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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

KITTSON HEALTHCARE

Hallock, MN · CCN 241336 · Rates published

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You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

This hospital’s price: $5,158 across 1 payer

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8074/410724034_kittson-memorial-hospital-association_standardcharges.csv · observed 2026-06-26

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.

1,944 distinct procedures filed
6 distinct payers
48,483 rate rows
2026-06-26 last MRF observed
Data quality

48,324 of 48,483 rate rows are consumer-grade (99.7%)

159 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-charges filed in the dollar field — excluded from medians 89
per-diem day rate — not a per-procedure price 50
exceeds 10× this hospital's gross charge — excluded from medians 16
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8074/410724034_kittson-memorial-hospital-association_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/KittsonMemorialHealthcareCenter/8074
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint efb8dc1d77714610… · 22,429,644 bytes · first seen 2026-11-03

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 1 $150,715.23 $150,715.23 $150,715.23 nat. median
$360,195
outlier · 0.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $112,571.81 $112,571.81 $112,571.81 nat. median
$247,805
outlier · 0.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $94,812.20 $94,812.20 $94,812.20 nat. median
$197,664
outlier · 0.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 1 $85,649.44 $85,649.44 $85,649.44 nat. median
$190,274
outlier · 0.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 1 $56,469.35 $56,469.35 $56,469.35 nat. median
$126,240
outlier · 0.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $52,359.97 $52,359.97 $52,359.97 nat. median
$109,875
outlier · 0.5×
7
MS_DRG 		Lung Transplant 1 $52,228.08 $52,228.08 $52,228.08 nat. median
$117,943
outlier · 0.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $44,042.10 $44,042.10 $44,042.10 nat. median
$103,911
outlier · 0.4×
212
MS_DRG 		Other Inpatient Ms-DRG 1 $43,536.13 $43,536.13 $43,536.13 nat. median
$97,029
outlier · 0.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $42,558.94 $42,558.94 $42,558.94 nat. median
$94,844
outlier · 0.4×
215
MS_DRG 		Other Heart Assist System Implant 1 $42,341.52 $42,341.52 $42,341.52 nat. median
$93,531
outlier · 0.5×
426
MS_DRG 		Other Inpatient Ms-DRG 1 $41,891.50 $41,891.50 $41,891.50 nat. median
$93,094
outlier · 0.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $38,569.46 $38,569.46 $38,569.46 nat. median
$90,525
outlier · 0.4×
850
MS_DRG 		Other Inpatient Ms-DRG 1 $36,814.53 $36,814.53 $36,814.53 nat. median
$78,028
outlier · 0.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $33,865.38 $33,865.38 $33,865.38 nat. median
$76,979
outlier · 0.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $33,846.20 $33,846.20 $33,846.20 nat. median
$77,595
outlier · 0.4×
429
MS_DRG 		Other Inpatient Ms-DRG 1 $33,332.23 $33,332.23 $33,332.23 nat. median
$77,933
outlier · 0.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $32,215.16 $32,215.16 $32,215.16 nat. median
$74,260
outlier · 0.4×
10
MS_DRG 		Pancreas Transplant 1 $31,863.85 $31,863.85 $31,863.85 nat. median
$64,615
outlier · 0.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $31,680.40 $31,680.40 $31,680.40 nat. median
$66,332
outlier · 0.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $31,237.17 $31,237.17 $31,237.17 nat. median
$71,672
outlier · 0.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $30,922.24 $30,922.24 $30,922.24 nat. median
$72,153
outlier · 0.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $29,829.95 $29,829.95 $29,829.95 nat. median
$67,850
outlier · 0.4×
427
MS_DRG 		Other Inpatient Ms-DRG 1 $28,371.16 $28,371.16 $28,371.16 nat. median
$63,446
outlier · 0.4×
275
MS_DRG 		Other Inpatient Ms-DRG 1 $28,242.47 $28,242.47 $28,242.47 nat. median
$66,553
outlier · 0.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $27,802.83 $27,802.83 $27,802.83 nat. median
$62,605
outlier · 0.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $27,288.86 $27,288.86 $27,288.86 nat. median
$61,601
outlier · 0.4×
447
MS_DRG 		Other Inpatient Ms-DRG 1 $26,794.48 $26,794.48 $26,794.48 nat. median
$60,364
outlier · 0.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $26,691.76 $26,691.76 $26,691.76 nat. median
$61,444
outlier · 0.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $26,646.60 $26,646.60 $26,646.60 nat. median
$63,874
outlier · 0.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $25,849.26 $25,849.26 $25,849.26 nat. median
$59,289
outlier · 0.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $25,808.10 $25,808.10 $25,808.10 nat. median
$61,992
outlier · 0.4×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $25,274.54 $25,274.54 $25,274.54 nat. median
$58,315
outlier · 0.4×
276
MS_DRG 		Other Inpatient Ms-DRG 1 $24,755.37 $24,755.37 $24,755.37 nat. median
$56,565
outlier · 0.4×
317
MS_DRG 		Other Inpatient Ms-DRG 1 $24,723.40 $24,723.40 $24,723.40 nat. median
$57,570
outlier · 0.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $24,610.69 $24,610.69 $24,610.69 nat. median
$58,210
outlier · 0.4×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 $24,526.36 $24,526.36 $24,526.36 nat. median
$53,268
outlier · 0.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $24,412.86 $24,412.86 $24,412.86 nat. median
$57,665
outlier · 0.4×
28
MS_DRG 		Spinal Procedures With Mcc 1 $24,296.16 $24,296.16 $24,296.16 nat. median
$54,301
outlier · 0.4×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $24,121.90 $24,121.90 $24,121.90 nat. median
$53,896
outlier · 0.4×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $24,121.90 $24,121.90 $24,121.90 nat. median
$50,660
outlier · 0.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $23,941.65 $23,941.65 $23,941.65 nat. median
$58,153
outlier · 0.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $23,776.59 $23,776.59 $23,776.59 nat. median
$59,554
outlier · 0.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $23,515.61 $23,515.61 $23,515.61 nat. median
$55,354
outlier · 0.4×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $23,268.21 $23,268.21 $23,268.21 nat. median
$53,708
outlier · 0.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $22,936.89 $22,936.89 $22,936.89 nat. median
$55,148
outlier · 0.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $22,799.80 $22,799.80 $22,799.80 nat. median
$53,315
outlier · 0.4×
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $22,278.24 $22,278.24 $22,278.24 nat. median
$49,933
outlier · 0.4×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $22,090.79 $22,090.79 $22,090.79 nat. median
$51,294
outlier · 0.4×
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 1 $22,089.20 $22,089.20 $22,089.20 nat. median
$50,311
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 1,944 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 1 1 — — $150,715.23 $150,715.23 $150,715.23 2026-06-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $112,571.81 $112,571.81 $112,571.81 2026-06-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $94,812.20 $94,812.20 $94,812.20 2026-06-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 1 1 — — $85,649.44 $85,649.44 $85,649.44 2026-06-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 1 1 — — $56,469.35 $56,469.35 $56,469.35 2026-06-26
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $52,359.97 $52,359.97 $52,359.97 2026-06-26
7 MS_DRG Lung Transplant 1 1 — — $52,228.08 $52,228.08 $52,228.08 2026-06-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $44,042.10 $44,042.10 $44,042.10 2026-06-26
212 MS_DRG Other Inpatient Ms-DRG 1 1 — — $43,536.13 $43,536.13 $43,536.13 2026-06-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $42,558.94 $42,558.94 $42,558.94 2026-06-26
215 MS_DRG Other Heart Assist System Implant 1 1 — — $42,341.52 $42,341.52 $42,341.52 2026-06-26
426 MS_DRG Other Inpatient Ms-DRG 1 1 — — $41,891.50 $41,891.50 $41,891.50 2026-06-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $38,569.46 $38,569.46 $38,569.46 2026-06-26
850 MS_DRG Other Inpatient Ms-DRG 1 1 — — $36,814.53 $36,814.53 $36,814.53 2026-06-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $33,865.38 $33,865.38 $33,865.38 2026-06-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $33,846.20 $33,846.20 $33,846.20 2026-06-26
429 MS_DRG Other Inpatient Ms-DRG 1 1 — — $33,332.23 $33,332.23 $33,332.23 2026-06-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $32,215.16 $32,215.16 $32,215.16 2026-06-26
10 MS_DRG Pancreas Transplant 1 1 — — $31,863.85 $31,863.85 $31,863.85 2026-06-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $31,680.40 $31,680.40 $31,680.40 2026-06-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $31,237.17 $31,237.17 $31,237.17 2026-06-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $30,922.24 $30,922.24 $30,922.24 2026-06-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $29,829.95 $29,829.95 $29,829.95 2026-06-26
427 MS_DRG Other Inpatient Ms-DRG 1 1 — — $28,371.16 $28,371.16 $28,371.16 2026-06-26
275 MS_DRG Other Inpatient Ms-DRG 1 1 — — $28,242.47 $28,242.47 $28,242.47 2026-06-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $27,802.83 $27,802.83 $27,802.83 2026-06-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $27,288.86 $27,288.86 $27,288.86 2026-06-26
447 MS_DRG Other Inpatient Ms-DRG 1 1 — — $26,794.48 $26,794.48 $26,794.48 2026-06-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $26,691.76 $26,691.76 $26,691.76 2026-06-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $26,646.60 $26,646.60 $26,646.60 2026-06-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $25,849.26 $25,849.26 $25,849.26 2026-06-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $25,808.10 $25,808.10 $25,808.10 2026-06-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $25,274.54 $25,274.54 $25,274.54 2026-06-26
276 MS_DRG Other Inpatient Ms-DRG 1 1 — — $24,755.37 $24,755.37 $24,755.37 2026-06-26
317 MS_DRG Other Inpatient Ms-DRG 1 1 — — $24,723.40 $24,723.40 $24,723.40 2026-06-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $24,610.69 $24,610.69 $24,610.69 2026-06-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $24,526.36 $24,526.36 $24,526.36 2026-06-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $24,412.86 $24,412.86 $24,412.86 2026-06-26
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $24,296.16 $24,296.16 $24,296.16 2026-06-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $24,121.90 $24,121.90 $24,121.90 2026-06-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $24,121.90 $24,121.90 $24,121.90 2026-06-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $23,941.65 $23,941.65 $23,941.65 2026-06-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $23,776.59 $23,776.59 $23,776.59 2026-06-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $23,515.61 $23,515.61 $23,515.61 2026-06-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $23,268.21 $23,268.21 $23,268.21 2026-06-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $22,936.89 $22,936.89 $22,936.89 2026-06-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $22,799.80 $22,799.80 $22,799.80 2026-06-26
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $22,278.24 $22,278.24 $22,278.24 2026-06-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $22,090.79 $22,090.79 $22,090.79 2026-06-26
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $22,089.20 $22,089.20 $22,089.20 2026-06-26
428 MS_DRG Other Inpatient Ms-DRG 1 1 — — $22,002.47 $22,002.47 $22,002.47 2026-06-26
430 MS_DRG Other Inpatient Ms-DRG 1 1 — — $21,862.18 $21,862.18 $21,862.18 2026-06-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $21,745.08 $21,745.08 $21,745.08 2026-06-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $21,695.52 $21,695.52 $21,695.52 2026-06-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $21,584.82 $21,584.82 $21,584.82 2026-06-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $21,564.43 $21,564.43 $21,564.43 2026-06-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $21,561.63 $21,561.63 $21,561.63 2026-06-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $21,261.88 $21,261.88 $21,261.88 2026-06-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $21,167.56 $21,167.56 $21,167.56 2026-06-26
450 MS_DRG Other Inpatient Ms-DRG 1 1 — — $20,581.65 $20,581.65 $20,581.65 2026-06-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $20,514.11 $20,514.11 $20,514.11 2026-06-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $20,360.24 $20,360.24 $20,360.24 2026-06-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $20,297.89 $20,297.89 $20,297.89 2026-06-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $20,129.23 $20,129.23 $20,129.23 2026-06-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $20,010.53 $20,010.53 $20,010.53 2026-06-26
278 MS_DRG Other Inpatient Ms-DRG 1 1 — — $19,994.94 $19,994.94 $19,994.94 2026-06-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $19,989.35 $19,989.35 $19,989.35 2026-06-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $19,915.01 $19,915.01 $19,915.01 2026-06-26
245 MS_DRG Aicd Generator Procedures 1 1 — — $19,529.73 $19,529.73 $19,529.73 2026-06-26
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $19,411.83 $19,411.83 $19,411.83 2026-06-26
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $19,379.45 $19,379.45 $19,379.45 2026-06-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $19,084.90 $19,084.90 $19,084.90 2026-06-26
799 MS_DRG Splenectomy With Mcc 1 1 — — $19,002.17 $19,002.17 $19,002.17 2026-06-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $19,001.37 $19,001.37 $19,001.37 2026-06-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $18,801.93 $18,801.93 $18,801.93 2026-06-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $18,701.22 $18,701.22 $18,701.22 2026-06-26
277 MS_DRG Other Inpatient Ms-DRG 1 1 — — $18,593.31 $18,593.31 $18,593.31 2026-06-26
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $18,420.25 $18,420.25 $18,420.25 2026-06-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $18,412.66 $18,412.66 $18,412.66 2026-06-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $18,353.91 $18,353.91 $18,353.91 2026-06-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $18,351.51 $18,351.51 $18,351.51 2026-06-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $18,030.18 $18,030.18 $18,030.18 2026-06-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $17,922.67 $17,922.67 $17,922.67 2026-06-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $17,873.11 $17,873.11 $17,873.11 2026-06-26
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $17,706.05 $17,706.05 $17,706.05 2026-06-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $17,555.37 $17,555.37 $17,555.37 2026-06-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $17,292.39 $17,292.39 $17,292.39 2026-06-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $17,256.42 $17,256.42 $17,256.42 2026-06-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $17,047.40 $17,047.40 $17,047.40 2026-06-26
323 MS_DRG Other Inpatient Ms-DRG 1 1 — — $17,022.62 $17,022.62 $17,022.62 2026-06-26
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $16,901.92 $16,901.92 $16,901.92 2026-06-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $16,747.25 $16,747.25 $16,747.25 2026-06-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $16,746.05 $16,746.05 $16,746.05 2026-06-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $16,627.75 $16,627.75 $16,627.75 2026-06-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $16,433.51 $16,433.51 $16,433.51 2026-06-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $16,424.32 $16,424.32 $16,424.32 2026-06-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $16,399.94 $16,399.94 $16,399.94 2026-06-26
448 MS_DRG Other Inpatient Ms-DRG 1 1 — — $16,319.20 $16,319.20 $16,319.20 2026-06-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $16,254.86 $16,254.86 $16,254.86 2026-06-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $15,920.73 $15,920.73 $15,920.73 2026-06-26
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $15,909.54 $15,909.54 $15,909.54 2026-06-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $15,772.06 $15,772.06 $15,772.06 2026-06-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $15,736.09 $15,736.09 $15,736.09 2026-06-26
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $15,704.52 $15,704.52 $15,704.52 2026-06-26
402 MS_DRG Other Inpatient Ms-DRG 1 1 — — $15,703.72 $15,703.72 $15,703.72 2026-06-26
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $15,626.98 $15,626.98 $15,626.98 2026-06-26
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $15,541.05 $15,541.05 $15,541.05 2026-06-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $15,446.73 $15,446.73 $15,446.73 2026-06-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $15,430.74 $15,430.74 $15,430.74 2026-06-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $15,391.18 $15,391.18 $15,391.18 2026-06-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $15,276.07 $15,276.07 $15,276.07 2026-06-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $15,192.94 $15,192.94 $15,192.94 2026-06-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $15,074.64 $15,074.64 $15,074.64 2026-06-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $14,963.53 $14,963.53 $14,963.53 2026-06-26
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $14,619.42 $14,619.42 $14,619.42 2026-06-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $14,581.45 $14,581.45 $14,581.45 2026-06-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $14,483.53 $14,483.53 $14,483.53 2026-06-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $14,327.26 $14,327.26 $14,327.26 2026-06-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $14,326.46 $14,326.46 $14,326.46 2026-06-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $14,323.27 $14,323.27 $14,323.27 2026-06-26
265 MS_DRG Aicd Lead Procedures 1 1 — — $14,255.72 $14,255.72 $14,255.72 2026-06-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $14,192.18 $14,192.18 $14,192.18 2026-06-26
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $14,109.84 $14,109.84 $14,109.84 2026-06-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $14,105.05 $14,105.05 $14,105.05 2026-06-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $14,069.48 $14,069.48 $14,069.48 2026-06-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $14,002.73 $14,002.73 $14,002.73 2026-06-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $14,000.34 $14,000.34 $14,000.34 2026-06-26
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $13,992.74 $13,992.74 $13,992.74 2026-06-26
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $13,967.96 $13,967.96 $13,967.96 2026-06-26
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $13,877.24 $13,877.24 $13,877.24 2026-06-26
332 MS_DRG Rectal Resection With Mcc 1 1 — — $13,862.45 $13,862.45 $13,862.45 2026-06-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $13,847.26 $13,847.26 $13,847.26 2026-06-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $13,766.13 $13,766.13 $13,766.13 2026-06-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $13,743.75 $13,743.75 $13,743.75 2026-06-26
665 MS_DRG Prostatectomy With Mcc 1 1 — — $13,722.17 $13,722.17 $13,722.17 2026-06-26
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $13,709.38 $13,709.38 $13,709.38 2026-06-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $13,688.20 $13,688.20 $13,688.20 2026-06-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $13,615.86 $13,615.86 $13,615.86 2026-06-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $13,556.70 $13,556.70 $13,556.70 2026-06-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $13,414.82 $13,414.82 $13,414.82 2026-06-26
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $13,271.74 $13,271.74 $13,271.74 2026-06-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $13,195.81 $13,195.81 $13,195.81 2026-06-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $13,063.12 $13,063.12 $13,063.12 2026-06-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $13,025.55 $13,025.55 $13,025.55 2026-06-26
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $13,019.95 $13,019.95 $13,019.95 2026-06-26
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $12,883.67 $12,883.67 $12,883.67 2026-06-26
279 MS_DRG Other Inpatient Ms-DRG 1 1 — — $12,806.13 $12,806.13 $12,806.13 2026-06-26
324 MS_DRG Other Inpatient Ms-DRG 1 1 — — $12,769.36 $12,769.36 $12,769.36 2026-06-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $12,746.98 $12,746.98 $12,746.98 2026-06-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $12,710.21 $12,710.21 $12,710.21 2026-06-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $12,684.63 $12,684.63 $12,684.63 2026-06-26
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $12,663.45 $12,663.45 $12,663.45 2026-06-26
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $12,472.81 $12,472.81 $12,472.81 2026-06-26
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $12,467.21 $12,467.21 $12,467.21 2026-06-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $12,414.06 $12,414.06 $12,414.06 2026-06-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $12,358.50 $12,358.50 $12,358.50 2026-06-26
451 MS_DRG Other Inpatient Ms-DRG 1 1 — — $12,332.92 $12,332.92 $12,332.92 2026-06-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $12,324.13 $12,324.13 $12,324.13 2026-06-26
652 MS_DRG Kidney Transplant 1 1 — — $12,274.57 $12,274.57 $12,274.57 2026-06-26
173 MS_DRG Other Inpatient Ms-DRG 1 1 — — $12,263.38 $12,263.38 $12,263.38 2026-06-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $12,223.42 $12,223.42 $12,223.42 2026-06-26
570 MS_DRG Skin Debridement With Mcc 1 1 — — $12,031.58 $12,031.58 $12,031.58 2026-06-26
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $11,934.06 $11,934.06 $11,934.06 2026-06-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $11,784.58 $11,784.58 $11,784.58 2026-06-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $11,754.21 $11,754.21 $11,754.21 2026-06-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $11,721.43 $11,721.43 $11,721.43 2026-06-26
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $11,654.69 $11,654.69 $11,654.69 2026-06-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $11,648.69 $11,648.69 $11,648.69 2026-06-26
800 MS_DRG Splenectomy With Cc 1 1 — — $11,644.70 $11,644.70 $11,644.70 2026-06-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $11,638.30 $11,638.30 $11,638.30 2026-06-26
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $11,578.35 $11,578.35 $11,578.35 2026-06-26
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $11,458.05 $11,458.05 $11,458.05 2026-06-26
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $11,444.86 $11,444.86 $11,444.86 2026-06-26
325 MS_DRG Other Inpatient Ms-DRG 1 1 — — $11,438.47 $11,438.47 $11,438.47 2026-06-26
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $11,422.48 $11,422.48 $11,422.48 2026-06-26
321 MS_DRG Other Inpatient Ms-DRG 1 1 — — $11,377.32 $11,377.32 $11,377.32 2026-06-26
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $11,278.20 $11,278.20 $11,278.20 2026-06-26
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $11,223.45 $11,223.45 $11,223.45 2026-06-26
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $11,212.26 $11,212.26 $11,212.26 2026-06-26
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 45 6 $19,402.20 $19,402.20 $6,208.70 $17,042.98 $11,173.73 2026-06-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $10,936.49 $10,936.49 $10,936.49 2026-06-26
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $10,916.10 $10,916.10 $10,916.10 2026-06-26
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $10,896.52 $10,896.52 $10,896.52 2026-06-26
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $10,857.35 $10,857.35 $10,857.35 2026-06-26
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $10,803.80 $10,803.80 $10,803.80 2026-06-26
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $10,768.63 $10,768.63 $10,768.63 2026-06-26
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $10,727.46 $10,727.46 $10,727.46 2026-06-26
263 MS_DRG Vein Ligation And Stripping 1 1 — — $10,718.67 $10,718.67 $10,718.67 2026-06-26
849 MS_DRG Radiotherapy 1 1 — — $10,674.71 $10,674.71 $10,674.71 2026-06-26
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $10,641.53 $10,641.53 $10,641.53 2026-06-26
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $10,603.96 $10,603.96 $10,603.96 2026-06-26
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $10,590.38 $10,590.38 $10,590.38 2026-06-26
503 MS_DRG Foot Procedures With Mcc 1 1 — — $10,577.19 $10,577.19 $10,577.19 2026-06-26
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $10,566.00 $10,566.00 $10,566.00 2026-06-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $10,484.06 $10,484.06 $10,484.06 2026-06-26
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $10,456.49 $10,456.49 $10,456.49 2026-06-26
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $10,344.98 $10,344.98 $10,344.98 2026-06-26
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $10,328.19 $10,328.19 $10,328.19 2026-06-26
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $10,205.90 $10,205.90 $10,205.90 2026-06-26
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $10,203.10 $10,203.10 $10,203.10 2026-06-26
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $10,183.91 $10,183.91 $10,183.91 2026-06-26
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $10,131.96 $10,131.96 $10,131.96 2026-06-26
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $10,098.39 $10,098.39 $10,098.39 2026-06-26
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $10,090.39 $10,090.39 $10,090.39 2026-06-26
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $10,058.82 $10,058.82 $10,058.82 2026-06-26
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $10,007.66 $10,007.66 $10,007.66 2026-06-26
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $9,999.67 $9,999.67 $9,999.67 2026-06-26
397 MS_DRG Other Inpatient Ms-DRG 1 1 — — $9,902.15 $9,902.15 $9,902.15 2026-06-26
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $9,862.18 $9,862.18 $9,862.18 2026-06-26
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $9,785.85 $9,785.85 $9,785.85 2026-06-26
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $9,704.31 $9,704.31 $9,704.31 2026-06-26
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $9,671.14 $9,671.14 $9,671.14 2026-06-26
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 1 1 — — $9,635.57 $9,635.57 $9,635.57 2026-06-26
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $9,596.00 $9,596.00 $9,596.00 2026-06-26
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $9,580.02 $9,580.02 $9,580.02 2026-06-26
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $9,580.02 $9,580.02 $9,580.02 2026-06-26
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $9,498.09 $9,498.09 $9,498.09 2026-06-26
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $9,460.92 $9,460.92 $9,460.92 2026-06-26
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $9,458.52 $9,458.52 $9,458.52 2026-06-26
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $9,446.93 $9,446.93 $9,446.93 2026-06-26
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $9,430.94 $9,430.94 $9,430.94 2026-06-26
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $9,345.81 $9,345.81 $9,345.81 2026-06-26
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $9,272.67 $9,272.67 $9,272.67 2026-06-26
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $9,250.69 $9,250.69 $9,250.69 2026-06-26
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 1 1 — — $9,243.10 $9,243.10 $9,243.10 2026-06-26
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $9,225.51 $9,225.51 $9,225.51 2026-06-26
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $9,167.96 $9,167.96 $9,167.96 2026-06-26
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $9,153.97 $9,153.97 $9,153.97 2026-06-26
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $9,124.80 $9,124.80 $9,124.80 2026-06-26
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 1 1 — — $9,107.61 $9,107.61 $9,107.61 2026-06-26
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $9,090.83 $9,090.83 $9,090.83 2026-06-26
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $9,056.05 $9,056.05 $9,056.05 2026-06-26
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $9,026.88 $9,026.88 $9,026.88 2026-06-26
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 1 1 — — $9,025.28 $9,025.28 $9,025.28 2026-06-26
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 — — $9,018.89 $9,018.89 $9,018.89 2026-06-26
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $9,003.30 $9,003.30 $9,003.30 2026-06-26
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $9,000.10 $9,000.10 $9,000.10 2026-06-26
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $8,992.91 $8,992.91 $8,992.91 2026-06-26
709 MS_DRG Penis Procedures With Cc/mcc 1 1 — — $8,980.52 $8,980.52 $8,980.52 2026-06-26
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $8,921.37 $8,921.37 $8,921.37 2026-06-26
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 — — $8,893.39 $8,893.39 $8,893.39 2026-06-26
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $8,845.83 $8,845.83 $8,845.83 2026-06-26
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $8,789.88 $8,789.88 $8,789.88 2026-06-26
935 MS_DRG Non-extensive Burns 1 1 — — $8,777.89 $8,777.89 $8,777.89 2026-06-26
906 MS_DRG Hand Procedures For Injuries 1 1 — — $8,722.33 $8,722.33 $8,722.33 2026-06-26
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $8,708.34 $8,708.34 $8,708.34 2026-06-26
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $8,669.18 $8,669.18 $8,669.18 2026-06-26
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $8,621.22 $8,621.22 $8,621.22 2026-06-26
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 — — $8,606.43 $8,606.43 $8,606.43 2026-06-26
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $8,586.05 $8,586.05 $8,586.05 2026-06-26
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 — — $8,575.65 $8,575.65 $8,575.65 2026-06-26
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $8,569.66 $8,569.66 $8,569.66 2026-06-26
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 1 1 — — $8,536.09 $8,536.09 $8,536.09 2026-06-26
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 1 1 — — $8,535.29 $8,535.29 $8,535.29 2026-06-26
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $8,534.89 $8,534.89 $8,534.89 2026-06-26
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $8,518.90 $8,518.90 $8,518.90 2026-06-26
333 MS_DRG Rectal Resection With Cc 1 1 — — $8,493.32 $8,493.32 $8,493.32 2026-06-26
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $8,475.74 $8,475.74 $8,475.74 2026-06-26
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $8,452.96 $8,452.96 $8,452.96 2026-06-26
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $8,442.57 $8,442.57 $8,442.57 2026-06-26
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $8,438.97 $8,438.97 $8,438.97 2026-06-26
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $8,438.17 $8,438.17 $8,438.17 2026-06-26
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 — — $8,425.78 $8,425.78 $8,425.78 2026-06-26
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $8,403.80 $8,403.80 $8,403.80 2026-06-26
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $8,378.22 $8,378.22 $8,378.22 2026-06-26
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $8,354.24 $8,354.24 $8,354.24 2026-06-26
655 MS_DRG Major Bladder Procedures Without Cc/mcc 1 1 — — $8,301.88 $8,301.88 $8,301.88 2026-06-26
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $8,292.69 $8,292.69 $8,292.69 2026-06-26
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $8,217.95 $8,217.95 $8,217.95 2026-06-26
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 — — $8,182.38 $8,182.38 $8,182.38 2026-06-26
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 1 1 — — $8,105.65 $8,105.65 $8,105.65 2026-06-26
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $8,084.06 $8,084.06 $8,084.06 2026-06-26
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $8,061.28 $8,061.28 $8,061.28 2026-06-26
548 MS_DRG Septic Arthritis With Mcc 1 1 — — $8,051.29 $8,051.29 $8,051.29 2026-06-26
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 1 1 — — $8,042.90 $8,042.90 $8,042.90 2026-06-26
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $8,039.70 $8,039.70 $8,039.70 2026-06-26
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $7,986.55 $7,986.55 $7,986.55 2026-06-26
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $7,986.15 $7,986.15 $7,986.15 2026-06-26
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 1 1 — — $7,979.35 $7,979.35 $7,979.35 2026-06-26
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $7,949.78 $7,949.78 $7,949.78 2026-06-26
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $7,944.58 $7,944.58 $7,944.58 2026-06-26
100 MS_DRG Seizures With Mcc 1 1 — — $7,934.19 $7,934.19 $7,934.19 2026-06-26
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 1 — — $7,933.39 $7,933.39 $7,933.39 2026-06-26
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $7,905.41 $7,905.41 $7,905.41 2026-06-26
J3111 HCPCS Romosozumab-aqqg Inj Soln Prefilled Syringe 105 Mg/1.17ml 27 6 $13,705.10 $13,705.10 $4,385.63 $11,399.90 $7,892.77 2026-06-26
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $7,885.03 $7,885.03 $7,885.03 2026-06-26
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 1 1 — — $7,880.23 $7,880.23 $7,880.23 2026-06-26
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 1 1 — — $7,854.66 $7,854.66 $7,854.66 2026-06-26
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 — — $7,842.67 $7,842.67 $7,842.67 2026-06-26
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $7,839.07 $7,839.07 $7,839.07 2026-06-26
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 — — $7,829.88 $7,829.88 $7,829.88 2026-06-26
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $7,815.09 $7,815.09 $7,815.09 2026-06-26
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $7,810.29 $7,810.29 $7,810.29 2026-06-26
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 1 1 — — $7,809.09 $7,809.09 $7,809.09 2026-06-26
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 1 1 — — $7,755.54 $7,755.54 $7,755.54 2026-06-26
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 1 — — $7,745.95 $7,745.95 $7,745.95 2026-06-26
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $7,722.37 $7,722.37 $7,722.37 2026-06-26
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $7,690.79 $7,690.79 $7,690.79 2026-06-26
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $7,649.63 $7,649.63 $7,649.63 2026-06-26
711 MS_DRG Testes Procedures With Cc/mcc 1 1 — — $7,636.04 $7,636.04 $7,636.04 2026-06-26
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