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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 MEDICAL CENTER AT TROPHY CLUB

Trophy Club, TX · CCN 450883 · Rates published

12,168 distinct procedures filed
7 distinct payers
236,351 rate rows
2026-04-14 last MRF observed
Data quality

151,730 of 236,351 rate rows are consumer-grade (64.2%)

84,621 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 74,223
template filing: same amount across many unrelated codes — excluded 6,676
exceeds 10× this hospital's gross charge — excluded from medians 3,244
per-diem day rate — not a per-procedure price 478
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/USPI/481260190_baylor-medical-center-at-trophy-club_standardcharges.json
Found on page https://baylortrophyclub.com/hospital-pricing-information/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 81cdd8da98b7d0a8… · 53,733,510 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 1 $445,878.43 $445,878.43 $445,878.43 nat. median
$370,174
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $7,340.00 $253,385.81 $130,362.90 nat. median
$202,976
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $128,798.58 $128,798.58 $128,798.58 nat. median
$102,358
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $7,340.00 $167,058.99 $87,199.49 nat. median
$133,161
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 2 $7,340.00 $125,262.32 $66,301.16 nat. median
$99,019
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $9,736.00 $73,234.00 $56,634.00 nat. median
$60,726
0.9× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $9,736.00 $73,234.00 $55,623.67 nat. median
$47,651
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $7,340.00 $95,306.39 $51,323.19 nat. median
$77,570
0.7× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $50,001.83 $50,001.83 $50,001.83 nat. median
$40,208
1.2× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $9,736.00 $66,628.00 $49,245.00 nat. median
$51,307
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $9,736.00 $73,234.00 $49,245.00 nat. median
$54,196
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $9,736.00 $73,234.00 $49,245.00 nat. median
$44,728
1.1× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $9,736.00 $73,234.00 $49,245.00 nat. median
$48,704
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 $9,736.00 $73,234.00 $49,245.00 nat. median
$39,020
1.3× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $9,736.00 $73,234.00 $49,245.00 nat. median
$49,935
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $9,736.00 $73,234.00 $49,245.00 nat. median
$63,570
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $9,736.00 $78,831.03 $49,245.00 nat. median
$65,950
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 5 $9,736.00 $73,234.00 $46,454.00 nat. median
$59,898
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $9,736.00 $100,186.92 $46,454.00 nat. median
$79,312
0.6× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 5 $9,736.00 $73,234.00 $46,454.00 nat. median
$42,002
1.1× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 5 $9,736.00 $73,234.00 $46,454.00 nat. median
$50,672
0.9× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 $41,564.00 $50,358.89 $46,454.00 nat. median
$41,311
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $41,564.00 $83,553.14 $46,454.00 nat. median
$68,886
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $9,736.00 $73,234.00 $46,454.00 nat. median
$61,920
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $41,564.00 $73,236.39 $46,454.00 nat. median
$59,099
0.8× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $9,736.00 $73,234.00 $46,454.00 nat. median
$48,732
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 $9,736.00 $73,234.00 $46,454.00 nat. median
$53,268
0.9× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $9,736.00 $73,234.00 $46,454.00 nat. median
$52,879
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $9,736.00 $76,351.75 $46,454.00 nat. median
$64,508
0.7× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 2 $41,564.00 $54,999.41 $46,454.00 nat. median
$46,109
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $9,736.00 $92,413.30 $46,454.00 nat. median
$73,807
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $9,736.00 $114,104.96 $46,454.00 nat. median
$93,672
outlier · 0.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $9,736.00 $73,234.00 $46,454.00 nat. median
$57,424
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $9,736.00 $91,480.46 $46,454.00 nat. median
$74,915
0.6× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 $9,736.00 $66,628.00 $45,523.98 nat. median
$41,524
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $34,236.00 $66,628.00 $45,231.50 nat. median
$60,691
0.7× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 5 $24,102.00 $73,234.00 $45,231.50 nat. median
$43,757
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $7,340.00 $82,246.70 $44,793.35 nat. median
$66,526
0.7× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 3 $9,736.00 $66,628.00 $44,043.74 nat. median
$40,005
1.1× median
324
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 $37,775.67 $48,899.00 $44,009.00 nat. median
$30,812
1.4× median
325
MS_DRG 		Coronary Intravascular Lithotripsy Without Intraluminal Device 2 $33,838.61 $48,899.00 $44,009.00 nat. median
$29,977
1.5× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 5 $9,736.00 $73,234.00 $44,009.00 nat. median
$33,143
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $7,340.00 $76,461.71 $41,900.86 nat. median
$62,134
0.7× median
320
MS_DRG 		Other Endovascular Cardiac Valve Procedures Without Mcc 4 $17,314.00 $73,234.00 $41,564.00 nat. median
$24,229
1.7× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 3 $9,736.00 $66,628.00 $41,289.57 nat. median
$35,597
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $7,340.00 $74,772.20 $41,056.10 nat. median
$60,185
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $7,340.00 $72,808.40 $40,074.20 nat. median
$59,793
0.7× median
274
MS_DRG 		Percutaneous And Other Intracardiac Procedures Without Mcc 3 $9,736.00 $66,628.00 $39,377.79 nat. median
$32,270
1.2× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 $39,038.36 $39,038.36 $39,038.36 nat. median
$34,132
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $7,340.00 $68,837.05 $38,088.53 nat. median
$56,696
0.7× median

Other procedures at this hospital

Browse this hospital's 12,168 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 — — $445,878.43 $445,878.43 $445,878.43 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $7,340.00 $253,385.81 $130,362.90 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $128,798.58 $128,798.58 $128,798.58 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $7,340.00 $167,058.99 $87,199.49 2026-04-14
215 MS_DRG Other Heart Assist System Implant 2 2 — — $7,340.00 $125,262.32 $66,301.16 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 4 — — $9,736.00 $73,234.00 $56,634.00 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 4 — — $9,736.00 $73,234.00 $55,623.67 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $7,340.00 $95,306.39 $51,323.19 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $50,001.83 $50,001.83 $50,001.83 2026-04-14
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $9,736.00 $73,234.00 $49,245.00 2026-04-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $9,736.00 $73,234.00 $49,245.00 2026-04-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $9,736.00 $73,234.00 $49,245.00 2026-04-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $9,736.00 $73,234.00 $49,245.00 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $9,736.00 $66,628.00 $49,245.00 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $9,736.00 $78,831.03 $49,245.00 2026-04-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $9,736.00 $73,234.00 $49,245.00 2026-04-14
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $9,736.00 $73,234.00 $49,245.00 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 5 — — $9,736.00 $91,480.46 $46,454.00 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 5 — — $9,736.00 $73,234.00 $46,454.00 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $9,736.00 $76,351.75 $46,454.00 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 2 — — $41,564.00 $54,999.41 $46,454.00 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 5 — — $9,736.00 $73,234.00 $46,454.00 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 5 — — $9,736.00 $73,234.00 $46,454.00 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 5 — — $9,736.00 $73,234.00 $46,454.00 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 2 — — $41,564.00 $83,553.14 $46,454.00 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 2 — — $41,564.00 $50,358.89 $46,454.00 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $9,736.00 $114,104.96 $46,454.00 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 5 — — $9,736.00 $73,234.00 $46,454.00 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 5 — — $9,736.00 $92,413.30 $46,454.00 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 5 — — $9,736.00 $100,186.92 $46,454.00 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 2 — — $41,564.00 $73,236.39 $46,454.00 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 5 — — $9,736.00 $73,234.00 $46,454.00 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 5 — — $9,736.00 $73,234.00 $46,454.00 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $9,736.00 $73,234.00 $46,454.00 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $9,736.00 $66,628.00 $45,523.98 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 5 — — $24,102.00 $73,234.00 $45,231.50 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $7,340.00 $82,246.70 $44,793.35 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $9,736.00 $66,628.00 $44,043.74 2026-04-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 5 — — $9,736.00 $73,234.00 $44,009.00 2026-04-14
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 2 — — $33,838.61 $48,899.00 $44,009.00 2026-04-14
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 2 — — $37,775.67 $48,899.00 $44,009.00 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $7,340.00 $76,461.71 $41,900.86 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 — — $9,736.00 $66,628.00 $41,289.57 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $7,340.00 $74,772.20 $41,056.10 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $7,340.00 $72,808.40 $40,074.20 2026-04-14
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 3 — — $9,736.00 $66,628.00 $39,377.79 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $39,038.36 $39,038.36 $39,038.36 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $7,340.00 $68,837.05 $38,088.53 2026-04-14
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 3 — — $9,736.00 $66,628.00 $38,046.00 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $7,340.00 $65,908.50 $36,624.25 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $7,340.00 $65,349.27 $36,344.63 2026-04-14
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $36,280.06 $36,280.06 $36,280.06 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $7,340.00 $64,183.52 $35,761.76 2026-04-14
783 MS_DRG Cesarean Section With Sterilization With Mcc 6 1 — — $24,757.82 $40,126.46 $35,761.61 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $7,340.00 $63,795.73 $35,567.87 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $7,340.00 $63,788.63 $35,564.32 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $7,340.00 $63,145.46 $35,242.73 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $7,340.00 $60,049.02 $33,694.51 2026-04-14
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $33,657.72 $33,657.72 $33,657.72 2026-04-14
C9760 HCPCS Non-blind Interatrial Shunt 11 4 — — $4,173.00 $63,075.00 $33,624.00 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $7,340.00 $59,551.27 $33,445.63 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $7,340.00 $59,200.13 $33,270.07 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $7,340.00 $59,130.37 $33,235.18 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $9,736.00 $54,494.57 $32,115.28 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $7,340.00 $56,460.74 $31,900.37 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $7,340.00 $56,216.00 $31,778.00 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $7,340.00 $56,205.36 $31,772.68 2026-04-14
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 1 — — $21,717.70 $35,199.15 $31,370.28 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $7,340.00 $55,325.73 $31,332.87 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $7,340.00 $54,290.03 $30,815.01 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $7,340.00 $53,340.65 $30,340.33 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $7,340.00 $52,381.80 $29,860.90 2026-04-14
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $29,295.03 $29,295.03 $29,295.03 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $7,340.00 $50,433.37 $28,886.69 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $7,340.00 $49,533.64 $28,436.82 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $7,340.00 $48,518.05 $27,929.03 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $7,340.00 $48,088.87 $27,714.44 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $7,340.00 $47,099.29 $27,219.65 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $7,340.00 $47,066.18 $27,203.09 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $7,340.00 $46,650.01 $26,995.01 2026-04-14
77371 CPT Srs Multisource 18 4 — — $3,986.00 $49,978.70 $26,982.35 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $7,340.00 $46,554.24 $26,947.12 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $7,340.00 $45,695.90 $26,517.95 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $7,340.00 $45,649.79 $26,494.90 2026-04-14
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 7 2 — — $7,340.00 $29,979.94 $26,455.24 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $7,340.00 $45,522.10 $26,431.05 2026-04-14
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $25,843.90 $25,843.90 $25,843.90 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $7,340.00 $44,241.67 $25,790.83 2026-04-14
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $25,401.72 $25,401.72 $25,401.72 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $7,340.00 $43,138.58 $25,239.29 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $7,340.00 $42,839.46 $25,089.73 2026-04-14
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 4 — — $9,736.00 $38,774.00 $24,985.50 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $7,340.00 $42,383.09 $24,861.54 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $7,340.00 $42,380.73 $24,860.37 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $7,340.00 $100,131.35 $24,717.00 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $7,340.00 $51,051.71 $24,717.00 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $7,340.00 $67,856.93 $24,717.00 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $7,340.00 $41,729.28 $24,534.64 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $7,340.00 $41,425.43 $24,382.72 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $7,340.00 $41,412.42 $24,376.21 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $7,340.00 $41,395.87 $24,367.94 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $7,340.00 $41,322.57 $24,331.28 2026-04-14
332 MS_DRG Rectal Resection With Mcc 2 2 — — $7,340.00 $41,010.44 $24,175.22 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 5 — — $9,736.00 $38,645.84 $24,161.00 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 5 — — $9,736.00 $40,496.14 $24,161.00 2026-04-14
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 11 5 — — $9,736.00 $34,953.00 $24,161.00 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 5 — — $9,736.00 $60,233.46 $24,161.00 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $7,340.00 $40,965.51 $24,152.76 2026-04-14
665 MS_DRG Prostatectomy With Mcc 2 2 — — $7,340.00 $40,595.45 $23,967.72 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $7,340.00 $38,535.89 $22,937.94 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $7,340.00 $38,519.33 $22,929.67 2026-04-14
211U CPT 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 — — $9,736.00 $34,953.00 $22,890.00 2026-04-14
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $7,340.00 $37,703.55 $22,521.78 2026-04-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $7,340.00 $37,526.20 $22,433.10 2026-04-14
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 4 — — $4,699.00 $34,953.00 $22,330.00 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 5 — — $7,340.00 $52,876.00 $22,297.00 2026-04-14
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 5 — — $7,340.00 $35,154.00 $22,297.00 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 5 — — $7,340.00 $49,545.46 $22,297.00 2026-04-14
32 MS_DRG Ventricular Shunt Procedures With Cc 11 5 — — $7,340.00 $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 — — $7,340.00 $35,154.00 $22,297.00 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 5 — — $7,340.00 $44,597.54 $22,297.00 2026-04-14
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 5 — — $7,340.00 $36,161.83 $22,297.00 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 5 — — $7,340.00 $44,947.50 $22,297.00 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 5 — — $7,340.00 $67,451.40 $22,297.00 2026-04-14
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $7,340.00 $36,883.03 $22,111.51 2026-04-14
245 MS_DRG Aicd Generator Procedures 11 5 — — $7,340.00 $57,776.64 $22,035.00 2026-04-14
265 MS_DRG Aicd Lead Procedures 11 5 — — $7,340.00 $42,175.01 $22,035.00 2026-04-14
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 11 5 — — $7,340.00 $31,604.00 $22,035.00 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 5 — — $7,340.00 $40,271.50 $22,035.00 2026-04-14
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 5 — — $7,340.00 $33,169.43 $22,035.00 2026-04-14
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 11 5 — — $7,340.00 $31,604.00 $22,035.00 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 5 — — $7,340.00 $40,103.62 $22,035.00 2026-04-14
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $7,340.00 $36,459.77 $21,899.88 2026-04-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $7,340.00 $35,308.00 $21,492.50 2026-04-14
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 3 — — $7,340.00 $35,308.00 $21,492.50 2026-04-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 3 — — $7,340.00 $35,308.00 $21,492.50 2026-04-14
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 11 5 — — $7,340.00 $31,604.00 $21,336.97 2026-04-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $7,340.00 $35,308.00 $21,324.00 2026-04-14
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $7,340.00 $35,308.00 $21,324.00 2026-04-14
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $7,340.00 $35,305.84 $21,322.92 2026-04-14
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 11 5 — — $7,340.00 $35,154.00 $21,124.00 2026-04-14
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 11 5 — — $7,340.00 $35,154.00 $21,124.00 2026-04-14
784 MS_DRG Cesarean Section With Sterilization With Cc 6 1 — — $14,555.52 $23,590.99 $21,024.83 2026-04-14
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $7,340.00 $34,676.86 $21,008.43 2026-04-14
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $7,340.00 $34,479.41 $20,909.71 2026-04-14
800 MS_DRG Splenic Procedures With Cc 2 2 — — $7,340.00 $34,449.86 $20,894.93 2026-04-14
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $7,340.00 $34,430.94 $20,885.47 2026-04-14
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 11 5 — — $7,340.00 $31,604.00 $20,876.00 2026-04-14
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 11 5 — — $7,340.00 $31,604.00 $20,876.00 2026-04-14
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 1 1 — — $20,769.46 $20,769.46 $20,769.46 2026-04-14
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 7 2 — — $7,340.00 $23,438.51 $20,682.87 2026-04-14
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 2 — — $7,340.00 $33,897.72 $20,618.86 2026-04-14
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 1 — — $14,270.59 $23,129.19 $20,613.25 2026-04-14
94U CPT Genome Rapid Sequence Alys 2 1 — — $18,870.96 $22,202.58 $20,536.77 2026-04-14
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $7,340.00 $33,365.69 $20,352.85 2026-04-14
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 11 5 — — $7,340.00 $35,308.00 $20,276.00 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 11 5 — — $7,340.00 $57,427.86 $20,276.00 2026-04-14
472 MS_DRG Cervical Spinal Fusion With Cc 11 5 — — $7,340.00 $35,308.00 $20,276.00 2026-04-14
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $7,340.00 $33,203.71 $20,271.85 2026-04-14
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $7,340.00 $32,655.13 $19,997.57 2026-04-14
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $9,736.00 $30,193.58 $19,964.79 2026-04-14
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $7,340.00 $32,294.52 $19,817.26 2026-04-14
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $9,736.00 $29,758.49 $19,747.25 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
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
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
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
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
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
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
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
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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 — — $7,340.00 $32,119.54 $19,729.77 2026-04-14
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $7,340.00 $32,080.53 $19,710.26 2026-04-14
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $7,340.00 $31,962.30 $19,651.15 2026-04-14
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $7,340.00 $31,857.07 $19,598.53 2026-04-14
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $7,340.00 $31,730.57 $19,535.28 2026-04-14
263 MS_DRG Vein Ligation And Stripping 2 2 — — $7,340.00 $31,710.47 $19,525.24 2026-04-14
849 MS_DRG Radiotherapy 2 2 — — $7,340.00 $31,580.42 $19,460.21 2026-04-14
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $7,340.00 $31,482.28 $19,411.14 2026-04-14
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $7,340.00 $31,369.97 $19,354.99 2026-04-14
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 2 — — $7,340.00 $31,330.95 $19,335.47 2026-04-14
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $7,340.00 $30,934.88 $19,137.44 2026-04-14
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $7,340.00 $30,605.02 $18,972.51 2026-04-14
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $7,340.00 $30,554.18 $18,947.09 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
77372 CPT Srs Linear Based 17 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 1 1 — — $18,590.49 $18,590.49 $18,590.49 2026-04-14
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $7,340.00 $29,605.97 $18,472.99 2026-04-14
267U CPT Rare Do Id Opt Gen Mapg&seq 2 1 — — $16,773.16 $19,734.42 $18,253.79 2026-04-14
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $7,340.00 $28,946.25 $18,143.12 2026-04-14
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $7,340.00 $28,707.43 $18,023.72 2026-04-14
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $7,340.00 $28,596.29 $17,968.15 2026-04-14
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 2 2 — — $7,340.00 $28,506.44 $17,923.22 2026-04-14
398 MS_DRG Appendix Procedures With Cc 1 1 — — $17,890.56 $17,890.56 $17,890.56 2026-04-14
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 2 — — $7,340.00 $28,342.10 $17,841.05 2026-04-14
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $7,340.00 $28,342.10 $17,841.05 2026-04-14
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $7,340.00 $28,097.36 $17,718.68 2026-04-14
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 — — $7,340.00 $27,982.68 $17,661.34 2026-04-14
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $7,340.00 $27,946.03 $17,643.01 2026-04-14
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $7,340.00 $27,901.10 $17,620.55 2026-04-14
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 6 1 — — $12,159.17 $19,707.08 $17,563.39 2026-04-14
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $7,340.00 $27,431.72 $17,385.86 2026-04-14
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 — — $7,340.00 $27,292.21 $17,316.10 2026-04-14
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 2 — — $7,340.00 $27,123.14 $17,231.57 2026-04-14
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $7,340.00 $27,078.22 $17,209.11 2026-04-14
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 2 — — $7,340.00 $26,995.46 $17,167.73 2026-04-14
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 2 2 — — $7,340.00 $26,944.62 $17,142.31 2026-04-14
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $7,340.00 $26,790.92 $17,065.46 2026-04-14
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 2 — — $7,340.00 $26,699.88 $17,019.94 2026-04-14
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $7,340.00 $26,625.40 $16,982.70 2026-04-14
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $7,340.00 $26,591.11 $16,965.56 2026-04-14
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 6 1 — — $11,739.84 $19,027.45 $16,957.69 2026-04-14
709 MS_DRG Penis Procedures With Cc/mcc 2 2 — — $7,340.00 $26,567.46 $16,953.73 2026-04-14
113 MS_DRG Orbital Procedures With Cc/mcc 2 2 — — $7,340.00 $26,450.42 $16,895.21 2026-04-14
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 2 — — $7,340.00 $26,393.67 $16,866.83 2026-04-14
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $7,340.00 $26,003.51 $16,671.75 2026-04-14
906 MS_DRG Hand Procedures For Injuries 2 2 — — $7,340.00 $25,803.70 $16,571.85 2026-04-14
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $7,340.00 $25,761.13 $16,550.57 2026-04-14
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 — — $7,340.00 $25,647.63 $16,493.82 2026-04-14
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 2 — — $7,340.00 $25,460.83 $16,400.42 2026-04-14
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $7,340.00 $25,352.06 $16,346.03 2026-04-14
835 MS_DRG Acute Leukemia With Cc 2 2 — — $7,340.00 $25,252.75 $16,296.38 2026-04-14
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 2 2 — — $7,340.00 $25,251.56 $16,295.78 2026-04-14
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 2 — — $7,340.00 $25,201.91 $16,270.95 2026-04-14
333 MS_DRG Rectal Resection With Cc 2 2 — — $7,340.00 $25,127.42 $16,233.71 2026-04-14
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 5 — — $7,340.00 $32,235.41 $16,221.00 2026-04-14
620 MS_DRG O.r. Procedures For Obesity With Cc 11 5 — — $7,340.00 $28,245.00 $16,221.00 2026-04-14
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 11 5 — — $7,340.00 $28,245.00 $16,221.00 2026-04-14
595 MS_DRG Major Skin Disorders With Mcc 2 2 — — $7,340.00 $25,006.83 $16,173.42 2026-04-14
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 — — $7,340.00 $24,973.72 $16,156.86 2026-04-14
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $7,340.00 $24,963.08 $16,151.54 2026-04-14
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $7,340.00 $24,963.08 $16,151.54 2026-04-14
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $7,340.00 $24,861.40 $16,100.70 2026-04-14
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $7,340.00 $24,786.92 $16,063.46 2026-04-14
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 2 — — $7,340.00 $24,715.98 $16,027.99 2026-04-14
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 2 — — $7,340.00 $24,559.92 $15,949.96 2026-04-14
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $7,340.00 $24,311.63 $15,825.82 2026-04-14
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 — — $7,340.00 $24,206.41 $15,773.20 2026-04-14
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 3 — — $9,736.00 $23,540.00 $15,756.50 2026-04-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 3 — — $9,736.00 $23,540.00 $15,756.50 2026-04-14
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 3 — — $9,736.00 $23,540.00 $15,756.50 2026-04-14
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 2 — — $7,340.00 $23,979.41 $15,659.70 2026-04-14
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $7,340.00 $23,848.17 $15,594.08 2026-04-14
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 2 2 — — $7,340.00 $23,793.79 $15,566.90 2026-04-14
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 2 — — $7,340.00 $23,627.08 $15,483.54 2026-04-14
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $7,340.00 $23,623.54 $15,481.77 2026-04-14
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 2 2 — — $7,340.00 $23,606.98 $15,473.49 2026-04-14
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 — — $7,340.00 $23,518.31 $15,429.16 2026-04-14
100 MS_DRG Seizures With Mcc 2 2 — — $7,340.00 $23,472.20 $15,406.10 2026-04-14
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 2 — — $7,340.00 $23,469.84 $15,404.92 2026-04-14
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $7,340.00 $23,387.08 $15,363.54 2026-04-14
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 2 — — $7,340.00 $23,279.49 $15,309.75 2026-04-14
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $7,340.00 $23,197.91 $15,268.95 2026-04-14
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 2 — — $7,340.00 $23,162.44 $15,251.22 2026-04-14
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $7,340.00 $23,118.69 $15,229.34 2026-04-14
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $7,340.00 $23,105.69 $15,222.84 2026-04-14
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 2 — — $7,340.00 $23,102.14 $15,221.07 2026-04-14
S9034 HCPCS Eswl For Gallstones 6 1 — — $8,982.00 $18,989.00 $15,143.50 2026-04-14
S2350 HCPCS Diskectomy, Anterior, With D 6 1 — — $8,982.00 $18,989.00 $15,143.50 2026-04-14
S2150 HCPCS Bmt Harv/transpl 28d Pkg 6 1 — — $8,982.00 $18,989.00 $15,143.50 2026-04-14
S2325 HCPCS Hip Core Decompression S2325 6 1 $2,609.00 $1,565.40 40% off $8,982.00 $18,989.00 $15,143.50 2026-04-14
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 2 2 — — $7,340.00 $22,943.71 $15,141.85 2026-04-14
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $7,340.00 $22,837.31 $15,088.66 2026-04-14
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 2 — — $7,340.00 $22,751.00 $15,045.50 2026-04-14
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $7,340.00 $22,615.03 $14,977.51 2026-04-14
711 MS_DRG Testes Procedures With Cc/mcc 2 2 — — $7,340.00 $22,553.55 $14,946.77 2026-04-14
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 11 5 — — $4,699.00 $35,308.00 $14,942.00 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 5 — — $4,699.00 $42,373.63 $14,942.00 2026-04-14
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 11 5 — — $4,699.00 $35,308.00 $14,942.00 2026-04-14
902 MS_DRG Wound Debridements For Injuries With Cc 2 2 — — $7,340.00 $22,435.32 $14,887.66 2026-04-14
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 11 5 — — $7,340.00 $23,431.00 $14,864.00 2026-04-14
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 5 2 — — $13,299.00 $21,390.17 $14,864.00 2026-04-14
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 11 5 — — $9,736.00 $23,540.00 $14,864.00 2026-04-14
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 11 5 — — $9,736.00 $27,341.87 $14,864.00 2026-04-14
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $7,340.00 $22,384.49 $14,862.25 2026-04-14
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 — — $7,340.00 $22,350.20 $14,845.10 2026-04-14
265U CPT Rar Do Whl Gn&mtcdrl DNA Als 2 1 — — $13,628.44 $16,034.51 $14,831.48 2026-04-14
212U CPT Rare Ds Gen DNA Alys Proband 2 1 — — $13,626.95 $16,032.75 $14,829.85 2026-04-14
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $7,340.00 $22,319.46 $14,829.73 2026-04-14
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 2 — — $7,340.00 $22,294.63 $14,817.32 2026-04-14
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 — — $7,340.00 $22,275.71 $14,807.85 2026-04-14
165 MS_DRG Major Chest Procedures Without Cc/mcc 2 2 — — $7,340.00 $22,038.07 $14,689.03 2026-04-14
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 2 2 — — $7,340.00 $21,937.58 $14,638.79 2026-04-14
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 2 — — $7,340.00 $21,824.08 $14,582.04 2026-04-14
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 — — $7,340.00 $21,738.95 $14,539.48 2026-04-14
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 2 — — $7,340.00 $21,613.63 $14,476.82 2026-04-14
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 2 — — $7,340.00 $21,602.99 $14,471.50 2026-04-14
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 2 — — $7,340.00 $21,597.07 $14,468.53 2026-04-14
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $7,340.00 $21,572.25 $14,456.12 2026-04-14
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $7,340.00 $21,560.42 $14,450.21 2026-04-14
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 — — $7,340.00 $21,552.15 $14,446.08 2026-04-14
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 2 2 — — $7,340.00 $21,497.76 $14,418.88 2026-04-14
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $7,340.00 $21,496.58 $14,418.29 2026-04-14
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