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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

JUPITER MEDICAL CENTER

Jupiter, FL · CCN 100253 · Rates published

5,952 distinct procedures filed
129 distinct payers
442,453 rate rows
2026-03-26 last MRF observed
Data quality

423,204 of 442,453 rate rows are consumer-grade (95.6%)

19,249 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 10,651
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,274
template filing: same amount across many unrelated codes — excluded 2,295
exceeds 10× this hospital's gross charge — excluded from medians 1,853
percent-of-charges filed in the dollar field — excluded from medians 105
exceeds 3× this hospital's gross charge for a DRG stay — excluded 64
placeholder amount (≤ $0.02) — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.jupitermed.com/documents/content/59-1460239_jupiter-medical-center_standardcharges.csv
Found on page https://www.jupitermed.com/patients-visitors/for-patients/billing-financial-information/hospital-pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 5ccb9ea6e98e52cc… · 2,168,046 bytes · first seen 2026-05-09

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 60 $75,069.89 $570,853.87 $211,788.42 nat. median
$202,976
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 51 $47,006.89 $477,979.28 $159,345.39 nat. median
$265,286
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 60 $47,456.15 $355,519.90 $135,000.73 nat. median
$133,161
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 61 $41,316.26 $193,109.54 $97,044.51 nat. median
$99,019
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 $8,938.00 $302,101.27 $82,435.58 nat. median
$72,135
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 $40,715.51 $160,154.68 $81,902.56 nat. median
$81,118
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $80,952.02 $80,952.02 $80,952.02 nat. median
$73,807
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 58 $23,437.91 $246,538.09 $74,775.04 nat. median
$66,526
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 60 $8,938.00 $302,188.54 $73,476.15 nat. median
$64,732
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 61 $29,052.14 $513,060.10 $72,397.66 nat. median
$65,393
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 58 $21,820.07 $211,728.14 $69,613.54 nat. median
$62,134
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 $31,841.67 $158,531.61 $69,495.45 nat. median
$68,886
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 60 $30,195.65 $313,477.52 $65,586.12 nat. median
$57,822
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 $37,663.23 $183,866.00 $64,085.24 nat. median
$64,508
1.0× median
1750100
CDM 		Kidney Acquisition Chg-cadaver 20 $2,689.00 $84,214.40 $63,845.04 nat. median
$63,845
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 61 $4,132.99 $111,741.53 $62,742.87 nat. median
$59,793
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 61 $20,262.12 $278,991.34 $62,551.50 nat. median
$55,916
1.1× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 60 $21,276.79 $191,253.34 $59,715.54 nat. median
$52,836
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 60 $30,012.30 $111,465.24 $58,542.49 nat. median
$59,099
1.0× median
1750200
CDM 		Kidney Acquisi Living Donor 20 $2,689.00 $72,231.20 $54,760.28 nat. median
$54,760
1.0× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 60 $24,698.53 $176,582.64 $54,005.42 nat. median
$50,672
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 60 $21,374.04 $97,211.41 $53,368.23 nat. median
$52,746
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 61 $17,886.77 $144,221.33 $53,181.61 nat. median
$48,170
1.1× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 $18,494.85 $93,025.84 $53,157.62 nat. median
$52,857
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 60 $21,660.64 $143,926.82 $53,073.02 nat. median
$47,740
1.1× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 58 $18,874.98 $94,937.83 $52,785.75 nat. median
$50,270
1.1× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 60 $30,918.17 $285,586.94 $52,709.70 nat. median
$46,647
1.1× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 60 $3,842.86 $89,993.26 $51,424.72 nat. median
$51,307
1.0× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 61 $14,010.54 $176,845.75 $51,215.31 nat. median
$46,084
1.1× median
1740001
CDM 		Liver Procurement-cadaver 20 $2,689.00 $65,932.00 $49,984.70 nat. median
$32,142
1.6× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 60 $16,795.54 $158,057.14 $49,631.41 nat. median
$45,125
1.1× median
1700001
CDM 		Small Bowel Acquisition 20 $2,689.00 $65,109.60 $49,361.21 nat. median
$1,009
outlier · 48.9×
799
MS_DRG 		Splenic Procedures With Mcc 60 $15,905.73 $185,827.18 $48,995.72 nat. median
$45,376
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 58 $16,912.27 $89,138.43 $48,609.00 nat. median
$48,178
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 60 $15,197.78 $142,149.48 $48,049.38 nat. median
$44,937
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 61 $29,082.13 $119,587.96 $46,234.47 nat. median
$48,483
1.0× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 60 $15,430.84 $133,245.36 $46,143.97 nat. median
$40,208
1.1× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 60 $26,995.05 $236,259.78 $46,021.52 nat. median
$40,914
1.1× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 60 $23,275.39 $471,470.43 $45,809.75 nat. median
$41,868
1.1× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 60 $4,218.39 $123,848.42 $45,669.10 nat. median
$41,311
1.1× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 60 $24,132.39 $104,660.48 $45,013.56 nat. median
$46,109
1.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 60 $14,285.00 $294,410.03 $44,929.07 nat. median
$40,166
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 60 $15,586.73 $118,770.62 $44,799.14 nat. median
$44,810
1.0× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 60 $15,424.64 $86,812.23 $44,333.27 nat. median
$43,963
1.0× median
0831775
CDM 		Catheter Kit 5.5 S2 20 $2,689.00 $57,400.00 $43,516.38 nat. median
$43,516
1.0× median
1760001
CDM 		Heart Procurement 20 $2,689.00 $56,816.80 $43,074.24 nat. median
$43,074
1.0× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 60 $13,728.44 $83,595.50 $42,991.95 nat. median
$49,182
0.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 60 $16,490.31 $79,057.11 $42,813.81 nat. median
$42,444
1.0× median
0688159
CDM 		Pump Berlin Excor 20 $2,689.00 $55,493.60 $42,071.09 nat. median
$42,071
1.0× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 60 $8,938.00 $111,853.16 $41,595.40 nat. median
$41,228
1.0× median

Other procedures at this hospital

Browse this hospital's 5,952 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
             
0238T HCPCS Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 59 59 $27,034.00 $17,078.00 37% off $2,105.00 $44,606.10 $18,569.00 2026-03-26
0341584 CDM Xenograft Harmony Tpv 25 25 25 $57,750.00 $63,525.00 $17,325.00 $63,525.00 $34,823.25 2026-03-26
0408T HCPCS Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit… 59 59 $33,559.00 $24,521.00 27% off $2,083.50 $63,918.47 $28,517.47 2026-03-26
0409T HCPCS Insertion Or Replacement Of Pulse Generator Of Heart Contractility Modulator Sys… 59 59 $33,559.00 $24,521.00 27% off $2,105.00 $55,372.35 $22,067.08 2026-03-26
0414T HCPCS Replacement Of Pulse Generator Of Heart Contractility Modulator System 59 59 $33,559.00 $24,521.00 27% off $2,105.00 $55,372.35 $22,067.08 2026-03-26
0571T HCPCS Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 57 57 $48,268.00 $34,929.00 28% off $2,105.00 $79,642.20 $29,500.83 2026-03-26
0682012 CDM Cannula Protek Duo 20 20 $34,125.00 — $2,689.00 $27,300.00 $20,696.82 2026-03-26
0685355 CDM Nail Antegrd Tib 25 25 $46,076.00 $50,683.60 $13,822.80 $50,683.60 $27,783.83 2026-03-26
0686719 CDM Cannula Protek Duo Veno Venous 20 20 $35,149.00 — $2,689.00 $28,119.20 $21,317.87 2026-03-26
0688159 CDM Pump Berlin Excor 20 20 $69,367.00 — $2,689.00 $55,493.60 $42,071.09 2026-03-26
0688304 CDM Stnt-grft Aortic Arch 25 25 $56,000.00 $61,600.00 $16,800.00 $61,600.00 $33,768.00 2026-03-26
0689305 CDM Pto-angiovac 20 20 $27,913.00 — $2,689.00 $22,330.40 $16,929.24 2026-03-26
0795T HCPCS Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 45 45 $26,905.65 — $2,105.00 $44,394.32 $20,114.60 2026-03-26
0796T HCPCS Transcatheter Insertion Of Permanent Dual-chamber Pacemaker Using Fluoroscopy An… 45 45 $26,905.65 — $2,105.00 $44,394.32 $20,114.60 2026-03-26
0797T HCPCS Transcatheter Insertion Of A Permanent Dual Chamber Leadless Pacemaker Using Flu… 45 45 $26,905.65 — $2,105.00 $44,394.32 $20,114.60 2026-03-26
0801T HCPCS Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 45 45 $26,905.65 — $2,105.00 $44,394.32 $20,114.60 2026-03-26
0802T HCPCS Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 45 45 $26,905.65 — $2,105.00 $44,394.32 $20,114.60 2026-03-26
0803T HCPCS Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 45 45 $26,905.65 — $2,105.00 $44,394.32 $20,114.60 2026-03-26
0823T HCPCS Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 48 48 $26,905.65 — $587.00 $44,394.32 $20,114.60 2026-03-26
0825T HCPCS Removal And Replacement Of Single-chamber Permanent Leadless Pacemaker For Pacin… 45 45 $26,905.65 — $2,105.00 $44,394.32 $20,114.60 2026-03-26
0831584 CDM Xenograft Harmony Tpv 25 25 25 $57,750.00 $63,525.00 $17,325.00 $63,525.00 $34,823.25 2026-03-26
0831775 CDM Catheter Kit 5.5 S2 20 20 $71,750.00 — $2,689.00 $57,400.00 $43,516.38 2026-03-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 51 $159,345.39 — $47,006.89 $477,979.28 $159,345.39 2026-03-26
100 MS_DRG Seizures With Mcc 58 58 $69,241.90 — $6,567.69 $55,393.52 $20,426.36 2026-03-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 58 $100,932.06 — $18,494.85 $93,025.84 $53,157.62 2026-03-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 60 60 $295,324.73 — $26,995.05 $236,259.78 $46,021.52 2026-03-26
140 MS_DRG Major Head And Neck Procedures With Mcc 60 60 $166,556.70 — $15,430.84 $133,245.36 $46,143.97 2026-03-26
141 MS_DRG Major Head And Neck Procedures With Cc 60 60 $92,909.86 — $9,463.76 $74,327.89 $23,808.71 2026-03-26
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 60 60 $86,829.13 — $8,015.26 $69,463.31 $17,426.17 2026-03-26
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 58 58 $238,588.41 — $7,180.10 $190,870.73 $22,907.01 2026-03-26
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 58 58 $70,010.03 — $5,301.83 $56,008.02 $16,914.66 2026-03-26
163 MS_DRG Major Chest Procedures With Mcc 60 60 $177,686.85 — $15,197.78 $142,149.48 $48,049.38 2026-03-26
164 MS_DRG Major Chest Procedures With Cc 60 60 $67,973.50 — $8,558.88 $54,378.80 $24,599.81 2026-03-26
165 MS_DRG Major Chest Procedures Without Cc/mcc 58 58 $48,758.73 — $6,491.05 $39,006.98 $18,656.48 2026-03-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 58 58 $99,021.38 — $12,674.54 $79,217.10 $36,428.97 2026-03-26
1700001 CDM Small Bowel Acquisition 20 20 $81,387.00 — $2,689.00 $65,109.60 $49,361.21 2026-03-26
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 60 60 $138,635.17 — $10,950.43 $110,908.14 $32,200.06 2026-03-26
1740001 CDM Liver Procurement-cadaver 20 20 $82,415.00 — $2,689.00 $65,932.00 $49,984.70 2026-03-26
1750100 CDM Kidney Acquisition Chg-cadaver 20 20 $105,268.00 — $2,689.00 $84,214.40 $63,845.04 2026-03-26
1750200 CDM Kidney Acquisi Living Donor 20 20 $90,289.00 — $2,689.00 $72,231.20 $54,760.28 2026-03-26
1760001 CDM Heart Procurement 20 20 $71,021.00 — $2,689.00 $56,816.80 $43,074.24 2026-03-26
1770001 CDM Pancreas Acquisition 20 20 $60,972.00 — $2,689.00 $48,777.60 $36,979.52 2026-03-26
1780001 CDM Lung Acquisition - Single 20 20 $30,425.00 — $2,689.00 $24,340.00 $18,452.76 2026-03-26
1780002 CDM Lung Acquisition- Bilateral 20 20 $60,849.00 — $2,689.00 $48,679.20 $36,904.92 2026-03-26
180 MS_DRG Respiratory Neoplasms With Mcc 58 58 $82,108.10 — $5,988.51 $65,686.48 $19,105.40 2026-03-26
196 MS_DRG Interstitial Lung Disease With Mcc 59 59 $100,164.83 — $6,399.50 $80,131.86 $20,232.67 2026-03-26
199 MS_DRG Pneumothorax With Mcc 58 58 $43,825.15 — $5,982.06 $35,060.12 $17,193.55 2026-03-26
205 MS_DRG Other Respiratory System Diagnoses With Mcc 58 58 $61,359.77 — $6,208.92 $49,087.81 $18,394.44 2026-03-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 58 $264,660.17 — $21,820.07 $211,728.14 $69,613.54 2026-03-26
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 60 60 $95,505.30 — $7,849.27 $76,404.24 $28,174.06 2026-03-26
215 MS_DRG Other Heart Assist System Implant 61 61 $140,055.13 — $41,316.26 $193,109.54 $97,044.51 2026-03-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 60 $129,340.10 — $37,663.23 $183,866.00 $64,085.24 2026-03-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $35,202.85 $35,202.85 $35,202.85 2025-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 60 60 $220,728.30 — $24,698.53 $176,582.64 $54,005.42 2026-03-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 60 60 $103,158.91 — $17,765.74 $82,527.13 $31,924.01 2026-03-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 61 61 $348,739.18 — $20,262.12 $278,991.34 $62,551.50 2026-03-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $80,952.02 $80,952.02 $80,952.02 2025-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 2 — — $32,744.38 $32,744.38 $32,744.38 2025-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 60 60 $179,908.53 — $21,660.64 $143,926.82 $53,073.02 2026-03-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 60 60 $57,478.38 — $10,463.21 $48,618.50 $27,782.00 2026-03-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 62 62 $99,245.13 — $13,145.97 $79,396.10 $31,118.18 2026-03-26
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 61 61 $51,220.25 — $9,545.03 $40,976.20 $20,768.52 2026-03-26
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 60 60 $60,158.60 — $9,098.19 $48,126.88 $18,321.21 2026-03-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 60 60 $197,571.42 — $16,795.54 $158,057.14 $49,631.41 2026-03-26
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 58 58 $174,514.83 — $7,400.86 $139,611.86 $23,611.29 2026-03-26
252 MS_DRG Other Vascular Procedures With Mcc 62 62 $70,115.92 — $12,367.45 $59,496.90 $33,998.23 2026-03-26
253 MS_DRG Other Vascular Procedures With Cc 60 60 $94,139.87 — $10,791.98 $75,311.90 $27,771.26 2026-03-26
254 MS_DRG Other Vascular Procedures Without Cc/mcc 60 60 $52,892.18 — $8,185.42 $42,313.75 $17,365.09 2026-03-26
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 58 58 $188,708.75 — $9,146.88 $150,967.00 $29,181.72 2026-03-26
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 60 60 $54,529.48 — $5,710.11 $43,623.58 $19,708.11 2026-03-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 60 60 $109,733.30 — $12,805.64 $87,786.64 $32,371.32 2026-03-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 60 60 $86,943.55 — $13,846.39 $69,554.84 $31,702.96 2026-03-26
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 60 60 $41,899.57 — $8,805.85 $33,519.66 $18,425.49 2026-03-26
264 MS_DRG Other Circulatory System O.r. Procedures 58 58 $61,574.92 — $11,327.97 $56,977.71 $32,558.69 2026-03-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $41,540.79 $41,540.79 $41,540.79 2025-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $27,690.14 $27,690.14 $27,690.14 2025-10-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 60 60 $103,210.77 — $9,476.89 $82,568.62 $27,539.77 2026-03-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 60 60 $109,657.65 — $3,842.86 $89,993.26 $51,424.72 2026-03-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 60 60 $108,571.44 — $13,177.22 $86,857.15 $34,660.98 2026-03-26
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 58 58 $44,123.91 — $8,657.22 $43,544.30 $24,882.46 2026-03-26
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $20,770.15 $20,770.15 $20,770.15 2025-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 60 $198,164.52 — $31,841.67 $158,531.61 $69,495.45 2026-03-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 60 60 $121,055.45 — $30,012.30 $111,465.24 $58,542.49 2026-03-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 62 60 $130,825.60 — $24,132.39 $104,660.48 $45,013.56 2026-03-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 58 58 $73,540.00 — $18,874.98 $94,937.83 $52,785.75 2026-03-26
28 MS_DRG Spinal Procedures With Mcc 60 60 $391,846.90 — $30,195.65 $313,477.52 $65,586.12 2026-03-26
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 62 62 $109,316.46 — $4,168.00 $87,453.17 $17,197.56 2026-03-26
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 60 60 $82,725.54 — $6,716.89 $66,180.43 $21,236.16 2026-03-26
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 64 64 $107,274.83 — $4,168.00 $85,819.86 $23,723.43 2026-03-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 58 58 $58,324.65 — $11,568.74 $58,188.69 $33,250.68 2026-03-26
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 58 58 $64,055.39 — $5,296.40 $51,244.31 $16,897.36 2026-03-26
299 MS_DRG Peripheral Vascular Disorders With Mcc 60 60 $94,329.26 — $5,536.49 $75,463.41 $17,504.18 2026-03-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 60 60 $713,567.34 — $75,069.89 $570,853.87 $211,788.42 2026-03-26
30 MS_DRG Spinal Procedures Without Cc/mcc 60 60 $157,547.50 — $14,055.87 $126,038.00 $23,962.63 2026-03-26
314 MS_DRG Other Circulatory System Diagnoses With Mcc 60 60 $63,120.67 — $7,070.91 $50,496.54 $20,323.11 2026-03-26
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 65 62 $98,991.84 — $9,872.15 $79,193.47 $29,202.59 2026-03-26
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 63 63 $69,438.72 — $6,700.60 $55,550.98 $18,901.12 2026-03-26
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 60 60 $154,810.53 — $4,218.39 $123,848.42 $45,669.10 2026-03-26
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 61 61 $146,439.80 — $11,064.79 $117,151.84 $33,781.87 2026-03-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 58 58 $111,423.04 — $16,912.27 $89,138.43 $48,609.00 2026-03-26
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 58 58 $40,351.87 — $8,288.28 $41,688.59 $23,822.05 2026-03-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 60 60 $148,463.28 — $15,586.73 $118,770.62 $44,799.14 2026-03-26
330 MS_DRG Major Small And Large Bowel Procedures With Cc 59 59 $65,540.37 — $8,128.91 $52,432.30 $23,363.97 2026-03-26
332 MS_DRG Rectal Resection With Mcc 58 58 $65,412.68 — $12,277.79 $61,755.13 $35,288.65 2026-03-26
33230 HCPCS Insertion Of Defibrillator With Existing Dual Leads 64 64 $33,558.00 $24,521.00 27% off $1,236.00 $55,370.70 $20,222.14 2026-03-26
33231 HCPCS Insertion Of Defibrillator With Existing Multiple Leads 64 64 $36,569.00 $34,929.00 $1,236.00 $63,918.47 $26,276.32 2026-03-26
33240 HCPCS Insertion Of Defibrillator With Existing Single Lead 64 64 $36,143.00 $24,521.00 32% off $2,105.00 $59,635.95 $20,557.22 2026-03-26
33249 HCPCS Insertion Of Implantable Defibrillator System 64 64 $41,432.00 $34,929.00 $2,105.00 $68,362.80 $27,370.22 2026-03-26
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 64 64 $36,569.00 $24,521.00 33% off $1,236.00 $60,338.85 $20,557.22 2026-03-26
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 64 64 $36,569.00 $24,521.00 33% off $1,236.00 $60,338.85 $20,557.22 2026-03-26
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 64 64 $36,569.00 $34,929.00 $1,236.00 $63,918.47 $26,276.32 2026-03-26
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 64 64 $37,509.00 $34,929.00 $1,236.00 $63,918.47 $26,614.72 2026-03-26
33274 HCPCS Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 64 64 $26,906.00 $17,078.00 37% off $1,523.00 $44,394.90 $16,956.18 2026-03-26
33289 HCPCS Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 64 64 $41,828.00 $30,674.00 27% off $2,083.50 $69,016.20 $25,787.27 2026-03-26
333 MS_DRG Rectal Resection With Cc 58 58 $48,672.98 — $7,942.40 $39,948.87 $22,827.92 2026-03-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 60 60 $89,873.45 — $11,100.87 $71,898.76 $34,803.28 2026-03-26
336 MS_DRG Peritoneal Adhesiolysis With Cc 59 59 $43,017.77 — $7,150.60 $35,966.26 $20,552.15 2026-03-26
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 58 58 $96,214.15 — $8,758.27 $76,971.32 $27,941.92 2026-03-26
347 MS_DRG Anal And Stomal Procedures With Mcc 60 60 $63,050.80 — $9,357.63 $50,440.64 $22,373.74 2026-03-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 58 58 $37,030.15 — $9,840.68 $49,496.89 $27,152.57 2026-03-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 60 60 $98,821.39 — $16,490.31 $79,057.11 $42,813.81 2026-03-26
357 MS_DRG Other Digestive System O.r. Procedures With Cc 58 58 $44,221.35 — $7,885.77 $39,664.03 $22,665.16 2026-03-26
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 59 59 $78,485.02 — $2,705.95 $62,788.02 $19,009.41 2026-03-26
374 MS_DRG Digestive Malignancy With Mcc 61 61 $62,961.46 — $7,603.10 $50,369.17 $20,844.54 2026-03-26
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 59 59 $65,424.86 — $6,198.75 $52,339.89 $19,300.33 2026-03-26
380 MS_DRG Complicated Peptic Ulcer With Mcc 58 58 $141,210.27 — $6,653.82 $112,968.22 $21,227.99 2026-03-26
393 MS_DRG Other Digestive System Diagnoses With Mcc 61 61 $59,770.11 — $5,423.23 $47,816.09 $17,146.10 2026-03-26
397 MS_DRG Appendix Procedures With Mcc 59 59 $65,818.85 — $6,598.20 $52,655.08 $23,341.56 2026-03-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 60 60 $444,399.88 — $47,456.15 $355,519.90 $135,000.73 2026-03-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 60 60 $123,182.27 — $13,852.83 $98,545.81 $38,197.14 2026-03-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 60 60 $239,066.67 — $21,276.79 $191,253.34 $59,715.54 2026-03-26
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 60 60 $129,174.46 — $10,912.29 $103,339.57 $24,000.83 2026-03-26
412 MS_DRG Cholecystectomy With C.d.e. With Cc 58 58 $69,586.97 — $7,129.58 $55,669.57 $20,991.28 2026-03-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 58 58 $61,474.60 — $12,080.78 $60,764.17 $34,722.38 2026-03-26
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 58 58 $67,897.64 — $8,092.28 $54,318.11 $23,258.71 2026-03-26
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 60 60 $68,309.86 — $7,225.73 $54,647.89 $18,859.44 2026-03-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 59 59 $37,974.23 — $11,202.40 $58,111.94 $30,379.38 2026-03-26
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 58 58 $47,659.25 — $5,891.86 $38,127.40 $16,934.30 2026-03-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 60 60 $368,012.54 — $14,285.00 $294,410.03 $44,929.07 2026-03-26
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 58 58 $69,772.57 — $6,674.17 $55,818.06 $20,582.91 2026-03-26
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 60 60 $42,520.97 — $6,549.48 $34,016.78 $17,901.14 2026-03-26
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 58 58 $119,650.38 — $5,528.01 $95,720.31 $17,636.25 2026-03-26
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 59 58 $66,764.16 — $6,085.83 $53,411.32 $19,590.80 2026-03-26
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 61 61 $149,484.95 — $29,082.13 $119,587.96 $46,234.47 2026-03-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 60 $200,193.35 — $40,715.51 $160,154.68 $81,902.56 2026-03-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 60 $121,165.05 — $21,495.05 $96,932.04 $40,667.66 2026-03-26
459 MS_DRG Spinal Fusion Except Cervical With Mcc 61 61 $641,325.12 — $29,052.14 $513,060.10 $72,397.66 2026-03-26
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 62 62 $95,208.44 — $20,241.51 $76,166.75 $35,651.21 2026-03-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 60 $75,505.08 — $21,374.04 $97,211.41 $53,368.23 2026-03-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 61 61 $98,065.22 — $11,987.59 $78,452.18 $30,356.99 2026-03-26
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 60 $63,985.45 — $7,160.73 $51,188.36 $18,875.71 2026-03-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 59 59 $26,332.05 — $2,743.00 $56,821.73 $26,332.05 2026-03-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 60 60 $78,640.95 — $22,580.82 $117,608.82 $34,371.51 2026-03-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 60 60 $64,710.99 — $17,595.44 $98,464.57 $26,783.00 2026-03-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 60 60 $62,229.58 — $12,618.33 $51,734.65 $29,562.66 2026-03-26
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 63 63 $54,942.23 — $11,119.59 $43,953.79 $18,799.75 2026-03-26
471 MS_DRG Cervical Spinal Fusion With Mcc 60 60 $356,983.67 — $30,918.17 $285,586.94 $52,709.70 2026-03-26
472 MS_DRG Cervical Spinal Fusion With Cc 60 60 $87,201.73 — $18,480.07 $69,761.38 $28,713.75 2026-03-26
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 61 61 $75,090.20 — $14,765.30 $64,971.17 $24,366.77 2026-03-26
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 58 58 $36,572.80 — $7,716.90 $38,814.64 $22,179.79 2026-03-26
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 58 58 $104,180.90 — $8,339.15 $83,344.72 $26,604.76 2026-03-26
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 58 58 $39,412.83 — $6,303.53 $31,705.64 $18,117.51 2026-03-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 61 61 $147,033.32 — $11,745.01 $117,626.65 $31,790.43 2026-03-26
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 63 63 $78,447.93 — $8,984.08 $62,758.34 $23,142.14 2026-03-26
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 60 60 $64,542.20 — $6,912.35 $51,633.76 $17,803.87 2026-03-26
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 61 61 $76,490.77 — $15,033.01 $61,192.62 $27,015.94 2026-03-26
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 58 58 $47,368.20 — $10,943.10 $55,041.84 $31,452.48 2026-03-26
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 58 58 $50,060.85 — $7,090.92 $40,048.68 $20,380.61 2026-03-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 60 60 $137,098.89 — $14,726.84 $109,679.11 $39,721.06 2026-03-26
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 61 61 $103,593.02 — $10,835.49 $82,874.42 $27,683.86 2026-03-26
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 63 60 $68,676.22 — $8,976.78 $54,940.98 $20,533.88 2026-03-26
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 60 60 $46,050.32 — $6,929.53 $36,840.25 $17,581.46 2026-03-26
500 MS_DRG Soft Tissue Procedures With Mcc 60 60 $122,565.88 — $13,748.60 $98,052.70 $34,546.70 2026-03-26
501 MS_DRG Soft Tissue Procedures With Cc 60 60 $51,975.83 — $6,770.26 $41,580.66 $17,037.61 2026-03-26
504 MS_DRG Foot Procedures With Cc 60 60 $42,120.13 — $7,161.77 $33,696.11 $18,217.90 2026-03-26
505 MS_DRG Foot Procedures Without Cc/mcc 60 60 $48,478.20 — $9,050.73 $38,782.56 $17,473.27 2026-03-26
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 60 60 $109,170.59 — $10,703.37 $87,336.47 $32,205.32 2026-03-26
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 60 60 $95,529.40 — $8,589.98 $76,423.52 $22,698.56 2026-03-26
5116 OTHER Level 6 Musculoskeletal Procedures 6 6 — — $19,099.94 $19,099.94 $19,099.94 2025-10-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 60 60 $67,974.89 — $6,837.00 $54,379.91 $18,070.21 2026-03-26
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 60 60 $65,530.33 — $5,790.43 $52,424.26 $17,184.93 2026-03-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 60 60 $304,402.63 — $11,899.29 $243,522.10 $34,787.95 2026-03-26
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 61 61 $71,457.93 — $8,380.82 $57,166.34 $21,266.61 2026-03-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 60 60 $257,935.57 — $18,043.73 $206,348.45 $40,796.07 2026-03-26
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 61 61 $49,039.92 — $4,750.87 $39,231.94 $19,494.67 2026-03-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 61 61 $90,404.68 — $11,896.80 $72,323.74 $27,974.00 2026-03-26
5213 OTHER Level 3 Electrophysiologic Procedures 4 4 — — $18,376.49 $18,376.49 $18,376.49 2025-10-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 61 61 $63,586.21 — $9,617.98 $50,868.97 $20,639.87 2026-03-26
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $30,211.46 $30,211.46 $30,211.46 2025-10-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $18,230.37 $18,230.37 $18,230.37 2025-10-01
539 MS_DRG Osteomyelitis With Mcc 58 58 $48,808.06 — $6,679.25 $39,046.45 $19,197.41 2026-03-26
545 MS_DRG Connective Tissue Disorders With Mcc 58 58 $18,757.75 — $5,533.54 $42,328.20 $18,757.75 2026-03-26
548 MS_DRG Septic Arthritis With Mcc 58 58 $121,595.20 — $6,547.68 $97,276.16 $20,889.36 2026-03-26
551 MS_DRG Medical Back Problems With Mcc 58 58 $124,399.72 — $5,683.66 $99,519.77 $18,132.82 2026-03-26
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 58 58 $33,997.10 — $6,323.88 $31,807.98 $18,175.99 2026-03-26
56 MS_DRG Degenerative Nervous System Disorders With Mcc 58 58 $58,568.13 — $7,877.63 $46,854.50 $22,641.77 2026-03-26
570 MS_DRG Skin Debridement With Mcc 60 60 $167,474.35 — $13,195.72 $133,979.48 $32,104.81 2026-03-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 61 61 $89,632.68 — $4,132.99 $111,741.53 $62,742.87 2026-03-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 60 60 $323,639.02 — $14,993.97 $258,911.22 $37,893.52 2026-03-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 60 60 $46,537.10 — $13,728.44 $83,595.50 $42,991.95 2026-03-26
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 60 60 $156,073.00 — $10,152.26 $124,858.40 $28,934.83 2026-03-26
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 60 60 $59,650.03 — $6,628.61 $47,720.03 $17,378.77 2026-03-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 60 60 $52,019.42 — $11,626.24 $55,236.28 $31,563.59 2026-03-26
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 60 60 $58,884.97 — $6,481.34 $47,107.98 $17,674.65 2026-03-26
592 MS_DRG Skin Ulcers With Mcc 58 58 $46,383.84 — $6,562.60 $37,107.07 $18,862.13 2026-03-26
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 59 59 $98,483.53 — $9,349.33 $78,786.82 $29,052.64 2026-03-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 58 $202,090.20 — $11,825.77 $161,672.16 $37,728.30 2026-03-26
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 58 $51,665.97 — $6,342.19 $41,332.77 $18,228.62 2026-03-26
619 MS_DRG O.r. Procedures For Obesity With Mcc 60 60 $35,809.88 — $9,791.17 $49,247.87 $26,330.25 2026-03-26
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 58 58 $76,379.41 — $5,958.67 $61,103.53 $19,010.19 2026-03-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 58 58 $78,631.10 — $12,069.25 $62,904.88 $34,689.24 2026-03-26
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 61 61 $39,681.97 — $7,102.55 $31,745.57 $17,484.00 2026-03-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 61 61 $76,835.05 — $15,860.03 $63,564.79 $36,322.73 2026-03-26
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 60 60 $67,636.27 — $9,097.75 $54,109.01 $21,553.90 2026-03-26
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 58 58 $103,961.70 — $6,819.30 $83,169.36 $21,755.92 2026-03-26
655 MS_DRG Major Bladder Procedures Without Cc/mcc 58 58 $58,918.45 — $7,177.39 $47,134.76 $20,629.15 2026-03-26
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 58 58 $29,035.10 — $8,565.35 $43,337.92 $23,021.41 2026-03-26
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $18,774.25 $18,774.25 $18,774.25 2025-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 60 60 $128,313.34 — $14,804.40 $102,650.67 $41,293.99 2026-03-26
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 58 58 $49,523.77 — $7,930.19 $39,887.47 $22,792.84 2026-03-26
70 MS_DRG Other Cerebrovascular Disorders With Mcc 58 58 $127,192.17 — $5,645.34 $101,753.73 $18,010.57 2026-03-26
709 MS_DRG Penis Procedures With Cc/mcc 58 58 $36,273.90 — $7,891.20 $39,691.32 $22,680.75 2026-03-26
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 58 58 $116,270.63 — $6,410.69 $93,016.50 $20,452.30 2026-03-26
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 60 60 $32,685.40 — $6,783.30 $35,145.86 $20,083.35 2026-03-26
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 61 61 $94,939.59 — $7,909.58 $75,951.67 $20,028.53 2026-03-26
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 58 58 $41,720.65 — $5,890.51 $33,376.52 $16,930.40 2026-03-26
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 60 60 $33,905.29 — $7,346.10 $43,793.32 $24,023.76 2026-03-26
754 MS_DRG Malignancy, Female Reproductive System With Mcc 58 58 $326,911.34 — $6,245.20 $261,529.07 $19,924.36 2026-03-26
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $17,773.78 $17,773.78 $17,773.78 2025-10-01
791 MS_DRG Prematurity With Major Problems 51 51 $19,165.05 — $5,653.69 $44,307.72 $19,165.05 2026-03-26
799 MS_DRG Splenic Procedures With Mcc 60 60 $232,283.97 — $15,905.73 $185,827.18 $48,995.72 2026-03-26
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 58 58 $36,085.15 — $6,137.71 $30,871.60 $17,640.91 2026-03-26
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 58 58 $60,534.06 — $7,486.99 $48,427.25 $21,518.99 2026-03-26
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 58 58 $62,890.83 — $7,211.64 $50,312.66 $20,727.58 2026-03-26
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 58 58 $71,660.75 — $5,724.01 $57,328.60 $18,261.56 2026-03-26
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 58 58 $142,428.09 — $7,750.47 $113,942.47 $24,503.92 2026-03-26
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $20,041.15 $20,041.15 $20,041.15 2025-10-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 58 58 $58,919.09 — $7,682.65 $47,135.27 $22,081.35 2026-03-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 58 58 $59,623.59 — $10,715.56 $53,897.37 $30,798.50 2026-03-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 58 58 $127,076.68 — $10,969.55 $101,661.34 $34,996.64 2026-03-26
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 59 59 $240,083.41 — $7,704.01 $192,066.72 $24,357.04 2026-03-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 61 61 $180,276.66 — $17,886.77 $144,221.33 $53,181.61 2026-03-26
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 61 61 $75,932.58 — $8,386.78 $60,746.06 $21,811.10 2026-03-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 60 60 $108,515.28 — $15,424.64 $86,812.23 $44,333.27 2026-03-26
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 60 60 $38,506.71 — $7,261.83 $36,525.70 $20,871.83 2026-03-26
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 60 60 $43,861.68 — $6,184.17 $35,089.34 $17,774.44 2026-03-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 58 58 $308,172.61 — $23,437.91 $246,538.09 $74,775.04 2026-03-26
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 62 61 $78,261.76 — $6,587.02 $62,609.41 $20,825.54 2026-03-26
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 59 59 $23,734.82 — $854.73 $65,920.24 $23,734.82 2026-03-26
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 58 58 $46,734.07 — $854.73 $37,387.26 $17,008.37 2026-03-26
901 MS_DRG Wound Debridements For Injuries With Mcc 60 60 $589,338.04 — $23,275.39 $471,470.43 $45,809.75 2026-03-26
902 MS_DRG Wound Debridements For Injuries With Cc 60 60 $48,800.95 — $9,413.92 $39,040.76 $18,659.41 2026-03-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 60 60 $58,791.30 — $13,615.81 $62,648.87 $35,799.35 2026-03-26
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 1 1 — — $30,250.81 $30,250.81 $30,250.81 2025-10-01
906 MS_DRG Hand Procedures For Injuries 60 60 $71,456.44 — $7,852.81 $57,165.15 $19,238.22 2026-03-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 59 59 $218,982.80 — $13,019.07 $175,186.24 $41,161.14 2026-03-26
908 MS_DRG Other O.r. Procedures For Injuries With Cc 60 60 $65,787.64 — $6,765.72 $52,630.11 $19,882.80 2026-03-26
91 MS_DRG Other Disorders Of Nervous System With Mcc 58 58 $52,544.01 — $5,955.27 $42,035.20 $17,116.56 2026-03-26
9109 OTHER Inj, Elahere, 1 Mg 1 1 — — $20,559.09 $20,559.09 $20,559.09 2025-10-01
913 MS_DRG Traumatic Injury With Mcc 58 58 $83,698.52 — $5,542.93 $66,958.82 $17,524.55 2026-03-26
915 MS_DRG Allergic Reactions With Mcc 58 58 $62,094.10 — $5,702.31 $49,675.28 $18,173.10 2026-03-26
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 60 59 $89,502.12 — $5,318.44 $71,601.70 $16,967.67 2026-03-26
919 MS_DRG Complications Of Treatment With Mcc 58 58 $33,786.57 — $6,208.24 $31,226.36 $17,843.64 2026-03-26
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 58 58 $110,180.49 — $5,932.22 $88,144.39 $18,925.82 2026-03-26
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 1 1 — — $18,504.92 $18,504.92 $18,504.92 2025-10-01
92933 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 75 61 $30,652.00 $17,078.00 44% off $2,105.00 $50,575.80 $17,228.97 2026-03-26
9347 OTHER Inj Luspatercept-aamt 0.25mg 1 1 — — $24,016.03 $24,016.03 $24,016.03 2025-10-01
935 MS_DRG Non-extensive Burns 60 60 $94,754.40 — $9,159.96 $75,803.52 $22,486.80 2026-03-26
93653 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 64 64 $29,262.00 $22,818.00 22% off $395.00 $53,225.64 $21,891.33 2026-03-26
93654 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 61 61 $31,116.00 $22,818.00 27% off $2,105.00 $53,225.64 $23,746.82 2026-03-26
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 61 61 $36,933.00 $22,818.00 38% off $2,105.00 $60,939.45 $24,565.68 2026-03-26
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 60 60 $56,568.95 — $9,456.68 $45,255.16 $19,762.69 2026-03-26
9431 OTHER Inj, Dostarlimab-gxly, 10 Mg 1 1 — — $23,554.76 $23,554.76 $23,554.76 2025-10-01
9492 OTHER Inj., Durvalumab, 10 Mg 5 5 — — $21,142.85 $21,142.85 $21,142.85 2025-10-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 58 58 $179,355.40 — $8,746.07 $143,484.32 $27,902.97 2026-03-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 60 60 $377,735.68 — $8,938.00 $302,188.54 $73,476.15 2026-03-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 60 60 $228,855.33 — $8,938.00 $183,084.26 $41,076.61 2026-03-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 60 $377,626.59 — $8,938.00 $302,101.27 $82,435.58 2026-03-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 60 60 $139,816.45 — $8,938.00 $111,853.16 $41,595.40 2026-03-26
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 58 58 $107,028.23 — $8,938.00 $85,622.59 $31,563.70 2026-03-26
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 58 58 $150,664.93 — $8,746.07 $120,531.94 $27,902.97 2026-03-26
963 MS_DRG Other Multiple Significant Trauma With Mcc 58 58 $264,672.69 — $8,938.00 $211,738.15 $29,309.07 2026-03-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 58 58 $341,125.73 — $12,247.61 $272,900.58 $39,074.12 2026-03-26
974 MS_DRG HIV With Major Related Condition With Mcc 58 58 $98,531.68 — $9,786.43 $78,825.35 $29,192.86 2026-03-26
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 58 58 $113,834.80 — $7,782.01 $91,067.84 $24,827.28 2026-03-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 61 61 $221,057.19 — $14,010.54 $176,845.75 $51,215.31 2026-03-26
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 58 58 $80,696.53 — $8,336.77 $64,557.22 $24,444.61 2026-03-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 60 60 $344,950.40 — $13,466.41 $275,960.32 $37,424.14 2026-03-26
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 962 26 $26,652.50 $29,317.75 $4,882.50 $141,776.25 $19,416.60 2026-03-26
C1772 HCPCS Infusion Pump, Programmable (implantable) 78 26 $19,600.00 $21,560.00 $5,913.25 $49,033.05 $17,830.20 2026-03-26
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 156 26 $39,823.00 $43,805.30 $976.50 $69,300.00 $24,990.00 2026-03-26
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 52 26 $42,875.00 $47,162.50 $12,477.50 $75,075.00 $28,822.50 2026-03-26
C1827 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable, With Implantable Sti… 52 26 $31,500.00 $34,650.00 $3,526.25 $85,181.25 $18,313.75 2026-03-26
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 624 26 $30,944.50 $34,038.95 $7,323.75 $183,933.75 $24,832.80 2026-03-26
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 61 61 $50,820.00 $55,902.00 $7,328.58 $83,853.00 $19,548.10 2026-03-26
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 26 26 $34,913.00 $38,404.30 $10,823.03 $57,606.45 $24,439.10 2026-03-26
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 59 59 $23,372.00 $17,078.00 27% off $1,523.00 $38,563.80 $17,228.97 2026-03-26
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 59 59 $23,372.00 $17,078.00 27% off $1,523.00 $38,563.80 $17,228.97 2026-03-26
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 59 59 $23,372.00 $17,078.00 27% off $1,523.00 $38,563.80 $17,228.97 2026-03-26
L8614 HCPCS Cochlear Device, Includes All Internal And External Components 94 50 $70,350.00 $77,385.00 $14,566.28 $77,385.00 $30,600.96 2026-03-26
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