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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

SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA

Henderson, NV · CCN 290012 · Rates published

9,080 distinct procedures filed
14 distinct payers
295,960 rate rows
2026-02-28 last MRF observed
Data quality

265,987 of 295,960 rate rows are consumer-grade (89.9%)

29,973 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 21,400
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,300
template filing: same amount across many unrelated codes — excluded 1,768
per-diem day rate — not a per-procedure price 385
exceeds 10× this hospital's gross charge — excluded from medians 70
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 22
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
placeholder amount (≤ $0.02) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/pricing-procedure-spreadsheets-2020/941196203_St-Rose-Dominican-Rose-de-Lima_standardcharges.csv
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-07

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 7 $319,668.13 $1,081,528.00 $429,418.59 nat. median
$168,055
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $243,723.82 $807,811.00 $325,004.06 nat. median
$186,516
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $208,351.57 $680,322.00 $276,371.21 nat. median
$131,925
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 9 $4,139.00 $690,698.00 $204,879.69 nat. median
$145,435
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $123,841.69 $375,733.00 $160,180.00 nat. median
$72,715
outlier · 2.2×
7
MS_DRG 		Lung Transplant 7 $123,579.12 $374,787.00 $159,819.04 nat. median
$70,649
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 9 $4,139.00 $455,382.00 $139,872.46 nat. median
$97,418
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $107,274.70 $316,023.00 $137,402.39 nat. median
$65,418
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $106,273.73 $312,415.00 $136,026.12 nat. median
$74,509
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $104,328.27 $305,403.00 $133,351.31 nat. median
$69,922
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 7 $64,648.00 $303,838.00 $121,306.29 nat. median
$73,023
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $92,890.28 $264,179.00 $117,625.50 nat. median
$2,633
outlier · 44.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $4,139.00 $300,414.00 $115,534.32 nat. median
$2,736
outlier · 42.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $64,648.00 $276,774.00 $114,079.53 nat. median
$69,822
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $83,733.52 $259,793.00 $109,124.11 nat. median
$56,428
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $64,648.00 $243,015.00 $105,064.80 nat. median
$60,505
1.7× median
10
MS_DRG 		Pancreas Transplant 7 $83,032.52 $228,650.00 $104,072.25 nat. median
$23,080
outlier · 4.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $82,668.89 $227,339.00 $103,572.25 nat. median
$45,605
outlier · 2.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $78,984.06 $240,556.00 $102,291.44 nat. median
$52,327
2.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $64,648.00 $224,159.00 $100,029.76 nat. median
$55,935
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $64,648.00 $221,896.00 $99,425.52 nat. median
$55,923
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $4,139.00 $239,192.00 $95,099.36 nat. median
$2,596
outlier · 36.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $73,924.29 $220,062.00 $95,012.32 nat. median
$47,340
outlier · 2.0×
230
MS_DRG 		No Active Code Description 3 $64,648.00 $109,568.00 $94,594.67 nat. median
$2,024
outlier · 46.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $74,944.36 $199,499.00 $92,952.01 nat. median
$48,611
1.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 $72,735.53 $191,537.00 $89,914.99 nat. median
$37,013
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $72,645.62 $191,213.00 $89,791.38 nat. median
$49,569
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $64,648.00 $185,200.00 $89,626.60 nat. median
$47,458
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 7 $16,657.00 $242,880.00 $89,206.21 nat. median
$59,651
1.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $64,648.00 $175,185.00 $86,952.42 nat. median
$43,803
2.0× median
28
MS_DRG 		Spinal Procedures With Mcc 7 $67,966.19 $195,930.00 $86,440.92 nat. median
$41,895
outlier · 2.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $69,914.03 $181,368.00 $86,035.78 nat. median
$41,943
outlier · 2.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $64,648.00 $170,614.00 $85,731.79 nat. median
$45,446
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $12,295.00 $202,667.00 $85,693.55 nat. median
$51,518
1.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $64,648.00 $168,747.00 $85,233.25 nat. median
$43,023
2.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $68,816.78 $177,414.00 $84,527.29 nat. median
$2,633
outlier · 32.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $68,592.39 $176,605.00 $84,218.74 nat. median
$43,299
1.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 $68,421.32 $175,988.00 $83,983.48 nat. median
$38,844
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $4,139.00 $203,691.00 $83,249.76 nat. median
$9,905
outlier · 8.4×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 7 $67,619.27 $173,098.00 $82,880.86 nat. median
$38,932
outlier · 2.1×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 7 $67,619.27 $173,098.00 $82,880.86 nat. median
$29,295
outlier · 2.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $67,260.42 $171,804.00 $82,387.39 nat. median
$44,036
1.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $64,987.14 $183,864.00 $82,155.23 nat. median
$40,301
outlier · 2.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome Neonate 7 $66,894.40 $170,485.00 $81,884.18 nat. median
$40,584
outlier · 2.0×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $61,924.54 $152,573.00 $80,914.27 nat. median
$39,159
outlier · 2.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $12,048.00 $177,643.00 $80,739.56 nat. median
$43,533
1.9× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $61,737.55 $151,899.00 $80,734.31 nat. median
$38,832
outlier · 2.1×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 $65,919.68 $166,972.00 $80,544.07 nat. median
$40,726
2.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 $63,572.41 $178,134.00 $80,119.99 nat. median
$38,173
outlier · 2.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $4,139.00 $192,277.00 $79,439.97 nat. median
$2,958
outlier · 26.9×

Other procedures at this hospital

Browse this hospital's 9,080 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 22 7 — — $319,668.13 $1,081,528.00 $429,418.59 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 7 — — $243,723.82 $807,811.00 $325,004.06 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 7 — — $208,351.57 $680,322.00 $276,371.21 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 13 9 — — $4,139.00 $690,698.00 $204,879.69 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 22 7 — — $123,841.69 $375,733.00 $160,180.00 2026-02-28
7 MS_DRG Lung Transplant 22 7 — — $123,579.12 $374,787.00 $159,819.04 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 26 9 — — $4,139.00 $455,382.00 $139,872.46 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 7 — — $107,274.70 $316,023.00 $137,402.39 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 7 — — $106,273.73 $312,415.00 $136,026.12 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 7 — — $104,328.27 $305,403.00 $133,351.31 2026-02-28
215 MS_DRG Other Heart Assist System Implant 28 7 — — $64,648.00 $303,838.00 $121,306.29 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 22 7 — — $92,890.28 $264,179.00 $117,625.50 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 8 — — $4,139.00 $300,414.00 $115,534.32 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $64,648.00 $276,774.00 $114,079.53 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 7 — — $83,733.52 $259,793.00 $109,124.11 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 7 — — $64,648.00 $243,015.00 $105,064.80 2026-02-28
10 MS_DRG Pancreas Transplant 22 7 — — $83,032.52 $228,650.00 $104,072.25 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 7 — — $82,668.89 $227,339.00 $103,572.25 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 7 — — $78,984.06 $240,556.00 $102,291.44 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 7 — — $64,648.00 $224,159.00 $100,029.76 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $64,648.00 $221,896.00 $99,425.52 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 8 — — $4,139.00 $239,192.00 $95,099.36 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 7 — — $73,924.29 $220,062.00 $95,012.32 2026-02-28
230 MS_DRG No Active Code Description 14 3 — — $64,648.00 $109,568.00 $94,594.67 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 7 — — $74,944.36 $199,499.00 $92,952.01 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 7 — — $72,735.53 $191,537.00 $89,914.99 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 7 — — $72,645.62 $191,213.00 $89,791.38 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $64,648.00 $185,200.00 $89,626.60 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 26 7 — — $16,657.00 $242,880.00 $89,206.21 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 7 — — $64,648.00 $175,185.00 $86,952.42 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 22 7 — — $67,966.19 $195,930.00 $86,440.92 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 7 — — $69,914.03 $181,368.00 $86,035.78 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $64,648.00 $170,614.00 $85,731.79 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 8 — — $12,295.00 $202,667.00 $85,693.55 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 7 — — $64,648.00 $168,747.00 $85,233.25 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 7 — — $68,816.78 $177,414.00 $84,527.29 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 7 — — $68,592.39 $176,605.00 $84,218.74 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 7 — — $68,421.32 $175,988.00 $83,983.48 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 8 — — $4,139.00 $203,691.00 $83,249.76 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 7 — — $67,619.27 $173,098.00 $82,880.86 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 7 — — $67,619.27 $173,098.00 $82,880.86 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 7 — — $67,260.42 $171,804.00 $82,387.39 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 7 — — $64,987.14 $183,864.00 $82,155.23 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 22 7 — — $66,894.40 $170,485.00 $81,884.18 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 7 — — $61,924.54 $152,573.00 $80,914.27 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 8 — — $12,048.00 $177,643.00 $80,739.56 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $61,737.55 $151,899.00 $80,734.31 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 7 — — $65,919.68 $166,972.00 $80,544.07 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 7 — — $63,572.41 $178,134.00 $80,119.99 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 8 — — $4,139.00 $192,277.00 $79,439.97 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 7 — — $59,243.87 $142,911.00 $78,334.31 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 22 7 — — $63,948.77 $159,868.00 $77,834.23 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 22 7 — — $63,572.41 $158,512.00 $77,316.84 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 7 — — $62,886.53 $156,040.00 $76,373.85 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 22 7 — — $62,787.86 $155,684.00 $76,238.13 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 7 — — $62,567.46 $154,890.00 $75,935.16 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 7 — — $62,526.88 $154,744.00 $75,879.40 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 7 — — $62,522.10 $154,726.00 $75,872.72 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $56,135.12 $131,707.00 $75,342.44 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 7 — — $60,435.02 $147,204.00 $73,003.26 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 22 7 — — $60,005.34 $145,656.00 $72,412.59 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 7 — — $59,670.36 $144,448.00 $71,951.94 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 7 — — $52,311.85 $117,927.00 $71,662.83 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 7 — — $59,434.04 $143,596.00 $71,626.99 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 7 — — $59,403.01 $143,485.00 $71,584.45 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 7 — — $59,387.10 $143,427.00 $71,562.48 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 22 7 — — $58,176.86 $139,065.00 $69,898.53 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 9 — — $4,139.00 $185,466.00 $69,098.38 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 7 — — $57,590.44 $136,952.00 $69,092.35 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 22 7 — — $57,425.73 $136,358.00 $68,865.84 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 7 — — $57,418.57 $136,332.00 $68,855.97 2026-02-28
DB20HZZ OTHER Cyber Knife Radiosurgery Ip 18 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB20JZZ OTHER Gamma Knife - Ip 18 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 8 — — $12,295.00 $133,407.00 $68,443.91 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 7 — — $57,027.09 $134,921.00 $68,317.73 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 7 — — $55,177.91 $144,133.00 $68,043.43 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 7 — — $56,826.58 $134,199.00 $68,042.15 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 8 — — $4,139.00 $157,847.00 $67,947.58 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 8 — — $4,139.00 $156,883.00 $67,625.90 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 22 7 — — $56,267.21 $132,183.00 $67,273.09 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 7 — — $56,252.09 $132,128.00 $67,252.23 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 7 — — $56,129.55 $131,687.00 $67,083.84 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 7 — — $55,490.62 $129,384.00 $66,205.36 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 26 7 — — $16,657.00 $164,595.00 $65,979.17 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 7 — — $55,276.58 $128,612.00 $65,911.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 22 7 — — $54,845.32 $127,058.00 $65,318.12 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 7 — — $54,545.34 $125,977.00 $64,905.71 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 7 — — $52,936.46 $135,055.00 $64,818.93 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 8 — — $4,139.00 $147,695.00 $64,558.99 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 7 — — $54,020.99 $124,087.00 $64,184.77 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 7 — — $52,293.55 $132,451.00 $63,894.03 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 7 — — $53,534.02 $122,332.00 $63,515.26 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 22 7 — — $53,243.60 $121,285.00 $63,115.93 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 7 — — $52,928.51 $120,149.00 $62,682.66 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 22 7 — — $52,776.53 $119,602.00 $62,473.82 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 7 — — $52,698.55 $119,321.00 $62,366.61 2026-02-28
D722HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB26JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DU20HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D92CJZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DU20JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DU21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DU22HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD22JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D722JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD24JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D728JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D027HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D724JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D921JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D726JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DV21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DV20HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DT23JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DT21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D726HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB25JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DT21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D727JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D721HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DT20HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D929HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DV21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DU21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D820HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D727HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D027JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DM21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DT22HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB22JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DW21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DM21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D020HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD20JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D921HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG25JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DU22JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D926JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DW21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DT22JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB28HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DM20HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D920HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DT23HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D92BJZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG24HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG24JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D925HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG22JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D723JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DW23HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D820JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB27HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG20JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D720HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DF23JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG25HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG20HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D724HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D926HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D92DHZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D925JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DF23HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DF20JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DF21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D720JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD23JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DF21JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DF22JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DW22HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DF22HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D929JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D928HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DW26HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D021JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D924HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DG22HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D728HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D92DJZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD25JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DW26JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB26HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD27HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D725HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D924JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D92CHZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD21HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD27JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D721JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB25HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB22HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DF20HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D026JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D927JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D020JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD24HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D026HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB27JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD22HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D927HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D92BHZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DB28JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD20HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD25HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D928JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DV20JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D021HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DW23JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DM20JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D920JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DD23HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D723HZZ OTHER Cyber Knife Radiosurgery Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DW22JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
DT20JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
D725JZZ OTHER Gamma Knife - Ip 19 4 — — $46,280.00 $91,773.00 $62,222.86 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 7 — — $52,245.01 $117,686.00 $61,743.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 7 — — $51,956.18 $116,645.00 $61,345.89 2026-02-28
791 MS_DRG Prematurity With Major Problems 22 7 — — $51,896.50 $116,430.00 $61,263.85 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 7 — — $51,290.19 $114,245.00 $60,430.28 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 7 — — $51,267.91 $114,164.00 $60,399.55 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 26 7 — — $16,657.00 $156,541.00 $60,389.52 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 7 — — $49,842.04 $122,521.00 $60,367.16 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 22 7 — — $49,606.52 $121,567.00 $60,028.32 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 22 7 — — $50,987.83 $113,155.00 $60,014.53 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 7 — — $50,923.38 $112,922.00 $59,925.82 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 7 — — $50,859.72 $112,693.00 $59,838.36 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 7 — — $50,706.15 $112,140.00 $59,627.29 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 7 — — $50,534.29 $111,520.00 $59,390.92 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 22 7 — — $50,345.71 $110,840.00 $59,131.60 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 7 — — $50,314.68 $110,729.00 $59,089.05 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 7 — — $50,228.74 $110,419.00 $58,970.86 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 22 7 — — $50,006.75 $109,619.00 $58,665.66 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 7 — — $48,624.64 $117,590.00 $58,615.76 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 7 — — $48,114.60 $115,524.00 $57,881.99 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 22 7 — — $49,367.01 $107,313.00 $57,786.06 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 9 — — $4,139.00 $146,103.00 $57,419.38 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 7 — — $47,683.34 $113,778.00 $57,261.67 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 7 — — $33,349.00 $122,151.00 $56,951.71 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 7 — — $48,423.33 $103,912.00 $56,488.64 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 7 — — $46,956.08 $110,832.00 $56,215.37 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 7 — — $48,116.19 $102,805.00 $56,066.35 2026-02-28
265 MS_DRG Aicd Lead Procedures 22 7 — — $47,976.15 $102,300.00 $55,873.78 2026-02-28
245 MS_DRG Aicd Generator Procedures 26 9 — — $4,139.00 $140,144.00 $55,651.30 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 7 — — $47,676.18 $101,219.00 $55,461.37 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 7 — — $47,605.36 $100,964.00 $55,364.04 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 7 — — $46,301.23 $108,180.00 $55,273.34 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 7 — — $47,471.69 $100,482.00 $55,180.23 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 7 — — $47,462.94 $100,450.00 $55,168.13 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 7 — — $47,451.80 $100,410.00 $55,152.83 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 22 7 — — $47,402.46 $100,232.00 $55,084.97 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 22 7 — — $46,016.38 $107,026.00 $54,863.52 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 7 — — $47,222.64 $99,584.00 $54,837.76 2026-02-28
332 MS_DRG Rectal Resection With Mcc 22 7 — — $47,192.40 $99,475.00 $54,796.18 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 7 — — $47,162.17 $99,366.00 $54,754.61 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 7 — — $46,999.05 $98,779.00 $54,530.47 2026-02-28
665 MS_DRG Prostatectomy With Mcc 22 7 — — $46,913.12 $98,469.00 $54,412.28 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 22 7 — — $46,887.65 $98,377.00 $54,377.24 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 8 — — $4,139.00 $117,107.00 $54,349.17 2026-02-28
61799 CPT Srs Cran Les Complex Addl 26 5 — — $286.69 $96,332.00 $54,104.67 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 26 7 — — $16,657.00 $123,832.00 $53,884.89 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 22 7 — — $45,865.20 $94,692.00 $52,971.50 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 8 — — $4,139.00 $112,194.00 $52,709.38 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 22 7 — — $45,527.03 $93,473.00 $52,506.53 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 7 — — $45,515.89 $93,433.00 $52,491.24 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 7 — — $44,198.23 $99,662.00 $52,247.91 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 7 — — $45,207.96 $92,323.00 $52,067.85 2026-02-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 7 — — $45,089.40 $91,896.00 $51,904.88 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 7 — — $43,929.29 $98,573.00 $51,861.05 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 7 — — $44,966.87 $91,454.00 $51,736.37 2026-02-28
C1767 HCPCS Neurstm Nrec 23772x-26149 32 8 $116,316.00 $33,266.38 71% off $34,894.80 $83,747.52 $51,687.92 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 22 7 — — $44,898.44 $91,208.00 $51,642.37 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 7 — — $44,847.51 $91,024.00 $51,572.29 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 22 7 — — $44,805.34 $90,872.00 $51,514.31 2026-02-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 7 — — $39,618.00 $91,629.00 $51,158.57 2026-02-28
61798 CPT Srs Cranial Lesion Complex 26 5 — — $1,308.68 $96,332.00 $51,151.53 2026-02-28
63620 CPT Srs Spinal Lesion 26 5 — — $1,056.67 $96,332.00 $51,115.52 2026-02-28
61796 CPT Srs Cranial Lesion Simple 26 5 — — $958.35 $96,332.00 $51,101.48 2026-02-28
63621 CPT Srs Spinal Lesion Addl 26 5 — — $238.35 $96,332.00 $50,998.62 2026-02-28
61797 CPT Srs Cran Les Simple Addl 26 5 — — $208.05 $96,332.00 $50,994.29 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 7 — — $44,425.80 $89,504.00 $50,992.47 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 22 7 — — $44,414.66 $89,464.00 $50,977.18 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 7 — — $44,308.83 $89,082.00 $50,831.59 2026-02-28
61800 CPT Apply Srs Headframe Add-on 26 5 — — $145.56 $96,332.00 $50,784.79 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 7 — — $44,129.80 $88,437.00 $50,585.49 2026-02-28
652 MS_DRG Kidney Transplant 22 7 — — $44,031.14 $88,082.00 $50,449.92 2026-02-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 7 — — $44,008.86 $88,001.00 $50,419.19 2026-02-28
570 MS_DRG Skin Debridement With Mcc 22 7 — — $43,544.18 $86,327.00 $49,780.42 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 22 7 — — $43,353.21 $85,638.00 $49,517.76 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 7 — — $43,054.04 $84,560.00 $49,106.48 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 7 — — $42,929.91 $84,113.00 $48,935.87 2026-02-28
668 MS_DRG Transurethral Procedures With Mcc 22 7 — — $42,797.03 $83,634.00 $48,753.16 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 7 — — $42,784.30 $83,588.00 $48,735.64 2026-02-28
800 MS_DRG Splenic Procedures With Cc 22 7 — — $42,777.14 $83,562.00 $48,725.77 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 7 — — $42,764.41 $83,516.00 $48,708.25 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 22 7 — — $42,405.55 $82,223.00 $48,214.92 2026-02-28
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