Price Transparency 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

SAINT FRANCIS MEDICAL CENTER

Peoria, IL · CCN 140067 · Rates published

17,072 distinct procedures filed
17 distinct payers
263,278 rate rows
2026-03-31 last MRF observed
Data quality

218,990 of 263,278 rate rows are consumer-grade (83.2%)

44,288 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 44,268
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662569_osf-saint-francis-medical-center_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b67805a083956c0a… · 34,268,419 bytes · first seen 2026-05-08

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 3 $3,691,450.00 $3,765,279.00 $3,728,364.50 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,321,376.38 $3,387,803.91 $3,354,590.14 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,245,381.39 $3,310,289.02 $3,277,835.20 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,938,320.00 $4,864,551.99 $2,982,394.80 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,587,087.26 $3,998,166.53 $2,625,893.56 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $3,847,800.00 $2,366,980.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $2,619,815.62 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $614,180.81 $2,087,981.72 $626,464.42 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $588,494.81 $2,000,659.07 $600,264.70 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,260.84 $1,911,473.52 $573,506.05 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $559,781.08 $1,903,043.29 $570,976.70 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $531,849.12 $1,808,085.21 $542,486.10 nat. median
$634,511
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $391,970.08 $978,306.33 $525,081.26 nat. median
$370,174
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,290.60 $1,663,402.40 $499,076.41 nat. median
$620,080
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$459,112
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $126,145.69 $2,536,010.95 $338,220.45 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $194,133.09 $483,695.58 $259,611.40 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $1,800.00 $1,043,943.09 $244,302.05 nat. median
$202,986
1.2× median
7
MS_DRG 		Lung Transplant 13 $118,012.39 $293,386.78 $157,467.96 nat. median
$122,708
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $54,030.21 $353,160.76 $151,853.70 nat. median
$133,176
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $109,564.20 $272,265.52 $146,131.66 nat. median
$117,303
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $103,346.99 $256,721.93 $137,789.02 nat. median
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $103,229.19 $256,427.41 $137,630.95 nat. median
$98,017
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $100,532.44 $249,685.29 $134,012.28 nat. median
$98,905
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $99,199.47 $1,301,488.55 $133,207.73 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $94,092.31 $233,584.38 $125,370.52 nat. median
$100,136
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 9 $64,005.15 $200,755.02 $121,113.18 nat. median
$87,411
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 13 $78,005.49 $607,173.55 $120,171.03 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $46,600.57 $339,045.45 $119,839.30 nat. median
$93,672
1.3× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 $88,127.47 $173,460.27 $111,954.80 nat. median
$63,570
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $78,725.89 $113,119.80 $110,901.76 nat. median
$111,989
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $82,303.99 $204,112.49 $109,552.23 nat. median
$82,712
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $79,131.51 $196,180.97 $105,295.20 nat. median
$83,442
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $57,459.18 $368,471.70 $104,144.99 nat. median
$72,138
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 $81,596.69 $160,605.83 $103,658.28 nat. median
$54,196
1.9× median
1848
OTHER 		Artiss Fibrin Sealant 1 $102,306.90 $102,306.90 $102,306.90 nat. median
$145
outlier · 704.3×
0795
OTHER 		Inj, Lidocaine In D5w, 1 Mg 1 $85,282.10 $119,194.50 $102,238.30 nat. median
$10,641
outlier · 9.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $65,637.10 $190,979.38 $101,740.46 nat. median
$79,312
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $59,367.01 $463,619.24 $101,604.71 nat. median
$73,807
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $65,155.26 $190,379.03 $101,420.63 nat. median
$81,118
1.3× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 9 $52,556.52 $163,344.50 $96,977.49 nat. median
$65,381
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $61,818.53 $987,273.00 $96,392.80 nat. median
$77,576
1.2× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 9 $73,674.36 $145,012.39 $93,593.96 nat. median
$49,935
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $1,951.14 $343,232.49 $88,377.23 nat. median
$74,915
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $66,074.55 $163,537.38 $87,774.57 nat. median
$68,090
1.3× median
10
MS_DRG 		Pancreas Transplant 13 $65,685.81 $162,565.48 $87,252.93 nat. median
$68,882
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $65,658.62 $162,497.52 $87,216.45 nat. median
$64,027
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $65,313.37 $161,634.36 $86,753.17 nat. median
$71,240
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $3,031.02 $348,736.84 $84,063.85 nat. median
$68,887
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 12 $21,549.96 $253,826.83 $82,313.17 nat. median
$62,270
1.3× median

Other procedures at this hospital

Browse this hospital's 17,072 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 6 3 — — $3,691,450.00 $3,765,279.00 $3,728,364.50 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 3 — — $3,321,376.38 $3,387,803.91 $3,354,590.14 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 3 — — $3,245,381.39 $3,310,289.02 $3,277,835.20 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 8 4 — — $2,938,320.00 $4,864,551.99 $2,982,394.80 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 4 — — $2,587,087.26 $3,998,166.53 $2,625,893.56 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 8 4 — — $2,332,000.00 $3,847,800.00 $2,366,980.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 10 5 — — $770,620.00 $2,619,815.62 $786,032.40 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 5 — — $614,180.81 $2,087,981.72 $626,464.42 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 10 5 — — $588,494.81 $2,000,659.07 $600,264.70 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 5 — — $562,260.84 $1,911,473.52 $573,506.05 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 10 5 — — $559,781.08 $1,903,043.29 $570,976.70 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 5 — — $531,849.12 $1,808,085.21 $542,486.10 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 10 5 — — $489,290.60 $1,663,402.40 $499,076.41 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 2 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 40 13 — — $391,970.08 $978,306.33 $525,081.26 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 13 — — $194,133.09 $483,695.58 $259,611.40 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 13 — — $126,145.69 $2,536,010.95 $338,220.45 2026-03-31
7 MS_DRG Lung Transplant 40 13 — — $118,012.39 $293,386.78 $157,467.96 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 40 13 — — $109,564.20 $272,265.52 $146,131.66 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 13 — — $103,346.99 $256,721.93 $137,789.02 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 40 13 — — $103,229.19 $256,427.41 $137,630.95 2026-03-31
1848 OTHER Artiss Fibrin Sealant 2 1 — — $102,306.90 $102,306.90 $102,306.90 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — — $100,532.44 $249,685.29 $134,012.28 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 13 — — $99,199.47 $1,301,488.55 $133,207.73 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 40 13 — — $94,092.31 $233,584.38 $125,370.52 2026-03-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 24 9 — — $88,127.47 $173,460.27 $111,954.80 2026-03-31
0795 OTHER Inj, Lidocaine In D5w, 1 Mg 4 1 — — $85,282.10 $119,194.50 $102,238.30 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 13 — — $82,303.99 $204,112.49 $109,552.23 2026-03-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 24 9 — — $81,596.69 $160,605.83 $103,658.28 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 40 13 — — $79,131.51 $196,180.97 $105,295.20 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 4 — — $78,725.89 $113,119.80 $110,901.76 2026-03-31
215 MS_DRG Other Heart Assist System Implant 50 13 — — $78,005.49 $607,173.55 $120,171.03 2026-03-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 24 9 — — $73,674.36 $145,012.39 $93,593.96 2026-03-31
5376 OTHER Level 6 Urology And Related Services 2 1 — — $66,580.95 $66,580.95 $66,580.95 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — — $66,074.55 $163,537.38 $87,774.57 2026-03-31
10 MS_DRG Pancreas Transplant 40 13 — — $65,685.81 $162,565.48 $87,252.93 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 40 13 — — $65,658.62 $162,497.52 $87,216.45 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 13 — — $65,637.10 $190,979.38 $101,740.46 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 13 — — $65,313.37 $161,634.36 $86,753.17 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 13 — — $65,155.26 $190,379.03 $101,420.63 2026-03-31
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 5 — — $64,282.30 $218,535.43 $65,567.94 2026-03-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 32 9 — — $64,005.15 $200,755.02 $121,113.18 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 13 — — $61,818.53 $987,273.00 $96,392.80 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 13 — — $61,252.84 $151,482.66 $81,304.50 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 13 — — $61,208.44 $151,371.65 $81,244.92 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 13 — — $60,245.18 $148,963.42 $79,952.36 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 13 — — $60,245.18 $148,963.42 $77,519.50 2026-03-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 24 9 — — $60,067.24 $118,229.65 $76,307.83 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 13 — — $59,367.01 $463,619.24 $101,604.71 2026-03-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 24 9 — — $58,214.13 $114,582.19 $73,953.69 2026-03-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 24 9 — — $57,788.26 $113,743.96 $73,412.68 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 14 — — $57,459.18 $368,471.70 $104,144.99 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 13 — — $55,599.27 $137,348.20 $73,718.18 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 40 13 — — $54,394.97 $134,337.35 $72,102.19 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 13 — — $54,030.21 $353,160.76 $151,853.70 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 13 — — $53,806.87 $235,336.70 $71,843.80 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 13 — — $52,921.55 $130,653.65 $70,125.05 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 28 9 — — $52,556.52 $163,344.50 $96,977.49 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 13 — — $52,462.24 $152,493.07 $81,237.65 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 40 13 — — $52,376.03 $129,289.82 $69,393.05 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — — $51,606.70 $127,366.41 $68,360.71 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 40 13 — — $51,449.03 $126,972.21 $68,149.14 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 14 6 — — $51,382.74 $193,181.91 $57,392.79 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 13 — — $51,101.06 $126,102.26 $67,682.21 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 13 — — $50,709.59 $125,123.57 $67,156.92 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 13 — — $49,887.70 $123,068.76 $66,054.05 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 40 13 — — $48,957.07 $120,742.09 $64,805.27 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 52 13 — — $47,311.93 $271,082.83 $70,814.82 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 13 — — $46,600.57 $339,045.45 $119,839.30 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 13 — — $46,334.62 $114,185.73 $61,286.31 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 13 — — $45,075.05 $111,036.69 $59,596.14 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 40 13 — — $42,680.96 $105,051.24 $56,383.60 2026-03-31
245 MS_DRG Aicd Generator Procedures 42 13 — — $42,004.96 $139,355.90 $55,889.40 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 6 — — $41,905.82 $191,293.90 $56,831.88 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 13 — — $41,559.98 $146,717.73 $56,931.82 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 13 — — $41,103.32 $101,107.00 $54,266.63 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 13 — — $39,650.94 $148,421.97 $79,068.85 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 13 — — $39,356.44 $242,693.50 $69,187.86 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 13 — — $39,090.73 $96,075.32 $51,566.01 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 13 — — $38,951.02 $171,947.10 $56,648.77 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 40 13 — — $38,690.20 $95,073.97 $51,028.56 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 14 — — $38,543.53 $123,210.91 $56,944.57 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 42 13 — — $37,544.11 $102,602.23 $54,659.29 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 13 — — $37,094.44 $91,084.43 $48,887.27 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 46 13 — — $36,838.00 $212,988.85 $57,303.05 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 13 — — $36,764.60 $90,259.79 $48,444.67 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 13 — — $36,614.05 $138,838.90 $57,038.46 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 13 — — $35,949.95 $88,223.10 $47,351.52 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 40 13 — — $35,684.45 $87,559.31 $46,995.26 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 10 4 — — $35,014.84 $50,324.94 $49,338.18 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 44 13 — — $34,946.71 $94,086.22 $48,961.79 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 13 — — $34,811.47 $155,818.82 $72,002.20 2026-03-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 24 9 — — $34,642.80 $68,187.02 $44,009.29 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 46 13 — — $34,528.18 $145,430.95 $49,668.72 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 24 9 — — $34,477.05 $67,860.79 $43,798.74 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 52 13 — — $34,358.92 $222,757.29 $56,158.65 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 13 — — $34,242.74 $83,954.90 $45,060.68 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 13 — — $34,222.70 $306,314.40 $65,929.33 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 62 13 — — $34,080.84 $341,824.42 $60,730.21 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 13 — — $33,542.27 $106,375.65 $44,449.13 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 13 — — $33,516.90 $82,140.23 $44,086.70 2026-03-31
332 MS_DRG Rectal Resection With Mcc 40 13 — — $33,471.59 $82,026.96 $44,025.90 2026-03-31
265 MS_DRG Aicd Lead Procedures 40 13 — — $33,448.94 $81,970.32 $43,995.50 2026-03-31
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 8 4 — — $33,067.68 $112,417.58 $33,563.70 2026-03-31
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 8 4 — — $33,067.68 $112,417.58 $33,563.70 2026-03-31
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 4 — — $33,067.68 $112,417.58 $33,563.70 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 13 — — $32,966.19 $327,603.75 $67,970.87 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 42 13 — — $32,945.11 $200,748.60 $43,641.85 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 48 13 — — $32,909.85 $128,384.94 $51,017.88 2026-03-31
5232 OTHER Level 2 Icd And Similar Procedures 32 9 — — $32,757.85 $137,104.09 $37,654.16 2026-03-31
5166 OTHER Cochlear Implant Procedure 12 6 — — $32,507.37 $100,518.94 $60,512.57 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 13 — — $32,491.96 $101,505.73 $54,075.15 2026-03-31
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 1 — — $32,433.12 $32,433.12 $32,433.12 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 13 — — $32,397.52 $260,389.95 $63,890.87 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 13 — — $32,118.68 $90,681.50 $42,524.65 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 40 13 — — $31,821.46 $77,901.48 $41,811.65 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 13 — — $31,821.12 $344,902.90 $50,554.63 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 10 4 — — $31,771.52 $48,878.39 $47,919.99 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 44 13 — — $31,346.92 $95,199.30 $47,065.78 2026-03-31
J9226 HCPCS Supprelin La Implant 14 6 — — $31,333.15 $139,974.03 $41,585.16 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — — $30,869.14 $94,530.25 $50,359.11 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $30,813.16 $30,813.16 $30,813.16 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 13 — — $30,799.14 $81,168.33 $43,240.81 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 50 13 — — $30,678.48 $239,288.55 $47,484.51 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 46 13 — — $30,656.15 $197,975.33 $44,978.75 2026-03-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 24 9 — — $30,576.32 $60,183.01 $38,843.35 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 42 13 — — $30,460.58 $80,980.30 $43,140.64 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 13 — — $30,074.88 $473,987.90 $55,673.16 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 5 — — $30,023.00 $160,465.57 $47,673.03 2026-03-31
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 10 5 — — $30,023.00 $114,352.67 $33,973.26 2026-03-31
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 10 5 — — $30,023.00 $114,352.67 $33,973.26 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 13 — — $30,008.22 $160,909.65 $39,671.63 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 13 — — $29,934.82 $73,184.71 $39,280.05 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 40 13 — — $29,904.92 $73,109.95 $39,239.93 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 40 13 — — $29,847.83 $72,967.22 $39,163.32 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 13 — — $29,807.59 $195,615.80 $72,269.99 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 13 — — $29,134.68 $71,184.28 $38,206.37 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 13 — — $29,071.23 $189,230.20 $51,646.00 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 13 — — $28,970.78 $252,044.25 $49,411.28 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 10 5 — — $28,845.27 $98,062.99 $29,422.18 2026-03-31
2616 OTHER Brachytx, Non-str,yttrium-90 8 4 — — $28,721.61 $60,560.20 $28,782.22 2026-03-31
263 MS_DRG Vein Ligation And Stripping 40 13 — — $28,367.15 $69,265.40 $37,176.46 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 14 — — $28,053.35 $956,988.85 $74,063.40 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 40 13 — — $28,032.78 $68,429.43 $36,727.77 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 40 13 — — $28,029.15 $68,420.37 $36,722.91 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 13 — — $27,999.25 $68,345.60 $36,682.78 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 46 13 — — $27,822.52 $136,118.04 $69,155.53 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 13 — — $27,732.39 $359,534.85 $50,709.11 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 56 13 — — $27,723.61 $192,062.29 $48,053.51 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 13 — — $27,633.16 $67,430.34 $36,191.54 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 46 13 — — $27,519.61 $78,263.96 $41,693.57 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 40 13 — — $27,340.47 $66,698.59 $35,798.79 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 42 13 — — $27,246.62 $80,778.67 $43,033.23 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 13 — — $26,826.67 $65,414.05 $35,109.34 2026-03-31
665 MS_DRG Prostatectomy With Mcc 42 13 — — $26,728.12 $70,710.79 $37,669.76 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 13 — — $26,515.36 $200,022.24 $48,609.03 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 56 13 — — $26,492.30 $261,890.77 $34,660.65 2026-03-31
5465 OTHER Level 5 Neurostimulator And Related Procedures 28 8 — — $26,321.63 $163,681.10 $34,589.32 2026-03-31
800 MS_DRG Splenic Procedures With Cc 40 13 — — $26,119.86 $63,646.96 $34,160.90 2026-03-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 24 9 — — $26,001.09 $51,177.65 $33,031.10 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 46 13 — — $25,951.67 $73,692.18 $37,439.73 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 46 13 — — $25,849.65 $82,852.62 $39,732.35 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 13 — — $25,271.38 $72,128.99 $37,535.41 2026-03-31
849 MS_DRG Radiotherapy 40 13 — — $25,214.60 $61,383.72 $32,946.17 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 42 13 — — $25,184.70 $61,308.96 $33,150.95 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 48 13 — — $24,882.69 $179,141.10 $37,148.71 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 13 — — $24,811.82 $331,311.70 $45,110.30 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 40 13 — — $24,766.05 $60,262.30 $32,344.27 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 13 — — $24,755.86 $260,948.89 $44,678.85 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 44 13 — — $24,708.24 $71,698.54 $37,311.41 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 40 13 — — $24,561.25 $59,750.30 $32,069.47 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 42 13 — — $24,272.44 $69,358.28 $36,949.24 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 44 13 — — $24,197.71 $96,630.37 $51,863.92 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 48 13 — — $24,120.73 $72,199.22 $37,571.96 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 40 13 — — $24,066.49 $58,513.33 $31,405.56 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 42 13 — — $24,033.87 $121,312.10 $31,595.20 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 40 13 — — $24,033.87 $58,431.78 $31,361.78 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 64 13 — — $23,880.87 $345,487.60 $41,927.00 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 5 — — $23,867.00 $112,417.58 $33,398.36 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 5 — — $23,867.00 $112,417.58 $33,398.36 2026-03-31
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 10 5 — — $23,867.00 $98,851.86 $29,368.10 2026-03-31
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 10 5 — — $23,867.00 $98,851.86 $29,368.10 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 42 13 — — $23,242.78 $56,453.99 $30,074.74 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 48 13 — — $23,083.95 $117,928.34 $54,351.19 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 13 — — $22,764.80 $323,193.85 $47,911.57 2026-03-31
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 40 13 — — $22,611.18 $54,874.94 $29,452.74 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 42 13 — — $22,587.66 $72,731.61 $38,746.32 2026-03-31
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 40 13 — — $22,539.60 $54,695.97 $29,356.68 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 14 — — $22,346.54 $71,351.92 $33,350.21 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 58 14 — — $22,123.16 $67,797.76 $29,913.53 2026-03-31
333 MS_DRG Rectal Resection With Cc 42 13 — — $21,886.25 $53,062.54 $28,691.95 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 42 13 — — $21,885.50 $68,717.15 $36,607.69 2026-03-31
709 MS_DRG Penis Procedures With Cc/Mcc 40 13 — — $21,749.42 $52,720.45 $28,296.38 2026-03-31
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 10 5 — — $21,651.00 $160,465.57 $47,673.03 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 5 — — $21,651.00 $112,417.58 $33,398.36 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 44 13 — — $21,613.96 $117,724.44 $61,262.96 2026-03-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 48 12 — — $21,549.96 $253,826.83 $82,313.17 2026-03-31
347 MS_DRG Anal And Stomal Procedures With Mcc 42 13 — — $21,463.98 $69,808.50 $28,121.10 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 42 13 — — $21,363.01 $74,836.26 $39,867.53 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 44 13 — — $21,264.52 $60,051.61 $31,250.43 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 58 13 — — $21,159.50 $594,919.25 $51,585.52 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 66 13 — — $21,152.45 $106,292.73 $44,041.09 2026-03-31
L5856 HCPCS Elec Knee-shin Swing/stance 10 4 — — $21,008.90 $30,150.98 $29,559.78 2026-03-31
L6880 HCPCS Elec Hand Ind Art Digits 10 4 — — $20,884.52 $30,008.61 $29,420.21 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 44 13 — — $20,660.42 $189,167.56 $35,041.25 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 46 13 — — $20,609.10 $331,842.49 $31,453.10 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 48 13 — — $20,515.10 $62,255.94 $28,852.11 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 46 13 — — $20,411.54 $65,024.38 $33,036.00 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 52 13 — — $19,723.47 $94,307.82 $29,258.00 2026-03-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 48 12 — — $19,647.16 $178,031.15 $49,228.02 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 48 13 — — $19,606.12 $113,607.79 $32,601.81 2026-03-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 42 13 — — $19,339.80 $54,492.07 $29,029.57 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 74 14 — — $19,326.12 $347,501.70 $46,322.24 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 66 14 — — $18,985.94 $638,707.55 $79,554.82 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 48 13 — — $18,724.18 $128,182.35 $29,120.79 2026-03-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 38 11 — — $18,153.57 $133,682.60 $62,755.91 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 13 — — $18,061.52 $138,678.05 $72,167.07 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 46 13 — — $17,745.36 $80,898.74 $43,097.19 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 14 — — $17,512.05 $185,418.10 $70,301.96 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 58 13 — — $17,355.35 $86,979.34 $36,161.52 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 60 13 — — $16,664.87 $147,467.03 $31,271.67 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 50 13 — — $16,570.86 $74,573.46 $37,887.47 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 66 13 — — $16,570.86 $193,526.50 $32,837.34 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 58 13 — — $15,925.06 $142,263.05 $39,156.34 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 48 13 — — $15,905.50 $120,124.05 $40,168.01 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 13 — — $15,813.16 $245,647.59 $45,025.97 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 54 13 — — $15,760.51 $158,340.13 $45,306.44 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 50 13 — — $15,235.32 $98,164.11 $34,831.13 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 56 13 — — $15,171.95 $1,031,835.40 $64,494.46 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 54 13 — — $14,810.32 $201,686.40 $37,327.02 2026-03-31
J9266 HCPCS Pegaspargase Injection 14 6 — — $14,810.03 $96,631.02 $28,708.30 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 13 — — $14,538.00 $129,122.17 $65,601.25 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 50 13 — — $14,078.52 $214,779.40 $31,734.22 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 46 13 — — $14,075.70 $121,739.74 $42,089.43 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 50 14 — — $13,348.81 $75,928.13 $31,288.88 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 52 14 — — $12,756.87 $108,841.42 $56,640.29 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 13 — — $12,044.32 $180,416.95 $41,277.46 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 52 13 — — $11,628.23 $198,208.31 $29,384.42 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 52 13 — — $11,541.45 $228,576.20 $33,467.56 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 44 13 — — $11,395.77 $73,286.66 $38,137.85 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 13 — — $11,180.41 $175,011.41 $41,966.09 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 13 — — $11,105.39 $81,702.99 $42,517.65 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 50 13 — — $10,989.05 $100,307.05 $28,066.46 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 42 13 — — $10,572.40 $61,109.60 $32,554.92 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 56 13 — — $10,314.60 $112,744.15 $28,134.46 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 13 — — $9,692.00 $357,036.67 $57,166.68 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 42 13 — — $9,517.33 $55,620.29 $29,630.60 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 48 13 — — $9,377.97 $269,403.95 $44,663.06 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 64 13 — — $8,670.53 $82,400.40 $32,600.08 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 58 13 — — $8,647.56 $174,824.50 $31,466.04 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 60 13 — — $8,499.73 $381,623.65 $36,185.68 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 52 13 — — $8,494.99 $83,180.10 $43,286.33 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 46 13 — — $7,805.91 $84,879.22 $43,123.37 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 13 — — $7,471.06 $81,837.06 $32,363.61 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 54 13 — — $6,261.91 $661,775.40 $36,371.60 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 48 13 — — $5,743.03 $71,984.00 $33,307.76 2026-03-31
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 10 5 — — $5,543.00 $124,806.95 $37,079.14 2026-03-31
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 10 5 — — $5,543.00 $112,417.58 $33,398.36 2026-03-31
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 10 5 — — $5,543.00 $112,417.58 $33,398.36 2026-03-31
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 10 5 — — $5,543.00 $112,417.58 $33,398.36 2026-03-31
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 10 5 — — $5,543.00 $98,062.99 $29,133.73 2026-03-31
0788 OTHER Inj Cefazolin Sodium, Hikma 4 2 — — $5,417.98 $108,473.40 $56,945.69 2026-03-31
999 MS_DRG Ungroupable 24 8 — — $5,390.62 $293,279.04 $28,682.94 2026-03-31
0408T HCPCS Insj/rplc Cardiac Modulj Sys 14 6 — — $4,983.00 $114,352.67 $33,636.89 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 44 13 — — $4,854.26 $66,152.60 $34,425.34 2026-03-31
5464 OTHER Level 4 Neurostimulator And Related Procedures 22 7 — — $4,836.62 $89,443.45 $28,389.77 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 58 14 — — $4,352.85 $94,462.29 $38,830.00 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 56 13 — — $4,018.42 $679,059.90 $43,566.13 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 13 — — $3,031.02 $348,736.84 $84,063.85 2026-03-31
791 MS_DRG Prematurity With Major Problems 50 14 — — $2,460.55 $91,956.65 $39,466.33 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 13 — — $1,951.14 $343,232.49 $88,377.23 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 14 — — $1,860.00 $359,574.96 $56,710.67 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 13 — — $1,860.00 $211,838.50 $52,355.54 2026-03-31
503 MS_DRG Foot Procedures With Mcc 46 13 — — $1,860.00 $63,232.37 $32,125.56 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 58 13 — — $1,800.00 $1,043,943.09 $244,302.05 2026-03-31
652 MS_DRG Kidney Transplant 54 13 — — $1,765.51 $295,396.07 $38,976.84 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 50 13 — — $1,500.00 $96,305.54 $40,508.29 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 13 — — $1,478.89 $304,094.76 $32,657.16 2026-03-31
69930 HCPCS Implant Cochlear Device 18 6 — — $1,319.07 $120,120.63 $30,023.00 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 42 13 — — $1,200.00 $52,942.47 $28,204.05 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 58 13 — — $1,197.36 $102,059.35 $28,305.39 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 6 — — $1,030.41 $114,352.67 $33,636.89 2026-03-31
61886 HCPCS Implant Neurostim Arrays 18 6 — — $952.51 $112,417.58 $30,023.00 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 18 6 — — $947.57 $95,222.74 $28,009.82 2026-03-31
5661 OTHER Therapeutic Nuclear Medicine 18 8 — — $809.27 $118,008.55 $49,623.08 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 18 6 — — $710.77 $160,465.57 $30,023.00 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 60 13 — — $650.00 $245,942.25 $63,689.10 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 18 6 — — $635.50 $114,352.67 $30,023.00 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 64 13 — — $600.17 $148,924.30 $48,032.98 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 46 13 — — $580.80 $93,098.15 $35,549.50 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 18 6 — — $452.97 $114,352.67 $30,023.00 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 18 6 — — $448.93 $114,352.67 $30,023.00 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 6 — — $370.02 $104,496.23 $30,737.62 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 54 13 — — $334.63 $846,863.75 $66,257.60 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 58 13 — — $250.00 $170,832.41 $32,945.08 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 13 — — $245.00 $223,772.45 $47,516.23 2026-03-31
570 MS_DRG Skin Debridement With Mcc 42 13 — — $150.00 $66,630.62 $35,496.14 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 13 — — $90.00 $80,633.68 $41,961.18 2026-03-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 50 13 — — $20.00 $215,622.75 $28,112.53 2026-03-31
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 4 2 — — $12.80 $102,134.20 $51,073.50 2026-03-31
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