Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HAMILTON MEDICAL CENTER

Dalton, GA · CCN 110001 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $14,494 across 2 payers · range $5,302-$23,685

Source: https://vitruvianhealth.com/wp-content/uploads/2026/04/581519911_hamilton-medical-center_standardcharges.csv.zip · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,863 distinct procedures filed
31 distinct payers
46,423 rate rows
2026-04-01 last MRF observed
Data quality

27,427 of 46,423 rate rows are consumer-grade (59.1%)

18,996 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,319
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://vitruvianhealth.com/wp-content/uploads/2026/04/581519911_hamilton-medical-center_standardcharges.csv.zip
Found on page https://vitruvianhealth.com/patients-visitors/patient-resources/billing-insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint 0bf12a85dada169c… · 606,026 bytes · first seen 2026-05-18

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
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $4,897,200.00 $4,897,200.00 $4,897,200.00 nat. median
$2,997,086
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $980,465.20 $980,465.20 $980,465.20 nat. median
$370,165
outlier · 2.6×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $933,279.34 $933,279.34 $933,279.34 nat. median
$691,418
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $909,675.26 $909,675.26 $909,675.26 nat. median
$631,793
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $871,715.51 $871,715.51 $871,715.51 nat. median
$610,161
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $852,201.85 $852,201.85 $852,201.85 nat. median
$624,417
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $807,703.30 $807,703.30 $807,703.30 nat. median
$588,565
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $805,284.99 $805,284.99 $805,284.99 nat. median
$577,541
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $732,326.40 $732,326.40 $732,326.40 nat. median
$261,939
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $616,792.80 $616,792.80 $616,792.80 nat. median
$205,166
outlier · 3.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $544,624.73 $557,185.20 $550,904.96 nat. median
$199,832
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $367,356.60 $426,861.16 $397,108.88 nat. median
$132,706
outlier · 3.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $340,623.40 $340,623.40 $340,623.40 nat. median
$114,305
outlier · 3.0×
7
MS_DRG 		Lung Transplant 1 $339,765.40 $339,765.40 $339,765.40 nat. median
$122,690
outlier · 2.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $286,512.20 $286,512.20 $286,512.20 nat. median
$108,240
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $283,220.60 $283,220.60 $283,220.60 nat. median
$100,978
outlier · 2.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $220,308.40 $333,540.93 $276,924.66 nat. median
$79,040
outlier · 3.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $276,863.60 $276,863.60 $276,863.60 nat. median
$99,646
outlier · 2.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $272,521.60 $272,521.60 $272,521.60 nat. median
$96,835
outlier · 2.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $183,729.00 $306,735.28 $262,314.85 nat. median
$68,581
outlier · 3.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $167,892.40 $266,251.76 $262,157.90 nat. median
$63,840
outlier · 4.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $239,493.80 $239,493.80 $239,493.80 nat. median
$81,364
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $201,162.00 $375,632.24 $232,186.68 nat. median
$74,472
outlier · 3.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $230,396.40 $230,396.40 $230,396.40 nat. median
$83,623
outlier · 2.8×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $152,978.80 $428,700.02 $222,985.98 nat. median
$57,082
outlier · 3.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $220,183.60 $220,183.60 $220,183.60 nat. median
$80,459
outlier · 2.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $216,840.00 $216,840.00 $216,840.00 nat. median
$81,124
outlier · 2.7×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 7 $106,906.80 $229,183.36 $211,516.65 nat. median
$41,718
outlier · 5.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $209,573.00 $209,573.00 $209,573.00 nat. median
$77,385
outlier · 2.7×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $137,703.80 $224,806.17 $209,247.89 nat. median
$52,372
outlier · 4.0×
10
MS_DRG 		Pancreas Transplant 1 $207,287.60 $207,287.60 $207,287.60 nat. median
$67,750
outlier · 3.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $206,094.20 $206,094.20 $206,094.20 nat. median
$69,153
outlier · 3.0×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $199,071.60 $199,071.60 $199,071.60 nat. median
$58,534
outlier · 3.4×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $119,399.80 $194,268.58 $194,268.58 nat. median
$48,280
outlier · 4.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $180,869.00 $185,677.13 $185,677.13 nat. median
$65,958
outlier · 2.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $184,566.20 $184,566.20 $184,566.20 nat. median
$66,640
outlier · 2.8×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $184,319.20 $184,319.20 $184,319.20 nat. median
$51,048
outlier · 3.6×
9287
OTHER 		Brentuximab Vedotin Inj 2 $183,902.08 $183,902.08 $183,902.08 nat. median
$268
outlier · 685.1×
215
MS_DRG 		Other Heart Assist System Implant 2 $89,918.61 $275,449.20 $182,683.91 nat. median
$98,002
1.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $177,525.40 $177,525.40 $177,525.40 nat. median
$64,357
outlier · 2.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $174,309.20 $174,309.20 $174,309.20 nat. median
$62,262
outlier · 2.8×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 $173,641.00 $173,641.00 $173,641.00 nat. median
$62,911
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $173,347.20 $173,347.20 $173,347.20 nat. median
$65,792
outlier · 2.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $172,439.80 $172,439.80 $172,439.80 nat. median
$62,767
outlier · 2.7×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $164,421.40 $164,421.40 $164,421.40 nat. median
$60,294
outlier · 2.7×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 $130,949.00 $191,476.45 $161,212.73 nat. median
$47,513
outlier · 3.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $161,044.00 $161,044.00 $161,044.00 nat. median
$58,419
outlier · 2.8×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $160,836.00 $160,836.00 $160,836.00 nat. median
$59,832
outlier · 2.7×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $160,102.80 $160,102.80 $160,102.80 nat. median
$59,159
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 11,863 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
             
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $980,465.20 $980,465.20 $980,465.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $933,279.34 $933,279.34 $933,279.34 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $909,675.26 $909,675.26 $909,675.26 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $871,715.51 $871,715.51 $871,715.51 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $852,201.85 $852,201.85 $852,201.85 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $807,703.30 $807,703.30 $807,703.30 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $805,284.99 $805,284.99 $805,284.99 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $732,326.40 $732,326.40 $732,326.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $616,792.80 $616,792.80 $616,792.80 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $544,624.73 $557,185.20 $550,904.96 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $367,356.60 $426,861.16 $397,108.88 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $340,623.40 $340,623.40 $340,623.40 2026-04-01
7 MS_DRG Lung Transplant 1 1 — — $339,765.40 $339,765.40 $339,765.40 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $286,512.20 $286,512.20 $286,512.20 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $283,220.60 $283,220.60 $283,220.60 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $220,308.40 $333,540.93 $276,924.66 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $276,863.60 $276,863.60 $276,863.60 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $272,521.60 $272,521.60 $272,521.60 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $183,729.00 $306,735.28 $262,314.85 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $167,892.40 $266,251.76 $262,157.90 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $239,493.80 $239,493.80 $239,493.80 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $201,162.00 $375,632.24 $232,186.68 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $230,396.40 $230,396.40 $230,396.40 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $152,978.80 $428,700.02 $222,985.98 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $220,183.60 $220,183.60 $220,183.60 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $216,840.00 $216,840.00 $216,840.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 7 — — $106,906.80 $229,183.36 $211,516.65 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $209,573.00 $209,573.00 $209,573.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $137,703.80 $224,806.17 $209,247.89 2026-04-01
10 MS_DRG Pancreas Transplant 1 1 — — $207,287.60 $207,287.60 $207,287.60 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $206,094.20 $206,094.20 $206,094.20 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $199,071.60 $199,071.60 $199,071.60 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $119,399.80 $194,268.58 $194,268.58 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $180,869.00 $185,677.13 $185,677.13 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $184,566.20 $184,566.20 $184,566.20 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $184,319.20 $184,319.20 $184,319.20 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 2 2 — — $183,902.08 $183,902.08 $183,902.08 2024-07-01
215 MS_DRG Other Heart Assist System Implant 2 2 — — $89,918.61 $275,449.20 $182,683.91 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $177,525.40 $177,525.40 $177,525.40 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $174,309.20 $174,309.20 $174,309.20 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 1 — — $173,641.00 $173,641.00 $173,641.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $173,347.20 $173,347.20 $173,347.20 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $172,439.80 $172,439.80 $172,439.80 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $164,421.40 $164,421.40 $164,421.40 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $130,949.00 $191,476.45 $161,212.73 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $161,044.00 $161,044.00 $161,044.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $160,836.00 $160,836.00 $160,836.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $160,102.80 $160,102.80 $160,102.80 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $159,554.20 $159,554.20 $159,554.20 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 7 — — $53,960.41 $238,989.24 $159,213.22 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $159,023.80 $159,023.80 $159,023.80 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $158,056.60 $158,056.60 $158,056.60 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 1 1 — — $156,923.00 $156,923.00 $156,923.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 1 1 — — $156,923.00 $156,923.00 $156,923.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $155,750.40 $155,750.40 $155,750.40 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $154,676.60 $154,676.60 $154,676.60 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $134,744.09 $168,160.20 $151,452.15 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $151,369.40 $151,369.40 $151,369.40 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $133,296.35 $166,423.40 $149,859.88 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $149,214.00 $149,214.00 $149,214.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $103,691.24 $194,056.20 $148,873.72 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $148,322.20 $148,322.20 $148,322.20 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $144,929.20 $144,929.20 $144,929.20 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $143,709.80 $143,709.80 $143,709.80 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $143,699.40 $143,699.40 $143,699.40 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $143,135.20 $143,135.20 $143,135.20 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $142,222.60 $142,222.60 $142,222.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $141,460.80 $141,460.80 $141,460.80 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $141,138.40 $141,138.40 $141,138.40 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $140,267.40 $140,267.40 $140,267.40 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $117,293.80 $142,478.32 $136,755.97 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $135,686.20 $135,686.20 $135,686.20 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $75,779.60 $193,783.95 $134,781.78 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $133,892.20 $133,892.20 $133,892.20 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $107,885.12 $290,045.01 $133,452.80 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $122,314.40 $142,613.81 $132,464.10 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $132,451.80 $132,451.80 $132,451.80 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $131,500.20 $131,500.20 $131,500.20 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $130,538.20 $130,538.20 $130,538.20 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $130,176.80 $130,176.80 $130,176.80 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $130,075.40 $130,075.40 $130,075.40 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $129,555.40 $129,555.40 $129,555.40 2026-04-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $127,049.00 $127,049.00 $127,049.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $126,282.00 $126,282.00 $126,282.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $126,071.40 $126,071.40 $126,071.40 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 7 — — $111,120.14 $282,670.75 $124,718.77 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $124,155.20 $124,155.20 $124,155.20 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $123,617.00 $123,617.00 $123,617.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $84,836.22 $323,064.90 $123,611.80 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $120,957.20 $120,957.20 $120,957.20 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $119,782.00 $119,782.00 $119,782.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $119,745.60 $119,745.60 $119,745.60 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $100,487.40 $166,865.30 $118,796.56 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $75,191.07 $158,815.80 $117,003.43 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $116,594.40 $116,594.40 $116,594.40 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $116,272.00 $116,272.00 $116,272.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $91,256.10 $140,285.60 $115,770.85 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $115,185.20 $115,185.20 $115,185.20 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $114,205.00 $114,205.00 $114,205.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $110,739.20 $117,133.50 $113,936.35 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $112,494.20 $112,494.20 $112,494.20 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $112,260.20 $112,260.20 $112,260.20 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 5 4 — — $5,949.00 $137,184.12 $110,930.63 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $108,947.80 $108,947.80 $108,947.80 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 1 — — $108,170.40 $108,178.20 $108,174.30 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $106,847.00 $106,847.00 $106,847.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $106,688.40 $106,688.40 $106,688.40 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $106,163.20 $106,163.20 $106,163.20 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $105,744.60 $105,744.60 $105,744.60 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 1 1 — — $104,613.37 $104,613.37 $104,613.37 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $103,571.00 $103,571.00 $103,571.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $103,498.20 $103,498.20 $103,498.20 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $102,501.07 $132,046.20 $102,501.07 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $102,369.80 $102,369.80 $102,369.80 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $102,164.40 $102,164.40 $102,164.40 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $102,159.20 $102,159.20 $102,159.20 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $101,101.00 $101,101.00 $101,101.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $98,066.80 $103,732.75 $100,899.77 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 1 1 — — $100,383.40 $100,383.40 $100,383.40 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $95,105.40 $104,959.80 $100,032.60 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $99,377.20 $99,377.20 $99,377.20 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $98,836.40 $98,836.40 $98,836.40 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $75,309.66 $121,659.20 $98,484.43 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $98,344.77 $250,910.40 $98,344.77 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $97,344.00 $97,344.00 $97,344.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $94,858.40 $94,858.40 $94,858.40 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 5 — — $62,167.85 $228,793.17 $94,721.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 5 — — $57,650.88 $130,039.00 $93,821.11 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $93,760.51 $93,760.51 $93,760.51 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $93,204.80 $93,204.80 $93,204.80 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $93,199.60 $93,199.60 $93,199.60 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $93,178.80 $93,178.80 $93,178.80 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $64,802.44 $114,007.70 $92,769.36 2026-04-01
265 MS_DRG Aicd Lead Procedures 1 1 — — $92,739.40 $92,739.40 $92,739.40 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $91,790.40 $91,790.40 $91,790.40 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $91,759.20 $91,759.20 $91,759.20 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $91,635.23 $91,635.23 $91,635.23 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $91,527.80 $91,527.80 $91,527.80 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $91,093.60 $91,093.60 $91,093.60 2026-04-01
9214 OTHER Bevacizumab Injection 1 1 — — $91,042.91 $91,042.91 $91,042.91 2024-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $91,028.60 $91,028.60 $91,028.60 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $90,277.20 $90,277.20 $90,277.20 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $40,134.27 $140,418.20 $90,276.24 2026-04-01
332 MS_DRG Rectal Resection With Mcc 1 1 — — $90,181.00 $90,181.00 $90,181.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 2 — — $78,534.17 $101,660.00 $90,097.08 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $90,082.20 $90,082.20 $90,082.20 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $89,408.80 $89,408.80 $89,408.80 2026-04-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $89,268.40 $89,268.40 $89,268.40 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $68,266.54 $109,954.00 $89,110.27 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $89,047.40 $89,047.40 $89,047.40 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $88,192.00 $88,192.00 $88,192.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $87,269.00 $87,269.00 $87,269.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $84,700.20 $89,595.00 $87,147.60 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $86,338.20 $86,338.20 $86,338.20 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $85,844.20 $85,844.20 $85,844.20 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $84,981.00 $84,981.00 $84,981.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $84,736.60 $84,736.60 $84,736.60 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $83,813.60 $83,813.60 $83,813.60 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $82,381.00 $85,174.30 $83,777.65 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $83,309.20 $83,309.20 $83,309.20 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $82,924.40 $82,924.40 $82,924.40 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 1 1 — — $82,685.20 $82,685.20 $82,685.20 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $82,518.80 $82,518.80 $82,518.80 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $61,655.99 $102,603.80 $82,129.90 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 2 — — $49,023.00 $113,600.74 $81,311.87 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $81,104.40 $81,104.40 $81,104.40 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 2 — — $80,758.60 $80,772.49 $80,765.55 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $80,397.20 $80,397.20 $80,397.20 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $80,230.80 $80,230.80 $80,230.80 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $80,173.60 $80,173.60 $80,173.60 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $47,585.41 $81,747.56 $79,993.22 2026-04-01
652 MS_DRG Kidney Transplant 1 1 — — $79,851.20 $79,851.20 $79,851.20 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $79,518.40 $79,518.40 $79,518.40 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $47,649.17 $110,900.40 $79,274.79 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $78,254.80 $78,254.80 $78,254.80 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $77,880.40 $77,880.40 $77,880.40 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $77,636.00 $77,636.00 $77,636.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $60,430.24 $94,221.40 $77,325.82 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 7 7 — — $3,740.40 $77,087.18 $76,853.35 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 2 2 — — $51,097.80 $102,300.89 $76,699.35 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $76,695.34 $76,695.34 $76,695.34 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $76,252.80 $76,252.80 $76,252.80 2026-04-01
9494 OTHER Injection, Ocrelizumab 3 3 — — $75,973.39 $75,973.39 $75,973.39 2024-07-01
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $75,818.60 $75,818.60 $75,818.60 2026-04-01
800 MS_DRG Splenic Procedures With Cc 1 1 — — $75,753.60 $75,753.60 $75,753.60 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $75,322.00 $75,322.00 $75,322.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 3 — — $45,622.81 $119,186.64 $74,988.83 2026-04-01
J9226 HCPCS Supprelin La Implant 1 1 — — $74,681.97 $74,681.97 $74,681.97 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $74,539.40 $74,539.40 $74,539.40 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $74,453.60 $74,453.60 $74,453.60 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $74,412.00 $74,412.00 $74,412.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $74,308.00 $74,308.00 $74,308.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 3 2 — — $1,265.97 $73,374.60 $73,369.40 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $65,436.80 $81,076.67 $73,256.74 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $73,013.20 $73,013.20 $73,013.20 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $72,940.40 $72,940.40 $72,940.40 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $71,146.40 $71,146.40 $71,146.40 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $71,013.80 $71,013.80 $71,013.80 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $70,886.40 $70,886.40 $70,886.40 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 3 3 — — $62,322.00 $70,801.95 $70,801.95 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $70,631.60 $70,631.60 $70,631.60 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $69,227.60 $71,626.42 $70,427.01 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 3 2 — — $25,835.91 $78,198.04 $70,315.05 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $67,189.20 $73,329.90 $70,259.55 2026-04-01
263 MS_DRG Vein Ligation And Stripping 1 1 — — $69,729.40 $69,729.40 $69,729.40 2026-04-01
849 MS_DRG Radiotherapy 1 1 — — $69,443.40 $69,443.40 $69,443.40 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $68,983.20 $68,983.20 $68,983.20 2026-04-01
503 MS_DRG Foot Procedures With Mcc 1 1 — — $68,809.00 $68,809.00 $68,809.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 1 — — $68,736.20 $68,736.20 $68,736.20 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 4 — — $51,719.61 $84,853.12 $68,666.14 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 2 2 — — $68,203.20 $69,073.56 $68,638.38 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 9 — — $11,334.94 $70,874.41 $68,366.48 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $68,023.80 $68,023.80 $68,023.80 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $52,088.69 $83,070.00 $67,579.35 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 1 1 — — $67,298.40 $67,298.40 $67,298.40 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $49,971.79 $92,326.00 $66,931.04 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $66,393.60 $66,393.60 $66,393.60 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $66,250.60 $66,250.60 $66,250.60 2026-04-01
1476 OTHER Obinutuzumab Inj 1 1 — — $66,195.00 $66,195.00 $66,195.00 2024-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $50,638.68 $100,126.00 $66,170.42 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $65,642.20 $65,642.20 $65,642.20 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 2 — — $41,677.01 $88,576.80 $65,126.90 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 3 3 — — $58,733.56 $120,472.80 $65,052.00 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $59,833.71 $70,054.40 $64,944.05 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $40,765.40 $89,002.48 $64,883.94 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 1 1 — — $64,157.60 $64,157.60 $64,157.60 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 6 5 — — $41,775.71 $81,793.80 $63,970.94 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 10 10 — — $49,647.00 $63,802.36 $63,802.36 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $62,867.38 $84,363.20 $63,661.00 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 2 2 — — $55,855.80 $70,273.62 $63,064.71 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $62,914.80 $62,914.80 $62,914.80 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 1 1 — — $62,683.40 $62,683.40 $62,683.40 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 10 8 — — $7,333.04 $75,339.94 $62,651.98 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 5 5 — — $17,523.35 $68,418.16 $62,600.21 2026-04-01
9186 OTHER Inj., Rituximab, 10 Mg 4 4 — — $61,959.23 $61,959.23 $61,959.23 2024-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $61,547.20 $61,547.20 $61,547.20 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $61,531.60 $61,531.60 $61,531.60 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 3 3 — — $46,922.20 $75,225.05 $61,384.32 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $61,352.20 $61,352.20 $61,352.20 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 2 — — $59,641.40 $62,781.62 $61,211.51 2026-04-01
2051 OTHER Cath Renal Denerv Radiofreq 2 2 — — $54,974.64 $66,839.85 $60,907.25 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $60,179.60 $60,179.60 $60,179.60 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 3 — — $2,577.24 $69,852.38 $60,130.20 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 2 — — $53,402.00 $60,018.40 $60,015.80 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $11,954.39 $60,717.25 $59,550.40 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 2 — — $58,723.60 $60,134.77 $59,429.18 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 7 — — $14,734.39 $65,719.02 $59,419.01 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $59,360.60 $59,360.60 $59,360.60 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $59,248.80 $59,248.80 $59,248.80 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $59,139.60 $59,139.60 $59,139.60 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $58,913.40 $58,913.40 $58,913.40 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $58,734.00 $58,734.00 $58,734.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 1 1 — — $58,713.20 $58,713.20 $58,713.20 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 1 1 — — $58,671.60 $58,671.60 $58,671.60 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 7 5 — — $13,344.87 $69,639.47 $58,502.60 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 1 1 — — $58,422.00 $58,422.00 $58,422.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 3 — — $10,292.11 $58,572.80 $58,340.19 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 4 — — $46,059.75 $58,046.72 $58,046.72 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $58,037.20 $58,037.20 $58,037.20 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $57,855.20 $57,855.20 $57,855.20 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 5 4 — — $39,101.40 $76,956.75 $57,702.48 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $57,181.80 $57,181.80 $57,181.80 2026-04-01
935 MS_DRG Non-extensive Burns 1 1 — — $57,103.80 $57,103.80 $57,103.80 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 4 4 — — $39,239.20 $84,319.80 $56,797.36 2026-04-01
906 MS_DRG Hand Procedures For Injuries 1 1 — — $56,742.40 $56,742.40 $56,742.40 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0571T OTHER Hc Insj/rplcmt Icds W/substernal Electrode 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0408T OTHER Hc Insert/replace Cardiac Contractility Modulation Sys 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 1 1 — — $56,734.00 $56,734.00 $56,734.00 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $56,396.60 $56,396.60 $56,396.60 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $56,084.60 $56,084.60 $56,084.60 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 — — $55,788.20 $55,788.20 $55,788.20 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 2 — — $55,419.00 $56,092.93 $55,755.96 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 3 — — $30,114.91 $73,109.12 $55,749.20 2026-04-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $55,530.80 $55,530.80 $55,530.80 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 1 1 — — $55,525.60 $55,525.60 $55,525.60 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $55,523.00 $55,523.00 $55,523.00 2026-04-01
333 MS_DRG Rectal Resection With Cc 1 1 — — $55,252.60 $55,252.60 $55,252.60 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 2 — — $41,395.18 $69,069.00 $55,232.09 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $54,990.00 $54,990.00 $54,990.00 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 3 3 — — $3,415.54 $58,063.50 $54,899.00 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $54,893.80 $54,893.80 $54,893.80 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 — — $25,646.36 $57,058.04 $54,813.20 2026-04-01
1490 OTHER Inj Pembrolizumab 9 9 — — $54,751.99 $54,751.99 $54,751.99 2024-07-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 1 1 — — $54,670.20 $54,670.20 $54,670.20 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $54,503.80 $54,503.80 $54,503.80 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $54,347.80 $54,347.80 $54,347.80 2026-04-01
304 MS_DRG Hypertension With Mcc 2 2 — — $30,544.80 $78,149.70 $54,347.25 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 1 1 — — $54,007.20 $54,007.20 $54,007.20 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 5 — — $21,644.59 $87,521.29 $53,947.40 2026-04-01
1471 OTHER Injection, Pertuzumab, 1 Mg 3 3 — — $53,936.19 $53,936.19 $53,936.19 2024-07-01
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