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

GRITMAN MEDICAL CENTER

Moscow, ID · CCN 131327 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $31,261 across 1 payer

Source: https://www.gritman.org/wp-content/uploads//820146328_gritman-medical-center_standardcharges.csv · observed 2026-04-30

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.

19,770 distinct procedures filed
7 distinct payers
287,540 rate rows
2026-04-30 last MRF observed
Data quality

94,001 of 287,540 rate rows are consumer-grade (32.7%)

193,539 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 94,341
professional (physician) fee — not the facility price 88,345
placeholder amount (≤ $0.02) — excluded from medians 4,645
per-diem day rate — not a per-procedure price 4,599
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,534
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 67
exceeds 10× this hospital's gross charge — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/GritmanMedicalCenter/820146328_gritman-medical-center_standardcharges.csv
Found on page https://www.gritman.org/patients-visitors/billing-information/hospital-price-transparency/price-lists/
Discovered viaCMS hospital list
Last fetch success · 2026-08-17
Content fingerprint 4f25046684e6411b… · 68,355,673 bytes · first seen 2026-07-17

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 1 $614,092.60 $614,092.60 $614,092.60 nat. median
$370,165
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $457,236.20 $457,236.20 $457,236.20 nat. median
$261,939
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $266,313.14 $266,313.14 $266,313.14 nat. median
$114,305
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $263,603.22 $263,603.22 $263,603.22 nat. median
$108,240
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $256,401.01 $256,401.01 $256,401.01 nat. median
$205,166
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 1 $245,114.90 $245,114.90 $245,114.90 nat. median
$98,002
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $225,024.43 $225,024.43 $225,024.43 nat. median
$199,832
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $193,727.22 $193,727.22 $193,727.22 nat. median
$83,623
outlier · 2.3×
7
MS_DRG 		Lung Transplant 1 $189,289.50 $189,289.50 $189,289.50 nat. median
$122,690
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $184,878.23 $184,878.23 $184,878.23 nat. median
$132,706
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $181,535.05 $181,535.05 $181,535.05 nat. median
$99,646
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $151,783.77 $151,783.77 $151,783.77 nat. median
$77,385
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $140,221.55 $140,221.55 $140,221.55 nat. median
$80,459
1.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $137,543.04 $137,543.04 $137,543.04 nat. median
$60,162
outlier · 2.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $133,746.83 $133,746.83 $133,746.83 nat. median
$55,867
outlier · 2.4×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $132,648.98 $132,648.98 $132,648.98 nat. median
$58,534
outlier · 2.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $124,458.03 $124,458.03 $124,458.03 nat. median
$57,648
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $123,545.35 $123,545.35 $123,545.35 nat. median
$62,218
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $122,981.55 $122,981.55 $122,981.55 nat. median
$92,900
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $117,151.66 $117,151.66 $117,151.66 nat. median
$79,040
1.5× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $113,560.47 $113,560.47 $113,560.47 nat. median
$54,267
outlier · 2.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $112,619.69 $112,619.69 $112,619.69 nat. median
$51,048
outlier · 2.2×
834
MS_DRG 		Acute Leukemia With Mcc 1 $110,891.88 $110,891.88 $110,891.88 nat. median
$52,155
outlier · 2.1×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $110,303.27 $110,303.27 $110,303.27 nat. median
$46,826
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $110,118.09 $110,118.09 $110,118.09 nat. median
$69,153
1.6× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $108,013.32 $108,013.32 $108,013.32 nat. median
$57,394
1.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $107,937.26 $107,937.26 $107,937.26 nat. median
$65,792
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $106,798.07 $106,798.07 $106,798.07 nat. median
$73,475
1.5× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $106,768.31 $106,768.31 $106,768.31 nat. median
$62,767
1.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $105,078.53 $105,078.53 $105,078.53 nat. median
$51,433
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $104,744.54 $104,744.54 $104,744.54 nat. median
$74,472
1.4× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 1 $103,109.33 $103,109.33 $103,109.33 nat. median
$41,186
outlier · 2.5×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $102,831.56 $102,831.56 $102,831.56 nat. median
$40,712
outlier · 2.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $100,741.66 $100,741.66 $100,741.66 nat. median
$63,840
1.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $99,971.18 $99,971.18 $99,971.18 nat. median
$56,397
1.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $99,943.07 $99,943.07 $99,943.07 nat. median
$46,399
outlier · 2.2×
Q0480
HCPCS 		Dme Pos 7 $96,625.42 $96,625.42 $96,625.42 nat. median
$111,503
0.9× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $93,718.02 $93,718.02 $93,718.02 nat. median
$45,104
outlier · 2.1×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $84,726.83 $84,726.83 $84,726.83 nat. median
$38,383
outlier · 2.2×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $62,642.37 $62,642.37 $62,642.37 nat. median
$37,051
1.7× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $51,441.25 $97,932.54 $51,441.25 nat. median
$50,071
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $50,702.18 $96,454.40 $50,702.18 nat. median
$60,294
0.8× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 $50,521.96 $96,093.95 $50,521.96 nat. median
$47,266
1.1× median
653
MS_DRG 		Major Bladder Procedures With Mcc 3 $50,276.43 $95,602.89 $50,276.43 nat. median
$51,176
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $50,214.43 $95,478.89 $50,214.43 nat. median
$71,485
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $50,088.77 $95,227.57 $50,088.77 nat. median
$65,958
0.8× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 $48,041.86 $91,133.75 $48,041.86 nat. median
$34,945
1.4× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $47,792.20 $90,634.43 $47,792.20 nat. median
$51,984
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $47,553.29 $90,156.60 $47,553.29 nat. median
$59,257
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $47,113.48 $89,276.99 $47,113.48 nat. median
$57,082
0.8× median

Other procedures at this hospital

Browse this hospital's 19,770 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 And Other Immunotherapies 1 1 — — $614,092.60 $614,092.60 $614,092.60 2026-04-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $457,236.20 $457,236.20 $457,236.20 2026-04-30
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $266,313.14 $266,313.14 $266,313.14 2026-04-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $263,603.22 $263,603.22 $263,603.22 2026-04-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $256,401.01 $256,401.01 $256,401.01 2026-04-30
215 MS_DRG Other Heart Assist System Implant 1 1 — — $245,114.90 $245,114.90 $245,114.90 2026-04-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $225,024.43 $225,024.43 $225,024.43 2026-04-30
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $193,727.22 $193,727.22 $193,727.22 2026-04-30
7 MS_DRG Lung Transplant 1 1 — — $189,289.50 $189,289.50 $189,289.50 2026-04-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $184,878.23 $184,878.23 $184,878.23 2026-04-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $181,535.05 $181,535.05 $181,535.05 2026-04-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $151,783.77 $151,783.77 $151,783.77 2026-04-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $140,221.55 $140,221.55 $140,221.55 2026-04-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $137,543.04 $137,543.04 $137,543.04 2026-04-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $133,746.83 $133,746.83 $133,746.83 2026-04-30
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $132,648.98 $132,648.98 $132,648.98 2026-04-30
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $124,458.03 $124,458.03 $124,458.03 2026-04-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $123,545.35 $123,545.35 $123,545.35 2026-04-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $122,981.55 $122,981.55 $122,981.55 2026-04-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $117,151.66 $117,151.66 $117,151.66 2026-04-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $113,560.47 $113,560.47 $113,560.47 2026-04-30
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $112,619.69 $112,619.69 $112,619.69 2026-04-30
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $110,891.88 $110,891.88 $110,891.88 2026-04-30
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $110,303.27 $110,303.27 $110,303.27 2026-04-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $110,118.09 $110,118.09 $110,118.09 2026-04-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $108,013.32 $108,013.32 $108,013.32 2026-04-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $107,937.26 $107,937.26 $107,937.26 2026-04-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $106,798.07 $106,798.07 $106,798.07 2026-04-30
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $106,768.31 $106,768.31 $106,768.31 2026-04-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $105,078.53 $105,078.53 $105,078.53 2026-04-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $104,744.54 $104,744.54 $104,744.54 2026-04-30
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $103,109.33 $103,109.33 $103,109.33 2026-04-30
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $102,831.56 $102,831.56 $102,831.56 2026-04-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $100,741.66 $100,741.66 $100,741.66 2026-04-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $99,971.18 $99,971.18 $99,971.18 2026-04-30
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $99,943.07 $99,943.07 $99,943.07 2026-04-30
Q0480 HCPCS Dme Pos 9 7 — — $96,625.42 $96,625.42 $96,625.42 2026-04-30
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $93,718.02 $93,718.02 $93,718.02 2026-04-30
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $84,726.83 $84,726.83 $84,726.83 2026-04-30
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $62,642.37 $62,642.37 $62,642.37 2026-04-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $51,441.25 $97,932.54 $51,441.25 2026-04-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $50,702.18 $96,454.40 $50,702.18 2026-04-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $50,521.96 $96,093.95 $50,521.96 2026-04-30
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $50,276.43 $95,602.89 $50,276.43 2026-04-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $50,214.43 $95,478.89 $50,214.43 2026-04-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $50,088.77 $95,227.57 $50,088.77 2026-04-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $48,041.86 $91,133.75 $48,041.86 2026-04-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $47,792.20 $90,634.43 $47,792.20 2026-04-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $47,553.29 $90,156.60 $47,553.29 2026-04-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $47,113.48 $89,276.99 $47,113.48 2026-04-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $47,091.15 $89,232.34 $47,091.15 2026-04-30
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $46,961.36 $88,972.76 $46,961.36 2026-04-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $46,394.25 $87,838.53 $46,394.25 2026-04-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $45,878.39 $86,806.81 $45,878.39 2026-04-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $45,469.17 $85,988.37 $45,469.17 2026-04-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $45,319.54 $85,689.11 $45,319.54 2026-04-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $44,812.77 $84,675.57 $44,812.77 2026-04-30
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $44,220.18 $44,220.18 $44,220.18 2026-04-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $44,148.11 $83,346.24 $44,148.11 2026-04-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $43,779.39 $82,608.82 $43,779.39 2026-04-30
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $43,520.79 $43,520.79 $43,520.79 2026-04-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $43,250.31 $81,550.65 $43,250.31 2026-04-30
L7181 HCPCS Dme Pos 9 7 — — $42,986.91 $42,986.91 $42,986.91 2026-04-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $42,614.57 $80,279.18 $42,614.57 2026-04-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $42,145.01 $79,340.05 $42,145.01 2026-04-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $42,139.22 $79,328.48 $42,139.22 2026-04-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $41,938.33 $78,926.70 $41,938.33 2026-04-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $41,892.04 $78,834.11 $41,892.04 2026-04-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $41,854.84 $78,759.71 $41,854.84 2026-04-30
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $41,749.85 $78,549.73 $41,749.85 2026-04-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $41,510.93 $78,071.89 $41,510.93 2026-04-30
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $41,362.12 $77,774.28 $41,362.12 2026-04-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 — — $41,244.74 $77,539.50 $41,244.74 2026-04-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $41,238.12 $77,526.27 $41,238.12 2026-04-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $40,513.11 $76,076.24 $40,513.11 2026-04-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $40,469.29 $75,988.61 $40,469.29 2026-04-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $40,099.75 $75,249.54 $40,099.75 2026-04-30
L7180 HCPCS Dme Pos 9 7 — — $40,039.34 $40,039.34 $40,039.34 2026-04-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $39,959.21 $74,968.46 $39,959.21 2026-04-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $39,893.08 $74,836.19 $39,893.08 2026-04-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $39,773.21 $74,596.45 $39,773.21 2026-04-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $39,751.71 $74,553.46 $39,751.71 2026-04-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $39,683.10 $74,416.23 $39,683.10 2026-04-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $39,682.27 $74,414.57 $39,682.27 2026-04-30
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $39,651.84 $39,651.84 $39,651.84 2026-04-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $39,038.28 $73,126.58 $39,038.28 2026-04-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $39,006.86 $73,063.75 $39,006.86 2026-04-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $38,972.14 $72,994.30 $38,972.14 2026-04-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $38,523.24 $72,096.51 $38,523.24 2026-04-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $37,557.65 $70,165.34 $37,557.65 2026-04-30
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $37,393.14 $69,836.31 $37,393.14 2026-04-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $36,847.52 $68,745.07 $36,847.52 2026-04-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $36,806.18 $68,662.40 $36,806.18 2026-04-30
570 MS_DRG Skin Debridement With Mcc 3 3 — — $36,449.05 $67,948.13 $36,449.05 2026-04-30
245 MS_DRG Aicd Generator Procedures 3 3 — — $36,420.11 $67,890.26 $36,420.11 2026-04-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $36,375.47 $67,800.97 $36,375.47 2026-04-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 — — $36,144.00 $67,338.02 $36,144.00 2026-04-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $35,929.06 $66,908.14 $35,929.06 2026-04-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $35,917.48 $66,884.99 $35,917.48 2026-04-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 — — $35,537.20 $66,124.43 $35,537.20 2026-04-30
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $35,322.25 $65,694.54 $35,322.25 2026-04-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $35,167.67 $65,385.36 $35,167.67 2026-04-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $34,686.53 $64,423.08 $34,686.53 2026-04-30
332 MS_DRG Rectal Resection With Mcc 3 3 — — $34,252.50 $63,555.04 $34,252.50 2026-04-30
539 MS_DRG Osteomyelitis With Mcc 3 3 — — $33,800.30 $62,650.63 $33,800.30 2026-04-30
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 3 3 — — $33,389.43 $61,828.89 $33,389.43 2026-04-30
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $33,168.71 $61,387.44 $33,168.71 2026-04-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $33,077.76 $61,205.56 $33,077.76 2026-04-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $32,879.36 $60,808.75 $32,879.36 2026-04-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $32,801.65 $60,653.33 $32,801.65 2026-04-30
10 MS_DRG Pancreas Transplant 3 3 — — $32,771.06 $60,592.15 $32,771.06 2026-04-30
77371 CPT Srs Multisource 9 7 — — $32,463.86 $32,463.86 $32,463.86 2026-04-30
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $32,143.75 $32,143.75 $32,143.75 2026-04-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $31,439.24 $57,928.52 $31,439.24 2026-04-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $31,359.06 $57,768.14 $31,359.06 2026-04-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $31,264.81 $57,579.66 $31,264.81 2026-04-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $30,968.85 $56,987.74 $30,968.85 2026-04-30
949 MS_DRG Aftercare With Cc/mcc 3 3 — — $30,575.35 $56,200.72 $30,575.35 2026-04-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $30,545.58 $56,141.20 $30,545.58 2026-04-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $30,223.99 $55,498.02 $30,223.99 2026-04-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $29,968.54 $54,987.12 $29,968.54 2026-04-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $29,914.81 $54,879.65 $29,914.81 2026-04-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $29,876.78 $54,803.60 $29,876.78 2026-04-30
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 — — $29,829.66 $54,709.35 $29,829.66 2026-04-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $29,752.78 $54,555.59 $29,752.78 2026-04-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $29,690.78 $54,431.58 $29,690.78 2026-04-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $29,563.47 $54,176.96 $29,563.47 2026-04-30
592 MS_DRG Skin Ulcers With Mcc 3 3 — — $29,416.31 $53,882.65 $29,416.31 2026-04-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $29,010.40 $53,070.83 $29,010.40 2026-04-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 — — $28,974.03 $52,998.08 $28,974.03 2026-04-30
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $28,911.20 $52,872.43 $28,911.20 2026-04-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $28,694.60 $52,439.23 $28,694.60 2026-04-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 — — $28,504.46 $52,058.95 $28,504.46 2026-04-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $28,461.47 $51,972.98 $28,461.47 2026-04-30
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $28,399.47 $51,848.97 $28,399.47 2026-04-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $28,392.03 $51,834.09 $28,392.03 2026-04-30
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $28,377.30 $28,377.30 $28,377.30 2026-04-30
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 — — $28,272.99 $51,596.00 $28,272.99 2026-04-30
835 MS_DRG Acute Leukemia With Cc 3 3 — — $28,249.01 $51,548.05 $28,249.01 2026-04-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — — $28,207.67 $51,465.38 $28,207.67 2026-04-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $28,179.57 $51,409.17 $28,179.57 2026-04-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $28,174.61 $51,399.25 $28,174.61 2026-04-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $27,814.99 $50,680.02 $27,814.99 2026-04-30
665 MS_DRG Prostatectomy With Mcc 3 3 — — $27,766.22 $50,582.47 $27,766.22 2026-04-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $27,755.47 $50,560.97 $27,755.47 2026-04-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $27,747.21 $50,544.44 $27,747.21 2026-04-30
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 3 3 — — $27,588.48 $50,226.99 $27,588.48 2026-04-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $27,357.00 $49,764.03 $27,357.00 2026-04-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $27,346.26 $49,742.54 $27,346.26 2026-04-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $27,245.40 $49,540.82 $27,245.40 2026-04-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $27,212.33 $49,474.69 $27,212.33 2026-04-30
791 MS_DRG Prematurity With Major Problems 3 3 — — $27,045.33 $49,140.70 $27,045.33 2026-04-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 — — $26,948.61 $48,947.25 $26,948.61 2026-04-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 — — $26,891.57 $48,833.17 $26,891.57 2026-04-30
652 MS_DRG Kidney Transplant 3 3 — — $26,884.13 $48,818.29 $26,884.13 2026-04-30
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $26,859.48 $26,859.48 $26,859.48 2026-04-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $26,753.51 $48,557.05 $26,753.51 2026-04-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $26,729.53 $48,509.10 $26,729.53 2026-04-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $26,659.26 $48,368.56 $26,659.26 2026-04-30
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $26,608.17 $26,608.17 $26,608.17 2026-04-30
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 — — $26,361.65 $47,773.34 $26,361.65 2026-04-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $26,343.47 $47,736.96 $26,343.47 2026-04-30
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $26,303.78 $47,657.60 $26,303.78 2026-04-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $25,949.96 $46,949.95 $25,949.96 2026-04-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $25,863.15 $46,776.34 $25,863.15 2026-04-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $25,829.26 $46,708.55 $25,829.26 2026-04-30
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $25,816.86 $46,683.75 $25,816.86 2026-04-30
L5856 HCPCS Dme Pos 9 7 — — $25,754.59 $25,754.59 $25,754.59 2026-04-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 3 — — $25,517.60 $46,085.22 $25,517.60 2026-04-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $25,494.44 $46,038.92 $25,494.44 2026-04-30
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 3 — — $25,404.33 $45,858.70 $25,404.33 2026-04-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $25,316.71 $45,683.44 $25,316.71 2026-04-30
548 MS_DRG Septic Arthritis With Mcc 3 3 — — $25,220.81 $45,491.65 $25,220.81 2026-04-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $24,997.60 $45,045.23 $24,997.60 2026-04-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $24,993.47 $45,036.96 $24,993.47 2026-04-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 3 — — $24,709.91 $44,469.85 $24,709.91 2026-04-30
545 MS_DRG Connective Tissue Disorders With Mcc 3 3 — — $24,601.61 $44,253.25 $24,601.61 2026-04-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $24,459.42 $43,968.87 $24,459.42 2026-04-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $24,349.47 $43,748.96 $24,349.47 2026-04-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 3 — — $24,327.15 $43,704.32 $24,327.15 2026-04-30
265 MS_DRG Aicd Lead Procedures 3 3 — — $24,200.66 $43,451.35 $24,200.66 2026-04-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 3 3 — — $24,113.86 $43,277.75 $24,113.86 2026-04-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $24,100.63 $43,251.29 $24,100.63 2026-04-30
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $23,974.97 $42,999.97 $23,974.97 2026-04-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $23,604.61 $42,259.25 $23,604.61 2026-04-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 — — $23,583.94 $42,217.92 $23,583.94 2026-04-30
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 — — $23,582.29 $42,214.61 $23,582.29 2026-04-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 3 — — $23,473.17 $41,996.36 $23,473.17 2026-04-30
919 MS_DRG Complications Of Treatment With Mcc 3 3 — — $23,463.24 $41,976.52 $23,463.24 2026-04-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 — — $23,431.83 $41,913.69 $23,431.83 2026-04-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 — — $23,356.60 $41,763.23 $23,356.60 2026-04-30
164 MS_DRG Major Chest Procedures With Cc 3 3 — — $23,042.46 $41,134.94 $23,042.46 2026-04-30
37248 CPT Trluml Balo Angiop 1st Vein 9 7 — — $22,660.50 $22,660.50 $22,660.50 2026-04-30
37246 CPT Trluml Balo Angiop 1st Art 9 7 — — $22,660.50 $22,660.50 $22,660.50 2026-04-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 — — $22,570.41 $40,190.85 $22,570.41 2026-04-30
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $22,436.49 $39,923.00 $22,436.49 2026-04-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $22,298.42 $39,646.88 $22,298.42 2026-04-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 3 — — $22,291.81 $39,633.65 $22,291.81 2026-04-30
J9600 HCPCS Porfimer Sodium Injection 9 7 — — $22,234.93 $22,234.93 $22,234.93 2026-04-30
37231 CPT Tib/per Revasc Stent & Ather 9 7 — — $22,165.76 $22,165.76 $22,165.76 2026-04-30
37227 CPT Fem/popl Revasc Stnt & Ather 9 7 — — $22,165.76 $22,165.76 $22,165.76 2026-04-30
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $22,058.01 $22,058.01 $22,058.01 2026-04-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 — — $21,974.36 $38,998.75 $21,974.36 2026-04-30
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $21,968.57 $38,987.17 $21,968.57 2026-04-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 3 — — $21,911.53 $38,873.09 $21,911.53 2026-04-30
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 3 — — $21,890.86 $38,831.75 $21,890.86 2026-04-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 3 — — $21,883.42 $38,816.87 $21,883.42 2026-04-30
253 MS_DRG Other Vascular Procedures With Cc 3 3 — — $21,781.74 $38,613.50 $21,781.74 2026-04-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $21,679.22 $38,408.48 $21,679.22 2026-04-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 3 — — $21,630.45 $38,310.93 $21,630.45 2026-04-30
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $21,571.76 $38,193.54 $21,571.76 2026-04-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 — — $21,274.97 $37,599.97 $21,274.97 2026-04-30
509 MS_DRG Arthroscopy 1 1 — — $21,274.30 $21,274.30 $21,274.30 2026-04-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $21,207.18 $37,464.39 $21,207.18 2026-04-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $20,878.15 $36,806.34 $20,878.15 2026-04-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 — — $20,814.50 $36,679.03 $20,814.50 2026-04-30
333 MS_DRG Rectal Resection With Cc 3 3 — — $20,793.83 $36,637.69 $20,793.83 2026-04-30
141 MS_DRG Major Head And Neck Procedures With Cc 3 3 — — $20,771.51 $36,593.05 $20,771.51 2026-04-30
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $20,710.33 $36,470.70 $20,710.33 2026-04-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $20,626.01 $36,302.05 $20,626.01 2026-04-30
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 — — $20,615.26 $36,280.56 $20,615.26 2026-04-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $20,564.01 $36,178.05 $20,564.01 2026-04-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 3 3 — — $20,544.17 $36,138.36 $20,544.17 2026-04-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 3 — — $20,540.86 $36,131.75 $20,540.86 2026-04-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 — — $20,492.91 $36,035.85 $20,492.91 2026-04-30
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 3 — — $20,453.23 $35,956.49 $20,453.23 2026-04-30
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 3 3 — — $20,433.39 $35,916.81 $20,433.39 2026-04-30
800 MS_DRG Splenic Procedures With Cc 3 3 — — $20,432.56 $35,915.15 $20,432.56 2026-04-30
887 MS_DRG Other Mental Disorder Diagnoses 3 3 — — $20,418.51 $35,887.05 $20,418.51 2026-04-30
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 3 — — $20,369.74 $35,789.50 $20,369.74 2026-04-30
503 MS_DRG Foot Procedures With Mcc 3 3 — — $20,349.89 $35,749.81 $20,349.89 2026-04-30
655 MS_DRG Major Bladder Procedures Without Cc/mcc 3 3 — — $20,252.34 $35,554.71 $20,252.34 2026-04-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 3 — — $20,168.02 $35,386.07 $20,168.02 2026-04-30
Q0483 HCPCS Dme Pos 9 7 — — $20,115.31 $20,115.31 $20,115.31 2026-04-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 — — $20,017.56 $35,085.15 $20,017.56 2026-04-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 — — $19,988.62 $35,027.28 $19,988.62 2026-04-30
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 3 — — $19,949.77 $34,949.57 $19,949.77 2026-04-30
L5858 HCPCS Dme Pos 9 7 — — $19,939.05 $19,939.05 $19,939.05 2026-04-30
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 1 1 — — $19,887.10 $19,887.10 $19,887.10 2026-04-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 3 — — $19,883.63 $34,817.30 $19,883.63 2026-04-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 3 3 — — $19,828.24 $34,706.52 $19,828.24 2026-04-30
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 3 3 — — $19,799.31 $34,648.65 $19,799.31 2026-04-30
347 MS_DRG Anal And Stomal Procedures With Mcc 3 3 — — $19,794.35 $34,638.73 $19,794.35 2026-04-30
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 3 — — $19,777.81 $34,605.66 $19,777.81 2026-04-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 3 — — $19,758.80 $34,567.63 $19,758.80 2026-04-30
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 3 3 — — $19,643.06 $34,336.16 $19,643.06 2026-04-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — — $19,613.31 $34,276.64 $19,613.31 2026-04-30
668 MS_DRG Transurethral Procedures With Mcc 3 3 — — $19,546.34 $34,142.71 $19,546.34 2026-04-30
374 MS_DRG Digestive Malignancy With Mcc 3 3 — — $19,449.62 $33,949.26 $19,449.62 2026-04-30
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 — — $19,445.49 $33,941.00 $19,445.49 2026-04-30
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $19,374.38 $33,798.80 $19,374.38 2026-04-30
883 MS_DRG Disorders Of Personality And Impulse Control 3 3 — — $19,309.90 $33,669.84 $19,309.90 2026-04-30
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 3 — — $19,266.09 $33,582.21 $19,266.09 2026-04-30
682 MS_DRG Renal Failure With Mcc 3 3 — — $19,252.86 $33,555.75 $19,252.86 2026-04-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 3 — — $19,194.99 $33,440.02 $19,194.99 2026-04-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 — — $19,182.59 $33,415.21 $19,182.59 2026-04-30
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $19,144.72 $19,144.72 $19,144.72 2026-04-30
165 MS_DRG Major Chest Procedures Without Cc/mcc 3 3 — — $19,132.99 $33,316.01 $19,132.99 2026-04-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 — — $19,129.69 $33,309.40 $19,129.69 2026-04-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 — — $18,899.03 $32,848.10 $18,899.03 2026-04-30
L5973 HCPCS Dme Pos 9 7 — — $18,860.01 $18,860.01 $18,860.01 2026-04-30
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 3 3 — — $18,810.58 $32,671.18 $18,810.58 2026-04-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 3 — — $18,639.45 $32,328.93 $18,639.45 2026-04-30
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 3 — — $18,619.61 $32,289.25 $18,619.61 2026-04-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 — — $18,560.08 $32,170.20 $18,560.08 2026-04-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 3 — — $18,452.62 $31,955.26 $18,452.62 2026-04-30
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 — — $18,388.13 $31,826.30 $18,388.13 2026-04-30
C2616 HCPCS Brachytx, Non-str,yttrium-90 9 7 — — $18,374.58 $18,374.58 $18,374.58 2026-04-30
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 3 3 — — $18,350.10 $31,750.24 $18,350.10 2026-04-30
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 3 3 — — $18,235.19 $31,520.42 $18,235.19 2026-04-30
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 3 3 — — $18,185.59 $31,421.21 $18,185.59 2026-04-30
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 3 3 — — $18,182.28 $31,414.60 $18,182.28 2026-04-30
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 3 — — $18,181.46 $31,412.95 $18,181.46 2026-04-30
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 3 3 — — $18,173.19 $31,396.41 $18,173.19 2026-04-30
116 MS_DRG Intraocular Procedures With Cc/mcc 3 3 — — $18,133.51 $31,317.05 $18,133.51 2026-04-30
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 — — $18,105.40 $31,260.83 $18,105.40 2026-04-30
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 3 3 — — $18,057.46 $31,164.94 $18,057.46 2026-04-30
113 MS_DRG Orbital Procedures With Cc/mcc 3 3 — — $17,927.66 $30,905.35 $17,927.66 2026-04-30
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 3 — — $17,922.70 $30,895.43 $17,922.70 2026-04-30
595 MS_DRG Major Skin Disorders With Mcc 3 3 — — $17,909.47 $30,868.98 $17,909.47 2026-04-30
709 MS_DRG Penis Procedures With Cc/mcc 3 3 — — $17,749.10 $30,548.22 $17,749.10 2026-04-30
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 3 — — $17,748.27 $30,546.57 $17,748.27 2026-04-30
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 3 — — $17,732.56 $30,515.15 $17,732.56 2026-04-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 3 — — $17,720.16 $30,490.35 $17,720.16 2026-04-30
754 MS_DRG Malignancy, Female Reproductive System With Mcc 3 3 — — $17,562.26 $30,174.55 $17,562.26 2026-04-30
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — — $17,549.86 $30,149.75 $17,549.86 2026-04-30
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 3 — — $17,530.02 $30,110.07 $17,530.02 2026-04-30
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 3 3 — — $17,481.24 $30,012.52 $17,481.24 2026-04-30
L6975 HCPCS Dme Pos 9 7 — — $17,464.18 $17,464.18 $17,464.18 2026-04-30
Q0489 HCPCS Dme Pos 9 7 — — $17,438.89 $17,438.89 $17,438.89 2026-04-30
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 3 — — $17,404.36 $29,858.75 $17,404.36 2026-04-30
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 3 3 — — $17,367.16 $29,784.35 $17,367.16 2026-04-30
722 MS_DRG Malignancy, Male Reproductive System With Mcc 3 3 — — $17,367.16 $29,784.35 $17,367.16 2026-04-30
884 MS_DRG Organic Disturbances And Intellectual Disability 3 3 — — $17,366.33 $29,782.69 $17,366.33 2026-04-30
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 3 3 — — $17,353.10 $29,756.24 $17,353.10 2026-04-30
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 3 3 — — $17,345.67 $29,741.36 $17,345.67 2026-04-30
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 3 3 — — $17,259.69 $29,569.41 $17,259.69 2026-04-30
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 3 — — $17,129.07 $29,308.17 $17,129.07 2026-04-30
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 3 — — $17,100.13 $29,250.30 $17,100.13 2026-04-30
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $17,086.91 $29,223.85 $17,086.91 2026-04-30
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