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

ST THOMAS MORE HOSPITAL

Canon City, CO · CCN 061344 · Rates published

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You selected 29806 (CPT)

PR SHLDR ARTHROSCOP SURG CAPSULORRHAPHY

This hospital’s price: $8,867 across 1 payer

Source: https://csdam.widen.net/content/2auijugc1s/original/840405257_st-thomas-more-hospital_standardcharges.csv · observed 2026-02-04

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.

12,931 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
$360,195
outlier · 3.2×
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
$197,664
outlier · 3.6×
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
$247,805
outlier · 2.8×
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
$190,274
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $290,735.17 $1,074,910.98 $397,366.50 nat. median
$109,875
outlier · 3.6×
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
$126,240
outlier · 2.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $241,739.68 $893,768.24 $330,402.09 nat. median
$97,029
outlier · 3.4×
7
MS_DRG 		Lung Transplant 3 $290,002.84 $1,072,203.56 $322,228.00 nat. median
$117,943
outlier · 2.7×
215
MS_DRG 		Other Heart Assist System Implant 3 $235,106.49 $869,229.18 $321,332.99 nat. median
$93,531
outlier · 3.4×
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
$93,094
outlier · 3.4×
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
$90,525
outlier · 3.2×
5834
APR_DRG 		Neonate With Ecmo 5 $287,982.13 $287,982.13 $287,982.13 nat. median
$309,665
0.9× median
33270
CPT 		Ins/rep Subq Defibrillator 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$32,114
outlier · 9.0×
33231
CPT 		Insrt Pulse Gen W/mult Leads 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$30,088
outlier · 9.6×
33246
CPT 		Aicd L2 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$7,460
outlier · 38.6×
0571T
CPT 		Insj/rplcmt Icds Ss Eltrd 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$32,392
outlier · 8.9×
0408T
CPT 		Insj/rplc Cardiac Modulj Sys 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$32,041
outlier · 9.0×
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $175,636.00 $400,238.00 $287,937.00 nat. median
$31,574
outlier · 9.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $204,417.17 $755,771.91 $279,389.41 nat. median
$78,028
outlier · 3.6×
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
$103,911
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $236,313.73 $873,708.72 $262,573.00 nat. median
$94,844
outlier · 2.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $188,041.69 $695,224.18 $257,007.17 nat. median
$76,979
outlier · 3.3×
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
$77,595
outlier · 3.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $185,081.28 $684,287.85 $252,963.14 nat. median
$77,933
outlier · 3.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $178,878.62 $661,356.83 $244,485.86 nat. median
$74,260
outlier · 3.3×
10
MS_DRG 		Pancreas Transplant 3 $176,927.94 $654,128.84 $241,815.98 nat. median
$64,615
outlier · 3.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $175,909.33 $650,379.47 $240,427.83 nat. median
$66,332
outlier · 3.6×
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
$71,672
outlier · 3.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $236,223.95 $236,223.95 $236,223.95 nat. median
$249,123
0.9× 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
$72,153
outlier · 3.3×
5833
APR_DRG 		Neonate With Ecmo 5 $228,087.63 $228,087.63 $228,087.63 nat. median
$244,017
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
$67,850
outlier · 3.3×
1614
APR_DRG 		Implantable Heart Assist Systems 5 $225,858.15 $225,858.15 $225,858.15 nat. median
$202,660
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $217,959.74 $217,959.74 $217,959.74 nat. median
$243,231
0.9× 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
$63,446
outlier · 3.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $156,819.77 $579,797.88 $214,336.07 nat. median
$66,553
outlier · 3.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $154,378.65 $570,732.13 $210,990.46 nat. median
$62,605
outlier · 3.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $151,524.76 $560,214.22 $207,097.23 nat. median
$61,601
outlier · 3.4×
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
$60,364
outlier · 3.4×
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
$61,444
outlier · 3.3×
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
$63,874
outlier · 3.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $143,531.20 $530,588.49 $196,156.57 nat. median
$59,289
outlier · 3.3×
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
$61,992
outlier · 3.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $140,339.99 $518,864.54 $191,811.23 nat. median
$58,315
outlier · 3.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $137,457.25 $508,207.16 $187,871.40 nat. median
$56,565
outlier · 3.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $137,279.71 $507,550.82 $187,628.39 nat. median
$57,570
outlier · 3.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $136,653.90 $505,237.20 $186,773.26 nat. median
$58,210
outlier · 3.2×
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
$53,268
outlier · 3.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $135,555.39 $501,176.07 $185,271.71 nat. median
$57,665
outlier · 3.2×
28
MS_DRG 		Spinal Procedures With Mcc 3 $134,907.39 $498,780.42 $184,386.08 nat. median
$54,301
outlier · 3.4×

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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