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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

NEWTON-WELLESLEY HOSPITAL

Newton, MA · CCN 220101 · Rates published

2,127 distinct procedures filed
29 distinct payers
27,840 rate rows
2026-03-27 last MRF observed
Data quality

27,554 of 27,840 rate rows are consumer-grade (99.0%)

286 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
per-diem day rate — not a per-procedure price 246
percent-of-charges filed in the dollar field — excluded from medians 12
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 11
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
placeholder amount (≤ $0.02) — excluded from medians 4
exceeds 10× this hospital's gross charge — excluded from medians 3
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.massgeneralbrigham.org/content/dam/mgb-global/en/price-transparency/042103611_Newton-Wellesley-Hospital_StandardCharges.zip
Found on page https://www.nwh.org/patients-and-visitors/billing-and-records/cms-required-hospital-charge-data
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-01
Content fingerprint aad204b63a2cc6ff… · 1,034,717 bytes · first seen 2026-05-15

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
9
MS_DRG 		Extracorporeal Membrane Oxygenation (Ecmo),EXTREME 1 $375,920.48 $375,920.48 $375,920.48 nat. median
$2,024
outlier · 185.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $202,195.57 $202,195.57 $202,195.57 nat. median
$145,435
1.4× median
361
MS_DRG 		Skin Graft For Skin And Subcutaneous Tissue Diagnoses,EXTREME 1 $134,888.01 $134,888.01 $134,888.01 nat. median
$20,724
outlier · 6.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $74,990.62 $74,990.62 $74,990.62 nat. median
$59,651
1.3× median
612
MS_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 $43,455.05 $146,980.35 $72,314.69 nat. median
$21,586
outlier · 3.4×
304
MS_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,MODERATE 6 $11,336.18 $121,181.17 $67,323.09 nat. median
$8,742
outlier · 7.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 1 $65,520.27 $65,520.27 $65,520.27 nat. median
$49,569
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 3 $59,625.56 $102,911.52 $63,650.28 nat. median
$2,958
outlier · 21.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $61,290.59 $68,765.85 $62,854.12 nat. median
$9,905
outlier · 6.3×
611
MS_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly,MAJOR 1 $61,460.56 $61,460.56 $61,460.56 nat. median
$31,525
1.9× median
174
MS_DRG 		Percutaneous Cardiac Intervention With Ami,MAJOR 1 $52,011.02 $68,539.50 $60,275.26 nat. median
$25,167
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $58,685.65 $61,679.82 $59,284.49 nat. median
$48,611
1.2× median
170
MS_DRG 		Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock,MAJOR 1 $58,731.53 $58,731.53 $58,731.53 nat. median
$3,229
outlier · 18.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With McC 1 $58,312.74 $58,312.74 $58,312.74 nat. median
$41,943
1.4× median
28
MS_DRG 		Spinal Procedures With McC 1 $57,236.28 $57,236.28 $57,236.28 nat. median
$41,895
1.4× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 1 $57,220.09 $57,220.09 $57,220.09 nat. median
$43,533
1.3× median
50
MS_DRG 		Non-bacterial Infections Of Nervous System Except Viral Meningitis,EXTREME 1 $26,829.22 $87,163.08 $56,996.15 nat. median
$28,138
outlier · 2.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $56,805.70 $56,805.70 $56,805.70 nat. median
$42,674
1.3× median
850
MS_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 $43,082.42 $58,432.51 $54,396.33 nat. median
$2,633
outlier · 20.7×
169
MS_DRG 		Major Abdominal Vascular Procedures,MAJOR 5 $29,445.89 $98,615.56 $53,793.74 nat. median
$59,918
0.9× median
325
MS_DRG 		Non-elective Or Complex Knee Joint Replacement,MINOR 1 $49,897.83 $62,395.78 $53,600.22 nat. median
$21,486
outlier · 2.5×
30
MS_DRG 		Percutaneous Intracranial And Extracranial Vascular Procedures,MAJOR 2 $19,019.06 $82,365.50 $50,692.28 nat. median
$15,949
outlier · 3.2×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $48,708.59 $48,708.59 $48,708.59 nat. median
$10,799
outlier · 4.5×
680
MS_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,MODERATE 2 $40,312.09 $53,189.41 $47,847.95 nat. median
$33,929
1.4× median
230
MS_DRG 		Major Small Bowel Procedures,MAJOR 4 $25,696.01 $118,321.65 $46,648.05 nat. median
$2,024
outlier · 23.0×
834
MS_DRG 		Acute Leukemia With McC 1 $46,612.81 $46,612.81 $46,612.81 nat. median
$37,487
1.2× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomically… 2 $45,251.75 $46,175.26 $45,713.51 nat. median
$2,736
outlier · 16.7×
231
MS_DRG 		Major Large Bowel Procedures,MINOR 2 $17,756.21 $127,315.27 $45,388.63 nat. median
$60,505
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 4 $44,799.20 $47,084.87 $45,256.33 nat. median
$37,725
1.2× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 2 $41,788.42 $46,885.11 $44,336.76 nat. median
$34,615
1.3× median
323
MS_DRG 		Non-elective Or Complex Hip Joint Replacement,MINOR 3 $15,978.27 $64,468.27 $44,115.31 nat. median
$30,435
1.4× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With McC 1 $43,675.73 $43,675.73 $43,675.73 nat. median
$32,245
1.4× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 3 $38,621.41 $43,331.84 $43,331.84 nat. median
$31,991
1.4× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With McC 1 $43,312.79 $43,312.79 $43,312.79 nat. median
$32,531
1.3× median
171
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,MODERATE 2 $38,562.23 $47,461.77 $43,012.00 nat. median
$24,538
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 5 $41,931.91 $44,071.29 $42,787.66 nat. median
$34,733
1.2× median
163
MS_DRG 		Major Chest Procedures With McC 1 $42,694.54 $42,694.54 $42,694.54 nat. median
$31,995
1.3× median
321
MS_DRG 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,MINO… 5 $17,846.04 $70,066.32 $41,962.33 nat. median
$20,638
outlier · 2.0×
471
MS_DRG 		Cervical Spinal Fusion With McC 2 $40,998.79 $41,835.50 $41,417.15 nat. median
$34,932
1.2× median
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 5 $39,027.28 $43,787.21 $41,018.46 nat. median
$33,435
1.2× median
301
MS_DRG 		Hip Joint Replacement,MAJOR 2 $40,903.88 $41,100.73 $41,002.31 nat. median
$5,455
outlier · 7.5×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 1 $40,649.41 $40,649.41 $40,649.41 nat. median
$33,546
1.2× median
224
MS_DRG 		Peritoneal Adhesiolysis,MAJOR 3 $14,292.14 $56,752.40 $40,477.31 nat. median
$2,024
outlier · 20.0×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 1 $40,231.07 $40,231.07 $40,231.07 nat. median
$30,768
1.3× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $39,749.04 $39,749.04 $39,749.04 nat. median
$30,649
1.3× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 2 $38,309.17 $40,895.04 $39,602.10 nat. median
$29,481
1.3× median
326
MS_DRG 		Elective Knee Joint Replacement,MINOR 4 $16,213.60 $43,210.46 $38,344.94 nat. median
$35,986
1.1× median
33264
CPT 		Hc Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 1 $38,071.20 $38,071.20 $38,071.20 nat. median
$32,779
1.2× median
33270
CPT 		Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 1 $38,071.20 $38,071.20 $38,071.20 nat. median
$32,475
1.2× median
710
MS_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure,MAJOR 3 $20,367.24 $115,032.18 $38,071.06 nat. median
$10,412
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 2,127 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
             
100 MS_DRG Seizures With McC 4 4 $41,994.60 $31,495.95 25% off $16,444.68 $18,450.35 $16,864.19 2026-03-27
111 MS_DRG Vertigo And Other Labyrinth Disorders,MAJOR 2 1 $40,797.04 — $14,049.19 $18,141.10 $16,095.15 2026-03-27
120 MS_DRG Major Respiratory And Chest Procedures,MINOR 3 2 $46,413.90 — $32,046.01 $34,423.80 $33,348.42 2026-03-27
121 MS_DRG Other Respiratory And Chest Procedures,MODERATE 9 5 $48,202.26 $12,377.93 74% off $10,078.75 $44,504.46 $33,348.42 2026-03-27
133 MS_DRG Respiratory Failure,MAJOR 8 5 $21,394.46 — $11,343.69 $28,114.18 $17,971.64 2026-03-27
134 MS_DRG Pulmonary Embolism,MAJOR 5 2 $21,768.56 — $14,752.31 $27,713.90 $16,671.28 2026-03-27
135 MS_DRG Major Chest And Respiratory Trauma,MODERATE 9 4 $26,461.96 — $10,955.25 $51,260.31 $27,777.95 2026-03-27
136 MS_DRG Respiratory Malignancy,EXTREME 6 4 $36,453.49 — $14,519.71 $30,544.81 $22,684.96 2026-03-27
137 MS_DRG Major Respiratory Infections And Inflammations,EXTREME 16 5 $36,093.17 — $6,895.32 $52,406.44 $18,336.98 2026-03-27
140 MS_DRG Chronic Obstructive Pulmonary Disease,EXTREME 6 4 $32,694.52 — $6,950.15 $30,436.84 $16,049.03 2026-03-27
143 MS_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,E… 12 5 $44,604.42 — $8,862.16 $42,094.74 $14,968.52 2026-03-27
145 MS_DRG Acute Bronchitis And Related Symptoms,MAJOR 4 2 $19,148.62 — $7,304.29 $30,123.46 $17,020.97 2026-03-27
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 1 1 $15,666.02 $11,749.51 25% off $18,345.00 $18,345.00 $18,345.00 2026-03-27
157 MS_DRG Dental And Oral Diseases With McC 2 2 $31,089.90 $23,317.42 25% off $15,320.45 $16,354.58 $15,837.51 2026-03-27
163 MS_DRG Major Chest Procedures With McC 1 1 $80,342.33 $60,256.75 25% off $42,694.54 $42,694.54 $42,694.54 2026-03-27
164 MS_DRG Major Chest Procedures With Cc 5 5 $46,268.52 $34,701.39 25% off $21,430.40 $24,044.14 $22,523.78 2026-03-27
165 MS_DRG Major Chest Procedures Without Cc/McC 2 2 $42,131.97 $31,598.98 25% off $16,584.48 $17,082.01 $16,833.24 2026-03-27
166 MS_DRG Other Respiratory System O.r. Procedures With McC 2 2 $70,426.60 $52,819.95 25% off $32,383.16 $33,354.65 $32,868.90 2026-03-27
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 $45,037.52 $33,778.14 25% off $17,179.55 $17,179.55 $17,179.55 2026-03-27
169 MS_DRG Major Abdominal Vascular Procedures,MAJOR 9 5 $87,240.06 — $29,445.89 $98,615.56 $53,793.74 2026-03-27
170 MS_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock,MAJOR 1 1 $106,343.14 — $58,731.53 $58,731.53 $58,731.53 2026-03-27
171 MS_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,MODERATE 2 2 $62,416.94 — $38,562.23 $47,461.77 $43,012.00 2026-03-27
173 MS_DRG Other Vascular Procedures,MINOR 2 2 $61,217.79 — $29,445.89 $32,390.17 $30,918.03 2026-03-27
174 MS_DRG Percutaneous Cardiac Intervention With Ami,MAJOR 2 1 $86,860.45 — $52,011.02 $68,539.50 $60,275.26 2026-03-27
180 MS_DRG Respiratory Neoplasms With McC 5 5 $39,122.14 $29,341.60 25% off $12,816.35 $30,065.53 $15,300.49 2026-03-27
182 MS_DRG Other Upper Vascular Procedures,MAJOR 4 3 $65,898.45 $25,380.91 61% off $7,180.86 $51,988.58 $34,923.85 2026-03-27
186 MS_DRG Pleural Effusion With McC 2 2 $24,715.14 $18,536.35 25% off $14,846.59 $14,846.59 $14,846.59 2026-03-27
192 MS_DRG Cardiac Catheterization For Other Non-coronary Conditions,MINOR 2 2 $49,022.57 $12,171.26 75% off $6,115.82 $23,828.58 $14,972.20 2026-03-27
196 MS_DRG Cardiac Arrest And Shock,MAJOR 2 2 $31,269.54 $25,949.34 $16,350.56 $22,028.39 $19,189.47 2026-03-27
205 MS_DRG Other Respiratory System Diagnoses With McC 5 5 $27,895.99 $20,921.99 25% off $9,799.06 $17,442.49 $15,546.39 2026-03-27
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 $61,158.32 $45,868.74 25% off $23,338.24 $23,814.53 $23,576.39 2026-03-27
220 MS_DRG Major Stomach, Esophageal And Duodenal Procedures,MINOR 8 4 $33,134.32 — $16,712.77 $92,420.70 $30,483.02 2026-03-27
221 MS_DRG Major Small & Large Bowel Procedures,MAJOR 5 2 $71,733.22 — $29,137.12 $70,713.24 $32,050.54 2026-03-27
222 MS_DRG Other Stomach, Esophageal And Duodenal Procedures,MAJOR 3 2 $67,838.69 — $16,937.05 $32,709.46 $17,783.82 2026-03-27
223 MS_DRG Other Small And Large Bowel Procedures,MODERATE 5 3 $28,758.88 — $23,118.19 $46,648.05 $33,839.00 2026-03-27
224 MS_DRG Peritoneal Adhesiolysis,MAJOR 6 3 $79,033.99 — $14,292.14 $56,752.40 $40,477.31 2026-03-27
225 MS_DRG Appendectomy,MINOR 4 2 $35,518.32 — $15,140.97 $24,129.26 $19,447.24 2026-03-27
226 MS_DRG Anal And Perineal Procedures,MODERATE 1 1 $25,226.68 — $26,326.66 $26,326.66 $26,326.66 2026-03-27
227 MS_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical,MINOR 6 3 $45,117.90 — $13,441.91 $53,795.10 $29,538.54 2026-03-27
229 MS_DRG Other Digestive System And Abdominal Procedures,MINOR 2 1 $39,667.60 — $21,294.92 $22,359.55 $21,827.24 2026-03-27
23 MS_DRG Spinal Procedures,MINOR 2 2 $81,488.80 — $34,539.63 $40,388.46 $37,464.04 2026-03-27
230 MS_DRG Major Small Bowel Procedures,MAJOR 11 4 $73,280.51 — $25,696.01 $118,321.65 $46,648.05 2026-03-27
231 MS_DRG Major Large Bowel Procedures,MINOR 12 2 $57,271.92 — $17,756.21 $127,315.27 $45,388.63 2026-03-27
232 MS_DRG Gastric Fundoplication,MINOR 1 1 $45,437.74 — $29,467.75 $29,467.75 $29,467.75 2026-03-27
233 MS_DRG Appendectomy With Complex Principal Diagnosis,MAJOR 5 3 $39,726.58 — $17,627.85 $34,028.79 $24,527.26 2026-03-27
234 MS_DRG Appendectomy Without Complex Principal Diagnosis,MINOR 4 2 $36,937.18 — $9,747.54 $27,598.03 $20,629.44 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 2 2 $125,527.05 $94,145.29 25% off $41,788.42 $46,885.11 $44,336.76 2026-03-27
24 MS_DRG Open Extracranial Vascular Procedures,MAJOR 3 3 $52,595.49 — $25,164.23 $44,752.71 $28,915.04 2026-03-27
240 MS_DRG Digestive Malignancy,MAJOR 7 4 $46,985.99 $46,951.14 $8,327.85 $28,980.57 $18,386.40 2026-03-27
241 MS_DRG Peptic Ulcer And Gastritis,MAJOR 14 6 $30,237.47 $35,633.78 $5,026.41 $54,937.99 $18,659.10 2026-03-27
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 4 4 $84,450.79 $63,338.09 25% off $24,078.79 $30,415.27 $29,453.67 2026-03-27
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 7 5 $48,240.52 $36,180.39 25% off $12,434.01 $45,096.98 $19,015.82 2026-03-27
248 MS_DRG Major Gastrointestinal And Peritoneal Infections,MAJOR 13 5 $19,051.95 — $6,778.80 $47,224.76 $16,937.05 2026-03-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 1 1 $71,606.81 $53,705.11 25% off $43,312.79 $43,312.79 $43,312.79 2026-03-27
252 MS_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure,M… 10 6 $28,320.05 $90,570.63 $7,653.85 $56,244.51 $22,055.39 2026-03-27
253 MS_DRG Other Vascular Procedures With Cc 3 3 $72,020.31 $54,015.23 25% off $18,707.39 $24,726.22 $22,038.33 2026-03-27
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 $39,445.33 $29,584.00 25% off $26,399.12 $26,399.12 $26,399.12 2026-03-27
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 1 1 $48,617.57 $36,463.18 25% off $27,618.37 $27,618.37 $27,618.37 2026-03-27
261 MS_DRG Major Biliary Tract Procedures,MINOR 1 1 $22,321.93 — $28,484.42 $28,484.42 $28,484.42 2026-03-27
263 MS_DRG Cholecystectomy,MINOR 16 5 $48,615.38 — $8,498.06 $76,236.75 $25,820.28 2026-03-27
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 $36,028.04 $16,664.33 54% off $21,268.57 $28,942.71 $25,105.64 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 1 1 $206,118.36 $154,588.77 25% off $65,520.27 $65,520.27 $65,520.27 2026-03-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 1 1 $106,698.32 $80,023.74 25% off $40,231.07 $40,231.07 $40,231.07 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With McC 4 4 $103,158.64 $77,368.98 25% off $44,799.20 $47,084.87 $45,256.33 2026-03-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 $112,278.34 $84,208.75 25% off $30,195.29 $33,878.03 $32,036.66 2026-03-27
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 1 1 $46,061.86 $34,546.39 25% off $24,320.40 $24,320.40 $24,320.40 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 1 1 $94,502.57 $70,876.93 25% off $57,220.09 $57,220.09 $57,220.09 2026-03-27
28 MS_DRG Spinal Procedures With McC 1 1 $103,372.12 $77,529.09 25% off $57,236.28 $57,236.28 $57,236.28 2026-03-27
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 13 8 $20,655.64 $15,491.73 25% off $7,803.76 $29,920.76 $15,053.20 2026-03-27
283 MS_DRG Other Disorders Of The Liver,MAJOR 11 6 $28,283.76 $35,620.39 $10,157.92 $44,675.63 $16,374.48 2026-03-27
284 MS_DRG Disorders Of Gallbladder And Biliary Tract,EXTREME 12 5 $35,150.06 — $6,229.32 $54,331.11 $20,893.85 2026-03-27
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 2 2 $75,831.90 $56,873.92 25% off $21,079.59 $21,079.59 $21,079.59 2026-03-27
288 MS_DRG Acute And Subacute Endocarditis With McC 2 2 $50,946.82 $38,210.11 25% off $22,977.38 $22,977.38 $22,977.38 2026-03-27
299 MS_DRG Peripheral Vascular Disorders With McC 4 4 $26,357.30 $19,767.97 25% off $13,862.68 $15,553.43 $15,061.69 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 $320,356.84 $240,267.63 25% off $202,195.57 $202,195.57 $202,195.57 2026-03-27
30 MS_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,MAJOR 2 2 $62,232.84 $52,781.08 $19,019.06 $82,365.50 $50,692.28 2026-03-27
301 MS_DRG Hip Joint Replacement,MAJOR 2 2 $66,696.65 — $40,903.88 $41,100.73 $41,002.31 2026-03-27
302 MS_DRG Atherosclerosis With McC 4 3 $40,293.12 $19,866.20 51% off $11,399.05 $38,786.43 $37,386.68 2026-03-27
304 MS_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,MODERATE 16 6 $100,321.26 $24,554.30 76% off $11,336.18 $121,181.17 $67,323.09 2026-03-27
310 MS_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,MINOR 9 5 $45,831.29 $12,901.45 72% off $4,806.56 $53,879.36 $28,556.59 2026-03-27
313 MS_DRG Knee And Lower Leg Procedures Except Foot,MINOR 15 9 $57,123.87 $16,678.81 71% off $6,113.27 $64,739.51 $19,327.05 2026-03-27
314 MS_DRG Other Circulatory System Diagnoses With McC 7 7 $37,947.46 $28,460.59 25% off $14,926.15 $38,211.08 $19,864.04 2026-03-27
315 MS_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,MINOR 4 3 $38,642.63 $19,471.60 50% off $8,345.95 $39,606.34 $16,890.15 2026-03-27
316 MS_DRG Hand And Wrist Procedures,MINOR 3 2 $39,252.74 — $9,702.11 $20,856.53 $19,415.88 2026-03-27
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures,MINOR 2 1 $38,205.92 — $24,490.62 $29,489.09 $26,989.85 2026-03-27
320 MS_DRG Other Musculoskeletal System And Connective Tissue Procedures,MINOR 2 2 $31,193.37 — $10,368.11 $27,203.02 $18,785.57 2026-03-27
321 MS_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,MINO… 9 5 $64,130.50 — $17,846.04 $70,066.32 $41,962.33 2026-03-27
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC 2 2 $77,190.65 $60,366.12 22% off $14,969.01 $46,716.52 $30,842.76 2026-03-27
323 MS_DRG Non-elective Or Complex Hip Joint Replacement,MINOR 8 3 $79,908.17 $130,800.76 $15,978.27 $64,468.27 $44,115.31 2026-03-27
325 MS_DRG Non-elective Or Complex Knee Joint Replacement,MINOR 3 1 $50,368.81 — $49,897.83 $62,395.78 $53,600.22 2026-03-27
326 MS_DRG Elective Knee Joint Replacement,MINOR 7 4 $47,023.94 $50,879.02 $16,213.60 $43,210.46 $38,344.94 2026-03-27
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 $40,375.60 $30,281.70 25% off $20,752.84 $21,176.37 $21,176.37 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With McC 5 5 $71,864.62 $53,898.46 25% off $39,027.28 $43,787.21 $41,018.46 2026-03-27
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 6 $55,718.63 $41,788.97 25% off $20,353.79 $20,769.17 $20,769.17 2026-03-27
33229 CPT Remove/Rplc Perm Pm Gen Mlt Sys 1 1 $8,995.00 $6,746.25 25% off $22,645.86 $22,645.86 $22,645.86 2026-03-27
33249 CPT Hc Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 3 2 $24,081.00 $18,060.75 25% off $35,057.32 $38,071.20 $35,057.32 2026-03-27
33262 CPT Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead 1 1 $9,000.00 $6,750.00 25% off $25,154.21 $25,154.21 $25,154.21 2026-03-27
33263 CPT Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld 1 1 $9,351.00 $7,013.25 25% off $26,653.50 $26,653.50 $26,653.50 2026-03-27
33264 CPT Hc Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 1 1 $9,703.00 $7,277.25 25% off $38,071.20 $38,071.20 $38,071.20 2026-03-27
33270 CPT Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 1 1 $14,577.00 $10,932.75 25% off $38,071.20 $38,071.20 $38,071.20 2026-03-27
333 MS_DRG Rectal Resection With Cc 1 1 $55,598.15 $41,698.61 25% off $20,292.66 $20,292.66 $20,292.66 2026-03-27
335 MS_DRG Peritoneal Adhesiolysis With McC 2 2 $61,899.07 $46,424.30 25% off $30,319.25 $34,017.11 $32,168.18 2026-03-27
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 $49,469.87 $37,102.40 25% off $17,904.23 $18,269.62 $18,086.92 2026-03-27
34 MS_DRG Carotid Artery Stent Procedures With McC 1 1 $54,090.90 $40,568.17 25% off $33,535.47 $33,535.47 $33,535.47 2026-03-27
340 MS_DRG Fracture Of Femur,MODERATE 3 3 $22,192.66 — $13,429.69 $15,579.59 $14,944.55 2026-03-27
343 MS_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 1 1 $30,655.24 — $21,531.52 $21,531.52 $21,531.52 2026-03-27
344 MS_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,MODERATE 6 3 $16,236.83 — $7,247.17 $54,819.50 $20,939.61 2026-03-27
349 MS_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure,MAJOR 4 1 $18,895.96 — $13,527.78 $45,568.48 $23,335.88 2026-03-27
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 2 $59,362.69 $44,522.02 25% off $20,296.90 $20,711.12 $20,504.01 2026-03-27
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 1 1 $40,395.83 $30,296.87 25% off $27,645.05 $27,645.05 $27,645.05 2026-03-27
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 $50,896.69 $38,172.52 25% off $16,026.88 $16,026.88 $16,026.88 2026-03-27
356 MS_DRG Other Digestive System O.r. Procedures With McC 2 2 $53,656.83 $40,242.62 25% off $37,297.71 $38,058.89 $37,678.30 2026-03-27
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 $40,677.56 $30,508.17 25% off $19,744.99 $20,147.95 $19,744.99 2026-03-27
36 MS_DRG Carotid Artery Stent Procedures Without Cc/McC 1 1 $53,876.98 $40,407.73 25% off $16,832.29 $16,832.29 $16,832.29 2026-03-27
361 MS_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,EXTREME 1 1 $56,071.00 — $134,888.01 $134,888.01 $134,888.01 2026-03-27
364 MS_DRG Other Skin, Subcutaneous Tissue And Related Procedures,MINOR 7 5 $18,608.01 — $7,136.36 $26,676.34 $17,974.40 2026-03-27
37 MS_DRG Extracranial Procedures With McC 2 2 $93,486.28 $70,114.71 25% off $27,952.05 $31,361.20 $29,656.62 2026-03-27
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 5 5 $45,756.60 $34,317.45 25% off $15,054.77 $16,890.91 $15,822.87 2026-03-27
37182 CPT Insert Tips 1 1 $21,295.00 $15,971.25 25% off $16,705.93 $16,705.93 $16,705.93 2026-03-27
374 MS_DRG Digestive Malignancy With McC 2 2 $39,295.78 $29,471.83 25% off $18,158.95 $18,529.54 $18,344.25 2026-03-27
377 MS_DRG Gastrointestinal Hemorrhage With McC 5 5 $41,548.64 $31,161.48 25% off $15,520.89 $17,413.88 $17,413.88 2026-03-27
38 MS_DRG Extracranial Procedures With Cc 1 1 $58,429.17 $43,821.88 25% off $15,457.21 $15,457.21 $15,457.21 2026-03-27
380 MS_DRG Complicated Peptic Ulcer With McC 5 5 $16,598.01 $25,103.70 $6,699.98 $17,596.38 $16,660.34 2026-03-27
397 MS_DRG Appendix Procedures With McC 1 1 $51,586.66 $38,689.99 25% off $22,814.29 $22,814.29 $22,814.29 2026-03-27
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 2 2 $26,791.99 $18,517.06 31% off $29,600.79 $36,782.58 $33,191.68 2026-03-27
401 MS_DRG Adrenal Procedures,MINOR 1 1 $70,228.75 — $34,524.78 $34,524.78 $34,524.78 2026-03-27
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 $75,989.44 $56,992.08 25% off $34,136.65 $38,300.10 $34,136.65 2026-03-27
403 MS_DRG Procedures For Obesity,MINOR 16 7 $26,118.40 — $8,712.83 $33,843.61 $25,733.85 2026-03-27
41 MS_DRG Nervous System Malignancy,MAJOR 4 4 $59,568.15 $50,882.58 $14,395.18 $20,945.27 $16,896.95 2026-03-27
411 MS_DRG Cholecystectomy With C.d.e. With McC 1 1 $87,271.17 $65,453.38 25% off $28,047.16 $28,047.16 $28,047.16 2026-03-27
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/McC 2 2 $65,074.97 $48,806.23 25% off $14,098.73 $15,818.27 $14,958.50 2026-03-27
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 1 1 $144,509.45 $108,382.09 25% off $30,866.10 $30,866.10 $30,866.10 2026-03-27
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 $76,250.60 $57,187.95 25% off $19,687.81 $19,687.81 $19,687.81 2026-03-27
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 4 4 $64,584.72 $48,438.54 25% off $20,262.07 $20,675.58 $20,468.83 2026-03-27
42 MS_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis,EXTREME 4 4 $41,834.38 — $11,733.02 $30,773.06 $24,579.12 2026-03-27
423 MS_DRG Inborn Errors Of Metabolism,MAJOR 4 3 $69,240.55 $55,415.08 $13,138.03 $37,060.74 $25,456.30 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 5 $29,688.97 $123,989.32 $6,950.87 $104,990.18 $18,581.84 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 $126,836.56 $95,127.42 25% off $61,290.59 $68,765.85 $62,854.12 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 $101,686.58 $76,264.93 25% off $48,708.59 $48,708.59 $48,708.59 2026-03-27
43 MS_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,MI… 3 2 $31,915.71 — $14,105.42 $20,698.52 $20,698.52 2026-03-27
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 2 2 $40,668.93 $30,501.70 25% off $16,711.30 $17,052.35 $16,881.82 2026-03-27
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 4 4 $45,797.92 $34,348.44 25% off $15,594.77 $16,390.42 $15,913.03 2026-03-27
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 4 4 $30,860.73 $23,145.55 25% off $12,067.39 $27,342.53 $15,393.66 2026-03-27
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 6 5 $39,628.01 $23,659.93 40% off $8,196.01 $41,473.42 $23,902.15 2026-03-27
443 MS_DRG Kidney And Urinary Tract Procedures For Non-malignancy,extreme 6 4 $35,473.01 $17,354.43 51% off $6,062.15 $85,783.01 $22,278.95 2026-03-27
445 MS_DRG Disorders Of The Biliary Tract With Cc 4 4 $39,973.89 $19,064.00 52% off $9,292.17 $54,092.35 $17,084.01 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 3 3 $116,243.25 $87,182.44 25% off $59,625.56 $102,911.52 $63,650.28 2026-03-27
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without McC 3 3 $89,021.62 $66,766.21 25% off $36,007.15 $40,398.73 $37,844.25 2026-03-27
45 MS_DRG Cva And Precerebral Occlusion With Infarction,MODERATE 14 5 $31,803.22 — $5,115.51 $55,274.43 $17,979.24 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomically … 2 2 $68,277.38 $51,208.03 25% off $45,251.75 $46,175.26 $45,713.51 2026-03-27
451 MS_DRG Single Level Spinal Fusion Except Cervical Without McC 4 4 $65,167.70 $48,875.77 25% off $27,428.19 $30,773.45 $29,100.82 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $122,921.51 $92,191.13 25% off $74,990.62 $74,990.62 $74,990.62 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $135,052.04 $101,289.03 25% off $56,805.70 $56,805.70 $56,805.70 2026-03-27
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $71,635.43 $53,726.57 25% off $39,749.04 $39,749.04 $39,749.04 2026-03-27
46 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction,MAJOR 1 1 $35,524.38 — $23,858.00 $23,858.00 $23,858.00 2026-03-27
462 MS_DRG Nephritis And Nephrosis,MAJOR 1 1 $40,049.94 — $27,339.13 $27,339.13 $27,339.13 2026-03-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $64,887.66 $48,665.74 25% off $26,985.52 $26,985.52 $26,985.52 2026-03-27
466 MS_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure,EXTREME 14 7 $30,360.43 $71,929.87 $5,458.22 $49,587.70 $18,167.76 2026-03-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 $72,007.43 $54,005.57 25% off $29,943.12 $31,470.83 $30,248.66 2026-03-27
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 8 6 $52,626.58 $39,469.93 25% off $11,787.10 $24,522.72 $23,570.39 2026-03-27
469 MS_DRG Acute Kidney Injury,MODERATE 13 7 $29,372.72 $45,808.24 $5,403.39 $45,154.91 $15,463.32 2026-03-27
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 9 7 $46,890.49 $35,167.87 25% off $16,377.61 $22,436.57 $18,375.10 2026-03-27
471 MS_DRG Cervical Spinal Fusion With McC 2 2 $74,752.90 $56,064.67 25% off $40,998.79 $41,835.50 $41,417.15 2026-03-27
472 MS_DRG Cervical Spinal Fusion With Cc 6 6 $68,993.44 $51,745.08 25% off $25,014.28 $26,290.52 $25,524.78 2026-03-27
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 2 2 $47,829.22 $35,871.91 25% off $20,728.21 $23,256.31 $21,992.26 2026-03-27
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 2 2 $92,869.39 $69,652.04 25% off $38,309.17 $40,895.04 $39,602.10 2026-03-27
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 2 2 $45,960.12 $34,470.09 25% off $21,678.78 $21,678.78 $21,678.78 2026-03-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 1 1 $72,247.49 $54,185.62 25% off $32,909.23 $32,909.23 $32,909.23 2026-03-27
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 $52,587.07 $39,440.30 25% off $20,880.19 $20,880.19 $20,880.19 2026-03-27
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC 1 1 $29,758.18 $22,318.63 25% off $17,708.26 $17,708.26 $17,708.26 2026-03-27
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 4 4 $66,814.26 $50,110.69 25% off $24,727.32 $27,743.17 $26,235.24 2026-03-27
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 6 $57,441.17 $43,080.88 25% off $17,783.66 $19,952.63 $19,321.81 2026-03-27
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 $63,927.72 $47,945.79 25% off $23,535.22 $26,405.67 $26,405.67 2026-03-27
484 MS_DRG Other Male Reproductive System And Related Procedures,MODERATE 1 1 $39,142.41 — $14,865.60 $14,865.60 $14,865.60 2026-03-27
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 3 $58,833.23 $44,124.92 25% off $17,754.79 $19,920.24 $19,920.24 2026-03-27
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 1 1 $34,551.30 $25,913.47 25% off $15,325.62 $15,325.62 $15,325.62 2026-03-27
49 MS_DRG Bacterial And Tuberculous Infections Of Nervous System,MAJOR 3 3 $99,310.25 — $14,430.37 $44,203.00 $19,963.99 2026-03-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 2 2 $65,923.38 $49,442.53 25% off $31,174.27 $31,810.48 $31,492.38 2026-03-27
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 $64,848.76 $48,636.57 25% off $21,533.13 $21,972.58 $21,972.58 2026-03-27
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 1 1 $59,500.34 $44,625.25 25% off $19,114.33 $19,114.33 $19,114.33 2026-03-27
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 $60,791.54 $45,593.65 25% off $17,184.32 $17,184.32 $17,184.32 2026-03-27
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 $69,289.81 $51,967.36 25% off $28,738.64 $28,738.64 $28,738.64 2026-03-27
50 MS_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis,EXTREME 2 1 $68,221.04 — $26,829.22 $87,163.08 $56,996.15 2026-03-27
500 MS_DRG Soft Tissue Procedures With McC 1 1 $53,399.76 $40,049.82 25% off $30,148.53 $30,148.53 $30,148.53 2026-03-27
501 MS_DRG Male Reproductive System Diagnoses Except Malignancy,MAJOR 3 3 $38,642.63 $28,981.97 25% off $8,732.25 $15,534.43 $15,145.41 2026-03-27
504 MS_DRG Foot Procedures With Cc 1 1 $40,688.40 $30,516.30 25% off $17,806.38 $17,806.38 $17,806.38 2026-03-27
505 MS_DRG Foot Procedures Without Cc/McC 2 2 $25,996.73 $19,497.55 25% off $15,222.04 $17,078.58 $16,150.31 2026-03-27
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/McC 1 1 $28,179.58 $21,134.68 25% off $15,337.51 $15,337.51 $15,337.51 2026-03-27
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 1 1 $86,090.84 $64,568.13 25% off $28,773.90 $28,773.90 $28,773.90 2026-03-27
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 $47,642.45 $35,731.84 25% off $19,808.79 $19,808.79 $19,808.79 2026-03-27
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 $59,279.70 $44,459.77 25% off $15,769.68 $15,769.68 $15,769.68 2026-03-27
513 MS_DRG Gynecologic Procedures Without Malignancy,MINOR 2 1 $47,097.60 — $24,669.69 $29,696.85 $27,183.27 2026-03-27
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 1 1 $46,255.72 $34,691.79 25% off $27,611.07 $27,611.07 $27,611.07 2026-03-27
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 5 $52,055.35 $39,041.51 25% off $17,644.42 $18,544.65 $17,644.42 2026-03-27
518 OTHER Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 1 1 $46,561.52 — $28,152.24 $28,152.24 $28,152.24 2026-03-27
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 2 2 $61,807.31 $56,481.39 $20,953.96 $32,379.69 $26,666.82 2026-03-27
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 6 5 $52,274.03 $36,147.16 31% off $16,417.23 $21,717.84 $17,110.50 2026-03-27
52 MS_DRG Alteration In Consciousness,MAJOR 4 2 $46,568.56 — $8,907.03 $22,655.14 $19,259.04 2026-03-27
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 2 2 $78,282.13 $58,711.60 25% off $24,369.85 $27,342.10 $25,855.97 2026-03-27
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 5 5 $65,770.57 $49,327.93 25% off $17,980.66 $20,173.65 $18,898.04 2026-03-27
539 MS_DRG Cesarean Section With Sterilization,MINOR 9 4 $27,402.77 $23,465.95 $7,994.28 $27,534.83 $18,136.20 2026-03-27
540 MS_DRG Cesarean Section Without Sterilization,MODERATE 29 9 $32,820.98 $13,322.86 59% off $5,007.84 $25,483.41 $15,097.88 2026-03-27
545 MS_DRG Connective Tissue Disorders With McC 2 2 $36,885.28 $27,663.96 25% off $21,071.24 $23,641.18 $22,356.21 2026-03-27
547 MS_DRG Antepartum With O.r. Procedure,MODERATE 5 2 $28,447.55 $19,373.32 32% off $7,244.78 $32,769.20 $22,053.69 2026-03-27
548 MS_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure,MODERATE 4 2 $53,218.71 $46,054.49 $16,729.19 $39,611.60 $22,892.22 2026-03-27
55 MS_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage,MINOR 3 1 $26,589.26 $19,941.94 25% off $9,712.92 $22,641.97 $16,074.27 2026-03-27
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 2 2 $34,659.68 $25,994.76 25% off $15,834.21 $17,765.42 $16,799.81 2026-03-27
570 MS_DRG Skin Debridement With McC 2 2 $97,101.51 $72,826.13 25% off $24,971.85 $28,017.52 $26,494.68 2026-03-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 2 2 $29,664.49 $22,248.37 25% off $27,496.96 $28,058.12 $27,777.54 2026-03-27
58 MS_DRG Other Disorders Of Nervous System,MAJOR 12 5 $36,236.42 $28,060.60 23% off $6,047.69 $52,307.33 $16,656.22 2026-03-27
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 $34,900.41 $26,175.31 25% off $16,461.28 $16,461.28 $16,461.28 2026-03-27
592 MS_DRG Skin Ulcers With McC 1 1 $34,588.79 $25,941.59 25% off $16,767.29 $16,767.29 $16,767.29 2026-03-27
595 MS_DRG Major Skin Disorders With McC 2 2 $31,822.08 $23,866.56 25% off $18,006.11 $18,373.58 $18,189.85 2026-03-27
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 $96,325.35 $72,244.01 25% off $23,887.32 $23,887.32 $23,887.32 2026-03-27
611 MS_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,MAJOR 1 1 $83,089.59 — $61,460.56 $61,460.56 $61,460.56 2026-03-27
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 5 $78,317.44 — $43,455.05 $146,980.35 $72,314.69 2026-03-27
614 MS_DRG Adrenal And Pituitary Procedures With Cc/McC 6 4 $48,425.13 $36,318.85 25% off $15,421.94 $55,570.01 $21,877.94 2026-03-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $105,734.54 $79,300.90 25% off $30,214.58 $30,214.58 $30,214.58 2026-03-27
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 $48,826.28 $36,619.71 25% off $15,880.07 $17,816.87 $16,690.27 2026-03-27
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 $89,107.53 $66,830.65 25% off $14,919.77 $15,224.25 $15,224.25 2026-03-27
621 MS_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly,MINOR 10 7 $32,433.60 $20,645.21 36% off $8,655.71 $33,862.89 $16,679.56 2026-03-27
622 MS_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 12 6 $87,682.94 $64,103.71 27% off $29,846.50 $87,711.87 $35,002.09 2026-03-27
623 MS_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,MODE… 3 3 $16,397.30 $52,224.89 $15,542.22 $24,732.22 $24,732.22 2026-03-27
625 MS_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,MINOR 8 4 $67,153.32 $58,449.02 $17,199.46 $36,077.58 $26,741.21 2026-03-27
634 MS_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 12 6 $29,916.65 — $14,189.45 $57,636.07 $27,716.17 2026-03-27
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 5 5 $41,668.28 $31,251.21 25% off $17,074.70 $19,157.20 $17,074.70 2026-03-27
654 MS_DRG Major Bladder Procedures With Cc 1 1 $62,147.78 $46,610.83 25% off $26,666.70 $26,666.70 $26,666.70 2026-03-27
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 3 $59,667.70 $44,750.77 25% off $15,854.99 $16,330.64 $15,854.99 2026-03-27
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 5 5 $42,186.37 $31,639.78 25% off $21,573.89 $22,674.60 $22,014.17 2026-03-27
661 MS_DRG Coagulation And Platelet Disorders,MODERATE 14 7 $24,274.67 $18,206.00 25% off $8,791.22 $58,680.05 $17,286.12 2026-03-27
663 MS_DRG Other Anemia And Disorders Of Blood And Blood-forming Organs,MAJOR 11 6 $23,571.58 — $6,465.79 $24,235.18 $16,155.39 2026-03-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 4 4 $85,276.15 $63,957.11 25% off $35,674.31 $40,025.30 $37,849.81 2026-03-27
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 $54,771.98 $41,078.98 25% off $22,277.97 $22,277.97 $22,277.97 2026-03-27
680 MS_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,MODERATE 3 2 $42,795.39 — $40,312.09 $53,189.41 $47,847.95 2026-03-27
686 MS_DRG Kidney And Urinary Tract Neoplasms With McC 2 2 $30,230.76 $22,673.07 25% off $15,314.58 $17,182.41 $16,248.49 2026-03-27
691 MS_DRG Lymphoma, Myeloma And Non-acute Leukemia,MAJOR 4 3 $42,595.32 — $18,257.12 $40,359.79 $21,959.74 2026-03-27
70 MS_DRG Other Cerebrovascular Disorders With McC 2 2 $33,652.38 $25,239.28 25% off $14,856.41 $15,859.22 $15,357.81 2026-03-27
707 MS_DRG Major Male Pelvic Procedures With Cc/McC 1 1 $41,349.93 $31,012.45 25% off $19,055.27 $19,055.27 $19,055.27 2026-03-27
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,MAJOR 7 3 $78,910.73 — $20,367.24 $115,032.18 $38,071.06 2026-03-27
711 MS_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,EXTREME 9 5 $34,094.71 — $14,404.09 $149,268.22 $26,742.18 2026-03-27
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/McC 2 2 $46,215.03 $34,661.27 25% off $16,051.57 $18,009.28 $17,030.42 2026-03-27
721 MS_DRG Post-operative, Post-traumatic, Other Device Infections,MODERATE 15 6 $18,863.98 — $5,974.57 $60,736.95 $17,484.10 2026-03-27
724 MS_DRG Other Infectious And Parasitic Diseases,MODERATE 8 5 $24,639.62 — $6,570.89 $19,311.70 $14,842.13 2026-03-27
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/McC 2 2 $55,225.70 $41,419.27 25% off $15,578.64 $15,896.57 $15,737.60 2026-03-27
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC 1 1 $33,050.27 $24,787.70 25% off $19,520.15 $19,520.15 $19,520.15 2026-03-27
750 MS_DRG Schizophrenia And Other Severe Psychotic Disorders,MAJOR 2 2 $49,790.81 — $36,575.13 $36,575.13 $36,575.13 2026-03-27
754 MS_DRG Malignancy, Female Reproductive System With McC 1 1 $45,177.83 $33,883.37 25% off $17,544.41 $17,544.41 $17,544.41 2026-03-27
791 MS_DRG O.r. Procedure For Other Complications Of Treatment,MINOR 1 1 $69,007.96 — $16,331.25 $16,331.25 $16,331.25 2026-03-27
794 MS_DRG Neonate With Other Significant Problems 2 2 $24,222.21 $3,742.24 85% off $12,531.35 $28,124.71 $20,328.03 2026-03-27
80 MS_DRG Nontraumatic Stupor And Coma With McC 4 4 $34,517.17 $25,887.88 25% off $15,368.07 $15,681.70 $15,524.89 2026-03-27
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 $33,303.49 $24,977.62 25% off $16,105.37 $16,105.37 $16,105.37 2026-03-27
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 $37,744.91 $28,308.68 25% off $19,129.08 $19,129.08 $19,129.08 2026-03-27
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 2 2 $34,386.64 $25,789.98 25% off $18,978.35 $20,259.38 $19,618.86 2026-03-27
816 MS_DRG Toxic Effects Of Non-medicinal Substances,MAJOR 2 2 $34,200.85 — $14,149.26 $21,373.63 $17,761.44 2026-03-27
82 MS_DRG Eye Infections And Other Eye Disorders,MODERATE 7 4 $27,047.44 $28,630.63 $7,047.26 $21,773.10 $15,888.17 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 1 1 $40,172.09 $30,129.07 25% off $43,675.73 $43,675.73 $43,675.73 2026-03-27
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 $41,488.16 $31,116.12 25% off $19,623.59 $19,623.59 $19,623.59 2026-03-27
834 MS_DRG Acute Leukemia With McC 1 1 $102,732.91 $77,049.68 25% off $46,612.81 $46,612.81 $46,612.81 2026-03-27
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 2 2 $42,458.96 $31,844.22 25% off $27,466.39 $28,026.93 $27,746.66 2026-03-27
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 3 3 $28,485.88 $21,364.41 25% off $13,851.64 $15,541.05 $15,541.05 2026-03-27
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 $69,348.86 $52,011.64 25% off $16,937.14 $17,282.80 $17,109.97 2026-03-27
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC 1 1 $29,105.95 $21,829.46 25% off $22,012.01 $22,012.01 $22,012.01 2026-03-27
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 2 2 $55,051.90 $41,288.92 25% off $19,289.91 $21,642.59 $20,466.25 2026-03-27
850 MS_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 1 $65,931.02 — $43,082.42 $58,432.51 $54,396.33 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 5 5 $80,225.46 $60,169.09 25% off $41,931.91 $44,071.29 $42,787.66 2026-03-27
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 $31,679.14 $23,759.35 25% off $19,034.31 $19,034.31 $19,034.31 2026-03-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 3 3 $74,758.59 $56,068.94 25% off $38,621.41 $43,331.84 $43,331.84 2026-03-27
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 $45,843.65 $34,382.74 25% off $18,553.80 $18,553.80 $18,553.80 2026-03-27
862 MS_DRG Postoperative And Post-traumatic Infections With McC 3 3 $28,254.41 $21,190.81 25% off $11,299.18 $15,800.40 $15,484.39 2026-03-27
863 MS_DRG Postoperative And Post-traumatic Infections Without McC 6 4 $63,169.20 $14,163.72 78% off $8,472.83 $109,661.42 $24,475.35 2026-03-27
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 1 1 $28,421.86 $21,316.39 25% off $19,940.24 $19,940.24 $19,940.24 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 $185,178.64 $138,883.98 25% off $58,685.65 $61,679.82 $59,284.49 2026-03-27
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 9 8 $42,868.31 $32,151.23 25% off $6,392.51 $18,504.64 $17,334.56 2026-03-27
890 MS_DRG HIV With Multiple Major HIV Related Conditions,EXTREME 1 1 $198,414.12 — $29,452.48 $29,452.48 $29,452.48 2026-03-27
892 MS_DRG HIV With Major HIV Related Condition,MODERATE 1 1 $30,628.88 — $18,768.24 $18,768.24 $18,768.24 2026-03-27
9 MS_DRG Extracorporeal Membrane Oxygenation (Ecmo),EXTREME 1 1 $183,943.43 — $375,920.48 $375,920.48 $375,920.48 2026-03-27
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 $35,202.65 $26,401.99 25% off $16,587.09 $16,587.09 $16,587.09 2026-03-27
906 MS_DRG Hand Procedures For Injuries 1 1 $18,512.08 $13,884.06 25% off $18,712.31 $18,712.31 $18,712.31 2026-03-27
907 MS_DRG Other O.r. Procedures For Injuries With McC 1 1 $48,053.82 $36,040.36 25% off $36,573.95 $36,573.95 $36,573.95 2026-03-27
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 $43,307.02 $32,480.26 25% off $19,006.67 $19,006.67 $19,006.67 2026-03-27
91 MS_DRG Other Disorders Of Nervous System With McC 6 6 $46,759.43 $35,069.57 25% off $14,911.27 $16,729.91 $15,291.66 2026-03-27
912 MS_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,MAJOR 1 1 $65,553.87 — $28,998.96 $28,998.96 $28,998.96 2026-03-27
919 MS_DRG Complications Of Treatment With McC 4 4 $32,657.45 $24,493.09 25% off $15,544.68 $17,440.58 $15,941.23 2026-03-27
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With McC 2 2 $58,696.71 $44,022.53 25% off $14,853.54 $15,156.67 $15,005.10 2026-03-27
930 MS_DRG Multiple Significant Trauma Without O.r. Procedure,MODERATE 1 1 $29,306.23 — $23,711.13 $23,711.13 $23,711.13 2026-03-27
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 1 1 $46,354.86 $34,766.14 25% off $31,437.05 $31,437.05 $31,437.05 2026-03-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 1 1 $66,577.60 $49,933.20 25% off $30,491.82 $30,491.82 $30,491.82 2026-03-27
950 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,MAJOR 3 3 $65,945.25 — $29,958.28 $37,141.47 $30,626.83 2026-03-27
951 MS_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,MAJOR 9 6 $36,524.02 $7,526.20 79% off $4,720.80 $57,824.20 $35,015.67 2026-03-27
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,MAJOR 5 4 $39,671.92 — $15,127.46 $89,119.52 $23,314.55 2026-03-27
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 5 $68,334.64 $51,250.98 25% off $31,950.30 $33,580.42 $32,602.35 2026-03-27
963 MS_DRG Other Multiple Significant Trauma With McC 2 2 $44,919.34 $33,689.50 25% off $23,211.74 $26,042.74 $24,627.24 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With McC 1 1 $64,206.70 $48,155.02 25% off $58,312.74 $58,312.74 $58,312.74 2026-03-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 4 4 $119,028.04 $89,271.03 25% off $9,024.50 $31,292.37 $30,979.44 2026-03-27
974 MS_DRG HIV With Major Related Condition With McC 2 2 $62,119.62 $46,589.71 25% off $25,004.09 $25,754.21 $25,379.15 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 1 1 $65,945.25 $49,458.94 25% off $40,649.41 $40,649.41 $40,649.41 2026-03-27
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 $35,221.95 $26,416.46 25% off $20,874.26 $21,300.27 $21,087.26 2026-03-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 3 3 $79,971.92 $59,978.94 25% off $29,109.33 $32,659.63 $30,594.50 2026-03-27
C1767 HCPCS Generator Pulse Implantable Inspire Vagus Nerve Stimulation 9 3 $23,280.56 $17,460.42 25% off $13,565.24 $28,595.03 $18,253.75 2026-03-27
C1820 HCPCS Impl Genrtor Neurostimulator Non Hi Freq Rechrgeable Bat And Chrging Sys T1 3 1 $22,450.00 $16,837.50 25% off $1,176.75 $25,613.93 $17,612.03 2026-03-27
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