Price Transparency 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

JPS HEALTH NETWORK

Fort Worth, TX · CCN 450039 · Rates published

15,020 distinct procedures filed
16 distinct payers
155,013 rate rows
2026-04-01 last MRF observed
Data quality

114,307 of 155,013 rate rows are consumer-grade (73.7%)

40,706 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 40,442
template filing: same amount across many unrelated codes — excluded 174
placeholder amount (≤ $0.02) — excluded from medians 90
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.jpshealthnet.org/price-transparency/75-6000439_jps-health-network_standardcharges.csv
Found on page https://jpshealthnet.org/financial-resources/price-transparency-jps-health-network
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 68640c17e3c0fc7c… · 38,040,747 bytes · first seen 2026-05-09

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 13 $459,347.53 $906,838.80 $482,314.91 nat. median
$370,174
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $109,040.41 $588,501.90 $331,962.40 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $253,116.90 $448,360.50 $265,772.74 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $132,654.68 $700,938.57 $251,933.30 nat. median
$202,986
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $96,983.33 $579,002.40 $182,279.46 nat. median
$133,176
1.4× median
7
MS_DRG 		Lung Transplant 13 $155,402.40 $271,954.20 $178,110.79 nat. median
$122,708
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $144,214.80 $252,375.90 $169,083.99 nat. median
$117,303
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $135,825.60 $237,694.80 $162,315.11 nat. median
$98,017
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $131,472.62 $237,967.80 $158,479.01 nat. median
$108,660
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $130,489.20 $228,356.10 $158,009.41 nat. median
$102,358
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $60,621.04 $231,445.20 $155,545.04 nat. median
$98,905
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 13 $119,484.00 $224,952.33 $152,767.10 nat. median
$99,019
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $123,726.00 $216,520.50 $152,552.47 nat. median
$100,136
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $97,054.43 $208,578.09 $143,846.96 nat. median
$93,672
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $108,115.20 $197,987.67 $139,956.80 nat. median
$82,712
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $357.92 $193,192.39 $133,236.13 nat. median
$83,442
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $82,470.12 $190,047.58 $131,067.30 nat. median
$79,312
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $81,211.29 $189,684.62 $130,816.98 nat. median
$81,118
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $92,997.68 $430,695.11 $125,767.08 nat. median
$77,576
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $86,072.40 $172,827.86 $125,151.21 nat. median
$64,027
2.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $70,997.16 $179,753.01 $123,967.59 nat. median
$74,915
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $64,908.38 $179,299.63 $123,654.92 nat. median
$73,807
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $41,090.74 $257,383.55 $123,415.94 nat. median
$72,138
1.7× median
10
MS_DRG 		Pancreas Transplant 13 $86,108.40 $172,868.96 $122,200.47 nat. median
$68,882
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $85,615.20 $172,306.01 $121,802.52 nat. median
$71,240
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $86,623.20 $173,456.55 $119,625.21 nat. median
$68,090
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $30,066.94 $172,248.49 $118,792.06 nat. median
$68,887
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,492.17 $167,238.26 $117,624.24 nat. median
$111,989
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $82,534.80 $168,790.02 $117,539.99 nat. median
$65,950
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 13 $50,355.71 $248,823.75 $115,020.22 nat. median
$64,732
1.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $57,817.89 $166,168.43 $114,598.92 nat. median
$60,691
1.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 $57,601.91 $212,189.68 $114,552.64 nat. median
$63,738
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $63,910.03 $169,254.35 $114,090.30 nat. median
$66,526
1.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $60,871.54 $164,645.35 $113,548.52 nat. median
$61,920
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $62,276.86 $164,645.35 $113,548.52 nat. median
$64,510
1.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 $31,718.35 $164,317.99 $113,322.75 nat. median
$59,793
1.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 13 $5,637.26 $208,800.00 $112,220.39 nat. median
$62,134
1.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 13 $71,156.40 $155,802.64 $110,136.36 nat. median
$56,920
1.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 $55,989.83 $158,524.21 $109,327.04 nat. median
$60,726
1.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 13 $16,782.80 $158,426.96 $109,259.97 nat. median
$60,185
1.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 13 $60,629.70 $157,622.96 $108,705.49 nat. median
$59,899
1.8× median
28
MS_DRG 		Spinal Procedures With Mcc 13 $48,566.90 $156,879.21 $108,192.56 nat. median
$57,823
1.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 $72,079.20 $189,225.00 $108,176.50 nat. median
$59,099
1.8× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 13 $68,482.80 $152,750.98 $107,979.14 nat. median
$51,061
outlier · 2.1×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $32,578.01 $156,260.12 $107,765.60 nat. median
$58,024
1.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 $7,000.00 $155,991.65 $107,580.45 nat. median
$52,278
outlier · 2.1×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 13 $67,255.20 $151,349.78 $106,988.64 nat. median
$53,171
outlier · 2.0×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 13 $20,938.90 $154,965.76 $106,872.94 nat. median
$57,424
1.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $92,959.27 $186,089.40 $106,865.64 nat. median
$87,411
1.2× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 $68,147.82 $154,913.71 $106,837.04 nat. median
$56,697
1.9× median

Other procedures at this hospital

Browse this hospital's 15,020 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 14 13 — — $459,347.53 $906,838.80 $482,314.91 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 13 — — $109,040.41 $588,501.90 $331,962.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 13 — — $253,116.90 $448,360.50 $265,772.74 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 13 — — $132,654.68 $700,938.57 $251,933.30 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 13 — — $96,983.33 $579,002.40 $182,279.46 2026-04-01
7 MS_DRG Lung Transplant 14 13 — — $155,402.40 $271,954.20 $178,110.79 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 13 — — $144,214.80 $252,375.90 $169,083.99 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 13 — — $135,825.60 $237,694.80 $162,315.11 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 13 — — $131,472.62 $237,967.80 $158,479.01 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 13 — — $130,489.20 $228,356.10 $158,009.41 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $60,621.04 $231,445.20 $155,545.04 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 13 — — $119,484.00 $224,952.33 $152,767.10 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 13 — — $123,726.00 $216,520.50 $152,552.47 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $97,054.43 $208,578.09 $143,846.96 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 13 — — $108,115.20 $197,987.67 $139,956.80 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 13 — — $357.92 $193,192.39 $133,236.13 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 13 — — $82,470.12 $190,047.58 $131,067.30 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 — — $81,211.29 $189,684.62 $130,816.98 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 13 — — $92,997.68 $430,695.11 $125,767.08 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 13 — — $86,072.40 $172,827.86 $125,151.21 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $70,997.16 $179,753.01 $123,967.59 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 13 — — $64,908.38 $179,299.63 $123,654.92 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 14 — — $41,090.74 $257,383.55 $123,415.94 2026-04-01
10 MS_DRG Pancreas Transplant 14 13 — — $86,108.40 $172,868.96 $122,200.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 13 — — $85,615.20 $172,306.01 $121,802.52 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 13 — — $86,623.20 $173,456.55 $119,625.21 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 13 — — $30,066.94 $172,248.49 $118,792.06 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $111,492.17 $167,238.26 $117,624.24 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 13 — — $82,534.80 $168,790.02 $117,539.99 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 13 — — $50,355.71 $248,823.75 $115,020.22 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 13 — — $57,817.89 $166,168.43 $114,598.92 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 13 — — $57,601.91 $212,189.68 $114,552.64 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 13 — — $63,910.03 $169,254.35 $114,090.30 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 13 — — $60,871.54 $164,645.35 $113,548.52 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 13 — — $62,276.86 $164,645.35 $113,548.52 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 13 — — $31,718.35 $164,317.99 $113,322.75 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 13 — — $5,637.26 $208,800.00 $112,220.39 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 13 — — $71,156.40 $155,802.64 $110,136.36 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 13 — — $55,989.83 $158,524.21 $109,327.04 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 13 — — $16,782.80 $158,426.96 $109,259.97 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 13 — — $60,629.70 $157,622.96 $108,705.49 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 13 — — $48,566.90 $156,879.21 $108,192.56 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 13 — — $72,079.20 $189,225.00 $108,176.50 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 13 — — $68,482.80 $152,750.98 $107,979.14 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 — — $32,578.01 $156,260.12 $107,765.60 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 14 — — $7,000.00 $155,991.65 $107,580.45 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 13 — — $67,255.20 $151,349.78 $106,988.64 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 13 — — $20,938.90 $154,965.76 $106,872.94 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 4 — — $92,959.27 $186,089.40 $106,865.64 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 13 — — $68,147.82 $154,913.71 $106,837.04 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 13 — — $66,794.40 $150,823.82 $106,616.84 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 13 — — $59,126.45 $153,575.53 $105,914.16 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 13 — — $65,187.60 $148,989.81 $105,320.38 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 13 — — $67,464.00 $151,588.10 $104,543.52 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 13 — — $63,955.20 $147,583.15 $104,326.01 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 13 — — $40,611.16 $150,232.12 $103,608.36 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 13 — — $65,878.80 $149,778.75 $103,295.69 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 13 — — $35,534.40 $183,663.28 $103,112.44 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 13 — — $36,171.97 $200,018.50 $102,957.52 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 13 — — $63,525.60 $147,092.80 $101,443.31 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 13 — — $41,571.05 $149,406.20 $101,196.39 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 13 — — $37,970.49 $145,881.99 $100,608.27 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 13 — — $45,964.26 $145,758.71 $100,523.25 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $44,260.98 $143,619.27 $99,047.77 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 13 — — $43,110.51 $142,896.06 $98,549.01 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 13 — — $20,564.01 $142,348.20 $98,171.17 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 13 — — $46,767.61 $222,293.22 $97,734.76 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 13 — — $56,416.80 $138,978.76 $97,288.41 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 13 — — $49,187.82 $149,394.00 $97,105.87 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 13 — — $35,773.93 $140,722.37 $97,049.91 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 13 — — $52,878.76 $140,388.17 $96,819.43 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 13 — — $26,274.95 $153,071.48 $96,715.96 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 13 — — $330.17 $139,792.35 $96,408.52 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 14 13 — — $55,644.00 $138,096.68 $96,308.04 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 13 — — $35,149.05 $146,853.10 $96,223.56 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 13 — — $55,422.00 $137,843.29 $96,026.42 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 13 — — $50,803.57 $138,655.51 $95,624.49 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 13 — — $9,231.80 $137,381.70 $94,746.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 17 13 — — $41,203.97 $137,074.89 $94,534.41 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 13 — — $33,270.17 $136,887.25 $94,405.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 13 — — $19,376.62 $136,616.06 $94,217.97 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 13 — — $27,607.76 $135,953.12 $93,760.77 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 13 — — $53,554.80 $135,712.05 $93,657.71 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 13 — — $51,928.80 $133,856.13 $92,314.57 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 13 — — $35,394.19 $207,033.60 $91,988.68 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 21 13 — — $51,183.60 $215,302.97 $91,727.97 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 13 — — $29,765.36 $135,359.71 $91,496.54 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 4 — — $79,172.59 $160,788.60 $91,447.85 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 13 — — $22,472.42 $132,428.91 $91,330.28 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 13 — — $20,487.72 $194,509.60 $91,262.27 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 13 — — $47,664.44 $132,064.58 $91,079.02 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 13 — — $21,660.76 $134,751.91 $90,920.42 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 13 — — $47,446.41 $131,735.85 $90,852.31 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 13 — — $31,588.27 $141,996.18 $90,438.80 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 13 — — $5,162.94 $131,090.73 $90,407.40 2026-04-01
791 MS_DRG Prematurity With Major Problems 21 14 — — $1,768.00 $130,179.88 $89,779.23 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 13 — — $28,704.33 $132,133.06 $89,679.93 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 14 — — $50,667.11 $152,649.62 $89,546.96 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 14 — — $42,236.88 $129,652.56 $89,415.56 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 13 — — $32,638.00 $129,153.99 $89,071.72 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 13 — — $1,799.52 $131,467.40 $88,940.08 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 13 — — $40,120.85 $128,165.08 $88,389.71 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 13 — — $46,730.40 $127,922.64 $88,222.51 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 13 — — $35,253.93 $127,600.77 $88,000.53 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 14 — — $7,747.45 $127,521.32 $87,945.74 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 13 — — $38,989.78 $127,470.65 $87,910.79 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 14 — — $21,342.60 $141,139.02 $87,226.31 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 13 — — $44,959.20 $125,900.98 $86,828.26 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 13 — — $30,575.07 $125,773.59 $86,740.41 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 13 — — $38,260.83 $181,907.03 $86,641.23 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 13 — — $44,469.60 $125,342.15 $86,442.86 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 21 13 — — $26,138.84 $124,894.26 $86,133.97 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 13 — — $15,190.72 $127,031.61 $86,119.80 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 13 — — $41,603.67 $124,283.37 $85,712.67 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 13 — — $34,112.00 $124,245.03 $85,686.23 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 13 — — $33,540.12 $124,176.54 $85,638.99 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 13 — — $22,600.90 $124,142.30 $85,615.38 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 13 — — $13,295.50 $124,054.63 $85,554.92 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 13 — — $43,276.80 $123,980.67 $85,503.91 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 13 — — $22,408.33 $123,657.44 $85,280.99 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 13 — — $35,285.66 $123,543.74 $85,202.58 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 13 — — $17,658.33 $123,494.44 $85,168.58 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 13 — — $31,877.85 $123,421.84 $85,118.51 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 13 — — $26,996.76 $123,380.75 $85,090.17 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 13 — — $34,629.61 $123,334.19 $85,058.06 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 13 — — $35,718.71 $122,789.04 $84,682.10 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 13 — — $31,888.11 $122,350.75 $84,379.83 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 13 — — $25,645.33 $122,131.60 $84,228.69 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 4 — — $72,346.81 $148,873.20 $84,120.01 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 13 — — $28,270.69 $121,901.49 $84,069.99 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 13 — — $41,263.20 $121,682.35 $83,918.86 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 13 — — $25,282.34 $217,527.96 $83,822.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 13 — — $10,645.15 $121,312.52 $83,663.81 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 13 — — $19,520.05 $121,250.88 $83,621.30 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 30 13 — — $1,675.92 $135,970.92 $83,089.43 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 13 — — $21,063.92 $181,408.51 $82,869.92 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 13 — — $30,130.05 $119,829.15 $82,640.79 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 13 — — $31,065.24 $119,675.75 $82,535.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 13 — — $100.00 $119,670.27 $82,531.22 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 13 — — $35,314.50 $119,137.47 $82,163.77 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 14 — — $29,914.12 $142,522.99 $81,994.64 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 13 — — $17,679.95 $118,830.65 $81,952.17 2026-04-01
652 MS_DRG Kidney Transplant 14 13 — — $38,754.00 $118,818.32 $81,943.67 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 13 — — $11,910.74 $118,785.45 $81,921.00 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 14 13 — — $38,649.60 $118,699.16 $81,861.49 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 13 — — $38,524.80 $118,556.71 $81,763.25 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 13 — — $6,811.41 $198,154.05 $81,697.24 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 13 — — $36,849.01 $198,254.62 $81,597.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 13 — — $25,740.29 $118,234.84 $81,541.27 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 13 — — $29,982.34 $118,192.37 $81,511.98 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 13 — — $38,128.80 $118,104.72 $81,451.53 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 13 — — $18,809.25 $117,932.14 $81,332.51 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 13 — — $37,812.00 $117,743.12 $81,202.15 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 13 — — $30,720.44 $117,621.22 $81,118.08 2026-04-01
665 MS_DRG Prostatectomy With Mcc 17 13 — — $28,538.77 $117,334.96 $80,920.66 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 13 — — $36,979.25 $118,892.29 $80,458.19 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 13 — — $28,422.25 $116,517.24 $80,356.72 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 13 — — $11,832.42 $116,461.09 $80,317.99 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 13 — — $1,700.00 $116,129.63 $80,089.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 13 — — $16,414.62 $115,955.67 $79,969.43 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 13 — — $23,215.87 $115,950.19 $79,965.65 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 13 — — $437.60 $115,905.00 $79,934.48 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 13 — — $35,716.80 $115,351.65 $79,552.86 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 13 — — $20,538.26 $114,909.24 $79,247.75 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 13 — — $22,265.66 $126,125.61 $79,023.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 18 13 — — $19,384.28 $114,579.13 $79,020.09 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 13 — — $24,847.39 $114,332.59 $78,850.06 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 13 — — $19,140.56 $114,307.94 $78,833.06 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 13 — — $31,123.00 $114,132.62 $78,712.15 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 17 13 — — $19,539.04 $114,055.91 $78,659.25 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 13 — — $27,315.16 $113,897.04 $78,549.68 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 13 — — $31,932.75 $189,225.00 $78,262.91 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 22 13 — — $13,034.10 $114,936.63 $78,169.24 2026-04-01
800 MS_DRG Splenic Procedures With Cc 18 13 — — $23,485.82 $113,064.26 $77,975.35 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 18 13 — — $25,399.26 $112,925.93 $77,879.95 2026-04-01
503 MS_DRG Foot Procedures With Mcc 18 13 — — $27,290.52 $112,813.61 $77,802.49 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 14 — — $21,263.04 $121,886.79 $77,485.16 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 13 — — $31,307.63 $112,347.91 $77,481.32 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 13 — — $25,904.60 $112,223.27 $77,395.36 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 14 — — $12,333.45 $169,525.68 $77,196.65 2026-04-01
849 MS_DRG Radiotherapy 17 13 — — $8,187.99 $111,695.95 $77,031.69 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 13 — — $32,474.40 $111,650.74 $77,000.51 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 17 13 — — $24,941.63 $111,530.22 $76,917.39 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 14 — — $19,569.90 $136,859.86 $76,577.10 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 13 — — $31,920.00 $111,017.94 $76,564.10 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 14 — — $18,891.72 $110,890.56 $76,476.25 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 13 — — $18,530.08 $131,957.74 $76,403.09 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 17 13 — — $31,648.80 $110,708.40 $76,350.62 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 21 13 — — $13,942.88 $110,093.41 $75,926.49 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 17 13 — — $24,497.18 $109,960.55 $75,834.86 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 17 13 — — $25,590.45 $109,911.25 $75,800.86 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 13 — — $30,433.18 $109,911.25 $75,800.86 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 21 13 — — $15,941.46 $109,752.36 $75,691.28 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 21 13 — — $9,753.46 $109,552.39 $75,553.37 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 13 — — $9,193.00 $109,386.65 $75,439.07 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 17 13 — — $25,393.02 $108,715.50 $74,976.21 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 20 14 — — $4,124.75 $108,211.46 $74,628.59 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 20 13 — — $18,474.00 $108,022.43 $74,498.23 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 13 — — $29,066.40 $107,760.82 $74,317.81 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 13 — — $28,971.60 $107,652.63 $74,243.19 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 14 13 — — $28,863.60 $107,529.35 $74,158.17 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 18 13 — — $15,482.95 $155,408.75 $74,059.93 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 14 — — $31,241.72 $122,887.66 $74,058.60 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 13 — — $22,668.80 $107,326.64 $74,018.37 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 13 — — $14,447.60 $117,866.38 $73,823.58 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 14 — — $18,332.05 $117,722.57 $73,663.74 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 20 13 — — $9,028.65 $106,786.98 $73,646.19 2026-04-01
333 MS_DRG Rectal Resection With Cc 17 13 — — $20,058.99 $106,665.07 $73,562.12 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 21 13 — — $125.00 $106,592.49 $73,512.06 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 17 13 — — $19,294.88 $106,458.26 $73,419.49 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 13 — — $21,183.23 $106,240.47 $73,269.29 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 27 13 — — $30,831.77 $378,663.19 $73,254.30 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 17 13 — — $17,491.08 $106,026.80 $73,121.93 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 17 13 — — $20,256.75 $106,017.21 $73,115.32 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 14 — — $2,047.44 $105,835.05 $72,989.69 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 21 13 — — $20,369.47 $105,702.19 $72,898.06 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 21 13 — — $2,944.43 $105,615.90 $72,838.55 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 4 — — $59,664.30 $134,418.90 $72,700.33 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 5 — — $68,801.71 $103,202.56 $72,585.80 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 21 13 — — $19,148.94 $215,851.70 $72,583.51 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 19 13 — — $20,741.10 $105,228.28 $72,571.23 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 18 13 — — $15,673.82 $104,985.84 $72,404.03 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 13 — — $1,935.16 $104,862.56 $72,319.01 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 13 — — $20,092.62 $104,825.59 $72,293.51 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 18 13 — — $14,551.68 $104,651.63 $72,173.54 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 13 — — $15,199.33 $104,551.66 $72,104.59 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 19 13 — — $26,190.00 $104,477.69 $72,053.58 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 13 — — $18,583.01 $104,406.47 $72,004.46 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 17 13 — — $19,921.43 $104,306.48 $71,935.50 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 13 — — $19,475.28 $112,028.78 $71,842.14 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 18 13 — — $5,953.87 $103,905.16 $71,658.73 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 20 13 — — $18,842.05 $103,877.77 $71,639.84 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 18 13 — — $16,000.22 $103,772.30 $71,567.10 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 19 13 — — $21,054.59 $103,770.93 $71,566.16 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 18 13 — — $20,733.20 $103,758.61 $71,557.66 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 19 13 — — $22,765.36 $103,713.40 $71,526.48 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 17 13 — — $15,678.78 $103,631.22 $71,469.81 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 21 13 — — $18,905.55 $103,590.13 $71,441.47 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 18 13 — — $25,408.80 $103,586.01 $71,438.63 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 18 13 — — $17,872.03 $103,575.07 $71,431.08 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 18 13 — — $19,465.74 $103,466.85 $71,356.45 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 17 13 — — $22,434.34 $103,381.94 $71,297.89 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 21 13 — — $25,118.40 $103,254.56 $71,210.04 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 13 — — $18,292.78 $103,225.79 $71,190.20 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 4 — — $59,965.67 $128,442.30 $71,165.96 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 17 13 — — $21,178.49 $103,175.11 $71,155.25 2026-04-01
835 MS_DRG Acute Leukemia With Cc 17 13 — — $25,029.60 $103,153.20 $71,140.14 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 18 13 — — $1,403.55 $103,125.81 $71,121.25 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 20 13 — — $14,870.77 $103,065.54 $71,079.68 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 18 13 — — $16,885.36 $102,891.59 $70,959.72 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 19 13 — — $18,252.54 $102,808.03 $70,902.09 2026-04-01
935 MS_DRG Non-extensive Burns 18 13 — — $12,265.01 $102,799.82 $70,896.43 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 4 — — $62,624.40 $109,592.70 $70,823.24 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 20 13 — — $10,600.58 $102,650.52 $70,793.46 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 20 13 — — $105.21 $102,357.41 $70,591.32 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 18 13 — — $16,358.68 $102,280.71 $70,538.42 2026-04-01
570 MS_DRG Skin Debridement With Mcc 22 13 — — $3,926.55 $114,868.14 $70,491.26 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 17 13 — — $9,329.98 $102,180.72 $70,469.46 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 22 13 — — $16,526.52 $104,699.57 $70,407.09 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 20 13 — — $12,839.92 $102,067.04 $70,391.06 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 19 13 — — $762.22 $101,982.11 $70,332.49 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 20 13 — — $13,375.99 $101,980.75 $70,331.55 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 17 13 — — $16,741.07 $101,906.78 $70,280.54 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 23 13 — — $21,841.73 $104,458.51 $70,194.15 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 18 13 — — $23,351.12 $101,715.02 $70,148.29 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 13 — — $25,314.32 $114,473.67 $70,052.83 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 18 13 — — $22,889.75 $101,562.99 $70,043.44 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 17 13 — — $10,000.00 $101,516.43 $70,011.33 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 13 — — $11,493.47 $111,850.72 $70,004.07 2026-04-01
906 MS_DRG Hand Procedures For Injuries 18 13 — — $11,970.21 $101,489.02 $69,992.43 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 19 13 — — $18,915.14 $101,460.27 $69,972.60 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 4 — — $52,435.86 $139,278.30 $69,933.84 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 19 13 — — $16,932.87 $101,194.54 $69,789.34 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 17 13 — — $23,223.60 $101,091.82 $69,718.50 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 18 13 — — $3,700.00 $101,031.55 $69,676.93 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 18 13 — — $15,967.04 $101,006.90 $69,659.93 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 19 13 — — $205.00 $101,004.16 $69,658.04 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 17 13 — — $18,109.14 $100,972.65 $69,636.31 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 18 13 — — $11,895.03 $100,848.01 $69,550.35 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 21 13 — — $12,008.27 $100,806.93 $69,522.02 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 18 13 — — $14,629.84 $100,730.22 $69,469.12 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 19 13 — — $20,878.00 $100,478.20 $69,295.31 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 17 13 — — $18,168.88 $100,478.20 $69,295.31 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 20 13 — — $7,677.31 $100,433.00 $69,264.14 2026-04-01
504 MS_DRG Foot Procedures With Cc 18 13 — — $15,810.29 $100,186.46 $69,094.11 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 19 13 — — $22,378.80 $100,127.56 $69,053.49 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 18 13 — — $16,027.66 $100,045.37 $68,996.81 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 18 13 — — $13,905.40 $100,045.37 $68,996.81 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 17 13 — — $18,638.24 $99,809.79 $68,834.34 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 23 13 — — $6,187.40 $99,660.50 $68,731.38 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 13 — — $200.00 $99,563.25 $68,664.31 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 18 13 — — $16,783.40 $99,393.41 $68,547.18 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 18 13 — — $15,682.20 $99,375.60 $68,534.90 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 18 13 — — $21,716.40 $99,371.49 $68,532.06 2026-04-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 19 13 — — $13,124.41 $99,349.58 $68,516.95 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 19 13 — — $20,904.90 $99,341.36 $68,511.28 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 19 13 — — $16,489.75 $99,326.29 $68,500.89 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 13 — — $9,405.99 $99,292.04 $68,477.27 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 19 13 — — $16,267.41 $99,289.32 $68,475.39 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 22 13 — — $16,781.20 $99,285.20 $68,472.55 2026-04-01
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