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

ASCENSION ST VINCENT SALEM

Salem, IN · CCN 151314 · Rates published

5,706 distinct procedures filed
84 distinct payers
181,396 rate rows
2026-01-01 last MRF observed
Data quality

169,079 of 181,396 rate rows are consumer-grade (93.2%)

12,317 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
placeholder amount (≤ $0.02) — excluded from medians 8,003
per-diem day rate — not a per-procedure price 3,321
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 441
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 322
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 230
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/270847538_st-vincent-salem-hospital-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint 38082f4666aac763… · 23,252,846 bytes · first seen 2026-05-14

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
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 21 $232.94 $41,701.32 $41,701.32 nat. median
$39,035
1.1× median
0408T
OTHER 		Insj/rplc Cardiac Modulj Sys 32 $661.61 $26,229.13 $26,229.13 nat. median
$31,346
0.8× median
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 21 $682.10 $25,736.11 $25,736.11 nat. median
$28,036
0.9× median
0915T
OTHER 		Insj Perm Ccm-d Sys Pg&eltrd 1 $24,946.53 $24,946.53 $24,946.53 nat. median
$33,762
0.7× median
0620T
OTHER 		Evasc Ven Artlz Tibl/prnl Vn 30 $1,125.78 $24,104.09 $24,104.09 nat. median
$25,520
0.9× median
0505T
OTHER 		Ev Fempop Artl Revsc 13 $20,739.24 $22,765.08 $22,765.08 nat. median
$12,658
1.8× median
0409T
OTHER 		Insj/rplc Car Modulj Pls Gn 32 $534.00 $20,791.50 $20,791.50 nat. median
$22,905
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $17,561.53 $19,901.00 $19,607.18 nat. median
$90,581
outlier · 0.2×
0916T
OTHER 		Insj Perm Ccm-d Sys Pg Only 1 $18,680.26 $18,680.26 $18,680.26 nat. median
$24,390
0.8× median
0923T
OTHER 		Rmvl&rplcmt Perm Ccm-d Pg 1 $18,680.26 $18,680.26 $18,680.26 nat. median
$24,390
0.8× median
0614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 31 $468.23 $18,739.11 $18,653.18 nat. median
$23,534
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $15,311.00 $19,901.00 $18,509.00 nat. median
$77,043
outlier · 0.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $13,965.00 $19,901.00 $17,864.26 nat. median
$71,758
outlier · 0.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $13,400.00 $19,901.00 $16,214.50 nat. median
$66,649
outlier · 0.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $13,400.00 $19,901.00 $16,214.50 nat. median
$72,473
outlier · 0.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $13,400.00 $19,901.00 $16,214.50 nat. median
$63,896
outlier · 0.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $13,400.00 $19,901.00 $16,214.50 nat. median
$77,696
outlier · 0.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 $12,200.00 $19,901.00 $15,894.00 nat. median
$60,543
outlier · 0.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $12,200.00 $19,901.00 $15,894.00 nat. median
$59,558
outlier · 0.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $12,200.00 $19,901.00 $15,894.00 nat. median
$62,038
outlier · 0.3×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$44,860
outlier · 0.3×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$48,243
outlier · 0.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$58,118
outlier · 0.3×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$46,224
outlier · 0.3×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$44,167
outlier · 0.3×
653
MS_DRG 		Major Bladder Procedures With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$49,999
outlier · 0.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$55,188
outlier · 0.3×
799
MS_DRG 		Splenic Procedures With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$43,294
outlier · 0.3×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$50,825
outlier · 0.3×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$49,396
outlier · 0.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$56,686
outlier · 0.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$58,331
outlier · 0.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$57,804
outlier · 0.3×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$45,888
outlier · 0.3×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$50,679
outlier · 0.3×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$48,456
outlier · 0.3×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$51,613
outlier · 0.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$55,491
outlier · 0.3×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $11,231.00 $19,901.00 $14,981.50 nat. median
$46,557
outlier · 0.3×
0414T
OTHER 		Rmvl & Rpl Car Modulj Pls Gn 32 $551.74 $14,910.63 $14,910.63 nat. median
$22,811
0.7× median
0617T
OTHER 		Insj Iris Prosth W/rmvl&insj 19 $14,751.66 $14,751.66 $14,751.66 nat. median
$5,480
outlier · 2.7×
0616T
OTHER 		Insertion Of Iris Prosthesis 19 $14,000.95 $14,000.95 $14,000.95 nat. median
$3,999
outlier · 3.5×
0308T
OTHER 		Insj Ocular Telescope Prosth 21 $2,443.30 $13,950.44 $13,950.44 nat. median
$16,676
0.8× median
0817T
OTHER 		Opn Insj/rplcmt Ins Ptn Subf 31 $158.60 $19,698.51 $13,827.80 nat. median
$22,171
0.6× median
0816T
OTHER 		Opn Insj/rplcmt Ins Ptn Subq 31 $158.60 $19,698.51 $13,827.80 nat. median
$21,713
0.6× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 25 $7,939.93 $19,901.00 $13,700.00 nat. median
$38,387
outlier · 0.4×
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 25 $7,939.93 $19,901.00 $13,700.00 nat. median
$13,125
1.0× median
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 25 $7,939.93 $19,901.00 $13,700.00 nat. median
$9,528
1.4× median
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 25 $7,939.93 $19,901.00 $13,700.00 nat. median
$8,665
1.6× median
149
MS_DRG 		Dysequilibrium 25 $7,939.93 $19,901.00 $13,700.00 nat. median
$7,946
1.7× median

Other procedures at this hospital

Browse this hospital's 5,706 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
             
0266T OTHER Implt/rpl Crtd Sns Dev Total 21 21 — — $232.94 $41,701.32 $41,701.32 2026-01-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 21 21 — — $682.10 $25,736.11 $25,736.11 2026-01-01
0308T OTHER Insj Ocular Telescope Prosth 21 21 — — $2,443.30 $13,950.44 $13,950.44 2026-01-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 34 32 — — $661.61 $26,229.13 $26,229.13 2026-01-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 34 32 — — $534.00 $20,791.50 $20,791.50 2026-01-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 34 32 — — $551.74 $14,910.63 $14,910.63 2026-01-01
0505T OTHER Ev Fempop Artl Revsc 15 13 — — $20,739.24 $22,765.08 $22,765.08 2026-01-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 33 31 — — $468.23 $18,739.11 $18,653.18 2026-01-01
0616T OTHER Insertion Of Iris Prosthesis 19 19 — — $14,000.95 $14,000.95 $14,000.95 2026-01-01
0617T OTHER Insj Iris Prosth W/rmvl&insj 19 19 — — $14,751.66 $14,751.66 $14,751.66 2026-01-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 32 30 — — $1,125.78 $24,104.09 $24,104.09 2026-01-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 33 31 — — $158.60 $19,698.51 $13,827.80 2026-01-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 33 31 — — $158.60 $19,698.51 $13,827.80 2026-01-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $24,946.53 $24,946.53 $24,946.53 2026-01-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 1 1 — — $18,680.26 $18,680.26 $18,680.26 2026-01-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 1 1 — — $18,680.26 $18,680.26 $18,680.26 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
10 MS_DRG Pancreas Transplant 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
100 MS_DRG Seizures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
101 MS_DRG Seizures Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
102 MS_DRG Headaches With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
103 MS_DRG Headaches Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
114 MS_DRG Orbital Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
115 MS_DRG Extraocular Procedures Except Orbit 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
116 MS_DRG Intraocular Procedures With Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
117 MS_DRG Intraocular Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
121 MS_DRG Acute Major Eye Infections With Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
123 MS_DRG Neurological Eye Disorders 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
137 MS_DRG Mouth Procedures With Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
138 MS_DRG Mouth Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
139 MS_DRG Salivary Gland Procedures 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
149 MS_DRG Dysequilibrium 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
150 MS_DRG Epistaxis With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
152 MS_DRG Otitis Media And Uri With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
157 MS_DRG Dental And Oral Diseases With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
158 MS_DRG Dental And Oral Diseases With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
181 MS_DRG Respiratory Neoplasms With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
183 MS_DRG Major Chest Trauma With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
184 MS_DRG Major Chest Trauma With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
185 MS_DRG Major Chest Trauma Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
187 MS_DRG Pleural Effusion With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
188 MS_DRG Pleural Effusion Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
199 MS_DRG Pneumothorax With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
200 MS_DRG Pneumothorax With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
201 MS_DRG Pneumothorax Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
204 MS_DRG Respiratory Signs And Symptoms 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
215 MS_DRG Other Heart Assist System Implant 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $17,561.53 $19,901.00 $19,607.18 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 19 — — $12,200.00 $19,901.00 $15,894.00 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 19 — — $12,200.00 $19,901.00 $15,894.00 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 18 — — $13,400.00 $19,901.00 $16,214.50 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 12 — — $15,311.00 $19,901.00 $18,509.00 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 14 — — $13,965.00 $19,901.00 $17,864.26 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
245 MS_DRG Aicd Generator Procedures 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
263 MS_DRG Vein Ligation And Stripping 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
265 MS_DRG Aicd Lead Procedures 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 18 — — $13,400.00 $19,901.00 $16,214.50 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 18 — — $13,400.00 $19,901.00 $16,214.50 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
292 MS_DRG Heart Failure And Shock With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
302 MS_DRG Atherosclerosis With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
305 MS_DRG Hypertension Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
311 MS_DRG Angina Pectoris 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
312 MS_DRG Syncope And Collapse 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
313 MS_DRG Chest Pain 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
332 MS_DRG Rectal Resection With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
333 MS_DRG Rectal Resection With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
334 MS_DRG Rectal Resection Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
348 MS_DRG Anal And Stomal Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
369 MS_DRG Major Esophageal Disorders With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
375 MS_DRG Digestive Malignancy With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
376 MS_DRG Digestive Malignancy Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
38 MS_DRG Extracranial Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
381 MS_DRG Complicated Peptic Ulcer With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
398 MS_DRG Appendix Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
399 MS_DRG Appendix Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 25 — — $7,939.93 $19,901.00 $13,700.00 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 19 — — $12,200.00 $19,901.00 $15,894.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 18 — — $13,400.00 $19,901.00 $16,214.50 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 28 23 — — $11,231.00 $19,901.00 $14,981.50 2026-01-01
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