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

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Hospital

NORTH TEXAS MEDICAL CENTER

Gainesville, TX · CCN 450090 · Rates published

3,741 distinct procedures filed
107 distinct payers
461,217 rate rows
2025-10-06 last MRF observed
Data quality

447,646 of 461,217 rate rows are consumer-grade (97.1%)

13,571 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 10,957
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,595
exceeds 10× this hospital's gross charge — excluded from medians 16
per-diem day rate — not a per-procedure price 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/fde55fa4-eb9d-490e-a851-e7183289b044/831683025_NORTH-TEXAS-MEDICAL-CENTER_standardcharges.zip
Found on page https://www.yourcareeverywhere.com/content/medhost/your-care-everywhere/pricing-estimator-page.html?facility_id=fde55fa4-eb9d-490e-a851-e7183289b044
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 1263cdfa6b0ae1df… · 50,439,548 bytes · first seen 2026-05-08

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 I 39 $227,497.89 $690,596.79 $258,760.46 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 57 $38,855.00 $515,817.91 $193,272.37 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >9 39 $162,770.27 $434,411.91 $162,770.27 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 39 $126,063.59 $392,455.46 $147,049.56 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagno 55 $78,739.96 $258,748.56 $96,950.77 nat. median
$133,161
0.7× median
01905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$82,736
1.1× median
01904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$82,736
1.1× median
01599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$83,741
1.1× median
01908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$82,736
1.1× median
01903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$84,819
1.1× median
01902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$82,736
1.1× median
01906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$82,736
1.1× median
01585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$83,741
1.1× median
01907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$84,819
1.1× median
01901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 39 $91,843.99 $183,687.98 $91,843.99 nat. median
$84,819
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 39 $89,895.95 $239,920.16 $89,895.95 nat. median
$117,357
0.8× median
7
MS_DRG 		Lung Transplant 55 $89,669.51 $239,315.87 $89,669.51 nat. median
$122,708
0.7× median
01598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 39 $87,550.45 $175,100.90 $87,550.45 nat. median
$79,660
1.1× median
01584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 39 $87,550.45 $175,100.90 $87,550.45 nat. median
$79,660
1.1× median
01583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 39 $77,250.46 $154,500.92 $77,250.46 nat. median
$70,289
1.1× median
01597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 39 $77,250.46 $154,500.92 $77,250.46 nat. median
$70,289
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 57 $38,855.00 $201,792.75 $75,609.94 nat. median
$108,660
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 39 $74,746.78 $199,489.10 $74,746.78 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 55 $73,069.18 $195,011.81 $73,069.18 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 41 $53,204.00 $194,011.98 $72,694.56 nat. median
$99,019
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 54 $6,278.88 $191,825.52 $71,875.31 nat. median
$98,894
0.7× median
01582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 39 $66,950.46 $133,900.92 $66,950.46 nat. median
$60,917
1.1× median
01596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 39 $66,950.46 $133,900.92 $66,950.46 nat. median
$60,917
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 41 $38,855.00 $176,730.94 $66,219.50 nat. median
$93,672
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 54 $18,456.88 $168,688.31 $63,206.00 nat. median
$83,470
0.8× median
05244
OTHER 		Level 4 Blood Product Exchange And Related Service 39 $60,916.55 $121,833.10 $60,916.55 nat. median
$56,957
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With 39 $57,620.31 $162,269.96 $60,801.10 nat. median
$87,428
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 57 $16,760.48 $155,174.06 $58,142.33 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 39 $53,179.26 $155,087.99 $58,110.08 nat. median
$81,118
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fu 38 $57,227.71 $152,733.07 $57,227.71 nat. median
$82,711
0.7× median
01595
OTHER 		New Technology - Level 44 ($50,001-$60,000) 39 $56,650.47 $113,300.94 $56,650.47 nat. median
$51,545
1.1× median
01581
OTHER 		New Technology - Level 44 ($50,001-$60,000) 39 $56,650.47 $113,300.94 $56,650.47 nat. median
$51,545
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Di 55 $25,493.37 $147,614.86 $55,309.97 nat. median
$77,570
0.7× median
10
MS_DRG 		Pancreas Transplant 39 $42,625.15 $146,001.58 $54,705.48 nat. median
$68,884
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With H 39 $54,391.92 $145,164.72 $54,391.92 nat. median
$71,271
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Op 57 $13,245.63 $143,133.92 $53,631.00 nat. median
$73,807
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 41 $26,557.00 $141,689.10 $53,089.64 nat. median
$74,915
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 57 $9,337.43 $140,207.66 $52,534.55 nat. median
$63,570
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Tra 39 $46,641.69 $136,684.43 $51,214.43 nat. median
$72,135
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 54 $4,853.76 $130,064.64 $48,734.05 nat. median
$68,090
0.7× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 57 $14,565.15 $129,817.43 $48,641.43 nat. median
$54,196
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 39 $48,489.11 $129,410.90 $48,489.11 nat. median
$68,886
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 39 $42,647.82 $127,387.43 $47,730.92 nat. median
$66,526
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 39 $41,739.74 $125,039.83 $46,851.30 nat. median
$64,732
0.7× median
01580
OTHER 		New Technology - Level 43 ($40,001-$50,000) 39 $46,350.48 $92,700.96 $46,350.48 nat. median
$42,173
1.1× median

Other procedures at this hospital

Browse this hospital's 3,741 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 I 52 39 — — $227,497.89 $690,596.79 $258,760.46 2025-10-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System 79 57 — — $38,855.00 $515,817.91 $193,272.37 2025-10-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 49 39 — — $162,770.27 $434,411.91 $162,770.27 2025-10-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 52 39 — — $126,063.59 $392,455.46 $147,049.56 2025-10-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagno 78 55 — — $78,739.96 $258,748.56 $96,950.77 2025-10-06
01903 OTHER New Technology - Level 50 ($115,001-$130,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01906 OTHER New Technology - Level 51 ($130,001-$145,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01585 OTHER New Technology - Level 48 ($90,001-$100,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01904 OTHER New Technology - Level 50 ($115,001-$130,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01905 OTHER New Technology - Level 51 ($130,001-$145,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01908 OTHER New Technology - Level 52 ($145,001-$160,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01902 OTHER New Technology - Level 49 ($100,001-$115,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01901 OTHER New Technology - Level 49 ($100,001-$115,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01907 OTHER New Technology - Level 52 ($145,001-$160,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
01599 OTHER New Technology - Level 48 ($90,001-$100,000) 48 39 — — $91,843.99 $183,687.98 $91,843.99 2025-10-06
14 MS_DRG Allogeneic Bone Marrow Transplant 49 39 — — $89,895.95 $239,920.16 $89,895.95 2025-10-06
7 MS_DRG Lung Transplant 75 55 — — $89,669.51 $239,315.87 $89,669.51 2025-10-06
01584 OTHER New Technology - Level 47 ($80,001-$90,000) 48 39 — — $87,550.45 $175,100.90 $87,550.45 2025-10-06
01598 OTHER New Technology - Level 47 ($80,001-$90,000) 48 39 — — $87,550.45 $175,100.90 $87,550.45 2025-10-06
01583 OTHER New Technology - Level 46 ($70,001-$80,000) 48 39 — — $77,250.46 $154,500.92 $77,250.46 2025-10-06
01597 OTHER New Technology - Level 46 ($70,001-$80,000) 48 39 — — $77,250.46 $154,500.92 $77,250.46 2025-10-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System 79 57 — — $38,855.00 $201,792.75 $75,609.94 2025-10-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 49 39 — — $74,746.78 $199,489.10 $74,746.78 2025-10-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 75 55 — — $73,069.18 $195,011.81 $73,069.18 2025-10-06
215 MS_DRG Other Heart Assist System Implant 56 41 — — $53,204.00 $194,011.98 $72,694.56 2025-10-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spi 74 54 — — $6,278.88 $191,825.52 $71,875.31 2025-10-06
01596 OTHER New Technology - Level 45 ($60,001-$70,000) 48 39 — — $66,950.46 $133,900.92 $66,950.46 2025-10-06
01582 OTHER New Technology - Level 45 ($60,001-$70,000) 48 39 — — $66,950.46 $133,900.92 $66,950.46 2025-10-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 56 41 — — $38,855.00 $176,730.94 $66,219.50 2025-10-06
850 MS_DRG Acute Leukemia With Other Procedures 74 54 — — $18,456.88 $168,688.31 $63,206.00 2025-10-06
05244 OTHER Level 4 Blood Product Exchange And Related Service 48 39 — — $60,916.55 $121,833.10 $60,916.55 2025-10-06
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With 52 39 — — $57,620.31 $162,269.96 $60,801.10 2025-10-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 82 57 — — $16,760.48 $155,174.06 $58,142.33 2025-10-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 52 39 — — $53,179.26 $155,087.99 $58,110.08 2025-10-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 48 38 — — $57,227.71 $152,733.07 $57,227.71 2025-10-06
01595 OTHER New Technology - Level 44 ($50,001-$60,000) 48 39 — — $56,650.47 $113,300.94 $56,650.47 2025-10-06
01581 OTHER New Technology - Level 44 ($50,001-$60,000) 48 39 — — $56,650.47 $113,300.94 $56,650.47 2025-10-06
20 MS_DRG Intracranial Vascular Procedures With Principal Di 78 55 — — $25,493.37 $147,614.86 $55,309.97 2025-10-06
10 MS_DRG Pancreas Transplant 49 39 — — $42,625.15 $146,001.58 $54,705.48 2025-10-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With H 49 39 — — $54,391.92 $145,164.72 $54,391.92 2025-10-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 82 57 — — $13,245.63 $143,133.92 $53,631.00 2025-10-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 56 41 — — $26,557.00 $141,689.10 $53,089.64 2025-10-06
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 82 57 — — $9,337.43 $140,207.66 $52,534.55 2025-10-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 52 39 — — $46,641.69 $136,684.43 $51,214.43 2025-10-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 74 54 — — $4,853.76 $130,064.64 $48,734.05 2025-10-06
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 82 57 — — $14,565.15 $129,817.43 $48,641.43 2025-10-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 49 39 — — $48,489.11 $129,410.90 $48,489.11 2025-10-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 39 — — $42,647.82 $127,387.43 $47,730.92 2025-10-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 52 39 — — $41,739.74 $125,039.83 $46,851.30 2025-10-06
01594 OTHER New Technology - Level 43 ($40,001-$50,000) 48 39 — — $46,350.48 $92,700.96 $46,350.48 2025-10-06
01580 OTHER New Technology - Level 43 ($40,001-$50,000) 48 39 — — $46,350.48 $92,700.96 $46,350.48 2025-10-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With 74 54 — — $10,516.48 $122,776.47 $46,003.24 2025-10-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 49 39 — — $45,826.21 $122,304.02 $45,826.21 2025-10-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 52 39 — — $43,559.52 $122,097.09 $45,748.69 2025-10-06
459 MS_DRG Spinal Fusion Except Cervical With Mcc 52 39 — — $41,748.10 $121,450.68 $45,506.47 2025-10-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 78 55 — — $7,718.54 $118,427.37 $44,373.67 2025-10-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 56 41 — — $38,855.00 $118,257.06 $44,309.86 2025-10-06
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 82 57 — — $11,063.86 $117,213.28 $43,918.76 2025-10-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 52 39 — — $38,416.76 $115,810.58 $43,393.18 2025-10-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 49 39 — — $42,501.89 $113,431.85 $42,501.89 2025-10-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Card 74 54 — — $15,009.84 $113,285.36 $42,447.01 2025-10-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 39 — — $36,756.60 $112,768.96 $42,253.51 2025-10-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 78 55 — — $10,777.09 $112,375.25 $42,105.99 2025-10-06
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With 52 39 — — $38,336.12 $112,001.69 $41,966.03 2025-10-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 82 57 — — $9,919.69 $111,862.51 $41,913.88 2025-10-06
28 MS_DRG Spinal Procedures With Mcc 52 39 — — $36,992.99 $111,327.80 $41,713.53 2025-10-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 49 39 — — $41,414.38 $110,529.40 $41,414.38 2025-10-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 49 39 — — $41,414.38 $110,529.40 $41,414.38 2025-10-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 52 39 — — $41,104.92 $109,703.53 $41,104.92 2025-10-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 52 39 — — $34,140.56 $108,943.58 $40,820.18 2025-10-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 49 39 — — $40,789.30 $108,861.18 $40,789.30 2025-10-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 56 41 — — $18,004.00 $107,751.47 $40,373.51 2025-10-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 52 39 — — $33,468.97 $106,617.96 $39,948.79 2025-10-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 52 39 — — $37,995.62 $105,099.89 $39,379.99 2025-10-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 78 55 — — $19,453.79 $104,471.79 $39,144.64 2025-10-06
653 MS_DRG Major Bladder Procedures With Mcc 52 39 — — $34,973.87 $102,082.08 $38,249.24 2025-10-06
834 MS_DRG Acute Leukemia With Mcc 52 39 — — $34,805.82 $101,215.92 $37,924.70 2025-10-06
21 MS_DRG Intracranial Vascular Procedures With Principal Di 78 55 — — $27,519.16 $101,215.92 $37,924.70 2025-10-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 48 38 — — $37,765.52 $100,791.08 $37,765.52 2025-10-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 48 38 — — $37,534.97 $100,175.80 $37,534.97 2025-10-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 75 55 — — $37,333.24 $99,637.42 $37,333.24 2025-10-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 78 55 — — $24,362.77 $99,410.35 $37,248.16 2025-10-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For M 78 55 — — $5,029.11 $98,903.11 $37,058.11 2025-10-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 56 43 — — $32,509.77 $98,809.72 $37,023.11 2025-10-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 52 39 — — $33,527.87 $98,798.73 $37,019.00 2025-10-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 82 57 — — $9,487.60 $97,423.50 $36,503.71 2025-10-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 82 57 — — $18,561.51 $96,993.17 $36,342.47 2025-10-06
01593 OTHER New Technology - Level 42 ($30,001-$40,000) 48 39 — — $36,050.49 $72,100.98 $36,050.49 2025-10-06
01579 OTHER New Technology - Level 42 ($30,001-$40,000) 48 39 — — $36,050.49 $72,100.98 $36,050.49 2025-10-06
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 82 57 — — $13,203.00 $95,564.83 $35,807.29 2025-10-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mc 48 38 — — $35,336.60 $94,308.63 $35,336.60 2025-10-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 52 39 — — $32,178.70 $93,995.50 $35,219.26 2025-10-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 78 55 — — $6,651.88 $93,292.32 $34,955.79 2025-10-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With M 78 55 — — $17,164.48 $93,006.65 $34,848.76 2025-10-06
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 56 41 — — $29,202.00 $92,616.60 $34,702.60 2025-10-06
239 MS_DRG Amputation For Circulatory System Disorders Except 52 39 — — $29,267.73 $92,235.71 $34,559.90 2025-10-06
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 82 57 — — $14,119.50 $91,939.06 $34,448.74 2025-10-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diag 52 39 — — $33,875.57 $91,691.85 $34,356.11 2025-10-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 49 39 — — $34,329.35 $91,620.43 $34,329.35 2025-10-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 52 39 — — $30,846.89 $91,583.81 $34,315.62 2025-10-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 82 57 — — $9,914.84 $91,254.19 $34,192.12 2025-10-06
245 MS_DRG Aicd Generator Procedures 78 55 — — $8,561.41 $89,487.08 $33,530.01 2025-10-06
471 MS_DRG Cervical Spinal Fusion With Mcc 52 39 — — $31,702.88 $88,946.88 $33,327.59 2025-10-06
6 MS_DRG Liver Transplant Without Mcc 75 55 — — $33,272.01 $155,851.81 $33,272.01 2025-10-06
05232 OTHER Level 2 Icd And Similar Procedures 48 39 — — $33,023.40 $66,046.80 $33,023.40 2025-10-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 52 39 — — $32,363.12 $87,448.96 $32,766.33 2025-10-06
05166 OTHER Cochlear Implant Procedure 48 39 — — $32,762.03 $65,524.06 $32,762.03 2025-10-06
799 MS_DRG Splenic Procedures With Mcc 52 39 — — $32,624.31 $87,069.90 $32,624.31 2025-10-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 52 39 — — $28,829.04 $87,053.42 $32,618.13 2025-10-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 52 39 — — $32,280.55 $86,152.47 $32,280.55 2025-10-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedu 52 39 — — $27,230.36 $85,691.00 $32,107.65 2025-10-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 49 39 — — $31,918.28 $85,185.59 $31,918.28 2025-10-06
163 MS_DRG Major Chest Procedures With Mcc 78 55 — — $30,486.25 $84,403.67 $31,625.30 2025-10-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 75 55 — — $15,986.40 $84,368.88 $31,612.26 2025-10-06
455 MS_DRG Combined Anterior And Posterior Spinal Fusion With 52 39 — — $30,135.67 $84,337.75 $31,600.60 2025-10-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 52 39 — — $29,780.69 $84,099.69 $31,511.40 2025-10-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 52 39 — — $29,099.05 $84,086.87 $31,506.60 2025-10-06
05465 OTHER Level 5 Neurostimulator And Related Procedures 48 39 — — $31,387.77 $62,775.54 $31,387.77 2025-10-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 52 39 — — $27,773.53 $82,616.42 $30,955.63 2025-10-06
474 MS_DRG Amputation For Musculoskeletal System And Connecti 52 39 — — $25,785.89 $82,123.83 $30,771.06 2025-10-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 52 39 — — $28,577.91 $81,896.76 $30,685.98 2025-10-06
901 MS_DRG Wound Debridements For Injuries With Mcc 52 39 — — $27,684.79 $81,131.32 $30,399.17 2025-10-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 52 39 — — $27,105.74 $80,440.95 $30,140.50 2025-10-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 49 39 — — $26,848.81 $79,234.19 $29,688.33 2025-10-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 52 39 — — $29,627.27 $79,071.22 $29,627.27 2025-10-06
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 75 55 — — $17,252.64 $78,774.56 $29,516.12 2025-10-06
05200 OTHER Implantation Wireless Pa Pressure Monitor 48 39 — — $29,281.15 $58,562.30 $29,281.15 2025-10-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 52 39 — — $26,576.42 $78,113.50 $29,268.42 2025-10-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 75 55 — — $19,487.69 $77,998.13 $29,225.20 2025-10-06
140 MS_DRG Major Head And Neck Procedures With Mcc 78 55 — — $7,326.17 $77,445.11 $29,017.98 2025-10-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 52 39 — — $25,937.57 $76,738.27 $28,753.14 2025-10-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 52 39 — — $21,991.24 $76,719.96 $28,746.28 2025-10-06
793 MS_DRG Full Term Neonate With Major Problems 75 55 — — $9,569.94 $76,370.20 $28,615.22 2025-10-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 52 39 — — $26,915.03 $76,190.74 $28,547.98 2025-10-06
01578 OTHER New Technology - Level 41 ($25,001-$30,000) 48 39 — — $28,325.50 $56,651.00 $28,325.50 2025-10-06
01592 OTHER New Technology - Level 41 ($25,001-$30,000) 48 39 — — $28,325.50 $56,651.00 $28,325.50 2025-10-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 56 41 — — $18,329.00 $75,300.78 $28,214.52 2025-10-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Tra 52 39 — — $26,249.13 $75,258.66 $28,198.74 2025-10-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 52 39 — — $24,606.39 $75,146.95 $28,156.88 2025-10-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Witho 48 38 — — $28,018.28 $74,777.05 $28,018.28 2025-10-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 78 55 — — $19,646.58 $74,482.23 $27,907.82 2025-10-06
791 MS_DRG Prematurity With Major Problems 49 39 — — $27,856.36 $74,344.89 $27,856.36 2025-10-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 52 39 — — $24,330.72 $72,949.51 $27,333.53 2025-10-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 52 39 — — $24,561.08 $72,898.24 $27,314.31 2025-10-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Pr 52 39 — — $22,940.37 $72,253.66 $27,072.79 2025-10-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 52 39 — — $26,845.17 $72,105.33 $27,017.21 2025-10-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental 49 39 — — $26,962.33 $71,958.84 $26,962.33 2025-10-06
402 MS_DRG Single Level Combined Anterior And Posterior Spina 48 38 — — $26,842.93 $71,640.21 $26,842.93 2025-10-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 52 39 — — $25,257.82 $71,605.41 $26,829.91 2025-10-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 52 39 — — $25,172.22 $71,209.87 $26,681.69 2025-10-06
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritiona 52 39 — — $23,693.76 $70,775.88 $26,519.09 2025-10-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 52 39 — — $22,355.66 $70,704.46 $26,492.33 2025-10-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 78 55 — — $23,072.55 $70,506.69 $26,418.22 2025-10-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Mu 52 39 — — $23,943.63 $69,995.79 $26,226.79 2025-10-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 78 55 — — $11,118.11 $69,616.73 $26,084.76 2025-10-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System 78 55 — — $13,202.03 $69,074.70 $25,881.66 2025-10-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, N 78 55 — — $16,821.52 $68,523.50 $25,675.14 2025-10-06
05213 OTHER Level 3 Electrophysiologic Procedures 48 39 — — $25,268.25 $50,536.50 $25,268.25 2025-10-06
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 52 39 — — $23,703.20 $66,983.46 $25,098.10 2025-10-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 52 39 — — $22,491.61 $66,814.99 $25,034.98 2025-10-06
335 MS_DRG Peritoneal Adhesiolysis With Mcc 52 39 — — $23,185.84 $66,351.70 $24,861.38 2025-10-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Formi 52 39 — — $23,992.73 $65,644.86 $24,596.54 2025-10-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except V 78 55 — — $8,724.17 $65,641.20 $24,595.16 2025-10-06
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With 78 55 — — $9,609.67 $65,630.21 $24,591.04 2025-10-06
265 MS_DRG Aicd Lead Procedures 52 39 — — $21,286.94 $65,322.57 $24,475.77 2025-10-06
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 52 39 — — $21,940.25 $65,029.57 $24,365.99 2025-10-06
22 MS_DRG Intracranial Vascular Procedures With Principal Di 78 55 — — $15,379.92 $64,648.68 $24,223.28 2025-10-06
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 78 55 — — $5,538.71 $64,632.20 $24,217.10 2025-10-06
495 MS_DRG Local Excision And Removal Of Internal Fixation De 52 39 — — $23,378.43 $64,469.23 $24,156.03 2025-10-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d. 52 39 — — $22,247.40 $64,161.59 $24,040.77 2025-10-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Princip 52 39 — — $20,886.01 $64,141.44 $24,033.22 2025-10-06
408 MS_DRG Biliary Tract Procedures Except Only Cholecystecto 52 39 — — $23,095.83 $64,115.81 $24,023.61 2025-10-06
264 MS_DRG Other Circulatory System O.r. Procedures 78 55 — — $20,831.25 $64,002.27 $23,981.07 2025-10-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 75 55 — — $13,654.46 $63,588.42 $23,826.01 2025-10-06
332 MS_DRG Rectal Resection With Mcc 52 39 — — $23,799.93 $63,518.83 $23,799.93 2025-10-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 52 39 — — $21,562.22 $63,449.25 $23,773.86 2025-10-06
271 MS_DRG Other Major Cardiovascular Procedures With Cc 52 39 — — $21,927.04 $63,073.85 $23,633.21 2025-10-06
477 MS_DRG Biopsies Of Musculoskeletal System And Connective 52 39 — — $21,417.22 $62,974.97 $23,596.15 2025-10-06
665 MS_DRG Prostatectomy With Mcc 52 39 — — $19,261.53 $62,876.08 $23,559.09 2025-10-06
252 MS_DRG Other Vascular Procedures With Mcc 82 57 — — $7,618.75 $62,817.48 $23,537.15 2025-10-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 52 39 — — $22,821.41 $62,722.26 $23,501.47 2025-10-06
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Di 49 39 — — $23,403.35 $62,460.40 $23,403.35 2025-10-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replaceme 82 57 — — $6,489.00 $62,374.33 $23,371.10 2025-10-06
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 82 57 — — $8,401.56 $62,114.30 $23,273.67 2025-10-06
01591 OTHER New Technology - Level 40 ($20,001-$25,000) 48 39 — — $23,175.50 $46,351.00 $23,175.50 2025-10-06
01577 OTHER New Technology - Level 40 ($20,001-$25,000) 48 39 — — $23,175.50 $46,351.00 $23,175.50 2025-10-06
05231 OTHER Level 1 Icd And Similar Procedures 48 39 — — $23,119.56 $46,239.12 $23,119.56 2025-10-06
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulato 78 55 — — $21,510.37 $61,467.89 $23,031.46 2025-10-06
37 MS_DRG Extracranial Procedures With Mcc 52 39 — — $21,229.66 $60,812.32 $22,785.83 2025-10-06
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures 78 55 — — $6,115.15 $60,464.39 $22,655.46 2025-10-06
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachme 78 55 — — $6,388.36 $59,856.43 $22,427.66 2025-10-06
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedu 52 39 — — $19,434.74 $59,686.13 $22,363.86 2025-10-06
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 52 39 — — $20,803.56 $59,660.50 $22,354.24 2025-10-06
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infect 52 39 — — $20,461.79 $58,951.82 $22,088.72 2025-10-06
05464 OTHER Level 4 Neurostimulator And Related Procedures 48 39 — — $22,087.70 $44,175.40 $22,087.70 2025-10-06
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 75 55 — — $5,774.13 $58,678.97 $21,986.48 2025-10-06
324 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 75 55 — — $18,700.05 $58,508.67 $21,922.66 2025-10-06
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 52 39 — — $19,555.46 $58,396.97 $21,880.82 2025-10-06
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 49 39 — — $21,821.80 $58,239.48 $21,821.80 2025-10-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 52 39 — — $19,493.15 $58,122.29 $21,777.90 2025-10-06
500 MS_DRG Soft Tissue Procedures With Mcc 78 55 — — $10,967.94 $58,025.23 $21,741.53 2025-10-06
274 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 52 39 — — $21,144.69 $57,151.75 $21,414.24 2025-10-06
662 MS_DRG Minor Bladder Procedures With Mcc 78 55 — — $6,573.40 $57,126.12 $21,404.64 2025-10-06
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 82 57 — — $13,170.06 $56,882.57 $21,313.38 2025-10-06
515 MS_DRG Other Musculoskeletal System And Connective Tissue 52 39 — — $19,623.43 $56,628.03 $21,218.01 2025-10-06
451 MS_DRG Single Level Spinal Fusion Except Cervical Without 48 38 — — $21,174.10 $56,510.83 $21,174.10 2025-10-06
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 52 39 — — $19,918.62 $56,470.55 $21,159.00 2025-10-06
652 MS_DRG Kidney Transplant 49 39 — — $21,073.92 $56,243.48 $21,073.92 2025-10-06
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With 49 39 — — $21,054.71 $56,192.20 $21,054.71 2025-10-06
26 MS_DRG Craniotomy And Endovascular Intracranial Procedure 78 55 — — $16,934.87 $56,009.08 $20,986.09 2025-10-06
05378 OTHER Level 8 Urology And Related Services 48 39 — — $20,732.41 $41,464.82 $20,732.41 2025-10-06
570 MS_DRG Skin Debridement With Mcc 52 39 — — $18,360.23 $55,122.78 $20,654.01 2025-10-06
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-dr 82 57 — — $4,314.13 $55,115.46 $20,651.27 2025-10-06
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-e 82 57 — — $13,213.00 $54,851.76 $20,552.45 2025-10-06
974 MS_DRG HIV With Major Related Condition With Mcc 52 39 — — $17,827.68 $54,683.29 $20,489.33 2025-10-06
464 MS_DRG Wound Debridement And Skin Graft Except Hand For M 52 39 — — $18,801.44 $53,994.76 $20,231.35 2025-10-06
480 MS_DRG Hip And Femur Procedures Except Major Joint With M 78 55 — — $16,548.31 $53,855.59 $20,179.20 2025-10-06
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With 52 39 — — $18,049.93 $53,709.10 $20,124.31 2025-10-06
668 MS_DRG Transurethral Procedures With Mcc 52 39 — — $17,767.33 $53,403.29 $20,009.73 2025-10-06
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fr 52 39 — — $19,002.84 $53,373.99 $19,998.75 2025-10-06
800 MS_DRG Splenic Procedures With Cc 52 39 — — $16,732.60 $53,357.51 $19,992.57 2025-10-06
240 MS_DRG Amputation For Circulatory System Disorders Except 78 55 — — $10,136.70 $53,328.21 $19,981.59 2025-10-06
472 MS_DRG Cervical Spinal Fusion With Cc 52 39 — — $19,328.87 $53,053.53 $19,878.67 2025-10-06
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures W 78 55 — — $14,844.17 $52,502.34 $19,672.15 2025-10-06
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 78 55 — — $7,424.02 $52,441.91 $19,649.51 2025-10-06
05224 OTHER Level 4 Pacemaker And Similar Procedures 48 39 — — $19,643.28 $39,286.56 $19,643.28 2025-10-06
325 MS_DRG Coronary Intravascular Lithotripsy Without Intralu 75 55 — — $19,637.84 $52,410.78 $19,637.84 2025-10-06
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Majo 78 55 — — $11,828.25 $52,337.53 $19,610.40 2025-10-06
321 MS_DRG Percutaneous Cardiovascular Procedures With Intral 75 55 — — $19,532.86 $52,130.60 $19,532.86 2025-10-06
654 MS_DRG Major Bladder Procedures With Cc 52 39 — — $17,890.70 $51,678.30 $19,363.39 2025-10-06
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 52 39 — — $18,439.53 $51,427.42 $19,269.38 2025-10-06
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 56 41 — — $7,484.00 $51,374.32 $19,249.49 2025-10-06
05116 OTHER Level 6 Musculoskeletal Procedures 48 39 — — $18,941.73 $37,883.46 $18,941.73 2025-10-06
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 52 39 — — $18,775.37 $50,108.96 $18,775.37 2025-10-06
288 MS_DRG Acute And Subacute Endocarditis With Mcc 52 39 — — $16,971.77 $50,019.23 $18,741.75 2025-10-06
619 MS_DRG O.r. Procedures For Obesity With Mcc 52 39 — — $18,200.36 $49,927.67 $18,707.44 2025-10-06
963 MS_DRG Other Multiple Significant Trauma With Mcc 52 39 — — $17,454.52 $49,748.21 $18,640.20 2025-10-06
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transien 52 39 — — $18,457.78 $49,504.66 $18,548.94 2025-10-06
05194 OTHER Level 4 Endovascular Procedures 48 39 — — $18,495.41 $36,990.82 $18,495.41 2025-10-06
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 78 55 — — $9,077.79 $49,341.68 $18,487.88 2025-10-06
131 MS_DRG Cranial/facial Procedures W Cc/mcc 75 55 — — $15,922.46 $49,246.46 $18,452.20 2025-10-06
208 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 52 39 — — $16,365.03 $49,145.75 $18,414.46 2025-10-06
263 MS_DRG Vein Ligation And Stripping 78 55 — — $12,231.28 $49,114.62 $18,402.80 2025-10-06
849 MS_DRG Radiotherapy 52 39 — — $14,721.04 $48,913.18 $18,327.32 2025-10-06
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 52 39 — — $16,482.10 $48,761.19 $18,270.38 2025-10-06
338 MS_DRG Appendectomy With Complicated Principal Diagnosis 52 39 — — $16,720.01 $48,645.83 $18,227.15 2025-10-06
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 52 39 — — $18,205.19 $48,587.23 $18,205.19 2025-10-06
05471 OTHER Implantation Of Drug Infusion Device 48 39 — — $18,204.33 $36,408.66 $18,204.33 2025-10-06
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 52 39 — — $17,801.32 $48,526.80 $18,182.55 2025-10-06
503 MS_DRG Foot Procedures With Mcc 52 39 — — $15,944.59 $48,464.54 $18,159.22 2025-10-06
959 MS_DRG Other O.r. Procedures For Multiple Significant Tra 52 39 — — $16,167.40 $48,415.10 $18,140.70 2025-10-06
01576 OTHER New Technology - Level 39 ($15,001-$20,000) 48 39 — — $18,025.51 $36,051.02 $18,025.51 2025-10-06
01590 OTHER New Technology - Level 39 ($15,001-$20,000) 48 39 — — $18,025.51 $36,051.02 $18,025.51 2025-10-06
02616 OTHER Brachytx, Non-str,yttrium-90 48 39 — — $18,009.64 $36,019.28 $18,009.64 2025-10-06
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 78 55 — — $7,385.27 $48,037.87 $17,999.35 2025-10-06
255 MS_DRG Upper Limb And Toe Amputation For Circulatory Syst 52 39 — — $16,147.89 $47,913.35 $17,952.69 2025-10-06
05094 OTHER Level 4 Breast/lymphatic Surgery And Related Proce 48 39 — — $17,920.29 $35,840.58 $17,920.29 2025-10-06
C9781 CPT Spacer Balloon Subacro Md 0131 91 70 $25,600.00 $6,400.00 75% off $6,400.00 $25,600.00 $17,920.00 2025-10-06
749 MS_DRG Other Female Reproductive System O.r. Procedures W 52 39 — — $15,899.90 $47,402.44 $17,761.27 2025-10-06
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With 52 39 — — $16,219.01 $47,323.70 $17,731.76 2025-10-06
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary D 52 39 — — $15,162.25 $46,765.19 $17,522.49 2025-10-06
253 MS_DRG Other Vascular Procedures With Cc 82 57 — — $6,684.82 $46,750.54 $17,517.00 2025-10-06
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upp 78 55 — — $11,032.85 $46,662.64 $17,484.07 2025-10-06
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Wi 78 55 — — $4,762.69 $46,422.75 $17,394.19 2025-10-06
545 MS_DRG Connective Tissue Disorders With Mcc 52 39 — — $15,789.13 $46,272.59 $17,337.91 2025-10-06
498 MS_DRG Local Excision And Removal Of Internal Fixation De 52 39 — — $16,132.15 $46,235.97 $17,324.19 2025-10-06
164 MS_DRG Major Chest Procedures With Cc 52 39 — — $16,255.51 $46,091.30 $17,269.99 2025-10-06
56 MS_DRG Degenerative Nervous System Disorders With Mcc 78 55 — — $9,285.11 $45,855.08 $17,181.48 2025-10-06
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/m 52 39 — — $16,341.74 $45,820.29 $17,168.45 2025-10-06
397 MS_DRG Appendix Procedures With Mcc 49 39 — — $17,001.03 $45,373.47 $17,001.03 2025-10-06
27 MS_DRG Craniotomy And Endovascular Intracranial Procedure 78 55 — — $15,706.05 $45,190.35 $16,932.41 2025-10-06
05496 OTHER Level 6 Intraocular Procedures 48 39 — — $16,908.92 $33,817.84 $16,908.92 2025-10-06
792 MS_DRG Prematurity Without Major Problems 75 55 — — $16,808.22 $44,858.91 $16,808.22 2025-10-06
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 52 39 — — $15,786.61 $44,833.27 $16,798.62 2025-10-06
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With C 52 39 — — $16,120.82 $44,463.37 $16,660.02 2025-10-06
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 52 39 — — $14,834.96 $44,291.23 $16,595.52 2025-10-06
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 78 55 — — $9,182.42 $44,152.06 $16,543.38 2025-10-06
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 52 39 — — $14,953.29 $43,967.11 $16,474.08 2025-10-06
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 52 39 — — $14,377.38 $43,897.53 $16,448.00 2025-10-06
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 78 55 — — $11,222.74 $43,897.53 $16,448.00 2025-10-06
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With M 52 39 — — $14,965.24 $43,518.47 $16,305.97 2025-10-06
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 52 39 — — $15,955.92 $43,351.83 $16,243.54 2025-10-06
347 MS_DRG Anal And Stomal Procedures With Mcc 78 55 — — $8,640.85 $43,340.84 $16,239.42 2025-10-06
330 MS_DRG Major Small And Large Bowel Procedures With Cc 52 39 — — $15,454.29 $43,284.07 $16,218.15 2025-10-06
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 52 39 — — $15,324.00 $43,214.49 $16,192.08 2025-10-06
478 MS_DRG Biopsies Of Musculoskeletal System And Connective 52 39 — — $14,783.98 $42,824.44 $16,045.92 2025-10-06
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 78 55 — — $5,711.16 $42,487.50 $15,919.68 2025-10-06
320 MS_DRG Other Endovascular Cardiac Valve Procedures Withou 78 55 — — $15,067.00 $42,388.62 $15,882.62 2025-10-06
250 MS_DRG Percutaneous Cardiovascular Procedures Without Int 56 41 — — $11,349.00 $42,348.33 $15,867.54 2025-10-06
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 52 39 — — $14,919.93 $42,271.42 $15,838.72 2025-10-06
05495 OTHER Level 5 Intraocular Procedures 48 39 — — $15,825.76 $31,651.52 $15,825.76 2025-10-06
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 52 39 — — $12,677.37 $42,009.56 $15,740.60 2025-10-06
808 MS_DRG Major Hematological And Immunological Diagnoses Ex 52 39 — — $13,475.45 $41,939.97 $15,714.52 2025-10-06
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Dev 49 39 — — $15,707.66 $41,921.66 $15,707.66 2025-10-06
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 78 55 — — $8,307.58 $41,811.79 $15,666.50 2025-10-06
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 78 55 — — $14,790.27 $41,733.05 $15,637.00 2025-10-06
35 MS_DRG Carotid Artery Stent Procedures With Cc 52 39 — — $14,374.24 $41,656.14 $15,608.18 2025-10-06
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 52 39 — — $14,700.90 $41,494.99 $15,547.80 2025-10-06
341 MS_DRG Appendectomy Without Complicated Principal Diagnos 78 55 — — $6,592.78 $41,366.81 $15,499.76 2025-10-06
715 MS_DRG Other Male Reproductive System O.r. Procedures For 52 39 — — $13,401.46 $41,353.99 $15,494.96 2025-10-06
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