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 →

Export CSV
Hospital

MARGARETVILLE MEMORIAL HOSPITAL

Margaretville, NY · CCN 331304 · Rates published

6,311 distinct procedures filed
39 distinct payers
510,908 rate rows
2026-11-03 last MRF observed
Data quality

484,280 of 510,908 rate rows are consumer-grade (94.8%)

26,628 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 8,523
per-diem day rate — not a per-procedure price 8,462
placeholder amount (≤ $0.02) — excluded from medians 4,649
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,298
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,512
exceeds 10× this hospital's gross charge — excluded from medians 876
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 308
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wmchealth.org/150552726_MargaretvilleHospital_standardcharges.csv
Found on page https://www.wmchealth.org/price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-11-03
Content fingerprint 3dadacb9ffc3fb1c… · 96,710,520 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 32 $3,395.27 $1,594,454.93 $461,624.14 nat. median
$360,195
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 32 $3,395.27 $1,034,737.11 $345,267.14 nat. median
$247,805
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $235,313.12 $361,214.04 $277,875.55 nat. median
$90,525
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $3,395.27 $788,332.62 $264,980.29 nat. median
$197,664
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $3,395.27 $783,706.13 $263,140.04 nat. median
$190,274
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $206,610.63 $311,260.40 $239,468.17 nat. median
$76,979
outlier · 3.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $206,496.03 $310,281.93 $238,715.38 nat. median
$77,595
outlier · 3.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $188,655.73 $283,508.79 $218,117.47 nat. median
$72,153
outlier · 3.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $188,431.24 $282,286.62 $217,177.20 nat. median
$71,672
outlier · 3.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $172,307.59 $263,278.47 $202,553.27 nat. median
$66,553
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 $162,569.42 $253,955.32 $195,363.32 nat. median
$63,874
outlier · 3.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $157,456.52 $242,782.30 $186,768.11 nat. median
$61,992
outlier · 3.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $145,055.83 $242,782.30 $186,768.11 nat. median
$59,554
outlier · 3.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 $150,149.23 $241,899.83 $186,089.24 nat. median
$58,210
outlier · 3.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 $146,067.69 $226,281.24 $174,074.14 nat. median
$58,153
outlier · 3.0×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 16 $148,942.32 $223,851.68 $172,220.28 nat. median
$57,665
outlier · 3.0×
276
MS_DRG 		Non-maligant Breast Disorders 16 $148,044.67 $221,783.97 $170,629.49 nat. median
$56,565
outlier · 3.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $139,938.05 $220,177.81 $169,378.88 nat. median
$55,148
outlier · 3.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 16 $143,468.56 $216,688.55 $166,709.32 nat. median
$55,354
outlier · 3.0×
7
MS_DRG 		Lung Transplant 32 $3,395.27 $478,165.16 $161,189.14 nat. median
$117,943
1.4× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 16 $132,362.56 $201,989.35 $155,400.49 nat. median
$50,653
outlier · 3.1×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 $129,717.12 $201,701.35 $155,165.27 nat. median
$51,524
outlier · 3.0×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $129,144.14 $196,905.00 $151,488.85 nat. median
$50,491
outlier · 3.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $3,395.27 $443,741.49 $149,969.99 nat. median
$109,875
1.4× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $125,152.81 $194,818.83 $149,870.66 nat. median
$49,269
outlier · 3.0×
653
MS_DRG 		Major Bladder Procedures With Mcc 16 $128,075.67 $191,868.65 $147,614.13 nat. median
$49,933
outlier · 3.0×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $111,976.77 $186,101.22 $143,164.36 nat. median
$46,445
outlier · 3.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 16 $122,924.45 $184,151.67 $141,677.07 nat. median
$46,321
outlier · 3.1×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 16 $118,430.69 $178,291.93 $137,168.88 nat. median
$44,805
outlier · 3.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 $3,395.27 $418,408.36 $136,208.57 nat. median
$103,911
1.3× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 $114,710.00 $175,784.83 $135,228.14 nat. median
$45,788
outlier · 3.0×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 32 $3,395.27 $401,508.53 $134,674.93 nat. median
$97,029
1.4× median
277
MS_DRG 		Cellulitis Age >17 W Cc 16 $113,422.63 $170,530.63 $131,197.73 nat. median
$44,064
outlier · 3.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 16 $111,959.71 $169,718.32 $130,572.78 nat. median
$42,583
outlier · 3.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 32 $3,395.27 $380,698.51 $128,928.85 nat. median
$94,844
1.4× median
799
MS_DRG 		Splenectomy With Mcc 16 $111,623.80 $167,222.30 $128,652.46 nat. median
$43,208
outlier · 3.0×
215
MS_DRG 		Other Heart Assist System Implant 32 $3,395.27 $367,646.09 $124,572.49 nat. median
$93,531
1.3× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 $101,446.19 $155,934.82 $119,957.88 nat. median
$39,981
outlier · 3.0×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 16 $100,261.22 $154,664.65 $118,980.77 nat. median
$40,285
outlier · 3.0×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $102,842.07 $154,066.50 $118,531.05 nat. median
$40,320
outlier · 2.9×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 $99,171.35 $153,342.80 $117,963.89 nat. median
$38,534
outlier · 3.1×
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 16 $95,340.93 $152,327.40 $117,182.76 nat. median
$38,087
outlier · 3.1×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 $80,506.93 $138,337.14 $106,420.30 nat. median
$32,984
outlier · 3.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $92,123.09 $138,008.52 $106,176.84 nat. median
$35,655
outlier · 3.0×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 $87,385.09 $137,993.75 $106,156.13 nat. median
$34,420
outlier · 3.1×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 $86,585.36 $135,567.88 $104,289.96 nat. median
$33,640
outlier · 3.1×
495
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 $85,839.27 $133,873.10 $102,986.20 nat. median
$33,725
outlier · 3.1×
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 $85,429.65 $131,543.23 $101,193.88 nat. median
$33,241
outlier · 3.0×
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 16 $83,981.36 $131,310.62 $101,014.92 nat. median
$33,988
outlier · 3.0×
252
MS_DRG 		Other Vascular Procedures With Mcc 16 $83,640.01 $128,799.83 $99,083.42 nat. median
$32,617
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 6,311 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
L8679 HCPCS Abbott 32400 Eterna Imp Pulse Generator 39 39 $79,410.00 $79,410.00 $15,882.00 $71,469.00 $31,764.00 2026-11-03
288 MS_DRG Acute And Subacute Endocarditis With Mcc 32 32 — — $3,395.27 $99,922.05 $35,167.11 2026-11-03
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 32 32 — — $3,395.27 $202,705.66 $69,250.71 2026-11-03
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 19 19 — — $3,565.03 $80,928.66 $62,251.50 2026-11-03
245 MS_DRG Aicd Generator Procedures 32 32 — — $3,395.27 $168,459.23 $58,092.14 2026-11-03
265 MS_DRG Aicd Lead Procedures 32 32 — — $3,395.27 $133,596.17 $45,355.14 2026-11-03
14 MS_DRG Allogeneic Bone Marrow Transplant 32 32 — — $3,395.27 $443,741.49 $149,969.99 2026-11-03
D7321 HCPCS Alveoloplasty Not W/extracts 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
D7311 HCPCS Alveoloplasty W/extract 1-3 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
D7320 HCPCS Alveoplasty Without Extraction 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 32 32 — — $3,395.27 $105,250.09 $36,995.54 2026-11-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 32 — — $3,395.27 $181,725.80 $62,519.97 2026-11-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 32 — — $3,395.27 $158,508.38 $54,770.96 2026-11-03
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 32 — — $3,395.27 $128,766.60 $44,844.38 2026-11-03
347 MS_DRG Anal And Stomal Procedures With Mcc 16 16 — — $56,579.65 $84,761.31 $65,211.11 2026-11-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 16 — — $162,569.42 $253,955.32 $195,363.32 2026-11-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 16 — — $101,446.19 $155,934.82 $119,957.88 2026-11-03
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 32 — — $3,395.27 $218,944.57 $74,942.06 2026-11-03
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 32 — — $3,395.27 $200,578.88 $68,812.35 2026-11-03
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 19 19 — — $3,565.03 $73,854.14 $56,563.95 2026-11-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 16 — — $87,385.09 $137,993.75 $106,156.13 2026-11-03
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 32 32 — — $3,395.27 $95,232.78 $31,091.66 2026-11-03
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 32 — — $3,395.27 $129,948.14 $45,238.72 2026-11-03
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 32 32 — — $3,395.27 $95,232.78 $31,091.66 2026-11-03
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 32 — — $3,395.27 $203,927.83 $69,930.09 2026-11-03
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 32 — — $3,395.27 $131,654.00 $44,551.75 2026-11-03
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 32 32 — — $3,395.27 $90,801.98 $30,377.27 2026-11-03
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 32 — — $3,395.27 $127,555.51 $43,792.25 2026-11-03
D7953 HCPCS Bone Replacement Graft 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 19 19 — — $3,565.03 $79,041.88 $59,400.14 2026-11-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 16 — — $172,307.59 $263,278.47 $202,553.27 2026-11-03
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 32 — — $3,395.27 $116,016.95 $36,069.25 2026-11-03
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 32 — — $3,395.27 $120,104.37 $41,953.28 2026-11-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $235,313.12 $361,214.04 $277,875.55 2026-11-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $157,456.52 $242,782.30 $186,768.11 2026-11-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $145,055.83 $242,782.30 $186,768.11 2026-11-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $188,655.73 $283,508.79 $218,117.47 2026-11-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $129,144.14 $196,905.00 $151,488.85 2026-11-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $111,976.77 $186,101.22 $143,164.36 2026-11-03
35 MS_DRG Carotid Artery Stent Procedures With Cc 32 32 — — $3,395.27 $88,265.34 $29,599.48 2026-11-03
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 32 — — $3,395.27 $142,919.33 $49,274.54 2026-11-03
279 MS_DRG Cellulitis Age 0-17 32 32 — — $3,395.27 $133,160.48 $40,932.24 2026-11-03
277 MS_DRG Cellulitis Age >17 W Cc 16 16 — — $113,422.63 $170,530.63 $131,197.73 2026-11-03
278 MS_DRG Cellulitis Age >17 Without Cc 32 32 — — $3,395.27 $205,522.92 $62,862.63 2026-11-03
472 MS_DRG Cervical Spinal Fusion With Cc 16 16 — — $70,639.53 $108,779.97 $83,682.49 2026-11-03
471 MS_DRG Cervical Spinal Fusion With Mcc 16 16 — — $118,430.69 $178,291.93 $137,168.88 2026-11-03
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 16 16 — — $57,721.95 $90,141.05 $69,343.90 2026-11-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 32 — — $3,395.27 $177,391.00 $61,073.19 2026-11-03
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 32 — — $3,395.27 $95,723.86 $33,000.78 2026-11-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 32 — — $3,395.27 $1,594,454.93 $461,624.14 2026-11-03
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 20 20 — — $3,463.18 $76,309.55 $57,044.29 2026-11-03
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 16 — — $85,429.65 $131,543.23 $101,193.88 2026-11-03
412 MS_DRG Cholecystectomy With C.d.e. With Cc 17 17 — — $3,734.80 $77,631.41 $59,725.72 2026-11-03
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 16 — — $66,718.90 $121,969.00 $93,828.58 2026-11-03
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 32 32 — — $3,395.27 $81,704.06 $28,849.74 2026-11-03
397 MS_DRG Coagulation Disorders 16 16 — — $59,027.10 $88,427.80 $68,031.92 2026-11-03
545 MS_DRG Connective Tissue Disorders With Mcc 32 32 — — $3,395.27 $91,632.75 $32,450.63 2026-11-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 16 — — $188,431.24 $282,286.62 $217,177.20 2026-11-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 16 — — $129,717.12 $201,701.35 $155,165.27 2026-11-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 16 — — $206,610.63 $311,260.40 $239,468.17 2026-11-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 16 — — $148,942.32 $223,851.68 $172,220.28 2026-11-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 16 — — $143,468.56 $216,688.55 $166,709.32 2026-11-03
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 16 — — $100,261.22 $154,664.65 $118,980.77 2026-11-03
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 32 — — $3,395.27 $118,538.82 $36,759.26 2026-11-03
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 32 — — $3,395.27 $114,802.17 $39,154.79 2026-11-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 32 — — $3,395.27 $167,879.53 $56,389.21 2026-11-03
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 32 32 — — $3,395.27 $93,154.00 $31,952.35 2026-11-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 32 — — $3,395.27 $248,534.96 $84,818.11 2026-11-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 32 — — $3,395.27 $211,582.04 $71,418.28 2026-11-03
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 32 — — $3,395.27 $144,440.57 $48,213.93 2026-11-03
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 19 19 — — $3,565.03 $75,659.70 $56,858.43 2026-11-03
D9222 HCPCS Deep Anest, 1st 15 Min 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
56 MS_DRG Degenerative Nervous System Disorders With Mcc 32 32 — — $3,395.27 $85,776.70 $30,496.12 2026-11-03
69437 CPT Descriptor Not Available 38 38 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 32 — — $3,395.27 $783,706.13 $263,140.04 2026-11-03
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 16 — — $146,067.69 $226,281.24 $174,074.14 2026-11-03
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 16 — — $114,710.00 $175,784.83 $135,228.14 2026-11-03
92558 CPT Evoked Auditory Test Qual 23 23 — — $8.22 $48,540.00 $35,000.00 2026-11-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 32 — — $3,395.27 $788,332.62 $264,980.29 2026-11-03
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 32 — — $3,395.27 $143,787.03 $49,857.58 2026-11-03
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 32 32 — — $3,395.27 $90,776.13 $31,714.62 2026-11-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 32 — — $3,395.27 $173,237.11 $59,686.79 2026-11-03
37 MS_DRG Extracranial Procedures With Mcc 32 32 — — $3,395.27 $121,555.46 $42,352.49 2026-11-03
D7140 HCPCS Extraction Erupted Tooth/exr 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
37227 CPT Fem/popl Revasc Stnt & Ather 39 39 $71,114.00 $71,114.00 $3,616.00 $69,037.47 $31,290.16 2026-11-03
59050 CPT Fetal Monitor W/report 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
503 MS_DRG Foot Procedures With Mcc 16 16 — — $64,529.40 $103,056.85 $79,279.80 2026-11-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 32 — — $3,395.27 $264,840.33 $83,289.87 2026-11-03
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 32 32 — — $3,395.27 $118,922.82 $40,639.65 2026-11-03
D9223 HCPCS General Anethesia Each 15m 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 32 — — $3,395.27 $1,034,737.11 $345,267.14 2026-11-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 32 — — $3,395.27 $418,408.36 $136,208.57 2026-11-03
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 32 — — $3,395.27 $125,801.65 $43,854.79 2026-11-03
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 16 — — $71,512.41 $107,151.65 $82,437.11 2026-11-03
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 32 32 — — $3,395.27 $401,508.53 $134,674.93 2026-11-03
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 17 17 — — $3,734.80 $77,336.02 $59,498.46 2026-11-03
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 16 — — $71,707.46 $107,531.96 $82,729.71 2026-11-03
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 11 — — $70,741.82 $105,977.49 $82,331.69 2026-11-03
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 17 17 — — $3,734.80 $78,192.64 $60,157.50 2026-11-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 32 — — $3,395.27 $226,019.08 $77,303.24 2026-11-03
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 32 — — $3,395.27 $97,381.72 $34,213.78 2026-11-03
974 MS_DRG HIV With Major Related Condition With Mcc 32 32 — — $3,395.27 $106,560.87 $37,433.02 2026-11-03
D7220 HCPCS Impact Tooth Remov Soft Tiss 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
J9201 HCPCS In Gemcitabine Hcl Nos 200mg 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 32 — — $3,395.27 $182,349.80 $62,728.24 2026-11-03
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 16 — — $58,972.74 $92,009.37 $70,781.17 2026-11-03
0571T CPT Insj/rplcmt Icds Ss Eltrd 39 39 $110,979.00 $110,979.00 $6,250.00 $99,881.10 $48,830.76 2026-11-03
33230 CPT Insrt Pulse Gen W/dual Leads 39 39 $78,082.00 $78,082.00 $3,616.00 $70,273.80 $34,356.08 2026-11-03
33231 CPT Insrt Pulse Gen W/mult Leads 39 39 $110,979.00 $110,979.00 $3,616.00 $99,881.10 $48,830.76 2026-11-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 32 — — $3,395.27 $195,464.99 $67,105.54 2026-11-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 32 — — $3,395.27 $290,542.69 $98,838.56 2026-11-03
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 32 — — $3,395.27 $117,320.35 $41,024.08 2026-11-03
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 32 32 — — $3,395.27 $101,801.45 $34,824.55 2026-11-03
D9239 HCPCS IV Mod Sedation, 1st 15 Min 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
D9243 HCPCS IV Sedation Each 15m 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 16 16 — — $67,059.56 $100,461.13 $77,289.77 2026-11-03
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 16 — — $78,471.12 $117,556.66 $90,442.21 2026-11-03
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 16 — — $62,625.56 $93,818.62 $72,179.35 2026-11-03
652 MS_DRG Kidney Transplant 32 32 — — $3,395.27 $119,244.06 $39,310.83 2026-11-03
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 32 — — $3,395.27 $173,591.58 $58,035.00 2026-11-03
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 32 — — $3,395.27 $136,830.66 $44,200.65 2026-11-03
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 32 — — $3,395.27 $119,155.44 $41,113.89 2026-11-03
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 16 16 — — $43,598.08 $65,313.77 $50,249.14 2026-11-03
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 16 — — $57,943.82 $88,113.95 $67,790.46 2026-11-03
0387T CPT Leadless C Pm Ins/rpl Ventr 38 38 $48,743.00 $48,743.00 $10,333.00 $47,319.70 $34,120.10 2026-11-03
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 32 — — $3,395.27 $138,942.68 $48,240.73 2026-11-03
D8030 HCPCS Limited Dental Tx Adolescent 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 32 — — $3,395.27 $380,698.51 $128,928.85 2026-11-03
6 MS_DRG Liver Transplant Without Mcc 32 32 — — $3,395.27 $171,213.71 $59,011.47 2026-11-03
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 16 — — $85,839.27 $133,873.10 $102,986.20 2026-11-03
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 32 32 — — $3,395.27 $111,390.45 $32,648.45 2026-11-03
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 16 — — $58,541.18 $93,641.38 $72,036.65 2026-11-03
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 16 — — $86,585.36 $135,567.88 $104,289.96 2026-11-03
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 19 19 — — $3,565.03 $74,086.76 $55,676.36 2026-11-03
7 MS_DRG Lung Transplant 32 32 — — $3,395.27 $478,165.16 $161,189.14 2026-11-03
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 32 32 — — $3,395.27 $82,656.68 $29,082.59 2026-11-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 32 — — $3,395.27 $216,548.24 $72,847.06 2026-11-03
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 32 — — $3,395.27 $119,443.44 $40,744.50 2026-11-03
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 32 32 — — $3,395.27 $83,653.61 $28,680.28 2026-11-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 32 — — $3,395.27 $169,286.31 $58,368.19 2026-11-03
654 MS_DRG Major Bladder Procedures With Cc 16 16 — — $68,808.44 $103,359.62 $79,519.72 2026-11-03
653 MS_DRG Major Bladder Procedures With Mcc 16 16 — — $128,075.67 $191,868.65 $147,614.13 2026-11-03
655 MS_DRG Major Bladder Procedures Without Cc/mcc 19 19 — — $3,565.03 $78,152.03 $59,587.35 2026-11-03
164 MS_DRG Major Chest Procedures With Cc 32 32 — — $3,395.27 $93,194.61 $32,552.14 2026-11-03
163 MS_DRG Major Chest Procedures With Mcc 32 32 — — $3,395.27 $165,483.21 $57,098.86 2026-11-03
140 MS_DRG Major Head And Neck Procedures With Mcc 32 32 — — $3,395.27 $157,489.29 $53,425.58 2026-11-03
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 32 32 — — $3,395.27 $81,523.13 $29,076.45 2026-11-03
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 16 — — $74,759.28 $111,996.00 $86,164.11 2026-11-03
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 16 — — $62,130.21 $102,347.92 $78,734.43 2026-11-03
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 19 19 — — $3,565.03 $73,857.84 $55,666.11 2026-11-03
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 16 — — $57,631.73 $88,512.73 $68,091.26 2026-11-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 16 — — $111,959.71 $169,718.32 $130,572.78 2026-11-03
C1886 HCPCS Medtronic Rdn016 Symplicity Spyral Cath 39 39 $48,000.00 $48,000.00 $21,120.00 $43,200.00 $31,200.00 2026-11-03
662 MS_DRG Minor Bladder Procedures With Mcc 16 16 — — $75,456.79 $113,040.93 $86,968.03 2026-11-03
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 32 32 — — $3,395.27 $95,365.71 $33,696.53 2026-11-03
J9281 HCPCS Mitomycin Instillation 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
D7282 HCPCS Mobilize Erupted/malpos Toot 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 32 — — $3,395.27 $172,720.19 $59,514.27 2026-11-03
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 32 — — $3,395.27 $85,337.32 $30,349.47 2026-11-03
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 32 — — $3,395.27 $116,677.88 $39,462.01 2026-11-03
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 32 — — $3,395.27 $133,359.86 $45,567.26 2026-11-03
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 32 — — $3,395.27 $126,588.12 $44,117.29 2026-11-03
276 MS_DRG Non-maligant Breast Disorders 16 16 — — $148,044.67 $221,783.97 $170,629.49 2026-11-03
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 16 — — $21,236.00 $106,612.57 $79,164.61 2026-11-03
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 32 — — $3,395.27 $133,976.48 $40,561.64 2026-11-03
D6010 HCPCS Odontics Endosteal Implant 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
D9971 HCPCS Odontoplasty 1-2 Teeth 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
D7260 HCPCS Oral Antral Fistula Closure 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
113 MS_DRG Orbital Procedures With Cc/mcc 32 32 — — $3,395.27 $86,810.56 $29,377.61 2026-11-03
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 32 32 — — $3,395.27 $84,244.38 $29,984.70 2026-11-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 32 — — $3,395.27 $182,674.73 $62,618.81 2026-11-03
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 32 — — $3,395.27 $116,290.19 $39,736.31 2026-11-03
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 18 — — $3,632.94 $76,992.63 $59,229.07 2026-11-03
264 MS_DRG Other Circulatory System O.r. Procedures 32 32 — — $3,395.27 $123,346.24 $43,035.29 2026-11-03
357 MS_DRG Other Digestive System O.r. Procedures With Cc 32 32 — — $3,395.27 $85,865.32 $29,321.53 2026-11-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 32 — — $3,395.27 $162,197.02 $53,870.55 2026-11-03
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 16 — — $80,506.93 $138,337.14 $106,420.30 2026-11-03
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 32 32 — — $3,395.27 $80,448.66 $28,717.84 2026-11-03
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 32 — — $3,395.27 $137,606.05 $47,794.62 2026-11-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 32 — — $3,395.27 $164,785.35 $55,420.03 2026-11-03
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 32 32 — — $3,395.27 $88,811.81 $30,087.12 2026-11-03
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 32 32 — — $3,395.27 $94,804.47 $33,425.03 2026-11-03
215 MS_DRG Other Heart Assist System Implant 32 32 — — $3,395.27 $367,646.09 $124,572.49 2026-11-03
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 13 13 — — $3,734.80 $80,784.66 $62,151.68 2026-11-03
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 16 — — $99,171.35 $153,342.80 $117,963.89 2026-11-03
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 32 32 — — $3,395.27 $86,349.02 $30,009.10 2026-11-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 32 — — $3,395.27 $155,137.27 $52,942.82 2026-11-03
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 16 — — $83,981.36 $131,310.62 $101,014.92 2026-11-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 16 — — $125,152.81 $194,818.83 $149,870.66 2026-11-03
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 16 — — $61,008.64 $94,265.39 $72,516.69 2026-11-03
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 32 32 — — $3,395.27 $82,608.68 $29,398.33 2026-11-03
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 32 — — $3,395.27 $100,941.14 $34,986.69 2026-11-03
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 17 17 — — $3,734.80 $76,730.48 $59,022.20 2026-11-03
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 16 — — $75,398.90 $117,671.12 $90,522.30 2026-11-03
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 32 — — $3,395.27 $141,759.93 $49,181.01 2026-11-03
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 32 — — $3,395.27 $155,591.43 $51,969.97 2026-11-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 32 — — $3,395.27 $281,352.46 $92,863.46 2026-11-03
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 32 32 — — $3,395.27 $108,706.12 $34,099.18 2026-11-03
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 32 — — $3,395.27 $147,106.44 $45,569.69 2026-11-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 16 — — $92,123.09 $138,008.52 $106,176.84 2026-11-03
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 16 — — $79,470.69 $119,576.37 $91,996.07 2026-11-03
253 MS_DRG Other Vascular Procedures With Cc 16 16 — — $62,247.25 $95,838.33 $73,726.72 2026-11-03
252 MS_DRG Other Vascular Procedures With Mcc 16 16 — — $83,640.01 $128,799.83 $99,083.42 2026-11-03
10 MS_DRG Pancreas Transplant 32 32 — — $3,395.27 $264,951.10 $90,297.14 2026-11-03
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 16 — — $68,474.41 $107,085.19 $82,378.73 2026-11-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 16 — — $132,362.56 $201,989.35 $155,400.49 2026-11-03
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 16 16 — — $52,075.08 $81,955.13 $63,046.63 2026-11-03
709 MS_DRG Penis Procedures With Cc/mcc 18 18 — — $3,632.94 $85,924.40 $65,333.33 2026-11-03
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 16 — — $95,340.93 $152,327.40 $117,182.76 2026-11-03
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 16 — — $76,096.22 $121,540.69 $93,499.09 2026-11-03
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 32 32 — — $3,395.27 $80,585.28 $28,763.44 2026-11-03
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 32 32 — — $3,395.27 $81,183.44 $28,963.08 2026-11-03
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 32 — — $3,395.27 $142,568.55 $47,853.07 2026-11-03
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 32 — — $3,395.27 $131,849.70 $45,873.39 2026-11-03
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 17 17 — — $3,734.80 $78,680.03 $60,532.48 2026-11-03
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 16 — — $78,692.94 $117,888.97 $90,697.87 2026-11-03
D7283 HCPCS Place Device Impacted Tooth 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 32 — — $3,395.27 $167,953.38 $56,868.32 2026-11-03
D1352 HCPCS Prev Resin Rest, Perm Tooth 38 38 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99397 CPT Prev Visit, Est, 65 & Over 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99392 CPT Prev Visit, Est, Age 1-4 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99394 CPT Prev Visit, Est, Age 12-17 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99395 CPT Prev Visit, Est, Age 18-39 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99396 CPT Prev Visit, Est, Age 40-64 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99393 CPT Prev Visit, Est, Age 5-11 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99391 CPT Prev Visit, Est, Infant 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99382 CPT Prev Visit, New, Age 1-4 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99384 CPT Prev Visit, New, Age 12-17 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99385 CPT Prev Visit, New, Age 18-39 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99386 CPT Prev Visit, New, Age 40-64 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99383 CPT Prev Visit, New, Age 5-11 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
99381 CPT Prev Visit, New, Infant 39 39 — — $22,000.00 $48,540.00 $35,270.00 2026-11-03
665 MS_DRG Prostatectomy With Mcc 32 32 — — $3,395.27 $115,245.25 $40,331.51 2026-11-03
849 MS_DRG Radiotherapy 32 32 — — $3,395.27 $100,043.90 $34,430.78 2026-11-03
332 MS_DRG Rectal Resection With Mcc 32 32 — — $3,395.27 $133,688.48 $44,154.32 2026-11-03
D7210 HCPCS Rem Imp Tooth W Mucoper Flp 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
D6100 HCPCS Removal Of Implant 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
D7473 HCPCS Remove Torus Mandibularis 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 32 — — $3,395.27 $101,491.29 $34,585.61 2026-11-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 32 — — $3,395.27 $237,590.87 $80,709.04 2026-11-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 32 — — $3,395.27 $130,213.99 $43,624.01 2026-11-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 32 — — $3,395.27 $192,200.96 $63,975.67 2026-11-03
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 32 32 — — $3,395.27 $101,465.45 $33,848.05 2026-11-03
37286 CPT Revsc Evasc Tpvt St Cplx 1st 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37284 CPT Revsc Evasc Tpvt St Sf 1st 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 39 39 $56,186.00 $56,186.00 $24,721.84 $50,567.40 $34,835.32 2026-11-03
D6011 HCPCS Second Stage Implant Surgery 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 32 — — $3,395.27 $255,207.02 $86,674.09 2026-11-03
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 17 17 — — $3,734.80 $76,778.48 $59,059.12 2026-11-03
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 16 — — $69,686.19 $111,527.07 $85,795.79 2026-11-03
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 32 — — $3,395.27 $206,940.78 $68,199.85 2026-11-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 32 — — $3,395.27 $263,433.55 $89,790.65 2026-11-03
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 16 — — $53,483.99 $80,123.73 $61,643.19 2026-11-03
570 MS_DRG Skin Debridement With Mcc 32 32 — — $3,395.27 $108,595.35 $38,112.04 2026-11-03
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 32 — — $3,395.27 $97,872.80 $34,329.60 2026-11-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 32 — — $3,395.27 $180,968.87 $62,267.34 2026-11-03
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 16 — — $84,481.19 $128,175.82 $98,612.06 2026-11-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 16 — — $150,149.23 $241,899.83 $186,089.24 2026-11-03
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 32 — — $3,395.27 $131,417.69 $45,729.20 2026-11-03
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 32 — — $3,395.27 $135,623.27 $47,132.85 2026-11-03
500 MS_DRG Soft Tissue Procedures With Mcc 16 16 — — $77,259.24 $116,855.11 $89,902.47 2026-11-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $206,496.03 $310,281.93 $238,715.38 2026-11-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $139,938.05 $220,177.81 $169,378.88 2026-11-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $102,842.07 $154,066.50 $118,531.05 2026-11-03
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 32 — — $3,395.27 $125,967.80 $42,788.93 2026-11-03
28 MS_DRG Spinal Procedures With Mcc 32 32 — — $3,395.27 $221,846.74 $75,910.69 2026-11-03
30 MS_DRG Spinal Procedures Without Cc/mcc 32 32 — — $3,395.27 $81,054.20 $28,919.94 2026-11-03
800 MS_DRG Splenectomy With Cc 16 16 — — $69,243.28 $103,732.54 $79,806.63 2026-11-03
799 MS_DRG Splenectomy With Mcc 16 16 — — $111,623.80 $167,222.30 $128,652.46 2026-11-03
801 MS_DRG Splenectomy Without Cc/mcc 16 16 — — $40,027.93 $70,483.04 $54,221.35 2026-11-03
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 16 — — $59,201.93 $90,248.13 $69,432.39 2026-11-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 16 — — $122,924.45 $184,151.67 $141,677.07 2026-11-03
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 16 — — $69,905.63 $111,512.30 $85,784.43 2026-11-03
D7250 HCPCS Tooth Root Removal 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 32 — — $3,395.27 $155,668.97 $51,895.61 2026-11-03
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 32 — — $3,395.27 $201,383.81 $67,648.81 2026-11-03
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 32 32 — — $3,395.27 $106,405.80 $34,173.55 2026-11-03
668 MS_DRG Transurethral Procedures With Mcc 16 16 — — $71,105.23 $107,816.27 $82,948.44 2026-11-03
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 32 32 — — $3,395.27 $83,886.23 $29,492.20 2026-11-03
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 32 32 — — $3,395.27 $84,392.08 $30,033.99 2026-11-03
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 32 — — $3,395.27 $109,898.75 $38,547.07 2026-11-03
D4999 HCPCS Unspecified Periodontal Proc 38 38 — — $22,000.00 $35,000.00 $28,500.00 2026-11-03
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 32 — — $3,395.27 $99,597.13 $33,765.15 2026-11-03
671 MS_DRG Urethral Procedures With Cc/mcc 20 20 — — $3,463.18 $66,277.47 $49,626.00 2026-11-03
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 32 32 — — $3,395.27 $159,782.23 $53,793.75 2026-11-03
324 MS_DRG Urinary Stones Without Cc 32 32 — — $3,395.27 $116,345.57 $40,698.75 2026-11-03
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 32 — — $3,395.27 $132,289.09 $46,020.04 2026-11-03
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 32 — — $3,395.27 $131,982.62 $45,917.75 2026-11-03
263 MS_DRG Vein Ligation And Stripping 32 32 — — $3,395.27 $112,889.54 $34,564.88 2026-11-03
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 32 — — $3,395.27 $165,435.20 $52,955.01 2026-11-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 32 — — $3,395.27 $210,444.80 $67,710.99 2026-11-03
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 32 — — $3,395.27 $115,005.25 $37,813.79 2026-11-03
901 MS_DRG Wound Debridements For Injuries With Mcc 32 32 — — $3,395.27 $154,952.66 $53,584.20 2026-11-03
See an error in this hospital's data? Submit a correction