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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

Rehabilitation Hospital Of Rhode Island

North Smithfield, RI · CCN 413025 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $194,817 across 1 payer

Source: https://www.rehabhospitalri.com/docs/irfrehabilitationhospitalofrhodeislandlibraries/mar2026/844845184_rehabilitation-hospital-of-rhode-island_standardcharges.csv.zip · observed 2026-03-16

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

10,548 distinct procedures filed
51 distinct payers
336,405 rate rows
2026-03-16 last MRF observed
Data quality

101,834 of 336,405 rate rows are consumer-grade (30.3%)

234,571 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 234,478
placeholder amount (≤ $0.02) — excluded from medians 93
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.rehabhospitalri.com/docs/irfrehabilitationhospitalofrhodeislandlibraries/mar2026/844845184_rehabilitation-hospital-of-rhode-island_standardcharges.csv.zip
Found on page https://www.rehabhospitalri.com/patients-and-caregivers/financial-assistance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-01
Content fingerprint c9069e0cebc3db48… · 1,554,619 bytes · first seen 2026-05-17

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 $4,361,419.18 $4,361,419.18 $4,361,419.18 nat. median
$370,165
outlier · 11.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $2,830,385.60 $2,830,385.60 $2,830,385.60 nat. median
$261,939
outlier · 10.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $2,156,378.94 $2,156,378.94 $2,156,378.94 nat. median
$205,166
outlier · 10.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $2,143,723.76 $2,143,723.76 $2,143,723.76 nat. median
$199,832
outlier · 10.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $1,398,977.41 $1,398,977.41 $1,398,977.41 nat. median
$132,706
outlier · 10.5×
7
MS_DRG 		Lung Transplant 1 $1,307,957.12 $1,307,957.12 $1,307,957.12 nat. median
$122,690
outlier · 10.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $1,213,795.76 $1,213,795.76 $1,213,795.76 nat. median
$114,305
outlier · 10.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $1,144,500.35 $1,144,500.35 $1,144,500.35 nat. median
$108,240
outlier · 10.6×
209
MS_DRG 		Complex Aortic Arch Procedures 1 $1,143,187.37 $1,143,187.37 $1,143,187.37 nat. median
$96,134
outlier · 11.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $1,113,130.07 $1,113,130.07 $1,113,130.07 nat. median
$96,835
outlier · 11.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $1,098,273.12 $1,098,273.12 $1,098,273.12 nat. median
$100,978
outlier · 10.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $1,041,350.09 $1,041,350.09 $1,041,350.09 nat. median
$99,646
outlier · 10.5×
215
MS_DRG 		Other Heart Assist System Implant 1 $1,005,646.94 $1,005,646.94 $1,005,646.94 nat. median
$98,002
outlier · 10.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $988,052.92 $988,052.92 $988,052.92 nat. median
$92,900
outlier · 10.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $909,960.50 $909,960.50 $909,960.50 nat. median
$81,124
outlier · 11.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $874,600.75 $874,600.75 $874,600.75 nat. median
$81,364
outlier · 10.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $851,411.39 $851,411.39 $851,411.39 nat. median
$79,040
outlier · 10.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $848,734.91 $848,734.91 $848,734.91 nat. median
$80,459
outlier · 10.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $794,740.85 $794,740.85 $794,740.85 nat. median
$77,385
outlier · 10.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $775,500.54 $775,500.54 $775,500.54 nat. median
$74,472
outlier · 10.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $772,157.48 $772,157.48 $772,157.48 nat. median
$73,475
outlier · 10.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $769,602.20 $769,602.20 $769,602.20 nat. median
$71,485
outlier · 10.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $729,071.31 $729,071.31 $729,071.31 nat. median
$66,640
outlier · 10.9×
10
MS_DRG 		Pancreas Transplant 1 $724,738.45 $724,738.45 $724,738.45 nat. median
$67,750
outlier · 10.7×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $724,435.46 $724,435.46 $724,435.46 nat. median
$62,911
outlier · 11.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $720,587.39 $720,587.39 $720,587.39 nat. median
$69,153
outlier · 10.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $720,163.20 $720,163.20 $720,163.20 nat. median
$68,581
outlier · 10.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $698,084.82 $698,084.82 $698,084.82 nat. median
$65,958
outlier · 10.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $694,660.95 $694,660.95 $694,660.95 nat. median
$65,792
outlier · 10.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $679,834.30 $679,834.30 $679,834.30 nat. median
$64,357
outlier · 10.6×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $675,329.75 $675,329.75 $675,329.75 nat. median
$59,832
outlier · 11.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $674,834.85 $674,834.85 $674,834.85 nat. median
$62,262
outlier · 10.8×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $664,098.66 $664,098.66 $664,098.66 nat. median
$60,895
outlier · 10.9×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $664,098.66 $664,098.66 $664,098.66 nat. median
$63,840
outlier · 10.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $661,684.78 $661,684.78 $661,684.78 nat. median
$59,159
outlier · 11.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $649,898.20 $649,898.20 $649,898.20 nat. median
$62,218
outlier · 10.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $618,962.21 $618,962.21 $618,962.21 nat. median
$60,162
outlier · 10.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $618,245.12 $618,245.12 $618,245.12 nat. median
$60,294
outlier · 10.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $612,316.48 $612,316.48 $612,316.48 nat. median
$59,257
outlier · 10.3×
28
MS_DRG 		Spinal Procedures With Mcc 1 $606,832.23 $606,832.23 $606,832.23 nat. median
$56,970
outlier · 10.7×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $606,660.53 $606,660.53 $606,660.53 nat. median
$58,419
outlier · 10.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $602,267.08 $602,267.08 $602,267.08 nat. median
$57,394
outlier · 10.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $600,287.50 $600,287.50 $600,287.50 nat. median
$51,433
outlier · 11.7×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $598,893.71 $598,893.71 $598,893.71 nat. median
$55,867
outlier · 10.7×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $592,722.67 $592,722.67 $592,722.67 nat. median
$57,082
outlier · 10.4×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $592,338.88 $592,338.88 $592,338.88 nat. median
$56,397
outlier · 10.5×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $582,471.28 $582,471.28 $582,471.28 nat. median
$53,268
outlier · 10.9×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $578,754.51 $578,754.51 $578,754.51 nat. median
$55,685
outlier · 10.4×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 1 $576,391.14 $576,391.14 $576,391.14 nat. median
$50,294
outlier · 11.5×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $575,643.74 $575,643.74 $575,643.74 nat. median
$51,984
outlier · 11.1×

Other procedures at this hospital

Browse this hospital's 10,548 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 $4,318,236.82 $4,318,236.82 $4,361,419.18 $4,361,419.18 $4,361,419.18 2026-03-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 $2,802,361.98 $2,802,361.98 $2,830,385.60 $2,830,385.60 $2,830,385.60 2026-03-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 $2,135,028.65 $2,135,028.65 $2,156,378.94 $2,156,378.94 $2,156,378.94 2026-03-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 $2,122,498.77 $2,122,498.77 $2,143,723.76 $2,143,723.76 $2,143,723.76 2026-03-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 $1,385,126.15 $1,385,126.15 $1,398,977.41 $1,398,977.41 $1,398,977.41 2026-03-16
7 MS_DRG Lung Transplant 1 1 $1,295,007.05 $1,295,007.05 $1,307,957.12 $1,307,957.12 $1,307,957.12 2026-03-16
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 $1,201,777.98 $1,201,777.98 $1,213,795.76 $1,213,795.76 $1,213,795.76 2026-03-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 $1,133,168.67 $1,133,168.67 $1,144,500.35 $1,144,500.35 $1,144,500.35 2026-03-16
209 MS_DRG Complex Aortic Arch Procedures 1 1 $1,131,868.68 $1,131,868.68 $1,143,187.37 $1,143,187.37 $1,143,187.37 2026-03-16
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 $1,102,108.98 $1,102,108.98 $1,113,130.07 $1,113,130.07 $1,113,130.07 2026-03-16
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 $1,087,399.13 $1,087,399.13 $1,098,273.12 $1,098,273.12 $1,098,273.12 2026-03-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 $1,031,039.69 $1,031,039.69 $1,041,350.09 $1,041,350.09 $1,041,350.09 2026-03-16
215 MS_DRG Other Heart Assist System Implant 1 1 $995,690.04 $995,690.04 $1,005,646.94 $1,005,646.94 $1,005,646.94 2026-03-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 $978,270.22 $978,270.22 $988,052.92 $988,052.92 $988,052.92 2026-03-16
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 $900,950.99 $900,950.99 $909,960.50 $909,960.50 $909,960.50 2026-03-16
850 MS_DRG Acute Leukemia With Other Procedures 1 1 $865,941.34 $865,941.34 $874,600.75 $874,600.75 $874,600.75 2026-03-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 $842,981.57 $842,981.57 $851,411.39 $851,411.39 $851,411.39 2026-03-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $840,331.60 $840,331.60 $848,734.91 $848,734.91 $848,734.91 2026-03-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 $786,872.13 $786,872.13 $794,740.85 $794,740.85 $794,740.85 2026-03-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 $767,822.32 $767,822.32 $775,500.54 $775,500.54 $775,500.54 2026-03-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 $764,512.35 $764,512.35 $772,157.48 $772,157.48 $772,157.48 2026-03-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 $761,982.38 $761,982.38 $769,602.20 $769,602.20 $769,602.20 2026-03-16
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 $721,852.78 $721,852.78 $729,071.31 $729,071.31 $729,071.31 2026-03-16
10 MS_DRG Pancreas Transplant 1 1 $717,562.82 $717,562.82 $724,738.45 $724,738.45 $724,738.45 2026-03-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 $717,262.83 $717,262.83 $724,435.46 $724,435.46 $724,435.46 2026-03-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 $713,452.87 $713,452.87 $720,587.39 $720,587.39 $720,587.39 2026-03-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 $713,032.87 $713,032.87 $720,163.20 $720,163.20 $720,163.20 2026-03-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 $691,173.09 $691,173.09 $698,084.82 $698,084.82 $698,084.82 2026-03-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 $687,783.12 $687,783.12 $694,660.95 $694,660.95 $694,660.95 2026-03-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 $673,103.27 $673,103.27 $679,834.30 $679,834.30 $679,834.30 2026-03-16
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 $668,643.31 $668,643.31 $675,329.75 $675,329.75 $675,329.75 2026-03-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 $668,153.32 $668,153.32 $674,834.85 $674,834.85 $674,834.85 2026-03-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 $657,523.42 $657,523.42 $664,098.66 $664,098.66 $664,098.66 2026-03-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 $657,523.42 $657,523.42 $664,098.66 $664,098.66 $664,098.66 2026-03-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 $655,133.45 $655,133.45 $661,684.78 $661,684.78 $661,684.78 2026-03-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 $643,463.57 $643,463.57 $649,898.20 $649,898.20 $649,898.20 2026-03-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 $612,833.87 $612,833.87 $618,962.21 $618,962.21 $618,962.21 2026-03-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 $612,123.88 $612,123.88 $618,245.12 $618,245.12 $618,245.12 2026-03-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 $606,253.94 $606,253.94 $612,316.48 $612,316.48 $612,316.48 2026-03-16
28 MS_DRG Spinal Procedures With Mcc 1 1 $600,823.99 $600,823.99 $606,832.23 $606,832.23 $606,832.23 2026-03-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 $600,653.99 $600,653.99 $606,660.53 $606,660.53 $606,660.53 2026-03-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $596,304.04 $596,304.04 $602,267.08 $602,267.08 $602,267.08 2026-03-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 $594,344.06 $594,344.06 $600,287.50 $600,287.50 $600,287.50 2026-03-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 $592,964.07 $592,964.07 $598,893.71 $598,893.71 $598,893.71 2026-03-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 $586,854.13 $586,854.13 $592,722.67 $592,722.67 $592,722.67 2026-03-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 $586,474.14 $586,474.14 $592,338.88 $592,338.88 $592,338.88 2026-03-16
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 $576,704.23 $576,704.23 $582,471.28 $582,471.28 $582,471.28 2026-03-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 $573,024.27 $573,024.27 $578,754.51 $578,754.51 $578,754.51 2026-03-16
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 $570,684.29 $570,684.29 $576,391.14 $576,391.14 $576,391.14 2026-03-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $569,944.30 $569,944.30 $575,643.74 $575,643.74 $575,643.74 2026-03-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 $562,194.38 $562,194.38 $567,816.32 $567,816.32 $567,816.32 2026-03-16
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 $560,454.40 $560,454.40 $566,058.94 $566,058.94 $566,058.94 2026-03-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 $556,614.43 $556,614.43 $562,180.58 $562,180.58 $562,180.58 2026-03-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 $552,294.48 $552,294.48 $557,817.42 $557,817.42 $557,817.42 2026-03-16
834 MS_DRG Acute Leukemia With Mcc 1 1 $548,984.51 $548,984.51 $554,474.36 $554,474.36 $554,474.36 2026-03-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 $547,044.53 $547,044.53 $552,514.97 $552,514.97 $552,514.97 2026-03-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 $546,264.54 $546,264.54 $551,727.18 $551,727.18 $551,727.18 2026-03-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 $545,404.55 $545,404.55 $550,858.59 $550,858.59 $550,858.59 2026-03-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 $543,224.57 $543,224.57 $548,656.81 $548,656.81 $548,656.81 2026-03-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 $533,274.67 $533,274.67 $538,607.41 $538,607.41 $538,607.41 2026-03-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 $532,954.67 $532,954.67 $538,284.22 $538,284.22 $538,284.22 2026-03-16
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 $529,374.71 $529,374.71 $534,668.45 $534,668.45 $534,668.45 2026-03-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 $527,624.72 $527,624.72 $532,900.97 $532,900.97 $532,900.97 2026-03-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 $520,534.79 $520,534.79 $525,740.14 $525,740.14 $525,740.14 2026-03-16
653 MS_DRG Major Bladder Procedures With Mcc 1 1 $519,634.80 $519,634.80 $524,831.15 $524,831.15 $524,831.15 2026-03-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 $504,014.96 $504,014.96 $509,055.11 $509,055.11 $509,055.11 2026-03-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 $498,735.01 $498,735.01 $503,722.36 $503,722.36 $503,722.36 2026-03-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 $494,735.05 $494,735.05 $499,682.40 $499,682.40 $499,682.40 2026-03-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 $493,855.06 $493,855.06 $498,793.61 $498,793.61 $498,793.61 2026-03-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 $492,165.08 $492,165.08 $497,086.73 $497,086.73 $497,086.73 2026-03-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 $490,115.10 $490,115.10 $495,016.25 $495,016.25 $495,016.25 2026-03-16
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 $482,865.17 $482,865.17 $487,693.82 $487,693.82 $487,693.82 2026-03-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 $480,425.20 $480,425.20 $485,229.45 $485,229.45 $485,229.45 2026-03-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 $476,075.24 $476,075.24 $480,835.99 $480,835.99 $480,835.99 2026-03-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 $470,135.30 $470,135.30 $474,836.65 $474,836.65 $474,836.65 2026-03-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $469,175.31 $469,175.31 $473,867.06 $473,867.06 $473,867.06 2026-03-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 $467,775.32 $467,775.32 $472,453.08 $472,453.08 $472,453.08 2026-03-16
6 MS_DRG Liver Transplant Without Mcc 1 1 $463,695.36 $463,695.36 $468,332.32 $468,332.32 $468,332.32 2026-03-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 $461,845.38 $461,845.38 $466,463.84 $466,463.84 $466,463.84 2026-03-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 $459,645.40 $459,645.40 $464,241.86 $464,241.86 $464,241.86 2026-03-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 $458,475.42 $458,475.42 $463,060.17 $463,060.17 $463,060.17 2026-03-16
245 MS_DRG Aicd Generator Procedures 1 1 $456,235.44 $456,235.44 $460,797.79 $460,797.79 $460,797.79 2026-03-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 $454,865.45 $454,865.45 $459,414.11 $459,414.11 $459,414.11 2026-03-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 $454,665.45 $454,665.45 $459,212.11 $459,212.11 $459,212.11 2026-03-16
799 MS_DRG Splenic Procedures With Mcc 1 1 $452,885.47 $452,885.47 $457,414.33 $457,414.33 $457,414.33 2026-03-16
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 15 $453,279.95 $453,279.95 $73,318.75 $462,345.55 $453,279.95 2026-03-16
163 MS_DRG Major Chest Procedures With Mcc 1 1 $448,175.52 $448,175.52 $452,657.27 $452,657.27 $452,657.27 2026-03-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 $448,045.52 $448,045.52 $452,525.97 $452,525.97 $452,525.97 2026-03-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 $446,285.54 $446,285.54 $450,748.39 $450,748.39 $450,748.39 2026-03-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 $439,275.61 $439,275.61 $443,668.36 $443,668.36 $443,668.36 2026-03-16
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 $432,735.67 $432,735.67 $437,063.03 $437,063.03 $437,063.03 2026-03-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 $429,285.71 $429,285.71 $433,578.56 $433,578.56 $433,578.56 2026-03-16
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 $426,525.73 $426,525.73 $430,790.99 $430,790.99 $430,790.99 2026-03-16
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 $424,075.76 $424,075.76 $428,316.52 $428,316.52 $428,316.52 2026-03-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 $422,315.78 $422,315.78 $426,538.93 $426,538.93 $426,538.93 2026-03-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 $421,595.78 $421,595.78 $425,811.74 $425,811.74 $425,811.74 2026-03-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 $421,385.79 $421,385.79 $425,599.64 $425,599.64 $425,599.64 2026-03-16
B1904 HCPCS Guillain-barré M <38.50 15 15 $424,359.96 $424,359.96 $64,512.39 $432,847.16 $424,359.96 2026-03-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 $420,155.80 $420,155.80 $424,357.36 $424,357.36 $424,357.36 2026-03-16
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 $419,655.80 $419,655.80 $423,852.36 $423,852.36 $423,852.36 2026-03-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 $418,875.81 $418,875.81 $423,064.57 $423,064.57 $423,064.57 2026-03-16
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $417,255.83 $417,255.83 $421,428.39 $421,428.39 $421,428.39 2026-03-16
793 MS_DRG Full Term Neonate With Major Problems 1 1 $416,955.83 $416,955.83 $421,125.39 $421,125.39 $421,125.39 2026-03-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 $415,295.85 $415,295.85 $419,448.81 $419,448.81 $419,448.81 2026-03-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 $412,545.87 $412,545.87 $416,671.33 $416,671.33 $416,671.33 2026-03-16
791 MS_DRG Prematurity With Major Problems 1 1 $405,895.94 $405,895.94 $409,954.90 $409,954.90 $409,954.90 2026-03-16
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 $402,045.98 $402,045.98 $406,066.44 $406,066.44 $406,066.44 2026-03-16
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 $398,406.02 $398,406.02 $402,390.08 $402,390.08 $402,390.08 2026-03-16
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 $391,186.09 $391,186.09 $395,097.95 $395,097.95 $395,097.95 2026-03-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 $389,416.11 $389,416.11 $393,310.27 $393,310.27 $393,310.27 2026-03-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 $387,066.13 $387,066.13 $390,936.79 $390,936.79 $390,936.79 2026-03-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 $386,486.14 $386,486.14 $390,351.00 $390,351.00 $390,351.00 2026-03-16
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 $386,116.14 $386,116.14 $389,977.30 $389,977.30 $389,977.30 2026-03-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 $383,926.16 $383,926.16 $387,765.42 $387,765.42 $387,765.42 2026-03-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 $376,296.24 $376,296.24 $380,059.20 $380,059.20 $380,059.20 2026-03-16
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 $374,656.25 $374,656.25 $378,402.82 $378,402.82 $378,402.82 2026-03-16
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 $373,766.26 $373,766.26 $377,503.92 $377,503.92 $377,503.92 2026-03-16
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 $373,726.26 $373,726.26 $377,463.53 $377,463.53 $377,463.53 2026-03-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 $372,676.27 $372,676.27 $376,403.04 $376,403.04 $376,403.04 2026-03-16
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 $370,576.29 $370,576.29 $374,282.06 $374,282.06 $374,282.06 2026-03-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 $367,306.33 $367,306.33 $370,979.39 $370,979.39 $370,979.39 2026-03-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 $367,156.33 $367,156.33 $370,827.89 $370,827.89 $370,827.89 2026-03-16
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 15 $370,499.96 $370,499.96 $65,978.06 $377,909.96 $370,499.96 2026-03-16
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 $362,846.37 $362,846.37 $366,474.84 $366,474.84 $366,474.84 2026-03-16
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 $362,566.37 $362,566.37 $366,192.04 $366,192.04 $366,192.04 2026-03-16
332 MS_DRG Rectal Resection With Mcc 1 1 $362,066.38 $362,066.38 $365,687.04 $365,687.04 $365,687.04 2026-03-16
265 MS_DRG Aicd Lead Procedures 1 1 $361,816.38 $361,816.38 $365,434.55 $365,434.55 $365,434.55 2026-03-16
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 $361,176.39 $361,176.39 $364,788.15 $364,788.15 $364,788.15 2026-03-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 $360,636.39 $360,636.39 $364,242.76 $364,242.76 $364,242.76 2026-03-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 $358,276.42 $358,276.42 $361,859.18 $361,859.18 $361,859.18 2026-03-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 $357,446.43 $357,446.43 $361,020.89 $361,020.89 $361,020.89 2026-03-16
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 15 $360,749.96 $360,749.96 $63,829.82 $367,964.96 $360,749.96 2026-03-16
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 $357,086.43 $357,086.43 $360,657.29 $360,657.29 $360,657.29 2026-03-16
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 $356,556.43 $356,556.43 $360,122.00 $360,122.00 $360,122.00 2026-03-16
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 $356,256.44 $356,256.44 $359,819.00 $359,819.00 $359,819.00 2026-03-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 $355,916.44 $355,916.44 $359,475.61 $359,475.61 $359,475.61 2026-03-16
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 15 $359,189.96 $359,189.96 $60,171.82 $366,373.76 $359,189.96 2026-03-16
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 $355,626.44 $355,626.44 $359,182.71 $359,182.71 $359,182.71 2026-03-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 $352,656.47 $352,656.47 $356,183.04 $356,183.04 $356,183.04 2026-03-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 $351,936.48 $351,936.48 $355,455.85 $355,455.85 $355,455.85 2026-03-16
252 MS_DRG Other Vascular Procedures With Mcc 1 1 $348,826.51 $348,826.51 $352,314.78 $352,314.78 $352,314.78 2026-03-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $348,736.51 $348,736.51 $352,223.88 $352,223.88 $352,223.88 2026-03-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 $347,136.53 $347,136.53 $350,607.89 $350,607.89 $350,607.89 2026-03-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 $345,456.55 $345,456.55 $348,911.11 $348,911.11 $348,911.11 2026-03-16
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 $343,856.56 $343,856.56 $347,295.13 $347,295.13 $347,295.13 2026-03-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $342,836.57 $342,836.57 $346,264.94 $346,264.94 $346,264.94 2026-03-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 $341,156.59 $341,156.59 $344,568.15 $344,568.15 $344,568.15 2026-03-16
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 $340,706.59 $340,706.59 $344,113.66 $344,113.66 $344,113.66 2026-03-16
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 $334,056.66 $334,056.66 $337,397.23 $337,397.23 $337,397.23 2026-03-16
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 $330,326.70 $330,326.70 $333,629.96 $333,629.96 $333,629.96 2026-03-16
37 MS_DRG Extracranial Procedures With Mcc 1 1 $329,206.71 $329,206.71 $332,498.78 $332,498.78 $332,498.78 2026-03-16
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 $329,166.71 $329,166.71 $332,458.38 $332,458.38 $332,458.38 2026-03-16
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 15 $330,999.97 $330,999.97 $54,016.36 $337,619.97 $330,999.97 2026-03-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 $325,276.75 $325,276.75 $328,529.51 $328,529.51 $328,529.51 2026-03-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 $323,846.76 $323,846.76 $327,085.23 $327,085.23 $327,085.23 2026-03-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 $323,486.77 $323,486.77 $326,721.63 $326,721.63 $326,721.63 2026-03-16
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 15 $326,439.97 $326,439.97 $57,991.83 $332,968.77 $326,439.97 2026-03-16
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 $323,036.77 $323,036.77 $326,267.14 $326,267.14 $326,267.14 2026-03-16
652 MS_DRG Kidney Transplant 1 1 $322,946.77 $322,946.77 $326,176.24 $326,176.24 $326,176.24 2026-03-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 $322,706.77 $322,706.77 $325,933.84 $325,933.84 $325,933.84 2026-03-16
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 $322,076.78 $322,076.78 $325,297.55 $325,297.55 $325,297.55 2026-03-16
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 $321,036.79 $321,036.79 $324,247.16 $324,247.16 $324,247.16 2026-03-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 $319,276.81 $319,276.81 $322,469.58 $322,469.58 $322,469.58 2026-03-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 $318,686.81 $318,686.81 $321,873.68 $321,873.68 $321,873.68 2026-03-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 $318,376.82 $318,376.82 $321,560.58 $321,560.58 $321,560.58 2026-03-16
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 $317,736.82 $317,736.82 $320,914.19 $320,914.19 $320,914.19 2026-03-16
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 $316,476.84 $316,476.84 $319,641.60 $319,641.60 $319,641.60 2026-03-16
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 $315,996.84 $315,996.84 $319,156.81 $319,156.81 $319,156.81 2026-03-16
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 $315,096.85 $315,096.85 $318,247.82 $318,247.82 $318,247.82 2026-03-16
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 $314,946.85 $314,946.85 $318,096.32 $318,096.32 $318,096.32 2026-03-16
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 15 $317,649.97 $317,649.97 $52,189.12 $324,002.97 $317,649.97 2026-03-16
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 $314,206.86 $314,206.86 $317,348.93 $317,348.93 $317,348.93 2026-03-16
665 MS_DRG Prostatectomy With Mcc 1 1 $312,116.88 $312,116.88 $315,238.05 $315,238.05 $315,238.05 2026-03-16
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $311,466.89 $311,466.89 $314,581.55 $314,581.55 $314,581.55 2026-03-16
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 $310,916.89 $310,916.89 $314,026.06 $314,026.06 $314,026.06 2026-03-16
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 15 $312,419.97 $312,419.97 $53,362.01 $318,668.37 $312,419.97 2026-03-16
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 $306,146.94 $306,146.94 $309,208.41 $309,208.41 $309,208.41 2026-03-16
263 MS_DRG Vein Ligation And Stripping 1 1 $305,736.94 $305,736.94 $308,794.31 $308,794.31 $308,794.31 2026-03-16
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 $303,316.97 $303,316.97 $306,350.14 $306,350.14 $306,350.14 2026-03-16
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 $302,046.98 $302,046.98 $305,067.45 $305,067.45 $305,067.45 2026-03-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 $302,006.98 $302,006.98 $305,027.05 $305,027.05 $305,027.05 2026-03-16
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 $301,676.98 $301,676.98 $304,693.75 $304,693.75 $304,693.75 2026-03-16
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 $297,637.02 $297,637.02 $300,613.39 $300,613.39 $300,613.39 2026-03-16
C1904 HCPCS Guillain-barré M <38.50 15 15 $299,909.97 $299,909.97 $49,716.36 $305,908.17 $299,909.97 2026-03-16
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 $294,607.05 $294,607.05 $297,553.12 $297,553.12 $297,553.12 2026-03-16
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 $294,407.06 $294,407.06 $297,351.13 $297,351.13 $297,351.13 2026-03-16
570 MS_DRG Skin Debridement With Mcc 1 1 $294,107.06 $294,107.06 $297,048.13 $297,048.13 $297,048.13 2026-03-16
668 MS_DRG Transurethral Procedures With Mcc 1 1 $291,997.08 $291,997.08 $294,917.05 $294,917.05 $294,917.05 2026-03-16
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 $291,227.09 $291,227.09 $294,139.36 $294,139.36 $294,139.36 2026-03-16
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 15 $293,849.97 $293,849.97 $48,541.71 $299,726.97 $293,849.97 2026-03-16
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 $290,197.10 $290,197.10 $293,099.07 $293,099.07 $293,099.07 2026-03-16
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 $290,017.10 $290,017.10 $292,917.27 $292,917.27 $292,917.27 2026-03-16
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 $288,737.11 $288,737.11 $291,624.48 $291,624.48 $291,624.48 2026-03-16
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 $288,597.11 $288,597.11 $291,483.09 $291,483.09 $291,483.09 2026-03-16
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 $288,177.12 $288,177.12 $291,058.89 $291,058.89 $291,058.89 2026-03-16
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 $287,017.13 $287,017.13 $289,887.30 $289,887.30 $289,887.30 2026-03-16
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 $285,047.15 $285,047.15 $287,897.62 $287,897.62 $287,897.62 2026-03-16
800 MS_DRG Splenic Procedures With Cc 1 1 $280,937.19 $280,937.19 $283,746.56 $283,746.56 $283,746.56 2026-03-16
B0106 HCPCS Stroke M <41.50 And A <84.50 15 15 $283,249.97 $283,249.97 $51,083.26 $288,914.97 $283,249.97 2026-03-16
654 MS_DRG Major Bladder Procedures With Cc 1 1 $279,927.20 $279,927.20 $282,726.47 $282,726.47 $282,726.47 2026-03-16
503 MS_DRG Foot Procedures With Mcc 1 1 $279,107.21 $279,107.21 $281,898.28 $281,898.28 $281,898.28 2026-03-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 $277,187.23 $277,187.23 $279,959.10 $279,959.10 $279,959.10 2026-03-16
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 $275,707.24 $275,707.24 $278,464.32 $278,464.32 $278,464.32 2026-03-16
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 $274,867.25 $274,867.25 $277,615.92 $277,615.92 $277,615.92 2026-03-16
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 $274,797.25 $274,797.25 $277,545.22 $277,545.22 $277,545.22 2026-03-16
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 $273,377.27 $273,377.27 $276,111.04 $276,111.04 $276,111.04 2026-03-16
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 15 $275,969.97 $275,969.97 $44,125.30 $281,489.37 $275,969.97 2026-03-16
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 $272,077.28 $272,077.28 $274,798.05 $274,798.05 $274,798.05 2026-03-16
849 MS_DRG Radiotherapy 1 1 $270,947.29 $270,947.29 $273,656.76 $273,656.76 $273,656.76 2026-03-16
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 $270,617.29 $270,617.29 $273,323.47 $273,323.47 $273,323.47 2026-03-16
B0205 HCPCS Traumatic Brain Injury M <35.50 15 15 $272,479.97 $272,479.97 $46,248.84 $277,929.57 $272,479.97 2026-03-16
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 $269,737.30 $269,737.30 $272,434.68 $272,434.68 $272,434.68 2026-03-16
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 15 $270,549.97 $270,549.97 $48,606.96 $275,960.97 $270,549.97 2026-03-16
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 15 $270,319.97 $270,319.97 $45,758.52 $275,726.37 $270,319.97 2026-03-16
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 $265,997.34 $265,997.34 $268,657.31 $268,657.31 $268,657.31 2026-03-16
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 $265,067.35 $265,067.35 $267,718.02 $267,718.02 $267,718.02 2026-03-16
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 $263,737.36 $263,737.36 $266,374.74 $266,374.74 $266,374.74 2026-03-16
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 15 $263,429.97 $263,429.97 $47,026.65 $268,698.57 $263,429.97 2026-03-16
253 MS_DRG Other Vascular Procedures With Cc 1 1 $259,557.40 $259,557.40 $262,152.98 $262,152.98 $262,152.98 2026-03-16
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 $259,247.41 $259,247.41 $261,839.88 $261,839.88 $261,839.88 2026-03-16
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 $258,277.42 $258,277.42 $260,860.19 $260,860.19 $260,860.19 2026-03-16
A1904 HCPCS Guillain-barré M <38.50 15 15 $260,799.97 $260,799.97 $45,375.79 $266,015.97 $260,799.97 2026-03-16
D1904 HCPCS Guillain-barré M <38.50 15 15 $260,719.97 $260,719.97 $46,358.19 $265,934.37 $260,719.97 2026-03-16
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 $257,917.42 $257,917.42 $260,496.60 $260,496.60 $260,496.60 2026-03-16
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 $257,917.42 $257,917.42 $260,496.60 $260,496.60 $260,496.60 2026-03-16
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 15 $259,639.97 $259,639.97 $46,963.16 $264,832.77 $259,639.97 2026-03-16
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 $256,757.43 $256,757.43 $259,325.01 $259,325.01 $259,325.01 2026-03-16
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 $255,297.45 $255,297.45 $257,850.42 $257,850.42 $257,850.42 2026-03-16
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 $254,087.46 $254,087.46 $256,628.33 $256,628.33 $256,628.33 2026-03-16
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 $253,607.46 $253,607.46 $256,143.54 $256,143.54 $256,143.54 2026-03-16
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 15 $255,569.97 $255,569.97 $46,030.14 $260,681.37 $255,569.97 2026-03-16
164 MS_DRG Major Chest Procedures With Cc 1 1 $252,397.48 $252,397.48 $254,921.45 $254,921.45 $254,921.45 2026-03-16
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 $252,287.48 $252,287.48 $254,810.35 $254,810.35 $254,810.35 2026-03-16
B2102 HCPCS Burns M <52.50 15 15 $254,509.97 $254,509.97 $40,723.04 $259,600.17 $254,509.97 2026-03-16
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 15 $253,719.97 $253,719.97 $42,409.17 $258,794.37 $253,719.97 2026-03-16
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 15 $252,809.97 $252,809.97 $45,433.99 $257,866.17 $252,809.97 2026-03-16
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 $249,187.51 $249,187.51 $251,679.38 $251,679.38 $251,679.38 2026-03-16
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 15 $251,609.97 $251,609.97 $42,287.48 $256,642.17 $251,609.97 2026-03-16
C0106 HCPCS Stroke M <41.50 And A <84.50 15 15 $251,529.97 $251,529.97 $44,321.07 $256,560.57 $251,529.97 2026-03-16
B0105 HCPCS Stroke M <41.50 And A >=84.50 15 15 $251,459.97 $251,459.97 $44,926.03 $256,489.17 $251,459.97 2026-03-16
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 $248,167.52 $248,167.52 $250,649.19 $250,649.19 $250,649.19 2026-03-16
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 $245,917.54 $245,917.54 $248,376.72 $248,376.72 $248,376.72 2026-03-16
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 $245,847.54 $245,847.54 $248,306.02 $248,306.02 $248,306.02 2026-03-16
783 MS_DRG Cesarean Section With Sterilization With Mcc 1 1 $245,507.54 $245,507.54 $247,962.62 $247,962.62 $247,962.62 2026-03-16
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 15 $247,919.98 $247,919.98 $42,557.33 $252,878.37 $247,919.98 2026-03-16
792 MS_DRG Prematurity Without Major Problems 1 1 $244,917.55 $244,917.55 $247,366.73 $247,366.73 $247,366.73 2026-03-16
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 $244,417.56 $244,417.56 $246,861.73 $246,861.73 $246,861.73 2026-03-16
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 $244,127.56 $244,127.56 $246,568.83 $246,568.83 $246,568.83 2026-03-16
B0604 HCPCS Neurological M <43.50 15 15 $244,979.98 $244,979.98 $43,832.51 $249,879.58 $244,979.98 2026-03-16
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 $242,217.58 $242,217.58 $244,639.75 $244,639.75 $244,639.75 2026-03-16
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 $241,427.59 $241,427.59 $243,841.86 $243,841.86 $243,841.86 2026-03-16
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 $240,527.59 $240,527.59 $242,932.87 $242,932.87 $242,932.87 2026-03-16
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 $239,717.60 $239,717.60 $242,114.78 $242,114.78 $242,114.78 2026-03-16
397 MS_DRG Appendix Procedures With Mcc 1 1 $239,487.61 $239,487.61 $241,882.48 $241,882.48 $241,882.48 2026-03-16
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 $239,047.61 $239,047.61 $241,438.09 $241,438.09 $241,438.09 2026-03-16
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 $238,637.61 $238,637.61 $241,023.99 $241,023.99 $241,023.99 2026-03-16
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 15 $240,089.98 $240,089.98 $41,389.73 $244,891.78 $240,089.98 2026-03-16
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 15 $238,379.98 $238,379.98 $42,724.88 $243,147.58 $238,379.98 2026-03-16
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 $235,107.65 $235,107.65 $237,458.73 $237,458.73 $237,458.73 2026-03-16
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 15 $236,989.98 $236,989.98 $41,936.49 $241,729.78 $236,989.98 2026-03-16
333 MS_DRG Rectal Resection With Cc 1 1 $234,217.66 $234,217.66 $236,559.83 $236,559.83 $236,559.83 2026-03-16
B1004 HCPCS Amputation Lower Extremity M <47.50 15 15 $236,339.98 $236,339.98 $40,525.50 $241,066.78 $236,339.98 2026-03-16
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 $233,857.66 $233,857.66 $236,196.24 $236,196.24 $236,196.24 2026-03-16
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 $233,687.66 $233,687.66 $236,024.54 $236,024.54 $236,024.54 2026-03-16
709 MS_DRG Penis Procedures With Cc/mcc 1 1 $232,707.67 $232,707.67 $235,034.75 $235,034.75 $235,034.75 2026-03-16
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 $232,547.67 $232,547.67 $234,873.15 $234,873.15 $234,873.15 2026-03-16
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 $232,307.68 $232,307.68 $234,630.75 $234,630.75 $234,630.75 2026-03-16
B1504 HCPCS Pulmonary M <45.50 15 15 $234,249.98 $234,249.98 $39,659.50 $238,934.98 $234,249.98 2026-03-16
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 $231,117.69 $231,117.69 $233,428.87 $233,428.87 $233,428.87 2026-03-16
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 $229,557.70 $229,557.70 $231,853.28 $231,853.28 $231,853.28 2026-03-16
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 $229,487.71 $229,487.71 $231,782.58 $231,782.58 $231,782.58 2026-03-16
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 $228,557.71 $228,557.71 $230,843.29 $230,843.29 $230,843.29 2026-03-16
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 $228,157.72 $228,157.72 $230,439.30 $230,439.30 $230,439.30 2026-03-16
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 $227,567.72 $227,567.72 $229,843.40 $229,843.40 $229,843.40 2026-03-16
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 $227,187.73 $227,187.73 $229,459.61 $229,459.61 $229,459.61 2026-03-16
B0704 HCPCS Fracture Of Lower Extremity M <41.50 15 15 $229,399.98 $229,399.98 $41,098.71 $233,987.98 $229,399.98 2026-03-16
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 15 $229,119.98 $229,119.98 $39,042.19 $233,702.38 $229,119.98 2026-03-16
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 $226,557.73 $226,557.73 $228,823.31 $228,823.31 $228,823.31 2026-03-16
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 15 $228,769.98 $228,769.98 $41,278.62 $233,345.38 $228,769.98 2026-03-16
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 15 $228,669.98 $228,669.98 $36,899.25 $233,243.38 $228,669.98 2026-03-16
D0106 HCPCS Stroke M <41.50 And A <84.50 15 15 $227,889.98 $227,889.98 $40,590.76 $232,447.78 $227,889.98 2026-03-16
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 $223,857.76 $223,857.76 $226,096.34 $226,096.34 $226,096.34 2026-03-16
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 1 1 $223,727.76 $223,727.76 $225,965.04 $225,965.04 $225,965.04 2026-03-16
B0904 HCPCS Other Orthopedic M <44.5 15 15 $224,819.98 $224,819.98 $37,617.09 $229,316.38 $224,819.98 2026-03-16
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 1 1 $221,957.78 $221,957.78 $224,177.36 $224,177.36 $224,177.36 2026-03-16
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 $221,277.79 $221,277.79 $223,490.57 $223,490.57 $223,490.57 2026-03-16
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 15 $223,359.98 $223,359.98 $39,109.21 $227,827.18 $223,359.98 2026-03-16
C0105 HCPCS Stroke M <41.50 And A >=84.50 15 15 $223,299.98 $223,299.98 $38,978.70 $227,765.98 $223,299.98 2026-03-16
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 $221,057.79 $221,057.79 $223,268.37 $223,268.37 $223,268.37 2026-03-16
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 $220,787.79 $220,787.79 $222,995.67 $222,995.67 $222,995.67 2026-03-16
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 $219,867.80 $219,867.80 $222,066.48 $222,066.48 $222,066.48 2026-03-16
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 $219,517.80 $219,517.80 $221,712.98 $221,712.98 $221,712.98 2026-03-16
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 1 1 $219,177.81 $219,177.81 $221,369.59 $221,369.59 $221,369.59 2026-03-16
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 15 $221,179.98 $221,179.98 $39,084.52 $225,603.58 $221,179.98 2026-03-16
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 $218,787.81 $218,787.81 $220,975.69 $220,975.69 $220,975.69 2026-03-16
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 $218,247.82 $218,247.82 $220,430.30 $220,430.30 $220,430.30 2026-03-16
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 $218,107.82 $218,107.82 $220,288.90 $220,288.90 $220,288.90 2026-03-16
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 $217,877.82 $217,877.82 $220,056.60 $220,056.60 $220,056.60 2026-03-16
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 $217,727.82 $217,727.82 $219,905.10 $219,905.10 $219,905.10 2026-03-16
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 15 $219,889.98 $219,889.98 $38,394.90 $224,287.78 $219,889.98 2026-03-16
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