Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BELLIN PSYCHIATRIC CENTER

Green Bay, WI · CCN 524038 · Rates published

5,340 distinct procedures filed
22 distinct payers
166,815 rate rows
2025-06-27 last MRF observed · ⚠ 13 mo old
Data quality

146,694 of 166,815 rate rows are consumer-grade (87.9%)

20,121 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,874
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,578
per-diem day rate — not a per-procedure price 548
percent-of-charges filed in the dollar field — excluded from medians 120
exceeds 10× this hospital's gross charge — excluded from medians 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/bellin-psychiatric
Found on page https://bellin.org/patients-visitors/billing-insurance-services
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint c67b2c55b46c78e2… · 1,796,847 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 $515,953.34 $515,953.34 $515,953.34 nat. median
$370,174
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $385,373.89 $385,373.89 $385,373.89 nat. median
$265,286
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $324,554.47 $324,554.47 $324,554.47 nat. median
$206,474
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $293,208.29 $293,208.29 $293,208.29 nat. median
$202,976
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $193,314.23 $193,314.23 $193,314.23 nat. median
$133,161
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $179,247.30 $179,247.30 $179,247.30 nat. median
$117,357
1.5× median
7
MS_DRG 		Lung Transplant 1 $178,795.82 $178,795.82 $178,795.82 nat. median
$122,708
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $150,761.84 $150,761.84 $150,761.84 nat. median
$108,660
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $149,040.75 $149,040.75 $149,040.75 nat. median
$102,358
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $145,695.72 $145,695.72 $145,695.72 nat. median
$100,136
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 1 $144,948.73 $144,948.73 $144,948.73 nat. median
$99,019
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $132,037.86 $132,037.86 $132,037.86 nat. median
$93,672
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $115,932.44 $115,932.44 $115,932.44 nat. median
$79,312
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $115,868.14 $115,868.14 $115,868.14 nat. median
$81,118
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $110,284.88 $110,284.88 $110,284.88 nat. median
$77,570
1.4× median
10
MS_DRG 		Pancreas Transplant 1 $109,079.57 $109,079.57 $109,079.57 nat. median
$68,884
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $108,454.34 $108,454.34 $108,454.34 nat. median
$71,271
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 1 $106,937.11 $106,937.11 $106,937.11 nat. median
$73,807
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $105,857.67 $105,857.67 $105,857.67 nat. median
$74,915
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $102,118.62 $102,118.62 $102,118.62 nat. median
$72,135
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $96,684.48 $96,684.48 $96,684.48 nat. median
$68,886
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $95,172.71 $95,172.71 $95,172.71 nat. median
$66,526
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $93,418.79 $93,418.79 $93,418.79 nat. median
$64,732
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $91,374.83 $91,374.83 $91,374.83 nat. median
$64,023
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $91,220.24 $91,220.24 $91,220.24 nat. median
$65,950
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $88,478.54 $88,478.54 $88,478.54 nat. median
$62,134
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $88,351.30 $88,351.30 $88,351.30 nat. median
$64,508
1.4× median
69930
HCPCS 		Hc Implant Cochlear Device 19 $32,973.95 $115,025.40 $87,291.50 nat. median
$29,690
outlier · 2.9×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $86,523.51 $86,523.51 $86,523.51 nat. median
$60,185
1.4× median
33231
HCPCS 		Hc Insrt Pulse Gen W/mult Leads 19 $32,349.07 $112,845.60 $85,637.27 nat. median
$30,121
outlier · 2.8×
33264
HCPCS 		Hc Remv&replc Cvd Gen Mult Lead (33264) 19 $32,349.07 $112,845.60 $85,637.27 nat. median
$31,873
outlier · 2.7×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $84,746.33 $84,746.33 $84,746.33 nat. median
$59,099
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $84,251.07 $84,251.07 $84,251.07 nat. median
$59,793
1.4× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 1 $83,956.93 $83,956.93 $83,956.93 nat. median
$55,736
1.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $83,573.86 $83,573.86 $83,573.86 nat. median
$59,898
1.4× median
28
MS_DRG 		Spinal Procedures With Mcc 1 $83,174.37 $83,174.37 $83,174.37 nat. median
$57,822
1.4× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $82,577.87 $82,577.87 $82,577.87 nat. median
$53,807
1.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $82,577.87 $82,577.87 $82,577.87 nat. median
$56,918
1.5× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 1 $81,960.85 $81,960.85 $81,960.85 nat. median
$60,726
1.3× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $81,393.09 $81,393.09 $81,393.09 nat. median
$61,920
1.3× median
33249
HCPCS 		Hc Insert/repl Defib Lead/gener Othr 19 $30,619.96 $106,813.80 $81,059.80 nat. median
$31,833
outlier · 2.5×
64568
HCPCS 		Hc Inc For Vagus N Elect Impl 19 $30,533.27 $106,511.40 $80,830.32 nat. median
$27,591
outlier · 2.9×
63685
HCPCS 		Implant Neurostim/receiver 19 $30,533.27 $106,511.40 $80,830.32 nat. median
$21,357
outlier · 3.8×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $80,502.45 $80,502.45 $80,502.45 nat. median
$57,424
1.4× median
33270
HCPCS 		Hc Ins/rplcmnt Perm Subq Impltbl Dfb With Subq Eltrd 19 $30,327.38 $105,793.20 $80,285.28 nat. median
$32,221
outlier · 2.5×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $79,655.58 $79,655.58 $79,655.58 nat. median
$56,696
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $78,521.42 $78,521.42 $78,521.42 nat. median
$58,020
1.4× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $78,052.16 $78,052.16 $78,052.16 nat. median
$55,916
1.4× median
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $76,266.77 $76,266.77 $76,266.77 nat. median
$51,418
1.5× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $75,619.65 $75,619.65 $75,619.65 nat. median
$54,045
1.4× median

Other procedures at this hospital

Browse this hospital's 5,340 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
             
69930 HCPCS Hc Implant Cochlear Device 30 19 $127,806.00 $83,073.90 35% off $32,973.95 $115,025.40 $87,291.50 2025-06-27
33264 HCPCS Hc Remv&replc Cvd Gen Mult Lead (33264) 30 19 $125,384.00 $81,499.60 35% off $32,349.07 $112,845.60 $85,637.27 2025-06-27
33231 HCPCS Hc Insrt Pulse Gen W/mult Leads 30 19 $125,384.00 $81,499.60 35% off $32,349.07 $112,845.60 $85,637.27 2025-06-27
33249 HCPCS Hc Insert/repl Defib Lead/gener Othr 30 19 $118,682.00 $77,143.30 35% off $30,619.96 $106,813.80 $81,059.80 2025-06-27
63685 HCPCS Implant Neurostim/receiver 30 19 $118,346.00 $76,924.90 35% off $30,533.27 $106,511.40 $80,830.32 2025-06-27
64568 HCPCS Hc Inc For Vagus N Elect Impl 30 19 $118,346.00 $76,924.90 35% off $30,533.27 $106,511.40 $80,830.32 2025-06-27
33270 HCPCS Hc Ins/rplcmnt Perm Subq Impltbl Dfb With Subq Eltrd 30 19 $117,548.00 $76,406.20 35% off $30,327.38 $105,793.20 $80,285.28 2025-06-27
93654 HCPCS Hc Comp Eps & Vt Ablation 30 19 $90,517.00 $58,836.05 35% off $23,353.39 $81,465.30 $61,823.11 2025-06-27
33230 HCPCS Hc Insertion/replacement Of Dual Chamber Icd Generator 30 19 $89,835.00 $58,392.75 35% off $23,177.43 $80,851.50 $61,357.31 2025-06-27
33262 HCPCS Hc Remv&replc Cvd Gen Sing Lead (33262) 30 19 $89,835.00 $58,392.75 35% off $23,177.43 $80,851.50 $61,357.31 2025-06-27
33263 HCPCS Hc Remv&replc Cvd Gen Dual Lead (33263) 30 19 $89,835.00 $58,392.75 35% off $23,177.43 $80,851.50 $61,357.31 2025-06-27
64590 HCPCS Implant Neurostim/receiver 30 19 $83,372.00 $54,191.80 35% off $21,509.98 $75,034.80 $56,943.07 2025-06-27
63655 HCPCS Surg Implnt Neuroelect,epidural 30 19 $83,372.00 $54,191.80 35% off $21,509.98 $75,034.80 $56,943.07 2025-06-27
61885 HCPCS Implant Cranial Neurostim/recvr 30 19 $83,372.00 $54,191.80 35% off $21,509.98 $75,034.80 $56,943.07 2025-06-27
25442 HCPCS Hc Reconstruct Dist Ulna W Prosthesis 30 19 $82,116.00 $53,375.40 35% off $21,185.93 $73,904.40 $56,085.23 2025-06-27
93653 HCPCS Hc Comp Eps & Svt Ablation 30 19 $82,068.00 $53,344.20 35% off $21,173.54 $73,861.20 $56,052.44 2025-06-27
93656 HCPCS Hc Comp Eps & Afib Ablation 30 19 $79,748.00 $51,836.20 35% off $20,574.98 $71,773.20 $54,467.88 2025-06-27
53447 HCPCS Hc Removal Artificial Sphincter 30 19 $76,878.00 $49,970.70 35% off $19,834.52 $69,190.20 $52,507.68 2025-06-27
54405 HCPCS Insert Multi-compon Penile Prosthe 30 19 $76,878.00 $49,970.70 35% off $19,834.52 $69,190.20 $52,507.68 2025-06-27
54410 HCPCS Remove/replace Penis Prosth 30 19 $76,878.00 $49,970.70 35% off $19,834.52 $69,190.20 $52,507.68 2025-06-27
54401 HCPCS Hc Insert Self-contd Penile Prosthesis 30 19 $76,878.00 $49,970.70 35% off $19,834.52 $69,190.20 $52,507.68 2025-06-27
53445 HCPCS Correct Urin Incontin,sphinc Ctrl 30 19 $76,878.00 $49,970.70 35% off $19,834.52 $69,190.20 $52,507.68 2025-06-27
33221 HCPCS Hc Insert Pulse Gen Mult Leads 30 19 $74,262.00 $48,270.30 35% off $19,159.60 $66,835.80 $50,720.94 2025-06-27
33229 HCPCS Hc Remove/replace Pcmkr Mult 30 19 $74,262.00 $48,270.30 35% off $19,159.60 $66,835.80 $50,720.94 2025-06-27
27279 HCPCS Hc Arthrodesis Sacroilliac Joint Percutaneous 30 19 $71,026.00 $46,166.90 35% off $18,324.71 $63,923.40 $48,510.76 2025-06-27
22856 HCPCS Hc Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv 30 19 $71,026.00 $46,166.90 35% off $18,324.71 $63,923.40 $48,510.76 2025-06-27
22867 HCPCS Hc Insj Stablj Dev W/dcmprn Lumbar Single Level 30 19 $71,025.00 $46,166.25 35% off $18,324.45 $63,922.50 $48,510.07 2025-06-27
24363 HCPCS Hc Arthroplasty,elbow,total,proth Repl 30 19 $71,025.00 $46,166.25 35% off $18,324.45 $63,922.50 $48,510.07 2025-06-27
33274 HCPCS Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 30 19 $69,913.00 $45,443.45 35% off $18,037.55 $62,921.70 $47,750.58 2025-06-27
C2616 HCPCS Hc Rad Sup Brachytx Seed, Yttrium-90 30 19 $68,709.00 $44,660.85 35% off $17,726.92 $61,838.10 $46,928.25 2025-06-27
62362 HCPCS Insert Infusn Pump,programmable 30 19 $67,970.00 $44,180.50 35% off $17,536.26 $61,173.00 $46,423.51 2025-06-27
19357 HCPCS Breast Reconstruc W Tiss Expandr 30 19 $67,161.00 $43,654.65 35% off $17,327.54 $60,444.90 $45,870.96 2025-06-27
37230 HCPCS Hc Tib/per Revasc W/stent 30 19 $66,830.00 $43,439.50 35% off $17,242.14 $60,147.00 $45,644.89 2025-06-27
37229 HCPCS Hc Tib/per Revasc W/ather 30 19 $66,830.00 $43,439.50 35% off $17,242.14 $60,147.00 $45,644.89 2025-06-27
37227 HCPCS Hc Fem/popl Revasc Stnt & Ather 30 19 $66,830.00 $43,439.50 35% off $17,242.14 $60,147.00 $45,644.89 2025-06-27
36906 HCPCS Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 30 19 $66,830.00 $43,439.50 35% off $17,242.14 $60,147.00 $45,644.89 2025-06-27
37231 HCPCS Hc Tib/per Revasc Stent & Ather 30 19 $66,830.00 $43,439.50 35% off $17,242.14 $60,147.00 $45,644.89 2025-06-27
36836 HCPCS Hc Perc Av Fistula Creation, Upper Extremity, Single Access Incl 30 19 $66,830.00 $43,439.50 35% off $17,242.14 $60,147.00 $45,644.89 2025-06-27
93582 HCPCS Hc Percutan Transcath Closure Pat Duct Arteriosus 30 19 $66,829.00 $43,438.85 35% off $17,241.88 $60,146.10 $45,644.21 2025-06-27
93590 HCPCS Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 30 19 $66,829.00 $43,438.85 35% off $17,241.88 $60,146.10 $45,644.21 2025-06-27
93591 HCPCS Hc Perc Transcath Closure Of Paravalvular Leak; Initial Occlusio 30 19 $66,829.00 $43,438.85 35% off $17,241.88 $60,146.10 $45,644.21 2025-06-27
C9766 HCPCS Hc Pr Revasc Intra Lithotrip-ather 30 19 $66,829.00 $43,438.85 35% off $17,241.88 $60,146.10 $45,644.21 2025-06-27
C9767 HCPCS Hc Pr Revasc Lithotrip-stent-ather 30 19 $66,829.00 $43,438.85 35% off $17,241.88 $60,146.10 $45,644.21 2025-06-27
C9773 HCPCS Hc Revasc, Endovascular, Open Or Perc, Tibial/peroneal Artery(i 30 19 $66,829.00 $43,438.85 35% off $17,241.88 $60,146.10 $45,644.21 2025-06-27
21243 HCPCS Hc Arthroplasty Tmj+prosthesis 30 19 $66,587.00 $43,281.55 35% off $17,179.45 $59,928.30 $45,478.92 2025-06-27
92933 HCPCS Hc Des Stent & Atherectomy W Or Without Ptca 30 19 $63,128.00 $41,033.20 35% off $16,287.02 $56,815.20 $43,116.43 2025-06-27
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 30 19 $63,128.00 $41,033.20 35% off $16,287.02 $56,815.20 $43,116.43 2025-06-27
93580 HCPCS Hc Transcath Closure Of Asd 30 19 $63,128.00 $41,033.20 35% off $16,287.02 $56,815.20 $43,116.43 2025-06-27
0238T HCPCS Hc Trluml Perip Athrc Iliac Art (0238t) 30 19 $63,128.00 $41,033.20 35% off $16,287.02 $56,815.20 $43,116.43 2025-06-27
54400 HCPCS Hc Insert Semi-rigid Penile Prosthesis 30 19 $51,970.00 $33,780.50 35% off $13,408.26 $46,773.00 $35,495.51 2025-06-27
34848 HCPCS Hc Viscer And Infrarenal Abdom Aorta 4+ Prosthesis 30 19 $51,962.00 $33,775.30 35% off $13,406.20 $46,765.80 $35,490.04 2025-06-27
61888 HCPCS Hc Revis/remov Cranial Neurorcvr 30 19 $51,916.00 $33,745.40 35% off $13,394.33 $46,724.40 $35,458.62 2025-06-27
28320 HCPCS Hc Repair Non/malunion Tarsal Bone(s) 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24430 HCPCS Repair Non/malunion Humerus 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
23473 HCPCS Hc Revis Reconst Shoulder Joint 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24366 HCPCS Hc Reconstruct Radial Head W Implant 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
28725 HCPCS Fusion Foot Bones,subtalar 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24586 HCPCS Hc Open Rx Periartic Fx/disloc Elbow 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
28715 HCPCS Hc Fusion Foot Bones, Triple 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24575 HCPCS Hc Open Rx Humeral Epicondylar Fx 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
23470 HCPCS Hc Reconstruct Prox Humeral Implant 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
25810 HCPCS Hc Fusion/graft Wrist Joint 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
28730 HCPCS Hc Fusion Foot Bones, Midtarsal, Multi 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
23615 HCPCS Open Rx Prox Humerus Fx 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27438 HCPCS Hc Arthroplasty Patella With Implant 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27428 HCPCS Ligmt Revision,knee,intra-artic 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
28735 HCPCS Hc Fusion Foot Bones,midtarsal,osteotmy 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
29889 HCPCS Knee Scope,aid Post Cruc Repair 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27759 HCPCS Open Rx Tibia Shaft Fx,intramed Rod 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24516 HCPCS Hc Open Rod Fiatn Mid Humerus Fx 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24545 HCPCS Hc Open Rx Humeral Supracondylar Fx 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27871 HCPCS Hc Fusion Of Tibiofibular Joint 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27828 HCPCS Open Rx Weightbear Tib,fix Tib/fib 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27870 HCPCS Fusion Of Ankle Joint 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27415 HCPCS Hc Osteochondral Allograft Knee Open 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27827 HCPCS Open Rx Weightbear Tib,fix Tib Only 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24546 HCPCS Hc Open Rx Hum Supracondy Fx, Inter Extn 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24435 HCPCS Hc Repair Non/malunion Humerus Graft 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
20692 HCPCS Hc Apply Bone Multiplan Ext Fix Dev 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
22554 HCPCS Cerv Spine Fusn,anter,below C2 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
22551 HCPCS Neck Spine Fuse&remove Addl 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24515 HCPCS Open Fixatn Mid Humerus Fracture 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
24587 HCPCS Hc Open Rx Periartic Fx Elbow,implnt 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $34,259.28 2025-06-27
27446 HCPCS Hc Arthroplasty Knee, Med Or Lat Compartmt 30 19 $50,160.00 $32,604.00 35% off $12,941.28 $45,144.00 $33,266.11 2025-06-27
27709 HCPCS Hc Osteotomy Tibia & Fibula 30 19 $50,159.00 $32,603.35 35% off $12,941.02 $45,143.10 $34,258.60 2025-06-27
24666 HCPCS Hc Open Rx Radial Head Fx, Prosth Implnt 30 19 $50,159.00 $32,603.35 35% off $12,941.02 $45,143.10 $34,258.60 2025-06-27
28420 HCPCS Hc Open Rx Heel Fracture,graft 30 19 $50,159.00 $32,603.35 35% off $12,941.02 $45,143.10 $34,258.60 2025-06-27
24579 HCPCS Hc Open Rx Humeral Condylr Fx 30 19 $50,159.00 $32,603.35 35% off $12,941.02 $45,143.10 $34,258.60 2025-06-27
27758 HCPCS Hc Open Rx Tibia Shaft Fx, Screws 30 19 $50,159.00 $32,603.35 35% off $12,941.02 $45,143.10 $34,258.60 2025-06-27
33305 HCPCS Hc Repair Heart Wnd W Cp Bypass 30 19 $49,704.00 $32,307.60 35% off $12,823.63 $44,733.60 $33,947.83 2025-06-27
53440 HCPCS Hc Correct Male Urin Incontinence 30 19 $48,924.00 $31,800.60 35% off $12,622.39 $44,031.60 $33,415.10 2025-06-27
29867 HCPCS Hc Scope Knee: Osteochondral Allograft 30 19 $47,025.00 $30,566.25 35% off $12,132.45 $42,322.50 $32,118.07 2025-06-27
24346 HCPCS Hc Reconstruct Elbow Med Ligmnt 30 19 $47,025.00 $30,566.25 35% off $12,132.45 $42,322.50 $32,118.07 2025-06-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 1 — — $515,953.34 $515,953.34 $515,953.34 2025-06-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $385,373.89 $385,373.89 $385,373.89 2025-06-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $324,554.47 $324,554.47 $324,554.47 2025-06-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $293,208.29 $293,208.29 $293,208.29 2025-06-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $193,314.23 $193,314.23 $193,314.23 2025-06-27
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $179,247.30 $179,247.30 $179,247.30 2025-06-27
7 MS_DRG Lung Transplant 1 1 — — $178,795.82 $178,795.82 $178,795.82 2025-06-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $150,761.84 $150,761.84 $150,761.84 2025-06-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $149,040.75 $149,040.75 $149,040.75 2025-06-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $145,695.72 $145,695.72 $145,695.72 2025-06-27
215 MS_DRG Other Heart Assist System Implant 1 1 — — $144,948.73 $144,948.73 $144,948.73 2025-06-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $132,037.86 $132,037.86 $132,037.86 2025-06-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $115,932.44 $115,932.44 $115,932.44 2025-06-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $115,868.14 $115,868.14 $115,868.14 2025-06-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $110,284.88 $110,284.88 $110,284.88 2025-06-27
10 MS_DRG Pancreas Transplant 1 1 — — $109,079.57 $109,079.57 $109,079.57 2025-06-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $108,454.34 $108,454.34 $108,454.34 2025-06-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 1 1 — — $106,937.11 $106,937.11 $106,937.11 2025-06-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $105,857.67 $105,857.67 $105,857.67 2025-06-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $102,118.62 $102,118.62 $102,118.62 2025-06-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $96,684.48 $96,684.48 $96,684.48 2025-06-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $95,172.71 $95,172.71 $95,172.71 2025-06-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $93,418.79 $93,418.79 $93,418.79 2025-06-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $91,374.83 $91,374.83 $91,374.83 2025-06-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $91,220.24 $91,220.24 $91,220.24 2025-06-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $88,478.54 $88,478.54 $88,478.54 2025-06-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $88,351.30 $88,351.30 $88,351.30 2025-06-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $86,523.51 $86,523.51 $86,523.51 2025-06-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $84,746.33 $84,746.33 $84,746.33 2025-06-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $84,251.07 $84,251.07 $84,251.07 2025-06-27
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 1 1 — — $83,956.93 $83,956.93 $83,956.93 2025-06-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $83,573.86 $83,573.86 $83,573.86 2025-06-27
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $83,174.37 $83,174.37 $83,174.37 2025-06-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $82,577.87 $82,577.87 $82,577.87 2025-06-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $82,577.87 $82,577.87 $82,577.87 2025-06-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 1 1 — — $81,960.85 $81,960.85 $81,960.85 2025-06-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $81,393.09 $81,393.09 $81,393.09 2025-06-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $80,502.45 $80,502.45 $80,502.45 2025-06-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $79,655.58 $79,655.58 $79,655.58 2025-06-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $78,521.42 $78,521.42 $78,521.42 2025-06-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $78,052.16 $78,052.16 $78,052.16 2025-06-27
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $76,266.77 $76,266.77 $76,266.77 2025-06-27
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $75,619.65 $75,619.65 $75,619.65 2025-06-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $75,619.65 $75,619.65 $75,619.65 2025-06-27
8 MS_DRG Simultaneous Pancreas/kidney Transplant 1 1 — — $74,440.34 $74,440.34 $74,440.34 2025-06-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $74,270.70 $74,270.70 $74,270.70 2025-06-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $73,891.73 $73,891.73 $73,891.73 2025-06-27
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 1 1 — — $73,821.96 $73,821.96 $73,821.96 2025-06-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $73,813.75 $73,813.75 $73,813.75 2025-06-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 1 1 — — $72,786.29 $72,786.29 $72,786.29 2025-06-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $72,464.79 $72,464.79 $72,464.79 2025-06-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $70,225.19 $70,225.19 $70,225.19 2025-06-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $69,699.83 $69,699.83 $69,699.83 2025-06-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $69,486.41 $69,486.41 $69,486.41 2025-06-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $68,910.43 $68,910.43 $68,910.43 2025-06-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $68,504.10 $68,504.10 $68,504.10 2025-06-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $68,450.75 $68,450.75 $68,450.75 2025-06-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $68,423.39 $68,423.39 $68,423.39 2025-06-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $68,177.13 $68,177.13 $68,177.13 2025-06-27
245 MS_DRG Aicd Generator Procedures 1 1 — — $66,856.90 $66,856.90 $66,856.90 2025-06-27
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $66,453.30 $66,453.30 $66,453.30 2025-06-27
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $66,342.49 $66,342.49 $66,342.49 2025-06-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $65,334.19 $65,334.19 $65,334.19 2025-06-27
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $65,050.99 $65,050.99 $65,050.99 2025-06-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $65,038.68 $65,038.68 $65,038.68 2025-06-27
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 1 1 — — $64,365.57 $64,365.57 $64,365.57 2025-06-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $64,020.80 $64,020.80 $64,020.80 2025-06-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $63,643.20 $63,643.20 $63,643.20 2025-06-27
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $63,059.02 $63,059.02 $63,059.02 2025-06-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $63,033.02 $63,033.02 $63,033.02 2025-06-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $62,831.91 $62,831.91 $62,831.91 2025-06-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $62,822.33 $62,822.33 $62,822.33 2025-06-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $61,723.74 $61,723.74 $61,723.74 2025-06-27
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $61,355.72 $61,355.72 $61,355.72 2025-06-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $61,186.07 $61,186.07 $61,186.07 2025-06-27
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $60,614.20 $60,614.20 $60,614.20 2025-06-27
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $60,098.42 $60,098.42 $60,098.42 2025-06-27
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $59,196.84 $59,196.84 $59,196.84 2025-06-27
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $59,075.08 $59,075.08 $59,075.08 2025-06-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $58,359.55 $58,359.55 $58,359.55 2025-06-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $58,273.36 $58,273.36 $58,273.36 2025-06-27
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $57,860.19 $57,860.19 $57,860.19 2025-06-27
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $57,332.10 $57,332.10 $57,332.10 2025-06-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $57,318.42 $57,318.42 $57,318.42 2025-06-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $56,923.04 $56,923.04 $56,923.04 2025-06-27
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $56,258.13 $56,258.13 $56,258.13 2025-06-27
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $56,226.67 $56,226.67 $56,226.67 2025-06-27
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 1 1 — — $56,143.21 $56,143.21 $56,143.21 2025-06-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $55,646.59 $55,646.59 $55,646.59 2025-06-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $54,501.48 $54,501.48 $54,501.48 2025-06-27
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 1 1 — — $54,463.17 $54,463.17 $54,463.17 2025-06-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $53,981.60 $53,981.60 $53,981.60 2025-06-27
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $53,870.78 $53,870.78 $53,870.78 2025-06-27
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 1 1 — — $53,497.28 $53,497.28 $53,497.28 2025-06-27
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $53,201.77 $53,201.77 $53,201.77 2025-06-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $52,877.53 $52,877.53 $52,877.53 2025-06-27
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $52,824.17 $52,824.17 $52,824.17 2025-06-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $52,676.42 $52,676.42 $52,676.42 2025-06-27
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $52,294.71 $52,294.71 $52,294.71 2025-06-27
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $52,011.51 $52,011.51 $52,011.51 2025-06-27
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $51,606.55 $51,606.55 $51,606.55 2025-06-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $51,194.75 $51,194.75 $51,194.75 2025-06-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $49,918.30 $49,918.30 $49,918.30 2025-06-27
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $49,572.17 $49,572.17 $49,572.17 2025-06-27
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $49,044.08 $49,044.08 $49,044.08 2025-06-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $49,041.34 $49,041.34 $49,041.34 2025-06-27
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $49,033.13 $49,033.13 $49,033.13 2025-06-27
265 MS_DRG Aicd Lead Procedures 1 1 — — $48,803.29 $48,803.29 $48,803.29 2025-06-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $48,584.39 $48,584.39 $48,584.39 2025-06-27
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $48,299.83 $48,299.83 $48,299.83 2025-06-27
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $48,287.51 $48,287.51 $48,287.51 2025-06-27
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $48,165.75 $48,165.75 $48,165.75 2025-06-27
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $47,935.91 $47,935.91 $47,935.91 2025-06-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $47,920.86 $47,920.86 $47,920.86 2025-06-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $47,901.71 $47,901.71 $47,901.71 2025-06-27
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $47,816.88 $47,816.88 $47,816.88 2025-06-27
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $47,507.69 $47,507.69 $47,507.69 2025-06-27
332 MS_DRG Rectal Resection With Mcc 1 1 — — $47,455.70 $47,455.70 $47,455.70 2025-06-27
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $47,403.71 $47,403.71 $47,403.71 2025-06-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $47,123.25 $47,123.25 $47,123.25 2025-06-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $47,049.37 $47,049.37 $47,049.37 2025-06-27
665 MS_DRG Prostatectomy With Mcc 1 1 — — $46,975.49 $46,975.49 $46,975.49 2025-06-27
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $46,931.71 $46,931.71 $46,931.71 2025-06-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $46,860.57 $46,860.57 $46,860.57 2025-06-27
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $46,600.63 $46,600.63 $46,600.63 2025-06-27
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $46,406.36 $46,406.36 $46,406.36 2025-06-27
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $45,923.42 $45,923.42 $45,923.42 2025-06-27
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $45,433.63 $45,433.63 $45,433.63 2025-06-27
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $45,173.69 $45,173.69 $45,173.69 2025-06-27
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 1 1 — — $44,719.48 $44,719.48 $44,719.48 2025-06-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $44,592.24 $44,592.24 $44,592.24 2025-06-27
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $44,573.09 $44,573.09 $44,573.09 2025-06-27
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $44,043.63 $44,043.63 $44,043.63 2025-06-27
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $43,839.78 $43,839.78 $43,839.78 2025-06-27
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $43,712.55 $43,712.55 $43,712.55 2025-06-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $43,629.09 $43,629.09 $43,629.09 2025-06-27
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $43,511.43 $43,511.43 $43,511.43 2025-06-27
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $43,423.87 $43,423.87 $43,423.87 2025-06-27
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $43,351.36 $43,351.36 $43,351.36 2025-06-27
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 1 1 — — $42,698.78 $42,698.78 $42,698.78 2025-06-27
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $42,679.62 $42,679.62 $42,679.62 2025-06-27
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $42,497.66 $42,497.66 $42,497.66 2025-06-27
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $42,307.50 $42,307.50 $42,307.50 2025-06-27
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $42,189.84 $42,189.84 $42,189.84 2025-06-27
652 MS_DRG Kidney Transplant 1 1 — — $42,020.19 $42,020.19 $42,020.19 2025-06-27
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $41,981.88 $41,981.88 $41,981.88 2025-06-27
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $41,845.07 $41,845.07 $41,845.07 2025-06-27
570 MS_DRG Skin Debridement With Mcc 1 1 — — $41,182.91 $41,182.91 $41,182.91 2025-06-27
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $40,854.56 $40,854.56 $40,854.56 2025-06-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $40,340.15 $40,340.15 $40,340.15 2025-06-27
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $40,236.17 $40,236.17 $40,236.17 2025-06-27
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $40,126.72 $40,126.72 $40,126.72 2025-06-27
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $39,898.25 $39,898.25 $39,898.25 2025-06-27
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $39,876.36 $39,876.36 $39,876.36 2025-06-27
800 MS_DRG Splenic Procedures With Cc 1 1 — — $39,864.05 $39,864.05 $39,864.05 2025-06-27
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $39,842.16 $39,842.16 $39,842.16 2025-06-27
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $39,636.94 $39,636.94 $39,636.94 2025-06-27
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $39,225.14 $39,225.14 $39,225.14 2025-06-27
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 1 1 — — $39,179.99 $39,179.99 $39,179.99 2025-06-27
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $39,156.73 $39,156.73 $39,156.73 2025-06-27
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 1 1 — — $39,102.01 $39,102.01 $39,102.01 2025-06-27
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 1 1 — — $38,947.41 $38,947.41 $38,947.41 2025-06-27
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $38,609.49 $38,609.49 $38,609.49 2025-06-27
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $38,422.06 $38,422.06 $38,422.06 2025-06-27
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $38,382.38 $38,382.38 $38,382.38 2025-06-27
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $37,437.02 $37,437.02 $37,437.02 2025-06-27
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $37,369.98 $37,369.98 $37,369.98 2025-06-27
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $37,301.57 $37,301.57 $37,301.57 2025-06-27
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $37,167.50 $37,167.50 $37,167.50 2025-06-27
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $36,985.54 $36,985.54 $36,985.54 2025-06-27
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $36,863.78 $36,863.78 $36,863.78 2025-06-27
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $36,717.39 $36,717.39 $36,717.39 2025-06-27
263 MS_DRG Vein Ligation And Stripping 1 1 — — $36,694.13 $36,694.13 $36,694.13 2025-06-27
849 MS_DRG Radiotherapy 1 1 — — $36,543.64 $36,543.64 $36,543.64 2025-06-27
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $36,430.09 $36,430.09 $36,430.09 2025-06-27
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $36,300.12 $36,300.12 $36,300.12 2025-06-27
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 1 1 — — $36,254.97 $36,254.97 $36,254.97 2025-06-27
503 MS_DRG Foot Procedures With Mcc 1 1 — — $36,208.45 $36,208.45 $36,208.45 2025-06-27
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $36,171.51 $36,171.51 $36,171.51 2025-06-27
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $35,889.68 $35,889.68 $35,889.68 2025-06-27
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $35,796.65 $35,796.65 $35,796.65 2025-06-27
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $35,414.95 $35,414.95 $35,414.95 2025-06-27
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $35,356.12 $35,356.12 $35,356.12 2025-06-27
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $34,938.84 $34,938.84 $34,938.84 2025-06-27
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $34,927.90 $34,927.90 $34,927.90 2025-06-27
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 1 1 — — $34,862.23 $34,862.23 $34,862.23 2025-06-27
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $34,683.01 $34,683.01 $34,683.01 2025-06-27
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $34,570.82 $34,570.82 $34,570.82 2025-06-27
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $34,543.46 $34,543.46 $34,543.46 2025-06-27
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $34,435.38 $34,435.38 $34,435.38 2025-06-27
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $34,258.89 $34,258.89 $34,258.89 2025-06-27
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $34,232.90 $34,232.90 $34,232.90 2025-06-27
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $33,899.08 $33,899.08 $33,899.08 2025-06-27
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $33,762.27 $33,762.27 $33,762.27 2025-06-27
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $33,495.49 $33,495.49 $33,495.49 2025-06-27
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $33,219.13 $33,219.13 $33,219.13 2025-06-27
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $33,090.52 $33,090.52 $33,090.52 2025-06-27
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 1 1 — — $32,986.55 $32,986.55 $32,986.55 2025-06-27
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $32,848.37 $32,848.37 $32,848.37 2025-06-27
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $32,796.38 $32,796.38 $32,796.38 2025-06-27
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $32,796.38 $32,796.38 $32,796.38 2025-06-27
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $32,513.18 $32,513.18 $32,513.18 2025-06-27
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $32,388.68 $32,388.68 $32,388.68 2025-06-27
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $32,380.47 $32,380.47 $32,380.47 2025-06-27
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $32,338.06 $32,338.06 $32,338.06 2025-06-27
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $32,286.08 $32,286.08 $32,286.08 2025-06-27
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $31,994.67 $31,994.67 $31,994.67 2025-06-27
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