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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

BROADDUS HOSPITAL ASSOCIATION, INC

Philippi, WV · CCN 511300 · Rates published

18,668 distinct procedures filed
19 distinct payers
332,758 rate rows
2025-08-07 last MRF observed · ⚠ 14 mo old
Data quality

210,372 of 332,758 rate rows are consumer-grade (63.2%)

122,386 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
professional (physician) fee — not the facility price 118,786
placeholder amount (≤ $0.02) — excluded from medians 3,248
percent-of-charges filed in the dollar field — excluded from medians 278
per-diem day rate — not a per-procedure price 56
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 10
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8554/550379108_broaddus-hospital-association-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/BroaddusHospital/8554
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint d574cb0569c6b743… · 70,152,683 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,748,500.00 $3,748,500.00 $3,748,500.00 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,748,500.00 $3,748,500.00 $3,748,500.00 nat. median
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,427,200.00 $3,427,200.00 $3,427,200.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,320,100.00 $3,320,100.00 $3,320,100.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,998,800.00 $2,998,800.00 $2,998,800.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,511,290.97 $2,511,290.97 $2,511,290.97 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,356,200.00 $2,356,200.00 $2,356,200.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $778,617.00 $778,617.00 $778,617.00 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $657,540.87 $657,540.87 $657,540.87 nat. median
$599,737
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $627,173.88 $627,173.88 $627,173.88 nat. median
$574,037
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $613,884.23 $613,884.23 $613,884.23 nat. median
$579,571
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $593,905.03 $593,905.03 $593,905.03 nat. median
$621,313
1.0× median
C9301
HCPCS 		Professional Services 1 $562,275.00 $562,275.00 $562,275.00 nat. median
$377,029
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $513,993.01 $513,993.01 $513,993.01 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $512,454.09 $512,454.09 $512,454.09 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $246,173.44 $338,170.68 $269,496.36 nat. median
$168,055
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $176,122.48 $212,722.35 $186,964.90 nat. median
$131,925
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $121,246.45 $252,585.15 $149,939.12 nat. median
$186,516
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 $72,137.76 $192,177.16 $97,588.40 nat. median
$145,435
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $93,932.91 $93,932.91 $93,932.91 nat. median
$2,736
outlier · 34.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $82,603.11 $82,603.11 $82,603.11 nat. median
$2,633
outlier · 31.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $71,967.29 $97,685.60 $78,550.30 nat. median
$74,509
1.1× median
E0766
HCPCS 		Elec Stim Cancer Treatment 2 $11,604.22 $205,065.00 $76,792.68 nat. median
$16,158
outlier · 4.8×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $75,101.44 $75,101.44 $75,101.44 nat. median
$95,583
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $74,790.16 $74,790.16 $74,790.16 nat. median
$2,596
outlier · 28.8×
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $71,547.78 $74,954.81 $73,251.29 nat. median
$65,477
1.1× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 2 $70,254.76 $75,166.85 $72,710.80 nat. median
$66,211
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $70,495.36 $73,852.28 $72,173.82 nat. median
$92,809
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $64,395.78 $75,241.10 $69,818.44 nat. median
$108,243
0.6× median
7
MS_DRG 		Lung Transplant 5 $54,883.19 $117,187.93 $68,441.80 nat. median
$70,649
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $63,346.00 $67,775.05 $65,560.52 nat. median
$63,499
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $51,279.16 $117,483.84 $65,545.68 nat. median
$72,715
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $54,783.41 $98,813.65 $64,685.13 nat. median
$65,418
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $63,689.91 $63,689.91 $63,689.91 nat. median
$9,905
outlier · 6.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $46,176.70 $126,703.71 $63,205.64 nat. median
$97,418
0.6× median
453
MS_DRG 		Inpatient Ms-DRG 4 $60,066.18 $63,069.49 $61,567.83 nat. median
$2,106
outlier · 29.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $60,121.04 $60,121.04 $60,121.04 nat. median
$2,958
outlier · 20.3×
90288
CPT 		Botulism Ig IV 2 $53,575.50 $66,181.50 $59,878.50 nat. median
$43,548
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 5 $49,275.58 $95,003.57 $59,406.69 nat. median
$73,023
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $53,504.22 $75,985.46 $59,070.55 nat. median
$60,505
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $46,308.69 $95,493.17 $57,071.76 nat. median
$69,922
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $55,473.45 $55,473.45 $55,473.45 nat. median
$2,633
outlier · 21.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $46,481.40 $86,541.41 $55,423.03 nat. median
$69,822
0.8× median
J9226
HCPCS 		Supprelin La Implant 2 $50,230.58 $53,742.61 $51,986.60 nat. median
$57,036
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $47,011.60 $63,369.79 $51,223.47 nat. median
$51,518
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $43,316.75 $69,382.16 $49,396.17 nat. median
$55,923
0.9× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $49,355.26 $49,355.26 $49,355.26 nat. median
$10,799
outlier · 4.6×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $49,053.97 $49,053.97 $49,053.97 nat. median
$2,596
outlier · 18.9×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 5 $45,920.78 $56,710.00 $48,997.04 nat. median
$41,943
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $41,777.15 $72,283.88 $48,714.04 nat. median
$56,428
0.9× median

Other procedures at this hospital

Browse this hospital's 18,668 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $3,748,500.00 $3,748,500.00 $3,748,500.00 2025-08-07
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,748,500.00 $3,748,500.00 $3,748,500.00 2025-08-07
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,427,200.00 $3,427,200.00 $3,427,200.00 2025-08-07
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,320,100.00 $3,320,100.00 $3,320,100.00 2025-08-07
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,998,800.00 $2,998,800.00 $2,998,800.00 2025-08-07
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,511,290.97 $2,511,290.97 $2,511,290.97 2025-08-07
J3392 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,356,200.00 $2,356,200.00 $2,356,200.00 2025-08-07
Q2057 HCPCS Afamitresgene Autoleucel 2 1 — — $778,617.00 $778,617.00 $778,617.00 2025-08-07
Q2056 HCPCS Ciltacabtagene Car-pos T 2 1 — — $657,540.87 $657,540.87 $657,540.87 2025-08-07
Q2055 HCPCS Idecabtagene Vicleucel Car 2 1 — — $627,173.88 $627,173.88 $627,173.88 2025-08-07
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 1 — — $613,884.23 $613,884.23 $613,884.23 2025-08-07
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $593,905.03 $593,905.03 $593,905.03 2025-08-07
C9301 HCPCS Professional Services 2 1 — — $562,275.00 $562,275.00 $562,275.00 2025-08-07
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 1 — — $513,993.01 $513,993.01 $513,993.01 2025-08-07
Q2053 HCPCS Brexucabtagene Car Pos T 2 1 — — $512,454.09 $512,454.09 $512,454.09 2025-08-07
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $246,173.44 $338,170.68 $269,496.36 2025-08-07
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 5 — — $176,122.48 $212,722.35 $186,964.90 2025-08-07
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 5 — — $121,246.45 $252,585.15 $149,939.12 2025-08-07
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 10 5 — — $72,137.76 $192,177.16 $97,588.40 2025-08-07
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $93,932.91 $93,932.91 $93,932.91 2025-08-07
850 MS_DRG Acute Leukemia With Other Procedures 2 1 — — $82,603.11 $82,603.11 $82,603.11 2025-08-07
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $71,967.29 $97,685.60 $78,550.30 2025-08-07
E0766 HCPCS Elec Stim Cancer Treatment 12 2 — — $11,604.22 $205,065.00 $76,792.68 2025-08-07
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $75,101.44 $75,101.44 $75,101.44 2025-08-07
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $74,790.16 $74,790.16 $74,790.16 2025-08-07
A9543 HCPCS Y90 Ibritumomab, Rx 4 2 — — $71,547.78 $74,954.81 $73,251.29 2025-08-07
J9029 HCPCS Instill Adstiladrin, Tx Dose 4 2 — — $70,254.76 $75,166.85 $72,710.80 2025-08-07
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $70,495.36 $73,852.28 $72,173.82 2025-08-07
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 2 — — $64,395.78 $75,241.10 $69,818.44 2025-08-07
7 MS_DRG Lung Transplant 10 5 — — $54,883.19 $117,187.93 $68,441.80 2025-08-07
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 2 — — $63,346.00 $67,775.05 $65,560.52 2025-08-07
14 MS_DRG Allogeneic Bone Marrow Transplant 10 5 — — $51,279.16 $117,483.84 $65,545.68 2025-08-07
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 5 — — $54,783.41 $98,813.65 $64,685.13 2025-08-07
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $63,689.91 $63,689.91 $63,689.91 2025-08-07
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 10 5 — — $46,176.70 $126,703.71 $63,205.64 2025-08-07
453 MS_DRG Inpatient Ms-DRG 8 4 — — $60,066.18 $63,069.49 $61,567.83 2025-08-07
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 1 — — $60,121.04 $60,121.04 $60,121.04 2025-08-07
90288 CPT Botulism Ig IV 4 2 — — $53,575.50 $66,181.50 $59,878.50 2025-08-07
215 MS_DRG Other Heart Assist System Implant 10 5 — — $49,275.58 $95,003.57 $59,406.69 2025-08-07
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 5 — — $53,504.22 $75,985.46 $59,070.55 2025-08-07
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 5 — — $46,308.69 $95,493.17 $57,071.76 2025-08-07
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 1 — — $55,473.45 $55,473.45 $55,473.45 2025-08-07
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $46,481.40 $86,541.41 $55,423.03 2025-08-07
J9226 HCPCS Supprelin La Implant 4 2 — — $50,230.58 $53,742.61 $51,986.60 2025-08-07
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 5 — — $47,011.60 $63,369.79 $51,223.47 2025-08-07
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $43,316.75 $69,382.16 $49,396.17 2025-08-07
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $49,355.26 $49,355.26 $49,355.26 2025-08-07
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $49,053.97 $49,053.97 $49,053.97 2025-08-07
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $45,920.78 $56,710.00 $48,997.04 2025-08-07
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 5 — — $41,777.15 $72,283.88 $48,714.04 2025-08-07
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 5 — — $45,559.25 $55,027.79 $48,364.14 2025-08-07
J3350 HCPCS Urea Injection 4 2 — — $83.11 $94,499.99 $47,291.55 2025-08-07
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $42,897.96 $57,907.99 $46,757.93 2025-08-07
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 5 — — $41,925.70 $59,788.37 $46,336.75 2025-08-07
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $46,180.95 $46,180.95 $46,180.95 2025-08-07
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 5 — — $38,932.86 $70,089.66 $45,942.88 2025-08-07
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 5 — — $42,411.61 $54,776.71 $45,732.86 2025-08-07
459 MS_DRG Inpatient Ms-DRG 8 4 — — $44,315.41 $46,531.18 $45,423.29 2025-08-07
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $41,548.07 $55,220.58 $45,113.53 2025-08-07
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 5 — — $35,765.08 $71,084.10 $43,544.18 2025-08-07
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 5 — — $38,897.07 $53,719.50 $42,639.50 2025-08-07
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $36,785.66 $53,347.37 $40,833.71 2025-08-07
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $37,973.13 $48,379.66 $40,813.90 2025-08-07
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 1 — — $40,577.06 $40,577.06 $40,577.06 2025-08-07
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 5 — — $36,946.28 $47,706.23 $39,837.19 2025-08-07
653 MS_DRG Major Bladder Procedures With Mcc 10 5 — — $36,171.79 $49,987.44 $39,658.36 2025-08-07
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $29,653.67 $75,943.32 $39,504.67 2025-08-07
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 5 — — $35,891.70 $48,385.04 $39,108.20 2025-08-07
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 — — $33,146.29 $57,991.38 $38,778.23 2025-08-07
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $31,685.89 $61,229.37 $38,228.30 2025-08-07
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 5 — — $32,739.13 $52,763.62 $37,398.81 2025-08-07
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 5 — — $32,707.36 $49,563.30 $36,732.70 2025-08-07
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $36,616.74 $36,616.74 $36,616.74 2025-08-07
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 5 — — $29,197.30 $62,378.94 $36,417.58 2025-08-07
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $32,757.47 $47,495.51 $36,360.23 2025-08-07
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 5 — — $30,422.35 $55,545.18 $36,055.36 2025-08-07
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $26,928.84 $66,931.48 $35,467.94 2025-08-07
471 MS_DRG Cervical Spinal Fusion With Mcc 10 5 — — $32,580.29 $43,555.41 $35,426.92 2025-08-07
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $30,448.30 $52,208.56 $35,409.32 2025-08-07
454 MS_DRG Inpatient Ms-DRG 8 4 — — $34,436.22 $36,158.03 $35,297.12 2025-08-07
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $35,080.70 $35,080.70 $35,080.70 2025-08-07
834 MS_DRG Acute Leukemia With Mcc 10 5 — — $29,671.12 $49,563.30 $34,242.98 2025-08-07
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 5 — — $29,832.20 $48,679.15 $34,198.23 2025-08-07
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $30,921.23 $42,821.91 $33,919.79 2025-08-07
245 MS_DRG Aicd Generator Procedures 10 5 — — $30,278.28 $43,819.94 $33,592.18 2025-08-07
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 5 — — $27,637.57 $54,123.92 $33,487.59 2025-08-07
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 5 — — $27,637.57 $54,123.92 $33,487.59 2025-08-07
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 5 — — $32,263.96 $35,063.66 $33,469.18 2025-08-07
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $29,802.67 $44,864.59 $33,411.11 2025-08-07
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 5 — — $24,808.48 $59,889.70 $32,320.89 2025-08-07
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $26,614.30 $51,465.20 $32,116.77 2025-08-07
10 MS_DRG Pancreas Transplant 10 5 — — $21,537.35 $71,493.89 $31,959.41 2025-08-07
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 5 — — $29,145.39 $39,390.24 $31,777.27 2025-08-07
901 MS_DRG Wound Debridements For Injuries With Mcc 10 5 — — $28,917.65 $39,728.29 $31,658.13 2025-08-07
J9266 HCPCS Pegaspargase Injection 4 2 — — $30,075.36 $32,178.18 $31,126.77 2025-08-07
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 5 — — $28,948.97 $36,873.20 $31,112.80 2025-08-07
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $27,693.94 $41,961.08 $31,101.25 2025-08-07
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $25,093.94 $51,157.63 $30,808.56 2025-08-07
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 5 — — $26,780.74 $40,103.11 $29,980.83 2025-08-07
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 5 — — $25,241.59 $46,027.61 $29,903.63 2025-08-07
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $26,732.87 $38,194.04 $29,559.76 2025-08-07
L7181 HCPCS Electronic Elbo Simultaneous 4 2 — — $25,465.34 $33,473.40 $29,469.37 2025-08-07
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 5 — — $24,743.16 $44,685.25 $29,226.44 2025-08-07
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 5 — — $23,542.27 $48,790.34 $29,062.73 2025-08-07
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 5 — — $24,474.26 $44,846.66 $29,038.22 2025-08-07
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $28,766.55 $28,766.55 $28,766.55 2025-08-07
455 MS_DRG Inpatient Ms-DRG 8 4 — — $27,842.04 $29,234.14 $28,538.09 2025-08-07
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 10 5 — — $17,401.36 $32,003.60 $28,473.56 2025-08-07
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 5 — — $26,068.44 $34,869.97 $28,350.11 2025-08-07
140 MS_DRG Major Head And Neck Procedures With Mcc 10 5 — — $25,243.83 $37,923.24 $28,284.59 2025-08-07
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 5 — — $24,629.07 $40,214.30 $28,238.70 2025-08-07
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $27,672.16 $27,672.16 $27,672.16 2025-08-07
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 5 — — $25,100.65 $35,308.46 $27,644.22 2025-08-07
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 — — $24,932.42 $35,236.72 $27,491.93 2025-08-07
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $23,263.52 $41,181.84 $27,312.46 2025-08-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 5 — — $22,001.33 $45,683.28 $27,177.75 2025-08-07
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $22,668.44 $42,628.22 $27,113.76 2025-08-07
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 — — $24,163.30 $35,696.73 $26,953.25 2025-08-07
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 5 — — $22,568.67 $42,187.04 $26,943.72 2025-08-07
28 MS_DRG Spinal Procedures With Mcc 10 5 — — $19,527.50 $54,514.88 $26,915.53 2025-08-07
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $23,280.52 $38,719.51 $26,833.93 2025-08-07
6 MS_DRG Liver Transplant Without Mcc 10 5 — — $21,641.60 $43,482.78 $26,442.67 2025-08-07
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 5 — — $24,399.98 $32,137.73 $26,435.53 2025-08-07
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 5 — — $24,300.66 $32,143.11 $26,355.16 2025-08-07
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 5 — — $20,829.07 $45,543.39 $26,188.51 2025-08-07
L7180 HCPCS Electronic Elbow Sequential 4 2 — — $22,604.38 $29,712.75 $26,158.56 2025-08-07
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $21,874.26 $40,455.52 $26,028.00 2025-08-07
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $24,035.33 $31,396.16 $25,988.20 2025-08-07
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 5 — — $23,928.84 $31,569.22 $25,935.49 2025-08-07
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 5 — — $21,576.27 $41,175.57 $25,927.65 2025-08-07
265 MS_DRG Aicd Lead Procedures 10 5 — — $23,614.30 $31,987.08 $25,761.14 2025-08-07
545 MS_DRG Connective Tissue Disorders With Mcc 10 5 — — $22,658.71 $26,988.98 $25,608.85 2025-08-07
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 5 — — $23,554.79 $31,418.57 $25,598.64 2025-08-07
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $24,978.93 $26,168.41 $25,573.67 2025-08-07
332 MS_DRG Rectal Resection With Mcc 10 5 — — $23,596.85 $31,103.83 $25,570.18 2025-08-07
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 5 — — $22,756.58 $31,069.76 $24,874.35 2025-08-07
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 5 — — $21,757.03 $34,622.48 $24,765.26 2025-08-07
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 5 — — $20,123.03 $41,313.66 $24,763.62 2025-08-07
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $21,598.64 $34,089.84 $24,528.85 2025-08-07
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 — — $22,276.05 $30,885.93 $24,443.55 2025-08-07
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 — — $22,304.24 $30,416.06 $24,372.69 2025-08-07
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 5 — — $20,427.73 $36,797.88 $24,110.32 2025-08-07
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $22,296.63 $27,854.19 $23,854.07 2025-08-07
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 5 — — $22,009.83 $28,867.46 $23,821.55 2025-08-07
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 5 — — $18,792.38 $41,713.59 $23,752.47 2025-08-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $16,915.43 $48,430.77 $23,556.81 2025-08-07
799 MS_DRG Splenic Procedures With Mcc 10 5 — — $18,286.34 $42,636.29 $23,522.06 2025-08-07
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $20,195.51 $34,275.46 $23,415.41 2025-08-07
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 5 — — $21,483.21 $28,461.26 $23,308.48 2025-08-07
N90 OTHER Inpatient Ms-DRG 8 4 — — $22,579.40 $23,708.37 $23,143.88 2025-08-07
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 5 — — $17,113.19 $45,165.88 $23,065.99 2025-08-07
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 5 — — $20,964.64 $29,214.49 $23,033.90 2025-08-07
665 MS_DRG Prostatectomy With Mcc 10 5 — — $19,947.19 $30,789.09 $22,514.51 2025-08-07
654 MS_DRG Major Bladder Procedures With Cc 10 5 — — $21,252.78 $25,305.77 $22,488.43 2025-08-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 5 — — $19,160.17 $33,824.42 $22,476.22 2025-08-07
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 5 — — $19,902.00 $30,713.77 $22,462.39 2025-08-07
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 5 — — $20,546.30 $27,516.14 $22,351.20 2025-08-07
163 MS_DRG Major Chest Procedures With Mcc 10 5 — — $17,092.61 $41,330.70 $22,282.08 2025-08-07
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $19,835.33 $28,650.46 $21,995.06 2025-08-07
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $17,807.59 $36,852.58 $21,972.74 2025-08-07
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 5 — — $18,750.32 $32,717.89 $21,918.84 2025-08-07
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 5 — — $17,621.02 $37,309.00 $21,911.04 2025-08-07
460 MS_DRG Inpatient Ms-DRG 8 4 — — $21,153.45 $22,211.12 $21,682.28 2025-08-07
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 — — $18,711.84 $31,649.03 $21,673.51 2025-08-07
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 5 — — $20,007.15 $26,136.11 $21,633.09 2025-08-07
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 5 — — $20,314.53 $24,537.30 $21,565.38 2025-08-07
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $21,497.28 $21,497.28 $21,497.28 2025-08-07
662 MS_DRG Minor Bladder Procedures With Mcc 10 5 — — $19,350.32 $27,973.45 $21,461.95 2025-08-07
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 5 — — $19,040.70 $27,986.01 $21,210.58 2025-08-07
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 5 — — $18,063.52 $31,843.61 $21,180.81 2025-08-07
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 5 — — $19,334.66 $25,527.26 $20,959.87 2025-08-07
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 — — $18,488.58 $28,595.76 $20,879.79 2025-08-07
668 MS_DRG Transurethral Procedures With Mcc 10 5 — — $18,829.07 $26,150.46 $20,669.93 2025-08-07
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 5 — — $16,302.00 $36,472.38 $20,662.12 2025-08-07
L8701 HCPCS Ewh S/d Uprt Micro Sensor 2 1 — — $20,624.27 $20,624.27 $20,624.27 2025-08-07
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 5 — — $18,863.07 $25,709.29 $20,609.57 2025-08-07
N89 OTHER Inpatient Ms-DRG 8 4 — — $20,099.32 $21,104.29 $20,601.81 2025-08-07
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 5 — — $18,801.78 $25,679.69 $20,553.40 2025-08-07
472 MS_DRG Cervical Spinal Fusion With Cc 10 5 — — $18,543.16 $25,979.19 $20,401.23 2025-08-07
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 5 — — $17,308.71 $30,543.40 $20,301.82 2025-08-07
263 MS_DRG Vein Ligation And Stripping 10 5 — — $18,877.39 $24,050.39 $20,289.54 2025-08-07
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 5 — — $18,655.02 $24,360.65 $20,169.25 2025-08-07
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 5 — — $18,178.51 $25,628.58 $20,032.10 2025-08-07
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 10 5 — — $18,572.25 $23,792.14 $19,987.67 2025-08-07
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 5 — — $18,311.40 $24,161.58 $19,847.66 2025-08-07
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 5 — — $13,234.44 $44,899.56 $19,832.15 2025-08-07
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 5 — — $17,444.28 $27,426.47 $19,789.60 2025-08-07
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 10 5 — — $19,100.66 $20,435.79 $19,749.70 2025-08-07
974 MS_DRG HIV With Major Related Condition With Mcc 10 5 — — $17,425.94 $26,777.26 $19,644.72 2025-08-07
503 MS_DRG Foot Procedures With Mcc 10 5 — — $17,920.35 $23,732.06 $19,441.10 2025-08-07
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 5 — — $17,490.37 $25,156.92 $19,373.49 2025-08-07
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 5 — — $16,850.55 $27,729.55 $19,363.36 2025-08-07
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 5 — — $17,700.21 $23,877.33 $19,289.64 2025-08-07
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 5 — — $15,559.27 $32,144.90 $19,187.58 2025-08-07
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 5 — — $15,834.44 $30,837.51 $19,151.74 2025-08-07
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 5 — — $17,389.25 $24,448.53 $19,148.89 2025-08-07
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $17,075.16 $25,664.45 $19,134.52 2025-08-07
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 5 — — $14,171.36 $37,568.14 $19,134.14 2025-08-07
849 MS_DRG Radiotherapy 10 5 — — $17,378.96 $23,951.75 $19,041.10 2025-08-07
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 5 — — $14,022.81 $37,577.11 $19,014.13 2025-08-07
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 5 — — $17,361.06 $23,762.55 $18,988.58 2025-08-07
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 5 — — $16,979.41 $25,182.92 $18,959.70 2025-08-07
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 5 — — $15,473.82 $31,137.91 $18,916.11 2025-08-07
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 10 5 — — $17,720.79 $21,620.33 $18,855.11 2025-08-07
L6700 HCPCS Ue Add Ext Power Myoel 2 1 — — $18,776.62 $18,776.62 $18,776.62 2025-08-07
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 5 — — $16,904.24 $24,493.36 $18,760.15 2025-08-07
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 5 — — $16,920.79 $23,707.85 $18,616.62 2025-08-07
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 5 — — $15,324.37 $30,099.53 $18,585.89 2025-08-07
252 MS_DRG Other Vascular Procedures With Mcc 10 5 — — $15,047.86 $30,760.40 $18,491.32 2025-08-07
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $15,537.80 $28,733.85 $18,487.77 2025-08-07
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 5 — — $15,191.49 $29,310.43 $18,319.11 2025-08-07
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $13,858.60 $34,525.64 $18,269.18 2025-08-07
347 MS_DRG Anal And Stomal Procedures With Mcc 10 5 — — $17,032.65 $21,223.10 $18,211.39 2025-08-07
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 10 5 — — $16,757.04 $21,228.48 $17,986.47 2025-08-07
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $14,180.75 $31,408.71 $17,909.96 2025-08-07
A9604 HCPCS Sm 153 Lexidronam 4 2 — — $17,438.97 $18,269.39 $17,854.18 2025-08-07
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 5 — — $14,813.86 $28,518.65 $17,851.09 2025-08-07
113 MS_DRG Orbital Procedures With Cc/mcc 10 5 — — $16,753.46 $20,234.93 $17,784.82 2025-08-07
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 5 — — $16,113.19 $22,437.23 $17,700.26 2025-08-07
L5856 HCPCS Elec Knee-shin Swing/stance 4 2 — — $15,256.96 $20,054.80 $17,655.88 2025-08-07
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $12,745.41 $35,721.84 $17,595.60 2025-08-07
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 10 5 — — $13,293.58 $19,110.46 $17,583.08 2025-08-07
L6880 HCPCS Elec Hand Ind Art Digits 4 2 — — $15,184.93 $19,960.11 $17,572.52 2025-08-07
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $16,246.07 $21,161.22 $17,554.02 2025-08-07
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 5 — — $14,951.67 $26,300.21 $17,520.41 2025-08-07
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 — — $11,952.12 $38,250.53 $17,450.85 2025-08-07
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $17,404.10 $17,404.10 $17,404.10 2025-08-07
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $14,751.67 $26,440.10 $17,384.39 2025-08-07
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 5 — — $12,951.22 $33,554.51 $17,330.90 2025-08-07
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 5 — — $15,109.61 $24,241.39 $17,238.16 2025-08-07
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 5 — — $12,355.25 $35,381.09 $17,207.52 2025-08-07
548 MS_DRG Septic Arthritis With Mcc 10 5 — — $16,507.37 $18,064.92 $17,149.03 2025-08-07
397 MS_DRG Appendix Procedures With Mcc 10 5 — — $15,413.86 $22,218.43 $17,083.05 2025-08-07
141 MS_DRG Major Head And Neck Procedures With Cc 10 5 — — $16,133.77 $19,265.60 $17,082.81 2025-08-07
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 10 5 — — $15,497.08 $21,688.48 $17,045.30 2025-08-07
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 5 — — $15,721.24 $20,737.08 $17,038.83 2025-08-07
C1816 HCPCS Receiver/transmitter, Neuro 2 1 — — $16,841.22 $16,841.22 $16,841.22 2025-08-07
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 5 — — $12,547.64 $32,491.03 $16,787.27 2025-08-07
551 MS_DRG Medical Back Problems With Mcc 10 5 — — $15,301.29 $17,285.29 $16,559.25 2025-08-07
652 MS_DRG Kidney Transplant 10 5 — — $13,442.50 $27,541.24 $16,531.10 2025-08-07
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 5 — — $14,946.75 $21,195.30 $16,495.40 2025-08-07
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 5 — — $14,548.98 $22,454.26 $16,421.02 2025-08-07
164 MS_DRG Major Chest Procedures With Cc 10 5 — — $14,451.44 $22,569.94 $16,364.17 2025-08-07
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 10 5 — — $14,157.04 $23,523.13 $16,313.40 2025-08-07
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 10 5 — — $14,914.08 $20,017.93 $16,233.13 2025-08-07
264 MS_DRG Other Circulatory System O.r. Procedures 10 5 — — $11,926.17 $31,340.56 $16,047.57 2025-08-07
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 10 5 — — $14,373.59 $20,756.81 $15,937.71 2025-08-07
709 MS_DRG Penis Procedures With Cc/mcc 10 5 — — $14,504.69 $20,149.75 $15,923.79 2025-08-07
37 MS_DRG Extracranial Procedures With Mcc 10 5 — — $12,081.42 $29,778.51 $15,862.47 2025-08-07
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 5 — — $6,276.95 $53,307.02 $15,808.50 2025-08-07
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 10 5 — — $14,243.39 $20,474.35 $15,774.45 2025-08-07
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 10 5 — — $14,254.58 $20,250.18 $15,738.79 2025-08-07
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 10 5 — — $15,101.56 $16,645.44 $15,712.37 2025-08-07
595 MS_DRG Major Skin Disorders With Mcc 10 5 — — $14,532.88 $18,966.10 $15,710.18 2025-08-07
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $12,218.34 $28,413.73 $15,701.79 2025-08-07
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 10 5 — — $14,523.03 $18,855.81 $15,680.05 2025-08-07
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 10 5 — — $14,757.93 $17,824.60 $15,666.42 2025-08-07
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $10,634.44 $34,657.46 $15,651.73 2025-08-07
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 5 — — $11,350.78 $31,657.10 $15,639.06 2025-08-07
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 5 — — $11,673.82 $29,608.14 $15,494.16 2025-08-07
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 5 — — $11,746.30 $29,227.04 $15,477.38 2025-08-07
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 10 5 — — $13,727.06 $20,571.19 $15,370.43 2025-08-07
655 MS_DRG Major Bladder Procedures Without Cc/mcc 10 5 — — $14,083.66 $18,627.15 $15,274.03 2025-08-07
253 MS_DRG Other Vascular Procedures With Cc 10 5 — — $13,005.81 $22,892.75 $15,243.31 2025-08-07
333 MS_DRG Rectal Resection With Cc 10 5 — — $13,894.40 $19,057.57 $15,204.92 2025-08-07
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 10 5 — — $14,243.39 $17,379.84 $15,155.55 2025-08-07
800 MS_DRG Splenic Procedures With Cc 10 5 — — $12,087.24 $26,128.04 $15,137.14 2025-08-07
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 10 5 — — $14,437.13 $16,392.57 $15,116.96 2025-08-07
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 10 5 — — $14,075.61 $17,623.74 $15,066.75 2025-08-07
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 5 — — $11,898.87 $26,371.95 $15,031.46 2025-08-07
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 10 5 — — $14,209.39 $16,724.35 $14,996.57 2025-08-07
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 10 5 — — $14,316.32 $16,223.10 $14,984.00 2025-08-07
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 5 — — $12,673.37 $22,849.71 $14,962.11 2025-08-07
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 5 — — $12,791.94 $21,772.77 $14,843.95 2025-08-07
412 MS_DRG Cholecystectomy With C.d.e. With Cc 10 5 — — $13,341.38 $19,114.06 $14,762.74 2025-08-07
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 5 — — $12,348.09 $23,173.42 $14,760.12 2025-08-07
835 MS_DRG Acute Leukemia With Cc 10 5 — — $13,189.25 $19,152.62 $14,645.71 2025-08-07
L8614 HCPCS Cochlear Device 4 2 — — $12,624.25 $16,594.18 $14,609.22 2025-08-07
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 10 5 — — $12,408.94 $22,128.76 $14,601.08 2025-08-07
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 5 — — $11,018.78 $27,652.43 $14,565.89 2025-08-07
35 MS_DRG Carotid Artery Stent Procedures With Cc 10 5 — — $12,778.96 $20,398.13 $14,558.37 2025-08-07
Q0483 HCPCS Monitor Elec Vad, Rep 4 2 — — $13,405.81 $15,663.56 $14,534.68 2025-08-07
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $13,077.84 $18,799.32 $14,483.69 2025-08-07
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 5 — — $12,459.50 $21,310.08 $14,478.81 2025-08-07
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 10 5 — — $13,427.19 $15,052.34 $14,440.60 2025-08-07
E0194 HCPCS Air Fluidized Bed 12 2 — — $2,795.01 $28,675.60 $14,431.66 2025-08-07
314 MS_DRG Other Circulatory System Diagnoses With Mcc 10 5 — — $12,889.48 $19,310.43 $14,431.46 2025-08-07
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 10 5 — — $12,664.87 $20,200.86 $14,425.36 2025-08-07
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 10 5 — — $13,211.62 $17,904.41 $14,414.41 2025-08-07
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 10 5 — — $13,087.24 $18,359.04 $14,403.34 2025-08-07
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 10 5 — — $13,104.69 $17,682.03 $14,282.25 2025-08-07
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 10 5 — — $12,992.83 $18,046.09 $14,263.34 2025-08-07
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 10 5 — — $13,238.92 $16,907.28 $14,237.37 2025-08-07
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 10 5 — — $12,097.08 $21,495.69 $14,218.74 2025-08-07
620 MS_DRG O.r. Procedures For Obesity With Cc 10 5 — — $13,819.68 $14,510.66 $14,196.20 2025-08-07
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 10 5 — — $12,626.39 $18,038.91 $13,961.42 2025-08-07
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 5 — — $10,914.09 $24,065.63 $13,762.68 2025-08-07
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 10 5 — — $12,078.29 $19,151.72 $13,734.54 2025-08-07
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 10 5 — — $12,574.04 $17,015.78 $13,713.87 2025-08-07
945 MS_DRG Rehabilitation With Cc/mcc 2 1 — — $13,688.13 $13,688.13 $13,688.13 2025-08-07
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