Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

OSF SAINT ANTHONY'S HEALTH CENTER

Alton, IL · CCN 140052 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $6,153 across 18 payers · range $2,700-$26,033

Source: https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1710396932_osf-healthcare-system_standardcharges.json · observed 2026-03-31

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.

17,723 distinct procedures filed
23 distinct payers
220,634 rate rows
2026-03-31 last MRF observed
Data quality

174,606 of 220,634 rate rows are consumer-grade (79.1%)

46,028 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 40,671
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,334
placeholder amount (≤ $0.02) — excluded from medians 12
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1710396932_osf-healthcare-system_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-03
Content fingerprint 48b3312b3a11a70b… · 25,121,794 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,691,450.00 $3,876,022.50 $3,746,821.75 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,321,376.38 $3,487,445.20 $3,371,197.03 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,245,381.39 $3,407,650.46 $3,294,062.11 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,938,320.00 $4,864,551.99 $2,997,086.40 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,587,087.26 $3,998,166.53 $2,638,829.00 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,847,800.00 $2,378,640.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $2,697,170.00 $786,032.40 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $614,180.81 $2,149,632.83 $626,464.42 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $588,494.81 $2,059,731.83 $600,264.70 nat. median
$631,793
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,260.84 $1,967,912.93 $573,506.05 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $559,781.08 $1,959,233.78 $570,976.70 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $531,849.12 $1,861,471.91 $542,486.10 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,290.60 $1,712,517.10 $499,076.41 nat. median
$577,541
0.9× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$459,112
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $323,871.00 $1,667,417.46 $346,654.71 nat. median
$370,165
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 3 $262,233.77 $691,650.00 $266,167.28 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $210,179.25 $1,082,086.85 $225,251.22 nat. median
$261,939
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $202,713.58 $526,356.14 $205,754.29 nat. median
$209,736
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $119,821.41 $824,406.86 $171,793.65 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $159,189.00 $1,141,849.28 $170,802.29 nat. median
$199,832
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 11 $66,460.50 $159,011.27 $116,846.42 nat. median
$83,623
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $78,725.89 $388,156.16 $112,565.29 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $40,943.15 $534,844.11 $110,641.13 nat. median
$132,706
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 $57,424.50 $137,392.02 $106,556.90 nat. median
$58,534
1.8× median
7
MS_DRG 		Lung Transplant 18 $97,126.50 $500,046.07 $104,530.07 nat. median
$122,690
0.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 $53,169.00 $127,210.45 $98,660.40 nat. median
$51,048
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $90,134.25 $464,047.17 $97,063.54 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $84,988.50 $437,554.79 $91,568.75 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 18 $84,891.00 $437,052.82 $91,464.63 nat. median
$96,134
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 11 $38,307.98 $119,011.72 $90,855.88 nat. median
$62,767
1.4× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 $48,006.75 $114,859.41 $89,081.33 nat. median
$46,826
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $82,659.00 $425,561.60 $89,081.23 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $81,555.75 $419,881.62 $87,903.16 nat. median
$100,978
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $45,872.25 $130,977.40 $85,120.55 nat. median
$57,648
1.5× median
1519
OTHER 		New Technology - Level 19 ($1701-$1800) 1 $83,435.60 $83,435.60 $83,435.60 nat. median
$1,789
outlier · 46.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $77,328.75 $398,119.34 $83,389.44 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 18 $74,677.50 $384,469.64 $80,398.22 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $71,371.27 $377,743.26 $78,690.23 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $60,856.80 $347,887.68 $72,885.17 nat. median
$81,124
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 $39,140.25 $93,645.71 $72,628.65 nat. median
$40,712
1.8× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 $37,932.75 $90,756.68 $70,388.01 nat. median
$45,104
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 18 $19,338.90 $334,369.27 $70,079.22 nat. median
$81,364
0.9× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 $37,655.25 $90,092.75 $69,873.08 nat. median
$38,383
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $63,224.25 $325,503.73 $68,328.23 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $56,532.40 $324,480.48 $67,937.33 nat. median
$80,459
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $64,282.30 $224,988.05 $65,567.94 nat. median
$69,291
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $59,016.00 $303,837.97 $63,742.00 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $51,680.98 $296,482.20 $62,121.56 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $44,507.03 $295,204.11 $61,949.92 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $57,149.25 $407,473.26 $61,841.15 nat. median
$71,485
0.9× median

Other procedures at this hospital

Browse this hospital's 17,723 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,691,450.00 $3,876,022.50 $3,746,821.75 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,321,376.38 $3,487,445.20 $3,371,197.03 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,245,381.39 $3,407,650.46 $3,294,062.11 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,938,320.00 $4,864,551.99 $2,997,086.40 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,587,087.26 $3,998,166.53 $2,638,829.00 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $3,847,800.00 $2,378,640.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 10 8 — — $770,620.00 $2,697,170.00 $786,032.40 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 8 — — $614,180.81 $2,149,632.83 $626,464.42 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 10 8 — — $588,494.81 $2,059,731.83 $600,264.70 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 8 — — $562,260.84 $1,967,912.93 $573,506.05 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 10 8 — — $559,781.08 $1,959,233.78 $570,976.70 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 8 — — $531,849.12 $1,861,471.91 $542,486.10 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 10 8 — — $489,290.60 $1,712,517.10 $499,076.41 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 33 18 — — $323,871.00 $1,667,417.46 $346,654.71 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 4 3 — — $262,233.77 $691,650.00 $266,167.28 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 18 — — $210,179.25 $1,082,086.85 $225,251.22 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 3 — — $202,713.58 $526,356.14 $205,754.29 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 18 — — $119,821.41 $824,406.86 $171,793.65 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 18 — — $159,189.00 $1,141,849.28 $170,802.29 2026-03-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 11 — — $66,460.50 $159,011.27 $116,846.42 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 6 — — $78,725.89 $388,156.16 $112,565.29 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 39 18 — — $40,943.15 $534,844.11 $110,641.13 2026-03-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 10 — — $57,424.50 $137,392.02 $106,556.90 2026-03-31
7 MS_DRG Lung Transplant 33 18 — — $97,126.50 $500,046.07 $104,530.07 2026-03-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 10 — — $53,169.00 $127,210.45 $98,660.40 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 33 18 — — $90,134.25 $464,047.17 $97,063.54 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 18 — — $84,988.50 $437,554.79 $91,568.75 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 33 18 — — $84,891.00 $437,052.82 $91,464.63 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 13 11 — — $38,307.98 $119,011.72 $90,855.88 2026-03-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 11 10 — — $48,006.75 $114,859.41 $89,081.33 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 18 — — $82,659.00 $425,561.60 $89,081.23 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 18 — — $81,555.75 $419,881.62 $87,903.16 2026-03-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 15 10 — — $45,872.25 $130,977.40 $85,120.55 2026-03-31
1519 OTHER New Technology - Level 19 ($1701-$1800) 1 1 — — $83,435.60 $83,435.60 $83,435.60 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 18 — — $77,328.75 $398,119.34 $83,389.44 2026-03-31
215 MS_DRG Other Heart Assist System Implant 37 18 — — $74,677.50 $384,469.64 $80,398.22 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 18 — — $71,371.27 $377,743.26 $78,690.23 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 18 — — $60,856.80 $347,887.68 $72,885.17 2026-03-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 10 — — $39,140.25 $93,645.71 $72,628.65 2026-03-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 10 — — $37,932.75 $90,756.68 $70,388.01 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 34 18 — — $19,338.90 $334,369.27 $70,079.22 2026-03-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 11 10 — — $37,655.25 $90,092.75 $69,873.08 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 18 — — $63,224.25 $325,503.73 $68,328.23 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 18 — — $56,532.40 $324,480.48 $67,937.33 2026-03-31
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 8 — — $64,282.30 $224,988.05 $65,567.94 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 18 — — $59,016.00 $303,837.97 $63,742.00 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 18 — — $51,680.98 $296,482.20 $62,121.56 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 18 — — $44,507.03 $295,204.11 $61,949.92 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 18 — — $57,149.25 $407,473.26 $61,841.15 2026-03-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 14 10 — — $29,198.92 $82,644.08 $60,729.44 2026-03-31
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $59,102.45 $59,102.45 $59,102.45 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 18 — — $54,139.50 $278,731.80 $58,627.25 2026-03-31
10 MS_DRG Pancreas Transplant 33 18 — — $53,817.75 $277,075.30 $58,283.68 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 38 18 — — $1,676.00 $276,959.47 $58,162.99 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 7 7 — — $51,382.74 $198,885.92 $57,961.04 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 18 — — $53,509.50 $275,488.31 $57,954.52 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 18 — — $52,402.95 $275,326.14 $57,823.96 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 9 — — $41,905.82 $196,942.17 $57,394.58 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 18 — — $49,485.00 $265,576.35 $55,898.68 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 18 — — $10,913.00 $266,885.33 $55,614.03 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 18 — — $50,483.25 $259,907.96 $54,723.00 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 18 — — $50,148.75 $258,185.82 $54,365.81 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 18 — — $50,112.00 $257,996.62 $54,326.57 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 18 — — $47,919.22 $253,892.06 $53,475.24 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 18 — — $44,190.94 $253,892.06 $53,375.00 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 18 — — $49,135.50 $252,969.21 $53,283.83 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 41 18 — — $26,153.95 $248,463.07 $52,147.07 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 6 6 — — $35,014.84 $172,683.63 $50,078.25 2026-03-31
2038 OTHER Gen, Neuro, Clo Loop, Rechg 1 1 — — $49,952.56 $49,952.56 $49,952.56 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 18 — — $45,909.75 $236,361.76 $49,839.28 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 18 — — $40,053.65 $236,635.91 $49,402.12 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 18 — — $45,469.50 $234,095.17 $49,369.16 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 35 18 — — $45,062.25 $231,998.49 $48,934.29 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 18 — — $40,543.62 $231,932.85 $48,713.44 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 6 6 — — $31,771.52 $167,719.96 $48,638.79 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 18 — — $43,491.96 $230,253.18 $48,468.41 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 18 — — $4,974.86 $229,496.37 $48,311.32 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 33 18 — — $44,472.75 $228,963.51 $48,304.81 2026-03-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 10 — — $2.57 $65,638.31 $48,233.07 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 18 — — $43,675.28 $226,604.25 $47,815.47 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 18 — — $43,293.36 $226,457.52 $47,785.04 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 9 — — $1,479.27 $165,203.59 $47,437.02 2026-03-31
64654 HCPCS 1st Opn Implt Bat Modulj Sys 5 3 — — $1,686.19 $48,145.04 $47,201.02 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 13 9 — — $1,842.00 $165,203.59 $47,201.02 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 18 — — $43,253.25 $222,685.03 $47,002.58 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 18 — — $42,394.67 $254,068.65 $46,602.59 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 33 18 — — $42,801.75 $220,360.53 $46,520.46 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 19 — — $22,137.22 $220,074.79 $46,125.74 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 18 — — $42,165.00 $217,082.29 $45,840.52 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 33 18 — — $42,034.50 $216,410.42 $45,701.17 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 18 — — $41,746.50 $214,927.68 $45,287.38 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 18 — — $41,422.50 $213,259.60 $45,047.66 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 34 18 — — $8,981.65 $211,981.51 $44,675.86 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 18 — — $30,064.97 $230,716.60 $44,564.72 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 18 — — $41,028.75 $211,232.42 $44,520.38 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 18 — — $40,905.75 $210,599.16 $44,495.85 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 33 18 — — $40,742.25 $209,757.40 $44,321.26 2026-03-31
5432 OTHER Level 2 Nerve Procedures 1 1 — — $44,016.90 $44,016.90 $44,016.90 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 18 — — $39,972.00 $205,791.84 $43,498.76 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 18 — — $34,187.98 $259,180.75 $43,416.76 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 18 — — $39,703.50 $204,409.50 $43,212.05 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 18 — — $1,375.00 $606,555.81 $42,963.93 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 34 18 — — $19,727.50 $200,648.59 $42,323.55 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 37 19 — — $25,619.52 $200,996.11 $42,287.28 2026-03-31
J9226 HCPCS Supprelin La Implant 11 9 — — $31,333.15 $144,106.99 $41,996.90 2026-03-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 11 10 — — $22,573.50 $54,008.63 $41,887.39 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 11 10 — — $22,465.50 $53,750.24 $41,686.98 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 18 — — $37,801.50 $244,013.35 $41,181.04 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 18 — — $1,100.00 $192,578.48 $40,648.49 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 18 — — $37,105.50 $191,033.96 $40,327.90 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 49 18 — — $16,195.83 $190,694.16 $40,147.37 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 18 — — $36,759.00 $189,250.04 $40,067.83 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 18 — — $36,912.75 $190,041.60 $40,011.83 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 16 10 — — $246.80 $235,921.02 $39,823.50 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 36 18 — — $12,295.60 $186,450.59 $39,487.19 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 18 — — $36,032.25 $185,508.44 $39,291.78 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 18 — — $31,572.45 $243,101.90 $38,639.56 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 16 10 — — $710.77 $165,203.59 $38,612.01 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 33 18 — — $35,260.50 $181,535.16 $38,467.69 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 18 — — $35,083.50 $180,623.89 $38,278.68 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 18 — — $35,188.50 $181,164.47 $38,167.88 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 33 18 — — $34,777.50 $179,048.48 $37,951.92 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 18 — — $34,638.75 $178,334.14 $37,803.76 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 18 — — $34,386.00 $177,032.88 $37,421.76 2026-03-31
245 MS_DRG Aicd Generator Procedures 33 18 — — $34,218.00 $176,167.95 $37,354.47 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 18 — — $8,766.00 $177,484.65 $37,329.26 2026-03-31
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 11 9 — — $1,305.00 $128,492.09 $37,079.14 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 34 18 — — $17,825.93 $174,874.42 $36,973.74 2026-03-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 11 10 — — $19,923.75 $47,668.93 $36,970.51 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 18 — — $5,222.00 $175,638.95 $36,875.99 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 18 — — $24,916.31 $288,209.25 $36,860.13 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 18 — — $33,603.75 $173,005.55 $36,698.55 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 34 18 — — $33,613.50 $173,055.74 $36,596.26 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 18 — — $33,471.75 $172,325.96 $36,557.61 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 18 — — $14,218.02 $169,619.19 $35,704.75 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 18 — — $16,151.29 $167,093.90 $35,183.18 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 18 — — $29,104.46 $165,761.75 $35,082.28 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 33 18 — — $31,989.75 $164,696.03 $34,975.08 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 18 — — $31,806.00 $163,750.01 $34,778.87 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 18 — — $31,604.25 $162,711.32 $34,734.54 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 18 — — $31,620.00 $162,792.41 $34,580.25 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 18 — — $6,781.00 $163,070.42 $34,294.96 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 18 — — $31,294.50 $161,116.60 $34,232.67 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 35 18 — — $24.49 $162,043.32 $34,196.05 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 39 19 — — $22,928.26 $220,307.85 $34,133.49 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 41 18 — — $5,771.66 $162,236.38 $34,123.68 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 18 — — $31,147.50 $160,359.79 $34,075.69 2026-03-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 9 — — $2,914.00 $117,729.12 $33,973.26 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 36 18 — — $888.82 $161,000.76 $33,924.71 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 14 10 — — $2,914.00 $117,729.12 $33,636.89 2026-03-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 13 9 — — $2,914.00 $117,729.12 $33,636.89 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 18 — — $29,187.18 $159,297.93 $33,625.78 2026-03-31
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 3 3 — — $33,067.68 $33,729.04 $33,398.36 2026-03-31
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 3 3 — — $33,067.68 $33,729.04 $33,398.36 2026-03-31
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 11 9 — — $1,305.00 $115,736.90 $33,398.36 2026-03-31
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 11 9 — — $1,305.00 $115,736.90 $33,398.36 2026-03-31
791 MS_DRG Prematurity With Major Problems 33 18 — — $30,442.50 $156,730.17 $33,322.88 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 9 — — $987.81 $115,736.90 $33,233.02 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 12 9 — — $1,603.00 $115,736.90 $33,233.02 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 14 9 — — $1,305.00 $115,736.90 $33,067.68 2026-03-31
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 3 — — $1,270.50 $33,729.04 $33,067.68 2026-03-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 13 9 — — $1,306.00 $115,736.90 $33,067.68 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 18 — — $30,153.75 $155,243.57 $33,014.54 2026-03-31
5232 OTHER Level 2 Icd And Similar Procedures 7 7 — — $27,853.71 $198,820.34 $32,765.90 2026-03-31
69930 HCPCS Implant Cochlear Device 16 10 — — $1,319.07 $123,667.39 $32,678.27 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 18 — — $26,822.80 $153,838.05 $32,607.34 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 36 18 — — $29,206.50 $150,366.74 $32,127.24 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 18 — — $28,388.49 $151,050.19 $31,869.55 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 16 10 — — $635.50 $117,729.12 $31,829.94 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 16 10 — — $1,030.41 $117,729.12 $31,829.94 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 16 10 — — $452.97 $117,729.12 $31,829.94 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 16 10 — — $448.93 $117,729.12 $31,829.94 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 18 — — $28,986.75 $149,235.38 $31,768.38 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 18 — — $28,959.00 $149,092.52 $31,738.76 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 36 18 — — $29,030.25 $149,459.34 $31,698.48 2026-03-31
61886 HCPCS Implant Neurostim Arrays 16 10 — — $952.51 $115,736.90 $31,545.34 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 18 — — $28,794.75 $148,246.89 $31,446.82 2026-03-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 11 10 — — $16,942.50 $40,536.08 $31,438.50 2026-03-31
5465 OTHER Level 5 Neurostimulator And Related Procedures 3 3 — — $31,133.55 $150,590.25 $31,135.76 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 18 — — $28,099.50 $144,667.47 $30,820.95 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $30,813.16 $30,813.16 $30,813.16 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 15 10 — — $370.02 $107,581.66 $30,737.62 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 36 18 — — $28,222.50 $145,300.72 $30,682.07 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 18 — — $26,823.92 $144,308.36 $30,629.32 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 33 18 — — $27,793.50 $143,092.06 $30,494.19 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 18 — — $125.00 $144,323.81 $30,480.29 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 18 — — $16,969.95 $143,902.93 $30,427.95 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 33 18 — — $27,548.25 $141,829.41 $30,232.31 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 18 — — $27,537.00 $190,122.61 $30,220.30 2026-03-31
L5856 HCPCS Elec Knee-shin Swing/stance 6 6 — — $21,008.90 $103,459.23 $30,003.18 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 18 — — $27,213.75 $140,107.27 $29,875.12 2026-03-31
L6880 HCPCS Elec Hand Ind Art Digits 6 6 — — $20,884.52 $102,970.74 $29,861.51 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 18 — — $27,192.75 $139,999.15 $29,852.69 2026-03-31
332 MS_DRG Rectal Resection With Mcc 33 18 — — $27,155.25 $139,806.09 $29,812.65 2026-03-31
265 MS_DRG Aicd Lead Procedures 34 18 — — $25,586.63 $139,709.56 $29,674.77 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 18 — — $26,871.00 $138,342.66 $29,509.12 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 37 18 — — $1,553.95 $240,060.00 $29,505.57 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 18 — — $26,808.75 $138,022.17 $29,442.65 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 18 — — $10,286.14 $139,253.92 $29,433.17 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 18 — — $26,742.00 $137,678.51 $29,371.38 2026-03-31
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 11 9 — — $1,603.00 $101,770.63 $29,368.10 2026-03-31
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 11 9 — — $1,305.00 $101,770.63 $29,368.10 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 18 — — $26,694.00 $137,431.39 $29,320.12 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 18 — — $17,037.91 $137,562.67 $29,229.15 2026-03-31
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 3 — — $21,912.88 $49,727.65 $29,227.25 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 37 18 — — $26,781.75 $181,697.40 $29,177.53 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 13 9 — — $1,842.00 $100,958.46 $29,133.73 2026-03-31
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 11 9 — — $1,305.00 $100,958.46 $29,133.73 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 18 — — $13,498.95 $137,319.41 $29,060.43 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 18 — — $26,395.50 $146,289.75 $29,001.37 2026-03-31
J9266 HCPCS Pegaspargase Injection 11 9 — — $14,810.03 $99,484.21 $28,992.54 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 42 18 — — $21,148.53 $145,734.10 $28,796.76 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 18 — — $26,155.50 $134,658.98 $28,745.08 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 18 — — $26,035.50 $134,041.17 $28,616.95 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 39 18 — — $25,657.79 $134,693.73 $28,467.62 2026-03-31
63685 HCPCS Insrt/redo Spine N Generator 16 10 — — $396.58 $115,736.90 $28,467.34 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 16 10 — — $574.60 $115,736.90 $28,467.34 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 33 18 — — $25,789.50 $132,774.66 $28,354.27 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 18 — — $25,721.03 $133,392.47 $28,244.73 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 18 — — $25,713.00 $132,380.81 $28,153.58 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 18 — — $25,553.25 $131,558.35 $28,101.99 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 18 — — $25,115.74 $131,732.11 $27,899.84 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 39 18 — — $2,225.00 $128,990.59 $27,296.44 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 18 — — $24,774.75 $127,550.32 $27,270.69 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 35 18 — — $8,805.42 $127,117.86 $26,941.37 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 41 18 — — $23,375.93 $185,038.82 $26,908.69 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 18 — — $24,396.00 $125,600.37 $26,866.24 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 18 — — $24,228.00 $124,735.44 $26,686.85 2026-03-31
652 MS_DRG Kidney Transplant 33 18 — — $24,221.25 $124,700.68 $26,679.63 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 36 18 — — $23,840.80 $325,081.45 $26,609.96 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 18 — — $11,218.22 $124,909.19 $26,602.74 2026-03-31
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 11 10 — — $14,321.25 $34,264.56 $26,574.51 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 18 — — $7,366.14 $209,376.00 $26,499.15 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 18 — — $24,203.25 $124,608.01 $26,420.03 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 34 18 — — $21,507.74 $123,963.18 $26,406.38 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 37 18 — — $23,560.84 $123,283.59 $26,385.71 2026-03-31
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $26,338.35 $26,338.35 $26,338.35 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 33 18 — — $23,830.50 $122,688.95 $26,262.38 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 18 — — $23,878.50 $122,936.07 $26,193.18 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 18 — — $23,700.00 $122,017.08 $26,123.03 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 39 18 — — $23,156.82 $123,055.77 $26,097.60 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 33 18 — — $23,565.75 $121,325.91 $25,979.67 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 35 18 — — $8,697.80 $122,202.42 $25,920.34 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 18 — — $23,274.97 $121,611.64 $25,918.28 2026-03-31
665 MS_DRG Prostatectomy With Mcc 34 18 — — $23,409.00 $120,518.90 $25,812.30 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 38 18 — — $23,632.50 $121,669.56 $25,801.34 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 18 — — $22,929.59 $383,984.20 $25,716.19 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 18 — — $4,513.97 $159,302.45 $25,639.36 2026-03-31
22633 HCPCS Lumbar Spine Fusion Combined 16 10 — — $2,086.08 $101,770.63 $25,387.16 2026-03-31
22558 HCPCS Lumbar Spine Fusion 16 10 — — $1,718.13 $101,770.63 $25,364.16 2026-03-31
22630 HCPCS Lumbar Spine Fusion 16 10 — — $1,775.55 $101,770.63 $25,364.16 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 33 18 — — $22,961.25 $118,213.70 $25,334.17 2026-03-31
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 11 10 — — $13,625.25 $32,599.34 $25,283.01 2026-03-31
263 MS_DRG Vein Ligation And Stripping 34 18 — — $13,466.52 $118,055.39 $25,180.13 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 35 18 — — $20,156.25 $117,120.95 $25,107.53 2026-03-31
5213 OTHER Level 3 Electrophysiologic Procedures 10 7 — — $21,319.28 $115,262.65 $25,065.18 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 34 18 — — $22,653.75 $116,630.57 $25,005.81 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 33 18 — — $22,650.75 $116,615.12 $25,002.61 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 18 — — $22,626.00 $116,487.70 $24,976.18 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 16 10 — — $947.57 $98,034.35 $24,853.41 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 16 10 — — $1,268.02 $98,034.35 $24,853.41 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 16 10 — — $1,271.85 $98,034.35 $24,853.41 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 33 18 — — $22,323.00 $114,927.73 $24,652.63 2026-03-31
509 MS_DRG Arthroscopy 11 10 — — $13,173.75 $31,519.09 $24,445.21 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 34 18 — — $22,080.75 $113,680.53 $24,393.94 2026-03-31
570 MS_DRG Skin Debridement With Mcc 33 18 — — $22,058.25 $113,564.69 $24,369.92 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 33 18 — — $21,900.00 $112,749.96 $24,200.93 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 37 18 — — $21,740.23 $231,194.25 $24,168.28 2026-03-31
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 11 9 — — $1,842.00 $83,428.21 $24,075.00 2026-03-31
0916T OTHER Insj Perm Ccm-d Sys Pg Only 11 9 — — $1,603.00 $83,428.21 $24,075.00 2026-03-31
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 11 9 — — $1,603.00 $83,428.21 $24,075.00 2026-03-31
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 11 9 — — $2,437.00 $83,428.21 $24,075.00 2026-03-31
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 13 9 — — $2,437.00 $83,428.21 $24,075.00 2026-03-31
0515T OTHER Insj Wcs Lv Compl Sys 13 9 — — $1,842.00 $83,428.21 $24,075.00 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 33 18 — — $21,751.50 $111,985.42 $24,042.36 2026-03-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 14 10 — — $2,914.00 $83,428.21 $23,955.82 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 14 10 — — $2,914.00 $83,428.21 $23,955.82 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 33 18 — — $21,655.50 $111,491.18 $23,939.85 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 33 18 — — $21,645.00 $111,437.12 $23,928.64 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 18 — — $3,118.00 $236,172.76 $23,900.27 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 33 18 — — $21,613.50 $111,274.94 $23,895.00 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 16 10 — — $416.52 $83,428.21 $23,836.63 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 16 10 — — $433.98 $83,428.21 $23,836.63 2026-03-31
33240 HCPCS Insrt Pulse Gen W/singl Lead 16 10 — — $409.05 $83,428.21 $23,836.63 2026-03-31
33230 HCPCS Insrt Pulse Gen W/dual Leads 16 10 — — $427.35 $83,428.21 $23,836.63 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 36 18 — — $7,995.22 $112,054.93 $23,818.59 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 38 18 — — $10,913.00 $110,827.03 $23,566.44 2026-03-31
Q0483 HCPCS Monitor Elec Vad, Rep 6 6 — — $16,389.16 $80,805.62 $23,433.63 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 37 18 — — $21,378.75 $110,066.36 $23,410.23 2026-03-31
800 MS_DRG Splenic Procedures With Cc 33 18 — — $21,070.50 $108,479.36 $23,315.17 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 33 18 — — $20,994.75 $108,089.37 $23,234.28 2026-03-31
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $9,781.37 $36,677.95 $23,229.66 2026-03-31
L5858 HCPCS Stance Phase Only 6 6 — — $16,241.39 $80,097.68 $23,228.33 2026-03-31
27702 HCPCS Reconstruct Ankle Joint 16 10 — — $1,055.23 $101,770.63 $23,055.16 2026-03-31
503 MS_DRG Foot Procedures With Mcc 34 18 — — $19,890.39 $107,772.74 $23,053.92 2026-03-31
5231 OTHER Level 1 Icd And Similar Procedures 3 3 — — $22,935.89 $108,607.38 $22,939.30 2026-03-31
0764 OTHER Ketorolac Tromethamine Inj 4 4 — — $1,815.85 $93,680.35 $22,883.86 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 35 18 — — $19,175.18 $107,031.37 $22,786.97 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 18 — — $20,395.59 $105,560.22 $22,709.71 2026-03-31
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