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Hospital

CLARKE COUNTY HOSPITAL

Osceola, IA · CCN 161348 · Rates published

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You selected 59510 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

2,315 distinct procedures filed
13 distinct payers
325,008 rate rows
2026-06-04 last MRF observed
Data quality

187,323 of 325,008 rate rows are consumer-grade (57.6%)

137,685 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
professional (physician) fee — not the facility price 136,567
template filing: same amount across many unrelated codes — excluded 517
placeholder amount (≤ $0.02) — excluded from medians 403
percent-of-charges filed in the dollar field — excluded from medians 188
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/9347/426037982_clarke-county-public-hospital_standardcharges.csv
Found on page https://clarkehosp.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 3cf5670e7ca560aa… · 144,274,665 bytes · first seen 2026-08-01

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
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi Inj Up To 5 13 $1,370,032.13 $2,275,646.59 $2,194,373.50 nat. median
$2,455,111
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $812,891.44 $812,891.44 $812,891.44 nat. median
$168,055
outlier · 4.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $597,899.17 $597,899.17 $597,899.17 nat. median
$186,516
outlier · 3.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $581,574.14 $581,574.14 $581,574.14 nat. median
$131,925
outlier · 4.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 $470,407.69 $470,407.69 $470,407.69 nat. median
$145,435
outlier · 3.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 3 $324,338.45 $324,338.45 $324,338.45 nat. median
$97,418
outlier · 3.3×
7
MS_DRG 		Lung Transplant 3 $270,643.89 $270,643.89 $270,643.89 nat. median
$70,649
outlier · 3.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $270,151.86 $270,151.86 $270,151.86 nat. median
$65,418
outlier · 4.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $252,871.46 $252,871.46 $252,871.46 nat. median
$72,715
outlier · 3.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $237,643.00 $237,643.00 $237,643.00 nat. median
$74,509
outlier · 3.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $228,360.74 $228,360.74 $228,360.74 nat. median
$69,922
outlier · 3.3×
215
MS_DRG 		Other Heart Assist System Implant 3 $225,377.71 $225,377.71 $225,377.71 nat. median
$73,023
outlier · 3.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $214,136.19 $214,136.19 $214,136.19 nat. median
$69,822
outlier · 3.1×
453
MS_DRG 		Inpatient Services 3 $195,516.51 $195,516.51 $195,516.51 nat. median
$2,106
outlier · 92.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $186,492.40 $186,492.40 $186,492.40 nat. median
$56,428
outlier · 3.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $185,984.93 $185,984.93 $185,984.93 nat. median
$59,651
outlier · 3.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $179,052.47 $179,052.47 $179,052.47 nat. median
$60,505
outlier · 3.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $176,367.31 $176,367.31 $176,367.31 nat. median
$45,605
outlier · 3.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $172,089.13 $172,089.13 $172,089.13 nat. median
$55,935
outlier · 3.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $170,138.68 $170,138.68 $170,138.68 nat. median
$55,923
outlier · 3.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $159,576.72 $159,576.72 $159,576.72 nat. median
$52,327
outlier · 3.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $155,236.77 $155,236.77 $155,236.77 nat. median
$51,518
outlier · 3.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $153,672.44 $153,672.44 $153,672.44 nat. median
$48,611
outlier · 3.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $152,675.15 $152,675.15 $152,675.15 nat. median
$37,013
outlier · 4.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $152,417.01 $152,417.01 $152,417.01 nat. median
$47,121
outlier · 3.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $151,635.95 $151,635.95 $151,635.95 nat. median
$41,943
outlier · 3.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $151,241.00 $151,241.00 $151,241.00 nat. median
$49,569
outlier · 3.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $150,442.29 $150,442.29 $150,442.29 nat. median
$38,844
outlier · 3.9×
459
MS_DRG 		Inpatient Services 3 $146,334.01 $146,334.01 $146,334.01 nat. median
$2,106
outlier · 69.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $140,442.96 $140,442.96 $140,442.96 nat. median
$47,458
outlier · 3.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $137,812.95 $137,812.95 $137,812.95 nat. median
$44,036
outlier · 3.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $137,195.16 $137,195.16 $137,195.16 nat. median
$43,299
outlier · 3.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $137,020.86 $137,020.86 $137,020.86 nat. median
$43,533
outlier · 3.1×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 3 $136,288.34 $136,288.34 $136,288.34 nat. median
$29,295
outlier · 4.7×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 3 $136,288.34 $136,288.34 $136,288.34 nat. median
$38,932
outlier · 3.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $135,502.87 $135,502.87 $135,502.87 nat. median
$38,173
outlier · 3.5×
454
MS_DRG 		Inpatient Services 3 $134,949.06 $134,949.06 $134,949.06 nat. median
$2,106
outlier · 64.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $134,373.20 $134,373.20 $134,373.20 nat. median
$47,340
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $134,044.45 $134,044.45 $134,044.45 nat. median
$42,674
outlier · 3.1×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $133,413.42 $133,413.42 $133,413.42 nat. median
$40,726
outlier · 3.3×
28
MS_DRG 		Spinal Procedures With Mcc 3 $132,958.91 $132,958.91 $132,958.91 nat. median
$41,895
outlier · 3.2×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 $132,385.25 $132,385.25 $132,385.25 nat. median
$40,584
outlier · 3.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $131,248.96 $131,248.96 $131,248.96 nat. median
$43,803
outlier · 3.0×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $129,748.62 $129,748.62 $129,748.62 nat. median
$43,023
outlier · 3.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $125,691.08 $125,691.08 $125,691.08 nat. median
$45,446
outlier · 2.8×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 $125,391.01 $125,391.01 $125,391.01 nat. median
$33,583
outlier · 3.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $125,075.50 $125,075.50 $125,075.50 nat. median
$40,301
outlier · 3.1×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $124,962.97 $124,962.97 $124,962.97 nat. median
$38,795
outlier · 3.2×
834
MS_DRG 		Acute Leukemia With Mcc 3 $123,535.44 $123,535.44 $123,535.44 nat. median
$37,487
outlier · 3.3×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 3 $121,465.85 $121,465.85 $121,465.85 nat. median
$38,859
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 2,315 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
             
J3399 HCPCS Onasemnogene Abeparvovec-xioi Inj Up To 5 25 13 $2,322,088.36 $1,741,566.27 25% off $1,370,032.13 $2,275,646.59 $2,194,373.50 2026-06-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $812,891.44 $812,891.44 $812,891.44 2026-06-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $597,899.17 $597,899.17 $597,899.17 2026-06-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $581,574.14 $581,574.14 $581,574.14 2026-06-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 3 — — $470,407.69 $470,407.69 $470,407.69 2026-06-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 3 3 — — $324,338.45 $324,338.45 $324,338.45 2026-06-04
7 MS_DRG Lung Transplant 3 3 — — $270,643.89 $270,643.89 $270,643.89 2026-06-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $270,151.86 $270,151.86 $270,151.86 2026-06-04
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $252,871.46 $252,871.46 $252,871.46 2026-06-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $237,643.00 $237,643.00 $237,643.00 2026-06-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $228,360.74 $228,360.74 $228,360.74 2026-06-04
215 MS_DRG Other Heart Assist System Implant 3 3 — — $225,377.71 $225,377.71 $225,377.71 2026-06-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $214,136.19 $214,136.19 $214,136.19 2026-06-04
453 MS_DRG Inpatient Services 3 3 — — $195,516.51 $195,516.51 $195,516.51 2026-06-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $186,492.40 $186,492.40 $186,492.40 2026-06-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $185,984.93 $185,984.93 $185,984.93 2026-06-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $179,052.47 $179,052.47 $179,052.47 2026-06-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $176,367.31 $176,367.31 $176,367.31 2026-06-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $172,089.13 $172,089.13 $172,089.13 2026-06-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $170,138.68 $170,138.68 $170,138.68 2026-06-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $159,576.72 $159,576.72 $159,576.72 2026-06-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $155,236.77 $155,236.77 $155,236.77 2026-06-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $153,672.44 $153,672.44 $153,672.44 2026-06-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $152,675.15 $152,675.15 $152,675.15 2026-06-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $152,417.01 $152,417.01 $152,417.01 2026-06-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $151,635.95 $151,635.95 $151,635.95 2026-06-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $151,241.00 $151,241.00 $151,241.00 2026-06-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $150,442.29 $150,442.29 $150,442.29 2026-06-04
459 MS_DRG Inpatient Services 3 3 — — $146,334.01 $146,334.01 $146,334.01 2026-06-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $140,442.96 $140,442.96 $140,442.96 2026-06-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $137,812.95 $137,812.95 $137,812.95 2026-06-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $137,195.16 $137,195.16 $137,195.16 2026-06-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $137,020.86 $137,020.86 $137,020.86 2026-06-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 — — $136,288.34 $136,288.34 $136,288.34 2026-06-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $136,288.34 $136,288.34 $136,288.34 2026-06-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $135,502.87 $135,502.87 $135,502.87 2026-06-04
454 MS_DRG Inpatient Services 3 3 — — $134,949.06 $134,949.06 $134,949.06 2026-06-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $134,373.20 $134,373.20 $134,373.20 2026-06-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $134,044.45 $134,044.45 $134,044.45 2026-06-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $133,413.42 $133,413.42 $133,413.42 2026-06-04
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $132,958.91 $132,958.91 $132,958.91 2026-06-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $132,385.25 $132,385.25 $132,385.25 2026-06-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $131,248.96 $131,248.96 $131,248.96 2026-06-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $129,748.62 $129,748.62 $129,748.62 2026-06-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $125,691.08 $125,691.08 $125,691.08 2026-06-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $125,391.01 $125,391.01 $125,391.01 2026-06-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $125,075.50 $125,075.50 $125,075.50 2026-06-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $124,962.97 $124,962.97 $124,962.97 2026-06-04
834 MS_DRG Acute Leukemia With Mcc 3 3 — — $123,535.44 $123,535.44 $123,535.44 2026-06-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $121,465.85 $121,465.85 $121,465.85 2026-06-04
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $119,444.80 $119,444.80 $119,444.80 2026-06-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $116,093.31 $116,093.31 $116,093.31 2026-06-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $115,716.02 $115,716.02 $115,716.02 2026-06-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $114,685.63 $114,685.63 $114,685.63 2026-06-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $114,436.31 $114,436.31 $114,436.31 2026-06-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $113,767.78 $113,767.78 $113,767.78 2026-06-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $112,062.24 $112,062.24 $112,062.24 2026-06-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $111,574.63 $111,574.63 $111,574.63 2026-06-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $111,173.07 $111,173.07 $111,173.07 2026-06-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $110,303.76 $110,303.76 $110,303.76 2026-06-04
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $109,317.50 $109,317.50 $109,317.50 2026-06-04
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $108,532.03 $108,532.03 $108,532.03 2026-06-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $107,675.95 $107,675.95 $107,675.95 2026-06-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $106,877.24 $106,877.24 $106,877.24 2026-06-04
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $106,720.59 $106,720.59 $106,720.59 2026-06-04
10 MS_DRG Pancreas Transplant 3 3 — — $106,206.50 $106,206.50 $106,206.50 2026-06-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $106,056.47 $106,056.47 $106,056.47 2026-06-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $105,518.11 $105,518.11 $105,518.11 2026-06-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $104,591.43 $104,591.43 $104,591.43 2026-06-04
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $104,000.12 $104,000.12 $104,000.12 2026-06-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $102,565.97 $102,565.97 $102,565.97 2026-06-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $102,104.83 $102,104.83 $102,104.83 2026-06-04
455 MS_DRG Inpatient Services 3 3 — — $101,617.22 $101,617.22 $101,617.22 2026-06-04
245 MS_DRG Aicd Generator Procedures 3 3 — — $99,980.08 $99,980.08 $99,980.08 2026-06-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $99,971.26 $99,971.26 $99,971.26 2026-06-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $99,657.95 $99,657.95 $99,657.95 2026-06-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $99,329.20 $99,329.20 $99,329.20 2026-06-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $99,232.12 $99,232.12 $99,232.12 2026-06-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $98,413.55 $98,413.55 $98,413.55 2026-06-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $97,707.51 $97,707.51 $97,707.51 2026-06-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $97,433.92 $97,433.92 $97,433.92 2026-06-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $96,240.26 $96,240.26 $96,240.26 2026-06-04
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $95,487.89 $95,487.89 $95,487.89 2026-06-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $94,936.29 $94,936.29 $94,936.29 2026-06-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $94,404.55 $94,404.55 $94,404.55 2026-06-04
793 MS_DRG Full Term Neonate With Major Problems 3 3 — — $92,873.32 $92,873.32 $92,873.32 2026-06-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $91,754.69 $91,754.69 $91,754.69 2026-06-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $91,344.30 $91,344.30 $91,344.30 2026-06-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $90,828.00 $90,828.00 $90,828.00 2026-06-04
791 MS_DRG Prematurity With Major Problems 3 3 — — $90,411.00 $90,411.00 $90,411.00 2026-06-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $89,530.65 $89,530.65 $89,530.65 2026-06-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $89,243.82 $89,243.82 $89,243.82 2026-06-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $89,164.39 $89,164.39 $89,164.39 2026-06-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $88,575.29 $88,575.29 $88,575.29 2026-06-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $88,363.47 $88,363.47 $88,363.47 2026-06-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $87,322.06 $87,322.06 $87,322.06 2026-06-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $86,549.83 $86,549.83 $86,549.83 2026-06-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $86,289.47 $86,289.47 $86,289.47 2026-06-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $86,079.87 $86,079.87 $86,079.87 2026-06-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $85,982.78 $85,982.78 $85,982.78 2026-06-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $85,766.56 $85,766.56 $85,766.56 2026-06-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $85,567.98 $85,567.98 $85,567.98 2026-06-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $84,956.82 $84,956.82 $84,956.82 2026-06-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $84,407.43 $84,407.43 $84,407.43 2026-06-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $83,595.48 $83,595.48 $83,595.48 2026-06-04
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $83,359.39 $83,359.39 $83,359.39 2026-06-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $82,331.22 $82,331.22 $82,331.22 2026-06-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $82,126.03 $82,126.03 $82,126.03 2026-06-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $82,066.45 $82,066.45 $82,066.45 2026-06-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $81,592.08 $81,592.08 $81,592.08 2026-06-04
460 MS_DRG Inpatient Services 3 3 — — $80,707.32 $80,707.32 $80,707.32 2026-06-04
332 MS_DRG Rectal Resection With Mcc 3 3 — — $80,627.89 $80,627.89 $80,627.89 2026-06-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — — $80,572.73 $80,572.73 $80,572.73 2026-06-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $80,243.98 $80,243.98 $80,243.98 2026-06-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $79,930.67 $79,930.67 $79,930.67 2026-06-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 — — $79,789.46 $79,789.46 $79,789.46 2026-06-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $79,015.02 $79,015.02 $79,015.02 2026-06-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $78,878.23 $78,878.23 $78,878.23 2026-06-04
265 MS_DRG Aicd Lead Procedures 3 3 — — $77,975.82 $77,975.82 $77,975.82 2026-06-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $77,779.45 $77,779.45 $77,779.45 2026-06-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $76,921.17 $76,921.17 $76,921.17 2026-06-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $76,387.22 $76,387.22 $76,387.22 2026-06-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $76,305.58 $76,305.58 $76,305.58 2026-06-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $76,257.04 $76,257.04 $76,257.04 2026-06-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $76,232.77 $76,232.77 $76,232.77 2026-06-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $75,696.62 $75,696.62 $75,696.62 2026-06-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $75,639.26 $75,639.26 $75,639.26 2026-06-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $75,145.03 $75,145.03 $75,145.03 2026-06-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $74,502.97 $74,502.97 $74,502.97 2026-06-04
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $74,478.70 $74,478.70 $74,478.70 2026-06-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $74,333.08 $74,333.08 $74,333.08 2026-06-04
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $73,997.71 $73,997.71 $73,997.71 2026-06-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $73,741.77 $73,741.77 $73,741.77 2026-06-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $73,468.17 $73,468.17 $73,468.17 2026-06-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 — — $73,375.51 $73,375.51 $73,375.51 2026-06-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $73,146.04 $73,146.04 $73,146.04 2026-06-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $72,678.29 $72,678.29 $72,678.29 2026-06-04
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $72,060.50 $72,060.50 $72,060.50 2026-06-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $71,844.28 $71,844.28 $71,844.28 2026-06-04
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $71,548.62 $71,548.62 $71,548.62 2026-06-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 — — $71,504.49 $71,504.49 $71,504.49 2026-06-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 3 — — $70,946.28 $70,946.28 $70,946.28 2026-06-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $70,941.86 $70,941.86 $70,941.86 2026-06-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $70,621.94 $70,621.94 $70,621.94 2026-06-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $70,617.53 $70,617.53 $70,617.53 2026-06-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 — — $70,154.19 $70,154.19 $70,154.19 2026-06-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $69,754.83 $69,754.83 $69,754.83 2026-06-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $69,584.94 $69,584.94 $69,584.94 2026-06-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $69,227.50 $69,227.50 $69,227.50 2026-06-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 — — $68,953.91 $68,953.91 $68,953.91 2026-06-04
665 MS_DRG Prostatectomy With Mcc 3 3 — — $68,157.41 $68,157.41 $68,157.41 2026-06-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 3 — — $67,846.31 $67,846.31 $67,846.31 2026-06-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $67,082.90 $67,082.90 $67,082.90 2026-06-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 — — $66,897.56 $66,897.56 $66,897.56 2026-06-04
652 MS_DRG Kidney Transplant 3 3 — — $66,288.60 $66,288.60 $66,288.60 2026-06-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $66,222.41 $66,222.41 $66,222.41 2026-06-04
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 — — $66,118.71 $66,118.71 $66,118.71 2026-06-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $66,063.55 $66,063.55 $66,063.55 2026-06-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 — — $65,498.72 $65,498.72 $65,498.72 2026-06-04
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $65,207.47 $65,207.47 $65,207.47 2026-06-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $65,156.73 $65,156.73 $65,156.73 2026-06-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $65,064.06 $65,064.06 $65,064.06 2026-06-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $64,521.29 $64,521.29 $64,521.29 2026-06-04
570 MS_DRG Skin Debridement With Mcc 3 3 — — $64,474.95 $64,474.95 $64,474.95 2026-06-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 3 — — $64,452.89 $64,452.89 $64,452.89 2026-06-04
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 — — $64,349.19 $64,349.19 $64,349.19 2026-06-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 — — $63,707.13 $63,707.13 $63,707.13 2026-06-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 3 — — $63,426.92 $63,426.92 $63,426.92 2026-06-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — — $62,800.31 $62,800.31 $62,800.31 2026-06-04
263 MS_DRG Vein Ligation And Stripping 3 3 — — $62,334.76 $62,334.76 $62,334.76 2026-06-04
668 MS_DRG Transurethral Procedures With Mcc 3 3 — — $62,175.90 $62,175.90 $62,175.90 2026-06-04
800 MS_DRG Splenic Procedures With Cc 3 3 — — $62,169.28 $62,169.28 $62,169.28 2026-06-04
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 3 3 — — $62,149.42 $62,149.42 $62,149.42 2026-06-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $61,981.74 $61,981.74 $61,981.74 2026-06-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $61,840.53 $61,840.53 $61,840.53 2026-06-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 3 — — $61,328.65 $61,328.65 $61,328.65 2026-06-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 3 — — $60,618.19 $60,618.19 $60,618.19 2026-06-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 3 — — $60,463.75 $60,463.75 $60,463.75 2026-06-04
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $60,399.76 $60,399.76 $60,399.76 2026-06-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 — — $60,329.16 $60,329.16 $60,329.16 2026-06-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 — — $60,026.88 $60,026.88 $60,026.88 2026-06-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $59,762.12 $59,762.12 $59,762.12 2026-06-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 — — $59,656.21 $59,656.21 $59,656.21 2026-06-04
849 MS_DRG Radiotherapy 3 3 — — $59,382.62 $59,382.62 $59,382.62 2026-06-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 3 3 — — $59,256.86 $59,256.86 $59,256.86 2026-06-04
503 MS_DRG Foot Procedures With Mcc 3 3 — — $59,173.01 $59,173.01 $59,173.01 2026-06-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 — — $58,901.63 $58,901.63 $58,901.63 2026-06-04
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 3 3 — — $58,515.51 $58,515.51 $58,515.51 2026-06-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 3 — — $58,449.32 $58,449.32 $58,449.32 2026-06-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 3 — — $58,343.41 $58,343.41 $58,343.41 2026-06-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 3 — — $57,608.69 $57,608.69 $57,608.69 2026-06-04
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 — — $57,421.14 $57,421.14 $57,421.14 2026-06-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 — — $57,211.54 $57,211.54 $57,211.54 2026-06-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 — — $57,121.08 $57,121.08 $57,121.08 2026-06-04
253 MS_DRG Other Vascular Procedures With Cc 3 3 — — $56,287.06 $56,287.06 $56,287.06 2026-06-04
164 MS_DRG Major Chest Procedures With Cc 3 3 — — $56,271.62 $56,271.62 $56,271.62 2026-06-04
347 MS_DRG Anal And Stomal Procedures With Mcc 3 3 — — $56,242.93 $56,242.93 $56,242.93 2026-06-04
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 3 — — $55,874.47 $55,874.47 $55,874.47 2026-06-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 3 3 — — $55,539.10 $55,539.10 $55,539.10 2026-06-04
113 MS_DRG Orbital Procedures With Cc/mcc 3 3 — — $55,320.67 $55,320.67 $55,320.67 2026-06-04
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 — — $55,102.23 $55,102.23 $55,102.23 2026-06-04
545 MS_DRG Connective Tissue Disorders With Mcc 3 3 — — $55,009.57 $55,009.57 $55,009.57 2026-06-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $54,850.71 $54,850.71 $54,850.71 2026-06-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 — — $54,810.99 $54,810.99 $54,810.99 2026-06-04
792 MS_DRG Prematurity Without Major Problems 3 3 — — $54,552.84 $54,552.84 $54,552.84 2026-06-04
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 3 — — $54,290.28 $54,290.28 $54,290.28 2026-06-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 3 — — $53,924.02 $53,924.02 $53,924.02 2026-06-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 3 — — $53,824.74 $53,824.74 $53,824.74 2026-06-04
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 3 — — $53,679.12 $53,679.12 $53,679.12 2026-06-04
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 — — $52,990.72 $52,990.72 $52,990.72 2026-06-04
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 — — $52,953.22 $52,953.22 $52,953.22 2026-06-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 3 — — $52,820.83 $52,820.83 $52,820.83 2026-06-04
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 3 — — $52,604.61 $52,604.61 $52,604.61 2026-06-04
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 3 — — $52,593.58 $52,593.58 $52,593.58 2026-06-04
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 3 — — $52,560.48 $52,560.48 $52,560.48 2026-06-04
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 — — $52,337.63 $52,337.63 $52,337.63 2026-06-04
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 3 — — $51,867.68 $51,867.68 $51,867.68 2026-06-04
30 MS_DRG Spinal Procedures Without Cc/mcc 3 3 — — $51,166.04 $51,166.04 $51,166.04 2026-06-04
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 — — $51,139.57 $51,139.57 $51,139.57 2026-06-04
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $51,126.33 $51,126.33 $51,126.33 2026-06-04
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 — — $50,735.80 $50,735.80 $50,735.80 2026-06-04
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 3 — — $50,268.05 $50,268.05 $50,268.05 2026-06-04
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 — — $50,252.60 $50,252.60 $50,252.60 2026-06-04
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 3 — — $50,146.70 $50,146.70 $50,146.70 2026-06-04
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 3 — — $49,926.06 $49,926.06 $49,926.06 2026-06-04
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 3 3 — — $49,696.59 $49,696.59 $49,696.59 2026-06-04
397 MS_DRG Appendix Procedures With Mcc 3 3 — — $49,568.62 $49,568.62 $49,568.62 2026-06-04
835 MS_DRG Acute Leukemia With Cc 3 3 — — $49,323.71 $49,323.71 $49,323.71 2026-06-04
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 3 — — $49,266.35 $49,266.35 $49,266.35 2026-06-04
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 3 3 — — $49,248.70 $49,248.70 $49,248.70 2026-06-04
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 3 — — $49,217.81 $49,217.81 $49,217.81 2026-06-04
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 3 — — $49,114.11 $49,114.11 $49,114.11 2026-06-04
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 3 3 — — $48,732.40 $48,732.40 $48,732.40 2026-06-04
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 3 3 — — $48,705.93 $48,705.93 $48,705.93 2026-06-04
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 — — $48,469.84 $48,469.84 $48,469.84 2026-06-04
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $48,322.02 $48,322.02 $48,322.02 2026-06-04
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 3 3 — — $48,092.55 $48,092.55 $48,092.55 2026-06-04
595 MS_DRG Major Skin Disorders With Mcc 3 3 — — $47,988.85 $47,988.85 $47,988.85 2026-06-04
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 3 3 — — $47,957.96 $47,957.96 $47,957.96 2026-06-04
709 MS_DRG Penis Procedures With Cc/mcc 3 3 — — $47,896.18 $47,896.18 $47,896.18 2026-06-04
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 3 3 — — $47,803.52 $47,803.52 $47,803.52 2026-06-04
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 3 — — $47,560.81 $47,560.81 $47,560.81 2026-06-04
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 3 — — $47,536.54 $47,536.54 $47,536.54 2026-06-04
32 MS_DRG Ventricular Shunt Procedures With Cc 3 3 — — $47,521.10 $47,521.10 $47,521.10 2026-06-04
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 3 3 — — $47,459.32 $47,459.32 $47,459.32 2026-06-04
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 — — $47,320.32 $47,320.32 $47,320.32 2026-06-04
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 3 3 — — $47,121.74 $47,121.74 $47,121.74 2026-06-04
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 3 3 — — $47,033.49 $47,033.49 $47,033.49 2026-06-04
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 3 — — $47,033.49 $47,033.49 $47,033.49 2026-06-04
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 3 — — $46,954.06 $46,954.06 $46,954.06 2026-06-04
711 MS_DRG Testes Procedures With Cc/mcc 3 3 — — $46,839.33 $46,839.33 $46,839.33 2026-06-04
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 — — $46,603.24 $46,603.24 $46,603.24 2026-06-04
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 3 — — $46,576.77 $46,576.77 $46,576.77 2026-06-04
655 MS_DRG Major Bladder Procedures Without Cc/mcc 3 3 — — $46,506.16 $46,506.16 $46,506.16 2026-06-04
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 3 3 — — $46,479.69 $46,479.69 $46,479.69 2026-06-04
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 — — $46,451.00 $46,451.00 $46,451.00 2026-06-04
374 MS_DRG Digestive Malignancy With Mcc 3 3 — — $46,312.00 $46,312.00 $46,312.00 2026-06-04
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 — — $46,190.65 $46,190.65 $46,190.65 2026-06-04
J9266 HCPCS Pegaspargase Inj Per Single Dose Vial 25 13 $48,872.70 $36,654.53 25% off $28,834.89 $47,895.25 $46,184.71 2026-06-04
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 3 3 — — $46,168.59 $46,168.59 $46,168.59 2026-06-04
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 3 — — $46,164.17 $46,164.17 $46,164.17 2026-06-04
592 MS_DRG Skin Ulcers With Mcc 3 3 — — $46,115.63 $46,115.63 $46,115.63 2026-06-04
333 MS_DRG Rectal Resection With Cc 3 3 — — $45,881.76 $45,881.76 $45,881.76 2026-06-04
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — — $45,780.26 $45,780.26 $45,780.26 2026-06-04
141 MS_DRG Major Head And Neck Procedures With Cc 3 3 — — $45,709.66 $45,709.66 $45,709.66 2026-06-04
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 3 — — $45,586.10 $45,586.10 $45,586.10 2026-06-04
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 3 3 — — $45,142.62 $45,142.62 $45,142.62 2026-06-04
935 MS_DRG Non-extensive Burns 3 3 — — $45,034.50 $45,034.50 $45,034.50 2026-06-04
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 3 — — $45,027.88 $45,027.88 $45,027.88 2026-06-04
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 3 — — $44,970.52 $44,970.52 $44,970.52 2026-06-04
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 3 — — $44,310.81 $44,310.81 $44,310.81 2026-06-04
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 — — $44,218.14 $44,218.14 $44,218.14 2026-06-04
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 — — $44,193.87 $44,193.87 $44,193.87 2026-06-04
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 3 3 — — $44,165.19 $44,165.19 $44,165.19 2026-06-04
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 3 3 — — $43,990.88 $43,990.88 $43,990.88 2026-06-04
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $43,851.88 $43,851.88 $43,851.88 2026-06-04
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $43,785.69 $43,785.69 $43,785.69 2026-06-04
539 MS_DRG Osteomyelitis With Mcc 3 3 — — $43,783.48 $43,783.48 $43,783.48 2026-06-04
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 3 — — $43,743.77 $43,743.77 $43,743.77 2026-06-04
100 MS_DRG Seizures With Mcc 3 3 — — $43,741.56 $43,741.56 $43,741.56 2026-06-04
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 3 3 — — $43,593.74 $43,593.74 $43,593.74 2026-06-04
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 3 — — $43,549.61 $43,549.61 $43,549.61 2026-06-04
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 3 3 — — $43,496.65 $43,496.65 $43,496.65 2026-06-04
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 3 3 — — $43,434.88 $43,434.88 $43,434.88 2026-06-04
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 3 3 — — $43,287.05 $43,287.05 $43,287.05 2026-06-04
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 3 3 — — $43,214.24 $43,214.24 $43,214.24 2026-06-04
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $43,185.55 $43,185.55 $43,185.55 2026-06-04
548 MS_DRG Septic Arthritis With Mcc 3 3 — — $43,020.08 $43,020.08 $43,020.08 2026-06-04
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 3 — — $42,991.39 $42,991.39 $42,991.39 2026-06-04
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 3 3 — — $42,903.14 $42,903.14 $42,903.14 2026-06-04
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 3 3 — — $42,274.32 $42,274.32 $42,274.32 2026-06-04
75 MS_DRG Viral Meningitis With Cc/mcc 3 3 — — $42,225.78 $42,225.78 $42,225.78 2026-06-04
196 MS_DRG Interstitial Lung Disease With Mcc 3 3 — — $41,819.80 $41,819.80 $41,819.80 2026-06-04
902 MS_DRG Wound Debridements For Injuries With Cc 3 3 — — $41,583.72 $41,583.72 $41,583.72 2026-06-04
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 3 3 — — $41,532.97 $41,532.97 $41,532.97 2026-06-04
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 3 3 — — $41,519.73 $41,519.73 $41,519.73 2026-06-04
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 — — $41,517.53 $41,517.53 $41,517.53 2026-06-04
906 MS_DRG Hand Procedures For Injuries 3 3 — — $41,515.32 $41,515.32 $41,515.32 2026-06-04
165 MS_DRG Major Chest Procedures Without Cc/mcc 3 3 — — $41,400.59 $41,400.59 $41,400.59 2026-06-04
883 MS_DRG Disorders Of Personality And Impulse Control 3 3 — — $41,378.53 $41,378.53 $41,378.53 2026-06-04
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