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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

OAKLEAF SURGICAL HOSPITAL

Altoona, WI · CCN 520196 · Rates published

4,082 distinct procedures filed
19 distinct payers
182,810 rate rows
2026-07-15 last MRF observed
Data quality

157,948 of 182,810 rate rows are consumer-grade (86.4%)

24,862 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 12,996
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,568
template filing: same amount across many unrelated codes — excluded 175
exceeds 10× this hospital's gross charge — excluded from medians 123
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/9b6eb97fb433de65f56684ef2ab01f4c/charges/mrf
Found on page https://www.oakleafsurgical.com/pricing.htm
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint d9b44a4211a06625… · 68,450,793 bytes · first seen 2026-05-16

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $305,805.22 $305,805.22 $305,805.22 nat. median
$168,055
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $198,455.29 $198,455.29 $198,455.29 nat. median
$186,516
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $151,196.64 $151,196.64 $151,196.64 nat. median
$131,925
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $150,309.31 $150,309.31 $150,309.31 nat. median
$145,435
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $98,090.69 $98,090.69 $98,090.69 nat. median
$97,418
1.0× median
7
MS_DRG 		Lung Transplant 12 $91,708.71 $91,708.71 $91,708.71 nat. median
$70,649
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $85,106.48 $85,106.48 $85,106.48 nat. median
$72,715
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $80,247.78 $80,247.78 $80,247.78 nat. median
$65,418
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $80,155.71 $80,155.71 $80,155.71 nat. median
$2,110
outlier · 38.0×
426
MS_DRG 		Non-hypovolemic Sodium Disorders 12 $78,048.21 $78,048.21 $78,048.21 nat. median
$2,736
outlier · 28.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $77,006.50 $77,006.50 $77,006.50 nat. median
$74,509
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $73,015.29 $73,015.29 $73,015.29 nat. median
$69,922
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $70,511.93 $70,511.93 $70,511.93 nat. median
$73,023
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $69,278.30 $69,278.30 $69,278.30 nat. median
$69,822
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $63,802.78 $63,802.78 $63,802.78 nat. median
$2,596
outlier · 24.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $61,323.50 $61,323.50 $61,323.50 nat. median
$2,633
outlier · 23.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $59,697.55 $59,697.55 $59,697.55 nat. median
$60,505
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $59,509.89 $59,509.89 $59,509.89 nat. median
$59,651
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $55,724.04 $55,724.04 $55,724.04 nat. median
$56,428
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $54,374.99 $54,374.99 $54,374.99 nat. median
$55,923
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $54,140.58 $54,140.58 $54,140.58 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $53,961.42 $53,961.42 $53,961.42 nat. median
$52,327
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $51,119.56 $51,119.56 $51,119.56 nat. median
$9,905
outlier · 5.2×
10
MS_DRG 		Pancreas Transplant 12 $50,815.75 $50,815.75 $50,815.75 nat. median
$23,080
outlier · 2.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 $50,794.51 $50,794.51 $50,794.51 nat. median
$37,013
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $50,524.69 $50,524.69 $50,524.69 nat. median
$45,605
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $50,494.96 $50,494.96 $50,494.96 nat. median
$51,518
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $48,946.91 $48,946.91 $48,946.91 nat. median
$48,611
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $48,706.84 $48,706.84 $48,706.84 nat. median
$49,569
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $47,667.26 $47,667.26 $47,667.26 nat. median
$47,340
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $47,351.41 $47,351.41 $47,351.41 nat. median
$2,633
outlier · 18.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $47,316.71 $47,316.71 $47,316.71 nat. median
$2,958
outlier · 16.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $46,563.93 $46,563.93 $46,563.93 nat. median
$47,458
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $46,563.93 $46,563.93 $46,563.93 nat. median
$45,446
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $46,394.68 $46,394.68 $46,394.68 nat. median
$43,299
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $45,568.26 $45,568.26 $45,568.26 nat. median
$47,121
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $43,399.15 $43,399.15 $43,399.15 nat. median
$44,036
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $43,348.87 $43,348.87 $43,348.87 nat. median
$41,943
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $42,933.17 $42,933.17 $42,933.17 nat. median
$43,803
1.0× median
28
MS_DRG 		Spinal Procedures With Comorbity 12 $42,548.64 $42,548.64 $42,548.64 nat. median
$41,895
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 $42,536.61 $42,536.61 $42,536.61 nat. median
$43,533
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $42,228.55 $42,228.55 $42,228.55 nat. median
$42,674
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 $42,089.75 $42,089.75 $42,089.75 nat. median
$40,584
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 12 $41,992.02 $41,992.02 $41,992.02 nat. median
$38,932
1.1× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 12 $41,559.33 $41,559.33 $41,559.33 nat. median
$43,023
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 $41,532.42 $41,532.42 $41,532.42 nat. median
$40,726
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 $40,840.55 $40,840.55 $40,840.55 nat. median
$2,596
outlier · 15.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 $40,579.94 $40,579.94 $40,579.94 nat. median
$40,301
1.0× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 12 $40,414.24 $40,414.24 $40,414.24 nat. median
$2,222
outlier · 18.2×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $40,361.83 $40,361.83 $40,361.83 nat. median
$38,795
1.0× median

Other procedures at this hospital

Browse this hospital's 4,082 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
             
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 34 19 $77,641.32 $69,877.19 $13,480.04 $22,031.92 $17,755.98 2026-07-15
33249 CPT Insertion Of Implantable Defibrillator System 68 19 $76,907.73 $69,216.96 $16,850.05 $31,090.19 $23,970.12 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 34 19 $70,170.61 $63,153.55 $16,850.05 $47,904.00 $32,377.03 2026-07-15
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 34 19 $68,126.81 $61,314.13 $19,373.00 $30,564.08 $24,968.54 2026-07-15
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 34 19 $64,611.36 $58,150.22 $13,480.04 $55,999.55 $17,755.98 2026-07-15
61886 CPT Implant Neurostim Arrays 34 19 $62,329.13 $56,096.22 $16,850.05 $30,564.08 $23,707.06 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 34 19 $62,329.13 $56,096.22 $13,480.04 $30,564.08 $22,022.06 2026-07-15
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 68 19 $56,813.93 $51,132.54 $16,850.05 $31,090.19 $23,970.12 2026-07-15
53451 CPT Insertion Of Adjustable Balloon Continence Device On Both Sides Of Urethra Using… 68 19 $37,398.69 $33,658.82 $13,067.91 $19,373.00 $16,220.45 2026-07-15
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 34 19 $36,319.62 $32,687.66 $9,999.00 $26,875.83 $18,437.42 2026-07-15
54410 CPT Removal And Replacement Of Multicomponent Inflatable Penile Implant During Same … 34 19 $34,708.00 $31,237.20 $13,480.04 $20,528.90 $17,004.47 2026-07-15
C9765 HCPCS Revasc Intra Lithotrip-stent 68 19 $32,951.36 $29,656.23 $18,157.20 $19,373.00 $18,765.10 2026-07-15
22630 CPT Arthrd Pst Tq 1ntrspc Lum 34 19 $31,970.35 $28,773.32 $19,373.00 $26,875.83 $23,124.42 2026-07-15
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 34 19 $31,970.35 $28,773.32 $19,373.00 $26,875.83 $23,124.42 2026-07-15
92933 CPT Prq Trlml C Athrc St Angiop1 34 19 $31,084.51 $27,976.06 $13,480.04 $19,373.00 $16,426.52 2026-07-15
33229 CPT Remv&replc Pm Gen Mult Leads 34 19 $29,538.18 $26,584.36 $13,480.04 $19,373.00 $16,426.52 2026-07-15
92930 CPT Prq Tcat Plmt Ntrac St 2+les 34 19 $29,068.33 $26,161.50 $18,157.20 $18,157.20 $18,157.20 2026-07-15
64628 CPT Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 34 19 $29,038.45 $26,134.61 $12,716.51 $19,373.00 $16,044.75 2026-07-15
54416 CPT Remv/repl Penis Contain Pros 34 19 $28,626.41 $25,763.77 $13,480.04 $20,528.90 $17,004.47 2026-07-15
54400 CPT Insert Semi-rigid Prosthesis 34 19 $28,626.41 $25,763.77 $13,067.91 $19,373.00 $16,220.45 2026-07-15
22600 CPT Arthrd Pst Tq 1ntrspc Crv 34 19 $28,180.25 $25,362.23 $17,366.97 $19,373.00 $18,369.99 2026-07-15
54405 CPT Insertion Of Multicomponent Inflatable Penile Implant 34 19 $27,792.63 $25,013.37 $13,480.04 $20,528.90 $17,004.47 2026-07-15
22856 CPT Insertion Of Artificial Upper Spine Disc; Anterior Approach 34 19 $27,109.41 $24,398.47 $13,480.04 $27,440.23 $16,426.52 2026-07-15
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 68 19 $26,171.29 $23,554.17 $13,480.04 $19,373.00 $16,426.52 2026-07-15
33274 CPT Tcat Insj/rpl Perm Ldls Pm 34 19 $26,130.51 $23,517.46 $13,480.04 $19,373.00 $16,426.52 2026-07-15
27703 CPT Reconstruction Ankle Joint 34 19 $23,928.14 $21,535.33 $16,543.00 $17,366.97 $16,954.99 2026-07-15
54401 CPT Insert Self-contd Prosthesis 34 19 $19,645.58 $17,681.02 $13,480.04 $20,528.90 $17,004.47 2026-07-15
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 34 19 $19,264.39 $17,337.95 $13,480.04 $19,373.00 $16,426.52 2026-07-15
25442 CPT Arthrp W/prostc Dstl Ulna 34 19 $19,239.77 $17,315.79 $13,480.04 $19,373.00 $16,426.52 2026-07-15
53445 CPT Insertion Of Inflatable Urethra Or Bladder Neck Sphincter 34 19 $19,073.38 $17,166.04 $13,480.04 $20,528.90 $17,004.47 2026-07-15
53447 CPT Removal And Replacement Of Inflatable Urethra Or Bladder Neck Sphincter 34 19 $17,041.68 $15,337.51 $13,480.04 $20,528.90 $17,004.47 2026-07-15
24363 CPT Replace Elbow Joint 34 19 $16,637.08 $14,973.37 $13,480.04 $19,373.00 $16,426.52 2026-07-15
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 34 19 $14,425.49 $12,982.94 $16,850.05 $47,904.00 $32,377.03 2026-07-15
64590 CPT Insertion Of Peripheral Or Gastric Neurostimulator Generator 34 19 $13,673.45 $12,306.11 $13,480.04 $19,373.00 $16,426.52 2026-07-15
C1785 HCPCS Pacemaker; Dual Chamber; Rate-responsive (implantable) 1 1 $12,860.00 $11,574.00 $28,481.70 $28,481.70 $28,481.70 2026-07-15
27487 CPT Revise/replace Knee Joint 68 19 $11,024.24 $9,921.82 $16,543.00 $17,366.97 $16,954.99 2026-07-15
27132 CPT Total Hip Arthroplasty 34 19 $10,697.48 $9,627.73 $12,716.51 $24,978.00 $18,847.26 2026-07-15
27130 CPT Replacement Of Thigh Bone And Hip Joint With Prosthesis 136 19 $10,134.60 $9,121.14 $6,465.38 $26,174.83 $19,445.67 2026-07-15
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 170 19 $8,493.85 $7,644.47 $7,432.12 $17,366.97 $16,954.99 2026-07-15
27447 CPT Replacement Of Knee Joint; Both Sides Of Knee 170 19 $8,396.65 $7,556.99 $6,691.36 $26,174.83 $19,445.67 2026-07-15
23474 CPT Revis Reconst Shoulder Joint 34 19 $7,584.53 $6,826.08 $12,716.51 $19,373.00 $16,044.75 2026-07-15
62362 CPT Implant Spine Infusion Pump 34 19 $6,243.87 $5,619.48 $13,480.04 $19,373.00 $16,426.52 2026-07-15
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 102 19 $6,026.82 $5,424.14 $9,999.00 $26,875.83 $18,437.42 2026-07-15
63655 CPT Implant Neuroelectrodes 34 19 $3,830.76 $3,447.68 $13,480.04 $19,373.00 $16,426.52 2026-07-15
C1773 HCPCS Ret Dev, Insertable 1 1 $3,150.00 $2,835.00 $27,825.00 $27,825.00 $27,825.00 2026-07-15
22610 CPT Arthrd Pst Tq 1ntrspc Thrc 23 17 $884.11 $795.70 $18,369.99 $18,369.99 $18,369.99 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 12 — — $305,805.22 $305,805.22 $305,805.22 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 12 — — $198,455.29 $198,455.29 $198,455.29 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 12 — — $151,196.64 $151,196.64 $151,196.64 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 12 — — $150,309.31 $150,309.31 $150,309.31 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 12 — — $98,090.69 $98,090.69 $98,090.69 2026-07-15
7 MS_DRG Lung Transplant 19 12 — — $91,708.71 $91,708.71 $91,708.71 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 19 12 — — $85,106.48 $85,106.48 $85,106.48 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 12 — — $80,247.78 $80,247.78 $80,247.78 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 18 12 — — $80,155.71 $80,155.71 $80,155.71 2026-07-15
426 MS_DRG Non-hypovolemic Sodium Disorders 19 12 — — $78,048.21 $78,048.21 $78,048.21 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 12 — — $77,006.50 $77,006.50 $77,006.50 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 12 — — $73,015.29 $73,015.29 $73,015.29 2026-07-15
215 MS_DRG Other Heart Assist System Implant 19 12 — — $70,511.93 $70,511.93 $70,511.93 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $69,278.30 $69,278.30 $69,278.30 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $63,802.78 $63,802.78 $63,802.78 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 18 12 — — $61,323.50 $61,323.50 $61,323.50 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 12 — — $59,697.55 $59,697.55 $59,697.55 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $59,509.89 $59,509.89 $59,509.89 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 12 — — $55,724.04 $55,724.04 $55,724.04 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $54,374.99 $54,374.99 $54,374.99 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 12 — — $54,140.58 $54,140.58 $54,140.58 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 12 — — $53,961.42 $53,961.42 $53,961.42 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $51,119.56 $51,119.56 $51,119.56 2026-07-15
10 MS_DRG Pancreas Transplant 19 12 — — $50,815.75 $50,815.75 $50,815.75 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 12 — — $50,794.51 $50,794.51 $50,794.51 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 12 — — $50,524.69 $50,524.69 $50,524.69 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 12 — — $50,494.96 $50,494.96 $50,494.96 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 12 — — $48,946.91 $48,946.91 $48,946.91 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 12 — — $48,706.84 $48,706.84 $48,706.84 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 12 — — $47,667.26 $47,667.26 $47,667.26 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 12 — — $47,351.41 $47,351.41 $47,351.41 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 12 — — $47,316.71 $47,316.71 $47,316.71 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $46,563.93 $46,563.93 $46,563.93 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $46,563.93 $46,563.93 $46,563.93 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $46,394.68 $46,394.68 $46,394.68 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 12 — — $45,568.26 $45,568.26 $45,568.26 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 12 — — $43,399.15 $43,399.15 $43,399.15 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 12 — — $43,348.87 $43,348.87 $43,348.87 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 12 — — $42,933.17 $42,933.17 $42,933.17 2026-07-15
28 MS_DRG Spinal Procedures With Comorbity 19 12 — — $42,548.64 $42,548.64 $42,548.64 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 12 — — $42,536.61 $42,536.61 $42,536.61 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $42,228.55 $42,228.55 $42,228.55 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 12 — — $42,089.75 $42,089.75 $42,089.75 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 12 — — $41,992.02 $41,992.02 $41,992.02 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 12 — — $41,559.33 $41,559.33 $41,559.33 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 12 — — $41,532.42 $41,532.42 $41,532.42 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 12 — — $40,840.55 $40,840.55 $40,840.55 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $40,579.94 $40,579.94 $40,579.94 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 12 — — $40,414.24 $40,414.24 $40,414.24 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 12 — — $40,361.83 $40,361.83 $40,361.83 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $39,813.00 $39,813.00 $39,813.00 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 12 — — $39,689.78 $39,689.78 $39,689.78 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 12 — — $39,417.84 $39,417.84 $39,417.84 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 12 — — $39,111.92 $39,111.92 $39,111.92 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 19 12 — — $38,877.51 $38,877.51 $38,877.51 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 12 — — $38,740.14 $38,740.14 $38,740.14 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 12 — — $38,684.90 $38,684.90 $38,684.90 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 12 — — $38,623.99 $38,623.99 $38,623.99 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 12 — — $38,469.62 $38,469.62 $38,469.62 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $37,765.00 $37,765.00 $37,765.00 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 12 — — $37,742.33 $37,742.33 $37,742.33 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 12 — — $37,488.81 $37,488.81 $37,488.81 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 12 — — $37,364.88 $37,364.88 $37,364.88 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 19 12 — — $36,862.79 $36,862.79 $36,862.79 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 19 12 — — $36,799.06 $36,799.06 $36,799.06 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $35,692.90 $35,692.90 $35,692.90 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 12 — — $35,318.99 $35,318.99 $35,318.99 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 12 — — $35,035.73 $35,035.73 $35,035.73 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 12 — — $34,973.41 $34,973.41 $34,973.41 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 12 — — $34,853.72 $34,853.72 $34,853.72 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $34,708.56 $34,708.56 $34,708.56 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 19 12 — — $34,195.13 $34,195.13 $34,195.13 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 12 — — $34,022.34 $34,022.34 $34,022.34 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 12 — — $33,714.29 $33,714.29 $33,714.29 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 12 — — $33,293.64 $33,293.64 $33,293.64 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 12 — — $33,225.66 $33,225.66 $33,225.66 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 12 — — $33,126.52 $33,126.52 $33,126.52 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 19 12 — — $32,837.58 $32,837.58 $32,837.58 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 12 — — $32,706.57 $32,706.57 $32,706.57 2026-07-15
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 19 12 — — $32,550.77 $32,550.77 $32,550.77 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 12 — — $32,467.92 $32,467.92 $32,467.92 2026-07-15
245 MS_DRG Aicd Generator Procedures 19 12 — — $32,309.29 $32,309.29 $32,309.29 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 12 — — $32,212.27 $32,212.27 $32,212.27 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 12 — — $32,198.11 $32,198.11 $32,198.11 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 19 12 — — $32,072.06 $32,072.06 $32,072.06 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 19 12 — — $31,738.51 $31,738.51 $31,738.51 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 12 — — $31,729.30 $31,729.30 $31,729.30 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 12 — — $31,604.67 $31,604.67 $31,604.67 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 12 — — $31,108.24 $31,108.24 $31,108.24 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 12 — — $30,645.11 $30,645.11 $30,645.11 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 12 — — $30,400.79 $30,400.79 $30,400.79 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 19 12 — — $30,205.33 $30,205.33 $30,205.33 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 12 — — $30,031.84 $30,031.84 $30,031.84 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 12 — — $29,907.20 $29,907.20 $29,907.20 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 12 — — $29,856.21 $29,856.21 $29,856.21 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 12 — — $29,841.34 $29,841.34 $29,841.34 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 12 — — $29,754.23 $29,754.23 $29,754.23 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 19 12 — — $29,718.83 $29,718.83 $29,718.83 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 12 — — $29,663.59 $29,663.59 $29,663.59 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $29,548.87 $29,548.87 $29,548.87 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 19 12 — — $29,527.63 $29,527.63 $29,527.63 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 12 — — $29,410.07 $29,410.07 $29,410.07 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 12 — — $29,215.32 $29,215.32 $29,215.32 2026-07-15
791 MS_DRG Prematurity With Major Problems 19 12 — — $28,744.39 $28,744.39 $28,744.39 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 12 — — $28,471.75 $28,471.75 $28,471.75 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 12 — — $28,213.98 $28,213.98 $28,213.98 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $27,702.68 $27,702.68 $27,702.68 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 12 — — $27,577.34 $27,577.34 $27,577.34 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 12 — — $27,410.92 $27,410.92 $27,410.92 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 12 — — $27,369.84 $27,369.84 $27,369.84 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 12 — — $27,343.64 $27,343.64 $27,343.64 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 12 — — $27,188.55 $27,188.55 $27,188.55 2026-07-15
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 19 12 — — $26,648.22 $26,648.22 $26,648.22 2026-07-15
143 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 19 12 — — $19,457.46 $26,532.09 $26,532.09 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 12 — — $26,469.06 $26,469.06 $26,469.06 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 12 — — $26,466.23 $26,466.23 $26,466.23 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 12 — — $26,391.87 $26,391.87 $26,391.87 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 12 — — $26,243.16 $26,243.16 $26,243.16 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 12 — — $26,011.59 $26,011.59 $26,011.59 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 12 — — $26,000.96 $26,000.96 $26,000.96 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 12 — — $25,695.75 $25,695.75 $25,695.75 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 12 — — $25,675.92 $25,675.92 $25,675.92 2026-07-15
332 MS_DRG Rectal Resection With Mcc 19 12 — — $25,640.51 $25,640.51 $25,640.51 2026-07-15
265 MS_DRG Aicd Lead Procedures 19 12 — — $25,622.80 $25,622.80 $25,622.80 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 12 — — $25,577.49 $25,577.49 $25,577.49 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 12 — — $25,539.24 $25,539.24 $25,539.24 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 12 — — $25,372.12 $25,372.12 $25,372.12 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 12 — — $25,313.33 $25,313.33 $25,313.33 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 12 — — $25,287.84 $25,287.84 $25,287.84 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 12 — — $25,250.31 $25,250.31 $25,250.31 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 12 — — $25,229.06 $25,229.06 $25,229.06 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 12 — — $25,204.99 $25,204.99 $25,204.99 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 12 — — $25,184.45 $25,184.45 $25,184.45 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 19 12 — — $24,974.13 $74,822.25 $24,974.13 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 12 — — $24,923.14 $24,923.14 $24,923.14 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 19 12 — — $24,702.90 $24,702.90 $24,702.90 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 12 — — $24,696.52 $24,696.52 $24,696.52 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 12 — — $24,583.22 $24,583.22 $24,583.22 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 12 — — $24,464.25 $24,464.25 $24,464.25 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 12 — — $24,350.94 $24,350.94 $24,350.94 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 12 — — $24,278.71 $24,278.71 $24,278.71 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 12 — — $24,159.74 $24,159.74 $24,159.74 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 12 — — $24,127.87 $24,127.87 $24,127.87 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 19 12 — — $23,656.94 $23,656.94 $23,656.94 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 12 — — $23,392.79 $23,392.79 $23,392.79 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 19 12 — — $23,313.48 $23,313.48 $23,313.48 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 12 — — $23,310.65 $23,310.65 $23,310.65 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 12 — — $23,035.17 $23,035.17 $23,035.17 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 12 — — $22,933.90 $22,933.90 $22,933.90 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 12 — — $22,908.41 $22,908.41 $22,908.41 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 12 — — $22,876.54 $22,876.54 $22,876.54 2026-07-15
652 MS_DRG Kidney Transplant 19 12 — — $22,870.17 $22,870.17 $22,870.17 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 12 — — $22,853.17 $22,853.17 $22,853.17 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 19 12 — — $22,808.56 $22,808.56 $22,808.56 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 12 — — $22,734.91 $22,734.91 $22,734.91 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 12 — — $22,610.28 $22,610.28 $22,610.28 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 12 — — $22,568.49 $22,568.49 $22,568.49 2026-07-15
656 MS_DRG Kidney & Ureter Procedures For Neoplasm With Comorbity 19 12 — — $22,546.54 $24,115.85 $22,546.54 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 12 — — $22,501.21 $22,501.21 $22,501.21 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 19 12 — — $22,411.98 $22,411.98 $22,411.98 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 12 — — $22,377.99 $22,377.99 $22,377.99 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 12 — — $22,314.26 $22,314.26 $22,314.26 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 12 — — $22,303.64 $22,303.64 $22,303.64 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 12 — — $22,251.24 $22,251.24 $22,251.24 2026-07-15
665 MS_DRG Prostatectomy With Mcc 19 12 — — $22,103.23 $22,103.23 $22,103.23 2026-07-15
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 19 12 — — $22,057.20 $22,057.20 $22,057.20 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 12 — — $22,018.24 $22,018.24 $22,018.24 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 19 12 — — $21,680.45 $21,680.45 $21,680.45 2026-07-15
263 MS_DRG Vein Ligation And Stripping 19 12 — — $21,651.42 $21,651.42 $21,651.42 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 19 12 — — $21,480.05 $21,480.05 $21,480.05 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 12 — — $21,390.11 $21,390.11 $21,390.11 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 12 — — $21,387.27 $21,387.27 $21,387.27 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 12 — — $21,363.91 $21,363.91 $21,363.91 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 12 — — $21,077.81 $21,077.81 $21,077.81 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Complication 19 12 — — $20,863.23 $20,863.23 $20,863.23 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 19 12 — — $20,849.07 $20,849.07 $20,849.07 2026-07-15
570 MS_DRG Skin Debridement With Mcc 19 12 — — $20,827.82 $20,827.82 $20,827.82 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 19 12 — — $20,678.40 $20,678.40 $20,678.40 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 12 — — $20,623.87 $20,623.87 $20,623.87 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 12 — — $20,550.93 $20,550.93 $20,550.93 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 12 — — $20,538.19 $20,538.19 $20,538.19 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 12 — — $20,447.54 $20,447.54 $20,447.54 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 19 12 — — $20,437.63 $20,437.63 $20,437.63 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 19 12 — — $20,407.88 $20,407.88 $20,407.88 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 12 — — $20,325.74 $20,325.74 $20,325.74 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 12 — — $20,186.23 $20,186.23 $20,186.23 2026-07-15
800 MS_DRG Splenic Procedures With Cc 19 12 — — $19,895.17 $19,895.17 $19,895.17 2026-07-15
654 MS_DRG Major Bladder Procedures With Complication 19 12 — — $19,823.65 $27,528.32 $19,823.65 2026-07-15
503 MS_DRG Foot Procedures With Mcc 19 12 — — $19,765.58 $19,765.58 $19,765.58 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 19 12 — — $19,629.61 $19,629.61 $19,629.61 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 12 — — $19,524.80 $19,524.80 $19,524.80 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 12 — — $19,465.32 $19,465.32 $19,465.32 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 19 12 — — $19,460.35 $19,460.35 $19,460.35 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 12 — — $19,359.80 $19,359.80 $19,359.80 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 12 — — $19,267.74 $19,267.74 $19,267.74 2026-07-15
849 MS_DRG Radiotherapy 19 12 — — $19,187.71 $19,187.71 $19,187.71 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 12 — — $19,164.34 $19,164.34 $19,164.34 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 12 — — $19,102.03 $19,102.03 $19,102.03 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 12 — — $18,837.17 $18,837.17 $18,837.17 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 12 — — $18,771.31 $18,771.31 $18,771.31 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 12 — — $18,677.13 $18,677.13 $18,677.13 2026-07-15
253 MS_DRG Other Vascular Procedures With Complication 19 12 — — $18,381.12 $18,381.12 $18,381.12 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 12 — — $18,359.16 $18,359.16 $18,359.16 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 12 — — $18,290.47 $18,290.47 $18,290.47 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 19 12 — — $18,264.97 $18,264.97 $18,264.97 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 12 — — $18,264.97 $18,264.97 $18,264.97 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 19 12 — — $18,182.83 $18,182.83 $18,182.83 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 19 12 — — $18,079.44 $18,079.44 $18,079.44 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 12 — — $17,993.75 $17,993.75 $17,993.75 2026-07-15
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 19 12 — — $17,959.76 $17,959.76 $17,959.76 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 19 12 — — $17,874.07 $17,874.07 $17,874.07 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 19 12 — — $17,866.28 $17,866.28 $17,866.28 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 12 — — $17,646.75 $17,646.75 $17,646.75 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 19 12 — — $17,574.51 $17,574.51 $17,574.51 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 19 12 — — $17,415.18 $17,415.18 $17,415.18 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 12 — — $17,410.22 $17,410.22 $17,410.22 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 19 12 — — $17,386.14 $17,386.14 $17,386.14 2026-07-15
792 MS_DRG Prematurity Without Major Problems 19 12 — — $17,344.36 $17,344.36 $17,344.36 2026-07-15
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 19 12 — — $17,308.96 $23,877.94 $17,308.96 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Complication/comorbity 19 12 — — $17,288.41 $37,241.01 $17,288.41 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 18 12 — — $17,153.16 $17,153.16 $17,153.16 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 18 12 — — $17,097.21 $17,097.21 $17,097.21 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 12 — — $17,033.48 $17,033.48 $17,033.48 2026-07-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 20 12 — — $13,659.79 $26,960.08 $16,984.86 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures With Complication 19 12 — — $16,976.12 $23,574.06 $16,976.12 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 19 12 — — $16,959.83 $16,959.83 $16,959.83 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 12 — — $16,928.67 $16,928.67 $16,928.67 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 12 — — $16,899.64 $16,899.64 $16,899.64 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 19 12 — — $16,649.65 $16,649.65 $16,649.65 2026-07-15
333 MS_DRG Rectal Resection With Complication 19 12 — — $16,586.63 $16,586.63 $16,586.63 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 19 12 — — $16,561.14 $16,561.14 $16,561.14 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 19 12 — — $16,549.09 $16,549.09 $16,549.09 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 19 12 — — $16,479.70 $16,479.70 $16,479.70 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Complication 19 12 — — $16,468.36 $16,468.36 $16,468.36 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 19 12 — — $16,451.37 $16,451.37 $16,451.37 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 12 — — $16,367.10 $16,367.10 $16,367.10 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 19 12 — — $16,256.62 $16,256.62 $16,256.62 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 19 12 — — $16,251.67 $16,251.67 $16,251.67 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 19 12 — — $16,185.81 $16,185.81 $16,185.81 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 12 — — $16,157.48 $16,157.48 $16,157.48 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 19 12 — — $16,115.70 $16,115.70 $16,115.70 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 19 12 — — $16,088.79 $16,088.79 $16,088.79 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 12 — — $16,044.17 $16,044.17 $16,044.17 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 19 12 — — $15,852.97 $15,852.97 $15,852.97 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 19 12 — — $15,843.76 $15,843.76 $15,843.76 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 19 12 — — $15,718.42 $15,718.42 $15,718.42 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 12 — — $15,670.26 $15,670.26 $15,670.26 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 19 12 — — $15,654.68 $15,654.68 $15,654.68 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 19 12 — — $15,635.57 $15,635.57 $15,635.57 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 19 12 — — $15,570.41 $15,570.41 $15,570.41 2026-07-15
30 MS_DRG Spinal Procedures Without Complication/comorbity 19 12 — — $15,545.63 $15,545.63 $15,545.63 2026-07-15
614 MS_DRG Adrenal & Pituitary Procedures With Complication/comorbity 19 12 — — $15,521.55 $21,353.90 $15,521.55 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 19 12 — — $15,493.93 $15,493.93 $15,493.93 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 19 12 — — $15,455.69 $15,455.69 $15,455.69 2026-07-15
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