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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

KAHUKU MEDICAL CENTER

Kahuku, HI · CCN 121304 · Rates published

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
$359,244
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
$623,527
0.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 3 $10,400.00 $696,862.50 $491,870.88 nat. median
$50,763
outlier · 9.7×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $327,012.18 $488,312.03 $488,312.03 nat. median
$592,235
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $326,218.52 $487,126.89 $487,126.89 nat. median
$608,239
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $326,188.50 $487,082.06 $487,082.06 nat. median
$640,950
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
$190,359
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
$198,115
1.6× 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
$126,461
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
$94,943
outlier · 2.7×
6
MS_DRG 		Liver Transplant Without Mcc 3 $10,400.00 $358,611.26 $253,122.17 nat. median
$44,153
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
$50,808
outlier · 4.6×
209
MS_DRG 		Complex Aortic Arch Procedures 1 $193,360.92 $193,360.92 $193,360.92 nat. median
$92,645
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $158,715.55 $224,860.87 $191,788.21 nat. median
$61,660
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
$103,938
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
$248,541
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
$35,435
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
$32,286
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
$74,298
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
$51,462
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
$90,512
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
$59,493
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
$61,995
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
$50,830
outlier · 3.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $10,400.00 $228,961.32 $161,613.86 nat. median
$110,084
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
$53,841
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
$66,584
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
$59,324
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
$62,577
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 2 $120,434.28 $170,630.70 $145,532.49 nat. median
$93,787
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
$47,543
outlier · 2.9×
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
$32,619
outlier · 4.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $139,699.59 $139,699.59 $139,699.59 nat. median
$78,164
1.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $114,163.28 $161,742.45 $137,952.86 nat. median
$31,156
outlier · 4.4×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 2 $109,216.10 $154,726.66 $131,971.38 nat. median
$42,787
outlier · 3.1×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 2 $109,216.10 $154,726.66 $131,971.38 nat. median
$33,599
outlier · 3.9×
652
MS_DRG 		Kidney Transplant 2 $109,216.10 $154,726.66 $131,971.38 nat. median
$29,909
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
$19,195
outlier · 6.8×
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
$15,432
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
$45,362
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
$67,908
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
$26,404
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
$38,930
outlier · 3.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $127,540.46 $127,540.46 $127,540.46 nat. median
$97,137
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
$57,798
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
$66,623
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
$50,314
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
             
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $369,675.00 $552,018.43 $552,018.43 2024-06-28
Q2055 HCPCS Idecabtagene Vicleucel Car 10 6 — — $333,502.50 $498,003.72 $498,003.72 2024-06-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 6 — — $326,188.50 $487,082.06 $487,082.06 2024-06-28
Q2053 HCPCS Brexucabtagene Car Pos T 10 6 — — $327,012.18 $488,312.03 $488,312.03 2024-06-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 6 — — $40,486.10 $60,456.00 $60,456.00 2024-06-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 6 — — $357,130.75 $533,286.67 $533,286.67 2024-06-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 6 — — $326,218.52 $487,126.89 $487,126.89 2024-06-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $84,303.75 $84,303.75 $84,303.75 2024-06-28
A9543 HCPCS Y90 Ibritumomab, Rx 10 6 — — $49,107.44 $73,329.84 $73,329.84 2024-06-28
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
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
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
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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $158,715.55 $224,860.87 $191,788.21 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $139,699.59 $139,699.59 $139,699.59 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
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
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
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $54,862.91 $77,718.86 $66,290.89 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
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
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
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
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
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
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
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
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
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
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
801 MS_DRG Splenectomy Without Cc/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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $10,400.00 $696,862.50 $491,870.88 2026-07-01
799 MS_DRG Splenectomy With Mcc 2 2 — — $30,863.67 $43,730.19 $37,296.93 2026-07-01
791 MS_DRG Prematurity With Major Problems 2 2 — — $43,458.78 $61,577.80 $52,518.29 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
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
755 MS_DRG Malignancy, Female Reproductive System With Cc 2 2 — — $40,500.54 $57,382.54 $48,941.54 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
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
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
711 MS_DRG Testes Procedures With Cc/mcc 2 2 — — $36,628.66 $51,883.68 $44,256.17 2026-07-01
7 MS_DRG Lung Transplant 2 2 — — $10,400.00 $204,228.13 $107,314.07 2026-07-01
69930 CPT Implant Cochlear Device 12 6 — — $972.60 $37,335.47 $37,335.47 2024-06-28
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
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
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
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
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
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
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
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 2 — — $32,328.78 $45,792.26 $39,060.52 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
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $32,328.78 $45,792.26 $39,060.52 2026-07-01
652 MS_DRG Kidney Transplant 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $109,216.10 $154,726.66 $131,971.38 2026-07-01
642 MS_DRG Inborn Errors Of Metabolism 2 2 — — $60,229.92 $85,327.20 $72,778.56 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
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
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
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
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
620 MS_DRG O.r. Procedures For Obesity With Cc 2 2 — — $36,507.17 $51,717.76 $44,112.46 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
619 MS_DRG O.r. Procedures For Obesity With Mcc 2 2 — — $36,507.17 $51,717.76 $44,112.46 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
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 2 2 — — $40,267.29 $57,050.71 $48,659.00 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
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
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $10,400.00 $358,611.26 $253,122.17 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
597 MS_DRG Malignant Breast Disorders With Mcc 2 2 — — $36,696.99 $51,978.49 $44,337.74 2026-07-01
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
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
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
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
571 MS_DRG Skin Debridement With Cc 2 2 — — $40,910.12 $57,951.39 $49,430.76 2026-07-01
570 MS_DRG Skin Debridement With Mcc 2 2 — — $42,915.41 $60,795.63 $51,855.52 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
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
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
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
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
501 MS_DRG Soft Tissue Procedures With Cc 2 2 — — $32,762.21 $46,408.52 $39,585.36 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $10,400.00 $358,611.26 $253,122.17 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
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
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
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
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
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
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
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
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
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 2 — — $32,470.02 $46,005.58 $39,237.80 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
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $43,702.31 $61,909.62 $52,805.96 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
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
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
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
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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $59,468.68 $59,468.68 $59,468.68 2024-06-28
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
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
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
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
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
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
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
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
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
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
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 2 2 — — $41,005.82 $58,093.60 $49,549.71 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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $46,209.87 $65,464.92 $55,837.40 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
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
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
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
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
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $36,462.45 $51,646.66 $44,054.56 2026-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $65,941.78 $93,433.28 $79,687.53 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
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
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
38240 CPT Transplt Allo Hct/donor 12 6 — — $109.73 $47,298.87 $47,298.87 2024-06-28
38 MS_DRG Extracranial Procedures With Cc 3 3 — — $10,400.00 $54,135.37 $38,214.82 2026-07-01
375 MS_DRG Digestive Malignancy With Cc 2 2 — — $38,562.50 $54,633.11 $46,597.81 2026-07-01
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $39,485.49 $55,936.72 $47,711.10 2026-07-01
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $10,400.00 $65,038.29 $45,908.12 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
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
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
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 — — $10,400.00 $66,909.96 $38,654.98 2026-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 — — $37,700.70 $53,400.61 $45,550.65 2026-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $42,648.65 $60,416.40 $51,532.53 2026-07-01
333 MS_DRG Rectal Resection With Cc 2 2 — — $50,267.11 $71,224.51 $60,745.81 2026-07-01
332 MS_DRG Rectal Resection With Mcc 2 2 — — $50,267.11 $71,224.51 $60,745.81 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
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
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $63,266.22 $89,640.96 $76,453.59 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $38,112.82 $38,112.82 $38,112.82 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
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
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
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
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 2 2 — — $93,289.02 $132,162.35 $112,725.68 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $93,289.02 $132,162.35 $112,725.68 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $10,400.00 $53,827.24 $37,988.19 2026-07-01
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
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 2 2 — — $31,543.04 $44,678.27 $38,110.65 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
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 2 2 — — $33,882.45 $47,996.55 $40,939.50 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
289 MS_DRG Acute And Subacute Endocarditis With Cc 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
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
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $10,400.00 $86,038.26 $60,731.00 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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $103,008.89 $103,008.89 $103,008.89 2026-07-01
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
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
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 2 2 — — $37,697.17 $53,400.61 $45,548.89 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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $78,550.91 $111,280.89 $94,915.90 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
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
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
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 2 2 — — $56,785.47 $80,444.59 $68,615.03 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
265 MS_DRG Aicd Lead Procedures 2 2 — — $54,568.16 $77,315.92 $65,942.04 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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $10,400.00 $89,095.82 $62,888.76 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
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $47,675.78 $67,550.70 $57,613.24 2026-07-01
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $50,757.08 $71,911.87 $61,334.47 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $10,400.00 $89,095.82 $62,888.76 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
245 MS_DRG Aicd Generator Procedures 2 2 — — $54,568.16 $77,315.92 $65,942.04 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
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 2 2 — — $37,776.49 $53,519.12 $45,647.81 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
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
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
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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 2 — — $63,790.77 $90,375.73 $77,083.25 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 2 2 — — $78,886.42 $111,754.93 $95,320.67 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $99,171.49 $140,505.46 $119,838.48 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
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
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
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
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
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
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
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
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
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
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
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
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
215 MS_DRG Other Heart Assist System Implant 2 2 — — $120,434.28 $170,630.70 $145,532.49 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $127,540.46 $127,540.46 $127,540.46 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
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $193,360.92 $193,360.92 $193,360.92 2026-07-01
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
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
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
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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $119,361.86 $119,361.86 $119,361.86 2024-06-28
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 2 — — $32,192.02 $45,602.65 $38,897.33 2026-07-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 1 — — $604,709.20 $604,709.20 $604,709.20 2024-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $10,400.00 $228,961.32 $161,613.86 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
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
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
165 MS_DRG Major Chest Procedures Without Cc/mcc 2 2 — — $32,078.14 $45,436.73 $38,757.43 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
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $44,783.93 $63,450.25 $54,117.09 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
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
141 MS_DRG Major Head And Neck Procedures With Cc 2 2 — — $35,573.60 $50,390.45 $42,982.02 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
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $10,400.00 $228,961.32 $161,613.86 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
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
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
10 MS_DRG Pancreas Transplant 2 2 — — $10,400.00 $69,375.96 $39,887.98 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
0424T OTHER Insj/rplc Nstim Apnea Compl 10 6 — — $41,250.38 $61,597.26 $61,597.26 2024-06-28
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