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

STAMFORD HOSPITAL

Stamford, CT · CCN 070006 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $14,286 across 4 payers · range $10,223-$17,506

Source: https://www.stamfordhealth.org/-/media/project/healthcare-websites/stamfordhealth/documents/20260331_machine-readable-file.csv · observed 2026-04-01

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.

13,722 distinct procedures filed
14 distinct payers
130,446 rate rows
2026-04-01 last MRF observed
Data quality

97,492 of 130,446 rate rows are consumer-grade (74.7%)

32,954 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 28,073
template filing: same amount across many unrelated codes — excluded 3,115
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
placeholder amount (≤ $0.02) — excluded from medians 846
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stamfordhealth.org/-/media/project/healthcare-websites/stamfordhealth/documents/060646917_stamford-hospital_standardcharges.csv
Found on page https://www.stamfordhealth.org/patients/hospital-charges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-04
Content fingerprint d5c4041f09ec0e02… · 6,977,022 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,090,000.00 $3,090,000.00 $3,090,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $2,928,356.00 $2,598,222.39 nat. median
$809,151
outlier · 3.2×
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,455,110.60 $2,455,110.60 $2,455,110.60 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $2,233,068.37 $1,981,319.31 nat. median
$631,793
outlier · 3.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $2,152,818.94 $1,910,116.94 nat. median
$691,418
outlier · 2.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,538.19 $2,136,364.71 $1,895,517.70 nat. median
$624,417
outlier · 3.0×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $2,120,710.57 $1,881,628.36 nat. median
$610,161
outlier · 3.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $2,022,330.51 $1,794,339.35 nat. median
$588,565
outlier · 3.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $1,859,910.76 $1,650,230.29 nat. median
$577,541
outlier · 2.9×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $430,904.57 $1,850,771.63 $1,321,005.03 nat. median
$370,165
outlier · 3.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 2 $278,250.00 $1,057,350.00 $907,541.25 nat. median
$302,242
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $1,725.00 $1,433,366.94 $803,459.22 nat. median
$261,939
outlier · 3.1×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $205,640.00 $766,342.28 $679,947.27 nat. median
$209,736
outlier · 3.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $213,588.41 $1,040,735.12 $653,133.15 nat. median
$205,166
outlier · 3.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $7,458.52 $939,793.57 $457,254.48 nat. median
$199,832
outlier · 2.3×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $414,848.65 $416,726.55 $415,787.60 nat. median
$58,534
outlier · 7.1×
J3403
HCPCS 		Revakinagene, Per Implant 2 $257,500.00 $779,948.00 $396,450.00 nat. median
$265,000
1.5× median
7
MS_DRG 		Lung Transplant 5 $129,972.81 $572,765.81 $396,159.57 nat. median
$122,690
outlier · 3.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $126,392.78 $593,657.15 $370,524.95 nat. median
$132,706
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $120,692.81 $632,371.70 $367,639.58 nat. median
$114,305
outlier · 3.2×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $362,684.06 $364,325.83 $363,504.95 nat. median
$51,048
outlier · 7.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $113,863.45 $788,361.47 $346,651.09 nat. median
$108,240
outlier · 3.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $331,628.66 $333,129.85 $332,379.26 nat. median
$62,767
outlier · 5.3×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $325,717.10 $327,191.53 $326,454.32 nat. median
$46,826
outlier · 7.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $103,697.55 $505,910.22 $315,408.51 nat. median
$99,646
outlier · 3.2×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $306,026.68 $307,411.98 $306,719.33 nat. median
$40,712
outlier · 7.5×
215
MS_DRG 		Other Heart Assist System Implant 5 $100,178.85 $552,159.84 $304,594.59 nat. median
$98,002
outlier · 3.1×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $113,734.05 $485,112.45 $302,777.90 nat. median
$96,134
outlier · 3.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $110,771.77 $472,357.61 $294,817.10 nat. median
$96,835
outlier · 3.0×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $277,193.05 $278,447.82 $277,820.43 nat. median
$45,104
outlier · 6.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $1,632.00 $454,954.49 $276,683.00 nat. median
$83,623
outlier · 3.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $71,929.99 $516,143.93 $268,336.21 nat. median
$92,900
outlier · 2.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $97,849.51 $466,053.05 $262,571.46 nat. median
$100,978
outlier · 2.6×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $258,724.35 $259,895.52 $259,309.93 nat. median
$38,383
outlier · 6.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $84,978.28 $420,146.04 $257,879.07 nat. median
$79,040
outlier · 3.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $84,714.50 $425,485.58 $257,068.41 nat. median
$80,459
outlier · 3.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $90,748.54 $386,142.45 $241,006.80 nat. median
$81,124
outlier · 3.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $79,393.15 $510,700.47 $240,714.46 nat. median
$77,385
outlier · 3.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $66,887.42 $385,629.55 $233,874.31 nat. median
$73,475
outlier · 3.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $87,263.69 $371,137.51 $231,641.63 nat. median
$81,364
outlier · 2.8×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $76,915.63 $367,225.71 $229,221.57 nat. median
$71,485
outlier · 3.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $72,464.25 $322,955.53 $219,420.07 nat. median
$62,911
outlier · 3.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $72,085.01 $329,670.78 $218,254.55 nat. median
$69,153
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 13,722 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 1 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 1 1 — — $3,090,000.00 $3,090,000.00 $3,090,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 2 — — $770,620.00 $2,928,356.00 $2,598,222.39 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,455,110.60 $2,455,110.60 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 2 — — $565,868.94 $2,233,068.37 $1,981,319.31 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 2 — — $591,726.20 $2,152,818.94 $1,910,116.94 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 2 — — $562,538.19 $2,136,364.71 $1,895,517.70 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 2 — — $557,317.93 $2,120,710.57 $1,881,628.36 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 2 — — $533,230.17 $2,022,330.51 $1,794,339.35 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 2 — — $489,304.61 $1,859,910.76 $1,650,230.29 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 5 — — $430,904.57 $1,850,771.63 $1,321,005.03 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 2 — — $278,250.00 $1,057,350.00 $907,541.25 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 5 — — $1,725.00 $1,433,366.94 $803,459.22 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 2 — — $205,640.00 $766,342.28 $679,947.27 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 5 — — $213,588.41 $1,040,735.12 $653,133.15 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 6 — — $7,458.52 $939,793.57 $457,254.48 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $414,848.65 $416,726.55 $415,787.60 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 8 2 — — $257,500.00 $779,948.00 $396,450.00 2026-04-01
7 MS_DRG Lung Transplant 17 5 — — $129,972.81 $572,765.81 $396,159.57 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 6 — — $126,392.78 $593,657.15 $370,524.95 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 5 — — $120,692.81 $632,371.70 $367,639.58 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $362,684.06 $364,325.83 $363,504.95 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 5 — — $113,863.45 $788,361.47 $346,651.09 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $331,628.66 $333,129.85 $332,379.26 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $325,717.10 $327,191.53 $326,454.32 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 5 — — $103,697.55 $505,910.22 $315,408.51 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $306,026.68 $307,411.98 $306,719.33 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 5 — — $100,178.85 $552,159.84 $304,594.59 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 5 — — $113,734.05 $485,112.45 $302,777.90 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 5 — — $110,771.77 $472,357.61 $294,817.10 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $277,193.05 $278,447.82 $277,820.43 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $1,632.00 $454,954.49 $276,683.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 6 — — $71,929.99 $516,143.93 $268,336.21 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 5 — — $97,849.51 $466,053.05 $262,571.46 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $258,724.35 $259,895.52 $259,309.93 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 5 — — $84,978.28 $420,146.04 $257,879.07 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 5 — — $84,714.50 $425,485.58 $257,068.41 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 5 — — $90,748.54 $386,142.45 $241,006.80 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 5 — — $79,393.15 $510,700.47 $240,714.46 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 6 — — $66,887.42 $385,629.55 $233,874.31 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 5 — — $87,263.69 $371,137.51 $231,641.63 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 6 — — $76,915.63 $367,225.71 $229,221.57 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 5 — — $72,464.25 $322,955.53 $219,420.07 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 5 — — $72,085.01 $329,670.78 $218,254.55 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 5 — — $69,529.85 $344,155.34 $210,401.84 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 5 — — $68,068.62 $311,167.97 $205,911.08 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 5 — — $66,517.81 $281,810.78 $201,145.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 5 — — $66,279.91 $280,786.45 $200,413.88 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 5 — — $72,921.14 $309,381.98 $193,097.55 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 5 — — $58,373.81 $321,302.70 $188,517.14 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 5 — — $61,998.74 $286,395.28 $187,256.69 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 5 — — $61,414.45 $291,883.27 $185,461.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 7 — — $57,677.31 $398,614.68 $185,404.08 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 5 — — $60,873.95 $288,008.52 $183,799.91 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 5 — — $60,091.58 $332,852.73 $181,395.45 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 5 — — $59,445.57 $281,441.73 $179,410.10 2026-04-01
10 MS_DRG Pancreas Transplant 17 5 — — $72,494.12 $307,543.33 $179,025.50 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 5 — — $67,624.68 $286,576.70 $178,863.88 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 5 — — $67,575.90 $286,366.69 $178,732.80 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 7 — — $54,172.90 $351,212.04 $176,882.64 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 5 — — $63,765.23 $305,601.81 $172,174.21 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 5 — — $56,855.57 $268,550.62 $171,450.32 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 6 — — $60,424.04 $321,757.97 $170,965.06 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 5 — — $56,043.33 $300,686.83 $168,954.09 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 6 — — $26,491.89 $283,579.52 $167,348.07 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 5 — — $55,357.51 $248,241.57 $166,846.37 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 5 — — $55,140.52 $239,027.28 $166,179.49 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 5 — — $10,845.00 $237,087.43 $164,433.39 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 5 — — $53,761.90 $372,708.76 $161,942.64 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 5 — — $24,228.00 $366,037.00 $158,988.63 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 5 — — $52,792.40 $269,659.11 $158,963.07 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 6 — — $32,026.42 $317,937.65 $156,824.03 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $156,355.84 $157,063.62 $156,709.73 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 6 — — $2,000.00 $283,376.63 $155,375.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 5 — — $58,473.08 $247,172.14 $154,269.93 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 6 — — $51,237.60 $225,275.12 $154,184.76 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $42,035.73 $154,678.39 $153,981.36 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 5 — — $57,873.85 $244,592.03 $152,659.58 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 6 — — $57,800.19 $265,512.18 $152,461.63 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 7 — — $18,299.75 $280,131.84 $151,076.71 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 5 — — $57,028.77 $240,953.30 $150,388.50 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 5 — — $49,854.01 $250,404.11 $149,932.61 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 5 — — $47,214.97 $264,502.67 $149,241.42 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 5 — — $56,473.34 $238,561.77 $148,895.85 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 5 — — $49,132.35 $248,261.36 $147,714.76 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 5 — — $48,889.48 $282,025.66 $146,968.34 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 5 — — $56,018.15 $257,436.87 $145,038.36 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 5 — — $47,865.22 $223,335.27 $143,820.53 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 5 — — $47,630.31 $249,251.08 $143,098.58 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 5 — — $47,697.27 $267,219.45 $142,652.40 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 5 — — $54,118.25 $228,421.33 $142,566.80 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 5 — — $47,224.19 $232,173.47 $141,850.47 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 5 — — $20,459.02 $222,543.49 $140,253.62 2026-04-01
245 MS_DRG Aicd Generator Procedures 17 5 — — $46,481.63 $267,917.20 $139,568.38 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 — — $137,877.28 $138,501.42 $138,189.35 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 5 — — $45,491.22 $213,571.68 $136,524.57 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 6 — — $10,194.41 $299,395.25 $132,561.88 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 5 — — $1,368.53 $263,136.86 $131,905.09 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 17 5 — — $43,524.34 $196,983.97 $130,479.79 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 5 — — $43,100.65 $254,551.04 $129,845.83 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 15 9 — — $49,029.81 $301,770.58 $129,133.36 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 5 — — $43,033.61 $189,625.40 $128,971.66 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 5 — — $38,180.50 $216,060.82 $128,458.18 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 6 — — $40,559.49 $248,291.06 $127,644.01 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 6 — — $43,012.71 $208,108.42 $125,340.71 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 7 — — $53,409.69 $280,204.58 $123,447.85 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 5 — — $35,705.19 $224,948.51 $121,677.73 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 5 — — $40,273.81 $210,919.23 $120,318.62 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 6 — — $41,898.64 $245,504.99 $119,888.15 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 5 — — $14,884.48 $206,801.99 $119,068.58 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 6 — — $17,186.46 $237,963.33 $118,841.83 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 5 — — $39,538.80 $165,645.75 $118,231.16 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 5 — — $6,780.00 $191,530.61 $116,373.56 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 7 — — $6,701.39 $298,410.48 $115,105.76 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 6 — — $43,799.06 $201,546.58 $114,835.08 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 5 — — $38,361.26 $160,575.53 $114,612.24 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 1 — — $114,102.96 $114,619.47 $114,361.21 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 5 — — $22,548.05 $187,616.27 $114,339.98 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 5 — — $38,268.69 $177,372.67 $114,327.74 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 6 — — $30,914.06 $183,528.73 $114,226.14 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 7 — — $1,199.04 $256,416.66 $113,667.33 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 5 — — $43,280.47 $181,756.45 $113,441.40 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 5 — — $37,955.14 $182,781.49 $113,364.13 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 6 — — $38,301.92 $180,076.37 $112,392.80 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 5 — — $37,629.65 $184,157.20 $112,363.80 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 6 — — $32,418.21 $201,942.47 $112,050.40 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 5 — — $39,830.45 $166,901.52 $111,216.15 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 5 — — $37,185.70 $167,569.49 $110,999.44 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 5 — — $37,157.83 $179,842.02 $110,913.79 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 5 — — $37,108.06 $205,846.91 $110,760.83 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 5 — — $37,083.18 $166,406.57 $110,684.36 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 9 3 — — $80,418.82 $201,402.89 $110,644.44 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 5 — — $37,019.47 $185,701.16 $110,488.57 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 5 — — $36,730.81 $189,120.65 $109,601.43 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 5 — — $36,648.19 $210,721.29 $109,347.53 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 5 — — $36,612.36 $192,520.33 $109,237.40 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 5 — — $10,845.00 $194,613.59 $108,645.08 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 7 — — $40,668.17 $222,276.27 $108,257.85 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 5 — — $36,529.74 $179,411.49 $108,127.04 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 5 — — $41,087.63 $172,314.61 $107,548.38 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 4 — — $56,824.55 $215,933.29 $107,527.88 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 8 — — $30,930.10 $266,120.86 $107,443.56 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 7 — — $45,041.69 $307,570.34 $106,581.84 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 7 — — $47,040.05 $197,944.29 $104,611.27 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 5 — — $38,757.58 $185,468.04 $104,491.57 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 5 — — $1,676.00 $163,056.37 $104,364.26 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 5 — — $34,981.91 $173,898.75 $104,226.60 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 5 — — $35,395.90 $196,687.06 $103,541.23 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 6 — — $34,408.83 $195,855.69 $103,287.10 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 6 — — $33,505.54 $185,547.76 $102,227.54 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 6 — — $35,697.64 $228,021.59 $101,075.45 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 5 — — $33,948.70 $185,691.27 $101,051.25 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 17 5 — — $33,837.22 $162,051.80 $100,708.63 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 4 — — $63,342.28 $244,244.20 $100,448.19 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 5 — — $35,240.36 $197,389.76 $99,985.50 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 5 — — $31,745.45 $160,656.30 $99,526.77 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 5 — — $29,783.57 $494,077.10 $99,068.95 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 7 — — $17,892.97 $240,021.95 $99,022.40 2026-04-01
652 MS_DRG Kidney Transplant 17 5 — — $33,214.10 $157,459.50 $98,793.63 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 5 — — $33,190.21 $168,628.49 $98,720.22 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 17 5 — — $33,127.51 $148,898.43 $98,527.49 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 5 — — $150.00 $171,627.35 $98,215.30 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $97,944.70 $98,388.07 $98,166.39 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 5 — — $32,695.51 $240,482.17 $97,199.84 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 17 5 — — $32,570.09 $156,073.90 $96,814.40 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 5 — — $32,522.31 $158,637.27 $96,667.56 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 5 — — $36,965.72 $154,566.70 $96,471.20 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 5 — — $32,344.13 $158,419.53 $96,119.98 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 6 — — $46.10 $212,364.22 $94,634.09 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 5 — — $21,182.68 $176,971.83 $94,336.55 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 5 — — $1,603.20 $179,787.59 $94,143.95 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 5 — — $31,541.85 $144,984.08 $93,654.35 2026-04-01
263 MS_DRG Vein Ligation And Stripping 17 5 — — $31,501.04 $131,037.11 $93,528.92 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 6 — — $29,940.37 $177,367.72 $93,259.40 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 2 1 — — $92,579.96 $92,999.04 $92,789.50 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 5 — — $1,525.00 $195,821.05 $92,705.66 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 6 — — $28,351.38 $166,119.55 $92,410.55 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 17 5 — — $31,133.74 $135,131.42 $92,400.12 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 5 — — $31,129.76 $140,599.62 $92,387.88 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 5 — — $31,096.91 $129,297.03 $92,286.93 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 5 — — $35,295.46 $147,374.96 $91,982.55 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 5 — — $23,827.95 $162,398.21 $91,281.14 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 7 — — $37,336.06 $213,512.30 $90,980.40 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 17 5 — — $30,373.27 $135,304.62 $90,062.96 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 21 5 — — $5,793.51 $196,741.49 $89,825.69 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 5 — — $32,136.10 $150,274.14 $89,486.37 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 5 — — $29,958.30 $152,634.62 $88,933.29 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 6 — — $26,644.90 $189,887.68 $88,875.65 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 5 — — $29,936.29 $142,371.22 $88,720.02 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 5 — — $29,808.88 $151,481.59 $88,328.45 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 17 5 — — $29,794.95 $132,904.55 $88,285.63 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 17 5 — — $29,753.14 $134,626.66 $88,157.14 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 5 — — $55,272.32 $206,735.62 $87,650.85 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 6 — — $34,397.65 $190,461.72 $87,222.57 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 7 — — $41,167.98 $277,166.14 $86,834.35 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 5 — — $18,079.40 $159,132.13 $86,533.58 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 5 — — $33,223.06 $138,451.71 $86,413.20 2026-04-01
800 MS_DRG Splenic Procedures With Cc 17 5 — — $29,032.48 $146,052.98 $85,942.36 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 6 — — $25,794.63 $178,783.02 $85,942.23 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 5 — — $33,023.99 $137,594.53 $85,878.20 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 6 — — $26,766.19 $176,397.80 $85,872.20 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 6 — — $328.64 $155,237.58 $85,249.58 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 7 — — $7,237.36 $194,603.70 $84,274.06 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 6 — — $28,717.38 $197,350.17 $84,249.13 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 — — $83,500.79 $83,878.77 $83,689.78 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 6 — — $1,676.00 $151,328.19 $83,299.52 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 5 — — $26,955.55 $148,868.73 $83,201.79 2026-04-01
849 MS_DRG Radiotherapy 17 5 — — $28,038.09 $123,096.43 $82,886.31 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 5 — — $23,586.94 $132,671.97 $82,785.36 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 6 — — $30,439.89 $161,428.28 $82,783.86 2026-04-01
509 MS_DRG Arthroscopy 2 1 — — $82,456.41 $82,829.67 $82,643.04 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 5 — — $26,803.64 $138,060.99 $81,725.26 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 5 — — $27,545.37 $155,593.88 $81,372.06 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 5 — — $27,452.80 $126,060.64 $81,087.56 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 6 — — $29,268.93 $135,048.71 $80,644.51 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 23 5 — — $21,895.83 $151,090.66 $80,409.16 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 6 — — $35,938.29 $183,004.18 $80,286.45 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 18 5 — — $25,966.86 $143,519.30 $80,257.33 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 5 — — $30,694.78 $127,565.53 $79,618.70 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 21 5 — — $578.55 $145,968.70 $79,307.17 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 5 — — $28,511.89 $142,925.47 $79,047.44 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 5 — — $14,632.38 $136,338.88 $78,110.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 5 — — $15,121.02 $125,842.90 $77,335.80 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 21 7 — — $22,186.37 $124,298.93 $77,178.03 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 6 — — $16,030.16 $184,211.64 $77,094.95 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 17 5 — — $25,872.12 $121,359.47 $76,229.71 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 1 — — $75,465.99 $75,807.60 $75,636.80 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 5 — — $2,080.00 $145,741.22 $75,615.57 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 5 — — $12,334.92 $147,196.11 $75,209.10 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 21 6 — — $6,888.58 $164,328.16 $75,148.45 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 5 — — $24,348.41 $130,083.85 $74,661.93 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 5 — — $24,860.87 $138,605.34 $74,050.16 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 18 5 — — $10,845.00 $115,376.61 $73,946.96 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 18 6 — — $21,780.54 $124,110.89 $73,946.96 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 18 6 — — $22,906.73 $133,978.40 $73,614.38 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 17 5 — — $25,010.11 $120,928.94 $73,580.53 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 6 — — $24,842.79 $134,809.76 $73,129.15 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 7 — — $30,228.49 $162,581.30 $72,911.77 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 24 5 — — $21,866.44 $125,644.95 $72,849.30 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 7 — — $19,035.41 $160,720.63 $71,966.55 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 17 5 — — $24,470.61 $108,463.41 $71,922.50 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 30 7 — — $23,203.43 $130,603.45 $71,674.70 2026-04-01
333 MS_DRG Rectal Resection With Cc 17 5 — — $24,382.02 $105,949.53 $71,650.24 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 17 5 — — $24,329.27 $109,740.15 $71,488.11 2026-04-01
J9226 HCPCS Supprelin La Implant 14 5 — — $45,020.65 $164,104.29 $71,393.75 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 17 5 — — $24,231.72 $114,406.68 $71,188.32 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 2 1 — — $70,598.81 $70,918.39 $70,758.60 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 7 — — $19,305.38 $149,670.41 $70,321.85 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 19 5 — — $25,546.63 $116,633.55 $70,308.99 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 17 5 — — $23,918.17 $121,814.74 $70,224.70 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 17 5 — — $23,911.21 $104,460.00 $70,203.29 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 17 5 — — $23,778.82 $113,906.87 $69,796.43 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 17 5 — — $23,720.09 $108,552.49 $69,615.94 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 23 6 — — $10,140.00 $131,321.00 $69,432.30 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 17 5 — — $23,619.56 $116,920.57 $69,306.97 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 21 6 — — $21,901.33 $125,704.34 $69,132.00 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 17 5 — — $23,350.80 $106,647.28 $68,481.01 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 17 5 — — $23,337.86 $99,907.29 $68,441.24 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 19 6 — — $22,263.21 $133,057.96 $68,292.75 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 17 5 — — $23,072.09 $96,017.69 $67,624.46 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 5 — — $21,408.56 $117,796.47 $67,048.83 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 17 5 — — $22,846.14 $112,907.26 $66,930.05 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 17 5 — — $22,778.45 $109,240.35 $66,722.03 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 5 — — $22,740.63 $104,628.25 $66,605.78 2026-04-01
90288 HCPCS Botulism Ig IV 3 2 — — $66,562.65 $166,701.15 $66,562.65 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 17 5 — — $22,667.97 $105,929.73 $66,382.47 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 5 — — $1,262.40 $123,596.23 $66,263.26 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 17 5 — — $22,269.81 $109,997.48 $65,158.83 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 15 5 — — $25,178.33 $103,813.07 $64,793.85 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 17 5 — — $22,144.39 $100,609.99 $64,773.38 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 17 5 — — $22,136.43 $102,935.83 $64,748.91 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 15 5 — — $25,099.70 $103,474.48 $64,582.53 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 23 7 — — $18,233.13 $212,685.33 $64,507.24 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 17 5 — — $21,996.08 $112,615.29 $64,317.58 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 7 — — $2,185.00 $108,240.73 $64,237.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 15 5 — — $24,906.59 $102,643.02 $64,063.58 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 17 5 — — $21,882.60 $106,315.72 $63,968.84 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 17 5 — — $21,845.77 $111,778.98 $63,855.65 2026-04-01
835 MS_DRG Acute Leukemia With Cc 17 5 — — $21,829.85 $104,598.56 $63,806.71 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 17 5 — — $21,809.94 $105,420.03 $63,745.53 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 18 5 — — $21,766.14 $97,413.19 $63,610.93 2026-04-01
570 MS_DRG Skin Debridement With Mcc 21 5 — — $16,351.45 $140,357.14 $63,360.12 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 2 1 — — $63,160.09 $63,446.00 $63,303.04 2026-04-01
935 MS_DRG Non-extensive Burns 17 5 — — $21,573.04 $95,671.28 $63,017.46 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 18 5 — — $20,685.43 $116,643.45 $62,937.48 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 17 5 — — $21,464.54 $88,777.88 $62,684.02 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 20 6 — — $25,770.59 $123,690.26 $62,625.30 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 18 5 — — $21,502.20 $124,843.28 $62,573.37 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 17 5 — — $21,251.53 $95,245.70 $62,029.37 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 17 5 — — $21,195.79 $104,920.22 $61,858.06 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 7 — — $20,093.61 $151,595.41 $61,832.72 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 28 7 — — $18,550.60 $105,532.12 $61,518.50 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 18 5 — — $21,040.51 $91,643.12 $61,380.84 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 18 5 — — $8,502.12 $91,748.26 $61,374.94 2026-04-01
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