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 →

Export CSV
Hospital

ST MARY MEDICAL CENTER INC

Hobart, IN · CCN 150034 · Rates published

5,947 distinct procedures filed
58 distinct payers
404,309 rate rows
2026-04-01 last MRF observed
Data quality

396,054 of 404,309 rate rows are consumer-grade (98.0%)

8,255 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
per-diem day rate — not a per-procedure price 7,061
exceeds 10× this hospital's gross charge — excluded from medians 941
percent-of-charges filed in the dollar field — excluded from medians 167
placeholder amount (≤ $0.02) — excluded from medians 41
exceeds 3× this hospital's gross charge for a DRG stay — excluded 29
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.powershealth.org/-/media/Files/PriceTransparency/352007327_St-Mary-Medical-Center_standardcharges.zip
Found on page https://www.powershealth.org/patients-and-visitors/patient-resources/standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 9b50dcdee6cc6b50… · 22,837,030 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
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 14 $225,930.03 $225,930.03 $225,930.03 nat. median
$95,473
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $161,448.20 $409,264.31 $196,333.10 nat. median
$202,986
1.0× median
950
APR_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 14 $139,690.31 $139,690.31 $139,690.31 nat. median
$29,203
outlier · 4.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $105,457.35 $267,082.69 $128,125.45 nat. median
$133,176
1.0× median
J0225
HCPCS 		Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 57 $5,009.56 $546,970.36 $125,318.50 nat. median
$8,223
outlier · 15.2×
178
APR_DRG 		External Heart Assist Devices,extreme 14 $89,952.64 $117,848.57 $103,900.61 nat. median
$49,651
outlier · 2.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $55,093.08 $152,557.89 $92,896.16 nat. median
$68,090
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 25 $75,886.33 $191,990.87 $92,102.25 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $74,563.60 $188,631.95 $90,490.90 nat. median
$93,672
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 32 $52,763.47 $146,073.98 $88,947.95 nat. median
$66,526
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 $52,506.07 $145,357.54 $88,511.70 nat. median
$65,950
1.3× median
165
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis,major 14 $87,058.20 $87,058.20 $87,058.20 nat. median
$50,671
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 32 $49,140.74 $135,990.95 $82,808.15 nat. median
$62,134
1.3× median
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 14 $60,049.90 $100,906.47 $80,478.18 nat. median
$60,050
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 25 $64,290.74 $162,545.33 $77,976.58 nat. median
$79,312
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 $45,890.09 $126,943.48 $77,298.94 nat. median
$59,099
1.3× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 $45,559.79 $126,024.16 $76,739.13 nat. median
$58,024
1.3× median
710
APR_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 14 $47,664.93 $100,194.12 $73,929.52 nat. median
$28,922
outlier · 2.6×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 32 $42,546.05 $117,636.07 $71,631.43 nat. median
$50,270
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 $58,583.67 $148,052.98 $71,024.28 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 $58,332.33 $147,414.75 $70,718.10 nat. median
$73,807
1.0× median
834
MS_DRG 		Acute Leukemia With Mcc 32 $41,966.68 $116,023.55 $70,649.52 nat. median
$53,173
1.3× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 $41,694.85 $115,266.95 $70,188.81 nat. median
$52,857
1.3× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 $40,773.78 $112,703.40 $68,627.80 nat. median
$52,879
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 32 $40,344.78 $111,509.32 $67,900.70 nat. median
$51,307
1.3× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 32 $39,806.41 $110,010.92 $66,988.29 nat. median
$49,191
1.4× median
653
MS_DRG 		Major Bladder Procedures With Mcc 32 $39,738.08 $109,820.72 $66,872.47 nat. median
$51,418
1.3× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 32 $38,151.08 $105,403.71 $64,182.85 nat. median
$48,178
1.3× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 32 $37,847.37 $104,558.35 $63,668.09 nat. median
$50,673
1.3× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 $37,780.54 $104,372.37 $63,554.84 nat. median
$48,170
1.3× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 $37,652.21 $104,015.21 $63,337.36 nat. median
$47,740
1.3× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 $51,052.73 $128,929.09 $61,850.13 nat. median
$60,691
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $50,208.35 $126,784.93 $60,821.53 nat. median
$64,510
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 $50,026.89 $126,324.09 $60,600.45 nat. median
$59,793
1.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 32 $35,349.95 $97,607.38 $59,435.48 nat. median
$46,109
1.3× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 32 $35,182.91 $97,142.43 $59,152.36 nat. median
$44,810
1.3× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 $34,819.95 $96,132.23 $58,537.22 nat. median
$43,966
1.3× median
799
MS_DRG 		Splenic Procedures With Mcc 32 $34,669.60 $95,713.77 $58,282.41 nat. median
$45,384
1.3× median
163
MS_DRG 		Major Chest Procedures With Mcc 32 $34,311.95 $94,718.36 $57,676.28 nat. median
$44,938
1.3× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 32 $33,636.18 $92,837.44 $56,530.94 nat. median
$42,444
1.3× median
952
APR_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 14 $56,517.08 $56,517.08 $56,517.08 nat. median
$8,437
outlier · 6.7×
169
APR_DRG 		Major Abdominal Vascular Procedures,major 14 $56,049.15 $56,049.15 $56,049.15 nat. median
$39,932
1.4× median
317
APR_DRG 		Tendon, Muscle And Other Soft Tissue Procedures,extreme 14 $55,737.19 $55,737.19 $55,737.19 nat. median
$17,471
outlier · 3.2×
166
APR_DRG 		Coronary Bypass Without Ami Or Complex Principal Diagnosis,major 14 $49,313.15 $62,119.42 $55,716.29 nat. median
$43,807
1.3× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 $33,139.57 $91,455.27 $55,689.31 nat. median
$41,311
1.3× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 $32,877.60 $90,726.15 $55,245.33 nat. median
$42,295
1.3× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 32 $32,668.04 $90,142.85 $54,890.15 nat. median
$40,208
1.4× median
A9543
CPT 		Hc Y-90 Zevalin Per Dose 43 $36,016.60 $80,165.58 $54,423.47 nat. median
$62,507
0.9× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 $32,348.35 $89,253.11 $54,348.36 nat. median
$41,527
1.3× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 25 $44,842.23 $113,158.35 $54,284.55 nat. median
$57,424
0.9× median

Other procedures at this hospital

Browse this hospital's 5,947 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0569T CPT Hc Ttvr - Tricuspid Valve Repr Initl Prosthesis 51 43 $50,652.00 $30,391.20 40% off $1,854.49 $44,675.06 $26,035.13 2026-04-01
0620T CPT Hc Endovascular Venous Arterialization Tibl/Prnl Vn 43 35 $72,100.00 $43,260.00 40% off $7,600.00 $63,592.20 $45,000.50 2026-04-01
0646T CPT Hc Ttvi/Replacement W /Prstc Vlv Perq Evoque 51 43 $46,505.00 $27,903.00 40% off $1,854.49 $41,017.41 $23,903.57 2026-04-01
0801T CPT Hc Removl/Replc Dual Leadls Pacmkr Rt Atr & Rt Vent 43 35 $50,290.00 $30,174.00 40% off $7,600.00 $44,355.78 $26,553.12 2026-04-01
100 MS_DRG Seizures With Mcc 42 34 $24,275.58 $14,565.35 40% off $14,987.22 $40,932.33 $23,684.16 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 32 $80,298.46 $48,179.08 40% off $41,694.85 $115,266.95 $70,188.81 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 40 32 $58,333.45 $35,000.07 40% off $32,293.68 $89,100.94 $54,255.70 2026-04-01
121 APR_DRG Other Respiratory And Chest Procedures,minor 28 14 $60,945.75 — $27,215.74 $31,780.91 $29,498.33 2026-04-01
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 28 14 $71,543.07 — $60,049.90 $100,906.47 $80,478.18 2026-04-01
136 APR_DRG Respiratory Malignancy,extreme 28 14 $115,392.85 — $21,307.87 $37,831.89 $29,569.88 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 40 32 $58,273.31 $34,963.99 40% off $32,668.04 $90,142.85 $54,890.15 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 40 32 $75,810.33 $45,486.20 40% off $16,842.25 $46,095.37 $28,068.58 2026-04-01
144 APR_DRG Respiratory Signs, Symptoms And Miscellaneous Diagnoses,extreme 14 14 $58,331.45 — $27,706.18 $27,706.18 $27,706.18 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 40 32 $84,810.96 $50,886.58 40% off $16,358.58 $44,749.13 $27,248.82 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 40 32 $120,003.28 $72,001.97 40% off $34,311.95 $94,718.36 $57,676.28 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 40 32 $73,204.70 $43,922.82 40% off $19,445.96 $53,342.22 $32,481.36 2026-04-01
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,major 14 14 $250,536.28 — $87,058.20 $87,058.20 $87,058.20 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 40 32 $47,187.10 $28,312.26 40% off $14,815.63 $40,454.70 $24,633.84 2026-04-01
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis,major 28 14 $247,677.18 — $49,313.15 $62,119.42 $55,716.29 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 32 $78,217.49 $46,930.49 40% off $28,661.85 $78,992.55 $48,100.46 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 40 32 $74,541.42 $44,724.85 40% off $13,974.29 $38,113.06 $23,207.95 2026-04-01
169 APR_DRG Major Abdominal Vascular Procedures,major 14 14 $120,283.55 — $56,049.15 $56,049.15 $56,049.15 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 32 $97,858.99 $58,715.39 40% off $22,881.15 $62,903.24 $38,303.29 2026-04-01
174 APR_DRG Percutaneous Cardiac Intervention With Ami,minor 28 14 $94,340.99 — $21,856.21 $27,825.18 $24,840.69 2026-04-01
175 APR_DRG Percutaneous Cardiac Intervention Without Ami,major 42 14 $132,507.15 — $25,972.74 $39,628.04 $36,018.04 2026-04-01
178 APR_DRG External Heart Assist Devices,extreme 28 14 $254,661.85 — $89,952.64 $117,848.57 $103,900.61 2026-04-01
181 APR_DRG Lower Extremity Vascular Procedures,major 28 14 $67,312.23 — $37,785.25 $49,081.59 $43,433.42 2026-04-01
182 APR_DRG Other Peripheral Vascular And Related Procedures,moderate 14 14 $137,624.31 — $30,740.52 $30,740.52 $30,740.52 2026-04-01
193 APR_DRG Acute And Subacute Endocarditis,extreme 14 14 $21,228.83 — $31,954.57 $31,954.57 $31,954.57 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 42 34 $32,505.16 $19,503.10 40% off $14,610.60 $39,884.08 $23,077.62 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 32 $103,890.67 $62,334.40 40% off $49,140.74 $135,990.95 $82,808.15 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 32 $68,522.80 $41,113.68 40% off $21,152.17 $58,091.03 $35,373.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 25 $278,936.38 $167,361.83 40% off $75,886.33 $191,990.87 $92,102.25 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 25 $296,138.18 $177,682.91 40% off $74,563.60 $188,631.95 $90,490.90 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 25 $222,389.77 $133,433.86 40% off $50,208.35 $126,784.93 $60,821.53 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 25 $298,177.48 $178,906.49 40% off $58,583.67 $148,052.98 $71,024.28 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 32 $146,999.46 $88,199.68 40% off $40,773.78 $112,703.40 $68,627.80 2026-04-01
227 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical,moderate 14 14 $81,965.67 — $24,620.39 $24,620.39 $24,620.39 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 40 32 $129,596.89 $77,758.13 40% off $37,847.37 $104,558.35 $63,668.09 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 40 32 $94,187.18 $56,512.31 40% off $24,195.52 $66,561.53 $40,530.92 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 25 $384,688.68 $230,813.21 40% off $64,290.74 $162,545.33 $77,976.58 2026-04-01
231 APR_DRG Major Large Bowel Procedures,extreme 42 14 $94,748.82 — $20,249.80 $59,581.97 $38,195.30 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 25 $241,948.50 $145,169.10 40% off $58,332.33 $147,414.75 $70,718.10 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 25 $210,003.57 $126,002.14 40% off $41,760.15 $105,331.78 $50,529.98 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 25 $225,619.29 $135,371.57 40% off $44,842.23 $113,158.35 $54,284.55 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 32 $151,489.28 $90,893.57 40% off $32,087.14 $88,526.10 $53,905.67 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 32 $68,593.91 $41,156.35 40% off $37,652.21 $104,015.21 $63,337.36 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 40 32 $85,596.26 $51,357.76 40% off $21,925.15 $60,242.47 $36,683.08 2026-04-01
240 APR_DRG Digestive Malignancy,major 17 14 $63,229.62 — $30,518.61 $30,518.61 $30,518.61 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 32 $80,415.31 $48,249.19 40% off $24,524.30 $67,476.64 $41,088.14 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 40 32 $65,161.55 $39,096.93 40% off $16,461.07 $45,034.44 $27,422.55 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 40 32 $64,075.95 $38,445.57 40% off $14,005.42 $38,199.71 $23,260.72 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 40 32 $111,736.41 $67,041.85 40% off $16,852.87 $46,124.96 $28,086.59 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 40 32 $139,306.02 $83,583.61 40% off $26,768.11 $73,721.73 $44,890.93 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 40 32 $102,128.41 $61,277.05 40% off $19,989.65 $54,855.41 $33,402.78 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 38 30 $51,723.64 $31,034.18 40% off $13,809.53 $37,654.45 $23,900.61 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 32 $60,467.17 $36,280.30 40% off $20,762.63 $57,006.85 $34,712.84 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 40 32 $66,148.94 $39,689.36 40% off $15,634.93 $42,735.06 $26,022.40 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 40 32 $54,909.08 $32,945.45 40% off $24,979.89 $68,744.68 $41,860.28 2026-04-01
263 MS_DRG Vein Ligation And Stripping 31 25 $241,294.40 $144,776.64 40% off $23,496.18 $58,952.79 $28,280.95 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 40 32 $155,896.87 $93,538.12 40% off $25,646.58 $70,600.24 $42,990.18 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 32 $134,156.57 $80,493.94 40% off $52,506.07 $145,357.54 $88,511.70 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 32 $137,853.71 $82,712.23 40% off $32,348.35 $89,253.11 $54,348.36 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 32 $129,004.75 $77,402.85 40% off $40,344.78 $111,509.32 $67,900.70 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 32 $116,436.16 $69,861.70 40% off $27,284.44 $75,158.84 $45,766.02 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 40 32 $83,269.83 $49,961.90 40% off $19,666.18 $53,955.10 $32,854.56 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 32 $175,306.83 $105,184.10 40% off $31,606.50 $87,188.32 $53,091.06 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 40 32 $105,235.80 $63,141.48 40% off $25,275.27 $69,566.79 $42,360.89 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 32 $124,269.75 $74,561.85 40% off $45,890.09 $126,943.48 $77,298.94 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 32 $166,565.38 $99,939.23 40% off $35,349.95 $97,607.38 $59,435.48 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 32 $42,308.10 $25,384.86 40% off $42,546.05 $117,636.07 $71,631.43 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 32 $93,104.77 $55,862.86 40% off $27,664.85 $76,217.66 $46,410.76 2026-04-01
281 APR_DRG Malignancy Of Hepatobiliary System And Pancreas,major 14 14 $39,072.03 — $24,993.45 $24,993.45 $24,993.45 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 40 32 $77,488.43 $46,493.06 40% off $15,321.32 $41,862.23 $25,490.92 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 40 32 $74,322.42 $44,593.45 40% off $17,082.96 $46,765.32 $28,476.52 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 40 32 $64,637.88 $38,782.73 40% off $20,829.45 $57,192.83 $34,826.09 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 32 $53,385.32 $32,031.19 40% off $26,185.70 $72,100.75 $43,903.88 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 25 $309,757.50 $185,854.50 40% off $161,448.20 $409,264.31 $196,333.10 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 40 32 $69,966.07 $41,979.64 40% off $16,949.31 $46,393.36 $28,250.03 2026-04-01
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,minor 28 14 $118,177.38 — $45,918.62 $52,373.21 $49,145.92 2026-04-01
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,minor 14 14 $90,018.19 — $46,938.10 $46,938.10 $46,938.10 2026-04-01
305 APR_DRG Amputation Of Lower Limb Except Toes,major 28 14 $70,448.79 — $24,609.14 $37,838.32 $31,223.73 2026-04-01
310 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,moderat… 14 14 $102,183.09 — $34,371.43 $34,371.43 $34,371.43 2026-04-01
314 APR_DRG Foot And Toe Procedures,major 28 14 $50,818.10 — $19,867.09 $30,946.34 $25,406.72 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 25 $242,276.07 $145,365.64 40% off $51,052.73 $128,929.09 $61,850.13 2026-04-01
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures,extreme 14 14 $108,125.70 — $55,737.19 $55,737.19 $55,737.19 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 32 $99,278.94 $59,567.36 40% off $20,940.31 $57,501.39 $35,013.98 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 32 $124,757.67 $74,854.60 40% off $33,139.57 $91,455.27 $55,689.31 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 40 32 $142,659.89 $85,595.93 40% off $24,206.90 $66,593.23 $40,550.22 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 32 $111,425.28 $66,855.17 40% off $38,151.08 $105,403.71 $64,182.85 2026-04-01
326 APR_DRG Elective Knee Joint Replacement,major 14 14 $56,224.50 — $32,141.10 $32,141.10 $32,141.10 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 40 32 $45,426.20 $27,255.72 40% off $18,840.03 $51,655.72 $31,454.41 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 32 $127,697.34 $76,618.40 40% off $35,182.91 $97,142.43 $59,152.36 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 40 32 $91,042.13 $54,625.28 40% off $18,483.15 $50,662.42 $30,849.57 2026-04-01
33231 CPT Hc Insert Icd Gen Only Multi Leads 54 49 $43,658.00 $26,194.80 40% off $521.47 $67,763.00 $32,068.73 2026-04-01
33249 CPT Hc Sngl/Dual Icd Lead Reposition 60 54 $43,740.00 $26,244.00 40% off $1,192.41 $67,763.00 $33,209.74 2026-04-01
33262 CPT Hc Remove&Replace Sngl Icd Gen Incl Subq 60 54 $36,774.00 $22,064.40 40% off $483.43 $67,763.00 $23,533.93 2026-04-01
33263 CPT Hc Remove&Replace Icd Gen Dual Leads 60 54 $36,774.00 $22,064.40 40% off $502.56 $67,763.00 $23,533.93 2026-04-01
33264 CPT Hc Remove&Replace Icd Gen Multi Leads 60 54 $43,740.00 $26,244.00 40% off $526.34 $67,763.00 $33,209.74 2026-04-01
33270 CPT Hc Insert/Replc Subq Ivf Systm Incl Drt Testng 60 54 $43,658.00 $26,194.80 40% off $734.71 $67,763.00 $33,209.74 2026-04-01
33289 CPT Hc Rhc W Pulm Art Sensor Implant 49 40 $36,033.00 $21,619.80 40% off $429.39 $31,781.11 $27,745.41 2026-04-01
33361 CPT Hc Tavr - Aortic Valve Replace 51 43 $50,652.00 $30,391.20 40% off $1,594.32 $44,675.06 $26,035.13 2026-04-01
33418 CPT Hc Tmvr - Transcath Mitral Valve Repair 51 43 $49,705.00 $29,823.00 40% off $1,854.49 $43,839.81 $25,548.37 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 32 $65,305.59 $39,183.35 40% off $27,395.29 $75,467.40 $45,953.91 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 40 32 $60,496.93 $36,298.16 40% off $16,292.51 $44,565.27 $27,136.86 2026-04-01
33880 CPT Hc Endovascular Repair Thoracic Aorta Involving Left Subclavian Artery Initial 34 26 $49,705.00 $29,823.00 40% off $2,374.50 $43,839.81 $33,729.81 2026-04-01
33881 CPT Hc Tevar - Repr Thoracic Suprarenal 34 26 $49,705.00 $29,823.00 40% off $2,038.96 $43,839.81 $33,729.81 2026-04-01
33883 CPT Hc Insert Endovasc Prosth Taa 34 26 $49,705.00 $29,823.00 40% off $1,470.85 $43,839.81 $33,729.81 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 32 $55,903.25 $33,541.95 40% off $29,671.74 $81,803.37 $49,812.04 2026-04-01
344 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,major 14 14 $75,364.86 — $25,884.30 $25,884.30 $25,884.30 2026-04-01
34451 CPT Hc Angiovac Thrombctmy,Vc,Iliac,Fempop 34 26 $51,189.00 $30,713.40 40% off $1,920.03 $45,148.70 $34,736.86 2026-04-01
346 APR_DRG Connective Tissue Disorders,extreme 28 14 $33,252.61 — $12,101.96 $42,101.18 $27,101.57 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 40 32 $131,358.82 $78,815.29 40% off $17,711.67 $48,515.21 $29,542.08 2026-04-01
34701 CPT Hc Aaa Rpr Infrenal Aorto-aortic Tube Nonruptr 34 26 $50,768.00 $30,460.80 40% off $1,649.10 $114,428.00 $37,720.62 2026-04-01
34702 CPT Hc Aaa Rpr Infrenal Aorto-aortic Tube Rupture 34 26 $50,768.00 $30,460.80 40% off $2,467.28 $114,428.00 $37,720.62 2026-04-01
34703 CPT Hc Aaa Rpr Infrenal Aorto-uni Iliac Nonruptr 34 26 $50,768.00 $30,460.80 40% off $1,821.36 $114,428.00 $37,720.62 2026-04-01
34704 CPT Hc Aaa Rpr Infrenal Aorto-uni Iliac Rupture 34 26 $50,768.00 $30,460.80 40% off $3,042.18 $114,428.00 $37,720.62 2026-04-01
34705 CPT Hc Aaa Rpr Infrenal Aorto-bi Iliac Nonruptr 34 26 $50,768.00 $30,460.80 40% off $2,032.70 $114,428.00 $37,720.62 2026-04-01
34706 CPT Hc Aaa Rpr Infrenal Aorto-bi Iliac Rupture 34 26 $50,768.00 $30,460.80 40% off $3,069.00 $114,428.00 $37,720.62 2026-04-01
34707 CPT Hc Aaa Rpr Iliac Ilio-iliac Tube Nonruptr Unilat 34 26 $50,768.00 $30,460.80 40% off $1,538.10 $114,428.00 $37,720.62 2026-04-01
34708 CPT Hc Aaa Rpr Iliac Ilio-iliac Tube Rupture Unilat 34 26 $50,768.00 $30,460.80 40% off $2,456.76 $114,428.00 $37,720.62 2026-04-01
34718 CPT Hc Repair Iliac Artery W Branch Endograft Incl Plasty/Stent & S&i Unilat 34 26 $50,768.00 $30,460.80 40% off $1,649.55 $44,777.38 $34,451.16 2026-04-01
34841 CPT Hc Aaa Repr Visceral Artery-1 34 26 $50,860.00 $30,516.00 40% off $7,600.00 $44,858.52 $34,513.60 2026-04-01
34842 CPT Hc Aaa Repr Visceral Arteries-2 34 26 $50,860.00 $30,516.00 40% off $7,600.00 $44,858.52 $34,513.60 2026-04-01
34843 CPT Hc Aaa Repr Visceral Arteries-3 34 26 $55,948.00 $33,568.80 40% off $7,600.00 $49,346.14 $37,966.31 2026-04-01
34844 CPT Hc Aaa Repr Visceral Arteries-4+ 34 26 $61,033.00 $36,619.80 40% off $7,600.00 $53,831.11 $41,416.99 2026-04-01
34845 CPT Hc Aaa Repr Visceral & Infrarenal Artery-1 34 26 $50,860.00 $30,516.00 40% off $7,600.00 $44,858.52 $34,513.60 2026-04-01
34846 CPT Hc Aaa Repr Visceral & Infrarenal Arteries-2 34 26 $50,860.00 $30,516.00 40% off $7,600.00 $44,858.52 $34,513.60 2026-04-01
34847 CPT Hc Aaa Repr Visceral & Infrarenal Arteries-3 34 26 $55,948.00 $33,568.80 40% off $7,600.00 $49,346.14 $37,966.31 2026-04-01
34848 CPT Hc Aaa Repr Visceral & Infrarenal Arteries-4+ 34 26 $61,033.00 $36,619.80 40% off $7,600.00 $53,831.11 $41,416.99 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 40 32 $45,259.15 $27,155.49 40% off $18,432.27 $50,520.83 $30,763.34 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 40 32 $109,788.06 $65,872.84 40% off $19,202.23 $52,663.81 $32,068.26 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 40 32 $66,723.73 $40,034.24 40% off $22,316.20 $61,330.87 $37,345.84 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 32 $157,078.84 $94,247.30 40% off $33,636.18 $92,837.44 $56,530.94 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 40 32 $63,257.15 $37,954.29 40% off $17,303.90 $49,147.12 $29,926.86 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 40 32 $46,942.79 $28,165.67 40% off $15,032.79 $41,059.14 $25,001.89 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 40 32 $127,233.16 $76,339.90 40% off $25,278.32 $69,575.24 $42,366.03 2026-04-01
37295 CPT Hc Periph Intv Stent/Atherectomy Tib/Peroneal W/wo Pta Complex Ea Add'l Rt 34 26 $37,979.00 $22,787.40 40% off $7,600.00 $33,497.48 $25,772.55 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 40 32 $69,246.76 $41,548.06 40% off $16,520.29 $45,199.29 $27,522.93 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 38 30 $64,664.57 $38,798.74 40% off $14,161.08 $38,632.95 $24,521.71 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 40 32 $54,229.38 $32,537.63 40% off $15,180.09 $41,469.13 $25,251.55 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 40 32 $48,093.19 $28,855.91 40% off $18,465.69 $50,613.82 $30,819.97 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 25 $349,411.00 $209,646.60 40% off $105,457.35 $267,082.69 $128,125.45 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 25 $125,327.63 $75,196.58 40% off $30,809.21 $77,523.28 $37,189.63 2026-04-01
405 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders,major 14 14 $59,598.64 — $29,027.98 $29,027.98 $29,027.98 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 25 $212,865.81 $127,719.49 40% off $27,355.06 $68,751.90 $32,981.80 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 32 $80,443.53 $48,266.12 40% off $16,813.40 $46,015.06 $28,019.67 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 40 32 $81,144.80 $48,686.88 40% off $18,401.13 $50,434.18 $30,710.58 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 32 $64,813.82 $38,888.29 40% off $31,815.31 $87,769.50 $53,444.96 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 40 32 $94,323.27 $56,593.96 40% off $16,893.88 $46,239.08 $28,156.09 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 32 $111,956.21 $67,173.73 40% off $55,093.08 $152,557.89 $92,896.16 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 40 32 $64,528.95 $38,717.37 40% off $15,225.66 $41,595.94 $25,328.77 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 40 32 $59,839.84 $35,903.90 40% off $14,227.16 $38,816.82 $23,636.49 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 40 32 $55,866.70 $33,520.02 40% off $13,908.24 $37,929.19 $23,095.99 2026-04-01
445 APR_DRG Other Bladder Procedures,extreme 14 14 $70,225.15 — $30,729.26 $30,729.26 $30,729.26 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 25 $109,414.20 $65,648.52 40% off $32,482.00 $93,197.00 $39,227.40 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 32 $81,942.49 $49,165.49 40% off $24,809.80 $93,197.00 $41,572.02 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 32 $126,071.66 $75,643.00 40% off $45,559.79 $126,024.16 $76,739.13 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 40 32 $68,782.20 $41,269.32 40% off $20,478.65 $56,216.44 $34,231.54 2026-04-01
462 APR_DRG Nephritis And Nephrosis,major 14 14 $43,471.18 — $23,131.37 $23,131.37 $23,131.37 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 25 $93,589.43 $56,153.66 40% off $43,558.21 $109,897.76 $52,720.38 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 25 $80,628.61 $48,377.17 40% off $23,931.28 $60,057.65 $28,810.98 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 32 $102,882.47 $61,729.48 40% off $39,806.41 $110,010.92 $66,988.29 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 32 $113,590.34 $68,154.20 40% off $27,058.94 $74,531.16 $45,383.82 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 40 32 $46,298.62 $27,779.17 40% off $21,146.84 $58,076.23 $35,364.01 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 38 30 $56,224.50 $33,734.70 40% off $23,312.43 $64,103.65 $40,688.86 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 40 32 $55,878.69 $33,527.21 40% off $14,927.25 $47,134.00 $24,823.01 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 40 32 $56,838.13 $34,102.88 40% off $22,651.07 $62,262.88 $37,913.36 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 32 $148,986.68 $89,392.01 40% off $32,877.60 $90,726.15 $55,245.33 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 40 32 $53,925.75 $32,355.45 40% off $17,560.57 $48,094.64 $29,285.98 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 32 $134,784.59 $80,870.75 40% off $26,512.21 $73,009.52 $44,457.25 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 40 32 $60,452.71 $36,271.63 40% off $18,953.92 $51,972.73 $31,647.44 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 32 $73,724.00 $44,234.40 40% off $22,394.41 $61,548.55 $37,478.39 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 40 32 $62,895.16 $37,737.10 40% off $16,184.67 $44,265.16 $26,954.12 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 40 32 $69,710.99 $41,826.59 40% off $21,328.33 $58,581.33 $35,671.58 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 42 34 $33,833.85 $20,300.31 40% off $16,158.86 $44,193.31 $25,571.02 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 40 32 $118,950.35 $71,370.21 40% off $28,159.94 $77,595.59 $47,249.82 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 40 32 $80,319.19 $48,191.51 40% off $19,537.84 $53,597.94 $32,637.07 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 40 32 $60,599.38 $36,359.63 40% off $15,516.48 $42,405.37 $25,821.65 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 32 $60,223.74 $36,134.24 40% off $27,811.41 $76,625.54 $46,659.13 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 32 $66,129.80 $39,677.88 40% off $13,978.07 $38,123.62 $23,214.39 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 32 $78,697.41 $47,218.45 40% off $23,187.89 $63,757.05 $38,823.20 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 42 34 $21,543.95 $12,926.37 40% off $15,579.50 $42,580.78 $24,637.98 2026-04-01
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 14 14 $202,876.31 — $225,930.03 $225,930.03 $225,930.03 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 40 32 $125,135.22 $75,081.13 40% off $24,311.69 $66,884.88 $40,727.81 2026-04-01
503 MS_DRG Foot Procedures With Mcc 40 32 $43,204.68 $25,922.81 40% off $21,474.12 $58,987.11 $35,918.67 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 42 34 $36,459.09 $21,875.45 40% off $16,070.02 $43,946.04 $25,427.94 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 40 32 $70,360.48 $42,216.29 40% off $24,479.50 $67,351.94 $41,012.22 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 40 32 $78,233.47 $46,940.08 40% off $16,060.15 $43,918.57 $26,743.07 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 32 $66,461.14 $39,876.68 40% off $28,658.81 $78,984.10 $48,095.31 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 40 32 $65,526.32 $39,315.79 40% off $15,468.64 $42,272.23 $25,740.57 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 32 $79,862.69 $47,917.61 40% off $22,074.74 $60,658.81 $36,936.60 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 40 32 $61,189.49 $36,713.69 40% off $16,360.85 $48,205.00 $27,252.68 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 42 34 $25,342.10 $15,205.26 40% off $15,237.05 $41,627.64 $24,086.47 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 40 32 $41,545.43 $24,927.26 40% off $19,124.77 $52,448.25 $31,937.00 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 14 12 $42,393.11 $25,435.87 40% off $28,386.95 $52,515.86 $28,386.95 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 40 32 $57,636.53 $34,581.92 40% off $17,920.49 $49,096.40 $29,895.97 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 16 14 $38,800.18 $23,280.11 40% off $11,261.00 $46,544.39 $25,159.13 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 16 14 $34,425.73 $20,655.44 40% off $8,039.00 $46,544.39 $25,159.13 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 16 14 $39,472.09 $23,683.25 40% off $12,956.00 $57,652.62 $31,163.58 2026-04-01
570 MS_DRG Skin Debridement With Mcc 40 32 $46,500.39 $27,900.23 40% off $22,613.10 $62,157.21 $37,849.02 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 25 $212,421.64 $127,452.98 40% off $50,026.89 $126,324.09 $60,600.45 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 32 $48,298.11 $28,978.87 40% off $26,639.77 $73,364.57 $44,673.45 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 40 32 $48,212.36 $28,927.42 40% off $20,408.02 $56,019.89 $34,111.86 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 40 32 $54,140.66 $32,484.40 40% off $24,871.32 $68,442.46 $41,676.26 2026-04-01
58 APR_DRG Other Disorders Of Nervous System,major 42 14 $43,365.93 — $15,662.11 $29,877.01 $23,353.27 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 42 34 $31,347.40 $18,808.44 40% off $16,535.47 $45,241.55 $26,177.55 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 40 32 $42,565.59 $25,539.35 40% off $14,975.84 $40,900.63 $24,905.38 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 40 32 $92,687.69 $55,612.61 40% off $16,383.62 $44,818.87 $27,291.29 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 40 32 $86,497.61 $51,898.57 40% off $21,215.95 $58,268.55 $35,481.12 2026-04-01
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 14 $112,965.35 — $45,551.99 $45,551.99 $45,551.99 2026-04-01
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 14 14 $41,725.01 — $47,804.83 $47,804.83 $47,804.83 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 40 32 $51,050.71 $30,630.43 40% off $16,923.51 $46,321.50 $28,206.27 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 40 32 $96,116.39 $57,669.83 40% off $26,761.26 $73,702.71 $44,879.35 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 40 32 $57,144.52 $34,286.71 40% off $14,482.29 $39,526.92 $24,068.89 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 40 32 $48,895.32 $29,337.19 40% off $27,306.46 $75,220.13 $45,803.34 2026-04-01
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 28 14 $40,494.10 — $30,602.23 $41,030.24 $35,816.24 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 40 32 $47,015.72 $28,209.43 40% off $13,902.16 $37,912.28 $23,085.70 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 40 32 $63,982.77 $38,389.66 40% off $28,579.10 $78,762.19 $47,960.19 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 40 32 $63,739.28 $38,243.57 40% off $16,824.79 $46,046.76 $28,038.98 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 40 32 $51,591.90 $30,955.14 40% off $39,738.08 $109,820.72 $66,872.47 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 40 32 $56,180.52 $33,708.31 40% off $14,176.27 $38,675.22 $23,550.27 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 40 32 $60,580.76 $36,348.46 40% off $19,574.29 $53,699.38 $32,698.84 2026-04-01
660 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 14 14 $88,569.70 — $25,493.55 $25,493.55 $25,493.55 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 40 32 $54,252.80 $32,551.68 40% off $23,527.31 $64,701.74 $39,398.44 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 40 32 $68,669.75 $41,201.85 40% off $22,452.88 $61,711.28 $37,577.48 2026-04-01
671 MS_DRG Urethral Procedures With Cc/mcc 40 32 $48,283.24 $28,969.94 40% off $13,910.50 $37,935.53 $23,099.86 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 32 $120,554.45 $72,332.67 40% off $32,184.34 $88,796.61 $54,070.39 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 40 32 $50,727.78 $30,436.67 40% off $18,038.19 $49,423.97 $30,095.44 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 40 32 $64,938.69 $38,963.21 40% off $15,469.40 $42,274.34 $25,741.86 2026-04-01
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 28 14 $165,629.01 — $47,664.93 $100,194.12 $73,929.52 2026-04-01
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,major 14 14 $116,947.51 — $41,837.46 $41,837.46 $41,837.46 2026-04-01
711 MS_DRG Testes Procedures With Cc/mcc 40 32 $42,315.66 $25,389.40 40% off $16,103.42 $44,039.03 $26,816.42 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 40 32 $49,359.89 $29,615.93 40% off $17,269.00 $47,283.10 $28,791.81 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 40 32 $52,182.62 $31,309.57 40% off $14,635.67 $39,953.83 $24,328.84 2026-04-01
721 APR_DRG Post-operative, Post-traumatic, Other Device Infections,extreme 42 14 $83,605.05 — $15,740.91 $54,476.50 $26,143.19 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 40 32 $124,519.63 $74,711.78 40% off $27,485.67 $75,718.90 $46,107.05 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 40 32 $61,855.36 $37,113.22 40% off $14,212.73 $38,776.66 $23,612.04 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 42 34 $31,900.38 $19,140.23 40% off $15,839.94 $43,305.68 $25,057.42 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 40 32 $56,912.36 $34,147.42 40% off $14,265.10 $38,922.49 $23,700.84 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 27 $35,338.81 $21,203.29 40% off $45,410.97 $104,991.93 $50,648.29 2026-04-01
791 MS_DRG Prematurity With Major Problems 31 26 $79,830.14 $47,898.08 40% off $31,101.54 $85,782.91 $37,545.75 2026-04-01
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment,major 14 14 $80,316.34 — $43,765.48 $43,765.48 $43,765.48 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 21 19 $16,450.87 $9,870.52 40% off $31,941.36 $48,317.32 $31,941.36 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 40 32 $120,116.69 $72,070.01 40% off $34,669.60 $95,713.77 $58,282.41 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 40 32 $64,264.58 $38,558.75 40% off $14,395.71 $39,285.99 $23,922.18 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 40 32 $71,463.98 $42,878.39 40% off $17,045.74 $46,661.76 $28,413.47 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 40 32 $122,772.08 $73,663.25 40% off $16,429.17 $44,945.68 $27,368.50 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 38 30 $64,982.56 $38,989.54 40% off $17,605.37 $48,219.33 $30,606.53 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 39 33 $15,639.77 $9,383.86 40% off $17,635.75 $44,070.94 $22,856.00 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 32 $68,237.82 $40,942.69 40% off $17,830.12 $48,844.90 $29,742.83 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 40 32 $43,839.36 $26,303.62 40% off $24,275.24 $66,783.44 $40,666.04 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 40 32 $60,565.36 $36,339.22 40% off $41,966.68 $116,023.55 $70,649.52 2026-04-01
835 MS_DRG Acute Leukemia With Cc 42 34 $34,434.49 $20,660.69 40% off $16,118.62 $44,081.30 $25,506.21 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 31 25 $45,704.86 $27,422.92 40% off $24,843.97 $62,375.34 $29,922.83 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 32 $124,655.77 $74,793.46 40% off $37,780.54 $104,372.37 $63,554.84 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 40 32 $54,236.73 $32,542.04 40% off $15,452.69 $42,227.85 $25,713.55 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 32 $99,598.86 $59,759.32 40% off $34,819.95 $96,132.23 $58,537.22 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 40 32 $56,867.11 $34,120.27 40% off $16,541.57 $45,258.46 $27,558.96 2026-04-01
862 APR_DRG Other Aftercare And Convalescence,moderate 17 14 $28,970.24 — $26,910.21 $26,910.21 $26,910.21 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 40 32 $58,745.34 $35,247.20 40% off $14,128.44 $38,542.08 $23,469.20 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 40 32 $61,335.30 $36,801.18 40% off $16,174.81 $44,237.69 $26,937.39 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 32 $146,305.69 $87,783.41 40% off $52,763.47 $146,073.98 $88,947.95 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 40 32 $59,170.34 $35,502.20 40% off $15,030.52 $41,052.80 $24,998.03 2026-04-01
892 APR_DRG HIV With Major HIV Related Condition,major 14 14 $65,430.21 — $22,991.47 $22,991.47 $22,991.47 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 40 32 $47,135.81 $28,281.49 40% off $14,817.90 $40,461.04 $24,637.70 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 40 32 $90,838.61 $54,503.17 40% off $29,433.33 $81,139.77 $49,407.95 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 40 32 $62,357.32 $37,414.39 40% off $15,430.67 $42,166.56 $25,676.23 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 16 14 $37,896.04 $22,737.62 40% off $17,562.00 $63,904.51 $34,542.98 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 14 12 $41,441.75 $24,865.05 40% off $19,133.17 $52,736.90 $28,506.43 2026-04-01
92945 CPT Hc Cor Intv Cto All Incl Lc Ante&Retro App 60 52 $54,000.00 $32,400.00 40% off $1,854.49 $47,628.00 $25,002.00 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 40 32 $49,467.35 $29,680.41 40% off $17,066.25 $46,718.82 $28,448.21 2026-04-01
93653 CPT Hc Svt Ablation 60 54 $97,501.00 $58,500.60 40% off $1,095.49 $107,991.00 $27,654.12 2026-04-01
93654 CPT Hc Vt Ablation 60 54 $95,476.00 $57,285.60 40% off $1,467.60 $107,991.00 $27,654.12 2026-04-01
93656 CPT Hc Afib Ablation 60 54 $114,353.00 $68,611.80 40% off $1,471.28 $107,991.00 $27,654.12 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 16 14 $35,795.88 $21,477.53 40% off $11,897.00 $45,584.33 $24,640.18 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 14 12 $73,046.92 $43,828.15 40% off $39,832.32 $73,689.79 $39,832.32 2026-04-01
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 14 14 $72,213.16 — $139,690.31 $139,690.31 $139,690.31 2026-04-01
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,major 14 14 $124,274.77 — $37,880.13 $37,880.13 $37,880.13 2026-04-01
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 14 14 $64,982.56 — $56,517.08 $56,517.08 $56,517.08 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 40 32 $56,821.55 $34,092.93 40% off $28,853.96 $79,527.24 $48,426.05 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 32 $62,863.77 $37,718.26 40% off $32,277.74 $89,056.56 $54,228.68 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 40 32 $100,850.41 $60,510.25 40% off $19,865.11 $54,508.81 $33,191.72 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 40 32 $50,761.47 $30,456.88 40% off $27,705.87 $76,331.78 $46,480.25 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 40 32 $121,361.01 $72,816.61 40% off $22,194.71 $60,992.72 $37,139.93 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 25 $99,262.60 $59,557.56 40% off $35,906.53 $90,467.29 $43,399.15 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 40 32 $67,952.51 $40,771.51 40% off $18,948.61 $51,957.94 $31,638.44 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 32 $108,048.49 $64,829.09 40% off $26,313.28 $72,455.81 $44,120.08 2026-04-01
A9543 CPT Hc Y-90 Zevalin Per Dose 49 43 $72,468.00 $43,480.80 40% off $36,016.60 $80,165.58 $54,423.47 2026-04-01
C1721 CPT Hc Dr Icd C1721 1,232 43 $52,806.00 $31,683.60 40% off $0.49 $65,417.06 $32,158.85 2026-04-01
C1722 CPT Hc Vr Icd C1722 892 43 $46,037.00 $27,622.20 40% off $0.49 $61,908.46 $28,164.00 2026-04-01
C1882 CPT Hc Crt-d C1882 1,062 43 $57,179.00 $34,307.40 40% off $0.49 $61,263.72 $34,608.68 2026-04-01
C9767 CPT Hc Bil Intravas Lithoplasty Iliac/Fem/Pop W Athrectmy & Stent 80 40 $46,191.00 $27,714.60 40% off $7,600.00 $40,741.34 $30,731.19 2026-04-01
C9775 CPT Hc Intravas Lithoplasty Tib/Pernl Artrys W Athrectmy & Stent W/wo Pta 80 40 $46,192.00 $27,715.20 40% off $7,600.00 $40,741.34 $30,731.19 2026-04-01
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 66 57 $620,147.80 $372,088.68 40% off $5,009.56 $546,970.36 $125,318.50 2026-04-01
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 66 57 $151,379.84 $90,827.90 40% off $3,768.81 $133,517.02 $32,280.16 2026-04-01
PX-2783058 CDM Hc Laa Closure Device 51 43 $46,037.00 $27,622.20 40% off $524.16 $40,604.63 $22,880.39 2026-04-01
PX-3600025 CDM Hc Surg S/e Level 5 Cardiac 34 26 $35,658.00 $21,394.80 40% off $7,600.00 $31,450.36 $24,197.52 2026-04-01
PX-3600067 CDM Hc Surg S/e Level Hybrid Neuro 34 26 $36,576.00 $21,945.60 40% off $7,600.00 $32,260.03 $24,820.47 2026-04-01
PX-3600068 CDM Hc Surg S/e Level Hybrid Cardiac 34 26 $36,576.00 $21,945.60 40% off $7,600.00 $32,260.03 $24,820.47 2026-04-01
See an error in this hospital's data? Submit a correction