Price Transparency Hospital negotiated rates

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

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Hospital

NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN

Dahlonega, GA · CCN 110237 · Rates published

11,293 distinct procedures filed
12 distinct payers
122,778 rate rows
2026-04-01 last MRF observed
Data quality

90,231 of 122,778 rate rows are consumer-grade (73.5%)

32,547 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 30,785
template filing: same amount across many unrelated codes — excluded 1,752
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nghs.com/wp-content/themes/nghs-v2/assets/files/price-transparency/831294232_ngmc-lumpkin,-llc_standardcharges.json
Found on page https://www.nghs.com/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint a1fd389abe7b137a… · 33,457,384 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $4,111,590.00 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $3,759,168.00 $3,415,956.47 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $3,641,694.00 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $3,289,272.00 $3,034,112.20 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $2,809,632.34 $2,528,763.92 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,584,428.00 $2,401,960.00 nat. median
$2,448,600
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $335,270.98 $1,177,350.15 $831,415.64 nat. median
$370,174
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $679,381.02 $609,477.99 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $650,076.25 $582,845.01 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $636,281.08 $579,414.33 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $635,840.30 $574,037.47 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $626,226.26 $549,227.08 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $575,293.67 $503,983.75 nat. median
$619,808
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $218,550.74 $879,383.17 $452,296.05 nat. median
$265,286
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $167,167.01 $740,649.54 $380,940.72 nat. median
$206,474
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $166,202.22 $669,072.27 $344,126.15 nat. median
$202,976
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $95,308.01 $409,023.20 $288,842.09 nat. median
$117,357
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $90,025.19 $344,046.05 $243,314.98 nat. median
$108,660
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $86,501.00 $340,093.48 $240,165.62 nat. median
$102,358
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $87,633.64 $327,246.03 $231,093.08 nat. median
$98,894
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $109,425.56 $441,124.63 $226,885.09 nat. median
$133,161
1.7× median
7
MS_DRG 		Lung Transplant 7 $102,486.52 $407,992.91 $209,844.34 nat. median
$122,708
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $69,449.06 $287,586.00 $203,086.14 nat. median
$83,470
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $72,144.75 $260,383.14 $183,876.15 nat. median
$82,711
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 7 $79,439.53 $347,817.44 $183,540.47 nat. median
$99,019
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $57,707.66 $247,479.50 $174,763.92 nat. median
$71,271
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $82,161.40 $332,459.94 $170,995.22 nat. median
$100,136
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $58,354.44 $221,628.51 $156,508.59 nat. median
$68,090
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $57,675.32 $220,623.20 $155,798.66 nat. median
$68,886
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $78,098.23 $316,831.61 $154,966.12 nat. median
$93,672
1.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $54,219.66 $209,311.83 $147,810.85 nat. median
$63,724
outlier · 2.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $55,731.13 $218,890.38 $146,995.10 nat. median
$65,950
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $49,022.31 $193,382.87 $136,562.21 nat. median
$59,099
outlier · 2.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $54,257.39 $193,133.11 $136,385.84 nat. median
$60,691
outlier · 2.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $67,681.19 $278,189.60 $136,065.86 nat. median
$79,312
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $67,477.15 $264,398.16 $135,988.78 nat. median
$81,118
1.7× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 7 $48,430.19 $188,434.35 $133,067.68 nat. median
$56,918
outlier · 2.3×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 7 $44,600.32 $188,434.35 $133,067.68 nat. median
$53,807
outlier · 2.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $49,960.14 $187,026.28 $132,073.35 nat. median
$60,726
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $63,360.84 $264,633.71 $129,435.51 nat. median
$77,570
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $128,939.87 $128,939.87 $128,939.87 nat. median
$87,428
1.5× median
10
MS_DRG 		Pancreas Transplant 7 $58,024.12 $248,912.54 $128,024.01 nat. median
$68,884
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $61,639.17 $256,599.98 $125,506.12 nat. median
$73,807
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $61,894.03 $254,012.91 $124,240.75 nat. median
$74,915
1.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $122,701.86 $122,701.86 $122,701.86 nat. median
$63,570
1.9× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $46,060.97 $171,877.85 $121,375.90 nat. median
$54,210
outlier · 2.2×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 $47,178.21 $170,781.99 $120,602.03 nat. median
$54,592
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $61,444.37 $233,024.18 $119,852.09 nat. median
$72,135
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $53,401.17 $212,002.45 $115,940.82 nat. median
$64,508
1.8× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 7 $43,809.55 $160,778.78 $113,538.01 nat. median
$51,319
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 11,293 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $4,111,590.00 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,316,462.59 $3,759,168.00 $3,415,956.47 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $3,641,694.00 $3,345,899.09 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,945,740.00 $3,289,272.00 $3,034,112.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,455,110.60 $2,809,632.34 $2,528,763.92 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $2,584,428.00 $2,401,960.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 7 — — $335,270.98 $1,177,350.15 $831,415.64 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 5 — — $591,726.20 $679,381.02 $609,477.99 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 5 — — $565,868.94 $650,076.25 $582,845.01 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 5 — — $562,538.19 $636,281.08 $579,414.33 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 5 — — $557,317.93 $635,840.30 $574,037.47 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — — $533,230.17 $626,226.26 $549,227.08 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 5 — — $489,304.61 $575,293.67 $503,983.75 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 7 — — $218,550.74 $879,383.17 $452,296.05 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 7 — — $167,167.01 $740,649.54 $380,940.72 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 7 — — $166,202.22 $669,072.27 $344,126.15 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 7 — — $95,308.01 $409,023.20 $288,842.09 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 7 — — $90,025.19 $344,046.05 $243,314.98 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 7 — — $86,501.00 $340,093.48 $240,165.62 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 7 — — $87,633.64 $327,246.03 $231,093.08 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 7 — — $109,425.56 $441,124.63 $226,885.09 2026-04-01
7 MS_DRG Lung Transplant 25 7 — — $102,486.52 $407,992.91 $209,844.34 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 22 7 — — $69,449.06 $287,586.00 $203,086.14 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 7 — — $72,144.75 $260,383.14 $183,876.15 2026-04-01
215 MS_DRG Other Heart Assist System Implant 25 7 — — $79,439.53 $347,817.44 $183,540.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 7 — — $57,707.66 $247,479.50 $174,763.92 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 7 — — $82,161.40 $332,459.94 $170,995.22 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 7 — — $58,354.44 $221,628.51 $156,508.59 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 7 — — $57,675.32 $220,623.20 $155,798.66 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 7 — — $78,098.23 $316,831.61 $154,966.12 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 7 — — $54,219.66 $209,311.83 $147,810.85 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 7 — — $55,731.13 $218,890.38 $146,995.10 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 7 — — $49,022.31 $193,382.87 $136,562.21 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 7 — — $54,257.39 $193,133.11 $136,385.84 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 7 — — $67,681.19 $278,189.60 $136,065.86 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 7 — — $67,477.15 $264,398.16 $135,988.78 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 22 7 — — $44,600.32 $188,434.35 $133,067.68 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 22 7 — — $48,430.19 $188,434.35 $133,067.68 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 7 — — $49,960.14 $187,026.28 $132,073.35 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 7 — — $63,360.84 $264,633.71 $129,435.51 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 1 — — $128,939.87 $128,939.87 $128,939.87 2026-04-01
10 MS_DRG Pancreas Transplant 25 7 — — $58,024.12 $248,912.54 $128,024.01 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 7 — — $61,639.17 $256,599.98 $125,506.12 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 7 — — $61,894.03 $254,012.91 $124,240.75 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $122,701.86 $122,701.86 $122,701.86 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 7 — — $46,060.97 $171,877.85 $121,375.90 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 7 — — $47,178.21 $170,781.99 $120,602.03 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 7 — — $61,444.37 $233,024.18 $119,852.09 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 7 — — $53,401.17 $212,002.45 $115,940.82 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 7 — — $43,809.55 $160,778.78 $113,538.01 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 7 — — $43,399.15 $168,514.60 $113,165.40 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $111,911.12 $111,911.12 $111,911.12 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 7 — — $55,992.15 $217,188.89 $111,707.48 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 7 — — $45,631.32 $156,195.54 $110,301.43 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 7 — — $54,600.80 $213,173.87 $109,642.42 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 25 7 — — $58,001.02 $208,509.45 $107,243.35 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 25 7 — — $38,476.68 $151,387.51 $107,063.71 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $105,229.60 $105,229.60 $105,229.60 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 7 — — $53,401.17 $195,314.49 $104,902.33 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 7 — — $52,318.58 $201,928.06 $103,858.33 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 7 — — $39,429.92 $146,876.07 $103,720.26 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 7 — — $40,866.70 $163,593.24 $103,074.82 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 7 — — $38,334.24 $145,246.34 $102,569.38 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 7 — — $43,533.90 $181,466.40 $102,495.22 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 7 — — $38,972.55 $143,835.15 $101,572.83 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 7 — — $49,905.47 $197,438.48 $101,549.19 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 1 — — $100,643.23 $100,643.23 $100,643.23 2026-04-01
9 MS_DRG Bone Marrow Transplant 3 1 — — $99,162.87 $99,162.87 $99,162.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 7 — — $42,029.75 $192,252.67 $98,881.95 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 7 — — $45,298.69 $191,593.91 $98,543.13 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 7 — — $49,453.49 $200,541.17 $98,087.08 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 25 7 — — $49,035.40 $199,582.51 $97,618.19 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 7 — — $37,136.15 $137,138.24 $96,843.64 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $96,278.61 $96,278.61 $96,278.61 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 7 — — $48,536.45 $185,608.85 $95,464.81 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 7 — — $47,959.74 $193,170.63 $94,482.06 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 7 — — $36,092.83 $132,976.48 $93,904.71 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 7 — — $47,930.48 $181,765.54 $93,488.07 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 7 — — $35,614.67 $132,033.61 $93,238.88 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 7 — — $48,687.37 $179,177.32 $92,156.86 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 7 — — $35,290.51 $136,589.80 $91,726.42 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 7 — — $46,894.86 $187,290.61 $91,606.07 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 5 — — $89,925.09 $94,870.97 $90,824.34 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $90,416.80 $90,416.80 $90,416.80 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 7 — — $35,426.03 $127,481.59 $90,024.35 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 7 — — $42,783.94 $174,032.10 $89,510.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 7 — — $45,043.83 $172,555.34 $88,750.96 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 7 — — $43,834.19 $173,882.45 $87,595.25 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 7 — — $45,926.99 $169,867.22 $87,368.37 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 1 — — $87,205.27 $87,205.27 $87,205.27 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 7 — — $44,894.45 $169,480.08 $87,169.25 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 7 — — $44,768.18 $168,456.03 $86,642.54 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 7 — — $37,874.64 $168,434.17 $86,631.30 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 7 — — $33,729.77 $122,673.55 $86,629.04 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 7 — — $34,538.24 $128,368.94 $86,205.73 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 7 — — $44,834.39 $174,657.26 $85,426.95 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 7 — — $42,853.24 $159,049.14 $81,804.27 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 7 — — $41,174.69 $158,562.09 $81,553.76 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 7 — — $40,668.81 $165,352.98 $80,876.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 7 — — $39,764.86 $156,317.30 $80,399.19 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 7 — — $41,581.24 $150,769.48 $80,231.67 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 7 — — $40,798.94 $156,151.83 $79,796.50 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 7 — — $31,549.19 $111,889.82 $79,013.83 2026-04-01
265 MS_DRG Aicd Lead Procedures 22 7 — — $30,632.14 $117,104.64 $78,641.23 2026-04-01
245 MS_DRG Aicd Generator Procedures 25 7 — — $37,902.28 $160,428.34 $78,467.42 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 25 7 — — $39,952.73 $151,640.40 $77,993.71 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 7 — — $27,238.08 $115,906.32 $77,951.23 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 7 — — $5,205.46 $168,615.25 $77,810.58 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $77,093.54 $77,093.54 $77,093.54 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 7 — — $38,790.83 $149,086.52 $76,680.16 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 7 — — $31,306.65 $108,405.56 $76,553.33 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 25 7 — — $37,644.34 $148,440.24 $76,347.76 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 7 — — $38,898.63 $148,434.00 $76,344.55 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 7 — — $30,155.53 $113,082.86 $75,940.41 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 7 — — $34,900.90 $134,802.91 $75,604.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 7 — — $38,074.75 $146,089.30 $75,138.59 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 1 — — $74,444.79 $74,444.79 $74,444.79 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 25 7 — — $37,281.68 $143,894.47 $74,009.72 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 7 — — $38,164.84 $143,357.47 $73,733.52 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 3 1 — — $73,172.42 $73,172.42 $73,172.42 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 7 — — $31,620.80 $103,082.38 $72,794.23 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 7 — — $37,796.79 $140,847.30 $72,442.46 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 7 — — $35,827.19 $140,007.45 $72,010.50 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 7 — — $37,781.39 $146,819.92 $71,811.38 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 25 7 — — $35,085.70 $138,315.27 $71,140.15 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 7 — — $30,541.29 $100,038.33 $70,644.60 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 7 — — $27,034.81 $99,751.10 $70,441.76 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 7 — — $32,757.28 $135,083.90 $69,478.15 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 7 — — $28,118.17 $102,458.77 $68,805.83 2026-04-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 3 1 — — $68,748.15 $68,748.15 $68,748.15 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 7 — — $27,023.26 $101,976.15 $68,582.69 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 7 — — $36,596.40 $133,170.05 $68,493.79 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 7 — — $35,218.91 $128,302.70 $68,491.23 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 7 — — $27,646.17 $96,341.76 $68,034.18 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 7 — — $25,690.42 $95,798.52 $67,650.55 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 7 — — $37,271.67 $137,571.45 $67,287.84 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 7 — — $35,124.20 $130,815.99 $67,283.02 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 25 7 — — $34,877.81 $130,210.30 $66,971.49 2026-04-01
570 MS_DRG Skin Debridement With Mcc 22 7 — — $25,418.62 $93,987.70 $66,371.80 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 7 — — $35,025.64 $134,994.22 $66,027.28 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 6 5 — — $31,386.38 $68,529.33 $65,918.69 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 7 — — $35,235.07 $128,112.25 $65,892.40 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 7 — — $34,749.99 $126,978.93 $65,309.49 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 5 — — $63,342.28 $74,514.99 $65,242.55 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 7 — — $34,026.21 $126,760.38 $65,197.09 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 7 — — $24,872.71 $90,996.73 $64,259.65 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 7 — — $32,334.57 $124,368.85 $63,967.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 7 — — $30,359.57 $124,281.43 $63,922.08 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 7 — — $31,468.34 $123,207.43 $63,369.69 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 7 — — $30,295.66 $122,926.44 $63,225.16 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 7 — — $27,492.17 $89,354.50 $63,099.94 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 7 — — $32,531.68 $122,679.80 $63,098.31 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 7 — — $23,722.36 $88,876.82 $62,762.62 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 7 — — $32,576.34 $127,663.07 $62,441.53 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 7 — — $29,625.01 $120,666.04 $62,062.56 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 25 7 — — $31,054.86 $120,541.16 $61,998.33 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 7 — — $31,552.27 $120,232.07 $61,839.36 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 7 — — $31,747.07 $119,332.91 $61,376.89 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 7 — — $32,893.57 $124,803.50 $61,042.88 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 7 — — $32,503.19 $123,831.70 $60,567.56 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 7 — — $30,177.86 $116,891.42 $60,121.15 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 7 — — $30,227.14 $109,307.84 $58,939.22 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 7 — — $29,871.41 $113,906.70 $58,586.01 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 7 — — $30,267.94 $113,141.78 $58,192.59 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 7 — — $30,582.87 $111,921.04 $57,564.72 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 7 — — $33,449.50 $111,914.80 $57,561.51 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 7 — — $31,043.31 $110,865.77 $57,021.96 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $55,272.32 $65,721.97 $56,930.49 2026-04-01
332 MS_DRG Rectal Resection With Mcc 25 7 — — $30,651.39 $108,290.04 $56,796.67 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 7 — — $29,006.72 $110,185.15 $56,671.89 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 25 7 — — $25,441.72 $82,538.96 $56,565.75 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 7 — — $30,689.89 $109,907.29 $56,528.98 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 25 7 — — $23,080.20 $82,835.56 $56,353.18 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 7 — — $30,204.04 $109,385.90 $56,260.81 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 7 — — $29,170.73 $109,367.16 $56,251.17 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 7 — — $28,494.68 $114,740.82 $56,121.10 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 22 7 — — $20,340.61 $79,148.36 $55,892.62 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 7 — — $29,501.82 $108,171.40 $55,636.15 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 7 — — $29,372.46 $107,362.77 $55,220.25 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 22 7 — — $22,430.34 $82,142.99 $55,162.85 2026-04-01
665 MS_DRG Prostatectomy With Mcc 25 7 — — $26,805.35 $107,194.18 $55,133.54 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 25 7 — — $29,631.94 $112,616.66 $55,082.15 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 7 — — $29,926.84 $106,928.80 $54,997.04 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 7 — — $27,818.64 $111,848.41 $54,706.39 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 22 7 — — $21,213.00 $77,353.15 $54,624.89 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 7 — — $27,356.66 $111,362.51 $54,468.74 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 7 — — $21,702.71 $76,444.62 $54,062.88 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 7 — — $29,041.37 $110,197.02 $53,898.68 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 1 — — $53,326.69 $53,326.69 $53,326.69 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 25 7 — — $28,121.25 $109,021.67 $53,323.80 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 7 — — $27,708.54 $101,752.36 $52,334.63 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 7 — — $27,287.36 $101,708.65 $52,312.15 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 7 — — $26,381.63 $85,433.14 $52,191.95 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 7 — — $27,620.76 $100,644.02 $51,764.57 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 7 — — $27,680.82 $99,576.26 $51,215.39 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 25 7 — — $27,572.25 $99,289.02 $51,067.65 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 7 — — $21,293.08 $72,264.13 $51,031.15 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 7 — — $30,598.61 $99,089.21 $50,964.88 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 7 — — $27,141.06 $98,923.74 $50,879.77 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 7 — — $25,103.70 $87,674.81 $50,694.77 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 7 — — $21,592.60 $75,807.71 $50,376.67 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 25 7 — — $26,345.68 $97,390.79 $50,091.33 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 7 — — $27,311.23 $96,541.58 $49,654.55 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 7 — — $27,104.10 $96,273.08 $49,516.45 2026-04-01
652 MS_DRG Kidney Transplant 25 7 — — $27,639.24 $95,885.94 $49,317.33 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 7 — — $26,712.96 $100,410.12 $49,111.79 2026-04-01
238 MS_DRG Major Cardiovasc Procedures Without Mcc 3 1 — — $48,770.91 $48,770.91 $48,770.91 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 25 7 — — $24,326.79 $88,102.54 $48,723.50 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 25 7 — — $24,994.36 $93,225.91 $47,949.19 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 7 — — $23,254.21 $89,404.46 $47,397.59 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 22 7 — — $19,566.79 $67,072.07 $47,364.64 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 7 — — $26,755.30 $92,058.24 $47,348.62 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 7 — — $25,196.87 $91,820.96 $47,226.58 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 5 — — $46,714.68 $49,283.99 $47,181.82 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 7 — — $25,117.56 $91,564.95 $47,094.90 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 8 — — $10,297.37 $102,045.84 $47,090.91 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 25 7 — — $25,256.16 $91,043.56 $46,826.73 2026-04-01
800 MS_DRG Splenic Procedures With Cc 25 7 — — $24,404.56 $90,965.51 $46,786.59 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 7 — — $24,721.02 $95,603.67 $46,760.90 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 25 7 — — $25,457.12 $90,447.24 $46,520.03 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 22 7 — — $19,078.62 $65,820.11 $46,480.54 2026-04-01
J9226 HCPCS Supprelin La Implant 5 5 — — $45,020.65 $53,521.61 $46,371.27 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 6 5 — — $31,386.38 $47,987.63 $46,159.54 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 6 5 — — $31,386.38 $47,987.63 $46,159.54 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 5 — — $31,386.38 $47,987.63 $46,159.54 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 25 7 — — $19,619.15 $71,280.67 $46,038.05 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 7 — — $24,358.69 $89,507.48 $46,036.68 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 7 — — $25,410.85 $89,229.62 $45,893.76 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 7 — — $26,966.28 $92,103.89 $45,049.11 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 25 7 — — $18,845.32 $63,319.31 $44,780.45 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 7 — — $23,609.94 $85,273.92 $44,568.39 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 7 — — $19,537.53 $65,448.58 $44,542.39 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $44,420.05 $44,420.05 $44,420.05 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 25 7 — — $21,230.71 $73,797.08 $44,250.30 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 25 7 — — $18,157.73 $62,385.80 $44,120.26 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 7 — — $25,005.14 $85,120.93 $43,780.53 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 7 — — $23,822.46 $84,814.97 $43,623.16 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 22 7 — — $18,173.90 $61,558.45 $43,471.06 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 7 — — $24,001.86 $84,396.61 $43,407.99 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 25 7 — — $22,659.79 $84,121.86 $43,266.68 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 7 — — $23,937.18 $83,800.29 $43,101.28 2026-04-01
263 MS_DRG Vein Ligation And Stripping 25 7 — — $22,904.33 $88,049.27 $43,065.95 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 25 7 — — $22,337.17 $80,681.31 $43,002.39 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 25 7 — — $22,207.04 $78,577.01 $42,944.27 2026-04-01
849 MS_DRG Radiotherapy 25 7 — — $19,365.53 $83,388.17 $42,889.31 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 25 7 — — $23,182.60 $83,129.03 $42,756.03 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 25 7 — — $24,962.02 $82,729.41 $42,550.49 2026-04-01
503 MS_DRG Foot Procedures With Mcc 25 7 — — $24,263.65 $82,626.38 $42,497.50 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 25 7 — — $23,931.79 $81,898.93 $42,123.35 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 25 7 — — $23,542.18 $85,895.56 $42,012.55 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 1 — — $41,679.54 $41,679.54 $41,679.54 2026-04-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 1 — — $41,622.96 $41,622.96 $41,622.96 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 25 7 — — $22,542.75 $80,812.44 $41,564.53 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 25 7 — — $19,070.15 $64,852.26 $41,405.80 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 25 7 — — $20,009.52 $69,691.52 $41,057.12 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 25 7 — — $22,734.48 $79,725.95 $41,005.71 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 25 7 — — $22,758.35 $83,814.08 $40,994.47 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 7 — — $24,115.82 $79,554.23 $40,917.39 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 22 7 — — $17,758.72 $57,509.08 $40,611.49 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 25 7 — — $21,881.34 $78,886.10 $40,573.75 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 7 — — $24,340.63 $78,823.66 $40,541.63 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 25 7 — — $18,961.58 $66,547.56 $40,345.99 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 3 2 — — $23,238.00 $41,373.88 $40,232.32 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 25 7 — — $19,605.63 $78,177.38 $40,209.23 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 22 7 — — $16,347.51 $56,481.91 $39,886.13 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 25 7 — — $22,198.57 $81,013.60 $39,624.72 2026-04-01
333 MS_DRG Rectal Resection With Cc 25 7 — — $20,488.09 $66,347.75 $39,436.06 2026-04-01
792 MS_DRG Prematurity Without Major Problems 25 7 — — $21,631.10 $76,485.21 $39,338.89 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 25 7 — — $22,632.07 $74,836.74 $39,270.89 2026-04-01
835 MS_DRG Acute Leukemia With Cc 25 7 — — $18,833.00 $66,681.81 $39,189.84 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 25 7 — — $19,180.26 $73,958.24 $38,971.15 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 25 7 — — $21,959.88 $75,548.58 $38,857.15 2026-04-01
509 MS_DRG Arthroscopy 19 5 — — $16,469.03 $54,839.69 $38,783.52 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 22 7 — — $16,115.74 $54,842.81 $38,728.64 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 25 7 — — $19,481.32 $75,270.71 $38,714.23 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 25 7 — — $22,300.21 $74,961.62 $38,555.26 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $38,507.77 $38,507.77 $38,507.77 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 25 7 — — $22,632.07 $74,836.74 $38,491.03 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 25 7 — — $20,217.42 $68,664.35 $38,483.31 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 25 7 — — $21,147.55 $74,196.71 $38,161.84 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 25 7 — — $20,678.64 $70,306.57 $38,149.92 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 25 7 — — $19,261.88 $68,027.44 $38,108.63 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 25 7 — — $19,577.57 $75,928.09 $38,033.69 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 25 7 — — $21,570.27 $73,906.35 $38,012.50 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 25 7 — — $20,448.41 $73,887.62 $38,002.86 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 7 — — $20,568.53 $73,672.19 $37,892.06 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 25 7 — — $19,009.32 $65,951.24 $37,889.94 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 25 7 — — $19,549.08 $70,250.37 $37,819.59 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 25 7 — — $21,708.10 $73,007.19 $37,550.03 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 25 7 — — $20,371.41 $72,435.84 $37,256.17 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 7 — — $20,779.50 $72,067.43 $37,066.68 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 25 7 — — $16,658.58 $57,043.89 $36,934.12 2026-04-01
571 MS_DRG Skin Debridement With Cc 22 7 — — $15,781.57 $52,288.93 $36,925.15 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 25 7 — — $17,511.71 $58,192.82 $36,865.31 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 25 7 — — $19,076.31 $71,617.85 $36,835.45 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 25 7 — — $15,970.22 $52,079.75 $36,831.65 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 25 7 — — $19,773.14 $71,508.58 $36,779.24 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 25 7 — — $19,649.17 $71,146.41 $36,592.97 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 25 7 — — $21,179.12 $74,677.23 $36,525.53 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 2 1 — — $36,448.92 $36,448.92 $36,448.92 2026-04-01
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