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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

SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA

Centralia, IL · CCN 140034 · Rates published

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You selected 93350 (HCPCS)

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This hospital’s price: $609 across 3 payers · range $586-$615

Source: https://cleverleypteusstatic.blob.core.windows.net/readable/370662580_ssm-health-st.-mary-_s-hospital--centralia_standardcharges.json · observed 2026-04-01

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.

7,307 distinct procedures filed
14 distinct payers
58,925 rate rows
2026-04-01 last MRF observed
Data quality

26,954 of 58,925 rate rows are consumer-grade (45.7%)

31,971 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 27,526
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/370662580_ssm-health-st.-mary-_s-hospital--centralia_standardcharges.json
Found on page https://www.ssmhealth.com/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint 47a6241a064e25ae… · 11,309,855 bytes · first seen 2026-05-14

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $334,754.13 $699,411.08 $348,144.30 nat. median
$359,358
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $217,410.10 $522,402.22 $226,106.50 nat. median
$249,124
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $165,751.76 $439,986.77 $172,381.83 nat. median
$198,433
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $164,781.83 $397,465.92 $171,373.10 nat. median
$190,557
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $164,352.39 $164,352.39 $164,352.39 nat. median
$71,201
outlier · 2.3×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $142,006.96 $142,006.96 $142,006.96 nat. median
$47,579
outlier · 3.0×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $131,483.39 $131,483.39 $131,483.39 nat. median
$39,629
outlier · 3.3×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $123,009.27 $123,009.27 $123,009.27 nat. median
$52,841
outlier · 2.3×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $118,717.49 $118,717.49 $118,717.49 nat. median
$38,225
outlier · 3.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $113,439.02 $113,439.02 $113,439.02 nat. median
$49,639
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $107,701.74 $262,052.42 $112,009.81 nat. median
$126,722
0.9× median
7
MS_DRG 		Lung Transplant 5 $100,725.61 $242,370.34 $104,754.63 nat. median
$117,894
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $93,508.74 $242,982.39 $97,249.09 nat. median
$110,192
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $96,791.23 $96,791.23 $96,791.23 nat. median
$32,619
outlier · 3.0×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $93,805.16 $93,805.16 $93,805.16 nat. median
$34,024
outlier · 2.8×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $93,118.92 $93,118.92 $93,118.92 nat. median
$31,634
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $88,197.68 $204,382.38 $91,725.59 nat. median
$103,967
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $85,793.35 $194,402.24 $90,083.02 nat. median
$93,270
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $88,097.05 $92,501.90 $88,097.05 nat. median
$92,655
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $84,654.66 $202,034.33 $88,040.85 nat. median
$97,414
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $85,420.06 $85,420.06 $85,420.06 nat. median
$38,944
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $80,291.87 $197,499.58 $83,503.54 nat. median
$94,964
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 5 $77,555.45 $196,490.63 $80,657.67 nat. median
$93,917
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $76,206.98 $178,985.97 $79,255.26 nat. median
$90,581
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $56,357.68 $253,190.86 $74,576.49 nat. median
$63,648
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $70,221.69 $154,681.98 $73,030.56 nat. median
$78,037
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $67,511.59 $170,841.98 $70,212.05 nat. median
$78,262
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $65,734.27 $157,156.15 $68,363.64 nat. median
$77,043
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $65,529.13 $157,067.12 $68,150.30 nat. median
$77,696
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $67,843.07 $67,843.07 $67,843.07 nat. median
$31,618
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $61,390.83 $149,498.09 $63,846.46 nat. median
$74,460
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $59,916.18 $143,498.14 $62,312.83 nat. median
$72,473
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $59,659.96 $144,959.64 $62,046.36 nat. median
$71,758
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $59,464.11 $138,429.24 $61,842.67 nat. median
$68,004
0.9× median
10
MS_DRG 		Pancreas Transplant 5 $56,025.59 $147,867.81 $58,266.61 nat. median
$64,903
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $56,002.37 $123,866.14 $58,242.46 nat. median
$61,329
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $55,707.44 $147,016.50 $57,935.74 nat. median
$66,660
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $55,674.93 $131,062.38 $57,901.93 nat. median
$66,649
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $53,720.34 $123,656.56 $55,869.15 nat. median
$63,896
0.9× median
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 $55,822.76 $55,822.76 $55,822.76 nat. median
$18,397
outlier · 3.0×
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 $55,555.68 $55,555.68 $55,555.68 nat. median
$20,454
outlier · 2.7×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $52,583.97 $126,637.06 $54,687.33 nat. median
$61,711
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 $52,238.73 $114,731.74 $54,328.28 nat. median
$57,560
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 $52,200.80 $124,342.80 $54,288.83 nat. median
$60,543
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $19,466.89 $129,022.21 $53,982.76 nat. median
$62,721
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $51,377.94 $119,765.40 $53,433.06 nat. median
$62,038
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $51,377.94 $110,337.96 $53,433.06 nat. median
$59,558
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 $51,192.93 $114,208.72 $53,240.65 nat. median
$58,118
0.9× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $43,998.50 $185,033.67 $51,778.94 nat. median
$50,590
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $22,450.84 $119,956.43 $50,289.56 nat. median
$59,384
0.8× median

Other procedures at this hospital

Browse this hospital's 7,307 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 5 — — $334,754.13 $699,411.08 $348,144.30 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 5 — — $217,410.10 $522,402.22 $226,106.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 5 — — $165,751.76 $439,986.77 $172,381.83 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 5 — — $164,781.83 $397,465.92 $171,373.10 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $164,352.39 $164,352.39 $164,352.39 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $142,006.96 $142,006.96 $142,006.96 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $131,483.39 $131,483.39 $131,483.39 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $123,009.27 $123,009.27 $123,009.27 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $118,717.49 $118,717.49 $118,717.49 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $113,439.02 $113,439.02 $113,439.02 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 5 — — $107,701.74 $262,052.42 $112,009.81 2026-04-01
7 MS_DRG Lung Transplant 7 5 — — $100,725.61 $242,370.34 $104,754.63 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 7 5 — — $93,508.74 $242,982.39 $97,249.09 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $96,791.23 $96,791.23 $96,791.23 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $93,805.16 $93,805.16 $93,805.16 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $93,118.92 $93,118.92 $93,118.92 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 5 — — $88,197.68 $204,382.38 $91,725.59 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 6 — — $85,793.35 $194,402.24 $90,083.02 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $88,097.05 $92,501.90 $88,097.05 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 5 — — $84,654.66 $202,034.33 $88,040.85 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $85,420.06 $85,420.06 $85,420.06 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 5 — — $80,291.87 $197,499.58 $83,503.54 2026-04-01
215 MS_DRG Other Heart Assist System Implant 7 5 — — $77,555.45 $196,490.63 $80,657.67 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $76,206.98 $178,985.97 $79,255.26 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $56,357.68 $253,190.86 $74,576.49 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 5 — — $70,221.69 $154,681.98 $73,030.56 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 7 5 — — $67,511.59 $170,841.98 $70,212.05 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 5 — — $65,734.27 $157,156.15 $68,363.64 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $65,529.13 $157,067.12 $68,150.30 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $67,843.07 $67,843.07 $67,843.07 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 5 — — $61,390.83 $149,498.09 $63,846.46 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 5 — — $59,916.18 $143,498.14 $62,312.83 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 5 — — $59,659.96 $144,959.64 $62,046.36 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 5 — — $59,464.11 $138,429.24 $61,842.67 2026-04-01
10 MS_DRG Pancreas Transplant 7 5 — — $56,025.59 $147,867.81 $58,266.61 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 5 — — $56,002.37 $123,866.14 $58,242.46 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 5 — — $55,707.44 $147,016.50 $57,935.74 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 5 — — $55,674.93 $131,062.38 $57,901.93 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 5 — — $53,720.34 $123,656.56 $55,869.15 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $55,822.76 $55,822.76 $55,822.76 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 1 — — $55,555.68 $55,555.68 $55,555.68 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 5 — — $52,583.97 $126,637.06 $54,687.33 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 5 — — $52,238.73 $114,731.74 $54,328.28 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 5 — — $52,200.80 $124,342.80 $54,288.83 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 10 — — $19,466.89 $129,022.21 $53,982.76 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $51,377.94 $110,337.96 $53,433.06 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $51,377.94 $119,765.40 $53,433.06 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 5 — — $51,192.93 $114,208.72 $53,240.65 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $43,998.50 $185,033.67 $51,778.94 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 6 — — $22,450.84 $119,956.43 $50,289.56 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 5 — — $47,918.51 $111,103.95 $49,835.25 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 5 — — $47,863.55 $117,289.37 $49,778.09 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 5 — — $47,409.16 $113,290.64 $49,305.53 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 — — $49,270.11 $49,270.11 $49,270.11 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 7 5 — — $46,988.83 $112,749.07 $48,868.38 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 5 — — $46,975.67 $114,880.12 $48,854.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $46,638.94 $106,441.23 $48,504.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 5 — — $46,487.21 $110,261.92 $48,346.70 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 7 5 — — $46,380.39 $111,940.42 $48,235.61 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 5 — — $45,907.42 $109,126.84 $47,743.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 5 — — $45,878.00 $107,978.78 $47,713.12 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 5 — — $45,121.71 $101,453.94 $46,926.58 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 5 — — $44,836.85 $105,805.07 $46,630.32 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 5 — — $44,598.43 $100,166.78 $46,382.37 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 5 — — $43,863.81 $100,910.52 $45,618.36 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 5 — — $43,566.56 $92,788.79 $45,309.22 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 5 — — $43,232.15 $113,817.37 $44,961.44 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 7 5 — — $42,975.93 $102,507.41 $44,694.97 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $44,655.71 $46,888.50 $44,655.71 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 5 — — $42,825.75 $100,680.53 $44,538.78 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 5 — — $42,765.37 $98,668.19 $44,475.98 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 5 — — $42,698.80 $100,072.19 $44,406.75 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 10 6 — — $10,582.80 $66,227.55 $44,278.07 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 5 — — $42,530.05 $111,940.42 $44,231.25 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 5 — — $41,759.83 $98,230.48 $43,430.22 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 5 — — $41,735.06 $95,511.49 $43,404.46 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 5 — — $41,457.93 $102,514.83 $43,116.25 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 5 — — $41,322.46 $95,198.04 $42,975.36 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 5 — — $40,773.63 $94,483.98 $42,404.58 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 7 5 — — $40,703.96 $103,384.69 $42,332.12 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 1 — — $41,897.67 $41,897.67 $41,897.67 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 5 — — $39,494.83 $85,173.39 $41,074.62 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 5 — — $39,086.11 $94,194.65 $40,649.55 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 5 — — $38,776.47 $92,417.85 $40,327.53 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 5 — — $38,577.53 $93,411.97 $40,120.63 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 5 — — $38,418.84 $100,059.21 $39,955.59 2026-04-01
5623 OTHER Level 3 Radiation Therapy 6 5 — — $3,919.33 $61,980.30 $39,801.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 7 5 — — $37,857.62 $90,082.78 $39,371.92 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 5 — — $37,668.74 $92,861.12 $39,175.49 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $39,161.99 $39,161.99 $39,161.99 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 5 — — $37,332.01 $87,252.51 $38,825.29 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 7 — — $21,021.67 $92,762.82 $38,708.35 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 5 — — $36,872.20 $85,446.03 $38,347.09 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 5 — — $36,689.52 $88,565.63 $38,157.10 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 7 5 — — $36,373.69 $89,932.55 $37,828.64 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 6 — — $36,060.18 $85,162.26 $37,682.89 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 5 — — $36,230.48 $86,284.35 $37,679.70 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $19,266.83 $88,178.00 $37,533.85 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 5 — — $35,969.61 $86,785.12 $37,408.39 2026-04-01
245 MS_DRG Aicd Generator Procedures 7 5 — — $35,796.21 $90,629.92 $37,228.06 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 5 — — $35,690.16 $83,671.08 $37,117.77 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 5 — — $35,674.68 $82,942.18 $37,101.67 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 7 5 — — $35,536.89 $88,181.71 $36,958.37 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 7 5 — — $35,172.29 $85,481.27 $36,579.18 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 5 — — $35,162.23 $77,717.49 $36,568.72 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 5 — — $35,025.99 $81,467.70 $36,427.03 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 5 — — $34,483.35 $79,110.37 $35,862.68 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $35,415.50 $35,415.50 $35,415.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 5 — — $33,977.09 $78,995.38 $35,336.17 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 5 — — $33,710.03 $83,172.17 $35,058.43 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 5 — — $33,496.38 $78,435.26 $34,836.24 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 5 — — $33,306.73 $75,731.11 $34,639.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 5 — — $33,170.49 $77,162.94 $34,497.31 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 5 — — $33,114.75 $76,105.76 $34,439.34 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 5 — — $33,098.50 $76,218.90 $34,422.44 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
61886 HCPCS Implant Neurostim Arrays 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 5 — — $33,003.28 $77,711.93 $34,323.41 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 5 — — $32,964.58 $82,166.92 $34,283.16 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 5 — — $32,904.20 $76,261.55 $34,220.37 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $32,778.80 $80,080.38 $34,089.95 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 7 5 — — $32,755.57 $77,352.12 $34,065.79 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 5 — — $32,627.07 $75,432.50 $33,932.15 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 5 — — $32,414.20 $72,518.77 $33,710.77 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 2 1 — — $33,694.33 $33,694.33 $33,694.33 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 5 — — $31,899.43 $75,302.67 $33,175.41 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 5 — — $31,601.40 $72,874.87 $32,865.46 2026-04-01
509 MS_DRG Arthroscopy 2 1 — — $32,577.81 $32,577.81 $32,577.81 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 5 — — $31,319.63 $66,483.58 $32,572.42 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $32,477.41 $32,477.41 $32,477.41 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 5 — — $30,760.73 $70,504.57 $31,991.16 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 5 — — $30,623.72 $80,247.30 $31,848.67 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 5 — — $30,441.81 $72,120.01 $31,659.48 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 5 — — $30,396.91 $72,878.58 $31,612.79 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 5 — — $30,368.27 $69,955.57 $31,583.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 5 — — $29,608.11 $70,890.34 $30,792.43 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 6 — — $29,409.17 $92,028.01 $30,732.58 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 5 — — $29,481.16 $61,236.63 $30,660.41 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 5 — — $29,412.26 $71,424.50 $30,588.75 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 5 — — $29,327.89 $73,192.03 $30,501.01 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 5 — — $29,165.33 $64,398.89 $30,331.94 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 — — $30,201.93 $30,201.93 $30,201.93 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 8 — — $15,592.15 $73,881.97 $30,198.74 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 5 — — $28,900.59 $65,860.40 $30,056.61 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 5 — — $28,566.95 $58,864.47 $29,709.63 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 2 2 — — $29,707.73 $29,707.73 $29,707.73 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 5 — — $28,545.28 $65,291.00 $29,687.09 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 5 — — $28,506.58 $64,330.27 $29,646.84 2026-04-01
265 MS_DRG Aicd Lead Procedures 7 5 — — $28,487.22 $66,155.29 $29,626.71 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 5 — — $28,395.88 $59,428.30 $29,531.72 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 5 — — $28,213.19 $73,830.04 $29,341.72 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 5 — — $28,148.94 $73,025.10 $29,274.90 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 5 — — $28,121.08 $67,212.47 $29,245.92 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 5 — — $28,080.05 $64,934.90 $29,203.25 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 5 — — $28,056.83 $64,981.27 $29,179.10 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 5 — — $28,030.51 $69,439.97 $29,151.73 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 5 — — $28,008.06 $63,883.29 $29,128.38 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 9 6 — — $15,080.93 $71,608.11 $28,912.20 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 5 — — $27,778.15 $63,521.62 $28,889.28 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 5 — — $27,722.42 $67,666.87 $28,831.32 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 1 — — $28,677.37 $28,677.37 $28,677.37 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 7 5 — — $27,481.68 $63,619.92 $28,580.95 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 5 — — $27,474.71 $71,682.30 $28,573.70 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 5 — — $27,350.85 $64,259.79 $28,444.88 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 6 — — $23,719.45 $66,487.29 $28,437.68 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 5 — — $27,017.99 $64,970.14 $28,098.71 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 5 — — $26,887.95 $62,253.01 $27,963.47 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 5 — — $26,853.11 $65,456.07 $27,927.23 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 6 — — $26,654.74 $63,779.42 $27,220.81 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 4 — — $27,096.95 $28,451.80 $27,096.95 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 5 — — $26,049.60 $50,752.01 $27,091.58 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 7 5 — — $25,962.90 $61,589.02 $27,001.42 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 7 5 — — $25,959.81 $57,881.48 $26,998.20 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 2 1 — — $26,952.50 $26,952.50 $26,952.50 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 5 — — $25,658.69 $63,185.92 $26,685.04 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 5 — — $25,547.99 $60,446.53 $26,569.91 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 5 — — $25,520.12 $59,153.80 $26,540.92 2026-04-01
652 MS_DRG Kidney Transplant 7 5 — — $25,478.32 $56,961.55 $26,497.45 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 5 — — $25,459.74 $59,788.11 $26,478.13 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 7 5 — — $25,410.98 $58,983.17 $26,427.42 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 5 — — $25,330.47 $53,081.51 $26,343.69 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 9 6 — — $18,078.31 $64,819.91 $26,338.34 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 2 2 — — $26,315.68 $26,315.68 $26,315.68 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 5 — — $25,194.23 $62,911.42 $26,202.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 5 — — $25,124.56 $60,420.56 $26,129.54 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 5 — — $25,075.02 $65,478.33 $26,078.02 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 7 5 — — $24,977.48 $58,766.17 $25,976.58 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 5 — — $24,940.33 $57,191.53 $25,937.94 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 5 — — $24,870.66 $59,257.67 $25,865.49 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 5 — — $24,859.05 $57,608.84 $25,853.41 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 5 — — $24,801.76 $52,031.75 $25,793.83 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 5 — — $24,639.98 $63,679.27 $25,625.58 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 7 5 — — $24,547.09 $56,724.14 $25,528.97 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $2,051.99 $57,232.33 $25,485.29 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 7 — — $23,284.54 $55,440.71 $25,336.74 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 6 — — $16,856.36 $57,351.03 $25,148.56 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 7 5 — — $24,177.85 $57,855.51 $25,144.96 2026-04-01
263 MS_DRG Vein Ligation And Stripping 7 5 — — $24,146.11 $49,741.20 $25,111.95 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 5 — — $23,958.78 $60,620.87 $24,917.13 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 5 — — $23,860.47 $53,007.33 $24,814.89 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 5 — — $23,857.37 $53,172.39 $24,811.66 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 5 — — $23,831.83 $46,825.61 $24,785.10 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 6 — — $16,618.56 $54,687.68 $24,589.66 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 5 — — $23,519.09 $56,909.61 $24,459.85 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 7 5 — — $23,269.06 $49,032.70 $24,199.82 2026-04-01
570 MS_DRG Skin Debridement With Mcc 7 5 — — $23,245.84 $55,833.89 $24,175.67 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 7 5 — — $23,082.50 $54,084.91 $24,005.80 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 7 — — $13,859.87 $54,546.73 $23,943.82 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 5 — — $22,943.17 $54,394.64 $23,860.90 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 7 5 — — $22,929.23 $52,083.69 $23,846.40 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 7 5 — — $22,819.31 $55,381.34 $23,732.08 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 7 5 — — $22,786.80 $49,145.84 $23,698.27 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 6 — — $22,697.01 $54,057.09 $23,235.67 2026-04-01
800 MS_DRG Splenic Procedures With Cc 7 5 — — $22,226.36 $54,038.54 $23,115.41 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 7 5 — — $22,148.17 $52,337.78 $23,034.10 2026-04-01
503 MS_DRG Foot Procedures With Mcc 7 5 — — $22,084.70 $49,084.64 $22,968.09 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 6 — — $14,928.74 $50,566.54 $22,830.15 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 5 — — $21,936.07 $47,259.61 $22,813.51 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 2 1 — — $22,773.86 $22,773.86 $22,773.86 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 5 — — $21,821.51 $50,136.25 $22,694.37 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 7 5 — — $21,751.06 $48,652.49 $22,621.10 2026-04-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 10 6 — — $4,160.67 $33,997.73 $22,547.10 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 6 — — $10,973.27 $54,008.86 $22,544.51 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 5 — — $21,641.14 $50,384.78 $22,506.79 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 6 — — $21,359.37 $48,524.52 $22,427.34 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 7 5 — — $21,540.51 $52,797.74 $22,402.13 2026-04-01
849 MS_DRG Radiotherapy 7 5 — — $21,453.04 $49,537.18 $22,311.16 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 7 5 — — $21,427.49 $50,657.42 $22,284.59 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 2 1 — — $22,254.55 $22,254.55 $22,254.55 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 5 — — $21,069.86 $53,111.19 $21,912.65 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 7 5 — — $20,997.87 $49,383.24 $21,837.78 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 9 — — $9,974.51 $49,782.00 $21,756.48 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 7 5 — — $20,894.92 $49,208.90 $21,730.72 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 7 5 — — $20,571.35 $47,348.64 $21,394.20 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 7 5 — — $20,547.35 $47,361.62 $21,369.24 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 5 — — $20,472.26 $49,973.04 $21,291.15 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 7 5 — — $20,444.39 $44,457.16 $21,262.17 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 7 5 — — $20,444.39 $44,457.16 $21,262.17 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 7 5 — — $20,354.60 $48,007.05 $21,168.78 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 7 5 — — $20,241.58 $46,404.59 $21,051.24 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 5 — — $20,147.92 $47,929.16 $20,953.84 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 7 5 — — $20,017.09 $46,679.09 $20,817.77 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 7 5 — — $20,008.58 $45,766.58 $20,808.92 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 7 5 — — $19,768.61 $44,880.03 $20,559.35 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 7 5 — — $19,689.65 $46,862.70 $20,477.24 2026-04-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 2 1 — — $20,266.31 $20,266.31 $20,266.31 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 7 5 — — $19,483.74 $34,163.57 $20,263.09 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 8 — — $18,951.94 $70,430.83 $20,224.98 2026-04-01
792 MS_DRG Prematurity Without Major Problems 7 5 — — $19,438.07 $45,436.44 $20,215.59 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 8 — — $19,035.54 $43,839.54 $20,176.41 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 7 5 — — $19,376.92 $43,904.46 $20,152.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 7 5 — — $19,098.25 $42,928.89 $19,862.18 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 7 5 — — $19,017.74 $45,952.05 $19,778.45 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 7 5 — — $18,983.68 $42,187.01 $19,743.03 2026-04-01
0790T CPT Revj Rplcmt/rmvl Vrt Tethrg 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22600 HCPCS Neck Spine Fusion 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22610 HCPCS Thorax Spine Fusion 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
0656T CPT Vrt Bdy Tethering Ant 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
24363 HCPCS Replace Elbow Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22612 HCPCS Lumbar Spine Fusion 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22556 HCPCS Thorax Spine Fusion 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
23616 HCPCS Treat Humerus Fracture 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
28705 HCPCS Fusion Of Foot Bones 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
27487 HCPCS Revise/replace Knee Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
25446 HCPCS Wrist Replacement 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
0657T CPT Vrt Bdy Tethering Ant 8+ Seg 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
20808 HCPCS Replantation Hand Complete 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
20838 HCPCS Replantation Foot Complete 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
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