Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

VANDERBILT BEDFORD HOSPITAL

Shelbyville, TN · CCN 440137 · Rates published

16,090 distinct procedures filed
32 distinct payers
2,235,728 rate rows
2025-10-01 last MRF observed · ⚠ 12 mo old
Data quality

2,105,992 of 2,235,728 rate rows are consumer-grade (94.2%)

129,736 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
placeholder amount (≤ $0.02) — excluded from medians 113,581
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,539
per-diem day rate — not a per-procedure price 4,078
exceeds 10× this hospital's gross charge — excluded from medians 3,610
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3,153
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 626
template filing: same amount across many unrelated codes — excluded 90
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 59

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://finance.vumc.org/assets/pub/pt/853419620_vanderbilt-bedford-hospital_standardcharges.json
Found on page https://www.vumc.org/pricetransparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-12
Content fingerprint 6c1b2ff69c6e2717… · 1,310,178,553 bytes · first seen 2026-05-14

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
J1413
HCPCS 		Elevidys 1.33 X 10exp13 Vg/ml Intravenous Suspension 15 $873,125.22 $4,992,000.00 $2,645,569.41 nat. median
$3,325,455
0.8× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 17 $581,477.74 $2,410,257.31 $1,071,185.51 nat. median
$599,737
1.8× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 17 $422,824.41 $4,687,893.65 $980,791.86 nat. median
$2,455,111
outlier · 0.4×
Q2041
HCPCS 		Yescarta Intravenous Suspension 17 $528,573.61 $2,185,747.20 $972,533.64 nat. median
$562,501
1.7× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 17 $514,444.17 $2,005,290.00 $918,644.16 nat. median
$513,770
1.8× median
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $348,392.33 $348,392.33 $348,392.33 nat. median
$1,441
outlier · 241.8×
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $319,253.42 $319,253.42 $319,253.42 nat. median
$6,246
outlier · 51.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $40,680.78 $453,722.38 $291,253.58 nat. median
$145,435
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $21,257.70 $493,718.91 $271,120.71 nat. median
$131,925
outlier · 2.1×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $269,585.61 $269,585.61 $269,585.61 nat. median
$2
outlier · 167444.5×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $264,692.95 $264,692.95 $264,692.95 nat. median
$119,739
outlier · 2.2×
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $231,493.72 $231,493.72 $231,493.72 nat. median
$5,475
outlier · 42.3×
81200001
CDM 		Hc Organ For Transplant-dble Lung 20 $138,381.80 $553,527.20 $228,329.97 nat. median
$31,253
outlier · 7.3×
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $204,709.51 $204,709.51 $204,709.51 nat. median
$6,011
outlier · 34.1×
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 17 $119,376.28 $397,920.92 $188,343.20 nat. median
$1,667
outlier · 113.0×
81200000
CDM 		Hc Organ For Transplant-lung 20 $107,474.80 $429,899.20 $177,333.42 nat. median
$25,445
outlier · 7.0×
81200005
CDM 		Hc Organ For Transplant-heart 20 $103,328.80 $413,315.20 $170,492.52 nat. median
$66,633
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $26,226.35 $296,095.69 $169,867.54 nat. median
$97,418
1.7× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $161,345.54 $161,345.54 $161,345.54 nat. median
$106,489
1.5× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 17 $100,319.34 $334,397.80 $157,033.85 nat. median
$6,067
outlier · 25.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $26,273.18 $232,451.17 $149,518.86 nat. median
$74,509
outlier · 2.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $25,552.85 $235,595.66 $145,419.50 nat. median
$2,736
outlier · 53.2×
215
MS_DRG 		Other Heart Assist System Implant 15 $29,275.74 $220,498.98 $143,602.07 nat. median
$73,023
2.0× median
005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 1 $139,537.53 $139,537.53 $139,537.53 nat. median
$55,107
outlier · 2.5×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $139,433.10 $139,433.10 $139,433.10 nat. median
$220,794
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $23,986.57 $209,122.90 $132,736.89 nat. median
$69,822
1.9× median
020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $126,666.73 $126,666.73 $126,666.73 nat. median
$57,468
outlier · 2.2×
81100001
CDM 		Hc Organ Acq Liver Living Donor 20 $76,701.00 $306,804.00 $126,556.65 nat. median
$35,122
outlier · 3.6×
81200004
CDM 		Hc Organ For Transplant-liver 20 $76,701.00 $306,804.00 $126,556.65 nat. median
$23,803
outlier · 5.3×
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 17 $59,934.96 $292,916.96 $125,535.84 nat. median
$63,499
2.0× median
634
OTHER 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $124,874.91 $124,874.91 $124,874.91 nat. median
$55,344
outlier · 2.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $22,470.77 $191,718.06 $123,493.13 nat. median
$2,633
outlier · 46.9×
359
OTHER 		Concomitant Aortic And Mitral Valve Procedures 1 $122,682.02 $122,682.02 $122,682.02 nat. median
$13,185
outlier · 9.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $30,159.75 $179,636.03 $122,346.92 nat. median
$59,651
outlier · 2.1×
81200003
CDM 		Hc Organ For Transplant-pancreas 20 $73,753.80 $295,015.20 $121,693.77 nat. median
$31,612
outlier · 3.8×
007
OTHER 		Lung Transplant 1 $121,587.54 $121,587.54 $121,587.54 nat. median
$67,163
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $20,345.39 $192,594.52 $118,774.73 nat. median
$2,596
outlier · 45.8×
212
OTHER 		Testes Procedures Age 0-17 1 $117,607.99 $117,607.99 $117,607.99 nat. median
$106
outlier · 1111.3×
632
OTHER 		Neonate, Birth Weight 750-999 Grams, Died 1 $113,612.27 $113,612.27 $113,612.27 nat. median
$127
outlier · 894.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $26,538.58 $164,135.86 $111,783.24 nat. median
$55,923
2.0× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $111,628.49 $111,628.49 $111,628.49 nat. median
$283
outlier · 394.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $17,316.62 $180,202.51 $111,132.47 nat. median
$60,505
1.8× median
81200002
CDM 		Hc Organ Acq Kidney Cadaver Rela 20 $64,289.40 $257,157.60 $106,077.51 nat. median
$30,361
outlier · 3.5×
81100000
CDM 		Hc Organ Acq Kidney Living Donor 20 $64,289.40 $257,157.60 $106,077.51 nat. median
$25,445
outlier · 4.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $18,800.57 $168,208.10 $105,364.08 nat. median
$56,428
1.9× median
447
OTHER 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $104,216.35 $104,216.35 $104,216.35 nat. median
$2,726
outlier · 38.2×
215
OTHER 		Other Heart Assist System Implant 1 $103,159.14 $103,159.14 $103,159.14 nat. median
$229
outlier · 451.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $14,872.92 $163,428.30 $100,787.67 nat. median
$55,935
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $17,325.76 $154,309.05 $98,599.68 nat. median
$9,905
outlier · 10.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $17,162.57 $152,423.63 $97,670.98 nat. median
$51,518
1.9× median

Other procedures at this hospital

Browse this hospital's 16,090 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 38 17 $3,443,224.73 $998,535.17 71% off $581,477.74 $2,410,257.31 $1,071,185.51 2025-10-01
Q2041 HCPCS Yescarta Intravenous Suspension 38 17 $3,122,496.00 $905,523.84 71% off $528,573.61 $2,185,747.20 $972,533.64 2025-10-01
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 38 17 $2,864,700.00 $830,763.00 71% off $514,444.17 $2,005,290.00 $918,644.16 2025-10-01
81200001 CDM Hc Organ For Transplant-dble Lung 30 20 $691,909.00 $200,653.61 71% off $138,381.80 $553,527.20 $228,329.97 2025-10-01
81200000 CDM Hc Organ For Transplant-lung 30 20 $537,374.00 $155,838.46 71% off $107,474.80 $429,899.20 $177,333.42 2025-10-01
81200005 CDM Hc Organ For Transplant-heart 30 20 $516,644.00 $149,826.76 71% off $103,328.80 $413,315.20 $170,492.52 2025-10-01
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 40 17 $418,452.80 $121,351.31 71% off $59,934.96 $292,916.96 $125,535.84 2025-10-01
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 40 17 $397,920.92 $115,397.07 71% off $119,376.28 $397,920.92 $188,343.20 2025-10-01
81200004 CDM Hc Organ For Transplant-liver 30 20 $383,505.00 $111,216.45 71% off $76,701.00 $306,804.00 $126,556.65 2025-10-01
81100001 CDM Hc Organ Acq Liver Living Donor 30 20 $383,505.00 $111,216.45 71% off $76,701.00 $306,804.00 $126,556.65 2025-10-01
81200003 CDM Hc Organ For Transplant-pancreas 30 20 $368,769.00 $106,943.01 71% off $73,753.80 $295,015.20 $121,693.77 2025-10-01
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 40 17 $334,397.80 $96,975.36 71% off $100,319.34 $334,397.80 $157,033.85 2025-10-01
81100000 CDM Hc Organ Acq Kidney Living Donor 30 20 $321,447.00 $93,219.63 71% off $64,289.40 $257,157.60 $106,077.51 2025-10-01
81200002 CDM Hc Organ Acq Kidney Cadaver Rela 30 20 $321,447.00 $93,219.63 71% off $64,289.40 $257,157.60 $106,077.51 2025-10-01
A9513 HCPCS Lutathera 8 Mci/ml (297 Mbq/ml) Intravenous Solution 40 17 $167,679.42 $48,627.03 71% off $50,303.83 $167,679.42 $77,970.93 2025-10-01
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 40 17 $136,763.64 $39,661.46 71% off $41,029.09 $136,763.64 $63,595.10 2025-10-01
SUP143150 LOCAL Trial Valve Mitral Intrep 50mm 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143152 LOCAL Trial Valve Mitral Intrep 43mm 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143146 LOCAL Valve 48mm Mitral Inte Ide G160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143147 LOCAL Valve 42mm Mitral Inte Ide G160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP1016116 LOCAL Valve 29f 42mm Intrepid Ide G160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143151 LOCAL Trial Valve Mitral Intrep 46mm 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP1000358 LOCAL Intrepid Valve Vl48m Study Ide#g160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP1016115 LOCAL Valve 29f 48mm Intrepid Ide G160020 23 17 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
J1823 HCPCS Uplizna 10 Mg/ml Intravenous Solution 55 17 $128,170.60 $37,169.47 71% off $38,451.18 $131,113.60 $62,934.53 2025-10-01
81200009 CDM Hc Bioengineer Lung For Transplant 30 20 $124,485.00 $36,100.65 71% off $24,897.00 $99,588.00 $41,080.05 2025-10-01
A9607 HCPCS Pluvicto 27 Mci/ml (1,000 Mbq/ml) Intravenous Solution 40 17 $121,595.00 $35,262.55 71% off $36,478.50 $123,754.31 $58,855.24 2025-10-01
C9293 HCPCS Voraxaze 1,000 Unit Intravenous Solution 22 11 $121,267.40 $35,167.55 71% off $30,297.00 $109,140.66 $59,421.02 2025-10-01
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 40 17 $119,539.80 $34,666.54 71% off $35,861.94 $119,539.80 $55,970.87 2025-10-01
ERX30205 LOCAL Gliadel Wafer 7.7 Mg Implant 25 11 $116,459.89 $33,773.37 71% off $34,937.97 $104,813.90 $57,065.35 2025-10-01
J2351 HCPCS Ocrevus Zunovo 920 Mg-23,000 Unit/23 Ml Subcutaneous Solution 40 17 $115,804.63 $33,583.34 71% off $34,741.39 $115,804.63 $56,744.27 2025-10-01
J9028 HCPCS Anktiva 400 Mcg/0.4 Ml Intravesical Solution 40 17 $98,750.00 $28,637.50 71% off $29,625.00 $98,750.00 $47,143.84 2025-10-01
J1413 HCPCS Elevidys 1.33 X 10exp13 Vg/ml Intravenous Suspension 279 15 — $2,598,462.35 $873,125.22 $4,992,000.00 $2,645,569.41 2025-10-01
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 40 17 — $1,942,127.37 $422,824.41 $4,687,893.65 $980,791.86 2025-10-01
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $348,392.33 $348,392.33 $348,392.33 2025-10-01
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $319,253.42 $319,253.42 $319,253.42 2025-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 15 — — $40,680.78 $453,722.38 $291,253.58 2025-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 15 — — $21,257.70 $493,718.91 $271,120.71 2025-10-01
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $269,585.61 $269,585.61 $269,585.61 2025-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $264,692.95 $264,692.95 $264,692.95 2025-10-01
631 OTHER Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $231,493.72 $231,493.72 $231,493.72 2025-10-01
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $204,709.51 $204,709.51 $204,709.51 2025-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 15 — — $26,226.35 $296,095.69 $169,867.54 2025-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $161,345.54 $161,345.54 $161,345.54 2025-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 15 — — $26,273.18 $232,451.17 $149,518.86 2025-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 15 — — $25,552.85 $235,595.66 $145,419.50 2025-10-01
215 MS_DRG Other Heart Assist System Implant 30 15 — — $29,275.74 $220,498.98 $143,602.07 2025-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $139,537.53 $139,537.53 $139,537.53 2025-10-01
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $139,433.10 $139,433.10 $139,433.10 2025-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 15 — — $23,986.57 $209,122.90 $132,736.89 2025-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $126,666.73 $126,666.73 $126,666.73 2025-10-01
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $124,874.91 $124,874.91 $124,874.91 2025-10-01
850 MS_DRG Acute Leukemia With Other Procedures 29 15 — — $22,470.77 $191,718.06 $123,493.13 2025-10-01
359 OTHER Concomitant Aortic And Mitral Valve Procedures 1 1 — — $122,682.02 $122,682.02 $122,682.02 2025-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 15 — — $30,159.75 $179,636.03 $122,346.92 2025-10-01
007 OTHER Lung Transplant 1 1 — — $121,587.54 $121,587.54 $121,587.54 2025-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 15 — — $20,345.39 $192,594.52 $118,774.73 2025-10-01
212 OTHER Testes Procedures Age 0-17 1 1 — — $117,607.99 $117,607.99 $117,607.99 2025-10-01
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $113,612.27 $113,612.27 $113,612.27 2025-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 15 — — $26,538.58 $164,135.86 $111,783.24 2025-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $111,628.49 $111,628.49 $111,628.49 2025-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 15 — — $17,316.62 $180,202.51 $111,132.47 2025-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 15 — — $18,800.57 $168,208.10 $105,364.08 2025-10-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $104,216.35 $104,216.35 $104,216.35 2025-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $103,159.14 $103,159.14 $103,159.14 2025-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 15 — — $14,872.92 $163,428.30 $100,787.67 2025-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 15 — — $17,325.76 $154,309.05 $98,599.68 2025-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 15 — — $17,162.57 $152,423.63 $97,670.98 2025-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $97,355.67 $97,355.67 $97,355.67 2025-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 15 — — $15,550.91 $162,887.47 $96,761.80 2025-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 15 — — $18,294.66 $147,750.71 $94,844.17 2025-10-01
365 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $94,026.48 $94,026.48 $94,026.48 2025-10-01
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $93,290.23 $93,290.23 $93,290.23 2025-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 15 — — $16,354.91 $142,829.82 $93,074.65 2025-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 15 — — $9,775.82 $153,327.86 $91,083.00 2025-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $90,085.74 $90,085.74 $90,085.74 2025-10-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $90,043.71 $90,043.71 $90,043.71 2025-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 15 — — $15,320.64 $147,026.04 $88,930.46 2025-10-01
834 OTHER Acute Leukemia Age >17 With Mcc 1 1 — — $88,570.23 $88,570.23 $88,570.23 2025-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 15 — — $15,090.61 $142,934.56 $88,149.00 2025-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 15 — — $15,292.34 $143,887.96 $87,882.31 2025-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 15 — — $21,934.37 $131,004.29 $87,856.74 2025-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 15 — — $15,378.45 $140,557.49 $87,100.35 2025-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 29 15 — — $15,148.67 $128,917.85 $85,660.12 2025-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 15 — — $18,904.49 $127,470.74 $84,825.00 2025-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 15 — — $14,607.87 $137,551.94 $83,980.93 2025-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 15 — — $13,980.47 $140,557.49 $83,122.47 2025-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 15 — — $17,589.94 $122,494.27 $82,912.20 2025-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 13 — — $57,076.80 $152,204.16 $80,934.90 2025-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 15 — — $11,116.47 $140,046.59 $80,343.52 2025-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 15 — — $16,348.57 $115,034.17 $78,291.80 2025-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 15 — — $12,536.89 $131,621.33 $77,731.73 2025-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 15 — — $13,426.26 $120,179.18 $76,407.92 2025-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $76,324.30 $76,324.30 $76,324.30 2025-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 15 — — $13,344.30 $123,280.93 $76,028.43 2025-10-01
834 MS_DRG Acute Leukemia With Mcc 30 15 — — $13,829.24 $117,355.34 $75,332.77 2025-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 15 — — $26,387.05 $116,940.63 $75,066.55 2025-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 15 — — $11,141.59 $129,597.71 $74,349.08 2025-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $74,078.58 $74,078.58 $74,078.58 2025-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $73,984.24 $73,984.24 $73,984.24 2025-10-01
28 MS_DRG Spinal Procedures With Mcc 30 15 — — $7,556.04 $128,436.96 $73,683.18 2025-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 15 — — $10,880.34 $118,986.37 $73,379.94 2025-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 15 — — $13,836.31 $113,997.07 $73,177.03 2025-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 15 — — $17,059.63 $105,209.16 $72,221.17 2025-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 15 — — $10,082.45 $116,773.89 $72,015.48 2025-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 15 — — $17,862.65 $105,758.54 $72,009.34 2025-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 15 — — $11,682.64 $125,450.65 $71,969.96 2025-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 15 — — $10,969.62 $125,369.42 $71,923.35 2025-10-01
366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $71,561.51 $71,561.51 $71,561.51 2025-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 15 — — $12,562.74 $113,928.67 $71,493.69 2025-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 15 — — $16,387.60 $104,209.85 $71,165.13 2025-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 15 — — $14,824.24 $103,221.14 $70,234.21 2025-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 15 — — $10,326.37 $121,835.87 $69,896.19 2025-10-01
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $69,646.93 $69,646.93 $69,646.93 2025-10-01
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $69,605.62 $69,605.62 $69,605.62 2025-10-01
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $69,501.56 $69,501.56 $69,501.56 2025-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $69,111.55 $69,111.55 $69,111.55 2025-10-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $68,986.08 $68,986.08 $68,986.08 2025-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 15 — — $16,469.56 $101,769.67 $68,625.23 2025-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 15 — — $17,068.41 $99,995.41 $68,555.26 2025-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $68,276.09 $68,276.09 $68,276.09 2025-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $67,883.98 $67,883.98 $67,883.98 2025-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 15 — — $12,780.09 $105,570.42 $67,767.79 2025-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 15 — — $9,353.57 $127,717.00 $67,731.67 2025-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 15 — — $11,549.94 $112,789.30 $67,644.01 2025-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 15 — — $10,118.79 $116,590.05 $66,886.71 2025-10-01
360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $66,785.10 $66,785.10 $66,785.10 2025-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 15 — — $11,870.46 $106,613.60 $66,651.76 2025-10-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $66,482.63 $66,482.63 $66,482.63 2025-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 15 — — $13,606.77 $98,007.39 $66,436.63 2025-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $66,250.18 $66,250.18 $66,250.18 2025-10-01
653 MS_DRG Major Bladder Procedures With Mcc 30 15 — — $11,150.13 $116,018.58 $65,979.72 2025-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $65,948.67 $65,948.67 $65,948.67 2025-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 15 — — $11,665.80 $98,727.78 $65,864.43 2025-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 15 — — $7,775.82 $127,051.76 $65,716.43 2025-10-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $65,406.94 $65,406.94 $65,406.94 2025-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $64,867.15 $64,867.15 $64,867.15 2025-10-01
646 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 1 1 — — $64,851.53 $64,851.53 $64,851.53 2025-10-01
904 OTHER Skin Grafts For Injuries With Cc/mcc 1 1 — — $64,455.74 $64,455.74 $64,455.74 2025-10-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $64,227.18 $64,227.18 $64,227.18 2025-10-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $64,091.99 $64,091.99 $64,091.99 2025-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 15 — — $8,637.14 $111,273.70 $63,836.76 2025-10-01
275 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $63,335.31 $63,335.31 $63,335.31 2025-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 15 — — $10,511.76 $107,742.28 $63,133.65 2025-10-01
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $62,845.12 $62,845.12 $62,845.12 2025-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 15 — — $17,786.79 $101,223.38 $62,837.12 2025-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 15 — — $12,916.93 $93,335.58 $62,644.44 2025-10-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $62,601.00 $62,601.00 $62,601.00 2025-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 15 — — $11,611.41 $97,192.94 $62,390.11 2025-10-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 1 1 — — $61,832.40 $61,832.40 $61,832.40 2025-10-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $61,753.87 $61,753.87 $61,753.87 2025-10-01
245 MS_DRG Aicd Generator Procedures 30 15 — — $11,075.73 $101,704.08 $61,588.96 2025-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 15 — — $15,850.70 $90,205.24 $61,580.71 2025-10-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $61,560.33 $61,560.33 $61,560.33 2025-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 15 — — $6,041.22 $112,286.98 $60,106.18 2025-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $59,427.43 $59,427.43 $59,427.43 2025-10-01
450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $59,285.43 $59,285.43 $59,285.43 2025-10-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $58,816.64 $58,816.64 $58,816.64 2025-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 15 — — $9,714.35 $100,294.68 $58,568.15 2025-10-01
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $58,246.70 $58,246.70 $58,246.70 2025-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 15 — — $10,002.92 $95,401.58 $57,880.46 2025-10-01
163 MS_DRG Major Chest Procedures With Mcc 30 15 — — $9,901.20 $95,926.67 $57,715.60 2025-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $57,619.38 $57,619.38 $57,619.38 2025-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 15 — — $10,487.37 $90,078.81 $57,617.63 2025-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 15 — — $10,098.78 $92,505.05 $57,471.48 2025-10-01
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $57,463.76 $57,463.76 $57,463.76 2025-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 15 — — $9,646.05 $97,235.69 $57,430.54 2025-10-01
799 MS_DRG Splenic Procedures With Mcc 30 15 — — $9,638.49 $98,956.90 $57,278.51 2025-10-01
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $56,802.40 $56,802.40 $56,802.40 2025-10-01
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $56,725.56 $56,725.56 $56,725.56 2025-10-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 29 15 — — $9,960.96 $90,653.84 $56,687.15 2025-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 15 — — $8,866.68 $98,257.49 $56,369.48 2025-10-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $56,103.10 $56,103.10 $56,103.10 2025-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 15 — — $9,709.96 $91,177.57 $55,744.35 2025-10-01
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $55,693.64 $55,693.64 $55,693.64 2025-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 15 — — $14,096.34 $82,117.91 $55,657.70 2025-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 15 — — $11,322.84 $82,539.29 $55,336.43 2025-10-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $55,020.61 $55,020.61 $55,020.61 2025-10-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 30 15 — — $20,773.98 $118,223.28 $55,006.98 2025-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 15 — — $9,523.35 $90,277.61 $54,935.85 2025-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 15 — — $10,904.00 $83,623.08 $54,935.68 2025-10-01
367 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $54,835.81 $54,835.81 $54,835.81 2025-10-01
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $54,443.86 $54,443.86 $54,443.86 2025-10-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 15 — — $9,543.11 $85,944.58 $54,309.16 2025-10-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 15 — — $8,064.88 $93,903.08 $53,871.38 2025-10-01
691 OTHER Kidney Transplant With Hemodialysis With Mcc 1 1 — — $53,797.75 $53,797.75 $53,797.75 2025-10-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 15 — — $13,240.63 $77,878.50 $52,961.15 2025-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $52,952.87 $52,952.87 $52,952.87 2025-10-01
245 OTHER Aicd Generator Procedures 1 1 — — $52,756.41 $52,756.41 $52,756.41 2025-10-01
403 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $52,453.93 $52,453.93 $52,453.93 2025-10-01
277 OTHER Other Major Cardiovascular Procedures With Mcc 1 1 — — $52,107.69 $52,107.69 $52,107.69 2025-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 15 — — $8,512.74 $89,815.88 $51,917.82 2025-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 15 — — $8,659.34 $88,189.12 $51,833.35 2025-10-01
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $51,714.76 $51,714.76 $51,714.76 2025-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 15 — — $7,920.96 $90,123.70 $51,703.19 2025-10-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 15 — — $13,632.87 $77,583.72 $51,690.79 2025-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc 30 15 — — $6,960.36 $92,207.57 $51,465.28 2025-10-01
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $51,440.49 $51,440.49 $51,440.49 2025-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 15 — — $7,810.46 $89,542.26 $51,369.62 2025-10-01
799 OTHER Splenic Procedures Age >17 With Mcc 1 1 — — $51,331.56 $51,331.56 $51,331.56 2025-10-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 15 — — $17,326.22 $113,081.38 $51,232.59 2025-10-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 15 — — $13,383.82 $76,166.37 $51,229.63 2025-10-01
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $51,178.86 $51,178.86 $51,178.86 2025-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $51,081.60 $51,081.60 $51,081.60 2025-10-01
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $50,978.51 $50,978.51 $50,978.51 2025-10-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 15 — — $7,406.26 $88,776.97 $50,930.58 2025-10-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 15 — — $10,109.76 $77,505.10 $50,925.21 2025-10-01
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $50,867.63 $50,867.63 $50,867.63 2025-10-01
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $50,285.05 $50,285.05 $50,285.05 2025-10-01
252 MS_DRG Other Vascular Procedures With Mcc 30 15 — — $10,777.65 $74,567.96 $50,158.81 2025-10-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 15 — — $10,364.43 $73,847.56 $49,981.90 2025-10-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 15 — — $9,945.84 $75,936.74 $49,760.71 2025-10-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 15 — — $9,700.20 $76,333.66 $49,518.74 2025-10-01
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $49,484.60 $49,484.60 $49,484.60 2025-10-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 15 — — $6,494.93 $90,051.44 $49,450.75 2025-10-01
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $49,171.27 $49,171.27 $49,171.27 2025-10-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 15 — — $6,815.46 $85,166.47 $48,859.27 2025-10-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 15 — — $8,506.64 $80,132.44 $48,842.64 2025-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 15 — — $13,680.93 $77,857.20 $48,679.03 2025-10-01
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $48,662.76 $48,662.76 $48,662.76 2025-10-01
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $48,661.79 $48,661.79 $48,661.79 2025-10-01
648 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $48,549.84 $48,549.84 $48,549.84 2025-10-01
577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $48,258.16 $48,258.16 $48,258.16 2025-10-01
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $47,992.64 $47,992.64 $47,992.64 2025-10-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 15 — — $12,243.43 $70,594.30 $47,768.69 2025-10-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 15 — — $15,178.19 $74,206.69 $47,634.78 2025-10-01
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $47,536.50 $47,536.50 $47,536.50 2025-10-01
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $47,536.50 $47,536.50 $47,536.50 2025-10-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 15 — — $6,205.14 $82,742.36 $47,468.58 2025-10-01
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $47,423.68 $47,423.68 $47,423.68 2025-10-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 15 — — $6,008.53 $82,618.38 $47,397.46 2025-10-01
793 OTHER Neonatal Aftercare For Weight Gain 1 1 — — $47,393.99 $47,393.99 $47,393.99 2025-10-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 15 — — $7,807.29 $77,092.53 $47,239.26 2025-10-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 15 — — $6,612.51 $82,908.76 $47,083.50 2025-10-01
326 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc 1 1 — — $46,995.73 $46,995.73 $46,995.73 2025-10-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 15 — — $10,433.46 $68,058.78 $46,716.81 2025-10-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $46,690.34 $46,690.34 $46,690.34 2025-10-01
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $46,120.40 $46,120.40 $46,120.40 2025-10-01
793 MS_DRG Full Term Neonate With Major Problems 22 15 — — $1,519.21 $89,131.83 $46,102.67 2025-10-01
677 OTHER Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $45,988.33 $45,988.33 $45,988.33 2025-10-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 15 — — $7,656.54 $78,486.28 $45,988.00 2025-10-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 15 — — $7,471.15 $79,890.73 $45,893.55 2025-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $45,864.61 $45,864.61 $45,864.61 2025-10-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 15 — — $7,229.66 $80,089.53 $45,589.02 2025-10-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 15 — — $11,454.31 $68,125.05 $45,518.27 2025-10-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 15 — — $11,757.52 $67,325.57 $45,354.04 2025-10-01
361 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $45,273.27 $45,273.27 $45,273.27 2025-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 15 — — $7,665.81 $76,021.56 $45,254.37 2025-10-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 15 — — $5,225.02 $80,357.21 $45,045.30 2025-10-01
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $45,013.59 $45,013.59 $45,013.59 2025-10-01
791 MS_DRG Prematurity With Major Problems 22 15 — — $5,487.49 $86,767.57 $44,879.78 2025-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 15 — — $7,671.42 $80,438.38 $44,816.18 2025-10-01
613 OTHER Neonate, Birth Weight <750 Grams, Died 1 1 — — $44,759.79 $44,759.79 $44,759.79 2025-10-01
332 MS_DRG Rectal Resection With Mcc 30 15 — — $7,262.83 $77,398.22 $44,532.21 2025-10-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 15 — — $7,462.37 $75,386.68 $44,479.72 2025-10-01
265 MS_DRG Aicd Lead Procedures 30 15 — — $5,389.43 $77,344.77 $44,372.03 2025-10-01
037 OTHER Extracranial Procedures With Mcc 1 1 — — $44,322.07 $44,322.07 $44,322.07 2025-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 15 — — $5,422.36 $77,207.96 $44,293.54 2025-10-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 15 — — $5,286.49 $77,564.95 $43,976.40 2025-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 15 — — $3,638.73 $82,850.49 $43,937.90 2025-10-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 15 — — $5,757.28 $81,949.33 $43,836.11 2025-10-01
264 MS_DRG Other Circulatory System O.r. Procedures 30 15 — — $7,625.07 $72,740.02 $43,716.65 2025-10-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 15 — — $7,433.58 $72,928.37 $43,639.79 2025-10-01
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $43,445.77 $43,445.77 $43,445.77 2025-10-01
028 OTHER Spinal Procedures With Mcc 1 1 — — $43,235.69 $43,235.69 $43,235.69 2025-10-01
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $42,976.98 $42,976.98 $42,976.98 2025-10-01
471 OTHER Cervical Spinal Fusion With Mcc 1 1 — — $42,844.70 $42,844.70 $42,844.70 2025-10-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 29 15 — — $7,527.74 $69,054.93 $42,839.85 2025-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 15 — — $7,799.73 $66,464.09 $42,664.65 2025-10-01
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $42,606.42 $42,606.42 $42,606.42 2025-10-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 29 15 — — $7,500.91 $63,863.70 $42,446.44 2025-10-01
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $42,438.16 $42,438.16 $42,438.16 2025-10-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 15 — — $8,982.80 $62,977.57 $42,362.43 2025-10-01
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $42,226.13 $42,226.13 $42,226.13 2025-10-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 29 15 — — $6,450.29 $68,627.40 $42,193.08 2025-10-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 15 — — $6,011.95 $73,287.50 $42,044.40 2025-10-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 15 — — $8,324.91 $70,613.29 $42,001.97 2025-10-01
034 OTHER Carotid Artery Stent Procedures With Mcc 1 1 — — $41,982.01 $41,982.01 $41,982.01 2025-10-01
396 OTHER Major Head And Neck Procedures With Mcc 1 1 — — $41,978.12 $41,978.12 $41,978.12 2025-10-01
500 MS_DRG Soft Tissue Procedures With Mcc 30 15 — — $7,401.87 $67,652.63 $41,922.76 2025-10-01
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $41,869.19 $41,869.19 $41,869.19 2025-10-01
800 OTHER Splenic Procedures Age >17 With Cc 1 1 — — $41,856.55 $41,856.55 $41,856.55 2025-10-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 15 — — $3,507.25 $73,455.95 $41,783.19 2025-10-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 15 — — $7,751.43 $68,028.18 $41,621.77 2025-10-01
025 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Mcc 1 1 — — $41,553.10 $41,553.10 $41,553.10 2025-10-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 29 15 — — $7,241.37 $67,357.63 $41,540.04 2025-10-01
480 OTHER Hip And Femur Procedures Except Major Joint Age >17 With Mcc 1 1 — — $41,168.93 $41,168.93 $41,168.93 2025-10-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 15 — — $7,964.14 $64,559.44 $41,040.58 2025-10-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 15 — — $13,555.26 $64,567.99 $40,976.88 2025-10-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 30 15 — — $2,954.75 $68,849.72 $40,899.54 2025-10-01
266 OTHER Acute Leukemia Age 0-17 1 1 — — $40,853.80 $40,853.80 $40,853.80 2025-10-01
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $40,543.55 $40,543.55 $40,543.55 2025-10-01
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $40,397.66 $40,397.66 $40,397.66 2025-10-01
37 MS_DRG Extracranial Procedures With Mcc 30 15 — — $5,510.18 $70,373.87 $40,372.88 2025-10-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 15 — — $5,902.42 $70,365.32 $40,367.98 2025-10-01
662 MS_DRG Minor Bladder Procedures With Mcc 29 15 — — $5,809.18 $65,444.43 $40,360.15 2025-10-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 15 — — $6,854.00 $66,581.66 $40,033.57 2025-10-01
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $39,910.39 $39,910.39 $39,910.39 2025-10-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 15 — — $6,346.87 $69,228.08 $39,715.56 2025-10-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 15 — — $5,397.97 $69,151.13 $39,671.41 2025-10-01
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