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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

Vibra Hospital Of Western Mass - Central Campus

Rochdale, MA · CCN 222046 · Rates published

7,092 distinct procedures filed
53 distinct payers
67,422 rate rows
2026-07-31 last MRF observed
Data quality

65,630 of 67,422 rate rows are consumer-grade (97.3%)

1,792 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,480
per-diem day rate — not a per-procedure price 268
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 39
exceeds 3× this hospital's gross charge for a DRG stay — excluded 4
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://vhwmasscentral.com/wp-content/uploads/sites/37/2026/03/462623626_vibra-hospital-of-western-massachusetts-central-campus_standardcharges.csv
Found on page https://vhwmasscentral.com/about-us/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 1c121322fa6ef1d0… · 5,155,853 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $151,814.10 $184,578.21 $182,057.89 nat. median
$145,435
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $123,689.81 $151,814.10 $149,650.69 nat. median
$97,418
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $62,399.78 $102,763.05 $129,815.98 nat. median
$47,121
outlier · 2.8×
163
MS_DRG 		Major Chest Procedures With Mcc 13 $125,291.02 $125,291.02 $125,291.02 nat. median
$31,995
outlier · 3.9×
164
MS_DRG 		Major Chest Procedures With Cc 13 $125,291.02 $125,291.02 $125,291.02 nat. median
$18,379
outlier · 6.8×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 13 $123,689.81 $125,291.02 $125,167.85 nat. median
$13,993
outlier · 8.9×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 $83,352.96 $123,689.81 $120,586.98 nat. median
$37,371
outlier · 3.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 13 $83,352.96 $123,689.81 $120,586.98 nat. median
$26,952
outlier · 4.5×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 13 $49,912.43 $123,689.81 $118,014.63 nat. median
$28,105
outlier · 4.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $44,860.41 $109,500.83 $104,528.49 nat. median
$48,611
outlier · 2.2×
68875010201
NDC 		Gattex 3 $99,999.99 $99,999.99 $99,999.99 —
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 13 $83,352.96 $83,352.96 $83,352.96 nat. median
$10,065
outlier · 8.3×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 13 $83,352.96 $83,352.96 $83,352.96 nat. median
$13,247
outlier · 6.3×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 $49,912.43 $83,352.96 $80,780.61 nat. median
$28,888
outlier · 2.8×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 $37,150.28 $83,352.96 $79,798.91 nat. median
$20,933
outlier · 3.8×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 $49,912.43 $80,124.11 $77,800.13 nat. median
$34,733
outlier · 2.2×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $123,673.96 $123,674.00 $77,717.78 nat. median
$33,546
outlier · 2.3×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 $66,706.68 $77,629.81 $76,789.57 nat. median
$27,156
outlier · 2.8×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 $49,912.43 $73,481.45 $71,668.45 nat. median
$43,299
1.7× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 $66,706.68 $71,214.38 $70,867.63 nat. median
$31,991
outlier · 2.2×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 13 $36,014.10 $73,761.53 $70,857.88 nat. median
$30,674
outlier · 2.3×
799
MS_DRG 		Splenic Procedures With Mcc 13 $36,014.10 $73,761.53 $70,857.88 nat. median
$32,381
outlier · 2.2×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 $58,911.99 $71,684.71 $70,702.19 nat. median
$23,000
outlier · 3.1×
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 13 $58,911.99 $71,684.71 $70,702.19 nat. median
$13,260
outlier · 5.3×
551
MS_DRG 		Medical Back Problems With Mcc 14 $36,014.10 $69,010.73 $69,010.73 nat. median
$11,966
outlier · 5.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $66,706.68 $80,124.11 $67,738.79 nat. median
$2,633
outlier · 25.7×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 13 $50,134.38 $69,100.57 $67,641.63 nat. median
$19,944
outlier · 3.4×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 $50,134.38 $69,100.57 $67,641.63 nat. median
$24,822
outlier · 2.7×
39
MS_DRG 		Extracranial Procedures Without Cc/mcc 13 $66,706.68 $77,629.81 $67,546.92 nat. median
$8,890
outlier · 7.6×
263
MS_DRG 		Vein Ligation And Stripping 13 $67,145.29 $67,145.29 $67,145.29 nat. median
$19,964
outlier · 3.4×
245
MS_DRG 		Aicd Generator Procedures 13 $66,706.68 $67,145.29 $67,111.55 nat. median
$32,088
outlier · 2.1×
254
MS_DRG 		Other Vascular Procedures Without Cc/mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$13,169
outlier · 5.1×
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$18,892
outlier · 3.5×
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$12,060
outlier · 5.5×
252
MS_DRG 		Other Vascular Procedures With Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$25,156
outlier · 2.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$60,505
1.1× median
253
MS_DRG 		Other Vascular Procedures With Cc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$19,118
outlier · 3.5×
257
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$7,458
outlier · 8.9×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$39,159
1.7× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$35,297
1.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$30,358
outlier · 2.2×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$23,282
outlier · 2.9×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$38,832
1.7× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$35,725
1.9× median
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$11,684
outlier · 5.7×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$34,616
1.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$47,458
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$56,428
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$69,822
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 13 $66,706.68 $66,706.68 $66,706.68 nat. median
$43,803
1.5× median

Other procedures at this hospital

Browse this hospital's 7,092 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
             
850 MS_DRG Acute Leukemia With Other Procedures 13 13 $66,706.68 $66,706.68 $66,706.68 $80,124.11 $67,738.79 2026-07-15
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
245 MS_DRG Aicd Generator Procedures 13 13 $67,145.29 $67,145.29 $66,706.68 $67,145.29 $67,111.55 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 13 $66,706.68 $66,706.68 $36,014.10 $66,706.68 $64,345.71 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 13 13 $66,706.68 $66,706.68 $38,334.01 $66,706.68 $64,524.17 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 13 $66,706.68 $66,706.68 $46,350.65 $66,706.68 $65,140.83 2026-07-15
202 MS_DRG Bronchitis And Asthma With Cc/mcc 13 13 $66,706.68 $66,706.68 $25,260.07 $66,706.68 $63,518.48 2026-07-15
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 13 $66,706.68 $66,706.68 $49,912.43 $66,706.68 $65,414.81 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 13 $66,706.68 $66,706.68 $25,260.07 $66,706.68 $63,518.48 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
784 MS_DRG Cesarean Section With Sterilization With Cc 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
787 MS_DRG Cesarean Section Without Sterilization With Cc 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 13 $50,609.98 $50,609.98 $38,001.09 $50,609.98 $49,640.07 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 13 $50,609.98 $50,609.98 $36,014.10 $50,609.98 $49,487.22 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 13 $56,179.88 $56,179.88 $37,150.28 $56,179.88 $54,716.06 2026-07-15
380 MS_DRG Complicated Peptic Ulcer With Mcc 13 13 $50,609.98 $50,609.98 $36,014.10 $50,609.98 $49,487.22 2026-07-15
919 MS_DRG Complications Of Treatment With Mcc 13 13 $56,671.35 $56,671.35 $36,315.32 $56,671.35 $55,105.50 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 13 13 $66,706.68 $66,706.68 $25,260.07 $66,706.68 $63,518.48 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $63,361.57 $66,706.68 $66,449.36 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 13 $66,447.73 $66,447.73 $66,447.73 $66,447.73 $66,447.73 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
157 MS_DRG Dental And Oral Diseases With Mcc 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc* 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 13 13 $55,366.07 $55,366.07 $36,014.10 $55,366.07 $53,877.46 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 13 $184,578.21 $184,578.21 $151,814.10 $184,578.21 $182,057.89 2026-07-15
643 MS_DRG Endocrine Disorders With Mcc* 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
81415 CPT Exome Sequence Analysis 8 3 $50,190.00 $50,190.00 $50,190.00 $50,190.00 $50,190.00 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 14 $1,291,504.57 $123,673.96 90% off $123,673.96 $123,674.00 $77,717.78 2026-07-15
38 MS_DRG Extracranial Procedures With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
39 MS_DRG Extracranial Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $77,629.81 $67,546.92 2026-07-15
115 MS_DRG Extraocular Procedures Except Orbit 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 13 $49,162.02 $49,162.02 $49,162.02 $49,162.02 $49,162.02 2026-07-15
748 MS_DRG Female Reproductive System Reconstructive Procedures 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 13 13 $66,706.68 $66,706.68 $32,452.32 $66,706.68 $64,071.73 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 13 13 $49,162.02 $49,162.02 $36,014.10 $49,162.02 $48,150.64 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 13 13 $52,216.48 $52,216.48 $36,014.10 $52,216.48 $50,970.14 2026-07-15
68875010201 NDC Gattex 8 3 $99,999.99 $99,999.99 $99,999.99 $99,999.99 $99,999.99 2026-07-15
81425 CPT Genome Sequence Analysis 8 3 $52,827.00 $52,827.00 $52,827.00 $52,827.00 $52,827.00 2026-07-15
55292070255 NDC Hemin For Injection 8 3 $51,333.70 $51,333.70 $51,333.70 $51,333.70 $51,333.70 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 13 $66,706.68 $66,706.68 $38,334.01 $66,706.68 $64,524.17 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 13 $66,706.68 $66,706.68 $60,222.55 $66,706.68 $66,207.90 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc* 13 13 $60,222.55 $60,222.55 $47,249.02 $60,222.55 $59,224.59 2026-07-15
304 MS_DRG Hypertension With Mcc 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
78 MS_DRG Hypertensive Encephalopathy With Cc 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
77 MS_DRG Hypertensive Encephalopathy With Mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
757 MS_DRG Infections, Female Reproductive System With Mcc 13 13 $49,162.02 $49,162.02 $36,014.10 $49,162.02 $48,150.64 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 13 $80,124.11 $80,124.11 $49,912.43 $80,124.11 $77,800.13 2026-07-15
386 MS_DRG Inflammatory Bowel Disease With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
385 MS_DRG Inflammatory Bowel Disease With Mcc 13 13 $66,706.68 $66,706.68 $49,912.43 $66,706.68 $65,414.81 2026-07-15
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $52,216.48 $50,089.66 2026-07-15
197 MS_DRG Interstitial Lung Disease With Cc* 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
196 MS_DRG Interstitial Lung Disease With Mcc* 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
198 MS_DRG Interstitial Lung Disease Without Cc/mcc* 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 13 13 $68,741.22 $68,741.22 $36,014.10 $68,741.22 $66,223.75 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 13 $68,741.22 $68,741.22 $36,014.10 $68,741.22 $66,223.75 2026-07-15
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc* 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc* 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc* 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 13 $66,706.68 $66,706.68 $25,260.07 $66,706.68 $63,518.48 2026-07-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 13 13 $49,912.43 $49,912.43 $35,702.31 $49,912.43 $48,819.34 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 13 13 $50,609.98 $50,609.98 $38,334.01 $50,609.98 $49,665.67 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 13 $66,447.73 $66,447.73 $66,447.73 $66,447.73 $66,447.73 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 13 $66,706.68 $66,706.68 $36,014.10 $66,706.68 $64,345.71 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 13 13 $66,706.68 $66,706.68 $65,089.61 $66,706.68 $66,582.29 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 13 $66,706.68 $66,706.68 $25,260.07 $66,706.68 $63,518.48 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 13 13 $66,706.68 $66,706.68 $66,447.73 $66,706.68 $66,686.76 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 13 13 $66,447.73 $66,447.73 $66,447.73 $66,706.68 $66,467.65 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 13 13 $55,302.65 $55,302.65 $49,912.43 $55,302.65 $54,888.02 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 13 13 $63,261.16 $63,261.16 $55,302.65 $63,261.16 $62,648.97 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 13 13 $125,291.02 $125,291.02 $125,291.02 $125,291.02 $125,291.02 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 13 13 $125,291.02 $125,291.02 $125,291.02 $125,291.02 $125,291.02 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/mcc 13 13 $125,291.02 $125,291.02 $123,689.81 $125,291.02 $125,167.85 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 13 13 $123,689.81 $123,689.81 $49,912.43 $123,689.81 $118,014.63 2026-07-15
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 13 $66,706.68 $66,706.68 $36,014.10 $66,706.68 $64,345.71 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
755 MS_DRG Malignancy, Female Reproductive System With Cc 13 13 $66,706.68 $66,706.68 $36,014.10 $66,706.68 $64,345.71 2026-07-15
754 MS_DRG Malignancy, Female Reproductive System With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 13 13 $71,684.71 $71,684.71 $58,911.99 $71,684.71 $70,702.19 2026-07-15
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 13 13 $58,911.99 $58,911.99 $45,124.64 $58,911.99 $57,851.42 2026-07-15
551 MS_DRG Medical Back Problems With Mcc 27 14 $467,264.24 $69,010.73 85% off $36,014.10 $69,010.73 $69,010.73 2026-07-15
663 MS_DRG Minor Bladder Procedures With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $63,261.16 $50,939.26 2026-07-15
606 MS_DRG Minor Skin Disorders With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 13 13 $66,706.68 $66,706.68 $38,334.01 $66,706.68 $64,524.17 2026-07-15
137 MS_DRG Mouth Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
138 MS_DRG Mouth Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 $56,179.88 $56,179.88 $56,179.88 $56,179.88 $56,179.88 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 13 $56,179.88 $56,179.88 $46,350.65 $56,179.88 $55,423.79 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 13 $56,179.88 $56,179.88 $56,179.88 $56,179.88 $56,179.88 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 13 $56,179.88 $56,179.88 $46,350.65 $56,179.88 $55,423.79 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 13 $66,706.68 $66,706.68 $66,447.73 $66,706.68 $66,686.76 2026-07-15
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 13 $66,447.73 $66,447.73 $66,447.73 $66,706.68 $66,467.65 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
54 MS_DRG Nervous System Neoplasms With Mcc 13 13 $66,706.68 $66,706.68 $25,260.07 $66,706.68 $63,518.48 2026-07-15
620 MS_DRG O.r. Procedures For Obesity With Cc 13 13 $50,134.38 $50,134.38 $36,014.10 $50,134.38 $49,048.20 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 13 $69,100.57 $69,100.57 $50,134.38 $69,100.57 $67,641.63 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 13 $62,642.87 $62,642.87 $49,912.43 $62,642.87 $61,663.61 2026-07-15
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
114 MS_DRG Orbital Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
539 MS_DRG Osteomyelitis With Mcc* 13 13 $51,222.99 $51,222.99 $37,588.89 $51,222.99 $50,174.21 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 13 13 $66,706.68 $66,706.68 $49,912.43 $66,706.68 $65,414.81 2026-07-15
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 13 13 $49,162.02 $49,162.02 $36,014.10 $49,162.02 $48,150.64 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 13 13 $67,145.29 $67,145.29 $36,014.10 $67,145.29 $64,750.58 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 13 13 $53,690.87 $53,690.87 $38,001.09 $53,690.87 $52,483.96 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 13 $73,761.53 $73,761.53 $36,014.10 $73,761.53 $70,857.88 2026-07-15
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 27 14 $861,086.85 $49,912.43 94% off $49,912.43 $49,912.43 $49,912.43 2026-07-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
215 MS_DRG Other Heart Assist System Implant 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc* 13 13 $55,302.65 $55,302.65 $55,302.65 $55,302.65 $55,302.65 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc* 13 13 $63,261.16 $63,261.16 $55,302.65 $63,261.16 $62,648.97 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc* 13 13 $55,302.65 $55,302.65 $46,118.13 $55,302.65 $54,596.15 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 13 $63,361.57 $63,361.57 $25,260.07 $63,361.57 $60,430.69 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 13 13 $66,706.68 $66,706.68 $25,260.07 $66,706.68 $63,518.48 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc* 13 13 $66,447.73 $66,447.73 $25,260.07 $66,447.73 $63,279.45 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc* 13 13 $66,447.73 $66,447.73 $66,447.73 $66,447.73 $66,447.73 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 13 $66,447.73 $66,447.73 $25,260.07 $66,447.73 $63,279.45 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 13 $66,447.73 $66,447.73 $66,447.73 $66,447.73 $66,447.73 2026-07-15
205 MS_DRG Other Respiratory System Diagnoses With Mcc 13 13 $69,301.38 $69,301.38 $33,752.32 $69,301.38 $66,566.84 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 13 13 $83,352.96 $83,352.96 $83,352.96 $83,352.96 $83,352.96 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 13 $123,689.81 $123,689.81 $83,352.96 $123,689.81 $120,586.98 2026-07-15
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 13 13 $83,352.96 $83,352.96 $83,352.96 $83,352.96 $83,352.96 2026-07-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 13 13 $58,911.99 $58,911.99 $58,911.99 $58,911.99 $58,911.99 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 13 $71,684.71 $71,684.71 $58,911.99 $71,684.71 $70,702.19 2026-07-15
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 13 13 $58,911.99 $58,911.99 $58,911.99 $71,684.71 $59,894.51 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
254 MS_DRG Other Vascular Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
152 MS_DRG Otitis Media And Uri With Mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 13 $66,706.68 $66,706.68 $36,014.10 $66,706.68 $64,345.71 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 13 $77,629.81 $77,629.81 $66,706.68 $77,629.81 $76,789.57 2026-07-15
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $56,179.88 $66,706.68 $65,896.93 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 13 13 $66,706.68 $66,706.68 $56,671.35 $66,706.68 $65,934.73 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 13 13 $66,706.68 $66,706.68 $33,752.32 $66,706.68 $64,171.73 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 13 $71,214.38 $71,214.38 $66,706.68 $71,214.38 $70,867.63 2026-07-15
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 13 13 $49,162.02 $49,162.02 $49,162.02 $49,162.02 $49,162.02 2026-07-15
666 MS_DRG Prostatectomy With Cc 13 13 $55,302.65 $55,302.65 $49,912.43 $55,302.65 $54,888.02 2026-07-15
665 MS_DRG Prostatectomy With Mcc 13 13 $63,261.16 $63,261.16 $55,302.65 $63,261.16 $62,648.97 2026-07-15
667 MS_DRG Prostatectomy Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 14 $1,168,829.00 $102,763.05 91% off $62,399.78 $102,763.05 $129,815.98 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 13 $66,706.68 $66,706.68 $25,260.07 $66,706.68 $63,518.48 2026-07-15
139 MS_DRG Salivary Gland Procedures 13 13 $49,912.43 $49,912.43 $49,912.43 $123,689.81 $55,587.61 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 13 $109,500.83 $109,500.83 $44,860.41 $109,500.83 $104,528.49 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
570 MS_DRG Skin Debridement With Mcc* 13 13 $62,214.82 $62,214.82 $45,124.64 $62,214.82 $60,900.19 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc* 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc* 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc* 13 13 $49,912.43 $49,912.43 $49,912.43 $71,684.71 $51,587.22 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 13 $73,481.45 $73,481.45 $49,912.43 $73,481.45 $71,668.45 2026-07-15
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 13 $69,100.57 $69,100.57 $50,134.38 $69,100.57 $67,641.63 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 13 $50,134.38 $50,134.38 $36,014.10 $50,134.38 $49,048.20 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
501 MS_DRG Soft Tissue Procedures With Cc 13 13 $49,912.43 $49,912.43 $46,350.65 $49,912.43 $49,638.45 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 13 13 $65,089.61 $65,089.61 $49,912.43 $65,089.61 $63,922.13 2026-07-15
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 13 13 $56,179.88 $56,179.88 $56,179.88 $56,179.88 $56,179.88 2026-07-15
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 13 13 $56,179.88 $56,179.88 $56,179.88 $66,706.68 $56,989.63 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 13 $63,361.57 $63,361.57 $25,260.07 $63,361.57 $60,430.69 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 13 13 $63,361.57 $63,361.57 $63,361.57 $63,361.57 $63,361.57 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 13 13 $73,761.53 $73,761.53 $36,014.10 $73,761.53 $70,857.88 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 13 $49,912.43 $49,912.43 $38,334.01 $49,912.43 $49,021.78 2026-07-15
312 MS_DRG Syncope And Collapse 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
711 MS_DRG Testes Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 13 $83,352.96 $83,352.96 $49,912.43 $83,352.96 $80,780.61 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 13 $123,689.81 $123,689.81 $83,352.96 $123,689.81 $120,586.98 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 13 $151,814.10 $151,814.10 $123,689.81 $151,814.10 $149,650.69 2026-07-15
669 MS_DRG Transurethral Procedures With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
670 MS_DRG Transurethral Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 13 13 $49,912.43 $49,912.43 $33,752.32 $49,912.43 $48,669.34 2026-07-15
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 13 13 $49,912.43 $49,912.43 $36,014.10 $49,912.43 $48,843.33 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc* 13 13 $56,697.77 $56,697.77 $33,752.32 $56,697.77 $54,932.74 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 13 $49,912.43 $49,912.43 $43,327.90 $49,912.43 $49,405.93 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 13 $83,352.96 $83,352.96 $37,150.28 $83,352.96 $79,798.91 2026-07-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
671 MS_DRG Urethral Procedures With Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
672 MS_DRG Urethral Procedures Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $63,261.16 $50,939.26 2026-07-15
693 MS_DRG Urinary Stones With Mcc 13 13 $66,706.68 $66,706.68 $36,014.10 $66,706.68 $64,345.71 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 13 13 $49,162.02 $49,162.02 $36,014.10 $49,162.02 $48,150.64 2026-07-15
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 13 13 $49,162.02 $49,162.02 $36,014.10 $49,162.02 $48,150.64 2026-07-15
263 MS_DRG Vein Ligation And Stripping 13 13 $67,145.29 $67,145.29 $67,145.29 $67,145.29 $67,145.29 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 13 13 $66,706.68 $66,706.68 $66,706.68 $66,706.68 $66,706.68 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 13 $66,643.26 $66,643.26 $50,398.60 $66,643.26 $65,393.67 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 13 $50,398.60 $50,398.60 $48,385.20 $50,398.60 $50,243.72 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 13 $48,385.20 $48,385.20 $48,385.20 $66,706.68 $49,794.54 2026-07-15
902 MS_DRG Wound Debridements For Injuries With Cc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 13 13 $67,805.86 $67,805.86 $49,912.43 $67,805.86 $66,429.44 2026-07-15
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 13 13 $49,912.43 $49,912.43 $49,912.43 $49,912.43 $49,912.43 2026-07-15
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