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

ST LUKE'S JEROME

Jerome, ID · CCN 131310 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty|BILATERAL PROCEDURE

This hospital’s price: $25,010 across 17 payers · range $18,714-$37,428

Source: https://stlukesonline.file.core.windows.net/stlukesonline-files/562570686-1366874877_St-Lukes-Magic-Valley-Regional-Medical-Center-LTD_standardcharges.csv?sv=2022-11-02&ss=f&srt=o&sp=rl&se=2026-07-12T19:20:00Z&st=2024-07-12T19:20:00Z&sip=0.0.0.0-255.255.255.255&spr=https&sig=FGacPqS12iM%2B02qiSmRIfavnfLx8l7R64K%2B5yDAzofo%3D · observed 2026-07-15

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.

7,722 distinct procedures filed
33 distinct payers
2,020,569 rate rows
2026-07-15 last MRF observed
Data quality

1,972,091 of 2,020,569 rate rows are consumer-grade (97.6%)

48,478 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 46,772
percent-of-charges filed in the dollar field — excluded from medians 637
per-diem day rate — not a per-procedure price 499
exceeds 10× this hospital's gross charge — excluded from medians 338
placeholder amount (≤ $0.02) — excluded from medians 120
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 77
exceeds 3× this hospital's gross charge for a DRG stay — excluded 32
template filing: same amount across many unrelated codes — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stlukesonline.file.core.windows.net/stlukesonline-files/562570686-1366874877_St-Lukes-Magic-Valley-Regional-Medical-Center-LTD_standardcharges.csv?sv=2022-11-02&ss=f&srt=o&sp=rl&se=2026-07-12T19:20:00Z&st=2024-07-12T19:20:00Z&sip=0.0.0.0-255.255.255.255&spr=https&sig=FGacPqS12iM%2B02qiSmRIfavnfLx8l7R64K%2B5yDAzofo%3D
Found on page https://www.stlukesonline.org/resources/before-your-visit/price-estimates/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 11f43a0b8034f9ca… · 387,063,324 bytes · first seen 2026-05-08

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
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With McC 21 $38,368.77 $1,521,432.88 $752,708.90 nat. median
$59,159
outlier · 12.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $81,630.99 $1,381,215.49 $683,338.19 nat. median
$114,305
outlier · 6.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $133,529.95 $804,580.11 $398,055.42 nat. median
$199,832
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $88,037.21 $379,215.90 $282,793.96 nat. median
$132,706
outlier · 2.1×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With McC 21 $33,615.51 $483,840.74 $254,653.02 nat. median
$48,311
outlier · 5.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 21 $42,543.84 $473,148.33 $249,025.44 nat. median
$64,357
outlier · 3.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $67,874.63 $433,603.56 $228,212.40 nat. median
$100,978
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $52,767.50 $413,436.59 $214,578.81 nat. median
$80,459
outlier · 2.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $60,131.34 $340,337.61 $211,642.78 nat. median
$92,900
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With McC 21 $52,796.78 $408,559.96 $206,580.53 nat. median
$79,040
outlier · 2.6×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 $37,039.18 $210,044.54 $187,934.59 nat. median
$51,433
outlier · 3.7×
140
MS_DRG 		Major Head And Neck Procedures With McC 21 $26,350.10 $336,678.54 $177,199.23 nat. median
$39,825
outlier · 4.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $48,208.63 $309,704.60 $176,587.32 nat. median
$74,472
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 21 $48,700.21 $324,258.30 $170,662.27 nat. median
$73,475
outlier · 2.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 21 $41,542.60 $315,790.28 $166,205.41 nat. median
$65,792
outlier · 2.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 21 $50,224.82 $265,304.89 $163,397.04 nat. median
$77,385
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 21 $46,505.83 $192,149.68 $160,993.11 nat. median
$71,485
outlier · 2.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/McC 21 $37,606.78 $317,939.10 $157,241.71 nat. median
$55,867
outlier · 2.8×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 $34,437.94 $295,570.50 $155,563.42 nat. median
$54,267
outlier · 2.9×
232
MS_DRG 		Coronary Bypass With Ptca Without McC 21 $38,060.36 $310,050.72 $151,427.56 nat. median
$59,257
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $43,342.59 $278,166.71 $147,532.30 nat. median
$65,958
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 21 $40,294.00 $227,664.86 $142,644.18 nat. median
$62,218
outlier · 2.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $37,067.22 $270,657.23 $142,451.18 nat. median
$60,895
outlier · 2.3×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $34,293.39 $269,223.00 $141,696.32 nat. median
$53,080
outlier · 2.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 21 $44,031.06 $214,128.96 $139,747.32 nat. median
$68,581
outlier · 2.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $40,236.06 $197,188.63 $137,927.68 nat. median
$63,840
outlier · 2.2×
654
MS_DRG 		Major Bladder Procedures With Cc 21 $17,583.14 $259,435.37 $136,544.93 nat. median
$27,626
outlier · 4.9×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $33,001.18 $281,479.64 $133,506.54 nat. median
$52,372
outlier · 2.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $44,253.49 $221,999.57 $133,199.74 nat. median
$66,640
2.0× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 10 $53,406.00 $139,509.60 $132,474.27 nat. median
$63,643
outlier · 2.1×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 21 $33,147.60 $258,896.50 $132,317.74 nat. median
$53,013
outlier · 2.5×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $35,759.43 $232,684.48 $131,149.48 nat. median
$57,394
outlier · 2.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 21 $36,661.61 $231,938.61 $130,132.75 nat. median
$57,082
outlier · 2.3×
653
MS_DRG 		Major Bladder Procedures With McC 21 $34,732.64 $243,941.09 $128,390.05 nat. median
$51,176
outlier · 2.5×
28
MS_DRG 		Spinal Procedures With McC 21 $37,878.43 $232,742.35 $127,688.69 nat. median
$56,970
outlier · 2.2×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 $35,545.72 $157,038.70 $124,514.67 nat. median
$55,685
outlier · 2.2×
655
MS_DRG 		Major Bladder Procedures Without Cc/McC 21 $12,942.65 $229,523.62 $120,801.91 nat. median
$21,230
outlier · 5.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With McC 21 $34,287.79 $142,856.91 $120,300.55 nat. median
$52,517
outlier · 2.3×
834
MS_DRG 		Acute Leukemia With McC 21 $34,437.94 $193,829.41 $120,139.25 nat. median
$52,155
outlier · 2.3×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 10 $94,500.75 $126,001.00 $119,700.95 nat. median
$43,061
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 21 $66,011.08 $263,511.20 $117,456.48 nat. median
$98,002
1.2× median
38240
CPT 		Bone Marrow/stem Transplant 10 $65,462.00 $138,495.75 $116,628.00 nat. median
$13,835
outlier · 8.4×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 21 $29,753.83 $221,036.57 $116,335.04 nat. median
$45,588
outlier · 2.6×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 21 $36,275.94 $192,361.82 $115,524.86 nat. median
$56,397
outlier · 2.0×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 21 $31,741.99 $150,386.43 $113,949.80 nat. median
$48,652
outlier · 2.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 21 $37,325.78 $240,413.32 $113,858.46 nat. median
$60,162
1.9× median
799
MS_DRG 		Splenic Procedures With McC 17 $29,624.86 $130,520.63 $113,137.28 nat. median
$44,811
outlier · 2.5×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 21 $32,114.75 $166,368.46 $112,213.97 nat. median
$52,447
outlier · 2.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 21 $31,644.80 $160,563.23 $111,205.93 nat. median
$48,124
outlier · 2.3×
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 21 $31,495.66 $196,603.56 $111,071.24 nat. median
$50,808
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 7,722 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
             
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 137 21 $1,601,726.29 $1,601,726.29 $38,368.77 $1,521,432.88 $752,708.90 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 137 21 $1,453,911.05 $1,453,911.05 $81,630.99 $1,381,215.49 $683,338.19 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 137 21 $846,926.43 $846,926.43 $133,529.95 $804,580.11 $398,055.42 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 137 21 $353,492.45 $353,492.45 $88,037.21 $379,215.90 $282,793.96 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With McC 137 21 $509,378.04 $509,378.04 $33,615.51 $483,840.74 $254,653.02 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 137 21 $498,050.87 $498,050.87 $42,543.84 $473,148.33 $249,025.44 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 137 21 $456,424.79 $456,424.79 $67,874.63 $433,603.56 $228,212.40 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 137 21 $435,196.41 $435,196.41 $52,767.50 $413,436.59 $214,578.81 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 137 21 $358,250.11 $358,250.11 $60,131.34 $340,337.61 $211,642.78 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With McC 137 21 $430,063.12 $430,063.12 $52,796.78 $408,559.96 $206,580.53 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 71 13 $221,099.51 $221,099.51 $37,039.18 $210,044.54 $187,934.59 2026-07-15
140 MS_DRG Major Head And Neck Procedures With McC 137 21 $354,398.46 $354,398.46 $26,350.10 $336,678.54 $177,199.23 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 137 21 $326,166.34 $326,166.34 $48,208.63 $309,704.60 $176,587.32 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 137 21 $341,324.53 $341,324.53 $48,700.21 $324,258.30 $170,662.27 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 137 21 $332,410.82 $332,410.82 $41,542.60 $315,790.28 $166,205.41 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 137 21 $204,246.31 $204,246.31 $50,224.82 $265,304.89 $163,397.04 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 137 21 $202,262.82 $202,262.82 $46,505.83 $192,149.68 $160,993.11 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/McC 137 21 $334,672.73 $334,672.73 $37,606.78 $317,939.10 $157,241.71 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 137 21 $311,126.84 $311,126.84 $34,437.94 $295,570.50 $155,563.42 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without McC 137 21 $326,431.18 $326,431.18 $38,060.36 $310,050.72 $151,427.56 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 137 21 $292,807.06 $292,807.06 $43,342.59 $278,166.71 $147,532.30 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 137 21 $239,647.22 $239,647.22 $40,294.00 $227,664.86 $142,644.18 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 137 21 $284,946.35 $284,946.35 $37,067.22 $270,657.23 $142,451.18 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 137 21 $283,392.63 $283,392.63 $34,293.39 $269,223.00 $141,696.32 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 137 21 $225,398.90 $225,398.90 $44,031.06 $214,128.96 $139,747.32 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 137 21 $207,566.98 $207,566.98 $40,236.06 $197,188.63 $137,927.68 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 137 21 $273,089.86 $273,089.86 $17,583.14 $259,435.37 $136,544.93 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 137 21 $296,294.36 $296,294.36 $33,001.18 $281,479.64 $133,506.54 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 137 21 $233,683.76 $233,683.76 $44,253.49 $221,999.57 $133,199.74 2026-07-15
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 190 10 $139,478.10 $139,478.10 $53,406.00 $139,509.60 $132,474.27 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 137 21 $272,522.63 $272,522.63 $33,147.60 $258,896.50 $132,317.74 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 137 21 $244,931.03 $244,931.03 $35,759.43 $232,684.48 $131,149.48 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 137 21 $244,145.90 $244,145.90 $36,661.61 $231,938.61 $130,132.75 2026-07-15
653 MS_DRG Major Bladder Procedures With McC 137 21 $256,780.09 $256,780.09 $34,732.64 $243,941.09 $128,390.05 2026-07-15
28 MS_DRG Spinal Procedures With McC 137 21 $244,991.94 $244,991.94 $37,878.43 $232,742.35 $127,688.69 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 137 21 $165,303.89 $165,303.89 $35,545.72 $157,038.70 $124,514.67 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/McC 137 21 $241,603.81 $241,603.81 $12,942.65 $229,523.62 $120,801.91 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 137 21 $150,375.69 $150,375.69 $34,287.79 $142,856.91 $120,300.55 2026-07-15
834 MS_DRG Acute Leukemia With McC 137 21 $193,077.73 $193,077.73 $34,437.94 $193,829.41 $120,139.25 2026-07-15
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 95 10 $126,001.00 $126,001.00 $94,500.75 $126,001.00 $119,700.95 2026-07-15
215 MS_DRG Other Heart Assist System Implant 137 21 $137,941.73 $137,941.73 $66,011.08 $263,511.20 $117,456.48 2026-07-15
38240 CPT Bone Marrow/stem Transplant 95 10 $145,785.00 $145,785.00 $65,462.00 $138,495.75 $116,628.00 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 137 21 $232,693.07 $232,693.07 $29,753.83 $221,036.57 $116,335.04 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 137 21 $202,486.13 $202,486.13 $36,275.94 $192,361.82 $115,524.86 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 137 21 $158,301.50 $158,301.50 $31,741.99 $150,386.43 $113,949.80 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 137 21 $142,323.08 $142,323.08 $37,325.78 $240,413.32 $113,858.46 2026-07-15
799 MS_DRG Splenic Procedures With McC 115 17 $137,390.14 $137,390.14 $29,624.86 $130,520.63 $113,137.28 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 137 21 $175,124.69 $175,124.69 $32,114.75 $166,368.46 $112,213.97 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 137 21 $169,013.92 $169,013.92 $31,644.80 $160,563.23 $111,205.93 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With McC 137 21 $206,951.12 $206,951.12 $31,495.66 $196,603.56 $111,071.24 2026-07-15
471 MS_DRG Cervical Spinal Fusion With McC 137 21 $163,428.32 $163,428.32 $30,263.49 $155,256.90 $109,428.83 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 137 21 $216,242.56 $216,242.56 $28,614.27 $205,430.43 $108,121.28 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With McC 137 21 $152,359.52 $152,359.52 $31,048.54 $171,177.59 $107,067.32 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 137 21 $135,058.10 $135,058.10 $31,160.69 $138,679.54 $106,474.23 2026-07-15
163 MS_DRG Major Chest Procedures With McC 137 21 $167,361.60 $167,361.60 $28,717.70 $158,993.52 $105,229.38 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 137 21 $202,197.77 $202,197.77 $26,903.37 $192,087.88 $104,564.60 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 137 21 $208,223.30 $208,223.30 $27,864.74 $197,812.14 $104,111.65 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 137 21 $227,337.40 $227,337.40 $25,620.51 $215,970.53 $102,872.79 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 137 21 $203,865.44 $203,865.44 $26,538.26 $193,672.17 $101,932.72 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 137 21 $140,534.44 $140,534.44 $29,937.98 $137,957.04 $101,023.42 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 134 20 $126,279.25 $126,279.25 $37,296.47 $146,106.47 $101,023.40 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With McC 137 21 $157,621.25 $157,621.25 $28,609.91 $149,740.19 $100,441.19 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC 137 21 $195,282.91 $195,282.91 $12,756.36 $185,518.77 $97,641.46 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 137 21 $193,355.69 $193,355.69 $18,051.05 $183,687.91 $96,677.85 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 137 21 $122,349.92 $122,349.92 $29,619.26 $122,288.10 $96,675.94 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With McC 115 17 $132,602.94 $132,602.94 $44,068.98 $125,972.79 $94,683.59 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 137 21 $124,107.83 $124,107.83 $25,923.31 $120,015.92 $92,902.62 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 137 21 $149,462.56 $149,462.56 $37,365.64 $160,204.53 $92,666.79 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 137 21 $141,471.09 $141,471.09 $24,533.28 $134,397.54 $92,661.47 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 137 21 $115,815.48 $115,815.48 $28,109.60 $130,073.12 $92,622.38 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 137 21 $138,904.25 $138,904.25 $25,606.18 $131,959.04 $90,604.11 2026-07-15
791 MS_DRG Prematurity With Major Problems 71 13 $100,289.44 $100,289.44 $25,295.28 $116,086.50 $90,260.50 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With McC 137 21 $112,711.25 $112,711.25 $26,577.52 $110,377.62 $90,169.00 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With McC 137 21 $112,149.60 $112,149.60 $25,639.24 $106,542.12 $89,528.73 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 137 21 $178,237.31 $178,237.31 $27,942.00 $169,325.44 $89,118.66 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 115 17 $104,719.10 $104,719.10 $49,320.96 $132,974.68 $89,011.24 2026-07-15
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC 137 21 $177,673.93 $177,673.93 $12,368.20 $168,790.23 $88,836.97 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/McC 137 21 $177,119.66 $177,119.66 $12,090.94 $168,263.68 $88,559.83 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 137 21 $120,091.40 $120,091.40 $24,363.19 $114,086.83 $87,182.43 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With McC 137 21 $123,768.34 $123,768.34 $24,228.61 $117,579.92 $86,886.97 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/McC 137 21 $171,692.67 $171,692.67 $14,199.35 $163,108.04 $85,846.34 2026-07-15
332 MS_DRG Rectal Resection With McC 137 21 $107,318.82 $107,318.82 $21,611.79 $111,088.71 $85,833.46 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 137 21 $133,460.15 $133,460.15 $23,686.56 $126,787.14 $85,787.68 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 137 21 $139,725.21 $139,725.21 $25,342.01 $148,005.57 $85,420.53 2026-07-15
252 MS_DRG Other Vascular Procedures With McC 137 21 $192,934.55 $192,934.55 $21,373.17 $183,287.83 $85,374.33 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 137 21 $170,662.07 $170,662.07 $15,682.21 $162,128.98 $85,331.04 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 137 21 $170,271.00 $170,271.00 $21,340.77 $161,757.45 $85,135.50 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 137 21 $108,846.43 $108,846.43 $25,568.17 $103,404.11 $84,933.89 2026-07-15
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC 137 21 $169,827.51 $169,827.51 $7,563.22 $161,336.13 $84,913.76 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 137 21 $115,716.01 $115,716.01 $24,803.07 $109,930.21 $84,777.47 2026-07-15
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 284 21 $110,208.27 $110,208.27 $52,980.48 $104,754.38 $84,768.77 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 137 21 $174,904.24 $174,904.24 $20,365.69 $166,159.03 $84,763.39 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without McC 137 21 $148,569.81 $148,569.81 $19,227.38 $141,141.32 $84,684.79 2026-07-15
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 274 21 $105,828.94 $105,828.94 $52,107.84 $127,104.50 $84,637.95 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 137 21 $166,799.84 $166,799.84 $22,335.16 $158,447.50 $83,393.42 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 137 21 $145,477.46 $145,477.46 $24,375.03 $138,203.58 $82,922.15 2026-07-15
901 MS_DRG Wound Debridements For Injuries With McC 137 21 $103,496.38 $103,496.38 $27,604.31 $180,226.18 $82,797.10 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 137 21 $165,327.20 $165,327.20 $14,703.40 $157,060.84 $82,663.60 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 137 21 $112,277.48 $112,277.48 $23,815.53 $116,949.63 $82,646.25 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 137 21 $117,761.90 $117,761.90 $23,502.13 $111,873.80 $82,302.99 2026-07-15
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC 137 21 $162,535.48 $162,535.48 $12,440.47 $154,408.70 $81,267.74 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 137 21 $160,680.61 $160,680.61 $22,330.17 $152,646.58 $80,984.28 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 137 21 $127,551.99 $127,551.99 $21,935.16 $121,174.40 $80,695.34 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 137 21 $160,268.65 $160,268.65 $23,314.60 $159,293.91 $80,134.33 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With McC 137 21 $125,461.92 $125,461.92 $22,575.66 $127,709.10 $80,030.56 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 137 21 $136,449.50 $136,449.50 $21,814.91 $129,627.03 $79,719.89 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With McC 137 21 $136,289.91 $136,289.91 $23,989.36 $129,475.41 $79,639.51 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 137 21 $100,318.99 $100,318.99 $24,583.75 $103,562.06 $79,183.28 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC 137 21 $157,594.89 $157,594.89 $13,101.53 $149,715.15 $78,797.45 2026-07-15
665 MS_DRG Prostatectomy With McC 137 21 $174,632.11 $174,632.11 $21,393.10 $165,900.51 $78,636.13 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 137 21 $157,001.51 $157,001.51 $19,965.07 $149,151.43 $78,500.76 2026-07-15
801 MS_DRG Splenic Procedures Without Cc/McC 137 21 $156,377.90 $156,377.90 $10,228.64 $148,559.01 $78,188.95 2026-07-15
333 MS_DRG Rectal Resection With Cc 137 21 $156,331.08 $156,331.08 $13,241.72 $148,514.53 $78,165.54 2026-07-15
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 278 21 $120,207.90 $120,207.90 $59,249.80 $147,889.80 $78,155.61 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 137 21 $103,194.69 $103,194.69 $22,733.29 $98,034.96 $77,634.29 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 137 21 $95,597.91 $95,597.91 $21,996.22 $136,462.91 $76,478.32 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 137 21 $95,126.30 $95,126.30 $22,333.91 $93,821.11 $76,101.04 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 137 21 $144,580.84 $144,580.84 $26,103.37 $137,322.35 $75,907.15 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 137 21 $126,997.72 $126,997.72 $22,125.81 $120,647.83 $75,731.18 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 137 21 $147,261.13 $147,261.13 $21,460.39 $139,898.07 $75,685.56 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 137 21 $94,154.85 $94,154.85 $29,312.71 $167,963.91 $75,323.88 2026-07-15
999 MS_DRG Ungroupable 137 21 $150,586.04 $150,586.04 $12,224.90 $143,056.74 $75,293.02 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 137 21 $162,020.46 $162,020.46 $19,056.66 $153,919.44 $75,174.11 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With McC 137 21 $165,818.83 $165,818.83 $17,863.52 $157,505.09 $74,362.07 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 137 21 $148,242.27 $148,242.27 $20,913.98 $140,830.16 $74,247.36 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 137 21 $94,707.07 $94,707.07 $21,426.75 $89,971.72 $73,925.83 2026-07-15
37 MS_DRG Extracranial Procedures With McC 137 21 $118,924.10 $118,924.10 $20,690.92 $112,977.90 $73,278.43 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without McC 137 21 $117,985.99 $117,985.99 $28,983.74 $123,371.57 $73,151.31 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 137 21 $111,625.34 $111,625.34 $17,832.36 $106,014.09 $72,556.47 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 137 21 $105,007.85 $105,007.85 $20,299.03 $99,757.46 $71,807.64 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 137 21 $121,138.95 $121,138.95 $19,907.13 $115,082.00 $71,790.25 2026-07-15
906 MS_DRG Hand Procedures For Injuries 137 21 $142,631.29 $142,631.29 $13,598.10 $135,499.73 $71,315.65 2026-07-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/McC 137 21 $142,455.91 $142,455.91 $10,286.58 $135,333.11 $71,227.96 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 137 21 $119,900.53 $119,900.53 $21,990.61 $114,287.94 $70,849.57 2026-07-15
667 MS_DRG Prostatectomy Without Cc/McC 137 21 $139,956.39 $139,956.39 $10,263.53 $132,958.57 $69,978.20 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 137 21 $139,503.67 $139,503.67 $13,307.14 $132,528.49 $69,751.84 2026-07-15
500 MS_DRG Soft Tissue Procedures With McC 137 21 $122,924.72 $122,924.72 $19,742.64 $116,771.84 $69,617.76 2026-07-15
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 137 21 $139,051.30 $139,051.30 $11,328.95 $132,098.74 $69,525.65 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 137 21 $130,877.24 $130,877.24 $17,737.04 $124,333.38 $69,519.45 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 137 21 $86,677.11 $86,677.11 $21,830.49 $95,791.94 $69,341.69 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 137 21 $111,874.34 $111,874.34 $20,572.54 $106,280.62 $68,924.74 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 137 21 $85,939.92 $85,939.92 $20,057.90 $84,975.32 $68,751.93 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 137 21 $90,569.19 $90,569.19 $20,307.75 $86,218.73 $68,470.68 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC 134 20 $136,582.03 $136,582.03 $18,881.24 $129,752.93 $68,291.02 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 137 21 $138,033.08 $138,033.08 $16,344.52 $131,131.43 $67,957.34 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 137 21 $87,501.66 $87,501.66 $19,267.25 $92,763.22 $67,734.21 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 137 21 $83,031.62 $83,031.62 $21,133.91 $89,131.21 $66,425.30 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 137 21 $132,793.01 $132,793.01 $15,731.43 $126,153.36 $66,396.51 2026-07-15
254 MS_DRG Other Vascular Procedures Without Cc/McC 137 21 $132,397.30 $132,397.30 $10,899.67 $125,777.44 $66,198.65 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/McC 137 21 $132,243.81 $132,243.81 $11,686.70 $125,631.62 $66,121.91 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 137 21 $132,071.87 $132,071.87 $12,451.07 $125,453.08 $66,027.94 2026-07-15
662 MS_DRG Minor Bladder Procedures With McC 137 21 $84,626.60 $84,626.60 $19,436.72 $90,185.34 $66,015.76 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 137 21 $120,267.39 $120,267.39 $18,160.09 $114,254.02 $65,592.12 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 137 21 $142,073.12 $142,073.12 $15,906.51 $134,969.46 $64,940.80 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 137 21 $116,818.37 $116,818.37 $18,371.30 $110,977.45 $64,896.92 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 137 21 $116,332.68 $116,332.68 $18,323.95 $110,516.05 $64,436.35 2026-07-15
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 137 21 $128,308.73 $128,308.73 $9,986.90 $121,893.29 $64,154.37 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 137 21 $80,131.63 $80,131.63 $21,776.28 $84,253.00 $64,105.30 2026-07-15
115 MS_DRG Extraocular Procedures Except Orbit 137 21 $127,717.53 $127,717.53 $9,538.92 $121,331.65 $63,858.77 2026-07-15
265 MS_DRG Aicd Lead Procedures 137 21 $79,853.11 $79,853.11 $22,225.50 $91,169.18 $63,783.29 2026-07-15
583 MS_DRG Mastectomy For Malignancy Without Cc/McC 137 21 $127,601.07 $127,601.07 $10,234.87 $121,153.56 $63,765.04 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 137 21 $122,760.51 $122,760.51 $17,497.78 $116,622.48 $63,647.73 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 137 21 $138,669.21 $138,669.21 $15,128.32 $131,735.75 $63,573.81 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 137 21 $126,774.96 $126,774.96 $16,590.62 $120,436.21 $63,387.48 2026-07-15
570 MS_DRG Skin Debridement With McC 137 21 $86,893.55 $86,893.55 $18,040.56 $118,767.44 $63,374.00 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 137 21 $146,595.16 $146,595.16 $15,876.60 $139,265.40 $63,237.80 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 137 21 $126,381.14 $126,381.14 $16,944.59 $120,062.09 $63,190.57 2026-07-15
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 137 21 $126,070.58 $126,070.58 $9,300.29 $119,767.05 $63,035.29 2026-07-15
905 MS_DRG Skin Grafts For Injuries Without Cc/McC 137 21 $126,035.25 $126,035.25 $10,269.14 $119,733.49 $63,017.63 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With McC 137 21 $88,669.34 $88,669.34 $16,987.51 $90,994.54 $62,822.18 2026-07-15
334 MS_DRG Rectal Resection Without Cc/McC 137 21 $125,528.36 $125,528.36 $10,333.94 $119,251.94 $62,764.18 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 137 21 $141,452.87 $141,452.87 $14,750.13 $134,380.23 $62,637.03 2026-07-15
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC 137 21 $125,036.14 $125,036.14 $10,950.76 $118,784.33 $62,518.07 2026-07-15
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC 137 21 $124,609.87 $124,609.87 $7,893.44 $118,379.38 $62,304.94 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 137 21 $97,167.23 $97,167.23 $18,274.11 $92,308.87 $62,302.96 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 137 21 $77,666.98 $77,666.98 $24,080.95 $102,096.79 $62,133.58 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 137 21 $126,290.18 $126,290.18 $15,590.00 $119,975.67 $62,099.91 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 137 21 $131,188.81 $131,188.81 $15,375.67 $124,629.37 $61,931.90 2026-07-15
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/McC 137 21 $123,499.86 $123,499.86 $8,537.05 $117,324.87 $61,749.93 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 137 21 $97,204.02 $97,204.02 $16,510.87 $92,319.12 $61,444.82 2026-07-15
668 MS_DRG Transurethral Procedures With McC 137 21 $79,629.18 $79,629.18 $18,170.06 $75,647.72 $61,327.50 2026-07-15
263 MS_DRG Vein Ligation And Stripping 137 21 $122,445.74 $122,445.74 $16,710.87 $116,287.35 $61,203.87 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 125 18 $93,896.89 $93,896.89 $24,483.44 $89,202.04 $61,032.98 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 137 21 $138,299.07 $138,299.07 $14,382.53 $131,384.12 $60,641.28 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 137 21 $150,618.32 $150,618.32 $14,727.07 $138,730.70 $60,384.18 2026-07-15
708 MS_DRG Major Male Pelvic Procedures Without Cc/McC 137 21 $119,460.45 $119,460.45 $9,236.74 $113,487.43 $59,730.23 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 137 21 $74,109.91 $74,109.91 $19,213.67 $96,112.73 $59,287.93 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/McC 137 21 $121,037.21 $121,037.21 $13,865.39 $114,985.35 $59,032.46 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 137 21 $98,411.94 $98,411.94 $18,144.51 $93,491.35 $58,966.00 2026-07-15
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/McC 137 21 $117,212.91 $117,212.91 $9,631.13 $111,277.21 $58,566.96 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 137 21 $73,044.14 $73,044.14 $16,843.58 $72,303.83 $58,435.32 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 137 21 $116,543.86 $116,543.86 $14,408.69 $109,472.17 $58,271.93 2026-07-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 137 21 $115,197.10 $115,197.10 $11,747.64 $109,437.25 $57,598.55 2026-07-15
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 137 21 $114,023.67 $114,023.67 $8,365.09 $108,322.49 $57,011.84 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 137 21 $134,162.66 $134,162.66 $13,703.40 $127,454.52 $56,840.70 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 137 21 $90,163.71 $90,163.71 $16,721.46 $85,655.53 $56,487.17 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/McC 137 21 $70,335.74 $70,335.74 $24,056.65 $86,477.47 $56,260.59 2026-07-15
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/McC 137 21 $112,339.76 $112,339.76 $8,034.25 $106,674.32 $56,144.38 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 137 21 $111,882.96 $111,882.96 $14,959.47 $106,288.81 $55,941.48 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 137 21 $72,268.33 $72,268.33 $16,302.15 $73,406.00 $55,737.66 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without McC 137 21 $69,422.26 $69,422.26 $19,803.36 $115,579.77 $55,537.81 2026-07-15
503 MS_DRG Foot Procedures With McC 137 21 $93,054.25 $93,054.25 $16,489.69 $88,401.55 $55,035.94 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 137 21 $71,346.70 $71,346.70 $16,128.32 $75,645.75 $54,881.70 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 137 21 $82,579.46 $82,579.46 $15,254.18 $78,450.48 $54,490.65 2026-07-15
397 MS_DRG Appendix Procedures With McC 137 21 $97,992.19 $97,992.19 $15,437.98 $93,092.58 $54,329.98 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 137 21 $110,930.75 $110,930.75 $13,134.55 $105,384.21 $53,768.16 2026-07-15
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 137 21 $107,528.79 $107,528.79 $9,403.72 $102,152.35 $53,764.40 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 137 21 $127,216.99 $127,216.99 $13,160.72 $120,856.14 $53,592.52 2026-07-15
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/McC 137 21 $107,122.54 $107,122.54 $6,553.88 $101,766.41 $53,561.27 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/McC 137 21 $91,779.34 $91,779.34 $15,022.40 $87,190.38 $53,241.46 2026-07-15
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 137 21 $106,138.79 $106,138.79 $8,558.24 $100,831.85 $53,069.40 2026-07-15
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 137 21 $105,938.81 $105,938.81 $9,112.13 $100,641.87 $52,969.41 2026-07-15
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/McC 137 21 $105,700.52 $105,700.52 $9,928.33 $100,415.49 $52,850.26 2026-07-15
245 MS_DRG Aicd Generator Procedures 137 21 $56,403.58 $56,403.58 $30,447.29 $118,666.29 $52,455.33 2026-07-15
117 MS_DRG Intraocular Procedures Without Cc/McC 137 21 $104,909.71 $104,909.71 $6,720.24 $98,753.18 $52,452.86 2026-07-15
800 MS_DRG Splenic Procedures With Cc 137 21 $65,365.01 $65,365.01 $18,154.48 $72,688.21 $52,292.01 2026-07-15
38 MS_DRG Extracranial Procedures With Cc 137 21 $104,109.81 $104,109.81 $10,039.23 $98,904.32 $52,054.91 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 137 21 $119,135.68 $119,135.68 $12,533.93 $113,178.90 $51,950.60 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 137 21 $103,424.27 $103,424.27 $13,155.11 $98,253.06 $51,712.14 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 137 21 $96,350.77 $96,350.77 $14,806.82 $91,533.23 $51,655.53 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 137 21 $64,508.69 $64,508.69 $16,101.53 $92,636.06 $51,606.95 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 137 21 $103,123.28 $103,123.28 $14,069.75 $97,967.12 $51,561.64 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With McC 137 21 $64,053.49 $64,053.49 $17,018.66 $85,356.15 $51,242.79 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 137 21 $80,035.03 $80,035.03 $15,069.75 $76,031.38 $51,205.83 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 137 21 $102,345.72 $102,345.72 $13,909.01 $97,228.43 $51,172.86 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 137 21 $113,941.54 $113,941.54 $13,214.30 $108,244.46 $51,123.28 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 137 21 $107,161.44 $107,161.44 $12,567.58 $101,803.37 $51,016.37 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With McC 137 21 $63,567.02 $63,567.02 $17,479.72 $69,873.75 $50,853.62 2026-07-15
849 MS_DRG Radiotherapy 137 21 $65,971.95 $65,971.95 $16,642.33 $69,430.05 $50,812.60 2026-07-15
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/McC 137 21 $101,185.31 $101,185.31 $8,929.58 $96,126.04 $50,592.66 2026-07-15
39 MS_DRG Extracranial Procedures Without Cc/McC 137 21 $101,112.11 $101,112.11 $7,091.57 $96,056.50 $50,556.06 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 137 21 $62,746.87 $62,746.87 $15,794.98 $72,664.99 $50,174.30 2026-07-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 137 21 $116,791.12 $116,791.12 $12,285.96 $110,951.56 $50,112.68 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 137 21 $99,912.81 $99,912.81 $13,386.27 $94,917.17 $49,956.41 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 137 21 $90,779.27 $90,779.27 $13,280.97 $86,230.81 $49,874.08 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 137 21 $62,313.32 $62,313.32 $19,445.44 $83,602.92 $49,850.66 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 137 21 $62,089.45 $62,089.45 $14,036.11 $73,787.48 $49,671.56 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 134 20 $67,137.46 $67,137.46 $19,740.94 $63,780.59 $49,626.42 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 137 21 $84,010.87 $84,010.87 $14,173.18 $79,810.33 $49,615.56 2026-07-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 137 21 $83,078.59 $83,078.59 $12,245.46 $78,924.66 $49,298.37 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 137 21 $94,045.36 $94,045.36 $14,456.05 $89,343.09 $49,213.64 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With McC 137 21 $61,066.33 $61,066.33 $16,788.13 $80,552.97 $48,853.06 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 137 21 $97,604.09 $97,604.09 $12,927.70 $92,723.89 $48,802.05 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 137 21 $89,638.57 $89,638.57 $14,031.12 $85,156.64 $48,798.70 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 137 21 $64,012.82 $64,012.82 $14,013.06 $60,812.18 $48,746.56 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 137 21 $74,889.84 $74,889.84 $14,570.69 $71,145.35 $48,678.40 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 137 21 $76,773.32 $76,773.32 $14,070.38 $72,934.65 $48,516.27 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With McC 134 20 $70,464.65 $70,464.65 $16,562.94 $66,941.42 $48,464.13 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 137 21 $96,438.79 $96,438.79 $12,324.59 $91,616.85 $48,219.40 2026-07-15
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 137 21 $97,350.02 $97,350.02 $11,390.01 $92,482.52 $46,945.96 2026-07-15
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/McC 137 21 $93,763.78 $93,763.78 $8,928.33 $89,075.59 $46,881.89 2026-07-15
93654 CPT Hc Ep & Ablate Ventric Tachy 137 21 $58,406.00 $58,406.00 $23,263.03 $72,270.71 $46,724.80 2026-07-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC 137 21 $99,231.65 $99,231.65 $11,272.25 $94,270.07 $46,416.47 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 137 21 $57,892.65 $57,892.65 $13,441.09 $59,325.92 $46,314.12 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 137 21 $86,693.02 $86,693.02 $12,190.56 $82,358.37 $46,304.67 2026-07-15
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 137 21 $92,296.86 $92,296.86 $9,407.46 $87,682.02 $46,148.43 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 137 21 $72,447.45 $72,447.45 $13,790.00 $68,825.08 $46,078.73 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 137 21 $91,938.78 $91,938.78 $11,384.40 $87,341.85 $45,969.39 2026-07-15
19367 CPT Breast Reconstruction 95 10 $48,055.00 $48,055.00 $36,041.25 $48,055.00 $45,652.25 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 137 21 $85,572.81 $85,572.81 $12,292.81 $81,294.17 $45,615.98 2026-07-15
835 MS_DRG Acute Leukemia With Cc 137 21 $72,201.50 $72,201.50 $13,307.76 $90,101.53 $45,559.50 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/McC 137 21 $94,145.65 $94,145.65 $11,381.29 $89,438.37 $45,360.05 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 137 21 $90,607.05 $90,607.05 $10,816.80 $86,076.70 $45,303.53 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With McC 137 21 $64,268.19 $64,268.19 $13,417.42 $61,054.78 $45,244.49 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 137 21 $89,872.22 $89,872.22 $13,305.89 $85,378.61 $44,936.11 2026-07-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 284 21 $62,749.55 $62,749.55 $28,052.32 $59,668.60 $44,883.71 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 137 21 $61,278.44 $61,278.44 $12,449.20 $58,214.52 $44,657.91 2026-07-15
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 137 21 $62,818.77 $62,818.77 $11,090.32 $59,677.83 $44,607.94 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 294 21 $63,041.92 $63,041.92 $27,857.23 $59,896.00 $44,571.57 2026-07-15
711 MS_DRG Testes Procedures With Cc/McC 137 21 $62,939.70 $62,939.70 $11,904.03 $59,792.72 $44,392.87 2026-07-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 137 21 $95,665.15 $95,665.15 $10,945.15 $90,881.89 $44,051.61 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 137 21 $76,844.81 $76,844.81 $14,293.43 $73,002.57 $43,758.50 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 137 21 $106,593.75 $106,593.75 $10,598.73 $101,264.06 $43,728.32 2026-07-15
666 MS_DRG Prostatectomy With Cc 137 21 $91,999.73 $91,999.73 $10,263.53 $87,399.75 $43,718.13 2026-07-15
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/McC 137 21 $87,311.78 $87,311.78 $8,435.50 $82,946.19 $43,655.89 2026-07-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 137 21 $87,069.43 $87,069.43 $11,747.02 $82,715.96 $43,534.72 2026-07-15
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 137 21 $94,391.00 $94,391.00 $10,203.09 $89,671.45 $43,519.58 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/McC 137 21 $86,791.94 $86,791.94 $10,396.24 $82,452.34 $43,395.97 2026-07-15
539 MS_DRG Osteomyelitis With McC 137 21 $61,692.13 $61,692.13 $12,600.60 $109,507.88 $43,360.93 2026-07-15
380 MS_DRG Complicated Peptic Ulcer With McC 137 21 $66,445.35 $66,445.35 $12,135.76 $63,123.09 $43,189.48 2026-07-15
974 MS_DRG HIV With Major Related Condition With McC 137 21 $53,976.29 $53,976.29 $18,605.57 $83,503.66 $43,181.03 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 137 21 $83,794.12 $83,794.12 $12,219.29 $79,604.41 $42,993.78 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/McC 137 21 $85,841.51 $85,841.51 $11,421.16 $81,549.43 $42,920.76 2026-07-15
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/McC 137 21 $87,675.60 $87,675.60 $10,433.62 $83,291.82 $42,666.80 2026-07-15
S2102 HCPCS Hc Process Auto Islet Transcon 95 10 $44,887.00 $44,887.00 $33,665.25 $44,887.00 $42,642.65 2026-07-15
374 MS_DRG Digestive Malignancy With McC 137 21 $52,886.64 $52,886.64 $13,155.11 $59,340.37 $42,309.31 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 137 21 $61,739.43 $61,739.43 $12,034.87 $58,652.46 $42,233.40 2026-07-15
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC 137 21 $84,299.02 $84,299.02 $11,064.15 $80,084.07 $42,149.51 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 137 21 $54,903.24 $54,903.24 $11,796.24 $54,910.00 $42,090.02 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 137 21 $52,529.36 $52,529.36 $14,935.80 $67,946.79 $42,023.49 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 137 21 $52,513.75 $52,513.75 $14,118.35 $58,631.42 $42,011.00 2026-07-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 137 21 $67,916.19 $67,916.19 $11,095.93 $64,520.38 $41,651.17 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 137 21 $52,034.50 $52,034.50 $12,224.90 $51,145.13 $41,627.60 2026-07-15
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/McC 137 21 $89,879.98 $89,879.98 $10,393.75 $85,385.98 $41,625.65 2026-07-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 137 21 $90,873.48 $90,873.48 $10,181.33 $86,329.81 $41,612.92 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 137 21 $55,521.08 $55,521.08 $11,823.03 $52,745.03 $41,512.13 2026-07-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 137 21 $56,369.62 $56,369.62 $11,244.21 $61,088.82 $41,301.40 2026-07-15
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC 137 21 $73,637.81 $73,637.81 $12,174.43 $69,955.92 $41,240.57 2026-07-15
545 MS_DRG Connective Tissue Disorders With McC 137 21 $51,461.83 $51,461.83 $15,528.29 $77,350.85 $41,169.46 2026-07-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 137 21 $52,933.90 $52,933.90 $11,778.17 $87,792.42 $41,164.53 2026-07-15
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