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

OSF SAINT KATHARINE MEDICAL CENTER

Dixon, IL · CCN 140012 · Rates published

12,687 distinct procedures filed
10 distinct payers
44,211 rate rows
2026-03-31 last MRF observed
Data quality

26,020 of 44,211 rate rows are consumer-grade (58.9%)

18,191 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,403
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_OSF-Saint-Katharine-Medical-Center_standardcharges.csv
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-01
Content fingerprint c64b110d3be83640… · 13,742,765 bytes · first seen 2026-07-31

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
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $566,531.30 $614,180.81 $590,356.06 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $587,649.57 $588,494.81 $588,072.19 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,201.24 $562,260.84 $562,231.04 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $558,081.73 $559,781.08 $558,931.41 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $531,849.12 $532,192.24 $532,020.68 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,290.60 $489,450.20 $489,370.40 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $355,866.40 $877,567.34 $355,866.40 nat. median
$370,165
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 2 $262,233.77 $265,000.00 $263,616.89 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $231,176.18 $569,505.90 $231,176.18 nat. median
$261,939
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $201,669.02 $202,713.58 $202,191.30 nat. median
$209,736
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $176,283.83 $433,888.06 $176,283.83 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $175,253.17 $431,341.70 $175,253.17 nat. median
$199,832
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $114,599.65 $281,490.23 $114,599.65 nat. median
$132,706
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $110,901.76 $110,901.76 $110,901.76 nat. median
$111,503
1.0× median
7
MS_DRG 		Lung Transplant 8 $107,186.78 $263,175.91 $107,186.78 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $99,518.11 $244,229.57 $99,518.11 nat. median
$114,305
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $93,874.56 $230,286.54 $93,874.56 nat. median
$108,240
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $93,767.63 $230,022.35 $93,767.63 nat. median
$96,134
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $91,319.71 $223,974.48 $91,319.71 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $90,109.73 $220,985.09 $90,109.73 nat. median
$100,978
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $85,473.81 $209,531.53 $85,473.81 nat. median
$99,646
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 8 $82,566.08 $202,347.65 $82,566.08 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $81,133.19 $198,807.53 $81,133.19 nat. median
$92,900
0.9× median
5193
OTHER 		Level 3 Endovascular Procedures 1 $80,669.09 $80,669.09 $80,669.09 nat. median
$12,153
outlier · 6.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $74,773.20 $183,094.44 $74,773.20 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $71,893.44 $175,979.66 $71,893.44 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $70,004.85 $171,313.69 $70,004.85 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $69,786.88 $170,775.16 $69,786.88 nat. median
$80,459
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 1 $68,801.71 $68,801.71 $68,801.71 nat. median
$70,178
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $65,389.50 $159,910.93 $65,389.50 nat. median
$77,385
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $64,274.79 $64,282.30 $64,278.54 nat. median
$69,291
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $63,822.53 $156,039.56 $63,822.53 nat. median
$74,472
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $63,550.27 $155,366.90 $63,550.27 nat. median
$73,475
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $63,342.16 $154,852.75 $63,342.16 nat. median
$71,485
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $60,041.25 $146,697.47 $60,041.25 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 8 $59,688.37 $145,825.65 $59,688.37 nat. median
$67,750
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $59,663.70 $145,764.69 $59,663.70 nat. median
$62,911
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $59,350.30 $144,990.41 $59,350.30 nat. median
$69,153
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $59,315.76 $144,905.06 $59,315.76 nat. median
$68,581
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $57,517.65 $140,462.64 $57,517.65 nat. median
$65,958
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $57,238.81 $139,773.72 $57,238.81 nat. median
$65,792
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $56,031.30 $136,790.42 $56,031.30 nat. median
$64,357
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $55,664.44 $135,884.06 $55,664.44 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $55,624.13 $135,784.48 $55,624.13 nat. median
$62,262
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $54,404.11 $56,269.19 $55,336.65 nat. median
$65,655
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $54,749.76 $133,624.23 $54,749.76 nat. median
$60,895
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $54,749.76 $133,624.23 $54,749.76 nat. median
$63,840
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 $54,553.17 $133,138.53 $54,553.17 nat. median
$59,159
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $53,593.24 $130,766.94 $53,593.24 nat. median
$62,218
0.9× median

Other procedures at this hospital

Browse this hospital's 12,687 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
             
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $770,620.00 $770,620.00 $770,620.00 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $587,649.57 $588,494.81 $588,072.19 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $566,531.30 $614,180.81 $590,356.06 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,201.24 $562,260.84 $562,231.04 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $558,081.73 $559,781.08 $558,931.41 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $531,849.12 $532,192.24 $532,020.68 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,290.60 $489,450.20 $489,370.40 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 8 — — $355,866.40 $877,567.34 $355,866.40 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $262,233.77 $265,000.00 $263,616.89 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $231,176.18 $569,505.90 $231,176.18 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 2 — — $201,669.02 $202,713.58 $202,191.30 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 8 — — $176,283.83 $433,888.06 $176,283.83 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 8 — — $175,253.17 $431,341.70 $175,253.17 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 8 — — $114,599.65 $281,490.23 $114,599.65 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $110,901.76 $110,901.76 $110,901.76 2026-03-31
7 MS_DRG Lung Transplant 9 8 — — $107,186.78 $263,175.91 $107,186.78 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 9 8 — — $99,518.11 $244,229.57 $99,518.11 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $93,874.56 $230,286.54 $93,874.56 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 9 8 — — $93,767.63 $230,022.35 $93,767.63 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $91,319.71 $223,974.48 $91,319.71 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 8 — — $90,109.73 $220,985.09 $90,109.73 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 8 — — $85,473.81 $209,531.53 $85,473.81 2026-03-31
215 MS_DRG Other Heart Assist System Implant 9 8 — — $82,566.08 $202,347.65 $82,566.08 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $81,133.19 $198,807.53 $81,133.19 2026-03-31
5193 OTHER Level 3 Endovascular Procedures 1 1 — — $80,669.09 $80,669.09 $80,669.09 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 8 — — $74,773.20 $183,094.44 $74,773.20 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 9 8 — — $71,893.44 $175,979.66 $71,893.44 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 8 — — $70,004.85 $171,313.69 $70,004.85 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $69,786.88 $170,775.16 $69,786.88 2026-03-31
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 8 — — $65,389.50 $159,910.93 $65,389.50 2026-03-31
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 2 2 — — $64,274.79 $64,282.30 $64,278.54 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $63,822.53 $156,039.56 $63,822.53 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 8 — — $63,550.27 $155,366.90 $63,550.27 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 8 — — $63,342.16 $154,852.75 $63,342.16 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $60,041.25 $146,697.47 $60,041.25 2026-03-31
10 MS_DRG Pancreas Transplant 9 8 — — $59,688.37 $145,825.65 $59,688.37 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 8 — — $59,663.70 $145,764.69 $59,663.70 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 8 — — $59,350.30 $144,990.41 $59,350.30 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 8 — — $59,315.76 $144,905.06 $59,315.76 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 8 — — $57,517.65 $140,462.64 $57,517.65 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 8 — — $57,238.81 $139,773.72 $57,238.81 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 8 — — $56,031.30 $136,790.42 $56,031.30 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 8 — — $55,664.44 $135,884.06 $55,664.44 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 8 — — $55,624.13 $135,784.48 $55,624.13 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $54,749.76 $133,624.23 $54,749.76 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $54,749.76 $133,624.23 $54,749.76 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $54,553.17 $133,138.53 $54,553.17 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 2 — — $54,404.11 $56,269.19 $55,336.65 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 8 — — $53,593.24 $130,766.94 $53,593.24 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 8 — — $51,073.76 $124,542.26 $51,073.76 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 8 — — $51,015.36 $124,397.98 $51,015.36 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 8 — — $50,532.52 $123,205.07 $50,532.52 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 9 8 — — $50,085.87 $122,101.57 $50,085.87 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 8 — — $50,071.89 $122,067.03 $50,071.89 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $49,714.08 $121,183.01 $49,714.08 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 8 — — $49,552.86 $120,784.70 $49,552.86 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 9 8 — — $49,439.34 $120,504.25 $49,439.34 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $49,338.18 $49,338.18 $49,338.18 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 8 — — $48,936.76 $119,262.57 $48,936.76 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 8 — — $48,905.51 $119,185.35 $48,905.51 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 8 — — $48,101.87 $117,199.87 $48,101.87 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $47,919.99 $47,919.99 $47,919.99 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $47,799.17 $116,452.02 $47,799.17 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 8 — — $47,606.69 $115,976.48 $47,606.69 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $47,545.82 $115,826.09 $47,545.82 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $46,908.34 $114,251.13 $46,908.34 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 8 — — $46,765.22 $113,897.52 $46,765.22 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $46,449.36 $113,117.15 $46,449.36 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 8 — — $46,094.02 $112,239.23 $46,094.02 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 9 8 — — $45,821.75 $111,566.57 $45,821.75 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 8 — — $45,662.17 $111,172.32 $45,662.17 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 8 — — $45,598.02 $111,013.81 $45,598.02 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 8 — — $45,527.28 $110,839.04 $45,527.28 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 9 8 — — $45,347.96 $110,396.02 $45,347.96 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $44,529.52 $108,373.96 $44,529.52 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 8 — — $44,503.20 $108,308.93 $44,503.20 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 8 — — $44,208.72 $107,581.40 $44,208.72 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 8 — — $44,064.77 $107,225.76 $44,064.77 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 8 — — $43,481.58 $105,784.92 $43,481.58 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 9 8 — — $43,407.55 $105,602.02 $43,407.55 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $42,122.72 $102,427.70 $42,122.72 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 8 — — $41,688.41 $101,354.69 $41,688.41 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 8 — — $41,359.39 $100,541.80 $41,359.39 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 8 — — $41,287.01 $100,362.97 $41,287.01 2026-03-31
J9226 HCPCS Supprelin La Implant 2 2 — — $41,173.43 $43,185.34 $42,179.38 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 8 — — $41,148.00 $100,019.53 $41,148.00 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $40,979.37 $99,602.92 $40,979.37 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 9 8 — — $40,383.02 $98,129.57 $40,383.02 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 8 — — $40,182.32 $97,633.71 $40,182.32 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 8 — — $39,824.51 $96,749.69 $39,824.51 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 8 — — $39,335.91 $95,542.56 $39,335.91 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $39,256.94 $95,347.46 $39,256.94 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 8 — — $39,141.78 $95,062.95 $39,141.78 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 9 8 — — $38,806.18 $94,233.81 $38,806.18 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 8 — — $38,654.01 $93,857.85 $38,654.01 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 8 — — $38,473.05 $93,410.76 $38,473.05 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 8 — — $38,376.81 $93,172.99 $38,376.81 2026-03-31
245 MS_DRG Aicd Generator Procedures 9 8 — — $38,192.56 $92,717.78 $38,192.56 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 8 — — $38,079.87 $92,439.36 $38,079.87 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 8 — — $38,063.42 $92,398.72 $38,063.42 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 9 8 — — $37,917.00 $92,036.99 $37,917.00 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 9 8 — — $37,529.58 $91,079.81 $37,529.58 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 8 — — $37,518.88 $91,053.39 $37,518.88 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 8 — — $37,374.12 $90,695.72 $37,374.12 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 8 — — $36,797.50 $89,271.14 $36,797.50 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 8 — — $36,259.55 $87,942.07 $36,259.55 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 8 — — $35,975.77 $87,240.96 $35,975.77 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 9 8 — — $35,748.75 $86,680.07 $35,748.75 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 8 — — $35,547.22 $86,182.17 $35,547.22 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 8 — — $35,402.45 $85,824.50 $35,402.45 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 8 — — $35,343.23 $85,678.18 $35,343.23 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 8 — — $35,325.95 $85,635.51 $35,325.95 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 8 — — $35,224.78 $85,385.55 $35,224.78 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 9 8 — — $35,183.65 $85,283.93 $35,183.65 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 8 — — $35,119.49 $85,125.42 $35,119.49 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $34,986.24 $84,796.20 $34,986.24 2026-03-31
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 1 1 — — $34,970.13 $34,970.13 $34,970.13 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 9 8 — — $34,961.56 $84,735.24 $34,961.56 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 8 — — $34,825.02 $84,397.89 $34,825.02 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 8 — — $34,598.82 $83,839.03 $34,598.82 2026-03-31
791 MS_DRG Prematurity With Major Problems 9 8 — — $34,051.82 $82,487.61 $34,051.82 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 8 — — $33,735.13 $81,705.20 $33,735.13 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 9 8 — — $33,435.72 $80,965.48 $33,435.72 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $32,841.84 $79,498.22 $32,841.84 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 8 — — $32,696.25 $79,138.52 $32,696.25 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 8 — — $32,502.95 $78,660.95 $32,502.95 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 8 — — $32,455.24 $78,543.08 $32,455.24 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 8 — — $32,424.80 $78,467.89 $32,424.80 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 9 8 — — $32,244.67 $78,022.83 $32,244.67 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 8 — — $31,617.06 $76,472.25 $31,617.06 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 8 — — $31,482.16 $76,138.97 $31,482.16 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 8 — — $31,408.95 $75,958.10 $31,408.95 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 8 — — $31,405.66 $75,949.97 $31,405.66 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 8 — — $31,319.29 $75,736.59 $31,319.29 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 8 — — $31,146.55 $75,309.82 $31,146.55 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 9 8 — — $30,877.58 $74,645.29 $30,877.58 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 8 — — $30,865.24 $74,614.81 $30,865.24 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 8 — — $30,510.72 $73,738.92 $30,510.72 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 8 — — $30,487.69 $73,682.02 $30,487.69 2026-03-31
332 MS_DRG Rectal Resection With Mcc 9 8 — — $30,446.56 $73,580.41 $30,446.56 2026-03-31
265 MS_DRG Aicd Lead Procedures 9 8 — — $30,426.00 $73,529.60 $30,426.00 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 8 — — $30,373.35 $73,399.54 $30,373.35 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $30,328.94 $73,289.80 $30,328.94 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 8 — — $30,134.81 $72,810.20 $30,134.81 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 8 — — $30,066.54 $72,641.53 $30,066.54 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 8 — — $30,036.93 $72,568.37 $30,036.93 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 8 — — $29,993.33 $72,460.66 $29,993.33 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 8 — — $29,968.66 $72,399.69 $29,968.66 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 8 — — $29,940.69 $72,330.60 $29,940.69 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 8 — — $29,916.84 $72,271.66 $29,916.84 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 8 — — $29,672.54 $71,668.09 $29,672.54 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 8 — — $29,613.31 $71,521.77 $29,613.31 2026-03-31
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $29,559.78 $29,559.78 $29,559.78 2026-03-31
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $29,510.19 $29,510.19 $29,510.19 2026-03-31
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $29,420.21 $29,420.21 $29,420.21 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 9 8 — — $29,357.50 $70,889.76 $29,357.50 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 8 — — $29,350.10 $70,871.47 $29,350.10 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 8 — — $29,218.49 $70,546.31 $29,218.49 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 8 — — $29,080.30 $70,204.90 $29,080.30 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 9 8 — — $28,948.69 $69,879.74 $28,948.69 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $28,864.79 $69,672.46 $28,864.79 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 8 — — $28,726.60 $69,331.05 $28,726.60 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 8 — — $28,689.58 $69,239.60 $28,689.58 2026-03-31
J9266 HCPCS Pegaspargase Injection 2 2 — — $28,424.06 $28,424.06 $28,424.06 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 9 8 — — $28,142.59 $67,888.17 $28,142.59 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 8 — — $27,835.77 $67,130.16 $27,835.77 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 9 8 — — $27,743.65 $66,902.55 $27,743.65 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 9 8 — — $27,740.36 $66,894.42 $27,740.36 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 8 — — $27,420.38 $66,103.89 $27,420.38 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 8 — — $27,302.76 $65,813.28 $27,302.76 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 9 8 — — $27,273.15 $65,740.12 $27,273.15 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 9 8 — — $27,236.13 $65,648.67 $27,236.13 2026-03-31
652 MS_DRG Kidney Transplant 9 8 — — $27,228.73 $65,630.38 $27,228.73 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 8 — — $27,208.99 $65,581.61 $27,208.99 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 9 8 — — $27,157.17 $65,453.58 $27,157.17 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 8 — — $27,071.62 $65,242.23 $27,071.62 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 8 — — $26,926.85 $64,884.56 $26,926.85 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 8 — — $26,878.32 $64,764.66 $26,878.32 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 8 — — $26,852.82 $64,701.66 $26,852.82 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 8 — — $26,800.18 $64,571.60 $26,800.18 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 9 8 — — $26,696.54 $64,315.54 $26,696.54 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 8 — — $26,657.05 $64,217.99 $26,657.05 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 9 8 — — $26,583.02 $64,035.09 $26,583.02 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 8 — — $26,570.68 $64,004.61 $26,570.68 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 8 — — $26,509.82 $63,854.23 $26,509.82 2026-03-31
665 MS_DRG Prostatectomy With Mcc 9 8 — — $26,337.90 $63,429.49 $26,337.90 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $26,284.44 $63,297.40 $26,284.44 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 8 — — $26,239.19 $63,185.63 $26,239.19 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 9 8 — — $25,846.84 $62,216.26 $25,846.84 2026-03-31
263 MS_DRG Vein Ligation And Stripping 9 8 — — $25,813.11 $62,132.94 $25,813.11 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 8 — — $25,614.05 $61,641.15 $25,614.05 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 8 — — $25,509.59 $61,383.05 $25,509.59 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 8 — — $25,506.30 $61,374.93 $25,506.30 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 8 — — $25,479.15 $61,307.86 $25,479.15 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 9 8 — — $25,146.84 $60,486.85 $25,146.84 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 2 2 — — $24,911.00 $47,201.02 $36,056.01 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 2 — — $24,911.00 $47,201.02 $36,056.01 2026-03-31
64654 HCPCS 1st Opn Implt Bat Modulj Sys 2 2 — — $24,911.00 $47,201.02 $36,056.01 2026-03-31
69930 HCPCS Implant Cochlear Device 2 2 — — $24,911.00 $35,333.54 $30,122.27 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 2 — — $24,911.00 $33,636.89 $29,273.94 2026-03-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $24,911.00 $33,636.89 $29,273.94 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 2 2 — — $24,911.00 $33,636.89 $29,273.94 2026-03-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 2 — — $24,911.00 $33,636.89 $29,273.94 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 2 2 — — $24,911.00 $33,636.89 $29,273.94 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 2 — — $24,911.00 $33,636.89 $29,273.94 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 2 — — $24,911.00 $33,636.89 $29,273.94 2026-03-31
61886 HCPCS Implant Neurostim Arrays 2 2 — — $24,911.00 $33,067.68 $28,989.34 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 2 — — $24,911.00 $30,737.62 $27,824.31 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 2 2 — — $24,911.00 $28,845.27 $26,878.14 2026-03-31
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $24,911.00 $24,911.00 $24,911.00 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 9 8 — — $24,897.61 $59,871.09 $24,897.61 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 9 8 — — $24,881.16 $59,830.44 $24,881.16 2026-03-31
570 MS_DRG Skin Debridement With Mcc 9 8 — — $24,856.48 $59,769.48 $24,856.48 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 9 8 — — $24,682.92 $59,340.68 $24,682.92 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 8 — — $24,619.58 $59,184.20 $24,619.58 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 8 — — $24,534.86 $58,974.88 $24,534.86 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 8 — — $24,520.06 $58,938.30 $24,520.06 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 8 — — $24,414.77 $58,678.18 $24,414.77 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 9 8 — — $24,403.25 $58,649.72 $24,403.25 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 9 8 — — $24,368.71 $58,564.37 $24,368.71 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 8 — — $24,111.25 $57,928.29 $24,111.25 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
33230 HCPCS Insrt Pulse Gen W/dual Leads 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
0916T OTHER Insj Perm Ccm-d Sys Pg Only 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
0515T OTHER Insj Wcs Lv Compl Sys 2 2 — — $23,836.63 $24,911.00 $24,373.82 2026-03-31
800 MS_DRG Splenic Procedures With Cc 9 8 — — $23,773.18 $57,093.05 $23,773.18 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 9 8 — — $23,690.10 $56,887.79 $23,690.10 2026-03-31
503 MS_DRG Foot Procedures With Mcc 9 8 — — $23,622.65 $56,721.15 $23,622.65 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 8 — — $23,464.72 $56,330.97 $23,464.72 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 8 — — $23,342.98 $56,030.20 $23,342.98 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 2 2 — — $23,296.00 $33,067.68 $28,181.84 2026-03-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 2 2 — — $23,296.00 $33,067.68 $28,181.84 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 2 2 — — $23,296.00 $33,067.68 $28,181.84 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 2 — — $23,296.00 $33,067.68 $28,181.84 2026-03-31
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 2 2 — — $23,296.00 $33,067.68 $28,181.84 2026-03-31
63685 HCPCS Insrt/redo Spine N Generator 2 2 — — $23,296.00 $33,067.68 $28,181.84 2026-03-31
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 2 2 — — $23,296.00 $29,077.32 $26,186.66 2026-03-31
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 2 2 — — $23,296.00 $29,077.32 $26,186.66 2026-03-31
33968 HCPCS Remove Aortic Assist Device 1 1 — — $23,296.00 $23,296.00 $23,296.00 2026-03-31
33967 HCPCS Insert I-aort Percut Device 1 1 — — $23,296.00 $23,296.00 $23,296.00 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 9 8 — — $23,268.13 $55,845.27 $23,268.13 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 9 8 — — $23,151.33 $55,556.69 $23,151.33 2026-03-31
Q0483 HCPCS Monitor Elec Vad, Rep 1 1 — — $23,087.32 $23,087.32 $23,087.32 2026-03-31
849 MS_DRG Radiotherapy 9 8 — — $22,951.44 $55,062.87 $22,951.44 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 8 — — $22,924.30 $54,995.80 $22,924.30 2026-03-31
L5858 HCPCS Stance Phase Only 1 1 — — $22,885.05 $22,885.05 $22,885.05 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 8 — — $22,851.92 $54,816.97 $22,851.92 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 9 8 — — $22,544.28 $54,056.92 $22,544.28 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 9 8 — — $22,467.78 $53,867.92 $22,467.78 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 9 8 — — $22,358.38 $53,597.64 $22,358.38 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 9 8 — — $22,014.55 $52,748.17 $22,014.55 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 9 8 — — $21,989.06 $52,685.17 $21,989.06 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 9 8 — — $21,909.27 $52,488.05 $21,909.27 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 9 8 — — $21,879.66 $52,414.89 $21,879.66 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 9 8 — — $21,879.66 $52,414.89 $21,879.66 2026-03-31
L6975 HCPCS Interscap-thor Myoelectronic 1 1 — — $21,834.21 $21,834.21 $21,834.21 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 9 8 — — $21,784.24 $52,179.15 $21,784.24 2026-03-31
L5973 HCPCS Ank-foot Sys Dors-plant Flex 1 1 — — $21,739.52 $21,739.52 $21,739.52 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 8 — — $21,717.08 $55,292.51 $23,044.39 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 9 8 — — $21,664.15 $51,882.45 $21,664.15 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 9 8 — — $21,564.62 $51,636.55 $21,564.62 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 9 8 — — $21,525.13 $51,539.00 $21,525.13 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 9 8 — — $21,425.61 $51,293.11 $21,425.61 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 9 8 — — $21,416.56 $51,270.75 $21,416.56 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 9 8 — — $21,161.57 $50,640.77 $21,161.57 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 9 8 — — $21,077.67 $50,433.48 $21,077.67 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 8 — — $20,874.54 $58,328.63 $24,273.29 2026-03-31
64590 HCPCS Insrt/redo Pn/gastr Stimul 2 2 — — $20,789.52 $23,296.00 $22,042.76 2026-03-31
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 2 2 — — $20,641.19 $23,296.00 $21,968.60 2026-03-31
22633 HCPCS Lumbar Spine Fusion Combined 2 2 — — $20,271.00 $29,077.32 $24,674.16 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 2 2 — — $20,271.00 $28,009.82 $24,140.41 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 2 2 — — $20,271.00 $28,009.82 $24,140.41 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 2 2 — — $20,271.00 $28,009.82 $24,140.41 2026-03-31
53445 HCPCS Insert Uro/ves Nck Sphincter 2 2 — — $20,271.00 $22,210.50 $21,240.75 2026-03-31
53447 HCPCS Remove/replace Ur Sphincter 2 2 — — $20,271.00 $22,210.50 $21,240.75 2026-03-31
54405 HCPCS Insert Multi-comp Penis Pros 2 2 — — $20,271.00 $22,210.50 $21,240.75 2026-03-31
54410 HCPCS Remove/replace Penis Prosth 2 2 — — $20,271.00 $22,210.50 $21,240.75 2026-03-31
54416 HCPCS Remv/repl Penis Contain Pros 2 2 — — $20,271.00 $22,210.50 $21,240.75 2026-03-31
54401 HCPCS Insert Self-contd Prosthesis 2 2 — — $20,271.00 $22,210.50 $21,240.75 2026-03-31
93590 HCPCS Perq Transcath Cls Mitral 2 2 — — $19,644.52 $23,296.00 $21,470.26 2026-03-31
36906 HCPCS Thrmbc/nfs Dialysis Circuit 2 2 — — $19,644.52 $23,296.00 $21,470.26 2026-03-31
93591 HCPCS Perq Transcath Cls Aortic 2 2 — — $19,644.52 $23,296.00 $21,470.26 2026-03-31
62362 HCPCS Implant Spine Infusion Pump 2 2 — — $19,314.70 $23,296.00 $21,305.35 2026-03-31
62361 HCPCS Implant Spine Infusion Pump 2 2 — — $19,314.70 $23,296.00 $21,305.35 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $16,639.00 $47,201.02 $31,920.01 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 2 — — $16,639.00 $33,067.68 $24,853.34 2026-03-31
22558 HCPCS Lumbar Spine Fusion 2 2 — — $16,639.00 $29,077.32 $22,858.16 2026-03-31
22630 HCPCS Lumbar Spine Fusion 2 2 — — $16,639.00 $29,077.32 $22,858.16 2026-03-31
27702 HCPCS Reconstruct Ankle Joint 2 2 — — $14,951.00 $29,077.32 $22,014.16 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 2 2 — — $14,401.00 $67,406.01 $40,903.50 2026-03-31
21243 HCPCS Reconstruction Of Jaw Joint 2 2 — — $14,401.00 $29,077.32 $21,739.16 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 8 — — $9,724.09 $55,859.49 $23,273.89 2026-03-31
5114 OTHER Level 4 Musculoskeletal Procedures 2 2 — — $6,590.51 $50,149.55 $28,370.03 2026-03-31
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