 $16,031.91 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Complication 16 10 — — $11,041.38 $33,987.10 $16,006.61 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 10 — — $11,041.38 $33,960.65 $16,002.20 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 10 — — $11,041.38 $33,912.35 $15,994.15 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 10 — — $11,041.38 $33,629.45 $15,947.00 2026-07-15
570 MS_DRG Skin Debridement With Mcc 16 10 — — $11,041.38 $33,605.30 $15,942.98 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 10 — — $11,041.38 $33,593.80 $15,941.06 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 16 10 — — $11,041.38 $33,539.75 $15,932.05 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 10 — — $11,041.38 $33,205.10 $15,876.28 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 10 — — $11,041.38 $33,125.75 $15,863.05 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 10 — — $11,041.38 $33,059.05 $15,851.93 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity 16 10 — — $11,041.38 $32,732.45 $15,797.50 2026-07-15
263 MS_DRG Vein Ligation And Stripping 16 10 — — $11,041.38 $32,489.80 $15,757.06 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 16 10 — — $11,041.38 $32,407.00 $15,743.26 2026-07-15
800 MS_DRG Splenic Procedures With Cc 16 10 — — $11,041.38 $32,403.55 $15,742.68 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 10 — — $11,041.38 $32,305.80 $15,726.39 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 10 — — $11,041.38 $32,232.20 $15,714.13 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 10 — — $11,041.38 $31,595.10 $15,607.94 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 10 — — $11,041.38 $31,514.60 $15,594.53 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 16 10 — — $11,041.38 $31,481.25 $15,588.97 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 10 — — $11,041.38 $31,444.45 $15,582.83 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 10 — — $11,041.38 $31,286.90 $15,556.58 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 10 — — $11,041.38 $31,148.90 $15,533.58 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 10 — — $11,041.38 $31,093.70 $15,524.38 2026-07-15
849 MS_DRG Radiotherapy 16 10 — — $11,041.38 $30,951.10 $15,500.61 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 10 — — $11,041.38 $30,885.55 $15,489.68 2026-07-15
503 MS_DRG Foot Procedures With Mcc 16 10 — — $11,041.38 $30,841.85 $15,482.40 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 16 10 — — $11,041.38 $30,700.40 $15,458.83 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 10 — — $11,041.38 $30,499.15 $15,425.28 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 10 — — $11,041.38 $30,464.65 $15,419.53 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 10 — — $11,041.38 $30,409.45 $15,410.33 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 10 — — $11,041.38 $30,026.50 $15,346.51 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 10 — — $11,041.38 $29,819.50 $15,312.01 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 10 — — $11,041.38 $29,772.35 $15,304.15 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 10 — — $11,041.38 $29,767.75 $15,303.39 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 16 10 — — $11,041.38 $29,337.65 $15,231.70 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 16 10 — — $11,041.38 $29,329.60 $15,230.36 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 16 10 — — $11,041.38 $29,314.65 $15,227.87 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 16 10 — — $11,041.38 $29,122.60 $15,195.86 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 10 — — $11,041.38 $28,947.80 $15,166.73 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 16 10 — — $11,041.38 $28,833.95 $15,147.75 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 10 — — $11,041.38 $28,720.10 $15,128.78 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 16 10 — — $11,041.38 $28,671.80 $15,120.73 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 10 — — $11,041.38 $28,589.00 $15,106.93 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 16 10 — — $11,041.38 $28,568.30 $15,103.48 2026-07-15
792 MS_DRG Prematurity Without Major Problems 16 10 — — $11,041.38 $28,433.75 $15,081.05 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Complication/comorbity 16 10 — — $11,041.38 $28,296.90 $15,058.24 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 10 — — $11,041.38 $28,106.00 $15,026.43 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 10 — — $11,041.38 $28,054.25 $15,017.80 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 10 — — $11,041.38 $27,978.35 $15,005.15 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 10 — — $11,041.38 $27,650.60 $14,950.53 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 10 — — $11,041.38 $27,619.55 $14,945.35 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 10 — — $11,041.38 $27,600.00 $14,942.09 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 10 — — $11,041.38 $27,531.00 $14,930.59 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 10 — — $11,041.38 $27,418.30 $14,911.81 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 10 — — $11,041.38 $27,412.55 $14,910.85 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 10 — — $11,041.38 $27,395.30 $14,907.98 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 10 — — $11,041.38 $27,279.15 $14,888.62 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 10 — — $11,041.38 $27,034.20 $14,847.79 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 16 10 — — $11,041.38 $26,668.50 $14,786.84 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 10 — — $11,041.38 $26,654.70 $14,784.54 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 10 — — $11,041.38 $26,647.80 $14,783.39 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 10 — — $11,041.38 $26,444.25 $14,749.47 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 10 — — $11,041.38 $26,200.45 $14,708.83 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 10 — — $11,041.38 $26,192.40 $14,707.49 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 10 — — $11,041.38 $26,137.20 $14,698.29 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 16 10 — — $11,041.38 $26,022.20 $14,679.13 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 10 — — $11,041.38 $25,932.50 $14,664.18 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 10 — — $11,041.38 $25,902.60 $14,659.19 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 15 10 — — $11,041.38 $25,835.90 $14,648.08 2026-07-15
835 MS_DRG Acute Leukemia With Cc 16 10 — — $11,041.38 $25,708.25 $14,626.80 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 10 — — $11,041.38 $25,678.35 $14,621.82 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 10 — — $11,041.38 $25,669.15 $14,620.28 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 10 — — $11,041.38 $25,653.05 $14,617.60 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 10 — — $11,041.38 $25,599.00 $14,608.59 2026-07-15
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 16 10 — — $11,041.38 $25,400.05 $14,575.43 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 16 10 — — $11,041.38 $25,386.25 $14,573.14 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 16 10 — — $11,041.38 $25,263.20 $14,552.63 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 10 — — $11,041.38 $25,186.15 $14,539.78 2026-07-15
27792 CPT Treatment Of Broken Outer Lower Leg Bone At Ankle 26 8 $29,072.00 $29,072.00 $1,259.00 $7,414.00 $14,536.00 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 10 — — $11,041.38 $25,066.55 $14,519.85 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 16 10 — — $11,041.38 $25,012.50 $14,510.84 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 16 10 — — $11,041.38 $24,996.40 $14,508.16 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 10 — — $11,041.38 $24,915.90 $14,494.74 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 10 — — $11,041.38 $24,789.40 $14,473.66 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 10 — — $11,041.38 $24,776.75 $14,471.55 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 16 10 — — $11,041.38 $24,768.70 $14,470.21 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 16 10 — — $11,041.38 $24,736.50 $14,464.84 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 10 — — $11,041.38 $24,664.05 $14,452.77 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Complication 16 10 — — $11,041.38 $24,560.55 $14,435.52 2026-07-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 16 10 — — $11,041.38 $24,514.55 $14,427.85 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 16 10 — — $11,041.38 $24,473.15 $14,420.95 2026-07-15
711 MS_DRG Testes Procedures With Cc/mcc 16 10 — — $11,041.38 $24,413.35 $14,410.99 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 16 10 — — $11,041.38 $24,380.00 $14,405.43 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 16 10 — — $11,041.38 $24,290.30 $14,390.48 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 16 10 — — $11,041.38 $24,276.50 $14,388.18 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 16 10 — — $11,041.38 $24,239.70 $14,382.04 2026-07-15
488 MS_DRG Knee Procedures Without Pdx Of Infection With Complication/comorbity 16 10 — — $11,041.38 $24,225.90 $14,379.74 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 10 — — $11,041.38 $24,210.95 $14,377.25 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 16 10 — — $11,041.38 $24,138.50 $14,365.18 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 16 10 — — $11,041.38 $24,075.25 $14,354.64 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 10 — — $11,041.38 $24,063.75 $14,352.72 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 16 10 — — $11,041.38 $24,061.45 $14,352.33 2026-07-15
592 MS_DRG Skin Ulcers With Mcc 16 10 — — $11,041.38 $24,036.15 $14,348.12 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 10 — — $11,041.38 $24,003.95 $14,342.75 2026-07-15
333 MS_DRG Rectal Resection With Cc 16 10 — — $11,041.38 $23,914.25 $14,327.80 2026-07-15
481 MS_DRG Hip & Femur Procedures Except Major Joint With Complication 16 10 — — $11,041.38 $23,861.35 $14,318.99 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 16 10 — — $11,041.38 $23,824.55 $14,312.85 2026-07-15
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 16 10 — — $11,041.38 $23,529.00 $14,263.59 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 10 — — $11,041.38 $23,523.25 $14,262.64 2026-07-15
935 MS_DRG Non-extensive Burns 16 10 — — $11,041.38 $23,472.65 $14,254.20 2026-07-15
516 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Complication 16 10 — — $11,041.38 $23,469.20 $14,253.63 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 16 10 — — $11,041.38 $23,439.30 $14,248.64 2026-07-15
486 MS_DRG Knee Procedures With Pdx Of Infection With Complication 16 10 — — $11,041.38 $23,095.45 $14,191.33 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Complication 16 10 — — $11,041.38 $23,047.15 $14,183.28 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 10 — — $11,041.38 $23,034.50 $14,181.18 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 16 10 — — $11,041.38 $22,928.70 $14,163.54 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 10 — — $11,041.38 $22,856.25 $14,151.47 2026-07-15
617 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Complication 16 10 — — $11,041.38 $22,821.75 $14,145.72 2026-07-15
539 MS_DRG Osteomyelitis With Mcc 16 10 — — $11,041.38 $22,820.60 $14,145.53 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 10 — — $11,041.38 $22,799.90 $14,142.08 2026-07-15
100 MS_DRG Seizures With Mcc 16 10 — — $11,041.38 $22,798.75 $14,141.89 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 16 10 — — $11,041.38 $22,721.70 $14,129.04 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 10 — — $11,041.38 $22,698.70 $14,125.21 2026-07-15
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 16 10 — — $11,041.38 $22,671.10 $14,120.61 2026-07-15
519 MS_DRG Back & Neck Proc Exc Spinal Fusion With Complication 16 10 — — $11,041.38 $22,638.90 $14,115.24 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 16 10 — — $11,041.38 $22,561.85 $14,102.40 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 16 10 — — $11,041.38 $22,523.90 $14,096.08 2026-07-15
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