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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

FULTON COUNTY HEALTH CENTER

Wauseon, OH · CCN 361333 · Rates published

10,519 distinct procedures filed
22 distinct payers
60,003 rate rows
2026-06-15 last MRF observed
Data quality

31,579 of 60,003 rate rows are consumer-grade (52.6%)

28,424 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 28,394
placeholder amount (≤ $0.02) — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://fultoncountyhealthcenter.org/?force_download=24959
Found on page https://fultoncountyhealthcenter.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-30
Content fingerprint 32ac1a09dc7db7a4… · 14,603,968 bytes · first seen 2026-07-06

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 $194,322.60 $194,322.60 $194,322.60 nat. median
$359,454
0.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $126,107.55 $126,107.55 $126,107.55 nat. median
$249,036
0.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $96,077.25 $96,077.25 $96,077.25 nat. median
$198,418
outlier · 0.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $95,513.40 $95,513.40 $95,513.40 nat. median
$190,559
0.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $62,331.30 $62,331.30 $62,331.30 nat. median
$126,695
outlier · 0.5×
7
MS_DRG 		Lung Transplant 1 $58,275.90 $58,275.90 $58,275.90 nat. median
$117,974
outlier · 0.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $54,080.55 $54,080.55 $54,080.55 nat. median
$110,307
outlier · 0.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $50,993.10 $50,993.10 $50,993.10 nat. median
$104,013
outlier · 0.5×
209
MS_DRG 		Complex Aortic Arch Procedures 1 $50,934.60 $50,934.60 $50,934.60 nat. median
$92,678
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $49,595.40 $49,595.40 $49,595.40 nat. median
$93,276
0.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $48,933.45 $48,933.45 $48,933.45 nat. median
$97,323
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $46,397.25 $46,397.25 $46,397.25 nat. median
$95,038
outlier · 0.5×
215
MS_DRG 		Other Heart Assist System Implant 1 $44,806.50 $44,806.50 $44,806.50 nat. median
$93,901
outlier · 0.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $44,022.60 $44,022.60 $44,022.60 nat. median
$90,551
outlier · 0.5×
5232
OTHER 		Level 2 Icd And Similar Procedures 2 $38,863.18 $44,711.75 $41,787.46 nat. median
$32,779
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $40,543.20 $40,543.20 $40,543.20 nat. median
$78,049
0.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $38,967.75 $38,967.75 $38,967.75 nat. median
$78,268
outlier · 0.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $37,934.55 $37,934.55 $37,934.55 nat. median
$77,028
outlier · 0.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $37,815.30 $37,815.30 $37,815.30 nat. median
$77,632
outlier · 0.5×
999
MS_DRG 		Ungroupable 1 $36,563.19 $36,563.19 $36,563.19 nat. median
$3,698
outlier · 9.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $35,409.60 $35,409.60 $35,409.60 nat. median
$74,370
outlier · 0.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $34,552.35 $34,552.35 $34,552.35 nat. median
$72,398
outlier · 0.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $34,403.40 $34,403.40 $34,403.40 nat. median
$71,748
outlier · 0.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $34,289.55 $34,289.55 $34,289.55 nat. median
$67,976
0.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $32,483.70 $32,483.70 $32,483.70 nat. median
$63,648
0.5× median
10
MS_DRG 		Pancreas Transplant 1 $32,290.65 $32,290.65 $32,290.65 nat. median
$64,933
outlier · 0.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 $32,277.15 $32,277.15 $32,277.15 nat. median
$61,308
0.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $32,105.70 $32,105.70 $32,105.70 nat. median
$66,715
outlier · 0.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $32,086.80 $32,086.80 $32,086.80 nat. median
$66,649
outlier · 0.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $31,103.10 $31,103.10 $31,103.10 nat. median
$62,655
outlier · 0.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $30,950.55 $30,950.55 $30,950.55 nat. median
$63,873
outlier · 0.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $30,289.95 $30,289.95 $30,289.95 nat. median
$61,728
outlier · 0.5×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $30,089.25 $30,089.25 $30,089.25 nat. median
$57,556
0.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $30,067.20 $30,067.20 $30,067.20 nat. median
$60,596
outlier · 0.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $29,588.85 $29,588.85 $29,588.85 nat. median
$59,546
outlier · 0.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $29,588.85 $29,588.85 $29,588.85 nat. median
$62,031
outlier · 0.5×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $29,481.30 $29,481.30 $29,481.30 nat. median
$58,135
0.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $28,956.15 $28,956.15 $28,956.15 nat. median
$59,371
outlier · 0.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $27,577.80 $27,577.80 $27,577.80 nat. median
$58,280
outlier · 0.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $27,545.85 $27,545.85 $27,545.85 nat. median
$58,251
outlier · 0.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $27,281.70 $27,281.70 $27,281.70 nat. median
$57,801
outlier · 0.5×
28
MS_DRG 		Spinal Procedures With Mcc 1 $27,037.35 $27,037.35 $27,037.35 nat. median
$54,460
outlier · 0.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $27,029.70 $27,029.70 $27,029.70 nat. median
$56,687
outlier · 0.5×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $26,833.95 $26,833.95 $26,833.95 nat. median
$55,167
outlier · 0.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $26,745.75 $26,745.75 $26,745.75 nat. median
$50,870
0.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 1 $26,683.65 $26,683.65 $26,683.65 nat. median
$53,927
outlier · 0.5×
5223
OTHER 		Level 3 Pacemaker And Similar Procedures 3 $9,816.91 $69,036.69 $26,677.40 nat. median
$10,915
outlier · 2.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $26,408.70 $26,408.70 $26,408.70 nat. median
$55,477
outlier · 0.5×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $26,391.60 $26,391.60 $26,391.60 nat. median
$53,856
outlier · 0.5×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $25,951.95 $25,951.95 $25,951.95 nat. median
$51,241
0.5× median

Other procedures at this hospital

Browse this hospital's 10,519 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 2 1 — — $194,322.60 $194,322.60 $194,322.60 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $126,107.55 $126,107.55 $126,107.55 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $96,077.25 $96,077.25 $96,077.25 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $95,513.40 $95,513.40 $95,513.40 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $62,331.30 $62,331.30 $62,331.30 2026-04-01
7 MS_DRG Lung Transplant 2 1 — — $58,275.90 $58,275.90 $58,275.90 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — — $54,080.55 $54,080.55 $54,080.55 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $50,993.10 $50,993.10 $50,993.10 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 2 1 — — $50,934.60 $50,934.60 $50,934.60 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $49,595.40 $49,595.40 $49,595.40 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 1 — — $48,933.45 $48,933.45 $48,933.45 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $46,397.25 $46,397.25 $46,397.25 2026-04-01
215 MS_DRG Other Heart Assist System Implant 2 1 — — $44,806.50 $44,806.50 $44,806.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $44,022.60 $44,022.60 $44,022.60 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $38,863.18 $44,711.75 $41,787.46 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $40,543.20 $40,543.20 $40,543.20 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 2 1 — — $38,967.75 $38,967.75 $38,967.75 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 1 — — $37,934.55 $37,934.55 $37,934.55 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $37,815.30 $37,815.30 $37,815.30 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $36,563.19 $36,563.19 $36,563.19 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $35,409.60 $35,409.60 $35,409.60 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $34,552.35 $34,552.35 $34,552.35 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $34,403.40 $34,403.40 $34,403.40 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $34,289.55 $34,289.55 $34,289.55 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $32,483.70 $32,483.70 $32,483.70 2026-04-01
10 MS_DRG Pancreas Transplant 2 1 — — $32,290.65 $32,290.65 $32,290.65 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 1 — — $32,277.15 $32,277.15 $32,277.15 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $32,105.70 $32,105.70 $32,105.70 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $32,086.80 $32,086.80 $32,086.80 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — — $31,103.10 $31,103.10 $31,103.10 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 1 — — $30,950.55 $30,950.55 $30,950.55 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $30,289.95 $30,289.95 $30,289.95 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 1 — — $30,089.25 $30,089.25 $30,089.25 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 1 — — $30,067.20 $30,067.20 $30,067.20 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $29,588.85 $29,588.85 $29,588.85 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $29,588.85 $29,588.85 $29,588.85 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $29,481.30 $29,481.30 $29,481.30 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 — — $28,956.15 $28,956.15 $28,956.15 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 1 — — $27,577.80 $27,577.80 $27,577.80 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 1 — — $27,545.85 $27,545.85 $27,545.85 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 1 — — $27,281.70 $27,281.70 $27,281.70 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $27,037.35 $27,037.35 $27,037.35 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $27,029.70 $27,029.70 $27,029.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $26,833.95 $26,833.95 $26,833.95 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 1 — — $26,745.75 $26,745.75 $26,745.75 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 2 1 — — $26,683.65 $26,683.65 $26,683.65 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 5 3 — — $9,816.91 $69,036.69 $26,677.40 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — — $26,408.70 $26,408.70 $26,408.70 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — — $26,391.60 $26,391.60 $26,391.60 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $25,951.95 $25,951.95 $25,951.95 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — — $25,786.35 $25,786.35 $25,786.35 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 1 — — $25,681.05 $25,681.05 $25,681.05 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $25,647.75 $25,647.75 $25,647.75 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $25,299.00 $25,299.00 $25,299.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 1 — — $25,220.70 $25,220.70 $25,220.70 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $25,047.90 $25,047.90 $25,047.90 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — — $24,853.50 $24,853.50 $24,853.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 2 1 — — $24,704.55 $24,704.55 $24,704.55 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 1 — — $24,617.25 $24,617.25 $24,617.25 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 1 — — $24,582.15 $24,582.15 $24,582.15 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — — $24,543.45 $24,543.45 $24,543.45 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 2 1 — — $24,445.35 $24,445.35 $24,445.35 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $23,997.60 $23,997.60 $23,997.60 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $23,983.20 $23,983.20 $23,983.20 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — — $23,822.10 $23,822.10 $23,822.10 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $23,743.35 $23,743.35 $23,743.35 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $23,424.30 $23,424.30 $23,424.30 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 2 1 — — $23,383.80 $23,383.80 $23,383.80 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $22,680.90 $22,680.90 $22,680.90 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 1 — — $22,443.30 $22,443.30 $22,443.30 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 1 — — $22,263.30 $22,263.30 $22,263.30 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — — $22,223.70 $22,223.70 $22,223.70 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 1 — — $22,147.65 $22,147.65 $22,147.65 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $22,055.40 $22,055.40 $22,055.40 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 — — $21,729.15 $21,729.15 $21,729.15 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 1 — — $21,619.35 $21,619.35 $21,619.35 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 1 — — $21,423.60 $21,423.60 $21,423.60 2026-04-01
5500300011 OTHER Implanted Defibrillator W/lead 3 3 $54,436.30 — $21,230.16 $52,803.21 $21,230.16 2026-06-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 1 — — $21,156.30 $21,156.30 $21,156.30 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $21,113.10 $21,113.10 $21,113.10 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 1 1 — — $21,093.49 $21,093.49 $21,093.49 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $21,050.10 $21,050.10 $21,050.10 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 2 1 — — $20,866.50 $20,866.50 $20,866.50 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $20,783.25 $20,783.25 $20,783.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 1 — — $20,631.60 $20,631.60 $20,631.60 2026-04-01
245 MS_DRG Aicd Generator Procedures 2 1 — — $20,530.80 $20,530.80 $20,530.80 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 — — $20,469.15 $20,469.15 $20,469.15 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 1 — — $20,460.15 $20,460.15 $20,460.15 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 2 1 — — $20,380.05 $20,380.05 $20,380.05 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 2 1 — — $20,168.10 $20,168.10 $20,168.10 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 1 — — $20,162.25 $20,162.25 $20,162.25 2026-04-01
5192 OTHER Level 2 Endovascular Procedures 5 5 — — $3,482.67 $47,631.08 $20,121.13 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 1 — — $20,083.05 $20,083.05 $20,083.05 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 1 — — $19,767.60 $19,767.60 $19,767.60 2026-04-01
5674 OTHER Level 4 Pathology 2 2 — — $7,473.74 $32,051.16 $19,762.45 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $19,473.30 $19,473.30 $19,473.30 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $19,318.05 $19,318.05 $19,318.05 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 17 11 — — $1,620.94 $34,507.41 $19,277.19 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 1 — — $19,193.85 $19,193.85 $19,193.85 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 6 5 — — $12,169.47 $37,198.62 $19,172.36 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $19,083.60 $19,083.60 $19,083.60 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 1 — — $19,004.40 $19,004.40 $19,004.40 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 1 — — $18,972.00 $18,972.00 $18,972.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 1 — — $18,962.55 $18,962.55 $18,962.55 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $18,907.20 $18,907.20 $18,907.20 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 2 1 — — $18,884.70 $18,884.70 $18,884.70 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 1 — — $18,849.60 $18,849.60 $18,849.60 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $18,776.70 $18,776.70 $18,776.70 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $18,688.50 $18,688.50 $18,688.50 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 1 — — $18,564.75 $18,564.75 $18,564.75 2026-04-01
791 MS_DRG Prematurity With Major Problems 2 1 — — $18,265.50 $18,265.50 $18,265.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $18,092.25 $18,092.25 $18,092.25 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 1 — — $17,928.45 $17,928.45 $17,928.45 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — — $17,603.55 $17,603.55 $17,603.55 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 1 — — $17,523.90 $17,523.90 $17,523.90 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 1 — — $17,418.15 $17,418.15 $17,418.15 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 1 — — $17,392.05 $44,652.97 $17,392.05 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 1 — — $17,375.40 $17,375.40 $17,375.40 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 — — $17,276.85 $17,276.85 $17,276.85 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $16,933.50 $16,933.50 $16,933.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 1 — — $16,859.70 $16,859.70 $16,859.70 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 1 — — $16,819.65 $16,819.65 $16,819.65 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 1 — — $16,817.85 $16,817.85 $16,817.85 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $16,770.60 $16,770.60 $16,770.60 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $16,676.10 $16,676.10 $16,676.10 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 2 1 — — $16,528.95 $16,528.95 $16,528.95 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 1 — — $16,522.20 $16,522.20 $16,522.20 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 1 — — $16,328.25 $16,328.25 $16,328.25 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $16,315.65 $16,315.65 $16,315.65 2026-04-01
332 MS_DRG Rectal Resection With Mcc 2 1 — — $16,293.15 $16,293.15 $16,293.15 2026-04-01
265 MS_DRG Aicd Lead Procedures 2 1 — — $16,281.90 $16,281.90 $16,281.90 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 1 — — $16,253.10 $16,253.10 $16,253.10 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $16,228.80 $16,228.80 $16,228.80 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 3 — — $10,787.40 $41,016.43 $16,187.08 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 1 — — $16,122.60 $16,122.60 $16,122.60 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 1 — — $16,085.25 $16,085.25 $16,085.25 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $16,069.05 $16,069.05 $16,069.05 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $16,045.20 $16,045.20 $16,045.20 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — — $16,031.70 $16,031.70 $16,031.70 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $16,016.40 $16,016.40 $16,016.40 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 1 — — $16,003.35 $16,003.35 $16,003.35 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 2 — — $3,215.27 $15,869.70 $15,869.70 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $15,837.30 $15,837.30 $15,837.30 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 2 1 — — $15,697.35 $15,697.35 $15,697.35 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $15,693.30 $15,693.30 $15,693.30 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 1 — — $15,621.30 $15,621.30 $15,621.30 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $15,545.70 $15,545.70 $15,545.70 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 2 1 — — $15,473.70 $15,473.70 $15,473.70 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $15,427.80 $15,427.80 $15,427.80 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 1 — — $15,352.20 $15,352.20 $15,352.20 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 1 — — $15,331.95 $15,331.95 $15,331.95 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — — $15,032.70 $15,032.70 $15,032.70 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 1 — — $14,864.85 $14,864.85 $14,864.85 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 2 1 — — $14,814.45 $14,814.45 $14,814.45 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 1 — — $14,812.65 $14,812.65 $14,812.65 2026-04-01
5500812297 OTHER Mesh,matrix Thick 20x30cm 3 3 $37,900.00 — $14,781.00 $36,763.00 $14,781.00 2026-06-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 1 — — $14,637.60 $14,637.60 $14,637.60 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 1 — — $14,573.25 $14,573.25 $14,573.25 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $14,557.05 $14,557.05 $14,557.05 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $14,536.80 $14,536.80 $14,536.80 2026-04-01
652 MS_DRG Kidney Transplant 2 1 — — $14,532.75 $14,532.75 $14,532.75 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — — $14,521.95 $14,521.95 $14,521.95 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 2 1 — — $14,493.60 $14,493.60 $14,493.60 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 1 — — $14,446.80 $14,446.80 $14,446.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 2 1 — — $14,367.60 $14,367.60 $14,367.60 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 1 — — $14,341.05 $14,341.05 $14,341.05 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — — $14,327.10 $14,327.10 $14,327.10 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 1 — — $14,298.30 $14,298.30 $14,298.30 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 1 — — $14,241.60 $14,241.60 $14,241.60 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 1 — — $14,220.00 $14,220.00 $14,220.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 1 — — $14,179.50 $14,179.50 $14,179.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 1 — — $14,172.75 $14,172.75 $14,172.75 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 2 1 — — $14,139.45 $14,139.45 $14,139.45 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 12 7 — — $5,555.00 $26,212.87 $14,127.74 2026-04-01
665 MS_DRG Prostatectomy With Mcc 2 1 — — $14,045.40 $14,045.40 $14,045.40 2026-04-01
5500300010 OTHER Cardioverter-defibrillator 3 3 $35,999.90 — $14,039.96 $34,919.90 $14,039.96 2026-06-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $12,372.12 $14,016.15 $14,016.15 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 1 — — $13,991.40 $13,991.40 $13,991.40 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $4,945.80 $22,843.31 $13,894.56 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 2 1 — — $13,776.75 $13,776.75 $13,776.75 2026-04-01
263 MS_DRG Vein Ligation And Stripping 2 1 — — $13,758.30 $13,758.30 $13,758.30 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 1 — — $13,649.40 $13,649.40 $13,649.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 1 — — $13,592.25 $13,592.25 $13,592.25 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 1 — — $13,590.45 $13,590.45 $13,590.45 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 1 — — $13,575.60 $13,575.60 $13,575.60 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — — $13,393.80 $13,393.80 $13,393.80 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 2 1 — — $13,257.45 $13,257.45 $13,257.45 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 2 1 — — $13,248.45 $13,248.45 $13,248.45 2026-04-01
570 MS_DRG Skin Debridement With Mcc 2 1 — — $13,234.95 $13,234.95 $13,234.95 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 2 1 — — $13,140.00 $13,140.00 $13,140.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 1 — — $13,105.35 $13,105.35 $13,105.35 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 — — $13,059.00 $13,059.00 $13,059.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 1 — — $13,050.90 $13,050.90 $13,050.90 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 2 1 — — $12,993.30 $12,993.30 $12,993.30 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 — — $12,987.00 $12,987.00 $12,987.00 2026-04-01
3850006510 OTHER Bil Iliac Stent Placement 3 3 $33,251.85 — $12,968.22 $32,254.29 $12,968.22 2026-06-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 2 1 — — $12,968.10 $12,968.10 $12,968.10 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 2 — — $12,915.90 $51,754.29 $12,915.90 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 1 — — $12,827.25 $12,827.25 $12,827.25 2026-04-01
800 MS_DRG Splenic Procedures With Cc 2 1 — — $12,642.30 $12,642.30 $12,642.30 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 2 1 — — $12,596.85 $12,596.85 $12,596.85 2026-04-01
503 MS_DRG Foot Procedures With Mcc 2 1 — — $12,559.95 $12,559.95 $12,559.95 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 2 — — $3,319.68 $12,473.55 $12,473.55 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 2 2 — — $6,362.73 $18,502.55 $12,432.64 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $12,406.95 $12,406.95 $12,406.95 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 — — $12,369.15 $12,369.15 $12,369.15 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 3 1 — — $11,804.85 $12,366.00 $12,366.00 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 — — $12,302.10 $12,302.10 $12,302.10 2026-04-01
5500833795 OTHER Dermaspan .9mm-1.99mm 16x20cm 3 3 $31,395.60 — $12,244.28 $30,453.73 $12,244.28 2026-06-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 1 — — $12,243.60 $12,243.60 $12,243.60 2026-04-01
849 MS_DRG Radiotherapy 2 1 — — $12,192.75 $12,192.75 $12,192.75 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 1 — — $12,177.90 $12,177.90 $12,177.90 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 1 — — $12,138.30 $12,138.30 $12,138.30 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 1 — — $11,970.00 $11,970.00 $11,970.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 1 — — $11,928.15 $11,928.15 $11,928.15 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 1 — — $11,868.30 $11,868.30 $11,868.30 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 2 1 — — $11,680.20 $11,680.20 $11,680.20 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 1 — — $11,666.25 $11,666.25 $11,666.25 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 1 — — $11,622.60 $11,622.60 $11,622.60 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 2 1 — — $11,606.40 $11,606.40 $11,606.40 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 1 — — $11,606.40 $11,606.40 $11,606.40 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $892.13 $20,684.25 $11,595.94 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 2 1 — — $11,554.20 $11,554.20 $11,554.20 2026-04-01
5191 OTHER Level 1 Endovascular Procedures 14 7 — — $6,691.96 $23,706.21 $11,513.70 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 2 1 — — $11,488.50 $11,488.50 $11,488.50 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 2 — — $11,434.05 $28,737.98 $11,434.05 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 2 — — $11,412.45 $23,336.13 $11,412.45 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 2 1 — — $11,358.00 $11,358.00 $11,358.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 2 1 — — $11,353.05 $11,353.05 $11,353.05 2026-04-01
5500856003 OTHER Sns Pulse Generator-implanted 3 3 $28,784.50 — $11,225.95 $27,920.97 $11,225.95 2026-06-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 1 — — $11,213.55 $11,213.55 $11,213.55 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 2 1 — — $11,167.65 $11,167.65 $11,167.65 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 1 — — $11,066.40 $11,066.40 $11,066.40 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $11,063.25 $11,063.25 $11,063.25 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 3 2 — — $6,843.70 $11,047.95 $11,047.95 2026-04-01
792 MS_DRG Prematurity Without Major Problems 3 2 — — $2,671.95 $11,021.40 $11,021.40 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — — $10,998.90 $10,998.90 $10,998.90 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 2 1 — — $10,985.85 $10,985.85 $10,985.85 2026-04-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 3 3 — — $10,761.30 $12,580.24 $10,951.22 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 2 1 — — $10,899.90 $10,899.90 $10,899.90 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 1 — — $10,864.35 $10,864.35 $10,864.35 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 2 1 — — $10,823.85 $10,823.85 $10,823.85 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 2 1 — — $10,777.05 $10,777.05 $10,777.05 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 1 — — $10,757.25 $10,757.25 $10,757.25 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 1 — — $10,738.80 $10,738.80 $10,738.80 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $10,634.96 $10,634.96 $10,634.96 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 2 1 — — $10,579.95 $10,579.95 $10,579.95 2026-04-01
333 MS_DRG Rectal Resection With Cc 2 1 — — $10,539.90 $10,539.90 $10,539.90 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 1 — — $10,523.70 $10,523.70 $10,523.70 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — — $10,516.05 $10,516.05 $10,516.05 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 2 1 — — $10,471.95 $10,471.95 $10,471.95 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 1 — — $10,464.75 $10,464.75 $10,464.75 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 1 — — $10,453.95 $10,453.95 $10,453.95 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $10,400.40 $10,400.40 $10,400.40 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 2 1 — — $10,330.20 $10,330.20 $10,330.20 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 1 — — $10,327.05 $10,327.05 $10,327.05 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 1 — — $10,285.20 $10,285.20 $10,285.20 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 1 — — $10,267.20 $10,267.20 $10,267.20 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 2 1 — — $10,240.65 $10,240.65 $10,240.65 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 1 — — $10,223.55 $10,223.55 $10,223.55 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 1 — — $10,195.20 $10,195.20 $10,195.20 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 1 — — $10,073.70 $10,073.70 $10,073.70 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 2 1 — — $10,067.85 $10,067.85 $10,067.85 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 3 2 — — $3,197.50 $9,988.20 $9,988.20 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 2 1 — — $9,957.60 $9,957.60 $9,957.60 2026-04-01
5500833794 OTHER Dermaspan .9mm-1.99mm 12x12cm 3 3 $25,509.90 — $9,948.86 $24,744.60 $9,948.86 2026-06-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 1 — — $9,947.70 $9,947.70 $9,947.70 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $9,935.55 $20,197.44 $9,935.55 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 1 — — $9,894.15 $9,894.15 $9,894.15 2026-04-01
5500833642 OTHER Integra Bilayer Matrix 20x25cm 3 3 $25,369.40 — $9,894.07 $24,608.32 $9,894.07 2026-06-15
30 MS_DRG Spinal Procedures Without Cc/Mcc 2 1 — — $9,878.40 $9,878.40 $9,878.40 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 2 1 — — $9,863.10 $9,863.10 $9,863.10 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 1 — — $9,845.55 $9,845.55 $9,845.55 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 1 — — $9,821.25 $11,353.46 $9,821.25 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 2 1 — — $9,814.95 $9,814.95 $9,814.95 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 1 — — $4,127.40 $9,804.60 $9,804.60 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 3 2 — — $6,350.06 $13,916.28 $9,797.92 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $9,797.85 $9,797.85 $9,797.85 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 2 1 — — $9,765.00 $9,765.00 $9,765.00 2026-04-01
3850005290 OTHER Fem/pop Stent W/ather/w/wo Pta 3 3 $24,991.95 — $9,746.86 $24,242.19 $9,746.86 2026-06-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 1 — — $9,636.75 $9,636.75 $9,636.75 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 2 1 — — $9,633.15 $9,633.15 $9,633.15 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 2 1 — — $9,624.15 $9,624.15 $9,624.15 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 2 1 — — $9,589.50 $9,589.50 $9,589.50 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 2 1 — — $9,589.05 $9,589.05 $9,589.05 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 2 1 — — $9,585.00 $9,585.00 $9,585.00 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 — — $9,570.15 $9,570.15 $9,570.15 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 17 11 — — $1,506.32 $14,383.01 $9,555.09 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 2 1 — — $9,543.15 $9,543.15 $9,543.15 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 3 — — $1,615.90 $12,782.79 $9,529.65 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 1 — — $9,528.30 $9,528.30 $9,528.30 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 2 1 — — $9,524.70 $9,524.70 $9,524.70 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 — — $9,489.15 $9,489.15 $9,489.15 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 1 — — $9,461.25 $9,461.25 $9,461.25 2026-04-01
5500812290 OTHER Marlex Mesh 3 3 $24,193.60 — $9,435.50 $23,467.79 $9,435.50 2026-06-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 1 — — $9,419.40 $9,419.40 $9,419.40 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 1 — — $9,409.95 $9,544.05 $9,409.95 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 1 — — $9,393.30 $9,393.30 $9,393.30 2026-04-01
835 MS_DRG Acute Leukemia With Cc 2 1 — — $9,386.10 $9,386.10 $9,386.10 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 1 — — $9,383.40 $9,383.40 $9,383.40 2026-04-01
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