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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

KINGMAN HEALTHCARE CENTER

Kingman, KS · CCN 171378 · Rates published

19,133 distinct procedures filed
14 distinct payers
345,972 rate rows
2026-03-17 last MRF observed
Data quality

219,437 of 345,972 rate rows are consumer-grade (63.4%)

126,535 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 117,415
per-diem day rate — not a per-procedure price 8,478
template filing: same amount across many unrelated codes — excluded 550
placeholder amount (≤ $0.02) — excluded from medians 80
exceeds 10× this hospital's gross charge — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/NinnescahValleyHealth/480761700_kingman-healthcare-center_standardcharges.json
Found on page https://www.kingmanhc.com/patient-portal-info/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 432954a03545c078… · 84,894,849 bytes · first seen 2026-05-18

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $565,623.84 $565,623.84 $565,623.84 nat. median
$754,974
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $551,318.34 $551,318.34 $551,318.34 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $528,312.43 $528,312.43 $528,312.43 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $516,485.97 $516,485.97 $516,485.97 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $489,517.15 $489,517.15 $489,517.15 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $488,051.51 $488,051.51 $488,051.51 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $108,916.60 $426,668.40 $108,916.60 nat. median
$370,174
outlier · 0.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $97,474.00 $120,068.58 $97,474.00 nat. median
$206,368
outlier · 0.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $89,878.20 $303,783.35 $89,878.20 nat. median
$265,286
outlier · 0.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $79,404.27 $79,404.27 $79,404.27 nat. median
$87,411
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $70,709.40 $165,113.02 $70,709.40 nat. median
$202,986
outlier · 0.3×
S2068
HCPCS 		Breast Diep Or Siea Flap 11 $63,580.26 $63,580.26 $63,580.26 nat. median
$4,202
outlier · 15.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $58,192.07 $58,192.07 $58,192.07 nat. median
$65,381
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $56,869.82 $56,869.82 $56,869.82 nat. median
$62,270
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 12 $55,536.50 $55,536.50 $55,536.50 nat. median
$66,682
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $49,019.27 $49,019.27 $49,019.27 nat. median
$52,278
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $48,737.00 $104,036.66 $48,737.00 nat. median
$133,176
outlier · 0.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $43,455.80 $111,867.15 $43,455.80 nat. median
$102,358
outlier · 0.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $43,423.20 $43,423.20 $43,423.20 nat. median
$98,905
outlier · 0.4×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $42,423.73 $42,423.73 $42,423.73 nat. median
$48,483
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 3 $41,239.00 $102,296.70 $41,239.00 nat. median
$99,019
outlier · 0.4×
7
MS_DRG 		Lung Transplant 3 $40,684.80 $98,927.15 $40,684.80 nat. median
$122,708
outlier · 0.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $40,619.60 $150,903.77 $40,619.60 nat. median
$108,660
outlier · 0.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $39,152.60 $86,761.35 $39,152.60 nat. median
$93,672
outlier · 0.4×
L7181
HCPCS 		Dme Pos 12 $37,603.97 $37,603.97 $37,603.97 nat. median
$50,598
0.7× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $37,121.60 $37,121.60 $37,121.60 nat. median
$39,075
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $34,947.20 $74,322.67 $34,947.20 nat. median
$81,118
outlier · 0.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $34,556.00 $34,556.00 $34,556.00 nat. median
$82,712
outlier · 0.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $34,327.80 $115,142.67 $34,327.80 nat. median
$100,136
outlier · 0.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $34,067.00 $34,067.00 $34,067.00 nat. median
$83,442
outlier · 0.4×
L7180
HCPCS 		Dme Pos 12 $33,885.14 $33,885.14 $33,885.14 nat. median
$49,027
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $33,871.40 $130,483.66 $33,871.40 nat. median
$117,303
outlier · 0.3×
791
MS_DRG 		Prematurity With Major Problems 1 $33,478.03 $33,478.03 $33,478.03 nat. median
$35,265
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $32,893.40 $71,519.99 $32,893.40 nat. median
$77,576
outlier · 0.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $32,763.00 $71,860.31 $32,763.00 nat. median
$79,312
outlier · 0.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $31,491.60 $70,041.93 $31,491.60 nat. median
$73,807
outlier · 0.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $31,133.00 $69,635.16 $31,133.00 nat. median
$74,915
outlier · 0.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $30,089.80 $61,327.79 $30,089.80 nat. median
$60,726
outlier · 0.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $29,405.20 $29,405.20 $29,405.20 nat. median
$68,090
outlier · 0.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $28,394.60 $65,931.07 $28,394.60 nat. median
$68,887
outlier · 0.4×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $28,264.20 $53,069.36 $28,264.20 nat. median
$55,736
0.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $28,199.00 $60,424.28 $28,199.00 nat. median
$62,134
outlier · 0.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $27,775.20 $27,775.20 $27,775.20 nat. median
$63,738
outlier · 0.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $27,677.40 $60,178.03 $27,677.40 nat. median
$65,950
outlier · 0.4×
J9266
HCPCS 		Pegaspargase Injection 12 $27,070.53 $27,070.53 $27,070.53 nat. median
$34,109
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $26,895.00 $55,646.95 $26,895.00 nat. median
$66,526
outlier · 0.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $26,503.80 $82,677.12 $26,503.80 nat. median
$71,240
outlier · 0.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $25,688.80 $56,031.52 $25,688.80 nat. median
$64,510
outlier · 0.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $25,591.00 $41,557.09 $25,591.00 nat. median
$64,027
outlier · 0.4×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $25,428.00 $55,509.57 $25,428.00 nat. median
$60,185
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 19,133 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 18 12 — — $565,623.84 $565,623.84 $565,623.84 2026-03-17
Q2056 HCPCS Ciltacabtagene Car-pos T 18 12 — — $551,318.34 $551,318.34 $551,318.34 2026-03-17
Q2055 HCPCS Idecabtagene Vicleucel Car 18 12 — — $528,312.43 $528,312.43 $528,312.43 2026-03-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 12 — — $516,485.97 $516,485.97 $516,485.97 2026-03-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 18 12 — — $489,517.15 $489,517.15 $489,517.15 2026-03-17
Q2053 HCPCS Brexucabtagene Car Pos T 18 12 — — $488,051.51 $488,051.51 $488,051.51 2026-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $108,916.60 $426,668.40 $108,916.60 2026-03-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $97,474.00 $120,068.58 $97,474.00 2026-03-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $89,878.20 $303,783.35 $89,878.20 2026-03-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $79,404.27 $79,404.27 $79,404.27 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $70,709.40 $165,113.02 $70,709.40 2026-03-17
S2068 HCPCS Breast Diep Or Siea Flap 16 11 — — $63,580.26 $63,580.26 $63,580.26 2026-03-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $58,192.07 $58,192.07 $58,192.07 2026-03-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $56,869.82 $56,869.82 $56,869.82 2026-03-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 18 12 — — $55,536.50 $55,536.50 $55,536.50 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $49,019.27 $49,019.27 $49,019.27 2026-03-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 — — $48,737.00 $104,036.66 $48,737.00 2026-03-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $43,455.80 $111,867.15 $43,455.80 2026-03-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $43,423.20 $43,423.20 $43,423.20 2026-03-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $42,423.73 $42,423.73 $42,423.73 2026-03-17
215 MS_DRG Other Heart Assist System Implant 3 3 — — $41,239.00 $102,296.70 $41,239.00 2026-03-17
7 MS_DRG Lung Transplant 3 3 — — $40,684.80 $98,927.15 $40,684.80 2026-03-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $40,619.60 $150,903.77 $40,619.60 2026-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $39,152.60 $86,761.35 $39,152.60 2026-03-17
L7181 HCPCS Dme Pos 18 12 — — $37,603.97 $37,603.97 $37,603.97 2026-03-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $37,121.60 $37,121.60 $37,121.60 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $34,947.20 $74,322.67 $34,947.20 2026-03-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $34,556.00 $34,556.00 $34,556.00 2026-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $34,327.80 $115,142.67 $34,327.80 2026-03-17
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $34,067.00 $34,067.00 $34,067.00 2026-03-17
L7180 HCPCS Dme Pos 18 12 — — $33,885.14 $33,885.14 $33,885.14 2026-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $33,871.40 $130,483.66 $33,871.40 2026-03-17
791 MS_DRG Prematurity With Major Problems 1 1 — — $33,478.03 $33,478.03 $33,478.03 2026-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $32,893.40 $71,519.99 $32,893.40 2026-03-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $32,763.00 $71,860.31 $32,763.00 2026-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $31,491.60 $70,041.93 $31,491.60 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $31,133.00 $69,635.16 $31,133.00 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $30,089.80 $61,327.79 $30,089.80 2026-03-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $29,405.20 $29,405.20 $29,405.20 2026-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $28,394.60 $65,931.07 $28,394.60 2026-03-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $28,264.20 $53,069.36 $28,264.20 2026-03-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $28,199.00 $60,424.28 $28,199.00 2026-03-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $27,775.20 $27,775.20 $27,775.20 2026-03-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $27,677.40 $60,178.03 $27,677.40 2026-03-17
J9266 HCPCS Pegaspargase Injection 18 12 — — $27,070.53 $27,070.53 $27,070.53 2026-03-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $26,895.00 $55,646.95 $26,895.00 2026-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $26,503.80 $82,677.12 $26,503.80 2026-03-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $25,688.80 $56,031.52 $25,688.80 2026-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $25,591.00 $41,557.09 $25,591.00 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $25,428.00 $55,509.57 $25,428.00 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $25,167.20 $52,319.58 $25,167.20 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $25,069.40 $58,047.58 $25,069.40 2026-03-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $24,971.60 $24,971.60 $24,971.60 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $24,287.00 $60,442.00 $24,287.00 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $23,993.60 $50,774.45 $23,993.60 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $23,895.80 $54,198.79 $23,895.80 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $23,732.80 $57,295.18 $23,732.80 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $23,472.00 $46,411.06 $23,472.00 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $23,439.40 $50,324.22 $23,439.40 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $22,983.00 $28,626.69 $22,983.00 2026-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $22,983.00 $42,593.81 $22,983.00 2026-03-17
L5856 HCPCS Dme Pos 18 12 — — $22,524.38 $22,524.38 $22,524.38 2026-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $22,363.60 $59,971.43 $22,363.60 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $21,483.40 $46,198.45 $21,483.40 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $21,353.00 $47,179.34 $21,353.00 2026-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $21,190.00 $49,017.53 $21,190.00 2026-03-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $21,157.40 $47,382.13 $21,157.40 2026-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $21,027.00 $31,984.76 $21,027.00 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $20,961.80 $55,937.70 $20,961.80 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $20,440.20 $55,699.11 $20,440.20 2026-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $20,407.60 $44,826.94 $20,407.60 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $20,375.00 $43,381.11 $20,375.00 2026-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $20,342.40 $55,447.55 $20,342.40 2026-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $19,690.40 $52,498.09 $19,690.40 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $19,397.00 $42,023.16 $19,397.00 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $19,299.20 $47,841.64 $19,299.20 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $19,234.00 $45,944.37 $19,234.00 2026-03-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $19,234.00 $32,498.02 $19,234.00 2026-03-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $19,136.20 $31,439.34 $19,136.20 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $18,940.60 $42,227.37 $18,940.60 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $18,875.40 $39,879.30 $18,875.40 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $18,777.60 $39,869.48 $18,777.60 2026-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $18,745.00 $43,189.85 $18,745.00 2026-03-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $18,549.40 $42,932.58 $18,549.40 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $18,321.20 $44,484.71 $18,321.20 2026-03-17
245 MS_DRG Aicd Generator Procedures 3 3 — — $18,288.60 $49,583.37 $18,288.60 2026-03-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 — — $18,256.00 $74,325.34 $18,256.00 2026-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $17,995.20 $46,326.81 $17,995.20 2026-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $17,897.40 $38,867.30 $17,897.40 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $17,832.20 $35,226.36 $17,832.20 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $17,832.20 $49,585.32 $17,832.20 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $17,734.40 $49,420.20 $17,734.40 2026-03-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $17,604.00 $35,347.05 $17,604.00 2026-03-17
L5858 HCPCS Dme Pos 18 12 — — $17,442.27 $17,442.27 $17,442.27 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $17,441.00 $61,498.50 $17,441.00 2026-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $17,408.40 $52,734.90 $17,408.40 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $17,245.40 $40,306.22 $17,245.40 2026-03-17
803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 18 12 — — $17,177.60 $17,177.60 $17,177.60 2026-03-17
797T CPT Tcat Ins 2chmbr Ldls Pm Rv 18 12 — — $17,177.60 $17,177.60 $17,177.60 2026-03-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $17,115.00 $47,244.01 $17,115.00 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $17,115.00 $45,765.06 $17,115.00 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $16,789.00 $37,291.84 $16,789.00 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $16,723.80 $42,999.06 $16,723.80 2026-03-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $16,658.60 $41,851.10 $16,658.60 2026-03-17
L5973 HCPCS Dme Pos 18 12 — — $16,498.37 $16,498.37 $16,498.37 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $16,300.00 $41,597.58 $16,300.00 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $16,202.20 $37,228.74 $16,202.20 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $16,039.20 $53,910.95 $16,039.20 2026-03-17
834 MS_DRG Acute Leukemia With Mcc 3 3 — — $16,006.60 $53,456.28 $16,006.60 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $16,006.60 $31,733.67 $16,006.60 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $16,006.60 $36,890.83 $16,006.60 2026-03-17
10 MS_DRG Pancreas Transplant 3 3 — — $15,974.00 $48,786.51 $15,974.00 2026-03-17
L6975 HCPCS Dme Pos 18 12 — — $15,960.53 $15,960.53 $15,960.53 2026-03-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $15,713.20 $25,661.51 $15,713.20 2026-03-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $15,256.80 $40,178.01 $15,256.80 2026-03-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $15,191.60 $28,303.56 $15,191.60 2026-03-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — — $15,126.40 $30,998.60 $15,126.40 2026-03-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $14,996.00 $33,400.26 $14,996.00 2026-03-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $14,963.40 $25,977.32 $14,963.40 2026-03-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $14,833.00 $31,473.92 $14,833.00 2026-03-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $14,735.20 $34,041.51 $14,735.20 2026-03-17
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $14,572.20 $43,269.63 $14,572.20 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $14,572.20 $29,973.64 $14,572.20 2026-03-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $14,441.80 $32,261.58 $14,441.80 2026-03-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $14,376.60 $36,821.70 $14,376.60 2026-03-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $14,344.00 $29,988.32 $14,344.00 2026-03-17
265 MS_DRG Aicd Lead Procedures 3 3 — — $14,278.80 $28,630.44 $14,278.80 2026-03-17
L6970 HCPCS Dme Pos 18 12 — — $14,156.30 $14,156.30 $14,156.30 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $13,985.40 $35,213.96 $13,985.40 2026-03-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $13,952.80 $24,196.60 $13,952.80 2026-03-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $13,952.80 $30,812.80 $13,952.80 2026-03-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $13,952.80 $39,554.39 $13,952.80 2026-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $13,855.00 $48,776.12 $13,855.00 2026-03-17
332 MS_DRG Rectal Resection With Mcc 3 3 — — $13,855.00 $35,636.16 $13,855.00 2026-03-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $13,789.80 $29,496.63 $13,789.80 2026-03-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $13,789.80 $25,645.90 $13,789.80 2026-03-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $13,757.20 $34,121.02 $13,757.20 2026-03-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $13,659.40 $29,466.34 $13,659.40 2026-03-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $13,626.80 $40,449.65 $13,626.80 2026-03-17
L5859 HCPCS Dme Pos 18 12 — — $13,617.04 $13,617.04 $13,617.04 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $13,561.60 $36,346.38 $13,561.60 2026-03-17
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $13,529.00 $30,420.25 $13,529.00 2026-03-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $13,529.00 $33,821.13 $13,529.00 2026-03-17
L6965 HCPCS Dme Pos 18 12 — — $13,468.82 $13,468.82 $13,468.82 2026-03-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $13,463.80 $28,310.88 $13,463.80 2026-03-17
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $13,431.20 $27,564.20 $13,431.20 2026-03-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $13,366.00 $30,829.22 $13,366.00 2026-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 — — $13,366.00 $33,047.66 $13,366.00 2026-03-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $13,333.40 $28,491.52 $13,333.40 2026-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $13,268.20 $35,233.04 $13,268.20 2026-03-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $13,203.00 $27,990.43 $13,203.00 2026-03-17
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $13,170.40 $28,118.17 $13,170.40 2026-03-17
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $13,137.80 $28,325.58 $13,137.80 2026-03-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $13,105.20 $27,858.76 $13,105.20 2026-03-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 — — $13,072.60 $28,403.36 $13,072.60 2026-03-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $13,007.40 $41,445.87 $13,007.40 2026-03-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $12,909.60 $33,242.22 $12,909.60 2026-03-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 — — $12,844.40 $36,604.85 $12,844.40 2026-03-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $12,681.40 $31,716.45 $12,681.40 2026-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $12,681.40 $31,783.02 $12,681.40 2026-03-17
665 MS_DRG Prostatectomy With Mcc 9 8 — — $12,192.40 $23,923.81 $12,561.91 2026-03-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $12,551.00 $32,179.12 $12,551.00 2026-03-17
800 MS_DRG Splenic Procedures With Cc 9 8 — — $10,432.00 $23,887.00 $12,543.50 2026-03-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $12,453.20 $27,869.29 $12,453.20 2026-03-17
253 MS_DRG Other Vascular Procedures With Cc 9 8 — — $10,301.60 $23,688.01 $12,444.00 2026-03-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $12,420.60 $29,060.14 $12,420.60 2026-03-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $12,388.00 $28,440.26 $12,388.00 2026-03-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 9 8 — — $8,899.80 $23,539.54 $12,369.77 2026-03-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $12,355.40 $27,178.76 $12,355.40 2026-03-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 9 8 — — $9,323.60 $23,453.13 $12,326.57 2026-03-17
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 9 8 — — $9,486.60 $23,407.37 $12,303.68 2026-03-17
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $12,257.60 $26,390.59 $12,257.60 2026-03-17
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 9 8 — — $9,845.20 $23,232.75 $12,216.38 2026-03-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 8 — — $11,540.40 $23,207.68 $12,203.84 2026-03-17
81416 CPT Exome Sequence Analysis 16 11 — — $12,155.65 $12,155.65 $12,155.65 2026-03-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 9 8 — — $7,009.00 $23,099.65 $12,149.83 2026-03-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 9 8 — — $10,203.80 $23,061.33 $12,130.67 2026-03-17
662 MS_DRG Minor Bladder Procedures With Mcc 9 8 — — $11,833.80 $22,976.00 $12,088.00 2026-03-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $12,062.00 $32,433.19 $12,062.00 2026-03-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $12,029.40 $32,209.37 $12,029.40 2026-03-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $12,010.00 $22,820.00 $12,010.00 2026-03-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 — — $11,996.80 $30,832.62 $11,996.80 2026-03-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 7 — — $11,928.50 $22,657.00 $11,928.50 2026-03-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $11,899.00 $29,163.88 $11,899.00 2026-03-17
652 MS_DRG Kidney Transplant 3 3 — — $11,866.40 $36,950.22 $11,866.40 2026-03-17
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 9 8 — — $10,236.40 $22,404.05 $11,802.02 2026-03-17
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — — $11,801.20 $31,596.32 $11,801.20 2026-03-17
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 9 8 — — $7,498.00 $22,152.04 $11,676.02 2026-03-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $11,670.80 $31,386.66 $11,670.80 2026-03-17
L6960 HCPCS Dme Pos 18 12 — — $11,626.60 $11,626.60 $11,626.60 2026-03-17
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 9 8 — — $8,443.40 $22,050.83 $11,625.42 2026-03-17
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 9 8 — — $10,203.80 $21,942.47 $11,571.24 2026-03-17
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 8 — — $9,910.40 $21,921.73 $11,560.86 2026-03-17
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 8 — — $11,084.00 $21,910.48 $11,555.24 2026-03-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $11,507.80 $26,462.32 $11,507.80 2026-03-17
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 9 8 — — $9,454.00 $21,729.01 $11,464.50 2026-03-17
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 9 8 — — $8,247.80 $21,697.83 $11,448.92 2026-03-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 9 8 — — $11,434.26 $21,668.52 $11,434.26 2026-03-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $11,410.00 $27,184.68 $11,410.00 2026-03-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $11,344.80 $27,861.91 $11,344.80 2026-03-17
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 9 8 — — $8,247.80 $21,418.21 $11,309.10 2026-03-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $11,276.50 $21,353.00 $11,276.50 2026-03-17
L6955 HCPCS Dme Pos 18 12 — — $11,199.31 $11,199.31 $11,199.31 2026-03-17
835 MS_DRG Acute Leukemia With Cc 9 8 — — $6,389.60 $21,063.82 $11,131.91 2026-03-17
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 9 8 — — $7,367.60 $21,009.06 $11,104.53 2026-03-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $11,084.00 $26,141.69 $11,084.00 2026-03-17
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 9 8 — — $7,498.00 $20,951.20 $11,075.60 2026-03-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 — — $11,051.40 $25,393.44 $11,051.40 2026-03-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 8 — — $10,301.60 $20,803.87 $11,001.93 2026-03-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $10,986.20 $31,798.00 $10,986.20 2026-03-17
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 9 8 — — $8,410.80 $20,766.31 $10,983.16 2026-03-17
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 9 8 — — $8,639.00 $20,667.02 $10,933.51 2026-03-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $10,921.00 $24,609.49 $10,921.00 2026-03-17
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 9 8 — — $9,388.80 $20,596.02 $10,898.01 2026-03-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $10,823.20 $34,276.57 $10,823.20 2026-03-17
570 MS_DRG Skin Debridement With Mcc 3 3 — — $10,823.20 $24,558.45 $10,823.20 2026-03-17
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 9 8 — — $9,877.80 $20,381.70 $10,790.85 2026-03-17
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $10,790.60 $25,086.50 $10,790.60 2026-03-17
30 MS_DRG Spinal Procedures Without Cc/mcc 9 8 — — $9,030.20 $20,367.86 $10,783.93 2026-03-17
165 MS_DRG Major Chest Procedures Without Cc/mcc 9 8 — — $5,802.80 $20,364.26 $10,782.13 2026-03-17
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $7,758.80 $20,312.20 $10,756.10 2026-03-17
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 9 8 — — $8,671.60 $20,306.51 $10,753.25 2026-03-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 8 — — $10,753.00 $20,306.00 $10,753.00 2026-03-17
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 9 8 — — $6,194.00 $20,268.49 $10,734.25 2026-03-17
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 8 — — $6,357.00 $20,244.69 $10,722.34 2026-03-17
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 9 8 — — $8,997.60 $20,236.60 $10,718.30 2026-03-17
792 MS_DRG Prematurity Without Major Problems 7 6 — — $10,700.10 $20,200.20 $10,700.10 2026-03-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 9 8 — — $10,679.80 $20,159.59 $10,679.80 2026-03-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 3 — — $10,660.20 $27,464.35 $10,660.20 2026-03-17
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 9 8 — — $10,649.98 $20,099.95 $10,649.98 2026-03-17
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 9 8 — — $10,620.94 $20,041.89 $10,620.94 2026-03-17
709 MS_DRG Penis Procedures With Cc/mcc 9 8 — — $8,019.60 $20,014.40 $10,607.20 2026-03-17
397 MS_DRG Appendix Procedures With Mcc 9 8 — — $8,508.60 $19,960.19 $10,580.09 2026-03-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 8 — — $10,536.82 $19,873.64 $10,536.82 2026-03-17
347 MS_DRG Anal And Stomal Procedures With Mcc 9 8 — — $9,649.60 $19,864.67 $10,532.33 2026-03-17
336 MS_DRG Peritoneal Adhesiolysis With Cc 9 8 — — $7,987.00 $19,801.80 $10,500.90 2026-03-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $10,464.60 $31,240.59 $10,464.60 2026-03-17
412 MS_DRG Cholecystectomy With C.d.e. With Cc 9 8 — — $6,683.00 $19,682.53 $10,441.26 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 8 — — $10,073.40 $19,677.31 $10,438.66 2026-03-17
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 9 8 — — $8,280.40 $19,622.52 $10,411.26 2026-03-17
357 MS_DRG Other Digestive System O.r. Procedures With Cc 9 8 — — $8,313.00 $19,604.76 $10,402.38 2026-03-17
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 9 8 — — $7,269.80 $19,602.96 $10,401.48 2026-03-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $10,366.80 $30,390.20 $10,366.80 2026-03-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 3 — — $10,366.80 $24,357.10 $10,366.80 2026-03-17
141 MS_DRG Major Head And Neck Procedures With Cc 9 8 — — $7,661.00 $19,528.42 $10,364.21 2026-03-17
545 MS_DRG Connective Tissue Disorders With Mcc 9 8 — — $10,290.34 $19,380.69 $10,290.34 2026-03-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 3 — — $10,269.00 $24,428.76 $10,269.00 2026-03-17
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 9 8 — — $7,791.40 $19,333.38 $10,266.69 2026-03-17
L7186 HCPCS Dme Pos 18 12 — — $10,214.58 $10,214.58 $10,214.58 2026-03-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 8 — — $7,987.00 $19,223.44 $10,211.72 2026-03-17
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 9 8 — — $8,052.20 $19,222.78 $10,211.39 2026-03-17
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 9 8 — — $8,019.60 $19,193.39 $10,196.69 2026-03-17
32 MS_DRG Ventricular Shunt Procedures With Cc 9 8 — — $8,378.20 $19,155.37 $10,177.68 2026-03-17
668 MS_DRG Transurethral Procedures With Mcc 9 8 — — $10,155.73 $19,111.46 $10,155.73 2026-03-17
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 9 8 — — $5,737.60 $19,044.21 $10,122.10 2026-03-17
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 9 8 — — $8,899.80 $18,980.79 $10,090.40 2026-03-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 9 8 — — $10,086.08 $18,972.15 $10,086.08 2026-03-17
177 MS_DRG Respiratory Infections And Inflammations With Mcc 9 8 — — $6,683.00 $18,910.58 $10,055.29 2026-03-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 9 8 — — $8,182.60 $18,890.05 $10,045.02 2026-03-17
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 9 8 — — $9,095.40 $18,834.08 $10,017.04 2026-03-17
L7191 HCPCS Dme Pos 18 12 — — $9,944.48 $9,944.48 $9,944.48 2026-03-17
945 MS_DRG Rehabilitation With Cc/mcc 9 8 — — $7,987.00 $18,626.19 $9,913.09 2026-03-17
180 MS_DRG Respiratory Neoplasms With Mcc 9 8 — — $6,683.00 $18,622.68 $9,911.34 2026-03-17
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 9 8 — — $8,313.00 $18,575.48 $9,887.74 2026-03-17
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 9 8 — — $5,737.60 $18,490.64 $9,845.32 2026-03-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $9,845.20 $27,465.61 $9,845.20 2026-03-17
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 9 8 — — $9,486.60 $18,462.26 $9,831.13 2026-03-17
711 MS_DRG Testes Procedures With Cc/mcc 9 8 — — $7,856.60 $18,421.65 $9,810.83 2026-03-17
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 9 8 — — $9,770.20 $18,340.40 $9,770.20 2026-03-17
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 9 8 — — $6,976.40 $18,304.11 $9,752.06 2026-03-17
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 3 — — $9,747.40 $33,294.35 $9,747.40 2026-03-17
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 9 8 — — $9,728.29 $18,256.58 $9,728.29 2026-03-17
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 9 8 — — $7,009.00 $18,214.34 $9,707.17 2026-03-17
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 9 8 — — $8,313.00 $18,169.29 $9,684.65 2026-03-17
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 — — $9,682.20 $25,195.30 $9,682.20 2026-03-17
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 9 8 — — $6,226.60 $18,076.18 $9,638.09 2026-03-17
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 9 8 — — $7,530.60 $18,055.22 $9,627.61 2026-03-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 9 8 — — $9,612.52 $18,025.05 $9,612.52 2026-03-17
503 MS_DRG Foot Procedures With Mcc 9 8 — — $8,410.80 $18,020.43 $9,610.22 2026-03-17
314 MS_DRG Other Circulatory System Diagnoses With Mcc 9 8 — — $8,182.60 $18,016.32 $9,608.16 2026-03-17
333 MS_DRG Rectal Resection With Cc 9 8 — — $7,889.20 $17,988.93 $9,594.47 2026-03-17
655 MS_DRG Major Bladder Procedures Without Cc/mcc 9 8 — — $8,313.00 $17,978.31 $9,589.16 2026-03-17
L6945 HCPCS Dme Pos 18 12 — — $9,571.19 $9,571.19 $9,571.19 2026-03-17
374 MS_DRG Digestive Malignancy With Mcc 9 8 — — $8,802.00 $17,921.25 $9,560.62 2026-03-17
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 8 — — $9,554.00 $17,907.99 $9,554.00 2026-03-17
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 9 8 — — $8,834.60 $17,810.65 $9,505.33 2026-03-17
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 9 8 — — $7,302.40 $17,786.46 $9,493.23 2026-03-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 3 — — $9,486.60 $31,937.70 $9,486.60 2026-03-17
908 MS_DRG Other O.r. Procedures For Injuries With Cc 9 8 — — $7,400.20 $17,719.90 $9,459.95 2026-03-17
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 — — $9,454.00 $26,296.66 $9,454.00 2026-03-17
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 9 8 — — $6,911.20 $17,649.87 $9,424.93 2026-03-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 8 — — $9,424.50 $17,649.01 $9,424.50 2026-03-17
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 9 8 — — $5,639.80 $17,592.48 $9,396.24 2026-03-17
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 9 8 — — $6,389.60 $17,558.29 $9,379.15 2026-03-17
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 8 — — $7,661.00 $17,541.87 $9,370.93 2026-03-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 — — $9,356.20 $26,549.84 $9,356.20 2026-03-17
L6950 HCPCS Dme Pos 18 12 — — $9,351.18 $9,351.18 $9,351.18 2026-03-17
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 9 8 — — $8,150.00 $17,471.01 $9,335.50 2026-03-17
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 9 8 — — $7,172.00 $17,192.89 $9,196.44 2026-03-17
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 — — $9,193.20 $25,313.70 $9,193.20 2026-03-17
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