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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

GOOD SAMARITAN REGIONAL HLTH CENTER

Mount Vernon, IL · CCN 140046 · Rates published

8,199 distinct procedures filed
13 distinct payers
45,454 rate rows
2026-04-01 last MRF observed
Data quality

28,064 of 45,454 rate rows are consumer-grade (61.7%)

17,390 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 17,390
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=Cwl2CJAwPiTJ13gcmmCzdA*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-03
Content fingerprint e22b858c905c2af2… · 13,194,593 bytes · first seen 2026-05-06

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 $340,042.83 $699,411.08 $346,843.68 nat. median
$370,165
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $168,340.13 $439,986.77 $171,706.93 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $163,707.29 $397,465.92 $167,354.70 nat. median
$199,832
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $164,352.39 $164,352.39 $164,352.39 nat. median
$83,623
2.0× median
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
$58,534
outlier · 2.4×
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
$51,048
outlier · 2.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $123,009.27 $123,009.27 $123,009.27 nat. median
$62,767
2.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $118,717.49 $118,717.49 $118,717.49 nat. median
$46,826
outlier · 2.5×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $113,439.02 $113,439.02 $113,439.02 nat. median
$57,648
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $109,362.58 $262,052.42 $111,549.83 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 5 $102,274.98 $242,370.34 $104,320.48 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $94,942.80 $242,982.39 $96,841.65 nat. median
$114,305
0.8× 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
$40,712
outlier · 2.4×
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
$45,104
outlier · 2.1×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $93,118.92 $93,118.92 $93,118.92 nat. median
$38,383
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $89,546.89 $204,382.38 $91,337.83 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $89,444.65 $93,916.88 $89,444.65 nat. median
$96,134
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $85,947.25 $202,034.33 $87,666.20 nat. median
$100,978
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $79,975.38 $194,402.24 $87,104.14 nat. median
$96,835
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
$46,399
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $81,514.75 $197,499.58 $83,145.04 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 5 $78,734.61 $196,490.63 $80,309.30 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $77,364.59 $178,985.97 $78,911.88 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $71,283.67 $154,681.98 $72,709.35 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $68,530.27 $170,841.98 $69,900.88 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $66,724.55 $157,156.15 $68,059.04 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $66,516.14 $157,067.12 $67,846.46 nat. median
$80,459
0.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $67,843.07 $67,843.07 $67,843.07 nat. median
$37,051
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $62,311.71 $149,498.09 $63,557.94 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $60,813.51 $143,498.14 $62,029.78 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $60,553.19 $144,959.64 $61,764.26 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $60,354.21 $138,429.24 $61,561.29 nat. median
$71,485
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $54,330.70 $131,659.59 $59,486.07 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 5 $56,860.75 $147,867.81 $57,997.96 nat. median
$67,750
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $56,837.15 $123,866.14 $57,973.90 nat. median
$62,911
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $56,537.51 $147,016.50 $57,668.26 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $33,163.08 $131,062.38 $56,504.48 nat. median
$68,581
0.8× 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
$21,372
outlier · 2.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $54,518.67 $123,656.56 $55,609.04 nat. median
$65,792
0.8× median
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
$25,356
outlier · 2.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $13,784.17 $194,743.28 $54,785.28 nat. median
$65,958
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $53,364.14 $126,637.06 $54,431.43 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 $53,013.38 $114,731.74 $54,073.65 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 $52,974.84 $124,342.80 $54,034.33 nat. median
$62,262
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $52,138.83 $110,337.96 $53,181.60 nat. median
$60,895
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $52,138.83 $119,765.40 $53,181.60 nat. median
$63,840
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 $51,950.87 $114,208.72 $52,989.89 nat. median
$59,159
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $27,461.65 $119,956.43 $51,033.07 nat. median
$62,218
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $48,624.13 $111,103.95 $49,596.61 nat. median
$60,162
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 5 $48,568.30 $117,289.37 $49,539.67 nat. median
$60,294
0.8× median

Other procedures at this hospital

Browse this hospital's 8,199 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 6 5 — — $340,042.83 $699,411.08 $346,843.68 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 5 — — $168,340.13 $439,986.77 $171,706.93 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 5 — — $163,707.29 $397,465.92 $167,354.70 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 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… 1 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… 1 1 — — $131,483.39 $131,483.39 $131,483.39 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $123,009.27 $123,009.27 $123,009.27 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $118,717.49 $118,717.49 $118,717.49 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 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… 6 5 — — $109,362.58 $262,052.42 $111,549.83 2026-04-01
7 MS_DRG Lung Transplant 6 5 — — $102,274.98 $242,370.34 $104,320.48 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 5 — — $94,942.80 $242,982.39 $96,841.65 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 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… 1 1 — — $93,805.16 $93,805.16 $93,805.16 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 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 6 5 — — $89,546.89 $204,382.38 $91,337.83 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $89,444.65 $93,916.88 $89,444.65 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 5 — — $85,947.25 $202,034.33 $87,666.20 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 5 — — $79,975.38 $194,402.24 $87,104.14 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $85,420.06 $85,420.06 $85,420.06 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 5 — — $81,514.75 $197,499.58 $83,145.04 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 5 — — $78,734.61 $196,490.63 $80,309.30 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $77,364.59 $178,985.97 $78,911.88 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 5 — — $71,283.67 $154,681.98 $72,709.35 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 5 — — $68,530.27 $170,841.98 $69,900.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 5 — — $66,724.55 $157,156.15 $68,059.04 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $66,516.14 $157,067.12 $67,846.46 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 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 6 5 — — $62,311.71 $149,498.09 $63,557.94 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $60,813.51 $143,498.14 $62,029.78 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 5 — — $60,553.19 $144,959.64 $61,764.26 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 5 — — $60,354.21 $138,429.24 $61,561.29 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 5 — — $54,330.70 $131,659.59 $59,486.07 2026-04-01
10 MS_DRG Pancreas Transplant 6 5 — — $56,860.75 $147,867.81 $57,997.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 5 — — $56,837.15 $123,866.14 $57,973.90 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 5 — — $56,537.51 $147,016.50 $57,668.26 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 6 — — $33,163.08 $131,062.38 $56,504.48 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $55,822.76 $55,822.76 $55,822.76 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 5 — — $54,518.67 $123,656.56 $55,609.04 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $55,555.68 $55,555.68 $55,555.68 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 8 — — $13,784.17 $194,743.28 $54,785.28 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $53,364.14 $126,637.06 $54,431.43 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 5 — — $53,013.38 $114,731.74 $54,073.65 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 5 — — $52,974.84 $124,342.80 $54,034.33 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $52,138.83 $110,337.96 $53,181.60 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $52,138.83 $119,765.40 $53,181.60 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 5 — — $51,950.87 $114,208.72 $52,989.89 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 6 — — $27,461.65 $119,956.43 $51,033.07 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 5 — — $48,624.13 $111,103.95 $49,596.61 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 5 — — $48,568.30 $117,289.37 $49,539.67 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $49,270.11 $49,270.11 $49,270.11 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 5 — — $48,106.64 $113,290.64 $49,068.78 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 6 5 — — $47,679.59 $112,749.07 $48,633.18 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 5 — — $47,666.22 $114,880.12 $48,619.54 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $47,324.11 $106,441.23 $48,270.59 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 5 — — $47,061.43 $111,940.42 $48,002.66 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 5 — — $46,580.91 $109,126.84 $47,512.53 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 5 — — $46,551.02 $107,978.78 $47,482.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 9 — — $4,740.61 $110,261.92 $47,169.97 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 5 — — $45,782.65 $101,453.94 $46,698.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $45,493.23 $105,805.07 $46,403.10 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $45,251.00 $100,166.78 $46,156.02 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 12 8 — — $6,028.77 $63,190.19 $45,724.82 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $44,641.49 $102,104.94 $45,534.32 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 5 — — $44,504.65 $100,910.52 $45,394.74 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $45,309.20 $47,574.66 $45,309.20 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 5 — — $44,202.65 $92,788.79 $45,086.71 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 5 — — $43,862.89 $113,817.37 $44,740.15 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 5 — — $43,602.58 $102,507.41 $44,474.63 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 5 — — $43,450.00 $100,680.53 $44,319.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 5 — — $43,388.66 $98,668.19 $44,256.43 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 5 — — $43,321.02 $100,072.19 $44,187.44 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 5 — — $43,149.57 $111,940.42 $44,012.56 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 1 1 — — $43,312.88 $43,312.88 $43,312.88 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $42,367.04 $98,230.48 $43,214.38 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 5 — — $41,365.09 $94,483.98 $43,019.69 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 5 — — $42,060.32 $102,514.83 $42,901.53 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 5 — — $41,922.69 $95,198.04 $42,761.15 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 4 4 — — $3,598.66 $81,945.80 $42,670.94 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 5 — — $39,972.40 $95,511.49 $42,341.88 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 5 — — $41,294.31 $103,384.69 $42,120.19 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 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… 6 5 — — $40,065.86 $85,173.39 $40,867.18 2026-04-01
5165 OTHER Level 5 ENT Procedures 5 4 — — $6,166.60 $82,215.66 $40,864.44 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 5 — — $39,650.61 $94,194.65 $40,443.62 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 5 — — $39,336.02 $92,417.85 $40,122.74 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 5 — — $39,133.90 $93,411.97 $39,916.58 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 5 — — $38,972.68 $100,059.21 $39,752.13 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 9 — — $13,705.99 $175,940.87 $39,266.81 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 5 — — $38,402.49 $90,082.78 $39,170.54 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 5 — — $38,210.59 $92,861.12 $38,974.80 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 5 — — $37,868.48 $87,252.51 $38,625.85 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 5 — — $37,401.32 $85,446.03 $38,149.35 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 5 — — $37,215.72 $88,565.63 $37,960.04 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 5 — — $36,894.84 $89,932.55 $37,632.74 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 5 — — $36,749.35 $86,284.35 $37,484.33 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 5 — — $16,738.89 $88,178.00 $37,325.82 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 5 — — $36,484.31 $86,785.12 $37,213.99 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 5 — — $36,200.40 $83,671.08 $36,924.41 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 5 — — $36,184.67 $82,942.18 $36,908.36 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 5 — — $36,044.68 $88,181.71 $36,765.57 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 5 — — $35,239.56 $85,162.26 $36,576.33 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 5 — — $35,664.03 $77,717.49 $36,377.31 2026-04-01
245 MS_DRG Aicd Generator Procedures 7 6 — — $33,889.54 $90,629.92 $36,308.14 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 5 — — $35,525.61 $81,467.70 $36,236.12 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 8 5 — — $35,371.13 $85,481.27 $35,859.26 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 5 — — $34,974.30 $79,110.37 $35,673.79 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $35,415.50 $35,415.50 $35,415.50 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 6 — — $33,778.88 $127,895.93 $35,130.04 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 3 3 — — $33,636.89 $35,318.74 $34,982.37 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 3 3 — — $33,636.89 $35,318.74 $34,982.37 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 3 3 — — $33,636.89 $35,318.74 $34,982.37 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 3 3 — — $33,636.89 $35,318.74 $34,982.37 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 3 3 — — $33,636.89 $35,318.74 $34,982.37 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 3 3 — — $33,636.89 $35,318.74 $34,982.37 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $33,636.89 $35,318.74 $34,982.37 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 5 — — $34,188.63 $83,172.17 $34,872.40 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 5 — — $33,971.56 $78,435.26 $34,650.99 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 5 — — $31,492.15 $78,995.38 $34,459.96 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 5 — — $33,583.84 $76,105.76 $34,255.51 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 5 — — $33,567.32 $76,218.90 $34,238.67 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 5 — — $33,431.27 $82,166.92 $34,099.89 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 5 — — $33,369.92 $76,261.55 $34,037.32 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 4 3 — — $6,885.72 $52,572.57 $33,969.43 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $33,242.51 $80,080.38 $33,907.36 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 5 — — $33,088.37 $75,432.50 $33,750.14 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $33,694.33 $33,694.33 $33,694.33 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 7 — — $643.50 $77,162.94 $33,640.46 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 5 — — $32,872.09 $72,518.77 $33,529.53 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 7 — — $6,359.38 $77,711.93 $33,470.59 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 11 8 — — $1,245.79 $77,352.12 $33,218.92 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 5 — — $32,046.31 $72,874.87 $32,687.24 2026-04-01
509 MS_DRG Arthroscopy 1 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 6 5 — — $31,760.03 $66,483.58 $32,395.23 2026-04-01
791 MS_DRG Prematurity With Major Problems 9 8 — — $1,578.68 $75,302.67 $32,349.09 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 6 — — $30,621.24 $80,689.73 $31,846.09 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $31,192.21 $70,504.57 $31,816.06 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 5 — — $31,053.00 $80,247.30 $31,674.06 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 5 — — $30,868.19 $72,120.01 $31,485.56 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 5 — — $30,822.57 $72,878.58 $31,439.02 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 5 — — $30,793.47 $69,955.57 $31,409.34 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 6 — — $29,822.19 $71,424.50 $31,015.08 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 5 — — $30,021.17 $70,890.34 $30,621.60 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 5 — — $29,892.19 $61,236.63 $30,490.03 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 5 — — $29,819.05 $66,468.74 $30,415.43 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 5 — — $29,736.47 $73,192.03 $30,331.20 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $30,201.93 $30,201.93 $30,201.93 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 5 — — $29,571.31 $64,398.89 $30,162.74 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 5 — — $29,314.14 $71,608.11 $29,900.42 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 5 — — $29,302.34 $65,860.40 $29,888.39 2026-04-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 3 2 — — $3,644.07 $52,399.01 $29,661.41 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 5 — — $28,963.38 $58,864.47 $29,542.65 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 5 — — $28,941.35 $65,291.00 $29,520.17 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 5 — — $28,902.03 $64,330.27 $29,480.07 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 5 — — $28,882.37 $66,155.29 $29,460.01 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 5 — — $28,832.04 $66,487.29 $29,408.68 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 5 — — $28,789.57 $59,428.30 $29,365.36 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 5 — — $28,603.96 $73,830.04 $29,176.04 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 5 — — $28,538.69 $73,025.10 $29,109.47 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 5 — — $28,468.69 $64,934.90 $29,038.06 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 5 — — $28,445.10 $64,981.27 $29,014.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 6 — — $10,423.63 $69,439.97 $28,986.72 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 5 — — $28,395.55 $63,883.29 $28,963.46 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 5 — — $28,161.97 $63,521.62 $28,725.21 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $28,677.37 $28,677.37 $28,677.37 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 5 — — $28,105.35 $67,666.87 $28,667.46 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 5 — — $27,875.49 $67,212.47 $28,510.37 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 6 — — $27,257.54 $62,253.01 $28,347.84 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 5 — — $27,727.84 $64,259.79 $28,282.40 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $27,389.67 $64,970.14 $27,937.46 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 10 6 — — $10,941.46 $63,619.92 $27,860.76 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 6 — — $12,349.75 $71,682.30 $27,853.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 5 — — $27,222.15 $65,456.07 $27,766.60 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 5 — — $27,127.18 $63,779.42 $27,595.72 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 4 — — $27,469.88 $28,843.37 $27,469.88 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 5 4 — — $3,813.21 $73,597.96 $27,246.69 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 6 5 — — $26,699.15 $64,819.91 $27,233.14 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $26,952.50 $26,952.50 $26,952.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 5 — — $26,405.80 $50,752.01 $26,933.92 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 6 5 — — $26,317.72 $61,589.02 $26,844.08 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 5 — — $26,314.57 $57,881.48 $26,840.86 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 5 — — $26,008.64 $63,185.92 $26,528.82 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 5 — — $25,896.17 $60,446.53 $26,414.10 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 5 — — $25,867.86 $59,153.80 $26,385.22 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 6 — — $23,496.20 $57,232.33 $26,349.12 2026-04-01
652 MS_DRG Kidney Transplant 6 5 — — $25,825.39 $56,961.55 $26,341.90 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 5 — — $25,806.52 $59,788.11 $26,322.65 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 5 — — $25,756.97 $58,983.17 $26,272.11 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 5 — — $25,675.18 $53,081.51 $26,188.68 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 6 — — $25,000.43 $62,911.42 $26,047.49 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 5 — — $25,490.36 $57,351.03 $26,000.17 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 5 — — $25,465.98 $60,420.56 $25,975.30 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 5 — — $25,415.65 $65,478.33 $25,923.97 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 5 — — $25,316.55 $58,766.17 $25,822.88 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 5 — — $25,278.80 $57,191.53 $25,784.38 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 5 — — $25,208.02 $59,257.67 $25,712.18 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 5 — — $25,138.03 $52,031.75 $25,640.79 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $25,492.44 $25,492.44 $25,492.44 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 5 — — $24,973.66 $63,679.27 $25,473.14 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 5 — — $24,879.28 $56,724.14 $25,376.86 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 5 — — $24,332.19 $57,608.84 $25,196.22 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 6 5 — — $24,504.14 $57,855.51 $24,994.22 2026-04-01
263 MS_DRG Vein Ligation And Stripping 6 5 — — $24,471.89 $49,741.20 $24,961.33 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 6 — — $18,186.98 $54,687.68 $24,922.54 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 3 3 — — $23,836.63 $25,028.46 $24,790.10 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 5 — — $24,281.57 $60,620.87 $24,767.20 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 5 — — $24,181.69 $53,007.33 $24,665.32 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 5 — — $24,178.54 $53,172.39 $24,662.11 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 5 — — $24,152.59 $46,825.61 $24,635.64 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 7 6 — — $23,596.56 $113,845.57 $24,540.42 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 5 — — $23,834.86 $56,909.61 $24,311.56 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 6 5 — — $23,580.83 $49,032.70 $24,052.44 2026-04-01
570 MS_DRG Skin Debridement With Mcc 6 5 — — $23,557.24 $55,833.89 $24,028.39 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 6 5 — — $23,391.29 $54,084.91 $23,859.11 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 5 — — $23,330.74 $54,546.73 $23,776.71 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 5 — — $23,249.73 $54,394.64 $23,714.72 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 5 — — $23,235.57 $52,083.69 $23,700.28 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 5 — — $23,123.90 $55,381.34 $23,586.38 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 6 5 — — $23,090.87 $49,145.84 $23,552.68 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 5 — — $22,999.64 $54,057.09 $23,459.64 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 6 — — $22,744.64 $50,566.54 $23,134.91 2026-04-01
800 MS_DRG Splenic Procedures With Cc 6 5 — — $22,521.47 $54,038.54 $22,971.90 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 6 5 — — $22,442.03 $52,337.78 $22,890.87 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 8 6 — — $9,055.09 $54,008.86 $22,844.70 2026-04-01
503 MS_DRG Foot Procedures With Mcc 6 5 — — $22,377.54 $49,084.64 $22,825.09 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 1 1 — — $22,773.86 $22,773.86 $22,773.86 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 14 9 — — $4,990.41 $56,689.49 $22,709.68 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 8 — — $16,053.83 $129,075.35 $22,697.65 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 5 — — $22,226.54 $47,259.61 $22,671.07 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 3 2 — — $367.88 $60,085.53 $22,612.37 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 5 — — $21,926.90 $50,384.78 $22,365.44 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $22,277.96 $22,277.96 $22,277.96 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 1 1 — — $22,254.55 $22,254.55 $22,254.55 2026-04-01
849 MS_DRG Radiotherapy 6 5 — — $21,735.79 $49,537.18 $22,170.51 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 5 — — $21,709.84 $50,657.42 $22,144.03 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 5 — — $21,461.98 $50,136.25 $22,110.15 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 8 — — $8,435.82 $49,782.00 $22,044.09 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 7 5 — — $20,075.96 $48,652.49 $22,038.58 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 11 8 — — $20,840.01 $114,892.66 $21,882.01 2026-04-01
5461 OTHER Level 1 Neurostimulator And Related Procedures 1 1 — — $21,833.06 $21,833.06 $21,833.06 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 5 — — $21,346.49 $53,111.19 $21,773.42 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 5 — — $21,273.35 $49,383.24 $21,698.81 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 6 — — $10,996.88 $48,524.52 $21,640.63 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 5 — — $21,168.75 $49,208.90 $21,592.12 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 7 6 — — $20,504.98 $46,404.59 $21,325.18 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 7 — — $20,372.07 $104,460.61 $21,288.81 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 5 — — $20,815.63 $47,361.62 $21,231.94 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 5 — — $20,739.34 $49,973.04 $21,154.12 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 6 5 — — $20,711.03 $44,457.16 $21,125.25 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 5 — — $20,711.03 $44,457.16 $21,125.25 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 6 5 — — $20,619.80 $48,007.05 $21,032.19 2026-04-01
5415 OTHER Level 5 Gynecologic Procedures 9 7 — — $1,993.06 $29,981.92 $20,999.39 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 6 5 — — $20,268.25 $45,766.58 $20,673.61 2026-04-01
0981T CPT Tcat Impl Wrls Ivc Snr 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
0238T CPT Trluml Perip Athrc Iliac Art 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
0645T CPT Tcat Impltj C Sins Rdctj Dev 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
93580 HCPCS Transcath Closure Of Asd 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
61624 HCPCS Transcath Occlusion Cns 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
0632T CPT Perq Tcat US Abltj Nrv P-art 3 3 — — $19,644.52 $20,626.75 $20,430.30 2026-04-01
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