Price Transparencybeta Hospital negotiated rates

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

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Hospital

FREESTONE MEDICAL CENTER

Fairfield, TX · CCN 450658 · Rates published

3,782 distinct procedures filed
70 distinct payers
580,344 rate rows
2025-05-06 last MRF observed · ⚠ 14 mo old
Data quality

575,498 of 580,344 rate rows are consumer-grade (99.2%)

4,846 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,834
placeholder amount (≤ $0.02) — excluded from medians 12

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/011a4a74-dd3f-4ea4-ba83-ca6efe6b6b57/741774669_FREESTONE-MEDICAL-CENTER_standardcharges.zip
Found on page https://www.yourcareeverywhere.com/content/medhost/your-care-everywhere/pricing-estimator-page.html?facility_id=011a4a74-dd3f-4ea4-ba83-ca6efe6b6b57
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint dbbaa264cf39b599… · 10,954,511 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other I 38 $225,845.75 $453,146.21 $254,509.73 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 42 $69,859.07 $349,849.72 $190,097.43 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >9 37 $160,096.39 $255,204.73 $160,096.39 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 38 $130,693.44 $231,176.55 $144,633.93 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagno 43 $73,120.70 $150,815.26 $95,358.14 nat. median
$133,161
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 37 $70,255.32 $129,191.70 $88,419.20 nat. median
$117,357
0.8× median
7
MS_DRG 		Lung Transplant 42 $75,193.03 $140,118.00 $88,196.49 nat. median
$122,708
0.7× median
01585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$83,741
1.0× median
01599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$83,741
1.0× median
01908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$82,736
1.0× median
01907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$84,819
1.0× median
01902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$82,736
1.0× median
01905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$82,736
1.0× median
01903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$84,819
1.0× median
01906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$82,736
1.0× median
01901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$84,819
1.0× median
01904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 29 $64,695.99 $167,455.98 $83,727.99 nat. median
$82,736
1.0× median
01584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 29 $61,671.56 $159,627.72 $79,813.86 nat. median
$79,660
1.0× median
01598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 29 $61,671.56 $159,627.72 $79,813.86 nat. median
$79,660
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 42 $74,367.87 $181,138.21 $74,367.87 nat. median
$108,660
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 28 $66,024.39 $73,518.90 $73,518.90 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 42 $63,445.50 $123,843.50 $71,868.86 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 38 $62,616.72 $127,756.64 $71,500.38 nat. median
$99,019
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 31 $5,363.78 $70,694.59 $70,694.59 nat. median
$98,894
0.7× median
01597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 29 $54,416.13 $140,848.10 $70,424.05 nat. median
$70,289
1.0× median
01583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 29 $54,416.13 $140,848.10 $70,424.05 nat. median
$70,289
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 38 $59,493.49 $121,475.53 $65,131.70 nat. median
$93,672
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 31 $15,766.91 $62,167.70 $62,167.70 nat. median
$83,470
0.7× median
01596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 29 $47,160.69 $122,068.48 $61,034.24 nat. median
$60,917
1.0× median
01582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 29 $47,160.69 $122,068.48 $61,034.24 nat. median
$60,917
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With 38 $54,320.38 $111,174.80 $59,802.30 nat. median
$87,428
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 43 $14,317.76 $105,462.39 $57,187.21 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 38 $51,672.22 $104,060.00 $57,155.49 nat. median
$81,118
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fu 26 $56,287.62 $56,287.62 $56,287.62 nat. median
$82,711
0.7× median
05244
OTHER 		Level 4 Blood Product Exchange And Related Service 29 $38,795.83 $111,067.06 $55,533.53 nat. median
$56,957
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Di 43 $21,777.89 $125,077.70 $54,401.38 nat. median
$77,570
0.7× median
10
MS_DRG 		Pancreas Transplant 37 $29,507.37 $53,806.82 $53,806.82 nat. median
$68,884
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With H 37 $49,000.16 $80,824.37 $53,498.41 nat. median
$71,271
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Op 43 $11,315.17 $95,859.83 $52,749.99 nat. median
$73,807
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 38 $47,269.66 $97,496.96 $52,217.52 nat. median
$74,915
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 43 $7,976.56 $96,207.10 $51,671.56 nat. median
$63,570
0.8× median
01581
OTHER 		New Technology - Level 44 ($50,001-$60,000) 29 $39,905.26 $103,288.86 $51,644.43 nat. median
$51,545
1.0× median
01595
OTHER 		New Technology - Level 44 ($50,001-$60,000) 29 $39,905.26 $103,288.86 $51,644.43 nat. median
$51,545
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Tra 38 $44,335.23 $89,792.89 $50,373.12 nat. median
$72,135
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 31 $4,146.36 $47,933.49 $47,933.49 nat. median
$68,090
0.7× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 43 $12,442.38 $90,981.11 $47,842.38 nat. median
$54,196
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 28 $43,129.45 $47,692.56 $47,692.56 nat. median
$68,886
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 38 $42,694.84 $77,911.90 $46,946.84 nat. median
$66,526
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 38 $37,332.93 $76,100.53 $46,081.67 nat. median
$64,732
0.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With 31 $8,983.77 $45,247.53 $45,247.53 nat. median
$63,724
0.7× median

Other procedures at this hospital

Browse this hospital's 3,782 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other I 110 38 — — $225,845.75 $453,146.21 $254,509.73 2025-05-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System 116 42 — — $69,859.07 $349,849.72 $190,097.43 2025-05-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 104 37 — — $160,096.39 $255,204.73 $160,096.39 2025-05-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 110 38 — — $130,693.44 $231,176.55 $144,633.93 2025-05-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagno 122 43 — — $73,120.70 $150,815.26 $95,358.14 2025-05-06
14 MS_DRG Allogeneic Bone Marrow Transplant 104 37 — — $70,255.32 $129,191.70 $88,419.20 2025-05-06
7 MS_DRG Lung Transplant 116 42 — — $75,193.03 $140,118.00 $88,196.49 2025-05-06
01903 OTHER New Technology - Level 50 ($115,001-$130,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01904 OTHER New Technology - Level 50 ($115,001-$130,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01901 OTHER New Technology - Level 49 ($100,001-$115,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01599 OTHER New Technology - Level 48 ($90,001-$100,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01906 OTHER New Technology - Level 51 ($130,001-$145,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01902 OTHER New Technology - Level 49 ($100,001-$115,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01905 OTHER New Technology - Level 51 ($130,001-$145,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01907 OTHER New Technology - Level 52 ($145,001-$160,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01585 OTHER New Technology - Level 48 ($90,001-$100,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01908 OTHER New Technology - Level 52 ($145,001-$160,000) 84 29 — — $64,695.99 $167,455.98 $83,727.99 2025-05-06
01598 OTHER New Technology - Level 47 ($80,001-$90,000) 86 29 — — $61,671.56 $159,627.72 $79,813.86 2025-05-06
01584 OTHER New Technology - Level 47 ($80,001-$90,000) 86 29 — — $61,671.56 $159,627.72 $79,813.86 2025-05-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System 116 42 — — $74,367.87 $181,138.21 $74,367.87 2025-05-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 82 28 — — $66,024.39 $73,518.90 $73,518.90 2025-05-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 116 42 — — $63,445.50 $123,843.50 $71,868.86 2025-05-06
215 MS_DRG Other Heart Assist System Implant 110 38 — — $62,616.72 $127,756.64 $71,500.38 2025-05-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spi 90 31 — — $5,363.78 $70,694.59 $70,694.59 2025-05-06
01597 OTHER New Technology - Level 46 ($70,001-$80,000) 86 29 — — $54,416.13 $140,848.10 $70,424.05 2025-05-06
01583 OTHER New Technology - Level 46 ($70,001-$80,000) 86 29 — — $54,416.13 $140,848.10 $70,424.05 2025-05-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 110 38 — — $59,493.49 $121,475.53 $65,131.70 2025-05-06
850 MS_DRG Acute Leukemia With Other Procedures 90 31 — — $15,766.91 $62,167.70 $62,167.70 2025-05-06
01596 OTHER New Technology - Level 45 ($60,001-$70,000) 86 29 — — $47,160.69 $122,068.48 $61,034.24 2025-05-06
01582 OTHER New Technology - Level 45 ($60,001-$70,000) 86 29 — — $47,160.69 $122,068.48 $61,034.24 2025-05-06
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With 110 38 — — $54,320.38 $111,174.80 $59,802.30 2025-05-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 122 43 — — $14,317.76 $105,462.39 $57,187.21 2025-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 110 38 — — $51,672.22 $104,060.00 $57,155.49 2025-05-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 78 26 — — $56,287.62 $56,287.62 $56,287.62 2025-05-06
05244 OTHER Level 4 Blood Product Exchange And Related Service 86 29 — — $38,795.83 $111,067.06 $55,533.53 2025-05-06
20 MS_DRG Intracranial Vascular Procedures With Principal Di 122 43 — — $21,777.89 $125,077.70 $54,401.38 2025-05-06
10 MS_DRG Pancreas Transplant 104 37 — — $29,507.37 $53,806.82 $53,806.82 2025-05-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With H 104 37 — — $49,000.16 $80,824.37 $53,498.41 2025-05-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 122 43 — — $11,315.17 $95,859.83 $52,749.99 2025-05-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 110 38 — — $47,269.66 $97,496.96 $52,217.52 2025-05-06
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 122 43 — — $7,976.56 $96,207.10 $51,671.56 2025-05-06
01595 OTHER New Technology - Level 44 ($50,001-$60,000) 86 29 — — $39,905.26 $103,288.86 $51,644.43 2025-05-06
01581 OTHER New Technology - Level 44 ($50,001-$60,000) 86 29 — — $39,905.26 $103,288.86 $51,644.43 2025-05-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 110 38 — — $44,335.23 $89,792.89 $50,373.12 2025-05-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 90 31 — — $4,146.36 $47,933.49 $47,933.49 2025-05-06
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 122 43 — — $12,442.38 $90,981.11 $47,842.38 2025-05-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 82 28 — — $43,129.45 $47,692.56 $47,692.56 2025-05-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 110 38 — — $42,694.84 $77,911.90 $46,946.84 2025-05-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 110 38 — — $37,332.93 $76,100.53 $46,081.67 2025-05-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With 90 31 — — $8,983.77 $45,247.53 $45,247.53 2025-05-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 104 37 — — $42,417.76 $79,032.36 $45,073.42 2025-05-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 110 38 — — $42,019.31 $84,255.93 $44,997.16 2025-05-06
459 MS_DRG Spinal Fusion Except Cervical With Mcc 110 38 — — $40,656.00 $81,475.35 $44,758.93 2025-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 122 43 — — $6,593.62 $72,113.28 $43,644.73 2025-05-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 110 38 — — $39,019.29 $78,450.35 $43,581.97 2025-05-06
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 122 43 — — $9,451.37 $79,436.50 $43,197.30 2025-05-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 110 38 — — $42,129.04 $79,600.39 $42,680.36 2025-05-06
01580 OTHER New Technology - Level 43 ($40,001-$50,000) 86 29 — — $32,649.82 $84,509.24 $42,254.62 2025-05-06
01594 OTHER New Technology - Level 43 ($40,001-$50,000) 86 29 — — $32,649.82 $84,509.24 $42,254.62 2025-05-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 82 28 — — $38,068.53 $41,803.71 $41,803.71 2025-05-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Card 90 31 — — $12,822.25 $41,749.72 $41,749.72 2025-05-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 110 38 — — $38,116.95 $67,023.11 $41,559.41 2025-05-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 122 43 — — $9,206.40 $73,588.57 $41,414.31 2025-05-06
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With 110 38 — — $37,492.92 $73,726.51 $41,276.64 2025-05-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 122 43 — — $8,473.96 $72,040.98 $41,225.35 2025-05-06
28 MS_DRG Spinal Procedures With Mcc 110 38 — — $36,939.99 $70,459.51 $41,028.29 2025-05-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 104 37 — — $37,865.01 $81,509.23 $40,734.05 2025-05-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 104 37 — — $37,865.01 $58,753.97 $40,734.05 2025-05-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 110 38 — — $38,288.59 $85,279.59 $40,429.69 2025-05-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 110 38 — — $34,920.77 $73,922.53 $40,149.62 2025-05-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 104 37 — — $36,780.61 $68,632.41 $40,119.25 2025-05-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 110 38 — — $36,048.08 $73,859.61 $39,710.28 2025-05-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 110 38 — — $37,066.27 $68,869.57 $39,292.54 2025-05-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 110 38 — — $37,241.59 $78,600.39 $38,733.08 2025-05-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 122 43 — — $16,618.53 $68,629.99 $38,501.60 2025-05-06
653 MS_DRG Major Bladder Procedures With Mcc 110 38 — — $33,185.37 $66,056.32 $37,620.91 2025-05-06
21 MS_DRG Intracranial Vascular Procedures With Principal Di 122 43 — — $23,508.43 $91,276.35 $37,301.70 2025-05-06
834 MS_DRG Acute Leukemia With Mcc 110 38 — — $34,321.87 $73,231.62 $37,301.70 2025-05-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 78 26 — — $37,145.13 $37,145.13 $37,145.13 2025-05-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 78 26 — — $36,918.38 $36,918.38 $36,918.38 2025-05-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 116 42 — — $32,254.22 $65,742.93 $36,719.97 2025-05-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 122 43 — — $20,812.06 $69,424.96 $36,636.28 2025-05-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For M 122 43 — — $4,296.15 $64,980.63 $36,449.35 2025-05-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 122 43 — — $31,608.12 $60,758.94 $36,414.93 2025-05-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 110 38 — — $34,837.40 $62,042.97 $36,410.88 2025-05-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 122 43 — — $8,104.84 $64,565.60 $35,904.06 2025-05-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 122 43 — — $15,856.29 $65,404.13 $35,745.46 2025-05-06
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 122 43 — — $11,278.75 $70,163.06 $35,219.07 2025-05-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mc 78 26 — — $34,756.11 $34,756.11 $34,756.11 2025-05-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 110 38 — — $30,998.80 $62,762.70 $34,640.71 2025-05-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 122 43 — — $5,682.41 $64,682.97 $34,381.57 2025-05-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With M 122 43 — — $14,662.87 $64,327.23 $34,276.29 2025-05-06
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 110 38 — — $31,003.70 $67,975.38 $34,132.54 2025-05-06
239 MS_DRG Amputation For Circulatory System Disorders Except 110 38 — — $29,465.68 $58,273.60 $33,992.17 2025-05-06
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 122 43 — — $12,061.68 $63,066.41 $33,882.84 2025-05-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diag 110 38 — — $29,693.72 $68,961.53 $33,791.74 2025-05-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 82 28 — — $27,342.25 $33,765.42 $33,765.42 2025-05-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 110 38 — — $30,645.71 $60,110.38 $33,751.92 2025-05-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 122 43 — — $8,469.82 $64,496.63 $33,630.44 2025-05-06
245 MS_DRG Aicd Generator Procedures 122 43 — — $7,313.64 $65,555.38 $32,979.20 2025-05-06
01593 OTHER New Technology - Level 42 ($30,001-$40,000) 86 29 — — $25,394.39 $65,729.62 $32,864.81 2025-05-06
01579 OTHER New Technology - Level 42 ($30,001-$40,000) 86 29 — — $25,394.39 $65,729.62 $32,864.81 2025-05-06
471 MS_DRG Cervical Spinal Fusion With Mcc 110 38 — — $30,153.47 $60,738.37 $32,780.12 2025-05-06
6 MS_DRG Liver Transplant Without Mcc 116 42 — — $29,650.20 $96,871.63 $32,725.45 2025-05-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 110 38 — — $28,367.80 $61,038.45 $32,228.08 2025-05-06
799 MS_DRG Splenic Procedures With Mcc 110 38 — — $30,371.70 $62,283.54 $32,088.38 2025-05-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 110 38 — — $29,058.65 $55,835.45 $32,082.31 2025-05-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 110 38 — — $29,915.63 $67,735.80 $31,750.27 2025-05-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedu 110 38 — — $27,596.65 $54,471.78 $31,580.21 2025-05-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 82 28 — — $29,316.11 $31,393.95 $31,393.95 2025-05-06
163 MS_DRG Major Chest Procedures With Mcc 122 43 — — $28,894.37 $60,582.28 $31,105.78 2025-05-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 116 42 — — $13,656.49 $54,700.47 $31,092.96 2025-05-06
455 MS_DRG Combined Anterior And Posterior Spinal Fusion With 110 38 — — $28,232.33 $57,853.73 $31,081.49 2025-05-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 110 38 — — $28,495.92 $55,416.79 $30,993.75 2025-05-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 110 38 — — $27,687.98 $59,123.02 $30,989.03 2025-05-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 110 38 — — $27,146.09 $56,433.19 $30,447.11 2025-05-06
474 MS_DRG Amputation For Musculoskeletal System And Connecti 110 38 — — $26,376.16 $49,320.81 $30,265.58 2025-05-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 110 38 — — $27,070.08 $54,418.54 $30,181.89 2025-05-06
05232 OTHER Level 2 Icd And Similar Procedures 86 29 — — $23,262.07 $60,210.42 $30,105.21 2025-05-06
901 MS_DRG Wound Debridements For Injuries With Mcc 110 38 — — $26,529.41 $51,651.27 $29,899.80 2025-05-06
05166 OTHER Cochlear Implant Procedure 86 29 — — $23,077.96 $59,733.88 $29,866.94 2025-05-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 110 38 — — $26,738.45 $52,246.59 $29,645.38 2025-05-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 104 37 — — $18,586.16 $29,200.64 $29,200.64 2025-05-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 110 38 — — $27,775.03 $60,591.96 $29,140.58 2025-05-06
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 116 42 — — $14,738.19 $52,051.78 $29,031.25 2025-05-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 110 38 — — $26,228.43 $52,124.38 $28,787.63 2025-05-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 94 33 — — $16,647.50 $28,745.11 $28,745.11 2025-05-06
05465 OTHER Level 5 Neurostimulator And Related Procedures 84 29 — — $22,109.92 $57,228.24 $28,614.12 2025-05-06
140 MS_DRG Major Head And Neck Procedures With Mcc 122 43 — — $6,258.43 $48,132.59 $28,541.30 2025-05-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 110 38 — — $25,234.76 $52,897.57 $28,280.80 2025-05-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 110 38 — — $22,668.74 $41,966.43 $28,274.06 2025-05-06
793 MS_DRG Full Term Neonate With Major Problems 116 42 — — $8,175.19 $48,148.32 $28,145.16 2025-05-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 110 38 — — $25,492.22 $52,212.71 $28,079.02 2025-05-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 110 38 — — $24,772.56 $49,573.70 $27,751.04 2025-05-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Tra 110 38 — — $24,794.62 $50,888.97 $27,735.51 2025-05-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 110 38 — — $24,550.04 $46,376.88 $27,694.35 2025-05-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Witho 78 26 — — $27,558.03 $27,558.03 $27,558.03 2025-05-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 122 43 — — $16,783.22 $50,649.39 $27,449.37 2025-05-06
791 MS_DRG Prematurity With Major Problems 104 37 — — $25,118.90 $46,872.98 $27,398.76 2025-05-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 110 38 — — $22,800.54 $47,773.22 $26,884.51 2025-05-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 110 38 — — $22,167.92 $46,270.40 $26,865.62 2025-05-06
05200 OTHER Implantation Wireless Pa Pressure Monitor 86 29 — — $20,625.99 $53,387.32 $26,693.66 2025-05-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Pr 110 38 — — $24,608.89 $44,520.74 $26,628.06 2025-05-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 110 38 — — $23,828.54 $51,554.47 $26,573.40 2025-05-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental 104 37 — — $22,874.10 $39,542.80 $26,519.41 2025-05-06
402 MS_DRG Single Level Combined Anterior And Posterior Spina 78 26 — — $26,401.99 $26,401.99 $26,401.99 2025-05-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 110 38 — — $23,888.61 $46,303.07 $26,389.16 2025-05-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 110 38 — — $23,915.58 $48,135.01 $26,243.39 2025-05-06
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritiona 110 38 — — $24,260.70 $47,991.02 $26,083.45 2025-05-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 110 38 — — $19,960.51 $45,096.70 $26,057.13 2025-05-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 122 43 — — $24,874.31 $45,054.35 $25,984.25 2025-05-06
01592 OTHER New Technology - Level 41 ($25,001-$30,000) 86 29 — — $19,952.81 $51,644.90 $25,822.45 2025-05-06
01578 OTHER New Technology - Level 41 ($25,001-$30,000) 86 29 — — $19,952.81 $51,644.90 $25,822.45 2025-05-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Mu 110 38 — — $23,773.37 $46,585.00 $25,795.96 2025-05-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 122 43 — — $9,497.72 $47,661.90 $25,656.26 2025-05-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System 122 43 — — $11,277.92 $46,764.08 $25,456.50 2025-05-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, N 122 43 — — $14,369.90 $43,740.29 $25,253.37 2025-05-06
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 110 38 — — $22,422.93 $47,561.47 $24,685.81 2025-05-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 110 38 — — $22,207.15 $44,018.59 $24,623.72 2025-05-06
335 MS_DRG Peritoneal Adhesiolysis With Mcc 110 38 — — $21,914.75 $47,353.35 $24,452.98 2025-05-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Formi 110 38 — — $21,030.80 $44,911.57 $24,192.48 2025-05-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except V 122 43 — — $7,452.68 $45,500.84 $24,191.13 2025-05-06
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With 122 43 — — $8,209.12 $43,401.49 $24,187.08 2025-05-06
265 MS_DRG Aicd Lead Procedures 110 38 — — $21,664.03 $40,722.55 $24,073.71 2025-05-06
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 110 38 — — $21,222.67 $41,987.00 $23,965.73 2025-05-06
22 MS_DRG Intracranial Vascular Procedures With Principal Di 122 43 — — $13,138.40 $58,597.88 $23,825.36 2025-05-06
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 122 43 — — $4,731.48 $42,549.65 $23,819.28 2025-05-06
495 MS_DRG Local Excision And Removal Of Internal Fixation De 110 38 — — $21,952.76 $44,066.99 $23,759.22 2025-05-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d. 110 38 — — $21,609.48 $43,902.43 $23,645.84 2025-05-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Princip 110 38 — — $20,699.17 $39,638.39 $23,638.42 2025-05-06
408 MS_DRG Biliary Tract Procedures Except Only Cholecystecto 110 38 — — $22,817.09 $45,410.09 $23,628.97 2025-05-06
264 MS_DRG Other Circulatory System O.r. Procedures 122 43 — — $19,744.43 $39,368.56 $23,587.13 2025-05-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 116 42 — — $11,664.42 $44,750.64 $23,434.61 2025-05-06
332 MS_DRG Rectal Resection With Mcc 110 38 — — $22,400.86 $50,354.15 $23,408.97 2025-05-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 110 38 — — $20,877.55 $39,589.32 $23,383.32 2025-05-06
271 MS_DRG Other Major Cardiovascular Procedures With Cc 110 38 — — $21,186.51 $43,141.34 $23,244.98 2025-05-06
477 MS_DRG Biopsies Of Musculoskeletal System And Connective 110 38 — — $20,651.97 $40,642.69 $23,208.53 2025-05-06
665 MS_DRG Prostatectomy With Mcc 110 38 — — $18,936.18 $36,804.57 $23,172.09 2025-05-06
252 MS_DRG Other Vascular Procedures With Mcc 122 43 — — $6,508.37 $40,240.97 $23,150.50 2025-05-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 110 38 — — $21,371.02 $43,287.75 $23,115.40 2025-05-06
05213 OTHER Level 3 Electrophysiologic Procedures 86 29 — — $17,799.25 $46,070.72 $23,035.36 2025-05-06
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Di 104 37 — — $20,908.82 $41,271.89 $23,018.90 2025-05-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replaceme 122 43 — — $20,322.18 $43,164.33 $22,987.18 2025-05-06
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 122 43 — — $7,177.09 $45,103.96 $22,891.35 2025-05-06
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulato 122 43 — — $21,014.87 $39,891.28 $22,653.12 2025-05-06
37 MS_DRG Extracranial Procedures With Mcc 110 38 — — $20,692.43 $39,658.96 $22,411.52 2025-05-06
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures 122 43 — — $5,223.91 $36,055.58 $22,283.30 2025-05-06
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachme 122 43 — — $5,457.30 $37,339.39 $22,059.24 2025-05-06
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedu 110 38 — — $20,487.69 $38,053.29 $21,996.48 2025-05-06
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 110 38 — — $19,233.49 $39,748.50 $21,987.03 2025-05-06
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infect 110 38 — — $20,192.22 $41,256.16 $21,725.86 2025-05-06
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 94 33 — — $4,932.59 $21,625.30 $21,625.30 2025-05-06
324 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 94 33 — — $15,974.64 $21,562.54 $21,562.54 2025-05-06
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 110 38 — — $19,157.48 $38,968.05 $21,521.38 2025-05-06
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 104 37 — — $19,711.02 $36,468.19 $21,463.34 2025-05-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 110 38 — — $19,709.79 $40,832.66 $21,420.15 2025-05-06
500 MS_DRG Soft Tissue Procedures With Mcc 122 43 — — $9,369.44 $38,592.95 $21,384.38 2025-05-06
01591 OTHER New Technology - Level 40 ($20,001-$25,000) 86 29 — — $16,325.09 $42,255.10 $21,127.55 2025-05-06
01577 OTHER New Technology - Level 40 ($20,001-$25,000) 86 29 — — $16,325.09 $42,255.10 $21,127.55 2025-05-06
05231 OTHER Level 1 Icd And Similar Procedures 86 29 — — $16,285.68 $42,153.10 $21,076.55 2025-05-06
274 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 110 38 — — $19,866.10 $39,767.86 $21,062.47 2025-05-06
662 MS_DRG Minor Bladder Procedures With Mcc 122 43 — — $5,615.37 $35,541.33 $21,053.02 2025-05-06
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 122 43 — — $11,250.61 $41,638.52 $20,963.26 2025-05-06
515 MS_DRG Other Musculoskeletal System And Connective Tissue 110 38 — — $19,380.00 $38,001.26 $20,869.46 2025-05-06
451 MS_DRG Single Level Spinal Fusion Except Cervical Without 78 26 — — $20,826.27 $20,826.27 $20,826.27 2025-05-06
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 110 38 — — $19,332.79 $38,821.64 $20,811.42 2025-05-06
652 MS_DRG Kidney Transplant 104 37 — — $18,416.97 $38,539.71 $20,727.74 2025-05-06
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With 82 28 — — $18,849.75 $20,708.84 $20,708.84 2025-05-06
26 MS_DRG Craniotomy And Endovascular Intracranial Procedure 122 43 — — $14,466.73 $37,050.20 $20,641.35 2025-05-06
570 MS_DRG Skin Debridement With Mcc 110 38 — — $17,913.09 $34,384.57 $20,314.72 2025-05-06
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-dr 122 43 — — $3,685.37 $38,262.62 $20,312.02 2025-05-06
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-e 122 43 — — $12,894.26 $37,804.03 $20,214.84 2025-05-06
974 MS_DRG HIV With Major Related Condition With Mcc 110 38 — — $17,878.15 $32,555.05 $20,152.75 2025-05-06
05464 OTHER Level 4 Neurostimulator And Related Procedures 86 29 — — $15,558.84 $40,271.74 $20,135.87 2025-05-06
464 MS_DRG Wound Debridement And Skin Graft Except Hand For M 110 38 — — $18,398.58 $36,008.39 $19,899.01 2025-05-06
480 MS_DRG Hip And Femur Procedures Except Major Joint With M 122 43 — — $14,136.51 $36,612.18 $19,847.72 2025-05-06
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With 110 38 — — $17,925.96 $36,601.29 $19,793.73 2025-05-06
668 MS_DRG Transurethral Procedures With Mcc 110 38 — — $17,274.34 $33,956.23 $19,681.02 2025-05-06
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fr 110 38 — — $18,354.45 $37,101.02 $19,670.23 2025-05-06
800 MS_DRG Splenic Procedures With Cc 110 38 — — $17,272.50 $35,742.19 $19,664.15 2025-05-06
240 MS_DRG Amputation For Circulatory System Disorders Except 122 43 — — $8,659.35 $33,744.48 $19,653.36 2025-05-06
472 MS_DRG Cervical Spinal Fusion With Cc 110 38 — — $18,116.60 $36,949.77 $19,552.13 2025-05-06
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures W 122 43 — — $12,680.73 $34,366.42 $19,348.99 2025-05-06
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 122 43 — — $6,342.02 $38,010.94 $19,326.72 2025-05-06
325 MS_DRG Coronary Intravascular Lithotripsy Without Intralu 94 33 — — $16,209.56 $23,538.23 $19,315.25 2025-05-06
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Majo 122 43 — — $10,104.36 $33,198.77 $19,288.25 2025-05-06
321 MS_DRG Percutaneous Cardiovascular Procedures With Intral 94 33 — — $17,621.91 $19,877.68 $19,211.99 2025-05-06
654 MS_DRG Major Bladder Procedures With Cc 110 38 — — $16,780.88 $35,123.88 $19,045.30 2025-05-06
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 110 38 — — $17,699.76 $34,858.89 $18,952.85 2025-05-06
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 110 38 — — $16,603.72 $38,334.01 $18,933.28 2025-05-06
05378 OTHER Level 8 Urology And Related Services 84 29 — — $14,604.15 $37,800.68 $18,900.34 2025-05-06
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 110 38 — — $18,466.95 $45,417.35 $18,466.95 2025-05-06
288 MS_DRG Acute And Subacute Endocarditis With Mcc 110 38 — — $15,895.09 $32,493.34 $18,433.88 2025-05-06
619 MS_DRG O.r. Procedures For Obesity With Mcc 110 38 — — $15,953.33 $37,046.57 $18,400.13 2025-05-06
963 MS_DRG Other Multiple Significant Trauma With Mcc 110 38 — — $16,761.26 $33,031.79 $18,334.00 2025-05-06
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transien 110 38 — — $17,181.16 $34,983.52 $18,244.24 2025-05-06
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 122 43 — — $7,754.76 $34,102.64 $18,184.18 2025-05-06
131 MS_DRG Cranial/facial Procedures W Cc/mcc 116 42 — — $13,601.87 $32,540.53 $18,149.09 2025-05-06
208 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 110 38 — — $16,574.29 $30,792.08 $18,111.97 2025-05-06
263 MS_DRG Vein Ligation And Stripping 122 43 — — $10,448.65 $30,598.64 $18,100.50 2025-05-06
849 MS_DRG Radiotherapy 110 38 — — $16,498.28 $30,172.56 $18,026.26 2025-05-06
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 110 38 — — $16,238.98 $30,850.16 $17,970.25 2025-05-06
338 MS_DRG Appendectomy With Complicated Principal Diagnosis 110 38 — — $16,284.35 $33,847.33 $17,927.73 2025-05-06
05224 OTHER Level 4 Pacemaker And Similar Procedures 86 29 — — $13,836.96 $35,814.92 $17,907.46 2025-05-06
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 110 38 — — $17,038.95 $36,163.27 $17,906.13 2025-05-06
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 110 38 — — $16,463.34 $32,957.98 $17,883.86 2025-05-06
503 MS_DRG Foot Procedures With Mcc 110 38 — — $16,440.05 $31,951.26 $17,860.92 2025-05-06
959 MS_DRG Other O.r. Procedures For Multiple Significant Tra 110 38 — — $15,523.61 $33,106.81 $17,842.70 2025-05-06
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 122 43 — — $6,308.92 $33,909.04 $17,703.68 2025-05-06
255 MS_DRG Upper Limb And Toe Amputation For Circulatory Syst 110 38 — — $16,841.56 $30,677.13 $17,657.79 2025-05-06
749 MS_DRG Other Female Reproductive System O.r. Procedures W 110 38 — — $15,430.44 $32,836.98 $17,469.50 2025-05-06
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With 110 38 — — $15,869.96 $32,263.44 $17,440.48 2025-05-06
05116 OTHER Level 6 Musculoskeletal Procedures 86 29 — — $13,342.78 $34,535.80 $17,267.90 2025-05-06
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary D 110 38 — — $14,981.72 $32,342.09 $17,234.65 2025-05-06
253 MS_DRG Other Vascular Procedures With Cc 122 43 — — $5,710.55 $32,108.56 $17,229.25 2025-05-06
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upp 122 43 — — $9,424.89 $28,866.97 $17,196.85 2025-05-06
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Wi 122 43 — — $4,068.56 $34,374.59 $17,108.45 2025-05-06
545 MS_DRG Connective Tissue Disorders With Mcc 110 38 — — $15,283.32 $30,287.51 $17,053.11 2025-05-06
498 MS_DRG Local Excision And Removal Of Internal Fixation De 110 38 — — $16,005.43 $31,262.77 $17,039.61 2025-05-06
164 MS_DRG Major Chest Procedures With Cc 110 38 — — $15,633.95 $32,132.76 $16,986.30 2025-05-06
56 MS_DRG Degenerative Nervous System Disorders With Mcc 122 43 — — $7,931.87 $26,563.13 $16,899.24 2025-05-06
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/m 110 38 — — $14,954.14 $32,528.43 $16,886.42 2025-05-06
05194 OTHER Level 4 Endovascular Procedures 86 29 — — $13,028.38 $33,722.04 $16,861.02 2025-05-06
397 MS_DRG Appendix Procedures With Mcc 82 28 — — $13,771.66 $16,721.75 $16,721.75 2025-05-06
27 MS_DRG Craniotomy And Endovascular Intracranial Procedure 122 43 — — $14,913.68 $30,423.03 $16,654.26 2025-05-06
05471 OTHER Implantation Of Drug Infusion Device 86 29 — — $12,823.34 $33,191.32 $16,595.66 2025-05-06
792 MS_DRG Prematurity Without Major Problems 116 42 — — $14,446.04 $28,282.54 $16,532.11 2025-05-06
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 110 38 — — $15,239.18 $30,692.86 $16,522.67 2025-05-06
01576 OTHER New Technology - Level 39 ($15,001-$20,000) 86 29 — — $12,697.37 $32,865.28 $16,432.64 2025-05-06
01590 OTHER New Technology - Level 39 ($15,001-$20,000) 86 29 — — $12,697.37 $32,865.28 $16,432.64 2025-05-06
02616 OTHER Brachytx, Non-str,yttrium-90 86 29 — — $12,686.20 $32,836.36 $16,418.18 2025-05-06
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With C 110 38 — — $15,309.06 $31,032.87 $16,386.34 2025-05-06
05094 OTHER Level 4 Breast/lymphatic Surgery And Related Proce 86 29 — — $12,623.26 $32,673.44 $16,336.72 2025-05-06
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 110 38 — — $14,712.00 $29,703.08 $16,322.91 2025-05-06
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 122 43 — — $7,844.14 $26,916.04 $16,271.62 2025-05-06
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 110 38 — — $14,722.42 $28,142.18 $16,203.46 2025-05-06
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 110 38 — — $13,361.56 $28,225.67 $16,177.81 2025-05-06
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 122 43 — — $9,587.10 $30,338.33 $16,177.81 2025-05-06
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With M 110 38 — — $14,208.11 $29,334.03 $16,038.11 2025-05-06
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 110 38 — — $15,083.48 $30,721.90 $15,976.70 2025-05-06
347 MS_DRG Anal And Stomal Procedures With Mcc 122 43 — — $7,381.51 $29,822.87 $15,972.65 2025-05-06
330 MS_DRG Major Small And Large Bowel Procedures With Cc 110 38 — — $14,540.97 $30,846.53 $15,951.73 2025-05-06
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 110 38 — — $14,204.44 $30,257.26 $15,926.09 2025-05-06
478 MS_DRG Biopsies Of Musculoskeletal System And Connective 110 38 — — $14,612.08 $28,536.64 $15,782.34 2025-05-06
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 122 43 — — $4,878.80 $27,393.19 $15,658.17 2025-05-06
320 MS_DRG Other Endovascular Cardiac Valve Procedures Withou 122 43 — — $12,871.08 $29,107.76 $15,621.72 2025-05-06
250 MS_DRG Percutaneous Cardiovascular Procedures Without Int 110 38 — — $14,410.40 $30,513.78 $15,606.88 2025-05-06
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 110 38 — — $14,602.89 $28,836.72 $15,578.53 2025-05-06
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 110 38 — — $12,940.43 $24,697.31 $15,482.03 2025-05-06
808 MS_DRG Major Hematological And Immunological Diagnoses Ex 110 38 — — $13,425.31 $26,448.18 $15,456.38 2025-05-06
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Dev 104 37 — — $14,033.41 $27,700.53 $15,449.63 2025-05-06
05496 OTHER Level 6 Intraocular Procedures 84 29 — — $11,910.84 $30,829.46 $15,414.73 2025-05-06
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 122 43 — — $7,096.81 $27,637.61 $15,409.14 2025-05-06
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 122 43 — — $12,659.21 $28,915.37 $15,380.12 2025-05-06
35 MS_DRG Carotid Artery Stent Procedures With Cc 110 38 — — $14,095.94 $28,310.37 $15,351.78 2025-05-06
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 110 38 — — $13,932.26 $27,971.57 $15,292.39 2025-05-06
341 MS_DRG Appendectomy Without Complicated Principal Diagnos 122 43 — — $5,631.93 $28,101.04 $15,245.15 2025-05-06
715 MS_DRG Other Male Reproductive System O.r. Procedures For 110 38 — — $13,531.98 $24,527.24 $15,240.43 2025-05-06
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System 122 43 — — $8,410.23 $28,431.37 $15,239.75 2025-05-06
113 MS_DRG Orbital Procedures With Cc/mcc 122 43 — — $3,155.70 $26,552.24 $15,228.95 2025-05-06
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