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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

ST JOSEPH REGIONAL MEDICAL CENTER

Lewiston, ID · CCN 130003 · Rates published

2,470 distinct procedures filed
10 distinct payers
24,856 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

13,900 of 24,856 rate rows are consumer-grade (55.9%)

10,956 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 8,289
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pi=HEe7rvjeIIxdn6QxdPT9Hg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=HEe7rvjeIIxdn6QxdPT9Hg*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-03
Content fingerprint ac1614c123d88db4… · 14,910,086 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $348,115.58 $828,677.93 $358,559.05 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $225,913.01 $610,662.25 $232,690.40 nat. median
$261,939
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $80,964.67 $258,732.59 $206,856.01 nat. median
$83,623
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $172,115.79 $409,716.10 $177,279.26 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $171,105.69 $407,311.59 $176,238.86 nat. median
$199,832
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $99,671.51 $142,594.52 $128,336.36 nat. median
$62,767
outlier · 2.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $1,561.19 $166,220.05 $116,185.42 nat. median
$57,648
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $111,662.24 $265,808.37 $115,012.11 nat. median
$132,706
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $99,999.91 $113,655.52 $109,867.00 nat. median
$111,503
1.0× median
7
MS_DRG 		Lung Transplant 7 $104,397.27 $252,805.78 $107,529.19 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $96,881.59 $355,674.77 $99,788.04 nat. median
$114,305
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $91,350.63 $352,055.53 $94,091.15 nat. median
$108,240
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 $37,976.89 $133,479.07 $93,299.94 nat. median
$46,399
outlier · 2.0×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $91,245.83 $217,207.77 $91,245.83 nat. median
$96,134
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $87,660.91 $237,838.60 $90,290.74 nat. median
$100,978
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $88,846.75 $211,496.83 $88,846.75 nat. median
$96,835
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $83,117.48 $242,449.32 $85,611.00 nat. median
$99,646
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 7 $80,267.77 $327,363.44 $82,675.80 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $78,863.46 $187,731.93 $81,229.36 nat. median
$92,900
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 2 $39,657.57 $83,662.07 $75,296.62 nat. median
$37,051
outlier · 2.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $72,630.36 $172,894.22 $72,630.36 nat. median
$81,124
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $67,957.14 $161,769.78 $69,995.85 nat. median
$79,040
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $69,808.05 $166,175.81 $69,808.05 nat. median
$81,364
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $67,743.51 $187,273.03 $69,775.82 nat. median
$80,459
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $63,433.86 $202,714.97 $65,971.21 nat. median
$77,385
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $61,898.16 $147,346.58 $63,755.10 nat. median
$74,472
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $61,631.33 $146,711.39 $63,480.27 nat. median
$73,475
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $61,427.37 $146,225.88 $63,270.19 nat. median
$71,485
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $57,481.30 $155,364.54 $60,355.37 nat. median
$68,581
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $57,822.30 $137,644.11 $59,556.97 nat. median
$62,911
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $57,515.15 $147,068.33 $59,240.60 nat. median
$69,153
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $58,192.32 $138,524.93 $58,192.32 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 7 $56,564.64 $137,701.68 $57,846.48 nat. median
$67,750
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $55,719.07 $132,637.44 $57,390.64 nat. median
$65,958
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $405.00 $144,155.71 $57,109.15 nat. median
$65,792
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $54,262.36 $543,388.38 $56,975.48 nat. median
$64,357
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $53,006.39 $126,180.01 $54,596.58 nat. median
$60,895
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $53,006.39 $134,545.63 $54,596.58 nat. median
$63,840
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $52,813.72 $125,721.37 $54,398.13 nat. median
$59,159
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $51,872.95 $165,001.12 $53,947.87 nat. median
$62,218
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $53,902.82 $128,313.94 $53,902.82 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $53,863.32 $128,219.90 $53,863.32 nat. median
$62,262
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $49,403.73 $183,695.74 $50,885.84 nat. median
$60,162
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $48,421.85 $137,133.64 $50,842.94 nat. median
$58,419
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $49,346.50 $128,819.76 $50,826.90 nat. median
$60,294
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $48,873.29 $120,408.73 $50,339.49 nat. median
$59,257
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 7 $29,782.56 $115,299.28 $49,888.62 nat. median
$56,970
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $48,071.18 $144,257.29 $49,513.32 nat. median
$57,394
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 $47,913.17 $140,337.73 $49,350.57 nat. median
$51,433
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $46,194.47 $109,964.46 $49,252.10 nat. median
$55,685
0.9× median

Other procedures at this hospital

Browse this hospital's 2,470 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
             
0656T CPT Vrt Bdy Tethering Ant 3 3 — — $19,481.75 $20,455.83 $20,066.20 2025-01-01
0657T CPT Vrt Bdy Tethering Ant 8+ Seg 3 3 — — $19,481.75 $20,455.83 $20,066.20 2025-01-01
0790T CPT Revj Rplcmt/rmvl Vrt Tethrg 3 3 — — $19,481.75 $20,455.83 $20,066.20 2025-01-01
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 3 3 — — $21,401.58 $22,471.66 $22,043.63 2025-01-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 3 3 — — $24,714.74 $25,950.47 $25,456.18 2025-01-01
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 3 3 — — $21,401.58 $22,471.66 $22,043.63 2025-01-01
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 3 3 — — $21,401.58 $22,471.66 $22,043.63 2025-01-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $34,876.03 $36,619.83 $35,922.31 2025-01-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 3 3 — — $24,714.74 $25,950.47 $25,456.18 2025-01-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 3 3 — — $24,714.74 $25,950.47 $25,456.18 2025-01-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 3 3 — — $30,148.49 $31,655.91 $31,052.94 2025-01-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 3 3 — — $30,148.49 $31,655.91 $31,052.94 2025-01-01
0981T CPT Tcat Impl Wrls Ivc Snr 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 7 — — $225,913.01 $610,662.25 $232,690.40 2025-01-01
10 MS_DRG Pancreas Transplant 11 7 — — $56,564.64 $137,701.68 $57,846.48 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 7 — — $43,967.90 $104,664.18 $45,286.94 2025-01-01
113 MS_DRG Orbital Procedures With Cc/Mcc 11 7 — — $18,953.25 $45,117.61 $19,521.85 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 7 — — $33,987.03 $80,905.04 $35,006.64 2025-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 11 7 — — $23,231.46 $55,301.74 $23,928.40 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 7 — — $96,881.59 $355,674.77 $99,788.04 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 11 7 — — $34,384.46 $87,738.41 $35,415.99 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 7 — — $30,202.99 $71,897.25 $31,109.08 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 11 7 — — $47,801.92 $178,625.71 $49,235.98 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 13 7 — — $36,129.76 $118,827.66 $37,936.25 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 16 8 — — $20,347.08 $71,751.18 $24,310.57 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 7 — — $30,131.25 $93,709.38 $31,637.81 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 11 7 — — $43,792.16 $104,245.84 $45,105.92 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 7 — — $23,994.07 $67,902.15 $24,713.89 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 7 — — $348,115.58 $828,677.93 $358,559.05 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 7 — — $57,515.15 $147,068.33 $59,240.60 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 7 — — $91,350.63 $352,055.53 $94,091.15 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 7 — — $63,433.86 $202,714.97 $65,971.21 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 7 — — $51,872.95 $165,001.12 $53,947.87 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 7 — — $22,158.48 $52,747.55 $23,266.40 2025-01-01
209 MS_DRG Complex Aortic Arch Procedures 8 7 — — $91,245.83 $217,207.77 $91,245.83 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 7 — — $42,675.65 $151,665.80 $43,955.92 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 7 — — $87,660.91 $237,838.60 $90,290.74 2025-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 7 — — $46,005.84 $109,515.41 $46,005.84 2025-01-01
215 MS_DRG Other Heart Assist System Implant 11 7 — — $80,267.77 $327,363.44 $82,675.80 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 7 — — $78,863.46 $187,731.93 $81,229.36 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 7 — — $53,006.39 $134,545.63 $54,596.58 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 7 — — $53,006.39 $126,180.01 $54,596.58 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 7 — — $61,898.16 $147,346.58 $63,755.10 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 7 — — $25,614.42 $104,269.00 $26,382.85 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 7 — — $42,990.05 $105,187.61 $44,279.75 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 7 — — $40,631.27 $100,499.60 $41,850.21 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 7 — — $39,883.17 $130,793.89 $41,478.50 2025-01-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 3 3 — — $19,481.75 $20,455.83 $20,066.20 2025-01-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 3 3 — — $19,481.75 $20,455.83 $20,066.20 2025-01-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 3 3 — — $19,481.75 $20,455.83 $20,066.20 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 7 — — $25,389.51 $88,312.54 $26,658.99 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 7 — — $46,194.47 $109,964.46 $49,252.10 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 7 — — $67,957.14 $161,769.78 $69,995.85 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 7 — — $48,873.29 $120,408.73 $50,339.49 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 7 — — $61,631.33 $146,711.39 $63,480.27 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 7 — — $44,037.23 $104,829.21 $45,358.35 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 7 — — $47,309.37 $119,233.97 $48,728.65 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 7 — — $33,767.76 $81,005.61 $34,780.79 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 7 — — $39,675.99 $105,410.64 $41,263.03 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 7 — — $31,535.55 $77,366.50 $32,086.10 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 7 — — $22,979.14 $62,472.19 $23,898.31 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 7 — — $25,738.57 $66,164.30 $26,768.11 2025-01-01
245 MS_DRG Aicd Generator Procedures 11 7 — — $36,779.52 $90,670.90 $37,882.91 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 7 — — $36,652.95 $87,251.17 $37,752.54 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 11 7 — — $28,120.72 $66,940.48 $28,964.34 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 13 7 — — $20,924.28 $51,570.30 $21,970.49 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 7 — — $1,580.00 $56,088.28 $22,071.10 2025-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 7 — — $25,329.85 $60,296.90 $26,089.75 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 7 — — $25,064.63 $61,012.57 $26,067.22 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 7 — — $26,222.25 $66,462.40 $27,271.14 2025-01-01
263 MS_DRG Vein Ligation And Stripping 11 7 — — $21,559.61 $58,671.51 $24,647.05 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 11 7 — — $26,930.05 $64,106.11 $27,737.95 2025-01-01
265 MS_DRG Aicd Lead Procedures 11 7 — — $29,167.90 $69,433.26 $30,042.94 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 7 — — $49,403.73 $183,695.74 $50,885.84 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 7 — — $38,378.91 $128,338.38 $39,530.28 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 7 — — $405.00 $144,155.71 $57,109.15 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 7 — — $34,045.08 $91,702.13 $35,747.33 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 12 7 — — $20,338.21 $48,414.45 $21,151.74 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 7 — — $20,300.13 $101,252.20 $44,661.31 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 7 — — $28,668.90 $68,245.40 $31,768.39 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 13 7 — — $9,146.23 $48,992.07 $21,198.29 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 7 — — $33,257.47 $79,168.35 $34,255.19 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 7 — — $26,535.84 $63,167.72 $27,331.92 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 7 — — $57,481.30 $155,364.54 $60,355.37 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 7 — — $48,421.85 $137,133.64 $50,842.94 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 7 — — $37,231.76 $105,604.96 $38,721.03 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 7 — — $44,871.59 $106,815.38 $46,217.74 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 8 — — $28,898.28 $70,675.65 $29,508.87 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 13 7 — — $29,782.56 $115,299.28 $49,888.62 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 7 — — $21,815.87 $65,219.19 $22,470.35 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 7 — — $27,502.41 $65,468.60 $28,602.50 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 7 — — $171,105.69 $407,311.59 $176,238.86 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 7 — — $36,119.29 $85,980.80 $37,202.87 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 7 — — $53,902.82 $128,313.94 $53,902.82 2025-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 8 7 — — $19,526.42 $46,482.02 $19,526.42 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 7 — — $35,977.40 $90,551.66 $37,056.72 2025-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 11 7 — — $19,390.18 $51,841.91 $19,971.89 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 7 — — $21,933.57 $63,479.13 $26,186.51 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 7 — — $34,885.08 $91,419.48 $35,931.63 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 7 — — $25,401.60 $65,552.63 $26,163.65 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 7 — — $25,880.45 $61,607.58 $26,656.86 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 7 — — $1,549.52 $96,288.56 $41,411.80 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 11 7 — — $19,703.77 $48,986.71 $20,294.88 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 7 — — $1,580.00 $104,517.68 $38,907.13 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 7 — — $19,324.89 $48,407.40 $21,727.22 2025-01-01
332 MS_DRG Rectal Resection With Mcc 11 7 — — $29,188.06 $84,881.00 $30,063.70 2025-01-01
333 MS_DRG Rectal Resection With Cc 11 7 — — $18,881.51 $48,931.50 $19,447.96 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 7 — — $2,250.00 $97,580.36 $29,218.40 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 7 — — $31,203.42 $81,213.18 $32,451.56 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 7 — — $20,821.09 $61,549.16 $21,445.72 2025-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 11 7 — — $18,505.84 $46,261.79 $19,061.02 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 14 7 — — $19,270.87 $55,977.87 $21,033.12 2025-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 7 — — $20,088.30 $47,819.56 $20,891.83 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 7 — — $23,394.30 $61,487.33 $24,096.13 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 7 — — $2,797.40 $84,297.83 $35,943.49 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 12 7 — — $18,746.88 $44,626.35 $19,496.76 2025-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 8 7 — — $27,720.07 $65,986.73 $27,720.07 2025-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 8 7 — — $19,462.74 $46,330.42 $19,462.74 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 11 7 — — $26,539.07 $63,175.40 $27,335.24 2025-01-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 11 7 — — $19,306.34 $49,609.42 $19,885.53 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 7 — — $111,662.24 $265,808.37 $115,012.11 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 7 — — $31,126.83 $74,096.43 $32,060.63 2025-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 7 — — $32,411.02 $77,153.40 $32,411.02 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 7 — — $44,100.11 $105,947.23 $45,423.11 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 7 — — $23,379.79 $97,560.09 $24,314.98 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 7 — — $28,743.87 $76,110.03 $29,606.19 2025-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 7 — — $26,629.36 $66,433.70 $27,428.24 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 7 — — $28,719.69 $73,193.00 $29,581.28 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 13 7 — — $19,237.82 $47,464.70 $20,199.71 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 7 — — $27,466.13 $87,325.48 $28,290.11 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 7 — — $33,479.16 $113,088.55 $34,483.53 2025-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $88,846.75 $211,496.83 $88,846.75 2025-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $58,192.32 $138,524.93 $58,192.32 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $45,321.42 $107,886.18 $45,321.42 2025-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 7 — — $72,630.36 $172,894.22 $72,630.36 2025-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 7 — — $46,491.13 $110,670.65 $46,491.13 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 7 — — $53,863.32 $128,219.90 $53,863.32 2025-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $34,186.96 $81,380.95 $34,186.96 2025-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $42,964.25 $102,275.02 $42,964.25 2025-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $26,041.68 $61,991.38 $26,041.68 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $80,964.67 $258,732.59 $206,856.01 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 5 — — $1,561.19 $166,220.05 $116,185.42 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 4 — — $37,976.89 $133,479.07 $93,299.94 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $67,743.51 $187,273.03 $69,775.82 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $48,071.18 $144,257.29 $49,513.32 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $33,637.17 $114,442.17 $34,646.29 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 1 — — $99,671.51 $142,594.52 $128,336.36 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 2 — — $39,657.57 $83,662.07 $75,296.62 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 7 — — $44,523.34 $105,986.37 $45,859.04 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 7 — — $21,443.43 $68,734.64 $22,086.73 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 7 — — $45,946.18 $121,046.90 $47,784.03 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 7 — — $25,108.97 $59,771.09 $25,782.11 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 7 — — $41,963.02 $99,891.63 $43,221.91 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 7 — — $28,429.48 $67,675.45 $29,850.95 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 12 7 — — $22,152.84 $55,776.92 $23,038.96 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 7 — — $24,451.96 $58,722.66 $25,185.52 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 11 7 — — $38,926.28 $92,662.75 $40,094.07 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 12 7 — — $23,749.81 $56,535.66 $24,699.80 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 12 7 — — $19,680.40 $48,255.79 $20,467.61 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 7 — — $34,606.96 $97,664.27 $35,645.17 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 11 7 — — $18,345.42 $45,329.93 $18,895.78 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 7 — — $27,849.05 $67,526.76 $28,684.52 2025-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 11 7 — — $19,824.69 $47,192.05 $20,419.43 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 7 — — $1,185.00 $57,764.30 $23,829.49 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 15 7 — — $16,884.69 $40,266.53 $19,554.47 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 7 — — $22,345.51 $53,192.76 $23,015.88 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 7 — — $26,015.08 $61,928.05 $26,795.53 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 7 — — $29,598.39 $70,458.00 $30,782.33 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 7 — — $1,900.24 $48,667.76 $20,751.29 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 7 — — $29,228.37 $69,577.18 $30,105.22 2025-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 7 — — $24,319.75 $57,892.39 $25,049.34 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 7 — — $83,117.48 $242,449.32 $85,611.00 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 11 7 — — $25,512.85 $69,246.94 $26,278.24 2025-01-01
503 MS_DRG Foot Procedures With Mcc 11 7 — — $22,500.29 $53,561.21 $23,175.30 2025-01-01
509 MS_DRG Arthroscopy 3 1 — — $19,860.21 $28,412.91 $25,571.88 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 7 — — $24,349.58 $57,963.40 $25,080.07 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 7 6 — — $20,983.85 $108,722.58 $39,028.84 2025-01-01
5117 OTHER Level 7 Musculoskeletal Procedures 1 1 — — $32,383.03 $32,383.03 $32,383.03 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 7 — — $25,691.01 $70,878.80 $26,718.65 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 7 — — $30,128.02 $71,718.79 $31,031.86 2025-01-01
5194 OTHER Level 4 Endovascular Procedures 8 7 — — $7,294.92 $41,528.84 $20,585.70 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 7 — — $23,137.95 $67,685.75 $24,063.47 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 16 7 — — $2,174.53 $48,454.53 $18,989.99 2025-01-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 3 3 — — $11,941.40 $33,980.97 $19,721.65 2025-01-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 2 2 — — $21,761.02 $58,053.01 $39,907.01 2025-01-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $25,202.29 $25,202.29 $25,202.29 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 3 3 — — $1,525.56 $36,583.65 $35,998.31 2025-01-01
5331 OTHER Complex Gi Procedures 1 1 — — $23,897.76 $23,897.76 $23,897.76 2025-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 11 7 — — $20,006.08 $59,102.47 $20,606.26 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 11 7 — — $18,727.53 $44,580.29 $19,289.36 2025-01-01
570 MS_DRG Skin Debridement With Mcc 11 7 — — $23,709.50 $90,748.19 $24,420.78 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 7 — — $52,813.72 $125,721.37 $54,398.13 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 7 — — $27,984.49 $66,616.17 $28,824.02 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 7 — — $39,510.73 $94,054.03 $41,091.16 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 7 — — $21,368.46 $50,866.93 $22,009.51 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 7 — — $26,106.98 $62,704.05 $26,890.19 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 11 7 — — $37,380.90 $104,907.17 $38,502.33 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 7 — — $22,226.20 $52,950.43 $22,892.99 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 7 — — $28,113.47 $76,900.57 $28,956.87 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 7 — — $23,276.60 $69,527.39 $23,974.90 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 7 — — $28,692.28 $121,713.78 $29,553.05 2025-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 7 — — $24,346.36 $57,955.72 $25,076.75 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 7 — — $30,043.38 $74,979.43 $30,944.68 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 18 7 — — $16,211.56 $93,901.13 $19,072.35 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 7 — — $37,900.06 $99,569.95 $39,037.06 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 7 — — $29,874.09 $81,743.15 $30,770.31 2025-01-01
652 MS_DRG Kidney Transplant 11 7 — — $26,034.42 $65,199.31 $26,815.45 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 11 7 — — $41,890.47 $127,682.54 $43,147.18 2025-01-01
654 MS_DRG Major Bladder Procedures With Cc 11 7 — — $22,566.39 $57,428.66 $23,243.38 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 7 — — $25,666.01 $74,120.44 $26,435.99 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 11 7 — — $20,483.31 $70,781.64 $21,097.81 2025-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 7 — — $24,680.10 $68,909.09 $25,420.50 2025-01-01
665 MS_DRG Prostatectomy With Mcc 11 7 — — $25,161.37 $67,555.46 $25,916.21 2025-01-01
668 MS_DRG Transurethral Procedures With Mcc 11 7 — — $23,539.41 $56,034.80 $24,245.59 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 7 — — $1,580.00 $80,628.70 $34,379.01 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 7 — — $18,852.49 $52,932.76 $19,606.58 2025-01-01
7 MS_DRG Lung Transplant 11 7 — — $104,397.27 $252,805.78 $107,529.19 2025-01-01
709 MS_DRG Penis Procedures With Cc/Mcc 11 7 — — $18,759.78 $44,657.05 $19,322.57 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 7 — — $28,815.62 $77,152.30 $29,680.09 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 7 — — $28,882.53 $68,753.93 $29,749.01 2025-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 11 7 — — $20,698.56 $57,799.64 $21,319.52 2025-01-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 3 1 — — $20,591.83 $29,459.60 $26,513.90 2025-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 11 7 — — $13,254.40 $47,113.37 $19,791.64 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 7 — — $47,913.17 $140,337.73 $49,350.57 2025-01-01
791 MS_DRG Prematurity With Major Problems 11 7 — — $32,721.39 $77,892.21 $33,703.03 2025-01-01
792 MS_DRG Prematurity Without Major Problems 11 7 — — $12,607.31 $47,000.15 $19,744.08 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 12 7 — — $6,534.09 $80,014.62 $33,612.98 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 11 7 — — $36,509.46 $93,269.95 $37,604.74 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 7 — — $45,181.15 $107,552.27 $46,536.58 2025-01-01
800 MS_DRG Splenic Procedures With Cc 11 7 — — $22,647.81 $53,912.39 $23,327.24 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 7 — — $32,117.59 $99,627.36 $33,081.12 2025-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 11 7 — — $18,392.98 $43,783.90 $18,944.77 2025-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 13 8 — — $18,425.23 $43,860.66 $19,346.49 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 7 — — $47,278.74 $133,516.60 $48,697.10 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 7 — — $36,960.09 $101,603.70 $38,068.89 2025-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 11 7 — — $18,264.00 $51,861.79 $18,811.92 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 7 — — $37,709.81 $111,313.15 $38,841.10 2025-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 7 — — $18,631.60 $50,035.60 $19,190.55 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 7 — — $25,474.15 $73,438.11 $26,238.37 2025-01-01
834 MS_DRG Acute Leukemia With Mcc 11 7 — — $44,256.50 $148,101.77 $45,584.20 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 7 — — $38,729.58 $117,312.83 $39,891.47 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 7 — — $26,077.95 $89,933.36 $26,860.29 2025-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 7 — — $20,899.29 $59,391.75 $21,526.27 2025-01-01
849 MS_DRG Radiotherapy 11 7 — — $19,056.05 $51,995.31 $21,842.47 2025-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 12 7 — — $18,314.79 $43,597.76 $19,047.38 2025-01-01
850 MS_DRG Acute Leukemia With Other Procedures 8 7 — — $69,808.05 $166,175.81 $69,808.05 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 9 — — $1,950.00 $105,962.69 $44,907.64 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 7 — — $36,669.08 $99,386.67 $38,135.84 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 7 — — $55,719.07 $132,637.44 $57,390.64 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 7 — — $31,156.66 $74,167.43 $32,091.36 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 11 7 — — $33,830.64 $137,707.77 $34,845.56 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 11 7 — — $29,610.48 $70,486.79 $30,498.79 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 7 — — $30,950.29 $73,676.17 $31,878.80 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 7 — — $172,115.79 $409,716.10 $177,279.26 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 7 — — $57,822.30 $137,644.11 $59,556.97 2025-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 11 7 — — $25,964.29 $61,807.15 $26,743.22 2025-01-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 3 3 — — $20,368.20 $21,386.61 $20,979.25 2025-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 7 — — $31,392.86 $103,557.96 $32,334.65 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 7 — — $29,250.94 $115,934.92 $30,128.47 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 7 — — $14,247.00 $70,035.27 $28,797.00 2025-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 11 7 — — $18,838.78 $48,264.63 $19,403.94 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 7 — — $20,792.07 $51,916.99 $21,623.75 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 7 — — $54,262.36 $543,388.38 $56,975.48 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 7 — — $30,335.20 $89,359.23 $31,548.61 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 7 — — $61,427.37 $146,225.88 $63,270.19 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 7 — — $33,970.10 $80,864.74 $34,989.20 2025-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 11 7 — — $23,733.69 $56,497.28 $24,445.70 2025-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 12 7 — — $20,792.07 $49,494.85 $21,623.75 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 7 — — $22,038.37 $53,676.93 $22,699.52 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 7 — — $49,346.50 $128,819.76 $50,826.90 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 7 — — $29,116.31 $69,310.44 $29,989.80 2025-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 7 — — $21,261.24 $58,369.35 $21,899.08 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 11 7 — — $23,265.32 $63,803.73 $23,963.28 2025-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 11 7 — — $18,500.20 $44,039.13 $19,055.21 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 — — $1,620.00 $90,035.64 $38,957.35 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 7 — — $19,819.05 $48,483.24 $23,766.37 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 7 — — $27,637.84 $65,791.00 $28,743.35 2025-01-01
999 MS_DRG Ungroupable 1 1 — — $30,956.57 $30,956.57 $30,956.57 2025-01-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 3 — — $19,481.75 $20,455.83 $20,066.20 2025-01-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $36,428.79 $40,990.35 $39,624.01 2025-01-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $26,922.59 $30,293.79 $29,284.00 2025-01-01
L5858 HCPCS Stance Phase Only 4 4 — — $20,843.32 $23,453.29 $22,671.51 2025-01-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 4 — — $19,715.32 $22,184.04 $21,444.58 2025-01-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $26,795.47 $30,150.75 $29,145.72 2025-01-01
L6975 HCPCS Interscap-thor Myoelectronic 4 4 — — $18,256.20 $20,542.21 $19,857.47 2025-01-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $41,855.21 $47,096.25 $45,526.38 2025-01-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $44,936.41 $50,563.28 $48,877.83 2025-01-01
L8614 HCPCS Cochlear Device 1 1 — — $21,461.12 $21,461.12 $21,461.12 2025-01-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $99,999.91 $113,655.52 $109,867.00 2025-01-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 4 — — $18,229.76 $20,512.45 $19,828.71 2025-01-01
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