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

BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI

Arlington, TX · CCN 670067 · Rates published

Your selected procedure

You selected 93458 (CPT)

L HRT ARTERY/VENTRICLE ANGIO

This hospital’s price: $8,748 across 5 payers · range $3,986-$15,456

Source: https://mrfs.hyvehealthcare.com/USPI/261578178_BaylorOrthopedicandSpineHospitalatArlington_standardcharges.json · observed 2026-04-14

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,139 distinct procedures filed
7 distinct payers
454,316 rate rows
2026-04-14 last MRF observed
Data quality

304,956 of 454,316 rate rows are consumer-grade (67.1%)

149,360 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 129,294
template filing: same amount across many unrelated codes — excluded 13,352
exceeds 10× this hospital's gross charge — excluded from medians 5,274
per-diem day rate — not a per-procedure price 956
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 396
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 84
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/USPI/261578178_arlington-orthopedic-and-spine-hospital,-llc_standardcharges.json
Found on page https://bswarlington.com/patients-visitors/hospital-pricing-information/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-02
Content fingerprint dff4518a92742dec… · 52,645,828 bytes · first seen 2026-07-07

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
$168,055
outlier · 2.5×
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
$145,435
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $134,942.23 $134,942.23 $134,942.23 nat. median
$131,925
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $123,558.61 $123,558.61 $123,558.61 nat. median
$74,509
1.7× 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
$97,418
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 2 $94,583.97 $120,166.22 $107,375.10 nat. median
$73,023
1.5× 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
$56,428
1.5× 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
$44,036
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $46,207.50 $78,900.62 $62,554.06 nat. median
$48,611
1.3× 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
$2,024
outlier · 30.5×
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
$2,024
outlier · 30.5×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $34,236.00 $73,234.00 $61,508.00 nat. median
$2,024
outlier · 30.4×
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
$49,569
1.2× 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
$38,173
1.6× 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
$2,024
outlier · 29.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $41,078.31 $73,350.98 $57,214.64 nat. median
$47,121
1.2× 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
$34,616
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $41,094.46 $71,730.21 $56,412.34 nat. median
$41,943
1.3× 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
$2,024
outlier · 27.7×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 $34,236.00 $73,234.00 $54,198.69 nat. median
$2,024
outlier · 26.8×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $38,546.01 $69,846.30 $54,196.15 nat. median
$43,299
1.3× 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
$40,726
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $34,236.00 $66,628.00 $52,957.35 nat. median
$37,725
1.4× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $40,289.26 $63,227.11 $51,758.18 nat. median
$36,547
1.4× median
834
MS_DRG 		Acute Leukemia With Mcc 2 $40,427.25 $62,690.64 $51,558.94 nat. median
$37,487
1.4× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 2 $39,482.59 $61,572.32 $50,527.46 nat. median
$38,859
1.3× median
163
MS_DRG 		Major Chest Procedures With Mcc 2 $47,894.30 $52,277.55 $50,085.93 nat. median
$31,995
1.6× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$35,725
1.4× 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
$39,159
1.2× 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
$45,446
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $34,236.00 $96,110.97 $48,899.00 nat. median
$60,505
0.8× 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
$55,923
0.9× 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
$55,935
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$43,803
1.1× 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
$47,458
1.0× 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
$38,832
1.3× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $34,236.00 $73,234.00 $48,899.00 nat. median
$43,023
1.1× 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
$69,822
0.7× 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
$37,371
1.3× 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
$33,583
1.4× 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
$32,992
1.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 2 $38,578.31 $57,606.02 $48,092.16 nat. median
$35,986
1.3× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $47,967.59 $47,967.59 $47,967.59 nat. median
$28,105
1.7× 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
$34,733
1.4× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 2 $41,564.00 $52,761.85 $46,454.00 nat. median
$33,459
1.4× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 $41,564.00 $48,899.00 $46,454.00 nat. median
$30,435
1.5× 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
$43,533
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
$35,297
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $41,564.00 $80,153.91 $46,454.00 nat. median
$51,518
0.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 5 $34,236.00 $73,234.00 $46,454.00 nat. median
$30,358
1.5× median

Other procedures at this hospital

Browse this hospital's 12,139 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $427,738.58 $427,738.58 $427,738.58 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $134,302.92 $243,077.21 $188,690.07 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $134,942.23 $134,942.23 $134,942.23 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $123,558.61 $123,558.61 $123,558.61 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $83,816.93 $160,262.46 $122,039.69 2026-04-14
215 MS_DRG Other Heart Assist System Implant 2 2 — — $94,583.97 $120,166.22 $107,375.10 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $76,521.70 $91,429.00 $83,975.35 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 4 — — $34,236.00 $73,234.00 $66,628.00 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $46,207.50 $78,900.62 $62,554.06 2026-04-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $34,236.00 $79,223.78 $61,631.00 2026-04-14
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $34,236.00 $73,234.00 $61,631.00 2026-04-14
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $34,236.00 $73,234.00 $61,508.00 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $34,236.00 $75,623.92 $60,950.61 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $58,027.10 $60,576.49 $59,301.79 2026-04-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $34,236.00 $73,234.00 $59,258.98 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $41,078.31 $73,350.98 $57,214.64 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 4 — — $34,236.00 $73,234.00 $56,634.00 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $41,094.46 $71,730.21 $56,412.34 2026-04-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $34,236.00 $73,234.00 $56,159.04 2026-04-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $34,236.00 $73,234.00 $54,198.69 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $38,546.01 $69,846.30 $54,196.15 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $39,956.76 $66,036.53 $52,996.65 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $34,236.00 $66,628.00 $52,957.35 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $40,289.26 $63,227.11 $51,758.18 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $40,427.25 $62,690.64 $51,558.94 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $39,482.59 $61,572.32 $50,527.46 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $47,894.30 $52,277.55 $50,085.93 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 5 — — $34,236.00 $109,462.78 $48,899.00 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 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… 11 5 — — $34,236.00 $87,758.72 $48,899.00 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 5 — — $34,236.00 $96,110.97 $48,899.00 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 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… 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 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 11 5 — — $34,236.00 $88,653.61 $48,899.00 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 5 — — $34,236.00 $73,234.00 $48,899.00 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $36,057.02 $61,200.30 $48,628.66 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $35,824.34 $61,193.49 $48,508.91 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $39,445.89 $56,791.66 $48,118.78 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $38,578.31 $57,606.02 $48,092.16 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $47,967.59 $47,967.59 $47,967.59 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $37,119.11 $56,724.74 $46,921.93 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 5 — — $34,236.00 $73,234.00 $46,454.00 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 5 — — $34,236.00 $73,234.00 $46,454.00 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 2 — — $41,564.00 $48,899.00 $46,454.00 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 2 — — $41,564.00 $70,256.88 $46,454.00 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 2 — — $41,564.00 $52,761.85 $46,454.00 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 2 — — $41,564.00 $80,153.91 $46,454.00 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $34,566.26 $57,128.52 $45,847.39 2026-04-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 5 — — $34,236.00 $73,234.00 $45,256.82 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $36,317.59 $54,163.72 $45,240.65 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 2 — — $34,236.00 $66,628.00 $45,231.50 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 5 — — $24,102.00 $73,234.00 $45,231.50 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $34,236.00 $66,628.00 $44,523.33 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $36,646.42 $52,081.33 $44,363.88 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $34,509.74 $53,928.94 $44,219.34 2026-04-14
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 2 — — $32,461.94 $48,899.00 $44,009.00 2026-04-14
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 2 — — $36,238.82 $48,899.00 $44,009.00 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $33,210.56 $53,074.89 $43,142.72 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $43,126.90 $43,126.90 $43,126.90 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $34,236.00 $66,628.00 $43,103.31 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $32,079.47 $53,918.73 $42,999.10 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $32,944.12 $51,170.57 $42,057.35 2026-04-14
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 9 4 — — $17,314.00 $73,234.00 $41,564.00 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $32,772.37 $50,250.73 $41,511.55 2026-04-14
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $35,308.00 $46,864.43 $41,086.21 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 3 — — $34,015.64 $66,628.00 $40,461.19 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $40,269.44 $40,269.44 $40,269.44 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $29,181.64 $48,381.57 $38,781.60 2026-04-14
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 3 — — $28,996.73 $66,628.00 $38,627.19 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $30,946.17 $45,183.13 $38,064.65 2026-04-14
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 3 — — $25,489.82 $66,628.00 $38,046.00 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $28,963.64 $46,132.45 $37,548.04 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $37,450.15 $37,450.15 $37,450.15 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $27,992.56 $46,544.17 $37,268.36 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $29,584.60 $44,660.26 $37,122.43 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $30,352.37 $43,836.83 $37,094.60 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $26,257.38 $47,518.44 $36,887.91 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $26,974.50 $44,752.13 $35,863.32 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $26,407.12 $45,151.37 $35,779.25 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $29,815.08 $41,096.60 $35,455.84 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $27,877.32 $42,441.76 $35,159.54 2026-04-14
783 MS_DRG Cesarean Section With Sterilization With Mcc 6 1 — — $24,757.82 $40,126.46 $35,041.35 2026-04-14
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $34,804.06 $34,804.06 $34,804.06 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $29,701.31 $39,711.74 $34,706.53 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $25,675.32 $43,670.10 $34,672.71 2026-04-14
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $31,326.60 $37,856.05 $34,591.32 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $26,995.79 $41,383.56 $34,189.68 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $23,678.84 $43,792.60 $33,735.72 2026-04-14
C9760 HCPCS Non-blind Interatrial Shunt 11 4 — — $4,173.00 $63,075.00 $33,624.00 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $25,975.53 $40,656.53 $33,316.03 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $26,256.65 $39,740.10 $32,998.38 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $25,819.18 $40,031.59 $32,925.38 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $24,568.45 $40,658.80 $32,613.62 2026-04-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $29,635.25 $35,308.00 $32,471.62 2026-04-14
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $32,288.41 $32,288.41 $32,288.41 2026-04-14
332 MS_DRG Rectal Resection With Mcc 2 2 — — $24,942.79 $39,342.00 $32,142.40 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $24,461.28 $39,727.62 $32,094.45 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $23,184.12 $39,641.42 $31,412.77 2026-04-14
665 MS_DRG Prostatectomy With Mcc 2 2 — — $23,332.39 $38,943.89 $31,138.14 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $22,356.91 $39,298.90 $30,827.90 2026-04-14
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 1 — — $21,717.70 $35,199.15 $30,738.46 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $24,424.58 $36,952.24 $30,688.41 2026-04-14
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $24,169.89 $36,169.64 $30,169.76 2026-04-14
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $29,346.05 $30,775.38 $30,060.72 2026-04-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $24,065.66 $35,999.51 $30,032.58 2026-04-14
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $23,331.66 $35,382.50 $29,357.08 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 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… 7 4 — — $14,942.00 $48,974.76 $29,079.00 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 — — $14,942.00 $96,057.67 $29,079.00 2026-04-14
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $22,825.20 $34,976.46 $28,900.83 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $20,535.85 $36,968.11 $28,751.98 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $28,250.93 $28,250.93 $28,250.93 2026-04-14
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $27,435.07 $28,965.20 $28,200.14 2026-04-14
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $28,103.21 $28,103.21 $28,103.21 2026-04-14
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $21,769.71 $33,266.09 $27,517.90 2026-04-14
791 MS_DRG Prematurity With Major Problems 1 1 — — $27,502.98 $27,502.98 $27,502.98 2026-04-14
77371 CPT Srs Multisource 18 4 — — $3,986.00 $49,978.70 $26,982.35 2026-04-14
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $19,986.82 $33,869.48 $26,928.15 2026-04-14
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 3 — — $14,942.00 $69,707.25 $26,898.00 2026-04-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 3 — — $14,942.00 $36,700.00 $26,898.00 2026-04-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $14,942.00 $46,512.11 $26,898.00 2026-04-14
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $20,659.16 $33,076.67 $26,867.92 2026-04-14
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $25,010.81 $28,547.81 $26,779.31 2026-04-14
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $20,147.57 $33,030.17 $26,588.87 2026-04-14
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $21,090.02 $32,008.26 $26,549.14 2026-04-14
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 2 — — $20,429.42 $32,518.65 $26,474.03 2026-04-14
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 4 — — $19,924.00 $38,774.00 $26,323.50 2026-04-14
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $20,791.28 $31,852.87 $26,322.07 2026-04-14
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $21,926.05 $30,561.02 $26,243.53 2026-04-14
800 MS_DRG Splenic Procedures With Cc 2 2 — — $19,280.71 $33,048.32 $26,164.51 2026-04-14
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $20,902.12 $30,661.96 $25,782.04 2026-04-14
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 — — $20,515.30 $30,812.81 $25,664.06 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 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 11 5 — — $17,807.00 $34,953.00 $25,433.00 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 5 — — $17,807.00 $57,782.95 $25,433.00 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 5 — — $17,807.00 $37,073.60 $25,433.00 2026-04-14
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 7 2 — — $10,700.99 $29,979.94 $25,378.97 2026-04-14
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $19,774.69 $30,980.67 $25,377.68 2026-04-14
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $20,461.72 $30,093.73 $25,277.72 2026-04-14
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $24,792.48 $24,792.48 $24,792.48 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 4 — — $14,942.00 $40,649.73 $24,717.00 2026-04-14
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $20,016.91 $29,311.13 $24,664.02 2026-04-14
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $24,368.29 $24,368.29 $24,368.29 2026-04-14
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $18,417.53 $30,201.48 $24,309.50 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $24,232.28 $24,232.28 $24,232.28 2026-04-14
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $19,098.68 $29,359.90 $24,229.29 2026-04-14
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $17,890.52 $30,439.66 $24,165.09 2026-04-14
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $18,645.80 $29,676.34 $24,161.07 2026-04-14
263 MS_DRG Vein Ligation And Stripping 2 2 — — $17,558.75 $30,420.38 $23,989.57 2026-04-14
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 2 — — $17,076.51 $30,056.30 $23,566.40 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 5 — — $16,433.00 $42,783.16 $23,471.00 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 5 — — $16,433.00 $50,724.83 $23,471.00 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 5 — — $16,433.00 $64,707.24 $23,471.00 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 5 — — $16,433.00 $43,118.88 $23,471.00 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 5 — — $16,433.00 $47,529.79 $23,471.00 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 5 — — $16,240.00 $38,633.12 $23,195.00 2026-04-14
245 MS_DRG Aicd Generator Procedures 11 5 — — $16,240.00 $55,426.09 $23,195.00 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 5 — — $16,240.00 $38,472.06 $23,195.00 2026-04-14
211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 2 1 — — $21,043.23 $24,758.35 $22,900.79 2026-04-14
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 4 — — $4,975.00 $34,953.00 $22,890.00 2026-04-14
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 11 5 — — $17,807.00 $34,953.00 $22,890.00 2026-04-14
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $18,234.76 $27,539.51 $22,887.13 2026-04-14
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $18,004.29 $27,768.62 $22,886.46 2026-04-14
265 MS_DRG Aicd Lead Procedures 11 5 — — $16,240.00 $40,459.18 $22,876.58 2026-04-14
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $17,957.31 $27,432.90 $22,695.11 2026-04-14
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $18,521.02 $26,809.09 $22,665.06 2026-04-14
849 MS_DRG Radiotherapy 2 2 — — $14,461.27 $30,295.62 $22,378.44 2026-04-14
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $17,787.76 $26,954.26 $22,371.01 2026-04-14
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $17,475.81 $27,189.04 $22,332.43 2026-04-14
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 14 4 — — $4,699.00 $34,953.00 $22,330.00 2026-04-14
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
32 MS_DRG Ventricular Shunt Procedures With Cc 11 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 11 5 — — $16,433.00 $35,154.00 $22,297.00 2026-04-14
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 — — $17,697.47 $26,844.25 $22,270.86 2026-04-14
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 2 2 — — $16,868.79 $27,346.70 $22,107.75 2026-04-14
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 5 — — $16,240.00 $31,819.98 $22,035.00 2026-04-14
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 11 5 — — $16,240.00 $31,604.00 $22,035.00 2026-04-14
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $15,593.83 $28,401.50 $21,997.67 2026-04-14
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $21,815.95 $21,815.95 $21,815.95 2026-04-14
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $16,527.48 $26,765.99 $21,646.74 2026-04-14
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 2 2 — — $17,348.82 $25,848.42 $21,598.62 2026-04-14
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 — — $16,970.81 $26,181.87 $21,576.34 2026-04-14
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 11 5 — — $14,619.81 $31,604.00 $21,522.58 2026-04-14
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 2 — — $17,574.16 $25,319.88 $21,447.02 2026-04-14
472 MS_DRG Cervical Spinal Fusion With Cc 11 5 — — $14,942.00 $35,308.00 $21,343.00 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 11 5 — — $14,942.00 $55,091.50 $21,343.00 2026-04-14
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 2 — — $15,494.74 $27,189.04 $21,341.89 2026-04-14
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $17,166.06 $25,509.29 $21,337.68 2026-04-14
113 MS_DRG Orbital Procedures With Cc/mcc 2 2 — — $16,901.82 $25,374.32 $21,138.07 2026-04-14
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 11 5 — — $13,736.81 $35,154.00 $21,124.00 2026-04-14
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 11 5 — — $12,387.72 $35,154.00 $21,124.00 2026-04-14
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $15,844.12 $26,315.71 $21,079.92 2026-04-14
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $21,027.63 $21,027.63 $21,027.63 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $20,994.60 $20,994.60 $20,994.60 2026-04-14
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 2 — — $16,082.67 $25,897.19 $20,989.93 2026-04-14
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 2 — — $16,220.67 $25,613.64 $20,917.15 2026-04-14
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 11 5 — — $11,970.81 $31,604.00 $20,876.00 2026-04-14
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 11 5 — — $15,391.98 $31,604.00 $20,876.00 2026-04-14
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 11 5 — — $15,493.27 $31,604.00 $20,876.00 2026-04-14
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $15,775.13 $25,976.58 $20,875.85 2026-04-14
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $16,001.20 $25,700.97 $20,851.08 2026-04-14
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 2 — — $17,483.15 $24,176.61 $20,829.88 2026-04-14
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $15,683.38 $25,542.18 $20,612.78 2026-04-14
784 MS_DRG Cesarean Section With Sterilization With Cc 6 1 — — $14,555.52 $23,590.99 $20,601.37 2026-04-14
94U OTHER Genome Rapid Sequence Alys 2 1 — — $18,870.96 $22,202.58 $20,536.77 2026-04-14
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $16,106.90 $24,945.59 $20,526.24 2026-04-14
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $17,048.62 $23,778.50 $20,413.56 2026-04-14
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 — — $16,868.79 $23,957.71 $20,413.25 2026-04-14
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $16,925.31 $23,849.96 $20,387.64 2026-04-14
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 11 5 — — $14,942.00 $35,308.00 $20,276.00 2026-04-14
709 MS_DRG Penis Procedures With Cc/mcc 2 2 — — $14,913.41 $25,486.61 $20,200.01 2026-04-14
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 1 — — $14,270.59 $23,129.19 $20,198.09 2026-04-14
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 2 — — $17,268.08 $23,003.84 $20,135.96 2026-04-14
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 2 — — $14,115.55 $26,019.68 $20,067.61 2026-04-14
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $15,655.49 $24,320.65 $19,988.07 2026-04-14
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $15,960.83 $23,947.50 $19,954.17 2026-04-14
835 MS_DRG Acute Leukemia With Cc 2 2 — — $15,678.24 $24,225.38 $19,951.81 2026-04-14
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 1 1 — — $19,924.49 $19,924.49 $19,924.49 2026-04-14
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $15,096.18 $24,713.08 $19,904.63 2026-04-14
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 7 2 — — $7,838.39 $23,438.51 $19,841.44 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 2 — — $14,942.00 $29,079.00 $19,742.50 2026-04-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 3 — — $10,955.00 $31,532.96 $19,720.00 2026-04-14
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 2 — — $14,849.55 $24,425.00 $19,637.28 2026-04-14
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $15,157.10 $23,947.50 $19,552.30 2026-04-14
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 2 2 — — $14,729.91 $24,224.24 $19,477.08 2026-04-14
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $16,168.55 $22,662.45 $19,415.50 2026-04-14
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 2 — — $15,246.65 $23,560.74 $19,403.69 2026-04-14
595 MS_DRG Major Skin Disorders With Mcc 2 2 — — $14,583.85 $23,989.46 $19,286.65 2026-04-14
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 3 — — $10,955.00 $23,540.00 $19,171.83 2026-04-14
906 MS_DRG Hand Procedures For Injuries 2 2 — — $13,529.09 $24,753.92 $19,141.50 2026-04-14
333 MS_DRG Rectal Resection With Cc 2 2 — — $14,150.05 $24,105.15 $19,127.60 2026-04-14
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 — — $13,582.67 $24,604.20 $19,093.44 2026-04-14
77372 CPT Srs Linear Based 17 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
77424 CPT Io Rad Tx Delivery By X-ray 11 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
77425 CPT Io Rad Tx Deliver By Elctrns 11 3 — — $3,986.00 $33,664.83 $18,825.42 2026-04-14
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 2 — — $14,910.48 $22,665.85 $18,788.17 2026-04-14
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $14,627.15 $22,877.95 $18,752.55 2026-04-14
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 3 — — $10,955.00 $23,540.00 $18,748.31 2026-04-14
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $14,817.99 $22,435.61 $18,626.80 2026-04-14
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $15,220.22 $21,908.21 $18,564.22 2026-04-14
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 — — $13,736.08 $23,221.61 $18,478.85 2026-04-14
711 MS_DRG Testes Procedures With Cc/mcc 2 2 — — $15,292.89 $21,636.00 $18,464.44 2026-04-14
267U OTHER Rare Do Id Opt Gen Mapg&seq 2 1 — — $16,773.16 $19,734.42 $18,253.79 2026-04-14
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 — — $13,719.93 $22,561.51 $18,140.72 2026-04-14
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 2 — — $13,790.39 $22,332.40 $18,061.40 2026-04-14
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 2 — — $14,283.64 $21,825.41 $18,054.53 2026-04-14
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 2 — — $12,206.42 $23,710.45 $17,958.44 2026-04-14
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $13,625.98 $22,254.14 $17,940.06 2026-04-14
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $12,538.19 $23,322.55 $17,930.37 2026-04-14
100 MS_DRG Seizures With Mcc 2 2 — — $13,303.02 $22,517.27 $17,910.15 2026-04-14
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $14,116.29 $21,694.98 $17,905.64 2026-04-14
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $13,589.28 $22,165.67 $17,877.47 2026-04-14
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 1 1 — — $17,834.16 $17,834.16 $17,834.16 2026-04-14
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 2 — — $13,402.84 $22,220.11 $17,811.47 2026-04-14
902 MS_DRG Wound Debridements For Injuries With Cc 2 2 — — $14,095.74 $21,522.58 $17,809.16 2026-04-14
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 2 2 — — $12,908.12 $22,646.57 $17,777.35 2026-04-14
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $13,246.50 $22,178.15 $17,712.33 2026-04-14
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 2 2 — — $14,344.56 $21,045.08 $17,694.82 2026-04-14
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 2 2 — — $12,480.94 $22,825.78 $17,653.36 2026-04-14
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 2 2 — — $13,148.88 $22,010.29 $17,579.58 2026-04-14
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 — — $13,631.85 $21,440.92 $17,536.38 2026-04-14
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 2 — — $14,293.92 $20,734.31 $17,514.12 2026-04-14
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $13,549.64 $21,473.81 $17,511.72 2026-04-14
165 MS_DRG Major Chest Procedures Without Cc/mcc 2 2 — — $13,596.62 $21,141.49 $17,369.06 2026-04-14
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 2 — — $13,928.38 $20,724.10 $17,326.24 2026-04-14
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 2 — — $12,406.80 $22,162.27 $17,284.53 2026-04-14
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $14,266.76 $20,198.97 $17,232.87 2026-04-14
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 6 1 — — $12,159.17 $19,707.08 $17,209.65 2026-04-14
398 MS_DRG Appendix Procedures With Cc 1 1 — — $17,162.71 $17,162.71 $17,162.71 2026-04-14
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 — — $13,415.32 $20,854.54 $17,134.93 2026-04-14
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 5 — — $11,954.00 $30,923.96 $17,075.00 2026-04-14
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $13,390.36 $20,683.27 $17,036.82 2026-04-14
754 MS_DRG Malignancy, Female Reproductive System With Mcc 2 2 — — $13,515.88 $20,521.08 $17,018.48 2026-04-14
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 2 — — $11,492.24 $22,515.00 $17,003.62 2026-04-14
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 2 — — $12,607.18 $21,387.61 $16,997.40 2026-04-14
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 2 — — $12,915.46 $20,936.20 $16,925.83 2026-04-14
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 — — $13,129.79 $20,622.02 $16,875.90 2026-04-14
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $16,768.23 $16,768.23 $16,768.23 2026-04-14
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 2 2 — — $12,792.89 $20,623.16 $16,708.03 2026-04-14
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 — — $12,023.65 $21,369.46 $16,696.56 2026-04-14
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 2 — — $12,580.76 $20,718.43 $16,649.60 2026-04-14
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 6 1 — — $11,739.84 $19,027.45 $16,616.15 2026-04-14
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $14,268.96 $18,941.14 $16,605.05 2026-04-14
792 MS_DRG Prematurity Without Major Problems 1 1 — — $16,594.27 $16,594.27 $16,594.27 2026-04-14
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $12,461.12 $20,694.61 $16,577.87 2026-04-14
199 MS_DRG Pneumothorax With Mcc 2 2 — — $13,085.75 $20,022.03 $16,553.89 2026-04-14
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 2 — — $12,640.21 $20,188.76 $16,414.49 2026-04-14
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