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

NORTHEAST GEORGIA MEDICAL CENTER, INC

Gainesville, GA · CCN 110029 · Rates published

Your selected procedure

You selected 29806 (HCPCS)

Shoulder arthroscopy/surgery

This hospital’s price: $9,843 across 5 payers · range $7,140-$27,250

Source: https://www.nghs.com/wp-content/themes/nghs-v2/assets/files/price-transparency/581694098_1427055821_northeast-georgia-medical-center,-inc._standardcharges.json · 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.

11,907 distinct procedures filed
13 distinct payers
152,597 rate rows
2026-04-01 last MRF observed
Data quality

108,619 of 152,597 rate rows are consumer-grade (71.2%)

43,978 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 42,207
template filing: same amount across many unrelated codes — excluded 1,752
placeholder amount (≤ $0.02) — excluded from medians 10
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nghs.com/wp-content/themes/nghs-v2/assets/files/price-transparency/581694098_1427055821_northeast-georgia-medical-center,-inc._standardcharges.json
Found on page https://www.nghs.com/price-estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-02
Content fingerprint cd885264dbfdda04… · 47,614,477 bytes · first seen 2026-05-13

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $4,111,590.00 $3,795,824.67 nat. median
$3,691,450
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $3,759,168.00 $3,415,956.47 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $3,641,694.00 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $3,289,272.00 $3,034,112.20 nat. median
$2,983,626
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $2,809,632.34 $2,528,763.92 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,584,428.00 $2,401,960.00 nat. median
$2,401,960
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $355,351.56 $1,177,350.15 $832,641.22 nat. median
$360,195
outlier · 2.3×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $679,381.02 $609,477.99 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $650,076.25 $582,845.01 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $636,281.08 $579,414.33 nat. median
$637,620
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $635,840.30 $574,037.47 nat. median
$621,967
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $626,226.26 $549,227.08 nat. median
$607,251
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $176,901.62 $740,649.54 $523,799.42 nat. median
$197,664
outlier · 2.6×
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $575,293.67 $503,983.75 nat. median
$589,091
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $27,462.10 $1,876,426.51 $452,296.05 nat. median
$247,805
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $22,005.54 $1,276,490.43 $421,420.08 nat. median
$190,274
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $95,128.12 $484,641.17 $292,389.27 nat. median
$126,240
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $100,620.05 $409,023.20 $289,267.87 nat. median
$109,875
outlier · 2.6×
7
MS_DRG 		Lung Transplant 7 $108,240.36 $407,992.91 $288,539.23 nat. median
$117,943
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $95,012.10 $344,046.05 $243,314.98 nat. median
$103,911
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $11,185.64 $340,093.48 $240,519.65 nat. median
$97,029
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $86,664.33 $332,459.94 $235,121.09 nat. median
$94,844
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 7 $10,165.19 $544,350.32 $233,231.31 nat. median
$93,531
outlier · 2.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $10,387.35 $941,528.18 $231,433.73 nat. median
$93,094
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $9,586.68 $323,409.60 $212,767.20 nat. median
$90,525
outlier · 2.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $73,169.61 $287,586.00 $203,385.50 nat. median
$78,028
outlier · 2.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $76,031.21 $260,383.14 $184,147.20 nat. median
$77,933
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $7,993.34 $486,456.84 $177,975.84 nat. median
$74,260
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 7 $59,492.83 $248,912.54 $176,035.01 nat. median
$64,615
outlier · 2.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $60,705.58 $247,479.50 $175,021.54 nat. median
$66,332
outlier · 2.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $7,672.46 $828,469.64 $170,832.96 nat. median
$72,153
outlier · 2.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $7,610.38 $580,066.36 $164,798.50 nat. median
$67,850
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $8,260.90 $278,189.60 $161,303.88 nat. median
$76,979
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $8,696.00 $264,398.16 $161,212.51 nat. median
$77,595
outlier · 2.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $7,043.00 $665,312.57 $156,739.30 nat. median
$63,446
outlier · 2.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $7,007.60 $288,053.75 $156,028.32 nat. median
$66,553
outlier · 2.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $45,860.57 $213,173.87 $150,538.12 nat. median
$61,601
outlier · 2.4×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $45,001.26 $367,772.45 $148,028.74 nat. median
$60,364
outlier · 2.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $61,017.00 $208,509.45 $147,461.28 nat. median
$61,444
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $6,846.15 $343,743.62 $147,211.78 nat. median
$63,874
outlier · 2.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $52,423.21 $197,438.48 $139,631.71 nat. median
$58,315
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $7,142.80 $321,088.79 $137,498.02 nat. median
$62,605
outlier · 2.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $7,750.70 $317,334.66 $137,445.81 nat. median
$71,672
1.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $6,142.34 $246,144.85 $136,763.52 nat. median
$56,565
outlier · 2.4×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $6,552.46 $330,485.99 $136,586.88 nat. median
$57,570
outlier · 2.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $4,037.58 $192,252.67 $135,563.97 nat. median
$58,210
outlier · 2.3×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 $47,532.90 $191,593.91 $135,498.34 nat. median
$53,268
outlier · 2.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $5,861.00 $200,541.17 $134,474.22 nat. median
$57,665
outlier · 2.3×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 7 $46,791.55 $188,434.35 $133,263.84 nat. median
$50,660
outlier · 2.6×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 7 $50,857.13 $188,434.35 $133,263.84 nat. median
$53,896
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 11,907 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $4,111,590.00 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,316,462.59 $3,759,168.00 $3,415,956.47 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $3,641,694.00 $3,345,899.09 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,945,740.00 $3,289,272.00 $3,034,112.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,455,110.60 $2,809,632.34 $2,528,763.92 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $2,584,428.00 $2,401,960.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 31 7 — — $355,351.56 $1,177,350.15 $832,641.22 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 5 — — $591,726.20 $679,381.02 $609,477.99 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 5 — — $565,868.94 $650,076.25 $582,845.01 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 5 — — $562,538.19 $636,281.08 $579,414.33 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 5 — — $557,317.93 $635,840.30 $574,037.47 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — — $533,230.17 $626,226.26 $549,227.08 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 7 — — $176,901.62 $740,649.54 $523,799.42 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 5 — — $489,304.61 $575,293.67 $503,983.75 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 47 7 — — $27,462.10 $1,876,426.51 $452,296.05 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 8 — — $22,005.54 $1,276,490.43 $421,420.08 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 7 — — $95,128.12 $484,641.17 $292,389.27 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 31 7 — — $100,620.05 $409,023.20 $289,267.87 2026-04-01
7 MS_DRG Lung Transplant 39 7 — — $108,240.36 $407,992.91 $288,539.23 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 7 — — $95,012.10 $344,046.05 $243,314.98 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 35 7 — — $11,185.64 $340,093.48 $240,519.65 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 7 — — $86,664.33 $332,459.94 $235,121.09 2026-04-01
215 MS_DRG Other Heart Assist System Implant 47 7 — — $10,165.19 $544,350.32 $233,231.31 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 7 — — $10,387.35 $941,528.18 $231,433.73 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 7 — — $9,586.68 $323,409.60 $212,767.20 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 31 7 — — $73,169.61 $287,586.00 $203,385.50 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 7 — — $76,031.21 $260,383.14 $184,147.20 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 8 — — $7,993.34 $486,456.84 $177,975.84 2026-04-01
10 MS_DRG Pancreas Transplant 39 7 — — $59,492.83 $248,912.54 $176,035.01 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 7 — — $60,705.58 $247,479.50 $175,021.54 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 8 — — $7,672.46 $828,469.64 $170,832.96 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 47 7 — — $7,610.38 $580,066.36 $164,798.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 7 — — $8,260.90 $278,189.60 $161,303.88 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 7 — — $8,696.00 $264,398.16 $161,212.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 7 — — $7,043.00 $665,312.57 $156,739.30 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 41 7 — — $7,007.60 $288,053.75 $156,028.32 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 7 — — $45,860.57 $213,173.87 $150,538.12 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 7 — — $45,001.26 $367,772.45 $148,028.74 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 39 7 — — $61,017.00 $208,509.45 $147,461.28 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 7 — — $6,846.15 $343,743.62 $147,211.78 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 39 7 — — $52,423.21 $197,438.48 $139,631.71 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 7 — — $7,142.80 $321,088.79 $137,498.02 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 53 9 — — $7,750.70 $317,334.66 $137,445.81 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 7 — — $6,142.34 $246,144.85 $136,763.52 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 35 7 — — $6,552.46 $330,485.99 $136,586.88 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 7 — — $4,037.58 $192,252.67 $135,563.97 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 39 7 — — $47,532.90 $191,593.91 $135,498.34 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 43 7 — — $5,861.00 $200,541.17 $134,474.22 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 31 7 — — $46,791.55 $188,434.35 $133,263.84 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 31 7 — — $50,857.13 $188,434.35 $133,263.84 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 1 — — $128,939.87 $144,883.46 $132,809.83 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 7 — — $6,151.23 $356,366.77 $132,268.03 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 7 — — $56,134.05 $195,314.49 $131,356.13 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 7 — — $6,630.84 $212,002.45 $130,277.06 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 8 — — $5,645.60 $294,004.82 $129,013.61 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 7 — — $50,326.66 $679,230.77 $128,547.55 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 7 — — $5,955.65 $207,824.59 $126,530.60 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 1 — — $122,701.86 $137,874.11 $126,384.60 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 7 — — $5,657.15 $311,384.56 $125,959.78 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 40 7 — — $37,563.29 $174,032.10 $122,897.17 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 8 — — $17,982.05 $497,519.34 $122,042.78 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 41 7 — — $4,483.02 $172,555.34 $121,674.70 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 7 — — $5,509.30 $317,007.07 $121,554.82 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 7 — — $37,033.36 $170,781.99 $120,779.81 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 39 7 — — $48,199.87 $169,867.22 $120,132.86 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 7 — — $5,360.84 $415,095.15 $119,859.07 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 39 7 — — $37,874.64 $168,434.17 $119,119.39 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 8 — — $46,969.74 $168,456.03 $118,959.49 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 9 — — $75.67 $260,087.32 $116,770.17 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 1 — — $111,911.12 $125,749.08 $115,269.99 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 36 7 — — $5,222.75 $294,234.07 $113,705.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 8 — — $33,726.64 $299,238.58 $113,332.22 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 39 7 — — $41,658.49 $156,317.30 $110,550.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 7 — — $5,454.61 $156,195.54 $110,464.03 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 43 7 — — $4,941.41 $163,593.24 $109,698.54 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 1 — — $105,229.60 $118,241.39 $108,387.93 2026-04-01
245 MS_DRG Aicd Generator Procedures 39 7 — — $39,681.28 $160,428.34 $107,893.92 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 39 7 — — $40,291.03 $151,387.51 $107,063.71 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 44 7 — — $5,887.85 $199,582.51 $105,657.88 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 7 — — $4,735.36 $150,734.16 $105,436.42 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 40 7 — — $39,407.46 $148,440.24 $104,979.36 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 7 — — $4,830.69 $264,870.35 $103,873.15 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 1 — — $100,643.23 $113,087.90 $103,663.91 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 47 7 — — $4,640.16 $282,253.12 $103,012.59 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 7 — — $1,550.00 $201,256.07 $102,720.58 2026-04-01
9 MS_DRG Bone Marrow Transplant 8 1 — — $99,162.87 $111,424.49 $102,139.12 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 8 — — $12,020.61 $143,835.15 $101,722.56 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 9 — — $4,183.56 $215,504.06 $101,272.27 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 51 7 — — $4,553.31 $155,570.81 $101,086.28 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 7 — — $4,798.50 $510,694.20 $99,594.94 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 1 — — $96,278.61 $108,183.59 $99,168.29 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 7 — — $2,172.50 $141,680.15 $98,869.81 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 43 7 — — $29,192.56 $152,690.77 $97,530.85 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 7 — — $38,868.00 $140,949.17 $96,986.40 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 8 — — $6,640.39 $206,044.85 $95,946.84 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 5 — — $94,905.84 $100,125.66 $95,854.90 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 39 7 — — $34,219.63 $135,083.90 $95,533.54 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 7 — — $36,495.18 $134,802.91 $95,334.82 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 7 — — $4,373.47 $134,877.72 $94,043.14 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 33 8 — — $6,686.46 $132,033.61 $93,376.32 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 1 — — $90,416.80 $101,596.96 $93,130.55 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 54 9 — — $4,732.64 $156,567.60 $92,797.58 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 1 — — $87,205.27 $101,691.65 $92,439.99 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 7 — — $2,185.00 $167,880.50 $92,385.64 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 7 — — $4,272.12 $242,819.44 $91,861.63 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 45 7 — — $4,219.86 $383,298.09 $90,737.76 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 7 — — $4,104.83 $153,994.25 $90,654.91 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 40 7 — — $29,214.69 $128,112.25 $90,469.71 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 37 7 — — $27,217.83 $267,104.06 $90,157.06 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 7 — — $4,715.59 $614,695.85 $90,152.42 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 51 8 — — $144.88 $279,466.02 $88,772.54 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 39 7 — — $31,674.35 $124,281.43 $87,893.86 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 49 7 — — $4,229.85 $168,982.87 $87,073.24 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 7 — — $123.09 $181,542.29 $86,756.74 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 7 — — $27,493.09 $129,279.53 $86,679.66 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 41 7 — — $22,410.86 $122,679.80 $86,505.74 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 37 7 — — $4,042.79 $187,506.13 $86,332.80 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 39 7 — — $32,412.44 $120,541.16 $85,248.67 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 8 — — $5,231.03 $172,804.23 $81,804.27 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 49 7 — — $4,823.03 $217,227.07 $80,876.12 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 7 — — $21,535.21 $113,906.70 $80,319.53 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 42 8 — — $18,707.25 $119,859.28 $79,897.93 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 1 — — $77,093.54 $86,626.26 $79,407.40 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 7 — — $3,453.04 $205,317.76 $79,306.38 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 39 7 — — $31,911.39 $111,921.04 $79,152.38 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 39 7 — — $34,559.13 $111,914.80 $79,147.97 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 37 7 — — $3,679.98 $176,866.44 $79,130.30 2026-04-01
265 MS_DRG Aicd Lead Procedures 32 7 — — $3,545.67 $117,104.64 $78,757.15 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 45 7 — — $4,816.47 $151,640.40 $77,993.71 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 39 7 — — $28,360.75 $115,906.32 $77,951.23 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 9 — — $4,215.19 $341,618.31 $77,810.58 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 39 7 — — $32,025.00 $109,907.29 $77,728.22 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 10 — — $4,713.94 $495,461.39 $77,616.69 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 41 7 — — $30,535.97 $109,385.90 $77,359.49 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 1 — — $74,444.79 $83,649.99 $76,679.16 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 31 7 — — $32,679.71 $108,405.56 $76,666.18 2026-04-01
332 MS_DRG Rectal Resection With Mcc 39 7 — — $31,984.14 $108,290.04 $76,584.48 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 41 7 — — $30,763.81 $114,221.45 $76,500.58 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 11 — — $13,337.29 $302,295.05 $76,175.49 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 43 7 — — $3,485.01 $166,987.03 $76,052.35 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 46 7 — — $3,762.34 $195,343.02 $75,831.90 2026-04-01
665 MS_DRG Prostatectomy With Mcc 39 7 — — $27,901.39 $107,194.18 $75,809.47 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 47 7 — — $3,396.41 $142,937.16 $75,399.17 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 8 1 — — $73,172.42 $82,220.28 $75,368.60 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 47 7 — — $19,238.00 $156,426.00 $73,893.35 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 9 — — $10,497.72 $103,082.38 $72,901.54 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 51 8 — — $4,455.55 $156,766.22 $72,794.86 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 8 — — $3,687.56 $847,724.14 $72,761.31 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 41 7 — — $3,345.25 $101,708.65 $71,718.27 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 43 7 — — $3,162.40 $172,606.57 $70,967.55 2026-04-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 8 1 — — $68,748.15 $77,248.95 $70,811.54 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 7 — — $3,290.21 $103,114.19 $70,748.74 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 43 8 — — $3,168.24 $130,606.55 $70,545.60 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 39 7 — — $28,715.49 $99,289.02 $70,218.82 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 39 7 — — $30,598.61 $99,089.21 $70,077.50 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 41 7 — — $21,318.23 $98,923.74 $69,960.48 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 50 7 — — $4,543.02 $375,909.71 $69,950.85 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 41 7 — — $3,204.58 $149,824.76 $68,907.26 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 42 10 — — $5,382.49 $110,185.15 $68,791.65 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 41 7 — — $3,000.12 $97,390.79 $68,673.59 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 47 7 — — $21,047.85 $185,644.70 $68,582.69 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 41 7 — — $28,438.40 $138,803.86 $68,275.78 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 43 8 — — $3,168.64 $212,885.98 $68,134.46 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 41 7 — — $28,218.53 $96,273.08 $68,085.89 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 45 8 — — $4,176.33 $126,978.93 $68,036.61 2026-04-01
652 MS_DRG Kidney Transplant 39 7 — — $28,786.60 $95,885.94 $67,812.10 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 31 7 — — $26,717.84 $95,798.52 $67,750.27 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 8 — — $2,712.95 $278,509.26 $66,684.86 2026-04-01
570 MS_DRG Skin Debridement With Mcc 37 8 — — $2,559.18 $93,987.70 $66,469.63 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 8 — — $400.00 $109,307.84 $66,227.14 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 39 7 — — $25,978.94 $93,225.91 $65,930.88 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 44 7 — — $3,410.10 $112,836.67 $65,462.71 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 5 — — $63,342.28 $74,514.99 $65,242.55 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 39 7 — — $2,992.75 $98,482.38 $64,354.37 2026-04-01
800 MS_DRG Splenic Procedures With Cc 39 7 — — $25,352.84 $90,965.51 $64,332.29 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 41 7 — — $10,508.94 $91,043.56 $64,197.94 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 48 7 — — $2,887.04 $170,300.55 $63,871.61 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 7 — — $2,704.13 $123,207.43 $63,369.69 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 39 7 — — $24,131.69 $89,404.46 $63,228.29 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 34 7 — — $2,838.04 $89,354.50 $63,192.96 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 43 7 — — $19,067.62 $171,850.18 $62,918.87 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 47 11 — — $2,923.04 $118,317.55 $62,855.14 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 6 5 — — $31,386.38 $64,990.85 $62,515.01 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 39 7 — — $25,270.29 $88,102.54 $62,307.55 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 44 7 — — $3,232.00 $101,752.36 $62,041.86 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 43 7 — — $2,883.61 $228,997.24 $62,005.06 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 39 7 — — $27,046.86 $92,103.89 $61,943.23 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 50 8 — — $3,588.70 $118,929.21 $61,744.24 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 46 7 — — $3,708.28 $127,343.17 $61,464.08 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 48 7 — — $2,934.58 $172,876.40 $60,800.60 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 42 7 — — $3,170.05 $99,576.26 $60,715.01 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 45 7 — — $24,671.36 $123,831.70 $60,567.56 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 47 11 — — $3,710.54 $147,568.14 $60,121.15 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 7 — — $2,703.58 $85,120.93 $60,110.31 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 43 7 — — $2,730.38 $84,814.97 $59,805.95 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 45 7 — — $16,857.16 $104,606.74 $59,510.95 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 40 7 — — $23,500.69 $115,692.53 $59,492.35 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 42 7 — — $17,478.12 $85,433.14 $59,443.71 2026-04-01
849 MS_DRG Radiotherapy 39 7 — — $19,365.53 $83,388.17 $58,973.47 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 39 7 — — $24,055.68 $83,129.03 $58,790.21 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 39 7 — — $23,946.97 $82,835.56 $58,582.66 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 39 7 — — $25,546.72 $82,729.41 $58,507.58 2026-04-01
503 MS_DRG Foot Procedures With Mcc 41 7 — — $25,203.26 $122,421.01 $58,434.72 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 39 7 — — $25,487.91 $82,538.96 $58,372.90 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 41 7 — — $20,179.87 $85,895.56 $57,597.84 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 43 7 — — $2,566.85 $80,812.44 $56,983.63 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $55,272.32 $65,721.97 $56,930.49 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 1 — — $53,326.69 $80,766.43 $56,527.76 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 40 7 — — $23,579.97 $79,725.95 $56,300.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 44 7 — — $3,793.10 $127,663.07 $56,023.56 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 35 10 — — $4,038.46 $79,148.36 $55,975.01 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 43 7 — — $2,505.66 $324,198.56 $55,789.54 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 7 — — $2,956.33 $78,823.66 $55,663.32 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 40 7 — — $2,481.16 $157,170.97 $55,244.16 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 42 7 — — $2,804.65 $85,273.92 $55,104.45 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 8 — — $3,377.57 $111,848.41 $54,706.39 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 35 7 — — $15,845.01 $77,353.15 $54,705.41 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 44 10 — — $13,493.54 $89,507.48 $54,575.74 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 48 7 — — $16,852.73 $272,800.19 $54,484.61 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 47 7 — — $3,363.49 $111,362.51 $54,468.74 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 49 8 — — $2,409.21 $108,561.67 $54,062.88 2026-04-01
791 MS_DRG Prematurity With Major Problems 48 10 — — $20.83 $126,760.38 $53,587.29 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 50 9 — — $56.73 $75,807.71 $53,533.54 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 48 11 — — $5,414.60 $130,210.30 $53,441.18 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 40 7 — — $16,684.10 $75,548.58 $53,350.54 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 41 7 — — $15,106.78 $75,270.71 $53,232.67 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 48 9 — — $2,000.00 $120,232.07 $52,972.68 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 43 7 — — $23,109.48 $155,955.83 $52,925.76 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 42 7 — — $2,377.05 $129,270.37 $52,925.76 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 46 7 — — $366.98 $211,861.43 $52,102.18 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 41 8 — — $5,441.46 $73,887.62 $52,100.70 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 50 7 — — $2,584.41 $78,577.01 $51,830.87 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 50 8 — — $3,418.37 $1,039,191.12 $51,224.07 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 48 7 — — $3,521.36 $122,979.07 $51,161.04 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 33 8 — — $21,425.51 $72,264.13 $51,106.37 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 52 8 — — $2,427.00 $86,288.93 $50,879.38 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 47 7 — — $97.84 $73,758.41 $50,817.22 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 8 — — $34.50 $130,815.99 $50,504.17 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 41 7 — — $2,355.54 $71,617.85 $50,500.21 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 40 8 — — $5,842.91 $71,280.67 $50,410.85 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 44 10 — — $11,452.64 $71,146.41 $50,241.84 2026-04-01
238 MS_DRG Major Cardiovasc Procedures Without Mcc 8 1 — — $48,770.91 $54,801.49 $50,234.71 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 50 7 — — $2,745.26 $95,928.09 $50,092.72 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 43 7 — — $15,225.21 $72,144.93 $49,883.79 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 40 7 — — $2,192.45 $70,503.26 $49,787.66 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 41 9 — — $4,240.24 $70,453.31 $49,679.05 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 39 7 — — $21,410.68 $70,153.59 $49,613.76 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 45 7 — — $2,233.07 $70,306.57 $49,575.58 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 45 7 — — $2,135.13 $72,638.94 $49,535.95 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 5 — — $40,618.99 $69,517.51 $49,526.40 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 41 7 — — $20,687.31 $110,862.49 $49,286.98 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 44 10 — — $3,136.16 $102,045.84 $49,152.49 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 43 9 — — $3,007.08 $89,094.50 $48,987.78 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 47 7 — — $2,887.72 $95,603.67 $48,605.44 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 41 7 — — $16,593.86 $128,713.38 $48,560.54 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 7 — — $3,027.56 $92,058.24 $48,437.32 2026-04-01
935 MS_DRG Non-extensive Burns 41 7 — — $14,789.71 $68,570.68 $48,351.54 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 49 7 — — $2,562.58 $88,710.72 $48,319.69 2026-04-01
906 MS_DRG Hand Procedures For Injuries 41 7 — — $98.47 $68,136.71 $48,187.39 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 48 7 — — $2,098.57 $109,811.37 $48,110.11 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 41 7 — — $2,227.39 $199,737.10 $47,893.73 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 46 7 — — $3,287.99 $131,355.46 $47,842.99 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 35 10 — — $3,654.00 $67,072.07 $47,434.46 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 39 7 — — $20,458.45 $66,990.90 $47,377.06 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 43 7 — — $1,899.24 $66,944.07 $47,204.56 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 45 7 — — $2,908.35 $129,927.64 $47,094.90 2026-04-01
835 MS_DRG Acute Leukemia With Cc 40 7 — — $14,594.07 $66,681.81 $47,089.05 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 44 7 — — $2,088.28 $70,632.59 $47,082.43 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 45 8 — — $2,293.16 $75,928.09 $47,041.80 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 46 7 — — $12,838.77 $93,365.25 $46,994.24 2026-04-01
333 MS_DRG Rectal Resection With Cc 40 8 — — $20,488.09 $66,347.75 $46,853.15 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 50 7 — — $2,347.50 $109,660.46 $46,730.65 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 40 7 — — $16,775.29 $66,032.42 $46,630.46 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 43 8 — — $17.14 $65,916.90 $46,617.50 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 7 — — $2,090.38 $81,974.71 $46,549.06 2026-04-01
J9226 HCPCS Supprelin La Implant 5 5 — — $45,020.65 $53,521.61 $46,371.27 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 41 7 — — $1,800.50 $65,648.40 $46,290.94 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 41 7 — — $2,078.87 $65,448.58 $46,286.30 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 39 7 — — $19,690.12 $64,852.26 $45,864.58 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 1 — — $44,420.05 $49,912.65 $45,753.26 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 48 8 — — $200.00 $95,601.28 $45,706.64 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 48 7 — — $2,049.18 $75,574.29 $45,532.32 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 40 7 — — $948.56 $63,918.75 $45,137.85 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 39 7 — — $19,451.45 $63,319.31 $44,780.45 2026-04-01
5432 OTHER Level 2 Nerve Procedures 4 3 — — $6,371.96 $60,212.98 $44,651.25 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 40 7 — — $2,066.39 $62,829.14 $44,368.39 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 41 9 — — $4,548.82 $62,894.70 $44,349.22 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 45 7 — — $1,981.60 $69,653.61 $44,122.46 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 49 7 — — $1,995.60 $67,517.65 $44,120.26 2026-04-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 39 7 — — $17,077.82 $62,332.73 $44,082.72 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 42 7 — — $13,864.63 $61,973.69 $43,828.80 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 5 — — $31,386.38 $45,509.82 $43,776.11 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 6 5 — — $31,386.38 $45,509.82 $43,776.11 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 6 5 — — $31,386.38 $45,509.82 $43,776.11 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 41 7 — — $11,623.37 $62,061.10 $43,761.42 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 40 7 — — $15,351.08 $61,755.14 $43,609.96 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 46 7 — — $2,351.64 $71,508.58 $43,601.20 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 41 7 — — $1,801.64 $61,595.91 $43,561.63 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 40 8 — — $1,891.94 $154,159.36 $43,535.14 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 42 7 — — $1,885.71 $61,358.63 $43,329.95 2026-04-01
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