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Hospital

PRINCETON BAPTIST MEDICAL CENTER

Birmingham, AL · CCN 010103 · Rates published

11,150 distinct procedures filed
14 distinct payers
104,009 rate rows
2026-04-01 last MRF observed
Data quality

78,696 of 104,009 rate rows are consumer-grade (75.7%)

25,313 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 25,313
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=Z81AxPk5TY2LwGfXLtmX5w*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://www.baptisthealthal.com/patient-financial-resources/pricing-info-estimates/hospital-pricing-information
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint f34a03e46a9ccecf… · 28,167,114 bytes · first seen 2026-05-15

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 9 $4,810.00 $748,012.46 $321,212.97 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $13,425.00 $485,430.00 $208,127.92 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $8,055.00 $369,833.36 $159,835.81 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $8,055.00 $367,662.91 $158,909.63 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $4,810.00 $239,933.95 $104,985.21 nat. median
$133,161
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 9 $13,425.00 $235,200.56 $102,265.43 nat. median
$99,019
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $80,594.61 $196,064.25 $99,583.54 nat. median
$98,047
1.0× median
7
MS_DRG 		Lung Transplant 9 $8,055.00 $224,323.36 $97,743.57 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $5,982.00 $208,174.06 $90,852.31 nat. median
$117,357
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $13,425.00 $196,289.44 $85,780.89 nat. median
$108,660
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $13,425.00 $190,909.23 $83,071.74 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $13,425.00 $188,361.16 $82,397.72 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $8,055.00 $178,598.48 $78,231.77 nat. median
$100,136
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $8,055.00 $169,457.66 $73,595.24 nat. median
$93,672
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $13,425.00 $156,064.29 $68,276.26 nat. median
$82,711
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $8,055.00 $149,999.86 $66,028.12 nat. median
$83,470
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $13,425.00 $146,022.73 $64,331.00 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $13,425.00 $145,563.69 $64,135.12 nat. median
$81,118
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $13,425.00 $123,512.79 $63,107.46 nat. median
$68,886
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $8,055.00 $136,303.35 $60,183.54 nat. median
$77,570
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $13,425.00 $134,250.00 $58,775.41 nat. median
$74,915
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $8,055.00 $131,991.91 $58,343.74 nat. median
$72,135
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $8,055.00 $132,430.15 $57,951.24 nat. median
$73,807
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 5 $2,741.00 $103,563.23 $56,959.78 nat. median
$15,979
outlier · 3.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $13,425.00 $125,040.59 $55,377.47 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $5,982.00 $124,297.48 $55,060.36 nat. median
$68,884
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $5,982.00 $124,245.51 $55,038.19 nat. median
$64,023
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $5,982.00 $123,585.54 $54,756.56 nat. median
$71,271
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 9 $13,425.00 $104,075.77 $53,335.28 nat. median
$57,822
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $13,425.00 $103,292.82 $52,941.64 nat. median
$58,020
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $13,425.00 $119,138.98 $52,859.13 nat. median
$65,950
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $4,810.00 $119,726.20 $52,583.87 nat. median
$66,526
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $8,055.00 $116,596.11 $51,774.03 nat. median
$64,732
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $13,425.00 $115,738.68 $51,153.65 nat. median
$63,724
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $13,425.00 $115,823.55 $50,935.01 nat. median
$60,691
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $13,425.00 $113,897.35 $50,622.41 nat. median
$61,920
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $4,810.00 $113,483.35 $50,445.74 nat. median
$59,793
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $8,055.00 $113,897.35 $50,371.81 nat. median
$64,508
0.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 9 $8,055.00 $145,839.42 $49,908.85 nat. median
$48,178
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $4,810.00 $111,461.87 $49,092.22 nat. median
$62,134
0.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $13,425.00 $92,374.76 $49,086.50 nat. median
$52,879
0.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 $4,810.00 $94,475.92 $48,217.08 nat. median
$52,857
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $5,982.00 $106,033.16 $47,266.59 nat. median
$60,185
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $13,425.00 $106,156.14 $46,850.56 nat. median
$60,726
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $8,055.00 $105,016.36 $46,600.85 nat. median
$59,898
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $13,425.00 $104,046.33 $46,418.76 nat. median
$59,099
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $3,581.00 $102,953.31 $45,952.35 nat. median
$52,303
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 9 $4,810.00 $102,714.26 $45,850.34 nat. median
$56,918
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 $5,982.00 $101,590.07 $45,370.62 nat. median
$56,696
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $8,055.00 $101,655.89 $44,949.22 nat. median
$57,424
0.8× median

Other procedures at this hospital

Browse this hospital's 11,150 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 15 9 — — $4,810.00 $748,012.46 $321,212.97 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 9 — — $13,425.00 $485,430.00 $208,127.92 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 9 — — $8,055.00 $369,833.36 $159,835.81 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 9 — — $8,055.00 $367,662.91 $158,909.63 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 9 — — $4,810.00 $239,933.95 $104,985.21 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 9 — — $13,425.00 $235,200.56 $102,265.43 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 9 — — $80,594.61 $196,064.25 $99,583.54 2026-04-01
7 MS_DRG Lung Transplant 15 9 — — $8,055.00 $224,323.36 $97,743.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 9 — — $5,982.00 $208,174.06 $90,852.31 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 9 — — $13,425.00 $196,289.44 $85,780.89 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $13,425.00 $190,909.23 $83,071.74 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 9 — — $13,425.00 $188,361.16 $82,397.72 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 9 — — $8,055.00 $178,598.48 $78,231.77 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $8,055.00 $169,457.66 $73,595.24 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 9 — — $13,425.00 $156,064.29 $68,276.26 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 9 — — $8,055.00 $149,999.86 $66,028.12 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 9 — — $13,425.00 $146,022.73 $64,331.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $13,425.00 $145,563.69 $64,135.12 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 9 — — $13,425.00 $123,512.79 $63,107.46 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 9 — — $8,055.00 $136,303.35 $60,183.54 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 9 — — $13,425.00 $134,250.00 $58,775.41 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 9 — — $8,055.00 $131,991.91 $58,343.74 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 9 — — $8,055.00 $132,430.15 $57,951.24 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 7 5 — — $2,741.00 $103,563.23 $56,959.78 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $13,425.00 $125,040.59 $55,377.47 2026-04-01
10 MS_DRG Pancreas Transplant 15 9 — — $5,982.00 $124,297.48 $55,060.36 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 9 — — $5,982.00 $124,245.51 $55,038.19 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 9 — — $5,982.00 $123,585.54 $54,756.56 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 9 — — $13,425.00 $104,075.77 $53,335.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 — — $13,425.00 $103,292.82 $52,941.64 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 9 — — $13,425.00 $119,138.98 $52,859.13 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 10 — — $4,810.00 $119,726.20 $52,583.87 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 9 — — $8,055.00 $116,596.11 $51,774.03 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 — — $13,425.00 $115,738.68 $51,153.65 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 9 — — $13,425.00 $115,823.55 $50,935.01 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $13,425.00 $113,897.35 $50,622.41 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 9 — — $4,810.00 $113,483.35 $50,445.74 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $8,055.00 $113,897.35 $50,371.81 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 9 — — $8,055.00 $145,839.42 $49,908.85 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 9 — — $4,810.00 $111,461.87 $49,092.22 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 9 — — $13,425.00 $92,374.76 $49,086.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 9 — — $4,810.00 $94,475.92 $48,217.08 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 9 — — $5,982.00 $106,033.16 $47,266.59 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 9 — — $13,425.00 $106,156.14 $46,850.56 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 9 — — $8,055.00 $105,016.36 $46,600.85 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 9 — — $13,425.00 $104,046.33 $46,418.76 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 9 — — $3,581.00 $102,953.31 $45,952.35 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 9 — — $4,810.00 $102,714.26 $45,850.34 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 9 — — $5,982.00 $101,590.07 $45,370.62 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 9 — — $8,055.00 $101,655.89 $44,949.22 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 — — $13,425.00 $87,306.34 $44,904.26 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 9 — — $13,425.00 $99,897.71 $44,648.46 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 9 — — $41,577.53 $98,854.92 $44,203.48 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 10 — — $5,982.00 $99,260.26 $43,937.08 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 9 — — $5,982.00 $98,726.74 $43,711.67 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 9 — — $5,982.00 $97,082.88 $43,447.31 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $13,425.00 $97,384.28 $43,360.20 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 — — $8,055.00 $96,417.72 $43,163.47 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 9 — — $5,982.00 $313,416.93 $43,078.29 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 9 — — $8,055.00 $95,669.41 $42,844.15 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 15 9 — — $4,810.00 $95,096.05 $42,599.49 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 10 — — $8,055.00 $94,624.89 $42,398.44 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 9 — — $5,982.00 $94,098.30 $42,173.73 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 9 — — $5,982.00 $94,760.00 $42,035.73 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 9 — — $13,425.00 $92,319.33 $41,414.61 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 9 — — $8,055.00 $91,699.20 $41,149.99 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 9 — — $8,055.00 $91,396.07 $40,817.55 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 9 — — $13,425.00 $90,167.94 $40,496.56 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 16 9 — — $5,982.00 $90,012.04 $40,229.89 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 7 5 — — $6,813.00 $72,520.11 $39,886.06 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 5 — — $8,392.00 $72,520.11 $39,886.06 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 7 5 — — $3,335.00 $72,520.11 $39,886.06 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 5 — — $6,813.00 $72,520.11 $39,886.06 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 9 — — $4,810.00 $78,792.58 $39,316.22 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 10 — — $5,982.00 $119,290.00 $38,524.46 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 9 — — $13,425.00 $253,575.00 $38,398.46 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 9 — — $5,982.00 $84,898.59 $38,248.01 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 9 — — $2,960.89 $85,253.69 $38,019.35 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 9 — — $13,425.00 $83,642.74 $37,712.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 9 — — $5,982.00 $83,220.08 $37,531.76 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 9 — — $13,425.00 $82,466.58 $36,841.80 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 9 — — $5,982.00 $81,437.65 $36,771.16 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 9 — — $5,982.00 $81,028.85 $36,415.54 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $8,055.00 $296,844.00 $36,336.83 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 15 9 — — $8,055.00 $80,322.11 $36,295.14 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 9 — — $13,425.00 $80,001.66 $36,158.38 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 9 — — $5,982.00 $79,620.57 $35,817.57 2026-04-01
245 MS_DRG Aicd Generator Procedures 15 9 — — $13,425.00 $79,029.89 $35,743.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 9 — — $4,810.00 $79,417.91 $35,731.52 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 15 9 — — $5,982.00 $78,449.61 $35,496.10 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 9 — — $8,055.00 $77,306.35 $35,008.25 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 9 — — $13,425.00 $77,611.22 $34,964.38 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 21 9 — — $5,982.00 $77,877.49 $34,799.95 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 10 — — $4,810.00 $107,554.10 $34,635.82 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 9 — — $8,055.00 $88,255.00 $34,258.44 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 9 — — $13,425.00 $74,959.22 $33,669.97 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 9 — — $4,810.00 $74,361.61 $33,584.57 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 9 — — $13,425.00 $73,883.53 $33,547.64 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 9 — — $13,425.00 $73,459.14 $33,366.55 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 9 — — $4,810.00 $73,029.55 $33,183.24 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 9 — — $8,055.00 $72,993.18 $33,167.71 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 9 — — $7,900.72 $85,863.86 $33,076.80 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 9 — — $13,425.00 $78,176.37 $32,907.39 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $13,425.00 $72,277.78 $32,862.44 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 15 9 — — $8,055.00 $72,225.81 $32,840.27 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 9 — — $8,055.00 $72,558.39 $32,818.91 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 9 — — $4,810.00 $71,938.27 $32,717.57 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 9 — — $4,810.00 $72,693.51 $32,712.71 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 9 — — $2,298.64 $71,461.91 $32,192.37 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 9 — — $4,810.00 $61,763.32 $32,062.21 2026-04-01
791 MS_DRG Prematurity With Major Problems 15 9 — — $3,581.00 $70,310.00 $32,022.75 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 9 — — $13,425.00 $61,087.77 $31,722.56 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 9 — — $612.00 $69,643.10 $31,581.05 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 9 — — $4,810.00 $69,012.58 $31,469.12 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 7 5 — — $11,250.45 $56,404.71 $31,022.59 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 9 — — $25,807.04 $59,563.43 $30,956.18 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 9 — — $13,425.00 $67,455.33 $30,804.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 9 — — $4,810.00 $67,761.93 $30,782.28 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 9 — — $1,000.00 $66,947.80 $30,588.02 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 9 — — $5,982.00 $66,883.71 $30,560.67 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 9 — — $13,425.00 $215,478.00 $30,479.26 2026-04-01
69930 HCPCS Implant Cochlear Device 7 5 — — $22,890.00 $54,286.79 $30,460.92 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 9 — — $8,055.00 $72,303.57 $30,097.82 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 9 — — $5,982.00 $65,182.69 $29,834.81 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 9 — — $13,425.00 $64,898.61 $29,713.59 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 9 — — $4,810.00 $83,396.00 $29,647.80 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 9 — — $8,055.00 $64,737.51 $29,644.84 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 9 — — $5,982.00 $168,464.59 $29,567.23 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 9 — — $5,982.00 $64,191.87 $29,412.01 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 9 — — $5,982.00 $56,345.00 $29,338.08 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 15 9 — — $5,982.00 $63,625.44 $29,170.30 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 9 — — $8,055.00 $63,599.46 $29,014.86 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 5 — — $26,980.00 $51,680.04 $28,998.25 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 5 — — $26,980.00 $51,680.04 $28,998.25 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 5 — — $26,980.00 $51,680.04 $28,998.25 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 5 — — $26,980.00 $51,680.04 $28,998.25 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 9 — — $4,810.00 $62,852.88 $28,840.63 2026-04-01
332 MS_DRG Rectal Resection With Mcc 15 9 — — $4,810.00 $62,717.77 $28,782.98 2026-04-01
265 MS_DRG Aicd Lead Procedures 15 9 — — $13,425.00 $62,674.46 $28,764.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 — — $8,055.00 $62,470.06 $28,677.27 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 9 — — $4,810.00 $62,804.38 $28,677.26 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 9 — — $5,982.00 $64,041.49 $28,571.70 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 9 — — $4,810.00 $61,855.13 $28,510.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 9 — — $5,982.00 $62,061.26 $28,502.84 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 9 — — $13,425.00 $134,000.00 $28,451.53 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 9 — — $4,810.00 $61,917.49 $28,441.49 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 9 — — $5,982.00 $62,563.60 $28,432.86 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 7 5 — — $6,813.00 $51,680.04 $28,424.02 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 5 — — $6,813.00 $51,680.04 $28,424.02 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 7 5 — — $6,813.00 $51,680.04 $28,424.02 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 7 6 — — $27,213.00 $54,575.29 $28,361.75 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 9 — — $8,055.00 $61,711.36 $28,353.53 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 9 — — $4,810.00 $61,652.46 $28,328.39 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 9 — — $4,810.00 $60,963.05 $28,034.21 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 9 — — $2,024.76 $61,602.23 $28,026.69 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 7 5 — — $5,111.00 $50,805.51 $27,943.03 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 5 — — $5,111.00 $50,805.51 $27,943.03 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 5 — — $9,869.00 $50,805.51 $27,943.03 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 5 — — $5,111.00 $50,805.51 $27,943.03 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 5 — — $8,392.00 $50,805.51 $27,943.03 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 5 — — $8,392.00 $50,805.51 $27,943.03 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 5 — — $5,111.00 $50,805.51 $27,943.03 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 7 5 — — $3,816.00 $50,805.51 $27,943.03 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 5 — — $3,335.00 $50,805.51 $27,943.03 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 7 5 — — $3,816.00 $50,805.51 $27,943.03 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 9 — — $4,810.00 $60,408.74 $27,797.67 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 9 — — $4,810.00 $60,131.59 $27,679.40 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 9 — — $2,164.13 $60,424.33 $27,529.03 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 9 — — $3,581.00 $59,386.74 $27,361.56 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 9 — — $4,810.00 $59,017.79 $27,204.12 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 5 — — $20,142.55 $46,650.00 $26,980.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 5 — — $20,142.55 $46,650.00 $26,980.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 5 — — $20,142.55 $46,650.00 $26,980.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 5 — — $20,142.55 $46,650.00 $26,980.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 9 — — $1,973.21 $59,095.74 $26,967.70 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 3 1 — — $19,414.00 $33,570.00 $26,595.00 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 3 1 — — $19,414.00 $33,570.00 $26,595.00 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 3 1 — — $19,414.00 $33,570.00 $26,595.00 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 3 1 — — $19,414.00 $33,570.00 $26,595.00 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 3 1 — — $19,414.00 $33,570.00 $26,595.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 22 9 — — $8,055.00 $144,990.00 $26,448.09 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 9 — — $8,055.00 $57,025.76 $26,354.07 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 9 — — $4,810.00 $57,219.76 $26,305.99 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 9 — — $13,425.00 $98,434.08 $26,090.22 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 5 — — $6,813.00 $47,225.57 $25,974.06 2026-04-01
652 MS_DRG Kidney Transplant 15 9 — — $5,982.00 $55,941.40 $25,891.36 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 9 — — $4,810.00 $55,899.83 $25,873.61 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 15 9 — — $4,810.00 $55,790.70 $25,827.05 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 9 — — $13,425.00 $55,610.55 $25,750.17 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 17 9 — — $5,982.00 $56,097.30 $25,700.87 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 9 — — $4,810.00 $56,034.94 $25,674.53 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 9 — — $13,425.00 $55,956.99 $25,641.59 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 9 — — $5,982.00 $52,321.10 $25,628.01 2026-04-01
93631 HCPCS Heart Pacing Mapping 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93609 HCPCS Map Tachycardia Add-on 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93623 HCPCS Stimulation Pacing Heart 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93622 HCPCS Electrophysiology Evaluation 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93621 HCPCS Electrophysiology Evaluation 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 9 — — $8,055.00 $55,038.92 $25,506.25 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 9 — — $4,810.00 $55,203.48 $25,449.86 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 9 — — $5,982.00 $54,737.52 $25,377.63 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 9 — — $13,425.00 $55,305.68 $25,366.42 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 9 — — $5,982.00 $55,149.78 $25,300.55 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 9 — — $13,425.00 $54,555.64 $25,300.03 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 9 — — $5,982.00 $54,427.46 $25,120.35 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 9 — — $8,055.00 $53,952.83 $25,042.80 2026-04-01
665 MS_DRG Prostatectomy With Mcc 16 9 — — $3,581.00 $54,065.43 $24,966.63 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 9 — — $8,055.00 $118,765.98 $24,878.36 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 9 — — $4,810.00 $53,031.30 $24,649.56 2026-04-01
263 MS_DRG Vein Ligation And Stripping 15 9 — — $5,982.00 $52,960.28 $24,619.26 2026-04-01
22630 HCPCS Lumbar Spine Fusion 7 5 — — $3,335.00 $44,674.68 $24,571.07 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 7 5 — — $3,508.00 $44,674.68 $24,571.07 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 7 5 — — $5,111.00 $44,674.68 $24,571.07 2026-04-01
22558 HCPCS Lumbar Spine Fusion 7 5 — — $3,335.00 $44,674.68 $24,571.07 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 7 5 — — $2,650.00 $44,674.68 $24,571.07 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 7 5 — — $3,167.00 $44,674.68 $24,571.07 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 7 5 — — $5,111.00 $44,674.68 $24,571.07 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 7 5 — — $2,741.00 $44,674.68 $24,571.07 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 7 5 — — $6,813.00 $44,318.16 $24,374.99 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 9 — — $5,982.00 $52,314.17 $24,343.55 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 9 — — $4,810.00 $52,257.01 $24,198.76 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 9 — — $13,425.00 $52,541.09 $24,198.39 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 5 — — $18,676.00 $43,034.55 $24,147.16 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 5 — — $18,676.00 $43,034.55 $24,147.16 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 5 — — $18,676.00 $43,034.55 $24,147.16 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 13 9 — — $21,241.05 $75,665.20 $23,807.34 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 9 — — $5,982.00 $51,557.20 $23,782.70 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 15 9 — — $5,982.00 $50,997.70 $23,781.77 2026-04-01
570 MS_DRG Skin Debridement With Mcc 17 9 — — $1,119.92 $50,945.73 $23,759.60 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 22 9 — — $13,237.50 $51,032.34 $23,722.53 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 9 — — $4,810.00 $50,268.44 $23,470.58 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 17 9 — — $4,810.00 $50,580.24 $23,369.94 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 9 — — $8,055.00 $50,015.54 $23,362.66 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 9 — — $3,581.00 $145,509.64 $23,352.32 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 9 — — $5,982.00 $50,237.26 $23,341.15 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 15 9 — — $3,581.00 $49,918.54 $23,321.27 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 9 — — $8,055.00 $50,446.86 $23,313.58 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 9 — — $3,581.00 $46,876.80 $23,204.65 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 9 — — $13,425.00 $80,494.30 $23,120.50 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 9 — — $4,810.00 $49,376.36 $23,089.91 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 16 9 — — $5,982.00 $45,294.32 $22,991.08 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 18 9 — — $13,425.00 $44,223.07 $22,988.97 2026-04-01
800 MS_DRG Splenic Procedures With Cc 15 9 — — $5,982.00 $48,664.43 $22,786.12 2026-04-01
503 MS_DRG Foot Procedures With Mcc 15 9 — — $3,581.00 $48,347.43 $22,650.85 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 21 9 — — $8,055.00 $48,489.47 $22,486.60 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 9 — — $13,425.00 $51,232.06 $22,286.07 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 9 — — $5,982.00 $47,758.49 $22,177.76 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 9 — — $4,810.00 $47,354.88 $22,117.26 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 9 — — $8,055.00 $47,612.98 $22,116.28 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 9 — — $13,425.00 $47,600.86 $22,111.16 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 9 — — $18,740.45 $41,957.35 $22,104.52 2026-04-01
849 MS_DRG Radiotherapy 15 9 — — $3,581.00 $46,933.96 $22,047.69 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 9 — — $18,685.53 $41,820.50 $22,035.72 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 10 — — $13,425.00 $66,725.00 $22,021.65 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 9 — — $4,810.00 $46,724.36 $21,958.25 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 9 — — $13,425.00 $46,076.52 $21,681.80 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 9 — — $5,982.00 $45,915.43 $21,613.06 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 9 — — $4,810.00 $45,685.04 $21,514.75 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 20 9 — — $8,055.00 $37,520.66 $21,280.35 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 9 — — $4,810.00 $44,676.90 $21,084.56 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 15 9 — — $4,810.00 $44,676.90 $21,084.56 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 9 — — $1,501.23 $44,907.29 $21,078.00 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 9 — — $4,810.00 $44,739.26 $21,006.65 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 15 9 — — $8,055.00 $44,475.97 $20,998.81 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 21 9 — — $8,055.00 $44,960.98 $20,995.82 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 9 — — $4,810.00 $76,960.00 $20,698.48 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 17 9 — — $13,425.00 $43,701.67 $20,668.41 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 20 9 — — $8,055.00 $43,930.32 $20,663.17 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 18 9 — — $1,539.64 $42,988.01 $20,263.05 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 17 9 — — $4,810.00 $43,164.69 $20,236.89 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 9 — — $3,581.00 $42,527.24 $20,167.25 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 7 5 — — $6,813.00 $36,622.83 $20,142.55 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 7 5 — — $6,813.00 $36,622.83 $20,142.55 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 7 5 — — $6,813.00 $36,622.83 $20,142.55 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 7 5 — — $6,813.00 $36,622.83 $20,142.55 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 7 5 — — $6,813.00 $36,622.83 $20,142.55 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 7 5 — — $6,813.00 $36,622.83 $20,142.55 2026-04-01
792 MS_DRG Prematurity Without Major Problems 15 9 — — $3,581.00 $42,425.04 $20,123.63 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 9 — — $4,810.00 $42,598.26 $20,097.57 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 9 — — $8,055.00 $241,650.00 $19,992.46 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 9 — — $13,219.00 $42,288.20 $19,965.92 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 21 9 — — $8,055.00 $42,338.43 $19,887.80 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 15 9 — — $13,425.00 $41,664.61 $19,799.14 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 9 — — $5,982.00 $41,524.30 $19,543.83 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 17 9 — — $4,890.96 $41,484.46 $19,527.00 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 9 — — $13,219.00 $41,408.24 $19,494.80 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 9 — — $8,055.00 $41,337.22 $19,464.79 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 3 3 — — $15,677.43 $37,486.29 $19,461.85 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 7 5 — — $16,600.12 $33,570.00 $19,414.00 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 7 5 — — $16,600.12 $33,570.00 $19,414.00 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 15 9 — — $5,982.00 $40,725.75 $19,398.51 2026-04-01
333 MS_DRG Rectal Resection With Cc 15 9 — — $5,982.00 $40,571.59 $19,332.73 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 21 9 — — $3,581.00 $40,509.23 $19,306.12 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 9 — — $5,982.00 $40,479.78 $19,293.56 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 15 9 — — $5,982.00 $40,310.03 $19,221.12 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 9 — — $4,810.00 $40,034.61 $19,103.58 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 9 — — $4,810.00 $40,282.31 $19,019.10 2026-04-01
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