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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

PALO PINTO GENERAL HOSPITAL

Mineral Wells, TX · CCN 450565 · Rates published

2,715 distinct procedures filed
19 distinct payers
53,974 rate rows
2026-07-31 last MRF observed
Data quality

53,137 of 53,974 rate rows are consumer-grade (98.4%)

837 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 763
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 22
percent-of-charges filed in the dollar field — excluded from medians 17
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 14
exceeds 10× this hospital's gross charge — excluded from medians 11
placeholder amount (≤ $0.02) — excluded from medians 8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/palo-pinto-site-485/media/r/64e3b805d588478eb05a4918d9375497/751256948_palo-pinto-general-hospital_standardcharges.csv
Found on page https://ppgh.com/patients-visitors/billing-insurance/price-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-11
Content fingerprint 95e0afd374cd9a44… · 3,582,021 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $39,278.52 $309,205.63 $158,218.96 nat. median
$168,055
0.9× median
3
MS_DRG 		Ecmo Or Trach W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck W Major O.… 3 $78,433.66 $228,163.23 $129,923.49 nat. median
$145,435
0.9× median
4
MS_DRG 		Tracheostomy W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck Without Maj… 3 $48,990.06 $118,133.27 $63,870.28 nat. median
$97,418
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $42,622.01 $105,857.28 $56,911.68 nat. median
$56,428
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $51,815.21 $51,815.21 $51,815.21 nat. median
$40,584
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 3 $32,183.85 $66,979.29 $48,274.31 nat. median
$55,935
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 3 $8,019.00 $89,490.41 $47,292.76 nat. median
$73,023
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $43,076.31 $81,844.36 $45,339.64 nat. median
$69,822
0.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $35,064.53 $72,306.46 $44,607.94 nat. median
$60,505
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $37,969.57 $67,558.86 $39,742.29 nat. median
$2,106
outlier · 18.9×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $31,105.51 $48,432.55 $38,406.39 nat. median
$38,173
1.0× median
793
MS_DRG 		Full Term Neonate With Major Problems 1 $37,439.50 $37,439.50 $37,439.50 nat. median
$15,882
outlier · 2.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $24,359.98 $53,143.17 $36,914.62 nat. median
$43,803
0.8× median
791
MS_DRG 		Prematurity With Major Problems 1 $36,543.40 $36,543.40 $36,543.40 nat. median
$27,149
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten… 3 $29,120.00 $72,268.40 $36,443.04 nat. median
$59,651
0.6× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $25,669.19 $85,817.88 $35,521.44 nat. median
$35,725
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $33,267.56 $66,340.02 $35,015.52 nat. median
$55,923
0.6× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $6,569.10 $36,606.52 $34,779.14 nat. median
$2,024
outlier · 17.2×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 $20,717.73 $173,595.96 $34,587.11 nat. median
$37,371
0.9× median
23
MS_DRG 		Craniotomy W Maj Device Imp Or Acute Complex Cns Pdx W Mcc Or Chemother Imp Or E… 3 $23,385.30 $49,873.12 $34,160.40 nat. median
$40,301
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $25,185.15 $44,311.05 $33,014.22 nat. median
$2,106
outlier · 15.7×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Without Mcc 3 $21,960.86 $46,754.59 $33,009.00 nat. median
$39,159
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $24,904.73 $51,324.23 $31,706.67 nat. median
$43,023
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $15,016.59 $64,125.69 $31,453.06 nat. median
$52,327
0.6× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $7,336.98 $32,003.48 $30,405.89 nat. median
$2,024
outlier · 15.0×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $21,400.01 $45,237.85 $30,316.24 nat. median
$37,725
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $21,725.01 $52,187.92 $30,081.49 nat. median
$44,036
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $28,722.50 $57,671.48 $29,562.99 nat. median
$49,569
0.6× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 $16,820.66 $68,600.52 $28,844.83 nat. median
$29,481
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten… 3 $26,853.26 $50,151.04 $28,692.10 nat. median
$42,674
0.7× median
245
MS_DRG 		Aicd Generator Procedures 3 $22,359.82 $43,243.09 $28,421.33 nat. median
$32,088
0.9× median
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 3 $18,031.99 $65,294.91 $28,290.90 nat. median
$30,700
0.9× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 $17,819.30 $48,525.48 $28,057.84 nat. median
$30,768
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $14,298.93 $55,972.44 $27,519.73 nat. median
$47,458
0.6× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 3 $16,853.70 $40,364.73 $27,352.79 nat. median
$30,358
0.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $21,738.78 $28,741.49 $27,306.73 nat. median
$2,024
outlier · 13.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $11,100.24 $60,012.20 $27,231.51 nat. median
$48,611
0.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $9,134.37 $29,263.13 $26,901.17 nat. median
$2,106
outlier · 12.8×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 $15,825.75 $114,453.00 $26,777.77 nat. median
$28,888
0.9× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 $20,070.15 $64,581.30 $26,688.99 nat. median
$23,282
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $7,404.21 $58,973.51 $26,651.69 nat. median
$47,340
0.6× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 $23,131.72 $41,767.70 $26,328.71 nat. median
$34,616
0.8× median
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 3 $16,415.10 $46,211.31 $26,216.94 nat. median
$27,223
1.0× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 3 $15,847.64 $41,577.30 $26,005.82 nat. median
$29,055
0.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $13,475.97 $53,370.03 $25,753.97 nat. median
$38,844
0.7× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $15,291.18 $27,004.00 $25,655.97 nat. median
$2,024
outlier · 12.7×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $19,030.21 $42,166.31 $25,652.51 nat. median
$33,546
0.8× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 3 $10,031.85 $48,432.55 $25,643.35 nat. median
$37,487
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 4 $20,800.00 $52,906.59 $25,299.54 nat. median
$41,895
0.6× median
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $16,241.23 $34,451.41 $25,167.28 nat. median
$27,920
0.9× median

Other procedures at this hospital

Browse this hospital's 2,715 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 Immunotherapy 4 3 — — $39,278.52 $309,205.63 $158,218.96 2026-07-31
3 MS_DRG Ecmo Or Trach W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck W Major O.… 4 3 — — $78,433.66 $228,163.23 $129,923.49 2026-07-31
4 MS_DRG Tracheostomy W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck Without Maj… 4 3 — — $48,990.06 $118,133.27 $63,870.28 2026-07-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $42,622.01 $105,857.28 $56,911.68 2026-07-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $51,815.21 $51,815.21 $51,815.21 2026-07-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 3 — — $32,183.85 $66,979.29 $48,274.31 2026-07-31
215 MS_DRG Other Heart Assist System Implant 4 3 — — $8,019.00 $89,490.41 $47,292.76 2026-07-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $43,076.31 $81,844.36 $45,339.64 2026-07-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $35,064.53 $72,306.46 $44,607.94 2026-07-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 3 — — $37,969.57 $67,558.86 $39,742.29 2026-07-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $31,105.51 $48,432.55 $38,406.39 2026-07-31
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $37,439.50 $37,439.50 $37,439.50 2026-07-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $24,359.98 $53,143.17 $36,914.62 2026-07-31
791 MS_DRG Prematurity With Major Problems 1 1 — — $36,543.40 $36,543.40 $36,543.40 2026-07-31
456 MS_DRG Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten… 4 3 — — $29,120.00 $72,268.40 $36,443.04 2026-07-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $25,669.19 $85,817.88 $35,521.44 2026-07-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $33,267.56 $66,340.02 $35,015.52 2026-07-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $6,569.10 $36,606.52 $34,779.14 2026-07-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $20,717.73 $173,595.96 $34,587.11 2026-07-31
23 MS_DRG Craniotomy W Maj Device Imp Or Acute Complex Cns Pdx W Mcc Or Chemother Imp Or E… 4 3 — — $23,385.30 $49,873.12 $34,160.40 2026-07-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 3 — — $25,185.15 $44,311.05 $33,014.22 2026-07-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 4 3 — — $21,960.86 $46,754.59 $33,009.00 2026-07-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $24,904.73 $51,324.23 $31,706.67 2026-07-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $15,016.59 $64,125.69 $31,453.06 2026-07-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $7,336.98 $32,003.48 $30,405.89 2026-07-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $21,400.01 $45,237.85 $30,316.24 2026-07-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $21,725.01 $52,187.92 $30,081.49 2026-07-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $28,722.50 $57,671.48 $29,562.99 2026-07-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $16,820.66 $68,600.52 $28,844.83 2026-07-31
457 MS_DRG Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten… 4 3 — — $26,853.26 $50,151.04 $28,692.10 2026-07-31
245 MS_DRG Aicd Generator Procedures 4 3 — — $22,359.82 $43,243.09 $28,421.33 2026-07-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $18,031.99 $65,294.91 $28,290.90 2026-07-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $17,819.30 $48,525.48 $28,057.84 2026-07-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $14,298.93 $55,972.44 $27,519.73 2026-07-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $16,853.70 $40,364.73 $27,352.79 2026-07-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 2 — — $21,738.78 $28,741.49 $27,306.73 2026-07-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $11,100.24 $60,012.20 $27,231.51 2026-07-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 3 — — $9,134.37 $29,263.13 $26,901.17 2026-07-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 3 — — $15,825.75 $114,453.00 $26,777.77 2026-07-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 3 — — $20,070.15 $64,581.30 $26,688.99 2026-07-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $7,404.21 $58,973.51 $26,651.69 2026-07-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 3 — — $23,131.72 $41,767.70 $26,328.71 2026-07-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 3 — — $16,415.10 $46,211.31 $26,216.94 2026-07-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $15,847.64 $41,577.30 $26,005.82 2026-07-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 3 — — $13,475.97 $53,370.03 $25,753.97 2026-07-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $15,291.18 $27,004.00 $25,655.97 2026-07-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $19,030.21 $42,166.31 $25,652.51 2026-07-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 3 — — $10,031.85 $48,432.55 $25,643.35 2026-07-31
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $20,800.00 $52,906.59 $25,299.54 2026-07-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $16,241.23 $34,451.41 $25,167.28 2026-07-31
332 MS_DRG Rectal Resection With Mcc 4 3 — — $17,179.56 $50,109.84 $24,917.81 2026-07-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $11,366.73 $54,889.99 $24,529.90 2026-07-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $23,238.68 $52,384.32 $24,459.70 2026-07-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $11,906.19 $47,633.68 $24,288.72 2026-07-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $5,043.87 $56,047.80 $24,271.35 2026-07-31
837 MS_DRG Chemotherapy W Acute Leukemia As Secondary Diag Or W High Dose Chemotherapy Agen… 4 3 — — $7,475.49 $44,218.61 $24,156.06 2026-07-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $1,618.38 $50,822.69 $24,105.62 2026-07-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $22,869.05 $53,544.22 $24,070.64 2026-07-31
653 MS_DRG Major Bladder Procedures With Mcc 3 2 — — $22,505.20 $48,815.78 $23,687.67 2026-07-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $15,373.93 $63,312.84 $23,656.82 2026-07-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 3 — — $14,721.80 $54,007.56 $23,525.91 2026-07-31
792 MS_DRG Prematurity Without Major Problems 1 1 — — $23,497.25 $23,497.25 $23,497.25 2026-07-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $22,301.59 $46,564.19 $23,473.37 2026-07-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 2 — — $22,209.90 $44,800.35 $23,376.86 2026-07-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $13,472.47 $32,267.97 $23,104.61 2026-07-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $16,470.44 $78,173.91 $23,076.49 2026-07-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $13,864.00 $48,525.48 $23,052.60 2026-07-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $19,859.93 $44,459.24 $23,032.22 2026-07-31
252 MS_DRG Other Vascular Procedures With Mcc 4 3 — — $13,714.49 $39,583.08 $22,939.07 2026-07-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $21,690.35 $88,240.59 $22,830.01 2026-07-31
463 MS_DRG Wound Debridement & Skin Grft Excpt Hand For Musculoskeletal & Connective Tissue… 4 3 — — $4,982.31 $47,409.25 $22,741.24 2026-07-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 3 — — $5,691.87 $44,926.73 $22,654.78 2026-07-31
799 MS_DRG Splenectomy With Mcc 3 2 — — $21,244.31 $42,173.60 $22,360.53 2026-07-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $21,241.42 $51,851.68 $22,357.49 2026-07-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $16,345.71 $34,211.59 $22,196.92 2026-07-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 3 — — $14,513.23 $32,246.00 $21,818.16 2026-07-31
458 MS_DRG Spinal Fus Except Cerv W Spinal Curvature, Malignancy, Infection Or Extensive Fu… 5 4 — — $14,779.26 $35,634.57 $21,810.64 2026-07-31
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $16,640.00 $43,004.09 $21,808.03 2026-07-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $12,552.57 $47,363.07 $21,408.24 2026-07-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $13,297.77 $42,341.33 $21,348.47 2026-07-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $13,568.70 $28,936.24 $21,090.63 2026-07-31
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $6,054.75 $40,993.94 $21,021.26 2026-07-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $9,969.48 $44,170.79 $20,957.69 2026-07-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 3 — — $12,629.54 $106,124.58 $20,861.90 2026-07-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $17,443.35 $40,853.77 $20,558.00 2026-07-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $18,550.72 $39,884.75 $20,495.21 2026-07-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 4 3 — — $15,868.71 $39,520.00 $20,306.65 2026-07-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $17,259.27 $36,604.16 $20,072.33 2026-07-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 3 — — $16,067.35 $33,006.80 $19,985.33 2026-07-31
221 MS_DRG Cardiac Valve & Other Major Cardiothoracic Procedures Without Cardiac Catheterizatio… 3 2 — — $18,801.00 $40,859.43 $19,788.85 2026-07-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $11,522.70 $68,638.59 $19,686.33 2026-07-31
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $13,524.51 $30,555.88 $19,504.89 2026-07-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $12,983.49 $40,203.15 $19,266.95 2026-07-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $7,842.42 $41,563.52 $19,060.96 2026-07-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $14,302.60 $37,594.24 $18,956.56 2026-07-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $12,491.19 $27,477.86 $18,515.58 2026-07-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 3 — — $11,235.67 $86,260.14 $18,473.06 2026-07-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $5,988.33 $39,240.60 $18,292.51 2026-07-31
503 MS_DRG Foot Procedures With Mcc 4 3 — — $10,856.53 $26,076.33 $18,259.76 2026-07-31
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 1 1 — — $18,254.32 $18,254.32 $18,254.32 2026-07-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $10,197.09 $38,210.81 $18,189.10 2026-07-31
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $8,520.39 $39,546.08 $18,065.33 2026-07-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $15,451.56 $35,552.51 $18,048.39 2026-07-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $14,073.39 $29,732.71 $18,030.78 2026-07-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $10,502.59 $27,786.24 $17,951.56 2026-07-31
654 MS_DRG Major Bladder Procedures With Cc 4 3 — — $11,977.83 $26,514.50 $17,915.34 2026-07-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $13,528.62 $36,947.69 $17,824.58 2026-07-31
C1734 HCPCS Cable/trochanteric Grip 16 8 $34,815.00 $17,407.50 50% off $9,748.20 $26,111.25 $17,807.87 2026-07-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 3 — — $11,104.74 $33,701.67 $17,805.41 2026-07-31
263 MS_DRG Vein Ligation And Stripping 4 3 — — $9,520.89 $27,590.22 $17,700.67 2026-07-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $13,221.37 $26,380.01 $17,554.85 2026-07-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 3 — — $9,855.42 $27,744.12 $17,334.29 2026-07-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 3 — — $10,373.73 $48,890.79 $17,281.35 2026-07-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $14,323.67 $32,421.81 $17,126.10 2026-07-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $6,874.47 $34,964.29 $16,906.53 2026-07-31
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $8,198.82 $37,915.11 $16,871.78 2026-07-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $10,315.09 $29,036.88 $16,813.38 2026-07-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $6,633.09 $35,926.01 $16,772.17 2026-07-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 3 — — $10,009.06 $43,972.47 $16,719.56 2026-07-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 3 — — $6,360.12 $20,800.00 $16,668.75 2026-07-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 3 — — $9,603.08 $36,326.07 $16,605.15 2026-07-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 3 — — $10,459.64 $43,093.62 $16,455.56 2026-07-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $9,734.00 $23,196.78 $16,421.67 2026-07-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $7,792.20 $34,619.14 $16,313.14 2026-07-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 3 — — $7,611.57 $35,903.32 $16,198.28 2026-07-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 3 — — $9,652.22 $30,793.77 $16,119.78 2026-07-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $9,191.88 $34,845.19 $16,062.65 2026-07-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 3 — — $13,985.01 $29,365.66 $16,044.32 2026-07-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $10,623.96 $32,692.43 $15,905.40 2026-07-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 3 — — $7,624.53 $25,820.15 $15,904.55 2026-07-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $10,404.45 $32,017.51 $15,892.26 2026-07-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 3 — — $9,757.95 $38,513.88 $15,869.97 2026-07-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 3 — — $6,778.08 $34,932.68 $15,773.15 2026-07-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $5,134.59 $32,694.06 $15,719.33 2026-07-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $13,043.43 $35,618.14 $15,674.40 2026-07-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $11,567.72 $25,480.66 $15,660.74 2026-07-31
794 MS_DRG Neonate With Other Significant Problems 1 1 — — $15,609.77 $15,609.77 $15,609.77 2026-07-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 3 — — $9,144.23 $40,526.73 $15,603.30 2026-07-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $11,928.27 $25,552.77 $15,423.22 2026-07-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $11,262.24 $33,211.77 $15,398.90 2026-07-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $12,256.92 $32,037.77 $15,366.68 2026-07-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 3 — — $9,059.57 $46,489.14 $15,331.87 2026-07-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $7,748.46 $33,967.70 $15,312.85 2026-07-31
32 MS_DRG Ventricular Shunt Procedures With Cc 4 3 — — $9,136.39 $43,261.29 $15,284.39 2026-07-31
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $13,025.61 $29,322.73 $15,258.34 2026-07-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $6,420.06 $31,247.01 $15,191.64 2026-07-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 3 — — $13,643.64 $31,400.94 $15,157.72 2026-07-31
253 MS_DRG Other Vascular Procedures With Cc 4 3 — — $10,959.78 $24,334.21 $15,133.85 2026-07-31
333 MS_DRG Rectal Resection With Cc 4 3 — — $8,842.33 $35,581.68 $15,087.92 2026-07-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 3 — — $8,872.89 $26,476.47 $15,086.17 2026-07-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 3 — — $8,403.31 $24,978.78 $15,074.01 2026-07-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $9,360.00 $32,173.89 $15,009.25 2026-07-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 3 — — $9,506.43 $24,189.17 $14,924.24 2026-07-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 3 — — $11,026.69 $24,340.69 $14,844.25 2026-07-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $9,360.00 $32,687.57 $14,803.16 2026-07-31
595 MS_DRG Major Skin Disorders With Mcc 4 3 — — $8,309.97 $49,881.42 $14,766.42 2026-07-31
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $13,413.41 $31,967.27 $14,744.38 2026-07-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 4 3 — — $10,419.16 $22,386.45 $14,607.15 2026-07-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 3 — — $8,649.87 $38,681.55 $14,471.34 2026-07-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 3 — — $8,426.85 $21,635.91 $14,430.93 2026-07-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $9,880.00 $305,473.68 $14,323.37 2026-07-31
849 MS_DRG Radiotherapy 4 3 — — $10,273.38 $25,291.07 $14,314.15 2026-07-31
265 MS_DRG Aicd Lead Procedures 4 3 — — $12,294.18 $32,551.45 $14,252.81 2026-07-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 3 — — $9,629.10 $23,071.89 $14,244.81 2026-07-31
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 3 — — $8,099.34 $25,666.47 $14,236.70 2026-07-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 3 — — $8,396.70 $22,236.55 $14,183.90 2026-07-31
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 — — $8,200.53 $27,855.90 $14,133.17 2026-07-31
41 MS_DRG Peripheral, Cranial Nerve & Other Nervous System Procedures W Cc Or Peripheral N… 4 3 — — $9,708.80 $21,945.68 $14,122.34 2026-07-31
464 MS_DRG Wound Debridement & Skin Grft Excpt Hand For Musculoskeletal & Connective Tissue… 4 3 — — $12,284.69 $27,539.42 $14,121.19 2026-07-31
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 4 3 — — $8,155.10 $39,344.13 $14,078.48 2026-07-31
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 3 — — $8,085.30 $21,437.46 $14,068.08 2026-07-31
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 3 — — $8,129.91 $28,516.86 $14,048.19 2026-07-31
347 MS_DRG Anal And Stomal Procedures With Mcc 4 3 — — $10,166.41 $22,825.59 $13,957.76 2026-07-31
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 4 3 — — $9,180.16 $20,686.60 $13,932.01 2026-07-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $10,261.89 $30,046.25 $13,909.49 2026-07-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 3 — — $10,128.41 $23,246.07 $13,885.10 2026-07-31
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 4 3 — — $7,932.08 $33,935.76 $13,860.65 2026-07-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 3 — — $7,773.07 $28,380.78 $13,851.91 2026-07-31
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 4 3 — — $8,224.07 $22,724.55 $13,840.11 2026-07-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 3 — — $7,715.67 $25,830.90 $13,833.84 2026-07-31
592 MS_DRG Skin Ulcers With Mcc 4 3 — — $6,966.07 $24,382.62 $13,820.96 2026-07-31
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 3 — — $7,700.80 $57,242.70 $13,798.88 2026-07-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 3 — — $12,642.34 $25,739.93 $13,767.94 2026-07-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $10,907.46 $31,722.60 $13,767.92 2026-07-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 3 — — $12,651.84 $27,264.77 $13,766.05 2026-07-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 3 — — $8,230.41 $29,487.20 $13,629.74 2026-07-31
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 4 3 — — $8,531.34 $47,662.02 $13,625.46 2026-07-31
374 MS_DRG Digestive Malignancy With Mcc 4 3 — — $8,540.43 $20,756.28 $13,615.18 2026-07-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 3 — — $12,163.26 $25,146.85 $13,613.42 2026-07-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 3 — — $7,846.59 $54,308.07 $13,592.44 2026-07-31
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 3 — — $9,423.01 $22,149.05 $13,592.04 2026-07-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $12,909.14 $40,798.89 $13,587.42 2026-07-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 3 — — $8,955.36 $28,634.85 $13,587.36 2026-07-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 3 — — $9,831.05 $22,352.41 $13,586.87 2026-07-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 3 — — $7,779.68 $32,945.94 $13,577.07 2026-07-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 3 — — $11,277.79 $26,806.17 $13,571.05 2026-07-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 4 3 — — $9,857.48 $22,114.21 $13,515.72 2026-07-31
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 3 — — $7,987.83 $31,960.17 $13,434.22 2026-07-31
545 MS_DRG Connective Tissue Disorders With Mcc 4 3 — — $10,322.94 $24,122.73 $13,418.86 2026-07-31
469 MS_DRG Major Hip & Knee Joint Replacement Or Reattachment Of Lower Extremity W Mcc Or T… 5 4 — — $6,458.13 $30,132.95 $13,407.89 2026-07-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 3 — — $6,967.62 $26,852.37 $13,326.69 2026-07-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $8,899.47 $28,704.53 $13,296.17 2026-07-31
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 4 3 — — $7,645.46 $36,225.63 $13,274.31 2026-07-31
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 — — $12,480.00 $41,715.81 $13,272.26 2026-07-31
C1767 HCPCS Pm Implant Battery Rechargable 30 8 $24,914.00 $12,457.00 50% off $8,643.20 $19,851.00 $13,234.00 2026-07-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 3 — — $11,250.95 $25,660.53 $13,196.88 2026-07-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $10,499.70 $25,393.97 $13,156.29 2026-07-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $12,230.19 $13,796.94 $13,108.21 2026-07-31
570 MS_DRG Skin Debridement With Mcc 4 3 — — $11,713.92 $23,038.52 $13,075.62 2026-07-31
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 4 3 — — $7,434.00 $18,381.52 $13,058.42 2026-07-31
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 4 3 — — $7,784.64 $33,943.86 $13,041.69 2026-07-31
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 3 — — $7,239.06 $19,249.65 $13,025.99 2026-07-31
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $8,400.83 $19,299.50 $12,987.27 2026-07-31
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 4 3 — — $7,472.41 $43,748.10 $12,951.11 2026-07-31
548 MS_DRG Septic Arthritis With Mcc 4 3 — — $8,382.25 $19,971.99 $12,949.14 2026-07-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 2 — — $12,240.49 $30,401.93 $12,883.64 2026-07-31
665 MS_DRG Prostatectomy With Mcc 4 3 — — $10,052.91 $31,469.00 $12,871.05 2026-07-31
800 MS_DRG Splenectomy With Cc 3 2 — — $12,189.28 $27,257.47 $12,829.74 2026-07-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 3 — — $10,673.16 $24,106.53 $12,808.97 2026-07-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 4 3 — — $7,648.35 $18,925.18 $12,762.17 2026-07-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $12,058.47 $27,413.03 $12,750.68 2026-07-31
662 MS_DRG Minor Bladder Procedures With Mcc 3 2 — — $12,100.07 $28,924.91 $12,735.84 2026-07-31
180 MS_DRG Respiratory Neoplasms With Mcc 4 3 — — $7,177.11 $37,334.52 $12,682.27 2026-07-31
671 MS_DRG Urethral Procedures With Cc/mcc 4 3 — — $7,337.77 $24,878.34 $12,669.18 2026-07-31
116 MS_DRG Intraocular Procedures With Cc/mcc 4 3 — — $7,752.84 $19,417.32 $12,664.40 2026-07-31
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 4 3 — — $7,620.26 $19,954.98 $12,659.51 2026-07-31
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 4 3 — — $7,883.76 $16,981.65 $12,607.72 2026-07-31
509 MS_DRG Arthroscopy 4 3 — — $6,912.79 $19,448.10 $12,579.22 2026-07-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 5 4 — — $10,491.03 $24,996.60 $12,480.00 2026-07-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 3 — — $11,072.53 $25,780.46 $12,474.83 2026-07-31
J3262 HCPCS Acterma 400mg/20ml Sol Sdv 16 9 $20,752.20 $10,376.10 50% off $5.86 $15,564.15 $12,451.32 2026-07-31
504 MS_DRG Foot Procedures With Cc 4 3 — — $7,326.21 $17,868.67 $12,445.22 2026-07-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $9,223.47 $30,057.60 $12,409.48 2026-07-31
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 4 3 — — $7,150.68 $20,070.18 $12,322.81 2026-07-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 3 — — $9,428.38 $20,763.58 $12,289.15 2026-07-31
444 MS_DRG Disorders Of The Biliary Tract With Mcc 4 3 — — $6,892.14 $84,850.74 $12,275.46 2026-07-31
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 3 — — $6,786.00 $20,679.30 $12,257.28 2026-07-31
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 3 — — $6,971.85 $22,748.04 $12,212.08 2026-07-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $10,495.98 $23,485.90 $12,198.94 2026-07-31
808 MS_DRG Maj Hematological & Immunological Diag Excpt Sickle Cell Crisis & Coagulation Di… 4 3 — — $8,994.73 $22,205.77 $12,194.17 2026-07-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 3 — — $6,492.96 $26,403.52 $12,194.17 2026-07-31
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 4 3 — — $6,834.32 $17,678.25 $12,179.90 2026-07-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 3 — — $9,033.55 $23,938.01 $12,178.15 2026-07-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 2 — — $11,559.04 $25,880.31 $12,166.38 2026-07-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 3 — — $7,455.89 $18,760.70 $12,071.21 2026-07-31
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 4 3 — — $6,781.05 $20,685.78 $12,070.34 2026-07-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $7,134.48 $26,879.10 $12,042.43 2026-07-31
334 MS_DRG Rectal Resection Without Cc/mcc 4 3 — — $6,646.00 $18,749.88 $12,041.40 2026-07-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 4 3 — — $6,592.72 $28,588.95 $12,034.02 2026-07-31
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 4 3 — — $7,106.49 $22,372.20 $12,028.11 2026-07-31
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 3 — — $6,716.21 $20,267.82 $12,008.67 2026-07-31
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 4 3 — — $7,235.76 $26,389.80 $11,973.81 2026-07-31
38 MS_DRG Extracranial Procedures With Cc 4 3 — — $6,844.65 $19,989.18 $11,954.32 2026-07-31
913 MS_DRG Traumatic Injury With Mcc 4 3 — — $6,758.33 $40,510.53 $11,937.26 2026-07-31
902 MS_DRG Wound Debridements For Injuries With Cc 4 3 — — $8,104.71 $19,024.04 $11,933.14 2026-07-31
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 4 3 — — $6,586.52 $22,125.15 $11,928.27 2026-07-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 3 — — $8,784.45 $24,903.79 $11,884.76 2026-07-31
157 MS_DRG Dental And Oral Diseases With Mcc 4 3 — — $6,494.01 $18,582.21 $11,875.94 2026-07-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 3 — — $11,181.56 $24,622.64 $11,835.60 2026-07-31
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 3 — — $6,801.28 $41,266.26 $11,830.64 2026-07-31
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $6,941.29 $17,552.68 $11,822.26 2026-07-31
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 4 3 — — $6,370.53 $26,745.39 $11,765.58 2026-07-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 3 — — $6,102.08 $17,649.09 $11,678.58 2026-07-31
668 MS_DRG Transurethral Procedures With Mcc 4 3 — — $6,307.47 $27,277.72 $11,677.49 2026-07-31
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 4 3 — — $6,174.35 $19,115.19 $11,659.50 2026-07-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 3 — — $11,292.25 $25,070.70 $11,651.67 2026-07-31
597 MS_DRG Malignant Breast Disorders With Mcc 4 3 — — $6,759.57 $17,882.43 $11,644.00 2026-07-31
183 MS_DRG Major Chest Trauma With Mcc 4 3 — — $6,424.63 $31,187.43 $11,636.06 2026-07-31
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 4 3 — — $6,742.64 $34,501.14 $11,591.94 2026-07-31
75 MS_DRG Viral Meningitis With Cc/mcc 4 3 — — $6,715.38 $17,604.52 $11,590.37 2026-07-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 3 — — $8,654.42 $20,460.55 $11,585.77 2026-07-31
186 MS_DRG Pleural Effusion With Mcc 4 3 — — $6,373.42 $24,855.66 $11,579.53 2026-07-31
606 MS_DRG Minor Skin Disorders With Mcc 4 3 — — $6,240.43 $16,696.28 $11,576.13 2026-07-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 4 3 — — $6,809.96 $18,418.79 $11,558.33 2026-07-31
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 4 3 — — $8,756.43 $17,890.54 $11,467.74 2026-07-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $11,005.62 $24,587.81 $11,467.21 2026-07-31
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 3 — — $6,251.99 $16,363.27 $11,449.38 2026-07-31
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $8,207.14 $18,078.51 $11,437.46 2026-07-31
919 MS_DRG Complications Of Treatment With Mcc 4 3 — — $7,576.07 $18,424.47 $11,433.81 2026-07-31
669 MS_DRG Transurethral Procedures With Cc 4 3 — — $6,326.75 $37,319.13 $11,423.31 2026-07-31
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 3 — — $7,809.00 $20,586.95 $11,410.18 2026-07-31
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 4 3 — — $6,572.48 $49,480.47 $11,400.32 2026-07-31
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $7,145.82 $27,844.08 $11,383.34 2026-07-31
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 4 3 — — $6,427.11 $16,676.02 $11,373.05 2026-07-31
709 MS_DRG Penis Procedures With Cc/mcc 4 3 — — $9,548.15 $21,855.74 $11,364.38 2026-07-31
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 4 3 — — $6,521.68 $18,217.71 $11,349.67 2026-07-31
164 MS_DRG Major Chest Procedures With Cc 4 3 — — $10,885.85 $24,042.53 $11,326.82 2026-07-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 3 — — $7,091.21 $18,449.59 $11,246.67 2026-07-31
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 4 3 — — $7,061.89 $16,301.25 $11,232.10 2026-07-31
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 4 3 — — $6,774.44 $16,452.40 $11,201.47 2026-07-31
115 MS_DRG Extraocular Procedures Except Orbit 4 3 — — $6,002.13 $19,417.32 $11,185.64 2026-07-31
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 3 — — $9,328.84 $20,082.17 $11,178.90 2026-07-31
506 MS_DRG Major Thumb Or Joint Procedures 4 3 — — $6,094.64 $15,919.74 $11,105.09 2026-07-31
C1772 HCPCS Pm Implant Pain Pump Kit 15 8 $21,210.00 $10,605.00 50% off $7,847.70 $15,907.50 $11,092.83 2026-07-31
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 4 3 — — $6,159.48 $18,698.04 $11,071.97 2026-07-31
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 4 3 — — $6,734.79 $17,345.26 $11,062.34 2026-07-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 3 — — $7,057.53 $23,322.23 $11,060.79 2026-07-31
865 MS_DRG Viral Illness With Mcc 4 3 — — $6,107.86 $44,771.13 $11,018.06 2026-07-31
533 MS_DRG Fractures Of Femur With Mcc 4 3 — — $5,834.04 $16,004.34 $10,919.99 2026-07-31
251 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc 4 3 — — $6,854.97 $16,309.79 $10,916.61 2026-07-31
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