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

KAHUKU MEDICAL CENTER

Kahuku, HI · CCN 121304 · Rates published

Your selected procedure

You selected 29806 (CPT)

Shoulder arthroscopy/surgery

This hospital’s price: $7,408 across 6 payers · range $749-$7,408

Source: https://www.hhsc.org/standardcharge/kahuku/87-0805301_Kahuku-Medical-Center_standardcharges.csv · observed 2024-06-28

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.

17,030 distinct procedures filed
22 distinct payers
190,981 rate rows
2026-07-01 last MRF observed
Data quality

177,087 of 190,981 rate rows are consumer-grade (92.7%)

13,894 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
professional (physician) fee — not the facility price 7,189
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,842
per-diem day rate — not a per-procedure price 1,283
placeholder amount (≤ $0.02) — excluded from medians 424
template filing: same amount across many unrelated codes — excluded 79
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 38
exceeds 10× this hospital's gross charge — excluded from medians 24
percent-of-charges filed in the dollar field — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hhsc.org/standardcharge/kahuku/87-0805301_Kahuku-Medical-Center_standardcharges.csv
Found on page https://www.hhsc.org/standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 4bf5cd38cf149338… · 22,602,151 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 $604,709.20 $604,709.20 $604,709.20 nat. median
$360,195
1.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $369,675.00 $552,018.43 $552,018.43 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $357,130.75 $533,286.67 $533,286.67 nat. median
$739,658
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $333,502.50 $498,003.72 $498,003.72 nat. median
$621,967
0.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 3 $10,400.00 $696,862.50 $491,870.88 nat. median
$50,730
outlier · 9.7×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $327,012.18 $488,312.03 $488,312.03 nat. median
$589,091
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $326,218.52 $487,126.89 $487,126.89 nat. median
$607,251
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $326,188.50 $487,082.06 $487,082.06 nat. median
$637,620
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $10,400.00 $466,787.19 $329,488.60 nat. median
$190,274
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $269,990.81 $382,502.88 $326,246.84 nat. median
$197,664
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $10,400.00 $404,593.14 $285,574.56 nat. median
$126,240
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $10,400.00 $358,611.26 $253,122.17 nat. median
$94,844
outlier · 2.7×
6
MS_DRG 		Liver Transplant Without Mcc 3 $10,400.00 $358,611.26 $253,122.17 nat. median
$44,113
outlier · 5.7×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 $191,975.26 $271,980.45 $231,977.86 nat. median
$50,769
outlier · 4.6×
209
MS_DRG 		Complex Aortic Arch Procedures 1 $193,360.92 $193,360.92 $193,360.92 nat. median
$92,760
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $158,715.55 $224,860.87 $191,788.21 nat. median
$61,601
outlier · 3.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $10,400.00 $270,036.89 $190,604.04 nat. median
$103,911
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $10,400.00 $270,036.89 $190,604.04 nat. median
$247,805
0.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 $151,214.29 $214,242.38 $182,728.34 nat. median
$35,358
outlier · 5.2×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 $10,400.00 $245,292.00 $173,131.11 nat. median
$32,135
outlier · 5.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $10,400.00 $245,292.00 $173,131.11 nat. median
$74,260
outlier · 2.3×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $10,400.00 $245,292.00 $173,131.11 nat. median
$51,294
outlier · 3.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $136,491.32 $193,360.92 $164,926.12 nat. median
$90,525
1.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $136,491.32 $193,360.92 $164,926.12 nat. median
$59,554
outlier · 2.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $136,491.32 $193,360.92 $164,926.12 nat. median
$61,992
outlier · 2.7×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 3 $10,400.00 $228,961.32 $161,613.86 nat. median
$50,660
outlier · 3.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $10,400.00 $228,961.32 $161,613.86 nat. median
$109,875
1.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 3 $10,400.00 $228,961.32 $161,613.86 nat. median
$53,896
outlier · 3.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $160,035.90 $160,035.90 $160,035.90 nat. median
$66,553
outlier · 2.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $130,748.30 $185,231.13 $157,989.71 nat. median
$59,289
outlier · 2.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $128,948.13 $182,695.02 $155,821.58 nat. median
$62,605
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 2 $120,434.28 $170,630.70 $145,532.49 nat. median
$93,531
1.6× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $139,908.51 $139,908.51 $139,908.51 nat. median
$47,119
outlier · 3.0×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $139,908.51 $139,908.51 $139,908.51 nat. median
$32,405
outlier · 4.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $139,699.59 $139,699.59 $139,699.59 nat. median
$78,028
1.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $114,163.28 $161,742.45 $137,952.86 nat. median
$31,077
outlier · 4.4×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 2 $109,216.10 $154,726.66 $131,971.38 nat. median
$42,768
outlier · 3.1×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 2 $109,216.10 $154,726.66 $131,971.38 nat. median
$33,601
outlier · 3.9×
652
MS_DRG 		Kidney Transplant 2 $109,216.10 $154,726.66 $131,971.38 nat. median
$29,903
outlier · 4.4×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 $108,731.38 $154,039.30 $131,385.34 nat. median
$19,149
outlier · 6.9×
855
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 2 $108,731.38 $154,039.30 $131,385.34 nat. median
$15,392
outlier · 8.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $108,731.38 $154,039.30 $131,385.34 nat. median
$45,281
outlier · 2.9×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $107,825.64 $152,759.39 $130,292.52 nat. median
$67,850
1.9× median
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 $107,825.64 $152,759.39 $130,292.52 nat. median
$26,480
outlier · 4.9×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 2 $107,825.64 $152,759.39 $130,292.52 nat. median
$38,903
outlier · 3.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $127,540.46 $127,540.46 $127,540.46 nat. median
$97,029
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $99,171.49 $140,505.46 $119,838.48 nat. median
$76,979
1.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $99,171.49 $140,505.46 $119,838.48 nat. median
$57,665
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $119,361.86 $119,361.86 $119,361.86 nat. median
$66,332
1.8× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 2 $98,610.72 $139,699.59 $119,155.15 nat. median
$50,311
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 17,030 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 1 — — $604,709.20 $604,709.20 $604,709.20 2024-06-28
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $369,675.00 $552,018.43 $552,018.43 2024-06-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 6 — — $357,130.75 $533,286.67 $533,286.67 2024-06-28
Q2055 HCPCS Idecabtagene Vicleucel Car 10 6 — — $333,502.50 $498,003.72 $498,003.72 2024-06-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $10,400.00 $696,862.50 $491,870.88 2026-07-01
Q2053 HCPCS Brexucabtagene Car Pos T 10 6 — — $327,012.18 $488,312.03 $488,312.03 2024-06-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 6 — — $326,218.52 $487,126.89 $487,126.89 2024-06-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 6 — — $326,188.50 $487,082.06 $487,082.06 2024-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $10,400.00 $466,787.19 $329,488.60 2026-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $269,990.81 $382,502.88 $326,246.84 2026-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 — — $10,400.00 $404,593.14 $285,574.56 2026-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $10,400.00 $358,611.26 $253,122.17 2026-07-01
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $10,400.00 $358,611.26 $253,122.17 2026-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $191,975.26 $271,980.45 $231,977.86 2026-07-01
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $193,360.92 $193,360.92 $193,360.92 2026-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $158,715.55 $224,860.87 $191,788.21 2026-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $10,400.00 $270,036.89 $190,604.04 2026-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $10,400.00 $270,036.89 $190,604.04 2026-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $151,214.29 $214,242.38 $182,728.34 2026-07-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $10,400.00 $245,292.00 $173,131.11 2026-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $10,400.00 $245,292.00 $173,131.11 2026-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $10,400.00 $245,292.00 $173,131.11 2026-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $136,491.32 $193,360.92 $164,926.12 2026-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $136,491.32 $193,360.92 $164,926.12 2026-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $136,491.32 $193,360.92 $164,926.12 2026-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $10,400.00 $228,961.32 $161,613.86 2026-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $10,400.00 $228,961.32 $161,613.86 2026-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 — — $10,400.00 $228,961.32 $161,613.86 2026-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $160,035.90 $160,035.90 $160,035.90 2026-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $130,748.30 $185,231.13 $157,989.71 2026-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $128,948.13 $182,695.02 $155,821.58 2026-07-01
215 MS_DRG Other Heart Assist System Implant 2 2 — — $120,434.28 $170,630.70 $145,532.49 2026-07-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $139,908.51 $139,908.51 $139,908.51 2024-06-28
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $139,908.51 $139,908.51 $139,908.51 2024-06-28
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $139,699.59 $139,699.59 $139,699.59 2026-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $114,163.28 $161,742.45 $137,952.86 2026-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $109,216.10 $154,726.66 $131,971.38 2026-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $109,216.10 $154,726.66 $131,971.38 2026-07-01
652 MS_DRG Kidney Transplant 2 2 — — $109,216.10 $154,726.66 $131,971.38 2026-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $108,731.38 $154,039.30 $131,385.34 2026-07-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 2 2 — — $108,731.38 $154,039.30 $131,385.34 2026-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $108,731.38 $154,039.30 $131,385.34 2026-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $107,825.64 $152,759.39 $130,292.52 2026-07-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 2 — — $107,825.64 $152,759.39 $130,292.52 2026-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $107,825.64 $152,759.39 $130,292.52 2026-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $127,540.46 $127,540.46 $127,540.46 2026-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $99,171.49 $140,505.46 $119,838.48 2026-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $99,171.49 $140,505.46 $119,838.48 2026-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $119,361.86 $119,361.86 $119,361.86 2024-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 2 2 — — $98,610.72 $139,699.59 $119,155.15 2026-07-01
836 MS_DRG Acute Leukemia Without Major O.r. Procedures Without Cc/mcc 2 2 — — $98,610.72 $139,699.59 $119,155.15 2026-07-01
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 2 2 — — $98,610.72 $139,699.59 $119,155.15 2026-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $96,900.31 $137,281.98 $117,091.15 2026-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $96,900.31 $137,281.98 $117,091.15 2026-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $96,900.31 $137,281.98 $117,091.15 2026-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $115,594.65 $115,594.65 $115,594.65 2026-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $115,594.65 $115,594.65 $115,594.65 2026-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $115,594.65 $115,594.65 $115,594.65 2026-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $115,594.65 $115,594.65 $115,594.65 2026-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $115,594.65 $115,594.65 $115,594.65 2026-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $115,594.65 $115,594.65 $115,594.65 2026-07-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 2 2 — — $93,289.02 $132,162.35 $112,725.68 2026-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $93,289.02 $132,162.35 $112,725.68 2026-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 2 2 — — $89,875.75 $127,327.14 $108,601.45 2026-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $89,385.93 $126,639.79 $108,012.86 2026-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $90,020.32 $125,762.81 $107,891.57 2026-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $90,020.32 $125,762.81 $107,891.57 2026-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $90,020.32 $125,762.81 $107,891.57 2026-07-01
7 MS_DRG Lung Transplant 2 2 — — $10,400.00 $204,228.13 $107,314.07 2026-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $103,580.45 $103,580.45 $103,580.45 2024-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $103,008.89 $103,008.89 $103,008.89 2026-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $103,008.89 $103,008.89 $103,008.89 2026-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 2 — — $79,530.61 $112,679.31 $96,104.96 2026-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $79,530.61 $112,679.31 $96,104.96 2026-07-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $96,040.50 $96,040.50 $96,040.50 2026-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 2 2 — — $78,886.42 $111,754.93 $95,320.67 2026-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $78,550.91 $111,280.89 $94,915.90 2026-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $78,550.91 $111,280.89 $94,915.90 2026-07-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $92,752.51 $92,752.51 $92,752.51 2024-06-28
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $92,752.51 $92,752.51 $92,752.51 2024-06-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $71,379.62 $101,136.43 $86,258.02 2026-07-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $71,379.62 $101,136.43 $86,258.02 2026-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $71,379.62 $101,136.43 $86,258.02 2026-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $71,139.04 $100,780.90 $85,959.97 2026-07-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $69,937.24 $99,074.36 $84,505.80 2026-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $69,937.24 $99,074.36 $84,505.80 2026-07-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $84,303.75 $84,303.75 $84,303.75 2024-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $84,260.61 $84,260.61 $84,260.61 2026-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $68,610.32 $97,201.90 $82,906.11 2026-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $68,335.64 $96,822.67 $82,579.15 2026-07-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 2 2 — — $68,335.64 $96,822.67 $82,579.15 2026-07-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 2 — — $68,335.64 $96,822.67 $82,579.15 2026-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 2 — — $67,789.11 $96,040.50 $81,914.80 2026-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $67,789.11 $96,040.50 $81,914.80 2026-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $67,789.11 $96,040.50 $81,914.80 2026-07-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 1 1 — — $81,595.47 $81,595.47 $81,595.47 2024-06-28
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 1 1 — — $81,595.47 $81,595.47 $81,595.47 2024-06-28
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 1 1 — — $81,595.47 $81,595.47 $81,595.47 2024-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $65,941.78 $93,433.28 $79,687.53 2026-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $79,283.19 $79,283.19 $79,283.19 2026-07-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $65,309.87 $92,532.61 $78,921.24 2026-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $65,309.87 $92,532.61 $78,921.24 2026-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 2 2 — — $65,204.67 $92,366.69 $78,785.68 2026-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 2 — — $63,790.77 $90,375.73 $77,083.25 2026-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $63,266.22 $89,640.96 $76,453.59 2026-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $10,400.00 $104,857.65 $74,021.30 2026-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $60,695.82 $85,990.86 $73,343.34 2026-07-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 6 — — $49,107.44 $73,329.84 $73,329.84 2024-06-28
642 MS_DRG Inborn Errors Of Metabolism 2 2 — — $60,229.92 $85,327.20 $72,778.56 2026-07-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $72,706.79 $72,706.79 $72,706.79 2024-06-28
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $72,706.79 $72,706.79 $72,706.79 2024-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $71,911.87 $71,911.87 $71,911.87 2026-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $71,911.87 $71,911.87 $71,911.87 2026-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $10,400.00 $99,927.63 $70,527.72 2026-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $58,079.52 $82,293.34 $70,186.43 2026-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $57,034.58 $80,800.12 $68,917.35 2026-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $57,034.58 $80,800.12 $68,917.35 2026-07-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 2 2 — — $57,034.58 $80,800.12 $68,917.35 2026-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 2 2 — — $56,785.47 $80,444.59 $68,615.03 2026-07-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $54,862.91 $77,718.86 $66,290.89 2026-07-01
265 MS_DRG Aicd Lead Procedures 2 2 — — $54,568.16 $77,315.92 $65,942.04 2026-07-01
245 MS_DRG Aicd Generator Procedures 2 2 — — $54,568.16 $77,315.92 $65,942.04 2026-07-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 2 — — $54,007.00 $76,510.06 $65,258.53 2026-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $54,007.00 $76,510.06 $65,258.53 2026-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $54,000.22 $76,510.06 $65,255.14 2026-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $10,400.00 $89,095.82 $62,888.76 2026-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $10,400.00 $89,095.82 $62,888.76 2026-07-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $51,839.68 $73,452.50 $62,646.09 2026-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $51,839.68 $73,452.50 $62,646.09 2026-07-01
0424T OTHER Insj/rplc Nstim Apnea Compl 10 6 — — $41,250.38 $61,597.26 $61,597.26 2024-06-28
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $50,757.08 $71,911.87 $61,334.47 2026-07-01
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $50,540.59 $71,603.74 $61,072.17 2026-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $50,540.59 $71,603.74 $61,072.17 2026-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $50,540.59 $71,603.74 $61,072.17 2026-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 2 2 — — $50,525.72 $71,580.04 $61,052.88 2026-07-01
332 MS_DRG Rectal Resection With Mcc 2 2 — — $50,267.11 $71,224.51 $60,745.81 2026-07-01
333 MS_DRG Rectal Resection With Cc 2 2 — — $50,267.11 $71,224.51 $60,745.81 2026-07-01
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $10,400.00 $86,038.26 $60,731.00 2026-07-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 6 — — $40,486.10 $60,456.00 $60,456.00 2024-06-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $49,552.40 $70,205.32 $59,878.86 2026-07-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $59,468.68 $59,468.68 $59,468.68 2024-06-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $10,400.00 $83,122.91 $58,671.88 2026-07-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 3 3 — — $10,400.00 $83,122.91 $58,671.88 2026-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $10,400.00 $83,122.91 $58,671.88 2026-07-01
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $47,675.78 $67,550.70 $57,613.24 2026-07-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $57,050.71 $57,050.71 $57,050.71 2026-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $57,050.71 $57,050.71 $57,050.71 2026-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $10,400.00 $80,563.10 $56,867.18 2026-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 2 2 — — $46,806.39 $66,318.20 $56,562.29 2026-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 2 2 — — $46,806.39 $66,318.20 $56,562.29 2026-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $55,959.06 $55,959.06 $55,959.06 2024-06-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $46,209.87 $65,464.92 $55,837.40 2026-07-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 2 2 — — $46,209.87 $65,464.92 $55,837.40 2026-07-01
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 2 2 — — $45,924.20 $65,061.99 $55,493.10 2026-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $45,924.20 $65,061.99 $55,493.10 2026-07-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 — — $45,470.13 $64,422.04 $54,946.08 2026-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $44,822.01 $63,497.66 $54,159.84 2026-07-01
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $44,783.93 $63,450.25 $54,117.09 2026-07-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 3 — — $10,400.00 $76,652.27 $54,101.91 2026-07-01
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $44,616.77 $63,213.23 $53,915.00 2026-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $44,486.01 $63,023.62 $53,754.82 2026-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $43,702.31 $61,909.62 $52,805.96 2026-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 — — $43,490.84 $61,625.20 $52,558.02 2026-07-01
791 MS_DRG Prematurity With Major Problems 2 2 — — $43,458.78 $61,577.80 $52,518.29 2026-07-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $43,365.70 $61,435.58 $52,400.64 2026-07-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 2 — — $43,365.70 $61,435.58 $52,400.64 2026-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $43,305.57 $61,340.78 $52,323.18 2026-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $42,973.63 $60,890.44 $51,932.04 2026-07-01
570 MS_DRG Skin Debridement With Mcc 2 2 — — $42,915.41 $60,795.63 $51,855.52 2026-07-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 2 — — $42,708.24 $60,511.21 $51,609.72 2026-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $42,648.65 $60,416.40 $51,532.53 2026-07-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $42,274.95 $59,894.95 $51,084.95 2026-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $42,274.95 $59,894.95 $51,084.95 2026-07-01
137 MS_DRG Mouth Procedures With Cc/mcc 2 2 — — $42,193.95 $59,776.44 $50,985.19 2026-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $10,400.00 $71,177.11 $50,246.40 2026-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $41,111.72 $58,235.81 $49,673.76 2026-07-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 2 2 — — $41,005.82 $58,093.60 $49,549.71 2026-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $40,961.78 $58,022.50 $49,492.14 2026-07-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/mcc 2 2 — — $40,919.35 $57,975.09 $49,447.22 2026-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $40,919.35 $57,975.09 $49,447.22 2026-07-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 2 — — $40,919.35 $57,975.09 $49,447.22 2026-07-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $40,910.12 $57,951.39 $49,430.76 2026-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $40,758.48 $57,738.07 $49,248.28 2026-07-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $49,166.12 $49,166.12 $49,166.12 2024-06-28
976 MS_DRG HIV With Major Related Condition Without Cc/mcc 2 2 — — $40,682.96 $57,643.26 $49,163.11 2026-07-01
975 MS_DRG HIV With Major Related Condition With Cc 2 2 — — $40,682.96 $57,643.26 $49,163.11 2026-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $40,682.96 $57,643.26 $49,163.11 2026-07-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 2 2 — — $40,500.54 $57,382.54 $48,941.54 2026-07-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 2 2 — — $40,500.54 $57,382.54 $48,941.54 2026-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $40,366.28 $57,192.93 $48,779.60 2026-07-01
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 2 2 — — $40,366.28 $57,192.93 $48,779.60 2026-07-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 2 2 — — $40,366.28 $57,192.93 $48,779.60 2026-07-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 2 2 — — $40,267.29 $57,050.71 $48,659.00 2026-07-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 2 2 — — $40,267.29 $57,050.71 $48,659.00 2026-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 — — $39,932.25 $56,576.67 $48,254.46 2026-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $39,932.25 $56,576.67 $48,254.46 2026-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 — — $39,932.25 $56,576.67 $48,254.46 2026-07-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $47,996.55 $47,996.55 $47,996.55 2026-07-01
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $39,485.49 $55,936.72 $47,711.10 2026-07-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 2 2 — — $39,461.85 $55,913.02 $47,687.43 2026-07-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 2 2 — — $39,461.85 $55,913.02 $47,687.43 2026-07-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $39,461.85 $55,913.02 $47,687.43 2026-07-01
38240 CPT Transplt Allo Hct/donor 12 6 — — $109.73 $47,298.87 $47,298.87 2024-06-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 — — $38,813.27 $54,988.64 $46,900.96 2026-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $38,813.27 $54,988.64 $46,900.96 2026-07-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 2 2 — — $38,813.27 $54,988.64 $46,900.96 2026-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 — — $38,653.46 $54,751.62 $46,702.54 2026-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $38,653.46 $54,751.62 $46,702.54 2026-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $10,400.00 $66,057.47 $46,622.03 2026-07-01
375 MS_DRG Digestive Malignancy With Cc 2 2 — — $38,562.50 $54,633.11 $46,597.81 2026-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 — — $10,400.00 $65,227.90 $46,035.81 2026-07-01
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $10,400.00 $65,038.29 $45,908.12 2026-07-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 2 2 — — $37,776.49 $53,519.12 $45,647.81 2026-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 — — $37,700.70 $53,400.61 $45,550.65 2026-07-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 2 2 — — $37,697.17 $53,400.61 $45,548.89 2026-07-01
597 MS_DRG Malignant Breast Disorders With Mcc 2 2 — — $36,696.99 $51,978.49 $44,337.74 2026-07-01
598 MS_DRG Malignant Breast Disorders With Cc 2 2 — — $36,696.99 $51,978.49 $44,337.74 2026-07-01
711 MS_DRG Testes Procedures With Cc/mcc 2 2 — — $36,628.66 $51,883.68 $44,256.17 2026-07-01
620 MS_DRG O.r. Procedures For Obesity With Cc 2 2 — — $36,507.17 $51,717.76 $44,112.46 2026-07-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 2 2 — — $36,507.17 $51,717.76 $44,112.46 2026-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $36,462.45 $51,646.66 $44,054.56 2026-07-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 2 2 — — $36,348.12 $51,504.45 $43,926.29 2026-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $36,228.71 $51,314.83 $43,771.77 2026-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $36,228.71 $51,314.83 $43,771.77 2026-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 2 — — $36,228.71 $51,314.83 $43,771.77 2026-07-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 2 2 — — $36,022.72 $51,030.41 $43,526.57 2026-07-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $35,868.40 $50,817.09 $43,342.74 2026-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $35,868.40 $50,817.09 $43,342.74 2026-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $35,868.40 $50,817.09 $43,342.74 2026-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $35,705.40 $50,580.07 $43,142.74 2026-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 2 2 — — $35,573.60 $50,390.45 $42,982.02 2026-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 — — $35,382.09 $50,129.73 $42,755.91 2026-07-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $35,346.36 $50,082.33 $42,714.35 2026-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $35,121.26 $49,750.50 $42,435.88 2026-07-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 2 2 — — $34,467.73 $48,826.12 $41,646.93 2026-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 — — $34,251.35 $48,517.99 $41,384.67 2026-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 3 — — $10,400.00 $58,093.60 $40,997.22 2026-07-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 2 2 — — $33,882.60 $47,996.55 $40,939.57 2026-07-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 2 2 — — $33,882.45 $47,996.55 $40,939.50 2026-07-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 2 2 — — $33,882.45 $47,996.55 $40,939.50 2026-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $33,882.45 $47,996.55 $40,939.50 2026-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $33,757.68 $47,830.64 $40,794.16 2026-07-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 2 2 — — $33,757.68 $47,830.64 $40,794.16 2026-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $33,757.68 $47,830.64 $40,794.16 2026-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $33,711.15 $47,759.53 $40,735.34 2026-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $33,517.74 $47,475.11 $40,496.43 2026-07-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $40,483.02 $40,483.02 $40,483.02 2026-07-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $40,483.02 $40,483.02 $40,483.02 2026-07-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $40,483.02 $40,483.02 $40,483.02 2026-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $40,483.02 $40,483.02 $40,483.02 2026-07-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $40,269.08 $40,269.08 $40,269.08 2024-06-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $33,048.53 $46,811.45 $39,929.99 2026-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $33,040.61 $46,811.45 $39,926.03 2026-07-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $33,040.61 $46,811.45 $39,926.03 2026-07-01
10 MS_DRG Pancreas Transplant 2 2 — — $10,400.00 $69,375.96 $39,887.98 2026-07-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $32,762.21 $46,408.52 $39,585.36 2026-07-01
501 MS_DRG Soft Tissue Procedures With Cc 2 2 — — $32,762.21 $46,408.52 $39,585.36 2026-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $32,728.11 $46,361.11 $39,544.61 2026-07-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 2 2 — — $32,728.11 $46,361.11 $39,544.61 2026-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $32,639.64 $46,242.60 $39,441.12 2026-07-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $32,639.64 $46,242.60 $39,441.12 2026-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $32,523.69 $46,076.69 $39,300.19 2026-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $32,523.69 $46,076.69 $39,300.19 2026-07-01
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $32,523.69 $46,076.69 $39,300.19 2026-07-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $32,511.36 $46,052.99 $39,282.18 2026-07-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 2 — — $32,500.18 $46,052.99 $39,276.58 2026-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 2 — — $32,470.02 $46,005.58 $39,237.80 2026-07-01
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $32,328.78 $45,792.26 $39,060.52 2026-07-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 2 — — $32,328.78 $45,792.26 $39,060.52 2026-07-01
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $32,328.78 $45,792.26 $39,060.52 2026-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $32,218.01 $45,650.05 $38,934.03 2026-07-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 2 2 — — $32,199.61 $45,626.35 $38,912.98 2026-07-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 2 — — $32,199.61 $45,626.35 $38,912.98 2026-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $32,199.61 $45,626.35 $38,912.98 2026-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 2 — — $32,192.02 $45,602.65 $38,897.33 2026-07-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 2 2 — — $32,078.14 $45,436.73 $38,757.43 2026-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 — — $10,400.00 $66,909.96 $38,654.98 2026-07-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $31,929.91 $45,247.12 $38,588.51 2026-07-01
38 MS_DRG Extracranial Procedures With Cc 3 3 — — $10,400.00 $54,135.37 $38,214.82 2026-07-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $38,112.82 $38,112.82 $38,112.82 2026-07-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 2 2 — — $31,543.04 $44,678.27 $38,110.65 2026-07-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 2 2 — — $31,543.04 $44,678.27 $38,110.65 2026-07-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 2 2 — — $31,543.04 $44,678.27 $38,110.65 2026-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $10,400.00 $53,827.24 $37,988.19 2026-07-01
32 MS_DRG Ventricular Shunt Procedures With Cc 3 3 — — $10,400.00 $53,827.24 $37,988.19 2026-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $31,322.88 $44,370.14 $37,846.51 2026-07-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $31,168.01 $44,156.83 $37,662.42 2026-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $31,168.01 $44,156.83 $37,662.42 2026-07-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 2 2 — — $31,026.91 $43,967.21 $37,497.06 2026-07-01
69930 CPT Implant Cochlear Device 12 6 — — $972.60 $37,335.47 $37,335.47 2024-06-28
799 MS_DRG Splenectomy With Mcc 2 2 — — $30,863.67 $43,730.19 $37,296.93 2026-07-01
800 MS_DRG Splenectomy With Cc 2 2 — — $30,863.67 $43,730.19 $37,296.93 2026-07-01
801 MS_DRG Splenectomy Without Cc/mcc 2 2 — — $30,863.67 $43,730.19 $37,296.93 2026-07-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 2 2 — — $30,605.09 $43,350.96 $36,978.03 2026-07-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 2 2 — — $30,605.09 $43,350.96 $36,978.03 2026-07-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 2 2 — — $30,549.98 $43,279.85 $36,914.92 2026-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $30,549.98 $43,279.85 $36,914.92 2026-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 2 — — $30,549.98 $43,279.85 $36,914.92 2026-07-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 2 2 — — $30,512.61 $43,232.45 $36,872.53 2026-07-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 2 — — $30,336.12 $42,971.73 $36,653.93 2026-07-01
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