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

ABRAHAM LINCOLN MEMORIAL HOSPITAL

Lincoln, IL · CCN 141322 · Rates published

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You selected 482 (MS_DRG)

482 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $29,289 across 3 payers · range $23,079-$34,284

Source: https://memorial.health/Resources/c8ccf9a4-b44a-4c87-b135-52ee53b192fa/370723793_Lincoln_Memorial_Hospital_standardcharges.csv · observed 2026-07-15

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.

6,703 distinct procedures filed
18 distinct payers
289,611 rate rows
2026-07-15 last MRF observed
Data quality

283,445 of 289,611 rate rows are consumer-grade (97.9%)

6,166 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
template filing: same amount across many unrelated codes — excluded 4,506
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,582
per-diem day rate — not a per-procedure price 72
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://memorial.health/Resources/c8ccf9a4-b44a-4c87-b135-52ee53b192fa/370723793_Lincoln_Memorial_Hospital_standardcharges.csv?v=2
Found on page https://memorial.health/financial/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-03
Content fingerprint 598d75f71d0842e8… · 57,734,736 bytes · first seen 2026-05-06

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 		018 - Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $814,955.13 $814,955.13 $814,955.13 nat. median
$359,244
outlier · 2.3×
1
MS_DRG 		001 - Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $469,080.10 $608,704.07 $551,236.30 nat. median
$248,541
outlier · 2.2×
927
MS_DRG 		927 - Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $512,673.43 $512,673.43 $512,673.43 nat. median
$198,115
outlier · 2.6×
3
MS_DRG 		003 - Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 3 $275,645.57 $463,128.05 $291,252.89 nat. median
$190,359
1.5× median
14
MS_DRG 		014 - Allogeneic Bone Marrow Transplant 1 $283,123.55 $283,123.55 $283,123.55 nat. median
$110,084
outlier · 2.6×
5
MS_DRG 		005 - Liver Transplant With Mcc Or Intestinal Transplant 3 $230,126.89 $295,512.61 $255,431.93 nat. median
$94,943
outlier · 2.7×
2
MS_DRG 		002 - Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $238,146.74 $254,855.08 $240,129.53 nat. median
$103,938
outlier · 2.3×
212
MS_DRG 		212 - Concomitant Aortic And Mitral Valve Procedures 1 $235,410.78 $235,410.78 $235,410.78 nat. median
$97,137
outlier · 2.4×
215
MS_DRG 		215 - Other Heart Assist System Implant 1 $228,951.26 $228,951.26 $228,951.26 nat. median
$93,787
outlier · 2.4×
426
MS_DRG 		426 - Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervic… 1 $226,517.86 $226,517.86 $226,517.86 nat. median
$93,226
outlier · 2.4×
7
MS_DRG 		007 - Lung Transplant 3 $137,325.37 $282,410.39 $213,481.71 nat. median
$117,977
1.8× median
216
MS_DRG 		216 - Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cathe… 1 $208,554.79 $208,554.79 $208,554.79 nat. median
$90,512
outlier · 2.3×
4
MS_DRG 		004 - Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth A… 3 $157,837.93 $305,343.98 $208,185.12 nat. median
$126,461
1.6× median
850
MS_DRG 		850 - Acute Leukemia With Other Procedures 1 $199,065.40 $199,065.40 $199,065.40 nat. median
$78,164
outlier · 2.5×
429
MS_DRG 		429 - Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $180,235.74 $180,235.74 $180,235.74 nat. median
$77,936
outlier · 2.3×
19
MS_DRG 		019 - Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $171,303.91 $171,303.91 $171,303.91 nat. median
$66,623
outlier · 2.6×
20
MS_DRG 		020 - Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With… 3 $155,763.75 $174,195.47 $169,078.65 nat. median
$74,298
outlier · 2.3×
233
MS_DRG 		233 - Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $168,907.25 $168,907.25 $168,907.25 nat. median
$71,737
outlier · 2.4×
10
MS_DRG 		010 - Pancreas Transplant 3 $137,464.77 $172,295.86 $158,497.81 nat. median
$64,851
outlier · 2.4×
6
MS_DRG 		006 - Liver Transplant Without Mcc 3 $104,789.58 $223,199.94 $158,414.76 nat. median
$44,153
outlier · 3.6×
427
MS_DRG 		427 - Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervic… 1 $153,410.01 $153,410.01 $153,410.01 nat. median
$63,564
outlier · 2.4×
275
MS_DRG 		275 - Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $152,714.13 $152,714.13 $152,714.13 nat. median
$66,584
outlier · 2.3×
219
MS_DRG 		219 - Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Ca… 3 $126,172.56 $167,204.31 $150,008.77 nat. median
$72,247
outlier · 2.1×
957
MS_DRG 		957 - Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $129,763.45 $161,298.02 $148,945.56 nat. median
$67,908
outlier · 2.2×
955
MS_DRG 		955 - Craniotomy For Multiple Significant Trauma 3 $145,862.73 $153,539.72 $147,557.75 nat. median
$61,660
outlier · 2.4×
447
MS_DRG 		447 - Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anato… 1 $144,884.47 $144,884.47 $144,884.47 nat. median
$60,517
outlier · 2.4×
8
MS_DRG 		008 - Simultaneous Pancreas And Kidney Transplant 3 $117,581.13 $180,713.42 $144,629.44 nat. median
$50,763
outlier · 2.8×
928
MS_DRG 		928 - Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $144,329.06 $144,329.06 $144,329.06 nat. median
$61,263
outlier · 2.4×
218
MS_DRG 		218 - Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cathe… 3 $128,566.00 $163,961.84 $142,164.88 nat. median
$59,493
outlier · 2.4×
217
MS_DRG 		217 - Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cathe… 1 $139,550.87 $139,550.87 $139,550.87 nat. median
$61,995
outlier · 2.3×
834
MS_DRG 		834 - Acute Leukemia With Mcc 3 $119,441.84 $163,961.84 $137,602.79 nat. median
$50,314
outlier · 2.7×
461
MS_DRG 		461 - Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $132,620.22 $146,543.08 $135,918.08 nat. median
$53,342
outlier · 2.5×
266
MS_DRG 		266 - Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $129,458.53 $146,543.08 $134,337.23 nat. median
$58,220
outlier · 2.3×
276
MS_DRG 		276 - Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $133,858.53 $133,858.53 $133,858.53 nat. median
$56,633
outlier · 2.4×
317
MS_DRG 		317 - Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $133,685.65 $133,685.65 $133,685.65 nat. median
$57,485
outlier · 2.3×
16
MS_DRG 		016 - Autologous Bone Marrow Transplant With Cc/mcc 1 $130,433.19 $130,433.19 $130,433.19 nat. median
$53,841
outlier · 2.4×
17
MS_DRG 		017 - Autologous Bone Marrow Transplant Without Cc/mcc 1 $130,433.19 $130,433.19 $130,433.19 nat. median
$50,830
outlier · 2.6×
235
MS_DRG 		235 - Coronary Bypass Without Cardiac Catheterization With Mcc 1 $127,154.80 $127,154.80 $127,154.80 nat. median
$55,425
outlier · 2.3×
21
MS_DRG 		021 - Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With… 3 $119,450.48 $132,813.22 $122,811.52 nat. median
$51,462
outlier · 2.4×
236
MS_DRG 		236 - Coronary Bypass Without Cardiac Catheterization Without Mcc 3 $88,860.11 $163,961.84 $122,311.93 nat. median
$40,285
outlier · 3.0×
405
MS_DRG 		405 - Pancreas, Liver And Shunt Procedures With Mcc 3 $117,313.15 $132,813.22 $121,742.85 nat. median
$50,728
outlier · 2.4×
981
MS_DRG 		981 - Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $102,745.18 $146,543.08 $120,980.55 nat. median
$43,609
outlier · 2.8×
428
MS_DRG 		428 - Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervic… 1 $118,972.88 $118,972.88 $118,972.88 nat. median
$50,496
outlier · 2.4×
430
MS_DRG 		430 - Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $118,214.33 $118,214.33 $118,214.33 nat. median
$51,152
outlier · 2.3×
5834
APR_DRG 		583-4 - Neonate With Ecmo 4 $117,715.01 $117,715.01 $117,715.01 nat. median
$307,273
outlier · 0.4×
239
MS_DRG 		239 - Amputation For Circulatory System Disorders Except Upper Limb And Toe With… 3 $108,843.80 $132,813.22 $117,508.18 nat. median
$45,172
outlier · 2.6×
335
MS_DRG 		335 - Peritoneal Adhesiolysis With Mcc 3 $78,316.10 $163,961.84 $117,039.93 nat. median
$33,064
outlier · 3.5×
97
MS_DRG 		097 - Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 $77,471.11 $163,961.84 $116,617.43 nat. median
$33,159
outlier · 3.5×
456
MS_DRG 		456 - Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection… 3 $45,716.97 $183,014.91 $115,569.02 nat. median
$77,487
1.5× median
234
MS_DRG 		234 - Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 $114,968.36 $114,968.36 $114,968.36 nat. median
$51,559
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 6,703 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 018 - Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $814,955.13 $814,955.13 $814,955.13 2026-07-15
1 MS_DRG 001 - Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $469,080.10 $608,704.07 $551,236.30 2026-07-15
927 MS_DRG 927 - Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $512,673.43 $512,673.43 $512,673.43 2026-07-15
3 MS_DRG 003 - Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 6 3 — — $275,645.57 $463,128.05 $291,252.89 2026-07-15
14 MS_DRG 014 - Allogeneic Bone Marrow Transplant 2 1 — — $283,123.55 $283,123.55 $283,123.55 2026-07-15
5 MS_DRG 005 - Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $230,126.89 $295,512.61 $255,431.93 2026-07-15
2 MS_DRG 002 - Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $238,146.74 $254,855.08 $240,129.53 2026-07-15
212 MS_DRG 212 - Concomitant Aortic And Mitral Valve Procedures 2 1 — — $235,410.78 $235,410.78 $235,410.78 2026-07-15
215 MS_DRG 215 - Other Heart Assist System Implant 2 1 — — $228,951.26 $228,951.26 $228,951.26 2026-07-15
426 MS_DRG 426 - Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervic… 2 1 — — $226,517.86 $226,517.86 $226,517.86 2026-07-15
7 MS_DRG 007 - Lung Transplant 4 3 — — $137,325.37 $282,410.39 $213,481.71 2026-07-15
216 MS_DRG 216 - Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cathe… 2 1 — — $208,554.79 $208,554.79 $208,554.79 2026-07-15
4 MS_DRG 004 - Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth A… 6 3 — — $157,837.93 $305,343.98 $208,185.12 2026-07-15
850 MS_DRG 850 - Acute Leukemia With Other Procedures 2 1 — — $199,065.40 $199,065.40 $199,065.40 2026-07-15
429 MS_DRG 429 - Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $180,235.74 $180,235.74 $180,235.74 2026-07-15
19 MS_DRG 019 - Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $171,303.91 $171,303.91 $171,303.91 2026-07-15
20 MS_DRG 020 - Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With … 4 3 — — $155,763.75 $174,195.47 $169,078.65 2026-07-15
233 MS_DRG 233 - Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $168,907.25 $168,907.25 $168,907.25 2026-07-15
10 MS_DRG 010 - Pancreas Transplant 4 3 — — $137,464.77 $172,295.86 $158,497.81 2026-07-15
6 MS_DRG 006 - Liver Transplant Without Mcc 4 3 — — $104,789.58 $223,199.94 $158,414.76 2026-07-15
427 MS_DRG 427 - Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervic… 2 1 — — $153,410.01 $153,410.01 $153,410.01 2026-07-15
275 MS_DRG 275 - Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $152,714.13 $152,714.13 $152,714.13 2026-07-15
219 MS_DRG 219 - Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Ca… 4 3 — — $126,172.56 $167,204.31 $150,008.77 2026-07-15
957 MS_DRG 957 - Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $129,763.45 $161,298.02 $148,945.56 2026-07-15
955 MS_DRG 955 - Craniotomy For Multiple Significant Trauma 4 3 — — $145,862.73 $153,539.72 $147,557.75 2026-07-15
447 MS_DRG 447 - Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anato… 2 1 — — $144,884.47 $144,884.47 $144,884.47 2026-07-15
8 MS_DRG 008 - Simultaneous Pancreas And Kidney Transplant 4 3 — — $117,581.13 $180,713.42 $144,629.44 2026-07-15
928 MS_DRG 928 - Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 1 — — $144,329.06 $144,329.06 $144,329.06 2026-07-15
218 MS_DRG 218 - Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cathe… 4 3 — — $128,566.00 $163,961.84 $142,164.88 2026-07-15
217 MS_DRG 217 - Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cathe… 2 1 — — $139,550.87 $139,550.87 $139,550.87 2026-07-15
834 MS_DRG 834 - Acute Leukemia With Mcc 4 3 — — $119,441.84 $163,961.84 $137,602.79 2026-07-15
461 MS_DRG 461 - Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 3 — — $132,620.22 $146,543.08 $135,918.08 2026-07-15
266 MS_DRG 266 - Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $129,458.53 $146,543.08 $134,337.23 2026-07-15
276 MS_DRG 276 - Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $133,858.53 $133,858.53 $133,858.53 2026-07-15
317 MS_DRG 317 - Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 1 — — $133,685.65 $133,685.65 $133,685.65 2026-07-15
16 MS_DRG 016 - Autologous Bone Marrow Transplant With Cc/mcc 2 1 — — $130,433.19 $130,433.19 $130,433.19 2026-07-15
17 MS_DRG 017 - Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $130,433.19 $130,433.19 $130,433.19 2026-07-15
235 MS_DRG 235 - Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — — $127,154.80 $127,154.80 $127,154.80 2026-07-15
21 MS_DRG 021 - Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With … 4 3 — — $119,450.48 $132,813.22 $122,811.52 2026-07-15
236 MS_DRG 236 - Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $88,860.11 $163,961.84 $122,311.93 2026-07-15
405 MS_DRG 405 - Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $117,313.15 $132,813.22 $121,742.85 2026-07-15
981 MS_DRG 981 - Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $102,745.18 $146,543.08 $120,980.55 2026-07-15
428 MS_DRG 428 - Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervic… 2 1 — — $118,972.88 $118,972.88 $118,972.88 2026-07-15
430 MS_DRG 430 - Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $118,214.33 $118,214.33 $118,214.33 2026-07-15
5834 APR_DRG 583-4 - Neonate With Ecmo 4 4 — — $117,715.01 $117,715.01 $117,715.01 2026-07-15
239 MS_DRG 239 - Amputation For Circulatory System Disorders Except Upper Limb And Toe With… 4 3 — — $108,843.80 $132,813.22 $117,508.18 2026-07-15
335 MS_DRG 335 - Peritoneal Adhesiolysis With Mcc 4 3 — — $78,316.10 $163,961.84 $117,039.93 2026-07-15
97 MS_DRG 097 - Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $77,471.11 $163,961.84 $116,617.43 2026-07-15
456 MS_DRG 456 - Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection… 4 3 — — $45,716.97 $183,014.91 $115,569.02 2026-07-15
234 MS_DRG 234 - Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 1 — — $114,968.36 $114,968.36 $114,968.36 2026-07-15
467 MS_DRG 467 - Revision Of Hip Or Knee Replacement With Cc 4 3 — — $74,015.51 $163,961.84 $114,889.63 2026-07-15
31 MS_DRG 031 - Ventricular Shunt Procedures With Mcc 4 3 — — $90,556.57 $146,543.08 $114,886.25 2026-07-15
463 MS_DRG 463 - Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Conne… 6 3 — — $22,008.70 $116,723.50 $113,800.93 2026-07-15
37 MS_DRG 037 - Extracranial Procedures With Mcc 4 3 — — $71,763.65 $163,961.84 $113,763.70 2026-07-15
969 MS_DRG 969 - HIV With Extensive O.r. Procedures With Mcc 4 3 — — $86,244.72 $136,665.80 $113,724.86 2026-07-15
820 MS_DRG 820 - Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $94,980.64 $125,817.08 $112,898.35 2026-07-15
485 MS_DRG 485 - Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $69,665.22 $163,961.84 $112,714.49 2026-07-15
929 MS_DRG 929 - Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 3 — — $68,727.30 $163,961.84 $112,245.52 2026-07-15
573 MS_DRG 573 - Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $86,244.72 $133,076.22 $111,930.07 2026-07-15
23 MS_DRG 023 - Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagno… 4 3 — — $94,980.64 $123,284.27 $111,631.95 2026-07-15
450 MS_DRG 450 - Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomi… 2 1 — — $111,290.17 $111,290.17 $111,290.17 2026-07-15
166 MS_DRG 166 - Other Respiratory System O.r. Procedures With Mcc 4 3 — — $83,223.96 $146,543.08 $111,219.95 2026-07-15
270 MS_DRG 270 - Other Major Cardiovascular Procedures With Mcc 2 1 — — $110,924.94 $110,924.94 $110,924.94 2026-07-15
466 MS_DRG 466 - Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $110,092.92 $110,092.92 $110,092.92 2026-07-15
933 MS_DRG 933 - Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Gra… 4 3 — — $93,504.31 $132,813.22 $109,838.43 2026-07-15
231 MS_DRG 231 - Coronary Bypass With Ptca With Mcc 4 3 — — $34,228.85 $183,118.65 $109,574.51 2026-07-15
521 MS_DRG 521 - Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 3 — — $62,987.42 $163,961.84 $109,375.58 2026-07-15
800 MS_DRG 800 - Splenic Procedures With Cc 4 3 — — $62,965.81 $163,961.84 $109,364.78 2026-07-15
28 MS_DRG 028 - Spinal Procedures With Mcc 4 3 — — $82,280.20 $131,375.43 $108,993.08 2026-07-15
278 MS_DRG 278 - Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Struc… 2 1 — — $108,117.67 $108,117.67 $108,117.67 2026-07-15
853 MS_DRG 853 - Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — — $108,087.42 $108,087.42 $108,087.42 2026-07-15
255 MS_DRG 255 - Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $56,540.86 $163,961.84 $106,152.30 2026-07-15
273 MS_DRG 273 - Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $84,499.01 $132,813.22 $105,335.79 2026-07-15
817 MS_DRG 817 - Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 3 — — $54,786.05 $163,961.84 $105,274.90 2026-07-15
272 MS_DRG 272 - Other Major Cardiovascular Procedures Without Cc/mcc 4 3 — — $54,070.72 $163,961.84 $104,917.24 2026-07-15
579 MS_DRG 579 - Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $70,432.41 $146,543.08 $104,824.17 2026-07-15
837 MS_DRG 837 - Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose … 4 3 — — $94,980.64 $108,201.95 $104,090.79 2026-07-15
135 MS_DRG 135 - Sinus And Mastoid Procedures With Cc/mcc 4 3 — — $52,101.96 $163,961.84 $103,932.86 2026-07-15
229 MS_DRG 229 - Other Cardiothoracic Procedures Without Mcc 4 3 — — $67,125.93 $146,543.08 $103,170.93 2026-07-15
515 MS_DRG 515 - Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mc… 4 3 — — $66,825.53 $146,543.08 $103,020.73 2026-07-15
652 MS_DRG 652 - Kidney Transplant 4 3 — — $66,371.70 $146,543.08 $102,793.82 2026-07-15
799 MS_DRG 799 - Splenic Procedures With Mcc 2 1 — — $102,749.50 $102,749.50 $102,749.50 2026-07-15
614 MS_DRG 614 - Adrenal And Pituitary Procedures With Cc/mcc 4 3 — — $49,247.15 $163,961.84 $102,505.45 2026-07-15
576 MS_DRG 576 - Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $82,280.20 $116,589.18 $101,599.96 2026-07-15
906 MS_DRG 906 - Hand Procedures For Injuries 4 3 — — $47,163.85 $163,961.84 $101,463.80 2026-07-15
625 MS_DRG 625 - Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $61,956.58 $146,543.08 $100,586.26 2026-07-15
277 MS_DRG 277 - Cardiac Defibrillator Implant Without Mcc 2 1 — — $100,538.69 $100,538.69 $100,538.69 2026-07-15
548 MS_DRG 548 - Septic Arthritis With Mcc 4 3 — — $43,535.36 $163,961.84 $99,649.55 2026-07-15
854 MS_DRG 854 - Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 3 — — $43,183.10 $163,961.84 $99,473.42 2026-07-15
80 MS_DRG 080 - Nontraumatic Stupor And Coma With Mcc 4 3 — — $42,958.35 $163,961.84 $99,361.05 2026-07-15
585 MS_DRG 585 - Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 4 3 — — $42,897.83 $163,961.84 $99,330.79 2026-07-15
221 MS_DRG 221 - Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Ca… 4 3 — — $94,980.64 $99,979.62 $99,244.20 2026-07-15
329 MS_DRG 329 - Major Small And Large Bowel Procedures With Mcc 6 3 — — $34,338.71 $146,543.08 $99,231.23 2026-07-15
288 MS_DRG 288 - Acute And Subacute Endocarditis With Mcc 4 3 — — $59,026.12 $146,543.08 $99,121.02 2026-07-15
707 MS_DRG 707 - Major Male Pelvic Procedures With Cc/mcc 4 3 — — $41,936.15 $163,961.84 $98,849.95 2026-07-15
11 MS_DRG 011 - Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $73,392.47 $116,604.31 $96,929.77 2026-07-15
498 MS_DRG 498 - Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur W… 4 3 — — $54,561.29 $146,543.08 $96,888.61 2026-07-15
5884 APR_DRG 588-4 - Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $96,558.28 $96,558.28 $96,558.28 2026-07-15
444 MS_DRG 444 - Disorders Of The Biliary Tract With Mcc 4 3 — — $36,403.73 $163,961.84 $96,083.74 2026-07-15
421 MS_DRG 421 - Hepatobiliary Diagnostic Procedures With Cc 4 3 — — $35,388.01 $163,961.84 $95,575.88 2026-07-15
478 MS_DRG 478 - Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $50,535.16 $146,543.08 $94,875.54 2026-07-15
675 MS_DRG 675 - Other Kidney And Urinary Tract Procedures Without Cc/mcc 4 3 — — $33,825.54 $163,961.84 $94,794.64 2026-07-15
353 MS_DRG 353 - Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $63,380.74 $132,813.22 $94,776.65 2026-07-15
146 MS_DRG 146 - Ear, Nose, Mouth And Throat Malignancy With Mcc 4 3 — — $49,573.47 $146,543.08 $94,394.70 2026-07-15
658 MS_DRG 658 - Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 4 3 — — $32,500.78 $163,961.84 $94,132.26 2026-07-15
727 MS_DRG 727 - Inflammation Of The Male Reproductive System With Mcc 4 3 — — $31,753.04 $163,961.84 $93,758.39 2026-07-15
220 MS_DRG 220 - Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Ca… 4 3 — — $69,376.16 $114,458.34 $93,742.94 2026-07-15
637 MS_DRG 637 - Diabetes With Mcc 4 3 — — $31,472.10 $163,961.84 $93,617.92 2026-07-15
5833 APR_DRG 583-3 - Neonate With Ecmo 4 4 — — $93,232.53 $93,232.53 $93,232.53 2026-07-15
163 MS_DRG 163 - Major Chest Procedures With Mcc 4 3 — — $82,280.20 $99,602.94 $93,106.84 2026-07-15
63 MS_DRG 063 - Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombol… 4 3 — — $30,356.97 $163,961.84 $93,060.36 2026-07-15
1614 APR_DRG 161-4 - Implantable Heart Assist Systems 4 4 — — $92,321.14 $92,321.14 $92,321.14 2026-07-15
323 MS_DRG 323 - Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $92,045.57 $92,045.57 $92,045.57 2026-07-15
468 MS_DRG 468 - Revision Of Hip Or Knee Replacement Without Cc/mcc 4 3 — — $56,689.98 $132,813.22 $91,431.27 2026-07-15
294 MS_DRG 294 - Deep Vein Thrombophlebitis With Cc/mcc 4 3 — — $26,536.15 $163,961.84 $91,149.95 2026-07-15
140 MS_DRG 140 - Major Head And Neck Procedures With Mcc 4 3 — — $86,244.72 $91,392.92 $91,088.42 2026-07-15
659 MS_DRG 659 - Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $55,847.15 $132,813.22 $91,009.86 2026-07-15
415 MS_DRG 415 - Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 3 — — $42,746.56 $146,543.08 $90,981.24 2026-07-15
673 MS_DRG 673 - Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $90,550.09 $90,550.09 $90,550.09 2026-07-15
152 MS_DRG 152 - Otitis Media And Uri With Mcc 4 3 — — $24,522.00 $163,961.84 $90,142.88 2026-07-15
458 MS_DRG 458 - Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection… 4 3 — — $82,280.20 $93,309.81 $89,960.27 2026-07-15
269 MS_DRG 269 - Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 1 — — $89,910.40 $89,910.40 $89,910.40 2026-07-15
352 MS_DRG 352 - Inguinal And Femoral Hernia Procedures Without Cc/mcc 4 3 — — $23,826.13 $163,961.84 $89,794.94 2026-07-15
542 MS_DRG 542 - Pathological Fractures And Musculoskeletal And Connective Tissue Malignanc… 4 3 — — $40,302.35 $146,543.08 $89,759.14 2026-07-15
559 MS_DRG 559 - Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $40,112.18 $146,543.08 $89,664.05 2026-07-15
91 MS_DRG 091 - Other Disorders Of Nervous System With Mcc 4 3 — — $39,392.53 $146,543.08 $89,304.23 2026-07-15
24 APR_DRG 002-4 - Heart And/or Lung Transplant 4 4 — — $89,092.60 $89,092.60 $89,092.60 2026-07-15
565 MS_DRG 565 - Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 3 — — $22,034.58 $163,961.84 $88,899.16 2026-07-15
958 MS_DRG 958 - Other O.r. Procedures For Multiple Significant Trauma With Cc 6 3 — — $74,718.57 $163,961.84 $88,810.40 2026-07-15
178 MS_DRG 178 - Respiratory Infections And Inflammations With Cc 4 3 — — $21,440.27 $163,961.84 $88,602.01 2026-07-15
378 MS_DRG 378 - Gastrointestinal Hemorrhage With Cc 4 3 — — $21,306.28 $163,961.84 $88,535.01 2026-07-15
25 MS_DRG 025 - Craniotomy And Endovascular Intracranial Procedures With Mcc 6 3 — — $76,470.72 $96,644.39 $88,514.32 2026-07-15
207 MS_DRG 207 - Respiratory System Diagnosis With Ventilator Support >96 Hours 6 3 — — $34,228.85 $139,773.46 $88,270.54 2026-07-15
40 MS_DRG 040 - Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $81,512.37 $99,979.62 $88,246.51 2026-07-15
448 MS_DRG 448 - Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $88,242.04 $88,242.04 $88,242.04 2026-07-15
880 MS_DRG 880 - Acute Adjustment Reaction And Psychosocial Dysfunction 4 3 — — $20,716.30 $163,961.84 $88,240.03 2026-07-15
747 MS_DRG 747 - Vagina, Cervix And Vulva Procedures Without Cc/mcc 4 3 — — $20,640.67 $163,961.84 $88,202.21 2026-07-15
438 MS_DRG 438 - Disorders Of Pancreas Except Malignancy With Mcc 4 3 — — $35,956.38 $146,543.08 $87,586.15 2026-07-15
791 MS_DRG 791 - Prematurity With Major Problems 4 3 — — $82,280.20 $87,742.82 $87,176.78 2026-07-15
828 MS_DRG 828 - Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major… 4 3 — — $34,638.11 $146,543.08 $86,927.02 2026-07-15
870 MS_DRG 870 - Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $22,008.70 $150,336.92 $86,751.99 2026-07-15
98 MS_DRG 098 - Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 3 — — $46,876.42 $132,813.22 $86,524.49 2026-07-15
669 MS_DRG 669 - Transurethral Procedures With Cc 4 3 — — $33,443.02 $146,543.08 $86,329.48 2026-07-15
956 MS_DRG 956 - Limb Reattachment, Hip And Femur Procedures For Multiple Significant Traum… 4 3 — — $82,601.56 $94,705.26 $86,285.78 2026-07-15
835 MS_DRG 835 - Acute Leukemia With Cc 4 3 — — $46,156.77 $132,813.22 $86,164.67 2026-07-15
907 MS_DRG 907 - Other O.r. Procedures For Injuries With Mcc 6 3 — — $75,103.62 $132,813.22 $86,087.42 2026-07-15
486 MS_DRG 486 - Knee Procedures With Principal Diagnosis Of Infection With Cc 4 3 — — $45,830.45 $132,813.22 $86,001.51 2026-07-15
336 MS_DRG 336 - Peritoneal Adhesiolysis With Cc 4 3 — — $45,651.08 $132,813.22 $85,911.82 2026-07-15
522 MS_DRG 522 - Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 3 — — $45,560.31 $132,813.22 $85,866.43 2026-07-15
794 MS_DRG 794 - Neonate With Other Significant Problems 4 3 — — $31,902.16 $146,543.08 $85,559.04 2026-07-15
602 MS_DRG 602 - Cellulitis With Mcc 4 3 — — $31,755.20 $146,543.08 $85,485.57 2026-07-15
311 MS_DRG 311 - Angina Pectoris 4 3 — — $15,095.28 $163,961.84 $85,429.51 2026-07-15
592 MS_DRG 592 - Skin Ulcers With Mcc 4 3 — — $44,436.54 $132,813.22 $85,304.55 2026-07-15
628 MS_DRG 628 - Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $85,283.49 $85,283.49 $85,283.49 2026-07-15
856 MS_DRG 856 - Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $69,376.16 $97,493.70 $85,260.62 2026-07-15
876 MS_DRG 876 - O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 — — $84,918.26 $84,918.26 $84,918.26 2026-07-15
402 MS_DRG 402 - Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $84,913.94 $84,913.94 $84,913.94 2026-07-15
811 MS_DRG 811 - Red Blood Cell Disorders With Mcc 4 3 — — $30,402.35 $146,543.08 $84,809.14 2026-07-15
395 MS_DRG 395 - Other Digestive System Diagnoses Without Cc/mcc 4 3 — — $13,753.24 $163,961.84 $84,758.50 2026-07-15
195 MS_DRG 195 - Simple Pneumonia And Pleurisy Without Cc/mcc 4 3 — — $13,459.33 $163,961.84 $84,611.54 2026-07-15
64 MS_DRG 064 - Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 3 — — $42,986.44 $132,813.22 $84,579.50 2026-07-15
741 MS_DRG 741 - Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy W… 4 3 — — $29,682.71 $146,543.08 $84,449.32 2026-07-15
326 MS_DRG 326 - Stomach, Esophageal And Duodenal Procedures With Mcc 6 3 — — $34,119.21 $109,755.79 $84,445.47 2026-07-15
783 MS_DRG 783 - Cesarean Section With Sterilization With Mcc 4 3 — — $12,456.00 $163,961.84 $84,109.88 2026-07-15
34 MS_DRG 034 - Carotid Artery Stent Procedures With Mcc 2 1 — — $84,034.37 $84,034.37 $84,034.37 2026-07-15
57 MS_DRG 057 - Degenerative Nervous System Disorders Without Mcc 4 3 — — $28,844.20 $146,543.08 $84,030.07 2026-07-15
268 MS_DRG 268 - Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $22,008.70 $144,084.86 $83,625.95 2026-07-15
196 MS_DRG 196 - Interstitial Lung Disease With Mcc 4 3 — — $40,719.45 $132,813.22 $83,446.01 2026-07-15
904 MS_DRG 904 - Skin Grafts For Injuries With Cc/mcc 2 1 — — $83,437.91 $83,437.91 $83,437.91 2026-07-15
346 MS_DRG 346 - Minor Small And Large Bowel Procedures Without Cc/mcc 4 3 — — $26,910.02 $146,543.08 $83,062.97 2026-07-15
189 MS_DRG 189 - Pulmonary Edema And Respiratory Failure 4 3 — — $26,743.61 $146,543.08 $82,979.77 2026-07-15
718 MS_DRG 718 - Other Male Reproductive System O.r. Procedures Except Malignancy Without C… 4 3 — — $26,620.43 $146,543.08 $82,918.18 2026-07-15
471 MS_DRG 471 - Cervical Spinal Fusion With Mcc 4 3 — — $56,680.45 $104,964.63 $82,314.13 2026-07-15
505 MS_DRG 505 - Foot Procedures Without Cc/mcc 4 3 — — $37,940.27 $132,813.22 $82,056.42 2026-07-15
695 MS_DRG 695 - Kidney And Urinary Tract Signs And Symptoms With Mcc 4 3 — — $24,370.72 $146,543.08 $81,793.32 2026-07-15
622 MS_DRG 622 - Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic… 4 3 — — $80,911.58 $86,610.74 $81,595.89 2026-07-15
256 MS_DRG 256 - Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 3 — — $36,600.39 $132,813.22 $81,386.48 2026-07-15
949 MS_DRG 949 - Aftercare With Cc/mcc 4 3 — — $23,316.11 $146,543.08 $81,266.02 2026-07-15
117 MS_DRG 117 - Intraocular Procedures Without Cc/mcc 4 3 — — $23,309.62 $146,543.08 $81,262.77 2026-07-15
5024-2015-01 NDC Ocrevus 300mg Sdv 10ml 35 16 $115,992.00 $115,992.00 $23,198.40 $115,992.00 $81,078.41 2026-07-15
868 MS_DRG 868 - Other Infectious And Parasitic Diseases Diagnoses With Cc 4 3 — — $22,691.55 $146,543.08 $80,953.74 2026-07-15
801 MS_DRG 801 - Splenic Procedures Without Cc/mcc 4 3 — — $35,478.78 $132,813.22 $80,825.67 2026-07-15
372 MS_DRG 372 - Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 3 — — $22,244.20 $146,543.08 $80,730.07 2026-07-15
855 MS_DRG 855 - Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 4 3 — — $35,128.68 $132,813.22 $80,650.62 2026-07-15
920 MS_DRG 920 - Complications Of Treatment With Cc 4 3 — — $21,952.45 $146,543.08 $80,584.19 2026-07-15
38 MS_DRG 038 - Extracranial Procedures With Cc 4 3 — — $34,817.48 $132,813.22 $80,495.02 2026-07-15
423 MS_DRG 423 - Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $69,376.16 $87,894.10 $80,460.82 2026-07-15
790 MS_DRG 790 - Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $30,031.93 $128,477.40 $80,044.98 2026-07-15
260 MS_DRG 260 - Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $73,624.35 $90,783.92 $79,934.54 2026-07-15
682 MS_DRG 682 - Renal Failure With Mcc 4 3 — — $32,459.72 $132,813.22 $79,316.14 2026-07-15
495 MS_DRG 495 - Local Excision And Removal Of Internal Fixation Devices Except Hip And Fem… 4 3 — — $76,077.20 $86,610.74 $79,178.70 2026-07-15
708 MS_DRG 708 - Major Male Pelvic Procedures Without Cc/mcc 4 3 — — $32,036.15 $132,813.22 $79,104.36 2026-07-15
422 MS_DRG 422 - Hepatobiliary Diagnostic Procedures Without Cc/mcc 4 3 — — $31,753.04 $132,813.22 $78,962.80 2026-07-15
94 MS_DRG 094 - Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $78,845.57 $78,845.57 $78,845.57 2026-07-15
845 MS_DRG 845 - Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Dia… 4 3 — — $18,081.92 $146,543.08 $78,648.92 2026-07-15
615 MS_DRG 615 - Adrenal And Pituitary Procedures Without Cc/mcc 4 3 — — $30,966.40 $132,813.22 $78,569.48 2026-07-15
616 MS_DRG 616 - Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorder… 4 3 — — $69,376.16 $83,524.35 $78,275.95 2026-07-15
389 MS_DRG 389 - Gastrointestinal Obstruction With Cc 4 3 — — $17,325.54 $146,543.08 $78,270.73 2026-07-15
653 MS_DRG 653 - Major Bladder Procedures With Mcc 4 3 — — $34,228.85 $120,464.04 $78,247.20 2026-07-15
120 EAPG 120 - Car T-cell Immunotherapy 3 3 — — $78,076.59 $78,076.59 $78,076.59 2026-07-15
457 MS_DRG 457 - Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection… 4 3 — — $30,031.93 $124,025.53 $77,819.04 2026-07-15
748 MS_DRG 748 - Female Reproductive System Reconstructive Procedures 4 3 — — $29,438.50 $132,813.22 $77,805.53 2026-07-15
258 MS_DRG 258 - Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $60,627.50 $99,979.62 $77,804.07 2026-07-15
305 MS_DRG 305 - Hypertension Without Mcc 4 3 — — $16,223.38 $146,543.08 $77,719.65 2026-07-15
232 MS_DRG 232 - Coronary Bypass With Ptca Without Mcc 4 3 — — $22,008.70 $132,006.47 $77,586.76 2026-07-15
518 MS_DRG 518 - Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or N… 2 1 — — $77,449.50 $77,449.50 $77,449.50 2026-07-15
818 MS_DRG 818 - Other Antepartum Diagnoses With O.r. Procedures With Cc 4 3 — — $27,834.97 $132,813.22 $77,003.76 2026-07-15
143 MS_DRG 143 - Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 3 — — $71,353.04 $86,610.74 $76,816.62 2026-07-15
492 MS_DRG 492 - Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 — — $51,895.15 $90,783.92 $76,740.66 2026-07-15
761 MS_DRG 761 - Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 4 3 — — $13,699.21 $146,543.08 $76,457.57 2026-07-15
24 MS_DRG 024 - Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagno… 6 3 — — $56,680.45 $82,152.06 $76,386.07 2026-07-15
420 MS_DRG 420 - Hepatobiliary Diagnostic Procedures With Mcc 2 1 — — $76,269.54 $76,269.54 $76,269.54 2026-07-15
549 MS_DRG 549 - Septic Arthritis With Cc 4 3 — — $26,041.26 $132,813.22 $76,106.91 2026-07-15
356 MS_DRG 356 - Other Digestive System O.r. Procedures With Mcc 4 3 — — $56,680.45 $92,179.56 $75,921.60 2026-07-15
987 MS_DRG 987 - Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $75,703.33 $75,703.33 $75,703.33 2026-07-15
802 MS_DRG 802 - Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $69,376.16 $77,466.79 $75,247.16 2026-07-15
12 MS_DRG 012 - Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 3 — — $58,581.47 $88,678.58 $75,171.65 2026-07-15
332 MS_DRG 332 - Rectal Resection With Mcc 2 1 — — $74,957.75 $74,957.75 $74,957.75 2026-07-15
445 MS_DRG 445 - Disorders Of The Biliary Tract With Cc 4 3 — — $23,434.97 $132,813.22 $74,803.76 2026-07-15
22 MS_DRG 022 - Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Witho… 4 3 — — $69,376.16 $76,295.47 $74,661.51 2026-07-15
823 MS_DRG 823 - Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $45,716.97 $101,122.19 $74,622.66 2026-07-15
271 MS_DRG 271 - Other Major Cardiovascular Procedures With Cc 2 1 — — $74,436.93 $74,436.93 $74,436.93 2026-07-15
472 MS_DRG 472 - Cervical Spinal Fusion With Cc 4 3 — — $62,607.07 $90,783.92 $74,425.90 2026-07-15
252 MS_DRG 252 - Other Vascular Procedures With Mcc 2 1 — — $74,130.05 $74,130.05 $74,130.05 2026-07-15
826 MS_DRG 826 - Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major… 4 3 — — $42,569.77 $103,196.85 $74,003.57 2026-07-15
136 MS_DRG 136 - Sinus And Mastoid Procedures Without Cc/mcc 4 3 — — $21,139.88 $132,813.22 $73,656.22 2026-07-15
638 MS_DRG 638 - Diabetes With Cc 4 3 — — $19,821.61 $132,813.22 $72,997.08 2026-07-15
881 MS_DRG 881 - Depressive Neuroses 4 3 — — $19,754.62 $132,813.22 $72,963.59 2026-07-15
81 MS_DRG 081 - Nontraumatic Stupor And Coma Without Mcc 4 3 — — $19,553.63 $132,813.22 $72,863.10 2026-07-15
619 MS_DRG 619 - O.r. Procedures For Obesity With Mcc 4 3 — — $58,920.23 $90,783.92 $72,582.48 2026-07-15
650 MS_DRG 650 - Kidney Transplant With Hemodialysis With Mcc 4 3 — — $42,569.77 $99,561.88 $72,186.08 2026-07-15
424 MS_DRG 424 - Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 3 — — $49,340.07 $99,979.62 $72,160.35 2026-07-15
728 MS_DRG 728 - Inflammation Of The Male Reproductive System Without Mcc 4 3 — — $17,658.35 $132,813.22 $71,915.45 2026-07-15
295 MS_DRG 295 - Deep Vein Thrombophlebitis Without Cc/mcc 4 3 — — $17,068.37 $132,813.22 $71,620.46 2026-07-15
319 MS_DRG 319 - Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $45,716.97 $94,926.32 $71,524.73 2026-07-15
179 MS_DRG 179 - Respiratory Infections And Inflammations Without Cc/mcc 4 3 — — $16,633.99 $132,813.22 $71,403.27 2026-07-15
963 MS_DRG 963 - Other Multiple Significant Trauma With Mcc 6 3 — — $58,708.44 $83,652.68 $71,201.85 2026-07-15
566 MS_DRG 566 - Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mc… 4 3 — — $16,165.03 $132,813.22 $71,168.79 2026-07-15
857 MS_DRG 857 - Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 3 — — $47,088.21 $99,979.62 $71,034.43 2026-07-15
153 MS_DRG 153 - Otitis Media And Uri Without Mcc 4 3 — — $15,380.55 $132,813.22 $70,776.55 2026-07-15
314 MS_DRG 314 - Other Circulatory System Diagnoses With Mcc 4 3 — — $46,537.13 $99,979.62 $70,758.88 2026-07-15
1613 APR_DRG 161-3 - Implantable Heart Assist Systems 4 4 — — $70,727.56 $70,727.56 $70,727.56 2026-07-15
469 MS_DRG 469 - Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Wi… 4 3 — — $69,376.16 $73,027.54 $70,635.55 2026-07-15
407 MS_DRG 407 - Pancreas, Liver And Shunt Procedures Without Cc/mcc 4 3 — — $46,152.45 $99,979.62 $70,566.54 2026-07-15
656 MS_DRG 656 - Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — — $70,402.15 $70,402.15 $70,402.15 2026-07-15
263 MS_DRG 263 - Vein Ligation And Stripping 4 3 — — $57,958.54 $86,610.74 $70,119.37 2026-07-15
6304 APR_DRG 630-4 - Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $70,085.59 $70,085.59 $70,085.59 2026-07-15
379 MS_DRG 379 - Gastrointestinal Hemorrhage Without Cc/mcc 4 3 — — $13,757.56 $132,813.22 $69,965.06 2026-07-15
784 MS_DRG 784 - Cesarean Section With Sterilization With Cc 4 3 — — $12,456.00 $132,813.22 $69,314.28 2026-07-15
279 MS_DRG 279 - Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Struc… 2 1 — — $69,245.97 $69,245.97 $69,245.97 2026-07-15
324 MS_DRG 324 - Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 1 — — $69,047.15 $69,047.15 $69,047.15 2026-07-15
100 MS_DRG 100 - Seizures With Mcc 4 3 — — $42,902.16 $99,979.62 $68,941.40 2026-07-15
267 MS_DRG 267 - Endovascular Cardiac Valve Replacement And Supplement Procedures Without M… 4 3 — — $34,228.85 $101,666.79 $68,848.58 2026-07-15
5832 APR_DRG 583-2 - Neonate With Ecmo 4 4 — — $68,750.05 $68,750.05 $68,750.05 2026-07-15
488 MS_DRG 488 - Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 4 3 — — $42,472.10 $99,979.62 $68,726.37 2026-07-15
245 MS_DRG 245 - Aicd Generator Procedures 4 3 — — $30,031.93 $105,602.15 $68,607.35 2026-07-15
507 MS_DRG 507 - Major Shoulder Or Elbow Joint Procedures With Cc/mcc 4 3 — — $41,884.28 $99,979.62 $68,432.46 2026-07-15
274 MS_DRG 274 - Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $67,443.61 $73,027.54 $68,409.89 2026-07-15
617 MS_DRG 617 - Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorder… 4 3 — — $41,756.77 $99,979.62 $68,368.71 2026-07-15
470 MS_DRG 470 - Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Wi… 4 3 — — $40,747.54 $99,979.62 $67,864.09 2026-07-15
408 MS_DRG 408 - Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e… 4 3 — — $56,680.45 $75,662.27 $67,662.95 2026-07-15
883 MS_DRG 883 - Disorders Of Personality And Impulse Control 4 3 — — $40,118.66 $99,979.62 $67,549.65 2026-07-15
243 MS_DRG 243 - Permanent Cardiac Pacemaker Implant With Cc 4 3 — — $48,683.10 $90,783.92 $67,463.91 2026-07-15
357 MS_DRG 357 - Other Digestive System O.r. Procedures With Cc 4 3 — — $48,665.81 $90,783.92 $67,455.26 2026-07-15
570 MS_DRG 570 - Skin Debridement With Mcc 4 3 — — $65,057.75 $73,027.54 $67,216.96 2026-07-15
803 MS_DRG 803 - Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 4 3 — — $38,465.42 $99,979.62 $66,723.03 2026-07-15
451 MS_DRG 451 - Single Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $66,687.22 $66,687.22 $66,687.22 2026-07-15
736 MS_DRG 736 - Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $45,716.97 $85,088.99 $66,606.06 2026-07-15
242 MS_DRG 242 - Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $56,680.45 $73,304.51 $66,484.07 2026-07-15
173 MS_DRG 173 - Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pul… 2 1 — — $66,311.19 $66,311.19 $66,311.19 2026-07-15
464 MS_DRG 464 - Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Conne… 4 3 — — $63,722.19 $72,265.83 $66,187.36 2026-07-15
240 MS_DRG 240 - Amputation For Circulatory System Disorders Except Upper Limb And Toe With… 4 3 — — $62,931.23 $73,027.54 $66,153.70 2026-07-15
26 MS_DRG 026 - Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $45,716.97 $80,786.80 $66,095.08 2026-07-15
940 MS_DRG 940 - O.r. Procedures With Diagnoses Of Other Contact With Health Services With … 4 3 — — $45,627.30 $90,783.92 $65,936.01 2026-07-15
808 MS_DRG 808 - Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis … 4 3 — — $49,497.83 $86,610.74 $65,889.01 2026-07-15
901 MS_DRG 901 - Wound Debridements For Injuries With Mcc 4 3 — — $34,228.85 $95,741.05 $65,885.71 2026-07-15
409 MS_DRG 409 - Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e… 4 3 — — $45,303.14 $90,783.92 $65,773.93 2026-07-15
571 MS_DRG 571 - Skin Debridement With Cc 4 3 — — $36,194.10 $99,979.62 $65,587.37 2026-07-15
715 MS_DRG 715 - Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 4 3 — — $48,801.96 $86,610.74 $65,541.08 2026-07-15
739 MS_DRG 739 - Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy W… 4 3 — — $42,569.77 $86,026.91 $65,418.60 2026-07-15
280 MS_DRG 280 - Acute Myocardial Infarction, Discharged Alive With Mcc 4 3 — — $35,474.46 $99,979.62 $65,227.55 2026-07-15
8414 APR_DRG 841-4 - Extensive Third Degree Burns With Skin Graft 4 4 — — $65,105.29 $65,105.29 $65,105.29 2026-07-15
406 MS_DRG 406 - Pancreas, Liver And Shunt Procedures With Cc 4 3 — — $60,688.01 $73,027.54 $65,032.09 2026-07-15
228 MS_DRG 228 - Other Cardiothoracic Procedures With Mcc 4 3 — — $20,315.76 $107,685.45 $64,535.23 2026-07-15
475 MS_DRG 475 - Amputation For Musculoskeletal System And Connective Tissue Disorders With… 4 3 — — $46,617.09 $86,610.74 $64,448.64 2026-07-15
432 MS_DRG 432 - Cirrhosis And Alcoholic Hepatitis With Mcc 4 3 — — $42,338.11 $90,783.92 $64,291.42 2026-07-15
474 MS_DRG 474 - Amputation For Musculoskeletal System And Connective Tissue Disorders With… 4 3 — — $30,031.93 $96,912.37 $64,262.46 2026-07-15
412 MS_DRG 412 - Cholecystectomy With C.d.e. With Cc 4 3 — — $46,063.85 $86,610.74 $64,172.02 2026-07-15
939 MS_DRG 939 - O.r. Procedures With Diagnoses Of Other Contact With Health Services With … 4 3 — — $56,680.45 $68,588.99 $64,126.31 2026-07-15
241 MS_DRG 241 - Amputation For Circulatory System Disorders Except Upper Limb And Toe With… 4 3 — — $32,628.29 $99,979.62 $63,804.46 2026-07-15
710 MS_DRG 710 - Penis Procedures Without Cc/mcc 4 3 — — $32,444.59 $99,979.62 $63,712.62 2026-07-15
662 MS_DRG 662 - Minor Bladder Procedures With Mcc 4 3 — — $56,680.45 $67,413.35 $63,538.49 2026-07-15
539 MS_DRG 539 - Osteomyelitis With Mcc 4 3 — — $43,712.57 $86,610.74 $62,996.38 2026-07-15
862 MS_DRG 862 - Postoperative And Post-traumatic Infections With Mcc 4 3 — — $39,733.98 $90,783.92 $62,989.35 2026-07-15
5934 APR_DRG 593-4 - Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $62,974.22 $62,974.22 $62,974.22 2026-07-15
749 MS_DRG 749 - Other Female Reproductive System O.r. Procedures With Cc/mcc 4 3 — — $55,937.91 $73,027.54 $62,657.04 2026-07-15
246 EAPG 246 - Class IV Therapeutic Radiopharmaceuticals 3 3 — — $62,642.65 $62,642.65 $62,642.65 2026-07-15
5883 APR_DRG 588-3 - Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $62,206.47 $62,206.47 $62,206.47 2026-07-15
42 MS_DRG 042 - Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/m… 4 3 — — $37,981.33 $90,783.92 $62,113.03 2026-07-15
509 MS_DRG 509 - Arthroscopy 4 3 — — $37,959.72 $90,783.92 $62,102.22 2026-07-15
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