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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

JACKSON HEALTH SYSTEM

Miami, FL · CCN 100022 · Rates published

6,356 distinct procedures filed
77 distinct payers
473,305 rate rows
2026-04-01 last MRF observed
Data quality

453,960 of 473,305 rate rows are consumer-grade (95.9%)

19,345 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 12,036
exceeds 10× this hospital's gross charge — excluded from medians 4,599
template filing: same amount across many unrelated codes — excluded 2,536
percent-of-charges filed in the dollar field — excluded from medians 131
exceeds 3× this hospital's gross charge for a DRG stay — excluded 37
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbJMHMiamiFL&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/JacksonMemorial.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint dd104783d52ea18f… · 292,808,592 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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 53 $100,000.00 $1,187,812.85 $425,422.89 nat. median
$265,286
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 $165,494.79 $1,011,996.31 $231,692.59 nat. median
$202,986
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 60 $109,723.71 $463,164.80 $185,000.05 nat. median
$206,368
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 $88,355.06 $1,126,373.86 $170,252.55 nat. median
$108,660
1.6× median
7
MS_DRG 		Lung Transplant 54 $100,973.87 $1,471,084.81 $166,208.10 nat. median
$122,708
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 $108,000.61 $531,192.48 $156,701.78 nat. median
$133,176
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 55 $93,000.00 $1,266,898.82 $154,986.00 nat. median
$117,303
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 54 $80,391.90 $932,490.07 $135,105.73 nat. median
$100,136
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 $55,596.37 $339,970.34 $111,570.77 nat. median
$68,887
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 60 $71,006.30 $332,732.70 $110,222.21 nat. median
$102,358
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 60 $61,353.74 $361,257.70 $105,619.73 nat. median
$77,576
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 60 $54,621.39 $203,360.72 $101,896.75 nat. median
$99,019
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 60 $53,627.61 $362,711.81 $101,386.96 nat. median
$65,950
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 $32,712.00 $302,675.48 $98,218.19 nat. median
$93,672
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 63 $32,712.00 $742,614.68 $96,894.85 nat. median
$79,312
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 $59,413.05 $327,731.43 $96,680.77 nat. median
$72,138
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 60 $55,926.19 $339,619.70 $94,512.35 nat. median
$64,027
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 $32,712.00 $319,914.28 $94,374.71 nat. median
$74,915
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 $65,522.07 $308,172.41 $90,910.86 nat. median
$81,118
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 60 $52,482.99 $382,423.68 $90,805.10 nat. median
$64,732
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 60 $58,082.67 $217,406.02 $90,684.73 nat. median
$87,411
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 $32,712.00 $322,332.80 $88,598.14 nat. median
$73,807
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 $51,672.87 $597,162.50 $84,248.28 nat. median
$71,240
1.2× median
28
MS_DRG 		Spinal Procedures With Mcc 60 $46,847.26 $278,889.90 $82,261.72 nat. median
$57,823
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 58 $53,891.93 $272,750.82 $80,461.49 nat. median
$66,526
1.2× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 60 $44,439.51 $271,746.46 $78,716.96 nat. median
$52,753
1.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 53 $46,234.40 $308,425.45 $76,641.37 nat. median
$56,920
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 $32,712.00 $259,249.91 $76,478.72 nat. median
$64,510
1.2× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 $32,712.00 $254,262.57 $76,466.33 nat. median
$52,879
1.4× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 60 $41,276.24 $252,403.09 $74,698.31 nat. median
$54,066
1.4× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 $44,679.66 $251,509.17 $74,129.67 nat. median
$55,929
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 58 $50,171.94 $250,295.70 $73,837.23 nat. median
$62,134
1.2× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 60 $42,526.11 $260,046.03 $73,830.93 nat. median
$52,857
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 60 $38,506.71 $268,949.57 $73,402.15 nat. median
$48,170
1.5× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 60 $38,215.10 $235,614.67 $73,268.72 nat. median
$49,171
1.5× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 52 $43,699.57 $460,896.00 $72,543.89 nat. median
$53,171
1.4× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 60 $45,728.37 $237,020.51 $69,921.05 nat. median
$56,697
1.2× median
6
MS_DRG 		Liver Transplant Without Mcc 52 $36,155.11 $327,523.00 $69,707.23 nat. median
$46,260
1.5× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 60 $32,381.31 $264,508.73 $68,992.36 nat. median
$40,166
1.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 60 $51,081.86 $186,801.27 $68,321.96 nat. median
$59,793
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 60 $44,071.54 $159,186.64 $67,872.84 nat. median
$65,381
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 60 $42,653.98 $229,216.04 $67,618.73 nat. median
$52,836
1.3× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 $32,712.00 $207,903.55 $67,464.70 nat. median
$61,920
1.1× median
653
MS_DRG 		Major Bladder Procedures With Mcc 58 $40,516.80 $277,694.53 $66,059.24 nat. median
$51,418
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 60 $47,783.69 $215,147.84 $65,702.58 nat. median
$60,726
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 60 $35,839.32 $219,156.52 $65,629.23 nat. median
$44,810
1.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 51 $46,342.00 $387,102.82 $64,878.77 nat. median
$52,278
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 63 $32,712.00 $279,808.98 $64,840.19 nat. median
$57,424
1.1× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 60 $38,374.94 $224,433.30 $64,258.09 nat. median
$47,740
1.3× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 $46,494.83 $200,042.35 $63,930.40 nat. median
$58,024
1.1× median

Other procedures at this hospital

Browse this hospital's 6,356 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 53 $1,583,750.46 — $100,000.00 $1,187,812.85 $425,422.89 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 54 $1,055,827.50 — $165,494.79 $1,011,996.31 $231,692.59 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 60 60 $454,620.81 — $109,723.71 $463,164.80 $185,000.05 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 54 $1,255,185.65 — $88,355.06 $1,126,373.86 $170,252.55 2026-04-01
7 MS_DRG Lung Transplant 54 54 $754,981.91 — $100,973.87 $1,471,084.81 $166,208.10 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 58 $531,192.48 — $108,000.61 $531,192.48 $156,701.78 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 55 55 $653,497.25 — $93,000.00 $1,266,898.82 $154,986.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 54 $763,982.48 — $80,391.90 $932,490.07 $135,105.73 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 60 $378,205.99 — $55,596.37 $339,970.34 $111,570.77 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 60 60 $332,732.70 — $71,006.30 $332,732.70 $110,222.21 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 60 60 $361,257.70 — $61,353.74 $361,257.70 $105,619.73 2026-04-01
215 MS_DRG Other Heart Assist System Implant 60 60 $185,157.27 — $54,621.39 $203,360.72 $101,896.75 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 60 60 $453,389.76 — $53,627.61 $362,711.81 $101,386.96 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 63 $302,675.48 — $32,712.00 $302,675.48 $98,218.19 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 63 63 $928,268.35 — $32,712.00 $742,614.68 $96,894.85 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 63 60 $327,731.43 — $59,413.05 $327,731.43 $96,680.77 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 60 60 $339,619.70 — $55,926.19 $339,619.70 $94,512.35 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 63 $319,914.28 — $32,712.00 $319,914.28 $94,374.71 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 60 $308,172.41 — $65,522.07 $308,172.41 $90,910.86 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 60 60 $478,029.60 — $52,482.99 $382,423.68 $90,805.10 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 60 60 $196,890.42 — $58,082.67 $217,406.02 $90,684.73 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 64 $322,332.80 — $32,712.00 $322,332.80 $88,598.14 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 54 $746,453.13 — $51,672.87 $597,162.50 $84,248.28 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 60 60 $278,889.90 — $46,847.26 $278,889.90 $82,261.72 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 58 58 $272,750.82 — $53,891.93 $272,750.82 $80,461.49 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 60 $311,062.78 — $44,439.51 $271,746.46 $78,716.96 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 53 53 $296,271.54 — $46,234.40 $308,425.45 $76,641.37 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 63 $259,249.91 — $32,712.00 $259,249.91 $76,478.72 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 63 $259,207.88 — $32,712.00 $254,262.57 $76,466.33 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 60 60 $298,754.36 — $41,276.24 $252,403.09 $74,698.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 60 $251,509.17 — $44,679.66 $251,509.17 $74,129.67 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 58 $250,295.70 — $50,171.94 $250,295.70 $73,837.23 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 60 60 $301,293.71 — $42,526.11 $260,046.03 $73,830.93 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 60 60 $336,186.96 — $38,506.71 $268,949.57 $73,402.15 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 60 60 $294,518.34 — $38,215.10 $235,614.67 $73,268.72 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 52 $614,528.00 — $43,699.57 $460,896.00 $72,543.89 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 60 60 $237,020.51 — $45,728.37 $237,020.51 $69,921.05 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 52 52 $383,372.29 — $36,155.11 $327,523.00 $69,707.23 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 60 60 $330,635.92 — $32,381.31 $264,508.73 $68,992.36 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 60 60 $186,801.27 — $51,081.86 $186,801.27 $68,321.96 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 60 60 $149,395.05 — $44,071.54 $159,186.64 $67,872.84 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 60 60 $229,216.04 — $42,653.98 $229,216.04 $67,618.73 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 63 $207,903.55 — $32,712.00 $207,903.55 $67,464.70 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 58 58 $347,118.17 — $40,516.80 $277,694.53 $66,059.24 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 60 60 $215,147.84 — $47,783.69 $215,147.84 $65,702.58 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 60 60 $263,829.62 — $35,839.32 $219,156.52 $65,629.23 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 51 51 $483,878.52 — $46,342.00 $387,102.82 $64,878.77 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 63 63 $304,958.96 — $32,712.00 $279,808.98 $64,840.19 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 60 60 $224,433.30 — $38,374.94 $224,433.30 $64,258.09 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 60 $200,042.35 — $46,494.83 $200,042.35 $63,930.40 2026-04-01
1750100 CDM Kidney Acquisition Chg-cadaver 20 20 $105,268.00 — $3,461.00 $84,214.40 $63,845.04 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 58 58 $284,375.79 — $38,887.21 $237,794.24 $63,402.32 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 60 60 $190,843.44 — $47,728.33 $190,843.44 $63,358.11 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 60 60 $265,231.52 — $33,256.93 $212,185.22 $63,137.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 63 63 $214,110.24 — $32,712.00 $214,110.24 $63,068.30 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 60 60 $146,139.96 — $43,111.29 $168,373.48 $62,592.26 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 53 53 $321,785.47 — $37,724.66 $241,339.10 $62,535.03 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 58 58 $211,713.38 — $42,805.24 $211,713.38 $62,455.45 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 60 60 $240,923.48 — $34,945.00 $213,687.74 $61,817.86 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 54 $380,536.96 — $36,657.24 $304,429.57 $61,466.62 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 60 60 $206,543.62 — $32,856.16 $200,914.54 $60,930.37 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 60 60 $119,154.28 — $35,150.51 $130,620.08 $60,884.19 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 63 63 $129,814.06 — $32,712.00 $129,814.06 $60,850.32 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 60 60 $206,051.20 — $40,586.97 $206,051.20 $60,785.10 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 60 60 $319,736.02 — $32,721.27 $255,788.82 $60,572.71 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 60 60 $252,685.09 — $29,340.45 $202,148.08 $60,360.60 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 60 60 $251,442.16 — $35,466.62 $216,877.47 $59,996.48 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 63 63 $267,697.46 — $32,712.00 $260,456.07 $59,630.40 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 58 58 $285,383.73 — $36,473.23 $228,306.99 $59,314.51 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 58 58 $231,316.30 — $35,748.10 $218,598.68 $58,284.27 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 60 60 $197,557.23 — $37,649.81 $197,557.23 $58,279.38 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 53 $296,835.98 — $36,582.39 $237,468.79 $58,105.27 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 60 60 $313,008.88 — $32,872.53 $250,407.10 $57,662.68 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 53 53 $213,713.25 — $35,451.03 $213,713.25 $57,621.80 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 60 60 $194,752.89 — $34,934.86 $194,752.89 $57,452.10 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 60 60 $192,930.49 — $34,251.06 $192,930.49 $56,914.49 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 55 55 $191,868.51 — $41,139.79 $191,868.51 $56,601.21 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 60 60 $283,985.18 — $32,760.25 $227,188.14 $56,005.01 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 52 52 $320,639.77 — $28,894.46 $256,511.81 $55,637.32 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 63 $187,282.58 — $32,712.00 $187,282.58 $55,248.36 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 60 $186,161.52 — $32,534.14 $186,161.52 $54,917.65 2026-04-01
1750200 CDM Kidney Acquisi Living Donor 20 20 $90,289.00 — $3,461.00 $72,231.20 $54,760.28 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 58 58 $198,286.06 — $33,472.13 $198,286.06 $54,433.97 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 63 63 $208,114.41 — $32,660.45 $199,717.80 $54,140.24 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 53 53 $189,379.21 — $30,106.12 $184,098.15 $53,635.54 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 60 60 $179,170.78 — $35,312.24 $179,170.78 $52,855.38 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 60 60 $298,371.08 — $29,143.18 $238,696.86 $52,337.64 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 60 60 $183,813.63 — $27,842.63 $170,256.94 $51,278.19 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 60 60 $171,940.99 — $28,627.80 $171,940.99 $50,722.59 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 60 60 $186,518.29 — $26,046.96 $159,276.47 $50,698.33 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 60 60 $256,708.25 — $29,212.58 $205,366.60 $50,040.78 2026-04-01
1740001 CDM Liver Procurement-cadaver 20 20 $82,415.00 — $3,461.00 $65,932.00 $49,984.70 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 60 60 $498,429.93 — $26,565.47 $398,743.94 $49,740.84 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 60 60 $140,900.89 — $37,120.39 $165,082.38 $49,648.50 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 60 60 $230,011.97 — $26,935.83 $184,009.57 $49,579.74 2026-04-01
1700001 CDM Small Bowel Acquisition 20 20 $81,387.00 — $3,461.00 $65,109.60 $49,361.21 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 58 58 $203,806.30 — $29,759.15 $181,976.44 $49,010.47 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 60 60 $165,392.50 — $29,935.37 $165,392.50 $48,790.79 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 58 58 $48,549.82 — $14,322.20 $94,937.83 $48,549.82 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 58 58 $122,082.82 — $36,014.43 $122,082.82 $48,518.02 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 60 60 $133,567.63 — $36,010.86 $133,567.63 $48,164.51 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 60 60 $162,835.95 — $21,033.51 $162,835.95 $48,036.61 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 60 60 $211,024.64 — $22,707.47 $168,819.71 $47,713.34 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 60 60 $254,269.80 — $23,551.11 $203,415.84 $47,671.76 2026-04-01
245 MS_DRG Aicd Generator Procedures 60 60 $128,898.05 — $35,573.44 $148,314.70 $47,579.46 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 60 60 $160,973.28 — $32,928.67 $160,973.28 $47,487.12 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 60 60 $307,309.08 — $22,379.21 $245,847.26 $47,372.83 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 58 58 $212,546.70 — $29,058.20 $177,690.10 $47,294.76 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 60 60 $110,511.08 — $32,600.77 $163,279.00 $47,132.24 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 60 60 $142,804.16 — $34,797.63 $142,804.16 $46,875.85 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 60 60 $261,365.39 — $27,198.59 $209,092.31 $46,840.89 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 60 60 $254,428.26 — $27,870.70 $203,542.61 $46,713.07 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 60 $174,807.32 — $24,285.60 $148,505.78 $46,222.07 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 60 60 $155,446.77 — $28,639.49 $155,446.77 $45,856.80 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 58 58 $278,792.76 — $28,161.53 $223,034.21 $45,797.62 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 60 60 $154,773.77 — $27,497.22 $154,773.77 $45,658.26 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 63 60 $154,197.57 — $24,638.80 $150,665.64 $45,488.28 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 60 60 $245,946.41 — $26,731.54 $196,757.13 $45,396.06 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 60 60 $165,138.93 — $28,269.91 $165,138.93 $45,332.95 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 58 58 $224,742.87 — $27,801.30 $179,794.29 $45,327.69 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 58 58 $278,101.75 — $27,777.91 $222,481.40 $45,289.56 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 53 53 $154,094.54 — $24,848.55 $151,948.21 $44,914.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 60 60 $246,219.96 — $24,676.23 $196,975.97 $44,758.67 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 58 58 $175,342.51 — $27,441.08 $167,801.47 $44,625.99 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 60 60 $181,914.60 — $25,362.37 $155,090.25 $44,618.54 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 60 60 $143,922.40 — $32,166.89 $143,922.40 $44,229.49 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 58 $149,948.36 — $27,191.57 $149,948.36 $43,913.63 2026-04-01
0831775 CDM Catheter Kit 5.5 S2 20 20 $71,750.00 — $3,461.00 $57,400.00 $43,516.38 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 60 60 $147,157.43 — $23,650.13 $144,619.94 $43,411.44 2026-04-01
1760001 CDM Heart Procurement 20 20 $71,021.00 — $3,461.00 $56,816.80 $43,074.24 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 60 60 $146,007.80 — $19,905.97 $121,724.49 $43,072.30 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 60 60 $187,061.43 — $22,627.16 $149,649.14 $43,060.97 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 58 58 $144,187.86 — $31,064.39 $144,187.86 $42,713.54 2026-04-01
265 MS_DRG Aicd Lead Procedures 61 61 $142,661.05 — $28,211.43 $142,661.05 $42,085.01 2026-04-01
0688159 CDM Pump Berlin Excor 20 20 $69,367.00 — $3,461.00 $55,493.60 $42,071.09 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 60 $138,390.38 — $30,501.44 $138,390.38 $41,939.48 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 53 53 $142,091.88 — $24,242.71 $142,091.88 $41,917.10 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 60 60 $141,931.78 — $27,728.79 $141,931.78 $41,869.88 2026-04-01
652 MS_DRG Kidney Transplant 52 52 $269,294.38 — $25,180.70 $201,970.78 $41,819.01 2026-04-01
800 MS_DRG Splenic Procedures With Cc 60 60 $203,306.20 — $21,905.14 $162,644.96 $41,554.58 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 60 60 $145,944.09 — $22,225.61 $135,908.99 $41,159.67 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 52 52 $70,781.92 — $20,880.67 $71,117.24 $40,638.42 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 60 60 $136,189.57 — $27,751.40 $136,189.57 $40,175.92 2026-04-01
791 MS_DRG Prematurity With Major Problems 52 52 $119,558.53 — $31,648.39 $119,558.53 $40,150.33 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 60 60 $152,010.63 — $24,824.38 $151,800.40 $40,031.87 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 60 60 $121,965.95 — $29,140.06 $121,965.95 $39,640.63 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 60 60 $105,945.16 — $30,180.20 $105,945.16 $39,611.51 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 53 53 $271,762.05 — $28,291.74 $217,409.64 $39,608.42 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 60 60 $144,549.98 — $19,774.20 $120,918.71 $39,537.60 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 60 60 $161,242.27 — $21,031.87 $128,993.81 $39,241.59 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 60 60 $132,918.97 — $21,612.75 $132,161.42 $39,211.10 2026-04-01
263 MS_DRG Vein Ligation And Stripping 58 58 $212,060.23 — $23,838.82 $169,648.18 $38,767.83 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 60 60 $131,379.13 — $18,631.33 $131,379.13 $38,756.84 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 58 58 $201,910.62 — $23,547.99 $161,528.50 $38,294.87 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 60 60 $153,679.72 — $18,293.40 $150,236.53 $37,856.04 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 63 63 $127,651.74 — $24,556.94 $127,651.74 $37,657.26 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 58 58 $127,211.77 — $25,250.88 $127,211.77 $37,527.47 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 60 60 $82,954.25 — $24,471.50 $93,996.12 $37,433.78 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 55 55 $142,704.70 — $23,511.67 $142,704.70 $37,240.75 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 58 58 $131,756.10 — $22,767.50 $131,756.10 $37,120.50 2026-04-01
1770001 CDM Pancreas Acquisition 20 20 $60,972.00 — $3,461.00 $48,777.60 $36,979.52 2026-04-01
1780002 CDM Lung Acquisition- Bilateral 20 20 $60,849.00 — $3,461.00 $48,679.20 $36,904.92 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 58 58 $141,960.68 — $22,613.12 $138,278.64 $36,868.79 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 60 60 $124,386.57 — $23,976.83 $124,386.57 $36,694.04 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 58 58 $211,637.84 — $22,502.40 $169,310.27 $36,625.18 2026-04-01
503 MS_DRG Foot Procedures With Mcc 60 60 $201,827.77 — $21,762.46 $161,462.21 $36,445.89 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 58 58 $176,269.00 — $21,315.68 $141,015.20 $36,325.24 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 58 58 $276,974.35 — $21,100.49 $221,579.48 $35,936.96 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 58 58 $164,925.18 — $21,826.39 $133,467.82 $35,586.10 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 60 60 $129,017.75 — $20,238.13 $123,755.61 $35,554.65 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 60 60 $76,223.24 — $22,485.86 $77,672.44 $35,525.20 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 60 60 $120,238.51 — $24,894.55 $120,238.51 $35,470.36 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 60 60 $130,536.46 — $18,304.64 $129,725.02 $35,402.43 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 61 61 $101,121.13 — $18,778.11 $101,121.13 $35,399.64 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 60 60 $164,341.50 — $20,667.75 $131,473.20 $35,239.35 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 58 58 $142,435.63 — $21,497.36 $131,455.77 $34,999.74 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 60 60 $123,414.55 — $16,511.90 $100,969.82 $34,952.78 2026-04-01
0341584 CDM Xenograft Harmony Tpv 25 25 25 $57,750.00 $63,525.00 $17,325.00 $63,525.00 $34,823.25 2026-04-01
0831584 CDM Xenograft Harmony Tpv 25 25 25 $57,750.00 $63,525.00 $17,325.00 $63,525.00 $34,823.25 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 60 60 $118,303.02 — $20,564.05 $118,303.02 $34,478.15 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 60 60 $104,559.95 — $25,668.80 $104,559.95 $34,451.71 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 60 60 $135,290.04 — $16,331.01 $108,232.03 $34,386.28 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 60 60 $97,273.92 — $25,665.68 $97,273.92 $34,327.83 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 58 58 $113,527.62 — $25,222.81 $113,527.62 $34,212.18 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 60 60 $116,347.11 — $19,169.15 $116,347.11 $33,988.94 2026-04-01
0688304 CDM Stnt-grft Aortic Arch 25 25 $56,000.00 $61,600.00 $16,800.00 $61,600.00 $33,768.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 58 58 $114,466.72 — $22,469.65 $114,466.72 $33,767.68 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 60 60 $114,190.80 — $22,971.01 $114,190.80 $33,686.29 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 60 60 $143,792.25 — $19,679.86 $120,341.80 $33,409.64 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 60 60 $200,549.85 — $15,041.37 $160,439.88 $33,026.64 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 60 60 $69,710.12 — $20,564.48 $70,879.74 $32,960.64 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 60 60 $111,624.10 — $19,671.28 $111,624.10 $32,929.11 2026-04-01
0571T HCPCS Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 57 57 $48,268.00 $34,929.00 28% off $5,688.00 $79,642.20 $32,778.70 2026-04-01
0408T HCPCS Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit… 59 59 $33,559.00 $24,521.00 27% off $2,565.50 $63,918.47 $32,778.70 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 58 58 $126,268.43 — $20,019.81 $122,420.60 $32,640.62 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 58 58 $111,266.24 — $20,110.25 $111,266.24 $32,531.77 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 60 60 $110,053.56 — $15,039.81 $91,968.02 $32,465.80 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 60 60 $131,475.23 — $16,203.13 $105,180.18 $32,414.78 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 58 58 $123,336.56 — $19,811.63 $121,147.57 $32,301.19 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 60 60 $86,893.63 — $24,499.24 $86,893.63 $32,155.25 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 60 60 $109,473.44 — $15,595.74 $95,367.54 $32,102.92 2026-04-01
113 MS_DRG Orbital Procedures With Cc/mcc 60 60 $140,872.62 — $18,331.74 $112,698.10 $32,018.65 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 60 60 $116,376.69 — $17,059.25 $104,316.88 $31,855.89 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 60 60 $107,928.24 — $21,426.40 $107,928.24 $31,838.83 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 60 60 $103,889.63 — $23,522.26 $103,889.63 $31,607.98 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 60 60 $104,584.42 — $22,955.41 $104,584.42 $31,563.70 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 58 58 $184,227.59 — $19,350.04 $147,382.07 $31,467.96 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 58 58 $106,497.35 — $21,431.86 $106,497.35 $31,416.72 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 60 60 $128,412.79 — $16,697.47 $102,730.23 $31,295.40 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 58 58 $120,669.94 — $19,057.65 $116,537.01 $31,071.90 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 60 60 $122,836.25 — $15,766.50 $98,269.00 $31,012.72 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 60 60 $108,247.51 — $17,006.23 $103,992.67 $30,975.76 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 58 58 $103,634.04 — $20,110.25 $103,634.04 $30,572.04 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 60 60 $124,186.70 — $18,020.63 $110,195.70 $30,571.21 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 59 59 $81,935.17 — $16,247.00 $81,935.17 $30,430.27 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 60 60 $103,804.80 — $16,213.27 $99,143.71 $30,419.91 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 58 58 $137,507.71 — $18,673.25 $114,186.44 $30,401.39 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 60 60 $111,520.85 — $16,441.72 $100,540.71 $30,359.01 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 60 60 $108,611.31 — $16,615.60 $101,603.95 $30,124.30 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 58 58 $137,274.22 — $17,821.03 $109,819.38 $30,064.08 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 60 60 $101,650.40 — $19,174.60 $101,650.40 $29,986.87 2026-04-01
33289 HCPCS Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 64 64 $41,828.00 $30,674.00 27% off $2,565.50 $69,016.20 $29,953.40 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 61 58 $101,331.82 — $18,606.98 $101,331.82 $29,892.89 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 60 60 $100,625.83 — $17,116.17 $100,625.83 $29,684.62 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 62 60 $102,289.39 — $16,675.64 $101,971.08 $29,465.49 2026-04-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 61 61 $80,548.90 $24,548.00 70% off $3,461.00 $180,429.54 $29,276.82 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 60 60 $155,660.00 — $17,089.66 $124,528.00 $29,254.04 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 60 60 $98,952.00 — $20,138.32 $98,952.00 $29,190.84 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 60 $142,934.95 — $14,219.55 $114,347.96 $29,188.36 2026-04-01
L8614 HCPCS Cochlear Device, Includes All Internal And External Components 116 50 $46,988.00 $51,686.80 $6,206.05 $77,385.00 $29,132.56 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 58 58 $144,087.81 — $17,893.54 $115,270.25 $29,099.33 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 58 58 $309,767.08 — $16,320.87 $247,813.67 $29,042.43 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 58 58 $127,859.87 — $17,714.21 $108,321.92 $28,881.53 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 58 58 $104,791.73 — $17,743.84 $104,791.73 $28,855.88 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 54 54 $147,720.53 — $18,691.18 $118,176.43 $28,836.82 2026-04-01
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 52 26 $42,875.00 $47,162.50 $17,307.50 $75,075.00 $28,822.50 2026-04-01
33249 HCPCS Insertion Of Implantable Defibrillator System 64 64 $41,432.00 $34,929.00 $6,296.00 $68,362.80 $28,517.47 2026-04-01
504 MS_DRG Foot Procedures With Cc 60 60 $113,638.19 — $14,574.32 $90,910.55 $28,485.37 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 58 58 $116,210.59 — $17,454.57 $106,734.21 $28,385.45 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 60 60 $96,089.98 — $18,234.27 $96,089.98 $28,346.55 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 58 58 $131,157.19 — $15,679.95 $104,925.75 $28,345.25 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 58 58 $122,957.36 — $16,503.32 $100,917.37 $28,188.64 2026-04-01
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 64 64 $37,509.00 $34,929.00 $3,171.00 $63,918.47 $28,054.88 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 60 60 $95,695.29 — $18,638.94 $95,695.29 $28,025.16 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 58 58 $286,923.37 — $17,215.20 $229,538.69 $27,996.17 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 60 60 $124,647.89 — $16,304.49 $99,718.31 $27,966.69 2026-04-01
0685355 CDM Nail Antegrd Tib 25 25 $46,076.00 $50,683.60 $13,822.80 $50,683.60 $27,783.83 2026-04-01
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 64 64 $36,569.00 $34,929.00 $3,171.00 $63,918.47 $27,702.38 2026-04-01
33231 HCPCS Insertion Of Defibrillator With Existing Multiple Leads 64 64 $36,569.00 $34,929.00 $3,171.00 $63,918.47 $27,702.38 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 58 58 $143,389.10 — $16,976.60 $114,711.28 $27,608.17 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 60 60 $93,163.76 — $17,665.09 $93,163.76 $27,483.31 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 60 60 $115,264.76 — $16,258.49 $99,420.25 $27,435.99 2026-04-01
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 61 61 $36,933.00 $22,818.00 38% off $5,688.00 $60,939.45 $27,295.20 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 59 59 $119,316.65 — $16,247.00 $104,059.42 $27,281.25 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 60 60 $186,349.07 — $15,977.02 $149,079.25 $27,176.53 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/mcc 60 60 $92,021.88 — $14,883.87 $91,014.44 $27,146.45 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 60 60 $91,845.75 — $15,556.75 $91,845.75 $27,071.60 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 58 58 $104,216.17 — $16,582.07 $101,398.93 $27,035.67 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 58 58 $211,554.95 — $16,535.29 $169,243.96 $26,959.40 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 58 58 $110,921.31 — $16,492.40 $100,850.62 $26,820.74 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 60 60 $90,439.03 — $19,035.04 $90,439.03 $26,679.51 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 60 60 $92,884.10 — $15,810.16 $92,884.10 $26,452.00 2026-04-01
835 MS_DRG Acute Leukemia With Cc 58 58 $150,698.63 — $16,263.17 $120,558.90 $26,447.94 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 58 58 $118,027.95 — $16,114.25 $98,538.19 $26,272.92 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 58 58 $89,054.80 — $16,393.38 $89,054.80 $26,271.17 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 58 58 $59,435.47 — $17,533.46 $59,435.47 $26,205.79 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 60 60 $90,898.46 — $11,648.07 $72,718.77 $26,147.60 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 58 58 $112,249.21 — $16,066.68 $98,247.35 $26,128.41 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 60 60 $97,207.82 — $17,306.42 $97,207.82 $25,986.99 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 60 60 $93,754.91 — $13,471.03 $82,375.01 $25,964.74 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 60 60 $95,242.75 — $13,630.09 $83,347.66 $25,870.42 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 60 60 $96,812.81 — $12,717.05 $77,764.45 $25,818.34 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 60 60 $253,528.73 — $15,021.87 $202,822.98 $25,789.10 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 60 60 $98,479.61 — $12,447.27 $78,783.69 $25,617.88 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 53 53 $131,159.00 — $18,221.02 $111,421.06 $25,509.41 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 58 58 $74,198.31 — $19,429.57 $74,198.31 $25,501.31 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 60 60 $86,294.37 — $15,148.19 $86,294.37 $25,456.84 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 58 58 $89,938.38 — $15,579.37 $89,938.38 $25,400.85 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 53 51 $98,623.11 — $18,113.42 $98,623.11 $25,358.77 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 60 60 $147,513.04 — $11,879.65 $118,010.43 $25,319.49 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 62 60 $85,774.10 — $11,981.79 $73,268.32 $25,303.36 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 58 58 $191,370.44 — $15,444.48 $153,096.35 $25,116.54 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 59 58 $101,708.06 — $15,145.85 $92,616.46 $25,106.81 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 58 58 $163,934.56 — $15,346.23 $131,147.65 $25,020.75 2026-04-01
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 156 26 $39,823.00 $43,805.30 $1,354.50 $69,300.00 $24,990.00 2026-04-01
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 650 26 $30,608.00 $33,668.80 $10,158.75 $183,933.75 $24,822.22 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 60 60 $126,921.32 — $10,860.57 $101,537.06 $24,815.99 2026-04-01
C1816 HCPCS Receiver And/or Transmitter, Neurostimulator (implantable) 26 26 $35,438.00 $38,981.80 $15,238.34 $58,472.70 $24,806.60 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 60 60 $102,718.40 — $14,065.17 $86,008.15 $24,735.86 2026-04-01
813 MS_DRG Coagulation Disorders 58 58 $114,451.75 — $11,892.90 $91,561.40 $24,716.85 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 63 60 $90,500.62 — $14,888.54 $90,500.62 $24,680.29 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 60 60 $83,495.76 — $17,143.46 $83,495.76 $24,631.25 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 62 60 $83,424.74 — $15,644.86 $83,424.74 $24,610.30 2026-04-01
93654 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 61 61 $31,116.00 $22,818.00 27% off $5,688.00 $53,225.64 $24,565.68 2026-04-01
100 MS_DRG Seizures With Mcc 58 58 $96,473.53 — $15,101.40 $92,344.69 $24,564.92 2026-04-01
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 26 26 $34,913.00 $38,404.30 $15,012.59 $57,606.45 $24,439.10 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 58 58 $97,665.78 — $14,925.19 $91,267.14 $24,334.27 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 59 59 $82,265.30 — $15,596.52 $82,265.30 $24,268.26 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 60 60 $65,155.63 — $18,132.13 $65,155.63 $24,251.72 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 60 60 $81,894.98 — $13,117.82 $80,215.15 $24,159.02 2026-04-01
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