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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

OAKBEND MEDICAL CENTER

Richmond, TX · CCN 450330 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $549 across 20 payers · range $118-$4,010

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbOakBendRichmondTX&type=CDMWithoutLabel&fileType=CSV · observed 2026-04-03

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

1,812 distinct procedures filed
22 distinct payers
34,176 rate rows
2026-04-03 last MRF observed
Data quality

31,474 of 34,176 rate rows are consumer-grade (92.1%)

2,702 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 1,652
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 964
exceeds 3× this hospital's gross charge for a DRG stay — excluded 42
exceeds 10× this hospital's gross charge — excluded from medians 19
placeholder amount (≤ $0.02) — excluded from medians 16
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
percent-of-charges filed in the dollar field — excluded from medians 2
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbOakBendRichmondTX&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/OakBend.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-19
Content fingerprint 5d2367a51e34b4f6… · 13,384,430 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $97,937.25 $263,765.56 $161,081.65 nat. median
$190,557
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $16,361.90 $110,376.68 $98,771.36 nat. median
$126,722
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $15,741.28 $104,429.05 $63,774.83 nat. median
$77,696
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 14 $19,281.07 $82,419.59 $50,333.65 nat. median
$52,841
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $33,589.13 $61,042.52 $48,834.03 nat. median
$59,384
0.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 14 $33,412.70 $86,292.11 $46,512.06 nat. median
$38,225
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 13 $19,432.69 $68,327.16 $46,417.64 nat. median
$49,639
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $11,777.87 $74,103.44 $45,254.98 nat. median
$55,188
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $39,404.34 $72,525.88 $40,368.56 nat. median
$71,758
0.6× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 15 $27,542.29 $50,053.41 $40,042.74 nat. median
$49,396
0.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 13 $27,172.19 $64,687.51 $39,504.67 nat. median
$46,420
0.9× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 17 $25,886.75 $55,490.00 $37,850.23 nat. median
$46,224
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 $25,779.49 $61,371.98 $37,479.88 nat. median
$45,474
0.8× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 $18,822.90 $61,161.97 $37,351.62 nat. median
$45,264
0.8× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 14 $17,217.35 $60,006.25 $36,645.83 nat. median
$44,860
0.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 17 $19,835.77 $47,059.60 $34,883.62 nat. median
$42,662
0.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 18 $23,261.10 $55,695.33 $34,013.14 nat. median
$42,735
0.8× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 17 $17,016.02 $52,213.28 $31,886.66 nat. median
$38,049
0.8× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 17 $21,906.25 $52,151.15 $31,848.71 nat. median
$39,679
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $29,949.50 $79,969.91 $29,949.50 nat. median
$77,043
outlier · 0.4×
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 13 $20,174.78 $50,135.94 $29,331.38 nat. median
$33,095
0.9× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 $20,155.46 $47,983.13 $29,303.30 nat. median
$35,905
0.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 $14,827.63 $46,762.80 $28,558.05 nat. median
$35,512
0.8× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 $22,408.94 $40,724.42 $28,504.17 nat. median
$40,003
0.7× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 14 $19,510.79 $46,448.40 $28,366.04 nat. median
$35,721
0.8× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 $19,508.71 $46,443.43 $28,363.01 nat. median
$34,464
0.8× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 $15,129.93 $46,312.94 $28,283.32 nat. median
$35,287
0.8× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 $19,165.75 $45,626.97 $27,864.40 nat. median
$33,682
0.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 13 $11,641.20 $45,456.72 $27,760.42 nat. median
$31,618
0.9× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 $14,760.25 $44,230.18 $27,011.37 nat. median
$33,647
0.8× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 13 $12,635.43 $44,194.14 $26,989.37 nat. median
$34,048
0.8× median
245
MS_DRG 		Aicd Generator Procedures 13 $8,254.30 $36,356.08 $26,756.89 nat. median
$42,929
0.6× median
252
MS_DRG 		Other Vascular Procedures With Mcc 13 $11,958.70 $43,349.10 $26,473.30 nat. median
$32,714
0.8× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 $18,204.23 $43,337.92 $26,466.47 nat. median
$33,758
0.8× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 $17,456.71 $42,930.31 $26,217.55 nat. median
$31,965
0.8× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 $17,170.61 $42,604.73 $26,018.71 nat. median
$31,913
0.8× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 14 $12,243.03 $42,395.95 $25,891.21 nat. median
$31,937
0.8× median
420
MS_DRG 		Hepatobiliary Diagnostic Procedures With Mcc 16 $17,785.06 $32,321.32 $25,857.06 nat. median
$31,441
0.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 16 $14,866.62 $41,513.64 $25,352.38 nat. median
$31,243
0.8× median
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 $16,979.62 $40,422.55 $24,686.05 nat. median
$30,907
0.8× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 $14,148.70 $36,120.82 $24,577.53 nat. median
$30,215
0.8× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 14 $7,118.45 $40,200.10 $24,550.21 nat. median
$29,848
0.8× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 17 $16,666.42 $39,676.93 $24,230.70 nat. median
$30,994
0.8× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 $11,991.70 $39,603.61 $24,185.93 nat. median
$30,223
0.8× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 16 $16,520.26 $38,718.86 $24,018.21 nat. median
$29,700
0.8× median
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 $16,495.20 $39,269.32 $23,981.78 nat. median
$29,254
0.8× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 16 $18,640.10 $33,875.20 $23,696.35 nat. median
$33,175
0.7× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 16 $16,258.73 $38,706.38 $23,637.99 nat. median
$28,673
0.8× median
662
MS_DRG 		Minor Bladder Procedures With Mcc 16 $15,981.03 $38,045.26 $23,234.24 nat. median
$28,447
0.8× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 $11,237.49 $37,693.58 $23,019.47 nat. median
$29,492
0.8× median

Other procedures at this hospital

Browse this hospital's 1,812 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 14 $477,329.32 $95,465.86 80% off $97,937.25 $263,765.56 $161,081.65 2026-04-03
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 14 $98,771.36 $19,754.27 80% off $16,361.90 $110,376.68 $98,771.36 2026-04-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 14 $108,581.05 $21,716.21 80% off $15,741.28 $104,429.05 $63,774.83 2026-04-03
459 MS_DRG Spinal Fusion Except Cervical With Mcc 14 14 $105,311.18 $21,062.24 80% off $19,281.07 $82,419.59 $50,333.65 2026-04-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 17 $53,411.77 $10,682.35 80% off $33,589.13 $61,042.52 $48,834.03 2026-04-03
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 14 14 $46,512.06 $9,302.41 80% off $33,412.70 $86,292.11 $46,512.06 2026-04-03
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 13 13 $68,327.16 $13,665.43 80% off $19,432.69 $68,327.16 $46,417.64 2026-04-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 14 $87,241.60 $17,448.32 80% off $11,777.87 $74,103.44 $45,254.98 2026-04-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 16 $40,368.56 $8,073.71 80% off $39,404.34 $72,525.88 $40,368.56 2026-04-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 15 $48,040.03 $9,608.01 80% off $27,542.29 $50,053.41 $40,042.74 2026-04-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 13 $75,802.48 $15,160.50 80% off $27,172.19 $64,687.51 $39,504.67 2026-04-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 17 $55,490.00 $11,098.00 80% off $25,886.75 $55,490.00 $37,850.23 2026-04-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 13 $236,585.18 $47,317.04 80% off $25,779.49 $61,371.98 $37,479.88 2026-04-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 14 $74,910.58 $14,982.12 80% off $18,822.90 $61,161.97 $37,351.62 2026-04-03
471 MS_DRG Cervical Spinal Fusion With Mcc 14 14 $104,654.76 $20,930.95 80% off $17,217.35 $60,006.25 $36,645.83 2026-04-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 17 $47,059.60 $9,411.92 80% off $19,835.77 $47,059.60 $34,883.62 2026-04-03
163 MS_DRG Major Chest Procedures With Mcc 18 18 $86,688.88 $17,337.78 80% off $23,261.10 $55,695.33 $34,013.14 2026-04-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 17 $63,885.13 $12,777.03 80% off $17,016.02 $52,213.28 $31,886.66 2026-04-03
901 MS_DRG Wound Debridements For Injuries With Mcc 17 17 $132,425.24 $26,485.05 80% off $21,906.25 $52,151.15 $31,848.71 2026-04-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 17 $29,949.50 $5,989.90 80% off $29,949.50 $79,969.91 $29,949.50 2026-04-03
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 13 $165,097.75 $33,019.55 80% off $20,174.78 $50,135.94 $29,331.38 2026-04-03
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 16 $53,113.48 $10,622.70 80% off $20,155.46 $47,983.13 $29,303.30 2026-04-03
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 13 $50,212.49 $10,042.50 80% off $14,827.63 $46,762.80 $28,558.05 2026-04-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 16 $28,504.17 $5,700.83 80% off $22,408.94 $40,724.42 $28,504.17 2026-04-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 14 $127,014.29 $25,402.86 80% off $19,510.79 $46,448.40 $28,366.04 2026-04-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 13 $100,725.82 $20,145.16 80% off $19,508.71 $46,443.43 $28,363.01 2026-04-03
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 14 $72,854.52 $14,570.90 80% off $15,129.93 $46,312.94 $28,283.32 2026-04-03
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 13 $70,563.79 $14,112.76 80% off $19,165.75 $45,626.97 $27,864.40 2026-04-03
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 13 13 $49,424.59 $9,884.92 80% off $11,641.20 $45,456.72 $27,760.42 2026-04-03
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 13 $58,354.97 $11,670.99 80% off $14,760.25 $44,230.18 $27,011.37 2026-04-03
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 13 $68,215.23 $13,643.05 80% off $12,635.43 $44,194.14 $26,989.37 2026-04-03
245 MS_DRG Aicd Generator Procedures 13 13 $26,756.89 $5,351.38 80% off $8,254.30 $36,356.08 $26,756.89 2026-04-03
252 MS_DRG Other Vascular Procedures With Mcc 13 13 $58,749.54 $11,749.91 80% off $11,958.70 $43,349.10 $26,473.30 2026-04-03
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 13 $100,267.56 $20,053.51 80% off $18,204.23 $43,337.92 $26,466.47 2026-04-03
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 16 $58,702.23 $11,740.45 80% off $17,456.71 $42,930.31 $26,217.55 2026-04-03
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 17 $43,774.37 $8,754.87 80% off $17,170.61 $42,604.73 $26,018.71 2026-04-03
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 14 $60,241.68 $12,048.34 80% off $12,243.03 $42,395.95 $25,891.21 2026-04-03
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 16 $31,360.58 $6,272.12 80% off $17,785.06 $32,321.32 $25,857.06 2026-04-03
264 MS_DRG Other Circulatory System O.r. Procedures 16 16 $58,243.32 $11,648.66 80% off $14,866.62 $41,513.64 $25,352.38 2026-04-03
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 18 $68,586.80 $13,717.36 80% off $16,979.62 $40,422.55 $24,686.05 2026-04-03
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 16 $36,120.82 $7,224.16 80% off $14,148.70 $36,120.82 $24,577.53 2026-04-03
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 14 $58,560.65 $11,712.13 80% off $7,118.45 $40,200.10 $24,550.21 2026-04-03
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 17 $47,483.60 $9,496.72 80% off $16,666.42 $39,676.93 $24,230.70 2026-04-03
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 13 $60,238.39 $12,047.68 80% off $11,991.70 $39,603.61 $24,185.93 2026-04-03
500 MS_DRG Soft Tissue Procedures With Mcc 16 16 $38,718.86 $7,743.77 80% off $16,520.26 $38,718.86 $24,018.21 2026-04-03
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 16 $54,054.49 $10,810.90 80% off $16,495.20 $39,269.32 $23,981.78 2026-04-03
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 16 $23,696.35 $4,739.27 80% off $18,640.10 $33,875.20 $23,696.35 2026-04-03
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 16 $43,062.41 $8,612.48 80% off $16,258.73 $38,706.38 $23,637.99 2026-04-03
662 MS_DRG Minor Bladder Procedures With Mcc 16 16 $61,572.52 $12,314.50 80% off $15,981.03 $38,045.26 $23,234.24 2026-04-03
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 13 $44,102.14 $8,820.43 80% off $11,237.49 $37,693.58 $23,019.47 2026-04-03
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 8 8 $64,569.87 $12,913.97 80% off $22,920.05 $28,650.06 $22,920.05 2026-04-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 16 $22,896.79 $4,579.36 80% off $18,408.85 $33,454.95 $22,896.79 2026-04-03
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 16 16 $41,702.41 $8,340.48 80% off $15,711.16 $37,402.78 $22,841.88 2026-04-03
472 MS_DRG Cervical Spinal Fusion With Cc 13 13 $76,922.19 $15,384.44 80% off $7,831.96 $36,611.18 $22,358.45 2026-04-03
668 MS_DRG Transurethral Procedures With Mcc 14 14 $176,856.99 $35,371.40 80% off $15,242.40 $48,357.70 $22,160.38 2026-04-03
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 13 $95,622.43 $19,124.49 80% off $15,202.21 $42,926.06 $22,101.94 2026-04-03
791 MS_DRG Prematurity With Major Problems 8 8 $13,311.73 $2,662.35 80% off $13,311.73 $38,505.54 $22,058.08 2026-04-03
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 13 $64,147.54 $12,829.51 80% off $12,631.38 $35,423.16 $21,632.93 2026-04-03
654 MS_DRG Major Bladder Procedures With Cc 14 14 $37,985.10 $7,597.02 80% off $11,541.70 $34,786.90 $21,244.36 2026-04-03
503 MS_DRG Foot Procedures With Mcc 13 13 $44,308.70 $8,861.74 80% off $11,482.22 $34,685.00 $21,182.13 2026-04-03
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 14 $28,497.49 $5,699.50 80% off $14,469.32 $28,497.49 $21,036.42 2026-04-03
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 18 $74,922.39 $14,984.48 80% off $14,087.35 $34,158.09 $20,860.35 2026-04-03
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 13 $63,561.23 $12,712.25 80% off $14,344.56 $58,667.07 $20,855.04 2026-04-03
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 14 $78,226.27 $15,645.25 80% off $7,269.28 $33,811.38 $20,648.61 2026-04-03
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 16 $46,439.61 $9,287.92 80% off $14,126.36 $33,629.95 $20,537.81 2026-04-03
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 13 13 $20,503.01 $4,100.60 80% off $3,211.78 $40,008.10 $20,503.01 2026-04-03
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 13 $55,963.55 $11,192.71 80% off $11,663.75 $33,520.59 $20,471.03 2026-04-03
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 16 16 $23,531.60 $4,706.32 80% off $13,866.93 $25,200.78 $20,160.63 2026-04-03
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 13 $54,915.34 $10,983.07 80% off $13,836.65 $32,940.25 $20,116.61 2026-04-03
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 14 $132,301.15 $26,460.23 80% off $13,482.22 $32,096.46 $19,601.31 2026-04-03
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 16 $47,477.22 $9,495.44 80% off $13,463.42 $32,051.72 $19,573.99 2026-04-03
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 13 $54,106.63 $10,821.33 80% off $9,622.45 $31,726.13 $19,375.15 2026-04-03
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 13 $51,283.30 $10,256.66 80% off $13,238.44 $31,516.11 $19,246.89 2026-04-03
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 17 17 $50,326.75 $10,065.35 80% off $13,007.72 $30,966.84 $18,911.45 2026-04-03
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 13 $47,341.45 $9,468.29 80% off $12,833.37 $32,347.53 $18,657.97 2026-04-03
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 13 $39,502.05 $7,900.41 80% off $6,941.94 $30,374.07 $18,549.45 2026-04-03
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 14 14 $80,273.07 $16,054.61 80% off $10,805.46 $30,338.04 $18,527.44 2026-04-03
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 16 $51,550.35 $10,310.07 80% off $10,868.68 $29,790.00 $18,192.76 2026-04-03
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 16 $61,588.44 $12,317.69 80% off $11,280.97 $29,655.79 $18,110.80 2026-04-03
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 14 14 $72,438.12 $14,487.62 80% off $12,207.49 $29,061.78 $17,748.03 2026-04-03
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 16 $21,149.51 $4,229.90 80% off $10,379.39 $22,168.91 $17,735.13 2026-04-03
357 MS_DRG Other Digestive System O.r. Procedures With Cc 13 13 $47,822.06 $9,564.41 80% off $8,185.38 $28,898.99 $17,648.61 2026-04-03
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 10 $24,096.18 $4,819.24 80% off $16,601.88 $24,096.18 $17,630.40 2026-04-03
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 16 $42,901.44 $8,580.29 80% off $11,979.38 $28,518.72 $17,416.39 2026-04-03
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 17 17 $18,016.31 $3,603.26 80% off $9,980.68 $21,429.91 $17,143.94 2026-04-03
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 14 14 $34,880.50 $6,976.10 80% off $1,873.25 $27,498.47 $16,793.32 2026-04-03
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 14 14 $77,671.65 $15,534.33 80% off $11,539.33 $27,471.13 $16,776.62 2026-04-03
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 17 17 $25,389.10 $5,077.82 80% off $11,525.24 $25,389.10 $16,756.13 2026-04-03
30 MS_DRG Spinal Procedures Without Cc/mcc 17 17 $90,531.30 $18,106.26 80% off $10,382.33 $27,279.75 $16,659.75 2026-04-03
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 8 8 $25,151.77 $5,030.35 80% off $16,633.94 $20,792.42 $16,633.94 2026-04-03
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 16 $35,392.99 $7,078.60 80% off $11,420.84 $27,189.03 $16,604.35 2026-04-03
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 14 14 $74,115.27 $14,823.05 80% off $11,392.65 $30,817.75 $16,563.36 2026-04-03
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 16 16 $63,315.56 $12,663.11 80% off $10,657.99 $27,075.95 $16,535.28 2026-04-03
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 17 17 $73,064.00 $14,612.80 80% off $9,628.57 $26,612.42 $16,252.21 2026-04-03
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 13 13 $48,785.68 $9,757.14 80% off $8,004.25 $26,480.69 $16,171.76 2026-04-03
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 13 $72,632.30 $14,526.46 80% off $11,054.39 $26,316.66 $16,071.59 2026-04-03
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 16 $16,019.70 $3,203.94 80% off $11,404.03 $21,682.25 $16,019.70 2026-04-03
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 16 $34,231.04 $6,846.21 80% off $11,007.41 $26,204.81 $16,003.28 2026-04-03
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 13 13 $97,683.97 $19,536.79 80% off $10,933.29 $33,145.99 $15,895.52 2026-04-03
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 13 13 $58,327.07 $11,665.41 80% off $10,915.54 $25,986.10 $15,869.71 2026-04-03
314 MS_DRG Other Circulatory System Diagnoses With Mcc 17 17 $30,088.70 $6,017.74 80% off $10,884.74 $25,912.78 $15,824.94 2026-04-03
711 MS_DRG Testes Procedures With Cc/mcc 16 16 $43,421.62 $8,684.32 80% off $8,659.01 $25,895.38 $15,814.31 2026-04-03
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 17 17 $46,120.71 $9,224.14 80% off $9,964.23 $25,840.70 $15,780.92 2026-04-03
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 16 16 $36,472.34 $7,294.47 80% off $10,847.68 $25,824.55 $15,771.05 2026-04-03
935 MS_DRG Non-extensive Burns 15 15 $20,786.62 $4,157.32 80% off $10,753.20 $20,786.62 $15,633.69 2026-04-03
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 16 16 $16,409.00 $3,281.80 80% off $8,987.77 $19,235.69 $15,388.56 2026-04-03
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 17 17 $28,848.91 $5,769.78 80% off $10,497.42 $24,990.70 $15,261.82 2026-04-03
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 13 13 $50,109.81 $10,021.96 80% off $10,473.93 $24,934.78 $15,227.67 2026-04-03
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 16 $15,179.20 $3,035.84 80% off $12,461.56 $23,329.10 $15,179.20 2026-04-03
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 16 16 $112,069.16 $22,413.83 80% off $10,430.08 $24,830.39 $15,163.92 2026-04-03
908 MS_DRG Other O.r. Procedures For Injuries With Cc 16 16 $33,876.37 $6,775.27 80% off $9,610.76 $24,794.35 $15,141.91 2026-04-03
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 17 17 $15,157.10 $3,031.42 80% off $10,339.78 $18,790.78 $15,032.63 2026-04-03
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 16 16 $57,642.08 $11,528.42 80% off $10,069.67 $24,458.82 $14,937.00 2026-04-03
380 MS_DRG Complicated Peptic Ulcer With Mcc 16 16 $36,318.80 $7,263.76 80% off $10,242.68 $24,384.26 $14,891.47 2026-04-03
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 16 $56,664.21 $11,332.84 80% off $10,139.85 $29,731.00 $14,741.96 2026-04-03
592 MS_DRG Skin Ulcers With Mcc 16 16 $47,504.38 $9,500.88 80% off $10,102.27 $24,049.97 $14,687.32 2026-04-03
196 MS_DRG Interstitial Lung Disease With Mcc 17 17 $26,238.94 $5,247.79 80% off $9,851.18 $23,452.23 $14,322.28 2026-04-03
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 16 $62,074.23 $12,414.85 80% off $9,762.97 $23,242.22 $14,194.02 2026-04-03
504 MS_DRG Foot Procedures With Cc 16 16 $44,909.18 $8,981.84 80% off $9,058.89 $23,228.55 $14,185.68 2026-04-03
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 16 16 $34,159.65 $6,831.93 80% off $8,607.21 $23,100.55 $14,107.51 2026-04-03
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 14 14 $19,499.44 $3,899.89 80% off $6,992.10 $19,499.44 $14,107.51 2026-04-03
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 13 13 $31,284.80 $6,256.96 80% off $9,587.57 $30,018.09 $13,939.03 2026-04-03
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 16 16 $36,698.02 $7,339.60 80% off $7,399.46 $22,801.06 $13,924.61 2026-04-03
205 MS_DRG Other Respiratory System Diagnoses With Mcc 16 16 $35,855.53 $7,171.11 80% off $9,557.82 $22,753.84 $13,895.77 2026-04-03
919 MS_DRG Complications Of Treatment With Mcc 13 13 $53,879.39 $10,775.88 80% off $9,556.78 $22,751.35 $13,894.25 2026-04-03
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 17 17 $47,262.95 $9,452.59 80% off $9,542.16 $22,716.56 $13,873.00 2026-04-03
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 16 16 $19,884.86 $3,976.97 80% off $9,519.71 $19,884.86 $13,840.37 2026-04-03
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 13 13 $28,757.47 $5,751.49 80% off $7,309.20 $22,461.80 $13,717.42 2026-04-03
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 14 14 $79,015.89 $15,803.18 80% off $9,415.31 $24,231.45 $13,688.59 2026-04-03
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 16 16 $57,860.12 $11,572.02 80% off $9,368.33 $22,302.74 $13,620.28 2026-04-03
254 MS_DRG Other Vascular Procedures Without Cc/mcc 16 16 $23,168.09 $4,633.62 80% off $9,300.47 $22,141.19 $13,521.62 2026-04-03
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 17 17 $14,323.18 $2,864.64 80% off $9,295.78 $16,893.49 $13,514.79 2026-04-03
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 18 18 $45,327.16 $9,065.43 80% off $3,089.00 $22,034.31 $13,456.36 2026-04-03
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 16 16 $14,785.68 $2,957.14 80% off $9,221.13 $16,757.83 $13,406.27 2026-04-03
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 14 14 $81,609.82 $16,321.96 80% off $8,260.40 $21,908.80 $13,379.71 2026-04-03
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 17 17 $53,168.52 $10,633.70 80% off $9,172.58 $21,836.72 $13,335.69 2026-04-03
91 MS_DRG Other Disorders Of Nervous System With Mcc 16 16 $24,569.09 $4,913.82 80% off $9,167.36 $21,824.30 $13,328.10 2026-04-03
199 MS_DRG Pneumothorax With Mcc 17 17 $13,328.00 $2,665.60 80% off $8,934.88 $16,735.06 $13,328.00 2026-04-03
501 MS_DRG Soft Tissue Procedures With Cc 16 16 $25,925.95 $5,185.19 80% off $8,608.85 $21,723.64 $13,266.63 2026-04-03
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 15 15 $42,695.15 $8,539.03 80% off $9,109.42 $29,731.00 $13,243.86 2026-04-03
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 17 17 $17,369.94 $3,473.99 80% off $9,069.75 $17,369.94 $13,186.18 2026-04-03
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 17 17 $23,281.45 $4,656.29 80% off $6,870.25 $21,586.94 $13,183.15 2026-04-03
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 16 16 $13,176.03 $2,635.21 80% off $9,483.17 $17,234.05 $13,176.03 2026-04-03
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 17 17 $62,435.47 $12,487.09 80% off $8,220.58 $21,473.86 $13,114.09 2026-04-03
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 11 11 $27,877.97 $5,575.59 80% off $10,016.57 $21,470.13 $13,111.81 2026-04-03
157 MS_DRG Dental And Oral Diseases With Mcc 13 13 $79,941.59 $15,988.32 80% off $8,961.70 $21,334.67 $13,029.09 2026-04-03
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 17 17 $62,632.85 $12,526.57 80% off $6,976.92 $21,299.88 $13,007.84 2026-04-03
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 16 $62,158.55 $12,431.71 80% off $8,893.84 $21,173.12 $12,930.43 2026-04-03
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 16 16 $24,229.86 $4,845.97 80% off $8,285.69 $21,099.80 $12,885.65 2026-04-03
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 17 17 $50,042.58 $10,008.52 80% off $8,780.09 $21,021.51 $12,837.84 2026-04-03
571 MS_DRG Skin Debridement With Cc 16 16 $31,872.59 $6,374.52 80% off $8,209.11 $20,995.42 $12,821.90 2026-04-03
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 14 14 $15,125.92 $3,025.18 80% off $8,811.36 $16,013.14 $12,810.52 2026-04-03
548 MS_DRG Septic Arthritis With Mcc 17 17 $12,804.93 $2,560.99 80% off $10,079.30 $30,886.00 $12,804.93 2026-04-03
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 16 16 $23,181.42 $4,636.28 80% off $7,896.46 $20,913.40 $12,771.81 2026-04-03
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 17 17 $30,370.64 $6,074.13 80% off $8,782.13 $20,907.18 $12,768.02 2026-04-03
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 $12,745.20 $2,549.04 80% off $12,745.20 $12,745.20 $12,745.20 2026-04-03
141 MS_DRG Major Head And Neck Procedures With Cc 15 15 $12,723.10 $2,544.62 80% off $11,385.34 $20,690.92 $12,723.10 2026-04-03
444 MS_DRG Disorders Of The Biliary Tract With Mcc 15 15 $30,929.22 $6,185.84 80% off $8,075.00 $20,764.27 $12,680.74 2026-04-03
70 MS_DRG Other Cerebrovascular Disorders With Mcc 17 17 $33,892.97 $6,778.59 80% off $8,690.26 $20,688.47 $12,634.45 2026-04-03
113 MS_DRG Orbital Procedures With Cc/mcc 18 18 $12,581.65 $2,516.33 80% off $11,953.58 $29,731.00 $12,581.65 2026-04-03
643 MS_DRG Endocrine Disorders With Mcc 16 16 $20,587.40 $4,117.48 80% off $8,592.64 $20,456.08 $12,492.53 2026-04-03
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 17 17 $41,711.18 $8,342.24 80% off $7,795.11 $29,731.00 $12,473.56 2026-04-03
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 17 17 $21,714.50 $4,342.90 80% off $8,482.72 $20,397.68 $12,456.86 2026-04-03
334 MS_DRG Rectal Resection Without Cc/mcc 16 16 $28,041.42 $5,608.28 80% off $8,549.84 $20,354.18 $12,430.30 2026-04-03
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 17 17 $26,554.69 $5,310.94 80% off $8,527.39 $20,300.75 $12,397.67 2026-04-03
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 13 13 $94,038.75 $18,807.75 80% off $8,513.82 $33,094.63 $12,377.94 2026-04-03
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 16 16 $30,433.72 $6,086.74 80% off $8,500.25 $20,236.13 $12,358.20 2026-04-03
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 17 17 $34,386.64 $6,877.33 80% off $8,373.40 $19,934.15 $12,173.79 2026-04-03
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 16 16 $40,228.37 $8,045.67 80% off $8,350.87 $19,911.78 $12,160.13 2026-04-03
620 MS_DRG O.r. Procedures For Obesity With Cc 16 16 $18,598.78 $3,719.76 80% off $8,353.57 $18,598.78 $12,144.95 2026-04-03
393 MS_DRG Other Digestive System Diagnoses With Mcc 13 13 $84,950.68 $16,990.14 80% off $8,348.35 $19,874.50 $12,137.36 2026-04-03
368 MS_DRG Major Esophageal Disorders With Mcc 14 14 $38,693.87 $7,738.77 80% off $7,034.39 $19,782.54 $12,081.20 2026-04-03
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 17 17 $12,023.48 $2,404.70 80% off $9,131.87 $16,595.61 $12,023.48 2026-04-03
385 MS_DRG Inflammatory Bowel Disease With Mcc 17 17 $16,309.95 $3,261.99 80% off $8,259.61 $16,309.95 $12,008.34 2026-04-03
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 16 16 $21,535.15 $4,307.03 80% off $7,800.50 $19,563.83 $11,947.63 2026-04-03
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 17 17 $16,894.18 $3,378.84 80% off $8,161.47 $16,894.18 $11,865.67 2026-04-03
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 14 14 $70,593.13 $14,118.63 80% off $8,153.12 $19,409.73 $11,853.52 2026-04-03
186 MS_DRG Pleural Effusion With Mcc 16 16 $46,533.52 $9,306.70 80% off $8,135.37 $19,367.48 $11,827.72 2026-04-03
669 MS_DRG Transurethral Procedures With Cc 13 13 $47,560.00 $9,512.00 80% off $8,101.44 $19,286.70 $11,778.39 2026-04-03
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 14 14 $43,570.78 $8,714.16 80% off $8,057.59 $19,182.32 $11,714.64 2026-04-03
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 17 17 $11,695.55 $2,339.11 80% off $8,374.45 $15,219.13 $11,695.55 2026-04-03
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 8 8 $9,698.07 $1,939.61 80% off $9,698.07 $17,096.50 $11,687.64 2026-04-03
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 13 13 $26,114.94 $5,222.99 80% off $8,021.57 $19,096.57 $11,662.28 2026-04-03
964 MS_DRG Other Multiple Significant Trauma With Cc 16 16 $36,468.12 $7,293.62 80% off $8,000.17 $19,045.62 $11,631.16 2026-04-03
37244 HCPCS Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 21 21 $10,295.00 $2,059.00 80% off $3,860.00 $14,496.00 $11,596.80 2026-04-03
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 22 22 $37,846.00 $7,569.20 80% off $3,860.00 $47,307.50 $11,596.80 2026-04-03
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 16 16 $20,443.30 $4,088.66 80% off $7,957.89 $18,944.96 $11,569.69 2026-04-03
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 16 16 $29,824.80 $5,964.96 80% off $7,953.19 $18,933.78 $11,562.86 2026-04-03
663 MS_DRG Minor Bladder Procedures With Cc 16 16 $15,923.97 $3,184.79 80% off $7,935.44 $15,923.97 $11,537.06 2026-04-03
398 MS_DRG Appendix Procedures With Cc 14 14 $77,018.92 $15,403.78 80% off $7,900.99 $18,809.51 $11,486.97 2026-04-03
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 16 16 $17,843.13 $3,568.63 80% off $7,873.85 $17,843.13 $11,447.50 2026-04-03
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 17 17 $27,058.85 $5,411.77 80% off $7,854.53 $18,698.91 $11,419.42 2026-04-03
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 17 17 $14,361.18 $2,872.24 80% off $7,831.57 $14,361.18 $11,386.03 2026-04-03
865 MS_DRG Viral Illness With Mcc 17 17 $35,304.45 $7,060.89 80% off $7,821.13 $18,619.37 $11,370.85 2026-04-03
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 14 14 $50,967.62 $10,193.52 80% off $5,122.30 $18,572.15 $11,342.01 2026-04-03
137 MS_DRG Mouth Procedures With Cc/mcc 18 18 $138,558.12 $27,711.62 80% off $6,804.53 $29,731.00 $11,332.15 2026-04-03
140 MS_DRG Major Head And Neck Procedures With Mcc 13 13 $11,306.82 $2,261.36 80% off $11,306.82 $32,370.09 $11,306.82 2026-04-03
682 MS_DRG Renal Failure With Mcc 17 17 $55,342.62 $11,068.52 80% off $7,730.82 $18,404.39 $11,239.56 2026-04-03
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 17 17 $45,391.95 $9,078.39 80% off $7,684.36 $18,293.79 $11,172.02 2026-04-03
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 7 7 $13,207.76 $2,641.55 80% off $10,951.93 $13,689.91 $10,951.93 2026-04-03
757 MS_DRG Infections, Female Reproductive System With Mcc 17 17 $53,457.37 $10,691.47 80% off $7,474.52 $17,794.22 $10,866.93 2026-04-03
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 16 16 $16,616.15 $3,323.23 80% off $6,403.69 $16,616.15 $10,822.92 2026-04-03
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 13 13 $20,485.85 $4,097.17 80% off $7,389.43 $17,591.66 $10,743.23 2026-04-03
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 17 17 $10,676.50 $2,135.30 80% off $7,761.62 $14,105.42 $10,676.50 2026-04-03
811 MS_DRG Red Blood Cell Disorders With Mcc 17 17 $19,921.07 $3,984.21 80% off $7,330.45 $17,451.24 $10,657.47 2026-04-03
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 17 17 $49,728.40 $9,945.68 80% off $7,327.84 $17,445.02 $10,653.68 2026-04-03
710 MS_DRG Penis Procedures Without Cc/mcc 16 16 $33,303.03 $6,660.61 80% off $6,453.17 $17,412.71 $10,633.95 2026-04-03
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 13 13 $45,619.50 $9,123.90 80% off $7,297.04 $17,371.70 $10,608.90 2026-04-03
885 MS_DRG Psychoses 10 10 $62,630.26 $12,526.05 80% off $9,079.20 $17,358.03 $10,600.55 2026-04-03
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 16 16 $11,338.40 $2,267.68 80% off $7,286.08 $13,241.20 $10,592.96 2026-04-03
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 16 16 $31,532.83 $6,306.57 80% off $7,231.97 $17,309.57 $10,570.95 2026-04-03
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 16 16 $24,260.14 $4,852.03 80% off $7,226.57 $17,203.94 $10,506.45 2026-04-03
33213 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Dual Leads 21 21 $9,845.00 $1,969.00 80% off $3,860.00 $13,124.50 $10,499.60 2026-04-03
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 16 16 $11,570.71 $2,314.14 80% off $7,207.25 $13,097.96 $10,478.37 2026-04-03
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 17 17 $36,911.47 $7,382.29 80% off $7,170.19 $17,069.73 $10,424.48 2026-04-03
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 16 16 $25,579.25 $5,115.85 80% off $7,111.73 $16,930.54 $10,339.49 2026-04-03
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 16 16 $13,024.90 $2,604.98 80% off $6,369.36 $13,024.90 $10,290.91 2026-04-03
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 16 16 $16,952.85 $3,390.57 80% off $6,175.40 $16,725.50 $10,214.26 2026-04-03
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 12 12 $17,606.63 $3,521.33 80% off $7,020.90 $16,714.32 $10,207.43 2026-04-03
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 16 16 $53,752.95 $10,750.59 80% off $6,811.49 $16,597.50 $10,136.10 2026-04-03
180 MS_DRG Respiratory Neoplasms With Mcc 16 16 $10,082.75 $2,016.55 80% off $9,218.52 $16,753.09 $10,082.75 2026-04-03
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 16 16 $42,206.09 $8,441.22 80% off $6,899.80 $16,426.01 $10,031.36 2026-04-03
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 13 13 $42,047.74 $8,409.55 80% off $6,899.27 $16,424.77 $10,030.61 2026-04-03
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 17 17 $44,178.37 $8,835.67 80% off $6,861.17 $29,731.00 $9,975.21 2026-04-03
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 17 17 $31,944.30 $6,388.86 80% off $6,593.29 $16,312.92 $9,962.30 2026-04-03
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 11 11 $48,223.38 $9,644.68 80% off $7,138.20 $16,100.42 $9,832.53 2026-04-03
975 MS_DRG HIV With Major Related Condition With Cc 16 16 $57,687.39 $11,537.48 80% off $6,759.90 $16,092.97 $9,827.98 2026-04-03
291 MS_DRG Heart Failure And Shock With Mcc 17 17 $35,435.66 $7,087.13 80% off $6,701.44 $29,731.00 $9,742.98 2026-04-03
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 16 16 $30,477.61 $6,095.52 80% off $6,692.04 $15,931.41 $9,729.32 2026-04-03
947 MS_DRG Signs And Symptoms With Mcc 17 17 $52,291.70 $10,458.34 80% off $6,626.27 $15,774.83 $9,633.69 2026-04-03
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 16 16 $43,128.24 $8,625.65 80% off $6,173.90 $15,761.16 $9,625.34 2026-04-03
977 MS_DRG HIV With Or Without Other Related Condition 17 17 $11,780.52 $2,356.10 80% off $6,616.87 $12,025.04 $9,620.03 2026-04-03
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 16 $38,950.55 $7,790.11 80% off $6,534.92 $15,557.36 $9,500.88 2026-04-03
189 MS_DRG Pulmonary Edema And Respiratory Failure 16 16 $31,051.47 $6,210.29 80% off $6,448.79 $29,731.00 $9,375.66 2026-04-03
36030086 CDM Operating Room Services - General Classification 15 15 $31,200.00 $6,240.00 80% off $5,304.00 $20,904.00 $9,360.00 2026-04-03
36530010 CDM Operating Room Services - General Classification 15 15 $31,200.00 $6,240.00 80% off $5,304.00 $20,904.00 $9,360.00 2026-04-03
37020011 CDM Operating Room Services - General Classification 15 15 $31,200.00 $6,240.00 80% off $5,304.00 $20,904.00 $9,360.00 2026-04-03
375 MS_DRG Digestive Malignancy With Cc 17 17 $27,975.46 $5,595.09 80% off $2,316.00 $15,031.70 $9,179.86 2026-04-03
139 MS_DRG Salivary Gland Procedures 17 17 $13,339.10 $2,667.82 80% off $5,541.42 $13,339.10 $9,172.27 2026-04-03
549 MS_DRG Septic Arthritis With Cc 17 17 $20,889.25 $4,177.85 80% off $6,301.58 $32,045.00 $9,161.65 2026-04-03
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 17 17 $35,692.70 $7,138.54 80% off $6,284.88 $14,962.11 $9,137.36 2026-04-03
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 13 13 $11,855.69 $2,371.14 80% off $3,480.80 $11,855.69 $9,100.93 2026-04-03
J3101 HCPCS Injection, Tenecteplase, 1 Mg 22 22 $23,275.35 $4,655.07 80% off $91.43 $26,766.65 $9,077.39 2026-04-03
304 MS_DRG Hypertension With Mcc 18 18 $41,205.05 $8,241.01 80% off $6,065.99 $29,731.00 $9,031.11 2026-04-03
593 MS_DRG Skin Ulcers With Cc 16 16 $17,753.38 $3,550.68 80% off $6,192.49 $14,742.15 $9,003.03 2026-04-03
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 16 16 $16,764.41 $3,352.88 80% off $6,191.96 $14,740.91 $9,002.27 2026-04-03
152 MS_DRG Otitis Media And Uri With Mcc 18 18 $35,532.48 $7,106.50 80% off $6,171.08 $29,731.00 $8,971.92 2026-04-03
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 16 16 $26,960.45 $5,392.09 80% off $5,807.12 $14,666.35 $8,956.74 2026-04-03
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 16 16 $46,693.37 $9,338.67 80% off $5,469.21 $14,542.08 $8,880.85 2026-04-03
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 15 15 $39,093.19 $7,818.64 80% off $6,056.77 $14,419.05 $8,805.71 2026-04-03
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 16 $12,700.02 $2,540.00 80% off $6,011.87 $12,700.02 $8,740.45 2026-04-03
399 MS_DRG Appendix Procedures Without Cc/mcc 14 14 $43,589.80 $8,717.96 80% off $5,975.33 $14,225.19 $8,687.32 2026-04-03
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 16 16 $20,385.17 $4,077.03 80% off $5,970.64 $14,214.00 $8,680.49 2026-04-03
598 MS_DRG Malignant Breast Disorders With Cc 17 17 $12,561.72 $2,512.34 80% off $5,905.39 $29,731.00 $8,585.63 2026-04-03
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 16 16 $10,986.67 $2,197.33 80% off $5,904.34 $10,730.13 $8,584.11 2026-04-03
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 12 $8,560.40 $1,712.08 80% off $8,560.40 $23,875.15 $8,560.40 2026-04-03
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 16 16 $8,958.11 $1,791.62 80% off $5,878.24 $10,682.70 $8,546.16 2026-04-03
102 MS_DRG Headaches With Mcc 16 16 $25,385.98 $5,077.20 80% off $5,851.10 $13,929.42 $8,506.70 2026-04-03
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 14 14 $29,424.97 $5,884.99 80% off $5,829.70 $16,320.88 $8,475.59 2026-04-03
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 17 17 $27,119.38 $5,423.88 80% off $5,782.19 $29,731.00 $8,406.52 2026-04-03
200 MS_DRG Pneumothorax With Cc 17 17 $22,297.61 $4,459.52 80% off $5,388.82 $29,731.00 $8,342.77 2026-04-03
755 MS_DRG Malignancy, Female Reproductive System With Cc 17 17 $46,949.40 $9,389.88 80% off $5,678.32 $13,518.09 $8,255.50 2026-04-03
381 MS_DRG Complicated Peptic Ulcer With Cc 17 17 $14,908.57 $2,981.71 80% off $5,655.87 $13,464.65 $8,222.87 2026-04-03
181 MS_DRG Respiratory Neoplasms With Cc 16 16 $38,609.90 $7,721.98 80% off $5,590.62 $13,309.32 $8,128.00 2026-04-03
887 MS_DRG Other Mental Disorder Diagnoses 14 14 $34,866.38 $6,973.28 80% off $5,590.10 $13,308.07 $8,127.24 2026-04-03
300 MS_DRG Peripheral Vascular Disorders With Cc 16 16 $24,177.76 $4,835.55 80% off $5,117.32 $13,265.82 $8,101.44 2026-04-03
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 16 16 $21,081.00 $4,216.20 80% off $5,355.37 $13,125.40 $8,015.68 2026-04-03
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 14 14 $15,242.55 $3,048.51 80% off $5,502.92 $13,100.54 $8,000.50 2026-04-03
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 16 16 $10,771.00 $2,154.20 80% off $5,469.52 $10,771.00 $7,951.93 2026-04-03
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 17 17 $16,477.41 $3,295.48 80% off $4,578.55 $12,943.96 $7,904.88 2026-04-03
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 13 13 $29,659.27 $5,931.85 80% off $4,444.75 $12,866.92 $7,857.83 2026-04-03
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 14 14 $40,589.19 $8,117.84 80% off $5,382.34 $12,813.48 $7,825.19 2026-04-03
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 16 16 $76,355.69 $15,271.14 80% off $5,380.78 $12,809.75 $7,822.92 2026-04-03
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 15 15 $32,361.12 $6,472.22 80% off $5,366.16 $12,774.96 $7,801.67 2026-04-03
71 MS_DRG Other Cerebrovascular Disorders With Cc 16 16 $53,986.93 $10,797.39 80% off $5,355.72 $12,750.10 $7,786.49 2026-04-03
644 MS_DRG Endocrine Disorders With Cc 17 17 $36,517.79 $7,303.56 80% off $5,214.85 $12,737.68 $7,778.90 2026-04-03
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 16 16 $36,814.11 $7,362.82 80% off $5,341.63 $12,716.55 $7,766.00 2026-04-03
92 MS_DRG Other Disorders Of Nervous System With Cc 16 16 $36,555.41 $7,311.08 80% off $5,340.06 $12,712.82 $7,763.72 2026-04-03
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 15 15 $52,251.42 $10,450.28 80% off $2,316.00 $27,408.82 $7,748.54 2026-04-03
55 MS_DRG Nervous System Neoplasms Without Mcc 16 16 $11,854.45 $2,370.89 80% off $5,322.31 $11,854.45 $7,737.92 2026-04-03
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 16 16 $15,364.12 $3,072.82 80% off $5,298.30 $12,613.41 $7,703.01 2026-04-03
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 16 16 $11,587.25 $2,317.45 80% off $5,293.08 $11,587.25 $7,695.42 2026-04-03
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 17 17 $15,989.29 $3,197.86 80% off $5,274.29 $12,556.24 $7,668.10 2026-04-03
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 17 17 $53,947.47 $10,789.49 80% off $5,273.77 $12,555.00 $7,667.34 2026-04-03
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 17 17 $11,328.08 $2,265.62 80% off $4,090.63 $11,328.08 $7,646.09 2026-04-03
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 17 17 $18,074.69 $3,614.94 80% off $3,548.59 $12,460.55 $7,609.66 2026-04-03
920 MS_DRG Complications Of Treatment With Cc 15 15 $52,758.23 $10,551.65 80% off $5,232.01 $12,455.58 $7,606.63 2026-04-03
369 MS_DRG Major Esophageal Disorders With Cc 17 17 $27,006.64 $5,401.33 80% off $5,221.04 $12,429.49 $7,590.69 2026-04-03
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 16 16 $25,460.63 $5,092.13 80% off $4,760.44 $12,400.90 $7,573.23 2026-04-03
551 MS_DRG Medical Back Problems With Mcc 16 16 $7,520.32 $1,504.06 80% off $7,520.32 $15,900.26 $7,520.32 2026-04-03
187 MS_DRG Pleural Effusion With Cc 17 17 $25,481.05 $5,096.21 80% off $5,163.10 $12,291.55 $7,506.45 2026-04-03
378 MS_DRG Gastrointestinal Hemorrhage With Cc 17 17 $73,182.92 $14,636.58 80% off $5,119.25 $12,187.16 $7,442.70 2026-04-03
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 17 17 $33,701.85 $6,740.37 80% off $5,111.42 $12,168.52 $7,431.32 2026-04-03
758 MS_DRG Infections, Female Reproductive System With Cc 16 16 $24,345.46 $4,869.09 80% off $4,990.71 $12,166.03 $7,429.80 2026-04-03
670 MS_DRG Transurethral Procedures Without Cc/mcc 17 17 $12,681.00 $2,536.20 80% off $5,101.51 $12,144.91 $7,416.90 2026-04-03
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 12 $7,409.55 $1,481.91 80% off $7,409.55 $7,409.55 $7,409.55 2026-04-03
386 MS_DRG Inflammatory Bowel Disease With Cc 15 15 $20,432.66 $4,086.53 80% off $5,096.29 $12,132.48 $7,409.31 2026-04-03
315 MS_DRG Other Circulatory System Diagnoses With Cc 17 17 $14,534.70 $2,906.94 80% off $5,028.43 $11,970.93 $7,310.65 2026-04-03
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 10 10 $19,813.35 $3,962.67 80% off $6,241.30 $11,932.41 $7,287.12 2026-04-03
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 17 17 $10,749.85 $2,149.97 80% off $4,507.03 $10,749.85 $7,142.17 2026-04-03
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