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

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Hospital

NESS COUNTY HOSPITAL DISTRICT #2

Ness City, KS · CCN 171336 · Rates published

Your selected procedure

You selected 303 (MS_DRG)

ATHEROSCLEROSIS WITHOUT MCC

This hospital’s price: $6,014 across 1 payer

Source: https://images.pricetransparency.healthcare/ness-county-hospital/480579743_ness-county-hospital_standardcharges.csv · observed 2026-03-02

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.

4,033 distinct procedures filed
6 distinct payers
20,992 rate rows
2026-03-02 last MRF observed
Data quality

20,941 of 20,992 rate rows are consumer-grade (99.8%)

51 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
exceeds 10× this hospital's gross charge — excluded from medians 46
per-diem day rate — not a per-procedure price 2
placeholder amount (≤ $0.02) — excluded from medians 2
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/ness-county-hospital/480579743_ness-county-hospital_standardcharges.csv
Found on page https://www.nchospital.org/services-2
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint db29fca6608ad734… · 5,208,637 bytes · first seen 2026-09-21

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $426,668.40 $426,668.40 $426,668.40 nat. median
$168,055
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $309,859.01 $309,859.01 $309,859.01 nat. median
$186,516
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $171,304.75 $171,304.75 $171,304.75 nat. median
$145,435
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $134,006.71 $134,006.71 $134,006.71 nat. median
$72,715
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $125,771.83 $125,771.83 $125,771.83 nat. median
$131,925
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $117,445.52 $117,445.52 $117,445.52 nat. median
$69,922
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $114,104.49 $114,104.49 $114,104.49 nat. median
$74,509
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $113,177.82 $113,177.82 $113,177.82 nat. median
$65,418
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $108,978.40 $108,978.40 $108,978.40 nat. median
$97,418
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 1 $105,058.71 $105,058.71 $105,058.71 nat. median
$73,023
1.4× median
7
MS_DRG 		Lung Transplant 1 $102,636.91 $102,636.91 $102,636.91 nat. median
$70,649
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $96,514.95 $96,514.95 $96,514.95 nat. median
$2,633
outlier · 36.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $93,424.14 $93,424.14 $93,424.14 nat. median
$2,736
outlier · 34.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $89,103.90 $89,103.90 $89,103.90 nat. median
$69,822
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $87,385.57 $87,385.57 $87,385.57 nat. median
$2,596
outlier · 33.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $84,330.66 $84,330.66 $84,330.66 nat. median
$45,605
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $76,329.38 $76,329.38 $76,329.38 nat. median
$59,651
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $73,800.53 $73,800.53 $73,800.53 nat. median
$60,505
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $73,451.02 $73,451.02 $73,451.02 nat. median
$56,428
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $71,933.06 $71,933.06 $71,933.06 nat. median
$55,935
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $71,515.30 $71,515.30 $71,515.30 nat. median
$55,923
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $70,245.84 $70,245.84 $70,245.84 nat. median
$2,958
outlier · 23.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $67,711.20 $67,711.20 $67,711.20 nat. median
$51,518
1.3× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $66,892.80 $66,892.80 $66,892.80 nat. median
$38,932
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $65,776.85 $65,776.85 $65,776.85 nat. median
$9,905
outlier · 6.6×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $64,816.20 $64,816.20 $64,816.20 nat. median
$2,633
outlier · 24.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $62,708.57 $62,708.57 $62,708.57 nat. median
$52,327
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $62,554.34 $62,554.34 $62,554.34 nat. median
$44,036
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $62,055.73 $62,055.73 $62,055.73 nat. median
$47,121
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $61,802.83 $61,802.83 $61,802.83 nat. median
$49,569
1.2× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 1 $61,498.50 $61,498.50 $61,498.50 nat. median
$32,772
1.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $61,170.85 $61,170.85 $61,170.85 nat. median
$40,726
1.5× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $59,614.86 $59,614.86 $59,614.86 nat. median
$43,533
1.4× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $58,842.14 $58,842.14 $58,842.14 nat. median
$43,023
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $57,787.82 $57,787.82 $57,787.82 nat. median
$47,340
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $57,733.71 $57,733.71 $57,733.71 nat. median
$48,611
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $57,544.37 $57,544.37 $57,544.37 nat. median
$47,458
1.2× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $57,315.08 $57,315.08 $57,315.08 nat. median
$2,596
outlier · 22.1×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 $57,056.45 $57,056.45 $57,056.45 nat. median
$39,159
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $57,008.32 $57,008.32 $57,008.32 nat. median
$41,943
1.4× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $55,662.15 $55,662.15 $55,662.15 nat. median
$38,173
1.5× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $55,447.55 $55,447.55 $55,447.55 nat. median
$35,725
1.6× median
834
MS_DRG 		Acute Leukemia With Mcc 1 $54,899.59 $54,899.59 $54,899.59 nat. median
$37,487
1.5× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 $54,502.23 $54,502.23 $54,502.23 nat. median
$38,844
1.4× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $54,158.74 $54,158.74 $54,158.74 nat. median
$29,295
1.8× median
6
MS_DRG 		Liver Transplant Without Mcc 1 $53,910.95 $53,910.95 $53,910.95 nat. median
$31,278
1.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $53,732.20 $53,732.20 $53,732.20 nat. median
$42,674
1.3× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $52,678.49 $52,678.49 $52,678.49 nat. median
$43,803
1.2× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 $52,498.09 $52,498.09 $52,498.09 nat. median
$34,616
1.5× median
28
MS_DRG 		Spinal Procedures With Mcc 1 $52,211.37 $52,211.37 $52,211.37 nat. median
$41,895
1.2× median

Other procedures at this hospital

Browse this hospital's 4,033 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $426,668.40 $426,668.40 $426,668.40 2026-03-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $309,859.01 $309,859.01 $309,859.01 2026-03-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $171,304.75 $171,304.75 $171,304.75 2026-03-02
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $134,006.71 $134,006.71 $134,006.71 2026-03-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $125,771.83 $125,771.83 $125,771.83 2026-03-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $117,445.52 $117,445.52 $117,445.52 2026-03-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $114,104.49 $114,104.49 $114,104.49 2026-03-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $113,177.82 $113,177.82 $113,177.82 2026-03-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $108,978.40 $108,978.40 $108,978.40 2026-03-02
215 MS_DRG Other Heart Assist System Implant 1 1 — — $105,058.71 $105,058.71 $105,058.71 2026-03-02
7 MS_DRG Lung Transplant 1 1 — — $102,636.91 $102,636.91 $102,636.91 2026-03-02
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $96,514.95 $96,514.95 $96,514.95 2026-03-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $93,424.14 $93,424.14 $93,424.14 2026-03-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $89,103.90 $89,103.90 $89,103.90 2026-03-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $87,385.57 $87,385.57 $87,385.57 2026-03-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $84,330.66 $84,330.66 $84,330.66 2026-03-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $76,329.38 $76,329.38 $76,329.38 2026-03-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $73,800.53 $73,800.53 $73,800.53 2026-03-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $73,451.02 $73,451.02 $73,451.02 2026-03-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $71,933.06 $71,933.06 $71,933.06 2026-03-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $71,515.30 $71,515.30 $71,515.30 2026-03-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $70,245.84 $70,245.84 $70,245.84 2026-03-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $67,711.20 $67,711.20 $67,711.20 2026-03-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $66,892.80 $66,892.80 $66,892.80 2026-03-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $65,776.85 $65,776.85 $65,776.85 2026-03-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $64,816.20 $64,816.20 $64,816.20 2026-03-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $62,708.57 $62,708.57 $62,708.57 2026-03-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $62,554.34 $62,554.34 $62,554.34 2026-03-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $62,055.73 $62,055.73 $62,055.73 2026-03-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $61,802.83 $61,802.83 $61,802.83 2026-03-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $61,498.50 $61,498.50 $61,498.50 2026-03-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $61,170.85 $61,170.85 $61,170.85 2026-03-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $59,614.86 $59,614.86 $59,614.86 2026-03-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $58,842.14 $58,842.14 $58,842.14 2026-03-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $57,787.82 $57,787.82 $57,787.82 2026-03-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $57,733.71 $57,733.71 $57,733.71 2026-03-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $57,544.37 $57,544.37 $57,544.37 2026-03-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $57,315.08 $57,315.08 $57,315.08 2026-03-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $57,056.45 $57,056.45 $57,056.45 2026-03-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $57,008.32 $57,008.32 $57,008.32 2026-03-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $55,662.15 $55,662.15 $55,662.15 2026-03-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $55,447.55 $55,447.55 $55,447.55 2026-03-02
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $54,899.59 $54,899.59 $54,899.59 2026-03-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $54,502.23 $54,502.23 $54,502.23 2026-03-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $54,158.74 $54,158.74 $54,158.74 2026-03-02
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $53,910.95 $53,910.95 $53,910.95 2026-03-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $53,732.20 $53,732.20 $53,732.20 2026-03-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $52,678.49 $52,678.49 $52,678.49 2026-03-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $52,498.09 $52,498.09 $52,498.09 2026-03-02
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $52,211.37 $52,211.37 $52,211.37 2026-03-02
10 MS_DRG Pancreas Transplant 1 1 — — $51,103.86 $51,103.86 $51,103.86 2026-03-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $50,924.12 $50,924.12 $50,924.12 2026-03-02
245 MS_DRG Aicd Generator Procedures 1 1 — — $50,922.12 $50,922.12 $50,922.12 2026-03-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $50,857.49 $50,857.49 $50,857.49 2026-03-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $50,408.60 $50,408.60 $50,408.60 2026-03-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $50,341.00 $50,341.00 $50,341.00 2026-03-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $50,337.20 $50,337.20 $50,337.20 2026-03-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $50,093.07 $50,093.07 $50,093.07 2026-03-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $48,798.47 $48,798.47 $48,798.47 2026-03-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $48,661.44 $48,661.44 $48,661.44 2026-03-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $48,519.59 $48,519.59 $48,519.59 2026-03-02
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $48,453.18 $48,453.18 $48,453.18 2026-03-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $47,664.15 $47,664.15 $47,664.15 2026-03-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $47,577.63 $47,577.63 $47,577.63 2026-03-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $47,445.80 $47,445.80 $47,445.80 2026-03-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $47,184.86 $47,184.86 $47,184.86 2026-03-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $47,000.71 $47,000.71 $47,000.71 2026-03-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $46,037.26 $46,037.26 $46,037.26 2026-03-02
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $45,685.79 $45,685.79 $45,685.79 2026-03-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $45,257.61 $45,257.61 $45,257.61 2026-03-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $44,617.01 $44,617.01 $44,617.01 2026-03-02
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $44,552.40 $44,552.40 $44,552.40 2026-03-02
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $44,437.91 $44,437.91 $44,437.91 2026-03-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $44,355.97 $44,355.97 $44,355.97 2026-03-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $44,160.03 $44,160.03 $44,160.03 2026-03-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $44,091.75 $44,091.75 $44,091.75 2026-03-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $43,599.02 $43,599.02 $43,599.02 2026-03-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $43,531.05 $43,531.05 $43,531.05 2026-03-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $43,367.50 $43,367.50 $43,367.50 2026-03-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $42,981.07 $42,981.07 $42,981.07 2026-03-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $42,783.30 $42,783.30 $42,783.30 2026-03-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $42,720.71 $42,720.71 $42,720.71 2026-03-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $42,274.78 $42,274.78 $42,274.78 2026-03-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $41,394.48 $41,394.48 $41,394.48 2026-03-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $41,374.77 $41,374.77 $41,374.77 2026-03-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $41,169.70 $41,169.70 $41,169.70 2026-03-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $40,945.95 $40,945.95 $40,945.95 2026-03-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $40,449.65 $40,449.65 $40,449.65 2026-03-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $39,916.71 $39,916.71 $39,916.71 2026-03-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $39,554.39 $39,554.39 $39,554.39 2026-03-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $38,298.71 $38,298.71 $38,298.71 2026-03-02
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $38,274.23 $38,274.23 $38,274.23 2026-03-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $38,233.91 $38,233.91 $38,233.91 2026-03-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $37,815.88 $37,815.88 $37,815.88 2026-03-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $37,327.73 $37,327.73 $37,327.73 2026-03-02
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $37,071.94 $37,071.94 $37,071.94 2026-03-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $36,672.56 $36,672.56 $36,672.56 2026-03-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $36,604.85 $36,604.85 $36,604.85 2026-03-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $36,547.34 $36,547.34 $36,547.34 2026-03-02
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $36,534.48 $36,534.48 $36,534.48 2026-03-02
332 MS_DRG Rectal Resection With Mcc 1 1 — — $36,348.88 $36,348.88 $36,348.88 2026-03-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $36,184.33 $36,184.33 $36,184.33 2026-03-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $35,202.03 $35,202.03 $35,202.03 2026-03-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $35,042.28 $35,042.28 $35,042.28 2026-03-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $34,960.63 $34,960.63 $34,960.63 2026-03-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $34,734.30 $34,734.30 $34,734.30 2026-03-02
791 MS_DRG Prematurity With Major Problems 1 1 — — $34,733.45 $34,733.45 $34,733.45 2026-03-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $34,302.06 $34,302.06 $34,302.06 2026-03-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $34,286.94 $34,286.94 $34,286.94 2026-03-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $34,151.30 $34,151.30 $34,151.30 2026-03-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $33,907.06 $33,907.06 $33,907.06 2026-03-02
2512705 CDM Lupron Depot 45 Mg (6 Month) (leuprolide Acetate) IM Syr. Kit 5 4 $40,048.00 $30,036.24 25% off $18,502.18 $38,846.56 $33,640.32 2026-03-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $33,504.03 $33,504.03 $33,504.03 2026-03-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $33,417.22 $33,417.22 $33,417.22 2026-03-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $33,385.83 $33,385.83 $33,385.83 2026-03-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $33,375.46 $33,375.46 $33,375.46 2026-03-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $33,308.88 $33,308.88 $33,308.88 2026-03-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $33,294.35 $33,294.35 $33,294.35 2026-03-02
652 MS_DRG Kidney Transplant 1 1 — — $33,255.19 $33,255.19 $33,255.19 2026-03-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $33,132.64 $33,132.64 $33,132.64 2026-03-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $32,990.42 $32,990.42 $32,990.42 2026-03-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $32,974.88 $32,974.88 $32,974.88 2026-03-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $32,923.68 $32,923.68 $32,923.68 2026-03-02
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $32,576.45 $32,576.45 $32,576.45 2026-03-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $32,572.79 $32,572.79 $32,572.79 2026-03-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $32,412.11 $32,412.11 $32,412.11 2026-03-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $32,323.71 $32,323.71 $32,323.71 2026-03-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $32,288.20 $32,288.20 $32,288.20 2026-03-02
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $32,228.24 $32,228.24 $32,228.24 2026-03-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $32,014.39 $32,014.39 $32,014.39 2026-03-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $31,835.56 $31,835.56 $31,835.56 2026-03-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $31,665.10 $31,665.10 $31,665.10 2026-03-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $31,661.60 $31,661.60 $31,661.60 2026-03-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $31,644.74 $31,644.74 $31,644.74 2026-03-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $31,397.38 $31,397.38 $31,397.38 2026-03-02
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $31,396.13 $31,396.13 $31,396.13 2026-03-02
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $31,241.59 $31,241.59 $31,241.59 2026-03-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $31,210.73 $31,210.73 $31,210.73 2026-03-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $30,798.00 $30,798.00 $30,798.00 2026-03-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $30,293.03 $30,293.03 $30,293.03 2026-03-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $30,261.93 $30,261.93 $30,261.93 2026-03-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $30,189.22 $30,189.22 $30,189.22 2026-03-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $29,986.45 $29,986.45 $29,986.45 2026-03-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $29,951.30 $29,951.30 $29,951.30 2026-03-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $29,844.76 $29,844.76 $29,844.76 2026-03-02
265 MS_DRG Aicd Lead Procedures 1 1 — — $29,704.08 $29,704.08 $29,704.08 2026-03-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $29,647.97 $29,647.97 $29,647.97 2026-03-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $29,372.53 $29,372.53 $29,372.53 2026-03-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $29,260.79 $29,260.79 $29,260.79 2026-03-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $29,208.14 $29,208.14 $29,208.14 2026-03-02
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $29,172.60 $29,172.60 $29,172.60 2026-03-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $29,170.25 $29,170.25 $29,170.25 2026-03-02
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $29,090.37 $29,090.37 $29,090.37 2026-03-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $28,746.17 $28,746.17 $28,746.17 2026-03-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $28,621.76 $28,621.76 $28,621.76 2026-03-02
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $28,614.18 $28,614.18 $28,614.18 2026-03-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $28,610.94 $28,610.94 $28,610.94 2026-03-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $28,583.57 $28,583.57 $28,583.57 2026-03-02
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $28,308.43 $28,308.43 $28,308.43 2026-03-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $28,207.18 $28,207.18 $28,207.18 2026-03-02
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $28,205.88 $28,205.88 $28,205.88 2026-03-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $28,204.10 $28,204.10 $28,204.10 2026-03-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $28,197.96 $28,197.96 $28,197.96 2026-03-02
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $27,266.68 $27,266.68 $27,266.68 2026-03-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $27,176.80 $27,176.80 $27,176.80 2026-03-02
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $27,103.13 $27,103.13 $27,103.13 2026-03-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $26,880.43 $26,880.43 $26,880.43 2026-03-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $26,864.08 $26,864.08 $26,864.08 2026-03-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $26,847.51 $26,847.51 $26,847.51 2026-03-02
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $26,822.59 $26,822.59 $26,822.59 2026-03-02
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $26,678.70 $26,678.70 $26,678.70 2026-03-02
2519155 CDM Activase 100 Mg IV (alteplase) 5 4 $31,681.00 $23,761.35 25% off $14,636.62 $30,730.57 $26,612.04 2026-03-02
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $26,269.52 $26,269.52 $26,269.52 2026-03-02
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $26,149.02 $26,149.02 $26,149.02 2026-03-02
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $26,079.06 $26,079.06 $26,079.06 2026-03-02
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $25,875.57 $25,875.57 $25,875.57 2026-03-02
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $25,763.83 $25,763.83 $25,763.83 2026-03-02
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $25,584.90 $25,584.90 $25,584.90 2026-03-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $25,498.73 $25,498.73 $25,498.73 2026-03-02
570 MS_DRG Skin Debridement With Mcc 1 1 — — $25,479.39 $25,479.39 $25,479.39 2026-03-02
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 1 1 — — $25,460.78 $25,460.78 $25,460.78 2026-03-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $25,345.93 $25,345.93 $25,345.93 2026-03-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $25,313.70 $25,313.70 $25,313.70 2026-03-02
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $25,273.94 $25,273.94 $25,273.94 2026-03-02
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $25,088.33 $25,088.33 $25,088.33 2026-03-02
665 MS_DRG Prostatectomy With Mcc 1 1 — — $25,060.19 $25,060.19 $25,060.19 2026-03-02
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $25,014.74 $25,014.74 $25,014.74 2026-03-02
800 MS_DRG Splenic Procedures With Cc 1 1 — — $24,782.76 $24,782.76 $24,782.76 2026-03-02
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $24,778.66 $24,778.66 $24,778.66 2026-03-02
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $24,327.58 $24,327.58 $24,327.58 2026-03-02
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $24,175.10 $24,175.10 $24,175.10 2026-03-02
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $24,086.36 $24,086.36 $24,086.36 2026-03-02
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $24,067.36 $24,067.36 $24,067.36 2026-03-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $24,039.36 $24,039.36 $24,039.36 2026-03-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $23,860.03 $23,860.03 $23,860.03 2026-03-02
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $23,834.28 $23,834.28 $23,834.28 2026-03-02
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $23,723.34 $23,723.34 $23,723.34 2026-03-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $23,683.98 $23,683.98 $23,683.98 2026-03-02
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $22,852.13 $22,852.13 $22,852.13 2026-03-02
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $22,732.12 $22,732.12 $22,732.12 2026-03-02
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $22,534.91 $22,534.91 $22,534.91 2026-03-02
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $22,513.61 $22,513.61 $22,513.61 2026-03-02
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $22,491.84 $22,491.84 $22,491.84 2026-03-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $22,315.69 $22,315.69 $22,315.69 2026-03-02
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $22,283.67 $22,283.67 $22,283.67 2026-03-02
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $22,253.57 $22,253.57 $22,253.57 2026-03-02
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 — — $22,152.04 $22,152.04 $22,152.04 2026-03-02
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $21,996.50 $21,996.50 $21,996.50 2026-03-02
835 MS_DRG Acute Leukemia With Cc 1 1 — — $21,632.54 $21,632.54 $21,632.54 2026-03-02
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $21,584.01 $21,584.01 $21,584.01 2026-03-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $21,516.88 $21,516.88 $21,516.88 2026-03-02
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 — — $21,327.00 $21,327.00 $21,327.00 2026-03-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $21,270.53 $21,270.53 $21,270.53 2026-03-02
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $21,225.02 $21,225.02 $21,225.02 2026-03-02
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $21,152.11 $21,152.11 $21,152.11 2026-03-02
2512416 CDM Fulphila (pegfilgrastim-jmdb) subQ Syringe 5 4 $25,050.00 $18,787.50 25% off $11,573.10 $24,298.50 $21,042.00 2026-03-02
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 1 1 — — $21,009.06 $21,009.06 $21,009.06 2026-03-02
792 MS_DRG Prematurity Without Major Problems 1 1 — — $20,957.70 $20,957.70 $20,957.70 2026-03-02
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $20,932.00 $20,932.00 $20,932.00 2026-03-02
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 — — $20,917.79 $20,917.79 $20,917.79 2026-03-02
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $20,854.78 $20,854.78 $20,854.78 2026-03-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $20,853.69 $20,853.69 $20,853.69 2026-03-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $20,817.63 $20,817.63 $20,817.63 2026-03-02
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $20,815.73 $20,815.73 $20,815.73 2026-03-02
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $20,791.29 $20,791.29 $20,791.29 2026-03-02
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $20,782.98 $20,782.98 $20,782.98 2026-03-02
165 MS_DRG Major Chest Procedures Without Cc/mcc 1 1 — — $20,771.54 $20,771.54 $20,771.54 2026-03-02
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $20,708.69 $20,708.69 $20,708.69 2026-03-02
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $20,703.89 $20,703.89 $20,703.89 2026-03-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $20,611.98 $20,611.98 $20,611.98 2026-03-02
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $20,609.59 $20,609.59 $20,609.59 2026-03-02
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $20,583.02 $20,583.02 $20,583.02 2026-03-02
709 MS_DRG Penis Procedures With Cc/mcc 1 1 — — $20,554.78 $20,554.78 $20,554.78 2026-03-02
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $20,336.44 $20,336.44 $20,336.44 2026-03-02
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $20,312.20 $20,312.20 $20,312.20 2026-03-02
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $20,213.95 $20,213.95 $20,213.95 2026-03-02
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $20,136.55 $20,136.55 $20,136.55 2026-03-02
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $20,134.08 $20,134.08 $20,134.08 2026-03-02
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 1 1 — — $20,132.23 $20,132.23 $20,132.23 2026-03-02
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $20,107.46 $20,107.46 $20,107.46 2026-03-02
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $20,055.68 $20,055.68 $20,055.68 2026-03-02
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $20,019.25 $20,019.25 $20,019.25 2026-03-02
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $20,014.97 $20,014.97 $20,014.97 2026-03-02
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $19,855.38 $19,855.38 $19,855.38 2026-03-02
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $19,741.79 $19,741.79 $19,741.79 2026-03-02
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $19,711.61 $19,711.61 $19,711.61 2026-03-02
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $19,683.60 $19,683.60 $19,683.60 2026-03-02
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $19,672.56 $19,672.56 $19,672.56 2026-03-02
2510840 CDM Tnk-ase 25mg Inj. (tenecteplase) IV (stroke) 5 4 $23,395.00 $17,546.59 25% off $10,808.49 $22,693.15 $19,651.80 2026-03-02
2513828 CDM Tnk-ase 50 Mg Inj. (tenecteplase) (heart) 5 4 $23,395.00 $17,546.59 25% off $10,808.49 $22,693.15 $19,651.80 2026-03-02
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $19,598.42 $19,598.42 $19,598.42 2026-03-02
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 1 1 — — $19,558.40 $19,558.40 $19,558.40 2026-03-02
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $19,540.35 $19,540.35 $19,540.35 2026-03-02
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $19,493.27 $19,493.27 $19,493.27 2026-03-02
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $19,154.59 $19,154.59 $19,154.59 2026-03-02
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $19,077.01 $19,077.01 $19,077.01 2026-03-02
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 — — $18,995.13 $18,995.13 $18,995.13 2026-03-02
711 MS_DRG Testes Procedures With Cc/mcc 1 1 — — $18,919.03 $18,919.03 $18,919.03 2026-03-02
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 — — $18,910.58 $18,910.58 $18,910.58 2026-03-02
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $18,897.37 $18,897.37 $18,897.37 2026-03-02
2513802 CDM Neulasta 6 Mg Inj. 5 4 $22,478.00 $16,858.54 25% off $10,384.84 $21,803.66 $18,881.52 2026-03-02
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $18,881.23 $18,881.23 $18,881.23 2026-03-02
503 MS_DRG Foot Procedures With Mcc 1 1 — — $18,876.40 $18,876.40 $18,876.40 2026-03-02
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 — — $18,860.45 $18,860.45 $18,860.45 2026-03-02
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $18,850.63 $18,850.63 $18,850.63 2026-03-02
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $18,835.59 $18,835.59 $18,835.59 2026-03-02
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 1 1 — — $18,798.32 $18,798.32 $18,798.32 2026-03-02
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $18,749.50 $18,749.50 $18,749.50 2026-03-02
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 — — $18,691.93 $18,691.93 $18,691.93 2026-03-02
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $18,564.23 $18,564.23 $18,564.23 2026-03-02
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $18,487.33 $18,487.33 $18,487.33 2026-03-02
333 MS_DRG Rectal Resection With Cc 1 1 — — $18,474.63 $18,474.63 $18,474.63 2026-03-02
655 MS_DRG Major Bladder Procedures Without Cc/mcc 1 1 — — $18,463.72 $18,463.72 $18,463.72 2026-03-02
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 1 1 — — $18,416.32 $18,416.32 $18,416.32 2026-03-02
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $18,405.12 $18,405.12 $18,405.12 2026-03-02
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $18,391.50 $18,391.50 $18,391.50 2026-03-02
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $18,311.74 $18,311.74 $18,311.74 2026-03-02
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 1 — — $18,291.53 $18,291.53 $18,291.53 2026-03-02
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $18,266.69 $18,266.69 $18,266.69 2026-03-02
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $18,198.33 $18,198.33 $18,198.33 2026-03-02
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 1 1 — — $18,126.17 $18,126.17 $18,126.17 2026-03-02
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $18,067.47 $18,067.47 $18,067.47 2026-03-02
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $18,032.36 $18,032.36 $18,032.36 2026-03-02
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $18,015.50 $18,015.50 $18,015.50 2026-03-02
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $17,712.04 $17,712.04 $17,712.04 2026-03-02
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 — — $17,657.09 $17,657.09 $17,657.09 2026-03-02
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 1 1 — — $17,535.33 $17,535.33 $17,535.33 2026-03-02
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $17,464.19 $17,464.19 $17,464.19 2026-03-02
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $17,463.56 $17,463.56 $17,463.56 2026-03-02
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $17,461.67 $17,461.67 $17,461.67 2026-03-02
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $17,434.15 $17,434.15 $17,434.15 2026-03-02
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 — — $17,402.59 $17,402.59 $17,402.59 2026-03-02
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 1 1 — — $17,395.99 $17,395.99 $17,395.99 2026-03-02
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $17,358.45 $17,358.45 $17,358.45 2026-03-02
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $17,358.01 $17,358.01 $17,358.01 2026-03-02
935 MS_DRG Non-extensive Burns 1 1 — — $17,330.86 $17,330.86 $17,330.86 2026-03-02
801 MS_DRG Splenic Procedures Without Cc/mcc 1 1 — — $17,207.19 $17,207.19 $17,207.19 2026-03-02
368 MS_DRG Major Esophageal Disorders With Mcc 1 1 — — $17,131.28 $17,131.28 $17,131.28 2026-03-02
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $17,126.12 $17,126.12 $17,126.12 2026-03-02
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $17,068.49 $17,068.49 $17,068.49 2026-03-02
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