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

ASCENSION PROVIDENCE ROCHESTER HOSPITAL

Rochester, MI · CCN 230254 · Rates published

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You selected 29806 (CPT)

SHO ARTHRS SRG CAPSULORRAPHY

This hospital’s price: $9,737 across 4 payers · range $9,075-$9,737

Source: https://www.henryford.com/-/media/files/henry-ford/patients-visitors/price-transparency-2026/legacy-ascension/381359247_henry-ford-rochester-hospital_standardcharges.csv · observed 2026-01-01

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.

6,664 distinct procedures filed
19 distinct payers
29,981 rate rows
2026-01-01 last MRF observed
Data quality

29,621 of 29,981 rate rows are consumer-grade (98.8%)

360 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
per-diem day rate — not a per-procedure price 277
placeholder amount (≤ $0.02) — excluded from medians 81
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
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/381359247_henry-ford-rochester-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 · 2026-11-02
Content fingerprint 4677e0b25070481b… · 189,939,915 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $597,919.24 $641,544.25 $641,544.25 nat. median
$248,541
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $458,892.71 $492,374.15 $492,374.15 nat. median
$190,359
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $408,220.72 $438,005.06 $438,005.06 nat. median
$198,115
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $341,211.89 $366,107.18 $366,107.18 nat. median
$110,084
outlier · 3.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $231,792.21 $248,704.09 $248,704.09 nat. median
$97,137
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $226,075.78 $242,570.58 $242,570.58 nat. median
$94,943
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $221,396.27 $237,549.64 $237,549.64 nat. median
$126,461
1.9× median
7
MS_DRG 		Lung Transplant 4 $220,561.86 $236,654.36 $236,654.36 nat. median
$117,977
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $220,159.29 $236,222.42 $236,222.42 nat. median
$103,938
outlier · 2.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $217,092.48 $232,931.84 $232,931.84 nat. median
$53,841
outlier · 4.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $50,315.00 $214,819.29 $214,819.29 nat. median
$90,512
outlier · 2.4×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 4 $187,351.44 $201,020.86 $201,020.86 nat. median
$42,787
outlier · 4.7×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $184,274.87 $197,719.82 $197,719.82 nat. median
$61,660
outlier · 3.2×
215
MS_DRG 		Other Heart Assist System Implant 5 $72,522.00 $196,437.09 $196,437.09 nat. median
$93,787
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $179,175.71 $192,248.61 $192,248.61 nat. median
$74,298
outlier · 2.6×
834
MS_DRG 		Acute Leukemia With Mcc 4 $177,797.23 $190,769.56 $190,769.56 nat. median
$50,314
outlier · 3.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $165,224.99 $177,280.03 $177,280.03 nat. median
$359,244
outlier · 0.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $155,580.50 $166,931.87 $166,931.87 nat. median
$67,908
outlier · 2.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $46,248.00 $162,738.15 $162,738.15 nat. median
$76,979
outlier · 2.1×
652
MS_DRG 		Kidney Transplant 4 $149,085.78 $159,963.29 $159,963.29 nat. median
$29,909
outlier · 5.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $36,199.00 $155,960.67 $155,960.67 nat. median
$72,247
outlier · 2.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $143,730.45 $154,217.22 $154,217.22 nat. median
$66,623
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $139,402.26 $149,573.24 $149,573.24 nat. median
$66,584
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $137,408.95 $147,434.50 $147,434.50 nat. median
$56,633
outlier · 2.6×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $137,377.23 $147,400.46 $147,400.46 nat. median
$58,234
outlier · 2.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $134,588.55 $144,408.32 $144,408.32 nat. median
$59,324
outlier · 2.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $50,315.00 $143,939.73 $143,939.73 nat. median
$61,995
outlier · 2.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 5 $46,248.00 $143,531.36 $143,531.36 nat. median
$57,798
outlier · 2.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 $130,965.47 $140,520.89 $140,520.89 nat. median
$51,462
outlier · 2.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $130,926.43 $140,479.00 $140,479.00 nat. median
$62,577
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $130,467.75 $139,986.86 $139,986.86 nat. median
$77,487
1.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $126,168.84 $135,374.29 $135,374.29 nat. median
$58,052
outlier · 2.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $34,083.00 $131,968.53 $131,968.53 nat. median
$71,737
1.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 5 $34,022.00 $131,887.38 $131,887.38 nat. median
$47,347
outlier · 2.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $120,369.46 $129,151.78 $129,151.78 nat. median
$58,220
outlier · 2.2×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 4 $119,613.12 $128,340.26 $128,340.26 nat. median
$33,599
outlier · 3.8×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 $113,752.75 $122,052.31 $122,052.31 nat. median
$35,435
outlier · 3.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $112,064.42 $120,240.79 $120,240.79 nat. median
$63,829
1.9× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 $111,154.37 $119,264.35 $119,264.35 nat. median
$46,626
outlier · 2.6×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 4 $111,068.98 $119,172.73 $119,172.73 nat. median
$50,830
outlier · 2.3×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $109,914.96 $117,934.51 $117,934.51 nat. median
$53,419
outlier · 2.2×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 4 $109,888.12 $117,905.71 $117,905.71 nat. median
$44,088
outlier · 2.7×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $109,741.74 $117,748.64 $117,748.64 nat. median
$53,768
outlier · 2.2×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $36,199.00 $116,429.27 $116,429.27 nat. median
$50,558
outlier · 2.3×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 $108,197.35 $116,091.58 $116,091.58 nat. median
$53,342
outlier · 2.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $50,315.00 $115,766.97 $115,766.97 nat. median
$59,493
1.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $107,448.33 $115,287.91 $115,287.91 nat. median
$43,609
outlier · 2.6×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $107,326.34 $115,157.02 $115,157.02 nat. median
$55,110
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 $107,165.32 $114,984.25 $114,984.25 nat. median
$61,263
1.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $106,086.93 $113,827.18 $113,827.18 nat. median
$49,873
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 6,664 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $597,919.24 $641,544.25 $641,544.25 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $458,892.71 $492,374.15 $492,374.15 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $408,220.72 $438,005.06 $438,005.06 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $341,211.89 $366,107.18 $366,107.18 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $231,792.21 $248,704.09 $248,704.09 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $226,075.78 $242,570.58 $242,570.58 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $221,396.27 $237,549.64 $237,549.64 2026-01-01
7 MS_DRG Lung Transplant 4 4 — — $220,561.86 $236,654.36 $236,654.36 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $220,159.29 $236,222.42 $236,222.42 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $217,092.48 $232,931.84 $232,931.84 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $50,315.00 $214,819.29 $214,819.29 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $187,351.44 $201,020.86 $201,020.86 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $184,274.87 $197,719.82 $197,719.82 2026-01-01
215 MS_DRG Other Heart Assist System Implant 5 5 — — $72,522.00 $196,437.09 $196,437.09 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $179,175.71 $192,248.61 $192,248.61 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $177,797.23 $190,769.56 $190,769.56 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $165,224.99 $177,280.03 $177,280.03 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $155,580.50 $166,931.87 $166,931.87 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $46,248.00 $162,738.15 $162,738.15 2026-01-01
652 MS_DRG Kidney Transplant 4 4 — — $149,085.78 $159,963.29 $159,963.29 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $36,199.00 $155,960.67 $155,960.67 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $143,730.45 $154,217.22 $154,217.22 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $139,402.26 $149,573.24 $149,573.24 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $137,408.95 $147,434.50 $147,434.50 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $137,377.23 $147,400.46 $147,400.46 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $134,588.55 $144,408.32 $144,408.32 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $50,315.00 $143,939.73 $143,939.73 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $46,248.00 $143,531.36 $143,531.36 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $130,965.47 $140,520.89 $140,520.89 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $130,926.43 $140,479.00 $140,479.00 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $130,467.75 $139,986.86 $139,986.86 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $126,168.84 $135,374.29 $135,374.29 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 — — $34,083.00 $131,968.53 $131,968.53 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 5 — — $34,022.00 $131,887.38 $131,887.38 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $120,369.46 $129,151.78 $129,151.78 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $119,613.12 $128,340.26 $128,340.26 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $113,752.75 $122,052.31 $122,052.31 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $112,064.42 $120,240.79 $120,240.79 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $111,154.37 $119,264.35 $119,264.35 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $111,068.98 $119,172.73 $119,172.73 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $109,914.96 $117,934.51 $117,934.51 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 4 — — $109,888.12 $117,905.71 $117,905.71 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $109,741.74 $117,748.64 $117,748.64 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $36,199.00 $116,429.27 $116,429.27 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $108,197.35 $116,091.58 $116,091.58 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $50,315.00 $115,766.97 $115,766.97 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $107,448.33 $115,287.91 $115,287.91 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $107,326.34 $115,157.02 $115,157.02 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $107,165.32 $114,984.25 $114,984.25 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $106,086.93 $113,827.18 $113,827.18 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $101,839.26 $109,269.59 $109,269.59 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $24,984.00 $108,963.31 $108,963.31 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $101,500.13 $108,905.72 $108,905.72 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 — — $101,017.05 $108,387.39 $108,387.39 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $100,951.17 $108,316.71 $108,316.71 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $100,853.58 $108,212.00 $108,212.00 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $99,887.43 $107,175.35 $107,175.35 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $98,755.36 $105,960.69 $105,960.69 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 4 — — $96,664.46 $103,717.24 $103,717.24 2026-01-01
835 MS_DRG Acute Leukemia With Cc 4 4 — — $96,654.70 $103,706.76 $103,706.76 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 5 — — $34,083.00 $103,583.73 $103,583.73 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $36,199.00 $103,492.11 $103,492.11 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $96,056.96 $103,065.40 $103,065.40 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $94,876.10 $101,798.39 $101,798.39 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $94,610.16 $101,513.05 $101,513.05 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 4 — — $94,397.90 $101,285.30 $101,285.30 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 4 — — $93,990.45 $100,848.13 $100,848.13 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $93,065.77 $99,855.98 $99,855.98 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $92,651.01 $99,410.96 $99,410.96 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $91,543.35 $98,222.47 $98,222.47 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 5 5 — — $14,893.00 $96,840.28 $96,840.28 2026-01-01
245 MS_DRG Aicd Generator Procedures 4 4 — — $89,328.02 $95,845.51 $95,845.51 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 — — $88,749.79 $95,225.09 $95,225.09 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $88,310.62 $94,753.89 $94,753.89 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $86,971.18 $93,316.72 $93,316.72 2026-01-01
10 MS_DRG Pancreas Transplant 4 4 — — $86,553.98 $92,869.07 $92,869.07 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 4 — — $84,626.54 $90,801.01 $90,801.01 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $84,446.00 $90,607.29 $90,607.29 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $81,762.23 $87,727.71 $87,727.71 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $81,659.76 $87,617.77 $87,617.77 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $80,842.43 $86,740.80 $86,740.80 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 5 — — $8,846.00 $86,672.74 $86,672.74 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 5 — — $24,984.00 $86,177.98 $86,177.98 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $79,554.22 $85,358.60 $85,358.60 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $79,312.68 $85,099.44 $85,099.44 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 — — $79,212.65 $84,992.11 $84,992.11 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $79,171.17 $84,947.61 $84,947.61 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 — — $78,575.86 $84,308.87 $84,308.87 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $78,139.14 $83,840.28 $83,840.28 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 5 — — $34,022.00 $83,594.21 $83,594.21 2026-01-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 4 4 — — $77,292.53 $82,931.90 $82,931.90 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $76,304.42 $81,871.70 $81,871.70 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 4 4 — — $75,788.56 $81,318.20 $81,318.20 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 4 — — $75,657.88 $81,177.98 $81,177.98 2026-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 4 4 — — $75,321.18 $80,816.72 $80,816.72 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $74,628.28 $80,073.27 $80,073.27 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $73,942.70 $79,337.66 $79,337.66 2026-01-01
265 MS_DRG Aicd Lead Procedures 4 4 — — $73,915.87 $79,308.87 $79,308.87 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 — — $73,474.26 $78,835.05 $78,835.05 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $73,325.44 $78,675.36 $78,675.36 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $72,466.63 $77,753.90 $77,753.90 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 5 — — $19,544.00 $77,183.22 $77,183.22 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $71,415.08 $76,625.62 $76,625.62 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 4 — — $71,334.57 $76,539.24 $76,539.24 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 4 — — $71,285.77 $76,486.88 $76,486.88 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $70,768.54 $75,931.91 $75,931.91 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 4 — — $70,668.51 $75,824.58 $75,824.58 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 4 — — $70,326.94 $75,458.09 $75,458.09 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 — — $70,041.48 $75,151.80 $75,151.80 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 — — $69,892.65 $74,992.12 $74,992.12 2026-01-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 4 4 — — $69,890.21 $74,989.50 $74,989.50 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $69,819.46 $74,913.58 $74,913.58 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 — — $69,009.45 $74,044.47 $74,044.47 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $68,894.78 $73,921.44 $73,921.44 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $68,165.28 $73,138.71 $73,138.71 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $67,774.92 $72,719.87 $72,719.87 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 4 — — $67,630.97 $72,565.42 $72,565.42 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $67,279.64 $72,188.45 $72,188.45 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 — — $67,194.25 $72,096.83 $72,096.83 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $67,011.26 $71,900.49 $71,900.49 2026-01-01
332 MS_DRG Rectal Resection With Mcc 4 4 — — $66,562.34 $71,418.82 $71,418.82 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $66,352.52 $71,193.69 $71,193.69 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 4 — — $65,988.99 $70,803.64 $70,803.64 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 5 — — $16,117.00 $70,780.08 $70,780.08 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $65,876.76 $70,683.22 $70,683.22 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 — — $65,242.41 $70,002.59 $70,002.59 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 4 — — $65,139.94 $69,892.64 $69,892.64 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $64,539.75 $69,248.66 $69,248.66 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 4 4 — — $64,481.20 $69,185.84 $69,185.84 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $64,459.24 $69,162.28 $69,162.28 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 4 — — $63,917.61 $68,581.12 $68,581.12 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 4 4 — — $63,705.65 $68,353.70 $68,353.70 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 — — $63,405.25 $68,031.39 $68,031.39 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $63,056.36 $67,657.04 $67,657.04 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $62,497.65 $67,057.56 $67,057.56 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 4 4 — — $62,404.94 $66,958.09 $66,958.09 2026-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 4 4 — — $62,351.26 $66,900.50 $66,900.50 2026-01-01
849 MS_DRG Radiotherapy 4 4 — — $61,670.56 $66,170.13 $66,170.13 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 4 — — $61,607.13 $66,102.07 $66,102.07 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 — — $61,389.99 $65,869.08 $65,869.08 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 4 — — $61,358.27 $65,835.05 $65,835.05 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 4 — — $60,531.18 $64,947.62 $64,947.62 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 — — $60,445.79 $64,856.00 $64,856.00 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 4 4 — — $59,657.58 $64,010.28 $64,010.28 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $59,552.82 $63,897.88 $63,897.88 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 — — $59,421.08 $63,756.52 $63,756.52 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 4 — — $59,384.48 $63,717.25 $63,717.25 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $59,369.84 $63,701.55 $63,701.55 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 4 4 — — $59,184.42 $63,502.59 $63,502.59 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $58,289.01 $62,541.86 $62,541.86 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 4 — — $58,284.13 $62,536.62 $62,536.62 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $58,145.07 $62,387.41 $62,387.41 2026-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 4 — — $58,135.31 $62,376.94 $62,376.94 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 4 — — $57,949.88 $62,177.99 $62,177.99 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 4 4 — — $57,847.41 $62,068.04 $62,068.04 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 — — $57,796.18 $62,013.06 $62,013.06 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $57,740.06 $61,952.85 $61,952.85 2026-01-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 4 4 — — $57,376.53 $61,562.80 $61,562.80 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 4 — — $57,330.18 $61,513.06 $61,513.06 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 4 — — $57,283.82 $61,463.33 $61,463.33 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $55,934.62 $60,015.68 $60,015.68 2026-01-01
69930 CPT Implant Cochlear Device 4 4 — — $55,600.33 $59,657.00 $59,657.00 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 4 — — $55,180.72 $59,206.78 $59,206.78 2026-01-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 4 4 — — $55,152.48 $59,176.48 $59,176.48 2026-01-01
33240 CPT Insrt Pulse Gen W/singl Lead 4 4 — — $55,107.13 $59,127.83 $59,127.83 2026-01-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 4 4 — — $54,402.43 $58,371.70 $58,371.70 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $54,392.67 $58,361.23 $58,361.23 2026-01-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 4 4 — — $53,955.95 $57,892.65 $57,892.65 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $53,785.16 $57,709.40 $57,709.40 2026-01-01
665 MS_DRG Prostatectomy With Mcc 4 4 — — $53,282.57 $57,170.13 $57,170.13 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $53,104.46 $56,979.03 $56,979.03 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 5 — — $10,202.00 $56,866.47 $56,866.47 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 4 — — $52,921.48 $56,782.70 $56,782.70 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 4 — — $52,648.22 $56,489.51 $56,489.51 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 4 — — $52,628.70 $56,468.56 $56,468.56 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 4 — — $52,460.36 $56,287.94 $56,287.94 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $52,033.39 $55,829.82 $55,829.82 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 5 5 — — $14,792.00 $55,814.11 $55,814.11 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $51,613.75 $55,379.56 $55,379.56 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 4 — — $51,233.14 $54,971.18 $54,971.18 2026-01-01
595 MS_DRG Major Skin Disorders With Mcc 4 4 — — $50,796.42 $54,502.60 $54,502.60 2026-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 4 4 — — $50,703.71 $54,403.12 $54,403.12 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 5 5 — — $15,470.00 $54,214.64 $54,214.64 2026-01-01
157 MS_DRG Dental And Oral Diseases With Mcc 4 4 — — $50,176.71 $53,837.67 $53,837.67 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 4 — — $49,798.55 $53,431.92 $53,431.92 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 4 4 — — $49,503.33 $53,115.16 $53,115.16 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 4 — — $49,452.10 $53,060.19 $53,060.19 2026-01-01
263 MS_DRG Vein Ligation And Stripping 4 4 — — $49,291.07 $52,887.41 $52,887.41 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 — — $49,051.97 $52,630.87 $52,630.87 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 4 — — $48,944.62 $52,515.69 $52,515.69 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 4 — — $48,864.11 $52,429.30 $52,429.30 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 4 — — $48,761.63 $52,319.35 $52,319.35 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $48,466.42 $52,002.60 $52,002.60 2026-01-01
0308T OTHER Insj Ocular Telescope Prosth 4 4 — — $48,321.80 $51,847.42 $51,847.42 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 4 — — $48,251.72 $51,772.23 $51,772.23 2026-01-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 4 4 — — $48,083.37 $51,591.60 $51,591.60 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 4 — — $47,778.40 $51,264.38 $51,264.38 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 4 — — $47,773.52 $51,259.14 $51,259.14 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 4 — — $47,610.05 $51,083.75 $51,083.75 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 — — $47,117.22 $50,554.95 $50,554.95 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 4 — — $46,956.19 $50,382.18 $50,382.18 2026-01-01
800 MS_DRG Splenic Procedures With Cc 4 4 — — $46,904.96 $50,327.21 $50,327.21 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 4 4 — — $46,793.12 $50,207.21 $50,207.21 2026-01-01
333 MS_DRG Rectal Resection With Cc 4 4 — — $46,765.89 $50,177.99 $50,177.99 2026-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 4 — — $46,714.65 $50,123.02 $50,123.02 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 4 — — $46,553.63 $49,950.24 $49,950.24 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $46,409.68 $49,795.79 $49,795.79 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 4 — — $46,370.64 $49,753.91 $49,753.91 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 4 — — $46,363.32 $49,746.05 $49,746.05 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 4 4 — — $46,304.77 $49,683.23 $49,683.23 2026-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 4 4 — — $46,148.62 $49,515.69 $49,515.69 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 5 — — $17,699.00 $49,217.26 $49,217.26 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 4 4 — — $45,765.57 $49,104.69 $49,104.69 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 4 4 — — $45,753.37 $49,091.60 $49,091.60 2026-01-01
801 MS_DRG Splenic Procedures Without Cc/mcc 4 4 — — $45,389.85 $48,701.55 $48,701.55 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $45,241.02 $48,541.87 $48,541.87 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 — — $45,092.19 $48,382.18 $48,382.18 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 — — $44,862.85 $48,136.11 $48,136.11 2026-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 4 4 — — $44,860.41 $48,133.49 $48,133.49 2026-01-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 4 4 — — $44,855.28 $48,127.98 $48,127.98 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 4 — — $44,806.74 $48,075.90 $48,075.90 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 4 — — $44,479.80 $47,725.11 $47,725.11 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 4 4 — — $44,440.77 $47,683.23 $47,683.23 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 4 — — $44,438.33 $47,680.61 $47,680.61 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 — — $44,394.41 $47,633.49 $47,633.49 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 4 — — $44,309.02 $47,541.87 $47,541.87 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 4 — — $44,240.70 $47,468.57 $47,468.57 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 — — $44,099.20 $47,316.74 $47,316.74 2026-01-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 4 — — $44,077.24 $47,293.17 $47,293.17 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 4 — — $43,896.69 $47,099.46 $47,099.46 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 4 4 — — $43,823.50 $47,020.92 $47,020.92 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $43,799.10 $46,994.75 $46,994.75 2026-01-01
671 MS_DRG Urethral Procedures With Cc/mcc 4 4 — — $43,757.63 $46,950.24 $46,950.24 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 4 4 — — $43,742.99 $46,934.54 $46,934.54 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 4 — — $43,589.28 $46,769.61 $46,769.61 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 — — $43,242.83 $46,397.89 $46,397.89 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $43,237.95 $46,392.65 $46,392.65 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 4 4 — — $43,191.60 $46,342.91 $46,342.91 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 4 — — $43,115.96 $46,261.76 $46,261.76 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 4 — — $42,549.93 $45,654.43 $45,654.43 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 4 — — $42,481.62 $45,581.13 $45,581.13 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 4 — — $42,447.46 $45,544.48 $45,544.48 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 4 — — $42,408.42 $45,502.60 $45,502.60 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 5 5 — — $9,920.00 $45,382.18 $45,382.18 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 4 — — $42,293.75 $45,379.56 $45,379.56 2026-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 4 — — $42,132.73 $45,206.79 $45,206.79 2026-01-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 4 4 — — $42,083.93 $45,154.43 $45,154.43 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 4 4 — — $42,020.50 $45,086.37 $45,086.37 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 4 — — $41,727.72 $44,772.23 $44,772.23 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 4 — — $41,698.44 $44,740.82 $44,740.82 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 5 5 — — $15,944.00 $44,507.84 $44,507.84 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 4 — — $41,471.54 $44,497.36 $44,497.36 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 — — $41,395.91 $44,416.21 $44,416.21 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 4 — — $40,900.63 $43,884.80 $43,884.80 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 4 — — $40,783.52 $43,759.14 $43,759.14 2026-01-01
88 MS_DRG Concussion With Mcc 4 4 — — $40,620.06 $43,583.75 $43,583.75 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 4 — — $40,583.46 $43,544.49 $43,544.49 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 4 — — $40,363.88 $43,308.88 $43,308.88 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 4 — — $40,195.53 $43,128.26 $43,128.26 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 4 — — $40,129.66 $43,057.57 $43,057.57 2026-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 4 — — $40,100.38 $43,026.16 $43,026.16 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 4 — — $40,019.87 $42,939.77 $42,939.77 2026-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 4 4 — — $39,985.71 $42,903.12 $42,903.12 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $39,702.70 $42,599.46 $42,599.46 2026-01-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $39,656.34 $42,549.72 $42,549.72 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 4 4 — — $39,588.03 $42,476.42 $42,476.42 2026-01-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 4 4 — — $39,183.02 $42,041.87 $42,041.87 2026-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 4 — — $39,082.99 $41,934.54 $41,934.54 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 — — $39,053.71 $41,903.12 $41,903.12 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 — — $39,000.04 $41,845.53 $41,845.53 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 4 — — $38,943.92 $41,785.32 $41,785.32 2026-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 — — $38,939.04 $41,780.09 $41,780.09 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 4 4 — — $38,929.28 $41,769.62 $41,769.62 2026-01-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 4 4 — — $38,782.90 $41,612.55 $41,612.55 2026-01-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 4 4 — — $38,616.99 $41,434.54 $41,434.54 2026-01-01
906 MS_DRG Hand Procedures For Injuries 4 4 — — $38,568.19 $41,382.18 $41,382.18 2026-01-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 4 4 — — $38,426.69 $41,230.35 $41,230.35 2026-01-01
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 4 4 — — $38,342.63 $41,140.16 $41,140.16 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 4 — — $37,950.93 $40,719.88 $40,719.88 2026-01-01
709 MS_DRG Penis Procedures With Cc/mcc 4 4 — — $37,948.49 $40,717.26 $40,717.26 2026-01-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 4 4 — — $37,919.21 $40,685.85 $40,685.85 2026-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 4 4 — — $37,794.78 $40,552.34 $40,552.34 2026-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 4 4 — — $37,763.06 $40,518.31 $40,518.31 2026-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 4 — — $37,711.83 $40,463.33 $40,463.33 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 4 4 — — $37,670.35 $40,418.83 $40,418.83 2026-01-01
570 MS_DRG Skin Debridement With Mcc 4 4 — — $37,621.56 $40,366.48 $40,366.48 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 — — $37,470.29 $40,204.17 $40,204.17 2026-01-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 4 4 — — $37,458.09 $40,191.08 $40,191.08 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 4 — — $37,428.81 $40,159.67 $40,159.67 2026-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 4 — — $37,426.37 $40,157.05 $40,157.05 2026-01-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 4 — — $37,236.07 $39,952.86 $39,952.86 2026-01-01
503 MS_DRG Foot Procedures With Mcc 4 4 — — $37,148.24 $39,858.62 $39,858.62 2026-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 4 4 — — $37,114.08 $39,821.97 $39,821.97 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 5 5 — — $10,941.00 $39,748.68 $39,748.68 2026-01-01
334 MS_DRG Rectal Resection Without Cc/mcc 4 4 — — $36,987.21 $39,685.85 $39,685.85 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 — — $36,452.90 $39,112.55 $39,112.55 2026-01-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $36,338.23 $38,989.51 $38,989.51 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 5 5 — — $9,110.00 $38,942.39 $38,942.39 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 — — $36,284.55 $38,931.92 $38,931.92 2026-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 — — $36,223.56 $38,866.48 $38,866.48 2026-01-01
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