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 HABERSHAM

Demorest, GA · CCN 110041 · Rates published

11,823 distinct procedures filed
12 distinct payers
131,505 rate rows
2026-04-01 last MRF observed
Data quality

96,923 of 131,505 rate rows are consumer-grade (73.7%)

34,582 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 32,811
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/922451946_northeast-georgia-medical-center-habersham,-llc_standardcharges.json
Found on page https://www.nghs.com/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint dd886863a0bef28c… · 36,257,722 bytes · first seen 2026-05-05

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
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $3,759,168.00 $3,415,956.47 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $3,641,694.00 $3,345,899.09 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $3,289,272.00 $3,034,112.20 nat. median
$2,968,000
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
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,584,428.00 $2,401,960.00 nat. median
$2,332,000
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $277,534.28 $1,177,350.15 $832,641.22 nat. median
$168,055
outlier · 5.0×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $679,381.02 $609,477.99 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $650,076.25 $582,845.01 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $636,281.08 $579,414.33 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $635,840.30 $574,037.47 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $626,226.26 $549,227.08 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $575,293.67 $503,983.75 nat. median
$513,770
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $181,402.54 $879,383.17 $452,296.05 nat. median
$186,516
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $139,082.47 $740,649.54 $380,940.72 nat. median
$131,925
outlier · 2.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $138,287.87 $669,072.27 $344,126.15 nat. median
$145,435
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $79,898.82 $409,023.20 $289,267.87 nat. median
$72,715
outlier · 4.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $75,547.84 $344,046.05 $243,314.98 nat. median
$65,418
outlier · 3.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $72,645.29 $340,093.48 $240,519.65 nat. median
$74,509
outlier · 3.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $73,578.14 $327,246.03 $231,433.73 nat. median
$2,736
outlier · 84.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $91,526.15 $441,124.63 $226,885.09 nat. median
$97,418
outlier · 2.3×
7
MS_DRG 		Lung Transplant 7 $85,811.09 $407,992.91 $209,844.34 nat. median
$70,649
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $58,601.17 $287,586.00 $203,385.50 nat. median
$2,633
outlier · 77.2×
215
MS_DRG 		Other Heart Assist System Implant 7 $66,829.40 $347,817.44 $194,557.94 nat. median
$73,023
outlier · 2.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $60,821.37 $260,383.14 $184,147.20 nat. median
$2,596
outlier · 70.9×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $48,930.86 $247,479.50 $175,021.54 nat. median
$45,605
outlier · 3.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $69,071.16 $332,459.94 $172,031.13 nat. median
$69,922
outlier · 2.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $49,463.56 $221,628.51 $156,739.30 nat. median
$9,905
outlier · 15.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $48,904.23 $220,623.20 $156,028.32 nat. median
$51,518
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $65,724.70 $316,831.61 $154,966.12 nat. median
$69,822
outlier · 2.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $46,058.11 $209,311.83 $148,028.74 nat. median
$2,958
outlier · 50.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $47,302.97 $218,890.38 $147,211.78 nat. median
$49,569
outlier · 3.0×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $41,777.53 $193,382.87 $136,763.52 nat. median
$43,533
outlier · 3.1×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $46,089.19 $193,133.11 $136,586.88 nat. median
$2,633
outlier · 51.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $57,145.14 $278,189.60 $136,065.86 nat. median
$60,505
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $56,977.09 $264,398.16 $135,988.78 nat. median
$59,651
outlier · 2.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 7 $41,289.86 $188,434.35 $133,263.84 nat. median
$38,932
outlier · 3.4×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 7 $38,135.55 $188,434.35 $133,263.84 nat. median
$29,295
outlier · 4.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $42,549.94 $187,026.28 $132,268.03 nat. median
$44,036
outlier · 3.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $53,586.87 $264,633.71 $129,435.51 nat. median
$56,428
outlier · 2.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $128,939.87 $136,679.80 $128,939.87 nat. median
$2,106
outlier · 61.2×
10
MS_DRG 		Pancreas Transplant 7 $49,191.50 $248,912.54 $128,024.01 nat. median
$23,080
outlier · 5.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $52,168.88 $256,599.98 $125,506.12 nat. median
$55,935
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $52,378.79 $254,012.91 $124,240.75 nat. median
$55,923
outlier · 2.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $45,384.00 $212,002.45 $122,900.45 nat. median
$47,458
outlier · 2.6×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $122,701.86 $130,067.34 $122,701.86 nat. median
$2,024
outlier · 60.6×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $39,338.55 $171,877.85 $121,554.82 nat. median
$10,799
outlier · 11.3×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 $40,258.72 $170,781.99 $120,779.81 nat. median
$2,596
outlier · 46.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $52,008.44 $233,024.18 $119,852.09 nat. median
$52,327
outlier · 2.3×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 7 $37,484.26 $160,778.78 $113,705.38 nat. median
$2,736
outlier · 41.6×

Other procedures at this hospital

Browse this hospital's 11,823 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 23 7 — — $277,534.28 $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
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 27 7 — — $181,402.54 $879,383.17 $452,296.05 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 7 — — $139,082.47 $740,649.54 $380,940.72 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 7 — — $138,287.87 $669,072.27 $344,126.15 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 7 — — $79,898.82 $409,023.20 $289,267.87 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 7 — — $75,547.84 $344,046.05 $243,314.98 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 7 — — $72,645.29 $340,093.48 $240,519.65 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 7 — — $73,578.14 $327,246.03 $231,433.73 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 7 — — $91,526.15 $441,124.63 $226,885.09 2026-04-01
7 MS_DRG Lung Transplant 27 7 — — $85,811.09 $407,992.91 $209,844.34 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 7 — — $58,601.17 $287,586.00 $203,385.50 2026-04-01
215 MS_DRG Other Heart Assist System Implant 27 7 — — $66,829.40 $347,817.44 $194,557.94 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 7 — — $60,821.37 $260,383.14 $184,147.20 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 7 — — $48,930.86 $247,479.50 $175,021.54 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 7 — — $69,071.16 $332,459.94 $172,031.13 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 7 — — $49,463.56 $221,628.51 $156,739.30 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 7 — — $48,904.23 $220,623.20 $156,028.32 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 7 — — $65,724.70 $316,831.61 $154,966.12 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 7 — — $46,058.11 $209,311.83 $148,028.74 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 7 — — $47,302.97 $218,890.38 $147,211.78 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 7 — — $41,777.53 $193,382.87 $136,763.52 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 7 — — $46,089.19 $193,133.11 $136,586.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 7 — — $57,145.14 $278,189.60 $136,065.86 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 7 — — $56,977.09 $264,398.16 $135,988.78 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 7 — — $41,289.86 $188,434.35 $133,263.84 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 7 — — $38,135.55 $188,434.35 $133,263.84 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 7 — — $42,549.94 $187,026.28 $132,268.03 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 7 — — $53,586.87 $264,633.71 $129,435.51 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 1 — — $128,939.87 $136,679.80 $128,939.87 2026-04-01
10 MS_DRG Pancreas Transplant 27 7 — — $49,191.50 $248,912.54 $128,024.01 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 7 — — $52,168.88 $256,599.98 $125,506.12 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 7 — — $52,378.79 $254,012.91 $124,240.75 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 7 — — $45,384.00 $212,002.45 $122,900.45 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $122,701.86 $130,067.34 $122,701.86 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 7 — — $39,338.55 $171,877.85 $121,554.82 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 7 — — $40,258.72 $170,781.99 $120,779.81 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 7 — — $52,008.44 $233,024.18 $119,852.09 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 7 — — $37,484.26 $160,778.78 $113,705.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 7 — — $37,146.26 $168,514.60 $113,332.22 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $111,911.12 $118,628.86 $111,911.12 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 7 — — $47,517.95 $217,188.89 $111,707.48 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 7 — — $45,384.00 $195,314.49 $111,199.35 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 7 — — $38,984.69 $156,195.54 $110,464.03 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 7 — — $46,372.02 $213,173.87 $109,642.42 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 7 — — $35,060.50 $163,593.24 $109,262.14 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 7 — — $37,257.24 $181,466.40 $108,647.74 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 7 — — $49,172.48 $208,509.45 $107,243.35 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 7 — — $33,092.07 $151,387.51 $107,063.71 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $105,229.60 $111,546.27 $105,229.60 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 7 — — $33,877.16 $146,876.07 $103,873.15 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 7 — — $44,492.37 $201,928.06 $103,858.33 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 7 — — $32,974.75 $145,246.34 $102,720.58 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 7 — — $33,500.47 $143,835.15 $101,722.56 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 7 — — $42,504.91 $197,438.48 $101,549.19 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 1 — — $100,643.23 $106,684.59 $100,643.23 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 7 — — $42,132.66 $200,541.17 $100,422.28 2026-04-01
9 MS_DRG Bone Marrow Transplant 4 1 — — $99,162.87 $105,115.37 $99,162.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 7 — — $42,029.75 $192,252.67 $98,881.95 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 7 — — $38,710.73 $191,593.91 $98,543.13 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 7 — — $41,788.31 $199,582.51 $97,618.19 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 7 — — $31,988.00 $137,138.24 $96,986.40 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $96,278.61 $102,057.97 $96,278.61 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 7 — — $41,377.38 $185,608.85 $95,464.81 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 7 — — $40,902.39 $193,170.63 $94,482.06 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 7 — — $31,128.71 $132,976.48 $94,043.14 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 7 — — $40,878.29 $181,765.54 $93,488.07 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 7 — — $30,734.90 $132,033.61 $93,376.32 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 7 — — $37,504.56 $173,882.45 $92,853.37 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 7 — — $41,501.67 $179,177.32 $92,156.86 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 7 — — $30,467.91 $136,589.80 $91,861.63 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 7 — — $40,025.35 $187,290.61 $91,606.07 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 1 — — $90,416.80 $95,844.30 $90,416.80 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 7 — — $30,579.53 $127,481.59 $90,157.06 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 7 — — $36,639.56 $174,032.10 $89,510.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 7 — — $38,500.82 $172,555.34 $88,750.96 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 7 — — $39,228.21 $169,867.22 $87,368.37 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 1 — — $87,205.27 $92,439.99 $87,205.27 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 7 — — $38,377.80 $169,480.08 $87,169.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 7 — — $29,182.47 $122,673.55 $86,756.74 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 7 — — $38,273.79 $168,456.03 $86,642.54 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 7 — — $34,767.52 $168,434.17 $86,631.30 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 7 — — $29,848.34 $128,368.94 $86,332.80 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 7 — — $38,328.33 $174,657.26 $85,426.95 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 7 — — $35,649.00 $150,769.48 $85,047.77 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 7 — — $35,314.17 $158,562.09 $83,746.03 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 7 — — $36,696.64 $159,049.14 $81,804.27 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 7 — — $34,897.52 $165,352.98 $80,876.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 7 — — $34,153.02 $156,317.30 $80,399.19 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 7 — — $35,004.70 $156,151.83 $80,314.09 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 7 — — $30,147.03 $134,802.91 $80,142.32 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 7 — — $27,386.53 $111,889.82 $79,130.30 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 7 — — $26,631.24 $117,104.64 $78,757.15 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 7 — — $32,618.99 $160,428.34 $78,467.42 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 7 — — $34,307.76 $151,640.40 $77,993.71 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 7 — — $23,835.86 $115,906.32 $77,951.23 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 1 — — $77,093.54 $81,721.27 $77,093.54 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 7 — — $33,350.81 $149,086.52 $76,680.16 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 7 — — $27,186.77 $108,405.56 $76,666.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 7 — — $32,406.54 $148,440.24 $76,347.76 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 7 — — $33,439.59 $148,434.00 $76,344.55 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 5 — — $75,465.40 $79,616.00 $76,220.05 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 7 — — $26,238.70 $113,082.86 $76,052.35 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 7 — — $32,761.04 $146,089.30 $75,138.59 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $74,444.79 $78,913.53 $74,444.79 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 27 7 — — $32,107.85 $143,894.47 $74,009.72 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 7 — — $32,835.23 $143,357.47 $73,733.52 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 4 1 — — $73,172.42 $77,564.77 $73,172.42 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 7 — — $27,445.50 $103,082.38 $72,901.54 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 27 7 — — $30,408.94 $128,302.70 $72,602.58 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 7 — — $32,532.11 $140,847.30 $72,442.46 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 7 — — $30,909.92 $140,007.45 $72,010.50 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 7 — — $32,519.42 $146,819.92 $71,811.38 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 7 — — $30,299.23 $138,315.27 $71,140.15 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 7 — — $26,556.41 $100,038.33 $70,748.74 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 7 — — $23,668.45 $99,751.10 $70,545.60 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 7 — — $28,381.53 $135,083.90 $69,478.15 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 7 — — $24,560.71 $102,458.77 $68,907.26 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 9 — — $2,920.64 $168,615.25 $68,896.73 2026-04-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 4 1 — — $68,748.15 $72,874.93 $68,748.15 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 7 — — $23,658.93 $101,976.15 $68,582.69 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 7 — — $31,543.45 $133,170.05 $68,493.79 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 23 7 — — $24,171.97 $96,341.76 $68,134.46 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 7 — — $22,561.20 $95,798.52 $67,750.27 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 7 — — $32,099.61 $137,571.45 $67,287.84 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 7 — — $30,330.93 $130,815.99 $67,283.02 2026-04-01
570 MS_DRG Skin Debridement With Mcc 23 7 — — $22,337.34 $93,987.70 $66,469.63 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 7 — — $30,249.76 $134,994.22 $66,027.28 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 7 — — $30,422.25 $128,112.25 $65,892.40 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 7 — — $30,022.73 $126,978.93 $65,309.49 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 5 — — $63,342.28 $74,514.99 $65,242.55 2026-04-01
791 MS_DRG Prematurity With Major Problems 27 7 — — $29,426.62 $126,760.38 $65,197.09 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 7 — — $21,887.72 $90,996.73 $64,354.37 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 7 — — $28,033.37 $124,368.85 $63,967.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 7 — — $26,406.75 $124,281.43 $63,922.08 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 7 — — $26,354.11 $122,926.44 $63,225.16 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 7 — — $24,045.14 $89,354.50 $63,192.96 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 7 — — $28,493.77 $124,803.50 $63,187.24 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 7 — — $28,195.72 $122,679.80 $63,098.31 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 23 7 — — $20,940.29 $88,876.82 $62,855.14 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 7 — — $26,297.67 $109,307.84 $62,477.19 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 7 — — $28,232.50 $127,663.07 $62,441.53 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 7 — — $25,801.76 $120,666.04 $62,062.56 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 27 7 — — $26,979.40 $120,541.16 $61,998.33 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 7 — — $27,389.06 $120,232.07 $61,839.36 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 7 — — $27,549.51 $119,332.91 $61,376.89 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 7 — — $28,172.25 $123,831.70 $60,567.56 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 7 — — $26,647.10 $108,290.04 $60,206.03 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 7 — — $26,257.09 $116,891.42 $60,121.15 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 7 — — $26,004.69 $113,906.70 $58,586.01 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 7 — — $20,411.40 $82,835.56 $58,410.20 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 27 7 — — $22,356.37 $82,538.96 $58,201.06 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 7 — — $26,331.29 $113,141.78 $58,192.59 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 7 — — $26,590.66 $111,921.04 $57,564.72 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 7 — — $28,951.64 $111,914.80 $57,561.51 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 7 — — $26,969.88 $110,865.77 $57,021.96 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $55,272.32 $65,721.97 $56,930.49 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 7 — — $23,060.26 $123,207.43 $56,856.32 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 7 — — $25,292.53 $110,185.15 $56,671.89 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 7 — — $26,678.80 $109,907.29 $56,528.98 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 7 — — $26,278.65 $109,385.90 $56,260.81 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 7 — — $25,427.61 $109,367.16 $56,251.17 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 27 7 — — $24,870.81 $114,740.82 $56,121.10 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 23 7 — — $18,155.05 $79,148.36 $55,975.01 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 6 5 — — $31,386.38 $57,877.46 $55,672.60 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 7 — — $25,700.30 $108,171.40 $55,636.15 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 7 — — $24,634.27 $85,433.14 $55,324.90 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 23 7 — — $19,876.17 $82,142.99 $55,244.16 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 7 — — $25,593.76 $107,362.77 $55,220.25 2026-04-01
665 MS_DRG Prostatectomy With Mcc 27 7 — — $23,479.47 $107,194.18 $55,133.54 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 27 7 — — $25,807.47 $112,616.66 $55,082.15 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 7 — — $26,050.35 $106,928.80 $54,997.04 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 7 — — $24,314.02 $111,848.41 $54,706.39 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 23 7 — — $18,873.56 $77,353.15 $54,705.41 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 7 — — $23,933.52 $111,362.51 $54,468.74 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 27 7 — — $19,276.88 $76,444.62 $54,062.88 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 7 — — $25,321.07 $110,197.02 $53,898.68 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 7 — — $22,077.97 $87,674.81 $53,737.84 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 27 7 — — $19,186.20 $75,807.71 $53,400.66 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $53,326.69 $56,527.76 $53,326.69 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 27 7 — — $24,563.25 $109,021.67 $53,323.80 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 31 8 — — $2,438.66 $130,210.30 $53,204.34 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 7 — — $22,921.40 $102,045.84 $52,485.57 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 7 — — $24,223.34 $101,752.36 $52,334.63 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 7 — — $23,876.45 $101,708.65 $52,312.15 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 7 — — $24,151.04 $100,644.02 $51,764.57 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 27 7 — — $21,438.10 $88,102.54 $51,648.25 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 7 — — $24,200.51 $99,576.26 $51,215.39 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 7 — — $23,403.37 $100,410.12 $51,197.58 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 23 7 — — $18,939.51 $72,264.13 $51,106.37 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 27 7 — — $24,111.09 $99,289.02 $51,067.65 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 7 — — $26,696.56 $99,089.21 $50,964.88 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 27 7 — — $23,755.96 $98,923.74 $50,879.77 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 27 7 — — $20,554.72 $89,404.46 $50,242.75 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 27 7 — — $23,100.87 $97,390.79 $50,091.33 2026-04-01
652 MS_DRG Kidney Transplant 27 7 — — $24,166.26 $95,885.94 $49,693.20 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 7 — — $23,896.11 $96,541.58 $49,654.55 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 7 — — $23,725.52 $96,273.08 $49,516.45 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 27 7 — — $17,560.85 $71,280.67 $48,801.59 2026-04-01
238 MS_DRG Major Cardiovasc Procedures Without Mcc 4 1 — — $48,770.91 $51,698.50 $48,770.91 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 27 7 — — $21,762.79 $95,603.67 $48,605.44 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 7 — — $21,987.92 $93,225.91 $47,949.19 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 23 7 — — $17,517.72 $67,072.07 $47,434.46 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 7 — — $23,438.25 $92,058.24 $47,348.62 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 7 — — $20,847.70 $85,273.92 $47,243.72 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 7 — — $22,089.39 $91,564.95 $47,094.90 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 27 7 — — $18,888.14 $73,797.08 $46,906.53 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 27 7 — — $22,203.53 $91,043.56 $46,826.73 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 7 — — $21,502.15 $90,965.51 $46,786.59 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 27 7 — — $22,369.05 $90,447.24 $46,520.03 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 24 7 — — $11,410.15 $65,820.11 $46,480.54 2026-04-01
J9226 HCPCS Supprelin La Implant 5 5 — — $45,020.65 $53,521.61 $46,371.27 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 1 1 — — $46,299.86 $46,299.86 $46,299.86 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 7 — — $17,493.63 $65,448.58 $46,150.04 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 7 — — $22,840.87 $89,229.62 $45,893.76 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 27 7 — — $19,799.43 $80,681.31 $45,583.71 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 27 7 — — $19,692.26 $78,577.01 $45,522.11 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 7 — — $23,612.01 $92,103.89 $45,049.11 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 27 7 — — $21,996.80 $85,120.93 $44,782.89 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 27 7 — — $16,923.51 $63,319.31 $44,780.45 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 1 — — $44,420.05 $47,086.47 $44,420.05 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 27 7 — — $16,357.21 $63,694.64 $44,120.26 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 27 7 — — $17,108.69 $64,852.26 $43,891.28 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 27 7 — — $21,022.73 $84,814.97 $43,623.16 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 23 7 — — $16,370.53 $61,558.45 $43,535.14 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 27 7 — — $17,882.37 $69,691.52 $43,521.67 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 27 7 — — $21,170.49 $84,396.61 $43,407.99 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 27 7 — — $21,961.29 $82,729.41 $43,380.64 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 27 7 — — $20,065.15 $84,121.86 $43,266.68 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 7 — — $21,850.12 $91,820.96 $43,088.38 2026-04-01
263 MS_DRG Vein Ligation And Stripping 27 7 — — $22,904.33 $88,049.27 $43,065.95 2026-04-01
849 MS_DRG Radiotherapy 27 7 — — $19,365.53 $83,388.17 $42,889.31 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 27 7 — — $17,019.27 $66,547.56 $42,767.86 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 27 7 — — $20,495.74 $83,129.03 $42,756.03 2026-04-01
503 MS_DRG Foot Procedures With Mcc 27 7 — — $21,386.10 $82,626.38 $42,497.50 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 27 7 — — $21,112.78 $81,898.93 $42,123.35 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 27 7 — — $20,791.89 $85,895.56 $42,012.55 2026-04-01
333 MS_DRG Rectal Resection With Cc 27 7 — — $18,539.36 $66,347.75 $41,803.31 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 4 1 — — $41,679.54 $44,181.46 $41,679.54 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 7 — — $20,042.32 $74,836.74 $41,628.23 2026-04-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 4 1 — — $41,622.96 $44,121.48 $41,622.96 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 27 7 — — $19,968.75 $80,812.44 $41,564.53 2026-04-01
835 MS_DRG Acute Leukemia With Cc 27 7 — — $16,913.37 $66,681.81 $41,542.31 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 27 7 — — $17,199.37 $73,958.24 $41,310.49 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 28 8 — — $3,039.52 $89,507.48 $41,304.86 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 27 7 — — $20,126.66 $79,725.95 $41,005.71 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 27 7 — — $20,146.32 $83,814.08 $40,994.47 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 7 — — $21,264.34 $79,554.23 $40,917.39 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 27 7 — — $18,053.59 $68,664.35 $40,793.36 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 25 7 — — $17,758.72 $57,509.08 $40,671.36 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 27 7 — — $19,424.01 $78,886.10 $40,573.75 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 7 — — $22,817.40 $78,823.66 $40,541.63 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 27 7 — — $18,433.45 $70,306.57 $40,439.96 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 27 7 — — $17,526.60 $75,928.09 $40,316.76 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 5 — — $39,876.95 $42,070.18 $40,275.72 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 27 7 — — $18,418.23 $78,177.38 $40,209.23 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 27 7 — — $17,058.59 $65,951.24 $40,164.37 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 27 7 — — $17,503.14 $70,250.37 $40,089.80 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 23 7 — — $14,866.30 $56,481.91 $39,944.93 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 27 7 — — $19,685.28 $81,013.60 $39,624.72 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 7 — — $18,342.77 $73,672.19 $39,279.25 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 28 7 — — $15,134.15 $68,027.44 $39,252.41 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 27 7 — — $15,122.50 $57,043.89 $39,151.19 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 27 7 — — $15,825.15 $58,192.82 $39,078.24 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 5 — — $31,386.38 $40,528.67 $38,984.71 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 6 5 — — $31,386.38 $40,528.67 $38,984.71 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 6 5 — — $31,386.38 $40,528.67 $38,984.71 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 27 7 — — $19,488.69 $75,548.58 $38,857.15 2026-04-01
509 MS_DRG Arthroscopy 21 5 — — $16,469.03 $54,839.69 $38,783.52 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 24 8 — — $3,398.63 $54,842.81 $38,728.64 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 27 7 — — $17,447.33 $75,270.71 $38,714.23 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 27 7 — — $19,768.99 $74,961.62 $38,555.26 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 4 1 — — $38,507.77 $40,819.30 $38,507.77 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 27 7 — — $20,042.32 $74,836.74 $38,491.03 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 27 7 — — $17,629.34 $74,151.94 $38,249.85 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 27 7 — — $18,819.65 $74,196.71 $38,161.84 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 27 7 — — $19,167.81 $73,906.35 $38,012.50 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 27 7 — — $18,243.84 $73,887.62 $38,002.86 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 7 — — $15,251.23 $54,196.53 $37,961.30 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 27 7 — — $16,946.98 $66,210.37 $37,904.56 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 27 7 — — $19,281.32 $73,007.19 $37,550.03 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 27 7 — — $18,180.42 $72,435.84 $37,256.17 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 27 7 — — $18,516.53 $72,067.43 $37,066.68 2026-04-01
571 MS_DRG Skin Debridement With Cc 23 7 — — $14,400.19 $52,288.93 $36,979.58 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 27 7 — — $16,792.24 $61,755.14 $36,878.40 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 27 7 — — $17,113.76 $71,617.85 $36,835.45 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 27 7 — — $14,555.56 $52,079.75 $36,831.65 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 27 7 — — $17,687.68 $71,508.58 $36,779.24 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 27 7 — — $18,845.66 $74,677.23 $36,525.53 2026-04-01
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