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

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty|BILATERAL PROCEDURE

This hospital’s price: $26,117 across 20 payers · range $15,318-$37,428

Source: 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 · 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.

7,639 distinct procedures filed
28 distinct payers
2,487,843 rate rows
2026-07-15 last MRF observed
Data quality

2,415,419 of 2,487,843 rate rows are consumer-grade (97.1%)

72,424 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 108
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 not_modified · 2026-08-14
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
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With McC 10 $860,433.89 $1,346,162.70 $1,290,650.84 nat. median
$59,159
outlier · 21.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $856,764.86 $1,340,422.43 $1,285,147.29 nat. median
$114,305
outlier · 11.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $319,830.30 $749,762.89 $718,844.83 nat. median
$199,832
outlier · 3.6×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With McC 10 $275,347.15 $643,762.63 $617,215.73 nat. median
$83,623
outlier · 7.4×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With McC 10 $256,887.10 $401,904.02 $385,330.66 nat. median
$48,311
outlier · 8.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $254,424.36 $398,051.02 $381,636.54 nat. median
$64,357
outlier · 5.9×
231
MS_DRG 		Coronary Bypass With Ptca With McC 10 $166,509.25 $365,783.24 $350,699.39 nat. median
$79,040
outlier · 4.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $199,298.80 $356,447.26 $341,748.41 nat. median
$80,459
outlier · 4.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $262,769.95 $320,452.55 $307,238.01 nat. median
$132,706
outlier · 2.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/McC 10 $190,096.20 $313,560.00 $300,629.69 nat. median
$55,867
outlier · 5.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $174,795.35 $296,605.63 $284,374.46 nat. median
$92,900
outlier · 3.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 $161,405.05 $285,298.18 $273,533.31 nat. median
$54,267
outlier · 5.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 10 $151,793.55 $279,393.49 $267,872.11 nat. median
$73,475
outlier · 3.6×
140
MS_DRG 		Major Head And Neck Procedures With McC 10 $176,150.35 $275,590.06 $264,225.52 nat. median
$39,825
outlier · 6.6×
232
MS_DRG 		Coronary Bypass With Ptca Without McC 10 $128,140.80 $270,713.59 $259,550.15 nat. median
$59,257
outlier · 4.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $148,874.85 $268,369.56 $257,302.78 nat. median
$74,472
outlier · 3.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $135,348.25 $241,310.40 $228,249.83 nat. median
$65,958
outlier · 3.5×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $111,942.25 $237,995.08 $225,113.92 nat. median
$52,372
outlier · 4.3×
215
MS_DRG 		Other Heart Assist System Implant 10 $154,487.53 $348,385.15 $222,224.36 nat. median
$98,002
outlier · 2.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $122,216.45 $230,126.78 $217,671.48 nat. median
$60,895
outlier · 3.6×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 $145,341.48 $216,894.21 $207,950.12 nat. median
$51,433
outlier · 4.0×
459
MS_DRG 		Spinal Fusion Except Cervical With McC 10 $146,977.74 $219,336.01 $207,464.75 nat. median
$62,767
outlier · 3.3×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 10 $106,553.70 $217,139.96 $205,387.57 nat. median
$53,013
outlier · 3.9×
654
MS_DRG 		Major Bladder Procedures With Cc 10 $137,471.27 $215,076.02 $203,435.32 nat. median
$27,626
outlier · 7.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 10 $141,028.15 $210,457.40 $199,066.68 nat. median
$65,792
outlier · 3.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $135,371.62 $202,016.11 $193,058.63 nat. median
$57,394
outlier · 3.4×
653
MS_DRG 		Major Bladder Procedures With McC 10 $134,691.11 $201,000.58 $190,121.68 nat. median
$51,176
outlier · 3.7×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 10 $126,890.60 $194,295.75 $183,779.77 nat. median
$57,082
outlier · 3.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $128,489.37 $191,745.67 $182,870.05 nat. median
$57,648
outlier · 3.2×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 10 $118,461.15 $189,530.80 $179,272.71 nat. median
$45,588
outlier · 3.9×
655
MS_DRG 		Major Bladder Procedures Without Cc/McC 10 $120,932.12 $189,200.26 $178,960.04 nat. median
$21,230
outlier · 8.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $126,243.64 $188,394.35 $178,197.77 nat. median
$63,840
outlier · 2.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 10 $122,895.48 $215,732.35 $176,780.42 nat. median
$77,385
outlier · 2.3×
28
MS_DRG 		Spinal Procedures With McC 10 $110,541.65 $186,506.02 $176,411.64 nat. median
$56,970
outlier · 3.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $122,404.89 $182,665.76 $175,364.92 nat. median
$62,218
outlier · 2.8×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without McC 10 $86,207.40 $183,373.14 $173,448.32 nat. median
$41,718
outlier · 4.2×
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With McC Or 4… 10 $114,271.30 $178,779.29 $169,103.11 nat. median
$21,372
outlier · 7.9×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $106,953.20 $176,541.51 $166,986.45 nat. median
$48,280
outlier · 3.5×
834
MS_DRG 		Acute Leukemia With McC 10 $115,290.87 $172,049.46 $162,737.52 nat. median
$52,155
outlier · 3.1×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 10 $114,198.99 $170,420.04 $161,196.30 nat. median
$56,397
outlier · 2.9×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $112,029.30 $167,182.19 $159,803.84 nat. median
$42,100
outlier · 3.8×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With McC 10 $77,540.60 $165,715.09 $156,746.01 nat. median
$44,841
outlier · 3.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 10 $108,960.68 $162,602.86 $153,802.21 nat. median
$71,485
outlier · 2.2×
584
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC 10 $98,764.70 $154,518.97 $146,155.85 nat. median
$20,864
outlier · 7.0×
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 10 $103,023.54 $153,742.82 $145,421.70 nat. median
$50,808
outlier · 2.9×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 $102,027.18 $152,255.94 $144,015.30 nat. median
$55,685
outlier · 2.6×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 10 $91,565.40 $150,874.23 $142,708.36 nat. median
$52,447
outlier · 2.7×
164
MS_DRG 		Major Chest Procedures With Cc 10 $95,705.10 $149,732.19 $141,628.13 nat. median
$25,372
outlier · 5.6×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/McC 10 $98,420.63 $146,873.86 $141,433.83 nat. median
$46,399
outlier · 3.0×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 10 $62,493.55 $147,135.65 $141,068.20 nat. median
$30,860
outlier · 4.6×

Other procedures at this hospital

Browse this hospital's 7,639 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 73 10 $1,387,796.60 $1,387,796.60 $860,433.89 $1,346,162.70 $1,290,650.84 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 73 10 $1,381,878.81 $1,381,878.81 $856,764.86 $1,340,422.43 $1,285,147.29 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 73 10 $772,951.43 $772,951.43 $319,830.30 $749,762.89 $718,844.83 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With McC 73 10 $663,672.82 $663,672.82 $275,347.15 $643,762.63 $617,215.73 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With McC 73 10 $414,334.04 $414,334.04 $256,887.10 $401,904.02 $385,330.66 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 73 10 $410,361.87 $410,361.87 $254,424.36 $398,051.02 $381,636.54 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With McC 73 10 $377,096.12 $377,096.12 $166,509.25 $365,783.24 $350,699.39 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 73 10 $367,471.41 $367,471.41 $199,298.80 $356,447.26 $341,748.41 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 73 10 $330,363.45 $330,363.45 $262,769.95 $320,452.55 $307,238.01 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/McC 73 10 $323,257.72 $323,257.72 $190,096.20 $313,560.00 $300,629.69 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 73 10 $305,778.99 $305,778.99 $174,795.35 $296,605.63 $284,374.46 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 73 10 $294,121.84 $294,121.84 $161,405.05 $285,298.18 $273,533.31 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 73 10 $288,034.53 $288,034.53 $151,793.55 $279,393.49 $267,872.11 2026-07-15
140 MS_DRG Major Head And Neck Procedures With McC 73 10 $284,113.46 $284,113.46 $176,150.35 $275,590.06 $264,225.52 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without McC 73 10 $279,086.18 $279,086.18 $128,140.80 $270,713.59 $259,550.15 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 73 10 $276,782.15 $276,782.15 $148,874.85 $268,369.56 $257,302.78 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 74 10 $248,773.61 $248,773.61 $135,348.25 $241,310.40 $228,249.83 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 74 10 $245,355.75 $245,355.75 $111,942.25 $237,995.08 $225,113.92 2026-07-15
215 MS_DRG Other Heart Assist System Implant 74 10 $237,673.12 $237,673.12 $154,487.53 $348,385.15 $222,224.36 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 10 $237,244.10 $237,244.10 $122,216.45 $230,126.78 $217,671.48 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 69 8 $223,602.27 $223,602.27 $145,341.48 $216,894.21 $207,950.12 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With McC 74 10 $226,119.60 $226,119.60 $146,977.74 $219,336.01 $207,464.75 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 74 10 $223,855.63 $223,855.63 $106,553.70 $217,139.96 $205,387.57 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 74 10 $221,727.86 $221,727.86 $137,471.27 $215,076.02 $203,435.32 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 74 10 $216,966.39 $216,966.39 $141,028.15 $210,457.40 $199,066.68 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 74 10 $208,264.03 $208,264.03 $135,371.62 $202,016.11 $193,058.63 2026-07-15
653 MS_DRG Major Bladder Procedures With McC 74 10 $207,217.09 $207,217.09 $134,691.11 $201,000.58 $190,121.68 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 74 10 $200,304.90 $200,304.90 $126,890.60 $194,295.75 $183,779.77 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 74 10 $197,675.95 $197,675.95 $128,489.37 $191,745.67 $182,870.05 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 74 10 $195,392.57 $195,392.57 $118,461.15 $189,530.80 $179,272.71 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/McC 74 10 $195,051.81 $195,051.81 $120,932.12 $189,200.26 $178,960.04 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 10 $194,220.98 $194,220.98 $126,243.64 $188,394.35 $178,197.77 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 74 10 $189,069.97 $189,069.97 $122,895.48 $215,732.35 $176,780.42 2026-07-15
28 MS_DRG Spinal Procedures With McC 74 10 $192,274.25 $192,274.25 $110,541.65 $186,506.02 $176,411.64 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 74 10 $188,315.22 $188,315.22 $122,404.89 $182,665.76 $175,364.92 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 74 10 $189,044.48 $189,044.48 $86,207.40 $183,373.14 $173,448.32 2026-07-15
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With McC Or 4… 74 10 $184,308.55 $184,308.55 $114,271.30 $178,779.29 $169,103.11 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 74 10 $182,001.56 $182,001.56 $106,953.20 $176,541.51 $166,986.45 2026-07-15
834 MS_DRG Acute Leukemia With McC 74 10 $177,370.57 $177,370.57 $115,290.87 $172,049.46 $162,737.52 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 74 10 $175,690.76 $175,690.76 $114,198.99 $170,420.04 $161,196.30 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 74 10 $172,352.77 $172,352.77 $112,029.30 $167,182.19 $159,803.84 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 74 10 $170,840.30 $170,840.30 $77,540.60 $165,715.09 $156,746.01 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 74 10 $167,631.82 $167,631.82 $108,960.68 $162,602.86 $153,802.21 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC 74 10 $159,297.91 $159,297.91 $98,764.70 $154,518.97 $146,155.85 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With McC 74 10 $158,497.75 $158,497.75 $103,023.54 $153,742.82 $145,421.70 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 74 10 $156,964.89 $156,964.89 $102,027.18 $152,255.94 $144,015.30 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 74 10 $155,540.44 $155,540.44 $91,565.40 $150,874.23 $142,708.36 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 74 10 $154,363.07 $154,363.07 $95,705.10 $149,732.19 $141,628.13 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/McC 74 10 $151,416.35 $151,416.35 $98,420.63 $146,873.86 $141,433.83 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 74 10 $151,686.24 $151,686.24 $62,493.55 $147,135.65 $141,068.20 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 74 10 $152,956.20 $152,956.20 $94,832.84 $148,367.51 $140,337.33 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 74 10 $151,442.54 $151,442.54 $98,437.65 $146,899.27 $138,948.57 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/McC 74 10 $151,148.21 $151,148.21 $93,711.89 $146,613.76 $138,678.51 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
665 MS_DRG Prostatectomy With McC 74 10 $146,753.86 $146,753.86 $71,893.55 $142,351.25 $134,646.70 2026-07-15
163 MS_DRG Major Chest Procedures With McC 74 10 $146,105.35 $146,105.35 $94,941.18 $141,681.45 $134,013.15 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without McC 74 10 $145,367.59 $145,367.59 $89,034.45 $141,006.56 $133,374.77 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 74 10 $143,855.46 $143,855.46 $64,930.50 $139,539.80 $132,784.85 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With McC 74 10 $141,936.52 $141,936.52 $92,258.74 $139,192.85 $132,710.64 2026-07-15
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 74 10 $141,771.18 $141,771.18 $92,151.27 $137,518.05 $132,524.95 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/McC 74 10 $142,558.66 $142,558.66 $88,386.37 $138,281.90 $130,797.57 2026-07-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 74 10 $139,713.81 $139,713.81 $90,813.98 $160,067.90 $130,632.41 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 74 10 $141,597.42 $141,597.42 $92,038.32 $137,349.50 $129,915.65 2026-07-15
999 MS_DRG Ungroupable 74 10 $139,491.04 $139,491.04 $86,484.44 $135,306.31 $127,983.05 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With McC 74 10 $137,780.83 $137,780.83 $85,424.11 $133,647.41 $126,413.92 2026-07-15
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC 74 10 $137,640.11 $137,640.11 $85,336.87 $133,510.91 $126,284.82 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 74 10 $137,067.92 $137,067.92 $89,094.15 $132,955.89 $125,759.83 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With McC 74 10 $134,876.38 $134,876.38 $87,669.65 $130,830.09 $123,749.10 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 74 10 $134,653.33 $134,653.33 $87,524.66 $130,613.73 $123,544.45 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 74 10 $132,200.81 $132,200.81 $85,930.53 $128,234.80 $121,648.65 2026-07-15
471 MS_DRG Cervical Spinal Fusion With McC 74 10 $132,075.32 $132,075.32 $85,848.96 $128,113.06 $121,179.12 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 74 10 $132,032.57 $132,032.57 $69,014.80 $128,071.59 $121,139.90 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 74 10 $129,227.53 $129,227.53 $83,997.89 $129,529.65 $120,827.74 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
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 74 10 $129,137.61 $129,137.61 $80,065.32 $125,263.48 $118,483.77 2026-07-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 74 10 $126,596.57 $126,596.57 $82,287.77 $188,535.80 $118,367.79 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With McC 74 10 $128,411.11 $128,411.11 $73,869.90 $124,558.78 $117,817.21 2026-07-15
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC 74 10 $128,336.72 $128,336.72 $79,568.77 $124,486.62 $117,748.95 2026-07-15
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC 74 10 $127,849.93 $127,849.93 $79,266.96 $124,014.43 $117,302.32 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC 74 10 $127,647.89 $127,647.89 $79,141.69 $123,818.45 $117,116.95 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 74 10 $125,151.08 $125,151.08 $81,348.20 $195,491.80 $117,016.26 2026-07-15
333 MS_DRG Rectal Resection With Cc 74 10 $125,569.08 $125,569.08 $52,073.65 $121,802.01 $115,209.64 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 74 10 $124,146.15 $124,146.15 $80,695.00 $120,421.77 $113,904.12 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With McC 74 10 $123,446.91 $123,446.91 $80,240.49 $119,743.50 $113,262.57 2026-07-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC 74 10 $121,120.48 $121,120.48 $78,728.31 $120,423.40 $113,247.65 2026-07-15
801 MS_DRG Splenic Procedures Without Cc/McC 74 10 $121,526.90 $121,526.90 $75,346.68 $117,881.09 $111,500.94 2026-07-15
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With McC Or 4+ Ar… 74 10 $120,625.90 $120,625.90 $62,850.75 $117,007.12 $110,674.29 2026-07-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 74 10 $118,163.59 $118,163.59 $76,806.33 $146,155.90 $110,482.96 2026-07-15
799 MS_DRG Splenic Procedures With McC 74 10 $119,524.14 $119,524.14 $77,690.69 $115,938.42 $109,663.43 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 74 10 $119,066.46 $119,066.46 $55,192.10 $115,494.47 $109,243.49 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 74 10 $119,045.22 $119,045.22 $64,023.40 $115,473.86 $109,224.01 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 74 10 $116,013.52 $116,013.52 $75,408.79 $112,533.11 $108,472.65 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 74 10 $115,524.80 $115,524.80 $55,413.00 $112,059.06 $105,994.01 2026-07-15
667 MS_DRG Prostatectomy Without Cc/McC 74 10 $115,500.89 $115,500.89 $71,610.55 $112,035.87 $105,972.09 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 74 10 $115,285.67 $115,285.67 $48,802.45 $111,827.10 $105,774.60 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 74 10 $115,022.09 $115,022.09 $74,764.36 $111,571.43 $105,532.79 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 74 10 $113,850.51 $113,850.51 $60,004.90 $110,434.99 $104,457.86 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 74 10 $113,522.21 $113,522.21 $52,132.40 $110,116.54 $104,156.64 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 74 10 $111,936.16 $111,936.16 $72,758.50 $108,578.07 $104,018.21 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 74 10 $113,082.54 $113,082.54 $47,343.10 $109,690.06 $103,753.24 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 69 8 $111,511.25 $111,511.25 $72,482.31 $108,165.91 $103,705.46 2026-07-15
115 MS_DRG Extraocular Procedures Except Orbit 74 10 $112,633.53 $112,633.53 $69,832.79 $109,254.52 $103,341.28 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 74 10 $112,452.09 $112,452.09 $69,720.30 $109,078.53 $103,174.81 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 74 10 $112,292.87 $112,292.87 $51,354.55 $108,924.08 $103,028.71 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 74 10 $111,397.71 $111,397.71 $72,408.51 $108,055.78 $102,207.42 2026-07-15
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With McC 74 10 $111,028.17 $111,028.17 $56,357.70 $107,697.32 $101,868.37 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC 74 10 $110,833.18 $110,833.18 $72,041.57 $107,508.18 $101,697.05 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 74 10 $110,197.88 $110,197.88 $50,294.70 $106,891.94 $101,106.57 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 74 10 $108,545.89 $108,545.89 $70,554.83 $105,289.51 $100,750.31 2026-07-15
708 MS_DRG Major Male Pelvic Procedures Without Cc/McC 74 10 $109,364.75 $109,364.75 $67,806.15 $106,083.81 $100,342.17 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With McC 74 10 $109,094.09 $109,094.09 $70,911.16 $105,821.27 $100,093.86 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 74 10 $108,580.67 $108,580.67 $46,436.00 $105,323.25 $99,622.77 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 74 10 $108,482.14 $108,482.14 $45,723.95 $105,227.67 $99,532.38 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 74 10 $108,039.53 $108,039.53 $70,225.69 $104,798.34 $99,126.29 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 74 10 $107,838.25 $107,838.25 $70,094.86 $104,603.10 $98,941.62 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With McC 74 10 $106,495.57 $106,495.57 $69,222.12 $103,300.70 $97,709.70 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 74 10 $106,274.87 $106,274.87 $45,893.15 $103,086.62 $97,507.21 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 74 10 $105,480.39 $105,480.39 $68,562.25 $102,315.98 $96,778.28 2026-07-15
906 MS_DRG Hand Procedures For Injuries 74 10 $105,287.29 $105,287.29 $65,278.12 $102,128.67 $96,601.10 2026-07-15
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 74 10 $105,241.30 $105,241.30 $65,249.61 $102,084.06 $96,558.90 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 74 10 $104,784.50 $104,784.50 $68,109.93 $101,640.97 $96,139.79 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 74 10 $104,536.76 $104,536.76 $60,063.65 $101,400.65 $95,912.50 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/McC 74 10 $103,783.81 $103,783.81 $47,352.50 $100,670.30 $95,221.67 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 74 10 $101,558.10 $101,558.10 $66,012.77 $108,128.20 $94,956.82 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With McC 74 10 $101,262.92 $101,262.92 $65,820.90 $103,846.50 $94,680.83 2026-07-15
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 74 10 $101,814.87 $101,814.87 $63,125.22 $98,760.42 $93,415.15 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 74 10 $101,651.81 $101,651.81 $49,131.45 $98,602.26 $93,265.54 2026-07-15
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC 74 10 $101,351.14 $101,351.14 $42,292.95 $98,310.61 $92,989.68 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 74 10 $101,239.63 $101,239.63 $51,218.25 $98,202.44 $92,887.37 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 74 10 $101,118.94 $101,118.94 $65,727.31 $98,085.37 $92,776.65 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 74 10 $100,102.40 $100,102.40 $65,066.56 $97,099.33 $91,843.96 2026-07-15
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 74 10 $99,460.58 $99,460.58 $61,665.56 $96,476.76 $91,255.08 2026-07-15
334 MS_DRG Rectal Resection Without Cc/McC 74 10 $99,428.36 $99,428.36 $61,645.58 $96,445.51 $91,225.52 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 74 10 $99,311.96 $99,311.96 $47,528.75 $96,332.60 $91,118.74 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 74 10 $99,051.66 $99,051.66 $59,358.65 $96,080.11 $90,879.91 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/McC 74 10 $98,745.21 $98,745.21 $39,764.35 $95,782.85 $90,598.74 2026-07-15
500 MS_DRG Soft Tissue Procedures With McC 74 10 $98,595.72 $98,595.72 $64,087.22 $95,637.85 $90,461.59 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 74 10 $98,198.07 $98,198.07 $54,881.90 $95,252.13 $90,096.74 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 74 10 $97,569.20 $97,569.20 $63,419.98 $94,642.12 $89,519.76 2026-07-15
905 MS_DRG Skin Grafts For Injuries Without Cc/McC 74 10 $97,517.25 $97,517.25 $60,460.70 $94,591.73 $89,472.10 2026-07-15
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/McC 74 10 $97,510.54 $97,510.54 $60,456.53 $94,585.22 $89,465.93 2026-07-15
583 MS_DRG Mastectomy For Malignancy Without Cc/McC 74 10 $96,940.07 $96,940.07 $60,102.84 $94,031.87 $88,942.52 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 74 10 $96,538.28 $96,538.28 $42,795.85 $93,642.13 $88,573.90 2026-07-15
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/McC 74 10 $96,503.23 $96,503.23 $59,832.00 $93,608.13 $88,541.72 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With McC 74 10 $95,649.39 $95,649.39 $62,172.10 $92,779.91 $87,758.32 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 74 10 $95,366.25 $95,366.25 $51,566.05 $92,505.26 $87,498.56 2026-07-15
37 MS_DRG Extracranial Procedures With McC 74 10 $95,236.10 $95,236.10 $56,743.10 $92,379.02 $87,379.14 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 74 10 $93,360.48 $93,360.48 $60,684.31 $95,097.45 $87,292.05 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 74 10 $95,077.65 $95,077.65 $51,363.95 $92,225.32 $87,233.76 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 74 10 $92,816.64 $92,816.64 $60,330.82 $105,768.80 $86,783.56 2026-07-15
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 74 10 $94,567.91 $94,567.91 $43,912.10 $91,730.87 $86,766.07 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 74 10 $94,459.01 $94,459.01 $55,429.45 $91,625.24 $86,666.15 2026-07-15
252 MS_DRG Other Vascular Procedures With McC 74 10 $94,296.79 $94,296.79 $61,292.91 $91,467.89 $86,517.32 2026-07-15
263 MS_DRG Vein Ligation And Stripping 74 10 $94,038.49 $94,038.49 $58,303.86 $91,217.34 $86,280.33 2026-07-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With McC 74 10 $92,196.60 $92,196.60 $59,927.79 $156,775.55 $86,203.82 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 74 10 $93,629.98 $93,629.98 $60,859.49 $90,821.09 $85,905.52 2026-07-15
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/McC 74 10 $93,276.86 $93,276.86 $57,831.65 $90,478.55 $85,581.52 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 74 10 $92,461.74 $92,461.74 $60,100.13 $89,687.89 $84,833.67 2026-07-15
791 MS_DRG Prematurity With Major Problems 74 10 $92,403.70 $92,403.70 $57,290.29 $89,631.59 $84,780.41 2026-07-15
254 MS_DRG Other Vascular Procedures Without Cc/McC 74 10 $92,018.99 $92,018.99 $57,051.77 $89,258.42 $84,486.18 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 74 10 $89,493.85 $89,493.85 $58,171.00 $136,579.65 $84,091.40 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/McC 74 10 $91,570.32 $91,570.32 $56,773.60 $88,823.21 $84,015.77 2026-07-15
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/McC 74 10 $91,216.91 $91,216.91 $56,554.48 $88,480.40 $83,691.52 2026-07-15
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC 74 10 $91,147.87 $91,147.87 $56,511.68 $88,413.43 $83,628.18 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 74 10 $91,012.98 $91,012.98 $59,158.44 $88,282.59 $83,504.42 2026-07-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 74 10 $90,925.12 $90,925.12 $56,373.57 $88,197.37 $83,423.80 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 74 10 $90,666.68 $90,666.68 $43,371.60 $87,946.68 $83,186.68 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 74 10 $88,863.68 $88,863.68 $57,761.39 $110,964.65 $83,087.54 2026-07-15
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/McC 74 10 $90,364.76 $90,364.76 $56,026.15 $87,653.82 $82,909.68 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 74 10 $89,376.43 $89,376.43 $58,094.68 $86,695.14 $82,002.88 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 74 10 $88,868.01 $88,868.01 $57,764.21 $86,201.97 $81,536.42 2026-07-15
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 74 10 $88,773.67 $88,773.67 $55,039.68 $86,110.46 $81,449.85 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 74 10 $88,496.34 $88,496.34 $57,522.62 $85,841.45 $81,195.40 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 74 10 $88,128.37 $88,128.37 $49,867.00 $85,484.52 $80,857.79 2026-07-15
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 74 10 $87,952.81 $87,952.81 $54,530.74 $85,314.23 $80,696.71 2026-07-15
901 MS_DRG Wound Debridements For Injuries With McC 74 10 $85,839.38 $85,839.38 $55,795.60 $146,550.70 $80,259.82 2026-07-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/McC 74 10 $87,194.02 $87,194.02 $35,318.15 $84,578.20 $80,000.52 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 74 10 $86,695.30 $86,695.30 $54,590.50 $84,094.44 $79,542.96 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 74 10 $86,679.97 $86,679.97 $51,596.60 $84,079.57 $79,528.90 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 74 10 $86,661.82 $86,661.82 $46,687.45 $84,061.97 $79,512.23 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 74 10 $84,927.94 $84,927.94 $55,203.16 $82,380.10 $79,407.62 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 74 10 $86,472.09 $86,472.09 $56,206.86 $83,877.93 $79,338.16 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 74 10 $86,425.79 $86,425.79 $56,176.76 $83,833.02 $79,295.67 2026-07-15
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/McC 74 10 $86,130.52 $86,130.52 $34,573.20 $83,546.60 $79,024.76 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 74 10 $86,076.13 $86,076.13 $55,949.48 $83,493.85 $78,974.86 2026-07-15
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 74 10 $85,866.79 $85,866.79 $53,237.41 $83,290.79 $78,782.78 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 74 10 $84,454.85 $84,454.85 $54,895.65 $81,921.21 $78,711.56 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 74 10 $84,181.38 $84,181.38 $54,717.90 $81,655.94 $77,236.42 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 74 10 $84,076.28 $84,076.28 $49,328.85 $81,553.99 $77,140.00 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 74 10 $83,914.96 $83,914.96 $54,544.72 $81,397.52 $76,992.01 2026-07-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 74 10 $83,714.15 $83,714.15 $41,193.15 $81,202.73 $76,807.74 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 74 10 $82,001.77 $82,001.77 $53,301.15 $95,708.45 $76,671.65 2026-07-15
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without McC 74 10 $83,140.18 $83,140.18 $45,686.35 $80,645.97 $76,281.13 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 74 10 $82,355.49 $82,355.49 $45,235.15 $79,884.83 $75,561.18 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 74 10 $82,035.43 $82,035.43 $53,323.03 $79,574.37 $75,267.54 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 74 10 $81,990.27 $81,990.27 $53,293.68 $79,530.56 $75,226.10 2026-07-15
332 MS_DRG Rectal Resection With McC 74 10 $80,175.82 $80,175.82 $52,114.28 $90,331.65 $74,964.39 2026-07-15
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/McC 74 10 $81,678.31 $81,678.31 $50,640.55 $79,227.96 $74,939.86 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 74 10 $81,180.03 $81,180.03 $52,767.02 $78,744.63 $74,482.70 2026-07-15
117 MS_DRG Intraocular Procedures Without Cc/McC 74 10 $81,020.46 $81,020.46 $50,232.69 $77,698.42 $73,706.39 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 74 10 $80,302.62 $80,302.62 $49,784.75 $77,893.54 $73,677.67 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC 74 10 $80,162.69 $80,162.69 $37,104.15 $77,757.81 $73,549.29 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 74 10 $79,288.81 $79,288.81 $51,537.73 $76,910.15 $72,747.49 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 74 10 $78,760.94 $78,760.94 $51,194.61 $76,398.11 $72,263.17 2026-07-15
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 74 10 $78,560.79 $78,560.79 $48,707.69 $76,203.97 $72,079.52 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 74 10 $78,357.36 $78,357.36 $43,336.35 $76,006.64 $71,892.89 2026-07-15
666 MS_DRG Prostatectomy With Cc 74 10 $78,092.73 $78,092.73 $38,300.30 $75,749.95 $71,650.11 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 74 10 $77,925.79 $77,925.79 $38,615.20 $75,588.02 $71,496.92 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 74 10 $77,713.23 $77,713.23 $50,513.60 $75,381.83 $71,301.90 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 74 10 $77,580.02 $77,580.02 $50,427.01 $75,252.62 $71,179.69 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 74 10 $76,901.44 $76,901.44 $42,438.65 $74,594.40 $70,557.10 2026-07-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 74 10 $76,860.05 $76,860.05 $34,000.00 $74,554.25 $70,519.11 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 74 10 $76,698.91 $76,698.91 $49,854.29 $74,397.95 $70,371.27 2026-07-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 74 10 $76,371.15 $76,371.15 $32,091.60 $74,080.02 $70,070.54 2026-07-15
503 MS_DRG Foot Procedures With McC 74 10 $76,049.45 $76,049.45 $49,432.14 $73,767.96 $69,775.39 2026-07-15
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/McC 74 10 $75,754.78 $75,754.78 $32,115.10 $73,482.14 $69,505.03 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With McC 74 10 $74,309.69 $74,309.69 $48,301.30 $73,992.10 $69,479.56 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 74 10 $75,583.18 $75,583.18 $49,129.07 $73,315.68 $69,347.60 2026-07-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 74 10 $74,646.08 $74,646.08 $30,221.00 $72,406.70 $68,487.79 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 74 10 $74,463.20 $74,463.20 $48,401.08 $72,229.31 $68,320.01 2026-07-15
662 MS_DRG Minor Bladder Procedures With McC 74 10 $72,985.60 $72,985.60 $47,440.64 $73,334.10 $68,241.54 2026-07-15
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC 74 10 $74,335.46 $74,335.46 $33,438.15 $72,105.39 $68,202.79 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 74 10 $74,284.72 $74,284.72 $48,285.07 $72,056.18 $68,156.23 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 74 10 $74,189.57 $74,189.57 $40,133.30 $71,963.88 $68,068.95 2026-07-15
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 74 10 $73,001.00 $73,001.00 $45,127.05 $70,810.97 $66,978.42 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/McC 74 10 $72,411.94 $72,411.94 $44,511.35 $70,239.58 $66,437.96 2026-07-15
572 MS_DRG Skin Debridement Without Cc/McC 74 10 $71,967.45 $71,967.45 $44,619.82 $69,808.43 $66,030.15 2026-07-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 74 10 $71,860.00 $71,860.00 $39,031.15 $69,704.20 $65,931.55 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 74 10 $71,679.05 $71,679.05 $35,755.25 $69,528.68 $65,765.54 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 74 10 $70,262.11 $70,262.11 $45,670.37 $77,893.10 $65,695.07 2026-07-15
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/McC 74 10 $71,266.78 $71,266.78 $44,185.40 $69,128.78 $65,387.29 2026-07-15
296 MS_DRG Cardiac Arrest, Unexplained With McC 74 10 $71,179.17 $71,179.17 $29,203.45 $69,043.79 $65,306.90 2026-07-15
570 MS_DRG Skin Debridement With McC 74 10 $69,801.92 $69,801.92 $45,371.25 $96,575.60 $65,264.79 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 74 10 $71,110.22 $71,110.22 $36,793.95 $68,976.91 $65,243.63 2026-07-15
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 74 10 $70,881.86 $70,881.86 $35,261.75 $68,755.40 $65,034.13 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 74 10 $70,788.92 $70,788.92 $46,012.80 $68,665.25 $64,948.85 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/McC 74 10 $70,704.97 $70,704.97 $37,879.65 $68,583.82 $64,871.82 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 74 10 $70,659.31 $70,659.31 $42,852.25 $68,539.53 $64,829.93 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 74 10 $70,471.27 $70,471.27 $45,806.33 $68,357.13 $64,657.40 2026-07-15
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/McC 74 10 $70,346.60 $70,346.60 $30,921.30 $68,236.20 $64,543.02 2026-07-15
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/McC 74 10 $70,092.52 $70,092.52 $30,763.85 $67,989.74 $64,309.90 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 74 10 $69,853.02 $69,853.02 $45,404.46 $67,757.43 $64,090.17 2026-07-15
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 74 10 $69,661.63 $69,661.63 $36,568.35 $67,571.78 $63,914.56 2026-07-15
77 MS_DRG Hypertensive Encephalopathy With McC 74 10 $69,618.94 $69,618.94 $31,351.35 $67,530.37 $63,875.39 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 74 10 $68,309.91 $68,309.91 $44,401.44 $78,153.95 $63,869.77 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 74 10 $68,065.66 $68,065.66 $44,242.68 $75,430.30 $63,641.39 2026-07-15
38 MS_DRG Extracranial Procedures With Cc 74 10 $69,213.94 $69,213.94 $31,687.40 $67,137.52 $63,503.79 2026-07-15
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 74 10 $68,747.98 $68,747.98 $38,175.75 $66,685.54 $63,076.28 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without McC 74 10 $67,387.09 $67,387.09 $43,801.61 $93,983.55 $63,006.93 2026-07-15
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/McC 74 10 $68,612.98 $68,612.98 $34,592.00 $66,554.59 $62,952.42 2026-07-15
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 74 10 $68,285.42 $68,285.42 $42,336.96 $66,236.86 $62,651.89 2026-07-15
668 MS_DRG Transurethral Procedures With McC 74 10 $67,565.26 $67,565.26 $43,917.42 $65,538.30 $61,991.15 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 74 10 $67,525.81 $67,525.81 $43,416.25 $65,500.04 $61,954.95 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/McC 74 10 $67,421.78 $67,421.78 $40,619.75 $65,399.13 $61,859.50 2026-07-15
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/McC 74 10 $67,368.19 $67,368.19 $41,768.28 $65,347.14 $61,810.32 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 74 10 $67,065.05 $67,065.05 $35,553.15 $65,053.10 $61,532.19 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 74 10 $67,008.86 $67,008.86 $40,091.00 $64,998.59 $61,480.65 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 74 10 $66,968.32 $66,968.32 $38,126.40 $64,959.27 $61,443.46 2026-07-15
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/McC 74 10 $66,692.21 $66,692.21 $30,817.90 $64,691.45 $61,190.11 2026-07-15
669 MS_DRG Transurethral Procedures With Cc 74 10 $66,295.87 $66,295.87 $41,103.44 $64,306.99 $60,826.47 2026-07-15
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC 74 10 $65,666.67 $65,666.67 $28,644.15 $63,696.67 $60,249.18 2026-07-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/McC 74 10 $65,515.43 $65,515.43 $40,619.57 $63,549.97 $60,110.42 2026-07-15
712 MS_DRG Testes Procedures Without Cc/McC 74 10 $65,425.62 $65,425.62 $40,563.88 $63,462.85 $60,028.02 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 74 10 $65,002.31 $65,002.31 $36,011.40 $63,052.24 $59,639.65 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 74 10 $64,997.93 $64,997.93 $42,248.65 $63,047.99 $59,635.61 2026-07-15
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/McC 74 10 $64,903.43 $64,903.43 $27,292.90 $62,956.33 $59,548.90 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 74 10 $64,716.33 $64,716.33 $39,559.90 $62,774.84 $59,377.25 2026-07-15
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With McC 69 8 $63,677.32 $63,677.32 $41,390.26 $61,767.00 $59,219.90 2026-07-15
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/McC 74 10 $64,068.23 $64,068.23 $28,912.05 $62,146.19 $58,782.61 2026-07-15
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC 74 10 $63,741.81 $63,741.81 $28,214.10 $61,829.55 $58,483.12 2026-07-15
265 MS_DRG Aicd Lead Procedures 74 10 $62,476.11 $62,476.11 $40,609.47 $61,758.00 $58,415.16 2026-07-15
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 74 10 $63,471.30 $63,471.30 $39,352.21 $61,567.16 $58,234.94 2026-07-15
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 74 10 $63,388.90 $63,388.90 $26,005.10 $61,487.23 $58,159.33 2026-07-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 74 10 $63,360.67 $63,360.67 $32,373.60 $61,459.85 $58,133.43 2026-07-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 74 10 $63,273.41 $63,273.41 $37,137.05 $61,375.21 $58,053.38 2026-07-15
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 74 10 $62,848.70 $62,848.70 $35,111.35 $60,963.24 $57,974.76 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 74 10 $62,754.16 $62,754.16 $40,790.20 $60,871.53 $57,576.98 2026-07-15
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/McC 74 10 $62,753.91 $62,753.91 $32,707.30 $60,871.29 $57,576.72 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 74 10 $61,798.12 $61,798.12 $31,922.40 $59,944.18 $56,699.79 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 74 10 $60,022.33 $60,022.33 $39,014.51 $59,690.00 $56,120.88 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/McC 74 10 $61,064.98 $61,064.98 $35,809.30 $59,233.04 $56,027.13 2026-07-15
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 74 10 $61,003.93 $61,003.93 $34,796.45 $59,173.81 $55,971.12 2026-07-15
502 MS_DRG Soft Tissue Procedures Without Cc/McC 74 10 $60,986.38 $60,986.38 $25,810.05 $59,156.79 $55,955.03 2026-07-15
849 MS_DRG Radiotherapy 74 10 $60,874.95 $60,874.95 $29,013.10 $59,048.70 $55,852.76 2026-07-15
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/McC 74 10 $60,708.30 $60,708.30 $29,497.20 $58,887.05 $55,699.87 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With McC 69 8 $59,853.41 $59,853.41 $41,897.39 $58,057.81 $55,663.67 2026-07-15
835 MS_DRG Acute Leukemia With Cc 74 10 $59,059.50 $59,059.50 $41,341.65 $73,265.95 $55,220.63 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With McC 74 10 $58,728.49 $58,728.49 $41,109.94 $69,407.25 $54,911.14 2026-07-15
504 MS_DRG Foot Procedures With Cc 74 10 $59,803.35 $59,803.35 $33,268.95 $58,009.25 $54,869.59 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 74 10 $59,773.03 $59,773.03 $41,846.72 $57,987.60 $54,849.10 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 69 8 $58,864.46 $58,864.46 $41,205.12 $57,098.53 $54,743.95 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 74 10 $58,178.32 $58,178.32 $40,724.82 $56,432.97 $54,105.84 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 74 10 $58,795.73 $58,795.73 $32,709.65 $57,031.86 $53,945.10 2026-07-15
142 MS_DRG Major Head And Neck Procedures Without Cc/McC 74 10 $58,787.68 $58,787.68 $37,839.70 $57,024.05 $53,937.70 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 74 10 $57,207.16 $57,207.16 $40,045.01 $112,767.10 $53,488.70 2026-07-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 69 8 $57,503.35 $57,503.35 $40,252.35 $55,778.25 $53,478.12 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
571 MS_DRG Skin Debridement With Cc 74 10 $58,060.04 $58,060.04 $29,901.40 $56,318.24 $53,270.10 2026-07-15
671 MS_DRG Urethral Procedures With Cc/McC 74 10 $58,008.98 $58,008.98 $29,017.80 $56,268.71 $53,223.26 2026-07-15
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