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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

PHOEBE SUMTER MEDICAL CENTER

Americus, GA · CCN 110044 · Rates published

9,039 distinct procedures filed
12 distinct payers
117,460 rate rows
2026-04-01 last MRF observed
Data quality

65,582 of 117,460 rate rows are consumer-grade (55.8%)

51,878 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 51,878
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=G*__*XU8rVXauSQ2GEs2XSTUA*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://hospitalpricedisclosure.com/Default.aspx?ci=jZlMrXy92UZxgxqL*__*9*_*vqA*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-08
Content fingerprint 0d0a4ceabc942c11… · 21,148,598 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $278,166.50 $486,791.38 $347,742.57 nat. median
$168,055
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $138,457.99 $260,985.76 $297,316.92 nat. median
$145,435
outlier · 2.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $60,734.41 $106,285.22 $236,890.74 nat. median
$2,596
outlier · 91.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $181,715.74 $343,021.97 $232,543.55 nat. median
$186,516
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $91,541.09 $172,069.97 $229,894.22 nat. median
$97,418
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $139,255.23 $288,905.98 $181,460.89 nat. median
$131,925
1.4× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 $26,390.11 $46,182.69 $142,980.43 nat. median
$24,748
outlier · 5.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $52,053.22 $95,184.02 $116,183.99 nat. median
$55,935
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $52,263.82 $94,224.36 $114,337.73 nat. median
$55,923
outlier · 2.0×
7
MS_DRG 		Lung Transplant 9 $85,807.07 $159,146.24 $109,454.41 nat. median
$70,649
1.5× median
593
MS_DRG 		Skin Ulcers With Cc 9 $10,957.50 $19,175.62 $108,660.32 nat. median
$8,571
outlier · 12.7×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 9 $107,917.76 $107,917.76 $107,917.76 nat. median
$2,106
outlier · 51.3×
215
MS_DRG 		Other Heart Assist System Implant 9 $66,762.39 $129,020.51 $107,741.10 nat. median
$73,023
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $45,093.75 $78,914.06 $106,599.33 nat. median
$43,299
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $79,875.17 $159,548.13 $103,313.23 nat. median
$72,715
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $51,892.24 $90,896.00 $98,595.06 nat. median
$52,327
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $57,045.99 $103,192.54 $97,999.55 nat. median
$60,505
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $65,654.01 $117,526.53 $97,666.13 nat. median
$69,822
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $75,509.76 $134,202.42 $95,588.62 nat. median
$65,418
1.5× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 $38,112.02 $66,696.03 $95,420.92 nat. median
$37,371
outlier · 2.6×
163
MS_DRG 		Major Chest Procedures With Mcc 9 $31,925.61 $56,129.07 $94,877.68 nat. median
$31,995
outlier · 3.0×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 $93,245.21 $93,245.21 $93,245.21 nat. median
$2,024
outlier · 46.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $73,533.52 $128,683.66 $92,706.76 nat. median
$2,736
outlier · 33.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $72,597.57 $132,660.64 $92,356.29 nat. median
$74,509
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $75,427.04 $131,997.32 $89,973.68 nat. median
$2,110
outlier · 42.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $69,011.58 $129,683.02 $88,241.21 nat. median
$69,922
1.3× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 $86,335.18 $86,335.18 $86,335.18 nat. median
$2,024
outlier · 42.7×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 9 $33,172.69 $58,154.34 $84,101.69 nat. median
$32,899
outlier · 2.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 9 $80,770.87 $80,770.87 $80,770.87 nat. median
$2,106
outlier · 38.4×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 9 $77,952.78 $77,952.78 $77,952.78 nat. median
$2,024
outlier · 38.5×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 $33,261.77 $58,208.10 $75,224.72 nat. median
$33,546
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $58,506.85 $112,178.99 $75,088.90 nat. median
$2,633
outlier · 28.5×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 9 $74,486.81 $74,486.81 $74,486.81 nat. median
$2,106
outlier · 35.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $56,877.38 $103,134.08 $72,257.53 nat. median
$59,651
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $48,777.72 $86,058.73 $68,840.32 nat. median
$51,518
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $53,475.90 $98,164.07 $68,085.98 nat. median
$56,428
1.2× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 $25,223.20 $44,140.60 $67,627.07 nat. median
$24,316
outlier · 2.8×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 9 $32,655.41 $57,146.97 $66,516.72 nat. median
$33,435
2.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $42,357.17 $77,015.05 $65,486.86 nat. median
$41,943
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $44,351.23 $78,766.30 $65,200.39 nat. median
$47,121
1.4× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 9 $38,216.36 $66,878.63 $64,800.46 nat. median
$38,859
1.7× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 9 $26,036.98 $45,564.72 $64,352.00 nat. median
$25,964
outlier · 2.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $47,171.16 $82,549.53 $64,208.11 nat. median
$49,569
1.3× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 $63,555.47 $63,555.47 $63,555.47 nat. median
$2,024
outlier · 31.4×
10
MS_DRG 		Pancreas Transplant 9 $49,065.95 $97,093.59 $63,349.29 nat. median
$23,080
outlier · 2.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $48,804.45 $96,534.60 $63,006.47 nat. median
$45,605
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $49,338.91 $86,450.88 $62,303.85 nat. median
$9,905
outlier · 6.3×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 $61,594.74 $61,594.74 $61,594.74 nat. median
$2,024
outlier · 30.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $49,046.86 $85,832.00 $61,359.35 nat. median
$37,013
1.7× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 9 $61,144.14 $61,144.14 $61,144.14 nat. median
$2,024
outlier · 30.2×

Other procedures at this hospital

Browse this hospital's 9,039 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 19 9 — — $278,166.50 $486,791.38 $347,742.57 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 9 — — $138,457.99 $260,985.76 $297,316.92 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 9 — — $60,734.41 $106,285.22 $236,890.74 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 9 — — $181,715.74 $343,021.97 $232,543.55 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 9 — — $91,541.09 $172,069.97 $229,894.22 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 9 — — $139,255.23 $288,905.98 $181,460.89 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 9 — — $26,390.11 $46,182.69 $142,980.43 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 9 — — $52,053.22 $95,184.02 $116,183.99 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $52,263.82 $94,224.36 $114,337.73 2026-04-01
7 MS_DRG Lung Transplant 19 9 — — $85,807.07 $159,146.24 $109,454.41 2026-04-01
593 MS_DRG Skin Ulcers With Cc 19 9 — — $10,957.50 $19,175.62 $108,660.32 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 9 — — $107,917.76 $107,917.76 $107,917.76 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 9 — — $66,762.39 $129,020.51 $107,741.10 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $45,093.75 $78,914.06 $106,599.33 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 9 — — $79,875.17 $159,548.13 $103,313.23 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 9 — — $51,892.24 $90,896.00 $98,595.06 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 9 — — $57,045.99 $103,192.54 $97,999.55 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $65,654.01 $117,526.53 $97,666.13 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 9 — — $75,509.76 $134,202.42 $95,588.62 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 9 — — $38,112.02 $66,696.03 $95,420.92 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 9 — — $31,925.61 $56,129.07 $94,877.68 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 9 — — $93,245.21 $93,245.21 $93,245.21 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $73,533.52 $128,683.66 $92,706.76 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 9 — — $72,597.57 $132,660.64 $92,356.29 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 9 — — $75,427.04 $131,997.32 $89,973.68 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 9 — — $69,011.58 $129,683.02 $88,241.21 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 9 — — $86,335.18 $86,335.18 $86,335.18 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 9 — — $33,172.69 $58,154.34 $84,101.69 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 9 — — $80,770.87 $80,770.87 $80,770.87 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 12 9 — — $77,952.78 $77,952.78 $77,952.78 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 9 — — $33,261.77 $58,208.10 $75,224.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 9 — — $58,506.85 $112,178.99 $75,088.90 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 9 — — $74,486.81 $74,486.81 $74,486.81 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $56,877.38 $103,134.08 $72,257.53 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 9 — — $48,777.72 $86,058.73 $68,840.32 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 9 — — $53,475.90 $98,164.07 $68,085.98 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 9 — — $25,223.20 $44,140.60 $67,627.07 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 9 — — $32,655.41 $57,146.97 $66,516.72 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 9 — — $42,357.17 $77,015.05 $65,486.86 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 9 — — $44,351.23 $78,766.30 $65,200.39 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 9 — — $38,216.36 $66,878.63 $64,800.46 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 9 — — $26,036.98 $45,564.72 $64,352.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 9 — — $47,171.16 $82,549.53 $64,208.11 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 9 — — $63,555.47 $63,555.47 $63,555.47 2026-04-01
10 MS_DRG Pancreas Transplant 19 9 — — $49,065.95 $97,093.59 $63,349.29 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 9 — — $48,804.45 $96,534.60 $63,006.47 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $49,338.91 $86,450.88 $62,303.85 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 9 — — $61,594.74 $61,594.74 $61,594.74 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 9 — — $49,046.86 $85,832.00 $61,359.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 12 9 — — $61,144.14 $61,144.14 $61,144.14 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 9 — — $34,888.06 $61,054.10 $59,449.57 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 9 — — $23,724.16 $41,517.28 $58,987.27 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 9 — — $46,237.12 $83,152.97 $58,654.11 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 9 — — $20,628.09 $36,099.16 $58,391.01 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 9 — — $45,922.17 $81,646.50 $58,137.08 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 9 — — $47,386.85 $84,719.11 $57,820.50 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 9 — — $34,724.54 $61,336.56 $57,354.32 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $45,245.82 $79,180.18 $57,055.43 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 9 — — $40,103.52 $70,181.16 $56,629.24 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $45,245.82 $79,180.18 $56,281.65 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 9 — — $29,658.60 $51,902.55 $56,124.39 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 12 9 — — $56,088.89 $56,088.89 $56,088.89 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 9 — — $30,392.21 $53,186.37 $55,796.60 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 9 — — $35,142.57 $61,850.49 $54,661.02 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 19 9 — — $13,347.31 $23,357.79 $53,796.45 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 9 — — $20,334.14 $35,584.74 $53,715.95 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 9 — — $42,402.35 $74,204.11 $53,376.65 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 9 — — $41,983.69 $74,389.38 $53,119.15 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 9 — — $34,832.07 $60,956.12 $52,565.47 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 9 — — $41,138.09 $73,502.79 $52,125.73 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 9 — — $32,338.55 $56,592.46 $52,050.81 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $41,350.60 $72,363.55 $51,896.18 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 9 — — $40,749.33 $71,655.33 $51,489.03 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 9 — — $40,725.16 $71,269.03 $51,369.57 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 9 — — $23,192.24 $40,586.42 $51,143.11 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 9 — — $25,802.20 $45,153.85 $50,545.03 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 9 — — $21,772.10 $38,101.17 $50,448.64 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $39,869.38 $69,771.41 $50,297.94 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 9 — — $33,977.57 $60,974.86 $50,049.40 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 9 — — $30,061.36 $52,607.38 $50,012.87 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 9 — — $30,221.06 $52,886.86 $49,841.50 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 9 — — $38,550.40 $74,735.25 $49,578.89 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $39,180.30 $68,565.53 $49,275.01 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 9 — — $39,069.59 $68,371.78 $49,061.42 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 9 — — $37,973.31 $73,502.79 $48,822.49 2026-04-01
602 MS_DRG Cellulitis With Mcc 19 9 — — $12,452.72 $21,792.26 $48,619.16 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 9 — — $38,339.80 $67,308.85 $48,430.77 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 19 9 — — $14,269.90 $24,972.32 $48,327.62 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 9 — — $38,825.27 $67,944.22 $48,139.80 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 9 — — $39,720.49 $69,510.86 $47,380.87 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 9 — — $37,092.08 $67,313.73 $47,129.07 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $37,340.23 $65,345.40 $47,036.43 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 9 — — $37,319.87 $65,309.77 $46,792.01 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 9 — — $36,472.36 $67,884.89 $46,553.64 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 9 — — $33,700.79 $58,976.38 $46,498.45 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 9 — — $32,580.96 $57,016.68 $46,479.79 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 19 9 — — $14,040.84 $24,571.47 $45,374.28 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 19 9 — — $16,736.06 $29,288.11 $44,774.15 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 9 — — $44,547.41 $44,547.41 $44,547.41 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 9 — — $25,598.59 $47,068.34 $44,508.57 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $34,594.11 $65,701.30 $44,320.26 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $35,478.51 $62,087.39 $44,021.56 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 9 — — $34,132.81 $59,732.42 $43,019.94 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 19 9 — — $15,609.87 $27,317.27 $42,204.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 9 — — $30,142.80 $52,749.90 $42,122.14 2026-04-01
950 MS_DRG Aftercare Without Cc/Mcc 19 9 — — $7,137.77 $12,955.81 $42,086.59 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 9 — — $30,280.23 $52,990.40 $41,802.82 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 9 — — $33,322.85 $58,314.99 $41,793.97 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 9 — — $32,913.09 $59,051.89 $41,734.52 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 9 — — $32,351.27 $56,614.72 $41,693.44 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 9 — — $26,770.59 $46,848.53 $41,463.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 9 — — $32,795.39 $57,391.93 $41,312.24 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 9 — — $32,438.44 $59,509.80 $41,296.35 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 19 9 — — $15,083.68 $26,396.44 $41,144.62 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 9 — — $19,576.35 $34,258.61 $40,993.55 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 9 — — $32,225.29 $57,902.25 $40,872.93 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 9 — — $24,664.56 $43,162.98 $40,683.46 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 12 10 — — — — $40,657.37 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 9 — — $29,235.48 $51,162.09 $40,033.61 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 9 — — $22,604.33 $39,557.58 $39,984.60 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 9 — — $31,805.36 $55,659.38 $39,883.55 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 9 — — $36,529.62 $63,926.84 $39,765.62 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 19 9 — — $15,667.77 $27,418.60 $39,725.64 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 9 — — $31,917.34 $55,855.34 $39,692.62 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 9 — — $27,352.14 $47,866.24 $39,282.47 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 9 — — $30,723.71 $54,612.86 $38,698.70 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 9 — — $31,359.34 $54,878.84 $38,430.97 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 19 9 — — $18,289.18 $32,006.06 $38,361.72 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 19 9 — — $9,176.60 $16,059.05 $38,189.46 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 9 — — $27,191.16 $47,584.53 $38,176.91 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 9 — — $30,110.98 $53,952.79 $38,172.43 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $29,958.28 $52,582.72 $37,841.79 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 9 — — $30,234.42 $52,910.24 $37,803.79 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $28,299.54 $49,524.20 $37,693.22 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 9 — — $29,833.57 $52,208.75 $37,330.14 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 19 9 — — $19,653.33 $34,393.33 $36,948.97 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 12 9 — — $36,654.58 $36,654.58 $36,654.58 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 12 9 — — $36,479.21 $36,479.21 $36,479.21 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 9 — — $23,546.00 $41,205.50 $36,241.31 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 9 — — $28,990.52 $50,733.41 $36,240.28 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 9 — — $23,448.65 $41,035.14 $36,173.92 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 9 — — $28,186.92 $52,692.33 $36,006.64 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 9 — — $24,355.97 $42,622.95 $35,832.54 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 19 9 — — $25,604.32 $44,807.56 $35,793.06 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 9 — — $28,758.92 $50,328.11 $35,473.96 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 9 — — $19,545.80 $34,205.15 $35,394.40 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 9 — — $28,000.49 $49,000.86 $35,207.24 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 9 — — $28,037.40 $49,065.45 $35,183.50 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 9 — — $22,154.49 $38,770.36 $35,020.37 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 6 — — $27,506.63 $48,136.61 $34,776.24 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 6 — — $27,506.63 $48,136.61 $34,776.24 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 6 — — $27,506.63 $48,136.61 $34,776.24 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 6 — — $27,506.63 $48,136.61 $34,776.24 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 6 — — $27,506.63 $48,136.61 $34,776.24 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 6 — — $27,506.63 $48,136.61 $34,776.24 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 6 — — $27,506.63 $48,136.61 $34,776.24 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 9 — — $25,848.01 $45,234.02 $34,769.30 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 9 — — $21,862.45 $38,259.29 $34,759.72 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $27,041.16 $47,322.03 $34,187.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 9 — — $36,980.74 $64,716.30 $34,145.21 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 9 — — $19,820.03 $34,685.05 $33,876.71 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 9 — — $27,188.62 $47,580.08 $33,833.75 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 9 — — $26,780.14 $47,019.62 $33,829.22 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 9 — — $26,988.20 $47,229.35 $33,454.67 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 9 — — $26,205.59 $48,478.60 $33,411.91 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 9 — — $26,152.78 $47,950.05 $33,290.72 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 9 — — $26,430.83 $46,253.95 $33,017.07 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 9 — — $26,478.55 $46,337.46 $32,995.94 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 9 — — $26,446.73 $46,281.78 $32,883.88 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 9 — — $26,096.15 $45,668.26 $32,567.58 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 9 — — $26,077.06 $45,634.86 $32,551.47 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 9 — — $17,926.51 $31,371.39 $32,531.43 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 9 — — $26,496.36 $46,368.63 $32,487.06 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 12 9 — — $32,351.95 $32,351.95 $32,351.95 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 9 — — $27,837.61 $48,715.82 $32,276.19 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 9 — — $27,247.79 $47,683.63 $32,214.74 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 19 9 — — $16,727.79 $29,273.63 $32,153.41 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 9 — — $20,720.99 $36,261.73 $31,895.55 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 9 — — $25,496.79 $44,619.38 $31,886.59 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 9 — — $23,268.59 $41,813.35 $31,646.21 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 9 — — $41,627.38 $75,433.07 $31,518.18 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 9 — — $25,116.30 $43,953.52 $31,324.74 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 9 — — $24,353.42 $42,618.48 $31,195.42 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 9 — — $17,824.71 $31,193.24 $31,156.38 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 9 — — $23,992.02 $41,986.04 $31,120.75 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 19 9 — — $16,176.15 $28,308.26 $31,048.23 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 19 9 — — $19,468.82 $34,070.44 $30,738.48 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 9 — — $14,823.45 $25,941.04 $30,690.62 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 9 — — $23,686.62 $41,451.58 $30,607.07 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 9 — — $24,105.92 $42,185.36 $30,346.73 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 9 — — $25,288.10 $44,254.18 $30,165.09 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 9 — — $23,626.17 $42,994.66 $30,034.15 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 19 9 — — $15,682.40 $27,444.20 $30,026.46 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 9 — — $20,803.70 $36,406.48 $29,993.99 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 9 — — $23,942.40 $41,899.20 $29,897.17 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 9 — — $23,902.31 $41,829.04 $29,789.26 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 9 — — $23,963.39 $41,935.93 $29,709.31 2026-04-01
652 MS_DRG Kidney Transplant 19 9 — — $23,957.67 $41,925.92 $29,681.11 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 9 — — $24,427.23 $42,747.65 $29,661.54 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 9 — — $23,666.89 $41,417.06 $29,661.52 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 19 9 — — $18,961.08 $33,181.89 $29,525.37 2026-04-01
792 MS_DRG Prematurity Without Major Problems 19 9 — — $18,992.89 $33,237.56 $29,408.32 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 9 — — $23,458.20 $41,051.85 $29,348.25 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 9 — — $20,898.50 $36,572.38 $29,318.49 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 9 — — $23,515.46 $41,152.06 $29,238.43 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 6 — — $22,905.08 $40,083.89 $28,958.56 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 6 — — $22,905.08 $40,083.89 $28,958.56 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 6 — — $22,905.08 $40,083.89 $28,958.56 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 19 9 — — $16,676.89 $29,184.56 $28,895.85 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 10 — — — — $28,809.81 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 12 10 — — — — $28,778.26 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 9 — — $23,401.57 $40,952.75 $28,696.05 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 19 9 — — $14,136.70 $28,400.68 $28,685.86 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 9 — — $21,988.43 $38,479.75 $28,518.66 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 19 9 — — $13,797.79 $24,146.13 $28,039.56 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 9 — — $22,347.28 $39,107.74 $27,996.00 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 19 9 — — $14,462.05 $25,308.59 $27,977.24 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 9 — — $22,627.87 $39,598.77 $27,968.58 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 9 — — $21,546.22 $37,705.88 $27,947.18 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 19 9 — — $18,662.03 $32,658.55 $27,833.76 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 9 — — $19,052.06 $33,341.11 $27,740.29 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 9 — — $21,671.57 $37,925.25 $27,657.47 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 12 9 — — $27,511.03 $27,511.03 $27,511.03 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 9 — — $22,122.68 $38,714.69 $27,452.12 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 9 — — $21,873.90 $38,279.33 $27,295.49 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 9 — — $22,141.77 $38,748.10 $27,134.98 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 9 — — $21,781.00 $38,116.75 $26,884.32 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 9 — — $21,745.37 $38,054.40 $26,730.53 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 9 — — $21,284.72 $37,248.26 $26,651.30 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 9 — — $21,220.45 $37,135.79 $26,444.63 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 9 — — $30,943.22 $54,150.64 $26,334.46 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 9 — — $21,168.28 $37,044.49 $26,123.16 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 9 — — $21,939.43 $38,394.00 $26,073.67 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 12 10 — — — — $26,043.57 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 12 10 — — — — $25,862.10 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 19 9 — — $17,035.10 $29,811.42 $25,834.65 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 19 9 — — $19,746.23 $34,555.90 $25,757.27 2026-04-01
849 MS_DRG Radiotherapy 19 9 — — $20,649.09 $36,135.91 $25,618.40 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 9 — — $26,129.87 $45,727.27 $25,401.98 2026-04-01
5694 OTHER Level 4 Drug Administration 12 10 — — — — $25,314.52 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 9 — — $20,951.95 $36,665.91 $25,256.72 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 9 — — $20,274.96 $35,481.18 $25,215.27 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 19 9 — — $15,588.87 $27,280.52 $25,175.28 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 9 — — $12,341.38 $21,597.41 $25,134.26 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 9 — — $20,190.34 $35,333.10 $25,112.64 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 9 — — $19,842.94 $34,725.14 $24,812.76 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 19 9 — — $9,219.86 $16,134.76 $24,707.72 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 19 9 — — $17,017.29 $29,780.26 $24,692.51 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 9 — — $19,904.66 $34,833.16 $24,662.84 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 6 — — $19,492.45 $34,111.79 $24,644.03 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 19 9 — — $16,520.37 $28,910.65 $24,395.26 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 19 9 — — $19,820.03 $34,685.05 $24,336.11 2026-04-01
5055 OTHER Level 5 Skin Procedures 12 10 — — — — $24,271.02 2026-04-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 19 9 — — $12,083.69 $21,146.46 $24,241.82 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 9 — — $17,488.76 $30,605.33 $24,173.28 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 19 9 — — $14,626.84 $25,596.97 $24,127.72 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 19 9 — — $17,295.97 $30,267.95 $24,070.01 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 19 9 — — $19,461.82 $34,058.18 $24,069.70 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 9 — — $18,593.32 $32,538.31 $24,030.24 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 19 9 — — $19,199.68 $33,599.44 $23,886.06 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 9 — — $19,264.58 $33,713.02 $23,791.07 2026-04-01
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/Mcc 19 9 — — $11,070.12 $19,372.71 $23,771.53 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 9 — — $20,894.05 $36,564.59 $23,469.15 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 19 9 — — $19,056.52 $33,348.91 $23,449.99 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 19 9 — — $14,315.07 $25,051.37 $23,392.88 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 9 — — $26,055.43 $45,597.00 $23,379.19 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 18 9 — — $18,770.83 $32,848.95 $23,269.31 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 12 9 — — $23,254.67 $23,254.67 $23,254.67 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 9 — — $18,619.40 $32,583.95 $23,208.90 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 19 9 — — $16,714.43 $29,250.25 $23,193.70 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 19 9 — — $15,894.28 $27,814.99 $23,188.76 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 19 9 — — $16,122.70 $28,214.72 $23,097.30 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
53444 HCPCS Insert Tandem Cuff 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 7 6 — — $18,162.68 $31,784.69 $22,962.81 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 19 9 — — $14,883.89 $26,046.81 $22,922.12 2026-04-01
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