Price Transparency Hospital negotiated rates

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

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Hospital

RUMFORD HOSPITAL

Rumford, ME · CCN 201306 · Rates published

2,745 distinct procedures filed
18 distinct payers
29,434 rate rows
2026-04-29 last MRF observed
Data quality

26,235 of 29,434 rate rows are consumer-grade (89.1%)

3,199 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 3,199
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cmhc.org/wp-content/uploads/2026/04/40084_RumfordHospital_StandardCharges.json
Found on page https://www.cmhc.org/patients-and-visitors/billing-financial-information/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 168fddfcc588391f… · 4,182,794 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $509,081.17 $509,081.17 $509,081.17 nat. median
$370,174
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $330,373.20 $330,373.20 $330,373.20 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $251,700.62 $251,700.62 $251,700.62 nat. median
$206,368
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $250,223.46 $250,223.46 $250,223.46 nat. median
$202,986
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $163,293.88 $163,293.88 $163,293.88 nat. median
$133,176
1.2× median
7
MS_DRG 		Lung Transplant 1 $152,669.65 $152,669.65 $152,669.65 nat. median
$122,708
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $141,678.78 $141,678.78 $141,678.78 nat. median
$117,303
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $133,590.36 $133,590.36 $133,590.36 nat. median
$108,660
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 1 $128,194.55 $128,194.55 $128,194.55 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $121,550.28 $121,550.28 $121,550.28 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 1 $117,382.87 $117,382.87 $117,382.87 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $115,329.23 $115,329.23 $115,329.23 nat. median
$93,672
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $99,379.92 $99,379.92 $99,379.92 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $99,067.51 $99,067.51 $99,067.51 nat. median
$81,118
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $92,765.13 $92,765.13 $92,765.13 nat. median
$77,576
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $90,519.33 $90,519.33 $90,519.33 nat. median
$74,915
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $90,129.11 $90,129.11 $90,129.11 nat. median
$73,807
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $89,830.85 $89,830.85 $89,830.85 nat. median
$72,138
1.2× median
10
MS_DRG 		Pancreas Transplant 1 $84,594.18 $84,594.18 $84,594.18 nat. median
$68,882
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 1 $84,558.82 $84,558.82 $84,558.82 nat. median
$64,027
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $84,109.66 $84,109.66 $84,109.66 nat. median
$71,240
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $84,060.14 $84,060.14 $84,060.14 nat. median
$68,887
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $81,483.07 $81,483.07 $81,483.07 nat. median
$66,526
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $81,083.43 $81,083.43 $81,083.43 nat. median
$65,950
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $79,352.80 $79,352.80 $79,352.80 nat. median
$64,732
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $77,516.08 $77,516.08 $77,516.08 nat. median
$64,510
1.2× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $77,516.08 $77,516.08 $77,516.08 nat. median
$61,920
1.3× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $77,234.32 $77,234.32 $77,234.32 nat. median
$59,793
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $75,858.55 $75,858.55 $75,858.55 nat. median
$62,134
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $72,247.59 $72,247.59 $72,247.59 nat. median
$60,726
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $72,163.88 $72,163.88 $72,163.88 nat. median
$60,185
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $71,471.87 $71,471.87 $71,471.87 nat. median
$59,899
1.2× median
28
MS_DRG 		Spinal Procedures With Mcc 1 $70,831.73 $70,831.73 $70,831.73 nat. median
$57,823
1.2× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc 1 $70,811.69 $70,811.69 $70,811.69 nat. median
$59,099
1.2× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $70,298.87 $70,298.87 $70,298.87 nat. median
$58,024
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $70,067.80 $70,067.80 $70,067.80 nat. median
$52,278
1.3× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Ccmcc 1 $69,905.11 $69,905.11 $69,905.11 nat. median
$56,920
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $69,184.81 $69,184.81 $69,184.81 nat. median
$57,424
1.2× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $69,140.01 $69,140.01 $69,140.01 nat. median
$56,697
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $67,554.39 $67,554.39 $67,554.39 nat. median
$55,929
1.2× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $67,191.29 $67,191.29 $67,191.29 nat. median
$52,753
1.3× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 1 $66,072.52 $66,072.52 $66,072.52 nat. median
$53,171
1.2× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 1 $65,619.82 $65,619.82 $65,619.82 nat. median
$50,270
1.3× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 $65,110.54 $65,110.54 $65,110.54 nat. median
$55,736
1.2× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 1 $64,720.32 $64,720.32 $64,720.32 nat. median
$53,173
1.2× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 1 $64,491.62 $64,491.62 $64,491.62 nat. median
$52,836
1.2× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 $64,399.66 $64,399.66 $64,399.66 nat. median
$53,268
1.2× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $64,298.28 $64,298.28 $64,298.28 nat. median
$52,857
1.2× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Ccmcc 1 $64,041.28 $64,041.28 $64,041.28 nat. median
$53,805
1.2× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $62,868.27 $62,868.27 $62,868.27 nat. median
$52,879
1.2× median

Other procedures at this hospital

Browse this hospital's 2,745 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — $27,797.00 $509,081.17 $509,081.17 $509,081.17 2026-04-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — $57,836.00 $330,373.20 $330,373.20 $330,373.20 2026-04-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — $53,801.00 $251,700.62 $251,700.62 $251,700.62 2026-04-29
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — $51,335.00 $250,223.46 $250,223.46 $250,223.46 2026-04-29
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — $50,214.00 $163,293.88 $163,293.88 $163,293.88 2026-04-29
7 MS_DRG Lung Transplant 2 1 — $44,162.00 $152,669.65 $152,669.65 $152,669.65 2026-04-29
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — $57,612.00 $141,678.78 $141,678.78 $141,678.78 2026-04-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — $19,054.00 $133,590.36 $133,590.36 $133,590.36 2026-04-29
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 2 1 — $28,021.00 $128,194.55 $128,194.55 $128,194.55 2026-04-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 1 — $31,384.00 $121,550.28 $121,550.28 $121,550.28 2026-04-29
215 MS_DRG Other Heart Assist System Implant 2 1 — $10,536.00 $117,382.87 $117,382.87 $117,382.87 2026-04-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — $23,762.00 $115,329.23 $115,329.23 $115,329.23 2026-04-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 1 — $23,314.00 $99,379.92 $99,379.92 $99,379.92 2026-04-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — $21,072.00 $99,067.51 $99,067.51 $99,067.51 2026-04-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — $19,727.00 $92,765.13 $92,765.13 $92,765.13 2026-04-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — $18,382.00 $90,519.33 $90,519.33 $90,519.33 2026-04-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — $24,659.00 $90,129.11 $90,129.11 $90,129.11 2026-04-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — $22,641.00 $89,830.85 $89,830.85 $89,830.85 2026-04-29
10 MS_DRG Pancreas Transplant 2 1 — $13,226.00 $84,594.18 $84,594.18 $84,594.18 2026-04-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 2 1 — $27,797.00 $84,558.82 $84,558.82 $84,558.82 2026-04-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — $22,641.00 $84,109.66 $84,109.66 $84,109.66 2026-04-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — $18,606.00 $84,060.14 $84,060.14 $84,060.14 2026-04-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — $28,470.00 $81,483.07 $81,483.07 $81,483.07 2026-04-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 1 — $13,674.00 $81,083.43 $81,083.43 $81,083.43 2026-04-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — $19,503.00 $79,352.80 $79,352.80 $79,352.80 2026-04-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — $9,639.00 $77,516.08 $77,516.08 $77,516.08 2026-04-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — $9,639.00 $77,516.08 $77,516.08 $77,516.08 2026-04-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — $26,900.00 $77,234.32 $77,234.32 $77,234.32 2026-04-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 — $28,021.00 $75,858.55 $75,858.55 $75,858.55 2026-04-29
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 1 — $5,604.00 $72,247.59 $72,247.59 $72,247.59 2026-04-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 1 — $26,228.00 $72,163.88 $72,163.88 $72,163.88 2026-04-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 1 — $16,813.00 $71,471.87 $71,471.87 $71,471.87 2026-04-29
28 MS_DRG Spinal Procedures With Mcc 2 1 — $21,296.00 $70,831.73 $70,831.73 $70,831.73 2026-04-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc 2 1 — $13,898.00 $70,811.69 $70,811.69 $70,811.69 2026-04-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — $10,760.00 $70,298.87 $70,298.87 $70,298.87 2026-04-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 1 — $40,127.00 $70,067.80 $70,067.80 $70,067.80 2026-04-29
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 2 1 — $36,092.00 $69,905.11 $69,905.11 $69,905.11 2026-04-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — $17,933.00 $69,184.81 $69,184.81 $69,184.81 2026-04-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — $23,986.00 $69,140.01 $69,140.01 $69,140.01 2026-04-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — $15,916.00 $67,554.39 $67,554.39 $67,554.39 2026-04-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — $23,762.00 $67,191.29 $67,191.29 $67,191.29 2026-04-29
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 1 — $19,054.00 $66,072.52 $66,072.52 $66,072.52 2026-04-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — $16,140.00 $65,619.82 $65,619.82 $65,619.82 2026-04-29
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — $13,226.00 $65,110.54 $65,110.54 $65,110.54 2026-04-29
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 2 1 — $21,520.00 $64,720.32 $64,720.32 $64,720.32 2026-04-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 1 — $18,830.00 $64,491.62 $64,491.62 $64,491.62 2026-04-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 1 — $18,382.00 $64,399.66 $64,399.66 $64,399.66 2026-04-29
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — $25,555.00 $64,298.28 $64,298.28 $64,298.28 2026-04-29
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 2 1 — $18,606.00 $64,041.28 $64,041.28 $64,041.28 2026-04-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — $12,105.00 $62,868.27 $62,868.27 $62,868.27 2026-04-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — $10,984.00 $62,408.50 $62,408.50 $62,408.50 2026-04-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — $14,122.00 $62,202.20 $62,202.20 $62,202.20 2026-04-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 1 — $15,916.00 $61,366.36 $61,366.36 $61,366.36 2026-04-29
653 MS_DRG Major Bladder Procedures With Mcc 2 1 — $21,296.00 $61,260.26 $61,260.26 $61,260.26 2026-04-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — $6,501.00 $59,418.82 $59,418.82 $59,418.82 2026-04-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 1 — $19,951.00 $58,796.36 $58,796.36 $58,796.36 2026-04-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 1 — $13,674.00 $58,324.80 $58,324.80 $58,324.80 2026-04-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — $20,848.00 $58,221.06 $58,221.06 $58,221.06 2026-04-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 1 — $24,883.00 $58,021.82 $58,021.82 $58,021.82 2026-04-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — $19,727.00 $57,780.15 $57,780.15 $57,780.15 2026-04-29
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 — $15,916.00 $56,925.45 $56,925.45 $56,925.45 2026-04-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 1 — $22,865.00 $56,637.80 $56,637.80 $56,637.80 2026-04-29
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 1 — $2,914.00 $56,124.98 $56,124.98 $56,124.98 2026-04-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 1 — $14,122.00 $55,424.71 $55,424.71 $55,424.71 2026-04-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — $18,830.00 $55,311.54 $55,311.54 $55,311.54 2026-04-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — $18,830.00 $55,146.49 $55,146.49 $55,146.49 2026-04-29
C2616 HCPCS Hc (sup Shell C2616) Y90 Brachytherapy 2 1 — — $55,078.07 $55,078.07 $55,078.07 2026-04-29
6 MS_DRG Liver Transplant Without Mcc 2 1 — $15,916.00 $54,665.50 $54,665.50 $54,665.50 2026-04-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — $7,397.00 $54,447.40 $54,447.40 $54,447.40 2026-04-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 — $21,072.00 $54,188.05 $54,188.05 $54,188.05 2026-04-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 1 — $22,641.00 $54,050.12 $54,050.12 $54,050.12 2026-04-29
245 MS_DRG Aicd Generator Procedures 2 1 — $9,191.00 $53,786.04 $53,786.04 $53,786.04 2026-04-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 — $20,399.00 $53,624.53 $53,624.53 $53,624.53 2026-04-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 1 — $14,347.00 $53,600.96 $53,600.96 $53,600.96 2026-04-29
799 MS_DRG Splenic Procedures With Mcc 2 1 — $15,243.00 $53,391.11 $53,391.11 $53,391.11 2026-04-29
163 MS_DRG Major Chest Procedures With Mcc 2 1 — $14,122.00 $52,835.85 $52,835.85 $52,835.85 2026-04-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 1 — $15,692.00 $52,820.52 $52,820.52 $52,820.52 2026-04-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 1 — $16,588.00 $52,613.04 $52,613.04 $52,613.04 2026-04-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 1 — $17,037.00 $51,786.63 $51,786.63 $51,786.63 2026-04-29
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — $10,087.00 $51,015.63 $51,015.63 $51,015.63 2026-04-29
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — $21,969.00 $50,608.91 $50,608.91 $50,608.91 2026-04-29
140 MS_DRG Major Head And Neck Procedures With Mcc 2 1 — $15,468.00 $50,283.54 $50,283.54 $50,283.54 2026-04-29
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — $7,397.00 $49,994.71 $49,994.71 $49,994.71 2026-04-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 1 — $3,362.00 $49,787.22 $49,787.22 $49,787.22 2026-04-29
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 1 — $19,278.00 $49,702.34 $49,702.34 $49,702.34 2026-04-29
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 1 — $14,571.00 $49,677.58 $49,677.58 $49,677.58 2026-04-29
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — $22,865.00 $49,532.58 $49,532.58 $49,532.58 2026-04-29
901 MS_DRG Wound Debridements For Injuries With Mcc 2 1 — $18,830.00 $49,473.63 $49,473.63 $49,473.63 2026-04-29
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 1 — $13,002.00 $49,381.68 $49,381.68 $49,381.68 2026-04-29
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — $5,380.00 $49,190.70 $49,190.70 $49,190.70 2026-04-29
793 MS_DRG Full Term Neonate With Major Problems 2 1 — $10,536.00 $49,155.33 $49,155.33 $49,155.33 2026-04-29
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — $18,158.00 $48,959.63 $48,959.63 $48,959.63 2026-04-29
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 1 — $8,294.00 $48,635.44 $48,635.44 $48,635.44 2026-04-29
791 MS_DRG Prematurity With Major Problems 2 1 — $29,815.00 $47,851.47 $47,851.47 $47,851.47 2026-04-29
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 1 — $17,485.00 $46,968.48 $46,968.48 $46,968.48 2026-04-29
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — $8,294.00 $46,117.31 $46,117.31 $46,117.31 2026-04-29
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 1 — $6,725.00 $45,908.65 $45,908.65 $45,908.65 2026-04-29
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 1 — $10,536.00 $45,631.60 $45,631.60 $45,631.60 2026-04-29
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 — $16,364.00 $45,563.23 $45,563.23 $45,563.23 2026-04-29
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 1 — $16,140.00 $45,519.61 $45,519.61 $45,519.61 2026-04-29
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 — $15,243.00 $45,261.43 $45,261.43 $45,261.43 2026-04-29
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — $13,226.00 $44,361.93 $44,361.93 $44,361.93 2026-04-29
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 1 — $13,898.00 $44,168.59 $44,168.59 $44,168.59 2026-04-29
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 1 — $17,037.00 $44,063.67 $44,063.67 $44,063.67 2026-04-29
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 1 — $11,881.00 $44,058.95 $44,058.95 $44,058.95 2026-04-29
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — $18,606.00 $43,935.17 $43,935.17 $43,935.17 2026-04-29
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 1 — $12,329.00 $43,687.60 $43,687.60 $43,687.60 2026-04-29
904 MS_DRG Skin Grafts For Injuries With Ccmcc 2 1 — $14,795.00 $43,302.10 $43,302.10 $43,302.10 2026-04-29
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 1 — $14,795.00 $43,284.42 $43,284.42 $43,284.42 2026-04-29
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 1 — $14,122.00 $42,776.31 $42,776.31 $42,776.31 2026-04-29
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — $16,140.00 $42,743.30 $42,743.30 $42,743.30 2026-04-29
332 MS_DRG Rectal Resection With Mcc 2 1 — $14,347.00 $42,684.36 $42,684.36 $42,684.36 2026-04-29
265 MS_DRG Aicd Lead Procedures 2 1 — $9,863.00 $42,654.89 $42,654.89 $42,654.89 2026-04-29
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 1 — $19,503.00 $42,579.44 $42,579.44 $42,579.44 2026-04-29
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — $7,846.00 $42,515.78 $42,515.78 $42,515.78 2026-04-29
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 1 — $11,432.00 $42,237.56 $42,237.56 $42,237.56 2026-04-29
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 1 — $13,674.00 $42,139.71 $42,139.71 $42,139.71 2026-04-29
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — $19,278.00 $42,097.27 $42,097.27 $42,097.27 2026-04-29
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — $17,485.00 $42,034.79 $42,034.79 $42,034.79 2026-04-29
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — $16,364.00 $41,999.42 $41,999.42 $41,999.42 2026-04-29
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — $19,278.00 $41,959.34 $41,959.34 $41,959.34 2026-04-29
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 1 — $8,294.00 $41,925.15 $41,925.15 $41,925.15 2026-04-29
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 1 — $6,949.00 $41,575.02 $41,575.02 $41,575.02 2026-04-29
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — $17,709.00 $41,490.14 $41,490.14 $41,490.14 2026-04-29
252 MS_DRG Other Vascular Procedures With Mcc 2 1 — $11,881.00 $41,123.50 $41,123.50 $41,123.50 2026-04-29
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — $19,727.00 $41,112.89 $41,112.89 $41,112.89 2026-04-29
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 1 — $17,037.00 $40,924.27 $40,924.27 $40,924.27 2026-04-29
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — $19,278.00 $40,726.21 $40,726.21 $40,726.21 2026-04-29
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — $17,485.00 $40,417.34 $40,417.34 $40,417.34 2026-04-29
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 1 — $10,536.00 $40,219.28 $40,219.28 $40,219.28 2026-04-29
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 1 — $15,468.00 $40,166.23 $40,166.23 $40,166.23 2026-04-29
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — $15,019.00 $39,382.27 $39,382.27 $39,382.27 2026-04-29
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 1 — $13,226.00 $38,942.54 $38,942.54 $38,942.54 2026-04-29
37 MS_DRG Extracranial Procedures With Mcc 2 1 — $10,536.00 $38,810.50 $38,810.50 $38,810.50 2026-04-29
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 1 — $2,690.00 $38,805.79 $38,805.79 $38,805.79 2026-04-29
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 1 — $12,329.00 $38,347.19 $38,347.19 $38,347.19 2026-04-29
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 1 — $16,813.00 $38,178.61 $38,178.61 $38,178.61 2026-04-29
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — $15,243.00 $38,136.17 $38,136.17 $38,136.17 2026-04-29
652 MS_DRG Kidney Transplant 2 1 — $9,639.00 $38,072.51 $38,072.51 $38,072.51 2026-04-29
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — $18,158.00 $38,044.22 $38,044.22 $38,044.22 2026-04-29
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Ccmcc 2 1 — $13,674.00 $37,969.95 $37,969.95 $37,969.95 2026-04-29
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 1 — $6,276.00 $37,847.34 $37,847.34 $37,847.34 2026-04-29
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 2 1 — $10,760.00 $37,639.86 $37,639.86 $37,639.86 2026-04-29
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 1 — $15,019.00 $37,570.30 $37,570.30 $37,570.30 2026-04-29
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — $11,208.00 $37,533.75 $37,533.75 $37,533.75 2026-04-29
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Ccm… 2 1 — $3,810.00 $37,458.31 $37,458.31 $37,458.31 2026-04-29
500 MS_DRG Soft Tissue Procedures With Mcc 2 1 — $17,037.00 $37,309.76 $37,309.76 $37,309.76 2026-04-29
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 1 — $13,226.00 $37,253.18 $37,253.18 $37,253.18 2026-04-29
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 1 — $5,156.00 $37,147.08 $37,147.08 $37,147.08 2026-04-29
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 1 — $5,380.00 $37,129.39 $37,129.39 $37,129.39 2026-04-29
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 2 1 — $12,105.00 $37,042.15 $37,042.15 $37,042.15 2026-04-29
9390 OTHER Pertuzu, Trastuzu, 10 Mg 1 1 — — $36,916.02 $36,916.02 $36,916.02 2025-07-01
665 MS_DRG Prostatectomy With Mcc 2 1 — $15,916.00 $36,795.76 $36,795.76 $36,795.76 2026-04-29
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 1 — $6,276.00 $36,654.30 $36,654.30 $36,654.30 2026-04-29
662 MS_DRG Minor Bladder Procedures With Mcc 2 1 — $15,916.00 $36,091.96 $36,091.96 $36,091.96 2026-04-29
263 MS_DRG Vein Ligation And Stripping 2 1 — $10,536.00 $36,043.63 $36,043.63 $36,043.63 2026-04-29
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 1 — $7,397.00 $35,758.33 $35,758.33 $35,758.33 2026-04-29
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 1 — $11,881.00 $35,608.61 $35,608.61 $35,608.61 2026-04-29
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 1 — $11,432.00 $35,603.90 $35,603.90 $35,603.90 2026-04-29
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 1 — $9,863.00 $35,564.99 $35,564.99 $35,564.99 2026-04-29
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — $8,518.00 $35,088.72 $35,088.72 $35,088.72 2026-04-29
472 MS_DRG Cervical Spinal Fusion With Cc 2 1 — $5,604.00 $34,731.51 $34,731.51 $34,731.51 2026-04-29
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Ccmcc 2 1 — $8,518.00 $34,707.94 $34,707.94 $34,707.94 2026-04-29
570 MS_DRG Skin Debridement With Mcc 2 1 — $17,485.00 $34,672.57 $34,672.57 $34,672.57 2026-04-29
668 MS_DRG Transurethral Procedures With Mcc 2 1 — $16,140.00 $34,423.82 $34,423.82 $34,423.82 2026-04-29
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 1 — $13,674.00 $34,333.05 $34,333.05 $34,333.05 2026-04-29
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 — $12,777.00 $34,211.62 $34,211.62 $34,211.62 2026-04-29
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 1 — $10,536.00 $34,190.40 $34,190.40 $34,190.40 2026-04-29
619 MS_DRG O.r. Procedures For Obesity With Mcc 2 1 — $6,276.00 $34,039.50 $34,039.50 $34,039.50 2026-04-29
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 — $14,795.00 $34,023.00 $34,023.00 $34,023.00 2026-04-29
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Ccmcc 2 1 — $14,571.00 $33,973.48 $33,973.48 $33,973.48 2026-04-29
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 1 — $13,450.00 $33,836.73 $33,836.73 $33,836.73 2026-04-29
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 1 — $16,364.00 $33,604.49 $33,604.49 $33,604.49 2026-04-29
800 MS_DRG Splenic Procedures With Cc 2 1 — $8,742.00 $33,119.96 $33,119.96 $33,119.96 2026-04-29
654 MS_DRG Major Bladder Procedures With Cc 2 1 — $11,432.00 $33,000.89 $33,000.89 $33,000.89 2026-04-29
503 MS_DRG Foot Procedures With Mcc 2 1 — $15,916.00 $32,904.22 $32,904.22 $32,904.22 2026-04-29
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 1 — $4,483.00 $32,677.87 $32,677.87 $32,677.87 2026-04-29
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — $10,536.00 $32,503.40 $32,503.40 $32,503.40 2026-04-29
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 — $10,984.00 $32,404.37 $32,404.37 $32,404.37 2026-04-29
468 MS_DRG Revision Of Hip Or Knee Replacement Without Ccmcc 2 1 — $3,362.00 $32,396.12 $32,396.12 $32,396.12 2026-04-29
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 — $12,329.00 $32,228.71 $32,228.71 $32,228.71 2026-04-29
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 1 — $8,294.00 $32,075.46 $32,075.46 $32,075.46 2026-04-29
849 MS_DRG Radiotherapy 2 1 — $15,916.00 $31,942.24 $31,942.24 $31,942.24 2026-04-29
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 1 — $15,243.00 $31,799.59 $31,799.59 $31,799.59 2026-04-29
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 1 — $4,931.00 $31,358.69 $31,358.69 $31,358.69 2026-04-29
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 1 — $9,639.00 $31,249.05 $31,249.05 $31,249.05 2026-04-29
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 1 — $16,813.00 $31,092.26 $31,092.26 $31,092.26 2026-04-29
253 MS_DRG Other Vascular Procedures With Cc 2 1 — $8,294.00 $30,599.48 $30,599.48 $30,599.48 2026-04-29
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 1 — $13,002.00 $30,562.93 $30,562.93 $30,562.93 2026-04-29
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 1 — $15,468.00 $30,448.58 $30,448.58 $30,448.58 2026-04-29
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 1 — $12,553.00 $30,406.14 $30,406.14 $30,406.14 2026-04-29
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Ccmcc 2 1 — $12,553.00 $30,406.14 $30,406.14 $30,406.14 2026-04-29
749 MS_DRG Other Female Reproductive System O.r. Procedures With Ccmcc 2 1 — $11,432.00 $30,269.39 $30,269.39 $30,269.39 2026-04-29
272 MS_DRG Other Major Cardiovascular Procedures Without Ccmcc 2 1 — $3,810.00 $30,097.27 $30,097.27 $30,097.27 2026-04-29
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 1 — $12,777.00 $29,954.62 $29,954.62 $29,954.62 2026-04-29
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 1 — $9,415.00 $29,898.03 $29,898.03 $29,898.03 2026-04-29
164 MS_DRG Major Chest Procedures With Cc 2 1 — $7,621.00 $29,755.39 $29,755.39 $29,755.39 2026-04-29
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Ccmcc 2 1 — $3,362.00 $29,742.42 $29,742.42 $29,742.42 2026-04-29
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 1 — $10,760.00 $29,376.96 $29,376.96 $29,376.96 2026-04-29
545 MS_DRG Connective Tissue Disorders With Mcc 2 1 — $12,329.00 $29,256.71 $29,256.71 $29,256.71 2026-04-29
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 1 — $12,105.00 $28,991.46 $28,991.46 $28,991.46 2026-04-29
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — $8,966.00 $28,983.21 $28,983.21 $28,983.21 2026-04-29
783 MS_DRG Cesarean Section With Sterilization With Mcc 2 1 — $10,984.00 $28,943.12 $28,943.12 $28,943.12 2026-04-29
792 MS_DRG Prematurity Without Major Problems 2 1 — $19,278.00 $28,873.57 $28,873.57 $28,873.57 2026-04-29
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — $8,742.00 $28,814.62 $28,814.62 $28,814.62 2026-04-29
473 MS_DRG Cervical Spinal Fusion Without Ccmcc 2 1 — $3,586.00 $28,780.44 $28,780.44 $28,780.44 2026-04-29
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 2 1 — $4,707.00 $28,356.03 $28,356.03 $28,356.03 2026-04-29
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 — $10,760.00 $28,260.54 $28,260.54 $28,260.54 2026-04-29
397 MS_DRG Appendix Procedures With Mcc 2 1 — $10,760.00 $28,233.43 $28,233.43 $28,233.43 2026-04-29
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 1 — $4,259.00 $28,181.56 $28,181.56 $28,181.56 2026-04-29
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 1 — $10,536.00 $28,133.22 $28,133.22 $28,133.22 2026-04-29
113 MS_DRG Orbital Procedures With Ccmcc 2 1 — $10,536.00 $27,717.07 $27,717.07 $27,717.07 2026-04-29
333 MS_DRG Rectal Resection With Cc 2 1 — $7,846.00 $27,612.15 $27,612.15 $27,612.15 2026-04-29
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 1 — $12,329.00 $27,569.71 $27,569.71 $27,569.71 2026-04-29
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — $6,949.00 $27,549.67 $27,549.67 $27,549.67 2026-04-29
709 MS_DRG Penis Procedures With Ccmcc 2 1 — $8,966.00 $27,434.14 $27,434.14 $27,434.14 2026-04-29
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 1 — $9,863.00 $27,415.27 $27,415.27 $27,415.27 2026-04-29
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 1 — $12,777.00 $27,386.98 $27,386.98 $27,386.98 2026-04-29
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — $8,966.00 $27,246.69 $27,246.69 $27,246.69 2026-04-29
347 MS_DRG Anal And Stomal Procedures With Mcc 2 1 — $12,329.00 $27,062.78 $27,062.78 $27,062.78 2026-04-29
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 1 — $13,226.00 $27,054.53 $27,054.53 $27,054.53 2026-04-29
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 1 — $9,863.00 $26,944.89 $26,944.89 $26,944.89 2026-04-29
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 1 — $8,070.00 $26,897.74 $26,897.74 $26,897.74 2026-04-29
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 2 1 — $13,226.00 $26,828.18 $26,828.18 $26,828.18 2026-04-29
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 1 — $10,312.00 $26,783.38 $26,783.38 $26,783.38 2026-04-29
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 1 — $10,984.00 $26,709.11 $26,709.11 $26,709.11 2026-04-29
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 1 — $7,397.00 $26,390.81 $26,390.81 $26,390.81 2026-04-29
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Ccmcc 2 1 — $11,208.00 $26,375.48 $26,375.48 $26,375.48 2026-04-29
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Ccmcc 2 1 — $7,173.00 $26,166.82 $26,166.82 $26,166.82 2026-04-29
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 2 1 — $12,105.00 $26,086.65 $26,086.65 $26,086.65 2026-04-29
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 1 — $10,984.00 $26,060.72 $26,060.72 $26,060.72 2026-04-29
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 — $11,657.00 $26,028.89 $26,028.89 $26,028.89 2026-04-29
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 1 — $8,518.00 $25,920.43 $25,920.43 $25,920.43 2026-04-29
30 MS_DRG Spinal Procedures Without Ccmcc 2 1 — $5,828.00 $25,879.17 $25,879.17 $25,879.17 2026-04-29
614 MS_DRG Adrenal And Pituitary Procedures With Ccmcc 2 1 — $5,380.00 $25,839.09 $25,839.09 $25,839.09 2026-04-29
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 1 — $10,087.00 $25,793.11 $25,793.11 $25,793.11 2026-04-29
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 1 — $6,949.00 $25,729.45 $25,729.45 $25,729.45 2026-04-29
141 MS_DRG Major Head And Neck Procedures With Cc 2 1 — $6,725.00 $25,712.94 $25,712.94 $25,712.94 2026-04-29
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — $13,226.00 $25,685.83 $25,685.83 $25,685.83 2026-04-29
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — $9,639.00 $25,668.15 $25,668.15 $25,668.15 2026-04-29
135 MS_DRG Sinus And Mastoid Procedures With Ccmcc 2 1 — $8,070.00 $25,582.09 $25,582.09 $25,582.09 2026-04-29
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 1 — $12,105.00 $25,246.10 $25,246.10 $25,246.10 2026-04-29
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Ccmcc 2 1 — $7,397.00 $25,236.67 $25,236.67 $25,236.67 2026-04-29
374 MS_DRG Digestive Malignancy With Mcc 2 1 — $12,329.00 $25,213.09 $25,213.09 $25,213.09 2026-04-29
32 MS_DRG Ventricular Shunt Procedures With Cc 2 1 — $5,604.00 $25,122.32 $25,122.32 $25,122.32 2026-04-29
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 2 1 — $6,276.00 $25,121.14 $25,121.14 $25,121.14 2026-04-29
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Ccmcc 2 1 — $6,949.00 $25,110.53 $25,110.53 $25,110.53 2026-04-29
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 — $10,536.00 $25,071.62 $25,071.62 $25,071.62 2026-04-29
595 MS_DRG Major Skin Disorders With Mcc 2 1 — $12,105.00 $25,000.89 $25,000.89 $25,000.89 2026-04-29
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 — $8,966.00 $24,965.52 $24,965.52 $24,965.52 2026-04-29
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 1 — $12,329.00 $24,961.99 $24,961.99 $24,961.99 2026-04-29
655 MS_DRG Major Bladder Procedures Without Ccmcc 2 1 — $7,173.00 $24,952.56 $24,952.56 $24,952.56 2026-04-29
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 — $11,432.00 $24,859.42 $24,859.42 $24,859.42 2026-04-29
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — $12,329.00 $12,884.41 $36,719.14 $24,801.78 2026-04-29
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 1 — $8,518.00 $24,786.33 $24,786.33 $24,786.33 2026-04-29
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 2 — $16,813.00 $17,569.65 $31,903.34 $24,736.50 2026-04-29
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 1 — $9,639.00 $24,692.02 $24,692.02 $24,692.02 2026-04-29
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 1 — $12,105.00 $24,676.69 $24,676.69 $24,676.69 2026-04-29
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 1 — $11,432.00 $24,651.94 $24,651.94 $24,651.94 2026-04-29
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 1 — $11,432.00 $24,608.32 $24,608.32 $24,608.32 2026-04-29
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 2 1 — $9,863.00 $24,589.45 $24,589.45 $24,589.45 2026-04-29
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 1 — $10,760.00 $24,582.38 $24,582.38 $24,582.38 2026-04-29
711 MS_DRG Testes Procedures With Ccmcc 2 1 — $10,760.00 $24,565.88 $24,565.88 $24,565.88 2026-04-29
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 1 — $7,846.00 $24,514.01 $24,514.01 $24,514.01 2026-04-29
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 1 — $8,966.00 $24,498.68 $24,498.68 $24,498.68 2026-04-29
886 MS_DRG Behavioral And Developmental Disorders 2 1 — $13,226.00 $24,465.67 $24,465.67 $24,465.67 2026-04-29
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 1 — $10,312.00 $24,364.28 $24,364.28 $24,364.28 2026-04-29
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 1 — $8,294.00 $24,292.37 $24,292.37 $24,292.37 2026-04-29
935 MS_DRG Non-extensive Burns 2 1 — $8,742.00 $24,285.30 $24,285.30 $24,285.30 2026-04-29
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Ccmcc 2 1 — $10,312.00 $24,156.80 $24,156.80 $24,156.80 2026-04-29
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Ccm… 2 1 — $4,259.00 $23,904.51 $23,904.51 $23,904.51 2026-04-29
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 2 1 — $5,380.00 $23,838.50 $23,838.50 $23,838.50 2026-04-29
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 2 1 — $4,035.00 $23,752.44 $23,752.44 $23,752.44 2026-04-29
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 — $9,863.00 $23,707.64 $23,707.64 $23,707.64 2026-04-29
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Ccmcc 2 1 — $6,276.00 $23,654.59 $23,654.59 $23,654.59 2026-04-29
707 MS_DRG Major Male Pelvic Procedures With Ccmcc 2 1 — $4,931.00 $23,581.50 $23,581.50 $23,581.50 2026-04-29
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 2 1 — $7,173.00 $23,580.32 $23,580.32 $23,580.32 2026-04-29
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 1 — $10,984.00 $23,555.56 $23,555.56 $23,555.56 2026-04-29
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 1 — $8,070.00 $23,521.37 $23,521.37 $23,521.37 2026-04-29
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 1 — $12,105.00 $23,516.66 $23,516.66 $23,516.66 2026-04-29
L8614 HCPCS Hc (sup Shell L8614) Cochlear Device 2 1 — — $23,439.57 $23,439.57 $23,439.57 2026-04-29
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 1 — $7,173.00 $23,351.61 $23,351.61 $23,351.61 2026-04-29
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 3 2 — $10,984.00 $15,663.17 $23,203.07 $23,203.07 2026-04-29
883 MS_DRG Disorders Of Personality And Impulse Control 2 1 — $13,002.00 $23,180.67 $23,180.67 $23,180.67 2026-04-29
906 MS_DRG Hand Procedures For Injuries 2 1 — $6,276.00 $23,157.09 $23,157.09 $23,157.09 2026-04-29
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 1 — $11,432.00 $23,132.34 $23,132.34 $23,132.34 2026-04-29
36 MS_DRG Carotid Artery Stent Procedures Without Ccmcc 2 1 — $2,690.00 $22,903.63 $22,903.63 $22,903.63 2026-04-29
100 MS_DRG Seizures With Mcc 2 1 — $9,639.00 $22,832.90 $22,832.90 $22,832.90 2026-04-29
548 MS_DRG Septic Arthritis With Mcc 2 1 — $13,226.00 $22,763.34 $22,763.34 $22,763.34 2026-04-29
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Ccmcc 2 1 — $4,483.00 $22,742.12 $22,742.12 $22,742.12 2026-04-29
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 1 — $4,259.00 $22,739.76 $22,739.76 $22,739.76 2026-04-29
582 MS_DRG Mastectomy For Malignancy With Ccmcc 2 1 — $5,828.00 $22,712.65 $22,712.65 $22,712.65 2026-04-29
75 MS_DRG Viral Meningitis With Ccmcc 2 1 — $12,329.00 $22,605.37 $22,605.37 $22,605.37 2026-04-29
902 MS_DRG Wound Debridements For Injuries With Cc 2 1 — $10,536.00 $22,570.00 $22,570.00 $22,570.00 2026-04-29
165 MS_DRG Major Chest Procedures Without Ccmcc 2 1 — $4,483.00 $22,566.47 $22,566.47 $22,566.47 2026-04-29
801 MS_DRG Splenic Procedures Without Ccmcc 2 1 — $5,380.00 $22,503.98 $22,503.98 $22,503.98 2026-04-29
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Ccmcc 2 1 — $8,070.00 $22,287.07 $22,287.07 $22,287.07 2026-04-29
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 2 1 — $6,276.00 $22,287.07 $22,287.07 $22,287.07 2026-04-29
196 MS_DRG Interstitial Lung Disease With Mcc 2 1 — $10,760.00 $22,248.16 $22,248.16 $22,248.16 2026-04-29
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — $12,553.00 $22,048.93 $22,048.93 $22,048.93 2026-04-29
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