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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

COULEE MEDICAL CENTER

Grand Coulee, WA · CCN 501308 · Rates published

20,109 distinct procedures filed
43 distinct payers
545,594 rate rows
2026-05-13 last MRF observed
Data quality

308,474 of 545,594 rate rows are consumer-grade (56.5%)

237,120 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 234,052
per-diem day rate — not a per-procedure price 3,068
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://couleemedical.goredde.com/Estimator/Files/91-1557904_Coulee_Medical_Center_standardcharges.csv
Found on page https://couleemedical.goredde.com/Estimator/Location.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 5eaeb6f3f6107d9c… · 101,450,557 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
Q0480
HCPCS 		Dme Pos 21 $99,999.91 $99,999.91 $99,999.91 nat. median
$111,989
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 21 $70,418.21 $70,418.21 $70,418.21 nat. median
$62,507
1.1× median
J2350
HCPCS 		Ocrelizumab 300 Mg/10 Ml IV Soln [cch] 21 $15,146.32 $60,585.29 $54,526.76 nat. median
$683
outlier · 79.8×
27880
CPT 		Amputation, Leg, Through Tibia And Fibula; ProFee 43 $508.48 $46,315.50 $41,683.95 nat. median
$3,700
outlier · 11.3×
20692
CPT 		Application Of A Multiplane (pins Or Wires In More Than 1 Plane), Unilateral, Ex… 43 $652.35 $31,298.40 $28,168.56 nat. median
$8,456
outlier · 3.3×
J1930
HCPCS 		Lanreotide 120 Mg/0.5 Ml Sub-q Soln [cch] 21 $7,714.00 $30,856.01 $27,770.41 nat. median
$5,873
outlier · 4.7×
J3380
HCPCS 		Vedolizumab 300 Mg Inj Vial [cch] 21 $6,861.69 $27,446.79 $24,702.11 nat. median
$280
outlier · 88.1×
49010
CPT 		Exploration, Retroperitoneal Area With Or Without Biopsy(s) (separate Procedure)… 43 $520.82 $26,188.05 $23,569.24 nat. median
$3,917
outlier · 6.0×
J3101
HCPCS 		Tenecteplase 50 Mg Powder Kit [cch] 21 $6,131.00 $24,524.00 $22,071.60 nat. median
$5,957
outlier · 3.7×
Q0483
HCPCS 		Dme Pos 21 $21,027.58 $21,027.58 $21,027.58 nat. median
$23,616
0.9× median
44603
CPT 		Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo… 43 $913.71 $22,234.80 $20,011.32 nat. median
$3,101
outlier · 6.5×
J2506
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml SubQ Inj Syringe [cch] 21 $5,177.82 $20,711.30 $18,640.17 nat. median
$2,076
outlier · 9.0×
Q0489
HCPCS 		Dme Pos 21 $18,229.76 $18,229.76 $18,229.76 nat. median
$20,518
0.9× median
44661
CPT 		Closure Of Enterovesical Fistula; With Intestine And/or Bladder Resection ProFee 43 $872.52 $19,280.10 $17,352.09 nat. median
$2,999
outlier · 5.8×
Q0481
HCPCS 		Dme Pos 21 $16,296.36 $16,296.36 $16,296.36 nat. median
$15,051
1.1× median
49204
CPT 		Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometriomas, 1… 36 $864.93 $18,420.15 $15,933.43 nat. median
$4,014
outlier · 4.0×
44602
CPT 		Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo… 43 $793.95 $17,427.90 $15,685.11 nat. median
$3,844
outlier · 4.1×
27654
CPT 		Repair, Secondary, Achilles Tendon, With Or Without Graft ProFee 43 $417.19 $17,097.15 $15,387.43 nat. median
$6,809
outlier · 2.3×
29888
CPT 		Arthroscopically Aided Anterior Cruciate Ligament Repair/augmentation Or Reconst… 43 $565.61 $17,096.10 $15,386.49 nat. median
$7,307
outlier · 2.1×
27829
CPT 		Open Treatment Of Distal Tibiofibular Joint (syndesmosis) Disruption, Includes I… 43 $416.81 $17,096.10 $15,386.49 nat. median
$6,771
outlier · 2.3×
23515
CPT 		Open Treatment Of Clavicular Fracture, Includes Internal Fixation, When Performe… 43 $422.50 $17,096.10 $15,386.49 nat. median
$6,951
outlier · 2.2×
27700
CPT 		Arthroplasty, Ankle; ProFee 43 $355.88 $17,096.10 $15,386.49 nat. median
$7,048
outlier · 2.2×
27405
CPT 		Repair, Primary, Torn Ligament And/or Capsule, Knee; Collateral ProFee 43 $396.31 $17,096.10 $15,386.49 nat. median
$7,051
outlier · 2.2×
27524
CPT 		Open Treatment Of Patellar Fracture, With Internal Fixation And/or Partial Or Co… 43 $440.34 $17,095.05 $15,385.54 nat. median
$6,994
outlier · 2.2×
27695
CPT 		Repair, Primary, Disrupted Ligament, Ankle; Collateral ProFee 43 $284.14 $17,095.05 $15,385.54 nat. median
$6,486
outlier · 2.4×
29807
CPT 		Arthroscopy, Shoulder, Surgical; Repair Of Slap Lesion ProFee 43 $601.30 $17,095.05 $15,385.54 nat. median
$7,113
outlier · 2.2×
J3111
HCPCS 		Romosozumab 2 Syringe Kit 105 Mg/1.17 Ml Per Syringe [cch] 21 $4,040.01 $16,160.04 $14,544.04 nat. median
$1,003
outlier · 14.5×
44130
CPT 		Enteroenterostomy, Anastomosis Of Intestine, With Or Without Cutaneous Enterosto… 43 $746.31 $15,587.25 $14,028.52 nat. median
$2,766
outlier · 5.1×
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Inj [cch] 21 $3,787.18 $15,148.73 $13,633.85 nat. median
$7,308
1.9× median
J0717
HCPCS 		Certolizumab 200 Mg Kit [cch] 21 $3,735.78 $14,943.15 $13,448.84 nat. median
$1,372
outlier · 9.8×
Q0479
HCPCS 		Dme Pos 21 $13,427.75 $13,427.75 $13,427.75 nat. median
$15,259
0.9× median
44160
CPT 		Colectomy, Partial, With Removal Of Terminal Ileum With Ileocolostomy ProFee 43 $704.55 $14,726.25 $13,253.62 nat. median
$3,050
outlier · 4.3×
58573
CPT 		Laparoscopy, Surgical, With Total Hysterectomy, For Uterus Greater Than 250 G; W… 43 $700.37 $14,205.45 $12,784.90 nat. median
$10,008
1.3× median
58570
CPT 		Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; ProFee 43 $466.92 $13,022.10 $11,719.89 nat. median
$9,652
1.2× median
49561
CPT 		Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated ProFee 36 $3,036.07 $12,144.30 $11,719.24 nat. median
$3,381
outlier · 3.5×
90375
CPT 		Rabies Ig Im/sc 1 $11,597.94 $11,597.94 $11,597.94 nat. median
$1,041
outlier · 11.1×
44960
CPT 		Appendectomy; For Ruptured Appendix With Abscess Or Generalized Peritonitis ProF… 43 $498.99 $11,449.20 $10,304.28 nat. median
$3,012
outlier · 3.4×
J0840
HCPCS 		Antivenin - Crotalidae (Crofab) Vial [cch] 21 $2,580.35 $10,321.42 $9,289.28 nat. median
$3,427
outlier · 2.7×
58542
CPT 		Laparoscopy, Surgical, Supracervical Hysterectomy, For Uterus 250 G Or Less; Wit… 43 $480.01 $10,212.30 $9,191.07 nat. median
$10,029
0.9× median
49402
CPT 		Removal Of Peritoneal Foreign Body From Peritoneal Cavity ProFee 43 $486.28 $9,934.05 $8,940.64 nat. median
$3,669
outlier · 2.4×
J2426
HCPCS 		Paliperidone 234 Mg/1.5 Ml Syringe [cch] 21 $2,157.90 $25,889.88 $8,545.31 nat. median
$2,742
outlier · 3.1×
49525
CPT 		Repair Inguinal Hernia, Sliding, Any Age ProFee 43 $329.50 $9,374.40 $8,436.96 nat. median
$3,761
outlier · 2.2×
15273
CPT 		Application Of Skin Substitute Graft To Trunk, Arms, Legs, Total Wound Surface A… 43 $182.78 $9,320.85 $8,388.76 nat. median
$3,195
outlier · 2.6×
44204
CPT 		Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis ProFee 43 $1,486.66 $9,315.60 $8,384.04 nat. median
$3,787
outlier · 2.2×
27822
CPT 		Open Treatment Of Trimalleolar Ankle Fracture, Includes Internal Fixation, When… 43 $513.61 $9,145.50 $8,230.95 nat. median
$7,144
1.2× median
27792
CPT 		Open Treatment Of Distal Fibular Fracture (lateral Malleolus), Includes Internal… 43 $378.28 $9,110.85 $8,199.76 nat. median
$6,844
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $8,064.00 $8,064.00 $8,064.00 nat. median
$265,286
outlier · 0.0×
10
MS_DRG 		Pancreas Transplant 18 $8,064.00 $8,064.00 $8,064.00 nat. median
$68,884
outlier · 0.1×
100
MS_DRG 		Seizures With Mcc 18 $8,064.00 $8,064.00 $8,064.00 nat. median
$19,360
outlier · 0.4×
101
MS_DRG 		Seizures Without Mcc 18 $8,064.00 $8,064.00 $8,064.00 nat. median
$9,814
0.8× median

Other procedures at this hospital

Browse this hospital's 20,109 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
             
Q0480 HCPCS Dme Pos 23 21 — — $99,999.91 $99,999.91 $99,999.91 2026-01-21
A9543 HCPCS Y90 Ibritumomab, Rx 23 21 — — $70,418.21 $70,418.21 $70,418.21 2026-01-21
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml IV Soln [cch] 23 21 $60,585.30 $54,526.77 $15,146.32 $60,585.29 $54,526.76 2026-01-21
27880 CPT Amputation, Leg, Through Tibia And Fibula; ProFee 59 43 $46,315.50 $41,683.95 $508.48 $46,315.50 $41,683.95 2026-05-13
20692 CPT Application Of A Multiplane (pins Or Wires In More Than 1 Plane), Unilateral, Ex… 59 43 $31,298.40 $28,168.56 $652.35 $31,298.40 $28,168.56 2026-05-13
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Sub-q Soln [cch] 23 21 $30,856.01 $27,770.41 $7,714.00 $30,856.01 $27,770.41 2026-01-21
J3380 HCPCS Vedolizumab 300 Mg Inj Vial [cch] 23 21 $27,446.80 $24,702.12 $6,861.69 $27,446.79 $24,702.11 2026-01-21
49010 CPT Exploration, Retroperitoneal Area With Or Without Biopsy(s) (separate Procedure)… 59 43 $26,188.05 $23,569.24 $520.82 $26,188.05 $23,569.24 2026-05-13
J3101 HCPCS Tenecteplase 50 Mg Powder Kit [cch] 23 21 $24,524.00 $22,071.60 $6,131.00 $24,524.00 $22,071.60 2026-01-21
Q0483 HCPCS Dme Pos 23 21 — — $21,027.58 $21,027.58 $21,027.58 2026-01-21
44603 CPT Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo… 59 43 $22,234.80 $20,011.32 $913.71 $22,234.80 $20,011.32 2026-05-13
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml SubQ Inj Syringe [cch] 23 21 $20,711.30 $18,640.17 $5,177.82 $20,711.30 $18,640.17 2026-01-21
Q0489 HCPCS Dme Pos 23 21 — — $18,229.76 $18,229.76 $18,229.76 2026-01-21
44661 CPT Closure Of Enterovesical Fistula; With Intestine And/or Bladder Resection ProFee 59 43 $19,280.10 $17,352.09 $872.52 $19,280.10 $17,352.09 2026-05-13
Q0481 HCPCS Dme Pos 23 21 — — $16,296.36 $16,296.36 $16,296.36 2026-01-21
49204 CPT Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometriomas, 1… 36 36 $18,420.15 $16,578.13 $864.93 $18,420.15 $15,933.43 2026-05-13
44602 CPT Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo… 59 43 $17,427.90 $15,685.11 $793.95 $17,427.90 $15,685.11 2026-05-13
27654 CPT Repair, Secondary, Achilles Tendon, With Or Without Graft ProFee 59 43 $17,097.15 $15,387.43 $417.19 $17,097.15 $15,387.43 2026-05-13
23515 CPT Open Treatment Of Clavicular Fracture, Includes Internal Fixation, When Performe… 59 43 $17,096.10 $15,386.49 $422.50 $17,096.10 $15,386.49 2026-05-13
27405 CPT Repair, Primary, Torn Ligament And/or Capsule, Knee; Collateral ProFee 59 43 $17,096.10 $15,386.49 $396.31 $17,096.10 $15,386.49 2026-05-13
27829 CPT Open Treatment Of Distal Tibiofibular Joint (syndesmosis) Disruption, Includes I… 59 43 $17,096.10 $15,386.49 $416.81 $17,096.10 $15,386.49 2026-05-13
29888 CPT Arthroscopically Aided Anterior Cruciate Ligament Repair/augmentation Or Reconst… 59 43 $17,096.10 $15,386.49 $565.61 $17,096.10 $15,386.49 2026-05-13
27700 CPT Arthroplasty, Ankle; ProFee 59 43 $17,096.10 $15,386.49 $355.88 $17,096.10 $15,386.49 2026-05-13
27524 CPT Open Treatment Of Patellar Fracture, With Internal Fixation And/or Partial Or Co… 59 43 $17,095.05 $15,385.55 $440.34 $17,095.05 $15,385.54 2026-05-13
29807 CPT Arthroscopy, Shoulder, Surgical; Repair Of Slap Lesion ProFee 59 43 $17,095.05 $15,385.55 $601.30 $17,095.05 $15,385.54 2026-05-13
27695 CPT Repair, Primary, Disrupted Ligament, Ankle; Collateral ProFee 59 43 $17,095.05 $15,385.55 $284.14 $17,095.05 $15,385.54 2026-05-13
J3111 HCPCS Romosozumab 2 Syringe Kit 105 Mg/1.17 Ml Per Syringe [cch] 23 21 $16,160.05 $14,544.04 $4,040.01 $16,160.04 $14,544.04 2026-01-21
44130 CPT Enteroenterostomy, Anastomosis Of Intestine, With Or Without Cutaneous Enterosto… 59 43 $15,587.25 $14,028.52 $746.31 $15,587.25 $14,028.52 2026-05-13
J1162 HCPCS Digoxin Immune Fab 40 Mg Inj [cch] 23 21 $15,148.73 $13,633.86 $3,787.18 $15,148.73 $13,633.85 2026-01-21
J0717 HCPCS Certolizumab 200 Mg Kit [cch] 23 21 $14,943.16 $13,448.84 $3,735.78 $14,943.15 $13,448.84 2026-01-21
Q0479 HCPCS Dme Pos 23 21 — — $13,427.75 $13,427.75 $13,427.75 2026-01-21
44160 CPT Colectomy, Partial, With Removal Of Terminal Ileum With Ileocolostomy ProFee 59 43 $14,726.25 $13,253.63 $704.55 $14,726.25 $13,253.62 2026-05-13
58573 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus Greater Than 250 G; W… 59 43 $14,205.45 $12,784.91 $700.37 $14,205.45 $12,784.90 2026-05-13
58570 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; ProFee 59 43 $13,022.10 $11,719.89 $466.92 $13,022.10 $11,719.89 2026-05-13
49561 CPT Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated ProFee 36 36 $12,144.30 $10,929.87 $3,036.07 $12,144.30 $11,719.24 2026-05-13
90375 CPT Rabies Ig Im/sc 1 1 — — $11,597.94 $11,597.94 $11,597.94 2026-01-21
44960 CPT Appendectomy; For Ruptured Appendix With Abscess Or Generalized Peritonitis ProF… 59 43 $11,449.20 $10,304.28 $498.99 $11,449.20 $10,304.28 2026-05-13
J0840 HCPCS Antivenin - Crotalidae (Crofab) Vial [cch] 23 21 $10,321.42 $9,289.28 $2,580.35 $10,321.42 $9,289.28 2026-01-21
58542 CPT Laparoscopy, Surgical, Supracervical Hysterectomy, For Uterus 250 G Or Less; Wit… 59 43 $10,212.30 $9,191.07 $480.01 $10,212.30 $9,191.07 2026-05-13
49402 CPT Removal Of Peritoneal Foreign Body From Peritoneal Cavity ProFee 59 43 $9,934.05 $8,940.65 $486.28 $9,934.05 $8,940.64 2026-05-13
J2426 HCPCS Paliperidone 234 Mg/1.5 Ml Syringe [cch] 46 21 $17,260.76 $15,534.69 $2,157.90 $25,889.88 $8,545.31 2026-01-21
49525 CPT Repair Inguinal Hernia, Sliding, Any Age ProFee 59 43 $9,374.40 $8,436.96 $329.50 $9,374.40 $8,436.96 2026-05-13
15273 CPT Application Of Skin Substitute Graft To Trunk, Arms, Legs, Total Wound Surface A… 59 43 $9,320.85 $8,388.76 $182.78 $9,320.85 $8,388.76 2026-05-13
44204 CPT Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis ProFee 59 43 $9,315.60 $8,384.04 $1,486.66 $9,315.60 $8,384.04 2026-05-13
27822 CPT Open Treatment Of Trimalleolar Ankle Fracture, Includes Internal Fixation, When … 59 43 $9,145.50 $8,230.95 $513.61 $9,145.50 $8,230.95 2026-05-13
27792 CPT Open Treatment Of Distal Fibular Fracture (lateral Malleolus), Includes Internal… 59 43 $9,110.85 $8,199.76 $378.28 $9,110.85 $8,199.76 2026-05-13
376 MS_DRG Digestive Malignancy Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
38 MS_DRG Extracranial Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
381 MS_DRG Complicated Peptic Ulcer With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
332 MS_DRG Rectal Resection With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
305 MS_DRG Hypertension Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
313 MS_DRG Chest Pain 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
30 MS_DRG Spinal Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
378 MS_DRG Gastrointestinal Hemorrhage With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
385 MS_DRG Inflammatory Bowel Disease With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
336 MS_DRG Peritoneal Adhesiolysis With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
357 MS_DRG Other Digestive System O.r. Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
32 MS_DRG Ventricular Shunt Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
312 MS_DRG Syncope And Collapse 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
374 MS_DRG Digestive Malignancy With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
292 MS_DRG Heart Failure And Shock With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
252 MS_DRG Other Vascular Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
158 MS_DRG Dental And Oral Diseases With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
186 MS_DRG Pleural Effusion With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
188 MS_DRG Pleural Effusion Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
254 MS_DRG Other Vascular Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
289 MS_DRG Acute And Subacute Endocarditis With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
178 MS_DRG Respiratory Infections And Inflammations With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
300 MS_DRG Peripheral Vascular Disorders With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
264 MS_DRG Other Circulatory System O.r. Procedures 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
293 MS_DRG Heart Failure And Shock Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
138 MS_DRG Mouth Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
163 MS_DRG Major Chest Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
347 MS_DRG Anal And Stomal Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
291 MS_DRG Heart Failure And Shock With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
302 MS_DRG Atherosclerosis With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
202 MS_DRG Bronchitis And Asthma With Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
315 MS_DRG Other Circulatory System Diagnoses With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
375 MS_DRG Digestive Malignancy With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
303 MS_DRG Atherosclerosis Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
137 MS_DRG Mouth Procedures With Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
304 MS_DRG Hypertension With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
140 MS_DRG Major Head And Neck Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
201 MS_DRG Pneumothorax Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
113 MS_DRG Orbital Procedures With Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
204 MS_DRG Respiratory Signs And Symptoms 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
184 MS_DRG Major Chest Trauma With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
149 MS_DRG Dysequilibrium 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
10 MS_DRG Pancreas Transplant 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
348 MS_DRG Anal And Stomal Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
200 MS_DRG Pneumothorax With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
180 MS_DRG Respiratory Neoplasms With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
157 MS_DRG Dental And Oral Diseases With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
37 MS_DRG Extracranial Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
153 MS_DRG Otitis Media And Uri Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
152 MS_DRG Otitis Media And Uri With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
101 MS_DRG Seizures Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
196 MS_DRG Interstitial Lung Disease With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
123 MS_DRG Neurological Eye Disorders 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
311 MS_DRG Angina Pectoris 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
187 MS_DRG Pleural Effusion With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
189 MS_DRG Pulmonary Edema And Respiratory Failure 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
14 MS_DRG Allogeneic Bone Marrow Transplant 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
253 MS_DRG Other Vascular Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
299 MS_DRG Peripheral Vascular Disorders With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
181 MS_DRG Respiratory Neoplasms With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
176 MS_DRG Pulmonary Embolism Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
115 MS_DRG Extraocular Procedures Except Orbit 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
125 MS_DRG Other Disorders Of The Eye Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
141 MS_DRG Major Head And Neck Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
263 MS_DRG Vein Ligation And Stripping 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
265 MS_DRG Aicd Lead Procedures 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
297 MS_DRG Cardiac Arrest, Unexplained With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
368 MS_DRG Major Esophageal Disorders With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
215 MS_DRG Other Heart Assist System Implant 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
117 MS_DRG Intraocular Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
199 MS_DRG Pneumothorax With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
116 MS_DRG Intraocular Procedures With Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
121 MS_DRG Acute Major Eye Infections With Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
197 MS_DRG Interstitial Lung Disease With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
114 MS_DRG Orbital Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
185 MS_DRG Major Chest Trauma Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
164 MS_DRG Major Chest Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
245 MS_DRG Aicd Generator Procedures 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
183 MS_DRG Major Chest Trauma With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
28 MS_DRG Spinal Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
139 MS_DRG Salivary Gland Procedures 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
151 MS_DRG Epistaxis Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
165 MS_DRG Major Chest Procedures Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
333 MS_DRG Rectal Resection With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
100 MS_DRG Seizures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
150 MS_DRG Epistaxis With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
334 MS_DRG Rectal Resection Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
102 MS_DRG Headaches With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
369 MS_DRG Major Esophageal Disorders With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
103 MS_DRG Headaches Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
205 MS_DRG Other Respiratory System Diagnoses With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
177 MS_DRG Respiratory Infections And Inflammations With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
380 MS_DRG Complicated Peptic Ulcer With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
386 MS_DRG Inflammatory Bowel Disease With Cc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 19 18 — — $8,064.00 $8,064.00 $8,064.00 2026-01-21
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