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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

ABBEVILLE GENERAL HOSPITAL

Abbeville, LA · CCN 190034 · Rates published

3,096 distinct procedures filed
38 distinct payers
192,819 rate rows
2026-09-28 last MRF observed
Data quality

171,954 of 192,819 rate rows are consumer-grade (89.2%)

20,865 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,154
per-diem day rate — not a per-procedure price 4,939
placeholder amount (≤ $0.02) — excluded from medians 1,656
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,062
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,014
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 26
exceeds 10× this hospital's gross charge — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.abbevillegeneral.com/wp-content/uploads/720574846_abbeville-general-hospital_standardcharges.csv
Found on page https://abbevillegeneral.com/patients-visitors/for-patients/charges-billing-and-insurance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint bdb189cdd7bfe0c4… · 99,946,453 bytes · first seen 2026-09-28

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 11 $1,140,689.86 $1,462,488.98 $1,163,933.82 nat. median
$168,055
outlier · 6.9×
7
MS_DRG 		Lung Transplant 12 $4,250.00 $1,063,686.68 $874,419.31 nat. median
$70,649
outlier · 12.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $4,250.00 $462,712.90 $370,489.10 nat. median
$97,418
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $4,250.00 $436,446.64 $327,903.00 nat. median
$186,516
1.8× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $292,517.55 $292,517.55 $292,517.55 nat. median
$292,587
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $4,250.00 $360,854.25 $288,935.07 nat. median
$65,418
outlier · 4.4×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $287,766.84 $287,766.84 $287,766.84 nat. median
$220,794
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $4,250.00 $345,821.60 $283,937.53 nat. median
$41,943
outlier · 6.8×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $254,304.32 $254,304.32 $254,304.32 nat. median
$27,663
outlier · 9.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $4,250.00 $324,569.85 $244,243.73 nat. median
$145,435
1.7× median
6
MS_DRG 		Liver Transplant Without Mcc 12 $4,250.00 $279,747.46 $230,837.92 nat. median
$31,278
outlier · 7.4×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $4,250.00 $270,973.74 $222,119.25 nat. median
$32,772
outlier · 6.8×
570
MS_DRG 		Skin Debridement With Mcc 12 $2,550.00 $251,355.68 $209,624.55 nat. median
$20,813
outlier · 10.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $4,250.00 $255,558.94 $208,018.16 nat. median
$47,121
outlier · 4.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $196,926.55 $247,778.42 $200,910.03 nat. median
$49,569
outlier · 4.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $4,250.00 $220,397.22 $172,981.12 nat. median
$69,922
outlier · 2.5×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 $3,400.00 $208,201.44 $170,819.88 nat. median
$32,992
outlier · 5.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $4,250.00 $242,104.40 $169,746.54 nat. median
$131,925
1.3× median
163
MS_DRG 		Major Chest Procedures With Mcc 12 $3,400.00 $203,515.01 $167,370.38 nat. median
$31,995
outlier · 5.2×
653
MS_DRG 		Major Bladder Procedures With Mcc 11 $152,913.21 $191,167.66 $155,998.46 nat. median
$36,547
outlier · 4.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $4,250.00 $173,259.79 $137,138.65 nat. median
$56,428
outlier · 2.4×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 12 $23,084.00 $169,034.38 $135,291.38 nat. median
$34,932
outlier · 3.9×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 11 $131,963.91 $165,212.55 $134,621.62 nat. median
$35,986
outlier · 3.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 $4,250.00 $159,968.36 $129,729.90 nat. median
$38,173
outlier · 3.4×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 $3,400.00 $162,619.86 $129,057.59 nat. median
$38,844
outlier · 3.3×
10
MS_DRG 		Pancreas Transplant 12 $3,400.00 $160,497.03 $127,416.56 nat. median
$23,080
outlier · 5.5×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 $4,250.00 $150,403.71 $124,817.63 nat. median
$23,282
outlier · 5.4×
215
MS_DRG 		Other Heart Assist System Implant 12 $4,249.99 $151,052.26 $115,495.25 nat. median
$73,023
1.6× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 12 $2,550.00 $138,984.35 $113,535.89 nat. median
$30,674
outlier · 3.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $44,987.00 $143,567.56 $109,314.67 nat. median
$59,651
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $48,526.99 $137,188.09 $104,048.46 nat. median
$60,505
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $61,854.00 $135,199.22 $100,504.57 nat. median
$69,822
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $47,914.00 $130,850.72 $99,911.80 nat. median
$55,923
1.8× median
197
MS_DRG 		Interstitial Lung Disease With Cc 12 $1,700.00 $116,021.06 $99,337.78 nat. median
$7,334
outlier · 13.5×
347
MS_DRG 		Anal And Stomal Procedures With Mcc 11 $96,943.41 $117,783.34 $98,886.42 nat. median
$16,717
outlier · 5.9×
970
MS_DRG 		HIV With Extensive O.r. Procedures Without Mcc 12 $3,400.00 $116,058.97 $96,895.68 nat. median
$18,549
outlier · 5.2×
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $93,746.19 $93,746.19 $93,746.19 nat. median
$26,720
outlier · 3.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 $3,400.00 $119,753.61 $93,622.63 nat. median
$40,301
outlier · 2.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 13 $4,250.00 $118,624.26 $88,201.97 nat. median
$2,106
outlier · 41.9×
849
MS_DRG 		Radiotherapy 12 $1,700.00 $104,163.29 $86,986.00 nat. median
$18,565
outlier · 4.7×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 $84,274.63 $84,274.63 $84,274.63 nat. median
$58
outlier · 1459.3×
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $78,484.75 $78,484.75 $78,484.75 nat. median
$64,471
1.2× median
745
MS_DRG 		D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 11 $75,807.29 $90,069.29 $77,318.95 nat. median
$8,000
outlier · 9.7×
895
MS_DRG 		Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 13 $1,020.00 $156,735.93 $76,835.32 nat. median
$2,596
outlier · 29.6×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 12 $1,700.00 $89,781.42 $75,873.40 nat. median
$14,126
outlier · 5.4×
215
OTHER 		Other Heart Assist System Implant 1 $75,356.69 $75,356.69 $75,356.69 nat. median
$229
outlier · 329.5×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 11 $73,133.28 $93,005.77 $74,590.37 nat. median
$29,718
outlier · 2.5×
277
MS_DRG 		Cellulitis Age >17 W Cc 11 $71,665.76 $91,006.82 $73,092.90 nat. median
$33,459
outlier · 2.2×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 $2,550.00 $89,069.02 $72,039.85 nat. median
$23,038
outlier · 3.1×
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 $2,550.00 $88,530.24 $71,954.59 nat. median
$25,579
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 3,096 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 12 — — $4,250.00 $436,446.64 $327,903.00 2026-09-28
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $17,808.20 $17,808.20 $17,808.20 2026-09-28
10 MS_DRG Pancreas Transplant 13 12 — — $3,400.00 $160,497.03 $127,416.56 2026-09-28
10 OTHER Pancreas Transplant 1 1 — — $20,242.93 $20,242.93 $20,242.93 2026-09-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 12 — — $3,400.00 $88,605.81 $69,841.41 2026-09-28
114 MS_DRG Orbital Procedures Without Cc/mcc 13 12 — — $2,550.00 $37,173.82 $32,758.62 2026-09-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 12 — — $2,550.00 $59,128.31 $47,026.64 2026-09-28
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 12 — — $2,550.00 $36,467.43 $29,964.25 2026-09-28
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 4 — — $19,480.01 $19,851.74 $19,851.74 2026-09-28
140 MS_DRG Major Head And Neck Procedures With Mcc 12 11 — — $51,947.32 $66,416.00 $52,972.04 2026-09-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 11 — — $26,178.44 $33,994.01 $26,677.27 2026-09-28
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 5 5 — — $8,487.28 $16,099.57 $16,099.57 2026-09-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 12 — — $4,250.00 $65,504.93 $49,895.87 2026-09-28
163 MS_DRG Major Chest Procedures With Mcc 13 12 — — $3,400.00 $203,515.01 $167,370.38 2026-09-28
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $254,304.32 $254,304.32 $254,304.32 2026-09-28
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 4 4 — — $16,397.57 $16,704.76 $16,704.76 2026-09-28
177 MS_DRG Respiratory Infections And Inflammations With Mcc 13 12 — — $1,020.00 $20,636.53 $18,684.48 2026-09-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 11 — — $1,140,689.86 $1,462,488.98 $1,163,933.82 2026-09-28
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $292,517.55 $292,517.55 $292,517.55 2026-09-28
197 MS_DRG Interstitial Lung Disease With Cc 13 12 — — $1,700.00 $116,021.06 $99,337.78 2026-09-28
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 13 12 — — $1,700.00 $42,486.80 $38,156.42 2026-09-28
199 MS_DRG Pneumothorax With Mcc 13 12 — — $1,020.00 $22,607.50 $20,036.84 2026-09-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 12 — — $4,250.00 $360,854.25 $288,935.07 2026-09-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 12 — — $4,250.00 $173,259.79 $137,138.65 2026-09-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 12 — — $4,250.00 $255,558.94 $208,018.16 2026-09-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 12 — — $4,250.00 $159,968.36 $129,729.90 2026-09-28
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 12 11 — — $37,399.82 $94,569.82 $38,127.65 2026-09-28
213 OTHER Splenic Procedures Age 0-17 1 1 — — $33,081.14 $33,081.14 $33,081.14 2026-09-28
215 MS_DRG Other Heart Assist System Implant 13 12 — — $4,249.99 $151,052.26 $115,495.25 2026-09-28
215 OTHER Other Heart Assist System Implant 1 1 — — $75,356.69 $75,356.69 $75,356.69 2026-09-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 12 — — $61,854.00 $135,199.22 $100,504.57 2026-09-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 12 — — $42,801.95 $59,222.33 $43,640.03 2026-09-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $45,603.00 $57,667.91 $56,520.76 2026-09-28
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $17,958.86 $17,958.86 $17,958.86 2026-09-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 12 — — $47,914.00 $130,850.72 $99,911.80 2026-09-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 12 — — $4,250.00 $150,403.71 $124,817.63 2026-09-28
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $22,230.57 $22,230.57 $22,230.57 2026-09-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 12 — — $22,044.70 $47,001.97 $22,459.16 2026-09-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 12 — — $29,703.41 $44,490.23 $30,274.17 2026-09-28
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $17,891.12 $17,891.12 $17,891.12 2026-09-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 13 — — $4,250.00 $44,808.00 $17,879.05 2026-09-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 13 — — $3,400.00 $119,753.61 $93,622.63 2026-09-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 12 — — $48,526.99 $137,188.09 $104,048.46 2026-09-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 12 — — $41,183.00 $74,325.74 $55,905.80 2026-09-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 12 — — $42,877.00 $87,593.09 $64,592.92 2026-09-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 12 — — $32,719.00 $51,981.52 $38,430.76 2026-09-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 12 — — $25,842.51 $51,601.42 $26,334.48 2026-09-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 12 — — $17,408.49 $37,181.60 $17,728.34 2026-09-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 12 — — $3,400.00 $73,170.61 $57,707.02 2026-09-28
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $22,588.92 $22,588.92 $22,588.92 2026-09-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 12 — — $21,664.00 $55,001.06 $44,178.17 2026-09-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 7 5 — — $16,941.00 $19,516.10 $19,151.26 2026-09-28
245 MS_DRG Aicd Generator Procedures 16 13 — — $2,550.00 $40,388.67 $16,778.28 2026-09-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 16 13 — — $2,550.00 $32,833.45 $27,439.94 2026-09-28
252 MS_DRG Other Vascular Procedures With Mcc 15 12 — — $18,325.00 $34,585.74 $26,996.74 2026-09-28
253 MS_DRG Other Vascular Procedures With Cc 15 12 — — $14,982.00 $30,557.58 $24,964.67 2026-09-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 13 — — $2,550.00 $29,146.76 $22,540.64 2026-09-28
263 MS_DRG Vein Ligation And Stripping 16 13 — — $1,700.00 $29,582.74 $23,519.92 2026-09-28
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $29,322.68 $29,900.46 $29,900.46 2026-09-28
265 MS_DRG Aicd Lead Procedures 16 13 — — $2,550.00 $32,283.43 $16,470.18 2026-09-28
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $93,746.19 $93,746.19 $93,746.19 2026-09-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 11 — — $53,075.74 $71,032.50 $54,123.49 2026-09-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 11 — — $44,706.26 $58,388.68 $45,583.20 2026-09-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 11 — — $196,926.55 $247,778.42 $200,910.03 2026-09-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 11 — — $61,897.20 $78,455.66 $63,124.98 2026-09-28
27 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 1 1 — — $18,381.41 $18,381.41 $18,381.41 2026-09-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 11 — — $16,669.25 $46,516.96 $16,974.01 2026-09-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 11 — — $29,589.83 $37,869.12 $30,158.28 2026-09-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 12 11 — — $17,459.67 $23,139.50 $17,780.56 2026-09-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 11 — — $24,601.68 $36,638.22 $25,068.33 2026-09-28
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $25,532.87 $25,532.87 $25,532.87 2026-09-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 11 — — $37,517.65 $62,432.99 $38,247.89 2026-09-28
276 MS_DRG Non-maligant Breast Disorders 4 4 — — $51,738.99 $52,786.03 $52,786.03 2026-09-28
276 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $16,964.90 $16,964.90 $16,964.90 2026-09-28
277 MS_DRG Cellulitis Age >17 W Cc 12 11 — — $71,665.76 $91,006.82 $73,092.90 2026-09-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 12 — — $2,550.00 $65,241.42 $54,283.43 2026-09-28
288 OTHER Acute And Subacute Endocarditis With Mcc 1 1 — — $16,498.30 $16,498.30 $16,498.30 2026-09-28
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 4 — — $14,962.29 $15,239.44 $15,239.44 2026-09-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 12 — — $4,250.00 $324,569.85 $244,243.73 2026-09-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 12 — — $2,550.00 $39,685.64 $27,534.76 2026-09-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 11 — — $56,478.36 $68,027.96 $57,595.55 2026-09-28
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $27,181.32 $27,181.32 $27,181.32 2026-09-28
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $38,765.32 $38,765.32 $38,765.32 2026-09-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 11 — — $27,355.31 $39,534.55 $27,878.15 2026-09-28
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 4 4 — — $24,111.28 $24,579.95 $24,579.95 2026-09-28
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $17,747.70 $17,747.70 $17,747.70 2026-09-28
322 MS_DRG Kidney & Urinary Tract Infections Age 0-17 5 5 — — $8,616.48 $16,357.96 $16,357.96 2026-09-28
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $24,994.47 $24,994.47 $24,994.47 2026-09-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 11 — — $131,963.91 $165,212.55 $134,621.62 2026-09-28
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 11 — — $64,473.56 $78,528.51 $65,753.92 2026-09-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 11 — — $42,806.64 $55,796.00 $43,644.82 2026-09-28
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 4 — — $15,384.37 $15,670.35 $15,670.35 2026-09-28
332 MS_DRG Rectal Resection With Mcc 13 12 — — $3,400.00 $32,304.90 $17,439.72 2026-09-28
333 MS_DRG Rectal Resection With Cc 13 12 — — $2,550.00 $78,961.90 $66,284.02 2026-09-28
334 OTHER Rectal Resection Without Cc/mcc 1 1 — — $16,894.07 $16,894.07 $16,894.07 2026-09-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 13 — — $2,550.00 $34,450.96 $15,779.46 2026-09-28
347 MS_DRG Anal And Stomal Procedures With Mcc 12 11 — — $96,943.41 $117,783.34 $98,886.42 2026-09-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 4 — — $22,186.62 $22,615.01 $22,615.01 2026-09-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 — — $25,634.84 $26,135.41 $26,135.41 2026-09-28
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 4 4 — — $15,380.16 $15,666.06 $15,666.06 2026-09-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 12 — — $2,550.00 $138,984.35 $113,535.89 2026-09-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 13 12 — — $2,550.00 $22,312.95 $18,950.78 2026-09-28
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $20,207.31 $20,207.31 $20,207.31 2026-09-28
364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $19,376.49 $19,376.49 $19,376.49 2026-09-28
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 4 — — $17,732.78 $18,067.94 $18,067.94 2026-09-28
385 MS_DRG Inflammatory Bowel Disease With Mcc 13 12 — — $1,020.00 $34,976.89 $30,637.71 2026-09-28
397 MS_DRG Coagulation Disorders 4 4 — — $21,371.03 $21,782.35 $21,782.35 2026-09-28
398 OTHER Major Head And Neck Procedures Without Cc/mcc 1 1 — — $21,885.93 $21,885.93 $21,885.93 2026-09-28
399 MS_DRG Reticuloendothelial & Immunity Disorders Without Cc 12 11 — — $50,222.98 $58,877.40 $51,212.51 2026-09-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 12 — — $4,250.00 $462,712.90 $370,489.10 2026-09-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 12 — — $2,550.00 $77,784.25 $63,129.03 2026-09-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 12 — — $32,093.00 $55,003.34 $40,903.26 2026-09-28
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 12 — — $22,038.00 $36,964.20 $29,800.99 2026-09-28
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 15 12 — — $14,920.00 $20,556.26 $17,294.36 2026-09-28
411 OTHER Cholecystectomy With C.d.e. With Mcc 1 1 — — $21,337.84 $21,337.84 $21,337.84 2026-09-28
413 OTHER Cholecystectomy With C.d.e. Without Cc/mcc 1 1 — — $18,677.21 $18,677.21 $18,677.21 2026-09-28
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $69,287.88 $69,287.88 $69,287.88 2026-09-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $31,189.30 $31,806.16 $31,806.16 2026-09-28
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 4 — — $18,611.44 $18,964.98 $18,964.98 2026-09-28
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 12 11 — — $17,286.64 $19,048.07 $17,604.00 2026-09-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 — — $21,299.54 $21,709.35 $21,709.35 2026-09-28
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 — — $15,457.53 $15,745.05 $15,745.05 2026-09-28
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 13 12 — — $2,550.00 $21,580.01 $19,190.72 2026-09-28
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $34,560.16 $34,560.16 $34,560.16 2026-09-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 11 — — $29,563.44 $38,814.39 $30,131.35 2026-09-28
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 12 11 — — $30,303.21 $36,318.76 $30,886.21 2026-09-28
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 13 12 — — $1,700.00 $89,781.42 $75,873.40 2026-09-28
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 4 — — $16,677.56 $16,990.62 $16,990.62 2026-09-28
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 11 — — $17,660.22 $20,004.25 $17,985.20 2026-09-28
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 13 — — $4,250.00 $118,624.26 $88,201.97 2026-09-28
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $21,605.43 $21,605.43 $21,605.43 2026-09-28
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $25,018.83 $25,018.83 $25,018.83 2026-09-28
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 16 13 — — $4,250.00 $47,913.08 $37,015.10 2026-09-28
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $32,621.24 $32,621.24 $32,621.24 2026-09-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 12 — — $44,987.00 $143,567.56 $109,314.67 2026-09-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $36,332.00 $52,412.63 $51,373.25 2026-09-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 12 — — $20,454.96 $37,042.55 $20,836.98 2026-09-28
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $19,575.87 $19,575.87 $19,575.87 2026-09-28
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 13 — — $4,250.00 $66,741.87 $48,884.24 2026-09-28
460 OTHER Spinal Fusion Except Cervical Without Mcc 1 1 — — $21,829.69 $21,829.69 $21,829.69 2026-09-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 13 — — $3,400.00 $162,619.86 $129,057.59 2026-09-28
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $18,360.79 $18,360.79 $18,360.79 2026-09-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 12 — — $3,400.00 $50,149.83 $28,927.78 2026-09-28
467 OTHER Revision Of Hip Or Knee Replacement With Cc 1 1 — — $18,273.51 $18,273.51 $18,273.51 2026-09-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 13 — — $2,550.00 $29,505.70 $23,885.06 2026-09-28
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $21,229.98 $21,229.98 $21,229.98 2026-09-28
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $19,216.43 $19,216.43 $19,216.43 2026-09-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 5 — — $14,267.00 $17,782.09 $17,452.81 2026-09-28
471 MS_DRG Cervical Spinal Fusion With Mcc 15 12 — — $23,084.00 $169,034.38 $135,291.38 2026-09-28
472 OTHER Cervical Spinal Fusion With Cc 1 1 — — $20,850.23 $20,850.23 $20,850.23 2026-09-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 7 5 — — $12,928.00 $22,180.65 $21,761.17 2026-09-28
473 OTHER Cervical Spinal Fusion Without Cc/mcc 1 1 — — $19,166.91 $19,166.91 $19,166.91 2026-09-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 5 — — $13,233.00 $25,018.59 $24,540.92 2026-09-28
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $20,554.38 $20,554.38 $20,554.38 2026-09-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 13 — — $2,550.00 $89,069.02 $72,039.85 2026-09-28
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $19,200.79 $19,200.79 $19,200.79 2026-09-28
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 7 5 — — $11,908.00 $16,408.60 $16,107.48 2026-09-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 5 — — $14,900.00 $32,741.84 $32,105.81 2026-09-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 5 — — $11,426.00 $22,994.42 $22,558.27 2026-09-28
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 7 5 — — $8,478.00 $18,448.23 $18,105.28 2026-09-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 11 — — $28,598.53 $36,762.58 $29,146.74 2026-09-28
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 13 12 — — $2,550.00 $35,836.40 $30,676.30 2026-09-28
499 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $15,870.53 $15,870.53 $15,870.53 2026-09-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 12 — — $4,250.00 $220,397.22 $172,981.12 2026-09-28
500 MS_DRG Soft Tissue Procedures With Mcc 12 11 — — $48,884.68 $60,686.02 $49,846.90 2026-09-28
501 MS_DRG Soft Tissue Procedures With Cc 4 4 — — $15,932.59 $16,230.06 $16,230.06 2026-09-28
503 MS_DRG Foot Procedures With Mcc 12 11 — — $59,990.19 $73,563.22 $61,179.05 2026-09-28
505 MS_DRG Foot Procedures Without Cc/mcc 4 4 — — $16,308.43 $16,613.76 $16,613.76 2026-09-28
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 4 4 — — $16,422.80 $16,730.52 $16,730.52 2026-09-28
509 MS_DRG Arthroscopy 13 12 — — $2,550.00 $38,033.66 $32,889.75 2026-09-28
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 4 — — $26,631.21 $27,152.63 $27,152.63 2026-09-28
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 4 — — $18,718.23 $19,074.00 $19,074.00 2026-09-28
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 4 4 — — $15,153.16 $15,434.30 $15,434.30 2026-09-28
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $47,386.43 $47,386.43 $47,386.43 2026-09-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $28,030.33 $28,581.05 $28,581.05 2026-09-28
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 4 — — $18,707.30 $19,062.85 $19,062.85 2026-09-28
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $21,744.61 $21,744.61 $21,744.61 2026-09-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 11 — — $16,663.71 $33,305.82 $16,968.36 2026-09-28
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 4 — — $18,052.29 $18,394.13 $18,394.13 2026-09-28
52 OTHER Spinal Disorders And Injuries With Cc/mcc 1 1 — — $35,379.62 $35,379.62 $35,379.62 2026-09-28
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 13 12 — — $1,700.00 $21,424.04 $18,923.91 2026-09-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $25,367.46 $25,862.42 $25,862.42 2026-09-28
570 MS_DRG Skin Debridement With Mcc 13 12 — — $2,550.00 $251,355.68 $209,624.55 2026-09-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $56,319.79 $57,462.74 $57,462.74 2026-09-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $30,422.46 $31,023.26 $31,023.26 2026-09-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $28,464.21 $29,024.01 $29,024.01 2026-09-28
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 — — $15,763.58 $16,057.50 $16,057.50 2026-09-28
581 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 1 1 — — $18,285.76 $18,285.76 $18,285.76 2026-09-28
582 OTHER Mastectomy For Malignancy With Cc/mcc 1 1 — — $19,073.96 $19,073.96 $19,073.96 2026-09-28
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 7 5 — — $6,270.00 $17,762.32 $17,433.45 2026-09-28
583 OTHER Mastectomy For Malignancy Without Cc/mcc 1 1 — — $20,057.76 $20,057.76 $20,057.76 2026-09-28
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 7 5 — — $5,002.00 $16,026.61 $15,733.32 2026-09-28
584 OTHER Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 — — $19,551.75 $19,551.75 $19,551.75 2026-09-28
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 1 — — $19,124.20 $19,124.20 $19,124.20 2026-09-28
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 4 4 — — $17,454.47 $17,783.80 $17,783.80 2026-09-28
595 OTHER Major Skin Disorders With Mcc 1 1 — — $37,578.95 $37,578.95 $37,578.95 2026-09-28
598 MS_DRG Malignant Breast Disorders With Cc 13 12 — — $1,020.00 $59,208.71 $51,513.29 2026-09-28
599 MS_DRG Malignant Breast Disorders Without Cc/mcc 13 12 — — $1,020.00 $23,604.20 $22,264.63 2026-09-28
6 MS_DRG Liver Transplant Without Mcc 13 12 — — $4,250.00 $279,747.46 $230,837.92 2026-09-28
613 OTHER Neonate, Birth Weight <750 Grams, Died 1 1 — — $48,216.22 $48,216.22 $48,216.22 2026-09-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 12 — — $2,550.00 $37,317.17 $29,822.71 2026-09-28
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 12 — — $1,700.00 $30,307.73 $26,956.02 2026-09-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 5 — — $19,835.00 $26,010.07 $25,512.07 2026-09-28
619 OTHER O.r. Procedures For Obesity With Mcc 1 1 — — $17,270.86 $17,270.86 $17,270.86 2026-09-28
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $62,303.65 $62,303.65 $62,303.65 2026-09-28
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 12 — — $1,700.00 $25,244.83 $22,929.77 2026-09-28
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 13 12 — — $1,700.00 $43,398.86 $37,819.90 2026-09-28
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $26,747.85 $26,747.85 $26,747.85 2026-09-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 11 — — $73,133.28 $93,005.77 $74,590.37 2026-09-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 11 — — $66,051.51 $82,583.39 $67,364.07 2026-09-28
652 MS_DRG Kidney Transplant 13 12 — — $2,550.00 $60,897.77 $49,907.24 2026-09-28
653 MS_DRG Major Bladder Procedures With Mcc 12 11 — — $152,913.21 $191,167.66 $155,998.46 2026-09-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 11 — — $30,417.27 $38,234.56 $31,002.60 2026-09-28
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 4 — — $16,621.23 $16,933.11 $16,933.11 2026-09-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 4 — — $22,598.63 $23,035.64 $23,035.64 2026-09-28
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $26,975.95 $27,504.60 $27,504.60 2026-09-28
665 MS_DRG Prostatectomy With Mcc 13 12 — — $2,550.00 $30,856.54 $24,961.75 2026-09-28
668 MS_DRG Transurethral Procedures With Mcc 12 11 — — $28,731.13 $35,662.66 $29,282.05 2026-09-28
671 MS_DRG Urethral Procedures With Cc/mcc 4 4 — — $16,326.95 $16,632.66 $16,632.66 2026-09-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 12 — — $2,550.00 $61,377.86 $48,892.95 2026-09-28
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 13 12 — — $3,400.00 $37,844.05 $32,899.10 2026-09-28
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $287,766.84 $287,766.84 $287,766.84 2026-09-28
682 MS_DRG Renal Failure With Mcc 13 12 — — $1,020.00 $25,448.78 $22,812.65 2026-09-28
7 MS_DRG Lung Transplant 13 12 — — $4,250.00 $1,063,686.68 $874,419.31 2026-09-28
7 OTHER Lung Transplant 1 1 — — $36,807.46 $36,807.46 $36,807.46 2026-09-28
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 13 12 — — $1,700.00 $56,275.56 $48,297.91 2026-09-28
707 OTHER Major Male Pelvic Procedures With Cc/mcc 1 1 — — $18,052.85 $18,052.85 $18,052.85 2026-09-28
708 OTHER Major Male Pelvic Procedures Without Cc/mcc 1 1 — — $16,091.95 $16,091.95 $16,091.95 2026-09-28
711 MS_DRG Testes Procedures With Cc/mcc 4 4 — — $18,755.23 $19,111.78 $19,111.78 2026-09-28
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $20,764.06 $20,764.06 $20,764.06 2026-09-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 12 — — $2,550.00 $41,685.17 $33,381.52 2026-09-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 12 — — $2,550.00 $31,979.55 $19,888.21 2026-09-28
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 13 12 — — $1,700.00 $42,385.23 $37,010.41 2026-09-28
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 — — $16,661.58 $16,974.29 $16,974.29 2026-09-28
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 12 11 — — $75,807.29 $90,069.29 $77,318.95 2026-09-28
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 4 4 — — $15,840.10 $16,135.63 $16,135.63 2026-09-28
748 OTHER Female Reproductive System Reconstructive Procedures 1 1 — — $15,992.95 $15,992.95 $15,992.95 2026-09-28
78 OTHER Hypertensive Encephalopathy With Cc 1 1 — — $20,785.47 $20,785.47 $20,785.47 2026-09-28
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 13 — — $2,750.00 $64,094.99 $52,628.80 2026-09-28
786 MS_DRG Cesarean Section Without Sterilization With Mcc 14 13 — — $3,500.00 $31,086.01 $26,980.60 2026-09-28
799 MS_DRG Splenectomy With Mcc 12 11 — — $18,169.76 $40,101.10 $18,505.14 2026-09-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 12 — — $4,250.00 $270,973.74 $222,119.25 2026-09-28
800 MS_DRG Splenectomy With Cc 12 11 — — $35,110.97 $43,337.48 $35,792.09 2026-09-28
801 MS_DRG Splenectomy Without Cc/mcc 4 4 — — $17,284.62 $17,610.39 $17,610.39 2026-09-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 12 — — $2,550.00 $88,530.24 $71,954.59 2026-09-28
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 12 — — $1,700.00 $40,465.81 $35,661.50 2026-09-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 13 12 — — $1,700.00 $28,058.25 $23,785.44 2026-09-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 12 — — $3,400.00 $56,800.99 $42,665.31 2026-09-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 12 — — $3,400.00 $59,927.34 $47,136.79 2026-09-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 12 — — $3,400.00 $49,923.56 $38,615.34 2026-09-28
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 12 — — $2,550.00 $26,204.29 $23,376.05 2026-09-28
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 1 — — $84,274.63 $84,274.63 $84,274.63 2026-09-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 12 — — $3,400.00 $208,201.44 $170,819.88 2026-09-28
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 13 12 — — $1,700.00 $68,726.33 $58,789.38 2026-09-28
849 MS_DRG Radiotherapy 13 12 — — $1,700.00 $104,163.29 $86,986.00 2026-09-28
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $15,836.40 $15,836.40 $15,836.40 2026-09-28
862 OTHER Postoperative And Post-traumatic Infections With Mcc 1 1 — — $24,823.63 $24,823.63 $24,823.63 2026-09-28
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 13 12 — — $2,550.00 $52,558.77 $44,577.10 2026-09-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 12 — — $4,250.00 $81,316.24 $61,620.62 2026-09-28
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 14 13 — — $1,020.00 $156,735.93 $76,835.32 2026-09-28
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 14 13 — — $1,020.00 $98,697.52 $48,396.50 2026-09-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 12 — — $2,550.00 $37,369.80 $29,584.94 2026-09-28
904 OTHER Skin Grafts For Injuries With Cc/mcc 1 1 — — $26,629.47 $26,629.47 $26,629.47 2026-09-28
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 13 12 — — $1,700.00 $29,537.19 $26,219.24 2026-09-28
908 MS_DRG Other O.r. Procedures For Injuries With Cc 13 12 — — $2,550.00 $69,611.77 $58,969.65 2026-09-28
915 MS_DRG Allergic Reactions With Mcc 13 12 — — $1,020.00 $17,069.67 $15,499.55 2026-09-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 12 — — $4,250.00 $242,104.40 $169,746.54 2026-09-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 13 12 — — $2,550.00 $56,434.01 $43,623.26 2026-09-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 12 — — $2,550.00 $43,680.20 $33,682.89 2026-09-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 12 — — $2,550.00 $42,556.11 $34,055.52 2026-09-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 12 — — $2,550.00 $31,435.31 $19,896.80 2026-09-28
941 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $19,004.43 $19,004.43 $19,004.43 2026-09-28
950 MS_DRG Aftercare Without Cc/mcc 13 12 — — $1,020.00 $22,171.22 $21,322.33 2026-09-28
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $78,484.75 $78,484.75 $78,484.75 2026-09-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 12 — — $4,250.00 $80,022.58 $60,782.79 2026-09-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 12 — — $3,400.00 $33,526.43 $19,357.12 2026-09-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 12 — — $4,250.00 $69,698.96 $50,877.80 2026-09-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 13 12 — — $3,400.00 $70,302.82 $58,157.23 2026-09-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 12 — — $2,550.00 $34,578.84 $28,652.19 2026-09-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 12 — — $4,250.00 $345,821.60 $283,937.53 2026-09-28
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $20,741.75 $20,741.75 $20,741.75 2026-09-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 12 — — $3,400.00 $116,058.97 $96,895.68 2026-09-28
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $63,102.38 $63,102.38 $63,102.38 2026-09-28
98 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $15,592.36 $15,592.36 $15,592.36 2026-09-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 12 — — $3,400.00 $28,509.39 $23,944.04 2026-09-28
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 13 12 — — $1,700.00 $23,801.25 $21,565.74 2026-09-28
J1299 HCPCS Eculizumab 300 Mg/ 30ml Sol Abb 79 32 $28,913.54 $14,456.77 50% off $40.53 $52,044.37 $18,793.80 2026-09-28
J1628 HCPCS Guselkumab 200 Mg/20 Ml Sol Abb 39 31 $45,884.37 $22,942.19 50% off $65.64 $82,591.87 $29,824.84 2026-09-28
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Sol Abb 79 32 $35,201.63 $17,600.82 50% off $28.35 $63,362.93 $22,881.06 2026-09-28
J2327 HCPCS Risankizumab Rzaa 600 mg/10mL Sol Abb 79 32 $32,674.01 $16,337.01 50% off $13.44 $58,813.22 $21,238.11 2026-09-28
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Inj Abb 83 32 $27,618.34 $13,809.17 50% off $34.25 $49,713.01 $17,951.92 2026-09-28
J3101 HCPCS Tenecteplase (TNKase) 25 Mg IV Inj Abb 57 32 $26,136.36 $13,068.18 50% off $92.00 $47,045.47 $19,602.27 2026-09-28
J9022 HCPCS Atezolizumab 1200 Mg/20 Ml Sol Abb 79 32 $38,048.00 $19,024.00 50% off $84.52 $68,486.40 $24,731.20 2026-09-28
J9043 HCPCS Cabazitaxel 60 Mg/6 Ml Sol Abb 81 33 $45,230.03 $22,615.02 50% off $207.72 $81,414.05 $22,615.02 2026-09-28
J9119 HCPCS Cemiplimab 350 Mg/7 Ml Sol Abb 79 32 $36,584.61 $18,292.31 50% off $25.82 $65,852.30 $23,780.00 2026-09-28
J9144 HCPCS Daratumumabhyaluronidase 1800 Mg30000 Units/15 Ml 79 32 $31,715.55 $15,857.78 50% off $49.55 $57,087.99 $20,615.11 2026-09-28
J9217 HCPCS Leuprolide 45 Mg/6 Months IM Inj Abb 224 34 $23,662.93 $11,831.47 50% off $153.70 $73,018.21 $15,465.39 2026-09-28
J9223 HCPCS Lurbinectedin 4 Mg IV Abb 79 32 $25,396.73 $12,698.37 50% off $189.71 $45,714.11 $16,507.87 2026-09-28
J9228 HCPCS Ipilimumab 200 Mg/40 Ml Sol Abb 128 33 $74,255.76 $37,127.88 50% off $168.14 $213,046.85 $24,121.72 2026-09-28
J9311 HCPCS Hyaluronidaserituximab 23400 Units1400 Mg/11.7 Ml 79 32 $26,439.75 $13,219.88 50% off $33.19 $47,591.55 $18,507.82 2026-09-28
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