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

ST MARY MEDICAL CENTER

Galesburg, IL · CCN 140064 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $13,896 across 4 payers · range $10,384-$21,651

Source: https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662581_osf-st-mary-medical-center_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.

11,303 distinct procedures filed
15 distinct payers
75,011 rate rows
2026-03-31 last MRF observed
Data quality

51,929 of 75,011 rate rows are consumer-grade (69.2%)

23,082 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 20,385
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
placeholder amount (≤ $0.02) — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662581_osf-st-mary-medical-center_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 fcaca84e5e410bf8… · 21,461,257 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 2 $3,691,450.00 $3,765,279.00 $3,728,364.50 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,587,087.26 $4,463,735.93 $2,625,893.56 nat. median
$2,460,273
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $614,180.81 $769,015.35 $623,393.52 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $588,494.81 $813,285.00 $597,322.23 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,260.84 $749,907.36 $570,694.74 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $559,781.08 $759,373.81 $568,177.79 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $531,849.12 $741,576.00 $539,826.85 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,290.60 $741,576.00 $496,629.96 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $336,955.80 $731,127.99 $340,325.36 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $218,670.76 $474,472.65 $220,857.47 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $166,598.15 $361,485.32 $168,264.13 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $165,620.44 $359,363.86 $167,276.64 nat. median
$199,832
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $108,082.61 $234,518.05 $109,163.44 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 11 $101,050.53 $219,259.84 $102,061.04 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $93,775.79 $203,475.06 $94,713.55 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $88,422.14 $191,858.71 $89,306.36 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $88,320.70 $191,638.60 $89,203.91 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $85,998.53 $186,599.94 $86,858.52 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $84,850.70 $184,109.39 $85,699.21 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $80,452.93 $174,567.08 $81,257.46 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $77,694.57 $168,581.97 $78,471.52 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $76,335.28 $165,632.59 $77,098.63 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $70,301.99 $152,541.54 $71,005.01 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $67,570.16 $146,613.99 $68,245.86 nat. median
$81,364
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $8,099.00 $68,754.13 $67,406.01 nat. median
$13,835
outlier · 4.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $65,778.59 $142,726.64 $66,436.38 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $65,571.81 $142,277.97 $66,227.53 nat. median
$80,459
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $61,400.32 $133,226.65 $62,014.32 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $59,913.85 $130,001.30 $60,512.99 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $59,655.57 $129,440.88 $60,252.13 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $59,458.15 $129,012.53 $60,052.73 nat. median
$71,485
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $108,036.36 $57,676.92 nat. median
$63,643
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $56,269.19 $87,553.03 $57,113.23 nat. median
$65,655
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $56,326.80 $122,218.12 $56,890.07 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 11 $55,992.05 $121,491.78 $56,551.97 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $55,968.65 $121,440.98 $56,528.34 nat. median
$62,911
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $55,671.35 $120,795.91 $56,228.06 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $55,638.58 $120,724.80 $56,194.97 nat. median
$68,581
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $33,175.36 $117,023.69 $54,741.83 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $53,668.32 $116,449.72 $54,205.00 nat. median
$65,792
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $32,085.49 $110,780.35 $53,283.14 nat. median
$47,707
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $52,522.84 $113,964.25 $53,048.07 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $52,174.82 $113,209.13 $52,696.57 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $52,136.59 $113,126.17 $52,657.96 nat. median
$62,262
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $51,307.13 $111,326.40 $51,820.20 nat. median
$63,840
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $51,307.13 $111,326.40 $51,820.20 nat. median
$60,895
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $51,120.64 $110,921.75 $51,631.85 nat. median
$59,159
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $50,210.02 $108,945.91 $50,963.17 nat. median
$62,218
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $47,819.96 $103,759.94 $48,298.16 nat. median
$60,162
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $47,764.56 $103,639.73 $48,242.21 nat. median
$60,294
0.8× median

Other procedures at this hospital

Browse this hospital's 11,303 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 2 — — $3,691,450.00 $3,765,279.00 $3,728,364.50 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 3 — — $2,587,087.26 $4,463,735.93 $2,625,893.56 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $614,180.81 $769,015.35 $623,393.52 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $588,494.81 $813,285.00 $597,322.23 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,260.84 $749,907.36 $570,694.74 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $559,781.08 $759,373.81 $568,177.79 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $531,849.12 $741,576.00 $539,826.85 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,290.60 $741,576.00 $496,629.96 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 11 — — $336,955.80 $731,127.99 $340,325.36 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 11 — — $218,670.76 $474,472.65 $220,857.47 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 11 — — $166,598.15 $361,485.32 $168,264.13 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 11 — — $165,620.44 $359,363.86 $167,276.64 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 11 — — $108,082.61 $234,518.05 $109,163.44 2026-03-31
7 MS_DRG Lung Transplant 16 11 — — $101,050.53 $219,259.84 $102,061.04 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 16 11 — — $93,775.79 $203,475.06 $94,713.55 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 11 — — $88,422.14 $191,858.71 $89,306.36 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 16 11 — — $88,320.70 $191,638.60 $89,203.91 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $85,998.53 $186,599.94 $86,858.52 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 11 — — $84,850.70 $184,109.39 $85,699.21 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 11 — — $80,452.93 $174,567.08 $81,257.46 2026-03-31
215 MS_DRG Other Heart Assist System Implant 16 11 — — $77,694.57 $168,581.97 $78,471.52 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $76,335.28 $165,632.59 $77,098.63 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 11 — — $70,301.99 $152,541.54 $71,005.01 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 16 11 — — $67,570.16 $146,613.99 $68,245.86 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 5 4 — — $8,099.00 $68,754.13 $67,406.01 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 11 — — $65,778.59 $142,726.64 $66,436.38 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $65,571.81 $142,277.97 $66,227.53 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 11 — — $61,400.32 $133,226.65 $62,014.32 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $59,913.85 $130,001.30 $60,512.99 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 11 — — $59,655.57 $129,440.88 $60,252.13 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 11 — — $59,458.15 $129,012.53 $60,052.73 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 4 3 — — $56,824.55 $108,036.36 $57,676.92 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $56,269.19 $87,553.03 $57,113.23 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $56,326.80 $122,218.12 $56,890.07 2026-03-31
10 MS_DRG Pancreas Transplant 16 11 — — $55,992.05 $121,491.78 $56,551.97 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 11 — — $55,968.65 $121,440.98 $56,528.34 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 11 — — $55,671.35 $120,795.91 $56,228.06 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 11 — — $55,638.58 $120,724.80 $56,194.97 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 11 — — $33,175.36 $117,023.69 $54,741.83 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 11 — — $53,668.32 $116,449.72 $54,205.00 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 12 — — $32,085.49 $110,780.35 $53,283.14 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 11 — — $52,522.84 $113,964.25 $53,048.07 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 11 — — $52,174.82 $113,209.13 $52,696.57 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 11 — — $52,136.59 $113,126.17 $52,657.96 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $51,307.13 $111,326.40 $51,820.20 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $51,307.13 $111,326.40 $51,820.20 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 11 — — $51,120.64 $110,921.75 $51,631.85 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 11 — — $50,210.02 $108,945.91 $50,963.17 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 11 — — $47,819.96 $103,759.94 $48,298.16 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 11 — — $47,764.56 $103,639.73 $48,242.21 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 11 — — $47,306.53 $102,645.88 $47,779.60 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 16 11 — — $46,882.82 $101,726.53 $47,351.65 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 11 — — $46,869.56 $101,697.74 $47,338.26 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 5 4 — — $12,734.00 $48,145.04 $47,201.02 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $10,384.00 $48,145.04 $47,201.02 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $46,530.13 $100,961.25 $46,995.43 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 11 — — $38,815.90 $100,629.40 $46,840.96 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 11 — — $46,269.51 $100,395.75 $46,732.21 2026-03-31
5111 OTHER Level 1 Musculoskeletal Procedures 1 1 — — $46,419.15 $46,419.15 $46,419.15 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 11 — — $45,792.74 $99,361.27 $46,250.67 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 11 — — $45,763.09 $99,296.93 $46,220.72 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 11 — — $45,000.74 $97,642.77 $45,450.75 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 11 — — $44,713.59 $97,019.71 $45,160.73 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 11 — — $44,530.99 $96,623.52 $44,976.30 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 11 — — $44,473.25 $96,498.23 $44,917.98 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $43,868.52 $95,186.08 $44,307.21 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 11 — — $43,732.75 $94,891.48 $44,170.08 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 11 — — $43,433.11 $94,241.33 $43,867.44 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 11 — — $43,096.02 $93,509.91 $43,526.98 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 16 11 — — $42,837.74 $92,949.50 $43,266.12 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 11 — — $42,686.36 $92,621.04 $43,113.22 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 11 — — $42,625.50 $92,488.97 $43,051.76 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 11 — — $42,558.39 $92,343.37 $42,983.97 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 11 — — $42,388.29 $91,974.27 $42,812.17 2026-03-31
5165 OTHER Level 5 ENT Procedures 1 1 — — $42,661.15 $42,661.15 $42,661.15 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $41,611.89 $90,289.64 $42,028.01 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 11 — — $41,586.92 $90,235.46 $42,002.79 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 11 — — $41,307.57 $89,629.33 $41,720.65 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 11 — — $41,171.02 $89,333.04 $41,582.73 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 11 — — $40,617.79 $88,132.63 $41,023.97 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 16 11 — — $40,547.56 $87,980.25 $40,953.04 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $39,328.73 $85,335.63 $39,722.02 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 11 — — $35,866.53 $96,235.51 $39,445.89 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 11 — — $38,916.73 $84,441.67 $39,305.90 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 11 — — $38,604.61 $83,764.43 $38,990.66 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 11 — — $38,404.07 $83,329.30 $38,788.11 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 11 — — $38,244.11 $82,982.22 $38,626.55 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 16 11 — — $37,678.39 $81,754.72 $38,055.17 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 11 — — $37,488.00 $81,341.60 $37,862.88 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 11 — — $37,148.57 $80,605.10 $37,520.06 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $37,108.53 $37,108.53 $37,108.53 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 11 — — $36,685.07 $79,599.40 $37,051.92 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 11 — — $35,326.79 $79,436.87 $36,976.26 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 11 — — $36,500.92 $79,199.83 $36,865.93 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 16 11 — — $36,182.55 $78,509.05 $36,544.38 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 11 — — $36,038.20 $78,195.82 $36,398.58 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 11 — — $35,775.24 $77,625.25 $36,132.99 2026-03-31
245 MS_DRG Aicd Generator Procedures 16 11 — — $35,600.45 $77,245.99 $35,956.45 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 11 — — $26,555.60 $77,014.04 $35,848.49 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 11 — — $35,477.94 $76,980.18 $35,832.72 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 16 11 — — $35,339.05 $76,678.81 $35,692.44 2026-03-31
69930 HCPCS Implant Cochlear Device 5 4 — — $12,734.00 $36,040.21 $35,333.54 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 18 11 — — $2,986.78 $75,881.36 $35,321.25 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 11 — — $34,961.38 $75,859.35 $35,310.99 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 11 — — $34,824.05 $75,561.36 $35,172.29 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 11 — — $34,277.06 $74,374.50 $34,619.83 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 11 — — $33,766.74 $73,267.21 $34,104.41 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 11 — — $33,497.54 $75,376.72 $33,832.52 2026-03-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 4 — — $12,734.00 $34,309.63 $33,636.89 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 4 — — $12,734.00 $34,309.63 $33,636.89 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 4 — — $12,734.00 $34,309.63 $33,636.89 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 4 — — $12,734.00 $34,309.63 $33,636.89 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 5 4 — — $12,734.00 $34,309.63 $33,636.89 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 5 4 — — $12,734.00 $34,309.63 $33,636.89 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 16 11 — — $33,282.18 $72,215.79 $33,615.00 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 11 — — $33,091.00 $71,800.98 $33,421.91 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 11 — — $32,953.67 $71,503.00 $33,283.21 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 11 — — $32,897.49 $71,381.10 $33,226.46 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 11 — — $32,881.10 $71,345.54 $33,209.91 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 11 — — $32,785.12 $81,392.01 $33,112.97 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 16 11 — — $32,746.11 $71,052.63 $33,073.57 2026-03-31
63685 HCPCS Insrt/redo Spine N Generator 5 4 — — $11,661.00 $33,729.04 $33,067.68 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 4 — — $11,661.00 $33,729.04 $33,067.68 2026-03-31
61886 HCPCS Implant Neurostim Arrays 5 4 — — $12,734.00 $33,729.04 $33,067.68 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 5 4 — — $11,661.00 $33,729.04 $33,067.68 2026-03-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $5,543.00 $33,729.04 $33,067.68 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 11 — — $32,685.25 $70,920.57 $33,012.10 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $32,558.84 $70,646.29 $32,884.43 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 21 13 — — $1,372.71 $70,595.50 $32,860.78 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 11 — — $32,405.90 $70,314.44 $32,729.96 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 11 — — $32,191.32 $69,848.84 $32,513.23 2026-03-31
791 MS_DRG Prematurity With Major Problems 19 11 — — $1,372.71 $68,722.93 $31,989.14 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 11 — — $31,372.00 $68,071.09 $31,685.72 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 11 — — $31,087.97 $67,454.80 $31,398.85 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 11 — — $30,524.59 $66,232.38 $30,829.84 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 4 — — $12,734.00 $31,352.37 $30,737.62 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 11 — — $30,386.48 $65,932.70 $30,690.34 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 11 — — $30,203.11 $65,534.82 $30,505.14 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 11 — — $30,157.85 $65,436.62 $30,459.43 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 11 — — $30,128.98 $65,373.98 $30,430.27 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 11 — — $29,958.09 $65,003.19 $30,257.67 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 11 — — $29,362.72 $63,711.35 $29,656.35 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 11 — — $29,165.31 $63,283.00 $29,602.79 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 11 — — $29,234.76 $63,433.68 $29,527.11 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 11 — — $29,162.19 $63,276.23 $29,453.81 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 11 — — $14,786.89 $63,098.45 $29,371.06 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 11 — — $28,916.39 $62,742.90 $29,205.55 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 5 4 — — $12,734.00 $30,023.00 $29,133.73 2026-03-31
22630 HCPCS Lumbar Spine Fusion 5 4 — — $10,384.00 $29,658.87 $29,077.32 2026-03-31
20696 HCPCS Comp Multiplane Ext Fixation 5 4 — — $6,223.00 $29,658.87 $29,077.32 2026-03-31
27702 HCPCS Reconstruct Ankle Joint 5 4 — — $7,993.00 $29,658.87 $29,077.32 2026-03-31
21243 HCPCS Reconstruction Of Jaw Joint 5 4 — — $8,099.00 $29,658.87 $29,077.32 2026-03-31
22633 HCPCS Lumbar Spine Fusion Combined 5 4 — — $10,182.00 $29,658.87 $29,077.32 2026-03-31
22558 HCPCS Lumbar Spine Fusion 5 4 — — $10,384.00 $29,658.87 $29,077.32 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 16 11 — — $28,661.23 $62,189.26 $28,947.84 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 11 — — $28,649.53 $62,163.86 $28,936.03 2026-03-31
J9266 HCPCS Pegaspargase Injection 4 3 — — $28,424.06 $42,508.06 $28,850.42 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 11 — — $28,313.22 $61,434.13 $28,596.35 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 11 — — $28,291.37 $61,386.73 $28,574.28 2026-03-31
332 MS_DRG Rectal Resection With Mcc 16 11 — — $28,252.36 $61,302.07 $28,534.88 2026-03-31
265 MS_DRG Aicd Lead Procedures 16 11 — — $28,232.85 $61,259.74 $28,515.18 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 11 — — $28,182.91 $61,151.39 $28,464.74 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 11 — — $28,140.77 $61,059.96 $28,422.18 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 11 — — $27,956.62 $60,660.39 $28,236.19 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 11 — — $27,891.86 $60,519.86 $28,170.78 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 11 — — $10,249.31 $60,458.91 $28,142.41 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 11 — — $27,822.41 $60,369.17 $28,100.63 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 11 — — $27,799.00 $60,318.38 $28,076.99 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 11 — — $27,772.47 $60,260.82 $28,050.19 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 11 — — $27,749.84 $60,211.72 $28,027.34 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 4 — — $10,182.00 $28,570.01 $28,009.82 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 4 — — $10,182.00 $28,570.01 $28,009.82 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 5 4 — — $10,182.00 $28,570.01 $28,009.82 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 11 — — $27,518.09 $59,708.86 $27,793.27 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 11 — — $27,461.91 $59,586.96 $27,736.53 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 16 11 — — $27,219.24 $59,060.41 $27,491.43 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 11 — — $27,212.22 $59,045.17 $27,484.34 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 11 — — $27,087.37 $58,774.27 $27,358.24 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 11 — — $26,956.28 $58,489.83 $27,225.84 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 11 — — $26,831.43 $58,218.94 $27,099.74 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 11 — — $26,751.84 $58,046.24 $27,019.36 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 11 — — $26,620.75 $57,761.80 $26,886.96 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 11 — — $26,585.63 $57,685.61 $26,851.49 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 18 11 — — $26,066.73 $56,559.70 $26,457.73 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 11 — — $25,775.68 $55,928.17 $26,033.44 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 16 11 — — $25,688.29 $55,738.55 $25,945.17 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 11 — — $25,685.17 $55,731.77 $25,942.02 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 11 — — $25,381.63 $55,073.16 $25,635.45 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 11 — — $25,270.05 $54,831.04 $25,522.75 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 11 — — $25,241.96 $54,770.09 $25,494.38 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 11 — — $25,206.84 $54,693.90 $25,458.91 2026-03-31
652 MS_DRG Kidney Transplant 16 11 — — $25,199.82 $54,678.66 $25,451.82 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 12 — — $25,181.09 $54,638.03 $25,432.90 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 11 — — $18,705.37 $100,315.13 $25,393.63 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 16 11 — — $25,131.93 $54,531.36 $25,383.25 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 11 — — $25,050.78 $54,355.28 $25,301.29 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 11 — — $24,913.45 $54,057.30 $25,162.58 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 11 — — $24,867.41 $53,957.40 $25,116.08 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 11 — — $24,843.22 $53,904.92 $25,091.65 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 11 — — $24,793.28 $53,796.56 $25,041.21 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 16 11 — — $24,694.96 $53,583.23 $24,941.91 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 11 — — $24,657.51 $53,501.96 $24,904.09 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 11 — — $24,587.28 $53,349.58 $24,833.15 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 11 — — $24,575.58 $53,324.18 $24,821.34 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 11 — — $21,448.13 $46,538.24 $24,791.62 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 11 — — $24,517.84 $53,198.90 $24,763.02 2026-03-31
665 MS_DRG Prostatectomy With Mcc 16 11 — — $24,354.75 $52,845.04 $24,598.30 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 11 — — $24,304.03 $54,554.65 $24,547.07 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 11 — — $24,261.12 $52,641.87 $24,503.73 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 16 11 — — $23,888.91 $51,834.26 $24,127.80 2026-03-31
263 MS_DRG Vein Ligation And Stripping 16 11 — — $23,856.92 $51,764.84 $24,095.49 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 5 4 — — $12,734.00 $30,023.00 $24,075.00 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 5 4 — — $12,734.00 $30,023.00 $24,075.00 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 5 4 — — $12,734.00 $30,023.00 $24,075.00 2026-03-31
33240 HCPCS Insrt Pulse Gen W/singl Lead 5 4 — — $12,734.00 $30,023.00 $24,075.00 2026-03-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 5 4 — — $12,734.00 $30,023.00 $24,075.00 2026-03-31
33230 HCPCS Insrt Pulse Gen W/dual Leads 5 4 — — $12,734.00 $30,023.00 $24,075.00 2026-03-31
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 5 4 — — $12,734.00 $30,023.00 $24,075.00 2026-03-31
0515T OTHER Insj Wcs Lv Compl Sys 5 4 — — $12,734.00 $30,023.00 $24,075.00 2026-03-31
0764 OTHER Ketorolac Tromethamine Inj 1 1 — — $24,073.68 $24,073.68 $24,073.68 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 11 — — $23,668.09 $51,355.11 $23,904.77 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 11 — — $23,568.99 $51,140.09 $23,804.68 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 11 — — $23,565.87 $51,133.31 $23,801.53 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 11 — — $9,847.62 $51,077.44 $23,775.52 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 20 11 — — $19,694.80 $42,733.84 $23,550.01 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 11 — — $23,224.88 $50,393.43 $23,457.13 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 16 11 — — $22,988.45 $49,880.42 $23,218.33 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 16 11 — — $22,972.84 $49,846.56 $23,202.57 2026-03-31
570 MS_DRG Skin Debridement With Mcc 16 11 — — $22,949.43 $49,795.76 $23,178.92 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 16 11 — — $22,784.79 $49,438.52 $23,012.64 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 11 — — $10,203.00 $49,308.15 $22,951.95 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 11 — — $22,644.33 $49,133.76 $22,870.77 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 11 — — $22,630.29 $49,103.29 $22,856.59 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 11 — — $22,530.41 $48,886.57 $22,755.71 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 16 11 — — $22,519.49 $48,862.87 $22,744.68 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 16 11 — — $22,486.71 $48,791.76 $22,711.58 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 11 — — $22,396.20 $48,595.36 $22,620.16 2026-03-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 21 11 — — $16,524.43 $35,854.78 $22,619.43 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 11 — — $22,242.48 $48,261.82 $22,464.90 2026-03-31
53444 HCPCS Insert Tandem Cuff 5 4 — — $10,384.00 $22,654.71 $22,210.50 2026-03-31
54416 HCPCS Remv/repl Penis Contain Pros 5 4 — — $10,182.00 $22,654.71 $22,210.50 2026-03-31
54417 HCPCS Remv/replc Penis Pros Compl 5 4 — — $1,963.00 $22,654.71 $22,210.50 2026-03-31
53445 HCPCS Insert Uro/ves Nck Sphincter 5 4 — — $10,182.00 $22,654.71 $22,210.50 2026-03-31
54401 HCPCS Insert Self-contd Prosthesis 5 4 — — $10,182.00 $22,654.71 $22,210.50 2026-03-31
54405 HCPCS Insert Multi-comp Penis Pros 5 4 — — $10,182.00 $22,654.71 $22,210.50 2026-03-31
54410 HCPCS Remove/replace Penis Prosth 5 4 — — $10,182.00 $22,654.71 $22,210.50 2026-03-31
53447 HCPCS Remove/replace Ur Sphincter 5 4 — — $10,182.00 $22,654.71 $22,210.50 2026-03-31
54411 HCPCS Remov/replc Penis Pros Comp 5 4 — — $693.00 $22,654.71 $22,210.50 2026-03-31
800 MS_DRG Splenic Procedures With Cc 16 11 — — $21,921.77 $47,565.95 $22,140.99 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 16 11 — — $21,842.96 $47,394.95 $22,061.39 2026-03-31
503 MS_DRG Foot Procedures With Mcc 17 11 — — $21,778.98 $47,256.11 $21,996.77 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 11 — — $21,629.16 $46,931.04 $21,845.45 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 11 — — $21,513.68 $46,680.46 $21,728.82 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 16 11 — — $21,442.67 $46,526.39 $21,657.10 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 11 — — $21,331.87 $46,285.97 $21,545.19 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 11 — — $21,230.43 $46,065.86 $21,442.73 2026-03-31
0100T OTHER Prosth Retina Receive&Gen 2 2 — — $12,734.00 $30,023.00 $21,378.50 2026-03-31
0424T OTHER Insj/rplc Nstim Apnea Compl 2 2 — — $12,734.00 $30,023.00 $21,378.50 2026-03-31
849 MS_DRG Radiotherapy 16 11 — — $21,142.25 $45,874.54 $21,353.67 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 11 — — $21,116.50 $45,818.67 $21,327.66 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 11 — — $21,047.84 $45,669.68 $21,258.32 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 31 13 — — $7,288.32 $230,970.05 $21,053.37 2026-03-31
64590 HCPCS Insrt/redo Pn/gastr Stimul 5 4 — — $11,661.00 $23,867.00 $20,997.42 2026-03-31
64580 HCPCS Implant Neuroelectrodes 5 4 — — $10,384.00 $21,651.00 $20,997.42 2026-03-31
63655 HCPCS Implant Neuroelectrodes 5 4 — — $10,384.00 $21,651.00 $20,997.42 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 11 — — $20,756.01 $45,036.46 $20,963.57 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 11 — — $20,683.44 $44,879.00 $20,890.27 2026-03-31
0525T OTHER Insj/rplcmt Compl Iims 5 4 — — $10,384.00 $21,651.00 $20,847.60 2026-03-31
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 5 4 — — $11,661.00 $23,867.00 $20,847.60 2026-03-31
33229 HCPCS Remv&replc Pm Gen Mult Leads 5 4 — — $10,384.00 $21,651.00 $20,847.60 2026-03-31
33221 HCPCS Insert Pulse Gen Mult Leads 5 4 — — $10,384.00 $21,651.00 $20,847.60 2026-03-31
0680T OTHER Insj/rplcmt Pg Only Isdss 5 4 — — $5,543.00 $21,205.31 $20,789.52 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 11 — — $20,579.66 $44,653.82 $20,785.46 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 16 11 — — $20,253.49 $43,946.10 $20,456.02 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 11 — — $20,229.30 $43,893.62 $20,431.59 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 11 — — $20,153.61 $43,729.39 $20,355.15 2026-03-31
5116 OTHER Level 6 Musculoskeletal Procedures 2 2 — — $20,295.00 $20,369.97 $20,332.49 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 16 11 — — $20,125.52 $43,668.44 $20,326.78 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 11 — — $20,125.52 $43,668.44 $20,326.78 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 16 11 — — $20,035.01 $43,472.04 $20,235.36 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 16 11 — — $19,921.08 $43,224.84 $20,120.29 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 11 — — $19,826.67 $43,019.98 $20,024.94 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 12 — — $18,780.11 $59,017.00 $19,987.10 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 11 — — $19,686.21 $42,715.22 $19,883.07 2026-03-31
C9765 HCPCS Revasc Intra Lithotrip-stent 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
37242 HCPCS Vasc Embolize/occlude Artery 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
C9602 HCPCS Perc D-e Cor Stent Ather S 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
37182 HCPCS Insert Hepatic Shunt (tips) 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
36906 HCPCS Thrmbc/nfs Dialysis Circuit 5 4 — — $11,661.00 $23,867.00 $19,840.97 2026-03-31
C9766 HCPCS Revasc Intra Lithotrip-ather 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
93582 HCPCS Perq Transcath Closure Pda 5 4 — — $10,182.00 $21,697.00 $19,840.97 2026-03-31
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
93590 HCPCS Perq Transcath Cls Mitral 5 4 — — $11,661.00 $23,867.00 $19,840.97 2026-03-31
93591 HCPCS Perq Transcath Cls Aortic 5 4 — — $11,661.00 $23,867.00 $19,840.97 2026-03-31
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
C9775 HCPCS Revasc Lith-sten-ath Tib/per 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
61624 HCPCS Transcath Occlusion Cns 5 4 — — $10,384.00 $21,651.00 $19,840.97 2026-03-31
93580 HCPCS Transcath Closure Of Asd 5 4 — — $10,182.00 $21,697.00 $19,840.97 2026-03-31
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