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

Select Specialty Hospital-dallas

Plano, TX · CCN 452022 · Rates published

929 distinct procedures filed
38 distinct payers
150,149 rate rows
2026-09-21 last MRF observed
Data quality

63,004 of 150,149 rate rows are consumer-grade (42.0%)

87,145 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
per-diem day rate — not a per-procedure price 52,227
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 34,818
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 100
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/pricing-transparency/critical-illness-recovery/25-1813126_Select_Specialty_Hospital-Dallas_standardcharges.csv
Found on page https://www.selectspecialtyhospitals.com/patients-and-caregivers/admissions/price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-21
Content fingerprint a4e583013381d637… · 213,132,120 bytes · first seen 2026-09-21

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
749
MS_DRG 		Other Female Reproductive System O.r. Procedures With Cc/mcc 20 $1,784.50 $60,852.53 $1,922.00 nat. median
$18,058
outlier · 0.1×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 20 $1,784.50 $83,275.20 $1,922.00 nat. median
$11,985
outlier · 0.2×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 20 $1,784.50 $48,212.57 $1,922.00 nat. median
$9,470
outlier · 0.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 20 $1,784.50 $278,926.37 $1,922.00 nat. median
$47,121
outlier · 0.0×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 $1,784.50 $58,142.24 $1,922.00 nat. median
$19,623
outlier · 0.1×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 20 $1,784.50 $107,577.40 $1,922.00 nat. median
$26,952
outlier · 0.1×
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$6,927
outlier · 0.3×
149
MS_DRG 		Dysequilibrium 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$5,582
outlier · 0.3×
156
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$5,048
outlier · 0.4×
139
MS_DRG 		Salivary Gland Procedures 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$8,855
outlier · 0.2×
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$8,643
outlier · 0.2×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$5,634
outlier · 0.3×
151
MS_DRG 		Epistaxis Without Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$5,673
outlier · 0.3×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$11,032
outlier · 0.2×
134
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$2,024
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$72,715
outlier · 0.0×
123
MS_DRG 		Neurological Eye Disorders 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$5,994
outlier · 0.3×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$28,888
outlier · 0.1×
130
MS_DRG 		Major Head & Neck Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$2,024
0.9× median
133
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$2,024
0.9× median
137
MS_DRG 		Mouth Procedures With Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$10,613
outlier · 0.2×
138
MS_DRG 		Mouth Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$6,233
outlier · 0.3×
142
MS_DRG 		Major Head And Neck Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$11,405
outlier · 0.2×
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$12,620
outlier · 0.1×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$14,541
outlier · 0.1×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$8,900
outlier · 0.2×
15
MS_DRG 		Autologous Bone Marrow Transplant 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$2,024
0.9× median
150
MS_DRG 		Epistaxis With Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$9,501
outlier · 0.2×
152
MS_DRG 		Otitis Media And Uri With Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$8,314
outlier · 0.2×
153
MS_DRG 		Otitis Media And Uri Without Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$5,379
outlier · 0.3×
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$9,359
outlier · 0.2×
113
MS_DRG 		Orbital Procedures With Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$15,919
outlier · 0.1×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$37,371
outlier · 0.0×
114
MS_DRG 		Orbital Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$9,291
outlier · 0.2×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$12,417
outlier · 0.1×
117
MS_DRG 		Intraocular Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$7,630
outlier · 0.2×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$8,182
outlier · 0.2×
122
MS_DRG 		Acute Major Eye Infections Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$5,366
outlier · 0.3×
129
MS_DRG 		Major Head & Neck Procedures W Cc/mcc Or Major Device 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$2,024
0.9× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$19,678
outlier · 0.1×
131
MS_DRG 		Cranial/facial Procedures W Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$2,024
0.9× median
132
MS_DRG 		Cranial/facial Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$2,024
0.9× median
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$15,526
outlier · 0.1×
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$7,209
outlier · 0.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$186,516
outlier · 0.0×
10
MS_DRG 		Pancreas Transplant 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$23,080
outlier · 0.1×
100
MS_DRG 		Seizures With Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$13,848
outlier · 0.1×
141
MS_DRG 		Major Head And Neck Procedures With Cc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$14,978
outlier · 0.1×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$24,795
outlier · 0.1×
102
MS_DRG 		Headaches With Mcc 20 $1,784.50 $1,922.00 $1,853.25 nat. median
$8,305
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 929 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
             
393 MS_DRG Other Digestive System Diagnoses With Mcc 76 20 — — $1,784.50 $83,275.20 $1,922.00 2026-09-21
189 MS_DRG Pulmonary Edema And Respiratory Failure 76 20 — — $1,784.50 $48,212.57 $1,922.00 2026-09-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 76 20 — — $1,784.50 $107,577.40 $1,922.00 2026-09-21
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 76 20 — — $1,784.50 $60,852.53 $1,922.00 2026-09-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 76 20 — — $1,784.50 $58,142.24 $1,922.00 2026-09-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 76 20 — — $1,784.50 $278,926.37 $1,922.00 2026-09-21
398 MS_DRG Appendix Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
399 MS_DRG Appendix Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
376 MS_DRG Digestive Malignancy Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
39 MS_DRG Extracranial Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
397 MS_DRG Appendix Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
348 MS_DRG Anal And Stomal Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
333 MS_DRG Rectal Resection With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
347 MS_DRG Anal And Stomal Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
375 MS_DRG Digestive Malignancy With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
378 MS_DRG Gastrointestinal Hemorrhage With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
381 MS_DRG Complicated Peptic Ulcer With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
386 MS_DRG Inflammatory Bowel Disease With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
389 MS_DRG Gastrointestinal Obstruction With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 76 20 — — $1,784.50 $31,802.18 $1,853.25 2026-09-21
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
334 MS_DRG Rectal Resection Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
32 MS_DRG Ventricular Shunt Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
332 MS_DRG Rectal Resection With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
357 MS_DRG Other Digestive System O.r. Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
37 MS_DRG Extracranial Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without C 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
374 MS_DRG Digestive Malignancy With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
101 MS_DRG Seizures Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
380 MS_DRG Complicated Peptic Ulcer With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
385 MS_DRG Inflammatory Bowel Disease With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
388 MS_DRG Gastrointestinal Obstruction With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
113 MS_DRG Orbital Procedures With Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
115 MS_DRG Extraocular Procedures Except Orbit 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
394 MS_DRG Other Digestive System Diagnoses With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
311 MS_DRG Angina Pectoris 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 76 20 — — $1,784.50 $76,037.94 $1,853.25 2026-09-21
315 MS_DRG Other Circulatory System Diagnoses With Cc 76 20 — — $1,784.50 $29,366.56 $1,853.25 2026-09-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
121 MS_DRG Acute Major Eye Infections With Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
123 MS_DRG Neurological Eye Disorders 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
336 MS_DRG Peritoneal Adhesiolysis With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
132 MS_DRG Cranial/facial Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
137 MS_DRG Mouth Procedures With Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
140 MS_DRG Major Head And Neck Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
10 MS_DRG Pancreas Transplant 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
100 MS_DRG Seizures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
369 MS_DRG Major Esophageal Disorders With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
149 MS_DRG Dysequilibrium 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
15 MS_DRG Autologous Bone Marrow Transplant 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
150 MS_DRG Epistaxis With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
102 MS_DRG Headaches With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
103 MS_DRG Headaches Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
38 MS_DRG Extracranial Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
151 MS_DRG Epistaxis Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
152 MS_DRG Otitis Media And Uri With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
153 MS_DRG Otitis Media And Uri Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
157 MS_DRG Dental And Oral Diseases With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
158 MS_DRG Dental And Oral Diseases With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
114 MS_DRG Orbital Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
116 MS_DRG Intraocular Procedures With Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
163 MS_DRG Major Chest Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
165 MS_DRG Major Chest Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
313 MS_DRG Chest Pain 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnos 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
176 MS_DRG Pulmonary Embolism Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
177 MS_DRG Respiratory Infections And Inflammations With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
178 MS_DRG Respiratory Infections And Inflammations With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
180 MS_DRG Respiratory Neoplasms With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
125 MS_DRG Other Disorders Of The Eye Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
181 MS_DRG Respiratory Neoplasms With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
183 MS_DRG Major Chest Trauma With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
184 MS_DRG Major Chest Trauma With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
185 MS_DRG Major Chest Trauma Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
186 MS_DRG Pleural Effusion With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
187 MS_DRG Pleural Effusion With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
188 MS_DRG Pleural Effusion Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
131 MS_DRG Cranial/facial Procedures W Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
196 MS_DRG Interstitial Lung Disease With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
197 MS_DRG Interstitial Lung Disease With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
199 MS_DRG Pneumothorax With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
200 MS_DRG Pneumothorax With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
138 MS_DRG Mouth Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
35 MS_DRG Carotid Artery Stent Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
139 MS_DRG Salivary Gland Procedures 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
14 MS_DRG Allogeneic Bone Marrow Transplant 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
201 MS_DRG Pneumothorax Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
202 MS_DRG Bronchitis And Asthma With Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
204 MS_DRG Respiratory Signs And Symptoms 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
205 MS_DRG Other Respiratory System Diagnoses With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
164 MS_DRG Major Chest Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
117 MS_DRG Intraocular Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
209 MS_DRG Complex Aortic Arch Procedures 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
368 MS_DRG Major Esophageal Disorders With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
141 MS_DRG Major Head And Neck Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
215 MS_DRG Other Heart Assist System Implant 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With M 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Withou 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Withou 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
237 MS_DRG Major Cardiovasc Procedures W Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
238 MS_DRG Major Cardiovasc Procedures Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
245 MS_DRG Aicd Generator Procedures 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Witho 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
252 MS_DRG Other Vascular Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
253 MS_DRG Other Vascular Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
254 MS_DRG Other Vascular Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Witho 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
263 MS_DRG Vein Ligation And Stripping 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
264 MS_DRG Other Circulatory System O.r. Procedures 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
265 MS_DRG Aicd Lead Procedures 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
312 MS_DRG Syncope And Collapse 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
28 MS_DRG Spinal Procedures With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Witho 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
289 MS_DRG Acute And Subacute Endocarditis With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
291 MS_DRG Heart Failure And Shock With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
292 MS_DRG Heart Failure And Shock With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
293 MS_DRG Heart Failure And Shock Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
297 MS_DRG Cardiac Arrest, Unexplained With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
299 MS_DRG Peripheral Vascular Disorders With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
30 MS_DRG Spinal Procedures Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
300 MS_DRG Peripheral Vascular Disorders With Cc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
302 MS_DRG Atherosclerosis With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
303 MS_DRG Atherosclerosis Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
304 MS_DRG Hypertension With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
305 MS_DRG Hypertension Without Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without M 76 20 — — $1,784.50 $1,922.00 $1,853.25 2026-09-21
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