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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

SABINE MEDICAL CENTER

Many, LA · CCN 190218 · Rates published

5,746 distinct procedures filed
10 distinct payers
365,715 rate rows
2025-12-16 last MRF observed
Data quality

348,083 of 365,715 rate rows are consumer-grade (95.2%)

17,632 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
template filing: same amount across many unrelated codes — excluded 14,520
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,822
placeholder amount (≤ $0.02) — excluded from medians 189
exceeds 10× this hospital's gross charge — excluded from medians 60
per-diem day rate — not a per-procedure price 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sabinemedicalcenter.net/26-2074318_SABINE-MEDICAL-CENTER_standardcharges.csv
Found on page https://sabinemedicalcenter.net/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 4ae093c5cb0e2ac5… · 216,482,902 bytes · first seen 2026-05-05

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 I 4 $269,244.76 $284,657.99 $284,657.99 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 4 $174,729.02 $184,731.58 $184,731.58 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >9 4 $114,912.30 $140,741.00 $140,741.00 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 4 $132,339.12 $139,915.03 $139,915.03 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagno 4 $86,363.48 $91,307.45 $91,307.45 nat. median
$133,161
0.7× median
7
MS_DRG 		Lung Transplant 4 $80,744.50 $85,366.81 $85,366.81 nat. median
$122,708
0.7× median
01903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$84,819
1.0× median
01907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$84,819
1.0× median
01904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$82,736
1.0× median
01906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$82,736
1.0× median
01599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$83,741
1.0× median
01585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$83,741
1.0× median
01908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$82,736
1.0× median
01901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$84,819
1.0× median
01905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$82,736
1.0× median
01902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 3 $81,046.99 $81,046.99 $81,046.99 nat. median
$82,736
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $74,931.61 $79,221.15 $79,221.15 nat. median
$117,357
0.7× median
01598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 3 $77,258.19 $77,258.19 $77,258.19 nat. median
$79,660
1.0× median
01584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 3 $77,258.19 $77,258.19 $77,258.19 nat. median
$79,660
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 4 $70,653.77 $74,698.43 $74,698.43 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $70,572.72 $74,612.73 $74,612.73 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 4 $68,717.18 $72,650.97 $72,650.97 nat. median
$98,894
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $67,800.01 $71,681.30 $71,681.30 nat. median
$102,358
0.7× median
01597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 3 $68,169.05 $68,169.05 $68,169.05 nat. median
$70,289
1.0× median
01583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 3 $68,169.05 $68,169.05 $68,169.05 nat. median
$70,289
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $64,285.97 $67,966.09 $67,966.09 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 4 $62,081.90 $65,635.84 $65,635.84 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 4 $60,995.76 $64,487.53 $64,487.53 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fu 4 $56,174.86 $59,390.65 $59,390.65 nat. median
$82,711
0.7× median
01582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 3 $59,079.90 $59,079.90 $59,079.90 nat. median
$60,917
1.0× median
01596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 3 $59,079.90 $59,079.90 $59,079.90 nat. median
$60,917
1.0× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 3 $58,413.72 $58,413.72 $58,413.72 nat. median
$87,428
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $53,991.98 $57,082.81 $57,082.81 nat. median
$83,470
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $52,560.43 $55,569.31 $55,569.31 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 4 $52,395.20 $55,394.62 $55,394.62 nat. median
$81,118
0.7× median
05244
OTHER 		Level 4 Blood Product Exchange And Related Service 4 $53,755.32 $61,683.28 $53,755.32 nat. median
$56,957
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Di 4 $49,061.97 $51,870.57 $51,870.57 nat. median
$77,570
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 4 $47,874.20 $50,614.81 $50,614.81 nat. median
$74,915
0.7× median
222
MS_DRG 		Cardiac Defib Implant W Cardiac Cath W Ami/hf/shoc 3 $50,471.77 $50,471.77 $50,471.77 nat. median
$63,570
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Op 4 $47,667.82 $50,396.62 $50,396.62 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Tra 4 $47,510.08 $50,229.84 $50,229.84 nat. median
$72,135
0.7× median
01595
OTHER 		New Technology - Level 44 ($50,001-$60,000) 3 $49,990.75 $49,990.75 $49,990.75 nat. median
$51,545
1.0× median
01581
OTHER 		New Technology - Level 44 ($50,001-$60,000) 3 $49,990.75 $49,990.75 $49,990.75 nat. median
$51,545
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 4 $45,007.97 $47,584.50 $47,584.50 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 4 $19,140.83 $47,301.71 $47,301.71 nat. median
$68,884
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation 4 $44,721.78 $47,281.93 $47,281.93 nat. median
$64,023
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With H 4 $41,320.59 $47,030.78 $47,030.78 nat. median
$71,271
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 4 $44,458.04 $47,003.09 $47,003.09 nat. median
$68,886
0.7× median
224
MS_DRG 		Cardiac Defib Implant W Cardiac Cath Without Ami/hf/sh 3 $46,731.51 $46,731.51 $46,731.51 nat. median
$54,196
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $43,095.07 $45,562.10 $45,562.10 nat. median
$66,526
0.7× median

Other procedures at this hospital

Browse this hospital's 5,746 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 I 26 4 — — $269,244.76 $284,657.99 $284,657.99 2025-12-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System 26 4 — — $174,729.02 $184,731.58 $184,731.58 2025-12-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 26 4 — — $114,912.30 $140,741.00 $140,741.00 2025-12-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 26 4 — — $132,339.12 $139,915.03 $139,915.03 2025-12-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagno 26 4 — — $86,363.48 $91,307.45 $91,307.45 2025-12-16
7 MS_DRG Lung Transplant 26 4 — — $80,744.50 $85,366.81 $85,366.81 2025-12-16
01903 OTHER New Technology - Level 50 ($115,001-$130,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01599 OTHER New Technology - Level 48 ($90,001-$100,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01905 OTHER New Technology - Level 51 ($130,001-$145,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01906 OTHER New Technology - Level 51 ($130,001-$145,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01585 OTHER New Technology - Level 48 ($90,001-$100,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01901 OTHER New Technology - Level 49 ($100,001-$115,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01908 OTHER New Technology - Level 52 ($145,001-$160,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01907 OTHER New Technology - Level 52 ($145,001-$160,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01904 OTHER New Technology - Level 50 ($115,001-$130,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
01902 OTHER New Technology - Level 49 ($100,001-$115,000) 16 3 — — $81,046.99 $81,046.99 $81,046.99 2025-12-16
14 MS_DRG Allogeneic Bone Marrow Transplant 26 4 — — $74,931.61 $79,221.15 $79,221.15 2025-12-16
01584 OTHER New Technology - Level 47 ($80,001-$90,000) 16 3 — — $77,258.19 $77,258.19 $77,258.19 2025-12-16
01598 OTHER New Technology - Level 47 ($80,001-$90,000) 16 3 — — $77,258.19 $77,258.19 $77,258.19 2025-12-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System 26 4 — — $70,653.77 $74,698.43 $74,698.43 2025-12-16
209 MS_DRG Complex Aortic Arch Procedures 26 4 — — $70,572.72 $74,612.73 $74,612.73 2025-12-16
426 MS_DRG Multiple Level Combined Anterior And Posterior Spi 26 4 — — $68,717.18 $72,650.97 $72,650.97 2025-12-16
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 4 — — $67,800.01 $71,681.30 $71,681.30 2025-12-16
01597 OTHER New Technology - Level 46 ($70,001-$80,000) 16 3 — — $68,169.05 $68,169.05 $68,169.05 2025-12-16
01583 OTHER New Technology - Level 46 ($70,001-$80,000) 16 3 — — $68,169.05 $68,169.05 $68,169.05 2025-12-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 4 — — $64,285.97 $67,966.09 $67,966.09 2025-12-16
215 MS_DRG Other Heart Assist System Implant 26 4 — — $62,081.90 $65,635.84 $65,635.84 2025-12-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 26 4 — — $60,995.76 $64,487.53 $64,487.53 2025-12-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 26 4 — — $56,174.86 $59,390.65 $59,390.65 2025-12-16
01582 OTHER New Technology - Level 45 ($60,001-$70,000) 16 3 — — $59,079.90 $59,079.90 $59,079.90 2025-12-16
01596 OTHER New Technology - Level 45 ($60,001-$70,000) 16 3 — — $59,079.90 $59,079.90 $59,079.90 2025-12-16
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 16 3 — — $58,413.72 $58,413.72 $58,413.72 2025-12-16
850 MS_DRG Acute Leukemia With Other Procedures 26 4 — — $53,991.98 $57,082.81 $57,082.81 2025-12-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 4 — — $52,560.43 $55,569.31 $55,569.31 2025-12-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 26 4 — — $52,395.20 $55,394.62 $55,394.62 2025-12-16
05244 OTHER Level 4 Blood Product Exchange And Related Service 20 4 — — $53,755.32 $61,683.28 $53,755.32 2025-12-16
20 MS_DRG Intracranial Vascular Procedures With Principal Di 26 4 — — $49,061.97 $51,870.57 $51,870.57 2025-12-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 26 4 — — $47,874.20 $50,614.81 $50,614.81 2025-12-16
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shoc 16 3 — — $50,471.77 $50,471.77 $50,471.77 2025-12-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 26 4 — — $47,667.82 $50,396.62 $50,396.62 2025-12-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 26 4 — — $47,510.08 $50,229.84 $50,229.84 2025-12-16
01595 OTHER New Technology - Level 44 ($50,001-$60,000) 16 3 — — $49,990.75 $49,990.75 $49,990.75 2025-12-16
01581 OTHER New Technology - Level 44 ($50,001-$60,000) 16 3 — — $49,990.75 $49,990.75 $49,990.75 2025-12-16
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 26 4 — — $45,007.97 $47,584.50 $47,584.50 2025-12-16
10 MS_DRG Pancreas Transplant 26 4 — — $19,140.83 $47,301.71 $47,301.71 2025-12-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 26 4 — — $44,721.78 $47,281.93 $47,281.93 2025-12-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With H 26 4 — — $41,320.59 $47,030.78 $47,030.78 2025-12-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 26 4 — — $44,458.04 $47,003.09 $47,003.09 2025-12-16
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/sh 16 3 — — $46,731.51 $46,731.51 $46,731.51 2025-12-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 4 — — $43,095.07 $45,562.10 $45,562.10 2025-12-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 26 4 — — $42,883.71 $45,338.63 $45,338.63 2025-12-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 4 — — $41,968.41 $44,370.94 $44,370.94 2025-12-16
317 MS_DRG Concomitant Left Atrial Appendage Closure And Card 26 4 — — $41,690.33 $44,076.93 $44,076.93 2025-12-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With 26 4 — — $41,659.78 $44,044.63 $44,044.63 2025-12-16
459 MS_DRG Spinal Fusion Except Cervical W Mcc 16 3 — — $43,719.65 $43,719.65 $43,719.65 2025-12-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 26 4 — — $40,997.00 $43,343.91 $43,343.91 2025-12-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 26 4 — — $40,997.00 $43,343.91 $43,343.91 2025-12-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 4 — — $40,847.98 $43,186.37 $43,186.37 2025-12-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 26 4 — — $40,120.35 $42,417.09 $42,417.09 2025-12-16
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W M 16 3 — — $42,194.28 $42,194.28 $42,194.28 2025-12-16
01594 OTHER New Technology - Level 43 ($40,001-$50,000) 16 3 — — $40,901.61 $40,901.61 $40,901.61 2025-12-16
01580 OTHER New Technology - Level 43 ($40,001-$50,000) 16 3 — — $40,901.61 $40,901.61 $40,901.61 2025-12-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 26 4 — — $38,210.57 $40,397.98 $40,397.98 2025-12-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 4 — — $38,166.31 $40,351.18 $40,351.18 2025-12-16
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 16 3 — — $40,318.22 $40,318.22 $40,318.22 2025-12-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 4 — — $37,800.31 $39,964.23 $39,964.23 2025-12-16
28 MS_DRG Spinal Procedures With Mcc 26 4 — — $37,461.75 $39,606.29 $39,606.29 2025-12-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 26 4 — — $37,451.15 $39,595.08 $39,595.08 2025-12-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 26 4 — — $37,179.93 $39,308.33 $39,308.33 2025-12-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 26 4 — — $37,057.72 $39,179.13 $39,179.13 2025-12-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 4 — — $36,971.68 $39,088.16 $39,088.16 2025-12-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 26 4 — — $36,590.72 $38,685.40 $38,685.40 2025-12-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 26 4 — — $36,567.03 $38,660.35 $38,660.35 2025-12-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 26 4 — — $35,957.87 $38,016.31 $38,016.31 2025-12-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 26 4 — — $35,728.42 $37,773.73 $37,773.73 2025-12-16
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Pro 26 4 — — $35,582.52 $37,619.48 $37,619.48 2025-12-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For M 26 4 — — $35,536.38 $37,570.70 $37,570.70 2025-12-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 26 4 — — $35,053.17 $37,059.83 $37,059.83 2025-12-16
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 4 — — $34,944.68 $36,945.13 $36,945.13 2025-12-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 26 4 — — $34,705.26 $36,692.00 $36,692.00 2025-12-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 26 4 — — $33,423.34 $36,407.22 $36,407.22 2025-12-16
834 MS_DRG Acute Leukemia With Mcc 26 4 — — $34,229.53 $36,189.03 $36,189.03 2025-12-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 4 — — $34,108.57 $36,061.15 $36,061.15 2025-12-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 26 4 — — $34,059.93 $36,009.73 $36,009.73 2025-12-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 26 4 — — $34,006.31 $35,953.04 $35,953.04 2025-12-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 4 — — $30,166.80 $35,809.34 $35,809.34 2025-12-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 26 4 — — $33,250.01 $35,153.44 $35,153.44 2025-12-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mc 26 4 — — $33,230.06 $35,132.35 $35,132.35 2025-12-16
21 MS_DRG Intracranial Vascular Procedures With Principal Di 26 4 — — $33,006.84 $34,896.35 $34,896.35 2025-12-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 4 — — $32,897.73 $34,781.00 $34,781.00 2025-12-16
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shoc 16 3 — — $34,401.30 $34,401.30 $34,401.30 2025-12-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 4 — — $32,455.67 $34,313.63 $34,313.63 2025-12-16
653 MS_DRG Major Bladder Procedures With Mcc 26 4 — — $32,399.55 $34,254.30 $34,254.30 2025-12-16
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/sh 16 3 — — $33,340.00 $33,340.00 $33,340.00 2025-12-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 26 4 — — $31,425.65 $33,224.64 $33,224.64 2025-12-16
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without 16 3 — — $33,096.10 $33,096.10 $33,096.10 2025-12-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With M 26 4 — — $31,096.44 $32,876.59 $32,876.59 2025-12-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 4 — — $30,847.04 $32,612.91 $32,612.91 2025-12-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 26 4 — — $30,792.17 $32,554.90 $32,554.90 2025-12-16
239 MS_DRG Amputation For Circulatory System Disorders Except 26 4 — — $30,686.80 $32,443.50 $32,443.50 2025-12-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 26 4 — — $30,558.98 $32,308.36 $32,308.36 2025-12-16
471 MS_DRG Cervical Spinal Fusion With Mcc 26 4 — — $30,106.94 $31,830.45 $31,830.45 2025-12-16
01593 OTHER New Technology - Level 42 ($30,001-$40,000) 16 3 — — $31,812.46 $31,812.46 $31,812.46 2025-12-16
01579 OTHER New Technology - Level 42 ($30,001-$40,000) 16 3 — — $31,812.46 $31,812.46 $31,812.46 2025-12-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diag 26 4 — — $29,954.81 $31,669.60 $31,669.60 2025-12-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 26 4 — — $29,683.59 $31,382.86 $31,382.86 2025-12-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 4 — — $29,313.23 $30,991.29 $30,991.29 2025-12-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 26 4 — — $29,253.37 $30,928.01 $30,928.01 2025-12-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 26 4 — — $29,166.08 $30,835.73 $30,835.73 2025-12-16
6 MS_DRG Liver Transplant Without Mcc 26 4 — — $28,911.70 $30,566.77 $30,566.77 2025-12-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 4 — — $28,796.35 $30,444.82 $30,444.82 2025-12-16
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/m 16 3 — — $30,359.79 $30,359.79 $30,359.79 2025-12-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 4 — — $28,659.18 $30,299.80 $30,299.80 2025-12-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedu 26 4 — — $28,586.23 $30,222.68 $30,222.68 2025-12-16
245 MS_DRG Aicd Generator Procedures 26 4 — — $28,446.56 $30,075.02 $30,075.02 2025-12-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 26 4 — — $28,361.14 $29,984.71 $29,984.71 2025-12-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 26 4 — — $28,348.67 $29,971.52 $29,971.52 2025-12-16
799 MS_DRG Splenic Procedures With Mcc 26 4 — — $28,237.69 $29,854.19 $29,854.19 2025-12-16
163 MS_DRG Major Chest Procedures With Mcc 26 4 — — $27,944.02 $29,543.71 $29,543.71 2025-12-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 4 — — $27,935.92 $29,535.14 $29,535.14 2025-12-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 26 4 — — $27,826.18 $29,419.12 $29,419.12 2025-12-16
05232 OTHER Level 2 Icd And Similar Procedures 20 4 — — $29,141.24 $33,439.05 $29,141.24 2025-12-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 4 — — $27,389.11 $28,957.03 $28,957.03 2025-12-16
05166 OTHER Cochlear Implant Procedure 20 4 — — $28,910.59 $33,174.39 $28,910.59 2025-12-16
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 26 4 — — $26,981.34 $28,525.91 $28,525.91 2025-12-16
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 16 3 — — $28,357.16 $28,357.16 $28,357.16 2025-12-16
474 MS_DRG Amputation For Musculoskeletal System And Connecti 26 4 — — $26,766.23 $28,298.49 $28,298.49 2025-12-16
140 MS_DRG Major Head And Neck Procedures With Mcc 26 4 — — $26,594.15 $28,116.55 $28,116.55 2025-12-16
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Witho 26 4 — — $26,441.39 $27,955.05 $27,955.05 2025-12-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 26 4 — — $26,331.65 $27,839.03 $27,839.03 2025-12-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 26 4 — — $26,286.76 $27,791.57 $27,791.57 2025-12-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Tra 26 4 — — $26,273.67 $27,777.73 $27,777.73 2025-12-16
05465 OTHER Level 5 Neurostimulator And Related Procedures 20 4 — — $27,697.89 $31,782.83 $27,697.89 2025-12-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 4 — — $26,196.98 $27,696.65 $27,696.65 2025-12-16
901 MS_DRG Wound Debridements For Injuries With Mcc 26 4 — — $26,165.80 $27,663.69 $27,663.69 2025-12-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 26 4 — — $26,117.17 $27,612.27 $27,612.27 2025-12-16
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 26 4 — — $26,016.16 $27,505.48 $27,505.48 2025-12-16
793 MS_DRG Full Term Neonate With Major Problems 26 4 — — $25,997.46 $27,485.71 $27,485.71 2025-12-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 26 4 — — $25,893.96 $27,376.28 $27,376.28 2025-12-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 26 4 — — $25,722.49 $27,195.00 $27,195.00 2025-12-16
791 MS_DRG Prematurity With Major Problems 26 4 — — $25,307.87 $26,756.64 $26,756.64 2025-12-16
402 MS_DRG Single Level Combined Anterior And Posterior Spina 26 4 — — $25,067.82 $26,502.85 $26,502.85 2025-12-16
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Formi 26 4 — — $24,840.86 $26,262.90 $26,262.90 2025-12-16
05200 OTHER Implantation Wireless Pa Pressure Monitor 20 4 — — $25,838.92 $29,649.70 $25,838.92 2025-12-16
24 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 26 4 — — $24,390.70 $25,786.97 $25,786.97 2025-12-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 26 4 — — $23,797.12 $25,670.29 $25,670.29 2025-12-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 4 — — $24,133.81 $25,515.38 $25,515.38 2025-12-16
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System 26 4 — — $24,074.58 $25,452.76 $25,452.76 2025-12-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 4 — — $23,938.04 $25,308.39 $25,308.39 2025-12-16
01578 OTHER New Technology - Level 41 ($25,001-$30,000) 16 3 — — $24,995.61 $24,995.61 $24,995.61 2025-12-16
01592 OTHER New Technology - Level 41 ($25,001-$30,000) 16 3 — — $24,995.61 $24,995.61 $24,995.61 2025-12-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Mu 26 4 — — $23,462.31 $24,805.43 $24,805.43 2025-12-16
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures 26 4 — — $23,360.05 $24,697.32 $24,697.32 2025-12-16
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 4 — — $23,304.56 $24,638.65 $24,638.65 2025-12-16
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With 26 4 — — $23,302.07 $24,636.01 $24,636.01 2025-12-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Pr 26 4 — — $23,236.60 $24,566.80 $24,566.80 2025-12-16
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 4 — — $23,105.66 $24,428.37 $24,428.37 2025-12-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 4 — — $22,901.78 $24,212.81 $24,212.81 2025-12-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 26 4 — — $22,892.43 $24,202.93 $24,202.93 2025-12-16
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 3 — — $24,112.62 $24,112.62 $24,112.62 2025-12-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental 46 4 — — $1,217.95 $25,477.15 $24,097.65 2025-12-16
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 26 4 — — $22,623.70 $23,918.81 $23,918.81 2025-12-16
495 MS_DRG Local Excision And Removal Of Internal Fixation De 26 4 — — $22,606.24 $23,900.36 $23,900.36 2025-12-16
332 MS_DRG Rectal Resection With Mcc 26 4 — — $22,575.06 $23,867.40 $23,867.40 2025-12-16
265 MS_DRG Aicd Lead Procedures 26 4 — — $22,559.48 $23,850.92 $23,850.92 2025-12-16
97 MS_DRG Non-bacterial Infection Of Nervous System Except V 26 4 — — $22,519.57 $23,808.73 $23,808.73 2025-12-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 26 4 — — $22,485.90 $23,773.13 $23,773.13 2025-12-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 26 4 — — $21,986.48 $23,617.56 $23,617.56 2025-12-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 26 4 — — $22,287.01 $23,562.85 $23,562.85 2025-12-16
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 4 — — $22,264.56 $23,539.12 $23,539.12 2025-12-16
408 MS_DRG Biliary Tract Procedures Except Only Cholecystecto 26 4 — — $22,231.52 $23,504.18 $23,504.18 2025-12-16
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d. 26 4 — — $22,212.81 $23,484.40 $23,484.40 2025-12-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, N 26 4 — — $22,191.61 $23,461.99 $23,461.99 2025-12-16
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 4 — — $22,173.53 $23,442.88 $23,442.88 2025-12-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 4 — — $21,988.35 $23,247.10 $23,247.10 2025-12-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 26 4 — — $21,943.46 $23,199.63 $23,199.63 2025-12-16
252 MS_DRG Other Vascular Procedures With Mcc 26 4 — — $21,749.55 $22,994.62 $22,994.62 2025-12-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritiona 26 4 — — $21,743.94 $22,988.69 $22,988.69 2025-12-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 4 — — $21,644.18 $22,883.22 $22,883.22 2025-12-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective 26 4 — — $21,539.43 $22,772.48 $22,772.48 2025-12-16
359 MS_DRG Percutaneous Coronary Atherectomy With Intralumina 26 4 — — $21,439.67 $22,667.01 $22,667.01 2025-12-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Princip 26 4 — — $21,376.07 $22,599.77 $22,599.77 2025-12-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulato 26 4 — — $21,271.33 $22,489.02 $22,489.02 2025-12-16
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Di 16 3 — — $22,484.41 $22,484.41 $22,484.41 2025-12-16
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 4 — — $21,243.27 $22,459.36 $22,459.36 2025-12-16
05213 OTHER Level 3 Electrophysiologic Procedures 20 4 — — $22,297.76 $25,586.29 $22,297.76 2025-12-16
264 MS_DRG Other Circulatory System O.r. Procedures 26 4 — — $20,828.64 $22,021.00 $22,021.00 2025-12-16
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 4 — — $20,596.08 $21,775.12 $21,775.12 2025-12-16
37 MS_DRG Extracranial Procedures With Mcc 26 4 — — $20,526.24 $21,701.29 $21,701.29 2025-12-16
274 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 26 4 — — $20,523.75 $21,698.65 $21,698.65 2025-12-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replaceme 26 4 — — $20,281.21 $21,442.22 $21,442.22 2025-12-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedu 26 4 — — $20,192.05 $21,347.96 $21,347.96 2025-12-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 4 — — $20,169.60 $21,324.23 $21,324.23 2025-12-16
451 MS_DRG Single Level Spinal Fusion Except Cervical Without 26 4 — — $20,141.54 $21,294.57 $21,294.57 2025-12-16
652 MS_DRG Kidney Transplant 26 4 — — $20,135.93 $21,288.63 $21,288.63 2025-12-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infect 26 4 — — $20,120.97 $21,272.81 $21,272.81 2025-12-16
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 26 4 — — $20,081.69 $21,231.28 $21,231.28 2025-12-16
325 MS_DRG Coronary Intravascular Lithotripsy Without Intralu 26 4 — — $20,016.84 $21,162.73 $21,162.73 2025-12-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 4 — — $19,907.11 $21,046.71 $21,046.71 2025-12-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue 26 4 — — $19,870.32 $21,007.82 $21,007.82 2025-12-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 4 — — $19,850.99 $20,987.38 $20,987.38 2025-12-16
22 MS_DRG Intracranial Vascular Procedures With Principal Di 26 4 — — $19,173.25 $20,945.19 $20,945.19 2025-12-16
500 MS_DRG Soft Tissue Procedures With Mcc 26 4 — — $19,732.53 $20,862.14 $20,862.14 2025-12-16
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 26 4 — — $19,702.60 $20,830.49 $20,830.49 2025-12-16
324 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 26 4 — — $19,646.49 $20,771.17 $20,771.17 2025-12-16
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 4 — — $19,637.13 $20,761.28 $20,761.28 2025-12-16
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 4 — — $19,590.99 $20,712.50 $20,712.50 2025-12-16
665 MS_DRG Prostatectomy With Mcc 26 4 — — $19,460.68 $20,574.73 $20,574.73 2025-12-16
464 MS_DRG Wound Debridement And Skin Graft Except Hand For M 26 4 — — $19,420.15 $20,531.88 $20,531.88 2025-12-16
26 MS_DRG Craniotomy And Endovascular Intracranial Procedure 26 4 — — $19,385.86 $20,495.62 $20,495.62 2025-12-16
01591 OTHER New Technology - Level 40 ($20,001-$25,000) 16 3 — — $20,451.04 $20,451.04 $20,451.04 2025-12-16
01577 OTHER New Technology - Level 40 ($20,001-$25,000) 16 3 — — $20,451.04 $20,451.04 $20,451.04 2025-12-16
05231 OTHER Level 1 Icd And Similar Procedures 20 4 — — $20,401.67 $23,410.56 $20,401.67 2025-12-16
662 MS_DRG Minor Bladder Procedures With Mcc 26 4 — — $19,088.45 $20,181.19 $20,181.19 2025-12-16
263 MS_DRG Vein Ligation And Stripping 26 4 — — $19,062.89 $20,154.16 $20,154.16 2025-12-16
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachme 26 4 — — $18,912.00 $19,994.64 $19,994.64 2025-12-16
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Majo 26 4 — — $18,832.82 $19,910.92 $19,910.92 2025-12-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures W 26 4 — — $18,830.32 $19,908.28 $19,908.28 2025-12-16
498 MS_DRG Local Excision And Removal Of Internal Fixation De 26 4 — — $18,809.75 $19,886.53 $19,886.53 2025-12-16
248 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent W Mc 16 3 — — $19,840.39 $19,840.39 $19,840.39 2025-12-16
246 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 16 3 — — $19,745.46 $19,745.46 $19,745.46 2025-12-16
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With 26 4 — — $18,557.85 $19,620.22 $19,620.22 2025-12-16
05464 OTHER Level 4 Neurostimulator And Related Procedures 20 4 — — $19,491.11 $22,365.71 $19,491.11 2025-12-16
472 MS_DRG Cervical Spinal Fusion With Cc 26 4 — — $18,368.93 $19,420.48 $19,420.48 2025-12-16
959 MS_DRG Other O.r. Procedures For Multiple Significant Tra 26 4 — — $18,356.46 $19,407.30 $19,407.30 2025-12-16
570 MS_DRG Skin Debridement With Mcc 26 4 — — $18,337.76 $19,387.52 $19,387.52 2025-12-16
668 MS_DRG Transurethral Procedures With Mcc 26 4 — — $18,206.20 $19,248.43 $19,248.43 2025-12-16
480 MS_DRG Hip And Femur Procedures Except Major Joint With M 26 4 — — $18,158.19 $19,197.67 $19,197.67 2025-12-16
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With 26 4 — — $18,093.97 $19,129.78 $19,129.78 2025-12-16
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 4 — — $18,082.75 $19,117.91 $19,117.91 2025-12-16
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 4 — — $18,002.94 $19,033.53 $19,033.53 2025-12-16
974 MS_DRG HIV With Major Related Condition With Mcc 26 4 — — $17,994.21 $19,024.30 $19,024.30 2025-12-16
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 26 4 — — $17,968.02 $18,996.62 $18,996.62 2025-12-16
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fr 26 4 — — $17,895.70 $18,920.15 $18,920.15 2025-12-16
240 MS_DRG Amputation For Circulatory System Disorders Except 26 4 — — $17,772.87 $18,790.29 $18,790.29 2025-12-16
800 MS_DRG Splenic Procedures With Cc 26 4 — — $17,516.61 $18,519.36 $18,519.36 2025-12-16
654 MS_DRG Major Bladder Procedures With Cc 26 4 — — $17,453.64 $18,452.78 $18,452.78 2025-12-16
503 MS_DRG Foot Procedures With Mcc 26 4 — — $17,402.51 $18,398.73 $18,398.73 2025-12-16
05378 OTHER Level 8 Urology And Related Services 20 4 — — $18,295.14 $20,993.36 $18,295.14 2025-12-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upp 26 4 — — $17,282.80 $18,272.17 $18,272.17 2025-12-16
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transien 26 4 — — $17,190.52 $18,174.61 $18,174.61 2025-12-16
208 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 26 4 — — $17,138.14 $18,119.23 $18,119.23 2025-12-16
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 26 4 — — $17,133.78 $18,114.62 $18,114.62 2025-12-16
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 4 — — $17,045.24 $18,021.01 $18,021.01 2025-12-16
C1885 CPT Cath Atherecotomy 104 9 $17,970.00 $5,391.00 70% off $0.03 $17,970.00 $17,970.00 2025-12-16
321 MS_DRG Percutaneous Cardiovascular Procedures With Intral 26 4 — — $16,964.19 $17,935.32 $17,935.32 2025-12-16
849 MS_DRG Radiotherapy 26 4 — — $16,893.73 $17,860.83 $17,860.83 2025-12-16
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 4 — — $16,873.16 $17,839.08 $17,839.08 2025-12-16
255 MS_DRG Upper Limb And Toe Amputation For Circulatory Syst 26 4 — — $16,818.29 $17,781.07 $17,781.07 2025-12-16
131 MS_DRG Cranial/facial Procedures W Cc/mcc 16 3 — — $17,727.67 $17,727.67 $17,727.67 2025-12-16
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 26 4 — — $16,585.10 $17,534.53 $17,534.53 2025-12-16
338 MS_DRG Appendectomy W Complicated Principal Diag W Mcc 16 3 — — $17,511.46 $17,511.46 $17,511.46 2025-12-16
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 26 4 — — $16,527.11 $17,473.22 $17,473.22 2025-12-16
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 4 — — $16,444.19 $17,385.55 $17,385.55 2025-12-16
05224 OTHER Level 4 Pacemaker And Similar Procedures 20 4 — — $17,334.06 $19,890.52 $17,334.06 2025-12-16
253 MS_DRG Other Vascular Procedures With Cc 26 4 — — $16,183.57 $17,110.01 $17,110.01 2025-12-16
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary D 26 4 — — $16,164.24 $17,089.57 $17,089.57 2025-12-16
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 4 — — $16,103.76 $17,025.63 $17,025.63 2025-12-16
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 26 4 — — $16,081.31 $17,001.90 $17,001.90 2025-12-16
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 26 4 — — $16,081.31 $17,001.90 $17,001.90 2025-12-16
749 MS_DRG Other Female Reproductive System O.r. Procedures W 26 4 — — $16,008.99 $16,925.43 $16,925.43 2025-12-16
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/m 26 4 — — $15,917.96 $16,829.19 $16,829.19 2025-12-16
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With 26 4 — — $15,842.51 $16,749.43 $16,749.43 2025-12-16
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 26 4 — — $15,812.58 $16,717.79 $16,717.79 2025-12-16
05116 OTHER Level 6 Musculoskeletal Procedures 20 4 — — $16,714.98 $19,180.14 $16,714.98 2025-12-16
164 MS_DRG Major Chest Procedures With Cc 26 4 — — $15,737.14 $16,638.03 $16,638.03 2025-12-16
27 MS_DRG Craniotomy And Endovascular Intracranial Procedure 26 4 — — $15,730.28 $16,630.78 $16,630.78 2025-12-16
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 4 — — $15,537.00 $16,426.43 $16,426.43 2025-12-16
545 MS_DRG Connective Tissue Disorders With Mcc 26 4 — — $15,473.40 $16,359.19 $16,359.19 2025-12-16
05194 OTHER Level 4 Endovascular Procedures 20 4 — — $16,321.12 $18,728.20 $16,321.12 2025-12-16
478 MS_DRG Biopsies Of Musculoskeletal System And Connective 26 4 — — $15,333.11 $16,210.87 $16,210.87 2025-12-16
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 26 4 — — $15,328.75 $16,206.25 $16,206.25 2025-12-16
783 MS_DRG Cesarean Section With Sterilization With Mcc 26 4 — — $15,307.55 $16,183.84 $16,183.84 2025-12-16
792 MS_DRG Prematurity Without Major Problems 26 4 — — $15,270.76 $16,144.95 $16,144.95 2025-12-16
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With C 26 4 — — $15,239.59 $16,111.99 $16,111.99 2025-12-16
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 26 4 — — $15,221.51 $16,092.87 $16,092.87 2025-12-16
05471 OTHER Implantation Of Drug Infusion Device 20 4 — — $16,064.26 $18,433.46 $16,064.26 2025-12-16
318 MS_DRG Percutaneous Coronary Atherectomy Without Intralum 26 4 — — $15,102.42 $15,966.97 $15,966.97 2025-12-16
360 MS_DRG Percutaneous Coronary Atherectomy With Intralumina 26 4 — — $15,053.16 $15,914.89 $15,914.89 2025-12-16
01590 OTHER New Technology - Level 39 ($15,001-$20,000) 16 3 — — $15,906.46 $15,906.46 $15,906.46 2025-12-16
01576 OTHER New Technology - Level 39 ($15,001-$20,000) 16 3 — — $15,906.46 $15,906.46 $15,906.46 2025-12-16
02616 OTHER Brachytx, Non-str,yttrium-90 20 4 — — $15,892.47 $18,236.32 $15,892.47 2025-12-16
320 MS_DRG Other Endovascular Cardiac Valve Procedures Withou 26 4 — — $14,997.05 $15,855.56 $15,855.56 2025-12-16
05094 OTHER Level 4 Breast/lymphatic Surgery And Related Proce 20 4 — — $15,813.62 $18,145.84 $15,813.62 2025-12-16
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 4 — — $14,946.54 $15,802.17 $15,802.17 2025-12-16
397 MS_DRG Appendix Procedures With Mcc 26 4 — — $14,932.20 $15,787.01 $15,787.01 2025-12-16
35 MS_DRG Carotid Artery Stent Procedures With Cc 26 4 — — $14,904.77 $15,758.00 $15,758.00 2025-12-16
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With M 26 4 — — $14,879.20 $15,730.98 $15,730.98 2025-12-16
113 MS_DRG Orbital Procedures With Cc/mcc 26 4 — — $14,659.11 $15,498.28 $15,498.28 2025-12-16
333 MS_DRG Rectal Resection With Cc 26 4 — — $14,603.62 $15,439.61 $15,439.61 2025-12-16
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 26 4 — — $14,581.17 $15,415.88 $15,415.88 2025-12-16
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 26 4 — — $14,570.57 $15,404.68 $15,404.68 2025-12-16
709 MS_DRG Penis Procedures With Cc/mcc 26 4 — — $14,509.47 $15,340.08 $15,340.08 2025-12-16
357 MS_DRG Other Digestive System O.r. Procedures With Cc 26 4 — — $14,499.49 $15,329.53 $15,329.53 2025-12-16
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 26 4 — — $14,410.33 $15,235.26 $15,235.26 2025-12-16
347 MS_DRG Anal And Stomal Procedures With Mcc 26 4 — — $14,313.07 $15,132.43 $15,132.43 2025-12-16
98 MS_DRG Non-bacterial Infection Of Nervous System Except V 26 4 — — $14,308.70 $15,127.82 $15,127.82 2025-12-16
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Dev 16 3 — — $15,090.90 $15,090.90 $15,090.90 2025-12-16
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 26 4 — — $14,250.72 $15,066.51 $15,066.51 2025-12-16
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Wi 26 4 — — $10,524.68 $15,040.14 $15,040.14 2025-12-16
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