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

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Hospital

ST JOSEPH'S HOSPITAL - SAVANNAH

Savannah, GA · CCN 110043 · Rates published

13,165 distinct procedures filed
19 distinct payers
212,580 rate rows
2026-04-01 last MRF observed
Data quality

179,211 of 212,580 rate rows are consumer-grade (84.3%)

33,369 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 32,918
placeholder amount (≤ $0.02) — excluded from medians 451
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sjchs.org/docs/default-source/default-document-library/58-0568702_st-josephs-hospital-savannah_standardcharges.json?sfvrsn=5bb1b404_1
Found on page https://www.sjchs.org/pay-my-bill/standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9b77889216e857fe… · 47,149,874 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,932,600.00 $3,932,600.00 $3,932,600.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,685,266.67 $3,932,600.00 $3,814,251.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $4,636,564.45 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $4,541,473.79 $3,384,580.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,118,277.53 $3,093,027.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.60 $4,787,465.68 $2,547,666.28 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $4,547,400.00 $2,460,260.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $1,153,866.09 $600,602.09 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $1,103,444.44 $584,397.44 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $547,475.13 $1,096,949.46 $570,976.26 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $1,086,769.97 $565,677.70 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $518,888.18 $1,039,798.83 $541,228.62 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $954,143.99 $513,769.84 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $261,671.08 $637,079.14 $321,333.89 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $172,637.50 $475,845.41 $240,009.84 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $131,526.91 $400,774.88 $202,145.30 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $129,013.41 $362,043.51 $182,609.73 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $83,749.23 $389,659.04 $112,785.54 nat. median
$133,176
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $74,034.67 $221,327.65 $111,634.60 nat. median
$117,303
1.0× median
7
MS_DRG 		Lung Transplant 15 $79,777.98 $220,770.15 $111,353.41 nat. median
$122,708
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $69,808.04 $585,587.17 $100,654.71 nat. median
$108,660
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $84,931.00 $106,709.74 $98,762.62 nat. median
$76,377
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $66,988.44 $184,028.90 $92,821.63 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $63,516.46 $179,898.30 $90,738.21 nat. median
$100,136
0.9× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $85,924.80 $95,472.00 $90,698.40 nat. median
$775
outlier · 117.0×
215
MS_DRG 		Other Heart Assist System Implant 15 $49,244.18 $426,533.48 $90,274.66 nat. median
$99,019
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $67,894.63 $177,076.99 $89,315.18 nat. median
$98,905
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $154,449.34 $86,478.50 nat. median
$62,507
1.4× median
90288
HCPCS 		Botulism Ig IV 1 $78,902.10 $87,669.00 $83,285.55 nat. median
$55,037
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $53,345.69 $155,616.44 $78,490.78 nat. median
$83,442
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $19,126.00 $210,088.66 $75,412.54 nat. median
$74,915
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $22,058.00 $163,034.63 $73,053.52 nat. median
$93,672
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $55,502.44 $140,896.63 $71,066.31 nat. median
$82,712
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $69,727.96 $135,969.52 $70,773.88 nat. median
$98,017
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $25,639.00 $143,150.30 $70,664.51 nat. median
$79,312
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $33,717.76 $161,458.07 $70,078.36 nat. median
$68,090
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $107,781.03 $67,945.01 nat. median
$66,682
1.0× median
10
MS_DRG 		Pancreas Transplant 15 $44,204.94 $134,689.74 $67,935.64 nat. median
$68,882
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $43,951.75 $133,914.30 $67,544.52 nat. median
$71,240
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $123,517.45 $67,206.16 nat. median
$69,774
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $24,081.00 $201,110.37 $66,743.67 nat. median
$73,807
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $23,430.00 $143,069.21 $66,114.36 nat. median
$81,118
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $46,941.38 $126,092.34 $63,599.23 nat. median
$72,138
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 7 $12,660.00 $103,329.26 $62,471.89 nat. median
$62,270
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $18,819.00 $136,174.73 $61,017.99 nat. median
$77,576
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $36,259.74 $173,949.45 $60,234.13 nat. median
$66,526
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $23,394.00 $192,040.80 $60,214.64 nat. median
$68,887
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $39,195.53 $200,464.73 $59,076.43 nat. median
$62,134
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $41,466.04 $115,351.09 $58,181.49 nat. median
$64,732
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $44,186.46 $112,827.11 $56,908.43 nat. median
$64,027
0.9× median

Other procedures at this hospital

Browse this hospital's 13,165 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,932,600.00 $3,932,600.00 $3,932,600.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 4 — — $3,685,266.67 $3,932,600.00 $3,814,251.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 5 — — $3,316,462.59 $4,636,564.45 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 5 — — $3,248,445.72 $4,541,473.79 $3,384,580.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 5 — — $2,945,740.00 $4,118,277.53 $3,093,027.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 6 — — $2,455,110.60 $4,787,465.68 $2,547,666.28 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 8 6 — — $2,332,000.00 $4,547,400.00 $2,460,260.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 5 — — $591,726.20 $1,153,866.09 $600,602.09 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 5 — — $565,868.94 $1,103,444.44 $584,397.44 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 5 — — $547,475.13 $1,096,949.46 $570,976.26 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 5 — — $557,317.93 $1,086,769.97 $565,677.70 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 5 — — $518,888.18 $1,039,798.83 $541,228.62 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 5 — — $489,304.61 $954,143.99 $513,769.84 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 15 — — $261,671.08 $637,079.14 $321,333.89 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 15 — — $172,637.50 $475,845.41 $240,009.84 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 15 — — $131,526.91 $400,774.88 $202,145.30 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 15 — — $129,013.41 $362,043.51 $182,609.73 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 15 — — $83,749.23 $389,659.04 $112,785.54 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 15 — — $74,034.67 $221,327.65 $111,634.60 2026-04-01
7 MS_DRG Lung Transplant 23 15 — — $79,777.98 $220,770.15 $111,353.41 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 15 — — $69,808.04 $585,587.17 $100,654.71 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 2 — — $84,931.00 $106,709.74 $98,762.62 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 15 — — $66,988.44 $184,028.90 $92,821.63 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 15 — — $63,516.46 $179,898.30 $90,738.21 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 1 — — $85,924.80 $95,472.00 $90,698.40 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 15 — — $49,244.18 $426,533.48 $90,274.66 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 15 — — $67,894.63 $177,076.99 $89,315.18 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 7 — — $56,824.55 $154,449.34 $86,478.50 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $78,902.10 $87,669.00 $83,285.55 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 15 — — $53,345.69 $155,616.44 $78,490.78 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 17 — — $19,126.00 $210,088.66 $75,412.54 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 17 — — $22,058.00 $163,034.63 $73,053.52 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 15 — — $55,502.44 $140,896.63 $71,066.31 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 7 7 — — $69,727.96 $135,969.52 $70,773.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 17 — — $25,639.00 $143,150.30 $70,664.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 15 — — $33,717.76 $161,458.07 $70,078.36 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 7 — — $55,272.32 $107,781.03 $67,945.01 2026-04-01
10 MS_DRG Pancreas Transplant 23 15 — — $44,204.94 $134,689.74 $67,935.64 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 15 — — $43,951.75 $133,914.30 $67,544.52 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 6 — — $63,342.28 $123,517.45 $67,206.16 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 17 — — $24,081.00 $201,110.37 $66,743.67 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 16 — — $23,430.00 $143,069.21 $66,114.36 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 15 — — $46,941.38 $126,092.34 $63,599.23 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 7 — — $12,660.00 $103,329.26 $62,471.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 18 — — $18,819.00 $136,174.73 $61,017.99 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 15 — — $36,259.74 $173,949.45 $60,234.13 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 16 — — $23,394.00 $192,040.80 $60,214.64 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 15 — — $39,195.53 $200,464.73 $59,076.43 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 15 — — $41,466.04 $115,351.09 $58,181.49 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 15 — — $44,186.46 $112,827.11 $56,908.43 2026-04-01
J9226 HCPCS Supprelin La Implant 12 7 — — $45,020.65 $87,790.27 $55,733.91 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 14 8 — — $2,638.00 $149,820.15 $55,534.80 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 17 — — $22,058.00 $109,091.83 $55,024.41 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 15 — — $39,661.38 $113,261.29 $54,692.86 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 15 — — $33,035.88 $168,329.67 $53,659.18 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 16 — — $28,735.00 $112,636.21 $53,220.93 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 15 — — $40,359.03 $104,030.37 $52,471.48 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 15 — — $34,023.70 $103,673.90 $52,291.68 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 15 — — $32,566.33 $103,990.90 $52,107.13 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 15 — — $20,584.38 $102,700.80 $51,800.86 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 15 — — $8,708.59 $106,836.47 $51,590.38 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 15 — — $36,529.13 $101,964.22 $51,429.34 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 15 — — $33,464.96 $101,964.22 $51,429.34 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 15 — — $28,513.99 $126,534.16 $51,045.04 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 17 — — $25,639.00 $103,194.11 $50,940.60 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 17 — — $22,058.00 $140,811.10 $50,693.11 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 15 — — $36,614.14 $100,435.31 $50,658.18 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 16 — — $34,382.00 $104,641.93 $50,530.65 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 17 — — $21,495.00 $124,450.91 $50,136.68 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 15 — — $23,374.84 $98,355.64 $48,552.14 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 16 — — $16,104.01 $104,506.78 $48,294.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 15 — — $32,011.73 $94,170.98 $47,498.54 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 15 — — $33,819.80 $93,371.89 $47,095.49 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 7 — — $12,660.00 $77,807.37 $47,041.60 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 15 — — $32,832.29 $86,999.44 $47,037.72 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 15 — — $34,526.39 $91,917.31 $46,361.82 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 15 — — $33,700.29 $91,707.82 $46,256.16 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 15 — — $33,599.26 $91,153.70 $45,976.66 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 15 — — $30,193.19 $91,141.87 $45,970.70 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 16 — — $14,784.24 $123,042.62 $45,618.29 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 17 — — $19,126.00 $99,660.00 $45,335.18 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 17 — — $24,081.00 $175,764.28 $45,331.61 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 15 — — $26,027.12 $77,572.55 $45,329.26 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 17 — — $19,126.00 $119,703.84 $45,130.51 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 18 — — $18,819.00 $93,378.65 $45,091.71 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 17 — — $28,735.00 $245,595.14 $45,062.15 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 15 — — $21,928.04 $91,239.86 $44,058.91 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 16 — — $23,430.00 $96,955.13 $43,444.23 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 15 — — $29,596.25 $84,585.28 $42,663.64 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 16 — — $23,394.00 $80,476.80 $42,493.52 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 17 — — $8,946.00 $103,162.58 $42,484.27 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 15 — — $28,866.39 $84,519.39 $41,722.04 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 23 15 — — $28,565.62 $81,917.70 $41,318.16 2026-04-01
245 MS_DRG Aicd Generator Procedures 26 16 — — $8,393.00 $82,552.92 $40,751.31 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 15 — — $28,816.96 $80,672.61 $40,690.15 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 15 — — $29,898.27 $84,181.51 $40,650.50 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 17 — — $21,495.00 $83,276.84 $40,591.68 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 16 — — $13,238.09 $85,799.96 $40,540.72 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 15 — — $27,899.68 $80,322.90 $40,513.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 16 — — $28,791.46 $154,286.34 $39,924.47 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 15 — — $28,244.05 $79,050.78 $39,872.12 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 15 — — $20,916.00 $85,087.03 $39,319.96 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 15 — — $28,962.35 $77,831.03 $39,256.89 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 7 — — $2,431.00 $104,911.49 $39,177.71 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 16 — — $11,160.36 $78,505.90 $38,441.42 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 16 — — $20,485.78 $102,764.00 $37,951.20 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 39 17 — — $15,149.00 $127,315.11 $37,929.23 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 29 17 — — $6,444.00 $82,054.55 $37,918.60 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 15 — — $27,493.10 $74,207.25 $37,429.11 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 15 — — $26,445.84 $75,759.81 $37,397.97 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 34 16 — — $10,201.25 $77,863.13 $37,225.04 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 15 — — $24,098.74 $64,221.16 $37,052.25 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 15 — — $24,269.93 $74,844.15 $36,945.96 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 15 — — $23,989.70 $73,095.62 $36,868.42 2026-04-01
9044 OTHER Ibutilide Fumarate Injection 2 2 — — $12,896.50 $60,713.79 $36,805.15 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 15 — — $26,709.99 $79,476.51 $36,727.25 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 15 — — $26,275.81 $71,445.06 $36,035.90 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 16 — — $23,430.00 $72,943.57 $36,007.76 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 16 — — $24,932.53 $85,665.13 $35,758.18 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 15 — — $25,470.94 $70,791.26 $35,706.13 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 7 — — $34,022.79 $104,939.65 $35,683.95 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 23 15 — — $25,686.26 $70,458.45 $35,538.27 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 15 — — $25,959.17 $69,426.22 $35,017.62 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 15 — — $25,972.11 $69,323.17 $34,965.65 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 15 — — $24,390.79 $72,060.01 $34,797.13 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 15 — — $24,318.48 $132,957.54 $34,793.52 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 15 — — $10,904.24 $204,627.82 $34,746.55 2026-04-01
791 MS_DRG Prematurity With Major Problems 23 15 — — $25,004.93 $68,591.65 $34,596.68 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 15 — — $24,397.40 $70,786.20 $34,182.02 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 15 — — $7,600.90 $138,655.19 $34,143.74 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 15 — — $22,071.36 $67,250.26 $33,920.10 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 15 — — $24,653.04 $68,709.91 $33,917.87 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 7 — — $24,228.42 $65,852.94 $33,872.43 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 7 — — $28,424.06 $55,426.92 $33,872.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 15 — — $22,020.23 $66,517.06 $33,550.28 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 15 — — $23,809.20 $66,383.60 $33,482.97 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 6 — — $27,041.16 $73,497.98 $33,098.99 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 15 — — $22,627.64 $65,226.35 $32,899.27 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 15 — — $20,895.63 $75,410.59 $32,814.91 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 16 — — $611.39 $70,180.30 $32,767.83 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 15 — — $20,582.03 $65,293.93 $32,231.60 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 16 — — $8,925.88 $66,669.11 $32,193.92 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 29 16 — — $18,107.57 $93,834.79 $31,897.78 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 16 — — $20,813.40 $195,029.00 $31,798.28 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 15 — — $4,395.37 $65,692.63 $31,722.38 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 15 — — $19,651.06 $63,995.77 $31,223.35 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 15 — — $21,998.05 $61,222.46 $30,879.76 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 15 — — $22,677.27 $63,721.09 $30,770.34 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 15 — — $17,933.61 $57,159.60 $30,658.51 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 11 7 — — $2,431.00 $81,598.08 $30,621.76 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 15 — — $4,783.73 $60,561.90 $30,546.58 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 15 — — $24,543.52 $60,558.52 $30,544.88 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 15 — — $21,285.73 $64,572.55 $30,510.71 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 15 — — $22,289.44 $60,259.49 $30,394.05 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 15 — — $5,264.50 $61,636.36 $30,333.93 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 15 — — $22,335.64 $59,472.23 $29,996.97 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 15 — — $21,946.92 $59,190.10 $29,854.67 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 8 — — $7,175.00 $61,796.86 $29,841.15 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 15 — — $21,965.40 $59,147.86 $29,833.36 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 15 — — $22,829.09 $58,659.62 $29,587.10 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 15 — — $22,304.84 $58,597.12 $29,555.57 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 17 — — $18,819.00 $59,642.86 $29,442.01 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 15 — — $18,569.13 $59,622.59 $29,432.01 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 16 — — $19,798.05 $79,374.15 $29,350.21 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 37 16 — — $18,725.25 $57,278.54 $29,290.70 2026-04-01
665 MS_DRG Prostatectomy With Mcc 23 15 — — $19,227.74 $58,004.13 $29,256.48 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 15 — — $13,707.00 $60,545.00 $29,236.64 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 15 — — $20,038.44 $57,554.75 $29,029.82 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $27,475.20 $30,528.00 $29,001.60 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 11 7 — — $13,719.00 $79,347.63 $28,654.28 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 31 15 — — $10,773.00 $68,243.12 $28,511.39 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 15 — — $16,211.28 $67,262.26 $28,345.86 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 16 — — $18,709.21 $57,304.72 $28,287.82 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 15 — — $18,687.15 $57,141.57 $28,185.91 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 15 — — $19,402.07 $52,474.70 $28,147.15 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 15 — — $22,910.50 $55,779.18 $28,134.25 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 15 — — $10,234.81 $58,095.36 $28,078.62 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 17 — — $8,946.00 $75,346.73 $27,940.33 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 7 — — $3,988.00 $74,763.13 $27,919.23 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 7 — — $3,988.00 $74,763.13 $27,919.23 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 15 — — $19,613.38 $55,035.84 $27,759.32 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 14 10 — — $3,199.00 $74,763.13 $27,712.93 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 10 6 — — $285.00 $49,046.00 $27,539.07 2026-04-01
570 MS_DRG Skin Debridement With Mcc 24 15 — — $18,118.25 $60,014.05 $27,497.21 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 13 7 — — $1,944.00 $73,497.98 $27,446.78 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 15 — — $19,300.11 $57,950.07 $27,381.57 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 14 10 — — $3,199.00 $73,497.98 $27,243.97 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 14 10 — — $3,199.00 $73,497.98 $27,243.97 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 15 — — $19,515.14 $127,855.75 $27,177.32 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 25 15 — — $12,727.89 $56,100.17 $27,138.39 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 15 — — $19,841.31 $53,726.55 $27,098.93 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 15 — — $10,748.40 $58,532.92 $27,048.91 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 15 — — $22,023.00 $53,618.43 $27,044.39 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 38 16 — — $15,856.96 $60,499.80 $26,887.89 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 15 — — $17,960.88 $54,132.01 $26,721.65 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 15 — — $8,881.12 $55,059.50 $26,587.74 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 15 — — $18,859.96 $52,699.39 $26,580.84 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 15 — — $19,749.68 $54,459.76 $26,298.13 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 15 — — $19,466.76 $52,094.59 $26,275.79 2026-04-01
652 MS_DRG Kidney Transplant 23 15 — — $19,894.90 $51,885.10 $26,170.13 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 15 — — $7,519.29 $50,445.72 $25,974.71 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 17 — — $8,946.00 $55,218.30 $25,800.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 15 — — $18,784.81 $52,239.87 $25,787.62 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 18 — — $15,102.16 $60,327.00 $25,505.74 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 15 — — $17,369.00 $53,040.58 $24,994.33 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 23 15 — — $17,988.27 $49,264.83 $24,848.50 2026-04-01
800 MS_DRG Splenic Procedures With Cc 23 15 — — $17,306.93 $49,222.59 $24,827.19 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 15 — — $15,399.79 $49,198.94 $24,813.56 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 27 15 — — $10,438.00 $53,528.89 $24,736.48 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 15 — — $16,863.53 $51,837.80 $24,493.50 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 15 — — $16,868.50 $81,290.23 $24,458.29 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 15 — — $18,604.92 $48,433.64 $24,429.26 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 10 6 — — $14,526.00 $64,113.03 $24,413.86 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 15 — — $16,386.58 $48,377.89 $24,401.14 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 15 — — $18,607.39 $48,283.28 $24,353.42 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 15 — — $16,329.28 $44,982.18 $24,320.38 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 15 — — $13,117.00 $53,976.59 $24,186.15 2026-04-01
22558 HCPCS Lumbar Spine Fusion 14 8 — — $1,880.00 $64,628.79 $23,956.38 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 15 — — $17,866.30 $47,441.96 $23,929.07 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 15 — — $19,356.49 $47,394.65 $23,905.21 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 15 — — $18,413.60 $48,350.86 $23,867.85 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 27 15 — — $14,766.94 $90,575.14 $23,666.69 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 41 18 — — $5,655.00 $54,109.77 $23,633.73 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 15 — — $15,652.88 $43,657.68 $23,604.26 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 24 15 — — $17,244.71 $47,673.40 $23,533.43 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 11 7 — — $3,988.00 $62,256.09 $23,363.18 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 11 7 — — $3,988.00 $62,256.09 $23,363.18 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 11 7 — — $3,988.00 $62,256.09 $23,363.18 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 15 — — $18,987.88 $46,228.96 $23,317.25 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 24 15 — — $16,671.18 $46,142.80 $23,241.15 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 15 — — $17,787.44 $46,060.02 $23,232.04 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 15 — — $16,841.21 $45,894.46 $23,148.53 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 29 16 — — $12,575.44 $49,685.49 $22,960.39 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 23 15 — — $15,910.99 $45,519.41 $22,959.36 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 30 16 — — $15,001.02 $42,268.99 $22,853.44 2026-04-01
849 MS_DRG Radiotherapy 23 15 — — $16,691.51 $45,122.40 $22,759.11 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 3 — — $12,660.00 $36,503.00 $22,642.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 24 15 — — $14,753.46 $41,856.77 $22,630.57 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 15 — — $16,247.35 $44,823.37 $22,608.29 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 15 — — $17,752.94 $44,765.93 $22,579.32 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 15 — — $14,788.85 $45,668.08 $22,543.53 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 23 15 — — $18,136.74 $44,662.88 $22,527.34 2026-04-01
263 MS_DRG Vein Ligation And Stripping 24 15 — — $18,609.70 $45,308.23 $22,385.49 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 35 17 — — $8,946.00 $47,817.67 $22,352.65 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 25 15 — — $14,101.73 $44,199.98 $22,293.86 2026-04-01
0797 OTHER Inj, Immphentiv, 20 Mcg 12 9 — — $18,129.25 $60,343.81 $22,161.31 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $8,416.50 $35,750.55 $22,083.53 2026-04-01
503 MS_DRG Foot Procedures With Mcc 24 15 — — $16,116.99 $44,710.18 $22,070.68 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 15 — — $12,387.46 $49,239.49 $22,063.52 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 23 15 — — $15,817.36 $43,728.64 $22,056.12 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 25 15 — — $13,544.80 $38,156.97 $22,014.57 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 23 15 — — $15,970.75 $43,140.72 $21,759.58 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 23 15 — — $14,055.49 $42,828.18 $21,601.94 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 7 7 — — $21,183.04 $41,306.93 $21,500.79 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 15 — — $14,380.30 $45,345.40 $21,425.83 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 36 16 — — $575.50 $41,713.44 $21,383.67 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 30 15 — — $859.46 $43,128.90 $21,290.09 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 15 — — $15,487.00 $42,652.48 $21,054.91 2026-04-01
792 MS_DRG Prematurity Without Major Problems 23 15 — — $15,087.97 $41,387.12 $20,875.09 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 8 6 — — $17,000.67 $46,207.89 $20,809.21 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 25 15 — — $7,213.05 $40,880.29 $20,619.45 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 23 15 — — $13,368.00 $40,729.94 $20,543.62 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 23 15 — — $15,888.82 $40,495.11 $20,425.17 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 7 7 — — $200.00 $56,661.30 $20,403.10 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 35 15 — — $10,351.26 $45,479.00 $20,224.05 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 28 15 — — $12,553.39 $42,686.27 $20,169.39 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 25 15 — — $14,141.74 $39,981.53 $20,166.13 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 33 15 — — $14,896.30 $50,648.17 $20,130.68 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 28 15 — — $10,924.98 $38,013.37 $20,117.13 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 32 15 — — $14,484.86 $42,519.02 $20,090.35 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 32 15 — — $12,896.57 $95,696.80 $20,023.31 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 27 15 — — $12,330.31 $78,182.28 $19,925.83 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 15 — — $15,443.98 $43,047.81 $19,893.02 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 26 15 — — $13,214.99 $36,648.33 $19,812.71 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 13 7 — — $3,263.00 $52,980.55 $19,784.84 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 13 7 — — $2,431.00 $52,980.55 $19,784.84 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 13 7 — — $3,988.00 $52,980.55 $19,784.84 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 13 7 — — $3,988.00 $52,980.55 $19,784.84 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 23 15 — — $14,817.53 $39,103.04 $19,723.03 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 15 — — $10,855.89 $36,442.22 $19,703.10 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 8 6 — — $16,064.35 $43,662.95 $19,663.12 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 16 — — $7,409.38 $39,864.96 $19,647.11 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 14 10 — — $3,199.00 $52,980.55 $19,638.65 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 14 10 — — $3,199.00 $52,980.55 $19,638.65 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 25 15 — — $97.00 $40,495.11 $19,554.73 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 29 15 — — $12,184.48 $42,302.78 $19,548.73 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 23 15 — — $13,043.96 $38,753.33 $19,546.64 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 23 15 — — $13,478.27 $38,570.87 $19,454.61 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 23 15 — — $13,502.29 $38,498.23 $19,417.97 2026-04-01
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