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Hospital

SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA

Centralia, IL · CCN 140034 · Rates published

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
$168,055
outlier · 2.1×
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
$186,516
1.2× 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
$131,925
1.3× 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
$145,435
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $164,352.39 $164,352.39 $164,352.39 nat. median
$2,106
outlier · 78.1×
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
$2,024
outlier · 70.2×
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
$2,024
outlier · 65.0×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $123,009.27 $123,009.27 $123,009.27 nat. median
$2,106
outlier · 58.4×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $118,717.49 $118,717.49 $118,717.49 nat. median
$2,024
outlier · 58.7×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $113,439.02 $113,439.02 $113,439.02 nat. median
$2,106
outlier · 53.9×
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
$97,418
1.1× median
7
MS_DRG 		Lung Transplant 5 $100,725.61 $242,370.34 $104,754.63 nat. median
$70,649
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $93,508.74 $242,982.39 $97,249.09 nat. median
$72,715
1.3× 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
$2,024
outlier · 47.8×
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
$2,024
outlier · 46.3×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $93,118.92 $93,118.92 $93,118.92 nat. median
$2,024
outlier · 46.0×
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
$65,418
1.4× 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
$2,736
outlier · 32.9×
209
MS_DRG 		Complex Aortic Arch Procedures 4 $88,097.05 $92,501.90 $88,097.05 nat. median
$2,110
outlier · 41.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $84,654.66 $202,034.33 $88,040.85 nat. median
$74,509
1.2× 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
$2,106
outlier · 40.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $80,291.87 $197,499.58 $83,503.54 nat. median
$69,922
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 5 $77,555.45 $196,490.63 $80,657.67 nat. median
$73,023
1.1× 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
$69,822
1.1× 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
$9,905
outlier · 7.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $70,221.69 $154,681.98 $73,030.56 nat. median
$2,596
outlier · 28.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $67,511.59 $170,841.98 $70,212.05 nat. median
$2,633
outlier · 26.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $65,734.27 $157,156.15 $68,363.64 nat. median
$60,505
1.1× 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
$59,651
1.1× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $67,843.07 $67,843.07 $67,843.07 nat. median
$2,106
outlier · 32.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $61,390.83 $149,498.09 $63,846.46 nat. median
$56,428
1.1× 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
$55,923
1.1× 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
$55,935
1.1× 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
$52,327
1.2× median
10
MS_DRG 		Pancreas Transplant 5 $56,025.59 $147,867.81 $58,266.61 nat. median
$23,080
outlier · 2.5×
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
$37,013
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $55,707.44 $147,016.50 $57,935.74 nat. median
$45,605
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $55,674.93 $131,062.38 $57,901.93 nat. median
$51,518
1.1× 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
$49,569
1.1× 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
$2,024
outlier · 27.6×
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
$2,024
outlier · 27.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $52,583.97 $126,637.06 $54,687.33 nat. median
$47,340
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 $52,238.73 $114,731.74 $54,328.28 nat. median
$2,633
outlier · 20.6×
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
$2,958
outlier · 18.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $19,466.89 $129,022.21 $53,982.76 nat. median
$48,611
1.1× 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
$47,458
1.1× 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
$45,446
1.2× 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
$43,299
1.2× 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
$10,799
outlier · 4.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $22,450.84 $119,956.43 $50,289.56 nat. median
$47,121
1.1× 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
             
0656T CPT Vrt Bdy Tethering Ant 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
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 3 3 — — $33,067.68 $34,721.07 $34,390.39 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 2 2 — — $29,707.73 $29,707.73 $29,707.73 2026-04-01
0790T CPT Revj Rplcmt/rmvl Vrt Tethrg 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 3 3 — — $33,067.68 $34,721.07 $34,390.39 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
10 MS_DRG Pancreas Transplant 7 5 — — $56,025.59 $147,867.81 $58,266.61 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
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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 7 5 — — $93,508.74 $242,982.39 $97,249.09 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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 7 5 — — $46,380.39 $111,940.42 $48,235.61 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
164 MS_DRG Major Chest Procedures With Cc 7 5 — — $20,017.09 $46,679.09 $20,817.77 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 5 — — $42,530.05 $111,940.42 $44,231.25 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
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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 5 — — $55,707.44 $147,016.50 $57,935.74 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
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
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
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
20808 HCPCS Replantation Hand Complete 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
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $88,097.05 $92,501.90 $88,097.05 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 5 — — $84,654.66 $202,034.33 $88,040.85 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
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
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
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
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
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
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
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
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
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
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
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
22533 HCPCS Lat Lumbar Spine Fusion 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
22586 HCPCS Prescrl Fuse With Instr L5-s1 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
22600 HCPCS Neck Spine Fusion 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
22612 HCPCS Lumbar Spine Fusion 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 5 — — $38,776.47 $92,417.85 $40,327.53 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
22804 HCPCS Post Fusion 13/> Vert Seg 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
22810 HCPCS Ant Fusion 4-7 Vert Seg 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
22818 HCPCS Kyphectomy 1-2 Segments 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
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 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
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 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
22857 HCPCS Lumbar Artif Diskectomy 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
22862 HCPCS Revise Lumbar Artif Disc 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 5 — — $24,859.05 $57,608.84 $25,853.41 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 5 — — $65,734.27 $157,156.15 $68,363.64 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
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
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
23472 HCPCS Reconstruct Shoulder Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 5 — — $32,904.20 $76,261.55 $34,220.37 2026-04-01
23616 HCPCS Treat Humerus Fracture 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
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
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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 5 — — $25,194.23 $62,911.42 $26,202.00 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 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
24371 HCPCS Revise Reconst Elbow Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
245 MS_DRG Aicd Generator Procedures 7 5 — — $35,796.21 $90,629.92 $37,228.06 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
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
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
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 5 — — $35,674.68 $82,942.18 $37,101.67 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
253 MS_DRG Other Vascular Procedures With Cc 7 5 — — $20,571.35 $47,348.64 $21,394.20 2026-04-01
25442 HCPCS Reconstruct Wrist 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
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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 5 — — $24,801.76 $52,031.75 $25,793.83 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
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
263 MS_DRG Vein Ligation And Stripping 7 5 — — $24,146.11 $49,741.20 $25,111.95 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
265 MS_DRG Aicd Lead Procedures 7 5 — — $28,487.22 $66,155.29 $29,626.71 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
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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 5 — — $41,322.46 $95,198.04 $42,975.36 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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 7 5 — — $20,241.58 $46,404.59 $21,051.24 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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 7 5 — — $25,959.81 $57,881.48 $26,998.20 2026-04-01
27487 HCPCS Revise/replace Knee Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 5 — — $36,230.48 $86,284.35 $37,679.70 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
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
28 MS_DRG Spinal Procedures With Mcc 7 5 — — $46,988.83 $112,749.07 $48,868.38 2026-04-01
28705 HCPCS Fusion Of Foot Bones 3 3 — — $18,789.56 $19,729.04 $19,541.15 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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 5 — — $26,887.95 $62,253.01 $27,963.47 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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 5 — — $35,162.23 $77,717.49 $36,568.72 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 5 — — $35,025.99 $81,467.70 $36,427.03 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
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
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
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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 5 — — $25,330.47 $53,081.51 $26,343.69 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
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
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
332 MS_DRG Rectal Resection With Mcc 7 5 — — $28,506.58 $64,330.27 $29,646.84 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 5 — — $28,121.08 $67,212.47 $29,245.92 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
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 — — $30,201.93 $30,201.93 $30,201.93 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
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
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 1 — — $41,897.67 $41,897.67 $41,897.67 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
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
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
35 MS_DRG Carotid Artery Stent Procedures With Cc 7 5 — — $18,983.68 $42,187.01 $19,743.03 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
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
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
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
37 MS_DRG Extracranial Procedures With Mcc 7 5 — — $25,962.90 $61,589.02 $27,001.42 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $39,161.99 $39,161.99 $39,161.99 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 7 5 — — $19,017.74 $45,952.05 $19,778.45 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
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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 5 — — $42,825.75 $100,680.53 $44,538.78 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
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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 5 — — $26,049.60 $50,752.01 $27,091.58 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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 5 — — $26,853.11 $65,456.07 $27,927.23 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $123,009.27 $123,009.27 $123,009.27 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
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
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
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
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
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
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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 7 5 — — $37,857.62 $90,082.78 $39,371.92 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
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 7 5 — — $19,376.92 $43,904.46 $20,152.00 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
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
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
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
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
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
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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 5 — — $80,291.87 $197,499.58 $83,503.54 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
503 MS_DRG Foot Procedures With Mcc 7 5 — — $22,084.70 $49,084.64 $22,968.09 2026-04-01
509 MS_DRG Arthroscopy 2 1 — — $32,577.81 $32,577.81 $32,577.81 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
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
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
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
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 10 6 — — $4,160.67 $33,997.73 $22,547.10 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
5362 OTHER Level 2 Laparoscopy And Related Services 10 6 — — $10,582.80 $66,227.55 $44,278.07 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
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $32,477.41 $32,477.41 $32,477.41 2026-04-01
5623 OTHER Level 3 Radiation Therapy 6 5 — — $3,919.33 $61,980.30 $39,801.75 2026-04-01
570 MS_DRG Skin Debridement With Mcc 7 5 — — $23,245.84 $55,833.89 $24,175.67 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
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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 7 5 — — $36,373.69 $89,932.55 $37,828.64 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
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
61885 HCPCS Insrt/redo Neurostim 1 Array 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
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 6 — — $14,928.74 $50,566.54 $22,830.15 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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 5 — — $23,857.37 $53,172.39 $24,811.66 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
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
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $33,067.68 $34,721.07 $34,390.39 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 5 — — $29,165.33 $64,398.89 $30,331.94 2026-04-01
652 MS_DRG Kidney Transplant 7 5 — — $25,478.32 $56,961.55 $26,497.45 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
654 MS_DRG Major Bladder Procedures With Cc 7 5 — — $22,148.17 $52,337.78 $23,034.10 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
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
662 MS_DRG Minor Bladder Procedures With Mcc 7 5 — — $24,177.85 $57,855.51 $25,144.96 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 5 — — $24,639.98 $63,679.27 $25,625.58 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 7 5 — — $23,082.50 $54,084.91 $24,005.80 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
7 MS_DRG Lung Transplant 7 5 — — $100,725.61 $242,370.34 $104,754.63 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
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
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
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 1 — — $28,677.37 $28,677.37 $28,677.37 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 5 — — $46,487.21 $110,261.92 $48,346.70 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 5 — — $31,899.43 $75,302.67 $33,175.41 2026-04-01
792 MS_DRG Prematurity Without Major Problems 7 5 — — $19,438.07 $45,436.44 $20,215.59 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
799 MS_DRG Splenic Procedures With Mcc 7 5 — — $35,536.89 $88,181.71 $36,958.37 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
800 MS_DRG Splenic Procedures With Cc 7 5 — — $22,226.36 $54,038.54 $23,115.41 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
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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 7 5 — — $42,975.93 $102,507.41 $44,694.97 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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 5 — — $25,520.12 $59,153.80 $26,540.92 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
849 MS_DRG Radiotherapy 7 5 — — $21,453.04 $49,537.18 $22,311.16 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
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
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
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
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
901 MS_DRG Wound Debridements For Injuries With Mcc 7 5 — — $32,964.58 $82,166.92 $34,283.16 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
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
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
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
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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 5 — — $52,583.97 $126,637.06 $54,687.33 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
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
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
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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 5 — — $21,641.14 $50,384.78 $22,506.79 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
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
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
974 MS_DRG HIV With Major Related Condition With Mcc 7 5 — — $22,819.31 $55,381.34 $23,732.08 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
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
C8003 HCPCS Imp Extar Knee Shck Absrb 3 3 — — $18,789.56 $19,729.04 $19,541.15 2026-04-01
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