Price Transparency Hospital negotiated rates

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

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Hospital

SPECTRUM HEALTH

Grand Rapids, MI · CCN 230038 · Rates published

986 distinct procedures filed
20 distinct payers
35,228 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

17,038 of 35,228 rate rows are consumer-grade (48.4%)

18,190 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 18,190

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt1f1301ac054e4c33/6777fd81b1ed3c154ddc8462/381360529_spectrum-health-hospitals_standardcharges.csv
Found on page https://corewellhealth.org/billing/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 8461abdab6ae4d55… · 8,687,029 bytes · first seen 2026-05-08

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 3 $582,471.63 $582,471.63 $582,471.63 nat. median
$370,174
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $547,418.00 $547,418.00 $547,418.00 nat. median
$265,286
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $477,181.55 $477,181.55 $477,181.55 nat. median
$206,368
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $358,661.81 $358,661.81 $358,661.81 nat. median
$108,660
outlier · 3.3×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 $315,256.77 $315,256.77 $315,256.77 nat. median
$33,675
outlier · 9.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $290,518.59 $290,518.59 $290,518.59 nat. median
$202,986
1.4× median
7
MS_DRG 		Lung Transplant 8 $237,458.44 $237,458.44 $237,458.44 nat. median
$122,708
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $228,038.95 $228,038.95 $228,038.95 nat. median
$117,303
1.9× median
9009
OTHER 		Inj, Vutrisiran, 1 Mg 2 $226,523.90 $226,523.90 $226,523.90 nat. median
$5,110
outlier · 44.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $194,094.36 $194,094.36 $194,094.36 nat. median
$74,915
outlier · 2.6×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $185,397.89 $185,397.89 $185,397.89 nat. median
$57,424
outlier · 3.2×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 $183,373.98 $183,373.98 $183,373.98 nat. median
$47,311
outlier · 3.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $177,606.49 $177,606.49 $177,606.49 nat. median
$77,576
outlier · 2.3×
652
MS_DRG 		Kidney Transplant 2 $158,845.80 $158,845.80 $158,845.80 nat. median
$31,494
outlier · 5.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $155,499.04 $155,499.04 $155,499.04 nat. median
$52,278
outlier · 3.0×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $149,466.68 $149,466.68 $149,466.68 nat. median
$42,730
outlier · 3.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $149,027.70 $149,027.70 $149,027.70 nat. median
$93,672
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 5 $140,108.92 $140,108.92 $140,108.92 nat. median
$99,019
1.4× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 10 $138,727.34 $138,727.34 $138,727.34 nat. median
$51,307
outlier · 2.7×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $138,426.53 $138,426.53 $138,426.53 nat. median
$52,879
outlier · 2.6×
0856
OTHER 		Porfimer Sodium Injection 2 $138,200.61 $138,200.61 $138,200.61 nat. median
$24,228
outlier · 5.7×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 $134,892.27 $134,892.27 $134,892.27 nat. median
$47,740
outlier · 2.8×
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $133,747.44 $133,747.44 $133,747.44 nat. median
$51,418
outlier · 2.6×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $131,600.83 $131,600.83 $131,600.83 nat. median
$63,570
outlier · 2.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $129,867.81 $129,867.81 $129,867.81 nat. median
$68,887
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $128,531.54 $128,531.54 $128,531.54 nat. median
$72,138
1.8× median
834
MS_DRG 		Acute Leukemia With Mcc 6 $124,073.88 $124,073.88 $124,073.88 nat. median
$53,173
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $121,539.49 $121,539.49 $121,539.49 nat. median
$81,118
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $117,918.90 $117,918.90 $117,918.90 nat. median
$79,312
1.5× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $116,105.12 $116,105.12 $116,105.12 nat. median
$54,196
outlier · 2.1×
252
MS_DRG 		Other Vascular Procedures With Mcc 8 $113,323.79 $113,323.79 $113,323.79 nat. median
$34,043
outlier · 3.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $113,163.72 $113,163.72 $113,163.72 nat. median
$60,726
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $113,117.26 $113,117.26 $113,117.26 nat. median
$102,358
1.1× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 $112,711.59 $112,711.59 $112,711.59 nat. median
$43,966
outlier · 2.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $111,648.57 $111,648.57 $111,648.57 nat. median
$65,381
1.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $106,462.41 $106,462.41 $106,462.41 nat. median
$54,066
2.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 9 $104,996.98 $104,996.98 $104,996.98 nat. median
$44,938
outlier · 2.3×
5166
OTHER 		Cochlear Implant Procedure 7 $104,609.80 $104,609.80 $104,609.80 nat. median
$33,509
outlier · 3.1×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $102,166.21 $102,166.21 $102,166.21 nat. median
$49,935
outlier · 2.0×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 10 $101,599.07 $101,599.07 $101,599.07 nat. median
$56,920
1.8× median
265
MS_DRG 		Aicd Lead Procedures 1 $100,882.65 $100,882.65 $100,882.65 nat. median
$35,445
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $99,058.04 $99,058.04 $99,058.04 nat. median
$58,024
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $98,514.03 $98,514.03 $98,514.03 nat. median
$65,950
1.5× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $98,224.76 $98,224.76 $98,224.76 nat. median
$55,929
1.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $97,401.15 $97,401.15 $97,401.15 nat. median
$59,099
1.6× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 $96,990.43 $96,990.43 $96,990.43 nat. median
$47,651
outlier · 2.0×
821
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 5 $96,279.58 $96,279.58 $96,279.58 nat. median
$22,649
outlier · 4.3×
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 $95,385.90 $95,385.90 $95,385.90 nat. median
$37,237
outlier · 2.6×
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 $94,588.76 $94,588.76 $94,588.76 nat. median
$30,781
outlier · 3.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $93,152.62 $93,152.62 $93,152.62 nat. median
$73,807
1.3× median

Other procedures at this hospital

Browse this hospital's 986 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
             
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 56 15 — — $31,233.31 $31,233.31 $31,233.31 2025-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 52 13 — — $46,127.12 $46,127.12 $46,127.12 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 50 13 — — $35,612.90 $35,612.90 $35,612.90 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 48 12 — — $28,412.58 $28,412.58 $28,412.58 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 10 — — $88,586.80 $88,586.80 $88,586.80 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 10 — — $138,727.34 $138,727.34 $138,727.34 2025-01-01
291 MS_DRG Heart Failure And Shock With Mcc 42 12 — — $28,777.61 $28,777.61 $28,777.61 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 40 11 — — $38,500.93 $38,500.93 $38,500.93 2025-01-01
5194 OTHER Level 4 Endovascular Procedures 40 11 — — $32,817.88 $32,817.88 $32,817.88 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 11 — — $194,094.36 $194,094.36 $194,094.36 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 10 — — $93,152.62 $93,152.62 $93,152.62 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 38 12 — — $57,444.48 $57,444.48 $57,444.48 2025-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 38 11 — — $52,625.93 $52,625.93 $52,625.93 2025-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 38 10 — — $48,668.28 $48,668.28 $48,668.28 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 38 11 — — $41,679.77 $41,679.77 $41,679.77 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 38 10 — — $32,429.01 $32,429.01 $32,429.01 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 38 10 — — $32,306.37 $32,306.37 $32,306.37 2025-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 38 10 — — $31,220.35 $31,220.35 $31,220.35 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 10 — — $138,426.53 $138,426.53 $138,426.53 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 9 — — $64,025.39 $64,025.39 $64,025.39 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 10 — — $63,468.21 $63,468.21 $63,468.21 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 10 — — $59,379.92 $59,379.92 $59,379.92 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 36 10 — — $50,576.75 $50,576.75 $50,576.75 2025-01-01
637 MS_DRG Diabetes With Mcc 36 10 — — $45,348.42 $45,348.42 $45,348.42 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 36 9 — — $36,415.80 $36,415.80 $36,415.80 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 34 10 — — $54,816.05 $54,816.05 $54,816.05 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 34 12 — — $50,749.12 $50,749.12 $50,749.12 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 34 11 — — $50,318.42 $50,318.42 $50,318.42 2025-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 34 10 — — $34,156.91 $34,156.91 $34,156.91 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 9 — — $290,518.59 $290,518.59 $290,518.59 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 9 — — $149,027.70 $149,027.70 $149,027.70 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 10 — — $91,085.55 $91,085.55 $91,085.55 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 32 11 — — $55,823.56 $55,823.56 $55,823.56 2025-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 32 9 — — $32,680.20 $32,680.20 $32,680.20 2025-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 32 10 — — $29,645.42 $29,645.42 $29,645.42 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 10 — — $155,499.04 $155,499.04 $155,499.04 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 30 9 — — $104,996.98 $104,996.98 $104,996.98 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 8 — — $76,284.99 $76,284.99 $76,284.99 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 9 — — $59,362.49 $59,362.49 $59,362.49 2025-01-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 30 8 — — $55,439.88 $55,439.88 $55,439.88 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 8 — — $53,493.66 $53,493.66 $53,493.66 2025-01-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 30 9 — — $50,303.45 $50,303.45 $50,303.45 2025-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 30 8 — — $44,428.25 $44,428.25 $44,428.25 2025-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 30 9 — — $42,325.82 $42,325.82 $42,325.82 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 30 10 — — $40,692.44 $40,692.44 $40,692.44 2025-01-01
5378 OTHER Level 8 Urology And Related Services 30 9 — — $36,204.57 $36,204.57 $36,204.57 2025-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 9 — — $34,973.90 $34,973.90 $34,973.90 2025-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 30 9 — — $31,826.87 $31,826.87 $31,826.87 2025-01-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 30 9 — — $31,529.06 $31,529.06 $31,529.06 2025-01-01
620 MS_DRG O.r. Procedures For Obesity With Cc 30 9 — — $28,345.59 $28,345.59 $28,345.59 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 8 — — $228,038.95 $228,038.95 $228,038.95 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 9 — — $185,397.89 $185,397.89 $185,397.89 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 9 — — $99,058.04 $99,058.04 $99,058.04 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 28 9 — — $71,386.08 $71,386.08 $71,386.08 2025-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 28 8 — — $58,830.36 $58,830.36 $58,830.36 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 10 — — $39,036.58 $39,036.58 $39,036.58 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 28 9 — — $37,663.53 $37,663.53 $37,663.53 2025-01-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 28 6 — — $37,638.22 $37,638.22 $37,638.22 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 28 7 — — $31,899.49 $31,899.49 $31,899.49 2025-01-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 28 7 — — $29,130.37 $29,130.37 $29,130.37 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 9 — — $27,989.15 $27,989.15 $27,989.15 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 8 — — $547,418.00 $547,418.00 $547,418.00 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 26 10 — — $101,599.07 $101,599.07 $101,599.07 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 8 — — $98,224.76 $98,224.76 $98,224.76 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 7 — — $73,215.63 $73,215.63 $73,215.63 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 8 — — $63,091.35 $63,091.35 $63,091.35 2025-01-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 26 8 — — $56,255.79 $56,255.79 $56,255.79 2025-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 26 8 — — $52,021.07 $52,021.07 $52,021.07 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 7 — — $45,535.04 $45,535.04 $45,535.04 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 7 — — $43,435.26 $43,435.26 $43,435.26 2025-01-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 26 8 — — $42,148.32 $42,148.32 $42,148.32 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 8 — — $35,414.89 $35,414.89 $35,414.89 2025-01-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 26 7 — — $30,040.58 $30,040.58 $30,040.58 2025-01-01
123 MS_DRG Neurological Eye Disorders 26 9 — — $29,403.08 $29,403.08 $29,403.08 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 24 8 — — $113,323.79 $113,323.79 $113,323.79 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 7 — — $112,711.59 $112,711.59 $112,711.59 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 9 — — $96,990.43 $96,990.43 $96,990.43 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 8 — — $83,058.47 $83,058.47 $83,058.47 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 6 — — $78,064.54 $78,064.54 $78,064.54 2025-01-01
835 MS_DRG Acute Leukemia With Cc 24 7 — — $64,436.94 $64,436.94 $64,436.94 2025-01-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 24 9 — — $50,337.39 $50,337.39 $50,337.39 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 7 — — $49,177.57 $49,177.57 $49,177.57 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 7 — — $47,697.71 $47,697.71 $47,697.71 2025-01-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 24 8 — — $45,539.43 $45,539.43 $45,539.43 2025-01-01
813 MS_DRG Coagulation Disorders 24 8 — — $44,326.01 $44,326.01 $44,326.01 2025-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 24 8 — — $42,497.85 $42,497.85 $42,497.85 2025-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 24 8 — — $39,545.51 $39,545.51 $39,545.51 2025-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 24 8 — — $37,478.04 $37,478.04 $37,478.04 2025-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 24 8 — — $28,622.28 $28,622.28 $28,622.28 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 6 — — $28,226.08 $28,226.08 $28,226.08 2025-01-01
5166 OTHER Cochlear Implant Procedure 22 7 — — $104,609.80 $104,609.80 $104,609.80 2025-01-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 22 7 — — $89,602.63 $89,602.63 $89,602.63 2025-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 22 7 — — $58,097.64 $58,097.64 $58,097.64 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 7 — — $57,069.71 $57,069.71 $57,069.71 2025-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 22 9 — — $51,746.46 $51,746.46 $51,746.46 2025-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 22 9 — — $49,192.60 $49,192.60 $49,192.60 2025-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 22 8 — — $43,044.04 $43,044.04 $43,044.04 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 8 — — $40,120.96 $40,120.96 $40,120.96 2025-01-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 22 6 — — $33,353.73 $33,353.73 $33,353.73 2025-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 22 6 — — $32,556.96 $32,556.96 $32,556.96 2025-01-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 22 7 — — $31,361.20 $31,361.20 $31,361.20 2025-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 22 6 — — $29,524.10 $29,524.10 $29,524.10 2025-01-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 22 7 — — $29,417.70 $29,417.70 $29,417.70 2025-01-01
7 MS_DRG Lung Transplant 20 8 — — $237,458.44 $237,458.44 $237,458.44 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 6 — — $183,373.98 $183,373.98 $183,373.98 2025-01-01
834 MS_DRG Acute Leukemia With Mcc 20 6 — — $124,073.88 $124,073.88 $124,073.88 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 20 7 — — $111,648.57 $111,648.57 $111,648.57 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 7 — — $94,588.76 $94,588.76 $94,588.76 2025-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 20 5 — — $86,548.17 $86,548.17 $86,548.17 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 7 — — $73,674.54 $73,674.54 $73,674.54 2025-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 20 6 — — $59,720.11 $59,720.11 $59,720.11 2025-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 20 7 — — $44,658.18 $44,658.18 $44,658.18 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 6 — — $43,923.07 $43,923.07 $43,923.07 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 7 — — $41,790.38 $41,790.38 $41,790.38 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 7 — — $37,576.04 $37,576.04 $37,576.04 2025-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 20 7 — — $35,071.20 $35,071.20 $35,071.20 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 5 — — $34,665.04 $34,665.04 $34,665.04 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 6 — — $32,683.76 $32,683.76 $32,683.76 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 20 6 — — $32,356.65 $32,356.65 $32,356.65 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 6 — — $177,606.49 $177,606.49 $177,606.49 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 6 — — $149,466.68 $149,466.68 $149,466.68 2025-01-01
215 MS_DRG Other Heart Assist System Implant 18 5 — — $140,108.92 $140,108.92 $140,108.92 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 5 — — $129,867.81 $129,867.81 $129,867.81 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 6 — — $128,531.54 $128,531.54 $128,531.54 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 6 — — $98,514.03 $98,514.03 $98,514.03 2025-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 18 7 — — $77,638.76 $77,638.76 $77,638.76 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 7 — — $71,216.48 $71,216.48 $71,216.48 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 6 — — $65,338.71 $65,338.71 $65,338.71 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 7 — — $62,864.93 $62,864.93 $62,864.93 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 6 — — $59,362.25 $59,362.25 $59,362.25 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 6 — — $58,632.84 $58,632.84 $58,632.84 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 8 — — $58,511.19 $58,511.19 $58,511.19 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 5 — — $52,108.42 $52,108.42 $52,108.42 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 6 — — $52,014.21 $52,014.21 $52,014.21 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 6 — — $50,407.11 $50,407.11 $50,407.11 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 5 — — $47,312.32 $47,312.32 $47,312.32 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 18 6 — — $46,315.82 $46,315.82 $46,315.82 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 6 — — $42,175.65 $42,175.65 $42,175.65 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 18 6 — — $36,969.58 $36,969.58 $36,969.58 2025-01-01
540 MS_DRG Osteomyelitis With Cc 18 5 — — $27,918.38 $27,918.38 $27,918.38 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $121,539.49 $121,539.49 $121,539.49 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $117,918.90 $117,918.90 $117,918.90 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 5 — — $84,770.10 $84,770.10 $84,770.10 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 6 — — $71,200.52 $71,200.52 $71,200.52 2025-01-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 4 — — $68,793.54 $68,793.54 $68,793.54 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 4 — — $62,894.38 $62,894.38 $62,894.38 2025-01-01
654 MS_DRG Major Bladder Procedures With Cc 16 5 — — $56,538.25 $56,538.25 $56,538.25 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 6 — — $51,966.21 $51,966.21 $51,966.21 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 5 — — $48,943.52 $48,943.52 $48,943.52 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 6 — — $44,171.71 $44,171.71 $44,171.71 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 5 — — $44,165.32 $44,165.32 $44,165.32 2025-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 16 6 — — $40,121.45 $40,121.45 $40,121.45 2025-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 16 5 — — $36,561.11 $36,561.11 $36,561.11 2025-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 16 5 — — $31,185.90 $31,185.90 $31,185.90 2025-01-01
5212 OTHER Level 2 Electrophysiologic Procedures 16 5 — — $31,085.26 $31,085.26 $31,085.26 2025-01-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 16 6 — — $30,636.42 $30,636.42 $30,636.42 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 16 5 — — $29,596.74 $29,596.74 $29,596.74 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 5 — — $113,163.72 $113,163.72 $113,163.72 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 4 — — $97,401.15 $97,401.15 $97,401.15 2025-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 14 5 — — $96,279.58 $96,279.58 $96,279.58 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 5 — — $72,291.93 $72,291.93 $72,291.93 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 5 — — $64,958.72 $64,958.72 $64,958.72 2025-01-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 14 4 — — $59,535.38 $59,535.38 $59,535.38 2025-01-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 14 5 — — $53,851.31 $53,851.31 $53,851.31 2025-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 14 5 — — $46,985.28 $46,985.28 $46,985.28 2025-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 14 4 — — $46,380.81 $46,380.81 $46,380.81 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 4 — — $44,608.10 $44,608.10 $44,608.10 2025-01-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 14 5 — — $41,901.54 $41,901.54 $41,901.54 2025-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 14 5 — — $41,312.39 $41,312.39 $41,312.39 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 14 5 — — $40,541.00 $40,541.00 $40,541.00 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 14 4 — — $38,827.06 $38,827.06 $38,827.06 2025-01-01
334 MS_DRG Rectal Resection Without Cc/Mcc 14 4 — — $37,899.32 $37,899.32 $37,899.32 2025-01-01
887 MS_DRG Other Mental Disorder Diagnoses 14 4 — — $37,425.29 $37,425.29 $37,425.29 2025-01-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 14 4 — — $34,437.93 $34,437.93 $34,437.93 2025-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 14 3 — — $34,399.58 $34,399.58 $34,399.58 2025-01-01
5471 OTHER Implantation Of Drug Infusion Device 14 6 — — $31,898.94 $31,898.94 $31,898.94 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 5 — — $31,164.99 $31,164.99 $31,164.99 2025-01-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 14 3 — — $29,573.74 $29,573.74 $29,573.74 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 3 — — $113,117.26 $113,117.26 $113,117.26 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 4 — — $91,203.77 $91,203.77 $91,203.77 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 4 — — $84,897.35 $84,897.35 $84,897.35 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 4 — — $81,554.41 $81,554.41 $81,554.41 2025-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 5 — — $70,524.60 $70,524.60 $70,524.60 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 4 — — $63,649.84 $63,649.84 $63,649.84 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 12 4 — — $60,532.95 $60,532.95 $60,532.95 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 3 — — $54,032.39 $54,032.39 $54,032.39 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 3 — — $51,435.25 $51,435.25 $51,435.25 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 4 — — $47,111.88 $47,111.88 $47,111.88 2025-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 12 4 — — $42,900.14 $42,900.14 $42,900.14 2025-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 12 4 — — $40,981.69 $40,981.69 $40,981.69 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 4 — — $39,088.53 $39,088.53 $39,088.53 2025-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 3 — — $37,384.28 $37,384.28 $37,384.28 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 4 — — $36,880.38 $36,880.38 $36,880.38 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 12 4 — — $34,042.66 $34,042.66 $34,042.66 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 5 — — $31,447.94 $31,447.94 $31,447.94 2025-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 12 4 — — $30,539.21 $30,539.21 $30,539.21 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 4 — — $28,907.54 $28,907.54 $28,907.54 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 12 4 — — $28,588.65 $28,588.65 $28,588.65 2025-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 12 3 — — $28,527.51 $28,527.51 $28,527.51 2025-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 12 4 — — $28,418.91 $28,418.91 $28,418.91 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 5 — — $28,223.46 $28,223.46 $28,223.46 2025-01-01
69 MS_DRG Transient Ischemia Without Thrombolytic 12 4 — — $28,072.20 $28,072.20 $28,072.20 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 3 — — $102,166.21 $102,166.21 $102,166.21 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 2 — — $84,866.27 $84,866.27 $84,866.27 2025-01-01
1142 OTHER Supprelin La Implant 10 4 — — $82,470.61 $82,470.61 $82,470.61 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 3 — — $80,980.46 $80,980.46 $80,980.46 2025-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 10 4 — — $59,771.54 $59,771.54 $59,771.54 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 4 — — $51,910.93 $51,910.93 $51,910.93 2025-01-01
9284 OTHER Ipilimumab Injection 10 3 — — $43,406.86 $43,406.86 $43,406.86 2025-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 10 4 — — $41,967.49 $41,967.49 $41,967.49 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 3 — — $41,181.97 $41,181.97 $41,181.97 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 4 — — $34,197.49 $34,197.49 $34,197.49 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 10 3 — — $31,705.60 $31,705.60 $31,705.60 2025-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 10 3 — — $30,716.58 $30,716.58 $30,716.58 2025-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 4 — — $30,588.31 $30,588.31 $30,588.31 2025-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 10 4 — — $28,633.21 $28,633.21 $28,633.21 2025-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 10 3 — — $28,616.83 $28,616.83 $28,616.83 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 3 — — $582,471.63 $582,471.63 $582,471.63 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 2 — — $134,892.27 $134,892.27 $134,892.27 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 8 2 — — $133,747.44 $133,747.44 $133,747.44 2025-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 3 — — $131,600.83 $131,600.83 $131,600.83 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 3 — — $106,462.41 $106,462.41 $106,462.41 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 3 — — $95,385.90 $95,385.90 $95,385.90 2025-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 8 1 — — $91,903.18 $91,903.18 $91,903.18 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 3 — — $79,148.36 $79,148.36 $79,148.36 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 3 — — $76,806.68 $76,806.68 $76,806.68 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 3 — — $72,087.26 $72,087.26 $72,087.26 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 4 — — $71,740.45 $71,740.45 $71,740.45 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 8 4 — — $59,933.94 $59,933.94 $59,933.94 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 8 3 — — $57,036.33 $57,036.33 $57,036.33 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 4 — — $55,360.42 $55,360.42 $55,360.42 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 3 — — $53,521.71 $53,521.71 $53,521.71 2025-01-01
9287 OTHER Brentuximab Vedotin Inj 8 4 — — $49,781.60 $49,781.60 $49,781.60 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 3 — — $48,758.00 $48,758.00 $48,758.00 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 3 — — $44,300.32 $44,300.32 $44,300.32 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 3 — — $39,821.93 $39,821.93 $39,821.93 2025-01-01
333 MS_DRG Rectal Resection With Cc 8 3 — — $38,010.52 $38,010.52 $38,010.52 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 2 — — $35,571.82 $35,571.82 $35,571.82 2025-01-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 8 3 — — $34,148.61 $34,148.61 $34,148.61 2025-01-01
5221 OTHER Level 1 Pacemaker And Similar Procedures 8 3 — — $32,283.50 $32,283.50 $32,283.50 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 4 — — $31,698.79 $31,698.79 $31,698.79 2025-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 8 3 — — $31,406.89 $31,406.89 $31,406.89 2025-01-01
950 MS_DRG Aftercare Without Cc/Mcc 8 3 — — $30,188.91 $30,188.91 $30,188.91 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 3 — — $477,181.55 $477,181.55 $477,181.55 2025-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $116,105.12 $116,105.12 $116,105.12 2025-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 2 — — $92,193.73 $92,193.73 $92,193.73 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $67,430.62 $67,430.62 $67,430.62 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 1 — — $64,168.94 $64,168.94 $64,168.94 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 3 — — $64,121.37 $64,121.37 $64,121.37 2025-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 6 2 — — $63,553.73 $63,553.73 $63,553.73 2025-01-01
263 MS_DRG Vein Ligation And Stripping 6 3 — — $47,423.18 $47,423.18 $47,423.18 2025-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 6 2 — — $45,278.96 $45,278.96 $45,278.96 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 2 — — $42,782.65 $42,782.65 $42,782.65 2025-01-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 6 3 — — $37,944.96 $37,944.96 $37,944.96 2025-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 6 2 — — $35,326.39 $35,326.39 $35,326.39 2025-01-01
668 MS_DRG Transurethral Procedures With Mcc 6 2 — — $34,619.48 $34,619.48 $34,619.48 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 3 — — $33,187.82 $33,187.82 $33,187.82 2025-01-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 6 2 — — $33,140.68 $33,140.68 $33,140.68 2025-01-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/Mcc 6 2 — — $32,706.03 $32,706.03 $32,706.03 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 3 — — $32,540.31 $32,540.31 $32,540.31 2025-01-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 6 3 — — $29,782.62 $29,782.62 $29,782.62 2025-01-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 6 2 — — $29,223.24 $29,223.24 $29,223.24 2025-01-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 6 3 — — $28,653.68 $28,653.68 $28,653.68 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $358,661.81 $358,661.81 $358,661.81 2025-01-01
9009 OTHER Inj, Vutrisiran, 1 Mg 4 2 — — $226,523.90 $226,523.90 $226,523.90 2025-01-01
652 MS_DRG Kidney Transplant 4 2 — — $158,845.80 $158,845.80 $158,845.80 2025-01-01
0856 OTHER Porfimer Sodium Injection 4 2 — — $138,200.61 $138,200.61 $138,200.61 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $72,812.27 $72,812.27 $72,812.27 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 2 — — $62,800.08 $62,800.08 $62,800.08 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 2 — — $56,964.75 $56,964.75 $56,964.75 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $52,523.82 $52,523.82 $52,523.82 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 1 — — $48,323.74 $48,323.74 $48,323.74 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 2 — — $46,073.42 $46,073.42 $46,073.42 2025-01-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 4 2 — — $45,551.36 $45,551.36 $45,551.36 2025-01-01
332 MS_DRG Rectal Resection With Mcc 4 2 — — $43,887.93 $43,887.93 $43,887.93 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 1 — — $39,468.59 $39,468.59 $39,468.59 2025-01-01
113 MS_DRG Orbital Procedures With Cc/Mcc 4 2 — — $39,295.04 $39,295.04 $39,295.04 2025-01-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 4 2 — — $38,543.57 $38,543.57 $38,543.57 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 4 2 — — $34,673.75 $34,673.75 $34,673.75 2025-01-01
1446 OTHER Visualization Adjunct 4 2 — — $32,364.57 $32,364.57 $32,364.57 2025-01-01
9276 OTHER Cabazitaxel Injection 4 2 — — $30,556.38 $30,556.38 $30,556.38 2025-01-01
906 MS_DRG Hand Procedures For Injuries 4 2 — — $29,069.94 $29,069.94 $29,069.94 2025-01-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 4 2 — — $27,864.75 $27,864.75 $27,864.75 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 1 — — $315,256.77 $315,256.77 $315,256.77 2025-01-01
265 MS_DRG Aicd Lead Procedures 2 1 — — $100,882.65 $100,882.65 $100,882.65 2025-01-01
245 MS_DRG Aicd Generator Procedures 2 1 — — $75,757.81 $75,757.81 $75,757.81 2025-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 1 — — $73,320.47 $73,320.47 $73,320.47 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — — $54,025.18 $54,025.18 $54,025.18 2025-01-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 2 1 — — $49,661.14 $49,661.14 $49,661.14 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 2 1 — — $49,063.45 $49,063.45 $49,063.45 2025-01-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/Mcc 2 1 — — $47,166.62 $47,166.62 $47,166.62 2025-01-01
9343 OTHER Inj Givosiran 0.5 Mg 2 1 — — $46,485.14 $46,485.14 $46,485.14 2025-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 2 1 — — $43,784.88 $43,784.88 $43,784.88 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 1 — — $42,820.85 $42,820.85 $42,820.85 2025-01-01
666 MS_DRG Prostatectomy With Cc 2 1 — — $38,057.43 $38,057.43 $38,057.43 2025-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 2 1 — — $37,456.87 $37,456.87 $37,456.87 2025-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 1 — — $36,734.82 $36,734.82 $36,734.82 2025-01-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 2 1 — — $35,257.98 $35,257.98 $35,257.98 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $32,445.35 $32,445.35 $32,445.35 2025-01-01
9135 OTHER Varicella-zoster Ig, IM 2 1 — — $30,550.52 $30,550.52 $30,550.52 2025-01-01
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