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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

ST THOMAS MORE HOSPITAL

Canon City, CO · CCN 061344 · Rates published

12,931 distinct procedures filed
23 distinct payers
290,398 rate rows
2026-02-04 last MRF observed
Data quality

287,893 of 290,398 rate rows are consumer-grade (99.1%)

2,505 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
per-diem day rate — not a per-procedure price 2,218
exceeds 10× this hospital's gross charge — excluded from medians 130
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 54
placeholder amount (≤ $0.02) — excluded from medians 51
template filing: same amount across many unrelated codes — excluded 39
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://csdam.widen.net/content/2auijugc1s/original/840405257_st-thomas-more-hospital_standardcharges.csv
Found on page https://www.mountain.commonspirit.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-11
Content fingerprint 56f647401032a8b8… · 531,765,579 bytes · first seen 2026-05-17

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 3 $836,864.76 $3,094,071.25 $1,143,797.11 nat. median
$168,055
outlier · 6.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $526,456.38 $1,946,289.68 $719,512.62 nat. median
$131,925
outlier · 5.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $625,068.75 $2,311,011.84 $694,527.00 nat. median
$186,516
outlier · 3.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $475,579.00 $1,758,312.76 $528,426.00 nat. median
$145,435
outlier · 3.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $290,735.17 $1,074,910.98 $397,366.50 nat. median
$72,715
outlier · 5.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $313,552.99 $1,159,267.59 $348,395.00 nat. median
$97,418
outlier · 3.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $241,739.68 $893,768.24 $330,402.09 nat. median
$74,509
outlier · 4.4×
7
MS_DRG 		Lung Transplant 3 $290,002.84 $1,072,203.56 $322,228.00 nat. median
$70,649
outlier · 4.6×
215
MS_DRG 		Other Heart Assist System Implant 3 $235,106.49 $869,229.18 $321,332.99 nat. median
$73,023
outlier · 4.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $232,607.67 $859,433.24 $317,795.17 nat. median
$2,736
outlier · 116.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $214,161.68 $791,805.20 $292,709.45 nat. median
$69,822
outlier · 4.2×
5834
APR_DRG 		Neonate With Ecmo 5 $287,982.13 $287,982.13 $287,982.13 nat. median
$390,362
0.7× median
33270
CPT 		Ins/rep Subq Defibrillator 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$32,475
outlier · 8.9×
0408T
CPT 		Insj/rplc Cardiac Modulj Sys 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$31,369
outlier · 9.2×
33246
CPT 		Aicd L2 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$9,499
outlier · 30.3×
33231
CPT 		Insrt Pulse Gen W/mult Leads 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$31,377
outlier · 9.2×
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$32,779
outlier · 8.8×
0571T
CPT 		Insj/rplcmt Icds Ss Eltrd 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$32,945
outlier · 8.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $204,417.17 $755,771.91 $279,389.41 nat. median
$2,633
outlier · 106.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $244,549.18 $904,089.25 $271,724.00 nat. median
$65,418
outlier · 4.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $236,313.73 $873,708.72 $262,573.00 nat. median
$69,922
outlier · 3.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $188,041.69 $695,224.18 $257,007.17 nat. median
$60,505
outlier · 4.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $187,935.17 $694,838.58 $256,863.57 nat. median
$59,651
outlier · 4.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $185,081.28 $684,287.85 $252,963.14 nat. median
$2,596
outlier · 97.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $178,878.62 $661,356.83 $244,485.86 nat. median
$56,428
outlier · 4.3×
10
MS_DRG 		Pancreas Transplant 3 $176,927.94 $654,128.84 $241,815.98 nat. median
$23,080
outlier · 10.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $175,909.33 $650,379.47 $240,427.83 nat. median
$45,605
outlier · 5.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $173,448.23 $641,280.91 $237,064.02 nat. median
$55,935
outlier · 4.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $236,223.95 $236,223.95 $236,223.95 nat. median
$286,698
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $171,699.50 $634,807.71 $234,672.24 nat. median
$55,923
outlier · 4.2×
5833
APR_DRG 		Neonate With Ecmo 5 $228,087.63 $228,087.63 $228,087.63 nat. median
$268,208
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $165,634.43 $612,385.36 $226,383.07 nat. median
$52,327
outlier · 4.3×
1614
APR_DRG 		Implantable Heart Assist Systems 5 $225,858.15 $225,858.15 $225,858.15 nat. median
$202,242
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $217,959.74 $217,959.74 $217,959.74 nat. median
$225,531
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $157,534.35 $582,726.82 $215,375.71 nat. median
$9,905
outlier · 21.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $156,819.77 $579,797.88 $214,336.07 nat. median
$51,518
outlier · 4.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $154,378.65 $570,732.13 $210,990.46 nat. median
$48,611
outlier · 4.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $151,524.76 $560,214.22 $207,097.23 nat. median
$47,340
outlier · 4.4×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $148,779.61 $550,073.70 $203,347.30 nat. median
$2,958
outlier · 68.8×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $148,209.27 $547,956.99 $202,565.88 nat. median
$37,013
outlier · 5.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $147,958.50 $547,029.91 $202,223.47 nat. median
$49,569
outlier · 4.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $143,531.20 $530,588.49 $196,156.57 nat. median
$47,121
outlier · 4.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $143,302.62 $529,825.49 $195,862.16 nat. median
$47,458
outlier · 4.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $140,339.99 $518,864.54 $191,811.23 nat. median
$41,943
outlier · 4.6×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $137,457.25 $508,207.16 $187,871.40 nat. median
$43,533
outlier · 4.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $137,279.71 $507,550.82 $187,628.39 nat. median
$2,633
outlier · 71.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $136,653.90 $505,237.20 $186,773.26 nat. median
$43,299
outlier · 4.3×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $136,185.65 $503,473.28 $186,126.23 nat. median
$38,844
outlier · 4.8×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $135,555.39 $501,176.07 $185,271.71 nat. median
$43,803
outlier · 4.2×
28
MS_DRG 		Spinal Procedures With Mcc 3 $134,907.39 $498,780.42 $184,386.08 nat. median
$41,895
outlier · 4.4×

Other procedures at this hospital

Browse this hospital's 12,931 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 4 3 — — $836,864.76 $3,094,071.25 $1,143,797.11 2026-02-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $526,456.38 $1,946,289.68 $719,512.62 2026-02-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 3 — — $625,068.75 $2,311,011.84 $694,527.00 2026-02-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 3 — — $475,579.00 $1,758,312.76 $528,426.00 2026-02-04
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $290,735.17 $1,074,910.98 $397,366.50 2026-02-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 3 — — $313,552.99 $1,159,267.59 $348,395.00 2026-02-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 3 — — $241,739.68 $893,768.24 $330,402.09 2026-02-04
7 MS_DRG Lung Transplant 5 3 — — $290,002.84 $1,072,203.56 $322,228.00 2026-02-04
215 MS_DRG Other Heart Assist System Implant 4 3 — — $235,106.49 $869,229.18 $321,332.99 2026-02-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $232,607.67 $859,433.24 $317,795.17 2026-02-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $214,161.68 $791,805.20 $292,709.45 2026-02-04
5834 APR_DRG Neonate With Ecmo 5 5 — — $287,982.13 $287,982.13 $287,982.13 2026-02-04
33270 CPT Ins/rep Subq Defibrillator 2 1 — — $175,636.00 $400,238.00 $287,937.00 2026-02-04
33231 CPT Insrt Pulse Gen W/mult Leads 2 1 — — $175,636.00 $400,238.00 $287,937.00 2026-02-04
33246 CPT Aicd L2 2 1 — — $175,636.00 $400,238.00 $287,937.00 2026-02-04
0571T CPT Insj/rplcmt Icds Ss Eltrd 2 1 — — $175,636.00 $400,238.00 $287,937.00 2026-02-04
0408T CPT Insj/rplc Cardiac Modulj Sys 2 1 — — $175,636.00 $400,238.00 $287,937.00 2026-02-04
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $175,636.00 $400,238.00 $287,937.00 2026-02-04
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $204,417.17 $755,771.91 $279,389.41 2026-02-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 3 — — $244,549.18 $904,089.25 $271,724.00 2026-02-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 3 — — $236,313.73 $873,708.72 $262,573.00 2026-02-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $188,041.69 $695,224.18 $257,007.17 2026-02-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $187,935.17 $694,838.58 $256,863.57 2026-02-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 3 — — $185,081.28 $684,287.85 $252,963.14 2026-02-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $178,878.62 $661,356.83 $244,485.86 2026-02-04
10 MS_DRG Pancreas Transplant 4 3 — — $176,927.94 $654,128.84 $241,815.98 2026-02-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $175,909.33 $650,379.47 $240,427.83 2026-02-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 3 — — $173,448.23 $641,280.91 $237,064.02 2026-02-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $236,223.95 $236,223.95 $236,223.95 2026-02-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $171,699.50 $634,807.71 $234,672.24 2026-02-04
5833 APR_DRG Neonate With Ecmo 5 5 — — $228,087.63 $228,087.63 $228,087.63 2026-02-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $165,634.43 $612,385.36 $226,383.07 2026-02-04
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $225,858.15 $225,858.15 $225,858.15 2026-02-04
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $217,959.74 $217,959.74 $217,959.74 2026-02-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $157,534.35 $582,726.82 $215,375.71 2026-02-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $156,819.77 $579,797.88 $214,336.07 2026-02-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $154,378.65 $570,732.13 $210,990.46 2026-02-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $151,524.76 $560,214.22 $207,097.23 2026-02-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 3 — — $148,779.61 $550,073.70 $203,347.30 2026-02-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 3 — — $148,209.27 $547,956.99 $202,565.88 2026-02-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $147,958.50 $547,029.91 $202,223.47 2026-02-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $143,531.20 $530,588.49 $196,156.57 2026-02-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $143,302.62 $529,825.49 $195,862.16 2026-02-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $140,339.99 $518,864.54 $191,811.23 2026-02-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $137,457.25 $508,207.16 $187,871.40 2026-02-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 3 — — $137,279.71 $507,550.82 $187,628.39 2026-02-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $136,653.90 $505,237.20 $186,773.26 2026-02-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 3 — — $136,185.65 $503,473.28 $186,126.23 2026-02-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $135,555.39 $501,176.07 $185,271.71 2026-02-04
28 MS_DRG Spinal Procedures With Mcc 4 3 — — $134,907.39 $498,780.42 $184,386.08 2026-02-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $133,939.82 $495,203.34 $183,063.73 2026-02-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 3 — — $133,939.82 $495,203.34 $183,063.73 2026-02-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $132,938.96 $491,503.20 $181,695.89 2026-02-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $132,022.43 $488,098.42 $180,439.85 2026-02-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $131,931.44 $487,729.23 $180,305.79 2026-02-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $130,573.29 $482,757.42 $178,462.98 2026-02-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $129,199.60 $477,678.96 $176,585.22 2026-02-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $127,359.89 $470,877.59 $174,070.94 2026-02-04
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $173,030.84 $173,030.84 $173,030.84 2026-02-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $126,598.70 $468,063.52 $173,030.51 2026-02-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $171,460.35 $171,460.35 $171,460.35 2026-02-04
653 MS_DRG Major Bladder Procedures With Mcc 4 3 — — $123,702.65 $457,356.91 $169,072.88 2026-02-04
5832 APR_DRG Neonate With Ecmo 5 5 — — $168,192.40 $168,192.40 $168,192.40 2026-02-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $122,661.84 $453,476.27 $167,642.92 2026-02-04
834 MS_DRG Acute Leukemia With Mcc 4 3 — — $122,652.96 $453,476.27 $167,637.92 2026-02-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $122,171.40 $451,572.88 $166,952.80 2026-02-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $121,392.46 $448,816.23 $165,915.47 2026-02-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 3 — — $120,742.23 $446,404.17 $165,024.74 2026-02-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $120,467.05 $445,386.83 $164,648.53 2026-02-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $119,852.33 $443,114.24 $163,808.40 2026-02-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $119,739.16 $442,695.82 $163,654.10 2026-02-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $119,723.62 $442,646.60 $163,634.29 2026-02-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 3 — — $118,059.22 $436,485.17 $161,357.92 2026-02-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $117,535.49 $434,557.16 $160,643.90 2026-02-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $159,275.94 $159,275.94 $159,275.94 2026-02-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 3 — — $114,282.14 $422,529.65 $156,197.45 2026-02-04
33240 CPT Insrt Pulse Gen W/singl Lead 2 1 — — $95,136.00 $216,794.00 $155,965.00 2026-02-04
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 2 1 — — $95,136.00 $216,794.00 $155,965.00 2026-02-04
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 2 1 — — $95,136.00 $216,794.00 $155,965.00 2026-02-04
0515T CPT Insj Wcs Lv Compl Sys 2 1 — — $95,136.00 $216,794.00 $155,965.00 2026-02-04
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 2 1 — — $95,136.00 $216,794.00 $155,965.00 2026-02-04
0409T CPT Insj/rplc Car Modulj Pls Gn 2 1 — — $95,136.00 $216,794.00 $155,965.00 2026-02-04
33230 CPT Insrt Pulse Gen W/dual Leads 2 1 — — $95,136.00 $216,794.00 $155,965.00 2026-02-04
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $95,136.00 $216,794.00 $155,965.00 2026-02-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $113,907.10 $421,126.72 $155,681.64 2026-02-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 3 — — $113,052.71 $417,976.27 $154,515.40 2026-02-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $154,062.40 $154,062.40 $154,062.40 2026-02-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 — — $112,706.51 $416,696.40 $154,042.58 2026-02-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $111,770.01 $413,242.39 $152,764.23 2026-02-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $152,183.94 $152,183.94 $152,183.94 2026-02-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 3 — — $111,110.91 $410,805.71 $151,863.60 2026-02-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $111,024.36 $410,485.74 $151,745.40 2026-02-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $110,993.29 $410,321.66 $151,691.90 2026-02-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $110,580.52 $408,844.88 $151,138.39 2026-02-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $149,018.16 $149,018.16 $149,018.16 2026-02-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $148,772.95 $148,772.95 $148,772.95 2026-02-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $148,581.75 $148,581.75 $148,581.75 2026-02-04
245 MS_DRG Aicd Generator Procedures 4 3 — — $108,441.21 $400,927.73 $148,212.79 2026-02-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $147,824.24 $147,824.24 $147,824.24 2026-02-04
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $107,786.54 $398,507.46 $147,318.26 2026-02-04
5831 APR_DRG Neonate With Ecmo 5 5 — — $145,348.82 $145,348.82 $145,348.82 2026-02-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $105,971.24 $391,796.35 $144,837.27 2026-02-04
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $105,511.86 $390,098.06 $144,209.15 2026-02-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $105,507.43 $390,024.22 $144,190.96 2026-02-04
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
33229 CPT Remv&replc Pm Gen Mult Leads 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
33221 CPT Insert Pulse Gen Mult Leads 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
33274 CPT Tcat Insj/rpl Perm Ldls Pm 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 2 1 — — $87,818.00 $200,118.00 $143,968.00 2026-02-04
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $142,890.92 $142,890.92 $142,890.92 2026-02-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 3 — — $104,400.04 $385,987.70 $142,689.80 2026-02-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $103,840.81 $383,920.22 $141,925.68 2026-02-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $141,917.40 $141,917.40 $141,917.40 2026-02-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $141,534.26 $141,534.26 $141,534.26 2026-02-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $103,241.62 $381,655.83 $141,095.85 2026-02-04
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $102,280.71 $378,152.60 $139,793.21 2026-02-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $102,238.54 $377,996.71 $139,735.51 2026-02-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $139,333.25 $139,333.25 $139,333.25 2026-02-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $101,912.32 $376,790.68 $139,289.90 2026-02-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $101,899.01 $376,733.25 $139,269.79 2026-02-04
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $138,928.95 $138,928.95 $138,928.95 2026-02-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $138,565.52 $138,565.52 $138,565.52 2026-02-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $100,114.77 $370,145.20 $136,833.31 2026-02-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $99,517.80 $367,938.24 $136,017.09 2026-02-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $99,242.62 $366,920.91 $135,641.37 2026-02-04
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $134,783.07 $134,783.07 $134,783.07 2026-02-04
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $98,315.00 $363,491.51 $134,373.43 2026-02-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $97,478.36 $360,398.49 $133,229.79 2026-02-04
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $131,981.44 $131,981.44 $131,981.44 2026-02-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 3 — — $96,018.13 $354,991.86 $131,232.52 2026-02-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $95,818.40 $354,261.67 $130,961.32 2026-02-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $94,657.76 $349,970.83 $129,374.87 2026-02-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 3 — — $94,520.17 $349,453.95 $129,184.96 2026-02-04
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $93,849.97 $346,976.26 $128,269.33 2026-02-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $92,991.14 $343,809.40 $127,096.99 2026-02-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $92,984.48 $343,727.35 $127,075.49 2026-02-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $126,563.82 $126,563.82 $126,563.82 2026-02-04
793 MS_DRG Full Term Neonate With Major Problems 4 3 — — $92,553.96 $342,160.33 $126,491.26 2026-02-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $92,327.60 $341,356.31 $126,190.26 2026-02-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $91,249.07 $337,369.02 $124,716.41 2026-02-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $91,198.02 $337,180.32 $124,646.51 2026-02-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 3 — — $91,062.65 $336,679.86 $124,461.71 2026-02-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $90,614.37 $335,022.59 $123,849.09 2026-02-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $123,840.02 $123,840.02 $123,840.02 2026-02-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $90,257.08 $333,701.70 $123,360.76 2026-02-04
791 MS_DRG Prematurity With Major Problems 4 3 — — $90,101.74 $333,086.38 $123,136.76 2026-02-04
64 APR_DRG Pancreas Transplant 5 5 — — $123,047.48 $123,047.48 $123,047.48 2026-02-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $88,401.83 $326,834.70 $120,823.09 2026-02-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 3 — — $88,339.69 $326,604.98 $120,738.18 2026-02-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $87,576.29 $323,717.07 $119,680.54 2026-02-04
6 MS_DRG Liver Transplant Without Mcc 5 3 — — $107,606.79 $397,842.92 $119,564.00 2026-02-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $87,376.56 $323,052.52 $119,423.74 2026-02-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 3 — — $87,201.24 $322,396.17 $119,182.23 2026-02-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 3 — — $87,196.81 $320,968.62 $118,866.51 2026-02-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $86,770.72 $320,812.74 $118,595.81 2026-02-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 3 — — $86,293.59 $319,040.61 $117,941.99 2026-02-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $85,769.86 $317,096.20 $117,224.37 2026-02-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 3 — — $85,681.09 $316,776.23 $117,104.66 2026-02-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $85,461.39 $315,890.16 $116,788.25 2026-02-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $84,822.26 $313,601.16 $115,931.02 2026-02-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $84,360.67 $311,902.87 $115,301.90 2026-02-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $83,703.79 $309,474.40 $114,404.07 2026-02-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $83,086.85 $307,004.91 $113,519.74 2026-02-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $80,965.29 $299,350.29 $110,661.25 2026-02-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $110,432.50 $110,432.50 $110,432.50 2026-02-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $109,903.92 $109,903.92 $109,903.92 2026-02-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 3 — — $80,421.59 $297,274.61 $109,903.82 2026-02-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $79,549.44 $294,107.75 $108,724.49 2026-02-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $79,553.88 $294,091.34 $108,723.39 2026-02-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 3 — — $79,531.69 $294,042.11 $108,700.08 2026-02-04
265 MS_DRG Aicd Lead Procedures 4 3 — — $79,156.64 $292,663.79 $108,189.67 2026-02-04
33206 CPT Insert Heart Pm Atrial 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
33207 CPT Insert Heart Pm Ventricular 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
33208 CPT Insrt Heart Pm Atrial & Vent 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
0525T CPT Insj/rplcmt Compl Iims 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
0519T CPT Rmv&rplcmt Pg Wcs Lv Both 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
0517T CPT Insj Wcs Lv Both Compnt Pg 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
33214 CPT Upgrade Of Pacemaker System 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
33224 CPT Insert Pacing Lead & Connect 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
0516T CPT Insj Wcs Lv Eltrd Only 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
33213 CPT Insert Pulse Gen Dual Leads 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
33228 CPT Remv&replc Pm Gen Dual Lead 2 1 — — $65,865.00 $150,091.00 $107,978.00 2026-02-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $78,803.79 $291,351.10 $107,705.65 2026-02-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 3 — — $78,346.64 $289,644.61 $107,077.23 2026-02-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 3 — — $78,320.01 $289,570.77 $107,046.03 2026-02-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $107,009.10 $107,009.10 $107,009.10 2026-02-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 — — $78,122.50 $288,840.59 $106,776.32 2026-02-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $77,751.89 $287,462.26 $106,267.90 2026-02-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $77,738.58 $287,372.02 $106,240.61 2026-02-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $77,696.41 $287,257.16 $106,191.90 2026-02-04
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $77,558.82 $286,748.49 $106,003.79 2026-02-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $77,055.06 $284,894.32 $105,317.48 2026-02-04
332 MS_DRG Rectal Resection With Mcc 4 3 — — $76,972.95 $284,582.55 $105,203.07 2026-02-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $76,888.62 $284,270.79 $105,088.17 2026-02-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 3 — — $76,438.12 $282,588.91 $104,468.64 2026-02-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $76,313.85 $282,145.88 $104,302.44 2026-02-04
665 MS_DRG Prostatectomy With Mcc 4 3 — — $76,194.01 $281,702.84 $104,138.74 2026-02-04
252 MS_DRG Other Vascular Procedures With Mcc 4 3 — — $76,123.00 $281,440.31 $104,041.63 2026-02-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 3 — — $76,005.38 $281,013.68 $103,882.52 2026-02-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $103,611.25 $103,611.25 $103,611.25 2026-02-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $75,603.71 $279,454.87 $103,317.51 2026-02-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $75,275.26 $278,289.86 $102,879.39 2026-02-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 3 — — $74,487.45 $275,393.74 $101,806.46 2026-02-04
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $73,692.97 $272,456.60 $100,720.52 2026-02-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 3 — — $73,271.33 $270,897.78 $100,144.00 2026-02-04
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $100,023.65 $100,023.65 $100,023.65 2026-02-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 3 — — $72,534.55 $268,173.95 $99,137.37 2026-02-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $99,072.74 $99,072.74 $99,072.74 2026-02-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $72,325.95 $267,410.95 $98,853.96 2026-02-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $72,294.88 $267,296.09 $98,811.26 2026-02-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $98,089.00 $98,089.00 $98,089.00 2026-02-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $97,886.12 $97,886.12 $97,886.12 2026-02-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $71,538.13 $264,121.03 $97,694.62 2026-02-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $97,281.86 $97,281.86 $97,281.86 2026-02-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $71,107.61 $262,898.59 $97,186.90 2026-02-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 3 — — $70,903.44 $262,135.59 $96,905.99 2026-02-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $96,855.67 $96,855.67 $96,855.67 2026-02-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 3 — — $70,779.16 $261,635.13 $96,727.19 2026-02-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 3 — — $70,575.00 $260,929.56 $96,458.88 2026-02-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 3 — — $70,432.97 $260,404.48 $96,265.18 2026-02-04
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $70,315.35 $259,969.65 $96,104.27 2026-02-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $95,570.53 $95,570.53 $95,570.53 2026-02-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $95,105.66 $95,105.66 $95,105.66 2026-02-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $69,256.79 $256,056.20 $94,657.62 2026-02-04
662 MS_DRG Minor Bladder Procedures With Mcc 4 3 — — $69,225.72 $255,941.34 $94,614.92 2026-02-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $68,930.57 $254,850.17 $94,211.51 2026-02-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $68,622.10 $253,709.77 $93,789.79 2026-02-04
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $68,480.07 $253,184.70 $93,596.08 2026-02-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 3 — — $68,431.25 $253,004.20 $93,528.99 2026-02-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $93,273.91 $93,273.91 $93,273.91 2026-02-04
652 MS_DRG Kidney Transplant 4 3 — — $68,156.07 $251,986.87 $93,153.27 2026-02-04
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $68,093.93 $251,757.15 $93,068.37 2026-02-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 3 — — $67,872.01 $250,936.72 $92,764.86 2026-02-04
570 MS_DRG Skin Debridement With Mcc 4 3 — — $66,806.80 $246,965.84 $91,301.61 2026-02-04
J9226 HCPCS Supprelin La Implant 1 1 — — $90,596.13 $90,596.13 $90,596.13 2026-02-04
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $66,265.31 $244,996.81 $90,569.08 2026-02-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $90,073.10 $90,073.10 $90,073.10 2026-02-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $65,435.33 $241,911.99 $89,431.25 2026-02-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $65,266.67 $241,288.46 $89,200.44 2026-02-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $65,084.70 $240,632.12 $88,955.43 2026-02-04
668 MS_DRG Transurethral Procedures With Mcc 4 3 — — $64,714.09 $239,262.00 $88,448.82 2026-02-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $88,438.39 $88,438.39 $88,438.39 2026-02-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 3 — — $64,680.80 $239,130.73 $88,401.51 2026-02-04
800 MS_DRG Splenic Procedures With Cc 4 3 — — $64,658.61 $239,056.89 $88,373.32 2026-02-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $64,623.10 $238,925.62 $88,324.51 2026-02-04
472 MS_DRG Cervical Spinal Fusion With Cc 4 3 — — $64,290.22 $237,694.98 $87,869.49 2026-02-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $87,158.36 $87,158.36 $87,158.36 2026-02-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $87,078.81 $87,078.81 $87,078.81 2026-02-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $63,622.24 $235,225.49 $86,956.67 2026-02-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 3 — — $63,549.01 $234,954.74 $86,856.76 2026-02-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 3 — — $63,513.50 $234,815.27 $86,806.16 2026-02-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 3 — — $63,424.74 $234,487.10 $86,685.16 2026-02-04
63 APR_DRG Pancreas Transplant 5 5 — — $86,520.53 $86,520.53 $86,520.53 2026-02-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 3 — — $63,173.97 $233,560.01 $86,342.24 2026-02-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $86,112.58 $86,112.58 $86,112.58 2026-02-04
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $85,746.96 $85,746.96 $85,746.96 2026-02-04
654 MS_DRG Major Bladder Procedures With Cc 4 3 — — $62,623.60 $231,533.55 $85,591.62 2026-02-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 3 — — $62,319.57 $230,409.56 $85,176.51 2026-02-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $62,257.44 $230,171.64 $85,089.80 2026-02-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $84,821.60 $84,821.60 $84,821.60 2026-02-04
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $84,209.31 $84,209.31 $84,209.31 2026-02-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 3 — — $60,726.19 $224,502.47 $82,994.93 2026-02-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $82,845.36 $82,845.36 $82,845.36 2026-02-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 3 — — $60,613.01 $224,100.45 $82,843.73 2026-02-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 3 — — $60,286.79 $222,886.22 $82,396.32 2026-02-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $59,989.41 $221,795.05 $81,991.90 2026-02-04
4404 APR_DRG Kidney Transplant 5 5 — — $81,865.26 $81,865.26 $81,865.26 2026-02-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $59,794.12 $221,064.86 $81,723.20 2026-02-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $59,565.55 $220,187.00 $81,403.58 2026-02-04
263 MS_DRG Vein Ligation And Stripping 4 3 — — $59,516.72 $220,047.53 $81,345.48 2026-02-04
849 MS_DRG Radiotherapy 4 3 — — $59,272.61 $219,145.06 $81,011.97 2026-02-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 3 — — $59,088.42 $218,464.10 $80,760.07 2026-02-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $80,553.12 $80,553.12 $80,553.12 2026-02-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $80,494.00 $80,494.00 $80,494.00 2026-02-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 3 — — $58,879.81 $217,684.69 $80,473.55 2026-02-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 3 — — $58,804.36 $217,413.95 $80,372.15 2026-02-04
503 MS_DRG Foot Procedures With Mcc 4 3 — — $58,731.13 $217,135.00 $80,269.95 2026-02-04
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 3 — — $58,668.99 $216,913.49 $80,186.85 2026-02-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 3 — — $58,214.05 $215,223.40 $79,563.52 2026-02-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $58,060.93 $214,665.51 $79,356.11 2026-02-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $78,524.33 $78,524.33 $78,524.33 2026-02-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 3 — — $57,441.77 $212,376.51 $78,509.89 2026-02-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $57,348.57 $212,023.72 $78,380.49 2026-02-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 3 — — $56,669.49 $209,521.41 $77,454.46 2026-02-04
253 MS_DRG Other Vascular Procedures With Cc 4 3 — — $56,653.96 $209,455.78 $77,431.05 2026-02-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 3 — — $56,547.44 $209,061.97 $77,285.65 2026-02-04
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 3 — — $56,258.94 $207,987.21 $76,889.33 2026-02-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $76,646.60 $76,646.60 $76,646.60 2026-02-04
545 MS_DRG Connective Tissue Disorders With Mcc 4 3 — — $56,072.53 $207,314.46 $76,638.23 2026-02-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 3 — — $56,028.14 $207,150.37 $76,577.73 2026-02-04
164 MS_DRG Major Chest Procedures With Cc 4 3 — — $55,852.83 $206,502.23 $76,338.01 2026-02-04
1784 APR_DRG External Heart Assist Devices 5 5 — — $76,135.03 $76,135.03 $76,135.03 2026-02-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 3 — — $55,568.77 $205,443.88 $75,948.30 2026-02-04
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