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

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Hospital

BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH

Fort Worth, TX · CCN 450880 · Rates published

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You selected 93306 (CPT)

BCE US Echocardiography w/Color Flow 93306

This hospital’s price: $1,063 across 2 payers · range $908-$8,427

Source: https://mrfs.hyvehealthcare.com/USPI/752658178_baylor-surgical-hospital-at-fort-worth_standardcharges.json · observed 2026-04-14

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.

12,139 distinct procedures filed
7 distinct payers
234,281 rate rows
2026-04-14 last MRF observed
Data quality

151,071 of 234,281 rate rows are consumer-grade (64.5%)

83,210 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 71,984
template filing: same amount across many unrelated codes — excluded 6,676
exceeds 10× this hospital's gross charge — excluded from medians 3,826
per-diem day rate — not a per-procedure price 478
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 198
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 45
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/USPI/752658178_baylor-surgical-hospital-at-fort-worth_standardcharges.json
Found on page https://bshfw.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint 6aee00744db6d9b3… · 55,567,820 bytes · first seen 2026-05-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $445,011.04 $445,011.04 $445,011.04 nat. median
$359,454
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $134,302.92 $252,892.88 $193,597.90 nat. median
$190,559
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $134,942.23 $134,942.23 $134,942.23 nat. median
$198,418
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $128,548.02 $128,548.02 $128,548.02 nat. median
$97,323
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $83,816.93 $166,734.00 $125,275.46 nat. median
$126,695
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 2 $94,583.97 $125,018.64 $109,801.30 nat. median
$93,901
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $76,521.70 $95,120.98 $85,821.34 nat. median
$74,370
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $34,236.00 $73,234.00 $66,628.00 nat. median
$58,280
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $46,207.50 $82,086.70 $64,147.10 nat. median
$62,655
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $34,236.00 $79,223.78 $61,631.00 nat. median
$47,543
1.3× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $34,236.00 $73,234.00 $61,631.00 nat. median
$39,452
1.6× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $34,236.00 $73,234.00 $61,508.00 nat. median
$38,225
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $34,236.00 $78,677.68 $60,950.61 nat. median
$63,873
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $58,027.10 $63,022.62 $60,524.86 nat. median
$51,514
1.2× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $34,236.00 $73,234.00 $59,258.98 nat. median
$32,619
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $41,078.31 $76,312.96 $58,695.64 nat. median
$59,371
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $41,094.46 $74,626.74 $57,860.60 nat. median
$58,251
1.0× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $34,236.00 $73,234.00 $56,634.00 nat. median
$45,868
1.2× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $34,236.00 $73,234.00 $56,159.04 nat. median
$34,024
1.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $38,546.01 $72,666.76 $55,606.38 nat. median
$58,135
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $39,956.76 $68,703.14 $54,329.95 nat. median
$53,856
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 $34,236.00 $73,234.00 $54,198.69 nat. median
$31,634
1.7× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $40,289.26 $65,780.28 $53,034.77 nat. median
$49,999
1.1× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $34,236.00 $66,628.00 $52,957.35 nat. median
$49,364
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 2 $40,427.25 $65,222.14 $52,824.69 nat. median
$50,371
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 2 $39,482.59 $64,058.66 $51,770.62 nat. median
$50,787
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 2 $47,894.30 $54,388.56 $51,141.43 nat. median
$42,680
1.2× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $49,904.56 $49,904.56 $49,904.56 nat. median
$38,372
1.3× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 $36,057.02 $63,671.62 $49,864.32 nat. median
$50,018
1.0× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 $35,824.34 $63,664.54 $49,744.44 nat. median
$46,674
1.1× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 $39,445.89 $59,084.96 $49,265.43 nat. median
$45,429
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 2 $38,578.31 $59,932.20 $49,255.25 nat. median
$46,239
1.1× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$47,429
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$50,627
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$57,801
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $34,236.00 $92,233.52 $48,899.00 nat. median
$71,748
0.7× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$51,598
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $34,236.00 $76,203.22 $48,899.00 nat. median
$62,031
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $34,236.00 $99,992.02 $48,899.00 nat. median
$77,028
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $34,236.00 $91,302.50 $48,899.00 nat. median
$72,398
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $34,236.00 $113,882.98 $48,899.00 nat. median
$90,551
0.5× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$55,477
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$59,546
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $37,119.11 $59,015.34 $48,067.22 nat. median
$45,430
1.1× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 $34,566.26 $59,435.42 $47,000.84 nat. median
$45,237
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $41,564.00 $83,390.60 $46,454.00 nat. median
$66,649
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $41,564.00 $73,093.92 $46,454.00 nat. median
$56,687
0.8× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $34,236.00 $73,234.00 $46,454.00 nat. median
$46,508
1.0× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 5 $34,236.00 $73,234.00 $46,454.00 nat. median
$40,324
1.2× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 $41,564.00 $50,260.92 $46,454.00 nat. median
$39,057
1.2× median

Other procedures at this hospital

Browse this hospital's 12,139 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 1 1 — — $445,011.04 $445,011.04 $445,011.04 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $134,302.92 $252,892.88 $193,597.90 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $134,942.23 $134,942.23 $134,942.23 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $128,548.02 $128,548.02 $128,548.02 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $83,816.93 $166,734.00 $125,275.46 2026-04-14
215 MS_DRG Other Heart Assist System Implant 2 2 — — $94,583.97 $125,018.64 $109,801.30 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $76,521.70 $95,120.98 $85,821.34 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 4 — — $34,236.00 $73,234.00 $66,628.00 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $46,207.50 $82,086.70 $64,147.10 2026-04-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $34,236.00 $79,223.78 $61,631.00 2026-04-14
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $34,236.00 $73,234.00 $61,631.00 2026-04-14
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $34,236.00 $73,234.00 $61,508.00 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $34,236.00 $78,677.68 $60,950.61 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $58,027.10 $63,022.62 $60,524.86 2026-04-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $34,236.00 $73,234.00 $59,258.98 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $41,078.31 $76,312.96 $58,695.64 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $41,094.46 $74,626.74 $57,860.60 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 4 — — $34,236.00 $73,234.00 $56,634.00 2026-04-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $34,236.00 $73,234.00 $56,159.04 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $38,546.01 $72,666.76 $55,606.38 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $39,956.76 $68,703.14 $54,329.95 2026-04-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $34,236.00 $73,234.00 $54,198.69 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $40,289.26 $65,780.28 $53,034.77 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $34,236.00 $66,628.00 $52,957.35 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $40,427.25 $65,222.14 $52,824.69 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $39,482.59 $64,058.66 $51,770.62 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $47,894.30 $54,388.56 $51,141.43 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $49,904.56 $49,904.56 $49,904.56 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $36,057.02 $63,671.62 $49,864.32 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $35,824.34 $63,664.54 $49,744.44 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $39,445.89 $59,084.96 $49,265.43 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $38,578.31 $59,932.20 $49,255.25 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 5 — — $34,236.00 $91,302.50 $48,899.00 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $34,236.00 $76,203.22 $48,899.00 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 5 — — $34,236.00 $92,233.52 $48,899.00 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $34,236.00 $113,882.98 $48,899.00 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 5 — — $34,236.00 $99,992.02 $48,899.00 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $37,119.11 $59,015.34 $48,067.22 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $34,566.26 $59,435.42 $47,000.84 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 2 — — $41,564.00 $73,093.92 $46,454.00 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 5 — — $34,236.00 $73,234.00 $46,454.00 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 2 — — $41,564.00 $50,260.92 $46,454.00 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 2 — — $41,564.00 $54,892.42 $46,454.00 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 2 — — $41,564.00 $83,390.60 $46,454.00 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 5 — — $34,236.00 $73,234.00 $46,454.00 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $36,317.59 $56,350.90 $46,334.24 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $34,236.00 $66,628.00 $45,476.13 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $36,646.42 $54,184.42 $45,415.42 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $34,509.74 $56,106.64 $45,308.19 2026-04-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 5 — — $34,236.00 $73,234.00 $45,256.82 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 5 — — $24,102.00 $73,234.00 $45,231.50 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 2 — — $34,236.00 $66,628.00 $45,231.50 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $33,210.56 $55,218.10 $44,214.33 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $32,079.47 $56,096.02 $44,087.74 2026-04-14
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 2 — — $33,772.78 $48,899.00 $44,009.00 2026-04-14
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 2 — — $37,702.18 $48,899.00 $44,009.00 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $34,236.00 $66,628.00 $43,998.77 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $43,126.90 $43,126.90 $43,126.90 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $32,944.12 $53,236.88 $43,090.50 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $32,772.37 $52,279.90 $42,526.14 2026-04-14
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 9 4 — — $17,314.00 $73,234.00 $41,564.00 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 3 — — $34,015.64 $66,628.00 $41,249.96 2026-04-14
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $35,308.00 $46,864.43 $41,086.21 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $40,269.44 $40,269.44 $40,269.44 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $29,181.64 $50,335.26 $39,758.45 2026-04-14
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 3 — — $28,996.73 $66,628.00 $39,341.90 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $30,946.17 $47,007.66 $38,976.92 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $38,962.42 $38,962.42 $38,962.42 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $28,963.64 $47,995.32 $38,479.48 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $27,992.56 $48,423.66 $38,208.11 2026-04-14
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 3 — — $25,489.82 $66,628.00 $38,046.00 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $29,584.60 $46,463.68 $38,024.14 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $30,352.37 $45,607.00 $37,979.68 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $26,257.38 $49,437.28 $37,847.33 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $26,974.50 $46,559.26 $36,766.88 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $26,407.12 $46,974.62 $36,690.87 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $29,815.08 $42,756.12 $36,285.60 2026-04-14
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $36,209.48 $36,209.48 $36,209.48 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $27,877.32 $44,155.60 $36,016.46 2026-04-14
783 MS_DRG Cesarean Section With Sterilization With Mcc 6 1 — — $24,757.82 $40,126.46 $35,728.45 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $25,675.32 $45,433.54 $35,554.43 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $29,701.31 $41,315.34 $35,508.32 2026-04-14
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $32,591.60 $37,856.05 $35,223.82 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $26,995.79 $43,054.66 $35,025.23 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $23,678.84 $45,560.98 $34,619.91 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $25,975.53 $42,298.28 $34,136.90 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $26,256.65 $41,344.84 $33,800.74 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $25,819.18 $41,648.10 $33,733.64 2026-04-14
C9760 HCPCS Non-blind Interatrial Shunt 11 4 — — $4,173.00 $63,075.00 $33,624.00 2026-04-14
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $33,592.24 $33,592.24 $33,592.24 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $24,568.45 $42,300.64 $33,434.54 2026-04-14
332 MS_DRG Rectal Resection With Mcc 2 2 — — $24,942.79 $40,930.66 $32,936.73 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $24,461.28 $41,331.86 $32,896.57 2026-04-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $29,635.25 $35,308.00 $32,471.62 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $23,184.12 $41,242.18 $32,213.15 2026-04-14
665 MS_DRG Prostatectomy With Mcc 2 2 — — $23,332.39 $40,516.48 $31,924.44 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $22,356.91 $40,885.82 $31,621.36 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $24,424.58 $38,444.40 $31,434.49 2026-04-14
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 1 — — $21,717.70 $35,199.15 $31,341.19 2026-04-14
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $24,169.89 $37,630.20 $30,900.04 2026-04-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $24,065.66 $37,453.20 $30,759.43 2026-04-14
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $29,346.05 $32,018.12 $30,682.08 2026-04-14
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $23,331.66 $36,811.28 $30,071.47 2026-04-14
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $22,825.20 $36,388.84 $29,607.02 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $20,535.85 $38,460.92 $29,498.38 2026-04-14
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $29,238.04 $29,238.04 $29,238.04 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $14,942.00 $50,952.40 $29,079.00 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $14,942.00 $99,936.56 $29,079.00 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $14,942.00 $67,724.92 $29,079.00 2026-04-14
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $27,435.07 $30,134.84 $28,784.96 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $28,250.93 $28,250.93 $28,250.93 2026-04-14
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $21,769.71 $34,609.40 $28,189.56 2026-04-14
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $19,986.82 $35,237.16 $27,611.99 2026-04-14
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $20,659.16 $34,412.34 $27,535.75 2026-04-14
791 MS_DRG Prematurity With Major Problems 1 1 — — $27,502.98 $27,502.98 $27,502.98 2026-04-14
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $25,010.81 $29,700.60 $27,355.71 2026-04-14
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $20,147.57 $34,363.96 $27,255.76 2026-04-14
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $21,090.02 $33,300.78 $27,195.40 2026-04-14
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 2 — — $20,429.42 $33,831.78 $27,130.60 2026-04-14
77371 CPT Srs Multisource 18 4 — — $3,986.00 $49,978.70 $26,982.35 2026-04-14
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $20,791.28 $33,139.12 $26,965.20 2026-04-14
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 3 — — $14,942.00 $69,707.25 $26,898.00 2026-04-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $14,942.00 $46,512.11 $26,898.00 2026-04-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 3 — — $14,942.00 $36,700.00 $26,898.00 2026-04-14
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $21,926.05 $31,795.10 $26,860.57 2026-04-14
800 MS_DRG Splenic Procedures With Cc 2 2 — — $19,280.71 $34,382.84 $26,831.77 2026-04-14
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 7 2 — — $10,700.99 $29,979.94 $26,405.69 2026-04-14
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $20,902.12 $31,900.12 $26,401.12 2026-04-14
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 4 — — $19,924.00 $38,774.00 $26,323.50 2026-04-14
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 — — $20,515.30 $32,057.06 $26,286.18 2026-04-14
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $19,774.69 $32,231.70 $26,003.19 2026-04-14
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $20,461.72 $31,308.94 $25,885.33 2026-04-14
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $25,793.62 $25,793.62 $25,793.62 2026-04-14
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 11 5 — — $17,807.00 $34,953.00 $25,433.00 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 5 — — $17,807.00 $40,417.36 $25,433.00 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 5 — — $17,807.00 $38,570.66 $25,433.00 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 5 — — $17,807.00 $60,116.28 $25,433.00 2026-04-14
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $25,352.30 $25,352.30 $25,352.30 2026-04-14
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $20,016.91 $30,494.74 $25,255.83 2026-04-14
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $18,417.53 $31,421.04 $24,919.28 2026-04-14
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $19,098.68 $30,545.48 $24,822.08 2026-04-14
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $17,890.52 $31,668.84 $24,779.68 2026-04-14
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $18,645.80 $30,874.70 $24,760.25 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 4 — — $14,942.00 $42,291.20 $24,717.00 2026-04-14
263 MS_DRG Vein Ligation And Stripping 2 2 — — $17,558.75 $31,648.78 $24,603.76 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $24,232.28 $24,232.28 $24,232.28 2026-04-14
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 2 — — $17,076.51 $31,270.00 $24,173.25 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 5 — — $16,433.00 $52,773.14 $23,471.00 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 5 — — $16,433.00 $44,510.78 $23,471.00 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 5 — — $16,433.00 $67,320.18 $23,471.00 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 5 — — $16,433.00 $44,860.06 $23,471.00 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 5 — — $16,433.00 $49,449.08 $23,471.00 2026-04-14
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $18,004.29 $28,889.94 $23,447.11 2026-04-14
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $18,234.76 $28,651.58 $23,443.17 2026-04-14
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $17,957.31 $28,540.66 $23,248.99 2026-04-14
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $18,521.02 $27,891.66 $23,206.34 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 5 — — $16,240.00 $40,193.16 $23,195.00 2026-04-14
245 MS_DRG Aicd Generator Procedures 11 5 — — $16,240.00 $57,664.24 $23,195.00 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 5 — — $16,240.00 $40,025.60 $23,195.00 2026-04-14
849 MS_DRG Radiotherapy 2 2 — — $14,461.27 $31,518.98 $22,990.12 2026-04-14
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $17,787.76 $28,042.70 $22,915.23 2026-04-14
211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 2 1 — — $21,043.23 $24,758.35 $22,900.79 2026-04-14
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 11 5 — — $17,807.00 $34,953.00 $22,890.00 2026-04-14
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 4 — — $4,975.00 $34,953.00 $22,890.00 2026-04-14
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $17,475.81 $28,286.96 $22,881.39 2026-04-14
265 MS_DRG Aicd Lead Procedures 11 5 — — $16,240.00 $42,092.96 $22,876.58 2026-04-14
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 — — $17,697.47 $27,928.24 $22,812.86 2026-04-14
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 2 2 — — $16,868.79 $28,450.98 $22,659.89 2026-04-14
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $15,593.83 $29,548.38 $22,571.10 2026-04-14
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 14 4 — — $4,699.00 $34,953.00 $22,330.00 2026-04-14
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 5 — — $16,433.00 $36,091.48 $22,297.00 2026-04-14
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 11 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
32 MS_DRG Ventricular Shunt Procedures With Cc 11 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $16,527.48 $27,846.82 $22,187.15 2026-04-14
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 2 2 — — $17,348.82 $26,892.20 $22,120.51 2026-04-14
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 — — $16,970.81 $27,239.12 $22,104.97 2026-04-14
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 5 — — $16,240.00 $33,104.90 $22,035.00 2026-04-14
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 11 5 — — $14,619.81 $31,604.00 $22,035.00 2026-04-14
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 11 5 — — $16,240.00 $31,604.00 $22,035.00 2026-04-14
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 2 — — $17,574.16 $26,342.32 $21,958.24 2026-04-14
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 2 — — $15,494.74 $28,286.96 $21,890.85 2026-04-14
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $17,166.06 $26,539.38 $21,852.72 2026-04-14
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $21,815.95 $21,815.95 $21,815.95 2026-04-14
113 MS_DRG Orbital Procedures With Cc/mcc 2 2 — — $16,901.82 $26,398.96 $21,650.39 2026-04-14
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $15,844.12 $27,378.36 $21,611.24 2026-04-14
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 2 — — $16,082.67 $26,942.94 $21,512.81 2026-04-14
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 2 — — $16,220.67 $26,647.94 $21,434.31 2026-04-14
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $15,775.13 $27,025.54 $21,400.33 2026-04-14
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $16,001.20 $26,738.80 $21,370.00 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 11 5 — — $14,942.00 $57,316.14 $21,343.00 2026-04-14
472 MS_DRG Cervical Spinal Fusion With Cc 11 5 — — $14,942.00 $35,308.00 $21,343.00 2026-04-14
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 2 — — $17,483.15 $25,152.88 $21,318.01 2026-04-14
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 11 5 — — $15,493.27 $31,604.00 $21,295.46 2026-04-14
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $15,683.38 $26,573.60 $21,128.49 2026-04-14
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 11 5 — — $13,736.81 $35,154.00 $21,124.00 2026-04-14
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 11 5 — — $12,387.72 $35,154.00 $21,124.00 2026-04-14
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $16,106.90 $25,952.92 $21,029.91 2026-04-14
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $21,027.63 $21,027.63 $21,027.63 2026-04-14
784 MS_DRG Cesarean Section With Sterilization With Cc 6 1 — — $14,555.52 $23,590.99 $21,005.33 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $20,994.60 $20,994.60 $20,994.60 2026-04-14
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 — — $16,868.79 $24,925.14 $20,896.97 2026-04-14
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $17,048.62 $24,738.70 $20,893.66 2026-04-14
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 11 5 — — $15,391.98 $31,604.00 $20,876.00 2026-04-14
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 11 5 — — $11,970.81 $31,604.00 $20,876.00 2026-04-14
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $16,925.31 $24,813.04 $20,869.18 2026-04-14
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 1 1 — — $20,729.06 $20,729.06 $20,729.06 2026-04-14
709 MS_DRG Penis Procedures With Cc/mcc 2 2 — — $14,913.41 $26,515.78 $20,714.60 2026-04-14
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 7 2 — — $7,838.39 $23,438.51 $20,644.14 2026-04-14
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 2 — — $17,268.08 $23,932.76 $20,600.42 2026-04-14
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 1 — — $14,270.59 $23,129.19 $20,594.14 2026-04-14
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 2 — — $14,115.55 $27,070.38 $20,592.97 2026-04-14
94U OTHER Genome Rapid Sequence Alys 2 1 — — $18,870.96 $22,202.58 $20,536.77 2026-04-14
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $15,655.49 $25,302.74 $20,479.12 2026-04-14
835 MS_DRG Acute Leukemia With Cc 2 2 — — $15,678.24 $25,203.62 $20,440.93 2026-04-14
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $15,960.83 $24,914.52 $20,437.67 2026-04-14
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $15,096.18 $25,711.02 $20,403.60 2026-04-14
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 11 5 — — $14,942.00 $35,308.00 $20,276.00 2026-04-14
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 2 — — $14,849.55 $25,411.30 $20,130.42 2026-04-14
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $15,157.10 $24,914.52 $20,035.81 2026-04-14
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 2 2 — — $14,729.91 $25,202.44 $19,966.17 2026-04-14
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 2 — — $15,246.65 $24,512.14 $19,879.40 2026-04-14
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $16,168.55 $23,577.58 $19,873.07 2026-04-14
595 MS_DRG Major Skin Disorders With Mcc 2 2 — — $14,583.85 $24,958.18 $19,771.01 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 3 — — $10,955.00 $31,532.96 $19,720.00 2026-04-14
906 MS_DRG Hand Procedures For Injuries 2 2 — — $13,529.09 $25,753.50 $19,641.29 2026-04-14
333 MS_DRG Rectal Resection With Cc 2 2 — — $14,150.05 $25,078.54 $19,614.29 2026-04-14
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 — — $13,582.67 $25,597.74 $19,590.21 2026-04-14
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 2 — — $14,910.48 $23,581.12 $19,245.80 2026-04-14
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $14,627.15 $23,801.78 $19,214.47 2026-04-14
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 3 — — $10,955.00 $23,540.00 $19,171.83 2026-04-14
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $14,817.99 $23,341.58 $19,079.78 2026-04-14
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $15,220.22 $22,792.88 $19,006.55 2026-04-14
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 — — $13,736.08 $24,159.32 $18,947.70 2026-04-14
711 MS_DRG Testes Procedures With Cc/mcc 2 2 — — $15,292.89 $22,509.68 $18,901.28 2026-04-14
77372 CPT Srs Linear Based 17 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
77424 CPT Io Rad Tx Delivery By X-ray 11 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
77425 CPT Io Rad Tx Deliver By Elctrns 11 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 3 — — $10,955.00 $23,540.00 $18,748.31 2026-04-14
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 — — $13,719.93 $23,472.56 $18,596.25 2026-04-14
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 1 1 — — $18,554.32 $18,554.32 $18,554.32 2026-04-14
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 2 — — $13,790.39 $23,234.20 $18,512.29 2026-04-14
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 2 — — $14,283.64 $22,706.74 $18,495.19 2026-04-14
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 2 — — $12,206.42 $24,667.90 $18,437.16 2026-04-14
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $12,538.19 $24,264.34 $18,401.26 2026-04-14
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $13,625.98 $23,152.78 $18,389.38 2026-04-14
100 MS_DRG Seizures With Mcc 2 2 — — $13,303.02 $23,426.54 $18,364.78 2026-04-14
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $14,116.29 $22,571.04 $18,343.67 2026-04-14
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $13,589.28 $23,060.74 $18,325.01 2026-04-14
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 2 — — $13,402.84 $23,117.38 $18,260.11 2026-04-14
267U OTHER Rare Do Id Opt Gen Mapg&seq 2 1 — — $16,773.16 $19,734.42 $18,253.79 2026-04-14
902 MS_DRG Wound Debridements For Injuries With Cc 2 2 — — $14,095.74 $22,391.68 $18,243.71 2026-04-14
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 2 2 — — $12,908.12 $23,561.06 $18,234.59 2026-04-14
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $13,246.50 $23,073.72 $18,160.11 2026-04-14
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 2 2 — — $14,344.56 $21,894.90 $18,119.73 2026-04-14
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 2 2 — — $12,480.94 $23,747.50 $18,114.22 2026-04-14
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 2 2 — — $13,148.88 $22,899.08 $18,023.98 2026-04-14
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 — — $13,631.85 $22,306.72 $17,969.28 2026-04-14
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $13,549.64 $22,340.94 $17,945.29 2026-04-14
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 2 — — $14,293.92 $21,571.58 $17,932.75 2026-04-14
398 MS_DRG Appendix Procedures With Cc 1 1 — — $17,855.76 $17,855.76 $17,855.76 2026-04-14
165 MS_DRG Major Chest Procedures Without Cc/mcc 2 2 — — $13,596.62 $21,995.20 $17,795.91 2026-04-14
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 2 — — $13,928.38 $21,560.96 $17,744.67 2026-04-14
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 2 — — $12,406.80 $23,057.20 $17,732.00 2026-04-14
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $14,266.76 $21,014.62 $17,640.69 2026-04-14
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 — — $13,415.32 $21,696.66 $17,555.99 2026-04-14
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 6 1 — — $12,159.17 $19,707.08 $17,547.10 2026-04-14
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 2 — — $11,492.24 $23,424.18 $17,458.21 2026-04-14
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $13,390.36 $21,518.48 $17,454.42 2026-04-14
754 MS_DRG Malignancy, Female Reproductive System With Mcc 2 2 — — $13,515.88 $21,349.74 $17,432.81 2026-04-14
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 2 — — $12,607.18 $22,251.26 $17,429.22 2026-04-14
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 2 — — $12,915.46 $21,781.62 $17,348.54 2026-04-14
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $13,129.79 $21,454.76 $17,292.28 2026-04-14
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 — — $12,023.65 $22,232.38 $17,128.01 2026-04-14
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 2 2 — — $12,792.89 $21,455.94 $17,124.42 2026-04-14
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 5 — — $11,954.00 $32,172.70 $17,075.00 2026-04-14
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 2 — — $12,580.76 $21,555.06 $17,067.91 2026-04-14
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $12,461.12 $21,530.28 $16,995.70 2026-04-14
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $14,268.96 $19,706.00 $16,987.48 2026-04-14
199 MS_DRG Pneumothorax With Mcc 2 2 — — $13,085.75 $20,830.54 $16,958.15 2026-04-14
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 6 1 — — $11,739.84 $19,027.45 $16,941.97 2026-04-14
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 2 — — $12,640.21 $21,004.00 $16,822.10 2026-04-14
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $16,768.23 $16,768.23 $16,768.23 2026-04-14
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $11,141.39 $22,276.04 $16,708.72 2026-04-14
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