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

WELLSTAR SYLVAN GROVE MEDICAL CENTER

Jackson, GA · CCN 111319 · Rates published

13,293 distinct procedures filed
23 distinct payers
150,047 rate rows
2026-04-01 last MRF observed
Data quality

55,602 of 150,047 rate rows are consumer-grade (37.1%)

94,445 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 94,401
placeholder amount (≤ $0.02) — excluded from medians 34
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wellstar.org/wellstar-sylvan-grove-hospital_standard-charges
Found on page https://www.wellstar.org/financial-policy-and-privacy-info/hospital-pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 856046431eddf67b… · 29,870,906 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 1 $0.03 $13,926,860.44 $4,983,864.46 nat. median
$3,685,267
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $0.03 $12,609,421.52 $4,512,405.94 nat. median
$3,325,455
1.4× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $0.03 $9,057,120.27 $3,827,233.24 nat. median
$2,455,111
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $1,002,374.83 $1,512,329.86 $1,230,850.15 nat. median
$168,055
outlier · 7.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $748,691.08 $1,129,585.31 $919,343.25 nat. median
$186,516
outlier · 4.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $630,575.75 $951,379.17 $774,305.41 nat. median
$131,925
outlier · 5.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $569,636.15 $859,436.74 $699,475.61 nat. median
$145,435
outlier · 4.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $375,565.61 $566,633.43 $461,169.79 nat. median
$97,418
outlier · 4.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $348,235.02 $525,398.49 $427,609.63 nat. median
$72,715
outlier · 5.9×
7
MS_DRG 		Lung Transplant 7 $347,357.85 $524,075.06 $426,532.52 nat. median
$70,649
outlier · 6.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $292,914.65 $441,934.05 $359,679.86 nat. median
$65,418
outlier · 5.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $289,549.49 $436,856.88 $355,547.67 nat. median
$74,509
outlier · 4.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $283,050.44 $427,051.45 $347,567.26 nat. median
$69,922
outlier · 5.0×
215
MS_DRG 		Other Heart Assist System Implant 7 $281,604.43 $424,869.80 $345,791.66 nat. median
$73,023
outlier · 4.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $278,611.41 $420,354.09 $342,116.43 nat. median
$2,736
outlier · 125.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $244,845.57 $369,409.98 $300,654.20 nat. median
$2,633
outlier · 114.2×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $0.03 $1,178,375.50 $294,593.90 nat. median
$574,037
0.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $235,544.87 $355,377.59 $294,524.88 nat. median
$2,106
outlier · 139.9×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $0.03 $1,152,532.70 $288,133.20 nat. median
$579,571
outlier · 0.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $0.03 $1,141,359.08 $285,339.79 nat. median
$621,313
outlier · 0.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $36,995.00 $387,019.64 $280,237.39 nat. median
$69,822
outlier · 4.0×
Q2053
HCPCS 		Brexucabtagene Car+ Tecartus 2 $0.03 $1,120,791.00 $280,197.78 nat. median
$513,770
0.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $0.03 $1,120,267.47 $280,066.89 nat. median
$562,501
outlier · 0.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $225,103.86 $339,624.73 $276,412.68 nat. median
$59,651
outlier · 4.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $221,685.54 $334,467.36 $272,215.22 nat. median
$2,596
outlier · 104.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $214,256.15 $323,258.29 $263,092.42 nat. median
$56,428
outlier · 4.7×
10
MS_DRG 		Pancreas Transplant 7 $211,919.68 $319,733.15 $260,223.39 nat. median
$23,080
outlier · 11.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $210,699.61 $317,892.38 $258,725.22 nat. median
$45,605
outlier · 5.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $36,995.00 $339,817.23 $246,622.56 nat. median
$60,505
outlier · 4.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $198,392.61 $299,324.22 $243,613.03 nat. median
$52,327
outlier · 4.7×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $188,690.54 $284,686.26 $231,699.54 nat. median
$9,905
outlier · 23.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $187,834.64 $283,394.92 $230,648.54 nat. median
$51,518
outlier · 4.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $36,995.00 $313,444.84 $227,841.67 nat. median
$55,935
outlier · 4.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $184,910.73 $278,983.48 $227,058.18 nat. median
$48,611
outlier · 4.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $36,995.00 $310,284.65 $225,591.16 nat. median
$55,923
outlier · 4.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $181,492.41 $273,826.10 $222,860.71 nat. median
$47,340
outlier · 4.7×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $176,293.17 $265,981.76 $220,436.65 nat. median
$2,106
outlier · 104.7×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $178,204.34 $268,865.24 $218,823.17 nat. median
$2,958
outlier · 74.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $177,521.21 $267,834.56 $217,984.33 nat. median
$37,013
outlier · 5.9×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $177,220.84 $267,381.39 $217,615.50 nat. median
$49,569
outlier · 4.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $171,917.93 $259,380.64 $211,103.88 nat. median
$47,121
outlier · 4.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $168,095.59 $253,613.69 $206,410.29 nat. median
$41,943
outlier · 4.9×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 7 $162,577.37 $245,288.10 $203,286.45 nat. median
$2,106
outlier · 96.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $164,642.71 $248,404.18 $202,170.39 nat. median
$43,533
outlier · 4.6×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $164,430.07 $248,083.34 $201,909.27 nat. median
$2,633
outlier · 76.7×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $163,680.48 $246,952.41 $200,988.83 nat. median
$43,299
outlier · 4.6×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 $163,119.62 $246,106.22 $200,300.13 nat. median
$38,844
outlier · 5.2×
28
MS_DRG 		Spinal Procedures With Mcc 7 $161,588.56 $243,796.23 $198,420.09 nat. median
$41,895
outlier · 4.7×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 7 $160,429.63 $242,047.69 $196,997.00 nat. median
$38,932
outlier · 5.1×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 7 $160,429.63 $242,047.69 $196,997.00 nat. median
$29,295
outlier · 6.7×

Other procedures at this hospital

Browse this hospital's 13,293 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 1 — — $0.03 $13,926,860.44 $4,983,864.46 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 1 — — $0.03 $12,609,421.52 $4,512,405.94 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 2 — — $0.03 $9,057,120.27 $3,827,233.24 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 19 7 — — $1,002,374.83 $1,512,329.86 $1,230,850.15 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 7 — — $748,691.08 $1,129,585.31 $919,343.25 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 7 — — $630,575.75 $951,379.17 $774,305.41 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 7 — — $569,636.15 $859,436.74 $699,475.61 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 7 — — $375,565.61 $566,633.43 $461,169.79 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 7 — — $348,235.02 $525,398.49 $427,609.63 2026-04-01
7 MS_DRG Lung Transplant 19 7 — — $347,357.85 $524,075.06 $426,532.52 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 7 — — $292,914.65 $441,934.05 $359,679.86 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 7 — — $289,549.49 $436,856.88 $355,547.67 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 7 — — $283,050.44 $427,051.45 $347,567.26 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 7 — — $281,604.43 $424,869.80 $345,791.66 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 7 — — $278,611.41 $420,354.09 $342,116.43 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 7 — — $244,845.57 $369,409.98 $300,654.20 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 2 $2,897,167.68 $1,129,895.40 61% off $0.03 $1,178,375.50 $294,593.90 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 18 7 — — $235,544.87 $355,377.59 $294,524.88 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 2 — — $0.03 $1,152,532.70 $288,133.20 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 2 $2,705,774.23 $1,055,251.95 61% off $0.03 $1,141,359.08 $285,339.79 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $36,995.00 $387,019.64 $280,237.39 2026-04-01
Q2053 HCPCS Brexucabtagene Car+ Tecartus 6 2 $2,705,774.23 $1,055,251.95 61% off $0.03 $1,120,791.00 $280,197.78 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 2 $2,705,774.23 $1,055,251.95 61% off $0.03 $1,120,267.47 $280,066.89 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 7 — — $225,103.86 $339,624.73 $276,412.68 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 7 — — $221,685.54 $334,467.36 $272,215.22 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 7 — — $214,256.15 $323,258.29 $263,092.42 2026-04-01
10 MS_DRG Pancreas Transplant 19 7 — — $211,919.68 $319,733.15 $260,223.39 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 7 — — $210,699.61 $317,892.38 $258,725.22 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 8 — — $36,995.00 $339,817.23 $246,622.56 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 7 — — $198,392.61 $299,324.22 $243,613.03 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 7 — — $188,690.54 $284,686.26 $231,699.54 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 7 — — $187,834.64 $283,394.92 $230,648.54 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 8 — — $36,995.00 $313,444.84 $227,841.67 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 7 — — $184,910.73 $278,983.48 $227,058.18 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $36,995.00 $310,284.65 $225,591.16 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 7 — — $181,492.41 $273,826.10 $222,860.71 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 7 — — $176,293.17 $265,981.76 $220,436.65 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 7 — — $178,204.34 $268,865.24 $218,823.17 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 7 — — $177,521.21 $267,834.56 $217,984.33 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 7 — — $177,220.84 $267,381.39 $217,615.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 7 — — $171,917.93 $259,380.64 $211,103.88 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 7 — — $168,095.59 $253,613.69 $206,410.29 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 7 — — $162,577.37 $245,288.10 $203,286.45 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 7 — — $164,642.71 $248,404.18 $202,170.39 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 7 — — $164,430.07 $248,083.34 $201,909.27 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 7 — — $163,680.48 $246,952.41 $200,988.83 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 7 — — $163,119.62 $246,106.22 $200,300.13 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 7 — — $161,588.56 $243,796.23 $198,420.09 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 7 — — $160,429.63 $242,047.69 $196,997.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 7 — — $160,429.63 $242,047.69 $196,997.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 7 — — $159,230.82 $240,239.00 $195,524.94 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 7 — — $158,024.05 $238,418.28 $194,043.10 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 8 3 — — $126,093.45 $248,273.36 $193,534.11 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 7 — — $154,751.92 $233,481.48 $190,025.15 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $36,995.00 $258,967.57 $189,046.11 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 7 — — $152,548.36 $230,156.86 $187,319.32 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 7 — — $151,636.63 $228,781.29 $186,199.78 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 7 — — $148,167.81 $223,547.72 $181,940.30 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 7 — — $146,921.16 $221,666.84 $180,409.49 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 7 — — $146,910.53 $221,650.80 $180,396.44 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 7 — — $146,333.72 $220,780.54 $179,688.15 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 8 — — $36,995.00 $244,967.26 $179,075.89 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 7 — — $145,400.73 $219,372.89 $178,542.50 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 7 — — $144,621.90 $218,197.84 $177,586.16 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 7 — — $144,292.30 $217,700.55 $177,181.42 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 2 — — $114,360.00 $226,806.00 $176,636.40 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 7 — — $143,556.01 $216,589.67 $176,277.30 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 7 — — $143,420.44 $216,385.14 $176,110.84 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 7 — — $143,401.84 $216,357.07 $176,088.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $36,995.00 $238,582.71 $174,529.18 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 8 — — $36,995.00 $235,963.92 $172,664.23 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 7 — — $136,884.18 $206,523.57 $168,084.74 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 7 — — $136,434.96 $205,845.81 $167,533.13 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 7 — — $135,411.59 $204,301.81 $166,276.50 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 7 — — $134,996.92 $203,676.18 $165,767.32 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 7 — — $133,875.21 $201,983.80 $164,389.92 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 7 — — $133,085.75 $200,792.71 $163,420.52 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 7 — — $132,982.08 $200,636.30 $163,293.23 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 7 — — $132,944.87 $200,580.16 $163,247.53 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 7 — — $129,888.06 $195,968.20 $159,493.97 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 7 — — $129,103.92 $194,785.13 $158,531.09 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 7 — — $128,888.61 $194,460.29 $158,266.71 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 8 — — $36,995.00 $213,349.27 $156,559.39 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $36,995.00 $212,402.82 $155,885.38 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 7 — — $126,929.59 $191,504.62 $155,861.16 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 7 — — $126,379.36 $190,674.47 $155,185.52 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 7 — — $126,374.05 $190,666.45 $155,178.99 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 7 — — $125,047.66 $188,665.26 $153,550.27 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 18 7 — — $122,421.45 $184,702.98 $153,075.56 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 3 — — $105,852.57 $196,075.84 $152,953.70 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 7 — — $124,377.82 $187,654.64 $152,727.75 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 7 — — $123,660.13 $186,571.83 $151,846.48 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 7 — — $122,509.17 $184,835.33 $150,433.18 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 7 — — $122,458.67 $184,759.13 $150,371.17 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 7 — — $122,051.98 $184,145.54 $149,871.78 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 7 — — $119,914.87 $180,921.18 $147,247.54 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 8 — — $36,995.00 $199,834.22 $146,934.75 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 7 — — $119,199.84 $179,842.38 $146,369.54 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 7 — — $118,870.23 $179,345.09 $145,964.80 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 7 — — $117,759.15 $177,668.74 $144,600.46 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 7 — — $116,757.04 $176,156.82 $143,369.95 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 7 — — $115,008.01 $173,517.98 $141,222.25 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 7 — — $114,768.78 $173,157.04 $140,928.49 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 7 — — $113,378.60 $171,059.60 $139,221.44 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 7 — — $113,213.80 $170,810.96 $139,019.07 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 7 — — $112,411.05 $169,599.82 $138,033.35 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 7 — — $111,382.36 $168,047.79 $136,770.19 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 7 — — $111,374.39 $168,035.76 $136,760.40 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 19 7 — — $110,858.72 $167,257.74 $136,127.19 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 7 — — $110,587.59 $166,848.68 $135,794.27 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $36,995.00 $184,169.60 $135,779.32 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 7 — — $109,234.62 $164,807.39 $134,132.91 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 7 — — $109,072.48 $164,562.75 $133,933.80 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 7 — — $108,535.54 $163,752.65 $133,274.48 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 7 — — $108,107.59 $163,106.98 $132,748.98 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 7 — — $107,921.52 $162,826.25 $132,520.50 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 7 — — $105,885.41 $159,754.28 $130,020.30 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 7 — — $105,810.99 $159,641.99 $129,928.91 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 7 — — $104,896.60 $158,262.42 $128,806.11 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 7 — — $104,657.37 $157,901.48 $128,512.35 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 7 — — $104,447.38 $157,584.66 $128,254.49 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 7 — — $104,442.07 $157,576.64 $128,247.97 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 7 — — $103,931.71 $156,806.64 $127,621.28 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 7 — — $103,360.22 $155,944.40 $126,919.53 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $86,268.99 $163,593.70 $126,337.13 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 7 — — $102,732.91 $154,997.95 $126,149.23 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 7 — — $102,626.58 $154,837.53 $126,018.67 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 7 — — $102,363.43 $154,440.50 $125,695.54 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 7 — — $101,597.90 $153,285.51 $124,755.52 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 7 — — $101,045.01 $152,451.35 $124,076.61 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 7 — — $100,258.22 $151,264.27 $123,110.48 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 7 — — $99,519.26 $150,149.38 $122,203.09 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 8 — — $36,995.00 $164,899.63 $122,056.36 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 7 — — $97,230.64 $146,696.42 $121,577.01 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 3 2 — — $56,095.00 $168,902.17 $119,437.18 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 7 — — $96,978.12 $146,315.43 $119,082.73 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 7 — — $96,326.89 $145,332.89 $118,283.06 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $117,940.04 $117,940.04 $117,940.04 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 7 — — $95,287.57 $143,764.82 $117,006.85 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 7 — — $95,282.25 $143,756.80 $117,000.32 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 7 — — $95,260.99 $143,724.72 $116,974.21 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 7 — — $94,811.77 $143,046.96 $116,422.60 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 7 — — $94,389.13 $142,409.30 $115,903.62 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 7 — — $93,841.56 $141,583.16 $115,231.25 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 7 — — $93,809.67 $141,535.04 $115,192.08 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 7 — — $93,573.09 $141,178.11 $114,901.59 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 7 — — $93,129.19 $140,508.37 $114,356.50 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 7 — — $93,113.24 $140,484.31 $114,336.92 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 7 — — $93,062.74 $140,408.11 $114,274.90 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 7 — — $92,897.94 $140,159.47 $114,072.54 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 7 — — $92,294.55 $139,249.11 $113,331.62 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 7 — — $92,196.20 $139,100.72 $113,210.85 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 7 — — $92,095.19 $138,948.33 $113,086.82 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 7 — — $91,555.60 $138,134.22 $112,424.23 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 7 — — $91,406.74 $137,909.64 $112,241.45 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 7 — — $91,263.21 $137,693.07 $112,065.20 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 19 7 — — $91,178.15 $137,564.74 $111,960.75 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 7 — — $91,037.27 $137,352.19 $111,787.76 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 7 — — $90,556.15 $136,626.31 $111,196.98 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 7 — — $90,162.75 $136,032.77 $110,713.91 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 7 — — $89,219.13 $134,609.08 $109,555.20 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 7 — — $88,267.53 $133,173.35 $108,386.70 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 7 — — $87,762.49 $132,411.38 $107,766.55 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 7 — — $86,880.00 $131,079.92 $106,682.91 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 7 — — $86,630.14 $130,702.95 $106,376.09 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 7 — — $86,592.92 $130,646.80 $106,330.40 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 7 — — $85,686.51 $129,279.25 $105,217.38 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 7 — — $85,170.84 $128,501.24 $104,584.17 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 7 — — $84,926.30 $128,132.28 $104,283.89 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 7 — — $84,777.44 $127,907.70 $104,101.11 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 7 — — $84,532.90 $127,538.74 $103,800.82 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 7 — — $84,362.78 $127,282.08 $103,591.93 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 7 — — $84,221.90 $127,069.52 $103,418.93 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 7 — — $82,953.98 $125,156.56 $101,862.02 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 7 — — $82,916.77 $125,100.42 $101,816.33 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 7 — — $82,193.77 $124,009.59 $100,928.52 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 7 — — $82,023.65 $123,752.92 $100,719.63 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 7 — — $81,965.17 $123,664.69 $100,647.82 2026-04-01
652 MS_DRG Kidney Transplant 19 7 — — $81,635.57 $123,167.40 $100,243.09 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 7 — — $81,561.14 $123,055.11 $100,151.70 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 7 — — $81,295.33 $122,654.07 $99,825.30 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 7 — — $80,019.44 $120,729.08 $98,258.59 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 7 — — $79,370.87 $119,750.54 $97,462.19 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 7 — — $78,376.74 $118,250.65 $96,241.46 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 7 — — $78,174.72 $117,945.86 $95,993.40 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 7 — — $77,956.76 $117,617.01 $95,725.75 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 7 — — $77,512.85 $116,947.27 $95,180.67 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 7 — — $77,472.98 $116,887.12 $95,131.71 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 7 — — $77,446.40 $116,847.01 $95,099.07 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 7 — — $77,403.87 $116,782.85 $95,046.85 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 7 — — $77,005.16 $116,181.29 $94,557.25 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 3 $151,096.00 $58,927.44 61% off $5,809.00 $168,902.17 $94,536.13 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 7 — — $76,205.07 $114,974.16 $93,574.80 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 7 — — $76,117.35 $114,841.81 $93,467.08 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 7 — — $76,074.82 $114,777.65 $93,414.86 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 8 — — $36,995.00 $124,567.03 $93,333.81 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 7 — — $75,968.50 $114,617.23 $93,284.30 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 7 — — $75,668.13 $114,164.06 $92,915.47 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $92,831.73 $92,831.73 $92,831.73 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 7 — — $75,008.92 $113,169.48 $92,106.01 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 6 3 $131,976.00 $51,470.64 61% off $6,760.00 $195,422.03 $92,079.38 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 7 — — $74,644.76 $112,620.05 $91,658.84 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 7 — — $74,570.34 $112,507.76 $91,567.45 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 7 — — $72,736.25 $109,740.59 $89,315.32 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 7 — — $72,600.69 $109,536.06 $89,148.85 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 7 — — $72,470.44 $109,339.55 $88,988.92 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 7 — — $72,209.94 $108,946.53 $88,669.05 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 7 — — $71,853.76 $108,409.13 $88,231.68 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 7 — — $71,619.85 $108,056.22 $87,944.45 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 7 — — $71,346.06 $107,643.15 $87,608.26 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 7 — — $71,287.58 $107,554.92 $87,536.45 2026-04-01
849 MS_DRG Radiotherapy 19 7 — — $70,995.19 $107,113.77 $87,177.41 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 7 — — $70,774.57 $106,780.91 $86,906.50 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 7 — — $70,524.71 $106,403.93 $86,599.69 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 7 — — $70,434.33 $106,267.58 $86,488.71 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 7 — — $70,346.62 $106,135.24 $86,381.01 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 7 — — $70,272.19 $106,022.94 $86,289.61 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 7 — — $69,727.28 $105,200.81 $85,620.50 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 7 — — $69,543.87 $104,924.10 $85,395.29 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 3 2 — — $56,095.00 $111,047.40 $84,930.68 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 19 7 — — $68,802.26 $103,805.19 $84,484.64 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 7 — — $68,690.62 $103,636.76 $84,347.55 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 7 — — $67,877.24 $102,409.57 $83,348.77 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 19 7 — — $67,858.63 $102,381.50 $83,325.93 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 7 — — $67,731.05 $102,189.00 $83,169.26 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 7 — — $67,385.49 $101,667.65 $82,744.94 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 19 7 — — $67,162.21 $101,330.78 $82,470.77 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 7 — — $67,109.05 $101,250.57 $82,405.49 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 19 7 — — $66,899.06 $100,933.75 $82,147.63 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 19 7 — — $66,505.66 $100,340.21 $81,664.56 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 19 7 — — $65,857.09 $99,361.67 $80,868.16 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 19 7 — — $65,591.28 $98,960.63 $80,541.76 2026-04-01
792 MS_DRG Prematurity Without Major Problems 19 7 — — $65,118.13 $98,246.78 $79,960.77 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 7 — — $65,083.58 $98,194.64 $79,918.34 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 19 7 — — $64,541.33 $97,376.52 $79,252.49 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 7 — — $64,320.70 $97,043.66 $78,981.58 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 19 7 — — $64,084.13 $96,686.73 $78,691.09 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 7 — — $63,820.98 $96,289.70 $78,367.95 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 7 — — $63,714.66 $96,129.29 $78,237.40 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 19 7 — — $63,714.66 $96,129.29 $78,237.40 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 7 — — $63,169.75 $95,307.16 $77,568.28 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 19 7 — — $62,922.54 $94,934.19 $77,264.73 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 19 7 — — $62,906.59 $94,910.13 $77,245.15 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 19 7 — — $62,829.51 $94,793.82 $77,150.49 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 7 — — $62,723.19 $94,633.41 $77,019.93 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 19 7 — — $62,157.01 $93,779.19 $76,324.71 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 19 7 — — $61,670.58 $93,045.29 $75,727.40 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 7 — — $61,524.38 $92,824.72 $75,547.88 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 19 7 — — $61,356.92 $92,572.06 $75,342.25 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 19 7 — — $60,974.16 $91,994.57 $74,872.24 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 19 7 — — $60,881.12 $91,854.20 $74,758.00 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 19 7 — — $60,687.08 $91,561.44 $74,519.73 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 19 7 — — $60,572.78 $91,389.00 $74,379.38 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 7 — — $60,461.14 $91,220.56 $74,242.30 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 19 7 — — $60,229.89 $90,871.65 $73,958.33 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 19 7 — — $60,035.85 $90,578.89 $73,720.06 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 19 7 — — $60,025.21 $90,562.85 $73,707.00 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 19 7 — — $59,982.68 $90,498.69 $73,654.78 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 19 7 — — $59,879.02 $90,342.28 $73,527.48 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 19 7 — — $59,857.75 $90,310.20 $73,501.37 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 19 7 — — $59,809.91 $90,238.01 $73,442.62 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 19 7 — — $59,727.51 $90,113.69 $73,341.44 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 19 7 — — $59,334.11 $89,520.15 $72,858.37 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 19 7 — — $59,148.04 $89,239.42 $72,629.89 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 6 3 $66,436.00 $25,910.04 61% off $9,000.00 $117,652.12 $72,408.46 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 3 $74,468.00 $29,042.52 61% off $9,000.00 $117,652.12 $72,408.46 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 6 3 $104,382.00 $40,708.98 61% off $9,000.00 $117,652.12 $72,408.46 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 7 — — $58,831.73 $88,762.18 $72,241.48 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $51,596.43 $94,617.96 $72,225.88 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 7 — — $58,459.59 $88,200.73 $71,784.53 2026-04-01
935 MS_DRG Non-extensive Burns 19 7 — — $58,379.85 $88,080.42 $71,686.61 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 3 $37,235.00 $14,521.65 61% off $5,809.00 $117,652.12 $71,610.71 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 6 3 $74,091.00 $28,895.49 61% off $5,809.00 $117,652.12 $71,610.71 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 3 $92,753.00 $36,173.67 61% off $5,809.00 $117,652.12 $71,610.71 2026-04-01
906 MS_DRG Hand Procedures For Injuries 19 7 — — $58,010.37 $87,522.97 $71,232.91 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 19 7 — — $57,917.34 $87,382.61 $71,118.67 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 20 7 — — $57,656.85 $86,989.59 $70,798.81 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 19 7 — — $57,337.88 $86,508.34 $70,407.13 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 19 7 — — $57,239.53 $86,359.95 $70,286.36 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 19 7 — — $57,103.96 $86,155.42 $70,119.90 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 19 7 — — $57,034.85 $86,051.15 $70,035.03 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 19 7 — — $56,994.98 $85,991.00 $69,986.08 2026-04-01
835 MS_DRG Acute Leukemia With Cc 19 7 — — $56,771.70 $85,654.12 $69,711.90 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 19 7 — — $56,766.38 $85,646.10 $69,705.37 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 19 7 — — $56,763.73 $85,642.09 $69,702.11 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 19 7 — — $56,657.40 $85,481.68 $69,571.55 2026-04-01
333 MS_DRG Rectal Resection With Cc 19 7 — — $56,487.28 $85,225.01 $69,362.66 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 19 7 — — $56,370.33 $85,048.55 $69,219.04 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 3 — — $45,342.71 $90,510.53 $69,038.17 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 19 7 — — $56,218.82 $84,819.96 $69,033.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 19 7 — — $56,149.70 $84,715.69 $68,948.13 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 19 7 — — $56,125.78 $84,679.60 $68,918.76 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 19 7 — — $56,120.47 $84,671.58 $68,912.23 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 19 7 — — $56,038.06 $84,547.25 $68,811.04 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 19 7 — — $55,891.87 $84,326.68 $68,631.53 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 7 — — $55,721.75 $84,070.02 $68,422.63 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 4 3 — — $4,714.00 $111,047.40 $68,382.51 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 19 7 — — $55,562.26 $83,829.39 $68,226.79 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 20 8 — — $15,494.00 $92,748.52 $67,986.88 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 19 7 — — $55,214.05 $83,304.03 $67,799.21 2026-04-01
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