Price Transparencybeta 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

HURLEY MEDICAL CENTER

Flint, MI · CCN 230132 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $8,333 across 114 payers · range $5,866-$16,371

Source: https://www.hurleymc.com/files/patients-and-visitors/386005601_hurley-medical-center_standardcharges.csv · observed 2026-03-23

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,008 distinct procedures filed
212 distinct payers
5,433,957 rate rows
2026-03-23 last MRF observed
Data quality

5,344,041 of 5,433,957 rate rows are consumer-grade (98.3%)

89,916 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 52,918
template filing: same amount across many unrelated codes — excluded 13,874
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11,219
placeholder amount (≤ $0.02) — excluded from medians 3,390
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,122
per-diem day rate — not a per-procedure price 2,905
exceeds 10× this hospital's gross charge — excluded from medians 1,340
percent-of-charges filed in the dollar field — excluded from medians 890
exceeds 3× this hospital's gross charge for a DRG stay — excluded 258
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hurleymc.com/files/patients-and-visitors/386005601_hurley-medical-center_standardcharges.csv
Found on page https://www.hurleymc.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-08-11
Content fingerprint fa8c533d52e3b76b… · 4,001,477,797 bytes · first seen 2026-05-14

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
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 172 $150,992.47 $712,163.10 $280,355.04 nat. median
$205,166
1.4× median
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 20 $244,735.50 $244,735.50 $244,735.50 nat. median
$280,935
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 172 $98,191.91 $333,347.63 $166,673.82 nat. median
$132,706
1.3× median
841
APR_DRG 		Extensive Third Degree Burns With Skin Graft,extreme 20 $162,258.02 $162,258.02 $162,258.02 nat. median
$63,143
outlier · 2.6×
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 20 $115,134.71 $199,251.97 $157,193.34 nat. median
$6,509
outlier · 24.2×
589
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 20 $157,136.47 $157,136.47 $157,136.47 nat. median
$66,644
outlier · 2.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 168 $78,264.71 $394,372.56 $151,288.98 nat. median
$96,835
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 174 $59,476.81 $338,675.56 $120,941.04 nat. median
$80,459
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 172 $64,101.18 $286,041.30 $118,305.74 nat. median
$81,124
1.5× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure,extreme 20 $90,097.57 $150,044.02 $108,651.41 nat. median
$13,186
outlier · 8.2×
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 194 $22,585.93 $275,047.97 $107,963.35 nat. median
$55,200
2.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 172 $56,068.91 $223,267.77 $103,325.81 nat. median
$77,385
1.3× median
28
MS_DRG 		Spinal Procedures With Mcc 172 $40,333.98 $282,384.44 $100,839.48 nat. median
$56,970
1.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 174 $54,316.42 $252,042.00 $100,057.49 nat. median
$71,485
1.4× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 172 $29,906.25 $369,802.57 $90,414.43 nat. median
$40,042
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 172 $54,727.61 $180,213.00 $90,106.50 nat. median
$74,472
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 172 $48,058.45 $238,151.35 $88,386.59 nat. median
$64,357
1.4× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 172 $47,709.93 $200,708.45 $87,736.60 nat. median
$62,262
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 172 $56,561.22 $218,871.98 $87,548.79 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 172 $55,067.55 $215,071.85 $86,028.74 nat. median
$92,900
0.9× median
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 126 $3,768.81 $166,651.36 $84,992.19 nat. median
$8,784
outlier · 9.7×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 172 $45,971.52 $187,148.94 $84,494.54 nat. median
$62,218
1.4× median
602
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 $79,428.57 $103,584.21 $82,934.35 nat. median
$98,904
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 172 $25,245.23 $261,653.84 $79,315.01 nat. median
$62,911
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 172 $27,079.97 $157,981.17 $78,990.59 nat. median
$65,958
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 174 $42,513.02 $169,621.15 $78,044.55 nat. median
$51,433
1.5× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 172 $34,579.27 $217,133.08 $77,538.22 nat. median
$56,397
1.4× median
603
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,major 20 $75,957.54 $75,957.54 $75,957.54 nat. median
$57,238
1.3× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 172 $37,938.54 $212,462.21 $75,870.26 nat. median
$54,267
1.4× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 172 $26,095.71 $223,162.67 $75,696.78 nat. median
$34,828
outlier · 2.2×
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 172 $26,527.32 $222,034.47 $75,314.09 nat. median
$36,046
outlier · 2.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 172 $49,092.05 $151,702.43 $75,304.96 nat. median
$65,792
1.1× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 172 $41,011.90 $177,558.83 $75,245.01 nat. median
$55,685
1.4× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 168 $40,249.37 $167,130.85 $73,822.91 nat. median
$53,080
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 172 $42,651.01 $155,909.92 $73,703.92 nat. median
$57,394
1.3× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 20 $45,664.25 $117,542.88 $72,784.77 nat. median
$126,291
0.6× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 174 $39,067.19 $167,414.06 $71,618.20 nat. median
$52,447
1.4× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 172 $41,271.00 $146,482.97 $71,281.36 nat. median
$53,268
1.3× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 194 $14,865.78 $181,498.48 $71,060.15 nat. median
$32,688
outlier · 2.2×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 172 $38,213.12 $165,399.11 $70,025.40 nat. median
$52,372
1.3× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 172 $38,190.60 $169,524.98 $69,983.38 nat. median
$50,178
1.4× median
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 174 $22,133.56 $326,893.88 $69,185.72 nat. median
$30,467
outlier · 2.3×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 172 $33,041.76 $156,146.41 $68,798.23 nat. median
$49,784
1.4× median
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 20 $61,033.33 $75,440.65 $68,236.99 nat. median
$94,677
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 168 $46,096.17 $159,134.65 $67,948.37 nat. median
$66,640
1.0× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 172 $35,174.27 $189,488.65 $67,666.40 nat. median
$48,311
1.4× median
662
MS_DRG 		Minor Bladder Procedures With Mcc 172 $22,221.09 $256,420.23 $67,079.92 nat. median
$29,427
outlier · 2.3×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 172 $30,349.82 $185,335.25 $66,183.22 nat. median
$40,421
1.6× median
258
MS_DRG 		Cardiac Pacemaker Device Replacement With Mcc 172 $22,788.59 $191,421.76 $64,930.26 nat. median
$29,434
outlier · 2.2×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 172 $37,316.12 $142,091.14 $64,338.74 nat. median
$48,652
1.3× median

Other procedures at this hospital

Browse this hospital's 14,008 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 289 172 $712,163.10 $712,163.10 $150,992.47 $712,163.10 $280,355.04 2026-03-23
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 29 20 $1,269,591.83 $1,269,591.83 $244,735.50 $244,735.50 $244,735.50 2026-03-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 289 172 $333,347.63 $333,347.63 $98,191.91 $333,347.63 $166,673.82 2026-03-23
841 APR_DRG Extensive Third Degree Burns With Skin Graft,extreme 29 20 $792,582.92 $792,582.92 $162,258.02 $162,258.02 $162,258.02 2026-03-23
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 58 20 $392,963.06 $392,963.06 $115,134.71 $199,251.97 $157,193.34 2026-03-23
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 29 20 $247,464.48 $247,464.48 $157,136.47 $157,136.47 $157,136.47 2026-03-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 283 168 $394,372.56 $394,372.56 $78,264.71 $394,372.56 $151,288.98 2026-03-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 292 174 $338,675.56 $338,675.56 $59,476.81 $338,675.56 $120,941.04 2026-03-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 289 172 $286,041.30 $286,041.30 $64,101.18 $286,041.30 $118,305.74 2026-03-23
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,extreme 87 20 $456,525.55 $456,525.55 $90,097.57 $150,044.02 $108,651.41 2026-03-23
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 321 194 $275,047.97 $275,047.97 $22,585.93 $275,047.97 $107,963.35 2026-03-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 289 172 $223,267.77 $223,267.77 $56,068.91 $223,267.77 $103,325.81 2026-03-23
28 MS_DRG Spinal Procedures With Mcc 289 172 $282,384.44 $282,384.44 $40,333.98 $282,384.44 $100,839.48 2026-03-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 292 174 $252,042.00 $252,042.00 $54,316.42 $252,042.00 $100,057.49 2026-03-23
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 289 172 $369,802.57 $369,802.57 $29,906.25 $369,802.57 $90,414.43 2026-03-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 289 172 $180,213.00 $180,213.00 $54,727.61 $180,213.00 $90,106.50 2026-03-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 289 172 $238,151.35 $238,151.35 $48,058.45 $238,151.35 $88,386.59 2026-03-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 289 172 $200,708.45 $200,708.45 $47,709.93 $200,708.45 $87,736.60 2026-03-23
215 MS_DRG Other Heart Assist System Implant 289 172 $166,748.89 $166,748.89 $56,561.22 $218,871.98 $87,548.79 2026-03-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 289 172 $162,345.37 $162,345.37 $55,067.55 $215,071.85 $86,028.74 2026-03-23
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 228 126 $166,651.36 $166,651.36 $3,768.81 $166,651.36 $84,992.19 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 289 172 $187,148.94 $187,148.94 $45,971.52 $187,148.94 $84,494.54 2026-03-23
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 87 20 $174,218.33 $174,218.33 $79,428.57 $103,584.21 $82,934.35 2026-03-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 289 172 $158,630.02 $158,630.02 $25,245.23 $261,653.84 $79,315.01 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 289 172 $157,981.17 $157,981.17 $27,079.97 $157,981.17 $78,990.59 2026-03-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 292 174 $169,621.15 $169,621.15 $42,513.02 $169,621.15 $78,044.55 2026-03-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 289 172 $217,133.08 $217,133.08 $34,579.27 $217,133.08 $77,538.22 2026-03-23
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,major 29 20 $364,866.40 $364,866.40 $75,957.54 $75,957.54 $75,957.54 2026-03-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 289 172 $212,462.21 $212,462.21 $37,938.54 $212,462.21 $75,870.26 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 289 172 $223,162.67 $223,162.67 $26,095.71 $223,162.67 $75,696.78 2026-03-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 289 172 $222,034.47 $222,034.47 $26,527.32 $222,034.47 $75,314.09 2026-03-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 289 172 $150,609.91 $150,609.91 $49,092.05 $151,702.43 $75,304.96 2026-03-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 289 172 $177,558.83 $177,558.83 $41,011.90 $177,558.83 $75,245.01 2026-03-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 283 168 $167,130.85 $167,130.85 $40,249.37 $167,130.85 $73,822.91 2026-03-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 289 172 $155,909.92 $155,909.92 $42,651.01 $155,909.92 $73,703.92 2026-03-23
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 87 20 $485,736.70 $485,736.70 $45,664.25 $117,542.88 $72,784.77 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 292 174 $167,414.06 $167,414.06 $39,067.19 $167,414.06 $71,618.20 2026-03-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 289 172 $146,482.97 $146,482.97 $41,271.00 $146,482.97 $71,281.36 2026-03-23
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 321 194 $181,498.48 $181,498.48 $14,865.78 $181,498.48 $71,060.15 2026-03-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 289 172 $165,399.11 $165,399.11 $38,213.12 $165,399.11 $70,025.40 2026-03-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 289 172 $169,524.98 $169,524.98 $38,190.60 $169,524.98 $69,983.38 2026-03-23
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 292 174 $326,893.88 $326,893.88 $22,133.56 $326,893.88 $69,185.72 2026-03-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 289 172 $156,146.41 $156,146.41 $33,041.76 $156,146.41 $68,798.23 2026-03-23
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 58 20 $345,124.99 $345,124.99 $61,033.33 $75,440.65 $68,236.99 2026-03-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 283 168 $135,896.74 $135,896.74 $46,096.17 $159,134.65 $67,948.37 2026-03-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 289 172 $189,488.65 $189,488.65 $35,174.27 $189,488.65 $67,666.40 2026-03-23
662 MS_DRG Minor Bladder Procedures With Mcc 289 172 $256,420.23 $256,420.23 $22,221.09 $256,420.23 $67,079.92 2026-03-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 289 172 $185,335.25 $185,335.25 $30,349.82 $185,335.25 $66,183.22 2026-03-23
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 289 172 $191,421.76 $191,421.76 $22,788.59 $191,421.76 $64,930.26 2026-03-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 289 172 $142,091.14 $142,091.14 $37,316.12 $142,091.14 $64,338.74 2026-03-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 292 174 $177,645.58 $177,645.58 $32,678.26 $177,645.58 $63,437.24 2026-03-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 292 174 $126,685.98 $126,685.98 $42,971.88 $157,359.15 $63,342.99 2026-03-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 292 174 $124,798.20 $124,798.20 $42,331.55 $152,227.48 $62,399.10 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 289 172 $182,225.45 $182,225.45 $24,454.65 $182,225.45 $61,810.87 2026-03-23
140 MS_DRG Major Head And Neck Procedures With Mcc 289 172 $171,557.35 $171,557.35 $30,696.95 $171,557.35 $61,263.13 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 289 172 $152,988.08 $152,988.08 $20,574.25 $152,988.08 $61,041.10 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 289 172 $125,640.92 $125,640.92 $35,318.60 $125,640.92 $60,832.21 2026-03-23
471 MS_DRG Cervical Spinal Fusion With Mcc 289 172 $132,145.89 $132,145.89 $31,924.86 $132,145.89 $59,682.73 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 292 174 $163,842.79 $163,842.79 $26,516.75 $163,842.79 $58,508.26 2026-03-23
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 289 172 $163,327.74 $163,327.74 $20,955.83 $163,327.74 $58,324.34 2026-03-23
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 87 20 $335,520.15 $335,520.15 $46,496.47 $73,067.86 $57,095.32 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 289 172 $143,875.90 $143,875.90 $31,956.28 $143,875.90 $56,812.74 2026-03-23
834 MS_DRG Acute Leukemia With Mcc 289 172 $113,225.40 $113,225.40 $38,406.06 $192,904.43 $56,612.70 2026-03-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 289 172 $112,863.57 $112,863.57 $37,815.32 $116,764.08 $56,431.79 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 289 172 $112,159.60 $112,159.60 $29,982.48 $112,159.60 $56,079.80 2026-03-23
C1813 HCPCS Prosthesis Penile Ambicor 148 103 $56,012.50 $56,012.50 $6,338.80 $56,012.50 $56,012.50 2026-03-23
799 MS_DRG Splenic Procedures With Mcc 289 172 $138,301.87 $138,301.87 $32,552.94 $138,301.87 $55,977.20 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 289 172 $119,575.74 $119,575.74 $32,221.31 $119,575.74 $55,395.05 2026-03-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 289 172 $146,285.16 $146,285.16 $32,088.23 $146,285.16 $55,161.44 2026-03-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 289 172 $110,260.51 $110,260.51 $37,400.36 $125,996.03 $55,130.25 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 289 172 $111,964.98 $111,964.98 $29,664.87 $111,964.98 $54,295.01 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 289 172 $106,993.34 $106,993.34 $33,183.80 $118,279.48 $53,496.67 2026-03-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 289 172 $156,243.00 $156,243.00 $30,044.25 $156,243.00 $52,997.63 2026-03-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 289 172 $148,992.28 $148,992.28 $30,524.45 $148,992.28 $52,675.32 2026-03-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 289 172 $138,705.72 $138,705.72 $30,400.53 $138,705.72 $52,198.75 2026-03-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 289 172 $123,411.53 $123,411.53 $30,335.05 $123,411.53 $52,083.80 2026-03-23
901 MS_DRG Wound Debridements For Injuries With Mcc 289 172 $103,724.63 $103,724.63 $9,600.58 $103,724.63 $51,862.32 2026-03-23
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 292 174 $127,632.11 $127,632.11 $29,712.63 $127,632.11 $50,991.18 2026-03-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 289 172 $149,107.14 $149,107.14 $27,160.30 $149,107.14 $50,577.14 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 289 172 $99,590.95 $99,590.95 $31,134.19 $108,897.12 $49,795.47 2026-03-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 289 172 $123,728.29 $123,728.29 $28,973.33 $123,728.29 $49,693.38 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 289 172 $98,723.83 $98,723.83 $30,891.27 $98,723.83 $49,361.92 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 289 172 $97,421.90 $97,421.90 $33,045.51 $116,086.17 $48,710.95 2026-03-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 289 172 $97,301.01 $97,301.01 $33,004.50 $129,410.74 $48,650.50 2026-03-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 289 172 $79,490.89 $79,490.89 $26,963.31 $121,000.45 $48,400.18 2026-03-23
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 289 172 $111,703.49 $111,703.49 $28,084.06 $111,703.49 $48,132.31 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 289 172 $100,091.41 $100,091.41 $27,851.71 $100,091.41 $47,724.43 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 289 172 $107,955.82 $107,955.82 $27,697.51 $107,955.82 $47,453.75 2026-03-23
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 289 172 $140,413.40 $140,413.40 $15,737.81 $140,413.40 $47,394.74 2026-03-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 289 172 $139,440.81 $139,440.81 $21,621.90 $139,440.81 $47,298.32 2026-03-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 292 174 $138,752.07 $138,752.07 $18,825.25 $138,752.07 $47,064.70 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 289 172 $142,714.15 $142,714.15 $21,929.59 $142,714.15 $47,034.69 2026-03-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 289 172 $131,619.14 $131,619.14 $25,773.12 $131,619.14 $46,421.30 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 289 172 $105,079.34 $105,079.34 $26,982.16 $105,079.34 $46,197.97 2026-03-23
653 MS_DRG Major Bladder Procedures With Mcc 289 172 $45,133.63 $45,133.63 $15,309.33 $115,021.03 $46,008.41 2026-03-23
SUP-126233 CDM Set Impella Cp/smart Assist 134 80 $70,000.00 $70,000.00 $23,247.00 $70,000.00 $45,500.00 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 289 172 $133,395.74 $133,395.74 $21,408.57 $133,395.74 $45,247.84 2026-03-23
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 289 172 $101,301.92 $101,301.92 $25,749.29 $101,301.92 $44,033.74 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 292 174 $116,143.96 $116,143.96 $25,495.82 $116,143.96 $43,588.78 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 289 172 $86,656.31 $86,656.31 $26,057.69 $86,656.31 $43,328.15 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 289 172 $92,025.38 $92,025.38 $25,226.16 $98,589.32 $43,115.39 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 292 174 $117,045.84 $117,045.84 $25,219.81 $117,045.84 $43,104.26 2026-03-23
863 APR_DRG Neonatal Aftercare,extreme 58 20 $359,491.67 $359,491.67 $25,599.53 $60,608.69 $43,104.11 2026-03-23
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 289 172 $137,502.39 $137,502.39 $14,247.95 $137,502.39 $42,871.06 2026-03-23
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 289 172 $259,362.82 $259,362.82 $14,230.35 $259,362.82 $42,817.60 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 289 172 $85,621.86 $85,621.86 $25,704.94 $85,621.86 $42,810.93 2026-03-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 289 172 $87,028.57 $87,028.57 $23,516.60 $87,028.57 $42,698.86 2026-03-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 289 172 $96,799.36 $96,799.36 $23,782.77 $96,799.36 $42,167.38 2026-03-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 289 172 $102,633.08 $102,633.08 $24,654.43 $102,633.08 $42,111.76 2026-03-23
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 379 124 $237,661.64 $237,661.64 $186.91 $237,661.64 $41,809.85 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 289 172 $122,499.13 $122,499.13 $22,556.93 $122,499.13 $41,551.70 2026-03-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 289 172 $122,301.01 $122,301.01 $22,021.83 $122,301.01 $41,484.50 2026-03-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 289 172 $81,676.56 $81,676.56 $27,704.69 $103,707.93 $41,483.17 2026-03-23
31 MS_DRG Ventricular Shunt Procedures With Mcc 289 172 $82,957.75 $82,957.75 $28,139.27 $103,574.60 $41,478.88 2026-03-23
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 292 174 $82,849.19 $82,849.19 $26,193.58 $82,849.19 $41,424.60 2026-03-23
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 289 172 $107,780.08 $107,780.08 $23,841.91 $107,780.08 $40,685.41 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 289 172 $66,389.01 $66,389.01 $22,519.15 $101,679.23 $40,671.69 2026-03-23
245 MS_DRG Aicd Generator Procedures 289 172 $78,513.61 $78,513.61 $26,631.82 $101,190.53 $40,476.21 2026-03-23
503 MS_DRG Foot Procedures With Mcc 292 174 $118,942.86 $118,942.86 $20,317.23 $118,942.86 $40,345.42 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 289 172 $114,958.30 $114,958.30 $18,090.00 $114,958.30 $40,225.67 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 289 172 $83,207.13 $83,207.13 $22,494.82 $87,426.69 $40,204.61 2026-03-23
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 292 174 $174,218.33 $174,218.33 $13,354.45 $174,218.33 $40,158.12 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 289 172 $110,162.37 $110,162.37 $23,441.98 $110,162.37 $39,983.36 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 289 172 $117,827.76 $117,827.76 $21,906.36 $117,827.76 $39,967.18 2026-03-23
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 289 172 $117,764.74 $117,764.74 $16,215.67 $117,764.74 $39,945.80 2026-03-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 289 172 $98,365.07 $98,365.07 $23,410.29 $98,365.07 $39,927.74 2026-03-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 289 172 $109,763.55 $109,763.55 $23,387.07 $109,763.55 $39,886.96 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 236 154 $92,855.23 $92,855.23 $30,581.09 $92,855.23 $39,868.72 2026-03-23
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 289 172 $82,358.26 $82,358.26 $20,531.48 $82,358.26 $39,809.09 2026-03-23
C1882 HCPCS Claria MRI Quad Crt-d Sure Scan Generator Biv Aicd 1,122 110 $44,177.50 $44,177.50 $11,878.04 $63,750.00 $39,641.25 2026-03-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 289 172 $110,607.17 $110,607.17 $23,145.56 $110,607.17 $39,497.82 2026-03-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 292 174 $88,910.77 $88,910.77 $23,104.03 $98,087.40 $39,390.08 2026-03-23
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 289 172 $114,378.95 $114,378.95 $18,850.60 $114,378.95 $38,797.34 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 289 172 $77,399.45 $77,399.45 $19,967.03 $93,319.83 $38,699.72 2026-03-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 289 172 $113,649.59 $113,649.59 $18,506.23 $113,649.59 $38,549.94 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 292 174 $91,247.92 $91,247.92 $22,595.66 $91,247.92 $38,497.69 2026-03-23
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 289 172 $113,093.56 $113,093.56 $12,806.67 $113,093.56 $38,361.34 2026-03-23
333 MS_DRG Rectal Resection With Cc 289 172 $112,722.86 $112,722.86 $17,156.55 $112,722.86 $38,235.59 2026-03-23
C1722 HCPCS Emblem MRI S-icd 714 110 $45,714.25 $45,714.25 $13,073.43 $85,369.50 $38,120.00 2026-03-23
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 292 174 $112,367.86 $112,367.86 $18,825.25 $112,367.86 $38,115.18 2026-03-23
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 289 172 $75,829.39 $75,829.39 $25,522.69 $79,820.90 $37,914.69 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 292 174 $75,673.38 $75,673.38 $24,385.72 $82,962.23 $37,836.69 2026-03-23
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 29 20 $305,262.37 $305,262.37 $37,460.93 $37,460.93 $37,460.93 2026-03-23
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 289 172 $77,488.23 $77,488.23 $21,932.41 $77,488.23 $37,333.38 2026-03-23
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 224 124 $85,435.20 $85,435.20 $268.45 $85,435.20 $37,270.26 2026-03-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 289 172 $74,392.72 $74,392.72 $25,234.01 $79,306.08 $37,196.36 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 289 172 $73,825.97 $73,825.97 $22,840.68 $76,522.86 $36,912.99 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 289 172 $108,458.36 $108,458.36 $20,735.46 $108,458.36 $36,789.08 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 289 172 $107,930.78 $107,930.78 $21,170.58 $107,930.78 $36,610.12 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 289 172 $107,738.30 $107,738.30 $20,874.16 $107,738.30 $36,544.83 2026-03-23
570 MS_DRG Skin Debridement With Mcc 292 174 $94,799.84 $94,799.84 $21,373.36 $94,799.84 $36,352.00 2026-03-23
791 MS_DRG Prematurity With Major Problems 292 174 $46,569.53 $46,569.53 $15,796.38 $90,209.05 $36,083.62 2026-03-23
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 292 174 $142,480.25 $142,480.25 $11,975.85 $142,480.25 $35,972.27 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 292 174 $85,242.42 $85,242.42 $21,098.06 $85,242.42 $35,868.72 2026-03-23
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 289 172 $89,750.70 $89,750.70 $21,085.39 $89,750.70 $35,846.47 2026-03-23
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 289 172 $104,957.65 $104,957.65 $13,505.84 $104,957.65 $35,430.25 2026-03-23
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 289 172 $33,372.29 $33,372.29 $11,319.88 $96,051.27 $35,430.05 2026-03-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 289 172 $103,874.37 $103,874.37 $19,913.78 $103,874.37 $35,234.19 2026-03-23
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 289 172 $103,555.49 $103,555.49 $16,097.60 $103,555.49 $35,126.02 2026-03-23
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 289 172 $52,527.46 $52,527.46 $17,817.31 $91,483.93 $34,800.05 2026-03-23
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 289 172 $102,473.50 $102,473.50 $18,210.57 $102,473.50 $34,759.01 2026-03-23
178 APR_DRG External Heart Assist Devices,major 29 20 $168,034.60 $168,034.60 $34,743.76 $34,743.76 $34,743.76 2026-03-23
800 MS_DRG Splenic Procedures With Cc 289 172 $72,819.88 $72,819.88 $20,446.07 $72,819.88 $34,724.18 2026-03-23
265 MS_DRG Aicd Lead Procedures 289 172 $69,187.58 $69,187.58 $23,468.43 $80,593.10 $34,593.79 2026-03-23
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 289 172 $101,915.12 $101,915.12 $17,854.31 $101,915.12 $34,569.61 2026-03-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 289 172 $101,905.74 $101,905.74 $20,013.75 $101,905.74 $34,566.43 2026-03-23
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 116 20 $208,980.32 $208,980.32 $18,874.85 $80,332.18 $34,551.66 2026-03-23
J7330 HCPCS Cultured Chondrocytes Implnt 224 137 $37,123.00 $37,123.00 $11,136.90 $69,772.00 $34,524.39 2026-03-23
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 289 172 $39,143.02 $39,143.02 $971.58 $84,255.30 $34,389.92 2026-03-23
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 289 172 $90,994.94 $90,994.94 $20,182.04 $90,994.94 $34,260.68 2026-03-23
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 289 172 $100,681.02 $100,681.02 $13,037.61 $100,681.02 $34,151.00 2026-03-23
113 MS_DRG Orbital Procedures With Cc/mcc 289 172 $100,593.03 $100,593.03 $17,219.22 $100,593.03 $34,121.16 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 289 172 $68,020.29 $68,020.29 $23,072.48 $78,437.85 $34,010.14 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 292 174 $78,723.71 $78,723.71 $18,712.17 $78,723.71 $33,973.93 2026-03-23
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 289 172 $99,230.73 $99,230.73 $15,575.86 $99,230.73 $33,659.06 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 289 172 $69,346.57 $69,346.57 $19,822.24 $69,346.57 $33,629.09 2026-03-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 289 172 $107,637.26 $107,637.26 $12,956.57 $107,637.26 $33,542.80 2026-03-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 289 172 $84,863.06 $84,863.06 $19,719.44 $84,863.06 $33,448.63 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 289 172 $60,537.48 $60,537.48 $17,587.39 $83,394.15 $33,357.66 2026-03-23
655 MS_DRG Major Bladder Procedures Without Cc/mcc 289 172 $97,012.81 $97,012.81 $15,568.12 $97,012.81 $32,906.75 2026-03-23
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 289 172 $65,664.73 $65,664.73 $22,273.48 $71,697.10 $32,832.36 2026-03-23
793 MS_DRG Full Term Neonate With Major Problems 241 131 $20,307.72 $20,307.72 $5,607.46 $54,751.33 $32,829.67 2026-03-23
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 289 172 $83,004.46 $83,004.46 $19,328.68 $83,004.46 $32,762.65 2026-03-23
141 MS_DRG Major Head And Neck Procedures With Cc 289 172 $96,512.88 $96,512.88 $16,022.26 $96,512.88 $32,737.17 2026-03-23
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 292 174 $65,030.57 $65,030.57 $21,394.47 $65,887.85 $32,515.28 2026-03-23
253 MS_DRG Other Vascular Procedures With Cc 289 172 $93,115.87 $93,115.87 $18,940.72 $93,115.87 $32,240.16 2026-03-23
33270 CPT Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 299 188 $90,088.99 $90,088.99 $2,425.00 $94,260.90 $32,170.78 2026-03-23
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 289 172 $72,703.69 $72,703.69 $18,918.89 $72,703.69 $32,043.30 2026-03-23
165 MS_DRG Major Chest Procedures Without Cc/mcc 289 172 $93,897.23 $93,897.23 $14,143.05 $93,897.23 $31,849.94 2026-03-23
91 APR_DRG Other Major Head And Neck Procedures,major 87 20 $227,907.96 $227,907.96 $14,970.97 $43,516.43 $31,836.39 2026-03-23
C1721 HCPCS Evera MRI Xr Dr Surescan Icd Gen 986 110 $32,100.00 $32,100.00 $10,485.35 $49,162.50 $31,717.50 2026-03-23
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 289 172 $64,901.86 $64,901.86 $18,640.78 $64,901.86 $31,555.08 2026-03-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 289 172 $90,733.08 $90,733.08 $18,521.78 $90,733.08 $31,501.10 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 289 172 $62,959.88 $62,959.88 $20,374.96 $69,090.69 $31,479.94 2026-03-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 289 172 $62,901.75 $62,901.75 $21,336.27 $71,801.62 $31,450.88 2026-03-23
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 242 158 $62,874.50 $62,874.50 $500.00 $80,817.83 $31,437.25 2026-03-23
33264 CPT Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 299 188 $65,866.38 $65,866.38 $2,425.00 $94,260.90 $31,420.30 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 289 172 $68,024.35 $68,024.35 $16,151.12 $68,024.35 $31,405.52 2026-03-23
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 289 172 $88,924.41 $88,924.41 $18,428.85 $88,924.41 $31,337.14 2026-03-23
164 MS_DRG Major Chest Procedures With Cc 292 174 $82,989.40 $82,989.40 $18,436.60 $82,989.40 $31,196.64 2026-03-23
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 292 174 $91,929.72 $91,929.72 $16,617.21 $91,929.72 $31,182.56 2026-03-23
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 289 172 $91,446.98 $91,446.98 $16,070.14 $91,446.98 $31,018.82 2026-03-23
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 289 172 $51,286.43 $51,286.43 $17,396.36 $77,390.70 $30,956.28 2026-03-23
619 MS_DRG O.r. Procedures For Obesity With Mcc 292 174 $61,676.87 $61,676.87 $20,920.79 $64,650.95 $30,838.44 2026-03-23
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 289 172 $57,257.33 $57,257.33 $19,421.69 $76,675.23 $30,670.09 2026-03-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 289 172 $70,231.07 $70,231.07 $17,542.89 $70,231.07 $30,387.06 2026-03-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 289 172 $82,413.59 $82,413.59 $17,874.72 $82,413.59 $30,210.31 2026-03-23
254 MS_DRG Other Vascular Procedures Without Cc/mcc 289 172 $89,045.57 $89,045.57 $13,210.11 $89,045.57 $30,204.26 2026-03-23
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 292 174 $88,961.07 $88,961.07 $12,510.97 $88,961.07 $30,175.59 2026-03-23
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices,majo… 29 20 $49,469.04 $49,469.04 $30,068.33 $30,068.33 $30,068.33 2026-03-23
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 292 174 $61,675.01 $61,675.01 $16,073.46 $61,675.01 $29,938.39 2026-03-23
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 289 172 $88,201.81 $88,201.81 $10,549.36 $88,201.81 $29,918.05 2026-03-23
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 289 172 $60,416.27 $60,416.27 $17,664.21 $60,416.27 $29,840.75 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 289 172 $54,845.81 $54,845.81 $18,603.70 $74,537.38 $29,814.95 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 292 174 $85,637.29 $85,637.29 $17,543.81 $85,637.29 $29,775.81 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 289 172 $87,301.91 $87,301.91 $14,713.36 $87,301.91 $29,612.81 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 289 172 $75,853.61 $75,853.61 $17,031.54 $75,853.61 $29,600.96 2026-03-23
88 MS_DRG Concussion With Mcc 292 174 $87,237.80 $87,237.80 $10,183.24 $87,237.80 $29,591.06 2026-03-23
35 MS_DRG Carotid Artery Stent Procedures With Cc 289 172 $65,364.35 $65,364.35 $17,496.62 $65,364.35 $29,546.58 2026-03-23
C1772 HCPCS Synchromed 2 Pain Pump 170 110 $29,500.00 $29,500.00 $9,099.67 $29,500.00 $29,500.00 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 289 172 $69,060.96 $69,060.96 $17,467.76 $69,060.96 $29,495.90 2026-03-23
64636 CPT Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral 321 194 $88,707.92 $88,707.92 $8,871.36 $88,707.92 $29,459.90 2026-03-23
64635 CPT Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral 321 194 $88,707.92 $88,707.92 $8,871.36 $88,707.92 $29,459.90 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 289 172 $50,474.89 $50,474.89 $17,121.08 $73,479.38 $29,391.75 2026-03-23
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,major 58 20 $129,557.56 $129,557.56 $23,745.54 $34,965.55 $29,355.55 2026-03-23
500 MS_DRG Soft Tissue Procedures With Mcc 289 172 $58,383.89 $58,383.89 $19,803.82 $86,660.73 $29,191.94 2026-03-23
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 58 20 $224,175.96 $224,175.96 $27,406.77 $30,598.49 $29,002.63 2026-03-23
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 289 172 $72,469.41 $72,469.41 $15,967.87 $72,469.41 $28,884.08 2026-03-23
357 MS_DRG Other Digestive System O.r. Procedures With Cc 289 172 $73,434.21 $73,434.21 $17,038.97 $73,434.21 $28,743.18 2026-03-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 289 172 $63,431.58 $63,431.58 $843.55 $63,431.58 $28,713.52 2026-03-23
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 289 172 $79,960.20 $79,960.20 $16,938.28 $79,960.20 $28,566.43 2026-03-23
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 224 124 $78,414.74 $78,414.74 $28.69 $78,414.74 $28,407.02 2026-03-23
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 289 172 $42,199.51 $42,199.51 $14,314.07 $90,676.14 $28,390.88 2026-03-23
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 292 174 $82,962.50 $82,962.50 $15,297.05 $82,962.50 $28,140.88 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 289 172 $78,431.37 $78,431.37 $16,688.33 $78,431.37 $28,127.65 2026-03-23
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 292 174 $82,785.67 $82,785.67 $15,388.58 $82,785.67 $28,080.90 2026-03-23
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 289 172 $81,553.63 $81,553.63 $15,216.79 $81,553.63 $27,662.99 2026-03-23
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 292 174 $59,038.65 $59,038.65 $16,417.96 $59,038.65 $27,653.03 2026-03-23
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 289 172 $81,455.82 $81,455.82 $12,661.64 $81,455.82 $27,629.81 2026-03-23
20 APR_DRG Open Craniotomy For Trauma,extreme 87 20 $161,423.24 $161,423.24 $17,001.27 $42,497.17 $27,384.65 2026-03-23
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 289 172 $87,456.05 $87,456.05 $9,142.58 $87,456.05 $27,369.59 2026-03-23
886 MS_DRG Behavioral And Developmental Disorders 242 158 $81,578.15 $81,578.15 $500.00 $81,578.15 $27,250.92 2026-03-23
169 APR_DRG Major Abdominal Vascular Procedures,extreme 87 20 $366,628.87 $366,628.87 $18,917.82 $36,092.23 $27,176.12 2026-03-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 289 172 $68,301.31 $68,301.31 $16,146.18 $68,301.31 $27,175.93 2026-03-23
30 MS_DRG Spinal Procedures Without Cc/mcc 289 172 $55,229.85 $55,229.85 $16,121.54 $55,229.85 $27,132.67 2026-03-23
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 289 172 $79,448.86 $79,448.86 $15,995.51 $79,448.86 $27,044.42 2026-03-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 289 172 $79,642.64 $79,642.64 $2,118.37 $79,642.64 $27,014.78 2026-03-23
668 MS_DRG Transurethral Procedures With Mcc 289 172 $53,356.79 $53,356.79 $18,098.62 $65,362.13 $26,678.40 2026-03-23
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 292 174 $53,331.87 $53,331.87 $16,661.58 $53,331.87 $26,665.94 2026-03-23
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 292 174 $85,790.58 $85,790.58 $8,493.29 $85,790.58 $26,634.15 2026-03-23
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 289 172 $100,687.81 $100,687.81 $8,887.70 $100,687.81 $26,595.71 2026-03-23
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 292 174 $61,460.39 $61,460.39 $15,429.50 $61,460.39 $26,468.94 2026-03-23
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 228 126 $62,420.66 $62,420.66 $186.97 $62,420.66 $26,446.68 2026-03-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 289 172 $77,872.71 $77,872.71 $14,246.54 $77,872.71 $26,414.42 2026-03-23
32 MS_DRG Ventricular Shunt Procedures With Cc 289 172 $73,458.54 $73,458.54 $15,669.51 $73,458.54 $26,339.16 2026-03-23
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 289 172 $60,367.60 $60,367.60 $12,740.00 $60,367.60 $26,337.92 2026-03-23
595 MS_DRG Major Skin Disorders With Mcc 289 172 $59,376.72 $59,376.72 $13,520.26 $59,376.72 $26,211.85 2026-03-23
336 MS_DRG Peritoneal Adhesiolysis With Cc 289 172 $76,172.56 $76,172.56 $15,512.50 $76,172.56 $26,192.33 2026-03-23
179 APR_DRG Defibrillator Implants,extreme 87 20 $113,317.14 $113,317.14 $21,170.55 $34,357.03 $26,175.19 2026-03-23
709 MS_DRG Penis Procedures With Cc/mcc 289 172 $52,256.08 $52,256.08 $17,050.23 $52,428.20 $26,128.04 2026-03-23
347 MS_DRG Anal And Stomal Procedures With Mcc 289 172 $51,981.93 $51,981.93 $16,828.45 $71,085.33 $25,990.97 2026-03-23
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 289 172 $51,948.57 $51,948.57 $9,677.21 $55,309.90 $25,974.28 2026-03-23
38 MS_DRG Extracranial Procedures With Cc 289 172 $76,395.96 $76,395.96 $12,089.91 $76,395.96 $25,913.51 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 289 172 $38,582.27 $38,582.27 $13,087.11 $64,620.43 $25,848.17 2026-03-23
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 289 172 $71,900.27 $71,900.27 $15,306.19 $71,900.27 $25,828.39 2026-03-23
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 289 172 $75,745.84 $75,745.84 $12,356.76 $75,745.84 $25,692.99 2026-03-23
504 MS_DRG Foot Procedures With Cc 289 172 $75,365.58 $75,365.58 $13,826.19 $75,365.58 $25,564.00 2026-03-23
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 289 172 $53,576.87 $53,576.87 $15,173.83 $53,576.87 $25,469.02 2026-03-23
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc 292 174 $74,703.82 $74,703.82 $10,017.77 $74,703.82 $25,339.54 2026-03-23
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 289 172 $74,461.30 $74,461.30 $14,792.92 $111,350.64 $25,257.27 2026-03-23
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 292 174 $50,273.19 $50,273.19 $16,006.07 $50,273.19 $25,136.60 2026-03-23
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 292 174 $89,136.99 $89,136.99 $9,981.15 $89,136.99 $25,132.92 2026-03-23
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 289 172 $56,412.53 $56,412.53 $14,942.18 $56,412.53 $25,062.37 2026-03-23
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 289 172 $73,670.77 $73,670.77 $13,366.42 $73,670.77 $24,989.13 2026-03-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 289 172 $51,136.34 $51,136.34 $14,824.60 $51,136.34 $24,855.96 2026-03-23
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 289 172 $73,010.70 $73,010.70 $1,480.90 $73,010.70 $24,844.64 2026-03-23
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns,extreme 116 20 $161,105.15 $161,105.15 $11,185.89 $104,463.81 $24,734.78 2026-03-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 289 172 $53,849.43 $53,849.43 $14,264.57 $53,849.43 $24,696.52 2026-03-23
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 289 172 $58,228.94 $58,228.94 $11,544.73 $58,228.94 $24,655.73 2026-03-23
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 289 172 $57,879.33 $57,879.33 $14,611.96 $57,879.33 $24,603.68 2026-03-23
120 APR_DRG Major Respiratory And Chest Procedures,extreme 58 20 $101,909.16 $101,909.16 $12,398.51 $36,710.86 $24,554.68 2026-03-23
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 289 172 $49,088.70 $49,088.70 $16,650.89 $52,679.08 $24,544.35 2026-03-23
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 289 172 $49,027.09 $49,027.09 $14,902.75 $49,027.09 $24,513.54 2026-03-23
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 242 158 $48,869.77 $48,869.77 $500.00 $48,869.77 $24,434.88 2026-03-23
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 289 172 $50,568.36 $50,568.36 $14,523.25 $50,568.36 $24,326.95 2026-03-23
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 289 172 $131,987.32 $131,987.32 $13,384.03 $131,987.32 $24,254.55 2026-03-23
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 289 172 $131,987.32 $131,987.32 $13,384.03 $131,987.32 $24,254.55 2026-03-23
836 MS_DRG Acute Leukemia Without Cc/mcc 292 174 $71,435.71 $71,435.71 $9,251.71 $71,435.71 $24,230.99 2026-03-23
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 289 172 $45,393.87 $45,393.87 $15,397.60 $60,506.18 $24,202.47 2026-03-23
835 MS_DRG Acute Leukemia With Cc 292 174 $48,332.70 $48,332.70 $15,351.27 $93,078.59 $24,166.35 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 292 174 $71,046.55 $71,046.55 $12,505.32 $71,046.55 $24,098.99 2026-03-23
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 289 172 $49,193.87 $49,193.87 $14,344.41 $49,193.87 $24,013.01 2026-03-23
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 289 172 $48,021.83 $48,021.83 $16,245.46 $49,934.80 $24,010.92 2026-03-23
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 289 172 $65,908.31 $65,908.31 $14,032.47 $65,908.31 $24,009.30 2026-03-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 242 158 $47,927.08 $47,927.08 $500.00 $47,927.08 $23,963.54 2026-03-23
548 MS_DRG Septic Arthritis With Mcc 289 172 $50,641.43 $50,641.43 $14,260.62 $50,641.43 $23,865.92 2026-03-23
J9316 HCPCS Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 476 194 $103,689.08 $103,689.08 $31.88 $103,689.08 $23,819.91 2026-03-23
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 289 172 $94,972.20 $94,972.20 $8,904.60 $94,972.20 $23,773.53 2026-03-23
801 MS_DRG Splenic Procedures Without Cc/mcc 289 172 $68,220.29 $68,220.29 $14,105.72 $68,220.29 $23,710.60 2026-03-23
33262 CPT Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead 299 188 $66,396.68 $66,396.68 $2,425.00 $66,797.56 $23,710.25 2026-03-23
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