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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

METROWEST MEDICAL CENTER

Framingham, MA · CCN 220175 · Rates published

15,461 distinct procedures filed
19 distinct payers
165,674 rate rows
2026-06-05 last MRF observed
Data quality

114,135 of 165,674 rate rows are consumer-grade (68.9%)

51,539 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 50,232
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 697
per-diem day rate — not a per-procedure price 471
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 65
placeholder amount (≤ $0.02) — excluded from medians 50
exceeds 10× this hospital's gross charge — excluded from medians 18
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/621861200_metrowest-medical-center---framingham_standardcharges.json
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint c9caa574b1cdec51… · 36,776,145 bytes · first seen 2026-07-31

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 $1,433,755.33 $1,806,725.17 $1,620,240.25 nat. median
$359,454
outlier · 4.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $708,879.30 $893,283.57 $801,081.44 nat. median
$198,418
outlier · 4.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $704,719.09 $888,041.14 $796,380.11 nat. median
$190,559
outlier · 4.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $399,018.32 $502,816.92 $450,917.62 nat. median
$110,307
outlier · 4.1×
215
MS_DRG 		Other Heart Assist System Implant 1 $330,592.31 $416,590.92 $373,591.61 nat. median
$93,901
outlier · 4.0×
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 3 $57,253.53 $633,651.28 $370,076.47 nat. median
$16,730
outlier · 22.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $324,808.53 $409,302.57 $367,055.55 nat. median
$90,551
outlier · 4.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $1.00 $454,961.47 $361,041.87 nat. median
$97,323
outlier · 3.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $279,009.69 $351,589.85 $315,299.77 nat. median
$77,632
outlier · 4.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $1.00 $376,952.65 $299,136.74 nat. median
$78,049
outlier · 3.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $254,934.92 $321,252.39 $288,093.66 nat. median
$72,398
outlier · 4.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $252,995.92 $318,809.00 $285,902.46 nat. median
$67,976
outlier · 4.2×
10
MS_DRG 		Pancreas Transplant 1 $238,247.59 $300,224.11 $269,235.85 nat. median
$64,933
outlier · 4.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $238,147.99 $300,098.60 $269,123.29 nat. median
$61,308
outlier · 4.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $236,882.99 $298,504.53 $267,693.76 nat. median
$66,715
outlier · 4.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $236,743.54 $298,328.81 $267,536.17 nat. median
$66,649
outlier · 4.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $229,485.58 $289,182.80 $259,334.19 nat. median
$62,655
outlier · 4.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $228,360.04 $287,764.46 $258,062.25 nat. median
$63,873
outlier · 4.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $150,634.40 $586,285.18 $256,928.28 nat. median
$104,013
outlier · 2.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $223,485.98 $281,622.49 $252,554.23 nat. median
$61,728
outlier · 4.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $218,313.11 $275,103.98 $246,708.54 nat. median
$62,031
outlier · 4.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $218,313.11 $275,103.98 $246,708.54 nat. median
$59,546
outlier · 4.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $217,519.58 $274,104.02 $245,811.80 nat. median
$58,135
outlier · 4.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $203,475.14 $256,406.13 $229,940.64 nat. median
$58,280
outlier · 3.9×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $203,239.40 $256,109.07 $229,674.23 nat. median
$58,251
outlier · 3.9×
28
MS_DRG 		Spinal Procedures With Mcc 1 $199,487.58 $251,381.26 $225,434.42 nat. median
$54,460
outlier · 4.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $199,431.13 $251,310.14 $225,370.64 nat. median
$56,687
outlier · 4.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $197,986.85 $249,490.14 $223,738.49 nat. median
$55,167
outlier · 4.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $196,877.90 $248,092.72 $222,485.31 nat. median
$53,927
outlier · 4.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $194,849.26 $245,536.36 $220,192.81 nat. median
$55,477
outlier · 4.0×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $194,723.09 $245,377.37 $220,050.23 nat. median
$53,856
outlier · 4.1×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 1 $184,808.97 $232,884.24 $208,846.60 nat. median
$48,018
outlier · 4.3×
834
MS_DRG 		Acute Leukemia With Mcc 1 $182,275.66 $229,691.93 $205,983.79 nat. median
$50,371
outlier · 4.1×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $180,363.22 $227,282.00 $203,822.61 nat. median
$50,904
outlier · 4.0×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 1 $176,953.38 $222,985.13 $199,969.26 nat. median
$48,253
outlier · 4.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $175,183.71 $220,755.12 $197,969.41 nat. median
$49,364
outlier · 4.0×
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $172,530.87 $217,412.18 $194,971.52 nat. median
$49,999
outlier · 3.9×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 $1.00 $241,289.70 $191,479.25 nat. median
$51,241
outlier · 3.7×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $167,344.72 $210,876.93 $189,110.83 nat. median
$46,508
outlier · 4.1×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $1.00 $235,218.86 $186,661.64 nat. median
$50,573
outlier · 3.7×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $163,971.40 $206,626.09 $185,298.74 nat. median
$45,430
outlier · 4.1×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $163,410.28 $205,919.01 $184,664.65 nat. median
$45,237
outlier · 4.1×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $162,729.64 $205,061.31 $183,895.48 nat. median
$46,674
outlier · 3.9×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 1 $160,322.50 $202,027.98 $181,175.24 nat. median
$44,823
outlier · 4.0×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 $159,512.37 $201,007.11 $180,259.74 nat. median
$45,429
outlier · 4.0×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 $158,068.08 $199,187.11 $178,627.59 nat. median
$45,868
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $83,643.02 $579,528.72 $176,282.40 nat. median
$126,695
1.4× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $155,777.14 $196,300.22 $176,038.68 nat. median
$43,696
outlier · 4.0×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $155,312.32 $195,714.47 $175,513.40 nat. median
$43,895
outlier · 4.0×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 1 $153,343.44 $193,233.42 $173,288.43 nat. median
$44,126
outlier · 3.9×

Other procedures at this hospital

Browse this hospital's 15,461 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
             
289 MS_DRG Acute And Subacute Endocarditis With Cc 2 1 — — $56,672.49 $71,414.99 $64,043.74 2026-06-05
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 1 — — $89,851.25 $113,224.70 $101,537.98 2026-06-05
835 MS_DRG Acute Leukemia With Cc 2 1 — — $69,252.73 $87,267.79 $78,260.26 2026-06-05
834 MS_DRG Acute Leukemia With Mcc 2 1 — — $182,275.66 $229,691.93 $205,983.79 2026-06-05
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 26 3 — — $16,698.15 $106,930.96 $72,379.38 2026-06-05
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $61,918.41 $78,025.55 $69,971.98 2026-06-05
265 MS_DRG Aicd Lead Procedures 2 1 — — $120,131.48 $151,381.87 $135,756.67 2026-06-05
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 1 — — $57,940.81 $73,013.24 $65,477.03 2026-06-05
915 MS_DRG Allergic Reactions With Mcc 2 1 — — $55,832.48 $70,356.46 $63,094.47 2026-06-05
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — — $399,018.32 $502,816.92 $450,917.62 2026-06-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 1 — — $163,410.28 $205,919.01 $184,664.65 2026-06-05
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 2 1 — — $75,557.79 $95,213.01 $85,385.40 2026-06-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $142,532.87 $179,610.64 $161,071.76 2026-06-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $115,788.65 $145,909.33 $130,848.99 2026-06-05
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $62,097.70 $78,251.48 $70,174.59 2026-06-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 1 — — $228,360.04 $287,764.46 $258,062.25 2026-06-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 1 — — $140,218.69 $176,694.46 $158,456.58 2026-06-05
397 MS_DRG Appendix Procedures With Mcc 2 1 — — $79,515.47 $100,200.22 $89,857.85 2026-06-05
303 MS_DRG Atherosclerosis Without Mcc 26 3 — — $22,351.59 $189,475.36 $104,233.45 2026-06-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 1 — — $196,877.90 $248,092.72 $222,485.31 2026-06-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $180,363.22 $227,282.00 $203,822.61 2026-06-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $116,851.12 $147,248.18 $132,049.65 2026-06-05
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 1 — — $85,634.60 $107,911.15 $96,772.88 2026-06-05
886 MS_DRG Behavioral And Developmental Disorders 2 1 — — $68,904.11 $86,828.48 $77,866.29 2026-06-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $118,385.05 $149,181.14 $133,783.10 2026-06-05
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $72,290.71 $91,096.05 $81,693.38 2026-06-05
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $52,714.82 $66,427.78 $59,571.30 2026-06-05
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 1 — — $81,650.36 $102,890.47 $92,270.42 2026-06-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $114,699.63 $144,537.01 $129,618.32 2026-06-05
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 2 1 — — $61,719.20 $77,774.52 $69,746.86 2026-06-05
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 1 — — $71,075.52 $89,564.75 $80,320.14 2026-06-05
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 1 — — $64,049.98 $80,711.61 $72,380.79 2026-06-05
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 2 1 — — $51,858.20 $65,348.33 $58,603.26 2026-06-05
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 1 — — $52,319.71 $65,929.90 $59,124.80 2026-06-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $236,743.54 $298,328.81 $267,536.17 2026-06-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $199,431.13 $251,310.14 $225,370.64 2026-06-05
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $153,343.44 $193,233.42 $173,288.43 2026-06-05
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 2 — — $1.00 $131,462.32 $104,324.00 2026-06-05
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 3 2 — — $1.00 $84,602.64 $67,137.76 2026-06-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $324,808.53 $409,302.57 $367,055.55 2026-06-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $218,313.11 $275,103.98 $246,708.54 2026-06-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $218,313.11 $275,103.98 $246,708.54 2026-06-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $254,934.92 $321,252.39 $288,093.66 2026-06-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $167,344.72 $210,876.93 $189,110.83 2026-06-05
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 1 — — $79,369.38 $100,016.13 $89,692.76 2026-06-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 1 — — $128,514.98 $161,946.22 $145,230.60 2026-06-05
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 2 1 — — $64,504.85 $81,284.81 $72,894.83 2026-06-05
602 MS_DRG Cellulitis With Mcc 26 3 — — $25,872.81 $242,985.69 $146,197.65 2026-06-05
603 MS_DRG Cellulitis Without Mcc 26 3 — — $2,858.31 $272,487.50 $65,423.83 2026-06-05
472 MS_DRG Cervical Spinal Fusion With Cc 2 1 — — $97,816.41 $123,261.88 $110,539.15 2026-06-05
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 — — $160,322.50 $202,027.98 $181,175.24 2026-06-05
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 1 — — $81,056.04 $102,141.55 $91,598.79 2026-06-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 1 — — $159,512.37 $201,007.11 $180,259.74 2026-06-05
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 1 — — $69,305.85 $87,334.73 $78,320.29 2026-06-05
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 1 — — $86,076.18 $108,467.61 $97,271.89 2026-06-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $1,433,755.33 $1,806,725.17 $1,620,240.25 2026-06-05
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 1 — — $68,618.57 $86,468.66 $77,543.62 2026-06-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — — $118,285.45 $149,055.62 $133,670.54 2026-06-05
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 1 — — $69,807.21 $87,966.50 $78,886.86 2026-06-05
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 1 — — $109,676.17 $138,206.77 $123,941.47 2026-06-05
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 2 1 — — $55,131.92 $69,473.66 $62,302.79 2026-06-05
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 2 — — $1.00 $92,581.34 $73,469.39 2026-06-05
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 1 — — $65,348.18 $82,347.52 $73,847.85 2026-06-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $1.00 $376,952.65 $299,136.74 2026-06-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 2 — — $1.00 $241,289.70 $191,479.25 2026-06-05
919 MS_DRG Complications Of Treatment With Mcc 2 1 — — $60,786.22 $76,598.84 $68,692.53 2026-06-05
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 2 — — $1.00 $454,961.47 $361,041.87 2026-06-05
545 MS_DRG Connective Tissue Disorders With Mcc 2 1 — — $82,397.40 $103,831.85 $93,114.62 2026-06-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — — $194,849.26 $245,536.36 $220,192.81 2026-06-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 1 — — $139,076.54 $175,255.20 $157,165.87 2026-06-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 1 — — $150,959.53 $190,229.38 $170,594.46 2026-06-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $223,485.98 $281,622.49 $252,554.23 2026-06-05
J7330 HCPCS Cultured Chondrocytes Implnt 5 1 — — $71,585.73 $79,539.70 $79,539.70 2026-06-05
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 1 — — $68,034.22 $85,732.29 $76,883.26 2026-06-05
157 MS_DRG Dental And Oral Diseases With Mcc 2 1 — — $57,001.19 $71,829.20 $64,415.19 2026-06-05
374 MS_DRG Digestive Malignancy With Mcc 2 1 — — $71,009.12 $89,481.07 $80,245.10 2026-06-05
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 1 — — $54,125.90 $68,205.94 $61,165.92 2026-06-05
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 26 3 — — $20,631.72 $180,129.10 $101,832.81 2026-06-05
883 MS_DRG Disorders Of Personality And Impulse Control 2 1 — — $65,285.09 $82,268.03 $73,776.56 2026-06-05
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 1 — — $70,301.91 $88,589.90 $79,445.90 2026-06-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $704,719.09 $888,041.14 $796,380.11 2026-06-05
643 MS_DRG Endocrine Disorders With Mcc 2 1 — — $54,653.81 $68,871.18 $61,762.49 2026-06-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 1 — — $203,475.14 $256,406.13 $229,940.64 2026-06-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 1 — — $158,068.08 $199,187.11 $178,627.59 2026-06-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $708,879.30 $893,283.57 $801,081.44 2026-06-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 1 — — $129,295.23 $162,929.43 $146,112.33 2026-06-05
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $81,627.12 $102,861.18 $92,244.15 2026-06-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $155,777.14 $196,300.22 $176,038.68 2026-06-05
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 2 1 — — $56,908.23 $71,712.05 $64,310.14 2026-06-05
38 MS_DRG Extracranial Procedures With Cc 2 1 — — $53,873.57 $67,887.96 $60,880.76 2026-06-05
37 MS_DRG Extracranial Procedures With Mcc 2 1 — — $109,304.30 $137,738.17 $123,521.24 2026-06-05
504 MS_DRG Foot Procedures With Cc 2 1 — — $62,061.18 $78,205.46 $70,133.32 2026-06-05
503 MS_DRG Foot Procedures With Mcc 2 1 — — $92,670.10 $116,776.83 $104,723.46 2026-06-05
505 MS_DRG Foot Procedures Without Cc/mcc 2 1 — — $59,524.55 $75,008.96 $67,266.76 2026-06-05
533 MS_DRG Fractures Of Femur With Mcc 2 1 — — $52,050.78 $65,591.00 $58,820.89 2026-06-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 1 — — $238,147.99 $300,098.60 $269,123.29 2026-06-05
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 1 — — $106,937.00 $134,755.05 $120,846.02 2026-06-05
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 1 — — $73,396.34 $92,489.29 $82,942.82 2026-06-05
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 1 — — $60,693.26 $76,481.69 $68,587.48 2026-06-05
906 MS_DRG Hand Procedures For Injuries 2 1 — — $65,218.69 $82,184.35 $73,701.52 2026-06-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 3 — — $109,049.68 $1,172,491.95 $154,692.80 2026-06-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 3 — — $150,634.40 $586,285.18 $256,928.28 2026-06-05
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 1 — — $55,859.04 $70,389.93 $63,124.49 2026-06-05
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 — — $96,352.20 $121,416.78 $108,884.49 2026-06-05
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 1 — — $69,541.59 $87,631.79 $78,586.69 2026-06-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 1 — — $95,296.38 $120,086.30 $107,691.34 2026-06-05
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 — — $70,311.88 $88,602.45 $79,457.17 2026-06-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 1 — — $203,239.40 $256,109.07 $229,674.23 2026-06-05
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 1 — — $87,566.95 $110,346.18 $98,956.57 2026-06-05
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 — — $95,820.97 $120,747.35 $108,284.16 2026-06-05
304 MS_DRG Hypertension With Mcc 26 3 — — $32,133.06 $145,430.89 $69,678.34 2026-06-05
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 1 — — $66,340.92 $83,598.51 $74,969.71 2026-06-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — — $163,971.40 $206,626.09 $185,298.74 2026-06-05
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 1 — — $82,736.06 $104,258.60 $93,497.33 2026-06-05
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 1 — — $57,008.05 $63,342.28 $63,342.28 2026-06-05
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 — — $66,769.22 $84,138.23 $75,453.73 2026-06-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 3 — — $21,382.03 $221,487.30 $61,031.29 2026-06-05
116 MS_DRG Intraocular Procedures With Cc/mcc 2 1 — — $60,032.54 $75,649.10 $67,840.82 2026-06-05
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $91,541.23 $115,354.31 $103,447.77 2026-06-05
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $58,342.55 $73,519.49 $65,931.02 2026-06-05
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 1 — — $60,759.66 $76,565.37 $68,662.51 2026-06-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — — $105,708.53 $133,207.01 $119,457.77 2026-06-05
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 1 — — $84,362.96 $106,308.72 $95,335.84 2026-06-05
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 1 — — $59,886.45 $75,465.00 $67,675.73 2026-06-05
652 MS_DRG Kidney Transplant 2 1 — — $107,225.86 $135,119.05 $121,172.45 2026-06-05
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 1 — — $69,428.70 $87,489.53 $78,459.11 2026-06-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — — $107,146.17 $135,018.64 $121,082.40 2026-06-05
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 2 1 — — $52,000.97 $65,528.24 $58,764.60 2026-06-05
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 2 1 — — $58,731.02 $74,009.01 $66,370.01 2026-06-05
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 1 — — $56,164.50 $70,774.85 $63,469.68 2026-06-05
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 1 — — $79,233.25 $99,844.59 $89,538.92 2026-06-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $124,939.13 $157,440.16 $141,189.65 2026-06-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 3 — — $78,532.99 $431,381.01 $123,319.32 2026-06-05
6 MS_DRG Liver Transplant Without Mcc 26 3 — — $103,715.26 $270,742.55 $165,261.80 2026-06-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $120,380.49 $151,695.66 $136,038.08 2026-06-05
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $59,893.09 $75,473.37 $67,683.23 2026-06-05
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 1 — — $100,163.79 $126,219.90 $113,191.85 2026-06-05
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 2 1 — — $66,895.39 $84,297.22 $75,596.30 2026-06-05
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 1 — — $84,203.59 $106,107.89 $95,155.74 2026-06-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 1 — — $121,904.46 $153,616.07 $137,760.27 2026-06-05
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 1 — — $66,619.81 $83,949.95 $75,284.88 2026-06-05
7 MS_DRG Lung Transplant 26 3 — — $116,145.09 $541,823.42 $155,844.93 2026-06-05
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 1 — — $74,326.00 $93,660.79 $83,993.39 2026-06-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — — $194,723.09 $245,377.37 $220,050.23 2026-06-05
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 26 3 — — $28,278.03 $350,457.01 $61,210.94 2026-06-05
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $107,405.15 $135,344.98 $121,375.07 2026-06-05
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 1 — — $75,222.45 $94,790.44 $85,006.45 2026-06-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 1 — — $152,224.53 $191,823.45 $172,023.99 2026-06-05
654 MS_DRG Major Bladder Procedures With Cc 2 1 — — $92,942.36 $117,119.91 $105,031.14 2026-06-05
653 MS_DRG Major Bladder Procedures With Mcc 2 1 — — $172,530.87 $217,412.18 $194,971.52 2026-06-05
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 1 — — $70,275.35 $88,556.43 $79,415.89 2026-06-05
164 MS_DRG Major Chest Procedures With Cc 2 1 — — $83,801.85 $105,601.64 $94,701.74 2026-06-05
163 MS_DRG Major Chest Procedures With Mcc 26 3 — — $38,371.55 $187,514.03 $88,853.55 2026-06-05
165 MS_DRG Major Chest Procedures Without Cc/mcc 26 3 — — $46,872.18 $154,223.98 $92,224.99 2026-06-05
183 MS_DRG Major Chest Trauma With Mcc 26 3 — — $50,795.74 $142,953.37 $86,243.60 2026-06-05
368 MS_DRG Major Esophageal Disorders With Mcc 2 1 — — $52,854.26 $66,603.50 $59,728.88 2026-06-05
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 1 — — $58,870.47 $74,184.73 $66,527.60 2026-06-05
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 — — $73,306.70 $92,376.33 $82,841.51 2026-06-05
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 2 1 — — $66,413.96 $83,690.55 $75,052.26 2026-06-05
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 2 1 — — $59,976.09 $75,577.97 $67,777.03 2026-06-05
595 MS_DRG Major Skin Disorders With Mcc 2 1 — — $70,411.48 $88,727.97 $79,569.73 2026-06-05
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 — — $79,591.83 $100,296.45 $89,944.14 2026-06-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 — — $152,612.99 $192,312.96 $172,462.97 2026-06-05
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 1 — — $55,875.65 $70,410.85 $63,143.25 2026-06-05
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 — — $60,982.11 $76,845.69 $68,913.90 2026-06-05
597 MS_DRG Malignant Breast Disorders With Mcc 2 1 — — $55,351.05 $69,749.80 $62,550.43 2026-06-05
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 2 1 — — $63,966.97 $80,607.02 $72,286.99 2026-06-05
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 26 3 — — $57,253.53 $633,651.28 $370,076.47 2026-06-05
607 MS_DRG Minor Skin Disorders Without Mcc 26 3 — — $30,094.29 $186,634.75 $112,426.38 2026-06-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $1.00 $235,218.86 $186,661.64 2026-06-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $140,803.04 $177,430.83 $159,116.93 2026-06-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $155,312.32 $195,714.47 $175,513.40 2026-06-05
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $76,736.46 $96,698.30 $86,717.38 2026-06-05
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $56,569.57 $71,285.29 $63,927.43 2026-06-05
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 1 — — $104,918.32 $132,211.24 $118,564.78 2026-06-05
935 MS_DRG Non-extensive Burns 2 1 — — $68,396.12 $86,188.34 $77,292.23 2026-06-05
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $54,570.81 $68,766.58 $61,668.69 2026-06-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $113,829.74 $143,440.83 $128,635.29 2026-06-05
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 2 1 — — $55,274.69 $69,653.57 $62,464.13 2026-06-05
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 1 — — $60,095.62 $75,728.59 $67,912.10 2026-06-05
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $34,710.00 $120,805.93 $95,867.45 2026-06-05
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — — $77,589.75 $97,773.56 $87,681.65 2026-06-05
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 1 — — $120,473.46 $151,812.81 $136,143.14 2026-06-05
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 1 — — $67,323.70 $84,836.94 $76,080.32 2026-06-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 — — $128,322.41 $161,703.55 $145,012.98 2026-06-05
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 — — $53,418.70 $67,314.77 $60,366.74 2026-06-05
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 1 — — $53,099.96 $66,913.11 $60,006.54 2026-06-05
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 1 — — $77,211.25 $97,296.59 $87,253.92 2026-06-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 1 — — $145,849.75 $183,790.36 $164,820.05 2026-06-05
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 1 — — $51,911.33 $65,415.28 $58,663.31 2026-06-05
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — — $72,340.52 $91,158.81 $81,749.67 2026-06-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $123,737.21 $155,925.59 $139,831.40 2026-06-05
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 26 3 — — $37,622.72 $377,265.58 $115,653.57 2026-06-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 2 — — $1.00 $186,723.27 $148,177.21 2026-06-05
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 1 — — $85,249.46 $107,425.82 $96,337.64 2026-06-05
215 MS_DRG Other Heart Assist System Implant 2 1 — — $330,592.31 $416,590.92 $373,591.61 2026-06-05
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 1 — — $69,498.43 $87,577.39 $78,537.91 2026-06-05
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 2 1 — — $58,083.58 $73,193.15 $65,638.36 2026-06-05
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 2 1 — — $54,929.39 $69,218.44 $62,073.92 2026-06-05
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 1 — — $77,646.20 $97,844.69 $87,745.45 2026-06-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $139,501.52 $175,790.74 $157,646.13 2026-06-05
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 2 1 — — $54,497.76 $68,674.53 $61,586.15 2026-06-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 1 — — $118,076.27 $148,792.04 $133,434.15 2026-06-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $175,183.71 $220,755.12 $197,969.41 2026-06-05
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 1 — — $84,764.71 $106,814.97 $95,789.84 2026-06-05
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 2 1 — — $62,768.38 $79,096.63 $70,932.51 2026-06-05
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 1 — — $74,282.83 $93,606.39 $83,944.61 2026-06-05
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 — — $90,767.63 $114,379.46 $102,573.55 2026-06-05
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 1 — — $68,997.08 $86,945.63 $77,971.36 2026-06-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 1 — — $105,811.45 $133,336.71 $119,574.08 2026-06-05
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 1 — — $66,244.63 $83,477.17 $74,860.90 2026-06-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 — — $127,472.44 $160,632.47 $144,052.46 2026-06-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 1 — — $139,909.91 $176,305.36 $158,107.64 2026-06-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $252,995.92 $318,809.00 $285,902.46 2026-06-05
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 1 — — $97,750.01 $123,178.20 $110,464.10 2026-06-05
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 1 — — $61,719.20 $77,774.52 $69,746.86 2026-06-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 1 — — $132,280.09 $166,690.76 $149,485.42 2026-06-05
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 26 3 — — $33,855.10 $151,699.47 $62,585.35 2026-06-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 3 — — $26,201.14 $156,381.63 $79,744.36 2026-06-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 1 — — $107,524.68 $135,495.60 $121,510.14 2026-06-05
10 MS_DRG Pancreas Transplant 2 1 — — $238,247.59 $300,224.11 $269,235.85 2026-06-05
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 1 — — $96,292.44 $121,341.47 $108,816.96 2026-06-05
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 2 1 — — $73,695.16 $92,865.84 $83,280.50 2026-06-05
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 1 — — $70,720.26 $89,117.07 $79,918.67 2026-06-05
709 MS_DRG Penis Procedures With Cc/mcc 2 1 — — $77,264.37 $97,363.54 $87,313.95 2026-06-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 1 — — $136,974.85 $172,606.79 $154,790.82 2026-06-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 1 — — $109,291.02 $137,721.44 $123,506.23 2026-06-05
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 2 — — $1.00 $91,313.62 $72,463.37 2026-06-05
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 1 — — $54,208.91 $68,310.54 $61,259.72 2026-06-05
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 — — $70,013.06 $88,225.90 $79,119.48 2026-06-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $118,561.02 $149,402.89 $133,981.96 2026-06-05
186 MS_DRG Pleural Effusion With Mcc 2 1 — — $51,745.32 $65,206.08 $58,475.70 2026-06-05
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 1 — — $52,074.02 $65,620.29 $58,847.15 2026-06-05
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 1 — — $71,102.08 $89,598.22 $80,350.15 2026-06-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 — — $151,025.94 $190,313.06 $170,669.50 2026-06-05
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 2 1 — — $56,104.74 $70,699.54 $63,402.14 2026-06-05
666 MS_DRG Prostatectomy With Cc 2 1 — — $58,080.26 $73,188.96 $65,634.61 2026-06-05
665 MS_DRG Prostatectomy With Mcc 2 1 — — $103,630.08 $130,587.89 $117,108.99 2026-06-05
849 MS_DRG Radiotherapy 2 1 — — $89,960.82 $113,362.77 $101,661.80 2026-06-05
333 MS_DRG Rectal Resection With Cc 2 1 — — $77,765.72 $97,995.31 $87,880.51 2026-06-05
332 MS_DRG Rectal Resection With Mcc 2 1 — — $120,214.48 $151,486.47 $135,850.48 2026-06-05
334 MS_DRG Rectal Resection Without Cc/mcc 2 1 — — $54,381.56 $68,528.10 $61,454.83 2026-06-05
178 MS_DRG Respiratory Infections And Inflammations With Cc 26 3 — — $32,405.15 $167,521.47 $110,942.01 2026-06-05
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 26 3 — — $25,067.51 $136,484.03 $81,083.51 2026-06-05
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 — — $91,262.34 $115,002.86 $103,132.60 2026-06-05
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 — — $70,610.69 $88,979.00 $79,794.85 2026-06-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 1 — — $117,090.17 $147,549.42 $132,319.80 2026-06-05
100 MS_DRG Seizures With Mcc 2 1 — — $64,305.63 $81,033.78 $72,669.71 2026-06-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — — $229,485.58 $289,182.80 $259,334.19 2026-06-05
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 1 — — $64,494.88 $81,272.26 $72,883.57 2026-06-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 3 — — $50,725.91 $234,490.86 $90,038.70 2026-06-05
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $236,882.99 $298,504.53 $267,693.76 2026-06-05
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 2 — — $1.00 $168,213.70 $133,488.64 2026-06-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $176,953.38 $222,985.13 $199,969.26 2026-06-05
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $107,255.74 $135,156.71 $121,206.23 2026-06-05
571 MS_DRG Skin Debridement With Cc 2 1 — — $56,094.78 $70,686.99 $63,390.89 2026-06-05
570 MS_DRG Skin Debridement With Mcc 2 1 — — $97,650.40 $123,052.68 $110,351.54 2026-06-05
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 1 — — $88,008.54 $110,902.64 $99,455.59 2026-06-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $162,729.64 $205,061.31 $183,895.48 2026-06-05
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 2 1 — — $53,335.69 $67,210.17 $60,272.93 2026-06-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 1 — — $115,257.42 $145,239.90 $130,248.66 2026-06-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $217,519.58 $274,104.02 $245,811.80 2026-06-05
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 2 1 — — $59,663.99 $75,184.68 $67,424.33 2026-06-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 1 — — $121,954.27 $153,678.83 $137,816.55 2026-06-05
593 MS_DRG Skin Ulcers With Cc 26 3 — — $2,737.00 $338,985.63 $172,777.68 2026-06-05
592 MS_DRG Skin Ulcers With Mcc 2 1 — — $64,255.83 $80,971.02 $72,613.43 2026-06-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $279,009.69 $351,589.85 $315,299.77 2026-06-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $197,986.85 $249,490.14 $223,738.49 2026-06-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $138,538.67 $174,577.41 $156,558.04 2026-06-05
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $199,487.58 $251,381.26 $225,434.42 2026-06-05
800 MS_DRG Splenic Procedures With Cc 2 1 — — $93,277.70 $117,542.49 $105,410.10 2026-06-05
799 MS_DRG Splenic Procedures With Mcc 2 1 — — $150,368.54 $189,484.65 $169,926.60 2026-06-05
801 MS_DRG Splenic Procedures Without Cc/mcc 2 1 — — $63,379.30 $79,866.47 $71,622.89 2026-06-05
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — — $81,152.33 $102,262.88 $91,707.61 2026-06-05
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 2 1 — — $53,199.56 $67,038.63 $60,119.10 2026-06-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 1 — — $139,979.63 $176,393.22 $158,186.42 2026-06-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 3 — — $49,112.14 $326,926.91 $141,815.02 2026-06-05
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 1 — — $95,681.52 $120,571.63 $108,126.58 2026-06-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 3 — — $83,643.02 $579,528.72 $176,282.40 2026-06-05
668 MS_DRG Transurethral Procedures With Mcc 2 1 — — $96,949.84 $122,169.88 $109,559.86 2026-06-05
913 MS_DRG Traumatic Injury With Mcc 2 1 — — $54,271.99 $68,390.03 $61,331.01 2026-06-05
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 1 — — $75,431.62 $95,054.02 $85,242.82 2026-06-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $184,808.97 $232,884.24 $208,846.60 2026-06-05
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — — $98,822.43 $124,529.60 $111,676.01 2026-06-05
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 1 — — $56,373.68 $71,038.44 $63,706.06 2026-06-05
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 1 — — $89,559.07 $112,856.52 $101,207.80 2026-06-05
671 MS_DRG Urethral Procedures With Cc/mcc 2 1 — — $59,597.59 $75,101.00 $67,349.29 2026-06-05
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 1 — — $60,919.03 $76,766.20 $68,842.61 2026-06-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 1 — — $118,956.13 $149,900.77 $134,428.45 2026-06-05
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 1 — — $68,416.04 $86,213.44 $77,314.74 2026-06-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 1 — — $118,680.55 $149,553.51 $134,117.03 2026-06-05
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 2 1 — — $57,675.19 $72,678.53 $65,176.86 2026-06-05
32 MS_DRG Ventricular Shunt Procedures With Cc 2 1 — — $70,753.46 $89,158.91 $79,956.18 2026-06-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 1 — — $148,761.56 $187,459.64 $168,110.60 2026-06-05
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 2 1 — — $55,211.61 $69,574.07 $62,392.84 2026-06-05
75 MS_DRG Viral Meningitis With Cc/mcc 2 1 — — $63,664.83 $80,226.28 $71,945.55 2026-06-05
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $103,414.27 $130,315.93 $116,865.10 2026-06-05
902 MS_DRG Wound Debridements For Injuries With Cc 2 1 — — $63,565.23 $80,100.77 $71,833.00 2026-06-05
901 MS_DRG Wound Debridements For Injuries With Mcc 2 1 — — $139,335.51 $175,581.55 $157,458.53 2026-06-05
A9543 HCPCS Y90 Ibritumomab, Rx 5 1 — — $75,606.14 $83,988.20 $83,988.20 2026-06-05
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