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 WOOD RIVER MEDICAL CENTER

Ketchum, ID · CCN 131323 · Rates published

7,534 distinct procedures filed
28 distinct payers
2,487,843 rate rows
2026-07-15 last MRF observed
Data quality

2,415,378 of 2,487,843 rate rows are consumer-grade (97.1%)

72,465 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 50,478
per-diem day rate — not a per-procedure price 20,811
percent-of-charges filed in the dollar field — excluded from medians 794
exceeds 10× this hospital's gross charge — excluded from medians 198
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 149
placeholder amount (≤ $0.02) — excluded from medians 24
template filing: same amount across many unrelated codes — excluded 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stlukesonline.file.core.windows.net/stlukesonline-files/841421665_St-Lukes-Wood-River-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 Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 3e844694a420529e… · 531,644,589 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
215
MS_DRG 		Other Heart Assist System Implant 3 $348,385.15 $348,385.15 $348,385.15 nat. median
$93,901
outlier · 3.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $319,830.30 $319,830.30 $319,830.30 nat. median
$190,559
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With McC 3 $275,347.15 $275,347.15 $275,347.15 nat. median
$70,732
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $262,769.95 $262,769.95 $262,769.95 nat. median
$126,695
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 3 $215,732.35 $215,732.35 $215,732.35 nat. median
$74,370
outlier · 2.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $199,298.80 $199,298.80 $199,298.80 nat. median
$77,632
outlier · 2.6×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 3 $195,491.80 $195,491.80 $195,491.80 nat. median
$58,280
outlier · 3.4×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/McC 3 $190,096.20 $190,096.20 $190,096.20 nat. median
$53,927
outlier · 3.5×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $188,535.80 $188,535.80 $188,535.80 nat. median
$47,543
outlier · 4.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $176,893.90 $176,893.90 $176,893.90 nat. median
$49,540
outlier · 3.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $175,596.70 $175,596.70 $175,596.70 nat. median
$59,371
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $174,795.35 $174,795.35 $174,795.35 nat. median
$90,551
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 3 $166,509.25 $166,509.25 $166,509.25 nat. median
$77,028
outlier · 2.2×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $161,405.05 $161,405.05 $161,405.05 nat. median
$51,514
outlier · 3.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $160,067.90 $160,067.90 $160,067.90 nat. median
$39,452
outlier · 4.1×
834
MS_DRG 		Acute Leukemia With McC 3 $157,612.15 $157,612.15 $157,612.15 nat. median
$50,371
outlier · 3.1×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With McC 3 $156,775.55 $156,775.55 $156,775.55 nat. median
$38,225
outlier · 4.1×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $153,520.80 $153,520.80 $153,520.80 nat. median
$55,167
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 3 $153,412.70 $153,412.70 $153,412.70 nat. median
$63,873
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 3 $151,793.55 $151,793.55 $151,793.55 nat. median
$71,748
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With McC 3 $151,751.25 $151,751.25 $151,751.25 nat. median
$52,712
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $148,874.85 $148,874.85 $148,874.85 nat. median
$72,398
outlier · 2.1×
901
MS_DRG 		Wound Debridements For Injuries With McC 3 $146,550.70 $146,550.70 $146,550.70 nat. median
$39,652
outlier · 3.7×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $146,155.90 $146,155.90 $146,155.90 nat. median
$32,619
outlier · 4.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $143,185.50 $143,185.50 $143,185.50 nat. median
$62,031
outlier · 2.3×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 3 $142,090.40 $142,090.40 $142,090.40 nat. median
$53,856
outlier · 2.6×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/McC 3 $142,050.45 $142,050.45 $142,050.45 nat. median
$38,810
outlier · 3.7×
228
MS_DRG 		Other Cardiothoracic Procedures With McC 3 $139,192.85 $139,192.85 $139,192.85 nat. median
$47,429
outlier · 2.9×
38240
CPT 		Bone Marrow/stem Transplant 20 $80,181.75 $145,785.00 $138,495.75 nat. median
$12,842
outlier · 10.8×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 3 $136,579.65 $136,579.65 $136,579.65 nat. median
$45,868
outlier · 3.0×
653
MS_DRG 		Major Bladder Procedures With McC 3 $135,881.70 $135,881.70 $135,881.70 nat. median
$49,999
outlier · 2.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 3 $135,705.45 $135,705.45 $135,705.45 nat. median
$67,976
2.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $135,348.25 $135,348.25 $135,348.25 nat. median
$62,655
outlier · 2.2×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $133,202.70 $133,202.70 $133,202.70 nat. median
$34,024
outlier · 3.9×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 $129,529.65 $129,529.65 $129,529.65 nat. median
$33,627
outlier · 3.9×
232
MS_DRG 		Coronary Bypass With Ptca Without McC 3 $128,140.80 $128,140.80 $128,140.80 nat. median
$57,801
outlier · 2.2×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 3 $126,890.60 $126,890.60 $126,890.60 nat. median
$55,477
outlier · 2.3×
163
MS_DRG 		Major Chest Procedures With McC 3 $126,458.20 $126,458.20 $126,458.20 nat. median
$42,680
outlier · 3.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $122,216.45 $122,216.45 $122,216.45 nat. median
$59,546
outlier · 2.1×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $121,791.10 $121,791.10 $121,791.10 nat. median
$40,320
outlier · 3.0×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC 3 $120,423.40 $120,423.40 $120,423.40 nat. median
$31,634
outlier · 3.8×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With McC 3 $120,350.55 $120,350.55 $120,350.55 nat. median
$38,555
outlier · 3.1×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 20 $69,300.55 $126,001.00 $119,700.95 nat. median
$43,278
outlier · 2.8×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 3 $118,461.15 $118,461.15 $118,461.15 nat. median
$43,895
outlier · 2.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $115,909.05 $115,909.05 $115,909.05 nat. median
$53,523
outlier · 2.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 3 $112,767.10 $112,767.10 $112,767.10 nat. median
$45,430
outlier · 2.5×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With McC 3 $112,750.65 $112,750.65 $112,750.65 nat. median
$50,787
outlier · 2.2×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 3 $112,179.60 $112,179.60 $112,179.60 nat. median
$45,237
outlier · 2.5×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $111,942.25 $111,942.25 $111,942.25 nat. median
$50,627
outlier · 2.2×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 $110,964.65 $110,964.65 $110,964.65 nat. median
$32,336
outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 7,534 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
             
215 MS_DRG Other Heart Assist System Implant 5 3 $237,673.12 $237,673.12 $348,385.15 $348,385.15 $348,385.15 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 3 $772,951.43 $772,951.43 $319,830.30 $319,830.30 $319,830.30 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With McC 5 3 $663,672.82 $663,672.82 $275,347.15 $275,347.15 $275,347.15 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 3 $330,363.45 $330,363.45 $262,769.95 $262,769.95 $262,769.95 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 5 3 $189,069.97 $189,069.97 $215,732.35 $215,732.35 $215,732.35 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $367,471.41 $367,471.41 $199,298.80 $199,298.80 $199,298.80 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 5 3 $125,151.08 $125,151.08 $195,491.80 $195,491.80 $195,491.80 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/McC 5 3 $323,257.72 $323,257.72 $190,096.20 $190,096.20 $190,096.20 2026-07-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 $126,596.57 $126,596.57 $188,535.80 $188,535.80 $188,535.80 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 3 $197,675.95 $197,675.95 $176,893.90 $176,893.90 $176,893.90 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 3 $188,315.22 $188,315.22 $175,596.70 $175,596.70 $175,596.70 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 $305,778.99 $305,778.99 $174,795.35 $174,795.35 $174,795.35 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With McC 5 3 $377,096.12 $377,096.12 $166,509.25 $166,509.25 $166,509.25 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 3 $294,121.84 $294,121.84 $161,405.05 $161,405.05 $161,405.05 2026-07-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 $139,713.81 $139,713.81 $160,067.90 $160,067.90 $160,067.90 2026-07-15
834 MS_DRG Acute Leukemia With McC 5 3 $177,370.57 $177,370.57 $157,612.15 $157,612.15 $157,612.15 2026-07-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With McC 5 3 $92,196.60 $92,196.60 $156,775.55 $156,775.55 $156,775.55 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $208,264.03 $208,264.03 $153,520.80 $153,520.80 $153,520.80 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 5 3 $216,966.39 $216,966.39 $153,412.70 $153,412.70 $153,412.70 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 5 3 $288,034.53 $288,034.53 $151,793.55 $151,793.55 $151,793.55 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With McC 5 3 $226,119.60 $226,119.60 $151,751.25 $151,751.25 $151,751.25 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 $276,782.15 $276,782.15 $148,874.85 $148,874.85 $148,874.85 2026-07-15
901 MS_DRG Wound Debridements For Injuries With McC 5 3 $85,839.38 $85,839.38 $146,550.70 $146,550.70 $146,550.70 2026-07-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 $118,163.59 $118,163.59 $146,155.90 $146,155.90 $146,155.90 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 $194,220.98 $194,220.98 $143,185.50 $143,185.50 $143,185.50 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 5 3 $175,690.76 $175,690.76 $142,090.40 $142,090.40 $142,090.40 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/McC 5 3 $151,416.35 $151,416.35 $142,050.45 $142,050.45 $142,050.45 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With McC 5 3 $141,936.52 $141,936.52 $139,192.85 $139,192.85 $139,192.85 2026-07-15
38240 CPT Bone Marrow/stem Transplant 135 20 $145,785.00 $145,785.00 $80,181.75 $145,785.00 $138,495.75 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 5 3 $89,493.85 $89,493.85 $136,579.65 $136,579.65 $136,579.65 2026-07-15
653 MS_DRG Major Bladder Procedures With McC 5 3 $207,217.09 $207,217.09 $135,881.70 $135,881.70 $135,881.70 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 5 3 $167,631.82 $167,631.82 $135,705.45 $135,705.45 $135,705.45 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 3 $248,773.61 $248,773.61 $135,348.25 $135,348.25 $135,348.25 2026-07-15
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 $141,771.18 $141,771.18 $133,202.70 $133,202.70 $133,202.70 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 3 $129,227.53 $129,227.53 $129,529.65 $129,529.65 $129,529.65 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without McC 5 3 $279,086.18 $279,086.18 $128,140.80 $128,140.80 $128,140.80 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 5 3 $200,304.90 $200,304.90 $126,890.60 $126,890.60 $126,890.60 2026-07-15
163 MS_DRG Major Chest Procedures With McC 5 3 $146,105.35 $146,105.35 $126,458.20 $126,458.20 $126,458.20 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 $237,244.10 $237,244.10 $122,216.45 $122,216.45 $122,216.45 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $172,352.77 $172,352.77 $121,791.10 $121,791.10 $121,791.10 2026-07-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC 5 3 $121,120.48 $121,120.48 $120,423.40 $120,423.40 $120,423.40 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 5 3 $132,200.81 $132,200.81 $120,350.55 $120,350.55 $120,350.55 2026-07-15
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 135 20 $126,001.00 $126,001.00 $69,300.55 $126,001.00 $119,700.95 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 3 $195,392.57 $195,392.57 $118,461.15 $118,461.15 $118,461.15 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 3 $156,964.89 $156,964.89 $115,909.05 $115,909.05 $115,909.05 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 5 3 $57,207.16 $57,207.16 $112,767.10 $112,767.10 $112,767.10 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 5 3 $134,653.33 $134,653.33 $112,750.65 $112,750.65 $112,750.65 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 5 3 $116,013.52 $116,013.52 $112,179.60 $112,179.60 $112,179.60 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 $245,355.75 $245,355.75 $111,942.25 $111,942.25 $111,942.25 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 3 $88,863.68 $88,863.68 $110,964.65 $110,964.65 $110,964.65 2026-07-15
28 MS_DRG Spinal Procedures With McC 5 3 $192,274.25 $192,274.25 $110,541.65 $110,541.65 $110,541.65 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With McC 5 3 $134,876.38 $134,876.38 $110,189.15 $110,189.15 $110,189.15 2026-07-15
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 360 20 $120,207.90 $120,207.90 $65,284.00 $120,239.40 $108,759.64 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 5 3 $101,558.10 $101,558.10 $108,128.20 $108,128.20 $108,128.20 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 $182,001.56 $182,001.56 $106,953.20 $106,953.20 $106,953.20 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 5 3 $223,855.63 $223,855.63 $106,553.70 $106,553.70 $106,553.70 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 5 3 $151,442.54 $151,442.54 $106,024.95 $106,024.95 $106,024.95 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 5 3 $92,816.64 $92,816.64 $105,768.80 $105,768.80 $105,768.80 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 5 3 $141,597.42 $141,597.42 $105,766.45 $105,766.45 $105,766.45 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 5 3 $111,936.16 $111,936.16 $103,935.80 $103,935.80 $103,935.80 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With McC 5 3 $101,262.92 $101,262.92 $103,846.50 $103,846.50 $103,846.50 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With McC 5 3 $158,497.75 $158,497.75 $103,747.80 $103,747.80 $103,747.80 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 5 3 $137,067.92 $137,067.92 $102,471.75 $102,471.75 $102,471.75 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With McC 5 3 $123,446.91 $123,446.91 $99,726.95 $99,726.95 $99,726.95 2026-07-15
799 MS_DRG Splenic Procedures With McC 5 3 $119,524.14 $119,524.14 $99,259.30 $99,259.30 $99,259.30 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 5 3 $108,545.89 $108,545.89 $97,590.80 $97,590.80 $97,590.80 2026-07-15
570 MS_DRG Skin Debridement With McC 5 3 $69,801.92 $69,801.92 $96,575.60 $96,575.60 $96,575.60 2026-07-15
245 MS_DRG Aicd Generator Procedures 5 3 $42,899.58 $42,899.58 $96,493.35 $96,493.35 $96,493.35 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 5 3 $82,001.77 $82,001.77 $95,708.45 $95,708.45 $95,708.45 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 3 $93,360.48 $93,360.48 $95,097.45 $95,097.45 $95,097.45 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 5 3 $111,397.71 $111,397.71 $95,064.55 $95,064.55 $95,064.55 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without McC 5 3 $67,387.09 $67,387.09 $93,983.55 $93,983.55 $93,983.55 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 5 3 $108,039.53 $108,039.53 $92,933.10 $92,933.10 $92,933.10 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 5 3 $155,540.44 $155,540.44 $91,565.40 $91,565.40 $91,565.40 2026-07-15
332 MS_DRG Rectal Resection With McC 5 3 $80,175.82 $80,175.82 $90,331.65 $90,331.65 $90,331.65 2026-07-15
539 MS_DRG Osteomyelitis With McC 5 3 $56,546.02 $56,546.02 $89,046.20 $89,046.20 $89,046.20 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without McC 5 3 $145,367.59 $145,367.59 $89,034.45 $89,034.45 $89,034.45 2026-07-15
471 MS_DRG Cervical Spinal Fusion With McC 5 3 $132,075.32 $132,075.32 $87,250.80 $87,250.80 $87,250.80 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With McC 5 3 $109,094.09 $109,094.09 $86,428.30 $86,428.30 $86,428.30 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 5 3 $189,044.48 $189,044.48 $86,207.40 $86,207.40 $86,207.40 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 3 $124,146.15 $124,146.15 $82,334.60 $82,334.60 $82,334.60 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 5 3 $115,022.09 $115,022.09 $82,106.65 $82,106.65 $82,106.65 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 $84,927.94 $84,927.94 $81,838.75 $81,838.75 $81,838.75 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 $104,784.50 $104,784.50 $80,997.45 $80,997.45 $80,997.45 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 5 3 $92,461.74 $92,461.74 $79,794.25 $79,794.25 $79,794.25 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 5 3 $84,454.85 $84,454.85 $78,880.10 $78,880.10 $78,880.10 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 3 $68,309.91 $68,309.91 $78,153.95 $78,153.95 $78,153.95 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 3 $89,376.43 $89,376.43 $78,001.20 $78,001.20 $78,001.20 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 5 3 $70,262.11 $70,262.11 $77,893.10 $77,893.10 $77,893.10 2026-07-15
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 5 3 $42,008.05 $42,008.05 $77,759.15 $77,759.15 $77,759.15 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 5 3 $170,840.30 $170,840.30 $77,540.60 $77,540.60 $77,540.60 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With McC 5 3 $95,649.39 $95,649.39 $77,364.35 $77,364.35 $77,364.35 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 3 $107,838.25 $107,838.25 $77,002.45 $77,002.45 $77,002.45 2026-07-15
592 MS_DRG Skin Ulcers With McC 5 3 $45,971.02 $45,971.02 $76,584.15 $76,584.15 $76,584.15 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 5 3 $68,065.66 $68,065.66 $75,430.30 $75,430.30 $75,430.30 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 5 3 $51,834.53 $51,834.53 $75,326.90 $75,326.90 $75,326.90 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 5 3 $86,076.13 $86,076.13 $74,532.60 $74,532.60 $74,532.60 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With McC 5 3 $74,309.69 $74,309.69 $73,992.10 $73,992.10 $73,992.10 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With McC 5 3 $128,411.11 $128,411.11 $73,869.90 $73,869.90 $73,869.90 2026-07-15
500 MS_DRG Soft Tissue Procedures With McC 5 3 $98,595.72 $98,595.72 $73,693.65 $73,693.65 $73,693.65 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With McC 5 3 $106,495.57 $106,495.57 $73,672.50 $73,672.50 $73,672.50 2026-07-15
662 MS_DRG Minor Bladder Procedures With McC 5 3 $72,985.60 $72,985.60 $73,334.10 $73,334.10 $73,334.10 2026-07-15
835 MS_DRG Acute Leukemia With Cc 5 3 $59,059.50 $59,059.50 $73,265.95 $73,265.95 $73,265.95 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC 5 3 $110,833.18 $110,833.18 $73,148.45 $73,148.45 $73,148.45 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 5 3 $101,118.94 $101,118.94 $73,068.55 $73,068.55 $73,068.55 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 5 3 $100,102.40 $100,102.40 $73,054.45 $73,054.45 $73,054.45 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 5 3 $97,569.20 $97,569.20 $72,032.20 $72,032.20 $72,032.20 2026-07-15
665 MS_DRG Prostatectomy With McC 5 3 $146,753.86 $146,753.86 $71,893.55 $71,893.55 $71,893.55 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 5 3 $83,914.96 $83,914.96 $71,863.00 $71,863.00 $71,863.00 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 3 $91,012.98 $91,012.98 $71,839.50 $71,839.50 $71,839.50 2026-07-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 5 3 $46,382.89 $46,382.89 $71,388.30 $71,388.30 $71,388.30 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 5 3 $38,959.39 $38,959.39 $70,730.30 $70,730.30 $70,730.30 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 5 3 $82,035.43 $82,035.43 $70,413.05 $70,413.05 $70,413.05 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/McC 5 3 $55,440.36 $55,440.36 $70,319.05 $70,319.05 $70,319.05 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 5 3 $88,496.34 $88,496.34 $69,569.40 $69,569.40 $69,569.40 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With McC 5 3 $58,728.49 $58,728.49 $69,407.25 $69,407.25 $69,407.25 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 3 $132,032.57 $132,032.57 $69,014.80 $69,014.80 $69,014.80 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 5 3 $93,629.98 $93,629.98 $68,946.65 $68,946.65 $68,946.65 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 5 3 $105,480.39 $105,480.39 $68,746.90 $68,746.90 $68,746.90 2026-07-15
974 MS_DRG HIV With Major Related Condition With McC 5 3 $50,353.79 $50,353.79 $67,900.90 $67,900.90 $67,900.90 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 3 $28,544.68 $28,544.68 $67,849.20 $67,849.20 $67,849.20 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 5 3 $86,472.09 $86,472.09 $67,736.40 $67,736.40 $67,736.40 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 5 3 $81,990.27 $81,990.27 $66,730.60 $66,730.60 $66,730.60 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 3 $78,760.94 $78,760.94 $66,483.85 $66,483.85 $66,483.85 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 5 3 $81,180.03 $81,180.03 $66,387.50 $66,387.50 $66,387.50 2026-07-15
252 MS_DRG Other Vascular Procedures With McC 5 3 $94,296.79 $94,296.79 $66,352.25 $66,352.25 $66,352.25 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With McC 5 3 $54,658.33 $54,658.33 $65,501.55 $65,501.55 $65,501.55 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 5 3 $77,713.23 $77,713.23 $65,435.75 $65,435.75 $65,435.75 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 5 3 $36,953.24 $36,953.24 $65,179.60 $65,179.60 $65,179.60 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 3 $143,855.46 $143,855.46 $64,930.50 $64,930.50 $64,930.50 2026-07-15
548 MS_DRG Septic Arthritis With McC 5 3 $44,578.37 $44,578.37 $64,657.90 $64,657.90 $64,657.90 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 3 $119,045.22 $119,045.22 $64,023.40 $64,023.40 $64,023.40 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 5 3 $70,788.92 $70,788.92 $64,011.65 $64,011.65 $64,011.65 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC 5 3 $36,561.50 $36,561.50 $63,205.60 $63,205.60 $63,205.60 2026-07-15
545 MS_DRG Connective Tissue Disorders With McC 5 3 $53,770.27 $53,770.27 $62,897.75 $62,897.75 $62,897.75 2026-07-15
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With McC Or 4+ Ar… 5 3 $120,625.90 $120,625.90 $62,850.75 $62,850.75 $62,850.75 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 5 3 $151,686.24 $151,686.24 $62,493.55 $62,493.55 $62,493.55 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 $75,583.18 $75,583.18 $62,181.00 $62,181.00 $62,181.00 2026-07-15
265 MS_DRG Aicd Lead Procedures 5 3 $62,476.11 $62,476.11 $61,758.00 $61,758.00 $61,758.00 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 5 3 $54,208.33 $54,208.33 $61,511.25 $61,511.25 $61,511.25 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 5 3 $88,868.01 $88,868.01 $61,473.65 $61,473.65 $61,473.65 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 3 $104,536.76 $104,536.76 $60,063.65 $60,063.65 $60,063.65 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 5 3 $113,850.51 $113,850.51 $60,004.90 $60,004.90 $60,004.90 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 3 $55,038.47 $55,038.47 $60,000.20 $60,000.20 $60,000.20 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 5 3 $60,022.33 $60,022.33 $59,690.00 $59,690.00 $59,690.00 2026-07-15
919 MS_DRG Complications Of Treatment With McC 5 3 $41,208.57 $41,208.57 $59,661.80 $59,661.80 $59,661.80 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 3 $86,425.79 $86,425.79 $59,572.50 $59,572.50 $59,572.50 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 5 3 $99,051.66 $99,051.66 $59,358.65 $59,358.65 $59,358.65 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With McC 5 3 $42,679.35 $42,679.35 $57,123.80 $57,123.80 $57,123.80 2026-07-15
37 MS_DRG Extracranial Procedures With McC 5 3 $95,236.10 $95,236.10 $56,743.10 $56,743.10 $56,743.10 2026-07-15
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With McC 5 3 $111,028.17 $111,028.17 $56,357.70 $56,357.70 $56,357.70 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 3 $76,698.91 $76,698.91 $56,350.65 $56,350.65 $56,350.65 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 3 $84,181.38 $84,181.38 $56,331.85 $56,331.85 $56,331.85 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 3 $94,459.01 $94,459.01 $55,429.45 $55,429.45 $55,429.45 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 5 3 $115,524.80 $115,524.80 $55,413.00 $55,413.00 $55,413.00 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 5 3 $64,997.93 $64,997.93 $55,250.85 $55,250.85 $55,250.85 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 5 3 $119,066.46 $119,066.46 $55,192.10 $55,192.10 $55,192.10 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without McC 5 3 $28,544.40 $28,544.40 $55,170.95 $55,170.95 $55,170.95 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 5 3 $98,198.07 $98,198.07 $54,881.90 $54,881.90 $54,881.90 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 5 3 $86,695.30 $86,695.30 $54,590.50 $54,590.50 $54,590.50 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 3 $44,975.49 $44,975.49 $54,285.00 $54,285.00 $54,285.00 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 5 3 $58,178.32 $58,178.32 $53,441.35 $53,441.35 $53,441.35 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 310 20 $63,041.92 $63,041.92 $31,218.62 $61,156.97 $53,275.91 2026-07-15
93654 CPT Hc Ep & Ablate Ventric Tachy 177 20 $58,406.00 $58,406.00 $28,061.00 $58,406.00 $52,857.43 2026-07-15
93653 CPT Hc Ep & Ablate Supravent Arrhyt 180 20 $58,406.00 $58,406.00 $28,061.00 $58,406.00 $52,565.40 2026-07-15
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 180 20 $58,406.00 $58,406.00 $28,061.00 $58,406.00 $52,565.40 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With McC 5 3 $57,001.02 $57,001.02 $52,313.35 $52,313.35 $52,313.35 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 3 $113,522.21 $113,522.21 $52,132.40 $52,132.40 $52,132.40 2026-07-15
333 MS_DRG Rectal Resection With Cc 5 3 $125,569.08 $125,569.08 $52,073.65 $52,073.65 $52,073.65 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 5 3 $79,288.81 $79,288.81 $52,010.20 $52,010.20 $52,010.20 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 $69,853.02 $69,853.02 $51,836.30 $51,836.30 $51,836.30 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 3 $86,679.97 $86,679.97 $51,596.60 $51,596.60 $51,596.60 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 5 3 $95,366.25 $95,366.25 $51,566.05 $51,566.05 $51,566.05 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 3 $74,463.20 $74,463.20 $51,420.35 $51,420.35 $51,420.35 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 3 $95,077.65 $95,077.65 $51,363.95 $51,363.95 $51,363.95 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 5 3 $112,292.87 $112,292.87 $51,354.55 $51,354.55 $51,354.55 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 3 $101,239.63 $101,239.63 $51,218.25 $51,218.25 $51,218.25 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 5 3 $77,580.02 $77,580.02 $51,105.45 $51,105.45 $51,105.45 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 5 3 $74,284.72 $74,284.72 $51,049.05 $51,049.05 $51,049.05 2026-07-15
800 MS_DRG Splenic Procedures With Cc 5 3 $57,107.01 $57,107.01 $51,046.70 $51,046.70 $51,046.70 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 5 3 $42,686.54 $42,686.54 $50,868.10 $50,868.10 $50,868.10 2026-07-15
503 MS_DRG Foot Procedures With McC 5 3 $76,049.45 $76,049.45 $50,811.70 $50,811.70 $50,811.70 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 5 3 $110,197.88 $110,197.88 $50,294.70 $50,294.70 $50,294.70 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 3 $88,128.37 $88,128.37 $49,867.00 $49,867.00 $49,867.00 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 3 $80,302.62 $80,302.62 $49,784.75 $49,784.75 $49,784.75 2026-07-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 5 3 $50,051.94 $50,051.94 $49,674.30 $49,674.30 $49,674.30 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 3 $55,950.84 $55,950.84 $49,486.30 $49,486.30 $49,486.30 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 5 3 $84,076.28 $84,076.28 $49,328.85 $49,328.85 $49,328.85 2026-07-15
347 MS_DRG Anal And Stomal Procedures With McC 5 3 $39,053.11 $39,053.11 $49,232.50 $49,232.50 $49,232.50 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 5 3 $70,471.27 $70,471.27 $49,185.50 $49,185.50 $49,185.50 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 5 3 $101,651.81 $101,651.81 $49,131.45 $49,131.45 $49,131.45 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 5 3 $115,285.67 $115,285.67 $48,802.45 $48,802.45 $48,802.45 2026-07-15
668 MS_DRG Transurethral Procedures With McC 5 3 $67,565.26 $67,565.26 $48,527.50 $48,527.50 $48,527.50 2026-07-15
374 MS_DRG Digestive Malignancy With McC 5 3 $57,917.07 $57,917.07 $48,252.55 $48,252.55 $48,252.55 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 3 $48,105.31 $48,105.31 $48,240.80 $48,240.80 $48,240.80 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 3 $62,754.16 $62,754.16 $48,038.70 $48,038.70 $48,038.70 2026-07-15
682 MS_DRG Renal Failure With McC 5 3 $34,536.88 $34,536.88 $47,693.25 $47,693.25 $47,693.25 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 3 $99,311.96 $99,311.96 $47,528.75 $47,528.75 $47,528.75 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 5 3 $59,773.03 $59,773.03 $47,493.50 $47,493.50 $47,493.50 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/McC 5 3 $103,783.81 $103,783.81 $47,352.50 $47,352.50 $47,352.50 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 3 $113,082.54 $113,082.54 $47,343.10 $47,343.10 $47,343.10 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 5 3 $86,661.82 $86,661.82 $46,687.45 $46,687.45 $46,687.45 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 5 3 $108,580.67 $108,580.67 $46,436.00 $46,436.00 $46,436.00 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 5 3 $106,274.87 $106,274.87 $45,893.15 $45,893.15 $45,893.15 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 5 3 $108,482.14 $108,482.14 $45,723.95 $45,723.95 $45,723.95 2026-07-15
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without McC 5 3 $83,140.18 $83,140.18 $45,686.35 $45,686.35 $45,686.35 2026-07-15
19367 CPT Breast Reconstruction 135 20 $48,055.00 $48,055.00 $26,430.25 $48,055.00 $45,652.25 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 3 $82,355.49 $82,355.49 $45,235.15 $45,235.15 $45,235.15 2026-07-15
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 5 3 $73,001.00 $73,001.00 $45,127.05 $45,127.05 $45,127.05 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 5 3 $41,813.41 $41,813.41 $44,800.40 $44,800.40 $44,800.40 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 5 3 $49,455.24 $49,455.24 $44,650.00 $44,650.00 $44,650.00 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 5 3 $50,730.37 $50,730.37 $44,647.65 $44,647.65 $44,647.65 2026-07-15
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 5 3 $46,406.77 $46,406.77 $44,624.15 $44,624.15 $44,624.15 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/McC 5 3 $72,411.94 $72,411.94 $44,511.35 $44,511.35 $44,511.35 2026-07-15
113 MS_DRG Orbital Procedures With Cc/McC 5 3 $40,510.70 $40,510.70 $43,926.20 $43,926.20 $43,926.20 2026-07-15
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 5 3 $94,567.91 $94,567.91 $43,912.10 $43,912.10 $43,912.10 2026-07-15
595 MS_DRG Major Skin Disorders With McC 5 3 $46,462.44 $46,462.44 $43,874.50 $43,874.50 $43,874.50 2026-07-15
709 MS_DRG Penis Procedures With Cc/McC 5 3 $40,022.25 $40,022.25 $43,418.60 $43,418.60 $43,418.60 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 5 3 $67,525.81 $67,525.81 $43,416.25 $43,416.25 $43,416.25 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 3 $90,666.68 $90,666.68 $43,371.60 $43,371.60 $43,371.60 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 5 3 $78,357.36 $78,357.36 $43,336.35 $43,336.35 $43,336.35 2026-07-15
754 MS_DRG Malignancy, Female Reproductive System With McC 5 3 $29,204.43 $29,204.43 $42,887.50 $42,887.50 $42,887.50 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 3 $70,659.31 $70,659.31 $42,852.25 $42,852.25 $42,852.25 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 3 $96,538.28 $96,538.28 $42,795.85 $42,795.85 $42,795.85 2026-07-15
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 5 3 $42,731.62 $42,731.62 $42,657.20 $42,657.20 $42,657.20 2026-07-15
S2102 HCPCS Hc Process Auto Islet Transcon 135 20 $44,887.00 $44,887.00 $24,687.85 $44,887.00 $42,642.65 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 5 3 $76,901.44 $76,901.44 $42,438.65 $42,438.65 $42,438.65 2026-07-15
722 MS_DRG Malignancy, Male Reproductive System With McC 5 3 $54,884.06 $54,884.06 $42,332.90 $42,332.90 $42,332.90 2026-07-15
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC 5 3 $101,351.14 $101,351.14 $42,292.95 $42,292.95 $42,292.95 2026-07-15
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/McC 5 3 $52,369.22 $52,369.22 $42,027.40 $42,027.40 $42,027.40 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 5 3 $48,268.75 $48,268.75 $41,656.10 $41,656.10 $41,656.10 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 5 3 $51,604.59 $51,604.59 $41,573.85 $41,573.85 $41,573.85 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 $49,346.63 $49,346.63 $41,536.25 $41,536.25 $41,536.25 2026-07-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With McC 5 3 $41,150.51 $41,150.51 $41,414.05 $41,414.05 $41,414.05 2026-07-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 5 3 $83,714.15 $83,714.15 $41,193.15 $41,193.15 $41,193.15 2026-07-15
902 MS_DRG Wound Debridements For Injuries With Cc 5 3 $31,578.01 $31,578.01 $41,101.50 $41,101.50 $41,101.50 2026-07-15
177 MS_DRG Respiratory Infections And Inflammations With McC 5 3 $20,780.19 $20,780.19 $40,633.85 $40,633.85 $40,633.85 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/McC 5 3 $67,421.78 $67,421.78 $40,619.75 $40,619.75 $40,619.75 2026-07-15
620 MS_DRG O.r. Procedures For Obesity With Cc 5 3 $57,169.71 $57,169.71 $40,619.75 $40,619.75 $40,619.75 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 5 3 $52,155.08 $52,155.08 $40,528.10 $40,528.10 $40,528.10 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With McC 5 3 $54,213.06 $54,213.06 $40,293.10 $40,293.10 $40,293.10 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 5 3 $74,189.57 $74,189.57 $40,133.30 $40,133.30 $40,133.30 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 3 $67,008.86 $67,008.86 $40,091.00 $40,091.00 $40,091.00 2026-07-15
180 MS_DRG Respiratory Neoplasms With McC 5 3 $49,774.58 $49,774.58 $39,978.20 $39,978.20 $39,978.20 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 5 3 $56,689.01 $56,689.01 $39,933.55 $39,933.55 $39,933.55 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/McC 5 3 $98,745.21 $98,745.21 $39,764.35 $39,764.35 $39,764.35 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 5 3 $64,716.33 $64,716.33 $39,559.90 $39,559.90 $39,559.90 2026-07-15
597 MS_DRG Malignant Breast Disorders With McC 5 3 $38,701.25 $38,701.25 $39,320.20 $39,320.20 $39,320.20 2026-07-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/McC 5 3 $24,852.43 $24,852.43 $39,214.45 $39,214.45 $39,214.45 2026-07-15
686 MS_DRG Kidney And Urinary Tract Neoplasms With McC 5 3 $49,260.59 $49,260.59 $39,200.35 $39,200.35 $39,200.35 2026-07-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 3 $25,291.29 $25,291.29 $39,104.00 $39,104.00 $39,104.00 2026-07-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 5 3 $71,860.00 $71,860.00 $39,031.15 $39,031.15 $39,031.15 2026-07-15
711 MS_DRG Testes Procedures With Cc/McC 5 3 $47,714.57 $47,714.57 $38,847.85 $38,847.85 $38,847.85 2026-07-15
380 MS_DRG Complicated Peptic Ulcer With McC 5 3 $54,229.53 $54,229.53 $38,744.45 $38,744.45 $38,744.45 2026-07-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 5 3 $56,199.61 $56,199.61 $38,678.65 $38,678.65 $38,678.65 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 5 3 $77,925.79 $77,925.79 $38,615.20 $38,615.20 $38,615.20 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 5 3 $38,016.55 $38,016.55 $38,366.10 $38,366.10 $38,366.10 2026-07-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 5 3 $49,575.69 $49,575.69 $38,349.65 $38,349.65 $38,349.65 2026-07-15
666 MS_DRG Prostatectomy With Cc 5 3 $78,092.73 $78,092.73 $38,300.30 $38,300.30 $38,300.30 2026-07-15
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 5 3 $68,747.98 $68,747.98 $38,175.75 $38,175.75 $38,175.75 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 5 3 $66,968.32 $66,968.32 $38,126.40 $38,126.40 $38,126.40 2026-07-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 5 3 $47,421.81 $47,421.81 $37,999.50 $37,999.50 $37,999.50 2026-07-15
836 MS_DRG Acute Leukemia Without Cc/McC 5 3 $18,266.24 $18,266.24 $37,992.45 $37,992.45 $37,992.45 2026-07-15
196 MS_DRG Interstitial Lung Disease With McC 5 3 $56,918.96 $56,918.96 $37,910.20 $37,910.20 $37,910.20 2026-07-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 3 $19,162.56 $19,162.56 $37,907.85 $37,907.85 $37,907.85 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/McC 5 3 $70,704.97 $70,704.97 $37,879.65 $37,879.65 $37,879.65 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With McC 5 3 $41,783.75 $41,783.75 $37,846.75 $37,846.75 $37,846.75 2026-07-15
142 MS_DRG Major Head And Neck Procedures Without Cc/McC 5 3 $58,787.68 $58,787.68 $37,839.70 $37,839.70 $37,839.70 2026-07-15
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With McC 5 3 $43,399.38 $43,399.38 $37,818.55 $37,818.55 $37,818.55 2026-07-15
306 MS_DRG Cardiac Congenital And Valvular Disorders With McC 5 3 $34,125.78 $34,125.78 $37,661.10 $37,661.10 $37,661.10 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 5 3 $49,398.87 $49,398.87 $37,463.70 $37,463.70 $37,463.70 2026-07-15
621 MS_DRG O.r. Procedures For Obesity Without Cc/McC 5 3 $51,723.86 $51,723.86 $37,226.35 $37,226.35 $37,226.35 2026-07-15
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With McC 5 3 $52,965.78 $52,965.78 $37,221.65 $37,221.65 $37,221.65 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without McC 5 3 $36,113.86 $36,113.86 $37,179.35 $37,179.35 $37,179.35 2026-07-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 3 $63,273.41 $63,273.41 $37,137.05 $37,137.05 $37,137.05 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC 5 3 $80,162.69 $80,162.69 $37,104.15 $37,104.15 $37,104.15 2026-07-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 5 3 $28,248.73 $28,248.73 $37,090.05 $37,090.05 $37,090.05 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 5 3 $71,110.22 $71,110.22 $36,793.95 $36,793.95 $36,793.95 2026-07-15
67027 CPT Implant Eye Drug System 135 20 $38,558.00 $38,558.00 $21,206.90 $38,558.00 $36,630.10 2026-07-15
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 $69,661.63 $69,661.63 $36,568.35 $36,568.35 $36,568.35 2026-07-15
186 MS_DRG Pleural Effusion With McC 5 3 $54,179.28 $54,179.28 $36,281.65 $36,281.65 $36,281.65 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 5 3 $65,002.31 $65,002.31 $36,011.40 $36,011.40 $36,011.40 2026-07-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 310 20 $42,413.92 $42,413.92 $20,462.40 $41,168.66 $35,863.42 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/McC 5 3 $61,064.98 $61,064.98 $35,809.30 $35,809.30 $35,809.30 2026-07-15
975 MS_DRG HIV With Major Related Condition With Cc 5 3 $27,588.37 $27,588.37 $35,781.10 $35,781.10 $35,781.10 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 $71,679.05 $71,679.05 $35,755.25 $35,755.25 $35,755.25 2026-07-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 5 3 $44,915.50 $44,915.50 $35,644.80 $35,644.80 $35,644.80 2026-07-15
C1831 HCPCS Hc Aprevo Kit Implant Level 1 Patient Specific 570 18 $45,500.00 $45,500.00 $11,440.00 $65,000.00 $35,568.00 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 3 $67,065.05 $67,065.05 $35,553.15 $35,553.15 $35,553.15 2026-07-15
337 MS_DRG Peritoneal Adhesiolysis Without Cc/McC 5 3 $47,646.68 $47,646.68 $35,374.55 $35,374.55 $35,374.55 2026-07-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/McC 5 3 $87,194.02 $87,194.02 $35,318.15 $35,318.15 $35,318.15 2026-07-15
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 5 3 $70,881.86 $70,881.86 $35,261.75 $35,261.75 $35,261.75 2026-07-15
91 MS_DRG Other Disorders Of Nervous System With McC 5 3 $48,067.95 $48,067.95 $35,148.95 $35,148.95 $35,148.95 2026-07-15
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 5 3 $62,848.70 $62,848.70 $35,111.35 $35,111.35 $35,111.35 2026-07-15
33 MS_DRG Ventricular Shunt Procedures Without Cc/McC 5 3 $57,400.42 $57,400.42 $35,097.25 $35,097.25 $35,097.25 2026-07-15
368 MS_DRG Major Esophageal Disorders With McC 5 3 $41,424.44 $41,424.44 $35,083.15 $35,083.15 $35,083.15 2026-07-15
501 MS_DRG Soft Tissue Procedures With Cc 5 3 $50,564.93 $50,564.93 $34,885.75 $34,885.75 $34,885.75 2026-07-15
811 MS_DRG Red Blood Cell Disorders With McC 5 3 $37,779.09 $37,779.09 $34,876.35 $34,876.35 $34,876.35 2026-07-15
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 3 $61,003.93 $61,003.93 $34,796.45 $34,796.45 $34,796.45 2026-07-15
289 MS_DRG Acute And Subacute Endocarditis With Cc 5 3 $37,191.65 $37,191.65 $34,700.10 $34,700.10 $34,700.10 2026-07-15
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