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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MONROE HOSPITAL

Bloomington, IN · CCN 150183 · Rates published

4,722 distinct procedures filed
39 distinct payers
264,437 rate rows
2026-03-17 last MRF observed
Data quality

263,523 of 264,437 rate rows are consumer-grade (99.7%)

914 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
percent-of-charges filed in the dollar field — excluded from medians 699
exceeds 10× this hospital's gross charge — excluded from medians 204
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://monroehospital.com/wp-content/uploads/2026/04/472105584_MonroeHospital_standardcharges.JSON
Found on page https://monroehospital.com/patients-guests/financial-assistance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 1573b55ad8088bf4… · 46,368,511 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $245,714.00 $659,083.82 $443,952.44 nat. median
$168,055
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $213,989.00 $431,121.00 $313,466.66 nat. median
$186,516
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 $163,119.74 $363,222.00 $247,366.23 nat. median
$131,925
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $162,164.61 $328,227.00 $237,148.26 nat. median
$145,435
1.6× median
612
OTHER 		UnGrouped 1 $228,980.00 $228,980.00 $228,980.00 nat. median
$6,246
outlier · 36.7×
636
OTHER 		UnGrouped 1 $210,119.00 $210,119.00 $210,119.00 nat. median
$6,011
outlier · 35.0×
633
OTHER 		UnGrouped 1 $188,779.00 $188,779.00 $188,779.00 nat. median
$1,441
outlier · 131.0×
631
OTHER 		UnGrouped 1 $183,903.00 $183,903.00 $183,903.00 nat. median
$5,475
outlier · 33.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 $105,955.98 $216,705.00 $155,852.26 nat. median
$97,418
1.6× median
7
MS_DRG 		Lung Transplant 29 $99,086.36 $200,497.00 $144,081.20 nat. median
$70,649
outlier · 2.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 29 $91,979.67 $201,001.00 $139,714.28 nat. median
$72,715
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 $84,599.80 $173,499.40 $122,545.05 nat. median
$65,418
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 29 $7,577.94 $167,278.00 $119,546.96 nat. median
$74,509
1.6× median
359
OTHER 		UnGrouped 1 $118,400.00 $118,400.00 $118,400.00 nat. median
$13,185
outlier · 9.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 29 $78,964.58 $163,544.00 $116,874.70 nat. median
$69,922
1.7× median
426
MS_DRG 		UnGrouped 23 $12,547.30 $160,886.00 $114,254.14 nat. median
$2,736
outlier · 41.8×
215
MS_DRG 		Other Heart Assist System Implant 29 $76,269.90 $162,710.00 $114,162.25 nat. median
$73,023
1.6× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 5 $112,527.00 $112,527.37 $112,527.18 nat. median
$286,698
outlier · 0.4×
681
OTHER 		UnGrouped 1 $108,353.00 $108,353.00 $108,353.00 nat. median
$220,794
outlier · 0.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $74,148.00 $149,884.12 $108,083.71 nat. median
$69,822
1.5× median
850
MS_DRG 		UnGrouped 22 $70,793.90 $141,588.00 $103,407.84 nat. median
$2,633
outlier · 39.3×
24
APR_DRG 		Heart &or Lung Transplant 4 $101,546.00 $101,546.00 $101,546.00 nat. median
$225,531
outlier · 0.5×
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 5 $98,176.00 $98,176.03 $98,176.01 nat. median
$202,242
outlier · 0.5×
429
MS_DRG 		UnGrouped 22 $64,140.00 $128,280.00 $93,676.43 nat. median
$2,596
outlier · 36.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 29 $57,510.00 $130,316.00 $93,510.51 nat. median
$60,505
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 $50,540.30 $130,244.00 $93,145.65 nat. median
$59,651
1.6× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $92,041.00 $92,041.00 $92,041.00 nat. median
$55,290
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 $60,352.10 $126,426.00 $89,760.68 nat. median
$56,428
1.6× median
635
OTHER 		UnGrouped 1 $89,547.20 $89,547.20 $89,547.20 nat. median
$91
outlier · 987.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 $58,647.67 $120,273.00 $85,886.92 nat. median
$55,935
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 $58,899.98 $119,068.00 $85,595.14 nat. median
$55,923
1.5× median
634
OTHER 		UnGrouped 1 $84,995.60 $84,995.60 $84,995.60 nat. median
$55,344
1.5× median
10
MS_DRG 		Pancreas Transplant 29 $44,120.80 $122,665.00 $84,200.44 nat. median
$23,080
outlier · 3.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 $54,755.49 $121,967.00 $84,194.74 nat. median
$45,605
1.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 $57,447.00 $116,909.62 $83,751.14 nat. median
$52,327
1.6× median
613
OTHER 		UnGrouped 1 $81,214.50 $81,214.50 $81,214.50 nat. median
$45,113
1.8× median
J2790
HCPCS 		Rhogam Rho(d) Immune Glob.1500iu (human) 4 $78,546.90 $78,546.90 $78,546.90 nat. median
$166
outlier · 472.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 $43,046.50 $109,446.96 $78,523.25 nat. median
$51,518
1.5× median
427
MS_DRG 		UnGrouped 23 $12,077.50 $109,373.00 $77,725.02 nat. median
$9,905
outlier · 7.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 29 $53,057.10 $107,140.00 $77,254.88 nat. median
$48,611
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 29 $51,679.70 $105,182.00 $76,655.00 nat. median
$47,340
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 29 $33,397.60 $110,091.84 $76,030.63 nat. median
$37,013
outlier · 2.1×
447
MS_DRG 		UnGrouped 22 $51,646.90 $103,294.00 $75,405.24 nat. median
$2,958
outlier · 25.5×
14
APR_DRG 		Liver Transplant &or Intestinal Transplant 4 $74,034.60 $74,034.60 $74,034.60 nat. median
$136,566
0.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 $13,749.60 $105,597.46 $73,731.86 nat. median
$49,569
1.5× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $49,762.10 $100,984.18 $72,689.91 nat. median
$47,458
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 29 $49,420.30 $99,666.30 $71,798.04 nat. median
$47,121
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 $47,473.30 $100,619.80 $70,730.94 nat. median
$43,299
1.6× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $45,878.00 $100,984.18 $69,574.70 nat. median
$45,446
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 29 $47,031.36 $97,483.60 $69,560.99 nat. median
$41,943
1.7× median

Other procedures at this hospital

Browse this hospital's 4,722 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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 62 29 — $27,695.00 $20,998.90 $42,608.40 $30,580.99 2026-03-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 62 29 — $55,451.00 $42,218.36 $88,402.10 $62,285.55 2026-03-17
245 MS_DRG Aicd Generator Procedures 62 29 — $49,093.00 $35,148.25 $75,527.70 $52,879.53 2026-03-17
265 MS_DRG Aicd Lead Procedures 62 29 — $35,992.00 $27,686.30 $55,901.70 $40,252.88 2026-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 62 29 — $130,650.00 $91,979.67 $201,001.00 $139,714.28 2026-03-17
74 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $68,547.00 $68,547.00 $68,547.00 2024-12-19
71 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $41,372.30 $41,372.30 $41,372.30 2024-12-19
72 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $41,372.30 $41,372.30 $41,372.30 2024-12-19
73 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $41,372.30 $41,372.30 $41,372.30 2024-12-19
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 62 29 — $29,489.00 $20,230.40 $45,368.40 $32,296.31 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 62 29 — $50,583.00 $35,678.30 $77,820.30 $55,250.72 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 62 29 — $45,101.00 $33,093.90 $69,386.20 $49,261.02 2026-03-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 62 29 — $38,948.00 $23,834.80 $59,921.10 $41,183.60 2026-03-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 62 29 — $66,772.00 $13,749.60 $105,597.46 $73,731.86 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 62 29 — $41,884.00 $3,739.84 $65,125.24 $45,719.80 2026-03-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 4 — — $30,263.30 $30,263.30 $30,263.30 2024-12-19
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 62 29 — $60,501.00 $44,420.60 $93,078.70 $66,347.79 2026-03-17
017 OTHER Autologous Bone Marrow Transplant Without Ccmcc 32 23 — $60,501.00 $46,539.40 $93,078.70 $67,581.92 2024-12-19
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 30 25 — $41,779.00 $41,779.28 $83,558.56 $60,667.10 2026-03-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 62 29 — $36,159.00 $27,814.60 $57,717.44 $40,814.44 2026-03-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 62 29 — $36,801.00 $26,559.50 $56,617.40 $39,999.94 2026-03-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 62 29 — $61,501.00 $42,470.67 $94,618.30 $65,219.31 2026-03-17
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 62 29 — $29,008.00 $20,646.70 $44,629.10 $30,993.86 2026-03-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 29 — $35,337.00 $27,183.00 $56,617.90 $40,169.66 2026-03-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 62 29 — $34,719.00 $26,428.30 $53,414.60 $38,674.68 2026-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 62 29 — $70,737.00 $43,046.50 $109,446.96 $78,523.25 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 62 29 — $62,074.00 $33,071.40 $95,499.60 $67,250.81 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 62 29 — $46,760.00 $35,575.89 $71,940.00 $51,804.94 2026-03-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 25 — $24,321.00 $24,321.66 $48,643.32 $35,041.71 2026-03-17
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 32 23 — $28,430.00 $21,869.30 $43,738.70 $31,636.20 2024-12-19
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 62 29 — $34,393.00 $25,165.50 $57,354.70 $37,674.32 2026-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 29 — $96,392.00 $74,148.00 $149,884.12 $108,083.71 2026-03-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 29 — $64,690.00 $49,762.10 $100,984.18 $72,689.91 2026-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 29 — $59,641.00 $45,878.00 $100,984.18 $69,574.70 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 29 — $77,394.00 $58,899.98 $119,068.00 $85,595.14 2026-03-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 29 — $53,162.00 $40,894.20 $82,041.64 $59,157.60 2026-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 25 — $38,790.00 $38,790.40 $77,580.80 $55,722.46 2026-03-17
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 — $46,172.00 $33,511.60 $71,034.20 $51,243.56 2024-12-19
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 12 5 — — $33,167.15 $33,167.20 $33,167.18 2026-03-17
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 12 5 — — $29,031.77 $29,031.80 $29,031.78 2026-03-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 62 29 — $39,184.00 $27,779.20 $60,283.10 $43,335.04 2026-03-17
472 MS_DRG Cervical Spinal Fusion With Cc 30 25 — $22,827.00 $22,827.60 $45,655.20 $32,832.50 2026-03-17
472 OTHER Cervical Spinal Fusion With Cc 27 23 — $29,340.00 $22,569.60 $45,139.30 $32,810.49 2024-12-19
471 MS_DRG Cervical Spinal Fusion With Mcc 57 29 — $48,800.00 $34,456.20 $75,077.20 $53,904.81 2026-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 62 29 — $50,288.00 $36,992.20 $77,366.70 $54,695.59 2026-03-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 62 29 — $25,931.00 $14,828.10 $40,264.40 $28,632.73 2026-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 62 29 — $374,985.00 $245,714.00 $659,083.82 $443,952.44 2026-03-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 62 29 — $35,362.00 $27,202.10 $55,054.06 $39,599.20 2026-03-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 62 29 — $27,744.00 $21,341.60 $51,100.90 $33,743.17 2026-03-17
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $50,384.20 $50,384.20 $50,384.20 2024-12-19
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $92,041.00 $92,041.00 $92,041.00 2024-12-19
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Ccmcc 1 1 — — $36,674.20 $36,674.20 $36,674.20 2024-12-19
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 62 29 — $108,730.00 $7,577.94 $167,278.00 $119,546.96 2026-03-17
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 12 5 — — $29,697.90 $29,697.92 $29,697.91 2026-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 62 29 — $78,177.00 $58,647.67 $120,273.00 $85,886.92 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 62 29 — $53,395.00 $41,073.70 $84,022.04 $60,254.53 2026-03-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 29 — $84,705.00 $57,510.00 $130,316.00 $93,510.51 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 62 29 — $61,223.00 $46,583.90 $94,190.60 $68,018.46 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 62 29 — $58,995.00 $45,105.09 $90,761.70 $65,451.88 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 62 29 — $41,401.00 $31,847.60 $64,600.80 $46,499.53 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 62 29 — $42,864.00 $32,972.50 $66,713.82 $48,324.70 2026-03-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 62 29 — $32,298.00 $24,389.50 $49,689.30 $35,691.22 2026-03-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 62 29 — $28,992.00 $22,301.60 $49,684.60 $33,953.49 2026-03-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 62 29 — $30,942.00 $23,802.20 $48,141.74 $34,471.57 2026-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 62 29 — $44,977.00 $34,598.40 $70,057.16 $50,244.05 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 29 — $68,368.00 $51,679.70 $105,182.00 $76,655.00 2026-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 29 — $57,217.00 $44,013.10 $88,101.72 $63,785.53 2026-03-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 29 — $38,320.00 $29,477.10 $60,379.32 $43,155.79 2026-03-17
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 1 12 5 — — $28,952.40 $28,952.40 $28,952.40 2026-03-17
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 2 12 5 — — $28,952.40 $28,952.40 $28,952.40 2026-03-17
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 12 5 — — $28,952.40 $28,952.40 $28,952.40 2026-03-17
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 12 5 — — $35,696.90 $35,696.95 $35,696.93 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 62 29 — $213,347.00 $162,164.61 $328,227.00 $237,148.26 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 62 29 — $60,053.00 $40,776.20 $94,170.96 $66,967.12 2026-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 29 — $47,285.00 $3,538.35 $73,321.22 $51,489.34 2026-03-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 62 29 — $236,094.00 $163,119.74 $363,222.00 $247,366.23 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 62 29 — $43,534.00 $27,790.70 $66,976.00 $45,979.98 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 29 — $47,773.00 $36,134.60 $73,497.90 $52,858.01 2026-03-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $66,863.80 $66,863.80 $66,863.80 2024-12-19
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $38,586.60 $38,586.60 $38,586.60 2024-12-19
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $38,586.60 $38,586.60 $38,586.60 2024-12-19
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $38,586.60 $38,586.60 $38,586.60 2024-12-19
37 MS_DRG Extracranial Procedures With Mcc 62 29 — $33,546.00 $25,465.08 $51,610.70 $37,262.07 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 62 29 — $59,596.00 $5,757.15 $91,687.30 $64,615.98 2026-03-17
503 MS_DRG Foot Procedures With Mcc 62 29 — $26,852.00 $20,655.80 $43,292.16 $30,550.77 2026-03-17
793 MS_DRG Full Term Neonate With Major Problems 62 29 — $41,981.00 $32,154.00 $64,587.20 $46,677.30 2026-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 62 29 — $66,884.00 $33,397.60 $110,091.84 $76,030.63 2026-03-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Ccmcc 62 29 — $32,152.00 $16,913.30 $49,843.14 $35,459.99 2026-03-17
24 APR_DRG Heart &or Lung Transplant 6 4 — — $101,546.00 $101,546.00 $101,546.00 2024-12-19
21 APR_DRG Heart &or Lung Transplant 6 4 — — $58,585.80 $58,585.80 $58,585.80 2024-12-19
23 APR_DRG Heart &or Lung Transplant 6 4 — — $58,585.80 $58,585.80 $58,585.80 2024-12-19
22 APR_DRG Heart &or Lung Transplant 6 4 — — $58,585.80 $58,585.80 $58,585.80 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 29 — $280,228.00 $213,989.00 $431,121.00 $313,466.66 2026-03-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 29 — $109,979.00 $84,599.80 $173,499.40 $122,545.05 2026-03-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 62 29 — $35,617.00 $26,341.69 $55,587.90 $39,132.73 2026-03-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 62 29 — $29,695.00 $22,491.40 $45,686.10 $32,798.22 2026-03-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 62 29 — $29,775.00 $22,569.95 $45,808.30 $33,170.15 2026-03-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 62 29 — $29,514.00 $22,249.00 $45,406.60 $32,558.03 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 29 — $63,364.00 $47,031.36 $97,483.60 $69,560.99 2026-03-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 62 29 — $26,919.00 $20,474.46 $41,414.00 $29,809.35 2026-03-17
974 MS_DRG HIV With Major Related Condition With Mcc 62 29 — $30,224.00 $22,369.48 $46,498.60 $33,208.75 2026-03-17
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 12 5 — — $98,176.00 $98,176.03 $98,176.01 2026-03-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 62 29 — $50,229.00 $38,015.90 $77,276.60 $55,356.27 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 62 29 — $55,451.00 $40,723.50 $85,310.50 $60,576.16 2026-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 62 29 — $80,607.00 $60,352.10 $126,426.00 $89,760.68 2026-03-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Ccm… 62 29 — $35,626.00 $24,590.75 $54,810.60 $36,970.52 2026-03-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 62 29 — $27,416.00 $21,089.60 $42,773.80 $30,616.23 2026-03-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 62 29 — $32,922.00 $17,731.40 $50,650.00 $35,901.47 2026-03-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 62 29 — $26,234.00 $15,869.30 $40,360.10 $28,683.11 2026-03-17
652 MS_DRG Kidney Transplant 62 29 — $31,069.00 $23,900.00 $49,975.78 $35,447.41 2026-03-17
4404 APR_DRG Kidney Transplant - Soi : 4 12 5 — — $37,564.58 $37,564.60 $37,564.59 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 62 29 — $46,318.00 $17,647.20 $72,415.64 $51,216.87 2026-03-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 62 29 — $35,052.00 $26,963.10 $131,373.00 $43,200.12 2026-03-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 62 29 — $32,538.00 $24,969.60 $50,058.90 $36,197.57 2026-03-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 62 29 — $38,525.00 $29,054.60 $72,103.20 $43,559.73 2026-03-17
14 APR_DRG Liver Transplant &or Intestinal Transplant 6 4 — — $74,034.60 $74,034.60 $74,034.60 2024-12-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 29 — $106,303.00 $78,964.58 $163,544.00 $116,874.70 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 62 29 — $48,719.00 $35,716.90 $74,953.50 $53,544.94 2026-03-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 29 — $35,529.00 $21,713.70 $56,016.04 $39,768.64 2026-03-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 62 29 — $25,644.00 $19,726.50 $46,733.06 $30,918.50 2026-03-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 62 29 — $35,833.00 $27,564.10 $56,715.82 $40,335.27 2026-03-17
7 MS_DRG Lung Transplant 62 29 — $130,322.00 $99,086.36 $200,497.00 $144,081.20 2026-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 62 29 — $58,380.00 $44,908.10 $90,152.24 $64,924.32 2026-03-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 62 29 — $32,237.00 $24,798.10 $50,058.10 $36,184.01 2026-03-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 29 — $47,034.00 $35,319.00 $72,361.50 $51,778.37 2026-03-17
654 MS_DRG Major Bladder Procedures With Cc 62 29 — $28,594.00 $18,234.30 $43,992.20 $31,417.56 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 62 29 — $55,921.00 $35,463.30 $86,033.00 $59,850.67 2026-03-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 12 5 — — $35,842.65 $35,842.70 $35,842.68 2026-03-17
163 MS_DRG Major Chest Procedures With Mcc 62 29 — $46,337.00 $30,874.90 $71,287.80 $50,516.38 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 62 29 — $42,564.00 $4,234.47 $65,767.08 $46,302.27 2026-03-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 57 29 — $33,028.00 $23,491.50 $50,813.40 $35,378.67 2026-03-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 62 29 — $25,875.00 $19,331.70 $42,999.44 $29,777.36 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 62 29 — $46,165.00 $35,408.19 $71,023.50 $51,106.69 2026-03-17
662 MS_DRG Minor Bladder Procedures With Mcc 62 29 — $31,548.00 $23,707.27 $48,536.10 $34,718.59 2026-03-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 62 29 — $27,328.00 $16,393.00 $42,043.30 $29,465.74 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 62 29 — $47,988.00 $36,027.90 $73,827.80 $52,872.65 2026-03-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 62 29 — $31,193.00 $22,339.90 $48,916.22 $34,866.65 2026-03-17
8634 APR_DRG Neonatal Aftercare - Soi : 4 12 5 — — $34,869.15 $34,869.20 $34,869.18 2026-03-17
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 12 5 — — $47,301.39 $47,301.40 $47,301.39 2026-03-17
5911 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 1 12 5 — — $29,935.30 $29,935.32 $29,935.31 2026-03-17
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 12 5 — — $29,935.30 $29,935.32 $29,935.31 2026-03-17
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 12 5 — — $29,935.30 $29,935.32 $29,935.31 2026-03-17
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 12 5 — — $65,447.06 $65,447.10 $65,447.08 2026-03-17
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 12 5 — — $29,239.40 $29,239.44 $29,239.42 2026-03-17
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 12 5 — — $29,239.40 $29,239.44 $29,239.42 2026-03-17
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 12 5 — — $46,405.40 $46,405.45 $46,405.43 2026-03-17
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 12 5 — — $58,500.27 $58,500.30 $58,500.29 2026-03-17
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 12 5 — — $52,583.88 $52,583.90 $52,583.89 2026-03-17
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 12 5 — — $53,160.50 $53,160.52 $53,160.51 2026-03-17
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 12 5 — — $38,648.98 $38,649.00 $38,648.99 2026-03-17
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 12 5 — — $41,825.36 $41,825.40 $41,825.38 2026-03-17
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 12 5 — — $29,501.80 $29,501.85 $29,501.83 2026-03-17
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 12 5 — — $40,710.87 $40,710.90 $40,710.89 2026-03-17
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 12 5 — — $32,627.80 $32,627.85 $32,627.83 2026-03-17
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 12 5 — — $32,627.80 $32,627.85 $32,627.83 2026-03-17
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 12 5 — — $32,627.80 $32,627.85 $32,627.83 2026-03-17
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 12 5 — — $62,020.20 $62,020.24 $62,020.22 2026-03-17
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 12 5 — — $38,803.38 $38,803.40 $38,803.39 2026-03-17
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 12 5 — — $49,264.30 $49,264.34 $49,264.32 2026-03-17
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 12 5 — — $49,264.30 $49,264.34 $49,264.32 2026-03-17
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 12 5 — — $49,264.30 $49,264.34 $49,264.32 2026-03-17
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 12 5 — — $112,527.00 $112,527.37 $112,527.18 2026-03-17
5831 APR_DRG Neonate W Ecmo - Soi : 1 12 5 — — $55,497.10 $55,497.13 $55,497.11 2026-03-17
5832 APR_DRG Neonate W Ecmo - Soi : 2 12 5 — — $55,497.10 $55,497.13 $55,497.11 2026-03-17
5833 APR_DRG Neonate W Ecmo - Soi : 3 12 5 — — $55,497.10 $55,497.13 $55,497.11 2026-03-17
5834 APR_DRG Neonate W Ecmo - Soi : 4 12 5 — — $55,497.10 $55,497.13 $55,497.11 2026-03-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 29 — $36,164.00 $25,576.30 $55,804.14 $40,091.84 2026-03-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 29 — $35,351.00 $26,504.06 $54,387.50 $38,818.26 2026-03-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 62 29 — $27,645.00 $21,266.00 $44,760.30 $31,696.20 2026-03-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 62 29 — $32,088.00 $24,683.50 $56,058.74 $37,932.44 2026-03-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 62 29 — $39,590.00 $29,831.39 $60,907.80 $43,429.28 2026-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 62 29 — $50,051.00 $38,083.00 $77,001.70 $55,756.11 2026-03-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 62 29 — $31,416.00 $24,166.50 $48,756.14 $35,289.27 2026-03-17
264 MS_DRG Other Circulatory System O.r. Procedures 62 29 — $35,276.00 $22,309.70 $54,271.40 $38,167.50 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 62 29 — $42,926.00 $31,386.90 $67,710.88 $48,030.72 2026-03-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 62 29 — $33,358.00 $11,334.30 $57,859.24 $38,871.52 2026-03-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 62 29 — $39,749.00 $28,778.68 $61,153.70 $43,203.92 2026-03-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 62 29 — $44,188.00 $33,991.30 $68,779.58 $49,495.55 2026-03-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Ccmcc 62 29 — $26,276.00 $15,331.80 $40,425.80 $28,738.14 2026-03-17
215 MS_DRG Other Heart Assist System Implant 62 29 — $105,761.00 $76,269.90 $162,710.00 $114,162.25 2026-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 62 29 — $40,958.00 $31,506.30 $68,363.30 $46,727.52 2026-03-17
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 32 23 — $42,171.00 $30,803.10 $64,878.90 $46,799.99 2024-12-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 25 — $32,397.00 $28,830.20 $64,795.94 $46,313.19 2026-03-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 62 29 — $34,773.00 $4,290.62 $54,958.02 $38,245.96 2026-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 62 29 — $51,537.00 $3,545.17 $81,180.28 $56,542.88 2026-03-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 62 29 — $27,548.00 $21,017.90 $42,418.58 $30,589.35 2026-03-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 62 29 — $31,278.00 $24,060.30 $49,326.32 $35,314.98 2026-03-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 62 29 — $40,127.00 $29,636.20 $61,734.10 $43,561.51 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 62 29 — $41,379.00 $31,830.10 $64,983.46 $46,642.76 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 29 — $74,681.00 $57,447.00 $116,909.62 $83,751.14 2026-03-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Ccmcc 62 29 — $26,825.00 $16,839.60 $45,624.72 $31,214.44 2026-03-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 62 29 — $36,166.00 $27,820.70 $61,480.04 $42,464.35 2026-03-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 62 29 — $38,802.00 $28,861.77 $59,696.60 $42,573.52 2026-03-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 62 29 — $32,936.00 $22,617.40 $50,671.40 $36,325.97 2026-03-17
253 MS_DRG Other Vascular Procedures With Cc 62 29 — $25,923.00 $19,941.00 $40,311.66 $29,014.79 2026-03-17
252 OTHER Other Vascular Procedures With Mcc 32 23 — $34,634.00 $26,641.60 $53,283.20 $38,850.94 2024-12-19
252 MS_DRG Other Vascular Procedures With Mcc 30 25 — $26,960.00 $26,960.66 $53,921.32 $38,766.99 2026-03-17
10 MS_DRG Pancreas Transplant 62 29 — $79,732.00 $44,120.80 $122,665.00 $84,200.44 2026-03-17
64 APR_DRG Pancreas Transplant 6 4 — — $47,564.90 $47,564.90 $47,564.90 2024-12-19
61 APR_DRG Pancreas Transplant 6 4 — — $32,615.90 $32,615.90 $32,615.90 2024-12-19
63 APR_DRG Pancreas Transplant 6 4 — — $32,615.90 $32,615.90 $32,615.90 2024-12-19
62 APR_DRG Pancreas Transplant 6 4 — — $32,615.90 $32,615.90 $32,615.90 2024-12-19
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 62 29 — $28,458.00 $21,891.50 $44,955.44 $32,060.69 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 62 29 — $54,472.00 $41,902.30 $84,140.94 $60,743.89 2026-03-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 62 29 — $39,398.00 $30,306.50 $63,635.76 $45,051.90 2026-03-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 25 — $25,462.00 $25,462.00 $50,924.06 $36,867.80 2026-03-17
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 32 23 — $31,562.00 $24,278.80 $48,557.50 $35,197.59 2024-12-19
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 62 29 — $28,840.00 $21,110.20 $44,369.50 $31,411.07 2026-03-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 62 29 — $38,026.00 $28,514.90 $59,606.36 $42,754.10 2026-03-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 62 29 — $36,550.00 $23,337.50 $56,231.00 $40,048.17 2026-03-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 62 29 — $34,252.00 $24,708.10 $52,696.70 $37,069.13 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 62 29 — $45,368.00 $26,197.00 $70,087.64 $50,193.26 2026-03-17
791 MS_DRG Prematurity With Major Problems 62 29 — $40,883.00 $2,497.08 $62,898.00 $44,226.67 2026-03-17
665 MS_DRG Prostatectomy With Mcc 62 29 — $34,665.00 $24,162.30 $53,332.10 $36,848.93 2026-03-17
849 MS_DRG Radiotherapy 62 29 — $27,095.00 $20,843.00 $42,048.12 $30,271.38 2026-03-17
332 MS_DRG Rectal Resection With Mcc 62 29 — $35,014.00 $26,934.10 $55,939.82 $39,716.51 2026-03-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 62 29 — $27,221.00 $18,108.80 $42,645.74 $30,329.07 2026-03-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 29 — $64,783.00 $49,420.30 $99,666.30 $71,798.04 2026-03-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 57 29 — $34,582.00 $26,601.90 $54,505.22 $39,035.00 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 57 29 — $51,156.00 $39,350.80 $80,099.36 $57,789.55 2026-03-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Ccmcc 57 29 — $26,621.00 $20,477.90 $42,635.08 $30,298.07 2026-03-17
J2790 HCPCS Rhogam Rho(d) Immune Glob.1500iu (human) 6 4 — — $78,546.90 $78,546.90 $78,546.90 2024-12-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 62 29 — $69,640.00 $53,057.10 $107,140.00 $77,254.88 2026-03-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 62 29 — $28,952.00 $22,271.00 $46,789.48 $32,978.26 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 29 — $54,596.00 $41,997.00 $86,185.36 $61,566.41 2026-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 29 — $79,278.00 $54,755.49 $121,967.00 $84,194.74 2026-03-17
570 MS_DRG Skin Debridement With Mcc 62 29 — $30,462.00 $22,789.49 $46,865.20 $33,455.69 2026-03-17
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 62 29 — $27,013.00 $20,575.80 $48,166.50 $30,269.37 2026-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 29 — $54,141.00 $37,730.80 $83,294.40 $57,729.00 2026-03-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 62 29 — $34,976.00 $15,362.30 $53,810.10 $38,383.08 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 29 — $61,715.00 $47,473.30 $100,619.80 $70,730.94 2026-03-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 29 — $37,727.00 $27,501.10 $58,042.50 $41,000.09 2026-03-17
904 MS_DRG Skin Grafts For Injuries With Ccmcc 62 29 — $38,910.00 $28,369.30 $64,333.40 $42,539.88 2026-03-17
500 MS_DRG Soft Tissue Procedures With Mcc 62 29 — $32,035.00 $22,801.50 $49,286.10 $35,449.82 2026-03-17
459 OTHER Spinal Fusion Except Cervical With Mcc 1 1 — — $42,117.60 $42,117.60 $42,117.60 2024-12-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 29 — $84,658.00 $50,540.30 $130,244.00 $93,145.65 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 29 — $57,557.00 $44,275.00 $91,650.88 $65,217.41 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 29 — $43,446.00 $32,176.90 $66,840.10 $47,586.09 2026-03-17
460 OTHER Spinal Fusion Except Cervical Without Mcc 1 1 — — $29,783.30 $29,783.30 $29,783.30 2024-12-19
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 62 29 — $33,902.00 $22,166.50 $52,751.98 $37,658.52 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 62 29 — $60,934.00 $35,197.80 $93,744.70 $66,758.39 2026-03-17
800 MS_DRG Splenic Procedures With Cc 62 29 — $29,505.00 $21,785.57 $45,392.80 $32,309.39 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 62 29 — $47,782.00 $34,892.89 $73,511.60 $51,945.01 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 62 29 — $51,001.00 $35,050.80 $78,463.40 $55,952.36 2026-03-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 62 29 — $29,041.00 $19,721.50 $46,783.38 $32,925.69 2026-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 62 29 — $41,318.00 $29,273.00 $65,015.46 $46,354.59 2026-03-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 29 — $54,147.00 $41,651.80 $83,890.92 $60,621.93 2026-03-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Ccmcc 62 29 — $26,886.00 $20,681.80 $44,674.92 $31,017.52 2026-03-17
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 4 — — $67,235.30 $67,235.30 $67,235.30 2024-12-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 4 — — $33,013.50 $33,013.50 $33,013.50 2024-12-19
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 6 4 — — $43,677.40 $43,677.40 $43,677.40 2024-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 62 29 — $140,858.00 $105,955.98 $216,705.00 $155,852.26 2026-03-17
668 MS_DRG Transurethral Procedures With Mcc 62 29 — $29,530.00 $22,628.65 $45,431.00 $32,790.10 2026-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 29 — $50,249.00 $30,926.10 $85,599.94 $58,209.16 2026-03-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 29 — $32,390.00 $21,699.20 $55,721.82 $37,856.64 2026-03-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 62 29 — $31,042.00 $23,058.57 $47,757.20 $33,996.61 2026-03-17
612 OTHER UnGrouped 1 1 — — $228,980.00 $228,980.00 $228,980.00 2024-12-19
636 OTHER UnGrouped 1 1 — — $210,119.00 $210,119.00 $210,119.00 2024-12-19
633 OTHER UnGrouped 1 1 — — $188,779.00 $188,779.00 $188,779.00 2024-12-19
631 OTHER UnGrouped 1 1 — — $183,903.00 $183,903.00 $183,903.00 2024-12-19
359 OTHER UnGrouped 1 1 — — $118,400.00 $118,400.00 $118,400.00 2024-12-19
426 MS_DRG UnGrouped 32 23 — $104,575.00 $12,547.30 $160,886.00 $114,254.14 2024-12-19
681 OTHER UnGrouped 1 1 — — $108,353.00 $108,353.00 $108,353.00 2024-12-19
850 MS_DRG UnGrouped 31 22 — $92,032.00 $70,793.90 $141,588.00 $103,407.84 2024-12-19
429 MS_DRG UnGrouped 31 22 — $83,381.00 $64,140.00 $128,280.00 $93,676.43 2024-12-19
635 OTHER UnGrouped 1 1 — — $89,547.20 $89,547.20 $89,547.20 2024-12-19
634 OTHER UnGrouped 1 1 — — $84,995.60 $84,995.60 $84,995.60 2024-12-19
613 OTHER UnGrouped 1 1 — — $81,214.50 $81,214.50 $81,214.50 2024-12-19
427 MS_DRG UnGrouped 32 23 — $71,092.00 $12,077.50 $109,373.00 $77,725.02 2024-12-19
447 MS_DRG UnGrouped 31 22 — $67,140.00 $51,646.90 $103,294.00 $75,405.24 2024-12-19
317 MS_DRG UnGrouped 32 23 — $61,995.00 $46,191.00 $95,377.40 $68,884.48 2024-12-19
632 OTHER UnGrouped 1 1 — — $68,258.40 $68,258.40 $68,258.40 2024-12-19
430 MS_DRG UnGrouped 31 22 — $54,887.00 $42,221.50 $84,443.00 $61,620.64 2024-12-19
428 MS_DRG UnGrouped 32 23 — $55,221.00 $9,554.80 $84,956.20 $60,360.33 2024-12-19
450 MS_DRG UnGrouped 31 22 — $51,707.00 $39,774.70 $79,549.30 $58,042.08 2024-12-19
361 OTHER UnGrouped 1 1 — — $55,297.40 $55,297.40 $55,297.40 2024-12-19
647 OTHER UnGrouped 1 1 — — $54,899.40 $54,899.40 $54,899.40 2024-12-19
360 OTHER UnGrouped 1 1 — — $53,479.10 $53,479.10 $53,479.10 2024-12-19
646 OTHER UnGrouped 1 1 — — $49,233.90 $49,233.90 $49,233.90 2024-12-19
448 MS_DRG UnGrouped 61 29 — $41,117.00 $31,629.20 $65,393.56 $46,638.20 2026-03-17
402 MS_DRG UnGrouped 32 23 — $39,417.00 $10,811.60 $60,642.00 $43,209.22 2024-12-19
608 OTHER UnGrouped 1 1 — — $39,071.40 $39,071.40 $39,071.40 2024-12-19
648 OTHER UnGrouped 1 1 — — $37,745.20 $37,745.20 $37,745.20 2024-12-19
451 MS_DRG UnGrouped 31 22 — $31,214.00 $24,011.50 $48,022.90 $34,988.58 2024-12-19
318 OTHER UnGrouped 1 1 — — $34,865.00 $34,865.00 $34,865.00 2024-12-19
677 OTHER UnGrouped 1 1 — — $34,372.80 $34,372.80 $34,372.80 2024-12-19
691 OTHER UnGrouped 1 1 — — $34,334.80 $34,334.80 $34,334.80 2024-12-19
362 OTHER UnGrouped 1 1 — — $34,141.60 $34,141.60 $34,141.60 2024-12-19
396 OTHER UnGrouped 1 1 — — $33,249.00 $33,249.00 $33,249.00 2024-12-19
363 OTHER UnGrouped 1 1 — — $31,024.40 $31,024.40 $31,024.40 2024-12-19
104 APR_DRG UnGrouped 6 4 — — $30,204.30 $30,204.30 $30,204.30 2024-12-19
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 62 29 — $26,553.00 $20,426.00 $41,863.66 $29,902.70 2026-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 29 — $40,099.00 $27,681.00 $61,691.30 $42,464.39 2026-03-17
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 23 — $39,669.00 $30,515.00 $61,030.00 $44,222.69 2024-12-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 25 — $27,617.00 $27,617.70 $55,235.48 $39,823.03 2026-03-17
263 MS_DRG Vein Ligation And Stripping 62 29 — $27,205.00 $20,927.00 $47,352.04 $32,152.78 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 62 29 — $42,181.00 $19,985.70 $69,047.90 $47,758.61 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 29 — $54,197.00 $41,690.70 $87,632.16 $61,755.67 2026-03-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 29 — $29,850.00 $22,962.20 $48,225.60 $33,986.81 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 62 29 — $44,562.00 $32,359.80 $68,558.40 $48,194.74 2026-03-17
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