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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

Warm Springs Rehab Hospital Of San Antonio Llc

San Antonio, TX · CCN 453035 · Rates published

15,107 distinct procedures filed
100 distinct payers
407,503 rate rows
2025-09-11 last MRF observed
Data quality

399,500 of 407,503 rate rows are consumer-grade (98.0%)

8,003 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 6,510
per-diem day rate — not a per-procedure price 1,370
template filing: same amount across many unrelated codes — excluded 51
percent-of-charges filed in the dollar field — excluded from medians 42
exceeds 10× this hospital's gross charge — excluded from medians 26
placeholder amount (≤ $0.02) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11039/383743546_post-acute-medical-at-san-antonio-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/WarmSpringsSanAntonio/11039
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 4904ae00215a20cf… · 18,214,264 bytes · first seen 2026-05-09

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,377,500.00 $4,377,500.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,324,571.90 $3,324,571.90 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,261,355.00 $3,261,355.00 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,950,686.67 $2,950,686.67 $2,950,686.67 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,452,115.60 $2,452,115.60 $2,452,115.60 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $578,324.58 $578,324.58 $578,324.58 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $553,378.83 $553,378.83 $553,378.83 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $541,635.66 $541,635.66 $541,635.66 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $541,260.45 $541,260.45 $541,260.45 nat. median
$625,184
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $489,720.00 $489,720.00 $489,720.00 nat. median
$620,080
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $387,472.40 $533,076.48 $460,274.44 nat. median
$634,511
0.7× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $270,375.00 $270,375.00 $270,375.00 nat. median
$324,450
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $152,022.84 $630,395.07 $155,823.41 nat. median
$207,730
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $142,421.46 $590,580.92 $145,981.99 nat. median
$164,834
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 $128,475.86 $214,126.43 $145,657.73 nat. median
$202,986
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $105,670.36 $176,117.27 $119,802.32 nat. median
$133,176
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $109,306.00 $109,306.00 $109,306.00 nat. median
$111,989
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $99,088.76 $410,892.62 $101,565.98 nat. median
$117,173
0.9× median
164
MS_DRG 		Major Chest Procedures With Cc 13 $87,208.95 $145,348.25 $98,871.94 nat. median
$25,707
outlier · 3.8×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 13 $87,208.95 $145,348.25 $98,871.94 nat. median
$19,862
outlier · 5.0×
163
MS_DRG 		Major Chest Procedures With Mcc 13 $87,208.95 $145,348.25 $98,871.94 nat. median
$44,938
outlier · 2.2×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 13 $86,094.41 $143,490.69 $97,608.37 nat. median
$40,208
outlier · 2.4×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 $86,094.41 $143,490.69 $97,608.37 nat. median
$52,857
1.8× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 13 $86,094.41 $143,490.69 $97,608.37 nat. median
$37,476
outlier · 2.6×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 $86,083.38 $143,472.30 $97,595.86 nat. median
$46,084
outlier · 2.1×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $92,080.74 $381,832.40 $94,382.76 nat. median
$32,636
outlier · 2.9×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $93,216.70 $93,216.70 $93,216.70 nat. median
$96,983
1.0× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 $78,458.26 $130,763.76 $88,950.97 nat. median
$33,847
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $76,218.17 $127,030.28 $86,411.30 nat. median
$66,526
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $83,400.59 $345,838.30 $85,485.60 nat. median
$105,658
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $83,042.06 $344,351.60 $85,118.11 nat. median
$160,267
0.5× median
B0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 46 $72,407.14 $141,719.82 $82,183.04 nat. median
$79,920
1.0× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $80,046.86 $331,931.37 $82,048.03 nat. median
$73,845
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $79,236.36 $328,570.42 $81,217.27 nat. median
$119,796
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 13 $71,528.33 $119,213.88 $81,094.26 nat. median
$62,134
1.3× median
C0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 46 $64,390.25 $126,028.67 $73,083.78 nat. median
$70,083
1.0× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $70,600.49 $292,759.96 $72,365.50 nat. median
$73,428
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $70,561.09 $292,596.57 $72,325.11 nat. median
$97,957
0.7× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $69,971.36 $290,151.15 $71,720.64 nat. median
$79,160
0.9× median
B1904
LOCAL 		Guillain-barré M <38.50 46 $62,653.63 $122,629.64 $71,112.69 nat. median
$68,345
1.0× median
D0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 46 $62,506.34 $122,341.37 $70,945.52 nat. median
$67,662
1.0× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 3 $68,424.59 $283,737.13 $70,135.21 nat. median
$22,749
outlier · 3.1×
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $67,452.66 $67,452.66 $67,452.66 nat. median
$70,825
1.0× median
B1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 46 $58,935.48 $115,352.25 $66,892.54 nat. median
$64,290
1.0× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 $58,017.92 $96,696.53 $65,777.01 nat. median
$40,916
1.6× median
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 13 $58,017.92 $96,696.53 $65,777.01 nat. median
$14,495
outlier · 4.5×

Other procedures at this hospital

Browse this hospital's 15,107 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
             
28730 CPT Fusion Of Foot Bones 153 66 $57,929.13 $57,929.13 $701.72 $49,239.76 $44,895.07 2025-09-11
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,377,500.00 $4,377,500.00 $4,377,500.00 2025-09-11
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-09-11
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-09-11
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,324,571.90 $3,324,571.90 $3,324,571.90 2025-09-11
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,261,355.00 $3,261,355.00 $3,261,355.00 2025-09-11
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,950,686.67 $2,950,686.67 $2,950,686.67 2025-09-11
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,452,115.60 $2,452,115.60 $2,452,115.60 2025-09-11
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2025-09-11
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $770,620.00 $770,620.00 $770,620.00 2025-09-11
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $578,324.58 $578,324.58 $578,324.58 2025-09-11
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $553,378.83 $553,378.83 $553,378.83 2025-09-11
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $541,635.66 $541,635.66 $541,635.66 2025-09-11
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $541,260.45 $541,260.45 $541,260.45 2025-09-11
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $489,720.00 $489,720.00 $489,720.00 2025-09-11
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $387,472.40 $533,076.48 $460,274.44 2025-09-11
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $270,375.00 $270,375.00 $270,375.00 2025-09-11
1614 APR_DRG Implantable Heart Assist Systems 4 3 — — $152,022.84 $630,395.07 $155,823.41 2025-09-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $142,421.46 $590,580.92 $145,981.99 2025-09-11
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 21 13 — — $128,475.86 $214,126.43 $145,657.73 2025-09-11
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 21 13 — — $105,670.36 $176,117.27 $119,802.32 2025-09-11
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $109,306.00 $109,306.00 $109,306.00 2025-09-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 — — $99,088.76 $410,892.62 $101,565.98 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 21 13 — — $87,208.95 $145,348.25 $98,871.94 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 21 13 — — $87,208.95 $145,348.25 $98,871.94 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 21 13 — — $87,208.95 $145,348.25 $98,871.94 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 21 13 — — $86,094.41 $143,490.69 $97,608.37 2025-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 13 — — $86,094.41 $143,490.69 $97,608.37 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 13 — — $86,094.41 $143,490.69 $97,608.37 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 13 — — $86,083.38 $143,472.30 $97,595.86 2025-09-11
2004 APR_DRG Cardiac Structural And Valvular Disorders 4 3 — — $92,080.74 $381,832.40 $94,382.76 2025-09-11
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $93,216.70 $93,216.70 $93,216.70 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 13 — — $78,458.26 $130,763.76 $88,950.97 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 21 13 — — $76,218.17 $127,030.28 $86,411.30 2025-09-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $83,400.59 $345,838.30 $85,485.60 2025-09-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 — — $83,042.06 $344,351.60 $85,118.11 2025-09-11
B0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 86 46 — — $72,407.14 $141,719.82 $82,183.04 2025-09-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 3 — — $80,046.86 $331,931.37 $82,048.03 2025-09-11
1613 APR_DRG Implantable Heart Assist Systems 4 3 — — $79,236.36 $328,570.42 $81,217.27 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 21 13 — — $71,528.33 $119,213.88 $81,094.26 2025-09-11
C0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 86 46 — — $64,390.25 $126,028.67 $73,083.78 2025-09-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 3 — — $70,600.49 $292,759.96 $72,365.50 2025-09-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 — — $70,561.09 $292,596.57 $72,325.11 2025-09-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $69,971.36 $290,151.15 $71,720.64 2025-09-11
B1904 LOCAL Guillain-barré M <38.50 86 46 — — $62,653.63 $122,629.64 $71,112.69 2025-09-11
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 86 46 — — $62,506.34 $122,341.37 $70,945.52 2025-09-11
2464 APR_DRG Gastrointestinal Vascular Insufficiency 4 3 — — $68,424.59 $283,737.13 $70,135.21 2025-09-11
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $67,452.66 $67,452.66 $67,452.66 2025-09-11
B1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 86 46 — — $58,935.48 $115,352.25 $66,892.54 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 13 — — $58,017.92 $96,696.53 $65,777.01 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 21 13 — — $58,017.92 $96,696.53 $65,777.01 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 21 13 — — $58,017.92 $96,696.53 $65,777.01 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 13 — — $58,017.92 $96,696.53 $65,777.01 2025-09-11
A0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 86 46 — — $56,796.39 $111,165.48 $64,464.64 2025-09-11
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $63,431.05 $63,431.05 $63,431.05 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 13 — — $55,770.46 $92,950.77 $63,229.00 2025-09-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 — — $61,552.69 $255,241.35 $63,091.51 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 13 — — $54,034.31 $90,057.18 $61,260.66 2025-09-11
B0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 86 46 — — $52,963.50 $103,663.50 $60,114.26 2025-09-11
B0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 86 46 — — $52,194.52 $102,158.40 $59,241.46 2025-09-11
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 86 46 — — $51,658.46 $101,109.20 $58,633.03 2025-09-11
1612 APR_DRG Implantable Heart Assist Systems 4 3 — — $56,958.62 $236,191.05 $58,382.59 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 13 — — $51,341.79 $85,569.65 $58,208.05 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 21 13 — — $51,341.79 $85,569.65 $58,208.05 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 13 — — $51,146.84 $85,244.73 $57,987.02 2025-09-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 — — $56,307.35 $233,490.41 $57,715.04 2025-09-11
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $56,824.55 $56,824.55 $56,824.55 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 21 13 — — $49,896.22 $83,160.36 $56,569.15 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 13 — — $49,896.22 $83,160.36 $56,569.15 2025-09-11
B0106 LOCAL Stroke M <41.50 And A <84.50 86 46 — — $49,776.27 $97,425.26 $56,496.71 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 13 — — $49,568.84 $82,614.74 $56,198.00 2025-09-11
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $55,945.97 $55,945.97 $55,945.97 2025-09-11
1611 APR_DRG Implantable Heart Assist Systems 4 3 — — $54,020.08 $224,005.77 $55,370.58 2025-09-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 — — $53,640.39 $222,431.30 $54,981.40 2025-09-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 — — $53,622.15 $222,355.68 $54,962.71 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 21 13 — — $48,237.30 $80,395.50 $54,688.37 2025-09-11
C1904 LOCAL Guillain-barré M <38.50 86 46 — — $48,168.10 $94,277.64 $54,671.42 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 13 — — $48,097.52 $80,162.54 $54,529.91 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 13 — — $48,097.52 $80,162.54 $54,529.91 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 21 13 — — $48,034.99 $80,058.32 $54,459.02 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 13 — — $47,847.39 $79,745.66 $54,246.33 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 21 13 — — $47,847.39 $79,745.66 $54,246.33 2025-09-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 3 — — $52,238.53 $216,618.17 $53,544.49 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 21 13 — — $47,196.33 $78,660.56 $53,508.20 2025-09-11
C0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 86 46 — — $47,099.40 $92,185.92 $53,458.44 2025-09-11
C1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 86 46 — — $47,015.48 $92,021.67 $53,363.19 2025-09-11
245 MS_DRG Aicd Generator Procedures 21 13 — — $46,736.55 $77,894.25 $52,986.92 2025-09-11
263 MS_DRG Vein Ligation And Stripping 21 13 — — $46,736.55 $77,894.25 $52,986.92 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 21 13 — — $46,736.55 $77,894.25 $52,986.92 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 21 13 — — $46,626.20 $77,710.34 $52,861.81 2025-09-11
C0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 86 46 — — $46,416.06 $90,848.45 $52,682.83 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
745 MS_DRG D&amp;C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
693 MS_DRG Urinary Stones With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
744 MS_DRG D&amp;C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
215 MS_DRG Other Heart Assist System Implant 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 13 — — $46,431.25 $77,385.42 $52,640.79 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 13 — — $46,387.11 $77,311.85 $52,590.75 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 21 13 — — $46,251.01 $77,085.02 $52,436.45 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 13 — — $46,251.01 $77,085.02 $52,436.45 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 13 — — $46,251.01 $77,085.02 $52,436.45 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 13 — — $46,251.01 $77,085.02 $52,436.45 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 13 — — $46,251.01 $77,085.02 $52,436.45 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 21 13 — — $46,251.01 $77,085.02 $52,436.45 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 13 — — $46,251.01 $77,085.02 $52,436.45 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 13 — — $46,251.01 $77,085.02 $52,436.45 2025-09-11
4414 APR_DRG Major Bladder Procedures 4 3 — — $50,996.23 $211,466.71 $52,271.14 2025-09-11
D0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 86 46 — — $45,720.73 $89,487.50 $51,893.62 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 21 13 — — $45,305.69 $75,509.48 $51,364.70 2025-09-11
B0205 LOCAL Traumatic Brain Injury M <35.50 86 46 — — $45,188.09 $88,445.00 $51,289.08 2025-09-11
D0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 86 46 — — $45,057.93 $88,190.24 $51,141.34 2025-09-11
D1904 LOCAL Guillain-barré M <38.50 86 46 — — $44,946.61 $87,972.35 $51,014.99 2025-09-11
B1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 86 46 — — $44,905.51 $87,891.90 $50,968.34 2025-09-11
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 86 46 — — $44,634.91 $87,362.27 $50,661.21 2025-09-11
A1904 LOCAL Guillain-barré M <38.50 86 46 — — $44,169.07 $86,450.49 $50,132.47 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 13 — — $44,102.88 $73,504.80 $50,001.04 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 21 13 — — $44,102.88 $73,504.80 $50,001.04 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 13 — — $44,102.88 $73,504.80 $50,001.04 2025-09-11
665 MS_DRG Prostatectomy With Mcc 21 13 — — $44,033.00 $73,388.33 $49,921.81 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 13 — — $44,033.00 $73,388.33 $49,921.81 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 21 13 — — $44,033.00 $73,388.33 $49,921.81 2025-09-11
B0105 LOCAL Stroke M <41.50 And A >=84.50 86 46 — — $43,763.18 $85,656.05 $49,671.77 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 13 — — $43,602.63 $72,671.06 $49,433.89 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support &lt;=96 Hours 21 13 — — $43,433.43 $72,389.06 $49,242.05 2025-09-11
570 MS_DRG Skin Debridement With Mcc 21 13 — — $43,304.69 $72,174.48 $49,096.10 2025-09-11
C0106 LOCAL Stroke M <41.50 And A <84.50 86 46 — — $43,168.88 $84,492.87 $48,997.25 2025-09-11
1784 APR_DRG External Heart Assist Systems 4 3 — — $47,763.64 $198,062.09 $48,957.73 2025-09-11
B1903 LOCAL Guillain-barré M >=38.50 And M <51.50 86 46 — — $43,011.33 $84,184.49 $48,818.41 2025-09-11
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $48,628.26 $48,628.26 $48,628.26 2025-09-11
B0604 LOCAL Neurological M <43.50 86 46 — — $42,651.67 $83,480.54 $48,410.20 2025-09-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 3 — — $46,775.66 $193,965.22 $47,945.05 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 21 13 — — $41,917.97 $69,863.28 $47,523.92 2025-09-11
6904 APR_DRG Acute Leukemia 4 3 — — $46,355.59 $192,223.31 $47,514.48 2025-09-11
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 3 — — $46,071.63 $191,045.83 $47,223.42 2025-09-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $46,019.86 $190,831.13 $47,170.35 2025-09-11
A0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 86 46 — — $41,545.31 $81,315.09 $47,154.46 2025-09-11
B0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 86 46 — — $41,507.63 $81,241.34 $47,111.69 2025-09-11
B1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 86 46 — — $41,499.06 $81,224.58 $47,101.98 2025-09-11
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 86 46 — — $41,384.32 $80,999.99 $46,971.74 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 21 13 — — $41,005.75 $68,342.91 $46,489.70 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 21 13 — — $41,005.75 $68,342.91 $46,489.70 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 21 13 — — $41,005.75 $68,342.91 $46,489.70 2025-09-11
A0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 86 46 — — $40,942.45 $80,135.15 $46,470.22 2025-09-11
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 86 46 — — $40,837.98 $79,930.68 $46,351.64 2025-09-11
A5104 LOCAL Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 86 46 — — $40,819.14 $79,893.80 $46,330.26 2025-09-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 — — $44,630.04 $185,067.97 $45,745.79 2025-09-11
B1604 LOCAL Pain Syndrome M <43.50 86 46 — — $40,204.30 $78,690.41 $45,632.41 2025-09-11
C0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 86 46 — — $40,188.89 $78,660.23 $45,614.91 2025-09-11
J9226 HCPCS Supprelin La Implant 1 1 — — $45,560.39 $45,560.39 $45,560.39 2025-09-11
B0704 LOCAL Fracture Of Lower Extremity M <41.50 86 46 — — $39,858.35 $78,013.28 $45,239.75 2025-09-11
B2102 LOCAL Burns M <52.50 86 46 — — $39,692.23 $77,688.12 $45,051.19 2025-09-11
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $40,925.01 $49,026.62 $44,975.82 2025-09-11
D0106 LOCAL Stroke M <41.50 And A <84.50 86 46 — — $39,449.03 $77,212.13 $44,775.16 2025-09-11
82 MS_DRG Traumatic Stupor And Coma &gt;1 Hour With Mcc 21 13 — — $39,464.54 $65,774.24 $44,742.38 2025-09-11
B1004 LOCAL Amputation Lower Extremity M <47.50 86 46 — — $39,409.64 $77,135.03 $44,730.45 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 21 13 — — $39,446.15 $65,743.58 $44,721.53 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 13 — — $39,402.01 $65,670.02 $44,671.49 2025-09-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 — — $43,425.51 $180,073.14 $44,511.15 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 13 — — $39,104.06 $65,173.44 $44,333.70 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 13 — — $39,104.06 $65,173.44 $44,333.70 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 21 13 — — $39,104.06 $65,173.44 $44,333.70 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 13 — — $39,104.06 $65,173.44 $44,333.70 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 21 13 — — $39,104.06 $65,173.44 $44,333.70 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 13 — — $39,104.06 $65,173.44 $44,333.70 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 13 — — $39,104.06 $65,173.44 $44,333.70 2025-09-11
B1504 LOCAL Pulmonary M <45.50 86 46 — — $38,952.36 $76,240.02 $44,211.44 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 21 13 — — $38,537.60 $64,229.34 $43,691.48 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 21 13 — — $38,493.47 $64,155.78 $43,641.44 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 21 13 — — $38,493.47 $64,155.78 $43,641.44 2025-09-11
666 MS_DRG Prostatectomy With Cc 21 13 — — $38,493.47 $64,155.78 $43,641.44 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 21 13 — — $38,493.47 $64,155.78 $43,641.44 2025-09-11
B1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 86 46 — — $38,265.59 $74,895.83 $43,431.94 2025-09-11
B2005 LOCAL Miscellaneous M <46.50 And A <77.50 86 46 — — $38,041.23 $74,456.70 $43,177.30 2025-09-11
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 86 46 — — $37,967.59 $74,312.57 $43,093.71 2025-09-11
C0105 LOCAL Stroke M <41.50 And A >=84.50 86 46 — — $37,953.89 $74,285.75 $43,078.16 2025-09-11
A0106 LOCAL Stroke M <41.50 And A <84.50 86 46 — — $37,594.24 $73,581.81 $42,669.95 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 13 — — $37,481.93 $62,469.89 $42,494.63 2025-09-11
B1204 LOCAL Osteoarthritis M <49.50 And A <74.50 86 46 — — $37,398.99 $73,199.67 $42,448.34 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 21 13 — — $37,371.58 $62,285.97 $42,369.52 2025-09-11
C0205 LOCAL Traumatic Brain Injury M <35.50 86 46 — — $37,217.46 $72,844.35 $42,242.29 2025-09-11
B0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 86 46 — — $37,176.35 $72,763.89 $42,195.64 2025-09-11
B0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 86 46 — — $37,029.06 $72,475.62 $42,028.47 2025-09-11
C0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 86 46 — — $36,912.60 $72,247.68 $41,896.28 2025-09-11
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