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

CLARKE COUNTY HOSPITAL

Osceola, IA · CCN 161348 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC TTE W/ DOPPLER COMPLETE

This hospital’s price: $2,200 across 13 payers · range $1,392-$3,217

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/9347/426037982_clarke-county-public-hospital_standardcharges.csv · observed 2026-06-04

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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
$2,466,282
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
$359,358
outlier · 2.3×
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
$249,124
outlier · 2.4×
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
$198,433
outlier · 2.9×
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
$190,557
outlier · 2.5×
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
$126,722
outlier · 2.6×
7
MS_DRG 		Lung Transplant 3 $270,643.89 $270,643.89 $270,643.89 nat. median
$117,894
outlier · 2.3×
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
$103,967
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $252,871.46 $252,871.46 $252,871.46 nat. median
$110,192
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $237,643.00 $237,643.00 $237,643.00 nat. median
$97,414
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $228,360.74 $228,360.74 $228,360.74 nat. median
$94,964
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 3 $225,377.71 $225,377.71 $225,377.71 nat. median
$93,917
outlier · 2.4×
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
$90,581
outlier · 2.4×
453
MS_DRG 		Inpatient Services 3 $195,516.51 $195,516.51 $195,516.51 nat. median
$71,201
outlier · 2.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $186,492.40 $186,492.40 $186,492.40 nat. median
$74,460
outlier · 2.5×
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
$77,696
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $179,052.47 $179,052.47 $179,052.47 nat. median
$77,043
outlier · 2.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $176,367.31 $176,367.31 $176,367.31 nat. median
$66,660
outlier · 2.6×
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
$71,758
outlier · 2.4×
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
$72,473
outlier · 2.3×
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
$68,004
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $155,236.77 $155,236.77 $155,236.77 nat. median
$66,649
outlier · 2.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $153,672.44 $153,672.44 $153,672.44 nat. median
$62,721
outlier · 2.5×
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
$61,329
outlier · 2.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $152,417.01 $152,417.01 $152,417.01 nat. median
$59,384
outlier · 2.6×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $151,635.95 $151,635.95 $151,635.95 nat. median
$58,216
outlier · 2.6×
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
$63,896
outlier · 2.4×
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
$53,342
outlier · 2.8×
459
MS_DRG 		Inpatient Services 3 $146,334.01 $146,334.01 $146,334.01 nat. median
$52,841
outlier · 2.8×
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
$62,038
outlier · 2.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $137,812.95 $137,812.95 $137,812.95 nat. median
$58,331
outlier · 2.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $137,195.16 $137,195.16 $137,195.16 nat. median
$58,118
outlier · 2.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $137,020.86 $137,020.86 $137,020.86 nat. median
$56,686
outlier · 2.4×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 3 $136,288.34 $136,288.34 $136,288.34 nat. median
$50,898
outlier · 2.7×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 3 $136,288.34 $136,288.34 $136,288.34 nat. median
$53,907
outlier · 2.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $135,502.87 $135,502.87 $135,502.87 nat. median
$51,590
outlier · 2.6×
454
MS_DRG 		Inpatient Services 3 $134,949.06 $134,949.06 $134,949.06 nat. median
$49,639
outlier · 2.7×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $134,373.20 $134,373.20 $134,373.20 nat. median
$61,711
outlier · 2.2×
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
$55,188
outlier · 2.4×
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
$53,879
outlier · 2.5×
28
MS_DRG 		Spinal Procedures With Mcc 3 $132,958.91 $132,958.91 $132,958.91 nat. median
$54,505
outlier · 2.4×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 $132,385.25 $132,385.25 $132,385.25 nat. median
$50,905
outlier · 2.6×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $131,248.96 $131,248.96 $131,248.96 nat. median
$57,804
outlier · 2.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $129,748.62 $129,748.62 $129,748.62 nat. median
$55,491
outlier · 2.3×
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
$59,558
outlier · 2.1×
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
$46,668
outlier · 2.7×
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
$53,532
outlier · 2.3×
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
$49,960
outlier · 2.5×
834
MS_DRG 		Acute Leukemia With Mcc 3 $123,535.44 $123,535.44 $123,535.44 nat. median
$50,391
outlier · 2.5×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 3 $121,465.85 $121,465.85 $121,465.85 nat. median
$50,825
outlier · 2.4×

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.

Slice
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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