Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NORTHERN LIGHT A R GOULD HOSPITAL

Presque Isle, ME · CCN 200018 · Rates published

14,867 distinct procedures filed
8 distinct payers
955,824 rate rows
2026-03-30 last MRF observed
Data quality

351,448 of 955,824 rate rows are consumer-grade (36.8%)

604,376 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
professional (physician) fee — not the facility price 586,438
template filing: same amount across many unrelated codes — excluded 10,618
placeholder amount (≤ $0.02) — excluded from medians 6,940
percent-of-charges filed in the dollar field — excluded from medians 260
per-diem day rate — not a per-procedure price 70
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://northernlighthealth.org/NLH/media/Price-Transparency/010372148_AR-Gould-hospital_standardcharges.csv
Found on page https://northernlighthealth.org/Resources/Price-Transparency/Standard-Charges/Machine-Readable-Files
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint da606d06a857dadf… · 207,985,197 bytes · first seen 2026-05-14

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
J3391
CPT 		Inj Atidarsagene Autotemcel 6 $4,505,000.00 $4,595,100.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1411
CPT 		Inj Hemgenix Per Tx Dose 7 $3,685,266.67 $4,192,300.00 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1414
CPT 		Inj Beqvez Per Tx Dose 2 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
CPT 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $3,753,613.11 $3,382,791.84 nat. median
$3,325,455
1.0× median
J3394
CPT 		Inj Lovotibeglogene Autotem 7 $3,248,445.72 $3,608,090.00 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
CPT 		Inj Betibeglogene Autotemce 7 $2,945,740.00 $3,353,840.00 $3,004,654.80 nat. median
$3,006,423
1.0× median
J3399
CPT 		Inj Onase Abepar-xioi Treat 6 $2,504,212.82 $2,715,908.39 $2,504,212.82 nat. median
$2,469,189
1.0× median
J3392
CPT 		Inj Exagamglogene Autotem 6 $2,332,000.00 $2,378,640.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
Q2057
CPT 		Afamitresgene Autoleucel 6 $786,032.40 $3,020,830.40 $786,032.40 nat. median
$824,563
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $286,013.82 $1,306,495.61 $785,156.53 nat. median
$370,174
outlier · 2.1×
Q2042
CPT 		Tisagenlecleucel Car-pos T 7 $603,560.72 $2,319,566.70 $603,560.72 nat. median
$754,974
0.8× median
Q2056
CPT 		Ciltacabtagene Car-pos T 7 $577,186.33 $2,218,206.29 $577,186.33 nat. median
$675,122
0.9× median
Q2054
CPT 		Lisocabtagene Mara Car Pos T 7 $573,788.95 $2,205,149.70 $573,788.95 nat. median
$674,188
0.9× median
Q2055
CPT 		Idecabtagene Vicleucel Car 7 $568,464.29 $2,184,686.29 $568,464.29 nat. median
$625,184
0.9× median
Q2041
CPT 		Axicabtagene Ciloleucel Car+ 7 $543,894.77 $2,090,262.27 $543,894.77 nat. median
$634,511
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $185,611.46 $847,863.09 $509,535.00 nat. median
$265,286
1.9× median
Q2053
CPT 		Brexucabtagene Car Pos T 7 $499,090.70 $1,918,074.07 $499,090.70 nat. median
$620,080
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $141,411.35 $645,959.38 $388,198.18 nat. median
$206,368
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 8 $140,581.45 $642,168.43 $385,919.96 nat. median
$202,986
1.9× median
Q2058
CPT 		Obecbtge Autol Up To 400 Mil 6 $283,815.00 $1,090,740.00 $283,815.00 nat. median
$324,450
0.9× median
J3403
CPT 		Revakinagene Per Implant 6 $249,194.60 $1,009,400.00 $262,650.00 nat. median
$265,000
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 8 $91,742.36 $419,074.11 $251,848.35 nat. median
$133,176
1.9× median
7
MS_DRG 		Lung Transplant 8 $85,773.41 $391,808.30 $235,462.59 nat. median
$122,708
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $79,598.49 $363,601.56 $218,511.37 nat. median
$117,303
1.9× median
J3402
CPT 		Inj. Remestemcel-l-rknd/ Td 6 $209,752.80 $806,108.80 $209,752.80 nat. median
$209,753
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $75,054.22 $342,843.61 $206,036.59 nat. median
$108,660
1.9× median
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 8 $74,968.12 $342,450.29 $205,800.22 nat. median
$98,017
outlier · 2.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $72,997.02 $333,446.41 $200,389.21 nat. median
$98,905
outlier · 2.0×
212
MS_DRG 		Testes Procedures Age 0-17 8 $72,022.72 $328,995.90 $197,714.61 nat. median
$102,358
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $68,289.82 $311,944.18 $187,467.15 nat. median
$100,136
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 8 $65,948.47 $301,249.04 $181,039.76 nat. median
$99,019
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $64,794.69 $295,978.61 $177,872.42 nat. median
$93,672
1.9× median
J7330
CPT 		Cultured Chondrocytes Implnt 2 $168,513.00 $168,513.00 $168,513.00 nat. median
$76,377
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $59,673.53 $272,585.45 $163,813.98 nat. median
$82,712
2.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $57,354.70 $261,993.17 $157,448.40 nat. median
$83,442
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $55,833.99 $255,046.62 $153,273.78 nat. median
$79,312
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 8 $55,658.47 $254,244.87 $152,791.95 nat. median
$81,118
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $52,117.64 $238,070.54 $143,071.77 nat. median
$77,576
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $50,855.89 $232,306.97 $139,608.07 nat. median
$74,915
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 8 $50,636.66 $231,305.53 $139,006.24 nat. median
$73,807
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $50,469.09 $230,540.07 $138,546.23 nat. median
$72,138
1.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $47,811.15 $218,398.74 $131,249.73 nat. median
$68,090
1.9× median
10
MS_DRG 		Pancreas Transplant 8 $47,527.01 $217,100.80 $130,469.72 nat. median
$68,882
1.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 $47,507.14 $217,010.04 $130,415.17 nat. median
$64,027
outlier · 2.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $47,254.79 $215,857.32 $129,722.43 nat. median
$71,240
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $47,226.97 $215,730.25 $129,646.07 nat. median
$68,887
1.9× median
38240
CPT 		Transplt Allo Hct/donor 8 $58,385.12 $320,355.11 $125,950.29 nat. median
$15,912
outlier · 7.9×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $45,779.11 $209,116.51 $125,671.45 nat. median
$66,526
1.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $45,554.58 $208,090.86 $125,055.07 nat. median
$65,950
1.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $44,582.28 $203,649.43 $122,385.93 nat. median
$64,732
1.9× median

Other procedures at this hospital

Browse this hospital's 14,867 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
             
J3391 CPT Inj Atidarsagene Autotemcel 12 6 — — $4,505,000.00 $4,595,100.00 $4,595,100.00 2026-03-30
J1414 CPT Inj Beqvez Per Tx Dose 4 2 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-30
J1411 CPT Inj Hemgenix Per Tx Dose 14 7 — — $3,685,266.67 $4,192,300.00 $3,758,972.00 2026-03-30
J1413 CPT Inj Delandistrogene Mox Rokl 14 7 — — $3,316,462.59 $3,753,613.11 $3,382,791.84 2026-03-30
J3394 CPT Inj Lovotibeglogene Autotem 14 7 — — $3,248,445.72 $3,608,090.00 $3,313,414.63 2026-03-30
J3393 CPT Inj Betibeglogene Autotemce 14 7 — — $2,945,740.00 $3,353,840.00 $3,004,654.80 2026-03-30
J3399 CPT Inj Onase Abepar-xioi Treat 12 6 — — $2,504,212.82 $2,715,908.39 $2,504,212.82 2026-03-30
J3392 CPT Inj Exagamglogene Autotem 12 6 — — $2,332,000.00 $2,378,640.00 $2,378,640.00 2026-03-30
Q2057 CPT Afamitresgene Autoleucel 12 6 — — $786,032.40 $3,020,830.40 $786,032.40 2026-03-30
Q2042 CPT Tisagenlecleucel Car-pos T 14 7 — — $603,560.72 $2,319,566.70 $603,560.72 2026-03-30
Q2056 CPT Ciltacabtagene Car-pos T 14 7 — — $577,186.33 $2,218,206.29 $577,186.33 2026-03-30
Q2054 CPT Lisocabtagene Mara Car Pos T 14 7 — — $573,788.95 $2,205,149.70 $573,788.95 2026-03-30
Q2055 CPT Idecabtagene Vicleucel Car 14 7 — — $568,464.29 $2,184,686.29 $568,464.29 2026-03-30
Q2041 CPT Axicabtagene Ciloleucel Car+ 14 7 — — $543,894.77 $2,090,262.27 $543,894.77 2026-03-30
Q2053 CPT Brexucabtagene Car Pos T 14 7 — — $499,090.70 $1,918,074.07 $499,090.70 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 22 8 — — $286,013.82 $1,306,495.61 $785,156.53 2026-03-30
Q2058 CPT Obecbtge Autol Up To 400 Mil 12 6 — — $283,815.00 $1,090,740.00 $283,815.00 2026-03-30
J3403 CPT Revakinagene Per Implant 18 6 — — $249,194.60 $1,009,400.00 $262,650.00 2026-03-30
J3402 CPT Inj. Remestemcel-l-rknd/ Td 12 6 — — $209,752.80 $806,108.80 $209,752.80 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 8 — — $185,611.46 $847,863.09 $509,535.00 2026-03-30
J7330 CPT Cultured Chondrocytes Implnt 4 2 — — $168,513.00 $168,513.00 $168,513.00 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 8 — — $141,411.35 $645,959.38 $388,198.18 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 22 8 — — $140,581.45 $642,168.43 $385,919.96 2026-03-30
Q0480 CPT Driver Pneumatic Vad Rep 18 7 — — $99,999.91 $132,651.16 $108,243.35 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 22 8 — — $91,742.36 $419,074.11 $251,848.35 2026-03-30
7 MS_DRG Lung Transplant 22 8 — — $85,773.41 $391,808.30 $235,462.59 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 22 8 — — $79,598.49 $363,601.56 $218,511.37 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 8 — — $75,054.22 $342,843.61 $206,036.59 2026-03-30
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 22 8 — — $74,968.12 $342,450.29 $205,800.22 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 8 — — $72,997.02 $333,446.41 $200,389.21 2026-03-30
212 MS_DRG Testes Procedures Age 0-17 22 8 — — $72,022.72 $328,995.90 $197,714.61 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 8 — — $68,289.82 $311,944.18 $187,467.15 2026-03-30
215 MS_DRG Other Heart Assist System Implant 22 8 — — $65,948.47 $301,249.04 $181,039.76 2026-03-30
L8702 CPT Ewhf S/d Uprt Micro Sensor 18 7 — — $65,277.04 $84,315.83 $68,801.71 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 8 — — $64,794.69 $295,978.61 $177,872.42 2026-03-30
J9029 CPT Instill Adstiladrin Tx Dose 22 8 — — $61,299.24 $248,301.74 $64,609.13 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 8 — — $59,673.53 $272,585.45 $163,813.98 2026-03-30
38240 CPT Transplt Allo Hct/donor 20 8 — — $58,385.12 $320,355.11 $125,950.29 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 22 8 — — $57,354.70 $261,993.17 $157,448.40 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 8 — — $55,833.99 $255,046.62 $153,273.78 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 8 — — $55,658.47 $254,244.87 $152,791.95 2026-03-30
A9543 CPT Y90 Ibritumomab Rx 18 7 — — $54,991.73 $222,752.24 $57,961.04 2026-03-30
Q2043 CPT Sipuleucel-t Auto Cd54+ 18 7 — — $53,489.57 $216,667.49 $56,377.77 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 8 — — $52,117.64 $238,070.54 $143,071.77 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 8 — — $50,855.89 $232,306.97 $139,608.07 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 22 8 — — $50,636.66 $231,305.53 $139,006.24 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 8 — — $50,469.09 $230,540.07 $138,546.23 2026-03-30
J7310 CPT Ganciclovir Long Act Implant 4 2 — — $48,000.00 $48,000.00 $48,000.00 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 8 — — $47,811.15 $218,398.74 $131,249.73 2026-03-30
10 MS_DRG Pancreas Transplant 22 8 — — $47,527.01 $217,100.80 $130,469.72 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 8 — — $47,507.14 $217,010.04 $130,415.17 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 8 — — $47,254.79 $215,857.32 $129,722.43 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 8 — — $47,226.97 $215,730.25 $129,646.07 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 8 — — $45,779.11 $209,116.51 $125,671.45 2026-03-30
L7181 CPT Electronic Elbo Simultaneous 18 7 — — $45,688.52 $59,014.09 $48,155.50 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 8 — — $45,554.58 $208,090.86 $125,055.07 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 8 — — $44,582.28 $203,649.43 $122,385.93 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 20 8 — — $44,424.35 $243,753.34 $95,833.66 2026-03-30
0266T CPT Implt/rpl Crtd Sns Dev Total 18 7 — — $44,424.35 $243,753.34 $47,578.48 2026-03-30
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 8 — — $44,286.88 $202,300.06 $121,575.00 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 8 — — $44,254.42 $202,151.81 $121,485.91 2026-03-30
L7180 CPT Electronic Elbow Sequential 18 7 — — $43,720.78 $56,472.44 $46,081.51 2026-03-30
J9226 CPT Supprelin La Implant 22 8 — — $43,568.55 $176,480.95 $45,921.06 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 8 — — $43,550.36 $198,935.70 $119,553.15 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 8 — — $43,550.36 $198,935.70 $119,553.15 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 8 — — $43,392.07 $198,212.61 $119,118.60 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 8 — — $42,619.12 $194,681.85 $116,996.74 2026-03-30
509 MS_DRG Arthroscopy 2 1 — — $42,160.80 $42,160.80 $42,160.80 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 22 8 — — $40,590.40 $185,414.74 $111,427.54 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 8 — — $40,543.37 $185,199.93 $111,298.45 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 8 — — $40,154.58 $183,423.96 $110,231.16 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 22 8 — — $39,794.94 $181,781.12 $109,243.86 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 8 — — $39,783.68 $181,729.68 $109,212.96 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 8 — — $39,495.56 $180,413.59 $108,422.03 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 22 8 — — $39,365.75 $179,820.59 $108,065.66 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 8 — — $39,274.34 $179,403.07 $107,814.75 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 8 — — $38,869.66 $177,554.49 $106,703.82 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 8 — — $38,844.49 $177,439.52 $106,634.72 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 8 — — $38,197.39 $174,483.61 $104,858.33 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 8 — — $37,953.65 $173,370.23 $104,189.22 2026-03-30
213 MS_DRG Splenic Procedures Age 0-17 22 8 — — $37,798.67 $172,662.26 $103,763.76 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 8 — — $37,749.65 $172,438.37 $103,629.21 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 8 — — $37,236.35 $170,093.61 $102,220.10 2026-03-30
8 MS_DRG Simultaneous Pancreas/kidney Transplant 22 8 — — $37,121.10 $169,567.17 $101,903.73 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 8 — — $36,866.76 $168,405.38 $101,205.53 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 22 8 — — $36,580.64 $167,098.37 $100,420.06 2026-03-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 22 8 — — $36,361.41 $166,096.92 $99,818.23 2026-03-30
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 22 8 — — $36,232.91 $165,509.98 $99,465.50 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 22 8 — — $36,181.25 $165,273.99 $99,323.68 2026-03-30
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 22 8 — — $36,124.29 $165,013.80 $99,167.31 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 8 — — $35,979.90 $164,354.24 $98,770.94 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 8 — — $35,320.88 $161,343.86 $96,961.82 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 8 — — $35,299.69 $161,247.05 $96,903.63 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 8 — — $35,062.57 $160,163.92 $96,252.71 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 8 — — $34,946.66 $159,634.46 $95,934.52 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 8 — — $34,477.07 $157,489.38 $94,645.41 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 22 8 — — $34,417.46 $157,217.08 $94,481.77 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 8 — — $33,382.89 $152,491.25 $91,641.72 2026-03-30
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 22 8 — — $33,033.18 $150,893.79 $90,681.70 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 8 — — $32,768.25 $149,683.59 $89,954.41 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 8 — — $32,709.96 $149,417.34 $89,794.41 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 8 — — $32,598.03 $148,906.03 $89,487.13 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 8 — — $32,462.25 $148,285.81 $89,114.40 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 22 8 — — $31,982.06 $146,092.32 $87,796.19 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 8 — — $31,820.45 $145,354.10 $87,352.55 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 20 8 — — $31,651.09 $173,667.34 $68,278.77 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 22 8 — — $31,532.34 $144,038.00 $86,561.62 2026-03-30
69930 CPT Implant Cochlear Device 20 8 — — $31,400.58 $172,292.81 $67,738.36 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 8 — — $31,138.91 $142,240.86 $85,481.60 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 8 — — $31,075.33 $141,950.41 $85,307.05 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 8 — — $30,982.60 $141,526.84 $85,052.50 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 22 8 — — $30,712.37 $140,292.44 $84,310.67 2026-03-30
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 8 — — $30,589.84 $139,732.72 $83,974.30 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 8 — — $30,444.12 $139,067.11 $83,574.29 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 8 — — $30,366.63 $138,713.12 $83,361.56 2026-03-30
245 MS_DRG Aicd Generator Procedures 22 8 — — $30,218.27 $138,035.41 $82,954.28 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 8 — — $30,127.53 $137,620.92 $82,705.19 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 8 — — $30,114.28 $137,560.41 $82,668.82 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
61886 CPT Implant Neurostim Arrays 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 20 8 — — $30,083.43 $165,065.68 $64,896.95 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 22 8 — — $29,996.39 $137,021.87 $82,345.18 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 22 8 — — $29,684.43 $135,596.86 $81,488.80 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 8 — — $29,675.82 $135,557.53 $81,465.16 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 8 — — $29,559.25 $135,025.04 $81,145.16 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 8 — — $29,094.95 $132,904.16 $79,870.59 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 8 — — $28,661.79 $130,925.49 $78,681.47 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 8 — — $28,433.28 $129,881.69 $78,054.19 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 22 8 — — $28,250.48 $129,046.65 $77,552.36 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 8 — — $28,088.21 $128,305.40 $77,106.90 2026-03-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 20 8 — — $28,064.35 $153,987.16 $60,541.34 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 8 — — $27,971.64 $127,772.92 $76,786.89 2026-03-30
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 22 8 — — $27,923.95 $127,555.08 $76,655.98 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 8 — — $27,910.04 $127,491.54 $76,617.80 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 8 — — $27,828.57 $127,119.41 $76,394.16 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 22 8 — — $27,795.46 $126,968.13 $76,303.25 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 8 — — $27,743.79 $126,732.14 $76,161.43 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 8 — — $27,636.50 $126,242.01 $75,866.88 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 22 8 — — $27,616.63 $126,151.25 $75,812.33 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 8 — — $27,506.68 $125,649.02 $75,510.51 2026-03-30
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 22 8 — — $27,324.54 $124,817.00 $75,010.50 2026-03-30
791 MS_DRG Prematurity With Major Problems 22 8 — — $26,884.09 $122,805.05 $73,801.38 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 8 — — $26,629.09 $121,640.23 $73,101.37 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 8 — — $26,388.00 $120,538.95 $72,439.54 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 8 — — $25,909.79 $118,354.53 $71,126.79 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 8 — — $25,792.56 $117,819.02 $70,804.96 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 8 — — $25,636.91 $117,108.03 $70,377.68 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 8 — — $25,598.50 $116,932.55 $70,272.23 2026-03-30
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 22 8 — — $25,573.99 $116,820.61 $70,204.95 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 8 — — $25,428.94 $116,158.02 $69,806.76 2026-03-30
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 22 8 — — $24,923.58 $113,849.57 $68,419.46 2026-03-30
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 22 8 — — $24,814.96 $113,353.38 $68,121.28 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 8 — — $24,756.01 $113,084.11 $67,959.45 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 8 — — $24,753.36 $113,072.01 $67,952.18 2026-03-30
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 22 8 — — $24,683.82 $112,754.33 $67,761.27 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 8 — — $24,544.73 $112,118.98 $67,379.44 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 8 — — $24,328.14 $111,129.64 $66,784.89 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 22 8 — — $24,318.21 $111,084.26 $66,757.61 2026-03-30
93654 CPT Compre Ep Eval Tx Vt 20 8 — — $24,218.21 $132,883.64 $52,244.31 2026-03-30
93656 CPT Compre Ep Eval Abltj Atr Fib 20 8 — — $24,218.21 $132,883.64 $52,244.31 2026-03-30
93653 CPT Compre Ep Eval Tx Svt 20 8 — — $24,218.21 $132,883.64 $52,244.31 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 8 — — $24,032.74 $109,780.27 $65,973.96 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 8 — — $24,014.20 $109,695.55 $65,923.05 2026-03-30
332 MS_DRG Rectal Resection With Mcc 22 8 — — $23,981.08 $109,544.28 $65,832.14 2026-03-30
265 MS_DRG Aicd Lead Procedures 22 8 — — $23,964.52 $109,468.64 $65,786.69 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 8 — — $23,922.13 $109,275.01 $65,670.32 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 8 — — $23,886.37 $109,111.63 $65,572.14 2026-03-30
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 22 8 — — $23,730.06 $108,397.61 $65,143.04 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 8 — — $23,675.08 $108,146.50 $64,992.13 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 8 — — $23,651.24 $108,037.58 $64,926.67 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 8 — — $23,616.14 $107,877.23 $64,830.31 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 8 — — $23,596.27 $107,786.46 $64,775.76 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 22 8 — — $23,573.75 $107,683.60 $64,713.94 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 8 — — $23,554.54 $107,595.86 $64,661.21 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 8 — — $23,357.83 $106,697.28 $64,121.20 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 8 — — $23,310.14 $106,479.45 $63,990.29 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 22 8 — — $23,104.15 $105,538.52 $63,424.82 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 22 8 — — $23,098.19 $105,511.29 $63,408.46 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 8 — — $22,992.22 $105,027.21 $63,117.55 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 8 — — $22,880.95 $104,518.92 $62,812.09 2026-03-30
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 22 8 — — $22,774.97 $104,034.84 $62,521.17 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 8 — — $22,707.42 $103,726.24 $62,335.71 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 8 — — $22,596.14 $103,217.96 $62,030.25 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 8 — — $22,566.34 $103,081.81 $61,948.43 2026-03-30
33230 CPT Insrt Pulse Gen W/dual Leads 20 8 — — $22,158.81 $121,583.85 $47,801.71 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 22 8 — — $22,125.89 $101,069.85 $60,739.32 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 8 — — $21,878.84 $99,941.34 $60,061.13 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 22 8 — — $21,804.66 $99,602.49 $59,857.49 2026-03-30
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 22 8 — — $21,802.01 $99,590.38 $59,850.21 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 8 — — $21,544.36 $98,413.46 $59,142.93 2026-03-30
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 22 8 — — $21,449.65 $97,980.82 $58,882.92 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 8 — — $21,425.80 $97,871.90 $58,817.47 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 8 — — $21,396.00 $97,735.75 $58,735.65 2026-03-30
652 MS_DRG Kidney Transplant 22 8 — — $21,390.04 $97,708.52 $58,719.28 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 8 — — $21,374.14 $97,635.91 $58,675.64 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 22 8 — — $21,332.41 $97,445.30 $58,561.10 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 8 — — $21,263.53 $97,130.65 $58,372.00 2026-03-30
64580 CPT Opn Impltj Nea Neuromuscular 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
63655 CPT Implant Neuroelectrodes 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 20 8 — — $21,169.83 $116,157.39 $45,668.25 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 8 — — $21,146.96 $96,598.16 $58,052.00 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 8 — — $21,107.88 $96,419.66 $57,944.72 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 8 — — $21,087.35 $96,325.87 $57,888.36 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 8 — — $21,044.96 $96,132.24 $57,771.99 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 22 8 — — $20,961.51 $95,751.02 $57,542.90 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 8 — — $20,929.71 $95,605.80 $57,455.62 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 8 — — $20,870.10 $95,333.51 $57,291.98 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 8 — — $20,860.17 $95,288.12 $57,264.71 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 8 — — $20,811.16 $95,064.24 $57,130.16 2026-03-30
665 MS_DRG Prostatectomy With Mcc 22 8 — — $20,672.73 $94,431.91 $56,750.15 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 8 — — $20,629.68 $94,235.25 $56,631.97 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 8 — — $20,593.25 $94,068.85 $56,531.97 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 22 8 — — $20,277.32 $92,625.68 $55,664.68 2026-03-30
263 MS_DRG Vein Ligation And Stripping 22 8 — — $20,250.16 $92,501.64 $55,590.13 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 8 — — $20,089.88 $91,769.47 $46,750.00 2026-03-30
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 22 8 — — $20,005.76 $91,385.23 $54,919.21 2026-03-30
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 22 8 — — $20,003.11 $91,373.13 $54,911.94 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 8 — — $19,981.25 $91,273.28 $54,851.94 2026-03-30
54416 CPT Remv/repl Penis Contain Pros 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
54410 CPT Remove/replace Penis Prosth 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
54411 CPT Remov/replc Penis Pros Comp 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
54401 CPT Insert Self-contd Prosthesis 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
54405 CPT Insert Multi-comp Penis Pros 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
53447 CPT Remove/replace Ur Sphincter 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
53444 CPT Insert Tandem Cuff 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
53445 CPT Insert Uro/ves Nck Sphincter 20 8 — — $19,870.85 $109,030.01 $42,866.06 2026-03-30
173 MS_DRG Urethral Procedures Age 0-17 22 8 — — $19,713.67 $90,050.98 $54,117.38 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 22 8 — — $19,512.98 $89,134.26 $53,566.46 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 22 8 — — $19,499.74 $89,073.75 $53,530.09 2026-03-30
570 MS_DRG Skin Debridement With Mcc 22 8 — — $19,479.87 $88,982.98 $53,475.55 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 22 8 — — $19,340.12 $88,344.60 $53,091.90 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 8 — — $19,289.12 $88,111.64 $52,951.90 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 8 — — $19,220.90 $87,800.01 $52,764.62 2026-03-30
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 22 8 — — $19,208.97 $87,745.55 $52,731.90 2026-03-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 8 — — $19,124.20 $87,358.29 $52,499.17 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 22 8 — — $19,114.92 $87,315.93 $52,473.71 2026-03-30
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 22 8 — — $19,087.10 $87,188.86 $52,397.35 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 8 — — $19,010.27 $86,837.90 $46,750.00 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 8 — — $18,879.79 $86,241.88 $51,828.24 2026-03-30
800 MS_DRG Splenic Procedures With Cc 22 8 — — $18,607.58 $84,998.40 $51,080.96 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 22 8 — — $18,540.68 $84,692.82 $50,897.32 2026-03-30
503 MS_DRG Foot Procedures With Mcc 22 8 — — $18,486.37 $84,444.73 $50,748.22 2026-03-30
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 22 8 — — $18,359.20 $83,863.83 $50,399.13 2026-03-30
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 8 — — $18,261.18 $83,416.06 $50,130.03 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 8 — — $18,205.54 $83,161.92 $49,977.30 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 8 — — $18,200.90 $83,140.74 $49,964.57 2026-03-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 8 — — $18,106.85 $82,711.12 $49,706.39 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 8 — — $18,020.75 $82,317.80 $49,470.02 2026-03-30
849 MS_DRG Radiotherapy 22 8 — — $17,945.91 $81,975.92 $49,264.56 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 8 — — $17,924.05 $81,876.08 $49,204.56 2026-03-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 8 — — $17,865.76 $81,609.84 $49,044.56 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 22 8 — — $17,618.05 $80,478.30 $48,364.54 2026-03-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 8 — — $17,556.45 $80,196.93 $48,195.45 2026-03-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 8 — — $17,468.36 $79,794.54 $47,953.63 2026-03-30
253 MS_DRG Other Vascular Procedures With Cc 22 8 — — $17,191.51 $78,529.88 $47,193.61 2026-03-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 22 8 — — $17,170.98 $78,436.09 $47,137.25 2026-03-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 8 — — $17,106.73 $78,142.61 $46,960.88 2026-03-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 8 — — $17,082.89 $78,033.70 $46,895.42 2026-03-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 22 8 — — $17,082.89 $78,033.70 $46,895.42 2026-03-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 22 8 — — $17,006.06 $77,682.74 $46,684.51 2026-03-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 22 8 — — $16,909.35 $77,241.02 $46,419.05 2026-03-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 8 — — $16,829.21 $76,874.93 $46,199.05 2026-03-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 22 8 — — $16,797.42 $76,729.71 $46,111.77 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 22 8 — — $16,717.28 $76,363.62 $45,891.77 2026-03-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 22 8 — — $16,709.99 $76,330.34 $45,871.77 2026-03-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 8 — — $16,504.67 $75,392.43 $45,308.12 2026-03-30
545 MS_DRG Connective Tissue Disorders With Mcc 22 8 — — $16,437.11 $75,083.83 $45,122.66 2026-03-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 22 8 — — $16,288.09 $74,403.10 $44,713.56 2026-03-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 8 — — $16,283.45 $74,381.92 $44,700.84 2026-03-30
792 MS_DRG Prematurity Without Major Problems 22 8 — — $16,221.85 $74,100.55 $44,531.74 2026-03-30
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 22 8 — — $16,188.74 $73,949.27 $44,440.83 2026-03-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 22 8 — — $16,169.53 $73,861.53 $44,388.10 2026-03-30
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 22 8 — — $16,043.02 $73,283.66 $44,040.83 2026-03-30
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 22 8 — — $15,990.70 $73,044.65 $43,897.19 2026-03-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 8 — — $15,931.09 $72,772.35 $43,733.55 2026-03-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 22 8 — — $15,877.44 $72,527.29 $43,586.27 2026-03-30
397 MS_DRG Major Head And Neck Procedures With Cc 22 8 — — $15,862.21 $72,457.70 $43,544.45 2026-03-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 22 8 — — $15,833.06 $72,324.58 $43,464.45 2026-03-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 22 8 — — $15,805.91 $72,200.53 $43,389.90 2026-03-30
113 MS_DRG Orbital Procedures With Cc/mcc 22 8 — — $15,572.11 $71,132.53 $42,748.07 2026-03-30
333 MS_DRG Rectal Resection With Cc 22 8 — — $15,513.16 $70,863.26 $42,586.25 2026-03-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 22 8 — — $15,489.31 $70,754.34 $42,520.80 2026-03-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 22 8 — — $15,478.05 $70,702.91 $42,489.89 2026-03-30
709 MS_DRG Penis Procedures With Cc/mcc 22 8 — — $15,413.15 $70,406.41 $42,311.70 2026-03-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 22 8 — — $15,402.55 $70,358.00 $42,282.61 2026-03-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 8 — — $15,386.65 $70,285.39 $42,238.97 2026-03-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 8 — — $15,307.83 $69,925.36 $42,022.61 2026-03-30
347 MS_DRG Anal And Stomal Procedures With Mcc 22 8 — — $15,204.51 $69,453.38 $41,738.96 2026-03-30
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 22 8 — — $15,199.87 $69,432.20 $41,726.24 2026-03-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 22 8 — — $15,138.28 $69,150.83 $41,557.14 2026-03-30
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 22 8 — — $15,111.78 $69,029.81 $41,484.41 2026-03-30
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 22 8 — — $15,072.71 $68,851.30 $41,377.14 2026-03-30
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 22 8 — — $15,047.54 $68,736.33 $41,308.05 2026-03-30
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 22 8 — — $15,005.81 $68,545.73 $41,193.50 2026-03-30
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 22 8 — — $14,826.98 $67,728.84 $40,702.58 2026-03-30
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 22 8 — — $14,818.37 $67,689.51 $40,678.94 2026-03-30
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