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 Windy Hill Hospital

Marietta, GA · CCN 112007 · Rates published

14,596 distinct procedures filed
27 distinct payers
184,466 rate rows
2026-04-01 last MRF observed
Data quality

117,283 of 184,466 rate rows are consumer-grade (63.6%)

67,183 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 67,128
placeholder amount (≤ $0.02) — excluded from medians 55
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wellstar.org/wellstar-windy-hill-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 · 2026-05-17
Content fingerprint 7a894e723507a703… · 45,321,664 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 4 $0.03 $3,930,003.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.03 $3,558,236.59 $3,325,454.76 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $0.03 $4,681,683.89 $2,472,215.72 nat. median
$2,468,984
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $1,045,364.45 $1,512,329.86 $1,512,329.86 nat. median
$370,174
outlier · 4.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $780,800.77 $1,129,585.31 $1,129,585.31 nat. median
$265,286
outlier · 4.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $657,619.74 $951,379.17 $951,379.17 nat. median
$206,474
outlier · 4.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $594,066.57 $859,436.74 $859,436.74 nat. median
$202,976
outlier · 4.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $391,672.78 $566,633.43 $566,633.43 nat. median
$133,161
outlier · 4.3×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $0.03 $1,141,359.08 $555,652.50 nat. median
$753,246
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $0.03 $1,178,375.50 $552,916.97 nat. median
$625,184
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $0.03 $1,033,161.93 $545,572.75 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $0.03 $1,152,532.70 $542,562.38 nat. median
$673,137
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $363,170.05 $525,398.49 $525,398.49 nat. median
$117,357
outlier · 4.5×
7
MS_DRG 		Lung Transplant 2 $362,255.26 $524,075.06 $524,075.06 nat. median
$122,708
outlier · 4.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $0.03 $1,120,267.47 $513,928.76 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $0.03 $1,120,791.00 $483,556.92 nat. median
$619,808
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $305,477.10 $441,934.05 $441,934.05 nat. median
$108,660
outlier · 4.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $301,967.63 $436,856.88 $436,856.88 nat. median
$102,358
outlier · 4.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $295,189.84 $427,051.45 $427,051.45 nat. median
$100,136
outlier · 4.3×
215
MS_DRG 		Other Heart Assist System Implant 2 $293,681.82 $424,869.80 $424,869.80 nat. median
$99,019
outlier · 4.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $290,560.43 $420,354.09 $420,354.09 nat. median
$98,894
outlier · 4.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $255,346.45 $369,409.98 $369,409.98 nat. median
$83,470
outlier · 4.4×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $355,377.59 $355,377.59 $355,377.59 nat. median
$87,428
outlier · 4.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $234,758.06 $339,624.73 $339,624.73 nat. median
$81,118
outlier · 4.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $231,193.14 $334,467.36 $334,467.36 nat. median
$82,711
outlier · 4.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $36,995.00 $387,019.64 $327,269.19 nat. median
$93,672
outlier · 3.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $223,445.12 $323,258.29 $323,258.29 nat. median
$77,570
outlier · 4.2×
10
MS_DRG 		Pancreas Transplant 2 $221,008.44 $319,733.15 $319,733.15 nat. median
$68,884
outlier · 4.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $219,736.05 $317,892.38 $317,892.38 nat. median
$71,271
outlier · 4.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $206,901.23 $299,324.22 $299,324.22 nat. median
$72,135
outlier · 4.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $36,995.00 $339,817.23 $287,354.17 nat. median
$79,312
outlier · 3.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $196,783.06 $284,686.26 $284,686.26 nat. median
$68,090
outlier · 4.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $195,890.45 $283,394.92 $283,394.92 nat. median
$68,886
outlier · 4.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $192,841.14 $278,983.48 $278,983.48 nat. median
$66,526
outlier · 4.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $189,276.22 $273,826.10 $273,826.10 nat. median
$64,732
outlier · 4.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $185,847.13 $268,865.24 $268,865.24 nat. median
$63,724
outlier · 4.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 $185,134.70 $267,834.56 $267,834.56 nat. median
$64,023
outlier · 4.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $184,821.45 $267,381.39 $267,381.39 nat. median
$65,950
outlier · 4.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $265,981.76 $265,981.76 $265,981.76 nat. median
$65,393
outlier · 4.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $36,995.00 $313,444.84 $265,053.32 nat. median
$73,807
outlier · 3.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $36,995.00 $310,284.65 $262,381.02 nat. median
$74,915
outlier · 3.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $30,062.00 $259,868.50 $257,420.82 nat. median
$62,134
outlier · 4.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $175,304.83 $253,613.69 $253,613.69 nat. median
$60,185
outlier · 4.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $171,703.87 $248,404.18 $248,404.18 nat. median
$59,099
outlier · 4.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $171,482.11 $248,083.34 $248,083.34 nat. median
$60,691
outlier · 4.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $170,700.37 $246,952.41 $246,952.41 nat. median
$59,793
outlier · 4.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 $170,115.46 $246,106.22 $246,106.22 nat. median
$55,736
outlier · 4.4×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $245,288.10 $245,288.10 $245,288.10 nat. median
$62,372
outlier · 3.9×
28
MS_DRG 		Spinal Procedures With Mcc 2 $168,518.73 $243,796.23 $243,796.23 nat. median
$57,822
outlier · 4.2×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 2 $167,310.10 $242,047.69 $242,047.69 nat. median
$53,807
outlier · 4.5×

Other procedures at this hospital

Browse this hospital's 14,596 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 7 4 — — $0.03 $3,930,003.00 $3,672,900.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 4 — — $0.03 $3,558,236.59 $3,325,454.76 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 7 — — $0.03 $4,681,683.89 $2,472,215.72 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 2 — — $1,045,364.45 $1,512,329.86 $1,512,329.86 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 2 — — $780,800.77 $1,129,585.31 $1,129,585.31 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 2 — — $657,619.74 $951,379.17 $951,379.17 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 2 — — $594,066.57 $859,436.74 $859,436.74 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 2 — — $391,672.78 $566,633.43 $566,633.43 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 8 — — $0.03 $1,141,359.08 $555,652.50 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 8 — — $0.03 $1,178,375.50 $552,916.97 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 7 — — $0.03 $1,033,161.93 $545,572.75 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 8 — — $0.03 $1,152,532.70 $542,562.38 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 2 — — $363,170.05 $525,398.49 $525,398.49 2026-04-01
7 MS_DRG Lung Transplant 3 2 — — $362,255.26 $524,075.06 $524,075.06 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 8 — — $0.03 $1,120,267.47 $513,928.76 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 8 — — $0.03 $1,120,791.00 $483,556.92 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 2 — — $305,477.10 $441,934.05 $441,934.05 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 2 — — $301,967.63 $436,856.88 $436,856.88 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 2 — — $295,189.84 $427,051.45 $427,051.45 2026-04-01
215 MS_DRG Other Heart Assist System Implant 3 2 — — $293,681.82 $424,869.80 $424,869.80 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $290,560.43 $420,354.09 $420,354.09 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $255,346.45 $369,409.98 $369,409.98 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $355,377.59 $355,377.59 $355,377.59 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $234,758.06 $339,624.73 $339,624.73 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $231,193.14 $334,467.36 $334,467.36 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $36,995.00 $387,019.64 $327,269.19 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 2 — — $223,445.12 $323,258.29 $323,258.29 2026-04-01
10 MS_DRG Pancreas Transplant 3 2 — — $221,008.44 $319,733.15 $319,733.15 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $219,736.05 $317,892.38 $317,892.38 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 2 — — $206,901.23 $299,324.22 $299,324.22 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $36,995.00 $339,817.23 $287,354.17 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $196,783.06 $284,686.26 $284,686.26 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $195,890.45 $283,394.92 $283,394.92 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 2 — — $192,841.14 $278,983.48 $278,983.48 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $189,276.22 $273,826.10 $273,826.10 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 2 — — $185,847.13 $268,865.24 $268,865.24 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 2 — — $185,134.70 $267,834.56 $267,834.56 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 2 — — $184,821.45 $267,381.39 $267,381.39 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $265,981.76 $265,981.76 $265,981.76 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 3 — — $36,995.00 $313,444.84 $265,053.32 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $36,995.00 $310,284.65 $262,381.02 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 11 — — $30,062.00 $259,868.50 $257,420.82 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 2 — — $175,304.83 $253,613.69 $253,613.69 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 2 — — $171,703.87 $248,404.18 $248,404.18 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 2 — — $171,482.11 $248,083.34 $248,083.34 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $170,700.37 $246,952.41 $246,952.41 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 2 — — $170,115.46 $246,106.22 $246,106.22 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $245,288.10 $245,288.10 $245,288.10 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 3 2 — — $168,518.73 $243,796.23 $243,796.23 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 3 2 — — $167,310.10 $242,047.69 $242,047.69 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 3 2 — — $167,310.10 $242,047.69 $242,047.69 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 2 — — $166,059.88 $240,239.00 $240,239.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 2 — — $164,801.35 $238,418.28 $238,418.28 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 2 — — $161,388.89 $233,481.48 $233,481.48 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $159,090.82 $230,156.86 $230,156.86 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $158,139.99 $228,781.29 $228,781.29 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 3 2 — — $154,522.40 $223,547.72 $223,547.72 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 2 — — $153,222.28 $221,666.84 $221,666.84 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 3 2 — — $153,211.19 $221,650.80 $221,650.80 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $152,609.65 $220,780.54 $220,780.54 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 2 — — $151,636.64 $219,372.89 $219,372.89 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $36,995.00 $258,967.57 $218,986.58 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 2 — — $150,824.42 $218,197.84 $218,197.84 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 2 — — $150,480.68 $217,700.55 $217,700.55 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $149,712.80 $216,589.67 $216,589.67 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 2 — — $149,571.43 $216,385.14 $216,385.14 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $149,552.02 $216,357.07 $216,357.07 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $36,995.00 $244,967.26 $207,147.72 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 2 — — $142,754.83 $206,523.57 $206,523.57 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 2 — — $142,286.35 $205,845.81 $205,845.81 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 2 — — $141,219.09 $204,301.81 $204,301.81 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 2 — — $140,786.64 $203,676.18 $203,676.18 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 2 — — $139,616.82 $201,983.80 $201,983.80 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $36,995.00 $238,582.71 $201,748.85 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 2 — — $138,793.50 $200,792.71 $200,792.71 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $138,685.39 $200,636.30 $200,636.30 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 2 — — $138,646.58 $200,580.16 $200,580.16 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $36,995.00 $235,963.92 $199,534.37 2026-04-01
245 MS_DRG Aicd Generator Procedures 3 2 — — $135,458.67 $195,968.20 $195,968.20 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 2 — — $134,640.90 $194,785.13 $194,785.13 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 3 2 — — $134,416.36 $194,460.29 $194,460.29 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $132,373.32 $191,504.62 $191,504.62 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 3 2 — — $131,799.49 $190,674.47 $190,674.47 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $131,793.95 $190,666.45 $190,666.45 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 2 — — $130,410.67 $188,665.26 $188,665.26 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 2 — — $129,712.10 $187,654.64 $187,654.64 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 2 — — $128,963.64 $186,571.83 $186,571.83 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 3 2 — — $127,763.32 $184,835.33 $184,835.33 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 2 — — $127,710.65 $184,759.13 $184,759.13 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $184,702.98 $184,702.98 $184,702.98 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 2 — — $127,286.52 $184,145.54 $184,145.54 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 2 — — $125,057.75 $180,921.18 $180,921.18 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 3 — — $36,995.00 $213,349.27 $180,411.11 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 2 — — $124,312.05 $179,842.38 $179,842.38 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $36,995.00 $212,402.82 $179,610.78 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 2 — — $123,968.31 $179,345.09 $179,345.09 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 3 2 — — $122,809.57 $177,668.74 $177,668.74 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 2 — — $121,764.49 $176,156.82 $176,156.82 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 2 — — $119,940.45 $173,517.98 $173,517.98 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $119,690.96 $173,157.04 $173,157.04 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 2 — — $118,241.15 $171,059.60 $171,059.60 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 2 — — $118,069.28 $170,810.96 $170,810.96 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 3 2 — — $117,232.11 $169,599.82 $169,599.82 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $36,995.00 $199,834.22 $168,982.60 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 2 — — $116,159.31 $168,047.79 $168,047.79 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 2 — — $116,150.99 $168,035.76 $168,035.76 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 3 2 — — $115,613.20 $167,257.74 $167,257.74 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 2 — — $115,330.45 $166,848.68 $166,848.68 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 2 — — $113,919.45 $164,807.39 $164,807.39 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 2 — — $113,750.35 $164,562.75 $164,562.75 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $113,190.39 $163,752.65 $163,752.65 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 2 — — $112,744.08 $163,106.98 $163,106.98 2026-04-01
791 MS_DRG Prematurity With Major Problems 3 2 — — $112,550.03 $162,826.25 $162,826.25 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 2 — — $110,426.60 $159,754.28 $159,754.28 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 2 — — $110,348.98 $159,641.99 $159,641.99 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 2 — — $109,395.38 $158,262.42 $158,262.42 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 2 — — $109,145.89 $157,901.48 $157,901.48 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 2 — — $108,926.90 $157,584.66 $157,584.66 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 2 — — $108,921.35 $157,576.64 $157,576.64 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 2 — — $108,389.11 $156,806.64 $156,806.64 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 2 — — $107,793.11 $155,944.40 $155,944.40 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $36,995.00 $184,169.60 $155,736.38 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 2 — — $107,138.89 $154,997.95 $154,997.95 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 3 2 — — $107,028.01 $154,837.53 $154,837.53 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 5 — — $28,501.00 $278,778.50 $154,440.50 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 2 — — $105,955.21 $153,285.51 $153,285.51 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $105,378.61 $152,451.35 $152,451.35 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 2 — — $104,558.07 $151,264.27 $151,264.27 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 2 — — $103,787.42 $150,149.38 $150,149.38 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $146,696.42 $146,696.42 $146,696.42 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 2 — — $100,458.13 $145,332.89 $145,332.89 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 2 — — $99,374.24 $143,764.82 $143,764.82 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 2 — — $99,368.70 $143,756.80 $143,756.80 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 2 — — $99,346.52 $143,724.72 $143,724.72 2026-04-01
265 MS_DRG Aicd Lead Procedures 3 2 — — $98,878.03 $143,046.96 $143,046.96 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 2 — — $98,437.27 $142,409.30 $142,409.30 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 2 — — $97,866.22 $141,583.16 $141,583.16 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 2 — — $97,832.95 $141,535.04 $141,535.04 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 2 — — $97,586.24 $141,178.11 $141,178.11 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 2 — — $97,123.30 $140,508.37 $140,508.37 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $97,106.66 $140,484.31 $140,484.31 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 2 — — $97,053.99 $140,408.11 $140,408.11 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 3 2 — — $96,882.12 $140,159.47 $140,159.47 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $36,995.00 $164,899.63 $139,441.42 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 2 — — $96,252.86 $139,249.11 $139,249.11 2026-04-01
332 MS_DRG Rectal Resection With Mcc 3 2 — — $96,150.29 $139,100.72 $139,100.72 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 2 — — $96,044.95 $138,948.33 $138,948.33 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 2 — — $95,482.21 $138,134.22 $138,134.22 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 2 — — $95,326.97 $137,909.64 $137,909.64 2026-04-01
665 MS_DRG Prostatectomy With Mcc 3 2 — — $95,177.28 $137,693.07 $137,693.07 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 3 2 — — $95,088.57 $137,564.74 $137,564.74 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 2 — — $94,941.65 $137,352.19 $137,352.19 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 2 — — $94,439.90 $136,626.31 $136,626.31 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 2 — — $94,029.63 $136,032.77 $136,032.77 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 2 — — $93,045.54 $134,609.08 $134,609.08 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 3 2 — — $92,053.12 $133,173.35 $133,173.35 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 2 — — $91,526.43 $132,411.38 $132,411.38 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 2 — — $90,606.09 $131,079.92 $131,079.92 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 2 — — $90,345.51 $130,702.95 $130,702.95 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 2 — — $90,306.70 $130,646.80 $130,646.80 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 2 — — $89,361.42 $129,279.25 $129,279.25 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $88,823.63 $128,501.24 $128,501.24 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 2 — — $88,568.60 $128,132.28 $128,132.28 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 2 — — $88,413.36 $127,907.70 $127,907.70 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 3 2 — — $88,158.32 $127,538.74 $127,538.74 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 2 — — $87,980.91 $127,282.08 $127,282.08 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 3 2 — — $87,833.99 $127,069.52 $127,069.52 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 8 — — $65,476.58 $248,273.36 $126,093.45 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 2 — — $86,511.70 $125,156.56 $125,156.56 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 3 2 — — $86,472.89 $125,100.42 $125,100.42 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 2 — — $85,718.88 $124,009.59 $124,009.59 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $85,541.46 $123,752.92 $123,752.92 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 2 — — $73,851.86 $146,315.43 $123,726.36 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 2 — — $85,480.48 $123,664.69 $123,664.69 2026-04-01
652 MS_DRG Kidney Transplant 3 2 — — $85,136.74 $123,167.40 $123,167.40 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 2 — — $85,059.12 $123,055.11 $123,055.11 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 2 — — $84,781.91 $122,654.07 $122,654.07 2026-04-01
570 MS_DRG Skin Debridement With Mcc 3 2 — — $83,451.30 $120,729.08 $120,729.08 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 3 — — $82,774.91 $144,740.00 $119,750.54 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $81,738.14 $118,250.65 $118,250.65 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 2 — — $81,527.46 $117,945.86 $117,945.86 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $117,940.04 $117,940.04 $117,940.04 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 2 — — $81,300.15 $117,617.01 $117,617.01 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 3 2 — — $80,837.21 $116,947.27 $116,947.27 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 2 — — $80,795.63 $116,887.12 $116,887.12 2026-04-01
800 MS_DRG Splenic Procedures With Cc 3 2 — — $80,767.91 $116,847.01 $116,847.01 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 2 — — $80,723.55 $116,782.85 $116,782.85 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 3 2 — — $80,307.74 $116,181.29 $116,181.29 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 2 — — $79,473.33 $114,974.16 $114,974.16 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 2 — — $79,381.86 $114,841.81 $114,841.81 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 2 — — $79,337.50 $114,777.65 $114,777.65 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 2 — — $79,226.62 $114,617.23 $114,617.23 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 7 — — $63,354.77 $226,806.00 $114,360.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 2 — — $78,913.37 $114,164.06 $114,164.06 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 3 2 — — $78,225.89 $113,169.48 $113,169.48 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 2 — — $77,846.11 $112,620.05 $112,620.05 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 2 — — $77,768.49 $112,507.76 $112,507.76 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 2 — — $75,855.74 $109,740.59 $109,740.59 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $75,578.53 $109,339.55 $109,339.55 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 2 — — $75,306.87 $108,946.53 $108,946.53 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 2 — — $74,935.41 $108,409.13 $108,409.13 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 2 — — $74,691.46 $108,056.22 $108,056.22 2026-04-01
263 MS_DRG Vein Ligation And Stripping 3 2 — — $74,344.95 $107,554.92 $107,554.92 2026-04-01
849 MS_DRG Radiotherapy 3 2 — — $74,040.02 $107,113.77 $107,113.77 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 7 — — $99,999.92 $195,999.84 $106,999.91 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 2 — — $73,809.93 $106,780.91 $106,780.91 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 2 — — $73,549.36 $106,403.93 $106,403.93 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 3 2 — — $73,455.11 $106,267.58 $106,267.58 2026-04-01
503 MS_DRG Foot Procedures With Mcc 3 2 — — $73,363.63 $106,135.24 $106,135.24 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 3 2 — — $73,286.01 $106,022.94 $106,022.94 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 8 — — $55,015.22 $196,075.84 $105,852.57 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $36,995.00 $124,567.03 $105,335.61 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 3 2 — — $72,717.73 $105,200.81 $105,200.81 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 2 — — $72,526.45 $104,924.10 $104,924.10 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 3 2 — — $71,753.04 $103,805.19 $103,805.19 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 2 — — $71,636.61 $103,636.76 $103,636.76 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 2 — — $70,788.35 $102,409.57 $102,409.57 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 3 2 — — $70,768.94 $102,381.50 $102,381.50 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 2 — — $70,635.88 $102,189.00 $102,189.00 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 3 2 — — $70,275.51 $101,667.65 $101,667.65 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 3 2 — — $70,042.65 $101,330.78 $101,330.78 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 2 — — $69,987.21 $101,250.57 $101,250.57 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 3 2 — — $69,768.21 $100,933.75 $100,933.75 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 2 — — $69,413.38 $100,420.42 $100,420.42 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 3 2 — — $69,357.94 $100,340.21 $100,340.21 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 3 2 — — $68,681.55 $99,361.67 $99,361.67 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 3 2 — — $68,404.34 $98,960.63 $98,960.63 2026-04-01
792 MS_DRG Prematurity Without Major Problems 3 2 — — $67,910.91 $98,246.78 $98,246.78 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 2 — — $67,874.87 $98,194.64 $98,194.64 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 2 — — $67,309.36 $97,376.52 $97,376.52 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 2 — — $67,079.28 $97,043.66 $97,043.66 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 3 2 — — $66,832.56 $96,686.73 $96,686.73 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 2 — — $66,558.12 $96,289.70 $96,289.70 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 3 2 — — $66,447.24 $96,129.29 $96,129.29 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 2 — — $66,447.24 $96,129.29 $96,129.29 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 2 — — $65,878.96 $95,307.16 $95,307.16 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 3 2 — — $65,621.15 $94,934.19 $94,934.19 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 3 2 — — $65,604.52 $94,910.13 $94,910.13 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 2 — — $65,524.13 $94,793.82 $94,793.82 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $65,413.24 $94,633.41 $94,633.41 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 2 — — $64,822.79 $93,779.19 $93,779.19 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 2 — — $64,315.49 $93,045.29 $93,045.29 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $92,831.73 $92,831.73 $92,831.73 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 2 — — $64,163.03 $92,824.72 $92,824.72 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 2 — — $63,988.38 $92,572.06 $92,572.06 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 2 — — $63,589.20 $91,994.57 $91,994.57 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $63,492.18 $91,854.20 $91,854.20 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 2 — — $63,289.82 $91,561.44 $91,561.44 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 3 2 — — $63,170.61 $91,389.00 $91,389.00 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 2 — — $63,054.19 $91,220.56 $91,220.56 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 2 — — $62,813.01 $90,871.65 $90,871.65 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 2 — — $62,610.65 $90,578.89 $90,578.89 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 3 2 — — $62,599.56 $90,562.85 $90,562.85 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 3 2 — — $62,555.21 $90,498.69 $90,498.69 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 2 — — $62,447.10 $90,342.28 $90,342.28 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 2 — — $62,424.92 $90,310.20 $90,310.20 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 2 — — $62,375.02 $90,238.01 $90,238.01 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 3 2 — — $62,289.09 $90,113.69 $90,113.69 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 3 2 — — $61,878.82 $89,520.15 $89,520.15 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 3 2 — — $61,684.77 $89,239.42 $89,239.42 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 2 — — $61,354.89 $88,762.18 $88,762.18 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 2 — — $60,966.80 $88,200.73 $88,200.73 2026-04-01
935 MS_DRG Non-extensive Burns 3 2 — — $60,883.63 $88,080.42 $88,080.42 2026-04-01
906 MS_DRG Hand Procedures For Injuries 3 2 — — $60,498.31 $87,522.97 $87,522.97 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 3 2 — — $60,401.29 $87,382.61 $87,382.61 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 2 — — $60,129.62 $86,989.59 $86,989.59 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 2 — — $59,796.97 $86,508.34 $86,508.34 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 2 — — $59,694.40 $86,359.95 $86,359.95 2026-04-01
J9226 HCPCS Supprelin La Implant 13 8 — — $45,350.22 $163,593.70 $86,268.99 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 3 2 — — $59,553.02 $86,155.42 $86,155.42 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 3 2 — — $59,480.95 $86,051.15 $86,051.15 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 2 — — $59,439.37 $85,991.00 $85,991.00 2026-04-01
835 MS_DRG Acute Leukemia With Cc 3 2 — — $59,206.51 $85,654.12 $85,654.12 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 3 2 — — $59,200.97 $85,646.10 $85,646.10 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 3 2 — — $59,198.20 $85,642.09 $85,642.09 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 2 — — $59,087.31 $85,481.68 $85,481.68 2026-04-01
333 MS_DRG Rectal Resection With Cc 3 2 — — $58,909.90 $85,225.01 $85,225.01 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 2 — — $58,787.92 $85,048.55 $85,048.55 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 3 2 — — $58,629.92 $84,819.96 $84,819.96 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 2 — — $58,557.84 $84,715.69 $84,715.69 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 3 2 — — $58,532.89 $84,679.60 $84,679.60 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 3 2 — — $58,527.35 $84,671.58 $84,671.58 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 2 — — $58,441.41 $84,547.25 $84,547.25 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 3 2 — — $58,288.95 $84,326.68 $84,326.68 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 2 — — $58,111.53 $84,070.02 $84,070.02 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 2 — — $57,945.21 $83,829.39 $83,829.39 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 3 2 — — $57,582.06 $83,304.03 $83,304.03 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 2 — — $57,518.30 $83,211.79 $83,211.79 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 4 3 — — $56,999.92 $141,073.00 $82,461.84 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 3 2 — — $56,753.20 $82,104.92 $82,104.92 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 3 2 — — $56,220.96 $81,334.92 $81,334.92 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 2 — — $55,913.26 $80,889.77 $80,889.77 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 3 2 — — $55,843.95 $80,789.51 $80,789.51 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 3 2 — — $55,785.74 $80,705.29 $80,705.29 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 2 — — $55,763.56 $80,673.21 $80,673.21 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 2 — — $55,394.87 $80,139.82 $80,139.82 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 2 — — $55,392.10 $80,135.81 $80,135.81 2026-04-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 3 2 — — $55,344.98 $80,067.64 $80,067.64 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 2 — — $55,139.84 $79,770.87 $79,770.87 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 3 2 — — $55,103.80 $79,718.73 $79,718.73 2026-04-01
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