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Hospital

PHOEBE SUMTER MEDICAL CENTER

Americus, GA · CCN 110044 · Rates published

39,469 distinct procedures filed
12 distinct payers
117,460 rate rows
2026-05-28 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 · 2026-08-14
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 7 $278,166.50 $486,791.38 $292,074.82 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $181,715.74 $343,021.97 $190,801.53 nat. median
$261,939
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $138,457.99 $380,915.51 $173,072.49 nat. median
$199,832
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $139,255.23 $288,905.98 $146,217.99 nat. median
$205,166
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $91,541.09 $403,607.96 $132,734.58 nat. median
$132,706
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $107,917.76 $107,917.76 $107,917.76 nat. median
$83,623
1.3× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $93,245.21 $93,245.21 $93,245.21 nat. median
$58,534
1.6× median
7
MS_DRG 		Lung Transplant 7 $85,807.07 $159,146.24 $90,097.42 nat. median
$122,690
0.7× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $86,335.18 $86,335.18 $86,335.18 nat. median
$51,048
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $79,875.17 $159,548.13 $83,868.93 nat. median
$114,305
0.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $80,770.87 $80,770.87 $80,770.87 nat. median
$62,767
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $75,509.76 $134,202.42 $79,285.25 nat. median
$108,240
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $75,427.04 $131,997.32 $79,198.39 nat. median
$96,134
0.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $77,952.78 $77,952.78 $77,952.78 nat. median
$46,826
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $73,533.52 $128,683.66 $77,210.20 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $72,597.57 $132,660.64 $76,227.45 nat. median
$100,978
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $52,053.22 $138,631.49 $75,477.17 nat. median
$73,475
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $74,486.81 $74,486.81 $74,486.81 nat. median
$57,648
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $69,011.58 $129,683.02 $72,462.16 nat. median
$99,646
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 7 $66,762.39 $129,020.51 $70,100.51 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $65,654.01 $117,526.53 $68,936.71 nat. median
$92,900
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $52,263.82 $150,995.12 $65,329.77 nat. median
$74,472
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $60,734.41 $236,890.74 $63,771.13 nat. median
$81,124
0.8× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $63,555.47 $63,555.47 $63,555.47 nat. median
$40,712
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $3,062.24 $115,871.19 $63,233.80 nat. median
$62,218
1.0× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $61,594.74 $61,594.74 $61,594.74 nat. median
$45,104
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $58,506.85 $112,178.99 $61,432.19 nat. median
$81,364
0.8× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $61,144.14 $61,144.14 $61,144.14 nat. median
$38,383
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $15,601.05 $159,132.86 $59,898.29 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $56,877.38 $103,134.08 $59,721.25 nat. median
$80,459
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $53,475.90 $98,164.07 $56,149.70 nat. median
$77,385
0.7× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $56,088.89 $56,088.89 $56,088.89 nat. median
$46,399
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $44,578.26 $159,869.17 $54,486.85 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $49,338.91 $86,450.88 $51,805.86 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 7 $49,065.95 $97,093.59 $51,519.25 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $49,046.86 $85,832.00 $51,499.20 nat. median
$62,911
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $48,804.45 $96,534.60 $51,244.67 nat. median
$69,153
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $48,777.72 $86,058.73 $51,216.61 nat. median
$68,581
0.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 $34,724.54 $91,836.39 $50,350.58 nat. median
$47,513
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 7 $34,077.83 $74,895.87 $50,119.81 nat. median
$48,124
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $455.18 $123,610.98 $49,756.19 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $47,171.16 $82,549.53 $49,529.72 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $46,237.12 $83,152.97 $48,548.98 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $13,272.06 $80,418.34 $48,251.01 nat. median
$59,832
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $45,922.17 $81,646.50 $48,218.28 nat. median
$62,262
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 $33,261.77 $151,305.39 $48,099.50 nat. median
$45,808
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $45,245.82 $79,180.18 $47,508.11 nat. median
$63,840
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $45,245.82 $79,180.18 $47,508.11 nat. median
$60,895
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $45,093.75 $106,599.33 $47,348.44 nat. median
$59,159
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 $34,832.07 $77,121.12 $46,500.10 nat. median
$47,707
1.0× median

Other procedures at this hospital

Browse this hospital's 39,469 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
             
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 6 — — $27,506.63 $48,136.61 $28,881.96 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 6 — — $27,506.63 $48,136.61 $28,881.96 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 6 — — $27,506.63 $48,136.61 $28,881.96 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 7 — — $181,715.74 $343,021.97 $190,801.53 2026-04-01
10 MS_DRG Pancreas Transplant 8 7 — — $49,065.95 $97,093.59 $51,519.25 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 7 — — $38,112.02 $95,420.92 $40,017.62 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 7 — — $30,234.42 $52,910.24 $31,746.14 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 8 7 — — $21,745.37 $38,054.40 $22,832.64 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 8 7 — — $79,875.17 $159,548.13 $83,868.93 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 9 8 — — $7,627.42 $53,459.18 $32,075.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 8 — — $7,350.76 $57,078.72 $28,610.18 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 8 7 — — $41,138.09 $73,502.79 $43,194.99 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 15 8 — — $18,301.17 $260,701.46 $44,665.64 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 11 7 — — $353.73 $67,566.40 $20,442.26 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 8 — — $9,849.27 $67,728.03 $32,355.14 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 8 7 — — $37,973.31 $73,502.79 $39,871.98 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 7 — — $22,347.28 $39,107.74 $23,464.64 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 7 — — $278,166.50 $486,791.38 $292,074.82 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 7 — — $48,804.45 $96,534.60 $51,244.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 7 — — $75,509.76 $134,202.42 $79,285.25 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 7 — — $53,475.90 $98,164.07 $56,149.70 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 8 — — $3,062.24 $115,871.19 $63,233.80 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 7 — — $19,215.58 $39,981.32 $24,968.72 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 7 7 — — $75,427.04 $131,997.32 $79,198.39 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 7 — — $37,092.08 $67,313.73 $38,946.68 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 7 — — $72,597.57 $132,660.64 $76,227.45 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 7 — — $39,720.49 $69,510.86 $41,706.51 2026-04-01
215 MS_DRG Other Heart Assist System Implant 9 7 — — $66,762.39 $129,020.51 $70,100.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $65,654.01 $117,526.53 $68,936.71 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 7 — — $45,245.82 $79,180.18 $47,508.11 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 7 — — $45,245.82 $79,180.18 $47,508.11 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $52,263.82 $150,995.12 $65,329.77 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 7 — — $23,626.17 $42,994.66 $24,807.48 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $37,340.23 $65,345.40 $39,207.24 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $35,478.51 $62,087.39 $37,252.44 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $93,245.21 $93,245.21 $93,245.21 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $63,555.47 $63,555.47 $63,555.47 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $86,335.18 $86,335.18 $86,335.18 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $61,594.74 $61,594.74 $61,594.74 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $77,952.78 $77,952.78 $77,952.78 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $61,144.14 $61,144.14 $61,144.14 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 7 — — $34,888.06 $61,054.10 $36,632.46 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 7 — — $23,448.65 $46,350.95 $30,886.24 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 7 — — $39,869.38 $69,771.41 $41,862.85 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 8 — — $15,601.05 $159,132.86 $59,898.29 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 7 — — $41,983.69 $74,389.38 $44,082.87 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 7 — — $52,053.22 $138,631.49 $75,477.17 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 10 — — $177.20 $66,791.78 $39,311.73 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 7 — — $40,749.33 $71,655.33 $42,786.80 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 7 — — $30,061.36 $72,280.89 $40,420.53 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 7 — — $34,724.54 $91,836.39 $50,350.58 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 7 — — $28,299.54 $49,524.20 $29,714.52 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 9 — — $8,168.39 $66,472.75 $24,828.25 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 7 — — $23,724.16 $58,987.27 $24,910.37 2026-04-01
245 MS_DRG Aicd Generator Procedures 8 7 — — $32,438.44 $59,509.80 $34,060.36 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $36,479.21 $36,479.21 $36,479.21 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $23,254.67 $23,254.67 $23,254.67 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $36,654.58 $36,654.58 $36,654.58 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $22,124.52 $22,124.52 $22,124.52 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 7 — — $24,829.86 $94,871.00 $38,653.16 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 13 8 — — $13,580.91 $61,797.77 $33,441.21 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 11 8 — — $6,815.77 $34,867.66 $20,920.60 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 7 — — $18,728.92 $36,001.17 $21,600.70 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 7 — — $23,401.57 $40,952.75 $24,571.65 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 7 — — $23,192.24 $51,143.11 $24,351.85 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 7 — — $24,105.92 $42,185.36 $25,311.22 2026-04-01
263 MS_DRG Vein Ligation And Stripping 11 10 — — $177.20 $40,009.64 $23,548.53 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 12 7 — — $24,664.56 $60,118.08 $33,235.26 2026-04-01
265 MS_DRG Aicd Lead Procedures 8 7 — — $26,430.83 $46,253.95 $27,752.37 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 7 — — $42,402.35 $74,204.11 $44,522.47 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 7 — — $33,700.79 $58,976.38 $40,102.18 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 7 — — $47,171.16 $82,549.53 $49,529.72 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 7 — — $30,280.23 $52,990.40 $36,370.65 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 8 7 — — $19,461.82 $34,058.18 $20,434.91 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 7 — — $151.54 $64,716.30 $38,829.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 7 — — $26,036.98 $116,446.84 $34,255.96 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 11 7 — — $19,653.33 $44,546.78 $28,497.33 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 7 — — $29,658.60 $75,645.82 $33,872.25 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 7 — — $24,353.42 $42,618.48 $30,683.28 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 7 — — $48,777.72 $86,058.73 $51,216.61 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 7 — — $167.53 $75,433.07 $43,708.75 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 7 — — $32,795.39 $57,391.93 $34,435.16 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 7 — — $38,825.27 $67,944.22 $40,766.53 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $7,867.99 $46,122.56 $27,673.54 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 9 7 — — $742.11 $74,033.77 $43,720.11 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 7 — — $14,857.97 $37,740.11 $20,166.98 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 7 — — $20,628.09 $58,391.01 $21,659.49 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 7 — — $25,116.30 $43,953.52 $26,372.12 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 7 — — $138,457.99 $380,915.51 $173,072.49 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 7 — — $31,917.34 $55,855.34 $33,513.21 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 13 7 — — $16,676.89 $44,407.42 $21,543.35 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 8 — — $13,272.06 $80,418.34 $48,251.01 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 7 7 — — $18,821.10 $32,936.92 $19,762.16 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 7 — — $31,805.36 $55,659.38 $33,395.63 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 9 8 — — $13,051.92 $32,748.75 $19,649.25 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 7 — — $20,720.99 $48,731.79 $27,901.99 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 8 — — $26,334.46 $54,150.64 $32,490.38 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 7 — — $23,458.20 $41,051.85 $24,631.11 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 8 — — $13,028.95 $41,713.24 $25,027.95 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 7 — — $34,077.83 $74,895.87 $50,119.81 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 7 — — $18,961.08 $34,796.80 $27,493.57 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 7 — — $32,655.41 $156,456.33 $34,288.18 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 13 7 — — $18,019.52 $40,849.06 $21,601.15 2026-04-01
332 MS_DRG Rectal Resection With Mcc 8 7 — — $26,446.73 $46,281.78 $27,769.07 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 6 — — $27,506.63 $48,136.61 $28,881.96 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 6 — — $27,506.63 $48,136.61 $28,881.96 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 6 — — $19,492.45 $34,111.79 $20,467.07 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 6 — — $27,506.63 $48,136.61 $28,881.96 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 6 — — $27,506.63 $48,136.61 $28,881.96 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
333 MS_DRG Rectal Resection With Cc 8 7 — — $18,312.09 $32,046.16 $19,227.69 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 7 — — $25,401.98 $45,727.27 $27,436.36 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $32,351.95 $32,351.95 $32,351.95 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $19,831.32 $19,831.32 $19,831.32 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 7 — — $28,037.40 $49,065.45 $29,439.27 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $27,511.03 $27,511.03 $27,511.03 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 8 7 — — $19,842.94 $34,725.14 $20,835.09 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 9 7 — — $18,619.40 $32,583.95 $19,550.37 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 8 7 — — $19,264.58 $33,713.02 $20,227.81 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 8 7 — — $21,873.90 $38,279.33 $22,967.60 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 7 — — $167.53 $76,694.42 $32,927.31 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 7 — — $17,544.66 $31,860.20 $19,116.12 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 7 7 — — $25,288.10 $44,254.18 $26,552.50 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 8 7 — — $18,770.83 $32,848.95 $19,709.37 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 10 7 — — $24,355.97 $42,622.95 $29,235.31 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 10 7 — — $18,647.40 $32,632.95 $19,579.77 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 7 — — $91,541.09 $403,607.96 $132,734.58 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 7 — — $174.92 $48,959.66 $29,375.80 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 7 — — $28,990.52 $50,733.41 $30,440.05 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 7 — — $38,216.36 $66,878.63 $40,127.18 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 7 — — $21,862.45 $47,086.82 $28,300.96 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 7 — — $26,096.15 $45,668.26 $27,400.96 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 7 — — $24,427.23 $42,747.65 $25,648.59 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 7 — — $26,077.06 $45,634.86 $27,380.91 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 7 — — $17,159.35 $33,169.38 $19,522.99 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 9 — — $5,460.53 $43,903.42 $26,091.17 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 7 — — $29,833.57 $52,208.75 $31,325.25 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $73,533.52 $128,683.66 $77,210.20 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $49,338.91 $86,450.88 $51,805.86 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $39,180.30 $68,565.53 $41,139.32 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 7 — — $60,734.41 $236,890.74 $63,771.13 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 7 — — $40,103.52 $70,181.16 $42,108.70 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 7 — — $45,922.17 $81,646.50 $48,218.28 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 7 — — $30,392.21 $73,569.27 $34,967.87 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $37,319.87 $65,309.77 $39,185.86 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $23,963.39 $41,935.93 $25,161.56 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $107,917.76 $107,917.76 $107,917.76 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $74,486.81 $74,486.81 $74,486.81 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $56,088.89 $56,088.89 $56,088.89 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $56,877.38 $103,134.08 $59,721.25 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $41,350.60 $72,363.55 $43,418.13 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $29,958.28 $52,582.72 $31,456.19 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $80,770.87 $80,770.87 $80,770.87 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $44,547.41 $44,547.41 $44,547.41 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 7 — — $38,550.40 $74,735.25 $40,477.92 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 9 7 — — $20,334.14 $53,715.95 $21,350.85 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $5,801.96 $69,428.47 $40,863.61 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 7 — — $251.40 $40,647.65 $24,388.59 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 8 — — $19,207.00 $63,926.84 $38,356.10 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 7 — — $22,380.64 $45,733.19 $27,140.41 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 13 7 — — $17,941.43 $36,564.59 $21,938.75 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 9 — — $6,436.36 $39,805.13 $23,389.94 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 7 — — $34,132.81 $59,732.42 $35,839.45 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 11 7 — — $22,154.49 $50,216.14 $26,917.09 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 9 7 — — $150.00 $33,149.60 $19,889.76 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 7 — — $9,077.21 $56,052.12 $38,123.54 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 7 — — $15,754.56 $44,432.32 $26,659.40 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 8 7 — — $19,056.52 $33,348.91 $20,009.35 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 7 — — $20,389.38 $38,394.00 $23,036.40 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 15 7 — — $16,736.06 $192,295.63 $19,614.31 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 7 — — $17,648.81 $36,830.71 $22,098.43 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 7 — — $23,942.40 $41,899.20 $25,139.52 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 7 — — $26,770.59 $48,520.32 $31,257.94 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 7 — — $19,545.80 $47,993.20 $21,659.35 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 7 — — $26,478.55 $46,337.46 $27,802.48 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 7 — — $22,604.33 $39,984.60 $23,734.55 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 7 — — $69,011.58 $129,683.02 $72,462.16 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 11 7 — — $23,546.00 $46,219.71 $31,184.87 2026-04-01
503 MS_DRG Foot Procedures With Mcc 8 7 — — $21,168.28 $37,044.49 $22,226.69 2026-04-01
5055 OTHER Level 5 Skin Procedures 2 2 — — $3,301.13 $45,240.91 $24,271.02 2026-04-01
509 MS_DRG Arthroscopy 1 1 — — $21,391.38 $21,391.38 $21,391.38 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 5 5 — — $8,525.21 $41,244.97 $24,805.51 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 7 — — $22,627.87 $39,598.77 $23,759.26 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 5 5 — — $15,374.57 $27,580.32 $19,225.91 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 7 — — $23,686.62 $41,451.58 $24,870.95 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 7 — — $27,188.62 $47,580.08 $28,548.05 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 7 — — $21,671.57 $37,925.25 $24,753.28 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 8 7 — — $7,791.32 $44,234.97 $25,981.15 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 2 2 — — $19,363.34 $20,437.13 $19,900.24 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 5 4 — — $29,195.15 $56,136.78 $34,207.02 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $19,876.09 $19,876.09 $19,876.09 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 7 6 — — $18,162.68 $31,784.69 $19,070.81 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 8 7 — — $19,199.68 $33,599.44 $20,159.66 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 5 4 — — $18,041.66 $36,622.37 $22,605.34 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $26,099.62 $31,520.01 $28,809.81 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 12 7 — — $172.63 $50,853.23 $19,100.09 2026-04-01
5694 OTHER Level 4 Drug Administration 10 9 — — $9,464.23 $50,017.20 $20,863.02 2026-04-01
570 MS_DRG Skin Debridement With Mcc 11 7 — — $21,250.12 $38,714.69 $23,228.81 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $45,093.75 $106,599.33 $47,348.44 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 7 — — $25,496.79 $44,619.38 $26,771.63 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 7 — — $34,594.11 $65,701.30 $36,323.82 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 7 — — $20,274.96 $35,481.18 $21,288.71 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 7 — — $251.40 $42,026.13 $25,215.68 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 8 7 — — $32,913.09 $59,051.89 $34,558.74 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 7 — — $20,951.95 $36,665.91 $23,343.19 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 7 — — $25,598.59 $47,998.81 $31,998.24 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 8 7 — — $21,781.00 $38,116.75 $22,870.05 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 10 — — $16,252.54 $45,597.00 $27,097.65 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 9 — — $12,778.90 $39,594.33 $23,530.35 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 7 — — $620.00 $48,059.66 $28,477.90 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $27,041.16 $47,322.03 $28,393.22 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 7 — — $33,322.85 $58,314.99 $34,988.99 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 7 — — $26,988.20 $47,229.35 $28,337.61 2026-04-01
652 MS_DRG Kidney Transplant 8 7 — — $23,957.67 $41,925.92 $25,155.55 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 8 7 — — $36,472.36 $67,884.89 $38,295.98 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 8 7 — — $21,220.45 $37,135.79 $22,281.47 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 7 — — $23,666.89 $41,417.06 $24,850.23 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 7 — — $19,576.35 $55,113.77 $23,714.25 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 10 — — $326.40 $40,055.30 $23,575.40 2026-04-01
665 MS_DRG Prostatectomy With Mcc 9 7 — — $23,268.59 $41,813.35 $24,432.02 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 9 7 — — $21,988.43 $38,479.75 $23,087.85 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 7 — — $30,142.80 $52,749.90 $41,049.81 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 7 — — $18,289.18 $49,668.16 $24,058.77 2026-04-01
7 MS_DRG Lung Transplant 8 7 — — $85,807.07 $159,146.24 $90,097.42 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 8 7 — — $18,216.01 $31,878.02 $19,126.81 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 7 — — $26,152.78 $47,950.05 $27,460.42 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 7 — — $26,205.59 $48,478.60 $27,515.87 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 11 7 — — $15,083.68 $79,040.67 $20,749.45 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 9 7 — — $19,746.23 $34,555.90 $20,733.54 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 9 7 — — $4,595.61 $33,303.25 $19,981.95 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 10 — — $8,100.00 $72,400.65 $42,256.55 2026-04-01
791 MS_DRG Prematurity With Major Problems 13 10 — — $22,528.24 $53,419.07 $35,151.29 2026-04-01
792 MS_DRG Prematurity Without Major Problems 12 9 — — $2,290.00 $107,424.00 $19,752.60 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 13 10 — — $2,443.60 $52,393.58 $30,837.37 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 8 7 — — $32,225.29 $57,902.25 $33,836.55 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 7 — — $39,069.59 $68,371.78 $41,023.07 2026-04-01
800 MS_DRG Splenic Procedures With Cc 8 7 — — $21,284.72 $37,248.26 $22,348.96 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 7 — — $28,758.92 $50,328.11 $30,196.87 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 7 — — $40,725.16 $71,269.03 $42,761.42 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 7 — — $32,580.96 $57,016.68 $34,210.01 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 11 7 — — $17,824.71 $38,451.35 $25,715.69 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 7 — — $33,172.69 $84,101.69 $34,831.32 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 7 — — $23,515.46 $41,152.06 $24,691.23 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 7 — — $38,339.80 $67,308.85 $40,256.79 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 7 — — $33,977.57 $60,974.86 $35,676.45 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 7 — — $7,696.49 $53,762.37 $25,191.62 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 8 7 — — $19,904.66 $34,833.16 $20,899.89 2026-04-01
849 MS_DRG Radiotherapy 8 7 — — $20,649.09 $36,135.91 $21,681.54 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 8 7 — — $58,506.85 $112,178.99 $61,432.19 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 7 — — $34,832.07 $77,121.12 $46,500.10 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 7 — — $32,351.27 $56,614.72 $36,230.83 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 14 7 — — $15,740.99 $36,326.95 $23,019.64 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 10 8 — — $16,727.79 $35,141.77 $20,909.74 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 7 — — $455.18 $123,610.98 $49,756.19 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 7 — — $28,000.49 $49,000.86 $29,400.51 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 8 7 — — $30,110.98 $53,952.79 $31,616.53 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 8 7 — — $26,780.14 $47,019.62 $28,119.15 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 7 — — $25,530.09 $48,715.82 $29,229.49 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 7 — — $139,255.23 $288,905.98 $146,217.99 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 7 — — $49,046.86 $85,832.00 $51,499.20 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 8 7 — — $23,902.31 $41,829.04 $25,097.43 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 7 — — $28,186.92 $52,692.33 $29,596.27 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 6 — — $22,905.08 $40,083.89 $24,050.33 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 6 — — $22,905.08 $40,083.89 $24,050.33 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 6 — — $22,905.08 $40,083.89 $24,050.33 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 7 — — $26,496.36 $46,368.63 $27,821.18 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 7 — — $25,802.20 $65,112.34 $31,535.01 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 8 7 — — $18,278.36 $31,987.13 $19,192.28 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 10 7 — — $19,820.03 $42,741.33 $22,911.56 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $46,237.12 $83,152.97 $48,548.98 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 8 — — $6,940.90 $59,790.74 $34,190.18 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 8 — — $44,578.26 $159,869.17 $54,486.85 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 7 — — $27,352.69 $72,330.30 $31,732.11 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 8 7 — — $22,141.77 $38,748.10 $23,248.86 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 8 7 — — $19,820.03 $34,685.05 $20,811.03 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 8 — — $20,803.70 $36,406.48 $25,158.60 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 7 — — $42,357.17 $77,015.05 $44,475.03 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 7 — — $26,390.11 $142,980.43 $27,709.62 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 8 7 — — $20,190.34 $35,333.10 $21,199.86 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 14 8 — — $208.19 $160,680.46 $28,117.42 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 7 — — $33,261.77 $151,305.39 $48,099.50 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 7 — — $18,146.63 $41,181.13 $20,004.66 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 7 — — $25,223.20 $155,921.36 $34,494.26 2026-04-01
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