Price Transparencybeta Hospital negotiated rates

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

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Hospital

NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN

Dahlonega, GA · CCN 110237 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $13,987 across 5 payers · range $13,321-$29,417

Source: https://www.nghs.com/wp-content/themes/nghs-v2/assets/files/price-transparency/831294232_ngmc-lumpkin,-llc_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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

90,222 of 122,778 rate rows are consumer-grade (73.5%)

32,556 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nghs.com/wp-content/themes/nghs-v2/assets/files/price-transparency/831294232_ngmc-lumpkin,-llc_standardcharges.json
Found on page https://www.nghs.com/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
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
$3,324,572
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
$2,997,086
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
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,584,428.00 $2,401,960.00 nat. median
$2,405,851
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
$370,165
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $679,381.02 $609,477.99 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $650,076.25 $582,845.01 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $636,281.08 $579,414.33 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $635,840.30 $574,037.47 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $626,226.26 $549,227.08 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $575,293.67 $503,983.75 nat. median
$577,541
0.9× 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
$261,939
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
$205,166
1.9× 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
$199,832
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $95,308.01 $409,023.20 $288,842.09 nat. median
$114,305
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
$108,240
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $86,501.00 $340,093.48 $240,165.62 nat. median
$100,978
outlier · 2.4×
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
$96,835
outlier · 2.4×
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
$132,706
1.7× median
7
MS_DRG 		Lung Transplant 7 $102,486.52 $407,992.91 $209,844.34 nat. median
$122,690
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $69,449.06 $287,586.00 $203,086.14 nat. median
$81,364
outlier · 2.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $72,144.75 $260,383.14 $183,876.15 nat. median
$81,124
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 7 $79,439.53 $347,817.44 $183,540.47 nat. median
$98,002
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
$69,153
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
$99,646
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
$66,640
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
$68,581
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
$92,900
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
$62,262
outlier · 2.4×
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
$65,792
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
$58,419
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
$59,832
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $67,681.19 $278,189.60 $136,065.86 nat. median
$79,040
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
$80,459
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
$55,867
outlier · 2.4×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 7 $44,600.32 $188,434.35 $133,067.68 nat. median
$52,535
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
$60,162
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
$77,385
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
$83,623
1.5× median
10
MS_DRG 		Pancreas Transplant 7 $58,024.12 $248,912.54 $128,024.01 nat. median
$67,750
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
$73,475
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
$74,472
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
$58,534
outlier · 2.1×
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
$53,080
outlier · 2.3×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 $47,178.21 $170,781.99 $120,602.03 nat. median
$53,268
outlier · 2.3×
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
$71,485
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
$63,840
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
$50,178
outlier · 2.3×

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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $4,111,590.00 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,316,462.59 $3,759,168.00 $3,415,956.47 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $3,641,694.00 $3,345,899.09 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,945,740.00 $3,289,272.00 $3,034,112.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,455,110.60 $2,809,632.34 $2,528,763.92 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $2,584,428.00 $2,401,960.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 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 OTHER 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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