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

USMD HOSPITAL AT ARLINGTON L P

Arlington, TX · CCN 450872 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $15,254 across 2 payers · range $6,317-$20,777

Source: https://assets.usmdarlington.com/Images/Sites/U/USMDArlington/731662763%20USMD-Hospital-at-Arlington_standardcharges.csv · observed 2025-01-01

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.

23,333 distinct procedures filed
4 distinct payers
551,946 rate rows
2025-01-01 last MRF observed · ⚠ 22 mo old
Data quality

548,965 of 551,946 rate rows are consumer-grade (99.5%)

2,981 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 2,860
exceeds 10× this hospital's gross charge — excluded from medians 109
placeholder amount (≤ $0.02) — excluded from medians 12

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old.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://assets.usmdarlington.com/Images/Sites/U/USMDArlington/731662763%20USMD-Hospital-at-Arlington_standardcharges.csv
Found on page https://usmdarlington.com/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 6e6a7ec6acf2cfab… · 26,814,920 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $363,858.51 $1,242,588.80 $822,836.56 nat. median
$359,244
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $553,176.28 $835,367.16 $635,848.50 nat. median
$248,541
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Gr 2 $438,819.84 $868,545.52 $539,774.16 nat. median
$198,115
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except F 2 $384,837.16 $581,153.49 $442,351.09 nat. median
$190,359
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $333,274.32 $503,286.98 $383,082.18 nat. median
$103,938
outlier · 3.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $235,016.67 $462,956.75 $297,675.35 nat. median
$97,137
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mou 2 $238,466.42 $360,114.89 $274,105.23 nat. median
$126,461
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $231,634.57 $349,797.93 $266,252.37 nat. median
$110,084
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 4 $106,029.62 $450,253.50 $262,969.23 nat. median
$93,787
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $227,394.95 $343,395.55 $261,379.13 nat. median
$94,943
outlier · 2.8×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $193,355.75 $320,481.39 $255,895.08 nat. median
$70,795
outlier · 3.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infec 4 $183,929.51 $306,275.39 $243,939.40 nat. median
$77,487
outlier · 3.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac C 4 $100,171.15 $412,475.25 $242,041.68 nat. median
$90,512
outlier · 2.7×
7
MS_DRG 		Lung Transplant 2 $200,589.08 $302,915.25 $230,567.12 nat. median
$117,977
2.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $84,235.78 $360,119.50 $210,326.73 nat. median
$76,979
outlier · 2.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage W 4 $121,455.77 $309,400.00 $206,573.40 nat. median
$74,298
outlier · 2.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $172,960.59 $263,393.82 $198,809.56 nat. median
$66,623
outlier · 3.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $80,959.85 $332,171.50 $195,621.77 nat. median
$71,737
outlier · 2.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $153,521.16 $300,326.25 $193,834.32 nat. median
$66,584
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardia 4 $80,042.26 $328,822.50 $193,404.61 nat. median
$72,247
outlier · 2.7×
222
MS_DRG 		No Longer Valid Cardiac Defibrillator Implant With Cardiac Catheteriza 3 $79,475.51 $252,292.63 $190,052.13 nat. median
$47,543
outlier · 4.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $157,813.15 $245,936.38 $187,197.06 nat. median
$67,908
outlier · 2.8×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $133,457.67 $221,202.11 $176,623.46 nat. median
$49,522
outlier · 3.6×
224
MS_DRG 		No Longer Valid Cardiac Defibrillator Implant With Cardiac Catheteriza 3 $73,585.90 $233,596.23 $175,968.12 nat. median
$39,601
outlier · 4.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $132,888.16 $224,986.13 $171,250.56 nat. median
$61,660
outlier · 2.8×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $144,716.79 $218,540.92 $171,050.34 nat. median
$52,917
outlier · 3.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc 3 $135,153.08 $263,933.50 $170,507.19 nat. median
$56,633
outlier · 3.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infec 4 $125,224.98 $219,719.30 $170,183.95 nat. median
$55,110
outlier · 3.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $145,724.87 $228,011.03 $167,503.46 nat. median
$61,263
outlier · 2.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $69,205.54 $291,324.75 $167,220.04 nat. median
$63,829
outlier · 2.6×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac C 4 $66,071.81 $274,439.50 $160,285.58 nat. median
$61,995
outlier · 2.6×
226
MS_DRG 		No Longer Valid Cardiac Defibrillator Implant Without Cardiac Catheter 3 $66,441.34 $210,916.06 $158,883.14 nat. median
$38,225
outlier · 4.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $68,702.39 $289,043.35 $156,521.25 nat. median
$62,577
outlier · 2.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $61,746.47 $259,602.75 $151,620.22 nat. median
$57,798
outlier · 2.6×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 2 $131,583.33 $198,707.71 $151,248.46 nat. median
$53,841
outlier · 2.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $63,875.01 $286,682.00 $150,732.56 nat. median
$59,324
outlier · 2.5×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With M 4 $76,239.82 $224,676.39 $150,245.22 nat. median
$53,342
outlier · 2.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With 4 $62,180.35 $265,459.25 $150,245.22 nat. median
$58,220
outlier · 2.6×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $62,454.84 $285,212.90 $149,960.13 nat. median
$58,234
outlier · 2.6×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 $129,719.90 $197,709.30 $149,106.55 nat. median
$50,808
outlier · 2.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac C 4 $59,131.75 $252,836.75 $147,668.56 nat. median
$59,493
outlier · 2.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $61,040.63 $250,061.50 $147,491.33 nat. median
$55,425
outlier · 2.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage W 4 $83,376.42 $212,395.56 $141,807.60 nat. median
$51,462
outlier · 2.8×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 4 $105,979.74 $177,900.55 $141,079.52 nat. median
$44,798
outlier · 3.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $60,814.43 $258,051.15 $138,550.50 nat. median
$58,052
outlier · 2.4×
28
MS_DRG 		Spinal Procedures With Mcc 3 $118,567.70 $179,052.44 $136,287.65 nat. median
$54,377
outlier · 2.5×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And C 4 $68,734.71 $186,624.58 $135,454.96 nat. median
$49,873
outlier · 2.7×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 4 $100,494.19 $166,566.13 $132,998.21 nat. median
$38,810
outlier · 3.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without 4 $53,954.20 $226,095.75 $132,050.56 nat. median
$51,559
outlier · 2.6×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $57,497.08 $250,938.05 $131,938.99 nat. median
$53,768
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 23,333 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 Immunotherapies 21 3 — — $363,858.51 $1,242,588.80 $822,836.56 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 2 — — $553,176.28 $835,367.16 $635,848.50 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Gr 12 2 — — $438,819.84 $868,545.52 $539,774.16 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except F 12 2 — — $384,837.16 $581,153.49 $442,351.09 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 2 — — $333,274.32 $503,286.98 $383,082.18 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 3 — — $235,016.67 $462,956.75 $297,675.35 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mou 12 2 — — $238,466.42 $360,114.89 $274,105.23 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 2 — — $231,634.57 $349,797.93 $266,252.37 2025-01-01
215 MS_DRG Other Heart Assist System Implant 27 4 — — $106,029.62 $450,253.50 $262,969.23 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 2 — — $227,394.95 $343,395.55 $261,379.13 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 24 4 — — $193,355.75 $320,481.39 $255,895.08 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infec 24 4 — — $183,929.51 $306,275.39 $243,939.40 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac C 27 4 — — $100,171.15 $412,475.25 $242,041.68 2025-01-01
7 MS_DRG Lung Transplant 12 2 — — $200,589.08 $302,915.25 $230,567.12 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 4 — — $84,235.78 $360,119.50 $210,326.73 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage W 27 4 — — $121,455.77 $309,400.00 $206,573.40 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 2 — — $172,960.59 $263,393.82 $198,809.56 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 4 — — $80,959.85 $332,171.50 $195,621.77 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 3 — — $153,521.16 $300,326.25 $193,834.32 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardia 27 4 — — $80,042.26 $328,822.50 $193,404.61 2025-01-01
222 MS_DRG No Longer Valid Cardiac Defibrillator Implant With Cardiac Catheteriza 21 3 — — $79,475.51 $252,292.63 $190,052.13 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 2 — — $157,813.15 $245,936.38 $187,197.06 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 24 4 — — $133,457.67 $221,202.11 $176,623.46 2025-01-01
224 MS_DRG No Longer Valid Cardiac Defibrillator Implant With Cardiac Catheteriza 21 3 — — $73,585.90 $233,596.23 $175,968.12 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 2 — — $132,888.16 $224,986.13 $171,250.56 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 3 — — $144,716.79 $218,540.92 $171,050.34 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 18 3 — — $135,153.08 $263,933.50 $170,507.19 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infec 24 4 — — $125,224.98 $219,719.30 $170,183.95 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 2 — — $145,724.87 $228,011.03 $167,503.46 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 4 — — $69,205.54 $291,324.75 $167,220.04 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac C 27 4 — — $66,071.81 $274,439.50 $160,285.58 2025-01-01
226 MS_DRG No Longer Valid Cardiac Defibrillator Implant Without Cardiac Catheter 21 3 — — $66,441.34 $210,916.06 $158,883.14 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 4 — — $68,702.39 $289,043.35 $156,521.25 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 4 — — $61,746.47 $259,602.75 $151,620.22 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 2 — — $131,583.33 $198,707.71 $151,248.46 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 4 — — $63,875.01 $286,682.00 $150,732.56 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With M 27 4 — — $76,239.82 $224,676.39 $150,245.22 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With 27 4 — — $62,180.35 $265,459.25 $150,245.22 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 4 — — $62,454.84 $285,212.90 $149,960.13 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 2 — — $129,719.90 $197,709.30 $149,106.55 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac C 27 4 — — $59,131.75 $252,836.75 $147,668.56 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 4 — — $61,040.63 $250,061.50 $147,491.33 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage W 27 4 — — $83,376.42 $212,395.56 $141,807.60 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 4 — — $105,979.74 $177,900.55 $141,079.52 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 4 — — $60,814.43 $258,051.15 $138,550.50 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 18 3 — — $118,567.70 $179,052.44 $136,287.65 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And C 27 4 — — $68,734.71 $186,624.58 $135,454.96 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 24 4 — — $100,494.19 $166,566.13 $132,998.21 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without 27 4 — — $53,954.20 $226,095.75 $132,050.56 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 4 — — $57,497.08 $250,938.05 $131,938.99 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardia 27 4 — — $54,438.95 $225,092.75 $131,539.81 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 3 — — $101,511.00 $203,252.00 $129,545.01 2025-01-01
223 MS_DRG No Longer Valid Cardiac Defibrillator Implant With Cardiac Catheteriza 21 3 — — $54,170.11 $171,961.38 $129,538.57 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular S 18 3 — — $97,325.93 $212,623.25 $129,441.92 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Di 12 2 — — $112,562.83 $169,984.32 $129,385.35 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 2 — — $112,431.91 $169,786.62 $129,234.87 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 4 — — $64,835.16 $170,903.66 $127,770.14 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infec 24 4 — — $94,212.21 $163,868.15 $127,510.60 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 4 — — $52,490.62 $218,144.00 $127,406.36 2025-01-01
225 MS_DRG No Longer Valid Cardiac Defibrillator Implant With Cardiac Catheteriza 21 3 — — $52,498.93 $166,656.27 $125,542.23 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 27 4 — — $53,464.71 $231,329.30 $125,419.50 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe 27 4 — — $49,894.58 $214,051.25 $125,016.00 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 4 — — $51,722.50 $214,144.75 $124,976.11 2025-01-01
227 MS_DRG No Longer Valid Cardiac Defibrillator Implant Without Cardiac Catheter 21 3 — — $52,114.87 $165,437.09 $124,623.82 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 27 4 — — $54,583.66 $232,358.50 $124,355.25 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 4 — — $53,280.03 $235,848.65 $124,005.24 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 4 — — $53,610.88 $228,465.80 $122,139.00 2025-01-01
245 MS_DRG Aicd Generator Procedures 27 4 — — $47,035.93 $207,676.25 $121,292.70 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 12 2 — — $103,948.30 $156,975.27 $119,483.38 2025-01-01
0100T CPT Prosth Retina Receive&gen 18 2 — — $59,420.00 $365,696.20 $118,707.26 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Witho 27 4 — — $48,831.67 $207,408.50 $117,991.06 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 2 — — $98,135.45 $151,805.26 $115,548.17 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 3 — — $90,334.80 $181,016.00 $115,324.13 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardia 27 4 — — $47,668.07 $197,565.50 $115,179.48 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 4 — — $50,157.24 $210,778.50 $114,270.75 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High D 27 4 — — $46,976.18 $207,782.20 $112,653.00 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 4 — — $49,373.09 $207,562.25 $112,533.75 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 2 — — $96,928.80 $146,374.93 $111,414.82 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 4 — — $43,078.12 $186,681.25 $109,400.81 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 27 4 — — $46,955.44 $205,615.90 $108,109.37 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders 27 4 — — $54,761.74 $147,765.46 $107,918.53 2025-01-01
230 MS_DRG No Longer Valid Other Cardiothoracic Procedures Without Cc/mcc 12 2 — — $93,865.28 $141,748.61 $107,893.45 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 2 — — $93,620.89 $141,379.56 $107,612.54 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With M 27 4 — — $43,343.79 $198,170.80 $107,442.00 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 4 — — $46,816.19 $197,303.45 $106,971.75 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With M 27 4 — — $46,660.15 $196,070.90 $106,303.50 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 24 4 — — $79,815.38 $132,291.61 $105,631.01 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 4 — — $44,460.76 $194,186.80 $105,282.00 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 12 2 — — $91,002.49 $138,700.64 $104,602.82 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device 24 4 — — $78,198.52 $132,071.00 $104,392.18 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mc 27 4 — — $43,166.27 $176,817.00 $104,301.85 2025-01-01
10 MS_DRG Pancreas Transplant 12 2 — — $90,670.83 $136,924.59 $104,221.59 2025-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin 12 2 — — $66,158.24 $142,569.09 $104,212.70 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 27 4 — — $45,517.50 $195,614.40 $103,700.25 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage W 27 4 — — $60,940.67 $155,242.05 $103,648.60 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 4 — — $44,607.92 $190,555.55 $103,313.25 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 2 — — $88,257.54 $135,412.13 $103,070.37 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 4 — — $41,947.66 $174,751.50 $102,063.10 2025-01-01
791 MS_DRG Prematurity With Major Problems 12 2 — — $88,591.38 $135,023.31 $101,831.37 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With M 27 4 — — $43,734.88 $187,218.95 $101,504.25 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 4 — — $42,741.35 $183,853.30 $99,679.50 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 2 — — $86,101.72 $130,024.65 $98,969.63 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 3 — — $81,421.33 $163,070.10 $98,553.28 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 4 — — $40,450.86 $166,175.00 $97,740.66 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 4 — — $42,125.09 $177,566.05 $95,971.50 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant T 12 2 — — $83,400.40 $127,790.57 $95,864.60 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 27 4 — — $37,312.52 $175,503.50 $94,758.53 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Di 12 2 — — $80,998.02 $122,317.41 $93,103.18 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 4 — — $36,521.45 $173,885.00 $92,749.54 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 4 — — $38,624.05 $168,784.65 $91,509.75 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 4 — — $36,733.78 $165,315.25 $89,628.75 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignan 27 4 — — $35,714.58 $165,199.05 $89,565.75 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 4 — — $38,973.66 $166,601.75 $88,791.75 2025-01-01
265 MS_DRG Aicd Lead Procedures 27 4 — — $36,683.96 $151,593.25 $88,638.76 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With M 27 4 — — $38,389.99 $163,397.95 $88,589.25 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 4 — — $38,032.48 $168,398.70 $88,541.20 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And 27 4 — — $44,802.86 $118,004.12 $88,292.64 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular S 18 3 — — $69,837.09 $136,178.50 $88,045.64 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 2 — — $75,462.29 $114,412.46 $87,086.25 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Diso 27 4 — — $38,169.75 $164,244.55 $86,960.25 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With 27 4 — — $44,062.15 $117,009.00 $86,832.93 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 27 4 — — $33,901.08 $148,533.25 $86,750.41 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 4 — — $35,752.87 $146,888.50 $86,389.00 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 4 — — $43,588.70 $114,877.07 $85,899.92 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 27 4 — — $34,812.44 $145,783.50 $85,144.42 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 4 — — $35,208.96 $146,841.75 $85,074.75 2025-01-01
984 MS_DRG No Longer Valid Prostatic O.r. Procedure Unrelated To Principal Diagno 12 2 — — $73,847.61 $111,519.36 $84,884.14 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 4 — — $34,411.78 $144,789.00 $84,563.59 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 4 — — $42,877.26 $113,311.90 $84,497.89 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mc 18 3 — — $64,774.85 $135,787.50 $84,460.83 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis 18 3 — — $66,952.49 $130,687.50 $84,448.43 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 4 — — $63,212.54 $106,885.00 $84,431.92 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 27 4 — — $32,158.23 $160,227.35 $84,244.84 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metab 27 4 — — $36,975.74 $158,762.40 $84,240.00 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 4 — — $48,960.27 $124,722.83 $83,272.20 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremit 27 4 — — $41,598.20 $109,720.24 $81,977.25 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 4 — — $35,306.70 $150,391.85 $81,537.75 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C 27 4 — — $34,576.86 $154,471.30 $81,218.40 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 4 — — $41,026.76 $108,540.59 $80,851.11 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 4 — — $33,482.60 $148,760.90 $80,653.50 2025-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mc 12 2 — — $69,391.96 $105,953.94 $79,762.60 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 27 4 — — $40,325.50 $106,853.50 $79,469.15 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 4 — — $31,611.10 $146,461.80 $79,407.00 2025-01-01
332 MS_DRG Rectal Resection With Mcc 27 4 — — $34,254.91 $150,545.40 $79,154.23 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 4 — — $34,601.55 $146,295.80 $78,831.00 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc 27 4 — — $33,348.29 $145,374.50 $78,817.50 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With M 18 3 — — $62,114.99 $122,174.75 $78,621.15 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 4 — — $32,393.90 $137,734.00 $78,272.78 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 4 — — $33,635.68 $143,785.05 $77,955.75 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 4 — — $32,241.32 $135,133.00 $77,904.09 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Wit 27 4 — — $39,354.43 $104,174.59 $77,555.47 2025-01-01
665 MS_DRG Prostatectomy With Mcc 27 4 — — $30,507.95 $142,486.10 $77,251.50 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 3 — — $67,166.32 $101,429.77 $77,204.33 2025-01-01
652 MS_DRG Kidney Transplant 12 2 — — $65,556.01 $101,199.11 $77,028.77 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 4 — — $34,540.32 $115,242.83 $76,942.80 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 3 — — $57,698.63 $121,635.00 $75,435.10 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 4 — — $44,166.56 $112,511.19 $75,119.00 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 2 — — $65,115.24 $98,332.37 $74,846.72 2025-01-01
248 MS_DRG No Longer Valid Percutaneous Cardiovascular Procedures With Non-drug-e 21 3 — — $31,241.72 $99,175.92 $74,709.26 2025-01-01
246 MS_DRG No Longer Valid Percutaneous Cardiovascular Procedures With Drug-eluti 21 3 — — $31,092.25 $98,701.43 $74,351.82 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 4 — — $32,607.59 $138,012.40 $74,288.25 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And C 27 4 — — $37,526.83 $98,899.13 $73,953.84 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 4 — — $37,430.11 $97,169.20 $73,763.22 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 4 — — $32,186.87 $138,701.30 $73,329.75 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 4 — — $30,986.94 $135,194.55 $73,298.25 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With C 27 4 — — $31,890.59 $134,007.65 $72,654.75 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe 27 4 — — $29,159.50 $123,760.00 $72,281.66 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 4 — — $30,864.48 $132,360.10 $71,761.50 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services W 27 4 — — $31,344.45 $133,434.95 $71,410.50 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Withou 27 4 — — $36,224.86 $94,358.48 $71,388.05 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With 27 4 — — $31,566.66 $105,321.28 $70,318.60 2025-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 27 4 — — $29,595.41 $129,455.10 $70,186.50 2025-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 4 — — $28,115.27 $119,229.50 $69,635.64 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 24 4 — — $51,652.30 $88,990.06 $69,596.37 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With O 27 4 — — $30,453.63 $130,882.70 $69,381.00 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 4 — — $28,784.59 $98,661.88 $68,493.10 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures W 27 4 — — $34,625.08 $94,173.96 $68,235.37 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 2 — — $59,276.21 $90,097.92 $68,135.04 2025-01-01
570 MS_DRG Skin Debridement With Mcc 27 4 — — $28,859.65 $124,931.60 $67,734.00 2025-01-01
131 MS_DRG No Longer Valid Cranial/facial Procedures W Cc/mcc 12 2 — — $58,680.53 $88,615.12 $67,450.33 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 27 4 — — $39,634.13 $100,965.16 $67,410.20 2025-01-01
263 MS_DRG Vein Ligation And Stripping 27 4 — — $27,838.12 $120,071.00 $67,264.73 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 4 — — $28,803.35 $123,919.00 $67,185.00 2025-01-01
503 MS_DRG Foot Procedures With Mcc 27 4 — — $33,682.01 $88,371.29 $66,376.87 2025-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 12 2 — — $55,256.97 $87,112.56 $66,306.64 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 4 — — $28,880.39 $121,711.20 $65,988.00 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 27 4 — — $33,385.47 $87,965.99 $65,792.48 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mc 27 4 — — $27,157.19 $116,764.50 $65,619.42 2025-01-01
668 MS_DRG Transurethral Procedures With Mcc 27 4 — — $27,830.57 $121,018.15 $65,612.25 2025-01-01
800 MS_DRG Splenic Procedures With Cc 27 4 — — $27,827.61 $120,914.40 $65,556.00 2025-01-01
69930 CPT Implant Cochlear Device 18 2 — — $34,962.39 $79,393.75 $65,433.88 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 4 — — $25,608.47 $116,080.25 $65,035.03 2025-01-01
33270 CPT Ins/rep Subq Defibrillator 18 2 — — $34,090.47 $77,413.77 $64,542.97 2025-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 18 2 — — $34,090.47 $77,413.77 $64,542.97 2025-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 18 2 — — $34,090.47 $77,413.77 $64,542.97 2025-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 18 2 — — $34,090.47 $77,413.77 $64,542.97 2025-01-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 18 2 — — $34,090.47 $77,413.77 $64,542.97 2025-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 4 — — $28,313.50 $121,229.80 $64,505.25 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 27 4 — — $26,480.42 $108,498.25 $63,984.14 2025-01-01
654 MS_DRG Major Bladder Procedures With Cc 27 4 — — $27,035.55 $117,108.85 $63,492.75 2025-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Fem 27 4 — — $32,131.86 $86,035.06 $63,322.00 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 4 — — $27,733.78 $119,827.10 $63,184.50 2025-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 4 — — $26,797.54 $119,540.75 $62,852.51 2025-01-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 9 1 — — $30,749.39 $69,826.74 $62,838.24 2025-01-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 9 1 — — $30,749.39 $69,826.74 $62,838.24 2025-01-01
0424T CPT Insj/rplc Nstim Apnea Compl 9 1 — — $30,749.39 $69,826.74 $62,838.24 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 4 — — $31,616.41 $83,962.44 $62,306.22 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 18 3 — — $49,020.81 $102,820.40 $62,140.69 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 27 4 — — $25,322.01 $106,335.00 $62,104.64 2025-01-01
792 MS_DRG Prematurity Without Major Problems 12 2 — — $53,454.64 $81,471.35 $61,443.43 2025-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 18 2 — — $30,749.39 $76,374.00 $61,129.12 2025-01-01
61886 CPT Implant Neurostim Arrays 18 2 — — $30,749.39 $76,374.00 $61,129.12 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 27 4 — — $26,609.89 $113,726.60 $60,624.00 2025-01-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 18 2 — — $30,118.74 $76,374.00 $60,484.73 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 27 4 — — $26,508.17 $112,207.70 $60,392.25 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With 18 3 — — $52,389.82 $79,138.42 $60,219.48 2025-01-01
849 MS_DRG Radiotherapy 27 4 — — $26,377.81 $111,693.10 $60,095.25 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thro 27 4 — — $26,977.28 $90,008.95 $60,095.20 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 27 4 — — $26,162.51 $110,497.90 $59,908.50 2025-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 4 — — $23,745.85 $110,107.80 $59,697.00 2025-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 9 1 — — $59,420.00 $76,374.00 $59,420.00 2025-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 27 4 — — $24,622.84 $83,257.29 $59,377.45 2025-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 27 4 — — $29,760.82 $78,545.30 $58,649.41 2025-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 27 4 — — $24,859.87 $107,418.60 $58,239.00 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 27 4 — — $25,521.56 $107,439.35 $58,144.50 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Wit 27 4 — — $24,005.83 $99,909.00 $58,004.83 2025-01-01
338 MS_DRG No Longer Valid Appendectomy With Complicated Principal Diagnosis With 21 3 — — $26,235.59 $87,534.33 $57,964.83 2025-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 27 4 — — $23,810.05 $110,062.15 $57,868.82 2025-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 27 4 — — $24,136.94 $105,974.40 $57,456.00 2025-01-01
129 MS_DRG No Longer Valid Major Head & Neck Procedures W Cc/mcc Or Major Device 12 2 — — $49,952.53 $75,434.72 $57,417.93 2025-01-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
33230 CPT Insrt Pulse Gen W/dual Leads 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
33240 CPT Insrt Pulse Gen W/singl Lead 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
0409T CPT Insj/rplc Car Modulj Pls Gn 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
0408T CPT Insj/rplc Cardiac Modulj Sys 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
0515T CPT Insj Wcs Lv Compl Sys 18 2 — — $23,984.81 $76,374.00 $56,942.76 2025-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 24 4 — — $42,954.85 $71,308.50 $56,889.32 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 27 4 — — $24,855.92 $105,841.60 $56,628.00 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 27 4 — — $23,383.03 $96,798.00 $56,499.97 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 12 2 — — $49,105.91 $74,156.23 $56,444.79 2025-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 27 4 — — $21,983.98 $98,370.50 $55,830.31 2025-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 27 4 — — $23,372.54 $105,787.65 $55,621.36 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 27 4 — — $24,181.39 $103,169.00 $55,091.25 2025-01-01
935 MS_DRG Non-extensive Burns 12 2 — — $44,536.80 $72,370.28 $55,085.40 2025-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 27 4 — — $22,092.61 $104,052.95 $54,709.29 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 27 4 — — $23,979.92 $103,642.10 $54,632.25 2025-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 27 4 — — $23,702.40 $100,421.70 $54,445.50 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mc 27 4 — — $21,288.71 $94,065.25 $54,064.60 2025-01-01
133 MS_DRG No Longer Valid Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/m 12 2 — — $46,845.36 $70,742.50 $53,846.40 2025-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 12 2 — — $45,658.35 $70,702.96 $53,816.30 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders 27 4 — — $27,295.60 $71,078.60 $53,791.22 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 27 4 — — $22,890.59 $98,624.75 $53,471.25 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 27 4 — — $23,343.90 $98,442.15 $53,183.25 2025-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With M 27 4 — — $22,884.67 $97,927.55 $53,093.25 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 27 4 — — $20,675.41 $91,519.50 $52,507.07 2025-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 24 4 — — $39,474.56 $65,427.91 $52,242.29 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 3 — — $45,274.32 $68,370.03 $52,040.57 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 27 4 — — $22,796.77 $98,861.30 $51,979.60 2025-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 27 4 — — $20,848.24 $95,196.85 $51,612.75 2025-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Cri 27 4 — — $21,629.43 $95,051.60 $51,534.00 2025-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 27 4 — — $20,614.17 $94,748.65 $51,369.75 2025-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 27 4 — — $22,244.70 $94,570.20 $51,273.00 2025-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/ 27 4 — — $21,801.27 $93,715.30 $50,809.50 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 27 4 — — $21,695.60 $93,453.85 $50,667.75 2025-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 27 4 — — $22,221.99 $93,906.20 $50,627.25 2025-01-01
709 MS_DRG Penis Procedures With Cc/mcc 27 4 — — $20,937.12 $93,250.50 $50,557.50 2025-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Wit 27 4 — — $25,601.63 $67,246.40 $50,452.94 2025-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 27 4 — — $25,559.63 $69,879.19 $50,370.17 2025-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 27 4 — — $22,044.22 $92,636.30 $50,224.50 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 4 — — $22,504.44 $75,085.44 $50,131.40 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Withou 18 3 — — $39,474.56 $77,494.50 $49,920.54 2025-01-01
0775T CPT Arthrd Si Jt Prq Iartic Impl 6 1 — — $47,255.09 $52,510.52 $49,882.80 2025-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 12 2 — — $43,159.96 $65,177.08 $49,610.22 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 27 4 — — $20,820.58 $69,599.10 $49,542.70 2025-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 12 2 — — $43,057.41 $65,022.21 $49,492.34 2025-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 27 4 — — $21,720.29 $92,665.35 $49,484.25 2025-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And 27 4 — — $25,109.10 $65,490.11 $49,482.30 2025-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 27 4 — — $25,012.37 $69,414.58 $49,291.69 2025-01-01
341 MS_DRG No Longer Valid Appendectomy Without Complicated Principal Diagnosis W 21 3 — — $22,309.88 $74,436.31 $49,291.38 2025-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures W 27 4 — — $24,962.74 $65,697.70 $49,193.87 2025-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 27 4 — — $19,311.53 $83,784.50 $49,043.39 2025-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With C 27 4 — — $21,092.17 $90,424.35 $49,025.25 2025-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 12 2 — — $42,468.27 $64,132.53 $48,815.15 2025-01-01
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 27 4 — — $21,093.16 $92,773.25 $48,778.61 2025-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Withou 27 4 — — $21,378.58 $89,835.05 $48,705.75 2025-01-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 27 4 — — $24,666.20 $70,241.65 $48,609.49 2025-01-01
985 MS_DRG No Longer Valid Prostatic O.r. Procedure Unrelated To Principal Diagno 12 2 — — $42,197.70 $63,723.94 $48,504.15 2025-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 27 4 — — $20,460.11 $89,154.45 $48,336.75 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 27 4 — — $20,663.55 $88,984.30 $48,244.50 2025-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 27 4 — — $21,091.19 $89,266.50 $48,051.00 2025-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 27 4 — — $20,201.36 $88,457.25 $47,958.75 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 27 4 — — $28,173.72 $71,770.57 $47,918.20 2025-01-01
333 MS_DRG Rectal Resection With Cc 27 4 — — $20,537.14 $88,191.65 $47,814.75 2025-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc 27 4 — — $28,109.05 $71,605.82 $47,808.20 2025-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 21 3 — — $21,585.97 $74,304.51 $47,691.97 2025-01-01
906 MS_DRG Hand Procedures For Injuries 27 4 — — $18,582.68 $90,569.60 $47,619.97 2025-01-01
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