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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

NORTH CENTRAL SURGICAL CENTER LLP

Dallas, TX · CCN 670049 · Rates published

12,166 distinct procedures filed
7 distinct payers
456,290 rate rows
2026-04-14 last MRF observed
Data quality

289,980 of 456,290 rate rows are consumer-grade (63.6%)

166,310 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 144,746
template filing: same amount across many unrelated codes — excluded 13,352
exceeds 10× this hospital's gross charge — excluded from medians 7,256
per-diem day rate — not a per-procedure price 956
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/USPI/201508140_NorthCentralSurgicalCenter_standardcharges.json
Found on page https://northcentralsurgical.com/hospital-pricing-information/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 7d3c3571b4a641b3… · 55,568,419 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 And Other Immunotherapies 1 $427,738.58 $427,738.58 $427,738.58 nat. median
$370,174
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $134,302.92 $243,077.21 $188,690.07 nat. median
$202,976
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $134,942.23 $134,942.23 $134,942.23 nat. median
$206,474
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $123,558.61 $123,558.61 $123,558.61 nat. median
$102,358
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $83,816.93 $160,262.46 $122,039.69 nat. median
$133,161
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 2 $94,583.97 $120,166.22 $107,375.10 nat. median
$99,019
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $76,521.70 $91,429.00 $83,975.35 nat. median
$77,570
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $34,236.00 $73,234.00 $66,628.00 nat. median
$60,726
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $46,207.50 $78,900.62 $62,554.06 nat. median
$66,526
0.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $34,236.00 $79,223.78 $61,631.00 nat. median
$63,570
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $34,236.00 $73,234.00 $61,631.00 nat. median
$54,196
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $34,236.00 $73,234.00 $61,508.00 nat. median
$49,935
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $34,236.00 $75,623.92 $60,950.61 nat. median
$65,950
0.9× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $58,027.10 $60,576.49 $59,301.79 nat. median
$54,045
1.1× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $34,236.00 $73,234.00 $59,258.98 nat. median
$44,728
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $41,078.31 $73,350.98 $57,214.64 nat. median
$62,134
0.9× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $34,236.00 $73,234.00 $56,634.00 nat. median
$47,651
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $41,094.46 $71,730.21 $56,412.34 nat. median
$60,185
0.9× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $34,236.00 $73,234.00 $56,159.04 nat. median
$48,704
1.2× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 $34,236.00 $73,234.00 $54,198.69 nat. median
$39,020
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $38,546.01 $69,846.30 $54,196.15 nat. median
$59,793
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $39,956.76 $66,036.53 $52,996.65 nat. median
$56,696
0.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $34,236.00 $66,628.00 $52,957.35 nat. median
$51,307
1.0× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $40,289.26 $63,227.11 $51,758.18 nat. median
$51,418
1.0× median
834
MS_DRG 		Acute Leukemia With Mcc 2 $40,427.25 $62,690.64 $51,558.94 nat. median
$53,172
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 2 $39,482.59 $61,572.32 $50,527.46 nat. median
$52,836
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 2 $47,894.30 $52,277.55 $50,085.93 nat. median
$44,937
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$61,920
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $34,236.00 $73,245.50 $48,899.00 nat. median
$64,508
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $34,236.00 $96,110.97 $48,899.00 nat. median
$79,312
0.6× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$53,268
0.9× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$52,879
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $34,236.00 $87,758.72 $48,899.00 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $34,236.00 $88,653.61 $48,899.00 nat. median
$73,807
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$57,424
0.9× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$50,672
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $34,236.00 $109,462.78 $48,899.00 nat. median
$93,672
0.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$59,898
0.8× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 $36,057.02 $61,200.30 $48,628.66 nat. median
$52,857
0.9× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 $35,824.34 $61,193.49 $48,508.91 nat. median
$49,182
1.0× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 $39,445.89 $56,791.66 $48,118.78 nat. median
$47,311
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 2 $38,578.31 $57,606.02 $48,092.16 nat. median
$48,178
1.0× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $47,967.59 $47,967.59 $47,967.59 nat. median
$40,208
1.2× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $37,119.11 $56,724.74 $46,921.93 nat. median
$48,170
1.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 2 $41,564.00 $52,761.85 $46,454.00 nat. median
$46,109
1.0× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 $41,564.00 $48,899.00 $46,454.00 nat. median
$41,311
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $41,564.00 $70,256.88 $46,454.00 nat. median
$59,099
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $41,564.00 $80,153.91 $46,454.00 nat. median
$68,886
0.7× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 5 $34,236.00 $73,234.00 $46,454.00 nat. median
$42,002
1.1× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $34,236.00 $73,234.00 $46,454.00 nat. median
$48,732
1.0× median

Other procedures at this hospital

Browse this hospital's 12,166 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
             
100 MS_DRG Seizures With Mcc 4 2 — — $13,303.02 $22,517.27 $17,910.15 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 2 — — $36,057.02 $61,200.30 $48,628.66 2026-04-14
113 MS_DRG Orbital Procedures With Cc/mcc 4 2 — — $16,901.82 $25,374.32 $21,138.07 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 2 — — $27,992.56 $46,544.17 $37,268.36 2026-04-14
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 2 — — $17,076.51 $30,056.30 $23,566.40 2026-04-14
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 2 — — $16,868.79 $27,346.70 $22,107.75 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 2 1 — — $47,967.59 $47,967.59 $47,967.59 2026-04-14
141 MS_DRG Major Head And Neck Procedures With Cc 2 1 — — $24,368.29 $24,368.29 $24,368.29 2026-04-14
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 2 1 — — $17,834.16 $17,834.16 $17,834.16 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 1 — — $37,450.15 $37,450.15 $37,450.15 2026-04-14
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 2 1 — — $19,924.49 $19,924.49 $19,924.49 2026-04-14
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 2 — — $14,115.55 $26,019.68 $20,067.61 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 4 2 — — $47,894.30 $52,277.55 $50,085.93 2026-04-14
164 MS_DRG Major Chest Procedures With Cc 4 2 — — $25,010.81 $28,547.81 $26,779.31 2026-04-14
165 MS_DRG Major Chest Procedures Without Cc/mcc 4 2 — — $13,596.62 $21,141.49 $17,369.06 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 2 — — $25,675.32 $43,670.10 $34,672.71 2026-04-14
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 4 2 — — $13,928.38 $20,724.10 $17,326.24 2026-04-14
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — — $34,804.06 $34,804.06 $34,804.06 2026-04-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $427,738.58 $427,738.58 $427,738.58 2026-04-14
196 MS_DRG Interstitial Lung Disease With Mcc 4 2 — — $12,023.65 $21,369.46 $16,696.56 2026-04-14
199 MS_DRG Pneumothorax With Mcc 4 2 — — $13,085.75 $20,022.03 $16,553.89 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 — — $76,521.70 $91,429.00 $83,975.35 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 2 — — $41,078.31 $73,350.98 $57,214.64 2026-04-14
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 2 — — $17,890.52 $30,439.66 $24,165.09 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 2 — — $58,027.10 $60,576.49 $59,301.79 2026-04-14
211U CPT Onc Pan-tum Dna&rna Gnrj Seq 4 1 — — $21,043.23 $24,758.35 $22,900.79 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 1 — — $123,558.61 $123,558.61 $123,558.61 2026-04-14
215 MS_DRG Other Heart Assist System Implant 4 2 — — $94,583.97 $120,166.22 $107,375.10 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 5 — — $34,236.00 $109,462.78 $48,899.00 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 5 — — $34,236.00 $73,245.50 $48,899.00 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 5 — — $34,236.00 $87,758.72 $48,899.00 2026-04-14
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 2 — — $31,326.60 $37,856.05 $34,591.32 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 5 — — $34,236.00 $73,234.00 $46,454.00 2026-04-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 3 — — $34,236.00 $79,223.78 $61,631.00 2026-04-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 3 — — $34,236.00 $73,234.00 $59,258.98 2026-04-14
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 3 — — $34,236.00 $73,234.00 $61,631.00 2026-04-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 3 — — $34,236.00 $73,234.00 $56,159.04 2026-04-14
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 12 3 — — $34,236.00 $73,234.00 $61,508.00 2026-04-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 12 3 — — $34,236.00 $73,234.00 $54,198.69 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 5 — — $34,236.00 $73,234.00 $45,256.82 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 5 — — $16,433.00 $64,707.24 $23,471.00 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 5 — — $34,236.00 $96,110.97 $48,899.00 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 5 — — $34,236.00 $88,653.61 $48,899.00 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 5 — — $34,236.00 $73,234.00 $46,454.00 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 2 — — $34,566.26 $57,128.52 $45,847.39 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 5 — — $16,433.00 $43,118.88 $23,471.00 2026-04-14
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 2 — — $20,147.57 $33,030.17 $26,588.87 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 5 — — $16,240.00 $38,472.06 $23,195.00 2026-04-14
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 22 5 — — $16,240.00 $31,604.00 $22,035.00 2026-04-14
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 22 5 — — $15,493.27 $31,604.00 $20,876.00 2026-04-14
245 MS_DRG Aicd Generator Procedures 22 5 — — $16,240.00 $55,426.09 $23,195.00 2026-04-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 12 3 — — $10,955.00 $31,532.96 $19,720.00 2026-04-14
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 12 3 — — $10,955.00 $23,540.00 $19,171.83 2026-04-14
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 20 4 — — $19,924.00 $38,774.00 $26,323.50 2026-04-14
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 12 3 — — $10,955.00 $23,540.00 $18,748.31 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 5 — — $16,433.00 $50,724.83 $23,471.00 2026-04-14
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 2 — — $18,645.80 $29,676.34 $24,161.07 2026-04-14
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 5 — — $16,240.00 $31,819.98 $22,035.00 2026-04-14
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 22 5 — — $15,391.98 $31,604.00 $20,876.00 2026-04-14
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 5 — — $16,240.00 $38,633.12 $23,195.00 2026-04-14
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 22 5 — — $14,619.81 $31,604.00 $21,522.58 2026-04-14
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 22 5 — — $11,970.81 $31,604.00 $20,876.00 2026-04-14
263 MS_DRG Vein Ligation And Stripping 4 2 — — $17,558.75 $30,420.38 $23,989.57 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 4 2 — — $23,184.12 $39,641.42 $31,412.77 2026-04-14
265 MS_DRG Aicd Lead Procedures 22 5 — — $16,240.00 $40,459.18 $22,876.58 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 4 — — $34,236.00 $73,234.00 $66,628.00 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 4 — — $34,236.00 $73,234.00 $56,634.00 2026-04-14
267U CPT Rare Do Id Opt Gen Mapg&seq 4 1 — — $16,773.16 $19,734.42 $18,253.79 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 3 — — $34,236.00 $75,623.92 $60,950.61 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 3 — — $34,236.00 $66,628.00 $44,523.33 2026-04-14
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 22 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 3 — — $34,236.00 $66,628.00 $52,957.35 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 3 — — $34,015.64 $66,628.00 $40,461.19 2026-04-14
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 12 3 — — $25,489.82 $66,628.00 $38,046.00 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 3 — — $34,236.00 $66,628.00 $43,103.31 2026-04-14
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 3 — — $28,996.73 $66,628.00 $38,627.19 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 2 — — $41,564.00 $80,153.91 $46,454.00 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 2 — — $41,564.00 $70,256.88 $46,454.00 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 2 — — $41,564.00 $52,761.85 $46,454.00 2026-04-14
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 2 — — $13,246.50 $22,178.15 $17,712.33 2026-04-14
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 2 — — $19,774.69 $30,980.67 $25,377.68 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 2 — — $134,302.92 $243,077.21 $188,690.07 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 5 — — $16,433.00 $47,529.79 $23,471.00 2026-04-14
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 2 — — $14,849.55 $24,425.00 $19,637.28 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 2 — — $34,236.00 $66,628.00 $45,231.50 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 5 — — $24,102.00 $73,234.00 $45,231.50 2026-04-14
32 MS_DRG Ventricular Shunt Procedures With Cc 22 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 18 4 — — $17,314.00 $73,234.00 $41,564.00 2026-04-14
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 1 — — $32,288.41 $32,288.41 $32,288.41 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 2 — — $41,564.00 $48,899.00 $46,454.00 2026-04-14
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 2 — — $36,238.82 $48,899.00 $44,009.00 2026-04-14
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 2 — — $32,461.94 $48,899.00 $44,009.00 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 2 — — $38,578.31 $57,606.02 $48,092.16 2026-04-14
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 2 — — $18,234.76 $27,539.51 $22,887.13 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 2 — — $36,646.42 $52,081.33 $44,363.88 2026-04-14
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 22 5 — — $12,387.72 $35,154.00 $21,124.00 2026-04-14
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 2 — — $18,521.02 $26,809.09 $22,665.06 2026-04-14
332 MS_DRG Rectal Resection With Mcc 4 2 — — $24,942.79 $39,342.00 $32,142.40 2026-04-14
333 MS_DRG Rectal Resection With Cc 4 2 — — $14,150.05 $24,105.15 $19,127.60 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 2 — — $29,815.08 $41,096.60 $35,455.84 2026-04-14
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 2 — — $16,868.79 $23,957.71 $20,413.25 2026-04-14
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 — — $21,027.63 $21,027.63 $21,027.63 2026-04-14
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 1 — — $16,768.23 $16,768.23 $16,768.23 2026-04-14
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 2 — — $21,926.05 $30,561.02 $26,243.53 2026-04-14
347 MS_DRG Anal And Stomal Procedures With Mcc 4 2 — — $17,697.47 $26,844.25 $22,270.86 2026-04-14
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 2 — — $17,957.31 $27,432.90 $22,695.11 2026-04-14
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 2 — — $21,769.71 $33,266.09 $27,517.90 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 2 — — $29,181.64 $48,381.57 $38,781.60 2026-04-14
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 2 — — $15,683.38 $25,542.18 $20,612.78 2026-04-14
368 MS_DRG Major Esophageal Disorders With Mcc 4 2 — — $14,268.96 $18,941.14 $16,605.05 2026-04-14
374 MS_DRG Digestive Malignancy With Mcc 4 2 — — $15,157.10 $23,947.50 $19,552.30 2026-04-14
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 2 — — $13,129.79 $20,622.02 $16,875.90 2026-04-14
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 2 — — $14,283.64 $21,825.41 $18,054.53 2026-04-14
397 MS_DRG Appendix Procedures With Mcc 2 1 — — $28,103.21 $28,103.21 $28,103.21 2026-04-14
398 MS_DRG Appendix Procedures With Cc 2 1 — — $17,162.71 $17,162.71 $17,162.71 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 2 — — $83,816.93 $160,262.46 $122,039.69 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 5 — — $16,433.00 $42,783.16 $23,471.00 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 2 — — $39,482.59 $61,572.32 $50,527.46 2026-04-14
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 2 — — $20,791.28 $31,852.87 $26,322.07 2026-04-14
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 4 2 — — $14,729.91 $24,224.24 $19,477.08 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 2 — — $29,701.31 $39,711.74 $34,706.53 2026-04-14
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 2 — — $17,048.62 $23,778.50 $20,413.56 2026-04-14
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 22 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 2 — — $29,346.05 $30,775.38 $30,060.72 2026-04-14
412 MS_DRG Cholecystectomy With C.d.e. With Cc 4 2 — — $17,483.15 $24,176.61 $20,829.88 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 2 — — $26,256.65 $39,740.10 $32,998.38 2026-04-14
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 2 — — $14,817.99 $22,435.61 $18,626.80 2026-04-14
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 2 — — $17,787.76 $26,954.26 $22,371.01 2026-04-14
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 22 5 — — $13,736.81 $35,154.00 $21,124.00 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 2 — — $25,819.18 $40,031.59 $32,925.38 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 2 — — $28,963.64 $46,132.45 $37,548.04 2026-04-14
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 2 — — $16,082.67 $25,897.19 $20,989.93 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 2 — — $13,402.84 $22,220.11 $17,811.47 2026-04-14
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 2 — — $12,461.12 $20,694.61 $16,577.87 2026-04-14
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 2 — — $13,631.85 $21,440.92 $17,536.38 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 2 — — $14,942.00 $29,079.00 $20,276.00 2026-04-14
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 3 — — $14,942.00 $69,707.25 $26,898.00 2026-04-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 3 — — $14,942.00 $46,512.11 $26,898.00 2026-04-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 12 3 — — $14,942.00 $36,700.00 $26,898.00 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 4 — — $14,942.00 $96,057.67 $29,079.00 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 4 — — $14,942.00 $65,096.27 $29,079.00 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 4 — — $14,942.00 $48,974.76 $29,079.00 2026-04-14
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 — — $18,268.00 $46,864.43 $35,308.00 2026-04-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 — — $18,268.00 $35,308.00 $29,635.25 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 5 — — $17,807.00 $57,782.95 $25,433.00 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 5 — — $17,807.00 $38,848.62 $25,433.00 2026-04-14
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 5 — — $17,807.00 $34,953.00 $25,433.00 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 5 — — $17,807.00 $37,073.60 $25,433.00 2026-04-14
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 22 5 — — $17,807.00 $34,953.00 $22,890.00 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 22 5 — — $14,942.00 $55,091.50 $21,343.00 2026-04-14
472 MS_DRG Cervical Spinal Fusion With Cc 22 5 — — $14,942.00 $35,308.00 $21,343.00 2026-04-14
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 22 5 — — $14,942.00 $35,308.00 $20,276.00 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 5 — — $4,699.00 $40,649.73 $18,268.00 2026-04-14
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 4 2 — — $12,480.94 $22,825.78 $17,653.36 2026-04-14
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 4 — — $4,699.00 $34,953.00 $22,890.00 2026-04-14
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 26 4 — — $4,699.00 $34,953.00 $22,890.00 2026-04-14
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 2 — — $15,593.83 $28,401.50 $21,997.67 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $38,546.01 $69,846.30 $54,196.15 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 2 — — $22,356.91 $39,298.90 $30,827.90 2026-04-14
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 4 2 — — $12,908.12 $22,646.57 $17,777.35 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $35,824.34 $61,193.49 $48,508.91 2026-04-14
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 2 — — $18,417.53 $30,201.48 $24,309.50 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 2 — — $20,535.85 $36,968.11 $28,751.98 2026-04-14
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 4 2 — — $12,915.46 $20,936.20 $16,925.83 2026-04-14
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 4 2 — — $13,736.08 $23,221.61 $18,478.85 2026-04-14
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 4 2 — — $11,492.24 $22,515.00 $17,003.62 2026-04-14
592 MS_DRG Skin Ulcers With Mcc 4 2 — — $12,538.19 $23,322.55 $17,930.37 2026-04-14
595 MS_DRG Major Skin Disorders With Mcc 4 2 — — $14,583.85 $23,989.46 $19,286.65 2026-04-14
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $20,902.12 $30,661.96 $25,782.04 2026-04-14
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 4 2 — — $17,348.82 $25,848.42 $21,598.62 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $30,352.37 $43,836.83 $37,094.60 2026-04-14
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $15,220.22 $21,908.21 $18,564.22 2026-04-14
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 5 — — $11,954.00 $30,923.96 $17,075.00 2026-04-14
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $14,266.76 $20,198.97 $17,232.87 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 2 — — $27,877.32 $42,441.76 $35,159.54 2026-04-14
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 2 — — $14,116.29 $21,694.98 $17,905.64 2026-04-14
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 2 — — $20,429.42 $32,518.65 $26,474.03 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 2 — — $26,974.50 $44,752.13 $35,863.32 2026-04-14
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 2 — — $17,166.06 $25,509.29 $21,337.68 2026-04-14
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 2 — — $13,719.93 $22,561.51 $18,140.72 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 4 2 — — $40,289.26 $63,227.11 $51,758.18 2026-04-14
654 MS_DRG Major Bladder Procedures With Cc 4 2 — — $21,090.02 $32,008.26 $26,549.14 2026-04-14
655 MS_DRG Major Bladder Procedures Without Cc/mcc 4 2 — — $15,246.65 $23,560.74 $19,403.69 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 2 — — $24,424.58 $36,952.24 $30,688.41 2026-04-14
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 2 — — $14,293.92 $20,734.31 $17,514.12 2026-04-14
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 2 — — $20,016.91 $29,311.13 $24,664.02 2026-04-14
662 MS_DRG Minor Bladder Procedures With Mcc 4 2 — — $23,331.66 $35,382.50 $29,357.08 2026-04-14
665 MS_DRG Prostatectomy With Mcc 4 2 — — $23,332.39 $38,943.89 $31,138.14 2026-04-14
668 MS_DRG Transurethral Procedures With Mcc 4 2 — — $20,659.16 $33,076.67 $26,867.92 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 2 — — $26,257.38 $47,518.44 $36,887.91 2026-04-14
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 2 — — $16,970.81 $26,181.87 $21,576.34 2026-04-14
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 4 2 — — $12,607.18 $21,387.61 $16,997.40 2026-04-14
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 4 2 — — $13,148.88 $22,010.29 $17,579.58 2026-04-14
709 MS_DRG Penis Procedures With Cc/mcc 4 2 — — $14,913.41 $25,486.61 $20,200.01 2026-04-14
711 MS_DRG Testes Procedures With Cc/mcc 4 2 — — $15,292.89 $21,636.00 $18,464.44 2026-04-14
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 4 2 — — $16,220.67 $25,613.64 $20,917.15 2026-04-14
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 4 2 — — $14,344.56 $21,045.08 $17,694.82 2026-04-14
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 4 2 — — $16,925.31 $23,849.96 $20,387.64 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 2 — — $29,584.60 $44,660.26 $37,122.43 2026-04-14
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 4 2 — — $14,910.48 $22,665.85 $18,788.17 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 2 — — $26,407.12 $45,151.37 $35,779.25 2026-04-14
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 4 2 — — $12,792.89 $20,623.16 $16,708.03 2026-04-14
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 2 — — $12,580.76 $20,718.43 $16,649.60 2026-04-14
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 4 2 — — $12,406.80 $22,162.27 $17,284.53 2026-04-14
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 2 — — $19,098.68 $29,359.90 $24,229.29 2026-04-14
754 MS_DRG Malignancy, Female Reproductive System With Mcc 4 2 — — $13,515.88 $20,521.08 $17,018.48 2026-04-14
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 14 2 — — $10,700.99 $29,979.94 $25,378.97 2026-04-14
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 14 2 — — $7,838.39 $23,438.51 $19,841.44 2026-04-14
77371 CPT Srs Multisource 36 4 — — $3,986.00 $49,978.70 $26,982.35 2026-04-14
77372 CPT Srs Linear Based 34 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
77424 CPT Io Rad Tx Delivery By X-ray 22 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
77425 CPT Io Rad Tx Deliver By Elctrns 22 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
783 MS_DRG Cesarean Section With Sterilization With Mcc 12 1 — — $24,757.82 $40,126.46 $35,041.35 2026-04-14
784 MS_DRG Cesarean Section With Sterilization With Cc 12 1 — — $14,555.52 $23,590.99 $20,601.37 2026-04-14
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 12 1 — — $11,739.84 $19,027.45 $16,616.15 2026-04-14
786 MS_DRG Cesarean Section Without Sterilization With Mcc 12 1 — — $21,717.70 $35,199.15 $30,738.46 2026-04-14
787 MS_DRG Cesarean Section Without Sterilization With Cc 12 1 — — $14,270.59 $23,129.19 $20,198.09 2026-04-14
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 12 1 — — $12,159.17 $19,707.08 $17,209.65 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 1 — — $40,269.44 $40,269.44 $40,269.44 2026-04-14
791 MS_DRG Prematurity With Major Problems 2 1 — — $27,502.98 $27,502.98 $27,502.98 2026-04-14
792 MS_DRG Prematurity Without Major Problems 2 1 — — $16,594.27 $16,594.27 $16,594.27 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 2 1 — — $28,250.93 $28,250.93 $28,250.93 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 4 2 — — $34,509.74 $53,928.94 $44,219.34 2026-04-14
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 4 2 — — $13,790.39 $22,332.40 $18,061.40 2026-04-14
800 MS_DRG Splenic Procedures With Cc 4 2 — — $19,280.71 $33,048.32 $26,164.51 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 2 — — $24,568.45 $40,658.80 $32,613.62 2026-04-14
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 4 2 — — $12,640.21 $20,188.76 $16,414.49 2026-04-14
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 2 — — $15,775.13 $25,976.58 $20,875.85 2026-04-14
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 2 — — $12,206.42 $23,710.45 $17,958.44 2026-04-14
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 1 — — $24,792.48 $24,792.48 $24,792.48 2026-04-14
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 2 — — $15,844.12 $26,315.71 $21,079.92 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 2 — — $39,956.76 $66,036.53 $52,996.65 2026-04-14
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 2 — — $17,574.16 $25,319.88 $21,447.02 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 2 — — $33,210.56 $53,074.89 $43,142.72 2026-04-14
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 2 — — $16,106.90 $24,945.59 $20,526.24 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 2 — — $36,317.59 $54,163.72 $45,240.65 2026-04-14
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 2 — — $16,527.48 $26,765.99 $21,646.74 2026-04-14
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 2 — — $22,825.20 $34,976.46 $28,900.83 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 4 2 — — $40,427.25 $62,690.64 $51,558.94 2026-04-14
835 MS_DRG Acute Leukemia With Cc 4 2 — — $15,678.24 $24,225.38 $19,951.81 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 2 — — $39,445.89 $56,791.66 $48,118.78 2026-04-14
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 2 — — $17,268.08 $23,003.84 $20,135.96 2026-04-14
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 2 — — $24,169.89 $36,169.64 $30,169.76 2026-04-14
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 4 2 — — $13,549.64 $21,473.81 $17,511.72 2026-04-14
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 2 — — $27,435.07 $28,965.20 $28,200.14 2026-04-14
849 MS_DRG Radiotherapy 4 2 — — $14,461.27 $30,295.62 $22,378.44 2026-04-14
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 2 — — $16,001.20 $25,700.97 $20,851.08 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 2 — — $37,119.11 $56,724.74 $46,921.93 2026-04-14
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 2 — — $16,168.55 $22,662.45 $19,415.50 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 2 — — $32,944.12 $51,170.57 $42,057.35 2026-04-14
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 2 — — $15,096.18 $24,713.08 $19,904.63 2026-04-14
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 4 2 — — $13,415.32 $20,854.54 $17,134.93 2026-04-14
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 2 — — $15,655.49 $24,320.65 $19,988.07 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 2 — — $46,207.50 $78,900.62 $62,554.06 2026-04-14
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 2 — — $13,625.98 $22,254.14 $17,940.06 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 — — $24,232.28 $24,232.28 $24,232.28 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 4 2 — — $32,772.37 $50,250.73 $41,511.55 2026-04-14
902 MS_DRG Wound Debridements For Injuries With Cc 4 2 — — $14,095.74 $21,522.58 $17,809.16 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 2 — — $23,678.84 $43,792.60 $33,735.72 2026-04-14
906 MS_DRG Hand Procedures For Injuries 4 2 — — $13,529.09 $24,753.92 $19,141.50 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 2 — — $30,946.17 $45,183.13 $38,064.65 2026-04-14
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 2 — — $14,627.15 $22,877.95 $18,752.55 2026-04-14
919 MS_DRG Complications Of Treatment With Mcc 4 2 — — $13,390.36 $20,683.27 $17,036.82 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 2 — — $134,942.23 $134,942.23 $134,942.23 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 2 — — $43,126.90 $43,126.90 $43,126.90 2026-04-14
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 14 2 — — $21,815.95 $21,815.95 $21,815.95 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 2 — — $20,994.60 $20,994.60 $20,994.60 2026-04-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 2 — — $24,065.66 $35,999.51 $30,032.58 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 2 — — $26,995.79 $41,383.56 $34,189.68 2026-04-14
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 2 — — $15,960.83 $23,947.50 $19,954.17 2026-04-14
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 4 2 — — $13,589.28 $22,165.67 $17,877.47 2026-04-14
94U CPT Genome Rapid Sequence Alys 4 1 — — $18,870.96 $22,202.58 $20,536.77 2026-04-14
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 2 — — $17,475.81 $27,189.04 $22,332.43 2026-04-14
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 2 — — $15,494.74 $27,189.04 $21,341.89 2026-04-14
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 2 — — $20,515.30 $30,812.81 $25,664.06 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 2 — — $41,094.46 $71,730.21 $56,412.34 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 2 — — $25,975.53 $40,656.53 $33,316.03 2026-04-14
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 2 — — $20,461.72 $30,093.73 $25,277.72 2026-04-14
974 MS_DRG HIV With Major Related Condition With Mcc 4 2 — — $19,986.82 $33,869.48 $26,928.15 2026-04-14
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 2 — — $13,582.67 $24,604.20 $19,093.44 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 2 — — $32,079.47 $53,918.73 $42,999.10 2026-04-14
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 2 — — $18,004.29 $27,768.62 $22,886.46 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 2 — — $24,461.28 $39,727.62 $32,094.45 2026-04-14
C9760 HCPCS Non-blind Interatrial Shunt 20 4 — — $4,173.00 $63,075.00 $33,624.00 2026-04-14
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