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

SAINT JAMES HOSPITAL

Pontiac, IL · CCN 140161 · Rates published

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You selected 93350 (HCPCS)

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This hospital’s price: $591 across 3 payers · range $586-$597

Source: https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662570_osf-saint-james-john-w-albrecht-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.

10,925 distinct procedures filed
16 distinct payers
63,293 rate rows
2026-03-31 last MRF observed
Data quality

42,414 of 63,293 rate rows are consumer-grade (67.0%)

20,879 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 18,212
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662570_osf-saint-james-john-w-albrecht-medical-center_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-21
Content fingerprint b1effc0a49a7dd8b… · 18,322,462 bytes · first seen 2026-09-21

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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,524,941.44 $2,638,829.00 $2,600,022.69 nat. median
$2,467,386
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $520,800.00 $600,264.70 $591,437.29 nat. median
$646,415
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $339,443.34 $675,163.08 $342,837.77 nat. median
$359,454
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $220,285.07 $479,591.02 $222,487.92 nat. median
$249,036
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $167,828.05 $466,496.27 $169,506.33 nat. median
$198,418
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $166,843.11 $377,326.67 $168,511.54 nat. median
$190,559
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $156,829.06 $156,829.06 $156,829.06 nat. median
$70,732
outlier · 2.2×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $135,506.51 $135,506.51 $135,506.51 nat. median
$47,543
outlier · 2.9×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $125,464.66 $125,464.66 $125,464.66 nat. median
$39,452
outlier · 3.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $117,378.45 $117,378.45 $117,378.45 nat. median
$52,712
outlier · 2.2×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $113,283.13 $113,283.13 $113,283.13 nat. median
$38,225
outlier · 3.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $108,880.51 $260,160.60 $109,969.32 nat. median
$126,695
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $108,246.28 $108,246.28 $108,246.28 nat. median
$49,540
outlier · 2.2×
7
MS_DRG 		Lung Transplant 10 $101,796.53 $217,090.75 $102,814.50 nat. median
$117,974
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $94,468.08 $202,835.01 $95,412.76 nat. median
$110,307
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $92,360.55 $92,360.55 $92,360.55 nat. median
$32,619
outlier · 2.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $89,074.91 $216,696.08 $89,965.66 nat. median
$104,013
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $88,972.72 $176,969.44 $89,862.45 nat. median
$92,678
1.0× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $89,511.17 $89,511.17 $89,511.17 nat. median
$34,024
outlier · 2.6×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $88,856.35 $88,856.35 $88,856.35 nat. median
$31,634
outlier · 2.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $86,633.40 $172,316.46 $87,499.73 nat. median
$93,276
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $85,477.11 $190,619.85 $86,331.88 nat. median
$97,323
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $81,046.86 $183,174.30 $81,857.33 nat. median
$95,038
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $81,509.91 $81,509.91 $81,509.91 nat. median
$38,810
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 10 $78,268.14 $180,781.53 $79,050.82 nat. median
$93,901
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $76,898.82 $171,764.40 $77,667.81 nat. median
$90,551
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $70,820.99 $140,865.10 $71,529.20 nat. median
$78,049
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $68,068.99 $135,391.28 $68,749.68 nat. median
$78,268
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $9,024.00 $68,754.13 $67,743.04 nat. median
$12,842
outlier · 5.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $66,264.19 $143,622.81 $66,926.83 nat. median
$77,028
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $66,055.89 $149,183.52 $66,716.45 nat. median
$77,632
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $64,737.51 $64,737.51 $64,737.51 nat. median
$31,588
outlier · 2.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $61,853.60 $149,590.58 $62,472.14 nat. median
$74,370
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $60,356.16 $136,472.82 $60,959.72 nat. median
$72,398
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $60,095.97 $138,037.32 $60,696.93 nat. median
$71,748
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $59,897.10 $128,000.79 $60,496.07 nat. median
$67,976
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $56,742.63 $112,862.81 $57,310.06 nat. median
$63,648
0.9× median
10
MS_DRG 		Pancreas Transplant 10 $56,405.41 $112,192.07 $56,969.46 nat. median
$64,933
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $56,381.83 $122,464.85 $56,945.65 nat. median
$61,308
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $56,082.34 $141,468.96 $56,643.16 nat. median
$66,715
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $56,049.33 $124,519.59 $56,609.82 nat. median
$66,649
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $54,330.99 $123,264.80 $54,874.30 nat. median
$62,655
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $54,064.52 $121,314.48 $54,605.17 nat. median
$63,873
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $52,910.58 $107,784.36 $53,439.69 nat. median
$61,728
0.9× median
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 $53,267.44 $53,267.44 $53,267.44 nat. median
$18,381
outlier · 2.9×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $52,560.00 $104,543.43 $53,085.60 nat. median
$57,556
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $52,521.48 $104,466.82 $53,046.69 nat. median
$60,596
0.9× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 $53,012.59 $53,012.59 $53,012.59 nat. median
$20,454
outlier · 2.6×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $51,685.90 $112,653.08 $52,202.76 nat. median
$62,031
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $51,685.90 $102,804.82 $52,202.76 nat. median
$59,546
0.9× median

Other procedures at this hospital

Browse this hospital's 10,925 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 3 — — $2,524,941.44 $2,638,829.00 $2,600,022.69 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $520,800.00 $600,264.70 $591,437.29 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 10 — — $339,443.34 $675,163.08 $342,837.77 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 10 — — $220,285.07 $479,591.02 $222,487.92 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 10 — — $167,828.05 $466,496.27 $169,506.33 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 10 — — $166,843.11 $377,326.67 $168,511.54 2026-03-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $156,829.06 $156,829.06 $156,829.06 2026-03-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $135,506.51 $135,506.51 $135,506.51 2026-03-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $125,464.66 $125,464.66 $125,464.66 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $117,378.45 $117,378.45 $117,378.45 2026-03-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $113,283.13 $113,283.13 $113,283.13 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 10 — — $108,880.51 $260,160.60 $109,969.32 2026-03-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $108,246.28 $108,246.28 $108,246.28 2026-03-31
7 MS_DRG Lung Transplant 14 10 — — $101,796.53 $217,090.75 $102,814.50 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 14 10 — — $94,468.08 $202,835.01 $95,412.76 2026-03-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $92,360.55 $92,360.55 $92,360.55 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 10 — — $89,074.91 $216,696.08 $89,965.66 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 13 10 — — $88,972.72 $176,969.44 $89,862.45 2026-03-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $89,511.17 $89,511.17 $89,511.17 2026-03-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $88,856.35 $88,856.35 $88,856.35 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $86,633.40 $172,316.46 $87,499.73 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 10 — — $85,477.11 $190,619.85 $86,331.88 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 10 — — $81,046.86 $183,174.30 $81,857.33 2026-03-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $81,509.91 $81,509.91 $81,509.91 2026-03-31
215 MS_DRG Other Heart Assist System Implant 14 10 — — $78,268.14 $180,781.53 $79,050.82 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $76,898.82 $171,764.40 $77,667.81 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 10 — — $70,820.99 $140,865.10 $71,529.20 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 13 10 — — $68,068.99 $135,391.28 $68,749.68 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 4 4 — — $9,024.00 $68,754.13 $67,743.04 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 10 — — $66,264.19 $143,622.81 $66,926.83 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $66,055.89 $149,183.52 $66,716.45 2026-03-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $64,737.51 $64,737.51 $64,737.51 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 10 — — $61,853.60 $149,590.58 $62,472.14 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $60,356.16 $136,472.82 $60,959.72 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $60,095.97 $138,037.32 $60,696.93 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 10 — — $59,897.10 $128,000.79 $60,496.07 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $56,742.63 $112,862.81 $57,310.06 2026-03-31
10 MS_DRG Pancreas Transplant 14 10 — — $56,405.41 $112,192.07 $56,969.46 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 10 — — $56,381.83 $122,464.85 $56,945.65 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 10 — — $56,082.34 $141,468.96 $56,643.16 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 10 — — $56,049.33 $124,519.59 $56,609.82 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 10 — — $54,330.99 $123,264.80 $54,874.30 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 10 — — $54,064.52 $121,314.48 $54,605.17 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 10 — — $52,910.58 $107,784.36 $53,439.69 2026-03-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $53,267.44 $53,267.44 $53,267.44 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 10 — — $52,560.00 $104,543.43 $53,085.60 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 10 — — $52,521.48 $104,466.82 $53,046.69 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $53,012.59 $53,012.59 $53,012.59 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $51,685.90 $112,653.08 $52,202.76 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $51,685.90 $102,804.82 $52,202.76 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $51,498.03 $110,047.93 $52,013.01 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 10 — — $50,580.70 $122,257.78 $51,086.51 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 10 — — $48,172.99 $110,543.48 $48,654.72 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 10 — — $48,117.18 $121,631.27 $48,598.35 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 10 — — $47,655.76 $105,278.32 $48,132.32 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 14 10 — — $47,228.93 $106,649.92 $47,701.22 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 10 — — $47,215.57 $109,908.12 $47,687.73 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 4 4 — — $11,563.00 $48,145.04 $47,437.02 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 4 4 — — $14,185.00 $48,145.04 $47,437.02 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $46,873.63 $107,520.66 $47,342.37 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 10 — — $46,719.56 $106,189.77 $47,186.76 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 10 — — $46,611.09 $109,320.55 $47,077.20 2026-03-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $47,014.74 $47,014.74 $47,014.74 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 10 — — $46,130.80 $104,074.86 $46,592.11 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 10 — — $46,100.93 $107,014.50 $46,561.94 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 10 — — $45,332.95 $90,168.61 $45,786.28 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $45,043.68 $100,326.42 $45,494.12 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 10 — — $44,859.74 $89,227.38 $45,308.34 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 — — $44,801.57 $100,236.16 $45,249.59 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $44,192.37 $87,899.97 $44,634.29 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 10 — — $44,055.60 $93,121.57 $44,496.16 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $43,753.75 $87,027.54 $44,191.29 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 10 — — $43,414.17 $120,673.81 $43,848.31 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 14 10 — — $43,153.99 $99,091.10 $43,585.53 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 10 — — $43,001.49 $97,431.03 $43,431.50 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 10 — — $42,940.18 $91,992.43 $43,369.58 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 10 — — $42,872.58 $91,256.20 $43,301.31 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 10 — — $42,701.22 $109,320.55 $43,128.23 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $41,919.08 $92,818.93 $42,338.27 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 10 — — $41,893.93 $83,328.30 $42,312.87 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 10 — — $41,612.52 $108,690.50 $42,028.65 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 10 — — $41,474.96 $89,497.02 $41,889.71 2026-03-31
J9226 HCPCS Supprelin La Implant 4 3 — — $41,173.43 $50,600.69 $41,791.03 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 10 — — $40,917.64 $91,792.45 $41,326.82 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 14 10 — — $40,846.90 $95,809.89 $41,255.37 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $39,619.07 $82,270.92 $40,015.26 2026-03-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $39,979.78 $39,979.78 $39,979.78 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 10 — — $39,204.03 $106,647.75 $39,596.07 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 10 — — $38,889.60 $89,174.91 $39,278.50 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 10 — — $637.14 $88,477.61 $39,208.63 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 — — $38,687.59 $85,070.75 $39,074.47 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $38,526.44 $100,579.50 $38,911.70 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 14 10 — — $37,956.55 $87,056.46 $38,336.12 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 10 — — $37,764.75 $85,729.11 $38,142.40 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 10 — — $37,422.81 $86,369.78 $37,797.04 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 10 — — $36,955.89 $79,596.76 $37,325.45 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 10 — — $36,880.43 $83,895.60 $37,249.23 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 10 — — $36,770.38 $81,901.03 $37,138.08 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 14 10 — — $36,449.67 $85,603.46 $36,814.17 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 10 — — $36,131.31 $79,938.33 $36,673.28 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 10 — — $36,304.25 $84,638.92 $36,667.29 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 10 — — $36,039.34 $79,674.63 $36,399.73 2026-03-31
245 MS_DRG Aicd Generator Procedures 14 10 — — $35,863.27 $80,196.72 $36,221.90 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 10 — — $35,755.58 $78,373.82 $36,113.14 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 10 — — $35,739.86 $78,154.37 $36,097.26 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 14 10 — — $35,599.94 $87,686.51 $35,955.94 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 14 10 — — $35,229.70 $83,421.29 $35,582.00 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 10 — — $35,219.48 $72,855.59 $35,571.67 2026-03-31
69930 HCPCS Implant Cochlear Device 4 4 — — $14,185.00 $36,040.21 $35,510.21 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 10 — — $35,081.14 $77,196.91 $35,431.95 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 10 — — $34,530.11 $75,724.43 $34,875.41 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 10 — — $34,016.02 $73,269.72 $34,356.18 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 10 — — $33,744.83 $76,150.95 $34,082.28 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 14 10 — — $33,527.88 $66,864.81 $33,863.16 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 4 — — $14,185.00 $34,309.63 $33,805.07 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 4 — — $14,185.00 $34,309.63 $33,805.07 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 4 4 — — $14,185.00 $34,309.63 $33,805.07 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 4 — — $14,185.00 $34,309.63 $33,805.07 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 4 — — $14,185.00 $34,309.63 $33,805.07 2026-03-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 4 — — $14,185.00 $34,309.63 $33,805.07 2026-03-31
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $33,794.33 $33,794.33 $33,794.33 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 10 — — $33,335.29 $66,304.91 $33,668.64 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 10 — — $33,196.95 $73,598.90 $33,528.92 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 10 — — $33,140.35 $70,878.72 $33,471.75 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 10 — — $33,123.84 $71,584.87 $33,455.08 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 10 — — $2,185.00 $65,692.02 $33,357.43 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 14 10 — — $32,987.85 $76,593.40 $33,317.73 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 10 — — $32,926.54 $71,521.16 $33,255.81 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 4 — — $12,985.00 $33,729.04 $33,233.02 2026-03-31
63685 HCPCS Insrt/redo Spine N Generator 4 4 — — $12,985.00 $33,729.04 $33,233.02 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 4 4 — — $12,985.00 $33,729.04 $33,233.02 2026-03-31
61886 HCPCS Implant Neurostim Arrays 4 4 — — $14,185.00 $33,729.04 $33,233.02 2026-03-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $6,314.00 $33,729.04 $33,233.02 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $32,799.20 $80,189.64 $33,127.19 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 14 10 — — $32,775.62 $74,496.19 $33,103.38 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 10 — — $32,645.13 $69,215.11 $32,971.58 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 10 — — $32,428.96 $68,969.11 $32,753.25 2026-03-31
791 MS_DRG Prematurity With Major Problems 14 10 — — $31,906.23 $72,521.09 $32,225.29 2026-03-31
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $32,151.96 $32,151.96 $32,151.96 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 10 — — $31,603.60 $62,860.52 $31,919.64 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 10 — — $31,317.47 $62,291.40 $31,630.64 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $30,749.94 $67,054.18 $31,057.44 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 10 — — $30,610.80 $60,885.82 $30,916.91 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 4 — — $14,185.00 $31,352.37 $30,891.31 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 10 — — $30,426.08 $69,046.98 $30,730.34 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 10 — — $30,380.49 $66,040.09 $30,684.29 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 10 — — $30,351.40 $68,146.15 $30,654.91 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 10 — — $30,179.26 $65,827.71 $30,481.05 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 10 — — $29,579.49 $68,636.38 $29,875.28 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 10 — — $29,450.58 $58,856.47 $29,745.09 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 10 — — $29,380.62 $71,814.94 $29,674.43 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 10 — — $29,377.47 $64,629.56 $29,671.24 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 10 — — $29,294.94 $71,048.62 $29,587.89 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 10 — — $29,129.86 $61,206.76 $29,421.16 2026-03-31
22630 HCPCS Lumbar Spine Fusion 4 4 — — $11,563.00 $29,658.87 $29,222.71 2026-03-31
20696 HCPCS Comp Multiplane Ext Fixation 4 4 — — $7,432.00 $29,658.87 $29,222.71 2026-03-31
21243 HCPCS Reconstruction Of Jaw Joint 4 4 — — $9,024.00 $29,658.87 $29,222.71 2026-03-31
22633 HCPCS Lumbar Spine Fusion Combined 4 4 — — $11,338.00 $29,658.87 $29,222.71 2026-03-31
27702 HCPCS Reconstruct Ankle Joint 4 4 — — $8,908.00 $29,658.87 $29,222.71 2026-03-31
22558 HCPCS Lumbar Spine Fusion 4 4 — — $11,563.00 $29,658.87 $29,222.71 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 14 10 — — $28,872.82 $57,628.23 $29,161.55 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 10 — — $28,861.03 $61,272.25 $29,149.64 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 4 4 — — $14,185.00 $29,422.18 $28,989.50 2026-03-31
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $28,819.42 $28,819.42 $28,819.42 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 10 — — $28,522.24 $56,904.38 $28,807.46 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 10 — — $28,500.23 $63,380.08 $28,785.23 2026-03-31
332 MS_DRG Rectal Resection With Mcc 14 10 — — $28,460.93 $64,673.80 $28,745.54 2026-03-31
265 MS_DRG Aicd Lead Procedures 14 10 — — $28,441.28 $62,546.50 $28,725.69 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 10 — — $28,390.97 $64,365.86 $28,674.88 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $28,348.52 $56,644.22 $28,632.01 2026-03-31
J9266 HCPCS Pegaspargase Injection 4 3 — — $27,240.78 $28,992.54 $28,566.18 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 10 — — $28,163.01 $64,001.28 $28,444.64 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 10 — — $28,097.77 $68,795.67 $28,378.75 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 11 — — $28,069.47 $63,270.35 $28,350.16 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 10 — — $28,027.81 $65,875.50 $28,308.09 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 10 — — $28,004.22 $62,388.99 $28,284.26 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 10 — — $27,977.50 $67,705.47 $28,257.28 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 10 — — $27,954.70 $61,167.83 $28,234.25 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 4 4 — — $11,338.00 $28,570.01 $28,149.86 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 4 4 — — $11,338.00 $28,570.01 $28,149.86 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 4 4 — — $11,338.00 $28,570.01 $28,149.86 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 10 — — $27,721.24 $61,700.54 $27,998.45 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 10 — — $27,664.65 $64,114.54 $27,941.30 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 14 10 — — $27,420.18 $59,355.55 $27,694.38 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 10 — — $27,413.11 $70,043.37 $27,687.24 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 10 — — $27,287.34 $60,275.85 $27,560.21 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 10 — — $27,155.28 $59,624.56 $27,426.83 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 10 — — $27,029.51 $53,762.51 $27,299.81 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 10 — — $26,949.33 $59,760.84 $27,218.82 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 10 — — $26,817.27 $60,672.28 $27,085.44 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 10 — — $26,781.90 $56,647.76 $27,049.72 2026-03-31
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $26,739.91 $26,739.91 $26,739.91 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 14 10 — — $26,259.17 $57,801.67 $26,521.76 2026-03-31
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 4 2 — — $4,915.27 $50,288.95 $26,467.60 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 10 — — $25,965.97 $53,809.00 $26,225.63 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 14 10 — — $25,877.93 $59,741.37 $26,136.71 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 10 — — $25,874.78 $57,355.68 $26,133.53 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 10 — — $25,569.01 $58,672.41 $25,824.70 2026-03-31
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $25,718.73 $25,718.73 $25,718.73 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 10 — — $25,456.60 $59,150.26 $25,711.17 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 10 — — $25,428.30 $55,309.79 $25,682.58 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 10 — — $25,392.93 $50,507.30 $25,646.86 2026-03-31
652 MS_DRG Kidney Transplant 14 10 — — $25,385.85 $53,171.87 $25,639.71 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 10 — — $25,366.99 $58,297.21 $25,620.66 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 14 10 — — $25,317.47 $56,907.92 $25,570.64 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 10 — — $25,235.72 $50,194.60 $25,488.08 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 10 — — $25,097.37 $61,148.36 $25,348.34 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 10 — — $25,050.99 $55,952.23 $25,301.50 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 10 — — $25,026.62 $55,529.24 $25,276.89 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 10 — — $24,976.32 $69,423.94 $25,226.08 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 14 10 — — $24,877.27 $57,391.07 $25,126.04 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 10 — — $24,839.54 $55,815.95 $25,087.94 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 10 — — $24,768.80 $52,538.28 $25,016.49 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 10 — — $24,757.01 $56,272.56 $25,004.58 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 10 — — $24,698.84 $49,126.73 $24,945.83 2026-03-31
665 MS_DRG Prostatectomy With Mcc 14 10 — — $24,534.55 $54,670.89 $24,779.90 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 — — $24,483.46 $53,118.78 $24,728.29 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 10 — — $24,440.22 $52,263.96 $24,684.62 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 14 10 — — $24,065.27 $53,035.60 $24,305.92 2026-03-31
263 MS_DRG Vein Ligation And Stripping 14 10 — — $24,033.04 $50,000.39 $24,273.37 2026-03-31
509 MS_DRG Arthroscopy 1 1 — — $24,177.24 $24,177.24 $24,177.24 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 10 — — $23,842.82 $58,930.80 $24,081.25 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 10 — — $23,742.99 $48,149.18 $23,980.42 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 10 — — $23,739.84 $51,699.40 $23,977.24 2026-03-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 4 — — $14,185.00 $24,313.36 $23,955.82 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 4 — — $14,185.00 $24,313.36 $23,955.82 2026-03-31
0515T OTHER Insj Wcs Lv Compl Sys 4 4 — — $14,185.00 $24,313.36 $23,955.82 2026-03-31
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 4 — — $14,185.00 $24,313.36 $23,955.82 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 4 — — $14,185.00 $24,313.36 $23,955.82 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 4 — — $14,185.00 $24,313.36 $23,955.82 2026-03-31
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 4 — — $14,185.00 $24,313.36 $23,955.82 2026-03-31
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 4 4 — — $14,185.00 $24,313.36 $23,955.82 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 10 — — $23,713.90 $47,167.67 $23,951.04 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 10 — — $23,396.33 $54,421.35 $23,630.29 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 14 10 — — $23,158.16 $52,304.67 $23,389.74 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 14 10 — — $23,142.43 $46,031.00 $23,373.85 2026-03-31
570 MS_DRG Skin Debridement With Mcc 14 10 — — $23,118.85 $51,717.10 $23,350.04 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 14 10 — — $22,952.99 $49,872.96 $23,182.52 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 10 — — $22,892.47 $52,189.63 $23,121.39 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 10 — — $22,811.50 $51,754.26 $23,039.62 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 10 — — $22,797.35 $51,101.21 $23,025.32 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 10 — — $22,696.74 $46,059.05 $22,923.71 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 14 10 — — $22,685.73 $51,616.22 $22,912.59 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 14 10 — — $22,652.72 $47,531.52 $22,879.25 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 10 — — $22,561.54 $52,991.35 $22,787.16 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 10 — — $22,406.68 $49,717.22 $22,630.75 2026-03-31
53444 HCPCS Insert Tandem Cuff 4 4 — — $11,563.00 $22,654.71 $22,321.55 2026-03-31
53445 HCPCS Insert Uro/ves Nck Sphincter 4 4 — — $11,338.00 $22,654.71 $22,321.55 2026-03-31
53447 HCPCS Remove/replace Ur Sphincter 4 4 — — $11,338.00 $22,654.71 $22,321.55 2026-03-31
54417 HCPCS Remv/replc Penis Pros Compl 4 4 — — $3,541.00 $22,654.71 $22,321.55 2026-03-31
54416 HCPCS Remv/repl Penis Contain Pros 4 4 — — $11,338.00 $22,654.71 $22,321.55 2026-03-31
54410 HCPCS Remove/replace Penis Prosth 4 4 — — $11,338.00 $22,654.71 $22,321.55 2026-03-31
54411 HCPCS Remov/replc Penis Pros Comp 4 4 — — $1,766.00 $22,654.71 $22,321.55 2026-03-31
54401 HCPCS Insert Self-contd Prosthesis 4 4 — — $11,338.00 $22,654.71 $22,321.55 2026-03-31
54405 HCPCS Insert Multi-comp Penis Pros 4 4 — — $11,338.00 $22,654.71 $22,321.55 2026-03-31
800 MS_DRG Splenic Procedures With Cc 14 10 — — $22,083.61 $49,867.65 $22,304.45 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 14 10 — — $22,004.22 $48,448.28 $22,224.26 2026-03-31
503 MS_DRG Foot Procedures With Mcc 14 10 — — $21,939.76 $47,464.27 $22,159.16 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 10 — — $21,788.84 $43,965.37 $22,006.73 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 10 — — $21,672.50 $49,603.95 $21,889.22 2026-03-31
5361 OTHER Level 1 Laparoscopy And Related Services 10 6 — — $3,043.20 $49,255.85 $21,825.76 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 10 — — $10,934.79 $47,851.85 $21,822.53 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 14 10 — — $21,600.97 $47,246.58 $21,816.98 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 10 — — $21,489.35 $48,391.64 $21,704.24 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 10 — — $21,387.16 $50,876.44 $21,601.03 2026-03-31
849 MS_DRG Radiotherapy 14 10 — — $21,298.33 $47,632.40 $21,511.31 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 10 — — $21,272.39 $45,890.91 $21,485.11 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 10 — — $21,203.22 $48,623.49 $21,415.25 2026-03-31
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 1 1 — — $21,235.83 $21,235.83 $21,235.83 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 10 — — $20,909.23 $50,373.82 $21,118.32 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 10 — — $20,836.13 $46,883.77 $21,044.49 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 14 10 — — $20,731.58 $49,193.36 $20,938.90 2026-03-31
64580 HCPCS Implant Neuroelectrodes 4 4 — — $11,563.00 $21,205.31 $20,893.47 2026-03-31
0680T OTHER Insj/rplcmt Pg Only Isdss 4 4 — — $6,314.00 $21,205.31 $20,893.47 2026-03-31
63655 HCPCS Implant Neuroelectrodes 4 4 — — $11,563.00 $21,205.31 $20,893.47 2026-03-31
64590 HCPCS Insrt/redo Pn/gastr Stimul 4 4 — — $12,985.00 $21,205.31 $20,893.47 2026-03-31
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 4 4 — — $12,985.00 $21,054.01 $20,744.39 2026-03-31
0525T OTHER Insj/rplcmt Compl Iims 4 4 — — $11,563.00 $21,054.01 $20,744.39 2026-03-31
33229 HCPCS Remv&replc Pm Gen Mult Leads 4 4 — — $11,563.00 $21,054.01 $20,744.39 2026-03-31
33221 HCPCS Insert Pulse Gen Mult Leads 4 4 — — $11,563.00 $21,054.01 $20,744.39 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 14 10 — — $20,403.01 $45,149.37 $20,607.04 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 10 — — $20,378.64 $43,253.91 $20,582.43 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 10 — — $20,302.39 $48,499.60 $20,505.41 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 14 10 — — $20,274.10 $40,325.79 $20,476.84 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 14 10 — — $20,274.10 $42,195.57 $20,476.84 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 14 10 — — $20,182.91 $44,549.41 $20,384.74 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 14 10 — — $20,068.15 $43,174.27 $20,268.83 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 10 — — $19,973.04 $45,818.35 $20,172.77 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 10 — — $19,935.30 $42,505.29 $20,134.65 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 14 10 — — $19,840.19 $45,136.98 $20,038.59 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 14 10 — — $19,831.54 $43,057.46 $20,029.86 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 10 — — $19,587.87 $42,475.20 $19,783.75 2026-03-31
C9774 HCPCS Revasc Lithotr-ather Tib/per 4 4 — — $11,563.00 $20,037.41 $19,742.75 2026-03-31
C9775 HCPCS Revasc Lith-sten-ath Tib/per 4 4 — — $11,563.00 $20,037.41 $19,742.75 2026-03-31
C9773 HCPCS Revasc Lithotr-stent Tib/per 4 4 — — $11,563.00 $20,037.41 $19,742.75 2026-03-31
C9766 HCPCS Revasc Intra Lithotrip-ather 4 4 — — $11,563.00 $20,037.41 $19,742.75 2026-03-31
C9765 HCPCS Revasc Intra Lithotrip-stent 4 4 — — $11,563.00 $20,037.41 $19,742.75 2026-03-31
C9767 HCPCS Revasc Lithotrip-stent-ather 4 4 — — $11,563.00 $20,037.41 $19,742.75 2026-03-31
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 4 4 — — $11,563.00 $20,037.41 $19,742.75 2026-03-31
C9602 HCPCS Perc D-e Cor Stent Ather S 4 4 — — $11,563.00 $20,037.41 $19,742.75 2026-03-31
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