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

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Hospital

ASCENSION RIVER DISTRICT HOSPITAL

East China, MI · CCN 230241 · Rates published

12,997 distinct procedures filed
42 distinct payers
156,659 rate rows
2026-01-01 last MRF observed
Data quality

152,909 of 156,659 rate rows are consumer-grade (97.6%)

3,750 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 2,883
per-diem day rate — not a per-procedure price 668
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 114
placeholder amount (≤ $0.02) — excluded from medians 67
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.henryford.com/-/media/files/henry-ford/patients-visitors/price-transparency-2026/legacy-ascension/383160564_henry-ford-river-district-hospital_standardcharges.csv
Found on page https://www.henryford.com/visitors/billing/cost-of-care/hospital-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint f04f63c5ef0c863f… · 62,216,686 bytes · first seen 2026-05-05

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 16 $8,400.00 $518,516.92 $212,580.72 nat. median
$168,055
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $8,400.00 $338,715.95 $157,438.90 nat. median
$186,516
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $8,400.00 $256,365.86 $118,447.86 nat. median
$131,925
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $8,400.00 $254,861.31 $117,794.71 nat. median
$145,435
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $8,400.00 $166,320.51 $77,182.14 nat. median
$97,418
0.8× median
7
MS_DRG 		Lung Transplant 18 $8,400.00 $155,499.36 $72,308.53 nat. median
$70,649
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $8,400.00 $153,262.60 $69,866.24 nat. median
$72,715
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $8,400.00 $172,146.13 $68,709.75 nat. median
$65,418
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 18 $8,400.00 $165,264.23 $62,063.62 nat. median
$73,023
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $8,400.00 $125,953.04 $60,595.08 nat. median
$69,822
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $8,400.00 $131,513.96 $60,334.37 nat. median
$69,922
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $8,400.00 $135,910.34 $57,989.07 nat. median
$2,110
outlier · 27.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $8,400.00 $132,336.92 $56,545.24 nat. median
$2,736
outlier · 20.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $8,400.00 $130,570.62 $55,831.57 nat. median
$74,509
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $8,400.00 $107,715.89 $51,435.91 nat. median
$60,505
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $8,400.00 $117,030.69 $50,637.10 nat. median
$59,651
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $8,400.00 $133,704.47 $49,925.69 nat. median
$56,428
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $8,400.00 $98,644.77 $47,376.16 nat. median
$55,923
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $8,400.00 $108,182.66 $46,785.74 nat. median
$2,596
outlier · 18.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $8,400.00 $97,953.50 $45,492.55 nat. median
$55,935
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $8,400.00 $97,450.76 $45,333.84 nat. median
$52,327
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $8,400.00 $103,978.83 $45,087.19 nat. median
$2,633
outlier · 17.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $8,400.00 $81,602.91 $42,958.62 nat. median
$47,458
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $8,400.00 $78,952.83 $42,409.61 nat. median
$45,446
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 $8,400.00 $86,126.11 $41,249.84 nat. median
$37,013
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $8,400.00 $85,974.95 $40,995.54 nat. median
$49,569
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $8,400.00 $82,993.35 $40,636.01 nat. median
$48,611
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $8,400.00 $80,823.59 $39,603.72 nat. median
$47,340
0.8× median
10
MS_DRG 		Pancreas Transplant 18 $8,400.00 $86,162.13 $39,572.47 nat. median
$23,080
1.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 18 $8,400.00 $79,007.13 $38,795.81 nat. median
$43,803
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 $8,400.00 $92,230.99 $38,340.99 nat. median
$44,036
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $8,400.00 $86,677.24 $38,096.51 nat. median
$9,905
outlier · 3.8×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 $8,400.00 $78,665.85 $37,772.59 nat. median
$43,299
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $8,400.00 $77,264.58 $37,693.27 nat. median
$47,121
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $8,400.00 $85,668.63 $37,688.98 nat. median
$45,605
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $8,400.00 $85,618.18 $37,668.60 nat. median
$51,518
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $8,400.00 $83,934.49 $36,818.91 nat. median
$42,674
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 18 $8,400.00 $83,867.80 $36,667.18 nat. median
$38,932
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 18 $8,400.00 $73,501.42 $36,332.79 nat. median
$41,943
0.9× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 $8,400.00 $101,389.32 $35,597.20 nat. median
$38,173
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 18 $8,400.00 $72,144.58 $35,563.33 nat. median
$41,895
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 $8,400.00 $80,288.05 $35,514.97 nat. median
$2,633
outlier · 13.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 18 $8,400.00 $74,511.97 $35,495.81 nat. median
$43,023
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 $8,400.00 $80,229.23 $35,491.20 nat. median
$2,958
outlier · 12.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 $8,400.00 $71,366.51 $35,419.89 nat. median
$40,584
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 $8,400.00 $70,421.50 $35,024.67 nat. median
$40,726
0.9× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 18 $8,400.00 $84,339.76 $34,740.13 nat. median
$35,725
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $8,400.00 $66,757.97 $34,530.35 nat. median
$38,832
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 $8,400.00 $70,025.78 $34,460.00 nat. median
$40,301
0.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 18 $8,400.00 $68,436.67 $33,918.60 nat. median
$38,795
0.9× median

Other procedures at this hospital

Browse this hospital's 12,997 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 16 — — $8,400.00 $518,516.92 $212,580.72 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 18 — — $8,400.00 $338,715.95 $157,438.90 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 18 — — $8,400.00 $256,365.86 $118,447.86 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 18 — — $8,400.00 $254,861.31 $117,794.71 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 18 — — $8,400.00 $166,320.51 $77,182.14 2026-01-01
7 MS_DRG Lung Transplant 29 18 — — $8,400.00 $155,499.36 $72,308.53 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 29 18 — — $8,400.00 $153,262.60 $69,866.24 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 18 — — $8,400.00 $172,146.13 $68,709.75 2026-01-01
215 MS_DRG Other Heart Assist System Implant 29 18 — — $8,400.00 $165,264.23 $62,063.62 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 18 — — $8,400.00 $125,953.04 $60,595.08 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 18 — — $8,400.00 $131,513.96 $60,334.37 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 26 16 — — $8,400.00 $135,910.34 $57,989.07 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 16 — — $8,400.00 $132,336.92 $56,545.24 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 16 — — $8,400.00 $130,570.62 $55,831.57 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 18 — — $8,400.00 $107,715.89 $51,435.91 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 18 — — $8,400.00 $117,030.69 $50,637.10 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 18 — — $8,400.00 $133,704.47 $49,925.69 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 18 — — $8,400.00 $98,644.77 $47,376.16 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 16 — — $8,400.00 $108,182.66 $46,785.74 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 18 — — $8,400.00 $97,953.50 $45,492.55 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 18 — — $8,400.00 $97,450.76 $45,333.84 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 26 16 — — $8,400.00 $103,978.83 $45,087.19 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 18 — — $8,400.00 $81,602.91 $42,958.62 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 18 — — $8,400.00 $78,952.83 $42,409.61 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 18 — — $8,400.00 $86,126.11 $41,249.84 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 18 — — $8,400.00 $85,974.95 $40,995.54 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 18 — — $8,400.00 $82,993.35 $40,636.01 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 18 — — $8,400.00 $80,823.59 $39,603.72 2026-01-01
10 MS_DRG Pancreas Transplant 29 18 — — $8,400.00 $86,162.13 $39,572.47 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 18 — — $8,400.00 $79,007.13 $38,795.81 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 18 — — $8,400.00 $92,230.99 $38,340.99 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 16 — — $8,400.00 $86,677.24 $38,096.51 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 18 — — $8,400.00 $78,665.85 $37,772.59 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 18 — — $8,400.00 $77,264.58 $37,693.27 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 16 — — $8,400.00 $85,668.63 $37,688.98 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 16 — — $8,400.00 $85,618.18 $37,668.60 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 18 — — $8,400.00 $83,934.49 $36,818.91 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 29 18 — — $8,400.00 $83,867.80 $36,667.18 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 18 — — $8,400.00 $73,501.42 $36,332.79 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 18 — — $8,400.00 $101,389.32 $35,597.20 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 29 18 — — $8,400.00 $72,144.58 $35,563.33 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 16 — — $8,400.00 $80,288.05 $35,514.97 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 18 — — $8,400.00 $74,511.97 $35,495.81 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 16 — — $8,400.00 $80,229.23 $35,491.20 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 18 — — $8,400.00 $71,366.51 $35,419.89 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 18 — — $8,400.00 $70,421.50 $35,024.67 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 18 — — $8,400.00 $84,339.76 $34,740.13 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 18 — — $8,400.00 $66,757.97 $34,530.35 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 18 — — $8,400.00 $70,025.78 $34,460.00 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 18 — — $8,400.00 $68,436.67 $33,918.60 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 18 — — $8,400.00 $67,318.43 $33,651.18 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 29 18 — — $8,400.00 $70,637.54 $33,473.54 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 18 — — $8,400.00 $68,986.96 $33,229.39 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 18 — — $8,400.00 $66,012.84 $32,907.58 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 18 — — $8,400.00 $60,520.13 $32,582.55 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 18 — — $8,400.00 $65,490.04 $32,578.69 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 18 — — $8,400.00 $66,317.35 $32,344.71 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 16 — — $8,400.00 $72,124.17 $32,216.36 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 29 18 — — $8,400.00 $70,396.43 $32,173.56 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 18 — — $8,400.00 $64,916.30 $31,990.65 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 18 — — $8,400.00 $65,228.27 $31,824.31 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 18 — — $8,400.00 $65,576.79 $31,746.19 2026-01-01
C1767 HCPCS Neurstm Non Rchrgabl F15 11 2 $63,100.00 $35,336.00 44% off $14,862.50 $63,100.00 $31,145.73 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 16 — — $8,400.00 $69,248.37 $31,054.40 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 29 18 — — $8,400.00 $67,406.92 $30,975.10 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 16 — — $8,400.00 $68,525.53 $30,762.34 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 29 18 — — $8,400.00 $75,001.88 $30,724.61 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 18 — — $8,400.00 $64,857.31 $30,516.04 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 16 — — $8,400.00 $67,506.09 $30,350.43 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 18 — — $8,400.00 $68,922.83 $30,325.40 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 18 — — $8,400.00 $62,594.98 $30,134.38 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 16 — — $8,400.00 $66,836.07 $30,079.71 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 18 — — $8,400.00 $60,396.77 $30,010.77 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 29 18 — — $8,400.00 $64,262.23 $29,980.41 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 18 — — $8,400.00 $63,456.82 $29,246.07 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 29 18 — — $8,400.00 $62,400.04 $28,966.32 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 18 — — $8,400.00 $64,031.38 $28,948.06 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 16 — — $8,400.00 $63,995.10 $28,931.82 2026-01-01
245 MS_DRG Aicd Generator Procedures 29 18 — — $8,400.00 $64,280.18 $28,823.82 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 18 — — $8,400.00 $56,336.73 $28,590.18 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 29 18 — — $8,400.00 $63,090.02 $28,358.03 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 18 — — $8,400.00 $58,028.00 $28,316.07 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 29 18 — — $8,400.00 $60,298.02 $28,292.65 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 18 — — $8,400.00 $57,562.45 $28,113.98 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 18 — — $8,400.00 $54,858.94 $27,843.59 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 29 18 — — $8,400.00 $53,799.54 $27,438.20 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 18 — — $8,400.00 $65,679.39 $27,263.74 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 18 — — $8,400.00 $52,746.49 $26,799.51 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 29 18 — — $8,400.00 $57,262.34 $26,553.39 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 18 — — $8,400.00 $53,235.29 $26,279.29 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 18 — — $8,400.00 $53,605.93 $26,274.72 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 18 — — $8,400.00 $51,546.94 $26,140.78 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 16 — — $8,400.00 $56,452.00 $25,884.04 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 18 — — $8,400.00 $50,354.80 $25,850.85 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 29 18 — — $8,400.00 $50,623.56 $25,829.37 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 18 — — $8,400.00 $50,607.45 $25,719.58 2026-01-01
C1882 HCPCS Sysdefibicd#555671 9 2 $40,700.00 $22,792.00 44% off $3,487.50 $40,700.00 $25,711.00 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 29 18 — — $8,400.00 $50,066.42 $25,671.25 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 16 — — $8,400.00 $55,456.57 $25,481.84 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 18 — — $8,400.00 $50,450.66 $25,473.27 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 29 18 — — $8,400.00 $49,536.89 $25,235.61 2026-01-01
791 MS_DRG Prematurity With Major Problems 29 18 — — $8,400.00 $48,738.38 $25,063.66 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 18 — — $8,400.00 $59,615.73 $24,867.05 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 16 — — $8,400.00 $53,588.21 $24,726.93 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 18 — — $8,400.00 $54,071.48 $24,690.38 2026-01-01
C1820 HCPCS Sysneurostimchrg#576936 10 2 $36,000.00 $20,160.00 44% off $2,258.00 $36,000.00 $24,685.09 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 18 — — $8,400.00 $50,266.31 $24,637.84 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 29 18 — — $8,400.00 $50,379.17 $24,428.23 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 29 18 — — $8,400.00 $47,839.04 $24,241.56 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 16 — — $8,400.00 $51,961.20 $24,069.54 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 18 — — $8,400.00 $46,477.38 $24,061.88 2026-01-01
C1822 HCPCS Sys Stimultr Omni#1181325 3 1 $35,478.00 $19,867.68 44% off $1,680.00 $35,478.00 $23,969.33 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 18 — — $8,400.00 $48,527.24 $23,821.83 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 16 — — $8,400.00 $51,215.53 $23,768.25 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 16 — — $8,400.00 $50,921.35 $23,649.39 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 18 — — $8,400.00 $47,131.88 $23,529.31 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 18 — — $8,400.00 $44,880.38 $23,356.99 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 29 18 — — $8,400.00 $52,095.15 $23,331.61 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 18 — — $8,400.00 $51,692.44 $23,308.29 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 18 — — $8,400.00 $51,896.36 $23,289.32 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 18 — — $8,400.00 $46,759.55 $23,246.08 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 29 18 — — $8,400.00 $53,033.94 $23,059.28 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 29 18 — — $8,400.00 $66,144.94 $22,979.96 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 29 18 — — $8,400.00 $48,709.35 $22,952.99 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 18 — — $8,400.00 $44,086.69 $22,936.02 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 29 18 — — $8,400.00 $44,875.59 $22,861.42 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 18 — — $8,400.00 $45,386.39 $22,860.14 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 18 — — $8,400.00 $44,404.00 $22,825.51 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 29 18 — — $8,400.00 $46,140.50 $22,806.99 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 29 18 — — $8,400.00 $44,104.70 $22,738.34 2026-01-01
332 MS_DRG Rectal Resection With Mcc 29 18 — — $8,400.00 $43,581.92 $22,724.19 2026-01-01
C1722 HCPCS System Defib#1035102 7 2 $28,500.00 $15,960.00 44% off $16,000.00 $28,500.00 $22,713.56 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 18 — — $8,400.00 $45,877.59 $22,693.68 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 18 — — $8,400.00 $47,169.07 $22,630.78 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 29 18 — — $8,400.00 $43,569.17 $22,609.76 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 16 — — $8,400.00 $48,276.09 $22,580.58 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 18 — — $8,400.00 $44,807.99 $22,562.74 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 29 18 — — $8,400.00 $44,507.88 $22,404.50 2026-01-01
265 MS_DRG Aicd Lead Procedures 29 18 — — $8,400.00 $43,445.49 $22,363.85 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 18 — — $600.00 $46,407.73 $22,314.27 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 29 18 — — $8,400.00 $51,275.63 $22,088.30 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 29 18 — — $8,400.00 $41,885.71 $21,976.47 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 18 — — $8,400.00 $45,113.22 $21,943.31 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 18 — — $8,400.00 $42,740.60 $21,806.29 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 29 18 — — $8,400.00 $41,481.07 $21,679.18 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 29 18 — — $8,400.00 $41,682.79 $21,637.42 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 18 — — $8,400.00 $40,964.74 $21,513.62 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 29 18 — — $8,400.00 $46,420.09 $21,398.65 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 29 18 — — $8,400.00 $47,925.74 $21,283.40 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 16 — — $8,400.00 $44,987.25 $21,251.73 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 29 18 — — $8,400.00 $40,509.04 $21,208.39 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 29 18 — — $8,400.00 $41,165.68 $21,060.98 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 16 — — $8,400.00 $44,497.35 $21,053.78 2026-01-01
652 MS_DRG Kidney Transplant 29 18 — — $8,400.00 $42,509.75 $20,918.79 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 29 18 — — $8,400.00 $42,231.44 $20,915.34 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 29 18 — — $8,400.00 $42,375.08 $20,895.32 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 29 18 — — $8,400.00 $39,525.05 $20,771.86 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 18 — — $8,400.00 $42,676.47 $20,736.15 2026-01-01
L8614 HCPCS Systmhringbaha#1011105 19 3 $35,000.00 $19,600.00 44% off $113.00 $35,000.00 $20,609.32 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 16 — — $8,400.00 $43,303.79 $20,571.53 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 29 18 — — $8,400.00 $38,673.72 $20,455.90 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 29 18 — — $8,400.00 $39,526.65 $20,444.75 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 18 — — $8,400.00 $39,881.90 $20,362.12 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 29 18 — — $8,400.00 $39,347.10 $20,331.23 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 29 18 — — $8,400.00 $38,886.25 $20,316.38 2026-01-01
665 MS_DRG Prostatectomy With Mcc 29 18 — — $8,400.00 $40,768.11 $20,279.13 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 29 18 — — $8,400.00 $38,331.36 $20,134.17 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 18 — — $8,400.00 $38,676.35 $20,024.46 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 29 18 — — $8,400.00 $40,766.83 $20,019.33 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 18 — — $8,400.00 $37,756.80 $19,959.38 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 29 18 — — $8,400.00 $40,709.11 $19,890.65 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 16 — — $8,400.00 $41,288.94 $19,757.43 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 29 18 — — $8,400.00 $36,263.82 $19,348.41 2026-01-01
570 MS_DRG Skin Debridement With Mcc 29 18 — — $8,400.00 $38,920.03 $19,316.87 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 29 18 — — $8,400.00 $36,268.61 $19,286.95 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 29 18 — — $8,400.00 $37,792.71 $19,229.50 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 29 18 — — $8,400.00 $38,864.88 $19,186.25 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 29 18 — — $8,400.00 $38,037.67 $19,061.38 2026-01-01
263 MS_DRG Vein Ligation And Stripping 29 18 — — $8,400.00 $36,711.69 $19,025.13 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 29 18 — — $8,400.00 $36,097.25 $18,951.85 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 29 18 — — $8,400.00 $37,457.98 $18,941.77 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 29 18 — — $8,400.00 $36,328.10 $18,888.07 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 16 — — $8,400.00 $38,788.99 $18,747.33 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 29 18 — — $8,400.00 $36,224.18 $18,706.77 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 29 18 — — $8,400.00 $34,922.47 $18,690.25 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 16 — — $8,400.00 $38,548.83 $18,650.29 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 29 18 — — $8,400.00 $35,351.25 $18,604.94 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 18 — — $8,400.00 $35,203.34 $18,563.02 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 29 18 — — $8,400.00 $36,850.07 $18,499.71 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 16 — — $8,400.00 $37,835.59 $18,362.11 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 29 18 — — $8,400.00 $40,964.33 $18,292.04 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 29 18 — — $8,400.00 $36,521.75 $18,284.38 2026-01-01
800 MS_DRG Splenic Procedures With Cc 29 18 — — $8,400.00 $33,733.83 $18,237.64 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 29 18 — — $8,400.00 $34,603.18 $18,179.76 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 29 18 — — $8,400.00 $35,799.71 $18,174.90 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 29 18 — — $8,400.00 $35,845.88 $18,117.60 2026-01-01
503 MS_DRG Foot Procedures With Mcc 29 18 — — $8,400.00 $33,514.10 $18,077.84 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 29 18 — — $8,400.00 $34,551.83 $17,872.29 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 29 18 — — $8,400.00 $33,283.55 $17,772.49 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 29 18 — — $8,400.00 $33,004.98 $17,738.49 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 29 18 — — $8,400.00 $38,310.84 $17,699.39 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 29 18 — — $8,400.00 $35,752.25 $17,689.23 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 29 18 — — $8,400.00 $32,579.35 $17,643.09 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 29 18 — — $8,400.00 $36,139.57 $17,531.42 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 16 — — $8,400.00 $35,739.08 $17,515.02 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 29 18 — — $8,400.00 $32,180.49 $17,401.35 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 29 18 — — $8,400.00 $33,271.90 $17,267.32 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 29 18 — — $8,400.00 $34,975.06 $17,194.25 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 29 18 — — $8,400.00 $33,370.65 $17,155.09 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 29 18 — — $8,400.00 $33,577.13 $17,111.57 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 16 — — $8,400.00 $34,463.89 $16,999.78 2026-01-01
849 MS_DRG Radiotherapy 29 18 — — $8,400.00 $32,534.29 $16,988.00 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 29 18 — — $8,400.00 $30,969.72 $16,931.07 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 29 18 — — $8,400.00 $32,946.14 $16,924.35 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 29 18 — — $8,400.00 $30,853.10 $16,716.97 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 29 18 — — $8,400.00 $31,376.36 $16,632.78 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 29 18 — — $8,400.00 $31,794.46 $16,628.88 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 29 18 — — $8,400.00 $30,969.72 $16,596.02 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 29 18 — — $8,400.00 $30,452.19 $16,576.26 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 29 18 — — $8,400.00 $31,458.44 $16,495.44 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 29 18 — — $8,400.00 $31,861.15 $16,472.22 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 29 18 — — $8,400.00 $30,432.44 $16,321.32 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 29 18 — — $8,400.00 $32,361.32 $16,316.20 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 29 18 — — $8,400.00 $29,528.81 $16,282.85 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 16 — — $8,400.00 $32,669.97 $16,274.95 2026-01-01
792 MS_DRG Prematurity Without Major Problems 29 18 — — $8,400.00 $29,408.73 $16,216.51 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 29 18 — — $8,400.00 $31,080.10 $16,145.20 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 4 3 — — $16,037.62 $16,037.62 $16,037.62 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 4 3 — — $16,037.62 $16,037.62 $16,037.62 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 4 3 — — $16,037.62 $16,037.62 $16,037.62 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 29 18 — — $8,400.00 $28,703.89 $15,910.91 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 29 18 — — $8,400.00 $29,532.13 $15,841.83 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 29 18 — — $8,400.00 $32,469.05 $15,823.80 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 29 18 — — $8,400.00 $29,652.68 $15,799.12 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 29 18 — — $8,400.00 $30,922.36 $15,734.98 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 29 18 — — $8,400.00 $28,060.30 $15,620.91 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 18 — — $8,400.00 $28,878.05 $15,604.96 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 29 18 — — $8,400.00 $29,479.58 $15,602.48 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 29 18 — — $8,400.00 $27,923.41 $15,524.40 2026-01-01
C1721 HCPCS Implsyscardiovrtr#574280 6 2 $30,240.00 $16,934.40 44% off $1,500.00 $30,240.00 $15,523.33 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 29 18 — — $8,400.00 $27,894.58 $15,498.81 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 29 18 — — $8,400.00 $30,706.90 $15,466.19 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 29 18 — — $8,400.00 $33,175.71 $15,461.14 2026-01-01
709 MS_DRG Penis Procedures With Cc/mcc 29 18 — — $8,400.00 $27,942.62 $15,401.13 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 29 18 — — $8,400.00 $27,684.04 $15,378.03 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 29 18 — — $8,400.00 $27,958.50 $15,345.00 2026-01-01
333 MS_DRG Rectal Resection With Cc 29 18 — — $8,400.00 $28,123.93 $15,337.71 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 29 18 — — $8,400.00 $28,143.18 $15,335.48 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 29 18 — — $8,400.00 $27,558.36 $15,322.80 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 29 18 — — $8,400.00 $30,246.48 $15,248.07 2026-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 29 18 — — $8,400.00 $28,341.97 $15,231.62 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 29 18 — — $8,400.00 $30,313.17 $15,224.51 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 29 18 — — $8,400.00 $32,758.90 $15,196.35 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 29 18 — — $8,400.00 $29,993.83 $15,137.06 2026-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 18 — — $8,400.00 $29,788.63 $15,110.67 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 29 18 — — $8,400.00 $29,474.42 $15,048.50 2026-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 29 18 — — $8,400.00 $27,555.98 $15,036.01 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 29 18 — — $8,400.00 $27,563.49 $15,028.39 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 29 18 — — $8,400.00 $27,903.35 $15,006.04 2026-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 29 18 — — $8,400.00 $28,100.86 $14,993.41 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 29 18 — — $8,400.00 $26,651.81 $14,902.50 2026-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 29 18 — — $8,400.00 $29,573.17 $14,884.07 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 29 18 — — $8,400.00 $29,524.43 $14,883.70 2026-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 29 18 — — $8,400.00 $30,547.87 $14,858.80 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 26 16 — — $8,400.00 $29,084.53 $14,826.26 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 30 18 — — $8,028.00 $27,968.76 $14,818.47 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 26 16 — — $8,400.00 $28,989.67 $14,787.93 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 29 18 — — $8,400.00 $29,474.42 $14,781.86 2026-01-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 29 18 — — $8,400.00 $30,172.10 $14,756.75 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 16 — — $8,400.00 $28,881.61 $14,744.27 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 26 16 — — $8,400.00 $28,756.73 $14,693.81 2026-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 29 18 — — $8,400.00 $26,543.76 $14,648.22 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 29 18 — — $8,400.00 $26,377.18 $14,624.74 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 29 18 — — $8,400.00 $26,483.63 $14,622.86 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 29 18 — — $8,400.00 $28,450.98 $14,606.25 2026-01-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 29 18 — — $8,400.00 $26,640.09 $14,541.88 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 29 18 — — $8,400.00 $27,354.44 $14,509.24 2026-01-01
835 MS_DRG Acute Leukemia With Cc 29 18 — — $8,400.00 $27,394.20 $14,480.90 2026-01-01
595 MS_DRG Major Skin Disorders With Mcc 29 18 — — $8,400.00 $25,481.99 $14,447.61 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 29 18 — — $8,400.00 $26,449.00 $14,427.25 2026-01-01
711 MS_DRG Testes Procedures With Cc/mcc 29 18 — — $8,400.00 $26,720.89 $14,407.03 2026-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 29 18 — — $8,400.00 $25,704.43 $14,391.23 2026-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 29 18 — — $8,400.00 $25,424.66 $14,354.06 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 29 18 — — $8,400.00 $25,946.26 $14,338.14 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 29 18 — — $8,400.00 $25,891.11 $14,252.33 2026-01-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 29 18 — — $8,400.00 $26,052.71 $14,241.44 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 29 18 — — $8,400.00 $28,250.91 $14,182.35 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 29 18 — — $8,400.00 $26,894.03 $14,155.41 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 29 18 — — $8,400.00 $24,952.76 $14,136.31 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 29 18 — — $8,400.00 $24,968.38 $14,094.67 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 29 18 — — $8,400.00 $25,536.32 $14,071.62 2026-01-01
0316T OTHER Replc Vagus Nerve Pls Gen 2 2 — — $14,059.13 $14,059.13 $14,059.13 2026-01-01
0312T OTHER Laps Impltj Nstim Vagus 2 2 — — $14,059.13 $14,059.13 $14,059.13 2026-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 4 3 — — $14,059.13 $14,059.13 $14,059.13 2026-01-01
0283T OTHER Periph Field Stimul Perm 2 2 — — $14,059.13 $14,059.13 $14,059.13 2026-01-01
0424T OTHER Insj/rplc Nstim Apnea Compl 2 2 — — $14,059.13 $14,059.13 $14,059.13 2026-01-01
935 MS_DRG Non-extensive Burns 29 18 — — $8,400.00 $24,735.42 $13,978.50 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 29 18 — — $8,400.00 $25,557.66 $13,909.05 2026-01-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 29 18 — — $8,400.00 $24,347.59 $13,874.88 2026-01-01
539 MS_DRG Osteomyelitis With Mcc 29 18 — — $8,400.00 $25,896.24 $13,830.90 2026-01-01
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