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

OSF SACRED HEART MEDICAL CENTER

Danville, IL · CCN 140093 · Rates published

11,992 distinct procedures filed
15 distinct payers
69,485 rate rows
2026-03-31 last MRF observed
Data quality

51,441 of 69,485 rate rows are consumer-grade (74.0%)

18,044 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 18,034
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1699288449_osf-healthcare-system_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-05-19
Content fingerprint 0f97a74cd7337a79… · 21,328,825 bytes · first seen 2026-05-18

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,691,450.00 $4,496,025.34 $3,746,821.75 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,321,376.38 $4,053,417.43 $3,371,197.03 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,245,381.39 $4,008,920.00 $3,294,062.11 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,938,320.00 $3,596,820.26 $2,982,394.80 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,587,087.26 $2,956,220.10 $2,625,893.56 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $2,845,040.00 $2,366,980.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $940,156.40 $782,179.30 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $614,180.81 $706,100.77 $623,393.52 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $588,494.81 $674,866.55 $597,322.23 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,260.84 $630,059.59 $570,694.74 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $559,781.08 $643,699.40 $568,177.79 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $531,849.12 $613,465.69 $539,826.85 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,290.60 $597,066.98 $496,629.96 nat. median
$620,080
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $339,465.00 $339,465.00 $339,465.00 nat. median
$459,112
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $335,927.25 $745,853.32 $335,927.25 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $218,260.80 $484,028.80 $218,260.80 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $166,460.52 $368,765.84 $166,460.52 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $165,487.92 $366,601.65 $165,487.92 nat. median
$202,986
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $102,765.66 $153,054.10 $122,437.96 nat. median
$87,411
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $108,250.99 $239,241.38 $108,250.99 nat. median
$133,176
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $88,793.59 $132,244.80 $105,791.24 nat. median
$63,570
1.7× median
7
MS_DRG 		Lung Transplant 10 $101,255.69 $223,675.85 $101,255.69 nat. median
$122,708
0.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $82,213.45 $122,444.66 $97,951.48 nat. median
$54,196
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $94,018.99 $207,573.17 $94,018.99 nat. median
$117,303
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $76,914.78 $114,553.09 $91,638.49 nat. median
$65,381
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $88,693.34 $195,722.85 $88,693.34 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $88,592.43 $195,498.31 $88,592.43 nat. median
$98,017
0.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 $74,231.24 $110,556.34 $88,441.24 nat. median
$49,935
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $86,282.40 $190,358.17 $86,282.40 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $85,140.58 $187,817.46 $85,140.58 nat. median
$102,358
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $70,930.73 $105,640.73 $84,508.92 nat. median
$62,270
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $80,765.81 $178,082.96 $80,765.81 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 10 $78,021.87 $171,977.30 $78,021.87 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $76,669.69 $168,968.52 $76,669.69 nat. median
$93,672
0.8× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $60,521.26 $90,137.39 $72,106.78 nat. median
$44,728
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $70,667.96 $155,613.81 $70,667.96 nat. median
$82,712
0.9× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $58,654.15 $87,356.59 $69,882.24 nat. median
$48,649
1.4× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 $58,225.06 $86,717.53 $69,371.01 nat. median
$39,020
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $67,950.41 $149,566.88 $67,950.41 nat. median
$83,442
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 5 $4,342.00 $68,754.13 $67,406.01 nat. median
$15,912
outlier · 4.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $66,168.21 $145,601.23 $66,168.21 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $65,962.51 $145,143.52 $65,962.51 nat. median
$81,118
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $64,282.30 $77,147.44 $65,246.53 nat. median
$69,774
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 $53,411.14 $79,547.92 $63,635.58 nat. median
$48,483
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $61,812.84 $135,909.91 $61,812.84 nat. median
$77,576
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $60,334.14 $132,619.60 $60,334.14 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $60,077.21 $132,047.89 $60,077.21 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $59,880.82 $131,610.91 $59,880.82 nat. median
$72,138
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $69,325.95 $57,676.92 nat. median
$62,507
0.9× median

Other procedures at this hospital

Browse this hospital's 11,992 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,691,450.00 $4,496,025.34 $3,746,821.75 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,321,376.38 $4,053,417.43 $3,371,197.03 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,245,381.39 $4,008,920.00 $3,294,062.11 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $2,938,320.00 $3,596,820.26 $2,982,394.80 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 4 — — $2,587,087.26 $2,956,220.10 $2,625,893.56 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,332,000.00 $2,845,040.00 $2,366,980.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $770,620.00 $940,156.40 $782,179.30 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 4 — — $614,180.81 $706,100.77 $623,393.52 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 4 4 — — $588,494.81 $674,866.55 $597,322.23 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 4 — — $562,260.84 $630,059.59 $570,694.74 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 4 4 — — $559,781.08 $643,699.40 $568,177.79 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 4 — — $531,849.12 $613,465.69 $539,826.85 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 4 4 — — $489,290.60 $597,066.98 $496,629.96 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $339,465.00 $339,465.00 $339,465.00 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 10 — — $335,927.25 $745,853.32 $335,927.25 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 10 — — $218,260.80 $484,028.80 $218,260.80 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 10 — — $166,460.52 $368,765.84 $166,460.52 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 10 — — $165,487.92 $366,601.65 $165,487.92 2026-03-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $102,765.66 $153,054.10 $122,437.96 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 10 — — $108,250.99 $239,241.38 $108,250.99 2026-03-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 4 — — $88,793.59 $132,244.80 $105,791.24 2026-03-31
7 MS_DRG Lung Transplant 16 10 — — $101,255.69 $223,675.85 $101,255.69 2026-03-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $82,213.45 $122,444.66 $97,951.48 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 16 10 — — $94,018.99 $207,573.17 $94,018.99 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 4 — — $76,914.78 $114,553.09 $91,638.49 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 10 — — $88,693.34 $195,722.85 $88,693.34 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 16 10 — — $88,592.43 $195,498.31 $88,592.43 2026-03-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 4 — — $74,231.24 $110,556.34 $88,441.24 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $86,282.40 $190,358.17 $86,282.40 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 10 — — $85,140.58 $187,817.46 $85,140.58 2026-03-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 4 — — $70,930.73 $105,640.73 $84,508.92 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 10 — — $80,765.81 $178,082.96 $80,765.81 2026-03-31
215 MS_DRG Other Heart Assist System Implant 16 10 — — $78,021.87 $171,977.30 $78,021.87 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $76,669.69 $168,968.52 $76,669.69 2026-03-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 4 — — $60,521.26 $90,137.39 $72,106.78 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 10 — — $70,667.96 $155,613.81 $70,667.96 2026-03-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $58,654.15 $87,356.59 $69,882.24 2026-03-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 4 — — $58,225.06 $86,717.53 $69,371.01 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 16 10 — — $67,950.41 $149,566.88 $67,950.41 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 5 5 — — $4,342.00 $68,754.13 $67,406.01 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 10 — — $66,168.21 $145,601.23 $66,168.21 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 10 — — $65,962.51 $145,143.52 $65,962.51 2026-03-31
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 4 — — $64,282.30 $77,147.44 $65,246.53 2026-03-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 4 — — $53,411.14 $79,547.92 $63,635.58 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 10 — — $61,812.84 $135,909.91 $61,812.84 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $60,334.14 $132,619.60 $60,334.14 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 10 — — $60,077.21 $132,047.89 $60,077.21 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 10 — — $59,880.82 $131,610.91 $59,880.82 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $56,824.55 $69,325.95 $57,676.92 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 4 — — $56,269.19 $69,560.86 $57,113.23 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $56,765.85 $124,679.66 $56,765.85 2026-03-31
10 MS_DRG Pancreas Transplant 16 10 — — $56,432.85 $123,938.69 $56,432.85 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 10 — — $56,409.57 $123,886.87 $56,409.57 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 10 — — $56,113.83 $123,228.81 $56,113.83 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 10 — — $56,081.23 $123,156.27 $56,081.23 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 10 — — $54,384.41 $119,380.61 $54,384.41 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 10 — — $54,121.27 $118,795.09 $54,121.27 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 10 — — $52,981.78 $116,259.56 $52,981.78 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 10 — — $52,635.59 $115,489.23 $52,635.59 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 10 — — $52,597.55 $115,404.60 $52,597.55 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $51,772.43 $113,568.58 $51,772.43 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $51,772.43 $113,568.58 $51,772.43 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 10 — — $51,586.91 $113,155.78 $51,586.91 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 10 — — $50,681.06 $111,140.14 $50,681.06 2026-03-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 4 — — $42,420.67 $63,179.25 $50,541.20 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 10 — — $48,303.50 $105,849.72 $48,303.50 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 10 — — $48,248.39 $105,727.09 $48,248.39 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 10 — — $47,792.75 $104,713.23 $47,792.75 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 4 4 — — $4,342.00 $48,145.04 $47,437.02 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 4 — — $4,342.00 $48,145.04 $47,437.02 2026-03-31
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 4 — — $4,342.00 $48,145.04 $47,437.02 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 16 10 — — $47,371.26 $103,775.36 $47,371.26 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 10 — — $47,358.06 $103,746.00 $47,358.06 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 10 — — $47,020.41 $102,994.66 $47,020.41 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 10 — — $46,868.27 $102,656.13 $46,868.27 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 10 — — $46,761.15 $102,417.78 $46,761.15 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 10 — — $46,286.88 $101,362.46 $46,286.88 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 10 — — $46,257.38 $101,296.83 $46,257.38 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 10 — — $45,499.02 $99,609.35 $45,499.02 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 10 — — $45,213.37 $98,973.74 $45,213.37 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 10 — — $45,031.73 $98,569.58 $45,031.73 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 10 — — $44,974.29 $98,441.76 $44,974.29 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $44,372.72 $97,103.18 $44,372.72 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 10 — — $44,237.66 $96,802.65 $44,237.66 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 10 — — $43,939.59 $96,139.41 $43,939.59 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 10 — — $43,604.26 $95,393.26 $43,604.26 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 16 10 — — $43,347.33 $94,821.55 $43,347.33 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 10 — — $43,196.75 $94,486.48 $43,196.75 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 10 — — $43,136.20 $94,351.75 $43,136.20 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 10 — — $43,069.45 $94,203.22 $43,069.45 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 10 — — $42,900.23 $93,826.69 $42,900.23 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $42,127.89 $92,108.12 $42,127.89 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 10 — — $42,103.05 $92,052.85 $42,103.05 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 10 — — $41,825.17 $91,434.51 $41,825.17 2026-03-31
J9226 HCPCS Supprelin La Implant 4 4 — — $41,173.43 $55,158.69 $41,791.03 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 10 — — $41,689.33 $91,132.25 $41,689.33 2026-03-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 5 4 — — $34,904.65 $51,985.27 $41,586.41 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 4 — — $34,737.65 $51,736.55 $41,387.44 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 10 — — $41,138.99 $89,907.67 $41,138.99 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 16 10 — — $41,069.13 $89,752.22 $41,069.13 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $39,856.67 $87,054.33 $39,856.67 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 10 — — $39,446.83 $86,142.37 $39,446.83 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 10 — — $39,136.34 $85,451.49 $39,136.34 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 10 — — $24,685.13 $85,299.50 $39,068.03 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 10 — — $38,936.85 $85,007.60 $38,936.85 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 10 — — $38,777.73 $84,653.53 $38,777.73 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 16 10 — — $38,214.97 $83,401.31 $38,214.97 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 10 — — $38,025.57 $82,979.87 $38,025.57 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 10 — — $37,687.91 $82,228.54 $37,687.91 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 10 — — $37,226.84 $81,202.58 $37,226.84 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 10 — — $37,152.32 $81,036.77 $37,152.32 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 10 — — $37,043.65 $80,794.96 $37,043.65 2026-03-31
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 4 4 — — $4,342.00 $37,446.26 $36,895.58 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 10 — — $36,412.58 $95,253.65 $36,776.71 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 16 10 — — $36,726.95 $80,090.26 $36,726.95 2026-03-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 5 4 — — $30,807.43 $45,883.07 $36,704.86 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 10 — — $36,583.35 $120,240.76 $36,583.35 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 10 — — $36,321.76 $79,188.67 $36,321.76 2026-03-31
245 MS_DRG Aicd Generator Procedures 16 10 — — $36,147.89 $78,801.77 $36,147.89 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 10 — — $36,041.55 $78,565.15 $36,041.55 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 10 — — $36,026.02 $78,530.60 $36,026.02 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 16 10 — — $35,887.86 $78,223.16 $35,887.86 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 16 10 — — $35,522.26 $77,409.65 $35,522.26 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 10 — — $35,512.17 $77,387.20 $35,512.17 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 10 — — $35,375.55 $77,083.21 $35,375.55 2026-03-31
69930 HCPCS Implant Cochlear Device 5 5 — — $4,342.00 $36,040.21 $35,333.54 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 10 — — $34,831.42 $75,872.44 $34,831.42 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 10 — — $34,323.77 $74,742.85 $34,323.77 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 10 — — $34,055.98 $74,146.97 $34,055.98 2026-03-31
5184 OTHER Level 4 Vascular Procedures 1 1 — — $33,927.90 $33,927.90 $33,927.90 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 16 10 — — $33,841.74 $73,670.26 $33,841.74 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 4 — — $7,332.00 $34,309.63 $33,805.07 2026-03-31
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 4 4 — — $4,342.00 $34,309.63 $33,805.07 2026-03-31
0408T HCPCS Insj/rplc Cardiac Modulj Sys 4 4 — — $4,342.00 $34,309.63 $33,805.07 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 4 4 — — $4,342.00 $34,309.63 $33,805.07 2026-03-31
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 4 4 — — $4,342.00 $34,309.63 $33,805.07 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 4 — — $7,332.00 $34,309.63 $33,805.07 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 10 — — $33,651.57 $73,247.10 $33,651.57 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 5 — — $4,533.00 $34,309.63 $33,636.89 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 10 — — $33,514.95 $72,943.11 $33,514.95 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 10 — — $33,459.06 $72,818.75 $33,459.06 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 10 — — $33,442.76 $72,782.48 $33,442.76 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 10 — — $33,347.29 $72,570.04 $33,347.29 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 16 10 — — $33,308.48 $72,483.68 $33,308.48 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 10 — — $33,247.93 $72,348.95 $33,247.93 2026-03-31
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 4 4 — — $4,342.00 $33,729.04 $33,233.02 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 4 — — $4,342.00 $33,729.04 $33,233.02 2026-03-31
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $4,342.00 $33,729.04 $33,233.02 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 4 — — $4,342.00 $33,729.04 $33,233.02 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 4 — — $4,342.00 $33,729.04 $33,233.02 2026-03-31
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 4 4 — — $4,342.00 $33,729.04 $33,233.02 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 10 — — $33,122.19 $72,069.15 $33,122.19 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 19 10 — — $1,792.71 $72,017.33 $33,098.90 2026-03-31
63685 HCPCS Insrt/redo Spine N Generator 5 5 — — $2,059.00 $33,729.04 $33,067.68 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 5 5 — — $2,059.00 $33,729.04 $33,067.68 2026-03-31
61886 HCPCS Implant Neurostim Arrays 5 5 — — $2,059.00 $33,729.04 $33,067.68 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 10 — — $32,970.05 $71,730.62 $32,970.05 2026-03-31
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $32,797.71 $32,797.71 $32,797.71 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 10 — — $32,756.59 $71,255.64 $32,756.59 2026-03-31
791 MS_DRG Prematurity With Major Problems 17 10 — — $12,840.95 $70,107.05 $32,240.40 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 10 — — $31,941.55 $69,442.08 $31,941.55 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 10 — — $31,659.01 $68,813.38 $31,659.01 2026-03-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 5 4 — — $26,197.62 $39,017.45 $31,212.60 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 10 — — $31,098.58 $67,566.34 $31,098.58 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 10 — — $30,961.19 $67,260.62 $30,961.19 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 4 — — $4,342.00 $31,352.37 $30,891.31 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 10 — — $30,778.78 $66,854.73 $30,778.78 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 10 — — $30,733.76 $66,754.55 $30,733.76 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 10 — — $30,705.04 $66,690.65 $30,705.04 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 10 — — $30,535.04 $66,312.39 $30,535.04 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 10 — — $29,942.79 $64,994.54 $29,942.79 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 10 — — $29,815.49 $64,711.28 $29,815.49 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 10 — — $29,746.40 $64,557.55 $29,746.40 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 10 — — $29,743.30 $64,550.65 $29,743.30 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 10 — — $29,661.80 $64,369.29 $29,661.80 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $29,558.67 $29,558.67 $29,558.67 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 10 — — $29,498.79 $64,006.58 $29,498.79 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 16 10 — — $29,244.97 $63,441.78 $29,244.97 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 10 — — $29,233.32 $63,415.88 $29,233.32 2026-03-31
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 4 4 — — $4,342.00 $29,658.87 $29,222.71 2026-03-31
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 4 4 — — $4,342.00 $29,658.87 $29,222.71 2026-03-31
22633 HCPCS Lumbar Spine Fusion Combined 4 4 — — $4,342.00 $29,658.87 $29,222.71 2026-03-31
22558 HCPCS Lumbar Spine Fusion 5 5 — — $4,342.00 $29,658.87 $29,077.32 2026-03-31
21243 HCPCS Reconstruction Of Jaw Joint 5 5 — — $3,964.00 $29,658.87 $29,077.32 2026-03-31
27702 HCPCS Reconstruct Ankle Joint 5 5 — — $4,342.00 $29,658.87 $29,077.32 2026-03-31
22630 HCPCS Lumbar Spine Fusion 5 5 — — $4,342.00 $29,658.87 $29,077.32 2026-03-31
20696 HCPCS Comp Multiplane Ext Fixation 5 5 — — $2,059.00 $29,658.87 $29,077.32 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 4 4 — — $4,342.00 $29,422.18 $28,989.50 2026-03-31
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 4 4 — — $4,342.00 $29,422.18 $28,989.50 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 10 — — $28,898.77 $62,671.45 $28,898.77 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 10 — — $28,877.04 $62,623.09 $28,877.04 2026-03-31
J9266 HCPCS Pegaspargase Injection 4 4 — — $28,424.06 $33,026.05 $28,850.42 2026-03-31
332 MS_DRG Rectal Resection With Mcc 16 10 — — $28,838.23 $62,536.73 $28,838.23 2026-03-31
265 MS_DRG Aicd Lead Procedures 16 10 — — $28,818.82 $62,493.55 $28,818.82 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 10 — — $2,923.71 $62,383.01 $28,769.14 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 10 — — $28,727.23 $62,289.74 $28,727.23 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 10 — — $28,544.04 $61,882.12 $28,544.04 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 10 — — $28,479.61 $61,738.76 $28,479.61 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 10 — — $28,451.67 $61,676.58 $28,451.67 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 10 — — $28,410.53 $61,585.04 $28,410.53 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 10 — — $28,387.24 $61,533.23 $28,387.24 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 10 — — $28,360.85 $61,474.50 $28,360.85 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 10 — — $28,338.34 $61,424.41 $28,338.34 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 4 4 — — $7,332.00 $28,570.01 $28,149.86 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 4 4 — — $7,332.00 $28,570.01 $28,149.86 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 10 — — $28,107.80 $60,911.44 $28,107.80 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 10 — — $28,051.91 $60,787.08 $28,051.91 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 5 — — $7,332.00 $28,570.01 $28,009.82 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 16 10 — — $27,810.51 $60,249.92 $27,810.51 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 10 — — $27,803.52 $60,234.37 $27,803.52 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 10 — — $27,679.33 $59,958.02 $27,679.33 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 10 — — $27,548.92 $59,667.85 $27,548.92 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 10 — — $27,424.73 $59,391.50 $27,424.73 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 10 — — $27,345.55 $59,215.32 $27,345.55 2026-03-31
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 2 2 — — $4,342.00 $50,223.15 $27,282.58 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 10 — — $27,215.15 $58,925.16 $27,215.15 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 10 — — $27,180.22 $58,847.43 $27,180.22 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 17 10 — — $7,493.14 $57,698.84 $26,664.03 2026-03-31
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 5 4 — — $22,144.47 $32,980.88 $26,383.56 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 10 — — $26,374.50 $57,054.60 $26,374.50 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 16 10 — — $26,287.57 $56,861.15 $26,287.57 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 10 — — $26,284.46 $56,854.24 $26,284.46 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 10 — — $25,982.51 $56,182.36 $25,982.51 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 10 — — $25,871.51 $55,935.37 $25,871.51 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 10 — — $20,388.34 $55,873.19 $25,843.57 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 10 — — $25,808.64 $55,795.47 $25,808.64 2026-03-31
652 MS_DRG Kidney Transplant 16 10 — — $25,801.65 $55,779.92 $25,801.65 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 10 — — $25,783.02 $55,738.47 $25,783.02 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 16 10 — — $25,734.12 $55,629.66 $25,734.12 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 10 — — $25,653.39 $55,450.03 $25,653.39 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 10 — — $25,516.78 $55,146.04 $25,516.78 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 10 — — $25,470.98 $55,044.14 $25,470.98 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 10 — — $25,446.92 $54,990.59 $25,446.92 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 10 — — $25,397.24 $54,880.05 $25,397.24 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 16 10 — — $25,299.44 $54,662.43 $25,299.44 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 10 — — $25,262.18 $54,579.52 $25,262.18 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 10 — — $25,192.32 $54,424.07 $25,192.32 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 10 — — $25,180.68 $54,398.16 $25,180.68 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 10 — — $25,123.24 $54,270.35 $25,123.24 2026-03-31
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 5 4 — — $21,068.27 $31,378.04 $25,101.34 2026-03-31
665 MS_DRG Prostatectomy With Mcc 16 10 — — $24,961.01 $53,909.37 $24,961.01 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 10 — — $24,910.55 $53,797.10 $24,910.55 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 10 — — $24,867.86 $53,702.10 $24,867.86 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 16 10 — — $24,497.60 $52,878.23 $24,497.60 2026-03-31
263 MS_DRG Vein Ligation And Stripping 16 10 — — $24,465.78 $52,807.41 $24,465.78 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 10 — — $24,277.93 $52,389.43 $24,277.93 2026-03-31
509 MS_DRG Arthroscopy 5 4 — — $20,370.13 $30,338.27 $24,269.56 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 10 — — $24,179.35 $52,170.08 $24,179.35 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 10 — — $24,176.25 $52,163.17 $24,176.25 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 10 — — $24,150.63 $52,106.17 $24,150.63 2026-03-31
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 4 — — $7,332.00 $24,313.36 $23,955.82 2026-03-31
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 4 4 — — $4,342.00 $24,313.36 $23,955.82 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 4 — — $7,332.00 $24,313.36 $23,955.82 2026-03-31
0409T HCPCS Insj/rplc Car Modulj Pls Gn 4 4 — — $4,342.00 $24,313.36 $23,955.82 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 4 — — $7,332.00 $24,313.36 $23,955.82 2026-03-31
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 4 4 — — $4,342.00 $24,313.36 $23,955.82 2026-03-31
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 4 4 — — $4,342.00 $24,313.36 $23,955.82 2026-03-31
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 4 4 — — $4,342.00 $24,313.36 $23,955.82 2026-03-31
0515T HCPCS Insj Wcs Lv Compl Sys 4 4 — — $4,342.00 $24,313.36 $23,955.82 2026-03-31
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 4 4 — — $4,342.00 $24,313.36 $23,955.82 2026-03-31
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 4 4 — — $4,342.00 $24,313.36 $23,955.82 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 10 — — $23,837.04 $51,408.38 $23,837.04 2026-03-31
33240 HCPCS Insrt Pulse Gen W/singl Lead 5 5 — — $4,533.00 $24,313.36 $23,836.63 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 16 10 — — $23,601.84 $50,885.04 $23,601.84 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 16 10 — — $23,586.32 $50,850.50 $23,586.32 2026-03-31
570 MS_DRG Skin Debridement With Mcc 16 10 — — $23,563.03 $50,798.68 $23,563.03 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 16 10 — — $23,399.25 $50,434.24 $23,399.25 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 17 10 — — $23,339.48 $50,301.25 $23,339.48 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 10 — — $23,259.53 $50,123.34 $23,259.53 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 10 — — $23,245.56 $50,092.25 $23,245.56 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 10 — — $23,146.20 $49,871.17 $23,146.20 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 17 10 — — $16,255.46 $49,846.99 $23,135.34 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 16 10 — — $23,102.73 $49,774.45 $23,102.73 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 10 — — $22,583.68 $49,574.09 $23,012.69 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 10 — — $22,859.78 $49,233.84 $22,859.78 2026-03-31
800 MS_DRG Splenic Procedures With Cc 16 10 — — $22,540.75 $48,523.96 $22,540.75 2026-03-31
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 5 4 — — $18,884.55 $28,125.72 $22,499.60 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 16 10 — — $22,462.35 $48,349.51 $22,462.35 2026-03-31
503 MS_DRG Foot Procedures With Mcc 16 10 — — $22,398.70 $48,207.88 $22,398.70 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 10 — — $22,249.67 $47,876.26 $22,249.67 2026-03-31
54401 HCPCS Insert Self-contd Prosthesis 5 5 — — $2,356.00 $22,654.71 $22,210.50 2026-03-31
54405 HCPCS Insert Multi-comp Penis Pros 5 5 — — $2,356.00 $22,654.71 $22,210.50 2026-03-31
54410 HCPCS Remove/replace Penis Prosth 5 5 — — $2,356.00 $22,654.71 $22,210.50 2026-03-31
53444 HCPCS Insert Tandem Cuff 5 5 — — $2,059.00 $22,654.71 $22,210.50 2026-03-31
54411 HCPCS Remov/replc Penis Pros Comp 5 5 — — $2,356.00 $22,654.71 $22,210.50 2026-03-31
53445 HCPCS Insert Uro/ves Nck Sphincter 5 5 — — $1,534.00 $22,654.71 $22,210.50 2026-03-31
53447 HCPCS Remove/replace Ur Sphincter 5 5 — — $1,534.00 $22,654.71 $22,210.50 2026-03-31
54416 HCPCS Remv/repl Penis Contain Pros 5 5 — — $1,534.00 $22,654.71 $22,210.50 2026-03-31
54417 HCPCS Remv/replc Penis Pros Compl 5 5 — — $1,534.00 $22,654.71 $22,210.50 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 17 10 — — $21,941.22 $47,620.63 $22,134.79 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 10 — — $21,372.19 $47,475.55 $22,069.59 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 16 10 — — $22,064.15 $47,463.46 $22,064.15 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 10 — — $21,953.93 $47,218.19 $21,953.93 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 10 — — $21,853.02 $46,993.66 $21,853.02 2026-03-31
849 MS_DRG Radiotherapy 16 10 — — $21,765.31 $46,798.48 $21,765.31 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 10 — — $21,739.69 $46,741.49 $21,739.69 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 10 — — $21,671.38 $46,589.49 $21,671.38 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 10 — — $21,381.08 $45,943.52 $21,381.08 2026-03-31
77 MS_DRG Hypertensive Encephalopathy With Mcc 5 4 — — $17,931.28 $26,705.97 $21,363.85 2026-03-31
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