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

WHITE ROCK MEDICAL CENTER

Dallas, TX · CCN 450678 · Rates published

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You selected 93306 (CPT)

Echo2D Spectr/Color FLO 93306

This hospital’s price: $505 across 13 payers · range $224-$3,073

Source: https://pricetransparency.healthcare/white-rock-medical-center/charges/export · observed 2026-04-15

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.

5,760 distinct procedures filed
16 distinct payers
97,147 rate rows
2026-04-15 last MRF observed
Data quality

93,974 of 97,147 rate rows are consumer-grade (96.7%)

3,173 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 2,818
per-diem day rate — not a per-procedure price 172
exceeds 10× this hospital's gross charge — excluded from medians 126
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 30
placeholder amount (≤ $0.02) — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.healthcare/white-rock-medical-center/charges/export
Found on page https://www.whiterockmedicalcenter.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-10-15
Content fingerprint 5bb900e41e902254… · 36,458,288 bytes · first seen 2026-05-14

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $398,649.77 $474,533.98 $414,480.38 nat. median
$359,454
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $233,069.46 $349,029.97 $298,585.99 nat. median
$249,036
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $124,263.98 $339,500.06 $248,612.38 nat. median
$198,418
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $154,365.70 $274,605.46 $221,147.28 nat. median
$190,559
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $93,961.02 $189,336.00 $146,282.42 nat. median
$126,695
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $135,344.11 $157,704.01 $138,720.49 nat. median
$104,013
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 3 $113,622.30 $147,752.02 $132,269.15 nat. median
$93,901
1.4× median
7
MS_DRG 		Lung Transplant 3 $83,362.38 $157,991.23 $128,853.60 nat. median
$117,974
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $100,110.02 $147,616.39 $127,947.89 nat. median
$110,307
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $119,572.71 $138,726.62 $121,170.38 nat. median
$97,323
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $88,340.06 $133,308.00 $115,753.51 nat. median
$95,038
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $82,938.40 $125,004.26 $108,676.60 nat. median
$90,551
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $83,465.58 $119,536.49 $101,334.08 nat. median
$74,370
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $93,274.74 $114,134.83 $99,413.07 nat. median
$70,732
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $85,275.88 $108,570.67 $94,671.00 nat. median
$77,632
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $69,369.32 $104,523.78 $91,222.01 nat. median
$77,028
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $89,845.32 $102,956.28 $89,926.88 nat. median
$66,715
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $64,393.36 $100,458.85 $87,659.68 nat. median
$71,748
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $66,316.32 $99,320.26 $86,787.27 nat. median
$72,398
1.2× median
222
MS_DRG 		222 - V36 Msdrg 1 $72,313.96 $93,301.14 $83,967.77 nat. median
$47,543
1.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $59,268.62 $93,154.60 $81,532.57 nat. median
$67,976
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $79,152.75 $90,621.10 $79,594.02 nat. median
$66,649
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $54,220.42 $88,288.54 $76,990.00 nat. median
$63,873
1.2× median
224
MS_DRG 		224 - V36 Msdrg 1 $65,233.58 $85,131.61 $76,615.48 nat. median
$39,452
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $50,705.60 $89,707.91 $75,268.51 nat. median
$62,655
1.2× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $62,702.60 $90,645.61 $74,560.75 nat. median
$51,514
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $56,357.52 $85,424.02 $73,910.75 nat. median
$52,712
1.4× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $70,268.62 $82,457.74 $73,195.74 nat. median
$58,280
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $44,674.42 $89,125.74 $72,608.12 nat. median
$61,308
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $54,350.28 $81,985.06 $72,013.26 nat. median
$62,031
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $45,893.04 $88,975.04 $70,942.24 nat. median
$59,371
1.2× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc 2 $69,864.75 $79,987.38 $70,756.70 nat. median
$56,687
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $50,536.18 $88,519.09 $70,755.72 nat. median
$58,251
1.2× median
226
MS_DRG 		226 - V36 Msdrg 1 $59,292.70 $78,177.48 $70,357.01 nat. median
$38,225
1.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 3 $52,503.00 $79,559.76 $69,946.29 nat. median
$53,927
1.3× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $65,389.44 $78,777.94 $69,796.10 nat. median
$49,540
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $47,162.40 $78,441.78 $68,993.48 nat. median
$61,728
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $60,649.78 $78,249.86 $68,829.93 nat. median
$55,167
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $50,631.64 $76,617.97 $67,439.14 nat. median
$57,801
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $49,573.84 $75,742.13 $66,386.53 nat. median
$55,477
1.2× median
223
MS_DRG 		223 - V36 Msdrg 1 $56,002.34 $72,880.19 $65,589.63 nat. median
$32,619
outlier · 2.0×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $50,862.12 $77,881.50 $65,221.42 nat. median
$53,856
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 $45,315.12 $77,281.29 $65,203.52 nat. median
$50,870
1.3× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $31,709.92 $80,089.13 $65,083.66 nat. median
$58,135
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 3 $47,677.54 $77,616.17 $64,710.54 nat. median
$54,460
1.2× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $48,743.94 $73,373.50 $64,674.01 nat. median
$59,546
1.1× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $44,152.40 $87,822.28 $64,052.24 nat. median
$53,342
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $46,235.32 $73,014.14 $63,189.76 nat. median
$53,523
1.2× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 3 $48,431.76 $72,115.12 $63,070.59 nat. median
$50,371
1.3× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $56,685.38 $75,402.71 $62,922.90 nat. median
$47,429
1.3× median

Other procedures at this hospital

Browse this hospital's 5,760 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $398,649.77 $474,533.98 $414,480.38 2026-04-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 3 — — $233,069.46 $349,029.97 $298,585.99 2026-04-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 3 — — $124,263.98 $339,500.06 $248,612.38 2026-04-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 3 — — $154,365.70 $274,605.46 $221,147.28 2026-04-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 3 — — $93,961.02 $189,336.00 $146,282.42 2026-04-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 3 — — $135,344.11 $157,704.01 $138,720.49 2026-04-15
215 MS_DRG Other Heart Assist System Implant 6 3 — — $113,622.30 $147,752.02 $132,269.15 2026-04-15
7 MS_DRG Lung Transplant 6 3 — — $83,362.38 $157,991.23 $128,853.60 2026-04-15
14 MS_DRG Allogeneic Bone Marrow Transplant 6 3 — — $100,110.02 $147,616.39 $127,947.89 2026-04-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 2 — — $119,572.71 $138,726.62 $121,170.38 2026-04-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 3 — — $88,340.06 $133,308.00 $115,753.51 2026-04-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $82,938.40 $125,004.26 $108,676.60 2026-04-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 3 — — $83,465.58 $119,536.49 $101,334.08 2026-04-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 3 — — $93,274.74 $114,134.83 $99,413.07 2026-04-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $85,275.88 $108,570.67 $94,671.00 2026-04-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 3 — — $69,369.32 $104,523.78 $91,222.01 2026-04-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $89,845.32 $102,956.28 $89,926.88 2026-04-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 3 — — $64,393.36 $100,458.85 $87,659.68 2026-04-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $66,316.32 $99,320.26 $86,787.27 2026-04-15
222 MS_DRG 222 - V36 Msdrg 3 1 — — $72,313.96 $93,301.14 $83,967.77 2026-04-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 3 — — $59,268.62 $93,154.60 $81,532.57 2026-04-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $79,152.75 $90,621.10 $79,594.02 2026-04-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $54,220.42 $88,288.54 $76,990.00 2026-04-15
224 MS_DRG 224 - V36 Msdrg 3 1 — — $65,233.58 $85,131.61 $76,615.48 2026-04-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 3 — — $50,705.60 $89,707.91 $75,268.51 2026-04-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 3 — — $62,702.60 $90,645.61 $74,560.75 2026-04-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 — — $56,357.52 $85,424.02 $73,910.75 2026-04-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 3 — — $70,268.62 $82,457.74 $73,195.74 2026-04-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 3 — — $44,674.42 $89,125.74 $72,608.12 2026-04-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $54,350.28 $81,985.06 $72,013.26 2026-04-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 3 — — $45,893.04 $88,975.04 $70,942.24 2026-04-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc 3 2 — — $69,864.75 $79,987.38 $70,756.70 2026-04-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 3 — — $50,536.18 $88,519.09 $70,755.72 2026-04-15
226 MS_DRG 226 - V36 Msdrg 3 1 — — $59,292.70 $78,177.48 $70,357.01 2026-04-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 3 — — $52,503.00 $79,559.76 $69,946.29 2026-04-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $65,389.44 $78,777.94 $69,796.10 2026-04-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $47,162.40 $78,441.78 $68,993.48 2026-04-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $60,649.78 $78,249.86 $68,829.93 2026-04-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 3 — — $50,631.64 $76,617.97 $67,439.14 2026-04-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 3 — — $49,573.84 $75,742.13 $66,386.53 2026-04-15
223 MS_DRG 223 - V36 Msdrg 3 1 — — $56,002.34 $72,880.19 $65,589.63 2026-04-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 3 — — $50,862.12 $77,881.50 $65,221.42 2026-04-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 3 — — $45,315.12 $77,281.29 $65,203.52 2026-04-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $31,709.92 $80,089.13 $65,083.66 2026-04-15
28 MS_DRG Spinal Procedures With Mcc 6 3 — — $47,677.54 $77,616.17 $64,710.54 2026-04-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $48,743.94 $73,373.50 $64,674.01 2026-04-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 3 — — $44,152.40 $87,822.28 $64,052.24 2026-04-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $46,235.32 $73,014.14 $63,189.76 2026-04-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 6 3 — — $48,431.76 $72,115.12 $63,070.59 2026-04-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $56,685.38 $75,402.71 $62,922.90 2026-04-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 3 — — $46,839.04 $70,906.98 $61,805.13 2026-04-15
653 MS_DRG Major Bladder Procedures With Mcc 6 3 — — $49,450.86 $69,727.17 $61,566.40 2026-04-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $46,278.32 $72,948.46 $61,279.50 2026-04-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $37,149.42 $73,198.33 $59,948.49 2026-04-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 3 — — $35,002.86 $79,559.76 $59,862.47 2026-04-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 3 — — $47,183.04 $67,770.70 $59,689.57 2026-04-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $44,336.44 $67,550.45 $59,342.86 2026-04-15
225 MS_DRG 225 - V36 Msdrg 3 1 — — $49,199.74 $65,578.64 $59,018.49 2026-04-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 3 — — $42,589.78 $66,948.95 $58,747.09 2026-04-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $43,214.14 $66,803.41 $58,488.60 2026-04-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 3 — — $54,902.25 $67,054.31 $58,433.40 2026-04-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 3 — — $46,156.20 $65,417.52 $57,893.51 2026-04-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $40,926.54 $65,132.87 $57,463.79 2026-04-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 3 — — $43,011.18 $66,413.14 $57,166.98 2026-04-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 3 — — $43,943.42 $64,390.98 $57,018.63 2026-04-15
471 MS_DRG Cervical Spinal Fusion With Mcc 6 3 — — $41,414.16 $63,356.72 $56,137.17 2026-04-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 3 — — $51,657.62 $61,619.43 $55,794.07 2026-04-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 2 — — $53,802.00 $61,597.31 $55,473.42 2026-04-15
6 MS_DRG Liver Transplant Without Mcc 6 3 — — $41,361.70 $62,299.27 $55,101.47 2026-04-15
227 MS_DRG 227 - V36 Msdrg 3 1 — — $46,921.60 $60,961.28 $54,863.03 2026-04-15
799 MS_DRG Splenic Procedures With Mcc 6 3 — — $43,848.82 $63,815.25 $54,823.90 2026-04-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 3 — — $51,595.00 $59,320.13 $54,081.27 2026-04-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $41,416.74 $61,911.58 $54,036.67 2026-04-15
163 MS_DRG Major Chest Procedures With Mcc 6 3 — — $43,166.84 $60,711.17 $53,882.47 2026-04-15
10 MS_DRG Pancreas Transplant 6 3 — — $33,026.58 $61,999.17 $52,954.69 2026-04-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $45,914.54 $58,719.68 $52,814.03 2026-04-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $39,650.30 $59,873.97 $52,562.60 2026-04-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $41,869.96 $56,732.62 $52,437.44 2026-04-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 2 — — $50,596.88 $57,927.80 $52,423.82 2026-04-15
245 MS_DRG Aicd Generator Procedures 6 3 — — $41,061.56 $58,364.43 $52,253.28 2026-04-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 3 — — $42,666.32 $58,176.38 $52,075.03 2026-04-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $50,179.50 $57,449.95 $52,026.69 2026-04-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $42,527.86 $61,056.35 $51,720.82 2026-04-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 3 — — $38,101.44 $57,984.47 $51,262.72 2026-04-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 2 — — $49,071.38 $56,181.27 $50,972.34 2026-04-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 3 — — $39,925.50 $57,037.79 $50,641.18 2026-04-15
901 MS_DRG Wound Debridements For Injuries With Mcc 6 3 — — $37,207.04 $55,742.06 $49,647.54 2026-04-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 3 — — $36,475.18 $56,878.08 $49,362.91 2026-04-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 2 — — $46,575.00 $53,323.20 $48,597.11 2026-04-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $34,635.64 $53,562.77 $47,189.24 2026-04-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 3 — — $35,007.16 $53,021.81 $47,136.44 2026-04-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $33,112.58 $55,109.66 $46,860.38 2026-04-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 3 — — $33,188.26 $52,097.02 $46,541.04 2026-04-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 3 — — $32,248.28 $55,420.06 $45,960.56 2026-04-15
793 MS_DRG Full Term Neonate With Major Problems 6 3 — — $31,791.62 $54,215.78 $45,743.06 2026-04-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $35,022.64 $50,975.18 $45,584.94 2026-04-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 3 — — $39,112.88 $59,135.89 $45,525.51 2026-04-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 3 — — $33,127.20 $52,050.66 $45,241.23 2026-04-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 3 — — $35,895.54 $50,067.14 $44,811.06 2026-04-15
140 MS_DRG Major Head And Neck Procedures With Mcc 3 2 — — $42,503.62 $48,661.93 $44,723.29 2026-04-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 3 — — $38,542.62 $50,372.39 $44,621.23 2026-04-15
791 MS_DRG Prematurity With Major Problems 6 3 — — $30,948.82 $52,778.38 $44,531.11 2026-04-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 3 — — $29,977.88 $51,583.11 $44,391.50 2026-04-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 3 — — $31,920.62 $49,594.44 $44,179.43 2026-04-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 3 — — $33,265.66 $48,341.80 $43,800.99 2026-04-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $34,498.04 $48,799.74 $43,730.90 2026-04-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 3 — — $28,808.28 $51,706.76 $43,650.34 2026-04-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 3 — — $32,840.82 $49,951.22 $43,507.40 2026-04-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 3 — — $31,658.32 $49,273.73 $43,292.93 2026-04-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 3 — — $33,480.66 $47,941.94 $42,999.84 2026-04-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 3 — — $30,583.32 $52,264.46 $42,879.16 2026-04-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $30,998.70 $50,193.36 $42,860.41 2026-04-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 3 — — $33,112.58 $50,250.03 $42,583.03 2026-04-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 — — $34,308.84 $47,113.75 $42,549.82 2026-04-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 3 — — $35,290.10 $46,574.89 $42,232.54 2026-04-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $29,945.20 $46,660.38 $41,463.09 2026-04-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $28,748.08 $47,630.24 $41,309.91 2026-04-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 2 — — $38,907.00 $44,544.19 $41,301.19 2026-04-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 3 — — $30,093.12 $46,577.94 $40,967.31 2026-04-15
332 MS_DRG Rectal Resection With Mcc 6 3 — — $35,066.03 $46,723.49 $40,945.06 2026-04-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 3 — — $35,770.50 $53,298.55 $40,883.99 2026-04-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 3 — — $26,693.54 $46,843.27 $40,746.07 2026-04-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 3 — — $30,181.70 $45,404.58 $40,337.34 2026-04-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 3 — — $31,824.30 $44,501.69 $40,067.87 2026-04-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $26,498.32 $46,125.86 $39,993.62 2026-04-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 3 — — $29,405.98 $48,061.72 $39,916.61 2026-04-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 2 — — $37,413.00 $42,833.73 $39,879.71 2026-04-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 3 — — $29,594.32 $44,903.54 $39,506.24 2026-04-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 3 — — $26,893.92 $44,515.86 $39,471.08 2026-04-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 — — $27,644.70 $44,591.85 $38,912.04 2026-04-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 3 — — $32,365.24 $42,699.78 $38,558.99 2026-04-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $36,006.75 $41,223.73 $38,541.68 2026-04-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 3 — — $24,881.52 $47,035.18 $38,314.82 2026-04-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 3 — — $27,200.94 $43,667.06 $38,259.94 2026-04-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $28,613.06 $43,491.90 $38,099.74 2026-04-15
265 MS_DRG Aicd Lead Procedures 6 3 — — $27,615.46 $45,519.21 $37,747.35 2026-04-15
C1882 HCPCS Defibrillator Iillivia Dr-t, Df1 429529 99 7 $114,126.51 $100,431.33 $4,627.38 $72,981.93 $37,590.81 2026-04-15
252 MS_DRG Other Vascular Procedures With Mcc 6 3 — — $28,488.36 $43,196.94 $37,553.56 2026-04-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 3 — — $26,260.96 $42,426.72 $37,471.15 2026-04-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 3 — — $29,866.08 $41,226.30 $37,420.96 2026-04-15
37 MS_DRG Extracranial Procedures With Mcc 6 3 — — $26,483.70 $43,477.73 $37,389.54 2026-04-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 3 — — $27,418.52 $44,155.22 $37,375.26 2026-04-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 2 — — $34,593.75 $39,606.00 $37,197.25 2026-04-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 3 — — $30,638.36 $45,842.21 $36,963.86 2026-04-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 3 — — $26,130.24 $43,392.72 $36,943.07 2026-04-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 3 — — $28,299.16 $42,887.82 $36,927.82 2026-04-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 3 — — $28,438.48 $41,413.06 $36,882.85 2026-04-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 3 — — $28,057.50 $41,939.86 $36,810.79 2026-04-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 3 — — $24,569.34 $43,866.70 $36,619.77 2026-04-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 3 — — $29,627.86 $40,412.29 $36,582.66 2026-04-15
264 MS_DRG Other Circulatory System O.r. Procedures 6 3 — — $25,401.82 $42,066.08 $36,479.51 2026-04-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 3 — — $26,845.76 $40,252.58 $36,446.54 2026-04-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 2 — — $33,684.75 $38,565.30 $36,332.36 2026-04-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 2 — — $33,396.75 $38,235.57 $36,058.33 2026-04-15
500 MS_DRG Soft Tissue Procedures With Mcc 6 3 — — $26,856.08 $41,767.26 $35,829.60 2026-04-15
665 MS_DRG Prostatectomy With Mcc 6 3 — — $26,351.26 $39,787.61 $35,600.25 2026-04-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 3 — — $28,854.72 $40,620.94 $35,568.04 2026-04-15
C1722 HCPCS Dfb Dynagen El Vr D150 -- Dhf 33 7 $81,054.22 $71,327.71 $6,397.59 $72,537.65 $35,542.17 2026-04-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 3 — — $26,965.30 $40,720.12 $35,452.54 2026-04-15
652 MS_DRG Kidney Transplant 6 3 — — $28,349.04 $38,696.67 $35,322.44 2026-04-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 3 — — $21,760.58 $41,741.50 $35,304.10 2026-04-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 3 — — $22,004.82 $41,415.64 $35,126.82 2026-04-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 2 — — $32,340.38 $37,026.14 $35,053.23 2026-04-15
662 MS_DRG Minor Bladder Procedures With Mcc 6 3 — — $24,881.52 $38,597.50 $35,035.99 2026-04-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 3 — — $23,390.28 $43,047.54 $34,839.66 2026-04-15
C1721 HCPCS Dfb Dynagen El Dr D153 -- Dhf 77 7 $106,546.20 $93,760.66 $7,048.19 $57,304.21 $34,382.53 2026-04-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 3 — — $25,812.04 $37,981.83 $33,960.85 2026-04-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $25,561.78 $38,035.93 $33,900.20 2026-04-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 3 — — $28,206.28 $36,660.34 $33,854.57 2026-04-15
570 MS_DRG Skin Debridement With Mcc 6 3 — — $20,391.46 $37,637.94 $33,835.31 2026-04-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $26,223.12 $38,658.03 $33,760.82 2026-04-15
472 MS_DRG Cervical Spinal Fusion With Cc 6 3 — — $24,758.54 $38,065.55 $33,518.13 2026-04-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 3 — — $26,876.72 $39,052.16 $33,453.10 2026-04-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 3 — — $24,721.56 $37,664.98 $33,452.69 2026-04-15
246 MS_DRG 246 - V36 Msdrg 3 1 — — $27,971.50 $37,136.08 $33,421.18 2026-04-15
248 MS_DRG 248 - V36 Msdrg 3 1 — — $26,182.70 $36,377.03 $32,738.06 2026-04-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 2 — — $29,748.38 $34,058.58 $32,587.02 2026-04-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 3 — — $23,929.50 $37,189.71 $32,480.92 2026-04-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 3 — — $23,021.34 $37,625.06 $32,388.41 2026-04-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 3 — — $27,198.36 $35,296.35 $32,222.58 2026-04-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 3 — — $23,535.62 $36,100.06 $32,091.61 2026-04-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 3 — — $26,101.86 $34,886.77 $32,058.35 2026-04-15
974 MS_DRG HIV With Major Related Condition With Mcc 6 3 — — $22,937.92 $37,564.52 $32,016.27 2026-04-15
668 MS_DRG Transurethral Procedures With Mcc 6 3 — — $21,099.24 $36,295.84 $31,987.35 2026-04-15
654 MS_DRG Major Bladder Procedures With Cc 6 3 — — $26,476.82 $35,259.00 $31,871.07 2026-04-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 3 — — $23,323.20 $36,182.50 $31,538.26 2026-04-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 3 — — $22,206.92 $35,217.78 $31,404.18 2026-04-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 3 — — $26,549.92 $33,488.75 $31,139.13 2026-04-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 3 — — $24,024.96 $34,384.45 $31,019.60 2026-04-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 3 — — $21,100.10 $35,041.33 $30,968.22 2026-04-15
800 MS_DRG Splenic Procedures With Cc 6 3 — — $24,452.38 $36,291.98 $30,909.00 2026-04-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 3 — — $28,140.94 $33,345.03 $30,197.03 2026-04-15
33270 CPT Inser/replac Difibrilator Sub Cut 30 14 $38,514.00 $33,892.32 $670.60 $81,352.25 $30,087.75 2026-04-15
33264 CPT Rem&rpl Icd Gen/multi System 30 14 $41,664.00 $36,664.32 $484.16 $81,352.25 $30,087.75 2026-04-15
33249 CPT Insrt/repostn Elect Sngl/dual Aicd 30 14 $41,346.00 $36,384.48 $10,000.00 $81,352.25 $30,087.75 2026-04-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 3 — — $23,884.78 $33,397.84 $30,030.90 2026-04-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 3 — — $23,256.12 $35,386.51 $30,017.67 2026-04-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 3 — — $20,787.06 $34,035.27 $29,867.47 2026-04-15
503 MS_DRG Foot Procedures With Mcc 6 3 — — $20,762.12 $34,542.87 $29,774.78 2026-04-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 3 — — $21,210.18 $32,310.04 $29,760.44 2026-04-15
263 MS_DRG Vein Ligation And Stripping 6 3 — — $17,648.06 $36,388.58 $29,606.24 2026-04-15
338 MS_DRG 338 - V36 Msdrg 3 1 — — $24,635.56 $32,847.80 $29,561.87 2026-04-15
984 MS_DRG 984 - V34 Msdrg 1 1 — — $29,333.74 $29,333.74 $29,333.74 2026-04-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 3 — — $19,684.54 $34,120.41 $29,286.44 2026-04-15
253 MS_DRG Other Vascular Procedures With Cc 6 3 — — $22,739.26 $32,858.17 $29,223.06 2026-04-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 3 — — $19,866.86 $34,824.94 $29,182.49 2026-04-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 6 3 — — $23,693.00 $32,421.54 $29,076.51 2026-04-15
164 MS_DRG Major Chest Procedures With Cc 6 3 — — $22,202.62 $32,849.15 $29,073.50 2026-04-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 5 3 — — $25,368.75 $34,433.44 $29,028.47 2026-04-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 3 — — $19,883.20 $31,420.76 $28,731.76 2026-04-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 3 — — $19,502.22 $34,591.82 $28,444.89 2026-04-15
63685 CPT Insert/Redo Spine Generator 30 14 — — $10,000.00 $73,379.22 $28,398.70 2026-04-15
64568 CPT Incision For Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Ele… 29 14 — — $10,000.00 $73,379.22 $28,398.70 2026-04-15
64582 CPT Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, A… 30 14 — — $10,000.00 $75,759.97 $28,398.70 2026-04-15
397 MS_DRG Appendix Procedures With Mcc 3 2 — — $25,274.25 $28,936.21 $28,329.97 2026-04-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 6 3 — — $21,736.50 $32,617.31 $28,294.61 2026-04-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 3 — — $22,273.14 $32,166.51 $28,290.36 2026-04-15
545 MS_DRG Connective Tissue Disorders With Mcc 6 3 — — $21,070.00 $32,112.42 $28,236.93 2026-04-15
347 MS_DRG Anal And Stomal Procedures With Mcc 6 3 — — $21,343.48 $32,832.41 $28,161.53 2026-04-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 2 — — $25,042.50 $28,670.88 $28,109.47 2026-04-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 6 3 — — $17,322.12 $34,159.05 $28,093.64 2026-04-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 3 — — $22,617.14 $30,278.30 $28,069.27 2026-04-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 3 — — $23,495.20 $32,019.68 $28,046.22 2026-04-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 3 — — $21,848.30 $30,552.65 $27,809.14 2026-04-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 3 — — $20,369.10 $33,629.68 $27,746.65 2026-04-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 3 — — $20,723.42 $31,996.50 $27,638.23 2026-04-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 3 — — $20,867.04 $30,912.00 $27,525.78 2026-04-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 3 — — $22,650.68 $29,335.49 $27,509.81 2026-04-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 3 — — $20,434.46 $31,335.75 $27,476.94 2026-04-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 6 3 — — $19,773.12 $31,692.53 $27,444.71 2026-04-15
113 MS_DRG Orbital Procedures With Cc/mcc 6 3 — — $18,035.92 $32,294.02 $27,304.94 2026-04-15
131 MS_DRG 131 - V36 Msdrg 3 1 — — $22,137.26 $30,137.23 $27,122.46 2026-04-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 3 — — $20,468.86 $30,708.50 $27,060.83 2026-04-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 3 — — $20,591.84 $29,853.26 $26,930.97 2026-04-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 2 — — $23,762.25 $27,205.14 $26,891.35 2026-04-15
792 MS_DRG Prematurity Without Major Problems 6 3 — — $18,673.18 $31,845.80 $26,868.97 2026-04-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 3 — — $19,391.28 $30,682.74 $26,655.15 2026-04-15
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 26 13 $72,924.00 $64,173.12 $397.31 $71,874.26 $26,580.89 2026-04-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 3 — — $19,278.62 $30,702.06 $26,474.97 2026-04-15
141 MS_DRG Major Head And Neck Procedures With Cc 3 2 — — $23,306.62 $26,683.50 $26,457.83 2026-04-15
849 MS_DRG Radiotherapy 6 3 — — $15,066.34 $34,665.23 $26,434.28 2026-04-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 3 — — $18,375.62 $30,933.90 $26,386.45 2026-04-15
8392455 CDM Gore Excluder Aaa Endoprothesis 13x12x12 11 7 $73,144.58 $64,367.23 $6,583.01 $36,572.29 $26,332.05 2026-04-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 3 — — $20,045.74 $28,749.45 $26,282.08 2026-04-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 6 3 — — $20,657.20 $29,010.91 $26,220.27 2026-04-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 3 — — $18,666.30 $29,144.86 $26,136.01 2026-04-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 6 3 — — $18,247.48 $28,731.42 $26,068.40 2026-04-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $20,196.24 $29,845.54 $25,943.25 2026-04-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 3 — — $20,093.90 $29,617.56 $25,663.67 2026-04-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 3 — — $15,922.04 $30,834.72 $25,646.01 2026-04-15
30 MS_DRG Spinal Procedures Without Cc/mcc 6 3 — — $16,346.88 $29,868.72 $25,517.67 2026-04-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 6 3 — — $20,400.92 $27,310.87 $25,462.44 2026-04-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 6 3 — — $23,385.12 $27,995.97 $25,446.22 2026-04-15
32 MS_DRG Ventricular Shunt Procedures With Cc 6 3 — — $17,677.30 $27,740.94 $25,313.07 2026-04-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 6 3 — — $17,228.38 $29,273.66 $25,282.44 2026-04-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 3 — — $17,267.94 $29,344.50 $25,190.69 2026-04-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 3 — — $19,405.04 $28,759.75 $25,140.56 2026-04-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 6 3 — — $17,765.02 $28,432.60 $25,086.54 2026-04-15
129 MS_DRG 129 - V36 Msdrg 3 1 — — $20,042.30 $27,873.85 $25,085.49 2026-04-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 3 — — $20,157.54 $27,116.26 $25,033.15 2026-04-15
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 6 3 — — $19,364.62 $28,793.24 $24,820.38 2026-04-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 6 3 — — $21,964.50 $26,974.91 $24,711.69 2026-04-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 3 — — $16,976.40 $27,905.81 $24,653.53 2026-04-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 3 — — $18,682.64 $28,208.49 $24,640.67 2026-04-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 6 3 — — $18,943.22 $27,764.13 $24,627.78 2026-04-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 3 — — $17,844.14 $28,294.78 $24,606.70 2026-04-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 3 — — $18,973.32 $26,632.08 $24,588.98 2026-04-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 3 — — $17,802.86 $27,623.74 $24,383.01 2026-04-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 6 3 — — $18,419.48 $28,074.54 $24,363.17 2026-04-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 6 3 — — $20,255.58 $27,100.08 $24,302.64 2026-04-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 6 3 — — $17,761.58 $25,866.90 $24,163.92 2026-04-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 3 — — $20,343.30 $26,252.02 $24,093.53 2026-04-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 3 — — $22,009.40 $26,948.82 $23,997.11 2026-04-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 6 3 — — $15,052.58 $27,133.01 $23,960.58 2026-04-15
711 MS_DRG Testes Procedures With Cc/mcc 6 3 — — $18,241.46 $27,342.95 $23,886.01 2026-04-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 3 — — $17,875.96 $27,507.82 $23,804.37 2026-04-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 6 3 — — $18,606.10 $27,148.46 $23,764.97 2026-04-15
374 MS_DRG Digestive Malignancy With Mcc 6 3 — — $17,485.52 $27,035.12 $23,645.52 2026-04-15
595 MS_DRG Major Skin Disorders With Mcc 6 3 — — $17,374.58 $28,014.00 $23,625.28 2026-04-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 6 3 — — $17,301.48 $27,704.88 $23,604.36 2026-04-15
341 MS_DRG 341 - V36 Msdrg 3 1 — — $19,104.04 $26,194.08 $23,573.76 2026-04-15
709 MS_DRG Penis Procedures With Cc/mcc 6 3 — — $18,703.28 $27,518.62 $23,573.31 2026-04-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 3 — — $17,230.96 $26,724.71 $23,494.47 2026-04-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 3 2 — — $20,513.25 $23,800.01 $23,485.39 2026-04-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 3 — — $16,865.46 $26,964.28 $23,374.37 2026-04-15
0775T CPT Under Sacroiliac Joint Arthrodesis Procedure 6 2 — — $10,000.00 $55,182.03 $23,284.52 2026-04-15
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 6 3 — — $10,806.76 $28,448.06 $23,195.10 2026-04-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 6 3 — — $16,791.50 $27,456.30 $23,127.17 2026-04-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $17,279.12 $25,560.36 $23,050.76 2026-04-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 6 3 — — $17,684.18 $27,189.68 $22,899.50 2026-04-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 6 3 — — $17,118.30 $24,262.42 $22,840.38 2026-04-15
548 MS_DRG Septic Arthritis With Mcc 6 3 — — $15,907.42 $25,153.01 $22,818.89 2026-04-15
333 MS_DRG Rectal Resection With Cc 6 3 — — $19,892.97 $26,783.96 $22,749.26 2026-04-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 6 3 — — $16,781.18 $25,422.54 $22,748.64 2026-04-15
539 MS_DRG Osteomyelitis With Mcc 6 3 — — $16,671.10 $25,559.07 $22,738.33 2026-04-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 6 3 — — $15,600.40 $27,749.96 $22,727.97 2026-04-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 6 3 — — $17,702.24 $25,812.81 $22,697.78 2026-04-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 6 3 — — $17,402.10 $25,448.30 $22,687.65 2026-04-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 6 3 — — $18,397.98 $24,202.43 $22,672.65 2026-04-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $15,426.68 $25,599.00 $22,421.53 2026-04-15
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